Quality Measure Implementation Guide
6.0.0-ballot - ballot
Quality Measure Implementation Guide
6.0.0-ballot - ballot
Quality Measure Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 6.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/cqf-measures/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/composite-measure-cqfm | Version: 4.0.0 | |||
| Active as of 2024-11-19 | Computable Name: CQFMCompositeMeasure | |||
The CQFM Composite Measure Profile describes minimum expectations for a composite electronic Quality Measure (QM). For more information on the usage of this profile, refer to the Profiles and Packaging pages in this implementation guide.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from CQFMComputableMeasure
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Measure |
0..* | CQFMComputableMeasure | A quality measure definition | |
  Slices for extension |
Content/Rules for all slices | |||
   scoringUnit |
S | 0..1 | CodeableConcept | What units? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoringUnit |
| Slices for relatedArtifact |
S | 0..* | RelatedArtifact | Additional documentation, citations, etc. Slice: Unordered, Open by value:type |
 relatedArtifact:component |
S | 0..* | RelatedArtifact | Additional documentation, citations, etc. |
  Slices for extension |
Content/Rules for all slices | |||
  groupId |
S | 0..1 | string | What group URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-groupId |
| weight |
S | 0..1 | decimal | Contribution? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-weight |
  type |
S | 1..1 | code | Component measure Fixed Value: composed-of |
 display |
S | 0..1 | string | Brief description of the related artifact |
 resource |
S | 1..1 | canonical(Measure) | What resource is being referenced |
 scoring |
S | 0..1 | CodeableConcept | composite Binding: Measure Scoring (extensible) Required Pattern: At least the following |
  coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
 system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-scoring | |
 code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: composite | |
| compositeScoring |
S | 0..1 | CodeableConcept | opportunity | all-or-nothing | linear | weighted Binding: CompositeMeasureScoring (extensible) |
| group |
SC | 0..* | BackboneElement | Population criteria group cmp-10: Composite measures may not specify population criteria cmp-11: Composite measures must specify composite scoring and at least one component |
| Slices for extension |
Content/Rules for all slices | |||
| scoring |
SC | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring Binding: Measure Scoring (extensible): How the measure calculation is performed |
| scoringUnit |
S | 0..1 | CodeableConcept | What units? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoringUnit |
| compositeScoring |
S | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-compositeScoring Binding: CompositeMeasureScoring (extensible): How the composite measure calculation is performed |
| component |
SC | 0..* | (Complex) | What artifact URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-component |
 Slices for extension |
Content/Rules for all slices | |||
| groupId |
S | 0..1 | string | What group URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-groupId |
| weight |
S | 0..1 | decimal | Contribution? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-weight |
| population |
SC | 0..* | BackboneElement | Population criteria |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| Measure.scoring | extensible | Pattern: compositehttp://terminology.hl7.org/ValueSet/measure-scoring | |
| Measure.compositeScoring | extensible | CompositeMeasureScoringhttp://terminology.hl7.org/ValueSet/composite-measure-scoring |
| Id | Grade | Path(s) | Details | Requirements |
| cmp-10 | error | Measure.group | Composite measures may not specify population criteria : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring').value.coding.code contains 'composite' implies population.count() = 0 | |
| cmp-11 | error | Measure.group | Composite measures must specify composite scoring and at least one component : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring').value.coding.code contains 'composite' implies extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-compositeScoring').exists() and extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-component').exists() |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Measure |
SC | 0..* | CQFMComputableMeasure | A quality measure definition mea-0: Name should be usable as an identifier for the module by machine processing applications such as code generation mea-1: Stratifier SHALL be either a single criteria or a set of criteria components cmp-1: Population basis must be specified at the root, or on each group cmp-2: Scoring must either be specified at the root, or on each group cmp-3: Scoring unit may only be specified at the root if the scoring is also specified at the root cmp-4: Improvement notation must be specified for scoring types other than cohort cmp-5: If type is specified at the root, it may not be specified on any group cmp-6: If riskAdjustment is specified at the root, it may not be specified on any group cmp-7: If rateAggregation is specified at the root, it may not be specified on any group |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| Slices for extension |
Content/Rules for all slices | |||
| populationBasis |
SC | 0..1 | code | What type of population URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-populationBasis Binding: FHIRAllTypes (required): The type of elements in the population |
| scoringUnit |
SC | 0..1 | CodeableConcept | What units? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoringUnit |
| effectiveDataRequirements |
S | 0..1 | canonical(CRMI Module Definition Library) | Effective required data for evaluation URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements |
| scoringPrecision |
0..1 | positiveInt | Number of decimal places URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoringPrecision | |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| status |
?!Σ | 1..1 | code | draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact. |
 subject[x] |
S | 0..1 | E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device Binding: Subject Type Value Set (extensible) | |
| subjectCodeableConcept |
CodeableConcept | |||
 subjectReference |
Reference(Group) | |||
| Slices for relatedArtifact |
S | 0..* | RelatedArtifact | Additional documentation, citations, etc. Slice: Unordered, Open by value:type |
| relatedArtifact:component |
S | 0..* | RelatedArtifact | Additional documentation, citations, etc. |
| Slices for extension |
Content/Rules for all slices | |||
| groupId |
S | 0..1 | string | What group URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-groupId |
| weight |
S | 0..1 | decimal | Contribution? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-weight |
| type |
SΣ | 1..1 | code | Component measure Binding: RelatedArtifactType (required): The type of relationship to the related artifact. Fixed Value: composed-of |
| display |
SΣ | 0..1 | string | Brief description of the related artifact |
| resource |
SΣ | 1..1 | canonical(Measure) | What resource is being referenced |
| library |
S | 0..1 | canonical(CRMI Computable Library) | Logic used by the measure |
| scoring |
SΣC | 0..1 | CodeableConcept | composite Binding: Measure Scoring (extensible) Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-scoring | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: composite | |
| compositeScoring |
SΣ | 0..1 | CodeableConcept | opportunity | all-or-nothing | linear | weighted Binding: CompositeMeasureScoring (extensible) |
| type |
SΣC | 0..* | CodeableConcept | process | outcome | structure | patient-reported-outcome | composite Binding: MeasureType (extensible): The type of measure (includes codes from 2.16.840.1.113883.1.11.20368). |
| improvementNotation |
SΣC | 0..1 | CodeableConcept | increase | decrease Binding: MeasureImprovementNotation (required) |
| group |
SC | 0..* | BackboneElement | Population criteria group cmp-8: Scoring unit may only be specified at the root if the scoring is also specified at the root cmp-9: Improvement notation must be specified for scoring types other than cohort cmp-10: Composite measures may not specify population criteria cmp-11: Composite measures must specify composite scoring and at least one component |
| Slices for extension |
Content/Rules for all slices | |||
| populationBasis |
SC | 0..1 | code | What type of population URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-populationBasis Binding: FHIRAllTypes (required): The type of elements in the population |
| scoring |
SC | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring Binding: Measure Scoring (extensible): How the measure calculation is performed |
| scoringUnit |
SC | 0..1 | CodeableConcept | What units? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoringUnit |
| scoringPrecision |
0..1 | positiveInt | Number of decimal places URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoringPrecision | |
| compositeScoring |
S | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-compositeScoring Binding: CompositeMeasureScoring (extensible): How the composite measure calculation is performed |
 component |
SC | 0..* | (Complex) | What artifact URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-component |
 Slices for extension |
Content/Rules for all slices | |||
| groupId |
S | 0..1 | string | What group URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-groupId |
| weight |
S | 0..1 | decimal | Contribution? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-weight |
| url |
1..1 | uri | "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-component" | |
| type |
C | 0..* | CodeableConcept | process | outcome | structure | patient-reported-outcome URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-type Binding: MeasureType (extensible): Indicates whether the measure is used to examine a process, an outcome over time, a patient-reported outcome, or a structure measure such as utilization. |
| riskAdjustment |
C | 0..1 | string | How risk adjustment is applied for this measure URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-riskAdjustment |
| rateAggregation |
C | 0..1 | string | How is rate aggregation performed for this measure URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-rateAggregation |
| improvementNotation |
SC | 0..1 | CodeableConcept | increase | decrease URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-improvementNotation Binding: MeasureImprovementNotation (required): Indicates how to interpret the calculated score of the measure |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code |
S | 0..1 | CodeableConcept | Meaning of the group |
| description |
S | 0..1 | string | Summary description |
| population |
SC | 0..* | BackboneElement | Population criteria |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code |
S | 0..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population. |
| description |
S | 0..1 | string | The human readable description of this population criteria |
| criteria |
1..1 | Expression | The criteria that defines this population | |
| stratifier |
S | 0..* | BackboneElement | Stratifier criteria for the measure |
| Slices for extension |
Content/Rules for all slices | |||
| appliesTo |
0..* | CodeableConcept | Which population does this stratifier apply to? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-appliesTo Binding: MeasurePopulationType (extensible): Indicates the population | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code |
S | 0..1 | CodeableConcept | Meaning of the stratifier |
| description |
S | 0..1 | string | The human readable description of this stratifier |
| component |
S | 0..* | BackboneElement | Stratifier criteria component for the measure |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code |
S | 0..1 | CodeableConcept | Meaning of the stratifier component |
| description |
S | 0..1 | string | The human readable description of this stratifier component |
| criteria |
1..1 | Expression | Component of how the measure should be stratified | |
| supplementalData |
S | 0..* | BackboneElement | What other data should be reported with the measure |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code |
S | 0..1 | CodeableConcept | Meaning of the supplemental data |
| usage |
S | 0..* | CodeableConcept | supplemental-data | risk-adjustment-factor Binding: MeasureDataUsage (extensible): The intended usage for supplemental data elements in the measure. |
| description |
S | 0..1 | string | The human readable description of this supplemental data |
| criteria |
1..1 | Expression | Expression describing additional data to be reported | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| Measure.status | required | PublicationStatushttp://hl7.org/fhir/ValueSet/publication-status|4.0.1from the FHIR Standard | |
| Measure.subject[x] | extensible | SubjectTypeValueSethttp://hl7.org/fhir/uv/cqm/ValueSet/subject-typefrom this IG | |
| Measure.relatedArtifact:component.type | required | Fixed Value: composed-ofhttp://hl7.org/fhir/ValueSet/related-artifact-type|4.0.1from the FHIR Standard | |
| Measure.scoring | extensible | Pattern: compositehttp://terminology.hl7.org/ValueSet/measure-scoring | |
| Measure.compositeScoring | extensible | CompositeMeasureScoringhttp://terminology.hl7.org/ValueSet/composite-measure-scoring | |
| Measure.type | extensible | MeasureTypehttp://hl7.org/fhir/ValueSet/measure-typefrom the FHIR Standard | |
| Measure.improvementNotation | required | MeasureImprovementNotationhttp://terminology.hl7.org/ValueSet/measure-improvement-notation | |
| Measure.group.population.code | extensible | MeasurePopulationTypehttp://hl7.org/fhir/ValueSet/measure-populationfrom the FHIR Standard | |
| Measure.supplementalData.usage | extensible | MeasureDataUsagehttp://hl7.org/fhir/ValueSet/measure-data-usagefrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| cmp-1 | error | Measure | Population basis must be specified at the root, or on each group : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-populationBasis').exists() or group.select(extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-populationBasis').exists()).allTrue() | |
| cmp-2 | error | Measure | Scoring must either be specified at the root, or on each group : scoring.exists() xor (group.exists() and group.select(extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring').exists()).allTrue()) | |
| cmp-3 | error | Measure | Scoring unit may only be specified at the root if the scoring is also specified at the root : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoringUnit').exists() implies scoring.exists() | |
| cmp-4 | error | Measure | Improvement notation must be specified for scoring types other than cohort : (scoring.exists() and (scoring.coding.code.contains('proportion') or scoring.coding.code.contains('ratio') or scoring.coding.code.contains('continuous-variable') or scoring.coding.code.contains('composite')) and improvementNotation.exists()) xor (group.exists() and group.select((extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring').exists() and (extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring').value.coding.code.contains('proportion') or extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring').value.coding.code.contains('ratio') or extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring').value.coding.code.contains('continuous-variable') or extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring').value.coding.code.contains('composite')) and extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-improvementNotation').exists())).allTrue()) xor (scoring.exists() and scoring.coding.code.contains('cohort')) | |
| cmp-5 | error | Measure | If type is specified at the root, it may not be specified on any group : type.exists() implies group.select(extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-type').exists()).allFalse() | |
| cmp-6 | error | Measure | If riskAdjustment is specified at the root, it may not be specified on any group : riskAdjustment.exists() implies group.select(extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-riskAdjustment').exists()).allFalse() | |
| cmp-7 | error | Measure | If rateAggregation is specified at the root, it may not be specified on any group : rateAggregation.exists() implies group.select(extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-rateAggregation').exists()).allFalse() | |
| cmp-8 | error | Measure.group | Scoring unit may only be specified at the root if the scoring is also specified at the root : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoringUnit').exists() implies extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring').exists() | |
| cmp-9 | error | Measure.group | Improvement notation must be specified for scoring types other than cohort : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring').value in ('proportion' | 'ratio' | 'continuous-variable') implies extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-improvementNotation').exists() | |
| cmp-10 | error | Measure.group | Composite measures may not specify population criteria : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring').value.coding.code contains 'composite' implies population.count() = 0 | |
| cmp-11 | error | Measure.group | Composite measures must specify composite scoring and at least one component : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring').value.coding.code contains 'composite' implies extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-compositeScoring').exists() and extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-component').exists() | |
| dom-2 | error | Measure | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Measure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Measure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Measure | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Measure | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| mea-0 | warning | Measure | Name should be usable as an identifier for the module by machine processing applications such as code generation : name.matches('[A-Z]([A-Za-z0-9_]){0,254}') | |
| mea-1 | error | Measure | Stratifier SHALL be either a single criteria or a set of criteria components : group.stratifier.all((code | description | criteria).exists() xor component.exists()) |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Measure |
SC | 0..* | CQFMComputableMeasure | A quality measure definition mea-0: Name should be usable as an identifier for the module by machine processing applications such as code generation mea-1: Stratifier SHALL be either a single criteria or a set of criteria components cmp-1: Population basis must be specified at the root, or on each group cmp-2: Scoring must either be specified at the root, or on each group cmp-3: Scoring unit may only be specified at the root if the scoring is also specified at the root cmp-4: Improvement notation must be specified for scoring types other than cohort cmp-5: If type is specified at the root, it may not be specified on any group cmp-6: If riskAdjustment is specified at the root, it may not be specified on any group cmp-7: If rateAggregation is specified at the root, it may not be specified on any group | ||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
 Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| populationBasis |
SC | 0..1 | code | What type of population URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-populationBasis Binding: FHIRAllTypes (required): The type of elements in the population | ||||
| scoringUnit |
SC | 0..1 | CodeableConcept | What units? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoringUnit | ||||
| effectiveDataRequirements |
S | 0..1 | canonical(CRMI Module Definition Library) | Effective required data for evaluation URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements | ||||
| scoringPrecision |
0..1 | positiveInt | Number of decimal places URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoringPrecision | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| url |
Σ | 0..1 | uri | Canonical identifier for this measure, represented as a URI (globally unique) | ||||
| identifier |
Σ | 0..* | Identifier | Additional identifier for the measure | ||||
| version |
Σ | 0..1 | string | Business version of the measure | ||||
| name |
ΣC | 0..1 | string | Name for this measure (computer friendly) | ||||
| title |
Σ | 0..1 | string | Name for this measure (human friendly) | ||||
| subtitle |
0..1 | string | Subordinate title of the measure | |||||
| status |
?!Σ | 1..1 | code | draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact. | ||||
| experimental |
Σ | 0..1 | boolean | For testing purposes, not real usage | ||||
| subject[x] |
S | 0..1 | E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device Binding: Subject Type Value Set (extensible) | |||||
| subjectCodeableConcept |
CodeableConcept | |||||||
| subjectReference |
Reference(Group) | |||||||
| date |
Σ | 0..1 | dateTime | Date last changed | ||||
| publisher |
Σ | 0..1 | string | Name of the publisher (organization or individual) | ||||
| contact |
Σ | 0..* | ContactDetail | Contact details for the publisher | ||||
| description |
Σ | 0..1 | markdown | Natural language description of the measure | ||||
| useContext |
Σ | 0..* | UsageContext | The context that the content is intended to support | ||||
| jurisdiction |
Σ | 0..* | CodeableConcept | Intended jurisdiction for measure (if applicable) Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use. | ||||
| purpose |
0..1 | markdown | Why this measure is defined | |||||
| usage |
0..1 | string | Describes the clinical usage of the measure | |||||
| copyright |
0..1 | markdown | Use and/or publishing restrictions | |||||
| approvalDate |
0..1 | date | When the measure was approved by publisher | |||||
| lastReviewDate |
0..1 | date | When the measure was last reviewed | |||||
| effectivePeriod |
Σ | 0..1 | Period | When the measure is expected to be used | ||||
| topic |
0..* | CodeableConcept | The category of the measure, such as Education, Treatment, Assessment, etc. Binding: DefinitionTopic (example): High-level categorization of the definition, used for searching, sorting, and filtering. | |||||
| author |
0..* | ContactDetail | Who authored the content | |||||
| editor |
0..* | ContactDetail | Who edited the content | |||||
| reviewer |
0..* | ContactDetail | Who reviewed the content | |||||
| endorser |
0..* | ContactDetail | Who endorsed the content | |||||
| Slices for relatedArtifact |
S | 0..* | RelatedArtifact | Additional documentation, citations, etc. Slice: Unordered, Open by value:type | ||||
| relatedArtifact:component |
S | 0..* | RelatedArtifact | Additional documentation, citations, etc. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| groupId |
S | 0..1 | string | What group URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-groupId | ||||
| weight |
S | 0..1 | decimal | Contribution? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-weight | ||||
| type |
SΣ | 1..1 | code | Component measure Binding: RelatedArtifactType (required): The type of relationship to the related artifact. Fixed Value: composed-of | ||||
| label |
Σ | 0..1 | string | Short label | ||||
| display |
SΣ | 0..1 | string | Brief description of the related artifact | ||||
| citation |
Σ | 0..1 | markdown | Bibliographic citation for the artifact | ||||
| url |
Σ | 0..1 | url | Where the artifact can be accessed | ||||
| document |
Σ | 0..1 | Attachment | What document is being referenced | ||||
| resource |
SΣ | 1..1 | canonical(Measure) | What resource is being referenced | ||||
| library |
S | 0..1 | canonical(CRMI Computable Library) | Logic used by the measure | ||||
| disclaimer |
Σ | 0..1 | markdown | Disclaimer for use of the measure or its referenced content | ||||
| scoring |
SΣC | 0..1 | CodeableConcept | composite Binding: Measure Scoring (extensible) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-scoring | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: composite | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| compositeScoring |
SΣ | 0..1 | CodeableConcept | opportunity | all-or-nothing | linear | weighted Binding: CompositeMeasureScoring (extensible) | ||||
| type |
SΣC | 0..* | CodeableConcept | process | outcome | structure | patient-reported-outcome | composite Binding: MeasureType (extensible): The type of measure (includes codes from 2.16.840.1.113883.1.11.20368). | ||||
| riskAdjustment |
ΣC | 0..1 | string | How risk adjustment is applied for this measure | ||||
| rateAggregation |
ΣC | 0..1 | string | How is rate aggregation performed for this measure | ||||
| rationale |
Σ | 0..1 | markdown | Detailed description of why the measure exists | ||||
| clinicalRecommendationStatement |
Σ | 0..1 | markdown | Summary of clinical guidelines | ||||
| improvementNotation |
SΣC | 0..1 | CodeableConcept | increase | decrease Binding: MeasureImprovementNotation (required) | ||||
| definition |
Σ | 0..* | markdown | Defined terms used in the measure documentation | ||||
| guidance |
Σ | 0..1 | markdown | Additional guidance for implementers | ||||
| group |
SC | 0..* | BackboneElement | Population criteria group cmp-8: Scoring unit may only be specified at the root if the scoring is also specified at the root cmp-9: Improvement notation must be specified for scoring types other than cohort cmp-10: Composite measures may not specify population criteria cmp-11: Composite measures must specify composite scoring and at least one component | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| populationBasis |
SC | 0..1 | code | What type of population URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-populationBasis Binding: FHIRAllTypes (required): The type of elements in the population | ||||
| scoring |
SC | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring Binding: Measure Scoring (extensible): How the measure calculation is performed | ||||
| scoringUnit |
SC | 0..1 | CodeableConcept | What units? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoringUnit | ||||
| scoringPrecision |
0..1 | positiveInt | Number of decimal places URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoringPrecision | |||||
| compositeScoring |
S | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-compositeScoring Binding: CompositeMeasureScoring (extensible): How the composite measure calculation is performed | ||||
| component |
SC | 0..* | (Complex) | What artifact URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-component | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| groupId |
S | 0..1 | string | What group URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-groupId | ||||
| weight |
S | 0..1 | decimal | Contribution? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-weight | ||||
| url |
1..1 | uri | "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-component" | |||||
| value[x] |
0..1 | RelatedArtifact | Value of extension | |||||
| type |
C | 0..* | CodeableConcept | process | outcome | structure | patient-reported-outcome URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-type Binding: MeasureType (extensible): Indicates whether the measure is used to examine a process, an outcome over time, a patient-reported outcome, or a structure measure such as utilization. | ||||
| riskAdjustment |
C | 0..1 | string | How risk adjustment is applied for this measure URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-riskAdjustment | ||||
| rateAggregation |
C | 0..1 | string | How is rate aggregation performed for this measure URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-rateAggregation | ||||
| improvementNotation |
SC | 0..1 | CodeableConcept | increase | decrease URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-improvementNotation Binding: MeasureImprovementNotation (required): Indicates how to interpret the calculated score of the measure | ||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
S | 0..1 | CodeableConcept | Meaning of the group | ||||
| description |
S | 0..1 | string | Summary description | ||||
| population |
SC | 0..* | BackboneElement | Population criteria | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
S | 0..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population. | ||||
| description |
S | 0..1 | string | The human readable description of this population criteria | ||||
| criteria |
1..1 | Expression | The criteria that defines this population | |||||
| stratifier |
S | 0..* | BackboneElement | Stratifier criteria for the measure | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| appliesTo |
0..* | CodeableConcept | Which population does this stratifier apply to? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-appliesTo Binding: MeasurePopulationType (extensible): Indicates the population | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
S | 0..1 | CodeableConcept | Meaning of the stratifier | ||||
| description |
S | 0..1 | string | The human readable description of this stratifier | ||||
| criteria |
0..1 | Expression | How the measure should be stratified | |||||
| component |
S | 0..* | BackboneElement | Stratifier criteria component for the measure | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
S | 0..1 | CodeableConcept | Meaning of the stratifier component | ||||
| description |
S | 0..1 | string | The human readable description of this stratifier component | ||||
| criteria |
1..1 | Expression | Component of how the measure should be stratified | |||||
| supplementalData |
S | 0..* | BackboneElement | What other data should be reported with the measure | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
S | 0..1 | CodeableConcept | Meaning of the supplemental data | ||||
| usage |
S | 0..* | CodeableConcept | supplemental-data | risk-adjustment-factor Binding: MeasureDataUsage (extensible): The intended usage for supplemental data elements in the measure. | ||||
| description |
S | 0..1 | string | The human readable description of this supplemental data | ||||
| criteria |
1..1 | Expression | Expression describing additional data to be reported | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| Measure.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Measure.status | required | PublicationStatushttp://hl7.org/fhir/ValueSet/publication-status|4.0.1from the FHIR Standard | ||||
| Measure.subject[x] | extensible | SubjectTypeValueSethttp://hl7.org/fhir/uv/cqm/ValueSet/subject-typefrom this IG | ||||
| Measure.jurisdiction | extensible | Jurisdiction ValueSethttp://hl7.org/fhir/ValueSet/jurisdictionfrom the FHIR Standard | ||||
| Measure.topic | example | DefinitionTopichttp://hl7.org/fhir/ValueSet/definition-topicfrom the FHIR Standard | ||||
| Measure.relatedArtifact:component.type | required | Fixed Value: composed-ofhttp://hl7.org/fhir/ValueSet/related-artifact-type|4.0.1from the FHIR Standard | ||||
| Measure.scoring | extensible | Pattern: compositehttp://terminology.hl7.org/ValueSet/measure-scoring | ||||
| Measure.compositeScoring | extensible | CompositeMeasureScoringhttp://terminology.hl7.org/ValueSet/composite-measure-scoring | ||||
| Measure.type | extensible | MeasureTypehttp://hl7.org/fhir/ValueSet/measure-typefrom the FHIR Standard | ||||
| Measure.improvementNotation | required | MeasureImprovementNotationhttp://terminology.hl7.org/ValueSet/measure-improvement-notation | ||||
| Measure.group.population.code | extensible | MeasurePopulationTypehttp://hl7.org/fhir/ValueSet/measure-populationfrom the FHIR Standard | ||||
| Measure.supplementalData.usage | extensible | MeasureDataUsagehttp://hl7.org/fhir/ValueSet/measure-data-usagefrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| cmp-1 | error | Measure | Population basis must be specified at the root, or on each group : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-populationBasis').exists() or group.select(extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-populationBasis').exists()).allTrue() | |
| cmp-2 | error | Measure | Scoring must either be specified at the root, or on each group : scoring.exists() xor (group.exists() and group.select(extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring').exists()).allTrue()) | |
| cmp-3 | error | Measure | Scoring unit may only be specified at the root if the scoring is also specified at the root : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoringUnit').exists() implies scoring.exists() | |
| cmp-4 | error | Measure | Improvement notation must be specified for scoring types other than cohort : (scoring.exists() and (scoring.coding.code.contains('proportion') or scoring.coding.code.contains('ratio') or scoring.coding.code.contains('continuous-variable') or scoring.coding.code.contains('composite')) and improvementNotation.exists()) xor (group.exists() and group.select((extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring').exists() and (extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring').value.coding.code.contains('proportion') or extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring').value.coding.code.contains('ratio') or extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring').value.coding.code.contains('continuous-variable') or extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring').value.coding.code.contains('composite')) and extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-improvementNotation').exists())).allTrue()) xor (scoring.exists() and scoring.coding.code.contains('cohort')) | |
| cmp-5 | error | Measure | If type is specified at the root, it may not be specified on any group : type.exists() implies group.select(extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-type').exists()).allFalse() | |
| cmp-6 | error | Measure | If riskAdjustment is specified at the root, it may not be specified on any group : riskAdjustment.exists() implies group.select(extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-riskAdjustment').exists()).allFalse() | |
| cmp-7 | error | Measure | If rateAggregation is specified at the root, it may not be specified on any group : rateAggregation.exists() implies group.select(extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-rateAggregation').exists()).allFalse() | |
| cmp-8 | error | Measure.group | Scoring unit may only be specified at the root if the scoring is also specified at the root : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoringUnit').exists() implies extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring').exists() | |
| cmp-9 | error | Measure.group | Improvement notation must be specified for scoring types other than cohort : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring').value in ('proportion' | 'ratio' | 'continuous-variable') implies extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-improvementNotation').exists() | |
| cmp-10 | error | Measure.group | Composite measures may not specify population criteria : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring').value.coding.code contains 'composite' implies population.count() = 0 | |
| cmp-11 | error | Measure.group | Composite measures must specify composite scoring and at least one component : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring').value.coding.code contains 'composite' implies extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-compositeScoring').exists() and extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-component').exists() | |
| dom-2 | error | Measure | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Measure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Measure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Measure | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Measure | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| mea-0 | warning | Measure | Name should be usable as an identifier for the module by machine processing applications such as code generation : name.matches('[A-Z]([A-Za-z0-9_]){0,254}') | |
| mea-1 | error | Measure | Stratifier SHALL be either a single criteria or a set of criteria components : group.stratifier.all((code | description | criteria).exists() xor component.exists()) |
This structure is derived from CQFMComputableMeasure
Summary
Mandatory: 0 element(2 nested mandatory elements)
Must-Support: 18 elements
Fixed: 1 element
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from CQFMComputableMeasure
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Measure |
0..* | CQFMComputableMeasure | A quality measure definition | |
| Slices for extension |
Content/Rules for all slices | |||
| scoringUnit |
S | 0..1 | CodeableConcept | What units? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoringUnit |
| Slices for relatedArtifact |
S | 0..* | RelatedArtifact | Additional documentation, citations, etc. Slice: Unordered, Open by value:type |
| relatedArtifact:component |
S | 0..* | RelatedArtifact | Additional documentation, citations, etc. |
| Slices for extension |
Content/Rules for all slices | |||
| groupId |
S | 0..1 | string | What group URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-groupId |
| weight |
S | 0..1 | decimal | Contribution? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-weight |
| type |
S | 1..1 | code | Component measure Fixed Value: composed-of |
| display |
S | 0..1 | string | Brief description of the related artifact |
| resource |
S | 1..1 | canonical(Measure) | What resource is being referenced |
| scoring |
S | 0..1 | CodeableConcept | composite Binding: Measure Scoring (extensible) Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-scoring | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: composite | |
| compositeScoring |
S | 0..1 | CodeableConcept | opportunity | all-or-nothing | linear | weighted Binding: CompositeMeasureScoring (extensible) |
| group |
SC | 0..* | BackboneElement | Population criteria group cmp-10: Composite measures may not specify population criteria cmp-11: Composite measures must specify composite scoring and at least one component |
| Slices for extension |
Content/Rules for all slices | |||
| scoring |
SC | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring Binding: Measure Scoring (extensible): How the measure calculation is performed |
| scoringUnit |
S | 0..1 | CodeableConcept | What units? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoringUnit |
| compositeScoring |
S | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-compositeScoring Binding: CompositeMeasureScoring (extensible): How the composite measure calculation is performed |
| component |
SC | 0..* | (Complex) | What artifact URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-component |
| Slices for extension |
Content/Rules for all slices | |||
| groupId |
S | 0..1 | string | What group URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-groupId |
| weight |
S | 0..1 | decimal | Contribution? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-weight |
| population |
SC | 0..* | BackboneElement | Population criteria |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| Measure.scoring | extensible | Pattern: compositehttp://terminology.hl7.org/ValueSet/measure-scoring | |
| Measure.compositeScoring | extensible | CompositeMeasureScoringhttp://terminology.hl7.org/ValueSet/composite-measure-scoring |
| Id | Grade | Path(s) | Details | Requirements |
| cmp-10 | error | Measure.group | Composite measures may not specify population criteria : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring').value.coding.code contains 'composite' implies population.count() = 0 | |
| cmp-11 | error | Measure.group | Composite measures must specify composite scoring and at least one component : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring').value.coding.code contains 'composite' implies extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-compositeScoring').exists() and extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-component').exists() |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Measure |
SC | 0..* | CQFMComputableMeasure | A quality measure definition mea-0: Name should be usable as an identifier for the module by machine processing applications such as code generation mea-1: Stratifier SHALL be either a single criteria or a set of criteria components cmp-1: Population basis must be specified at the root, or on each group cmp-2: Scoring must either be specified at the root, or on each group cmp-3: Scoring unit may only be specified at the root if the scoring is also specified at the root cmp-4: Improvement notation must be specified for scoring types other than cohort cmp-5: If type is specified at the root, it may not be specified on any group cmp-6: If riskAdjustment is specified at the root, it may not be specified on any group cmp-7: If rateAggregation is specified at the root, it may not be specified on any group |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| Slices for extension |
Content/Rules for all slices | |||
| populationBasis |
SC | 0..1 | code | What type of population URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-populationBasis Binding: FHIRAllTypes (required): The type of elements in the population |
| scoringUnit |
SC | 0..1 | CodeableConcept | What units? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoringUnit |
| effectiveDataRequirements |
S | 0..1 | canonical(CRMI Module Definition Library) | Effective required data for evaluation URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements |
| scoringPrecision |
0..1 | positiveInt | Number of decimal places URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoringPrecision | |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| status |
?!Σ | 1..1 | code | draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact. |
| subject[x] |
S | 0..1 | E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device Binding: Subject Type Value Set (extensible) | |
| subjectCodeableConcept |
CodeableConcept | |||
| subjectReference |
Reference(Group) | |||
| Slices for relatedArtifact |
S | 0..* | RelatedArtifact | Additional documentation, citations, etc. Slice: Unordered, Open by value:type |
| relatedArtifact:component |
S | 0..* | RelatedArtifact | Additional documentation, citations, etc. |
| Slices for extension |
Content/Rules for all slices | |||
| groupId |
S | 0..1 | string | What group URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-groupId |
| weight |
S | 0..1 | decimal | Contribution? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-weight |
| type |
SΣ | 1..1 | code | Component measure Binding: RelatedArtifactType (required): The type of relationship to the related artifact. Fixed Value: composed-of |
| display |
SΣ | 0..1 | string | Brief description of the related artifact |
| resource |
SΣ | 1..1 | canonical(Measure) | What resource is being referenced |
| library |
S | 0..1 | canonical(CRMI Computable Library) | Logic used by the measure |
| scoring |
SΣC | 0..1 | CodeableConcept | composite Binding: Measure Scoring (extensible) Required Pattern: At least the following |
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-scoring | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: composite | |
| compositeScoring |
SΣ | 0..1 | CodeableConcept | opportunity | all-or-nothing | linear | weighted Binding: CompositeMeasureScoring (extensible) |
| type |
SΣC | 0..* | CodeableConcept | process | outcome | structure | patient-reported-outcome | composite Binding: MeasureType (extensible): The type of measure (includes codes from 2.16.840.1.113883.1.11.20368). |
| improvementNotation |
SΣC | 0..1 | CodeableConcept | increase | decrease Binding: MeasureImprovementNotation (required) |
| group |
SC | 0..* | BackboneElement | Population criteria group cmp-8: Scoring unit may only be specified at the root if the scoring is also specified at the root cmp-9: Improvement notation must be specified for scoring types other than cohort cmp-10: Composite measures may not specify population criteria cmp-11: Composite measures must specify composite scoring and at least one component |
| Slices for extension |
Content/Rules for all slices | |||
| populationBasis |
SC | 0..1 | code | What type of population URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-populationBasis Binding: FHIRAllTypes (required): The type of elements in the population |
| scoring |
SC | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring Binding: Measure Scoring (extensible): How the measure calculation is performed |
| scoringUnit |
SC | 0..1 | CodeableConcept | What units? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoringUnit |
| scoringPrecision |
0..1 | positiveInt | Number of decimal places URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoringPrecision | |
| compositeScoring |
S | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-compositeScoring Binding: CompositeMeasureScoring (extensible): How the composite measure calculation is performed |
| component |
SC | 0..* | (Complex) | What artifact URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-component |
| Slices for extension |
Content/Rules for all slices | |||
| groupId |
S | 0..1 | string | What group URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-groupId |
| weight |
S | 0..1 | decimal | Contribution? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-weight |
| url |
1..1 | uri | "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-component" | |
| type |
C | 0..* | CodeableConcept | process | outcome | structure | patient-reported-outcome URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-type Binding: MeasureType (extensible): Indicates whether the measure is used to examine a process, an outcome over time, a patient-reported outcome, or a structure measure such as utilization. |
| riskAdjustment |
C | 0..1 | string | How risk adjustment is applied for this measure URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-riskAdjustment |
| rateAggregation |
C | 0..1 | string | How is rate aggregation performed for this measure URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-rateAggregation |
| improvementNotation |
SC | 0..1 | CodeableConcept | increase | decrease URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-improvementNotation Binding: MeasureImprovementNotation (required): Indicates how to interpret the calculated score of the measure |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code |
S | 0..1 | CodeableConcept | Meaning of the group |
| description |
S | 0..1 | string | Summary description |
| population |
SC | 0..* | BackboneElement | Population criteria |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code |
S | 0..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population. |
| description |
S | 0..1 | string | The human readable description of this population criteria |
| criteria |
1..1 | Expression | The criteria that defines this population | |
| stratifier |
S | 0..* | BackboneElement | Stratifier criteria for the measure |
| Slices for extension |
Content/Rules for all slices | |||
| appliesTo |
0..* | CodeableConcept | Which population does this stratifier apply to? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-appliesTo Binding: MeasurePopulationType (extensible): Indicates the population | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code |
S | 0..1 | CodeableConcept | Meaning of the stratifier |
| description |
S | 0..1 | string | The human readable description of this stratifier |
| component |
S | 0..* | BackboneElement | Stratifier criteria component for the measure |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code |
S | 0..1 | CodeableConcept | Meaning of the stratifier component |
| description |
S | 0..1 | string | The human readable description of this stratifier component |
| criteria |
1..1 | Expression | Component of how the measure should be stratified | |
| supplementalData |
S | 0..* | BackboneElement | What other data should be reported with the measure |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code |
S | 0..1 | CodeableConcept | Meaning of the supplemental data |
| usage |
S | 0..* | CodeableConcept | supplemental-data | risk-adjustment-factor Binding: MeasureDataUsage (extensible): The intended usage for supplemental data elements in the measure. |
| description |
S | 0..1 | string | The human readable description of this supplemental data |
| criteria |
1..1 | Expression | Expression describing additional data to be reported | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| Measure.status | required | PublicationStatushttp://hl7.org/fhir/ValueSet/publication-status|4.0.1from the FHIR Standard | |
| Measure.subject[x] | extensible | SubjectTypeValueSethttp://hl7.org/fhir/uv/cqm/ValueSet/subject-typefrom this IG | |
| Measure.relatedArtifact:component.type | required | Fixed Value: composed-ofhttp://hl7.org/fhir/ValueSet/related-artifact-type|4.0.1from the FHIR Standard | |
| Measure.scoring | extensible | Pattern: compositehttp://terminology.hl7.org/ValueSet/measure-scoring | |
| Measure.compositeScoring | extensible | CompositeMeasureScoringhttp://terminology.hl7.org/ValueSet/composite-measure-scoring | |
| Measure.type | extensible | MeasureTypehttp://hl7.org/fhir/ValueSet/measure-typefrom the FHIR Standard | |
| Measure.improvementNotation | required | MeasureImprovementNotationhttp://terminology.hl7.org/ValueSet/measure-improvement-notation | |
| Measure.group.population.code | extensible | MeasurePopulationTypehttp://hl7.org/fhir/ValueSet/measure-populationfrom the FHIR Standard | |
| Measure.supplementalData.usage | extensible | MeasureDataUsagehttp://hl7.org/fhir/ValueSet/measure-data-usagefrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| cmp-1 | error | Measure | Population basis must be specified at the root, or on each group : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-populationBasis').exists() or group.select(extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-populationBasis').exists()).allTrue() | |
| cmp-2 | error | Measure | Scoring must either be specified at the root, or on each group : scoring.exists() xor (group.exists() and group.select(extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring').exists()).allTrue()) | |
| cmp-3 | error | Measure | Scoring unit may only be specified at the root if the scoring is also specified at the root : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoringUnit').exists() implies scoring.exists() | |
| cmp-4 | error | Measure | Improvement notation must be specified for scoring types other than cohort : (scoring.exists() and (scoring.coding.code.contains('proportion') or scoring.coding.code.contains('ratio') or scoring.coding.code.contains('continuous-variable') or scoring.coding.code.contains('composite')) and improvementNotation.exists()) xor (group.exists() and group.select((extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring').exists() and (extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring').value.coding.code.contains('proportion') or extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring').value.coding.code.contains('ratio') or extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring').value.coding.code.contains('continuous-variable') or extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring').value.coding.code.contains('composite')) and extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-improvementNotation').exists())).allTrue()) xor (scoring.exists() and scoring.coding.code.contains('cohort')) | |
| cmp-5 | error | Measure | If type is specified at the root, it may not be specified on any group : type.exists() implies group.select(extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-type').exists()).allFalse() | |
| cmp-6 | error | Measure | If riskAdjustment is specified at the root, it may not be specified on any group : riskAdjustment.exists() implies group.select(extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-riskAdjustment').exists()).allFalse() | |
| cmp-7 | error | Measure | If rateAggregation is specified at the root, it may not be specified on any group : rateAggregation.exists() implies group.select(extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-rateAggregation').exists()).allFalse() | |
| cmp-8 | error | Measure.group | Scoring unit may only be specified at the root if the scoring is also specified at the root : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoringUnit').exists() implies extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring').exists() | |
| cmp-9 | error | Measure.group | Improvement notation must be specified for scoring types other than cohort : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring').value in ('proportion' | 'ratio' | 'continuous-variable') implies extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-improvementNotation').exists() | |
| cmp-10 | error | Measure.group | Composite measures may not specify population criteria : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring').value.coding.code contains 'composite' implies population.count() = 0 | |
| cmp-11 | error | Measure.group | Composite measures must specify composite scoring and at least one component : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring').value.coding.code contains 'composite' implies extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-compositeScoring').exists() and extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-component').exists() | |
| dom-2 | error | Measure | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Measure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Measure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Measure | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Measure | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| mea-0 | warning | Measure | Name should be usable as an identifier for the module by machine processing applications such as code generation : name.matches('[A-Z]([A-Za-z0-9_]){0,254}') | |
| mea-1 | error | Measure | Stratifier SHALL be either a single criteria or a set of criteria components : group.stratifier.all((code | description | criteria).exists() xor component.exists()) |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Measure |
SC | 0..* | CQFMComputableMeasure | A quality measure definition mea-0: Name should be usable as an identifier for the module by machine processing applications such as code generation mea-1: Stratifier SHALL be either a single criteria or a set of criteria components cmp-1: Population basis must be specified at the root, or on each group cmp-2: Scoring must either be specified at the root, or on each group cmp-3: Scoring unit may only be specified at the root if the scoring is also specified at the root cmp-4: Improvement notation must be specified for scoring types other than cohort cmp-5: If type is specified at the root, it may not be specified on any group cmp-6: If riskAdjustment is specified at the root, it may not be specified on any group cmp-7: If rateAggregation is specified at the root, it may not be specified on any group | ||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| populationBasis |
SC | 0..1 | code | What type of population URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-populationBasis Binding: FHIRAllTypes (required): The type of elements in the population | ||||
| scoringUnit |
SC | 0..1 | CodeableConcept | What units? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoringUnit | ||||
| effectiveDataRequirements |
S | 0..1 | canonical(CRMI Module Definition Library) | Effective required data for evaluation URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements | ||||
| scoringPrecision |
0..1 | positiveInt | Number of decimal places URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoringPrecision | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| url |
Σ | 0..1 | uri | Canonical identifier for this measure, represented as a URI (globally unique) | ||||
| identifier |
Σ | 0..* | Identifier | Additional identifier for the measure | ||||
| version |
Σ | 0..1 | string | Business version of the measure | ||||
| name |
ΣC | 0..1 | string | Name for this measure (computer friendly) | ||||
| title |
Σ | 0..1 | string | Name for this measure (human friendly) | ||||
| subtitle |
0..1 | string | Subordinate title of the measure | |||||
| status |
?!Σ | 1..1 | code | draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact. | ||||
| experimental |
Σ | 0..1 | boolean | For testing purposes, not real usage | ||||
| subject[x] |
S | 0..1 | E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device Binding: Subject Type Value Set (extensible) | |||||
| subjectCodeableConcept |
CodeableConcept | |||||||
| subjectReference |
Reference(Group) | |||||||
| date |
Σ | 0..1 | dateTime | Date last changed | ||||
| publisher |
Σ | 0..1 | string | Name of the publisher (organization or individual) | ||||
| contact |
Σ | 0..* | ContactDetail | Contact details for the publisher | ||||
| description |
Σ | 0..1 | markdown | Natural language description of the measure | ||||
| useContext |
Σ | 0..* | UsageContext | The context that the content is intended to support | ||||
| jurisdiction |
Σ | 0..* | CodeableConcept | Intended jurisdiction for measure (if applicable) Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use. | ||||
| purpose |
0..1 | markdown | Why this measure is defined | |||||
| usage |
0..1 | string | Describes the clinical usage of the measure | |||||
| copyright |
0..1 | markdown | Use and/or publishing restrictions | |||||
| approvalDate |
0..1 | date | When the measure was approved by publisher | |||||
| lastReviewDate |
0..1 | date | When the measure was last reviewed | |||||
| effectivePeriod |
Σ | 0..1 | Period | When the measure is expected to be used | ||||
| topic |
0..* | CodeableConcept | The category of the measure, such as Education, Treatment, Assessment, etc. Binding: DefinitionTopic (example): High-level categorization of the definition, used for searching, sorting, and filtering. | |||||
| author |
0..* | ContactDetail | Who authored the content | |||||
| editor |
0..* | ContactDetail | Who edited the content | |||||
| reviewer |
0..* | ContactDetail | Who reviewed the content | |||||
| endorser |
0..* | ContactDetail | Who endorsed the content | |||||
| Slices for relatedArtifact |
S | 0..* | RelatedArtifact | Additional documentation, citations, etc. Slice: Unordered, Open by value:type | ||||
| relatedArtifact:component |
S | 0..* | RelatedArtifact | Additional documentation, citations, etc. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| groupId |
S | 0..1 | string | What group URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-groupId | ||||
| weight |
S | 0..1 | decimal | Contribution? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-weight | ||||
| type |
SΣ | 1..1 | code | Component measure Binding: RelatedArtifactType (required): The type of relationship to the related artifact. Fixed Value: composed-of | ||||
| label |
Σ | 0..1 | string | Short label | ||||
| display |
SΣ | 0..1 | string | Brief description of the related artifact | ||||
| citation |
Σ | 0..1 | markdown | Bibliographic citation for the artifact | ||||
| url |
Σ | 0..1 | url | Where the artifact can be accessed | ||||
| document |
Σ | 0..1 | Attachment | What document is being referenced | ||||
| resource |
SΣ | 1..1 | canonical(Measure) | What resource is being referenced | ||||
| library |
S | 0..1 | canonical(CRMI Computable Library) | Logic used by the measure | ||||
| disclaimer |
Σ | 0..1 | markdown | Disclaimer for use of the measure or its referenced content | ||||
| scoring |
SΣC | 0..1 | CodeableConcept | composite Binding: Measure Scoring (extensible) Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| coding |
1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-scoring | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: composite | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
0..1 | string | Plain text representation of the concept | |||||
| compositeScoring |
SΣ | 0..1 | CodeableConcept | opportunity | all-or-nothing | linear | weighted Binding: CompositeMeasureScoring (extensible) | ||||
| type |
SΣC | 0..* | CodeableConcept | process | outcome | structure | patient-reported-outcome | composite Binding: MeasureType (extensible): The type of measure (includes codes from 2.16.840.1.113883.1.11.20368). | ||||
| riskAdjustment |
ΣC | 0..1 | string | How risk adjustment is applied for this measure | ||||
| rateAggregation |
ΣC | 0..1 | string | How is rate aggregation performed for this measure | ||||
| rationale |
Σ | 0..1 | markdown | Detailed description of why the measure exists | ||||
| clinicalRecommendationStatement |
Σ | 0..1 | markdown | Summary of clinical guidelines | ||||
| improvementNotation |
SΣC | 0..1 | CodeableConcept | increase | decrease Binding: MeasureImprovementNotation (required) | ||||
| definition |
Σ | 0..* | markdown | Defined terms used in the measure documentation | ||||
| guidance |
Σ | 0..1 | markdown | Additional guidance for implementers | ||||
| group |
SC | 0..* | BackboneElement | Population criteria group cmp-8: Scoring unit may only be specified at the root if the scoring is also specified at the root cmp-9: Improvement notation must be specified for scoring types other than cohort cmp-10: Composite measures may not specify population criteria cmp-11: Composite measures must specify composite scoring and at least one component | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| populationBasis |
SC | 0..1 | code | What type of population URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-populationBasis Binding: FHIRAllTypes (required): The type of elements in the population | ||||
| scoring |
SC | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring Binding: Measure Scoring (extensible): How the measure calculation is performed | ||||
| scoringUnit |
SC | 0..1 | CodeableConcept | What units? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoringUnit | ||||
| scoringPrecision |
0..1 | positiveInt | Number of decimal places URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoringPrecision | |||||
| compositeScoring |
S | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-compositeScoring Binding: CompositeMeasureScoring (extensible): How the composite measure calculation is performed | ||||
| component |
SC | 0..* | (Complex) | What artifact URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-component | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| groupId |
S | 0..1 | string | What group URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-groupId | ||||
| weight |
S | 0..1 | decimal | Contribution? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-weight | ||||
| url |
1..1 | uri | "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-component" | |||||
| value[x] |
0..1 | RelatedArtifact | Value of extension | |||||
| type |
C | 0..* | CodeableConcept | process | outcome | structure | patient-reported-outcome URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-type Binding: MeasureType (extensible): Indicates whether the measure is used to examine a process, an outcome over time, a patient-reported outcome, or a structure measure such as utilization. | ||||
| riskAdjustment |
C | 0..1 | string | How risk adjustment is applied for this measure URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-riskAdjustment | ||||
| rateAggregation |
C | 0..1 | string | How is rate aggregation performed for this measure URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-rateAggregation | ||||
| improvementNotation |
SC | 0..1 | CodeableConcept | increase | decrease URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-improvementNotation Binding: MeasureImprovementNotation (required): Indicates how to interpret the calculated score of the measure | ||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
S | 0..1 | CodeableConcept | Meaning of the group | ||||
| description |
S | 0..1 | string | Summary description | ||||
| population |
SC | 0..* | BackboneElement | Population criteria | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
S | 0..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population. | ||||
| description |
S | 0..1 | string | The human readable description of this population criteria | ||||
| criteria |
1..1 | Expression | The criteria that defines this population | |||||
| stratifier |
S | 0..* | BackboneElement | Stratifier criteria for the measure | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| appliesTo |
0..* | CodeableConcept | Which population does this stratifier apply to? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-appliesTo Binding: MeasurePopulationType (extensible): Indicates the population | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
S | 0..1 | CodeableConcept | Meaning of the stratifier | ||||
| description |
S | 0..1 | string | The human readable description of this stratifier | ||||
| criteria |
0..1 | Expression | How the measure should be stratified | |||||
| component |
S | 0..* | BackboneElement | Stratifier criteria component for the measure | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
S | 0..1 | CodeableConcept | Meaning of the stratifier component | ||||
| description |
S | 0..1 | string | The human readable description of this stratifier component | ||||
| criteria |
1..1 | Expression | Component of how the measure should be stratified | |||||
| supplementalData |
S | 0..* | BackboneElement | What other data should be reported with the measure | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
S | 0..1 | CodeableConcept | Meaning of the supplemental data | ||||
| usage |
S | 0..* | CodeableConcept | supplemental-data | risk-adjustment-factor Binding: MeasureDataUsage (extensible): The intended usage for supplemental data elements in the measure. | ||||
| description |
S | 0..1 | string | The human readable description of this supplemental data | ||||
| criteria |
1..1 | Expression | Expression describing additional data to be reported | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| Measure.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Measure.status | required | PublicationStatushttp://hl7.org/fhir/ValueSet/publication-status|4.0.1from the FHIR Standard | ||||
| Measure.subject[x] | extensible | SubjectTypeValueSethttp://hl7.org/fhir/uv/cqm/ValueSet/subject-typefrom this IG | ||||
| Measure.jurisdiction | extensible | Jurisdiction ValueSethttp://hl7.org/fhir/ValueSet/jurisdictionfrom the FHIR Standard | ||||
| Measure.topic | example | DefinitionTopichttp://hl7.org/fhir/ValueSet/definition-topicfrom the FHIR Standard | ||||
| Measure.relatedArtifact:component.type | required | Fixed Value: composed-ofhttp://hl7.org/fhir/ValueSet/related-artifact-type|4.0.1from the FHIR Standard | ||||
| Measure.scoring | extensible | Pattern: compositehttp://terminology.hl7.org/ValueSet/measure-scoring | ||||
| Measure.compositeScoring | extensible | CompositeMeasureScoringhttp://terminology.hl7.org/ValueSet/composite-measure-scoring | ||||
| Measure.type | extensible | MeasureTypehttp://hl7.org/fhir/ValueSet/measure-typefrom the FHIR Standard | ||||
| Measure.improvementNotation | required | MeasureImprovementNotationhttp://terminology.hl7.org/ValueSet/measure-improvement-notation | ||||
| Measure.group.population.code | extensible | MeasurePopulationTypehttp://hl7.org/fhir/ValueSet/measure-populationfrom the FHIR Standard | ||||
| Measure.supplementalData.usage | extensible | MeasureDataUsagehttp://hl7.org/fhir/ValueSet/measure-data-usagefrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| cmp-1 | error | Measure | Population basis must be specified at the root, or on each group : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-populationBasis').exists() or group.select(extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-populationBasis').exists()).allTrue() | |
| cmp-2 | error | Measure | Scoring must either be specified at the root, or on each group : scoring.exists() xor (group.exists() and group.select(extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring').exists()).allTrue()) | |
| cmp-3 | error | Measure | Scoring unit may only be specified at the root if the scoring is also specified at the root : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoringUnit').exists() implies scoring.exists() | |
| cmp-4 | error | Measure | Improvement notation must be specified for scoring types other than cohort : (scoring.exists() and (scoring.coding.code.contains('proportion') or scoring.coding.code.contains('ratio') or scoring.coding.code.contains('continuous-variable') or scoring.coding.code.contains('composite')) and improvementNotation.exists()) xor (group.exists() and group.select((extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring').exists() and (extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring').value.coding.code.contains('proportion') or extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring').value.coding.code.contains('ratio') or extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring').value.coding.code.contains('continuous-variable') or extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring').value.coding.code.contains('composite')) and extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-improvementNotation').exists())).allTrue()) xor (scoring.exists() and scoring.coding.code.contains('cohort')) | |
| cmp-5 | error | Measure | If type is specified at the root, it may not be specified on any group : type.exists() implies group.select(extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-type').exists()).allFalse() | |
| cmp-6 | error | Measure | If riskAdjustment is specified at the root, it may not be specified on any group : riskAdjustment.exists() implies group.select(extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-riskAdjustment').exists()).allFalse() | |
| cmp-7 | error | Measure | If rateAggregation is specified at the root, it may not be specified on any group : rateAggregation.exists() implies group.select(extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-rateAggregation').exists()).allFalse() | |
| cmp-8 | error | Measure.group | Scoring unit may only be specified at the root if the scoring is also specified at the root : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoringUnit').exists() implies extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring').exists() | |
| cmp-9 | error | Measure.group | Improvement notation must be specified for scoring types other than cohort : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring').value in ('proportion' | 'ratio' | 'continuous-variable') implies extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-improvementNotation').exists() | |
| cmp-10 | error | Measure.group | Composite measures may not specify population criteria : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring').value.coding.code contains 'composite' implies population.count() = 0 | |
| cmp-11 | error | Measure.group | Composite measures must specify composite scoring and at least one component : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-scoring').value.coding.code contains 'composite' implies extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-compositeScoring').exists() and extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqfm-component').exists() | |
| dom-2 | error | Measure | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Measure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Measure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Measure | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Measure | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| mea-0 | warning | Measure | Name should be usable as an identifier for the module by machine processing applications such as code generation : name.matches('[A-Z]([A-Za-z0-9_]){0,254}') | |
| mea-1 | error | Measure | Stratifier SHALL be either a single criteria or a set of criteria components : group.stratifier.all((code | description | criteria).exists() xor component.exists()) |
This structure is derived from CQFMComputableMeasure
Summary
Mandatory: 0 element(2 nested mandatory elements)
Must-Support: 18 elements
Fixed: 1 element
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron
IG © 2019+ HL7 International / Clinical Quality Information. Package hl7.fhir.uv.cqfm#6.0.0-ballot based on FHIR 4.0.1. Generated 2024-11-19
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