Quality Measure Implementation Guide (STU3), published by Clinical Quality Information WG. This is not an authorized publication; it is the continuous build for version 3.0.0). 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/us/cqfmeasures/StructureDefinition/computable-measure-cqfm |
Version:
3.0.0 |
|||

Active as of 2019-02-13 | Computable Name: CQFMComputableMeasure |

The CQFM Computable Measure Profile describes minimum expectations for a computable electronic Clinical Quality Measure (eCQM), including the use of a computable library, and the use of expressions or identifiers for all criteria.

**Usage:**

- Examples for this Resource Profile: BCSComponent, BreastCancerScreeningFHIR, CCSComponent, HBPComponent, PVSComponent, TSCComponent, EXM55, MeasureEXM, EXM124, EXM125, EXM130, EXM146, EXM55, PublishableMeasureEXM, EXMRatioMeasure, Terminology_FHIR, VTE_1_FHIR, MultiRateExample

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from CQFMMeasure

**
Summary
**

Mandatory: 0 element (1 nested mandatory element)

Must-Support: 18 elements

**Structures**

This structure refers to these other structures:

**Extensions**

This structure refers to these extensions:

- http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis
- http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringUnit
- http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectiveDataRequirements
- http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring
- http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-compositeScoring
- http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-component
- http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type
- http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-riskAdjustment
- http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation
- http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation
- http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo

This structure is derived from CQFMMeasure

Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|

Measure | SI | 1..1 | CQFMMeasure | A quality measure definition cmp-1: Population basis must be specified at the root, or on each group cmp-2: Scoring must 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 |

cqfm-populationBasis | SI | 0..1 | code | What type of population URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis Binding: FHIRAllTypes (required): The type of elements in the population |

cqfm-scoringUnit | SI | 0..1 | CodeableConcept | What units? URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringUnit |

cqfm-effectiveDataRequirements | S | 0..1 | Reference(CQFM Module Definition Library) | Effective required data for evaluation URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectiveDataRequirements |

library | S | 0..1 | canonical(CQFM Computable Library) | CQFMMeasures are not required to use a Library, but if they do, it SHALL be a CQFMLibrary. |

scoring | SI | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort Binding: MeasureScoring (extensible) |

type | SI | 0..* | CodeableConcept | process | outcome | structure | patient-reported-outcome | composite |

riskAdjustment | I | 0..1 | string | How risk adjustment is applied for this measure |

rateAggregation | I | 0..1 | string | How is rate aggregation performed for this measure |

improvementNotation | SI | 0..1 | CodeableConcept | increase | decrease Binding: MeasureImprovementNotation (required) |

group | SI | 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: Cohort measures have one and only one population criteria and that criteria has a code of initial-population cmp-11: Proportion measures must have one and only one initial population cmp-12: Proportion measures must have one and only one denominator cmp-13: Proportion measures must have one and only one numerator cmp-14: Proportion measures may have at most one denominator-exclusion cmp-15: Proportion measures may have at most one denominator-exception cmp-16: Proportion measures may have at most one numerator-exclusion cmp-17: Proportion measures may not have other than initial population, denominator, numerator, denominator-exclusion, denominator-exception, and numerator-exclusion criteria cmp-18: Ratio measures must have between 1 and 2 initial population criteria cmp-19: Ratio measures must have one and only one denominator cmp-20: Ratio measures must have one and only one numerator cmp-21: Ratio measures may have at most one denominator-exclusion cmp-22: Ratio measures may have at most two measure-observation criteria cmp-23: Ratio measures may have at most one numerator-exclusion cmp-24: Ratio measures may not have other than initial population, denominator, numerator, denominator-exclusion, numerator-exclusion, and measure-observation criteria cmp-25: Continuous variable measures must have one and only one initial population criteria cmp-26: Continuous variable measures must have one and only one measure population cmp-27: Continuous variable measures must have one and only one measure observation cmp-28: Continuous variable measures may have at most one measure population exclusion cmp-29: Continuous variable measures may not have other than initial population, measure-population, measure-population-exclusion, and measure-observation criteria cmp-30: Composite measures may not specify population criteria cmp-31: Composite measures must specify composite scoring and at least one component |

cqfm-populationBasis | SI | 0..1 | code | What type of population URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis Binding: FHIRAllTypes (required): The type of elements in the population |

cqfm-scoring | SI | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring Binding: MeasureScoring (extensible): How the measure calculation is performed |

cqfm-scoringUnit | SI | 0..1 | CodeableConcept | What units? URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringUnit |

cqfm-compositeScoring | SI | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-compositeScoring Binding: CompositeMeasureScoring (extensible): How the composite measure calculation is performed |

cqfm-component | SI | 0..* | RelatedArtifact | What artifact URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-component |

cqfm-type | I | 0..1 | CodeableConcept | process | outcome | structure | patient-reported-outcome URL: http://hl7.org/fhir/us/cqfmeasures/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. |

cqfm-riskAdjustment | I | 0..1 | string | How risk adjustment is applied for this measure URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-riskAdjustment |

cqfm-rateAggregation | I | 0..1 | string | How is rate aggregation performed for this measure URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation |

cqfm-improvementNotation | SI | 0..1 | CodeableConcept | increase | decrease URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation Binding: MeasureImprovementNotation (required): Indicates how to interpret the calculated score of the measure |

population | SI | 0..* | BackboneElement | Population criteria cmp-32: Computable measures must use text/cql-expression or text/cql-identifier for all criteria |

stratifier | SI | 0..* | BackboneElement | Stratifier criteria for the measure cmp-33: Computable measures must use text/cql-expression, text/cql-identifier, or text/fhirpath for all stratifier criteria |

cqfm-appliesTo | 1..1 | CodeableConcept | Which population does this apply to? URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo Binding: MeasurePopulationType (extensible): Indicates the population | |

component | SI | 0..* | BackboneElement | Stratifier criteria component for the measure cmp-34: Computable measures must use text/cql-expression, text/cql-identifier, or text/fhirpath for all stratifier component criteria |

supplementalData | SI | 0..* | BackboneElement | What other data should be reported with the measure cmp-35: Computable measures must use text/cql-expression, text/cql-identifier, or text/fhirpath for all supplemental data criteria |

Documentation for this format |

Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|

Measure | SI | 1..1 | CQFMMeasure | A quality measure definition cmp-1: Population basis must be specified at the root, or on each group cmp-2: Scoring must 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 | Î£ | 0..1 | string | Logical id of this artifact | ||||

meta | SÎ£ | 1..1 | Meta | Metadata about the resource | ||||

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 | |||||

versionId | Î£ | 0..1 | id | Version specific identifier | ||||

lastUpdated | Î£ | 0..1 | instant | When the resource version last changed | ||||

source | Î£ | 0..1 | uri | Identifies where the resource comes from | ||||

profile | SÎ£ | 1..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | ||||

security | Î£ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||

tag | Î£ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | ||||

implicitRules | ?!Î£ | 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 | |||||

cqfm-artifactComment | S | 0..* | (Complex) | Additional documentation, review, or usage guidance URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-artifactComment | ||||

cqfm-allocation | S | 0..1 | markdown | Allocation guidance URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-allocation | ||||

cqfm-softwaresystem | S | 0..* | Reference(CQFM Device) | Extension URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem | ||||

cqfm-populationBasis | SI | 0..1 | code | What type of population URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis Binding: FHIRAllTypes (required): The type of elements in the population | ||||

cqfm-scoringUnit | SI | 0..1 | CodeableConcept | What units? URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringUnit | ||||

cqfm-effectiveDataRequirements | S | 0..1 | Reference(CQFM Module Definition Library) | Effective required data for evaluation URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectiveDataRequirements | ||||

modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||

url | Î£ | 1..1 | uri | Canonical identifier for this measure, represented as a URI (globally unique) | ||||

identifier | SÎ£ | 0..* | Identifier | Additional identifier for the measure | ||||

version | Î£ | 1..1 | string | Business version of the measure | ||||

name | Î£I | 1..1 | string | Name for this measure (computer friendly) | ||||

title | SÎ£ | 0..1 | string | Name for this measure (human friendly) | ||||

subtitle | 0..1 | string | Subordinate title of the measure | |||||

status | ?!Î£ | 1..1 | code | draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact. | ||||

experimental | Î£ | 1..1 | boolean | For testing purposes, not real usage | ||||

subject[x] | 0..1 | E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device Binding: SubjectType (extensible): The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization, Location, etc.). | ||||||

subjectCodeableConcept | CodeableConcept | |||||||

subjectReference | Reference(Group) | |||||||

date | SÎ£ | 0..1 | dateTime | Date last changed | ||||

publisher | Î£ | 1..1 | string | Name of the publisher (organization or individual) | ||||

contact | SÎ£ | 0..* | ContactDetail | Contact details for the publisher | ||||

description | Î£ | 1..1 | markdown | Natural language description of the measure | ||||

useContext | SÎ£ | 0..* | UsageContext | The context that the content is intended to support | ||||

jurisdiction | SÎ£ | 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 | Î£ | 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 | |||||

relatedArtifact | 0..* | RelatedArtifact | Additional documentation, citations, etc. | |||||

library | SI | 0..1 | canonical(CQFM Computable Library) | CQFMMeasures are not required to use a Library, but if they do, it SHALL be a CQFMLibrary. | ||||

disclaimer | Î£ | 0..1 | markdown | Disclaimer for use of the measure or its referenced content | ||||

scoring | SÎ£I | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort Binding: MeasureScoring (extensible) | ||||

compositeScoring | Î£ | 0..1 | CodeableConcept | opportunity | all-or-nothing | linear | weighted Binding: CompositeMeasureScoring (extensible): The composite scoring method of the measure. | ||||

type | SÎ£I | 0..* | CodeableConcept | process | outcome | structure | patient-reported-outcome | composite Binding: MeasureType (extensible) | ||||

riskAdjustment | Î£I | 0..1 | string | How risk adjustment is applied for this measure | ||||

rateAggregation | Î£I | 0..1 | string | How is rate aggregation performed for this measure | ||||

rationale | Î£ | 0..1 | markdown | Detailed description of why the measure exists | ||||

clinicalRecommendationStatement | Î£ | 0..1 | markdown | Summary of clinical guidelines | ||||

improvementNotation | SÎ£I | 0..1 | CodeableConcept | increase | decrease Binding: MeasureImprovementNotation (required) | ||||

definition | Î£ | 0..* | markdown | Defined terms used in the measure documentation | ||||

guidance | Î£ | 0..1 | markdown | Additional guidance for implementers | ||||

group | SI | 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: Cohort measures have one and only one population criteria and that criteria has a code of initial-population cmp-11: Proportion measures must have one and only one initial population cmp-12: Proportion measures must have one and only one denominator cmp-13: Proportion measures must have one and only one numerator cmp-14: Proportion measures may have at most one denominator-exclusion cmp-15: Proportion measures may have at most one denominator-exception cmp-16: Proportion measures may have at most one numerator-exclusion cmp-17: Proportion measures may not have other than initial population, denominator, numerator, denominator-exclusion, denominator-exception, and numerator-exclusion criteria cmp-18: Ratio measures must have between 1 and 2 initial population criteria cmp-19: Ratio measures must have one and only one denominator cmp-20: Ratio measures must have one and only one numerator cmp-21: Ratio measures may have at most one denominator-exclusion cmp-22: Ratio measures may have at most two measure-observation criteria cmp-23: Ratio measures may have at most one numerator-exclusion cmp-24: Ratio measures may not have other than initial population, denominator, numerator, denominator-exclusion, numerator-exclusion, and measure-observation criteria cmp-25: Continuous variable measures must have one and only one initial population criteria cmp-26: Continuous variable measures must have one and only one measure population cmp-27: Continuous variable measures must have one and only one measure observation cmp-28: Continuous variable measures may have at most one measure population exclusion cmp-29: Continuous variable measures may not have other than initial population, measure-population, measure-population-exclusion, and measure-observation criteria cmp-30: Composite measures may not specify population criteria cmp-31: Composite measures must specify composite scoring and at least one component | ||||

id | SI | 0..1 | string | Unique id for inter-element referencing | ||||

Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||

cqfm-populationBasis | SI | 0..1 | code | What type of population URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis Binding: FHIRAllTypes (required): The type of elements in the population | ||||

cqfm-scoring | SI | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring Binding: MeasureScoring (extensible): How the measure calculation is performed | ||||

cqfm-scoringUnit | SI | 0..1 | CodeableConcept | What units? URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringUnit | ||||

cqfm-compositeScoring | SI | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-compositeScoring Binding: CompositeMeasureScoring (extensible): How the composite measure calculation is performed | ||||

cqfm-component | SI | 0..* | RelatedArtifact | What artifact URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-component | ||||

cqfm-type | I | 0..1 | CodeableConcept | process | outcome | structure | patient-reported-outcome URL: http://hl7.org/fhir/us/cqfmeasures/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. | ||||

cqfm-riskAdjustment | I | 0..1 | string | How risk adjustment is applied for this measure URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-riskAdjustment | ||||

cqfm-rateAggregation | I | 0..1 | string | How is rate aggregation performed for this measure URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation | ||||

cqfm-improvementNotation | SI | 0..1 | CodeableConcept | increase | decrease URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation Binding: MeasureImprovementNotation (required): Indicates how to interpret the calculated score of the measure | ||||

modifierExtension | ?!Î£ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||

code | 0..1 | CodeableConcept | Meaning of the group | |||||

description | 0..1 | string | Summary description | |||||

population | SI | 0..* | BackboneElement | Population criteria cmp-32: Computable measures must use text/cql-expression or text/cql-identifier for all criteria | ||||

id | S | 1..1 | string | Unique id for inter-element referencing | ||||

extension | 0..* | Extension | Additional content defined by implementations | |||||

modifierExtension | ?!Î£ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||

code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible) | ||||

description | 0..1 | string | The human readable description of this population criteria | |||||

criteria | SI | 1..1 | Expression | The criteria that defines this population | ||||

stratifier | SI | 0..* | BackboneElement | Stratifier criteria for the measure cmp-33: Computable measures must use text/cql-expression, text/cql-identifier, or text/fhirpath for all stratifier criteria | ||||

id | S | 1..1 | string | Unique id for inter-element referencing | ||||

Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||

cqfm-appliesTo | 1..1 | CodeableConcept | Which population does this apply to? URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo Binding: MeasurePopulationType (extensible): Indicates the population | |||||

modifierExtension | ?!Î£ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||

code | 0..1 | CodeableConcept | Meaning of the stratifier | |||||

description | 0..1 | string | The human readable description of this stratifier | |||||

criteria | SI | 0..1 | Expression | How the measure should be stratified | ||||

component | SI | 0..* | BackboneElement | Stratifier criteria component for the measure cmp-34: Computable measures must use text/cql-expression, text/cql-identifier, or text/fhirpath for all stratifier component criteria | ||||

id | 0..1 | string | Unique id for inter-element referencing | |||||

extension | 0..* | Extension | Additional content defined by implementations | |||||

modifierExtension | ?!Î£ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||

code | 0..1 | CodeableConcept | Meaning of the stratifier component | |||||

description | 0..1 | string | The human readable description of this stratifier component | |||||

criteria | 1..1 | Expression | Component of how the measure should be stratified | |||||

supplementalData | SI | 0..* | BackboneElement | What other data should be reported with the measure cmp-35: Computable measures must use text/cql-expression, text/cql-identifier, or text/fhirpath for all supplemental data criteria | ||||

id | S | 1..1 | string | Unique id for inter-element referencing | ||||

extension | 0..* | Extension | Additional content defined by implementations | |||||

modifierExtension | ?!Î£ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||

code | S | 0..1 | CodeableConcept | Meaning of the supplemental data Binding: MeasureDataUsage (extensible) | ||||

usage | 0..* | CodeableConcept | supplemental-data | risk-adjustment-factor Binding: MeasureDataUsage (extensible): The intended usage for supplemental data elements in the measure. | |||||

description | 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 |

Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|

Measure | I | 1..1 | CQFMMeasure | A quality measure definition cmp-1: Population basis must be specified at the root, or on each group cmp-2: Scoring must 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 |

meta | Î£ | 1..1 | Meta | Metadata about the resource |

profile | Î£ | 1..* | canonical(StructureDefinition) | Profiles this resource claims to conform to |

cqfm-artifactComment | 0..* | (Complex) | Additional documentation, review, or usage guidance URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-artifactComment | |

cqfm-allocation | 0..1 | markdown | Allocation guidance URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-allocation | |

cqfm-softwaresystem | 0..* | Reference(CQFM Device) | Extension URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem | |

cqfm-populationBasis | I | 0..1 | code | What type of population URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis Binding: FHIRAllTypes (required): The type of elements in the population |

cqfm-scoringUnit | I | 0..1 | CodeableConcept | What units? URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringUnit |

cqfm-effectiveDataRequirements | 0..1 | Reference(CQFM Module Definition Library) | Effective required data for evaluation URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectiveDataRequirements | |

identifier | Î£ | 0..* | Identifier | Additional identifier for the measure |

title | Î£ | 0..1 | string | Name for this measure (human friendly) |

date | Î£ | 0..1 | dateTime | Date last changed |

contact | Î£ | 0..* | ContactDetail | Contact details for the publisher |

useContext | Î£ | 0..* | UsageContext | The context that the content is intended to support |

jurisdiction | Î£ | 0..* | CodeableConcept | Intended jurisdiction for measure (if applicable) Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use. |

library | I | 0..1 | canonical(CQFM Computable Library) | CQFMMeasures are not required to use a Library, but if they do, it SHALL be a CQFMLibrary. |

scoring | Î£I | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort Binding: MeasureScoring (extensible) |

type | Î£I | 0..* | CodeableConcept | process | outcome | structure | patient-reported-outcome | composite Binding: MeasureType (extensible) |

improvementNotation | Î£I | 0..1 | CodeableConcept | increase | decrease Binding: MeasureImprovementNotation (required) |

group | I | 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: Cohort measures have one and only one population criteria and that criteria has a code of initial-population cmp-11: Proportion measures must have one and only one initial population cmp-12: Proportion measures must have one and only one denominator cmp-13: Proportion measures must have one and only one numerator cmp-14: Proportion measures may have at most one denominator-exclusion cmp-15: Proportion measures may have at most one denominator-exception cmp-16: Proportion measures may have at most one numerator-exclusion cmp-17: Proportion measures may not have other than initial population, denominator, numerator, denominator-exclusion, denominator-exception, and numerator-exclusion criteria cmp-18: Ratio measures must have between 1 and 2 initial population criteria cmp-19: Ratio measures must have one and only one denominator cmp-20: Ratio measures must have one and only one numerator cmp-21: Ratio measures may have at most one denominator-exclusion cmp-22: Ratio measures may have at most two measure-observation criteria cmp-23: Ratio measures may have at most one numerator-exclusion cmp-24: Ratio measures may not have other than initial population, denominator, numerator, denominator-exclusion, numerator-exclusion, and measure-observation criteria cmp-25: Continuous variable measures must have one and only one initial population criteria cmp-26: Continuous variable measures must have one and only one measure population cmp-27: Continuous variable measures must have one and only one measure observation cmp-28: Continuous variable measures may have at most one measure population exclusion cmp-29: Continuous variable measures may not have other than initial population, measure-population, measure-population-exclusion, and measure-observation criteria cmp-30: Composite measures may not specify population criteria cmp-31: Composite measures must specify composite scoring and at least one component |

id | I | 0..1 | string | Unique id for inter-element referencing |

cqfm-populationBasis | I | 0..1 | code | What type of population URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis Binding: FHIRAllTypes (required): The type of elements in the population |

cqfm-scoring | I | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring Binding: MeasureScoring (extensible): How the measure calculation is performed |

cqfm-scoringUnit | I | 0..1 | CodeableConcept | What units? URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringUnit |

cqfm-compositeScoring | I | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-compositeScoring Binding: CompositeMeasureScoring (extensible): How the composite measure calculation is performed |

cqfm-component | I | 0..* | RelatedArtifact | What artifact URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-component |

cqfm-improvementNotation | I | 0..1 | CodeableConcept | increase | decrease URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation Binding: MeasureImprovementNotation (required): Indicates how to interpret the calculated score of the measure |

population | I | 0..* | BackboneElement | Population criteria cmp-32: Computable measures must use text/cql-expression or text/cql-identifier for all criteria |

id | 1..1 | string | Unique id for inter-element referencing | |

code | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible) | |

criteria | I | 1..1 | Expression | The criteria that defines this population |

stratifier | I | 0..* | BackboneElement | Stratifier criteria for the measure cmp-33: Computable measures must use text/cql-expression, text/cql-identifier, or text/fhirpath for all stratifier criteria |

id | 1..1 | string | Unique id for inter-element referencing | |

criteria | I | 0..1 | Expression | How the measure should be stratified |

component | I | 0..* | BackboneElement | Stratifier criteria component for the measure cmp-34: Computable measures must use text/cql-expression, text/cql-identifier, or text/fhirpath for all stratifier component criteria |

supplementalData | I | 0..* | BackboneElement | What other data should be reported with the measure cmp-35: Computable measures must use text/cql-expression, text/cql-identifier, or text/fhirpath for all supplemental data criteria |

id | 1..1 | string | Unique id for inter-element referencing | |

code | 0..1 | CodeableConcept | Meaning of the supplemental data Binding: MeasureDataUsage (extensible) | |

Documentation for this format |

This structure is derived from CQFMMeasure

**
Summary
**

Mandatory: 0 element (1 nested mandatory element)

Must-Support: 18 elements

**Structures**

This structure refers to these other structures:

**Extensions**

This structure refers to these extensions:

- http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis
- http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringUnit
- http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectiveDataRequirements
- http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring
- http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-compositeScoring
- http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-component
- http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type
- http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-riskAdjustment
- http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation
- http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation
- http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo

**Differential View**

This structure is derived from CQFMMeasure

Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|

Measure | SI | 1..1 | CQFMMeasure | A quality measure definition cmp-1: Population basis must be specified at the root, or on each group cmp-2: Scoring must 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 |

cqfm-populationBasis | SI | 0..1 | code | What type of population URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis Binding: FHIRAllTypes (required): The type of elements in the population |

cqfm-scoringUnit | SI | 0..1 | CodeableConcept | What units? URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringUnit |

cqfm-effectiveDataRequirements | S | 0..1 | Reference(CQFM Module Definition Library) | Effective required data for evaluation URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectiveDataRequirements |

library | S | 0..1 | canonical(CQFM Computable Library) | CQFMMeasures are not required to use a Library, but if they do, it SHALL be a CQFMLibrary. |

scoring | SI | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort Binding: MeasureScoring (extensible) |

type | SI | 0..* | CodeableConcept | process | outcome | structure | patient-reported-outcome | composite |

riskAdjustment | I | 0..1 | string | How risk adjustment is applied for this measure |

rateAggregation | I | 0..1 | string | How is rate aggregation performed for this measure |

improvementNotation | SI | 0..1 | CodeableConcept | increase | decrease Binding: MeasureImprovementNotation (required) |

group | SI | 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: Cohort measures have one and only one population criteria and that criteria has a code of initial-population cmp-11: Proportion measures must have one and only one initial population cmp-12: Proportion measures must have one and only one denominator cmp-13: Proportion measures must have one and only one numerator cmp-14: Proportion measures may have at most one denominator-exclusion cmp-15: Proportion measures may have at most one denominator-exception cmp-16: Proportion measures may have at most one numerator-exclusion cmp-17: Proportion measures may not have other than initial population, denominator, numerator, denominator-exclusion, denominator-exception, and numerator-exclusion criteria cmp-18: Ratio measures must have between 1 and 2 initial population criteria cmp-19: Ratio measures must have one and only one denominator cmp-20: Ratio measures must have one and only one numerator cmp-21: Ratio measures may have at most one denominator-exclusion cmp-22: Ratio measures may have at most two measure-observation criteria cmp-23: Ratio measures may have at most one numerator-exclusion cmp-24: Ratio measures may not have other than initial population, denominator, numerator, denominator-exclusion, numerator-exclusion, and measure-observation criteria cmp-25: Continuous variable measures must have one and only one initial population criteria cmp-26: Continuous variable measures must have one and only one measure population cmp-27: Continuous variable measures must have one and only one measure observation cmp-28: Continuous variable measures may have at most one measure population exclusion cmp-29: Continuous variable measures may not have other than initial population, measure-population, measure-population-exclusion, and measure-observation criteria cmp-30: Composite measures may not specify population criteria cmp-31: Composite measures must specify composite scoring and at least one component |

cqfm-populationBasis | SI | 0..1 | code | What type of population URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis Binding: FHIRAllTypes (required): The type of elements in the population |

cqfm-scoring | SI | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring Binding: MeasureScoring (extensible): How the measure calculation is performed |

cqfm-scoringUnit | SI | 0..1 | CodeableConcept | What units? URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringUnit |

cqfm-compositeScoring | SI | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-compositeScoring Binding: CompositeMeasureScoring (extensible): How the composite measure calculation is performed |

cqfm-component | SI | 0..* | RelatedArtifact | What artifact URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-component |

cqfm-type | I | 0..1 | CodeableConcept | process | outcome | structure | patient-reported-outcome URL: http://hl7.org/fhir/us/cqfmeasures/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. |

cqfm-riskAdjustment | I | 0..1 | string | How risk adjustment is applied for this measure URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-riskAdjustment |

cqfm-rateAggregation | I | 0..1 | string | How is rate aggregation performed for this measure URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation |

cqfm-improvementNotation | SI | 0..1 | CodeableConcept | increase | decrease URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation Binding: MeasureImprovementNotation (required): Indicates how to interpret the calculated score of the measure |

population | SI | 0..* | BackboneElement | Population criteria cmp-32: Computable measures must use text/cql-expression or text/cql-identifier for all criteria |

stratifier | SI | 0..* | BackboneElement | Stratifier criteria for the measure cmp-33: Computable measures must use text/cql-expression, text/cql-identifier, or text/fhirpath for all stratifier criteria |

cqfm-appliesTo | 1..1 | CodeableConcept | Which population does this apply to? URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo Binding: MeasurePopulationType (extensible): Indicates the population | |

component | SI | 0..* | BackboneElement | Stratifier criteria component for the measure cmp-34: Computable measures must use text/cql-expression, text/cql-identifier, or text/fhirpath for all stratifier component criteria |

supplementalData | SI | 0..* | BackboneElement | What other data should be reported with the measure cmp-35: Computable measures must use text/cql-expression, text/cql-identifier, or text/fhirpath for all supplemental data criteria |

Documentation for this format |

**Snapshot View**

Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|

Measure | SI | 1..1 | CQFMMeasure | A quality measure definition cmp-1: Population basis must be specified at the root, or on each group cmp-2: Scoring must 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 | Î£ | 0..1 | string | Logical id of this artifact | ||||

meta | SÎ£ | 1..1 | Meta | Metadata about the resource | ||||

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 | |||||

versionId | Î£ | 0..1 | id | Version specific identifier | ||||

lastUpdated | Î£ | 0..1 | instant | When the resource version last changed | ||||

source | Î£ | 0..1 | uri | Identifies where the resource comes from | ||||

profile | SÎ£ | 1..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | ||||

security | Î£ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||

tag | Î£ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | ||||

implicitRules | ?!Î£ | 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 | |||||

cqfm-artifactComment | S | 0..* | (Complex) | Additional documentation, review, or usage guidance URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-artifactComment | ||||

cqfm-allocation | S | 0..1 | markdown | Allocation guidance URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-allocation | ||||

cqfm-softwaresystem | S | 0..* | Reference(CQFM Device) | Extension URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem | ||||

cqfm-populationBasis | SI | 0..1 | code | What type of population URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis Binding: FHIRAllTypes (required): The type of elements in the population | ||||

cqfm-scoringUnit | SI | 0..1 | CodeableConcept | What units? URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringUnit | ||||

cqfm-effectiveDataRequirements | S | 0..1 | Reference(CQFM Module Definition Library) | Effective required data for evaluation URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectiveDataRequirements | ||||

modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||

url | Î£ | 1..1 | uri | Canonical identifier for this measure, represented as a URI (globally unique) | ||||

identifier | SÎ£ | 0..* | Identifier | Additional identifier for the measure | ||||

version | Î£ | 1..1 | string | Business version of the measure | ||||

name | Î£I | 1..1 | string | Name for this measure (computer friendly) | ||||

title | SÎ£ | 0..1 | string | Name for this measure (human friendly) | ||||

subtitle | 0..1 | string | Subordinate title of the measure | |||||

status | ?!Î£ | 1..1 | code | draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact. | ||||

experimental | Î£ | 1..1 | boolean | For testing purposes, not real usage | ||||

subject[x] | 0..1 | E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device Binding: SubjectType (extensible): The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization, Location, etc.). | ||||||

subjectCodeableConcept | CodeableConcept | |||||||

subjectReference | Reference(Group) | |||||||

date | SÎ£ | 0..1 | dateTime | Date last changed | ||||

publisher | Î£ | 1..1 | string | Name of the publisher (organization or individual) | ||||

contact | SÎ£ | 0..* | ContactDetail | Contact details for the publisher | ||||

description | Î£ | 1..1 | markdown | Natural language description of the measure | ||||

useContext | SÎ£ | 0..* | UsageContext | The context that the content is intended to support | ||||

jurisdiction | SÎ£ | 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 | Î£ | 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 | |||||

relatedArtifact | 0..* | RelatedArtifact | Additional documentation, citations, etc. | |||||

library | SI | 0..1 | canonical(CQFM Computable Library) | CQFMMeasures are not required to use a Library, but if they do, it SHALL be a CQFMLibrary. | ||||

disclaimer | Î£ | 0..1 | markdown | Disclaimer for use of the measure or its referenced content | ||||

scoring | SÎ£I | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort Binding: MeasureScoring (extensible) | ||||

compositeScoring | Î£ | 0..1 | CodeableConcept | opportunity | all-or-nothing | linear | weighted Binding: CompositeMeasureScoring (extensible): The composite scoring method of the measure. | ||||

type | SÎ£I | 0..* | CodeableConcept | process | outcome | structure | patient-reported-outcome | composite Binding: MeasureType (extensible) | ||||

riskAdjustment | Î£I | 0..1 | string | How risk adjustment is applied for this measure | ||||

rateAggregation | Î£I | 0..1 | string | How is rate aggregation performed for this measure | ||||

rationale | Î£ | 0..1 | markdown | Detailed description of why the measure exists | ||||

clinicalRecommendationStatement | Î£ | 0..1 | markdown | Summary of clinical guidelines | ||||

improvementNotation | SÎ£I | 0..1 | CodeableConcept | increase | decrease Binding: MeasureImprovementNotation (required) | ||||

definition | Î£ | 0..* | markdown | Defined terms used in the measure documentation | ||||

guidance | Î£ | 0..1 | markdown | Additional guidance for implementers | ||||

group | SI | 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: Cohort measures have one and only one population criteria and that criteria has a code of initial-population cmp-11: Proportion measures must have one and only one initial population cmp-12: Proportion measures must have one and only one denominator cmp-13: Proportion measures must have one and only one numerator cmp-14: Proportion measures may have at most one denominator-exclusion cmp-15: Proportion measures may have at most one denominator-exception cmp-16: Proportion measures may have at most one numerator-exclusion cmp-17: Proportion measures may not have other than initial population, denominator, numerator, denominator-exclusion, denominator-exception, and numerator-exclusion criteria cmp-18: Ratio measures must have between 1 and 2 initial population criteria cmp-19: Ratio measures must have one and only one denominator cmp-20: Ratio measures must have one and only one numerator cmp-21: Ratio measures may have at most one denominator-exclusion cmp-22: Ratio measures may have at most two measure-observation criteria cmp-23: Ratio measures may have at most one numerator-exclusion cmp-24: Ratio measures may not have other than initial population, denominator, numerator, denominator-exclusion, numerator-exclusion, and measure-observation criteria cmp-25: Continuous variable measures must have one and only one initial population criteria cmp-26: Continuous variable measures must have one and only one measure population cmp-27: Continuous variable measures must have one and only one measure observation cmp-28: Continuous variable measures may have at most one measure population exclusion cmp-29: Continuous variable measures may not have other than initial population, measure-population, measure-population-exclusion, and measure-observation criteria cmp-30: Composite measures may not specify population criteria cmp-31: Composite measures must specify composite scoring and at least one component | ||||

id | SI | 0..1 | string | Unique id for inter-element referencing | ||||

Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||

cqfm-populationBasis | SI | 0..1 | code | What type of population URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis Binding: FHIRAllTypes (required): The type of elements in the population | ||||

cqfm-scoring | SI | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring Binding: MeasureScoring (extensible): How the measure calculation is performed | ||||

cqfm-scoringUnit | SI | 0..1 | CodeableConcept | What units? URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringUnit | ||||

cqfm-compositeScoring | SI | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-compositeScoring Binding: CompositeMeasureScoring (extensible): How the composite measure calculation is performed | ||||

cqfm-component | SI | 0..* | RelatedArtifact | What artifact URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-component | ||||

cqfm-type | I | 0..1 | CodeableConcept | process | outcome | structure | patient-reported-outcome URL: http://hl7.org/fhir/us/cqfmeasures/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. | ||||

cqfm-riskAdjustment | I | 0..1 | string | How risk adjustment is applied for this measure URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-riskAdjustment | ||||

cqfm-rateAggregation | I | 0..1 | string | How is rate aggregation performed for this measure URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation | ||||

cqfm-improvementNotation | SI | 0..1 | CodeableConcept | increase | decrease URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation Binding: MeasureImprovementNotation (required): Indicates how to interpret the calculated score of the measure | ||||

modifierExtension | ?!Î£ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||

code | 0..1 | CodeableConcept | Meaning of the group | |||||

description | 0..1 | string | Summary description | |||||

population | SI | 0..* | BackboneElement | Population criteria cmp-32: Computable measures must use text/cql-expression or text/cql-identifier for all criteria | ||||

id | S | 1..1 | string | Unique id for inter-element referencing | ||||

extension | 0..* | Extension | Additional content defined by implementations | |||||

modifierExtension | ?!Î£ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||

code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible) | ||||

description | 0..1 | string | The human readable description of this population criteria | |||||

criteria | SI | 1..1 | Expression | The criteria that defines this population | ||||

stratifier | SI | 0..* | BackboneElement | Stratifier criteria for the measure cmp-33: Computable measures must use text/cql-expression, text/cql-identifier, or text/fhirpath for all stratifier criteria | ||||

id | S | 1..1 | string | Unique id for inter-element referencing | ||||

Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||

cqfm-appliesTo | 1..1 | CodeableConcept | Which population does this apply to? URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-appliesTo Binding: MeasurePopulationType (extensible): Indicates the population | |||||

modifierExtension | ?!Î£ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||

code | 0..1 | CodeableConcept | Meaning of the stratifier | |||||

description | 0..1 | string | The human readable description of this stratifier | |||||

criteria | SI | 0..1 | Expression | How the measure should be stratified | ||||

component | SI | 0..* | BackboneElement | Stratifier criteria component for the measure cmp-34: Computable measures must use text/cql-expression, text/cql-identifier, or text/fhirpath for all stratifier component criteria | ||||

id | 0..1 | string | Unique id for inter-element referencing | |||||

extension | 0..* | Extension | Additional content defined by implementations | |||||

modifierExtension | ?!Î£ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||

code | 0..1 | CodeableConcept | Meaning of the stratifier component | |||||

description | 0..1 | string | The human readable description of this stratifier component | |||||

criteria | 1..1 | Expression | Component of how the measure should be stratified | |||||

supplementalData | SI | 0..* | BackboneElement | What other data should be reported with the measure cmp-35: Computable measures must use text/cql-expression, text/cql-identifier, or text/fhirpath for all supplemental data criteria | ||||

id | S | 1..1 | string | Unique id for inter-element referencing | ||||

extension | 0..* | Extension | Additional content defined by implementations | |||||

modifierExtension | ?!Î£ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||

code | S | 0..1 | CodeableConcept | Meaning of the supplemental data Binding: MeasureDataUsage (extensible) | ||||

usage | 0..* | CodeableConcept | supplemental-data | risk-adjustment-factor Binding: MeasureDataUsage (extensible): The intended usage for supplemental data elements in the measure. | |||||

description | 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 |

Other representations of profile: CSV, Excel, Schematron

Path | Conformance | ValueSet |

Measure.meta.security | extensible | All Security Labels |

Measure.meta.tag | example | CommonTags |

Measure.language | preferred | CommonLanguages Max Binding: AllLanguages |

Measure.status | required | PublicationStatus |

Measure.subject[x] | extensible | SubjectType |

Measure.jurisdiction | extensible | Jurisdiction ValueSet |

Measure.topic | example | DefinitionTopic |

Measure.scoring | extensible | MeasureScoring |

Measure.compositeScoring | extensible | CompositeMeasureScoring |

Measure.type | extensible | MeasureType |

Measure.improvementNotation | required | MeasureImprovementNotation |

Measure.group.population.code | extensible | MeasurePopulationType |

Measure.supplementalData.code | extensible | MeasureDataUsage |

Measure.supplementalData.usage | extensible | MeasureDataUsage |

Id | Grade | Path | Details | Requirements |

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() | |

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()) | |

cmp-1 | error | Measure | Population basis must be specified at the root, or on each group : extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis').exists() xor group.select(extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis').exists()).allTrue() | |

cmp-2 | error | Measure | Scoring must be specified at the root, or on each group : scoring.exists() xor group.select(extension('http://hl7.org/fhir/us/cqfmeasures/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/us/cqfmeasures/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 in ('proportion' | 'ratio' | 'continuous-variable') implies improvementNotation.exists() | |

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/us/cqfmeasures/StructureDefinition/cqfm-measureType').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/us/cqfmeasures/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/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation').exists()).allFalse() | |

ele-1 | error | Measure.meta | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ele-1 | error | Measure.meta.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ext-1 | error | Measure.meta.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |

ele-1 | error | Measure.meta.versionId | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ele-1 | error | Measure.meta.lastUpdated | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ele-1 | error | Measure.meta.source | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ele-1 | error | Measure.meta.profile | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ele-1 | error | Measure.meta.security | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ele-1 | error | Measure.meta.tag | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ele-1 | error | Measure.implicitRules | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ele-1 | error | Measure.language | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ele-1 | error | Measure.text | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ele-1 | error | Measure.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ext-1 | error | Measure.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |

ele-1 | error | Measure.extension:comment | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ext-1 | error | Measure.extension:comment | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |

ele-1 | error | Measure.extension:allocation | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ext-1 | error | Measure.extension:allocation | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |

ele-1 | error | Measure.extension:softwaresystem | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ext-1 | error | Measure.extension:softwaresystem | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |

ele-1 | error | Measure.extension:populationBasis | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ext-1 | error | Measure.extension:populationBasis | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |

ele-1 | error | Measure.extension:scoringUnit | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ext-1 | error | Measure.extension:scoringUnit | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |

ele-1 | error | Measure.extension:effectiveDataRequirements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ext-1 | error | Measure.extension:effectiveDataRequirements | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |

ele-1 | error | Measure.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ext-1 | error | Measure.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |

ele-1 | error | Measure.url | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ele-1 | error | Measure.identifier | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ele-1 | error | Measure.version | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ele-1 | error | Measure.name | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ele-1 | error | Measure.title | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ele-1 | error | Measure.subtitle | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ele-1 | error | Measure.status | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ele-1 | error | Measure.experimental | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ele-1 | error | Measure.subject[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ele-1 | error | Measure.date | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ele-1 | error | Measure.publisher | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ele-1 | error | Measure.contact | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ele-1 | error | Measure.description | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ele-1 | error | Measure.useContext | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ele-1 | error | Measure.jurisdiction | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ele-1 | error | Measure.purpose | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ele-1 | error | Measure.usage | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ele-1 | error | Measure.copyright | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ele-1 | error | Measure.approvalDate | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ele-1 | error | Measure.lastReviewDate | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ele-1 | error | Measure.effectivePeriod | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ele-1 | error | Measure.topic | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ele-1 | error | Measure.author | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ele-1 | error | Measure.editor | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ele-1 | error | Measure.reviewer | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ele-1 | error | Measure.endorser | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ele-1 | error | Measure.relatedArtifact | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ele-1 | error | Measure.library | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

cqm-2 | warning | Measure.library | Measures utilizing CQL SHALL reference one and only one CQL library (and that referenced library MUST be the primary library for the measure) : exists() | |

ele-1 | error | Measure.disclaimer | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ele-1 | error | Measure.scoring | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ele-1 | error | Measure.compositeScoring | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ele-1 | error | Measure.type | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ele-1 | error | Measure.riskAdjustment | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ele-1 | error | Measure.rateAggregation | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ele-1 | error | Measure.rationale | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ele-1 | error | Measure.clinicalRecommendationStatement | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ele-1 | error | Measure.improvementNotation | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ele-1 | error | Measure.definition | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ele-1 | error | Measure.guidance | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ele-1 | error | Measure.group | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

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/us/cqfmeasures/StructureDefinition/cqfm-scoringUnit').exists() implies extension('http://hl7.org/fhir/us/cqfmeasures/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/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value in ('proportion' | 'ratio' | 'continuous-variable') implies extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation').exists() | |

cmp-10 | error | Measure.group | Cohort measures have one and only one population criteria and that criteria has a code of initial-population : extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value = 'cohort' implies group.population.count() = 1 and group.population.select(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-popuplation').code = 'initial-population').allTrue() | |

cmp-11 | error | Measure.group | Proportion measures must have one and only one initial population : extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value = 'proportion' implies group.population.where(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code = 'initial-population').count = 1 | |

cmp-12 | error | Measure.group | Proportion measures must have one and only one denominator : extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value = 'proportion' implies group.population.where(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code = 'denominator').count = 1 | |

cmp-13 | error | Measure.group | Proportion measures must have one and only one numerator : extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value = 'proportion' implies group.population.where(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code = 'numerator').count = 1 | |

cmp-14 | error | Measure.group | Proportion measures may have at most one denominator-exclusion : extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value = 'proportion' implies group.population.where(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code = 'denominator-exclusion').count <= 1 | |

cmp-15 | error | Measure.group | Proportion measures may have at most one denominator-exception : extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value = 'proportion' implies group.population.where(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code = 'denominator-exception').count <= 1 | |

cmp-16 | error | Measure.group | Proportion measures may have at most one numerator-exclusion : extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value = 'proportion' implies group.population.where(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code = 'numerator-exclusion').count <= 1 | |

cmp-17 | error | Measure.group | Proportion measures may not have other than initial population, denominator, numerator, denominator-exclusion, denominator-exception, and numerator-exclusion criteria : extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value = 'proportion' implies group.population.select(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code in ('initial-population' | 'numerator' | 'denominator' | 'denominator-exclusion' | 'denominator-exception' | 'numerator-exclusion')).allTrue() | |

cmp-18 | error | Measure.group | Ratio measures must have between 1 and 2 initial population criteria : extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value = 'ratio' implies (group.population.where(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code = 'initial-population').count() in (1 | 2)) | |

cmp-19 | error | Measure.group | Ratio measures must have one and only one denominator : extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value = 'ratio' implies group.population.where(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code = 'denominator').count = 1 | |

cmp-20 | error | Measure.group | Ratio measures must have one and only one numerator : extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value = 'ratio' implies group.population.where(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code = 'numerator').count = 1 | |

cmp-21 | error | Measure.group | Ratio measures may have at most one denominator-exclusion : extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value = 'ratio' implies group.population.where(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code = 'denominator-exclusion').count <= 1 | |

cmp-22 | error | Measure.group | Ratio measures may have at most two measure-observation criteria : extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value = 'ratio' implies group.population.where(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code = 'measure-observation').count <= 2 | |

cmp-23 | error | Measure.group | Ratio measures may have at most one numerator-exclusion : extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value = 'ratio' implies group.population.where(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code = 'numerator-exclusion').count <= 1 | |

cmp-24 | error | Measure.group | Ratio measures may not have other than initial population, denominator, numerator, denominator-exclusion, numerator-exclusion, and measure-observation criteria : extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value = 'ratio' implies group.population.select(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code in ('initial-population' | 'numerator' | 'denominator' | 'denominator-exclusion' | 'measure-observation' | 'numerator-exclusion')).allTrue() | |

cmp-25 | error | Measure.group | Continuous variable measures must have one and only one initial population criteria : extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value = 'continuous-variable' implies group.population.where(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code = 'initial-population').count = 1 | |

cmp-26 | error | Measure.group | Continuous variable measures must have one and only one measure population : extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value = 'continuous-variable' implies group.population.where(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code = 'measure-population').count = 1 | |

cmp-27 | error | Measure.group | Continuous variable measures must have one and only one measure observation : extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value = 'continuous-variable' implies group.population.where(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code = 'measure-observation').count = 1 | |

cmp-28 | error | Measure.group | Continuous variable measures may have at most one measure population exclusion : extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value = 'continuous-variable' implies group.population.where(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code = 'measure-population-exclusion').count <= 1 | |

cmp-29 | error | Measure.group | Continuous variable measures may not have other than initial population, measure-population, measure-population-exclusion, and measure-observation criteria : extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value = 'ratio' implies group.population.select(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code in ('initial-population' | 'measure-population' | 'meausre-population-exclusion' | 'measure-observation')).allTrue() | |

cmp-30 | error | Measure.group | Composite measures may not specify population criteria : extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value = 'composite' implies group.population.count() = 0 | |

cmp-31 | error | Measure.group | Composite measures must specify composite scoring and at least one component : extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring').value = 'composite' implies extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-compositeScoring').exists() and extension('http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-component').exists() | |

cqm-3 | warning | Measure.group.id | Group identifiers SHOULD use the convention: "group-[group number]", where [group number] corresponds with the group naming convention for the criteria within the group : value.startsWith('group-') | |

ele-1 | error | Measure.group.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ext-1 | error | Measure.group.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |

ele-1 | error | Measure.group.extension:populationBasis | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ext-1 | error | Measure.group.extension:populationBasis | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |

ele-1 | error | Measure.group.extension:scoring | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ext-1 | error | Measure.group.extension:scoring | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |

ele-1 | error | Measure.group.extension:scoringUnit | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ext-1 | error | Measure.group.extension:scoringUnit | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |

ele-1 | error | Measure.group.extension:compositeScoring | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ext-1 | error | Measure.group.extension:compositeScoring | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |

ele-1 | error | Measure.group.extension:component | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ext-1 | error | Measure.group.extension:component | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |

ele-1 | error | Measure.group.extension:type | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ext-1 | error | Measure.group.extension:type | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |

ele-1 | error | Measure.group.extension:riskAdjustment | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ext-1 | error | Measure.group.extension:riskAdjustment | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |

ele-1 | error | Measure.group.extension:rateAggregation | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ext-1 | error | Measure.group.extension:rateAggregation | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |

ele-1 | error | Measure.group.extension:improvementNotation | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ext-1 | error | Measure.group.extension:improvementNotation | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |

ele-1 | error | Measure.group.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ext-1 | error | Measure.group.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |

ele-1 | error | Measure.group.code | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ele-1 | error | Measure.group.description | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ele-1 | error | Measure.group.population | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

cmp-32 | error | Measure.group.population | Computable measures must use text/cql-expression or text/cql-identifier for all criteria : criteria.language in ('text/cql-expression' | 'text/cql-identifier') | |

ele-1 | error | Measure.group.population.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ext-1 | error | Measure.group.population.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |

ele-1 | error | Measure.group.population.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ext-1 | error | Measure.group.population.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |

ele-1 | error | Measure.group.population.code | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ele-1 | error | Measure.group.population.description | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ele-1 | error | Measure.group.population.criteria | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

cqm-4 | warning | Measure.group.population.criteria | Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. : value.startsWith(library).not() | |

ele-1 | error | Measure.group.stratifier | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

cmp-33 | error | Measure.group.stratifier | Computable measures must use text/cql-expression, text/cql-identifier, or text/fhirpath for all stratifier criteria : criteria.language in ('text/cql-expression' | 'text/cql-identifier' | 'text/fhirpath') | |

ele-1 | error | Measure.group.stratifier.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ext-1 | error | Measure.group.stratifier.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |

ele-1 | error | Measure.group.stratifier.extension:appliesTo | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ext-1 | error | Measure.group.stratifier.extension:appliesTo | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |

ele-1 | error | Measure.group.stratifier.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ext-1 | error | Measure.group.stratifier.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |

ele-1 | error | Measure.group.stratifier.code | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ele-1 | error | Measure.group.stratifier.description | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ele-1 | error | Measure.group.stratifier.criteria | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

cqm-5 | warning | Measure.group.stratifier.criteria | Group stratifier criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace. : value.startsWith(library).not() | |

ele-1 | error | Measure.group.stratifier.component | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

cmp-34 | error | Measure.group.stratifier.component | Computable measures must use text/cql-expression, text/cql-identifier, or text/fhirpath for all stratifier component criteria : criteria.language in ('text/cql-expression' | 'text/cql-identifier' | 'text/fhirpath') | |

ele-1 | error | Measure.group.stratifier.component.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ext-1 | error | Measure.group.stratifier.component.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |

ele-1 | error | Measure.group.stratifier.component.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ext-1 | error | Measure.group.stratifier.component.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |

ele-1 | error | Measure.group.stratifier.component.code | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ele-1 | error | Measure.group.stratifier.component.description | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ele-1 | error | Measure.group.stratifier.component.criteria | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ele-1 | error | Measure.supplementalData | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

cqm-6 | warning | Measure.supplementalData | Supplemental data SHALL use either criteria or path : criteria.exists() or path.exists() | |

cmp-35 | error | Measure.supplementalData | Computable measures must use text/cql-expression, text/cql-identifier, or text/fhirpath for all supplemental data criteria : criteria.language in ('text/cql-expression' | 'text/cql-identifier' | 'text/fhirpath') | |

ele-1 | error | Measure.supplementalData.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ext-1 | error | Measure.supplementalData.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |

ele-1 | error | Measure.supplementalData.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ext-1 | error | Measure.supplementalData.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |

ele-1 | error | Measure.supplementalData.code | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ele-1 | error | Measure.supplementalData.usage | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ele-1 | error | Measure.supplementalData.description | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |

ele-1 | error | Measure.supplementalData.criteria | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |