Quality Measure Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 6.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/cqf-measures/ and changes regularly. See the Directory of published versions
Official URL: http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cv-measure-cqfm | Version: 4.0.0 | |||
Active as of 2024-12-04 | Computable Name: CQFMContinuousVariableMeasure |
The CQFM Continuous Variable Measure Profile describes a continuous variable scoring measure. For more information on the usage of this profile, refer to the Profiles and Packaging pages in this implementation guide.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from CQFMComputableMeasure
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Measure | 0..* | CQFMComputableMeasure | A quality measure definition | |
scoring | S | 0..1 | CodeableConcept | continuous-variable Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-scoring | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: continuous-variable | |
group | SC | 1..* | BackboneElement | Population criteria group cmp-12: Continuous variable measures may not have other than initial population, measure-population, measure-population-exclusion, and measure-observation criteria |
Slices for extension | Content/Rules for all slices | |||
scoring | SC | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort URL: http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-scoring Binding: Measure Scoring (extensible): How the measure calculation is performed |
Slices for population | SC | 3..4 | BackboneElement | Population criteria Slice: Unordered, Open by value:code |
population:initialPopulation | S | 1..1 | BackboneElement | Initial Population |
code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: initial-population | |
population:measurePopulation | S | 1..1 | BackboneElement | Measure Population |
code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: measure-population | |
population:measurePopulationExclusion | S | 0..1 | BackboneElement | Measure Population Exclusion |
code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: measure-population-exclusion | |
population:measureObservation | S | 1..1 | BackboneElement | Measure Observation |
Slices for extension | Content/Rules for all slices | |||
criteriaReference | S | 1..1 | string | Which criteria URL: http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-criteriaReference |
aggregateMethod | S | 1..1 | code | Aggregate with URL: http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-aggregateMethod Binding: Measure Aggregate Method (preferred): Aggregation method for a measure (e.g. sum, average, median, minimum, maximum, count) |
code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: measure-observation | |
Documentation for this format |
Id | Grade | Path(s) | Details | Requirements |
cmp-12 | 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/uv/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code contains 'continuous-variable' implies population.select(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code in ('initial-population' | 'measure-population' | 'measure-population-exclusion' | 'measure-observation')).allTrue() |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Measure | SC | 0..* | CQFMComputableMeasure | A quality measure definition mea-0: Name should be usable as an identifier for the module by machine processing applications such as code generation mea-1: Stratifier SHALL be either a single criteria or a set of criteria components cmp-1: Population basis must be specified at the root, or on each group cmp-2: Scoring must either be specified at the root, or on each group cmp-3: Scoring unit may only be specified at the root if the scoring is also specified at the root cmp-4: Improvement notation must be specified for scoring types other than cohort cmp-5: If type is specified at the root, it may not be specified on any group cmp-6: If riskAdjustment is specified at the root, it may not be specified on any group cmp-7: If rateAggregation is specified at the root, it may not be specified on any group |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
Slices for extension | Content/Rules for all slices | |||
populationBasis | SC | 0..1 | code | What type of population URL: http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-populationBasis Binding: FHIRAllTypes (required): The type of elements in the population |
scoringUnit | SC | 0..1 | CodeableConcept | What units? URL: http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-scoringUnit |
effectiveDataRequirements | S | 0..1 | canonical(CRMI Module Definition Library) | Effective required data for evaluation URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements |
scoringPrecision | 0..1 | positiveInt | Number of decimal places URL: http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-scoringPrecision | |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
status | ?!Σ | 1..1 | code | draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact. |
subject[x] | S | 0..1 | E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device Binding: Subject Type Value Set (extensible) | |
subjectCodeableConcept | CodeableConcept | |||
subjectReference | Reference(Group) | |||
library | S | 0..1 | canonical(CRMI Computable Library) | Logic used by the measure |
scoring | SΣC | 0..1 | CodeableConcept | continuous-variable Binding: Measure Scoring (extensible) Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-scoring | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: continuous-variable | |
type | SΣC | 0..* | CodeableConcept | process | outcome | structure | patient-reported-outcome | composite Binding: MeasureType (extensible): The type of measure (includes codes from 2.16.840.1.113883.1.11.20368). |
improvementNotation | SΣC | 0..1 | CodeableConcept | increase | decrease Binding: MeasureImprovementNotation (required) |
group | SC | 1..* | 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-12: Continuous variable measures may not have other than initial population, measure-population, measure-population-exclusion, and measure-observation criteria |
Slices for extension | Content/Rules for all slices | |||
populationBasis | SC | 0..1 | code | What type of population URL: http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-populationBasis Binding: FHIRAllTypes (required): The type of elements in the population |
scoring | SC | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort URL: http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-scoring Binding: Measure Scoring (extensible): How the measure calculation is performed |
scoringUnit | SC | 0..1 | CodeableConcept | What units? URL: http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-scoringUnit |
scoringPrecision | 0..1 | positiveInt | Number of decimal places URL: http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-scoringPrecision | |
compositeScoring | S | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort URL: http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-compositeScoring Binding: CompositeMeasureScoring (extensible): How the composite measure calculation is performed |
component | S | 0..* | RelatedArtifact | What artifact URL: http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-component |
type | C | 0..* | CodeableConcept | process | outcome | structure | patient-reported-outcome URL: http://hl7.org/fhir/uv/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. |
riskAdjustment | C | 0..1 | string | How risk adjustment is applied for this measure URL: http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-riskAdjustment |
rateAggregation | C | 0..1 | string | How is rate aggregation performed for this measure URL: http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-rateAggregation |
improvementNotation | SC | 0..1 | CodeableConcept | increase | decrease URL: http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-improvementNotation Binding: MeasureImprovementNotation (required): Indicates how to interpret the calculated score of the measure |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | S | 0..1 | CodeableConcept | Meaning of the group |
description | S | 0..1 | string | Summary description |
Slices for population | SC | 3..4 | BackboneElement | Population criteria Slice: Unordered, Open by value:code |
population:All Slices | Content/Rules for all slices | |||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | S | 0..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population. |
description | S | 0..1 | string | The human readable description of this population criteria |
criteria | 1..1 | Expression | The criteria that defines this population | |
population:initialPopulation | S | 1..1 | BackboneElement | Initial Population |
modifierExtension | ?!Σ | 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): The type of population. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: initial-population | |
description | S | 0..1 | string | The human readable description of this population criteria |
criteria | 1..1 | Expression | The criteria that defines this population | |
population:measurePopulation | S | 1..1 | BackboneElement | Measure Population |
modifierExtension | ?!Σ | 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): The type of population. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: measure-population | |
description | S | 0..1 | string | The human readable description of this population criteria |
criteria | 1..1 | Expression | The criteria that defines this population | |
population:measurePopulationExclusion | S | 0..1 | BackboneElement | Measure Population Exclusion |
modifierExtension | ?!Σ | 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): The type of population. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: measure-population-exclusion | |
description | S | 0..1 | string | The human readable description of this population criteria |
criteria | 1..1 | Expression | The criteria that defines this population | |
population:measureObservation | S | 1..1 | BackboneElement | Measure Observation |
Slices for extension | 2..* | Extension | Extension Slice: Unordered, Open by value:url | |
criteriaReference | S | 1..1 | string | Which criteria URL: http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-criteriaReference |
aggregateMethod | S | 1..1 | code | Aggregate with URL: http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-aggregateMethod Binding: Measure Aggregate Method (preferred): Aggregation method for a measure (e.g. sum, average, median, minimum, maximum, count) |
modifierExtension | ?!Σ | 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): The type of population. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: measure-observation | |
description | S | 0..1 | string | The human readable description of this population criteria |
criteria | 1..1 | Expression | The criteria that defines this population | |
stratifier | S | 0..* | BackboneElement | Stratifier criteria for the measure |
Slices for extension | Content/Rules for all slices | |||
appliesTo | 0..* | CodeableConcept | Which population does this stratifier apply to? URL: http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-appliesTo Binding: MeasurePopulationType (extensible): Indicates the population | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | S | 0..1 | CodeableConcept | Meaning of the stratifier |
description | S | 0..1 | string | The human readable description of this stratifier |
component | S | 0..* | BackboneElement | Stratifier criteria component for the measure |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | S | 0..1 | CodeableConcept | Meaning of the stratifier component |
description | S | 0..1 | string | The human readable description of this stratifier component |
criteria | 1..1 | Expression | Component of how the measure should be stratified | |
supplementalData | S | 0..* | BackboneElement | What other data should be reported with the measure |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | S | 0..1 | CodeableConcept | Meaning of the supplemental data |
usage | S | 0..* | CodeableConcept | supplemental-data | risk-adjustment-factor Binding: MeasureDataUsage (extensible): The intended usage for supplemental data elements in the measure. |
description | S | 0..1 | string | The human readable description of this supplemental data |
criteria | 1..1 | Expression | Expression describing additional data to be reported | |
Documentation for this format |
Path | Conformance | ValueSet / Code | URI |
Measure.status | required | PublicationStatushttp://hl7.org/fhir/ValueSet/publication-status|4.0.1 from the FHIR Standard | |
Measure.subject[x] | extensible | SubjectTypeValueSethttp://hl7.org/fhir/uv/cqfmeasures/ValueSet/subject-type from this IG | |
Measure.scoring | extensible | Pattern: continuous-variablehttp://terminology.hl7.org/ValueSet/measure-scoring | |
Measure.type | extensible | MeasureTypehttp://hl7.org/fhir/ValueSet/measure-type from the FHIR Standard | |
Measure.improvementNotation | required | MeasureImprovementNotationhttp://terminology.hl7.org/ValueSet/measure-improvement-notation | |
Measure.group.population.code | extensible | MeasurePopulationTypehttp://hl7.org/fhir/ValueSet/measure-population from the FHIR Standard | |
Measure.group.population:initialPopulation.code | extensible | Pattern: initial-populationhttp://hl7.org/fhir/ValueSet/measure-population from the FHIR Standard | |
Measure.group.population:measurePopulation.code | extensible | Pattern: measure-populationhttp://hl7.org/fhir/ValueSet/measure-population from the FHIR Standard | |
Measure.group.population:measurePopulationExclusion.code | extensible | Pattern: measure-population-exclusionhttp://hl7.org/fhir/ValueSet/measure-population from the FHIR Standard | |
Measure.group.population:measureObservation.code | extensible | Pattern: measure-observationhttp://hl7.org/fhir/ValueSet/measure-population from the FHIR Standard | |
Measure.supplementalData.usage | extensible | MeasureDataUsagehttp://hl7.org/fhir/ValueSet/measure-data-usage from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
cmp-1 | error | Measure | Population basis must be specified at the root, or on each group : extension('http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-populationBasis').exists() or group.select(extension('http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-populationBasis').exists()).allTrue() | |
cmp-2 | error | Measure | Scoring must either be specified at the root, or on each group : scoring.exists() xor (group.exists() and group.select(extension('http://hl7.org/fhir/uv/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/uv/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.coding.code.contains('proportion') or scoring.coding.code.contains('ratio') or scoring.coding.code.contains('continuous-variable') or scoring.coding.code.contains('composite')) and improvementNotation.exists()) xor (group.exists() and group.select((extension('http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and (extension('http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code.contains('proportion') or extension('http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code.contains('ratio') or extension('http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code.contains('continuous-variable') or extension('http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code.contains('composite')) and extension('http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-improvementNotation').exists())).allTrue()) xor (scoring.exists() and scoring.coding.code.contains('cohort')) | |
cmp-5 | error | Measure | If type is specified at the root, it may not be specified on any group : type.exists() implies group.select(extension('http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-type').exists()).allFalse() | |
cmp-6 | error | Measure | If riskAdjustment is specified at the root, it may not be specified on any group : riskAdjustment.exists() implies group.select(extension('http://hl7.org/fhir/uv/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/uv/cqfmeasures/StructureDefinition/cqfm-rateAggregation').exists()).allFalse() | |
cmp-8 | error | Measure.group | Scoring unit may only be specified at the root if the scoring is also specified at the root : extension('http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-scoringUnit').exists() implies extension('http://hl7.org/fhir/uv/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/uv/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-scoring').value in ('proportion' | 'ratio' | 'continuous-variable') implies extension('http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-improvementNotation').exists() | |
cmp-12 | 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/uv/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code contains 'continuous-variable' implies population.select(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code in ('initial-population' | 'measure-population' | 'measure-population-exclusion' | 'measure-observation')).allTrue() | |
dom-2 | error | Measure | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Measure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | Measure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Measure | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Measure | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
mea-0 | warning | Measure | Name should be usable as an identifier for the module by machine processing applications such as code generation : name.matches('[A-Z]([A-Za-z0-9_]){0,254}') | |
mea-1 | error | Measure | Stratifier SHALL be either a single criteria or a set of criteria components : group.stratifier.all((code | description | criteria).exists() xor component.exists()) |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
Measure | SC | 0..* | CQFMComputableMeasure | A quality measure definition mea-0: Name should be usable as an identifier for the module by machine processing applications such as code generation mea-1: Stratifier SHALL be either a single criteria or a set of criteria components cmp-1: Population basis must be specified at the root, or on each group cmp-2: Scoring must either be specified at the root, or on each group cmp-3: Scoring unit may only be specified at the root if the scoring is also specified at the root cmp-4: Improvement notation must be specified for scoring types other than cohort cmp-5: If type is specified at the root, it may not be specified on any group cmp-6: If riskAdjustment is specified at the root, it may not be specified on any group cmp-7: If rateAggregation is specified at the root, it may not be specified on any group | ||||
id | Σ | 0..1 | id | Logical id of this artifact | ||||
meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
populationBasis | SC | 0..1 | code | What type of population URL: http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-populationBasis Binding: FHIRAllTypes (required): The type of elements in the population | ||||
scoringUnit | SC | 0..1 | CodeableConcept | What units? URL: http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-scoringUnit | ||||
effectiveDataRequirements | S | 0..1 | canonical(CRMI Module Definition Library) | Effective required data for evaluation URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements | ||||
scoringPrecision | 0..1 | positiveInt | Number of decimal places URL: http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-scoringPrecision | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
url | Σ | 0..1 | uri | Canonical identifier for this measure, represented as a URI (globally unique) | ||||
identifier | Σ | 0..* | Identifier | Additional identifier for the measure | ||||
version | Σ | 0..1 | string | Business version of the measure | ||||
name | ΣC | 0..1 | string | Name for this measure (computer friendly) | ||||
title | Σ | 0..1 | string | Name for this measure (human friendly) | ||||
subtitle | 0..1 | string | Subordinate title of the measure | |||||
status | ?!Σ | 1..1 | code | draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact. | ||||
experimental | Σ | 0..1 | boolean | For testing purposes, not real usage | ||||
subject[x] | S | 0..1 | E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device Binding: Subject Type Value Set (extensible) | |||||
subjectCodeableConcept | CodeableConcept | |||||||
subjectReference | Reference(Group) | |||||||
date | Σ | 0..1 | dateTime | Date last changed | ||||
publisher | Σ | 0..1 | string | Name of the publisher (organization or individual) | ||||
contact | Σ | 0..* | ContactDetail | Contact details for the publisher | ||||
description | Σ | 0..1 | markdown | Natural language description of the measure | ||||
useContext | Σ | 0..* | UsageContext | The context that the content is intended to support | ||||
jurisdiction | Σ | 0..* | CodeableConcept | Intended jurisdiction for measure (if applicable) Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use. | ||||
purpose | 0..1 | markdown | Why this measure is defined | |||||
usage | 0..1 | string | Describes the clinical usage of the measure | |||||
copyright | 0..1 | markdown | Use and/or publishing restrictions | |||||
approvalDate | 0..1 | date | When the measure was approved by publisher | |||||
lastReviewDate | 0..1 | date | When the measure was last reviewed | |||||
effectivePeriod | Σ | 0..1 | Period | When the measure is expected to be used | ||||
topic | 0..* | CodeableConcept | The category of the measure, such as Education, Treatment, Assessment, etc. Binding: DefinitionTopic (example): High-level categorization of the definition, used for searching, sorting, and filtering. | |||||
author | 0..* | ContactDetail | Who authored the content | |||||
editor | 0..* | ContactDetail | Who edited the content | |||||
reviewer | 0..* | ContactDetail | Who reviewed the content | |||||
endorser | 0..* | ContactDetail | Who endorsed the content | |||||
relatedArtifact | 0..* | RelatedArtifact | Additional documentation, citations, etc. | |||||
library | S | 0..1 | canonical(CRMI Computable Library) | Logic used by the measure | ||||
disclaimer | Σ | 0..1 | markdown | Disclaimer for use of the measure or its referenced content | ||||
scoring | SΣC | 0..1 | CodeableConcept | continuous-variable Binding: Measure Scoring (extensible) Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-scoring | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: continuous-variable | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
compositeScoring | Σ | 0..1 | CodeableConcept | opportunity | all-or-nothing | linear | weighted Binding: CompositeMeasureScoring (extensible): The composite scoring method of the measure. | ||||
type | SΣC | 0..* | CodeableConcept | process | outcome | structure | patient-reported-outcome | composite Binding: MeasureType (extensible): The type of measure (includes codes from 2.16.840.1.113883.1.11.20368). | ||||
riskAdjustment | ΣC | 0..1 | string | How risk adjustment is applied for this measure | ||||
rateAggregation | ΣC | 0..1 | string | How is rate aggregation performed for this measure | ||||
rationale | Σ | 0..1 | markdown | Detailed description of why the measure exists | ||||
clinicalRecommendationStatement | Σ | 0..1 | markdown | Summary of clinical guidelines | ||||
improvementNotation | SΣC | 0..1 | CodeableConcept | increase | decrease Binding: MeasureImprovementNotation (required) | ||||
definition | Σ | 0..* | markdown | Defined terms used in the measure documentation | ||||
guidance | Σ | 0..1 | markdown | Additional guidance for implementers | ||||
group | SC | 1..* | 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-12: Continuous variable measures may not have other than initial population, measure-population, measure-population-exclusion, and measure-observation criteria | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
populationBasis | SC | 0..1 | code | What type of population URL: http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-populationBasis Binding: FHIRAllTypes (required): The type of elements in the population | ||||
scoring | SC | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort URL: http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-scoring Binding: Measure Scoring (extensible): How the measure calculation is performed | ||||
scoringUnit | SC | 0..1 | CodeableConcept | What units? URL: http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-scoringUnit | ||||
scoringPrecision | 0..1 | positiveInt | Number of decimal places URL: http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-scoringPrecision | |||||
compositeScoring | S | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort URL: http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-compositeScoring Binding: CompositeMeasureScoring (extensible): How the composite measure calculation is performed | ||||
component | S | 0..* | RelatedArtifact | What artifact URL: http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-component | ||||
type | C | 0..* | CodeableConcept | process | outcome | structure | patient-reported-outcome URL: http://hl7.org/fhir/uv/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. | ||||
riskAdjustment | C | 0..1 | string | How risk adjustment is applied for this measure URL: http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-riskAdjustment | ||||
rateAggregation | C | 0..1 | string | How is rate aggregation performed for this measure URL: http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-rateAggregation | ||||
improvementNotation | SC | 0..1 | CodeableConcept | increase | decrease URL: http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-improvementNotation Binding: MeasureImprovementNotation (required): Indicates how to interpret the calculated score of the measure | ||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
code | S | 0..1 | CodeableConcept | Meaning of the group | ||||
description | S | 0..1 | string | Summary description | ||||
Slices for population | SC | 3..4 | BackboneElement | Population criteria Slice: Unordered, Open by value:code | ||||
population:All Slices | Content/Rules for all slices | |||||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
code | S | 0..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population. | ||||
description | S | 0..1 | string | The human readable description of this population criteria | ||||
criteria | 1..1 | Expression | The criteria that defines this population | |||||
population:initialPopulation | S | 1..1 | BackboneElement | Initial Population | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: initial-population | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
description | S | 0..1 | string | The human readable description of this population criteria | ||||
criteria | 1..1 | Expression | The criteria that defines this population | |||||
population:measurePopulation | S | 1..1 | BackboneElement | Measure Population | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: measure-population | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
description | S | 0..1 | string | The human readable description of this population criteria | ||||
criteria | 1..1 | Expression | The criteria that defines this population | |||||
population:measurePopulationExclusion | S | 0..1 | BackboneElement | Measure Population Exclusion | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: measure-population-exclusion | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
description | S | 0..1 | string | The human readable description of this population criteria | ||||
criteria | 1..1 | Expression | The criteria that defines this population | |||||
population:measureObservation | S | 1..1 | BackboneElement | Measure Observation | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
Slices for extension | 2..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
criteriaReference | S | 1..1 | string | Which criteria URL: http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-criteriaReference | ||||
aggregateMethod | S | 1..1 | code | Aggregate with URL: http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-aggregateMethod Binding: Measure Aggregate Method (preferred): Aggregation method for a measure (e.g. sum, average, median, minimum, maximum, count) | ||||
modifierExtension | ?!Σ | 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): The type of population. Required Pattern: At least the following | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |||||
version | 0..1 | string | Version of the system - if relevant | |||||
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: measure-observation | |||||
display | 0..1 | string | Representation defined by the system | |||||
userSelected | 0..1 | boolean | If this coding was chosen directly by the user | |||||
text | 0..1 | string | Plain text representation of the concept | |||||
description | S | 0..1 | string | The human readable description of this population criteria | ||||
criteria | 1..1 | Expression | The criteria that defines this population | |||||
stratifier | S | 0..* | BackboneElement | Stratifier criteria for the measure | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
appliesTo | 0..* | CodeableConcept | Which population does this stratifier apply to? URL: http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-appliesTo Binding: MeasurePopulationType (extensible): Indicates the population | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
code | S | 0..1 | CodeableConcept | Meaning of the stratifier | ||||
description | S | 0..1 | string | The human readable description of this stratifier | ||||
criteria | 0..1 | Expression | How the measure should be stratified | |||||
component | S | 0..* | BackboneElement | Stratifier criteria component for the measure | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
code | S | 0..1 | CodeableConcept | Meaning of the stratifier component | ||||
description | S | 0..1 | string | The human readable description of this stratifier component | ||||
criteria | 1..1 | Expression | Component of how the measure should be stratified | |||||
supplementalData | S | 0..* | BackboneElement | What other data should be reported with the measure | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
code | S | 0..1 | CodeableConcept | Meaning of the supplemental data | ||||
usage | S | 0..* | CodeableConcept | supplemental-data | risk-adjustment-factor Binding: MeasureDataUsage (extensible): The intended usage for supplemental data elements in the measure. | ||||
description | S | 0..1 | string | The human readable description of this supplemental data | ||||
criteria | 1..1 | Expression | Expression describing additional data to be reported | |||||
Documentation for this format |
Path | Conformance | ValueSet / Code | URI | |||
Measure.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
Measure.status | required | PublicationStatushttp://hl7.org/fhir/ValueSet/publication-status|4.0.1 from the FHIR Standard | ||||
Measure.subject[x] | extensible | SubjectTypeValueSethttp://hl7.org/fhir/uv/cqfmeasures/ValueSet/subject-type from this IG | ||||
Measure.jurisdiction | extensible | Jurisdiction ValueSethttp://hl7.org/fhir/ValueSet/jurisdiction from the FHIR Standard | ||||
Measure.topic | example | DefinitionTopichttp://hl7.org/fhir/ValueSet/definition-topic from the FHIR Standard | ||||
Measure.scoring | extensible | Pattern: continuous-variablehttp://terminology.hl7.org/ValueSet/measure-scoring | ||||
Measure.compositeScoring | extensible | CompositeMeasureScoringhttp://hl7.org/fhir/ValueSet/composite-measure-scoring from the FHIR Standard | ||||
Measure.type | extensible | MeasureTypehttp://hl7.org/fhir/ValueSet/measure-type from the FHIR Standard | ||||
Measure.improvementNotation | required | MeasureImprovementNotationhttp://terminology.hl7.org/ValueSet/measure-improvement-notation | ||||
Measure.group.population.code | extensible | MeasurePopulationTypehttp://hl7.org/fhir/ValueSet/measure-population from the FHIR Standard | ||||
Measure.group.population:initialPopulation.code | extensible | Pattern: initial-populationhttp://hl7.org/fhir/ValueSet/measure-population from the FHIR Standard | ||||
Measure.group.population:measurePopulation.code | extensible | Pattern: measure-populationhttp://hl7.org/fhir/ValueSet/measure-population from the FHIR Standard | ||||
Measure.group.population:measurePopulationExclusion.code | extensible | Pattern: measure-population-exclusionhttp://hl7.org/fhir/ValueSet/measure-population from the FHIR Standard | ||||
Measure.group.population:measureObservation.code | extensible | Pattern: measure-observationhttp://hl7.org/fhir/ValueSet/measure-population from the FHIR Standard | ||||
Measure.supplementalData.usage | extensible | MeasureDataUsagehttp://hl7.org/fhir/ValueSet/measure-data-usage from the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
cmp-1 | error | Measure | Population basis must be specified at the root, or on each group : extension('http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-populationBasis').exists() or group.select(extension('http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-populationBasis').exists()).allTrue() | |
cmp-2 | error | Measure | Scoring must either be specified at the root, or on each group : scoring.exists() xor (group.exists() and group.select(extension('http://hl7.org/fhir/uv/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/uv/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.coding.code.contains('proportion') or scoring.coding.code.contains('ratio') or scoring.coding.code.contains('continuous-variable') or scoring.coding.code.contains('composite')) and improvementNotation.exists()) xor (group.exists() and group.select((extension('http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and (extension('http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code.contains('proportion') or extension('http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code.contains('ratio') or extension('http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code.contains('continuous-variable') or extension('http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code.contains('composite')) and extension('http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-improvementNotation').exists())).allTrue()) xor (scoring.exists() and scoring.coding.code.contains('cohort')) | |
cmp-5 | error | Measure | If type is specified at the root, it may not be specified on any group : type.exists() implies group.select(extension('http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-type').exists()).allFalse() | |
cmp-6 | error | Measure | If riskAdjustment is specified at the root, it may not be specified on any group : riskAdjustment.exists() implies group.select(extension('http://hl7.org/fhir/uv/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/uv/cqfmeasures/StructureDefinition/cqfm-rateAggregation').exists()).allFalse() | |
cmp-8 | error | Measure.group | Scoring unit may only be specified at the root if the scoring is also specified at the root : extension('http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-scoringUnit').exists() implies extension('http://hl7.org/fhir/uv/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/uv/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-scoring').value in ('proportion' | 'ratio' | 'continuous-variable') implies extension('http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-improvementNotation').exists() | |
cmp-12 | 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/uv/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code contains 'continuous-variable' implies population.select(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code in ('initial-population' | 'measure-population' | 'measure-population-exclusion' | 'measure-observation')).allTrue() | |
dom-2 | error | Measure | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Measure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | Measure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Measure | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Measure | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
mea-0 | warning | Measure | Name should be usable as an identifier for the module by machine processing applications such as code generation : name.matches('[A-Z]([A-Za-z0-9_]){0,254}') | |
mea-1 | error | Measure | Stratifier SHALL be either a single criteria or a set of criteria components : group.stratifier.all((code | description | criteria).exists() xor component.exists()) |
This structure is derived from CQFMComputableMeasure
Summary
Mandatory: 9 elements(1 nested mandatory element)
Must-Support: 14 elements
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from CQFMComputableMeasure
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Measure | 0..* | CQFMComputableMeasure | A quality measure definition | |
scoring | S | 0..1 | CodeableConcept | continuous-variable Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-scoring | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: continuous-variable | |
group | SC | 1..* | BackboneElement | Population criteria group cmp-12: Continuous variable measures may not have other than initial population, measure-population, measure-population-exclusion, and measure-observation criteria |
Slices for extension | Content/Rules for all slices | |||
scoring | SC | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort URL: http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-scoring Binding: Measure Scoring (extensible): How the measure calculation is performed |
Slices for population | SC | 3..4 | BackboneElement | Population criteria Slice: Unordered, Open by value:code |
population:initialPopulation | S | 1..1 | BackboneElement | Initial Population |
code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: initial-population | |
population:measurePopulation | S | 1..1 | BackboneElement | Measure Population |
code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: measure-population | |
population:measurePopulationExclusion | S | 0..1 | BackboneElement | Measure Population Exclusion |
code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: measure-population-exclusion | |
population:measureObservation | S | 1..1 | BackboneElement | Measure Observation |
Slices for extension | Content/Rules for all slices | |||
criteriaReference | S | 1..1 | string | Which criteria URL: http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-criteriaReference |
aggregateMethod | S | 1..1 | code | Aggregate with URL: http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-aggregateMethod Binding: Measure Aggregate Method (preferred): Aggregation method for a measure (e.g. sum, average, median, minimum, maximum, count) |
code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: measure-observation | |
Documentation for this format |
Id | Grade | Path(s) | Details | Requirements |
cmp-12 | 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/uv/cqfmeasures/StructureDefinition/cqfm-scoring').exists() and extension('http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-scoring').value.coding.code contains 'continuous-variable' implies population.select(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code in ('initial-population' | 'measure-population' | 'measure-population-exclusion' | 'measure-observation')).allTrue() |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Measure | SC | 0..* | CQFMComputableMeasure | A quality measure definition mea-0: Name should be usable as an identifier for the module by machine processing applications such as code generation mea-1: Stratifier SHALL be either a single criteria or a set of criteria components cmp-1: Population basis must be specified at the root, or on each group cmp-2: Scoring must either be specified at the root, or on each group cmp-3: Scoring unit may only be specified at the root if the scoring is also specified at the root cmp-4: Improvement notation must be specified for scoring types other than cohort cmp-5: If type is specified at the root, it may not be specified on any group cmp-6: If riskAdjustment is specified at the root, it may not be specified on any group cmp-7: If rateAggregation is specified at the root, it may not be specified on any group |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
Slices for extension | Content/Rules for all slices | |||
populationBasis | SC | 0..1 | code | What type of population URL: http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-populationBasis Binding: FHIRAllTypes (required): The type of elements in the population |
scoringUnit | SC | 0..1 | CodeableConcept | What units? URL: http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-scoringUnit |
effectiveDataRequirements | S | 0..1 | canonical(CRMI Module Definition Library) | Effective required data for evaluation URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements |
scoringPrecision | 0..1 | positiveInt | Number of decimal places URL: http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-scoringPrecision | |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
status | ?!Σ | 1..1 | code | draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact. |
subject[x] | S | 0..1 | E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device Binding: Subject Type Value Set (extensible) | |
subjectCodeableConcept | CodeableConcept | |||
subjectReference | Reference(Group) | |||
library | S | 0..1 | canonical(CRMI Computable Library) | Logic used by the measure |
scoring | SΣC | 0..1 | CodeableConcept | continuous-variable Binding: Measure Scoring (extensible) Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-scoring | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: continuous-variable | |
type | SΣC | 0..* | CodeableConcept | process | outcome | structure | patient-reported-outcome | composite Binding: MeasureType (extensible): The type of measure (includes codes from 2.16.840.1.113883.1.11.20368). |
improvementNotation | SΣC | 0..1 | CodeableConcept | increase | decrease Binding: MeasureImprovementNotation (required) |
group | SC | 1..* | 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-12: Continuous variable measures may not have other than initial population, measure-population, measure-population-exclusion, and measure-observation criteria |
Slices for extension | Content/Rules for all slices | |||
populationBasis | SC | 0..1 | code | What type of population URL: http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-populationBasis Binding: FHIRAllTypes (required): The type of elements in the population |
scoring | SC | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort URL: http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-scoring Binding: Measure Scoring (extensible): How the measure calculation is performed |
scoringUnit | SC | 0..1 | CodeableConcept | What units? URL: http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-scoringUnit |
scoringPrecision | 0..1 | positiveInt | Number of decimal places URL: http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-scoringPrecision | |
compositeScoring | S | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort URL: http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-compositeScoring Binding: CompositeMeasureScoring (extensible): How the composite measure calculation is performed |
component | S | 0..* | RelatedArtifact | What artifact URL: http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-component |
type | C | 0..* | CodeableConcept | process | outcome | structure | patient-reported-outcome URL: http://hl7.org/fhir/uv/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. |
riskAdjustment | C | 0..1 | string | How risk adjustment is applied for this measure URL: http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-riskAdjustment |
rateAggregation | C | 0..1 | string | How is rate aggregation performed for this measure URL: http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-rateAggregation |
improvementNotation | SC | 0..1 | CodeableConcept | increase | decrease URL: http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-improvementNotation Binding: MeasureImprovementNotation (required): Indicates how to interpret the calculated score of the measure |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | S | 0..1 | CodeableConcept | Meaning of the group |
description | S | 0..1 | string | Summary description |
Slices for population | SC | 3..4 | BackboneElement | Population criteria Slice: Unordered, Open by value:code |
population:All Slices | Content/Rules for all slices | |||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | S | 0..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population. |
description | S | 0..1 | string | The human readable description of this population criteria |
criteria | 1..1 | Expression | The criteria that defines this population | |
population:initialPopulation | S | 1..1 | BackboneElement | Initial Population |
modifierExtension | ?!Σ | 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): The type of population. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: initial-population | |
description | S | 0..1 | string | The human readable description of this population criteria |
criteria | 1..1 | Expression | The criteria that defines this population | |
population:measurePopulation | S | 1..1 | BackboneElement | Measure Population |
modifierExtension | ?!Σ | 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): The type of population. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: measure-population | |
description | S | 0..1 | string | The human readable description of this population criteria |
criteria | 1..1 | Expression | The criteria that defines this population | |
population:measurePopulationExclusion | S | 0..1 | BackboneElement | Measure Population Exclusion |
modifierExtension | ?!Σ | 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): The type of population. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: measure-population-exclusion | |
description | S | 0..1 | string | The human readable description of this population criteria |
criteria | 1..1 | Expression | The criteria that defines this population | |
population:measureObservation | S | 1..1 | BackboneElement | Measure Observation |
Slices for extension | 2..* | Extension | Extension Slice: Unordered, Open by value:url | |
criteriaReference | S | 1..1 | string | Which criteria URL: http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-criteriaReference |
aggregateMethod | S | 1..1 | code | Aggregate with URL: http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-aggregateMethod Binding: Measure Aggregate Method (preferred): Aggregation method for a measure (e.g. sum, average, median, minimum, maximum, count) |
modifierExtension | ?!Σ | 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): The type of population. Required Pattern: At least the following |
coding | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
system | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/measure-population | |
code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: measure-observation | |
description | S | 0..1 | string | The human readable description of this population criteria |
criteria | 1..1 | Expression | The criteria that defines this population | |
stratifier | S | 0..* | BackboneElement | Stratifier criteria for the measure |
Slices for extension | Content/Rules for all slices | |||
appliesTo | 0..* | CodeableConcept | Which population does this stratifier apply to? URL: http://hl7.org/fhir/uv/cqfmeasures/StructureDefinition/cqfm-appliesTo Binding: MeasurePopulationType (extensible): Indicates the population | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | S | 0..1 | CodeableConcept | Meaning of the stratifier |