Quality Measure Implementation Guide (STU5)
5.0.0-ballot2 - ballot United States of America flag

Quality Measure Implementation Guide (STU5), published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 5.0.0-ballot2 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

Resource Profile: CQFM Publishable Manifest

Official URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-manifest-cqfm Version: 5.0.0-ballot2
Active as of 2024-03-15 Computable Name: CQFMPublishableManifest

The CQFM Publishable Manfiest Profile describes a …..

Usage:

Formal Views of Profile Content

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

This structure is derived from CRMIManifestLibrary

NameFlagsCard.TypeDescription & Constraintsdoco
.. Library 0..* CRMIManifestLibrary Represents a library of quality improvement components
... Slices for useContext S 0..* UsageContext The context that the content is intended to support
Slice: Unordered, Open by value:code
.... useContext:qualityProgram S 0..1 UsageContext The context that the content is intended to support
..... code S 1..1 Coding Type of context being specified
Required Pattern: At least the following
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/usage-context-type
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: program
..... value[x] S 1..1 CodeableConcept Value that defines the context
Binding: Quality Programs Example (example): Supports the defintion of Quality Programs and that the set of identified quality program is not exhaustive and not prescribing codes for programs


doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Library.useContext:qualityProgram.value[x]exampleQualityProgramsExample (a valid code from Quality Programs Codes Example)
http://hl7.org/fhir/us/cqfmeasures/ValueSet/quality-programs-example
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. Library C 0..* CRMIManifestLibrary Represents a library of quality improvement components
lib-0: Name should be usable as an identifier for the module by machine processing applications such as code generation
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... directReferenceCode S 0..* Coding A code directly referenced by the artifact
URL: http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode
... logicDefinition S 0..* (Complex) A logic definition used in the artifact
URL: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
... expansionParameters S 0..1 Reference(Parameters) What expansion rules
URL: http://hl7.org/fhir/StructureDefinition/cqf-expansionParameters
... 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.

... type SΣ 1..1 CodeableConcept logic-library | model-definition | asset-collection | module-definition
Binding: LibraryType (extensible): The type of knowledge asset this library contains.


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/library-type
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: asset-collection
... Slices for useContext SΣ 0..* UsageContext The context that the content is intended to support
Slice: Unordered, Open by value:code
.... useContext:qualityProgram SΣ 0..1 UsageContext The context that the content is intended to support
..... code SΣ 1..1 Coding Type of context being specified
Binding: UsageContextType (extensible): A code that specifies a type of context being specified by a usage context.


Required Pattern: At least the following
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/usage-context-type
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: program
..... value[x] SΣ 1..1 CodeableConcept Value that defines the context
Binding: Quality Programs Example (example): Supports the defintion of Quality Programs and that the set of identified quality program is not exhaustive and not prescribing codes for programs

... Slices for relatedArtifact S 0..* RelatedArtifact Additional documentation, citations, etc.
Slice: Unordered, Open by value:type
.... relatedArtifact:component SC 0..* RelatedArtifact What components are in the manifest
mnf-1: Component reference must be either a resourceReference (referencing a canonical promotion) or a canonical (referencing a canonical resource), but not both
..... isOwned S 0..1 boolean Whether or not the referenced artifact is owned by the referencing artifact.
URL: http://hl7.org/fhir/StructureDefinition/artifact-isOwned
..... resourceReference SC 0..1 Reference(Resource) A reference to the component artifact (for canonical promotions)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-RelatedArtifact.resourceReference
..... type SΣ 1..1 code documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of
Binding: RelatedArtifactType (required): The type of relationship to the related artifact.


Fixed Value: composed-of
..... display SΣ 0..1 string Brief description of the related artifact
..... resource SΣC 0..1 canonical(Resource) A reference to the component artifact (for canonical resources)
.... relatedArtifact:dependency SC 0..* RelatedArtifact What dependencies are referenced
mnf-2: Dependency reference must be either a resourceReference (referencing a canonical promotion) or a canonical (referencing a canonical resource), but not both
..... resourceReference SC 0..1 Reference(Resource) A reference to the dependency artifact (for canonical promotions)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-RelatedArtifact.resourceReference
..... type SΣ 1..1 code documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of
Binding: RelatedArtifactType (required): The type of relationship to the related artifact.


Fixed Value: depends-on
..... display SΣ 0..1 string Brief description of the related artifact
..... resource SΣC 0..1 canonical(Resource) A reference to the dependency artifact (for canonical resources)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Library.statusrequiredPublicationStatus
http://hl7.org/fhir/ValueSet/publication-status|4.0.1
from the FHIR Standard
Library.typeextensiblePattern: asset-collection
http://hl7.org/fhir/ValueSet/library-type
from the FHIR Standard
Library.useContext:qualityProgram.codeextensiblePattern: program
http://hl7.org/fhir/ValueSet/usage-context-type
from the FHIR Standard
Library.useContext:qualityProgram.value[x]exampleQualityProgramsExample (a valid code from Quality Programs Codes Example)
http://hl7.org/fhir/us/cqfmeasures/ValueSet/quality-programs-example
from this IG
Library.relatedArtifact:component.typerequiredFixed Value: composed-of
http://hl7.org/fhir/ValueSet/related-artifact-type|4.0.1
from the FHIR Standard
Library.relatedArtifact:dependency.typerequiredFixed Value: depends-on
http://hl7.org/fhir/ValueSet/related-artifact-type|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorLibraryIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorLibraryIf 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-4errorLibraryIf 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-5errorLibraryIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceLibraryA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
lib-0warningLibraryName 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}')
mnf-1errorLibrary.relatedArtifact:componentComponent reference must be either a resourceReference (referencing a canonical promotion) or a canonical (referencing a canonical resource), but not both
: resource.exists() xor extension('http://hl7.org/fhir/5.0/StructureDefinition/extension-RelatedArtifact.resourceReference').exists()
mnf-2errorLibrary.relatedArtifact:dependencyDependency reference must be either a resourceReference (referencing a canonical promotion) or a canonical (referencing a canonical resource), but not both
: resource.exists() xor extension('http://hl7.org/fhir/5.0/StructureDefinition/extension-RelatedArtifact.resourceReference').exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Library C 0..* CRMIManifestLibrary Represents a library of quality improvement components
lib-0: Name should be usable as an identifier for the module by machine processing applications such as code generation
... 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.

Additional BindingsPurpose
AllLanguages Max Binding
... 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
... directReferenceCode S 0..* Coding A code directly referenced by the artifact
URL: http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode
... logicDefinition S 0..* (Complex) A logic definition used in the artifact
URL: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
... cqlOptions S 0..1 Reference(Parameters) What options
URL: http://hl7.org/fhir/StructureDefinition/cqf-cqlOptions
... expansionParameters S 0..1 Reference(Parameters) What expansion rules
URL: http://hl7.org/fhir/StructureDefinition/cqf-expansionParameters
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... url Σ 0..1 uri Canonical identifier for this library, represented as a URI (globally unique)
... identifier Σ 0..* Identifier Additional identifier for the library
... version Σ 0..1 string Business version of the library
... name ΣC 0..1 string Name for this library (computer friendly)
... title Σ 0..1 string Name for this library (human friendly)
... subtitle 0..1 string Subordinate title of the library
... 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
... type SΣ 1..1 CodeableConcept logic-library | model-definition | asset-collection | module-definition
Binding: LibraryType (extensible): The type of knowledge asset this library contains.


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/library-type
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: asset-collection
..... 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
... subject[x] 0..1 Type of individual the library content is focused on
Binding: SubjectType (extensible): The possible types of subjects for a library (E.g. Patient, Practitioner, Organization, Location, etc.).

.... 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 library
... Slices for useContext SΣ 0..* UsageContext The context that the content is intended to support
Slice: Unordered, Open by value:code
.... useContext:qualityProgram SΣ 0..1 UsageContext The context that the content is intended to support
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... code SΣ 1..1 Coding Type of context being specified
Binding: UsageContextType (extensible): A code that specifies a type of context being specified by a usage context.


Required Pattern: At least the following
...... 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/usage-context-type
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: program
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... value[x] SΣ 1..1 CodeableConcept Value that defines the context
Binding: Quality Programs Example (example): Supports the defintion of Quality Programs and that the set of identified quality program is not exhaustive and not prescribing codes for programs

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


... purpose 0..1 markdown Why this library is defined
... usage 0..1 string Describes the clinical usage of the library
... copyright 0..1 markdown Use and/or publishing restrictions
... approvalDate 0..1 date When the library was approved by publisher
... lastReviewDate 0..1 date When the library was last reviewed
... effectivePeriod Σ 0..1 Period When the library is expected to be used
... topic 0..* CodeableConcept E.g. Education, Treatment, Assessment, etc.
Binding: DefinitionTopic (example): High-level categorization of the definition, used for searching, sorting, and filtering.


... author 0..* ContactDetail Who authored the content
... editor 0..* ContactDetail Who edited the content
... reviewer 0..* ContactDetail Who reviewed the content
... endorser 0..* ContactDetail Who endorsed the content
... Slices for relatedArtifact S 0..* RelatedArtifact Additional documentation, citations, etc.
Slice: Unordered, Open by value:type
.... relatedArtifact:component SC 0..* RelatedArtifact What components are in the manifest
mnf-1: Component reference must be either a resourceReference (referencing a canonical promotion) or a canonical (referencing a canonical resource), but not both
..... 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
..... isOwned S 0..1 boolean Whether or not the referenced artifact is owned by the referencing artifact.
URL: http://hl7.org/fhir/StructureDefinition/artifact-isOwned
..... resourceReference SC 0..1 Reference(Resource) A reference to the component artifact (for canonical promotions)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-RelatedArtifact.resourceReference
..... type SΣ 1..1 code documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of
Binding: RelatedArtifactType (required): The type of relationship to the related artifact.


Fixed Value: composed-of
..... label Σ 0..1 string Short label
..... display SΣ 0..1 string Brief description of the related artifact
..... citation Σ 0..1 markdown Bibliographic citation for the artifact
..... url Σ 0..1 url Where the artifact can be accessed
..... document Σ 0..1 Attachment What document is being referenced
..... resource SΣC 0..1 canonical(Resource) A reference to the component artifact (for canonical resources)
.... relatedArtifact:dependency SC 0..* RelatedArtifact What dependencies are referenced
mnf-2: Dependency reference must be either a resourceReference (referencing a canonical promotion) or a canonical (referencing a canonical resource), but not both
..... 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
..... resourceReference SC 0..1 Reference(Resource) A reference to the dependency artifact (for canonical promotions)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-RelatedArtifact.resourceReference
..... type SΣ 1..1 code documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of
Binding: RelatedArtifactType (required): The type of relationship to the related artifact.


Fixed Value: depends-on
..... label Σ 0..1 string Short label
..... display SΣ 0..1 string Brief description of the related artifact
..... citation Σ 0..1 markdown Bibliographic citation for the artifact
..... url Σ 0..1 url Where the artifact can be accessed
..... document Σ 0..1 Attachment What document is being referenced
..... resource SΣC 0..1 canonical(Resource) A reference to the dependency artifact (for canonical resources)
... parameter 0..* ParameterDefinition Parameters defined by the library
... dataRequirement 0..* DataRequirement What data is referenced by this library

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Library.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Library.statusrequiredPublicationStatus
http://hl7.org/fhir/ValueSet/publication-status|4.0.1
from the FHIR Standard
Library.typeextensiblePattern: asset-collection
http://hl7.org/fhir/ValueSet/library-type
from the FHIR Standard
Library.subject[x]extensibleSubjectType
http://hl7.org/fhir/ValueSet/subject-type
from the FHIR Standard
Library.useContext:qualityProgram.codeextensiblePattern: program
http://hl7.org/fhir/ValueSet/usage-context-type
from the FHIR Standard
Library.useContext:qualityProgram.value[x]exampleQualityProgramsExample (a valid code from Quality Programs Codes Example)
http://hl7.org/fhir/us/cqfmeasures/ValueSet/quality-programs-example
from this IG
Library.jurisdictionextensibleJurisdiction ValueSet
http://hl7.org/fhir/ValueSet/jurisdiction
from the FHIR Standard
Library.topicexampleDefinitionTopic
http://hl7.org/fhir/ValueSet/definition-topic
from the FHIR Standard
Library.relatedArtifact:component.typerequiredFixed Value: composed-of
http://hl7.org/fhir/ValueSet/related-artifact-type|4.0.1
from the FHIR Standard
Library.relatedArtifact:dependency.typerequiredFixed Value: depends-on
http://hl7.org/fhir/ValueSet/related-artifact-type|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorLibraryIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorLibraryIf 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-4errorLibraryIf 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-5errorLibraryIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceLibraryA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
lib-0warningLibraryName 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}')
mnf-1errorLibrary.relatedArtifact:componentComponent reference must be either a resourceReference (referencing a canonical promotion) or a canonical (referencing a canonical resource), but not both
: resource.exists() xor extension('http://hl7.org/fhir/5.0/StructureDefinition/extension-RelatedArtifact.resourceReference').exists()
mnf-2errorLibrary.relatedArtifact:dependencyDependency reference must be either a resourceReference (referencing a canonical promotion) or a canonical (referencing a canonical resource), but not both
: resource.exists() xor extension('http://hl7.org/fhir/5.0/StructureDefinition/extension-RelatedArtifact.resourceReference').exists()

This structure is derived from CRMIManifestLibrary

Summary

Mandatory: 0 element(2 nested mandatory elements)
Must-Support: 4 elements

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Library.useContext

Differential View

This structure is derived from CRMIManifestLibrary

NameFlagsCard.TypeDescription & Constraintsdoco
.. Library 0..* CRMIManifestLibrary Represents a library of quality improvement components
... Slices for useContext S 0..* UsageContext The context that the content is intended to support
Slice: Unordered, Open by value:code
.... useContext:qualityProgram S 0..1 UsageContext The context that the content is intended to support
..... code S 1..1 Coding Type of context being specified
Required Pattern: At least the following
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/usage-context-type
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: program
..... value[x] S 1..1 CodeableConcept Value that defines the context
Binding: Quality Programs Example (example): Supports the defintion of Quality Programs and that the set of identified quality program is not exhaustive and not prescribing codes for programs


doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Library.useContext:qualityProgram.value[x]exampleQualityProgramsExample (a valid code from Quality Programs Codes Example)
http://hl7.org/fhir/us/cqfmeasures/ValueSet/quality-programs-example
from this IG

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Library C 0..* CRMIManifestLibrary Represents a library of quality improvement components
lib-0: Name should be usable as an identifier for the module by machine processing applications such as code generation
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... directReferenceCode S 0..* Coding A code directly referenced by the artifact
URL: http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode
... logicDefinition S 0..* (Complex) A logic definition used in the artifact
URL: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
... expansionParameters S 0..1 Reference(Parameters) What expansion rules
URL: http://hl7.org/fhir/StructureDefinition/cqf-expansionParameters
... 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.

... type SΣ 1..1 CodeableConcept logic-library | model-definition | asset-collection | module-definition
Binding: LibraryType (extensible): The type of knowledge asset this library contains.


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/library-type
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: asset-collection
... Slices for useContext SΣ 0..* UsageContext The context that the content is intended to support
Slice: Unordered, Open by value:code
.... useContext:qualityProgram SΣ 0..1 UsageContext The context that the content is intended to support
..... code SΣ 1..1 Coding Type of context being specified
Binding: UsageContextType (extensible): A code that specifies a type of context being specified by a usage context.


Required Pattern: At least the following
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/usage-context-type
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: program
..... value[x] SΣ 1..1 CodeableConcept Value that defines the context
Binding: Quality Programs Example (example): Supports the defintion of Quality Programs and that the set of identified quality program is not exhaustive and not prescribing codes for programs

... Slices for relatedArtifact S 0..* RelatedArtifact Additional documentation, citations, etc.
Slice: Unordered, Open by value:type
.... relatedArtifact:component SC 0..* RelatedArtifact What components are in the manifest
mnf-1: Component reference must be either a resourceReference (referencing a canonical promotion) or a canonical (referencing a canonical resource), but not both
..... isOwned S 0..1 boolean Whether or not the referenced artifact is owned by the referencing artifact.
URL: http://hl7.org/fhir/StructureDefinition/artifact-isOwned
..... resourceReference SC 0..1 Reference(Resource) A reference to the component artifact (for canonical promotions)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-RelatedArtifact.resourceReference
..... type SΣ 1..1 code documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of
Binding: RelatedArtifactType (required): The type of relationship to the related artifact.


Fixed Value: composed-of
..... display SΣ 0..1 string Brief description of the related artifact
..... resource SΣC 0..1 canonical(Resource) A reference to the component artifact (for canonical resources)
.... relatedArtifact:dependency SC 0..* RelatedArtifact What dependencies are referenced
mnf-2: Dependency reference must be either a resourceReference (referencing a canonical promotion) or a canonical (referencing a canonical resource), but not both
..... resourceReference SC 0..1 Reference(Resource) A reference to the dependency artifact (for canonical promotions)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-RelatedArtifact.resourceReference
..... type SΣ 1..1 code documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of
Binding: RelatedArtifactType (required): The type of relationship to the related artifact.


Fixed Value: depends-on
..... display SΣ 0..1 string Brief description of the related artifact
..... resource SΣC 0..1 canonical(Resource) A reference to the dependency artifact (for canonical resources)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Library.statusrequiredPublicationStatus
http://hl7.org/fhir/ValueSet/publication-status|4.0.1
from the FHIR Standard
Library.typeextensiblePattern: asset-collection
http://hl7.org/fhir/ValueSet/library-type
from the FHIR Standard
Library.useContext:qualityProgram.codeextensiblePattern: program
http://hl7.org/fhir/ValueSet/usage-context-type
from the FHIR Standard
Library.useContext:qualityProgram.value[x]exampleQualityProgramsExample (a valid code from Quality Programs Codes Example)
http://hl7.org/fhir/us/cqfmeasures/ValueSet/quality-programs-example
from this IG
Library.relatedArtifact:component.typerequiredFixed Value: composed-of
http://hl7.org/fhir/ValueSet/related-artifact-type|4.0.1
from the FHIR Standard
Library.relatedArtifact:dependency.typerequiredFixed Value: depends-on
http://hl7.org/fhir/ValueSet/related-artifact-type|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorLibraryIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorLibraryIf 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-4errorLibraryIf 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-5errorLibraryIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceLibraryA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
lib-0warningLibraryName 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}')
mnf-1errorLibrary.relatedArtifact:componentComponent reference must be either a resourceReference (referencing a canonical promotion) or a canonical (referencing a canonical resource), but not both
: resource.exists() xor extension('http://hl7.org/fhir/5.0/StructureDefinition/extension-RelatedArtifact.resourceReference').exists()
mnf-2errorLibrary.relatedArtifact:dependencyDependency reference must be either a resourceReference (referencing a canonical promotion) or a canonical (referencing a canonical resource), but not both
: resource.exists() xor extension('http://hl7.org/fhir/5.0/StructureDefinition/extension-RelatedArtifact.resourceReference').exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Library C 0..* CRMIManifestLibrary Represents a library of quality improvement components
lib-0: Name should be usable as an identifier for the module by machine processing applications such as code generation
... 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.

Additional BindingsPurpose
AllLanguages Max Binding
... 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
... directReferenceCode S 0..* Coding A code directly referenced by the artifact
URL: http://hl7.org/fhir/StructureDefinition/cqf-directReferenceCode
... logicDefinition S 0..* (Complex) A logic definition used in the artifact
URL: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
... cqlOptions S 0..1 Reference(Parameters) What options
URL: http://hl7.org/fhir/StructureDefinition/cqf-cqlOptions
... expansionParameters S 0..1 Reference(Parameters) What expansion rules
URL: http://hl7.org/fhir/StructureDefinition/cqf-expansionParameters
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... url Σ 0..1 uri Canonical identifier for this library, represented as a URI (globally unique)
... identifier Σ 0..* Identifier Additional identifier for the library
... version Σ 0..1 string Business version of the library
... name ΣC 0..1 string Name for this library (computer friendly)
... title Σ 0..1 string Name for this library (human friendly)
... subtitle 0..1 string Subordinate title of the library
... 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
... type SΣ 1..1 CodeableConcept logic-library | model-definition | asset-collection | module-definition
Binding: LibraryType (extensible): The type of knowledge asset this library contains.


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/library-type
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: asset-collection
..... 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
... subject[x] 0..1 Type of individual the library content is focused on
Binding: SubjectType (extensible): The possible types of subjects for a library (E.g. Patient, Practitioner, Organization, Location, etc.).

.... 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 library
... Slices for useContext SΣ 0..* UsageContext The context that the content is intended to support
Slice: Unordered, Open by value:code
.... useContext:qualityProgram SΣ 0..1 UsageContext The context that the content is intended to support
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... code SΣ 1..1 Coding Type of context being specified
Binding: UsageContextType (extensible): A code that specifies a type of context being specified by a usage context.


Required Pattern: At least the following
...... 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/usage-context-type
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: program
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... value[x] SΣ 1..1 CodeableConcept Value that defines the context
Binding: Quality Programs Example (example): Supports the defintion of Quality Programs and that the set of identified quality program is not exhaustive and not prescribing codes for programs

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


... purpose 0..1 markdown Why this library is defined
... usage 0..1 string Describes the clinical usage of the library
... copyright 0..1 markdown Use and/or publishing restrictions
... approvalDate 0..1 date When the library was approved by publisher
... lastReviewDate 0..1 date When the library was last reviewed
... effectivePeriod Σ 0..1 Period When the library is expected to be used
... topic 0..* CodeableConcept E.g. Education, Treatment, Assessment, etc.
Binding: DefinitionTopic (example): High-level categorization of the definition, used for searching, sorting, and filtering.


... author 0..* ContactDetail Who authored the content
... editor 0..* ContactDetail Who edited the content
... reviewer 0..* ContactDetail Who reviewed the content
... endorser 0..* ContactDetail Who endorsed the content
... Slices for relatedArtifact S 0..* RelatedArtifact Additional documentation, citations, etc.
Slice: Unordered, Open by value:type
.... relatedArtifact:component SC 0..* RelatedArtifact What components are in the manifest
mnf-1: Component reference must be either a resourceReference (referencing a canonical promotion) or a canonical (referencing a canonical resource), but not both
..... 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
..... isOwned S 0..1 boolean Whether or not the referenced artifact is owned by the referencing artifact.
URL: http://hl7.org/fhir/StructureDefinition/artifact-isOwned
..... resourceReference SC 0..1 Reference(Resource) A reference to the component artifact (for canonical promotions)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-RelatedArtifact.resourceReference
..... type SΣ 1..1 code documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of
Binding: RelatedArtifactType (required): The type of relationship to the related artifact.


Fixed Value: composed-of
..... label Σ 0..1 string Short label
..... display SΣ 0..1 string Brief description of the related artifact
..... citation Σ 0..1 markdown Bibliographic citation for the artifact
..... url Σ 0..1 url Where the artifact can be accessed
..... document Σ 0..1 Attachment What document is being referenced
..... resource SΣC 0..1 canonical(Resource) A reference to the component artifact (for canonical resources)
.... relatedArtifact:dependency SC 0..* RelatedArtifact What dependencies are referenced
mnf-2: Dependency reference must be either a resourceReference (referencing a canonical promotion) or a canonical (referencing a canonical resource), but not both
..... 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
..... resourceReference SC 0..1 Reference(Resource) A reference to the dependency artifact (for canonical promotions)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-RelatedArtifact.resourceReference
..... type SΣ 1..1 code documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of
Binding: RelatedArtifactType (required): The type of relationship to the related artifact.


Fixed Value: depends-on
..... label Σ 0..1 string Short label
..... display SΣ 0..1 string Brief description of the related artifact
..... citation Σ 0..1 markdown Bibliographic citation for the artifact
..... url Σ 0..1 url Where the artifact can be accessed
..... document Σ 0..1 Attachment What document is being referenced
..... resource SΣC 0..1 canonical(Resource) A reference to the dependency artifact (for canonical resources)
... parameter 0..* ParameterDefinition Parameters defined by the library
... dataRequirement 0..* DataRequirement What data is referenced by this library

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Library.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Library.statusrequiredPublicationStatus
http://hl7.org/fhir/ValueSet/publication-status|4.0.1
from the FHIR Standard
Library.typeextensiblePattern: asset-collection
http://hl7.org/fhir/ValueSet/library-type
from the FHIR Standard
Library.subject[x]extensibleSubjectType
http://hl7.org/fhir/ValueSet/subject-type
from the FHIR Standard
Library.useContext:qualityProgram.codeextensiblePattern: program
http://hl7.org/fhir/ValueSet/usage-context-type
from the FHIR Standard
Library.useContext:qualityProgram.value[x]exampleQualityProgramsExample (a valid code from Quality Programs Codes Example)
http://hl7.org/fhir/us/cqfmeasures/ValueSet/quality-programs-example
from this IG
Library.jurisdictionextensibleJurisdiction ValueSet
http://hl7.org/fhir/ValueSet/jurisdiction
from the FHIR Standard
Library.topicexampleDefinitionTopic
http://hl7.org/fhir/ValueSet/definition-topic
from the FHIR Standard
Library.relatedArtifact:component.typerequiredFixed Value: composed-of
http://hl7.org/fhir/ValueSet/related-artifact-type|4.0.1
from the FHIR Standard
Library.relatedArtifact:dependency.typerequiredFixed Value: depends-on
http://hl7.org/fhir/ValueSet/related-artifact-type|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorLibraryIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorLibraryIf 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-4errorLibraryIf 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-5errorLibraryIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceLibraryA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
lib-0warningLibraryName 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}')
mnf-1errorLibrary.relatedArtifact:componentComponent reference must be either a resourceReference (referencing a canonical promotion) or a canonical (referencing a canonical resource), but not both
: resource.exists() xor extension('http://hl7.org/fhir/5.0/StructureDefinition/extension-RelatedArtifact.resourceReference').exists()
mnf-2errorLibrary.relatedArtifact:dependencyDependency reference must be either a resourceReference (referencing a canonical promotion) or a canonical (referencing a canonical resource), but not both
: resource.exists() xor extension('http://hl7.org/fhir/5.0/StructureDefinition/extension-RelatedArtifact.resourceReference').exists()

This structure is derived from CRMIManifestLibrary

Summary

Mandatory: 0 element(2 nested mandatory elements)
Must-Support: 4 elements

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of Library.useContext

 

Other representations of profile: CSV, Excel, Schematron