FHIR Clinical Guidelines (v1.0.0) (STU1)

Clinical Practice Guidelines, published by Clinical Decision Support WG. This is not an authorized publication; it is the continuous build for version 1.0.0). This version is based on the current content of https://github.com/HL7/cqf-recommendations/ and changes regularly. See the Directory of published versions

D.4.1 StructureDefinition-cpg-publishablemetric

Introduction:

Examples:

D.4.1.1 Formal Views of Profile Content

The official URL for this profile is:

http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-publishablemetric

Defines the minimum expectations for a publishable metric for use with computable content

This profile builds on CPGShareableMetric.

This profile was published on Wed Jun 06 00:00:00 UTC 2018 as a draft by Health Level Seven, Inc. - CDS WG.

Description of Profiles, Differentials, and Snapshots.

Summary

Mandatory: 2 elements (1 nested mandatory element)
Must-Support: 9 elements

NameFlagsCard.TypeDescription & Constraintsdoco
.. Measure 1..1CPGShareableMetricA quality measure definition
... title S1..1stringName for this measure (human friendly)
... date S1..1dateTimeDate last changed
... purpose 0..1markdownWhy this measure is defined
... usage 0..1stringDescribes the clinical usage of the measure
... copyright S0..1markdownUse and/or publishing restrictions
... approvalDate S0..1dateWhen the measure was approved by publisher
... lastReviewDate S0..1dateWhen the measure was last reviewed
... effectivePeriod 0..1PeriodWhen the measure is expected to be used
... topic 0..*CodeableConceptThe category of the measure, such as Education, Treatment, Assessment, etc.
Binding: DefinitionTopic (preferred): Topics for categorization and searching of artifacts

... author 0..*ContactDetailWho authored the content
... editor 0..*ContactDetailWho edited the content
... reviewer 0..*ContactDetailWho reviewed the content
... endorser 0..*ContactDetailWho endorsed the content
... relatedArtifact S0..*RelatedArtifactAdditional documentation, citations, etc.
.... display S1..1stringBrief description of the related artifact
.... url S0..1urlWhere the artifact can be accessed
.... resource S0..1canonical(Resource)What resource is being referenced

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Measure I1..1CPGShareableMetricA quality measure definition
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages: A human language.

... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... cpg-knowledgeCapability S1..*codeshareable | computable | publishable | executable
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability
Binding: CPG Knowledge Capability (required): A knowledge capability provided by a knowledge artifact


... cpg-knowledgeRepresentationLevel S0..*codenarrative | semi-structured | structured | executable
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeRepresentationLevel
Binding: CPG Knowledge Representation Level (required): A level of knowledge representation provided by this artifact


... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... url Σ1..1uriCanonical identifier for this measure, represented as a URI (globally unique)
... identifier SΣ0..*IdentifierAdditional identifier for the measure
... version Σ1..1stringBusiness version of the measure
... name ΣI1..1stringName for this measure (computer friendly)
... title SΣ1..1stringName for this measure (human friendly)
... subtitle 0..1stringSubordinate title of the measure
... status ?!Σ1..1codedraft | active | retired | unknown
Binding: PublicationStatus (required): The lifecycle status of an artifact.

... experimental Σ1..1booleanFor testing purposes, not real usage
... subject[x] 0..1E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device
Binding: SubjectType (extensible): The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization, Location, etc.).

.... subjectCodeableConceptCodeableConcept
.... subjectReferenceReference(Group)
... date SΣ1..1dateTimeDate last changed
... publisher Σ1..1stringName of the publisher (organization or individual)
... contact SΣ0..*ContactDetailContact details for the publisher
... description Σ1..1markdownNatural language description of the measure
... useContext SΣ0..*UsageContextThe context that the content is intended to support
... jurisdiction SΣ0..*CodeableConceptIntended jurisdiction for measure (if applicable)
Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use.


... purpose 0..1markdownWhy this measure is defined
... usage 0..1stringDescribes the clinical usage of the measure
... copyright S0..1markdownUse and/or publishing restrictions
... approvalDate S0..1dateWhen the measure was approved by publisher
... lastReviewDate S0..1dateWhen the measure was last reviewed
... effectivePeriod Σ0..1PeriodWhen the measure is expected to be used
... topic 0..*CodeableConceptThe category of the measure, such as Education, Treatment, Assessment, etc.
Binding: DefinitionTopic (preferred): Topics for categorization and searching of artifacts


... author 0..*ContactDetailWho authored the content
... editor 0..*ContactDetailWho edited the content
... reviewer 0..*ContactDetailWho reviewed the content
... endorser 0..*ContactDetailWho endorsed the content
... relatedArtifact S0..*RelatedArtifactAdditional documentation, citations, etc.
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... type Σ1..1codedocumentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of
Binding: RelatedArtifactType (required): The type of relationship to the related artifact.

.... label Σ0..1stringShort label
.... display SΣ1..1stringBrief description of the related artifact
.... citation Σ0..1markdownBibliographic citation for the artifact
.... url SΣ0..1urlWhere the artifact can be accessed
.... document Σ0..1AttachmentWhat document is being referenced
.... resource SΣ0..1canonical(Resource)What resource is being referenced
... library 0..*canonical(Library)Logic used by the measure
... disclaimer Σ0..1markdownDisclaimer for use of the measure or its referenced content
... scoring Σ0..1CodeableConceptproportion | ratio | continuous-variable | cohort
Binding: MeasureScoring (extensible): The scoring type of the measure.

... compositeScoring Σ0..1CodeableConceptopportunity | all-or-nothing | linear | weighted
Binding: CompositeMeasureScoring (extensible): The composite scoring method of the measure.

... type Σ0..*CodeableConceptprocess | 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 Σ0..1stringHow risk adjustment is applied for this measure
... rateAggregation Σ0..1stringHow is rate aggregation performed for this measure
... rationale Σ0..1markdownDetailed description of why the measure exists
... clinicalRecommendationStatement Σ0..1markdownSummary of clinical guidelines
... improvementNotation Σ0..1CodeableConceptincrease | decrease
Binding: MeasureImprovementNotation (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.

... definition Σ0..*markdownDefined terms used in the measure documentation
... guidance Σ0..1markdownAdditional guidance for implementers
... group 0..*BackboneElementPopulation criteria group
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 0..1CodeableConceptMeaning of the group
.... description 0..1stringSummary description
.... population 0..*BackboneElementPopulation criteria
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code 0..1CodeableConceptinitial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
Binding: MeasurePopulationType (extensible): The type of population.

..... description 0..1stringThe human readable description of this population criteria
..... criteria 1..1ExpressionThe criteria that defines this population
.... stratifier 0..*BackboneElementStratifier criteria for the measure
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code 0..1CodeableConceptMeaning of the stratifier
..... description 0..1stringThe human readable description of this stratifier
..... criteria 0..1ExpressionHow the measure should be stratified
..... component 0..*BackboneElementStratifier criteria component for the measure
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... code 0..1CodeableConceptMeaning of the stratifier component
...... description 0..1stringThe human readable description of this stratifier component
...... criteria 1..1ExpressionComponent of how the measure should be stratified
... supplementalData 0..*BackboneElementWhat other data should be reported with the measure
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 0..1CodeableConceptMeaning of the supplemental data
.... usage 0..*CodeableConceptsupplemental-data | risk-adjustment-factor
Binding: MeasureDataUsage (extensible): The intended usage for supplemental data elements in the measure.


.... description 0..1stringThe human readable description of this supplemental data
.... criteria 1..1ExpressionExpression describing additional data to be reported

doco Documentation for this format

Summary

Mandatory: 2 elements (1 nested mandatory element)
Must-Support: 9 elements

Differential View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Measure 1..1CPGShareableMetricA quality measure definition
... title S1..1stringName for this measure (human friendly)
... date S1..1dateTimeDate last changed
... purpose 0..1markdownWhy this measure is defined
... usage 0..1stringDescribes the clinical usage of the measure
... copyright S0..1markdownUse and/or publishing restrictions
... approvalDate S0..1dateWhen the measure was approved by publisher
... lastReviewDate S0..1dateWhen the measure was last reviewed
... effectivePeriod 0..1PeriodWhen the measure is expected to be used
... topic 0..*CodeableConceptThe category of the measure, such as Education, Treatment, Assessment, etc.
Binding: DefinitionTopic (preferred): Topics for categorization and searching of artifacts

... author 0..*ContactDetailWho authored the content
... editor 0..*ContactDetailWho edited the content
... reviewer 0..*ContactDetailWho reviewed the content
... endorser 0..*ContactDetailWho endorsed the content
... relatedArtifact S0..*RelatedArtifactAdditional documentation, citations, etc.
.... display S1..1stringBrief description of the related artifact
.... url S0..1urlWhere the artifact can be accessed
.... resource S0..1canonical(Resource)What resource is being referenced

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Measure I1..1CPGShareableMetricA quality measure definition
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages: A human language.

... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... cpg-knowledgeCapability S1..*codeshareable | computable | publishable | executable
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeCapability
Binding: CPG Knowledge Capability (required): A knowledge capability provided by a knowledge artifact


... cpg-knowledgeRepresentationLevel S0..*codenarrative | semi-structured | structured | executable
URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-knowledgeRepresentationLevel
Binding: CPG Knowledge Representation Level (required): A level of knowledge representation provided by this artifact


... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... url Σ1..1uriCanonical identifier for this measure, represented as a URI (globally unique)
... identifier SΣ0..*IdentifierAdditional identifier for the measure
... version Σ1..1stringBusiness version of the measure
... name ΣI1..1stringName for this measure (computer friendly)
... title SΣ1..1stringName for this measure (human friendly)
... subtitle 0..1stringSubordinate title of the measure
... status ?!Σ1..1codedraft | active | retired | unknown
Binding: PublicationStatus (required): The lifecycle status of an artifact.

... experimental Σ1..1booleanFor testing purposes, not real usage
... subject[x] 0..1E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device
Binding: SubjectType (extensible): The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization, Location, etc.).

.... subjectCodeableConceptCodeableConcept
.... subjectReferenceReference(Group)
... date SΣ1..1dateTimeDate last changed
... publisher Σ1..1stringName of the publisher (organization or individual)
... contact SΣ0..*ContactDetailContact details for the publisher
... description Σ1..1markdownNatural language description of the measure
... useContext SΣ0..*UsageContextThe context that the content is intended to support
... jurisdiction SΣ0..*CodeableConceptIntended jurisdiction for measure (if applicable)
Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use.


... purpose 0..1markdownWhy this measure is defined
... usage 0..1stringDescribes the clinical usage of the measure
... copyright S0..1markdownUse and/or publishing restrictions
... approvalDate S0..1dateWhen the measure was approved by publisher
... lastReviewDate S0..1dateWhen the measure was last reviewed
... effectivePeriod Σ0..1PeriodWhen the measure is expected to be used
... topic 0..*CodeableConceptThe category of the measure, such as Education, Treatment, Assessment, etc.
Binding: DefinitionTopic (preferred): Topics for categorization and searching of artifacts


... author 0..*ContactDetailWho authored the content
... editor 0..*ContactDetailWho edited the content
... reviewer 0..*ContactDetailWho reviewed the content
... endorser 0..*ContactDetailWho endorsed the content
... relatedArtifact S0..*RelatedArtifactAdditional documentation, citations, etc.
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... type Σ1..1codedocumentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of
Binding: RelatedArtifactType (required): The type of relationship to the related artifact.

.... label Σ0..1stringShort label
.... display SΣ1..1stringBrief description of the related artifact
.... citation Σ0..1markdownBibliographic citation for the artifact
.... url SΣ0..1urlWhere the artifact can be accessed
.... document Σ0..1AttachmentWhat document is being referenced
.... resource SΣ0..1canonical(Resource)What resource is being referenced
... library 0..*canonical(Library)Logic used by the measure
... disclaimer Σ0..1markdownDisclaimer for use of the measure or its referenced content
... scoring Σ0..1CodeableConceptproportion | ratio | continuous-variable | cohort
Binding: MeasureScoring (extensible): The scoring type of the measure.

... compositeScoring Σ0..1CodeableConceptopportunity | all-or-nothing | linear | weighted
Binding: CompositeMeasureScoring (extensible): The composite scoring method of the measure.

... type Σ0..*CodeableConceptprocess | 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 Σ0..1stringHow risk adjustment is applied for this measure
... rateAggregation Σ0..1stringHow is rate aggregation performed for this measure
... rationale Σ0..1markdownDetailed description of why the measure exists
... clinicalRecommendationStatement Σ0..1markdownSummary of clinical guidelines
... improvementNotation Σ0..1CodeableConceptincrease | decrease
Binding: MeasureImprovementNotation (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.

... definition Σ0..*markdownDefined terms used in the measure documentation
... guidance Σ0..1markdownAdditional guidance for implementers
... group 0..*BackboneElementPopulation criteria group
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 0..1CodeableConceptMeaning of the group
.... description 0..1stringSummary description
.... population 0..*BackboneElementPopulation criteria
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code 0..1CodeableConceptinitial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
Binding: MeasurePopulationType (extensible): The type of population.

..... description 0..1stringThe human readable description of this population criteria
..... criteria 1..1ExpressionThe criteria that defines this population
.... stratifier 0..*BackboneElementStratifier criteria for the measure
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... code 0..1CodeableConceptMeaning of the stratifier
..... description 0..1stringThe human readable description of this stratifier
..... criteria 0..1ExpressionHow the measure should be stratified
..... component 0..*BackboneElementStratifier criteria component for the measure
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... code 0..1CodeableConceptMeaning of the stratifier component
...... description 0..1stringThe human readable description of this stratifier component
...... criteria 1..1ExpressionComponent of how the measure should be stratified
... supplementalData 0..*BackboneElementWhat other data should be reported with the measure
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... code 0..1CodeableConceptMeaning of the supplemental data
.... usage 0..*CodeableConceptsupplemental-data | risk-adjustment-factor
Binding: MeasureDataUsage (extensible): The intended usage for supplemental data elements in the measure.


.... description 0..1stringThe human readable description of this supplemental data
.... criteria 1..1ExpressionExpression describing additional data to be reported

doco Documentation for this format

 

D.4.1.2 Terminology Bindings

Terminology Bindings

PathConformanceValueSet
Measure.languagepreferredCommonLanguages
Max Binding: AllLanguages
Measure.statusrequiredPublicationStatus
Measure.subject[x]extensibleSubjectType
Measure.jurisdictionextensibleJurisdiction ValueSet
Measure.topicpreferredDefinitionTopic
Measure.relatedArtifact.typerequiredRelatedArtifactType
Measure.scoringextensibleMeasureScoring
Measure.compositeScoringextensibleCompositeMeasureScoring
Measure.typeextensibleMeasureType
Measure.improvementNotationrequiredMeasureImprovementNotation
Measure.group.population.codeextensibleMeasurePopulationType
Measure.supplementalData.usageextensibleMeasureDataUsage

D.4.1.3 Constraints

Constraints

IdPathDetailsRequirements
dom-2MeasureIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3MeasureIf 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-4MeasureIf 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-5MeasureIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6MeasureA resource should have narrative for robust management
: text.`div`.exists()
mea-0MeasureName 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-1MeasureStratifier SHALL be either a single criteria or a set of criteria components
: group.stratifier.all((code | description | criteria).exists() xor component.exists())
ele-1Measure.metaAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.implicitRulesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.languageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Measure.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Measure.extension:knowledgeCapabilityAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Measure.extension:knowledgeCapabilityMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Measure.extension:knowledgeRepresentationLevelAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Measure.extension:knowledgeRepresentationLevelMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Measure.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Measure.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Measure.urlAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.identifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.versionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.nameAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.titleAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.subtitleAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.statusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.experimentalAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.subject[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.dateAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.publisherAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.contactAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.descriptionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.useContextAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.jurisdictionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.purposeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.usageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.copyrightAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.approvalDateAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.lastReviewDateAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.effectivePeriodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.topicAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.authorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.editorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.reviewerAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.endorserAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.relatedArtifactAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.relatedArtifact.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Measure.relatedArtifact.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Measure.relatedArtifact.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.relatedArtifact.labelAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.relatedArtifact.displayAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.relatedArtifact.citationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.relatedArtifact.urlAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.relatedArtifact.documentAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.relatedArtifact.resourceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.libraryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.disclaimerAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.scoringAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.compositeScoringAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.typeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.riskAdjustmentAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.rateAggregationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.rationaleAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.clinicalRecommendationStatementAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.improvementNotationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.definitionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.guidanceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.groupAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.group.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Measure.group.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Measure.group.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Measure.group.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Measure.group.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.group.descriptionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.group.populationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.group.population.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Measure.group.population.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Measure.group.population.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Measure.group.population.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Measure.group.population.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.group.population.descriptionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.group.population.criteriaAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.group.stratifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.group.stratifier.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Measure.group.stratifier.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Measure.group.stratifier.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Measure.group.stratifier.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Measure.group.stratifier.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.group.stratifier.descriptionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.group.stratifier.criteriaAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.group.stratifier.componentAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.group.stratifier.component.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Measure.group.stratifier.component.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Measure.group.stratifier.component.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Measure.group.stratifier.component.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Measure.group.stratifier.component.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.group.stratifier.component.descriptionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.group.stratifier.component.criteriaAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.supplementalDataAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.supplementalData.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Measure.supplementalData.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Measure.supplementalData.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1Measure.supplementalData.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1Measure.supplementalData.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.supplementalData.usageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.supplementalData.descriptionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1Measure.supplementalData.criteriaAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())