Situational Awareness for Novel Epidemic Response
1.0.1 - CI Build International flag

Situational Awareness for Novel Epidemic Response, published by HL7 International / Public Health. This guide is not an authorized publication; it is the continuous build for version 1.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-saner/ and changes regularly. See the Directory of published versions

Resource Profile: Public Health Measure

Official URL: http://hl7.org/fhir/uv/saner/StructureDefinition/PublicHealthMeasure Version: 1.0.1
Draft as of 2024-05-18 Computable Name: PublicHealthMeasure
Other Identifiers: OID:2.16.840.1.113883.4.642.40.42.42.10

Profile Public Health Measure The Public Health Measure Profile ensures that Measures are very well defined as an aid to automation of measures. These are developed for this guide to ensure that a measure is well understood and computation of it can be automated from systems that have the measure data.

This Implementation Guide defines a profile for Measure to be used for Public Health reporting for Situational Awareness, rather than Quality Reporting. The measures using this profile are intended to support reporting about the health system capacity to provide adequate care for patients during a health system emergency, whether it is regional, national or global. In this, the purpose and function of situational awareness measures have a different focus and intent than those used for quality reporting.

Describing and Identifying a Measure

Each measure has a Title, the name by which it is commonly known by people, and by which it can be readily found in an information system. Titles should not be overly long (to enable recall by people), but should be descriptive enough to distinguish different measures published by the same organization. A subtitle may be present to provide additional descriptive detail.

  1. Measure.title should be less than 64 characters in length.
  2. Measure.subtitle may be present.

Software Component Name

Computer friendly names enable developers to create software tools that facilitate measure implementation and automation. This profile recommends transforming the title into a name by removing spaces and special characters (any character other than A-Z, a-z and 0-9), using PascalCase to seperate boundaries between words. This allows the name to be used in most computing languages and as the id for the resource in systems where user defined identifiers are supported for id values.

  1. Measure.name shall be present.
  2. Measure.name should match the pattern [A-Z][A-Za-z0-9]+.
  3. Measure.id should be equal to Measure.name.

Canonical URL

The canonical URL is a unique identifier which represents the Measure within MeasureReport resources defined by that Measure. Tooling for FHIR (e.g., the FHIR IG Publisher, SUSHI, Simplifier) follows a protocol for automatically constructing these URLs. This guide makes several recommendations for URLs used by a publisher. The example below is used to illustrate the recommendations

 https:\//example.com/saner/covid19/Measure/MyMeasureName
  1. All Measure URLs for measures published by the same organization should have the same base URL. The Base URL part should be memorable. In the example above, https:\//example.com/saner is the base URL.
  2. The base URL should be less than 40 characters in length.
  3. The penultimate path part of the URL may be used to categorize measures in some way, e.g., by topic (e.g., COVID-19, Hurricane) or type of facility (e.g., Hospital, Ambulatory, LTC) to which they apply. In the example above, covid19 is the category. This category should also be encoded in Measure.useContext (see Classifying Measures below).
  4. The last path part in the URL should be Measure. Following this recomendation simplifies the use of FHIR IG Development tools to generate Measure resources. In the example above, the last path part is Measure.
  5. The computable name given in the Measure should be the last part of the URL. Again, this simplifies measure development using existing FHIR IG Development tools. In the example above, MyMeasureName is the name of the measure.
  6. The URL should resolve to an HTML page that describes the measure, or provides access to it as a FHIR Resource and ideally, would return HTML, XML or JSON representations based on the requested mime type.

Versioning

Measures can change over time. This guide requires that the Measure version information recorded be performed as follows:

  1. A measure shall do one of the following:
    • be recorded in the form defined by Semantic Versioning, e.g.: version 1.2.3 is the third patch to the second minor update of the first major release, or
    • be recorded by date using ISO 8601 format with hyphens and no time component, e.g.: 2020-07-25 for the measure released on July 25, 2020.
  2. If versions can be updated more frequently than by day, a publisher shall use semantic versioning.

The use of semantic versioning is preferred because this is the form required in FHIR implementation guides, and it enables support for versioning of measures using FHIR Implementation Guide tools. This is also the format for versioning that has been the most widely adopted by the IT industry.

Meanings of Major, Minor and Patch with respect to Measures
Major
A major update adds one or more required elements to the Measure that shall be present in a MeasureReport to be considered valid by the receiving system. The definition of valid is defined by the measure developer, and need not be the same as that performed by FHIR validation tools. The FHIR Validator will fail a MeasureReport that does not include all the groups, populations and strata defined in the Measure, even though these components might otherwise be considered optional by the measure developer.
Minor
A minor update adds one or more recommended or optional elements to the Measure.
Patch
A patch can clarify or correct information that does not impact the interpretation of the measure.

Status of a Measure

This profile requires that the publication status of a measure be reported (this is a general requirement of all Measure resources), and furthermore, that it’s experimental status shall also be reported.

The usage of status values is described below:
draft
The measure is presently under development. Measures presently under development shall also be recorded as being experimental.
active
The measure is ready for, or being used, either in pilots or production. The experimental status for the measure shall be used to distinguish between measures that are being piloted (experimental=true) or in production (experimental=false).
retired
The measure should no longer be used in production. Measures which are retired before ever becoming active in production shall have experimental=true, while those which have been available for production use shall have experimental=false.

Measures which have been used in the past should remain available for access for use when data has been used in production to enable systems to interpret historical data recorded using the measure.

The Subject of Measurement

In quality measurement, the subject of a measure in FHIR describes to whom or what the measure applies. For situational awareness, this guide restricts the subject of measurement to locations, representing a specific facility, site within a facility, or a broader geographic region (which can be defined as a collection of facilities within that geographic region). These measures can also be used by an organization to manage sites and facilities based on other organizing criteria, but are generally intended to support geographic rather than organizational boundaries.

  1. Measure.subjectCodeableConcept shall have the value http://hl7.org/fhir/resource-types#Location

Classifying Measures

Measures can be classified in different ways, e.g., by clinical venue, program, type of healthcare provider, et cetera.

In the following: shall indicates a required binding for the vocabulary, and should indicates a preferred binding.

Measures Focused on a Particular Disease

  1. Measures focusing on a particular disease shall record that focus in Measure.useContext, where:
    Measure.useContext.code = [http://terminology.hl7.org/CodeSystem/usage-context-type#focus](https://www.hl7.org/fhir/codesystem-usage-context-type.html#usage-context-type-focus)
    and
  2. Measure.useContext.valueCodableConcept is an appropriate code from a vocabulary identifying the disease of interest. It should come from SNOMED CT codes descending from 64572001 Disease (disorder).

Measures Focused on a Particular Kind of Event

  1. Measures focusing on a particular kind of event (e.g., Pandemic, Hurricane, Fire, Flood) shall record their focus in Measure.useContext, where:
    Measure.useContext.code = http://snomed.info/sct#272379006 Event
    and
  2. Measure.useContext.valueCodableConcept should come from SNOMED CT Codes descending from 276746005 Environmental Event to classify the type of event. See Event Context for the Value Set for this classification.

Measures Focused on a Particular Specialty

  1. Measures focusing on a particular specialty shall record the specialty in Measure.useContext, where:
    Measure.useContext.code = http://terminology.hl7.org/CodeSystem/usage-context-type#user
    and
  2. Measure.useContext.valueCodableConcept shall be an appropriate code from a vocabulary identifying the provider specialty.
  3. The value should come from SNOMED CT terms descending from 394658006 Clinical Specialty.

Measures Focused on a Clinical Venue (e.g., hospital, long-term care, ambulatory care)

  1. Measures focused on a particular clinical venue shall record the type of venue in Measure.useContext, where
    Measure.useContext.code = [http://terminology.hl7.org/CodeSystem/usage-context-type#venue](https://www.hl7.org/fhir/codesystem-usage-context-type.html#usage-context-type-venue)
    and
  2. Measure.useContext.valueCodableConcept shall be an appropriate code from a vocabulary identifying the venue (e.g., hospitals, pharmacies, long term care facilities).
  3. These codes should come from:
    • http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType OR
    • Terms descending from SNOMED CT 43741000 Environment

Measures from a Given Program

  1. Measures developed to support a given program (e.g., the CDC National Healthcare Safety Network) shall identify the program in Measure.useContext, where
    Measure.useContext.code = [http://terminology.hl7.org/CodeSystem/usage-context-type#program](https://www.hl7.org/fhir/codesystem-usage-context-type.html#usage-context-type-program)
    and
  2. Measure.useContext.valueCodableConcept.text is a string identifying the program of work (e.g., the CDC National Healthcare Safety Network).

Measure Publication

A measure is published by some appropriate authority, for example a governmental agency focused on public health or emergency response, or an organization working with such a governmental agency. Measures for situational awareness are not expected to endure a ballot process, but will instead be created by authorities using a well established governance process. The reason for this is that as the emergent situation progresses, new measures will be needed as the situation changes, or existing measures may need to be updated to address issues found during use.

Measures are published by organizations rather than individuals. This profile requires that the organization be identified in Measure.publisher, and furthermore, that there is at least one organizational e-mail address which can be used to contact that publisher about the Measure in Measure.contact

Use of Appropriate National Models

Many countries have developed national healthcare information models in various states of completion. This IG requires the use of national core standards or guides to localize the PublicHealthMeasure to ensure a consistent data model for automation.

  1. A conforming PublicHealthMeasure shall specify a jurisdiction to enable support for validation against national requirements.
  2. A measure defined for international use may specify an international juristiction, or multiple jurisdictions where that is feasible.

Setting the Measure jurisdiction ensures that resources referenced by the Measure or MeasureReport conform to appropriate national standards.

Measure Reporting Period

A measure shall suggest the approrpriate reporting frequency and period using the [ReportingPeriod](StructureDefinition-ReportingPeriod.html] extension.

Measure Requirements

A measure may indicate the requirements for sending the content of a measure group, population or stratum within a MeasureReport by using the MeasureExpection extension on the Measure.group, Measure.group.population or Measure.group.stratifier element. The MeasureExpectation extension works like the Expectation extension on CapabilityStatement resources, but applies to the requirements for the content of a MeasureReport.

Stratifiers

Stratifiers partition a measure so that it counts subsets of the measure population within the numerator or other measure population by some attribute that classifies the population. Common stratifications often used in healthcare settings include age, sex at birth1 and race and ethnicity. Constraints on the Measure.group.stratifier component of a Measure and further describes the elements of that component to support strata.

Each stratifier has the following features:

name
The human readable name for the stratifier. This can be found in stratifier.code.coding.display
code
A code that uniquely identifies the stratifier (e.g., age, sex at birth, race, ethnicity). This can be found in stratifier.code.coding.code and stratifier.code.coding.system
  1. Codes used in this attribute should descend from SNOMED CT 363787002 Observable Entity
description
A description of the purpose of the stratifier, explaining what function it serves. This can be found in stratifier.code.text
value set
A list of values that describe the different categories into which counted elements are classified for stratification. Individual values in this value set can be found in stratifier.component.code and an explaination of their function appears in stratifier.component.description.
  1. Codes used in this attribute should descend from SNOMED CT 404684003 Clinical Finding
  1. Also commonly referred to as gender, but is then confused with self-reported gender identity, so this guide uses the term sex at birth. 

Usage:

Formal Views of Profile Content

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

This structure is derived from Measure

NameFlagsCard.TypeDescription & Constraintsdoco
.. Measure 0..* Measure A quality measure definition
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... measureTiming S 1..1 MeasureReportingTiming Enables specification of proposed measure reporting
URL: http://hl7.org/fhir/uv/saner/StructureDefinition/ReportingPeriod
... url S 1..1 uri Each resource must have a url.
... version S 1..1 string Resources are versioned like IG's 0.1.0 = first development version, 0.2.0 - first published for review version, 1.0.0 first official version ...
... status 1..1 code draft | active | retired
Binding: Measure Status Values (required)
... experimental S 1..1 boolean A resource must indicate its experimental status
... subject[x] 0..1 CodeableConcept E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device
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://hl7.org/fhir/resource-types
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: Location
... publisher S 1..1 string The name of the organization publishing this resource
... contact S 1..* ContactDetail The contact information for whom to contact about this resource
... useContext S 1..* UsageContext The ISO 3166 code for use context
... author S 1..1 ContactDetail The original author of the measure content, may be same as publisher, when otherwise, must include a relatedArtifact for the original author's publication
.... name S 1..1 string The author must be identified by name. Can be the name of an individual or an organization.
.... telecom S 1..* ContactPoint There must be contact information for the author.
... relatedArtifact S 1..* RelatedArtifact There must be at least one artifact describing the measure in human readable form.
... library S 1..* canonical(Public Health Measure Library) Logic used by the measure
... group S 0..* BackboneElement Population criteria group
.... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
..... groupAtts S 1..1 (Complex) Describes the attributes of one or more sections of the measure (form) being reported
URL: http://hl7.org/fhir/uv/saner/StructureDefinition/MeasureGroupAttributes
...... Slices for extension Content/Rules for all slices
....... extension:scoring 0..1 Extension Extension
........ value[x] S 1..1 CodeableConcept Measure must have a scoring
....... extension:type 0..1 Extension Extension
........ value[x] S 1..1 CodeableConcept Value of extension
....... extension:rateAggregation 0..1 Extension Extension
........ value[x] 0..1 string count | point-in-time | cumulative
Binding: Measure Rate Aggregation Value Set (required)
....... extension:improvementNotation 0..1 Extension Extension
........ value[x] S 0..1 CodeableConcept Value of extension
Binding: MeasureImprovementNotation (required)
....... extension:subject 1..1 Extension Extension
........ value[x] 0..1 MeasuredItemDescription Concept - reference to a terminology or just text
.... population S 0..* BackboneElement Population criteria
..... code S 1..1 CodeableConcept initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
...... coding S 1..* Coding The coding gives a 'name' for this population and must be supplied
...... text 0..1 string A human readable description of what this population is
..... description S 1..1 string Human readable instructions for counting or measuring this population
..... criteria 1..1 MeasureCriteria An expression that can be used to generate a value
.... stratifier S 0..* BackboneElement A group may have none, some or many strata
..... code S 1..1 CodeableConcept Describes the purpose of this stratifier
...... coding S 0..* Coding Optional code uniquely identifying the strata
....... display S 1..1 string Provides a human readable name for the strata
...... text S 1..1 string Describes the function of the stratifier.
..... description S 1..1 string Describes the overall function of the strata.
..... criteria S 1..1 MeasureCriteria An expression that can be used to generate a value
..... component 0..0
... supplementalData
.... code 1..1 CodeableConcept Resource type included in the supplementalData
Binding: ResourceType (extensible)
.... description 1..1 string The human readable description of this supplemental data
.... criteria 1..1 MeasureCriteria An expression that can be used to generate a value

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Measure.statusrequiredMeasureStatus
http://hl7.org/fhir/uv/saner/ValueSet/MeasureStatus
from this IG
Measure.group.extension:groupAtts.extension:rateAggregation.value[x]requiredMeasureRateAggregationValues (a valid code from Measure Rate Aggregation Coding System)
http://hl7.org/fhir/uv/saner/ValueSet/MeasureRateAggregationValues
from this IG
Measure.group.extension:groupAtts.extension:improvementNotation.value[x]requiredMeasureImprovementNotation
http://hl7.org/fhir/ValueSet/measure-improvement-notation
from the FHIR Standard
Measure.supplementalData.codeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
NameFlagsCard.TypeDescription & Constraintsdoco
.. Measure C 0..* Measure 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
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... measureTiming S 1..1 MeasureReportingTiming Enables specification of proposed measure reporting
URL: http://hl7.org/fhir/uv/saner/StructureDefinition/ReportingPeriod
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... version SΣ 1..1 string Resources are versioned like IG's 0.1.0 = first development version, 0.2.0 - first published for review version, 1.0.0 first official version ...
... name SΣC 1..1 string Each resource must have a name.
... status ?!Σ 1..1 code draft | active | retired
Binding: Measure Status Values (required)
... experimental SΣ 1..1 boolean A resource must indicate its experimental status
... subject[x] 0..1 CodeableConcept E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device
Binding: SubjectType (extensible): The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization, Location, etc.).


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://hl7.org/fhir/resource-types
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: Location
... publisher SΣ 1..1 string The name of the organization publishing this resource
... contact SΣ 1..* ContactDetail The contact information for whom to contact about this resource
... useContext SΣ 1..* UsageContext The ISO 3166 code for use context
... author S 1..1 ContactDetail The original author of the measure content, may be same as publisher, when otherwise, must include a relatedArtifact for the original author's publication
.... name SΣ 1..1 string The author must be identified by name. Can be the name of an individual or an organization.
.... telecom SΣ 1..* ContactPoint There must be contact information for the author.
... relatedArtifact S 1..* RelatedArtifact There must be at least one artifact describing the measure in human readable form.
... library S 1..* canonical(Public Health Measure Library) Logic used by the measure
... group S 0..* BackboneElement Population criteria group
.... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
..... groupAtts S 1..1 (Complex) Describes the attributes of one or more sections of the measure (form) being reported
URL: http://hl7.org/fhir/uv/saner/StructureDefinition/MeasureGroupAttributes
...... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
....... extension:scoring S 0..1 Extension Extension
........ extension 0..0
........ url 1..1 uri "scoring"
........ value[x] S 1..1 CodeableConcept Measure must have a scoring
Binding: Measure Scoring (required)
....... extension:compositeScoring 0..1 Extension Like Measure.compositeScoring, but applies to group
........ extension 0..0
........ url 1..1 uri "compositeScoring"
....... extension:type S 0..1 Extension Extension
........ extension 0..0
........ url 1..1 uri "type"
........ value[x] S 1..1 CodeableConcept Value of extension
Binding: MeasureType (required)
....... extension:riskAdjustment 0..1 Extension Like Measure.riskAdjustment, but applies to group
........ extension 0..0
........ url 1..1 uri "riskAdjustment"
....... extension:rateAggregation 0..1 Extension Extension
........ extension 0..0
........ url 1..1 uri "rateAggregation"
........ value[x] 0..1 string count | point-in-time | cumulative
Binding: Measure Rate Aggregation Value Set (required)
....... extension:improvementNotation 0..1 Extension Extension
........ extension 0..0
........ url 1..1 uri "improvementNotation"
........ value[x] S 0..1 CodeableConcept Value of extension
Binding: MeasureImprovementNotation (required)
....... extension:subject S 1..1 Extension Extension
........ extension 0..0
........ url 1..1 uri "subject"
........ value[x] 0..1 MeasuredItemDescription Concept - reference to a terminology or just text
Binding: ResourceType (extensible)
....... extension:subjectValueSet S 0..1 Extension Identifies the ValueSet describing the subject elements to count based on a code.
........ extension 0..0
........ url 1..1 uri "subjectValueSet"
...... url 1..1 uri "http://hl7.org/fhir/uv/saner/StructureDefinition/MeasureGroupAttributes"
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... population S 0..* BackboneElement Population criteria
..... 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.

...... coding SΣ 1..* Coding The coding gives a 'name' for this population and must be supplied
...... text Σ 0..1 string A human readable description of what this population is
..... description S 1..1 string Human readable instructions for counting or measuring this population
..... criteria C 1..1 MeasureCriteria An expression that can be used to generate a value
exp-1: An expression or a reference must be provided
.... stratifier S 0..* BackboneElement A group may have none, some or many strata
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code S 1..1 CodeableConcept Describes the purpose of this stratifier
...... coding SΣ 0..* Coding Optional code uniquely identifying the strata
....... display SΣ 1..1 string Provides a human readable name for the strata
...... text SΣ 1..1 string Describes the function of the stratifier.
..... description S 1..1 string Describes the overall function of the strata.
..... criteria SC 1..1 MeasureCriteria An expression that can be used to generate a value
exp-1: An expression or a reference must be provided

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Measure.statusrequiredMeasureStatus
http://hl7.org/fhir/uv/saner/ValueSet/MeasureStatus
from this IG
Measure.subject[x]extensiblePattern: Location
http://hl7.org/fhir/ValueSet/subject-type
from the FHIR Standard
Measure.group.extension:groupAtts.extension:scoring.value[x]requiredMeasureScoring
http://hl7.org/fhir/uv/saner/ValueSet/MeasureScoring
from this IG
Measure.group.extension:groupAtts.extension:type.value[x]requiredMeasureType
http://hl7.org/fhir/ValueSet/measure-type
from the FHIR Standard
Measure.group.extension:groupAtts.extension:rateAggregation.value[x]requiredMeasureRateAggregationValues (a valid code from Measure Rate Aggregation Coding System)
http://hl7.org/fhir/uv/saner/ValueSet/MeasureRateAggregationValues
from this IG
Measure.group.extension:groupAtts.extension:improvementNotation.value[x]requiredMeasureImprovementNotation
http://hl7.org/fhir/ValueSet/measure-improvement-notation
from the FHIR Standard
Measure.group.extension:groupAtts.extension:subject.value[x]extensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Measure.group.population.codeextensibleMeasurePopulationType
http://hl7.org/fhir/ValueSet/measure-population
from the FHIR Standard
NameFlagsCard.TypeDescription & Constraintsdoco
.. Measure C 0..* Measure 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
... 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 1..* Extension Extension
Slice: Unordered, Open by value:url
.... measureTiming S 1..1 MeasureReportingTiming Enables specification of proposed measure reporting
URL: http://hl7.org/fhir/uv/saner/StructureDefinition/ReportingPeriod
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... url SΣ 1..1 uri Each resource must have a url.
... identifier Σ 0..* Identifier Additional identifier for the measure
... version SΣ 1..1 string Resources are versioned like IG's 0.1.0 = first development version, 0.2.0 - first published for review version, 1.0.0 first official version ...
... name SΣC 1..1 string Each resource must have a name.
... 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
Binding: Measure Status Values (required)
... experimental SΣ 1..1 boolean A resource must indicate its experimental status
... subject[x] 0..1 CodeableConcept E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device
Binding: SubjectType (extensible): The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization, Location, etc.).


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://hl7.org/fhir/resource-types
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: Location
..... 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
... date Σ 0..1 dateTime Date last changed
... publisher SΣ 1..1 string The name of the organization publishing this resource
... contact SΣ 1..* ContactDetail The contact information for whom to contact about this resource
... description Σ 0..1 markdown Natural language description of the measure
... useContext SΣ 1..* UsageContext The ISO 3166 code for use context
... 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 S 1..1 ContactDetail The original author of the measure content, may be same as publisher, when otherwise, must include a relatedArtifact for the original author's publication
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... name SΣ 1..1 string The author must be identified by name. Can be the name of an individual or an organization.
.... telecom SΣ 1..* ContactPoint There must be contact information for the author.
... editor 0..* ContactDetail Who edited the content
... reviewer 0..* ContactDetail Who reviewed the content
... endorser 0..* ContactDetail Who endorsed the content
... relatedArtifact S 1..* RelatedArtifact There must be at least one artifact describing the measure in human readable form.
... library S 1..* canonical(Public Health Measure Library) Logic used by the measure
... disclaimer Σ 0..1 markdown Disclaimer for use of the measure or its referenced content
... scoring Σ 0..1 CodeableConcept proportion | ratio | continuous-variable | cohort
Binding: MeasureScoring (extensible): The scoring type of the measure.

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

... type Σ 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 Σ 0..1 string How risk adjustment is applied for this measure
... rateAggregation Σ 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 Σ 0..1 CodeableConcept increase | 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 Σ 0..* markdown Defined terms used in the measure documentation
... guidance Σ 0..1 markdown Additional guidance for implementers
... group S 0..* BackboneElement Population criteria group
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
..... groupAtts S 1..1 (Complex) Describes the attributes of one or more sections of the measure (form) being reported
URL: http://hl7.org/fhir/uv/saner/StructureDefinition/MeasureGroupAttributes
...... id 0..1 string Unique id for inter-element referencing
...... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
....... extension:scoring S 0..1 Extension Extension
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..0
........ url 1..1 uri "scoring"
........ value[x] S 1..1 CodeableConcept Measure must have a scoring
Binding: Measure Scoring (required)
....... extension:compositeScoring 0..1 Extension Like Measure.compositeScoring, but applies to group
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..0
........ url 1..1 uri "compositeScoring"
........ value[x] 0..1 CodeableConcept Value of extension
Binding: CompositeMeasureScoring (extensible)
....... extension:type S 0..1 Extension Extension
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..0
........ url 1..1 uri "type"
........ value[x] S 1..1 CodeableConcept Value of extension
Binding: MeasureType (required)
....... extension:riskAdjustment 0..1 Extension Like Measure.riskAdjustment, but applies to group
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..0
........ url 1..1 uri "riskAdjustment"
........ value[x] 0..1 string Value of extension
....... extension:rateAggregation 0..1 Extension Extension
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..0
........ url 1..1 uri "rateAggregation"
........ value[x] 0..1 string count | point-in-time | cumulative
Binding: Measure Rate Aggregation Value Set (required)
....... extension:improvementNotation 0..1 Extension Extension
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..0
........ url 1..1 uri "improvementNotation"
........ value[x] S 0..1 CodeableConcept Value of extension
Binding: MeasureImprovementNotation (required)
....... extension:subject S 1..1 Extension Extension
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..0
........ url 1..1 uri "subject"
........ value[x] 0..1 MeasuredItemDescription Concept - reference to a terminology or just text
Binding: ResourceType (extensible)
....... extension:subjectValueSet S 0..1 Extension Identifies the ValueSet describing the subject elements to count based on a code.
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..0
........ url 1..1 uri "subjectValueSet"
........ value[x] 0..1 Reference(ValueSet) Value of extension
...... url 1..1 uri "http://hl7.org/fhir/uv/saner/StructureDefinition/MeasureGroupAttributes"
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 0..1 CodeableConcept Meaning of the group
.... description 0..1 string Summary description
.... population S 0..* BackboneElement Population criteria
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code S 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.

...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding SΣ 1..* Coding The coding gives a 'name' for this population and must be supplied
...... text Σ 0..1 string A human readable description of what this population is
..... description S 1..1 string Human readable instructions for counting or measuring this population
..... criteria C 1..1 MeasureCriteria An expression that can be used to generate a value
exp-1: An expression or a reference must be provided
.... stratifier S 0..* BackboneElement A group may have none, some or many strata
..... 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 Describes the purpose of this stratifier
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding SΣ 0..* Coding Optional code uniquely identifying the strata
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 0..1 uri Identity of the terminology system
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..1 code Symbol in syntax defined by the system
....... display SΣ 1..1 string Provides a human readable name for the strata
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text SΣ 1..1 string Describes the function of the stratifier.
..... description S 1..1 string Describes the overall function of the strata.
..... criteria SC 1..1 MeasureCriteria An expression that can be used to generate a value
exp-1: An expression or a reference must be provided
... supplementalData 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 1..1 CodeableConcept Resource type included in the supplementalData
Binding: ResourceType (extensible)
.... usage 0..* CodeableConcept supplemental-data | risk-adjustment-factor
Binding: MeasureDataUsage (extensible): The intended usage for supplemental data elements in the measure.


.... description 1..1 string The human readable description of this supplemental data
.... criteria C 1..1 MeasureCriteria An expression that can be used to generate a value
exp-1: An expression or a reference must be provided

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Measure.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Measure.statusrequiredMeasureStatus
http://hl7.org/fhir/uv/saner/ValueSet/MeasureStatus
from this IG
Measure.subject[x]extensiblePattern: Location
http://hl7.org/fhir/ValueSet/subject-type
from the FHIR Standard
Measure.jurisdictionextensibleJurisdiction ValueSet
http://hl7.org/fhir/ValueSet/jurisdiction
from the FHIR Standard
Measure.topicexampleDefinitionTopic
http://hl7.org/fhir/ValueSet/definition-topic
from the FHIR Standard
Measure.scoringextensibleMeasureScoring
http://hl7.org/fhir/ValueSet/measure-scoring
from the FHIR Standard
Measure.compositeScoringextensibleCompositeMeasureScoring
http://hl7.org/fhir/ValueSet/composite-measure-scoring
from the FHIR Standard
Measure.typeextensibleMeasureType
http://hl7.org/fhir/ValueSet/measure-type
from the FHIR Standard
Measure.improvementNotationrequiredMeasureImprovementNotation
http://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.1
from the FHIR Standard
Measure.group.extension:groupAtts.extension:scoring.value[x]requiredMeasureScoring
http://hl7.org/fhir/uv/saner/ValueSet/MeasureScoring
from this IG
Measure.group.extension:groupAtts.extension:compositeScoring.value[x]extensibleCompositeMeasureScoring
http://hl7.org/fhir/ValueSet/composite-measure-scoring
from the FHIR Standard
Measure.group.extension:groupAtts.extension:type.value[x]requiredMeasureType
http://hl7.org/fhir/ValueSet/measure-type
from the FHIR Standard
Measure.group.extension:groupAtts.extension:rateAggregation.value[x]requiredMeasureRateAggregationValues (a valid code from Measure Rate Aggregation Coding System)
http://hl7.org/fhir/uv/saner/ValueSet/MeasureRateAggregationValues
from this IG
Measure.group.extension:groupAtts.extension:improvementNotation.value[x]requiredMeasureImprovementNotation
http://hl7.org/fhir/ValueSet/measure-improvement-notation
from the FHIR Standard
Measure.group.extension:groupAtts.extension:subject.value[x]extensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Measure.group.population.codeextensibleMeasurePopulationType
http://hl7.org/fhir/ValueSet/measure-population
from the FHIR Standard
Measure.supplementalData.codeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Measure.supplementalData.usageextensibleMeasureDataUsage
http://hl7.org/fhir/ValueSet/measure-data-usage
from the FHIR Standard

This structure is derived from Measure

Summary

Mandatory: 14 elements(14 nested mandatory elements)
Must-Support: 29 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Differential View

This structure is derived from Measure

NameFlagsCard.TypeDescription & Constraintsdoco
.. Measure 0..* Measure A quality measure definition
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... measureTiming S 1..1 MeasureReportingTiming Enables specification of proposed measure reporting
URL: http://hl7.org/fhir/uv/saner/StructureDefinition/ReportingPeriod
... url S 1..1 uri Each resource must have a url.
... version S 1..1 string Resources are versioned like IG's 0.1.0 = first development version, 0.2.0 - first published for review version, 1.0.0 first official version ...
... status 1..1 code draft | active | retired
Binding: Measure Status Values (required)
... experimental S 1..1 boolean A resource must indicate its experimental status
... subject[x] 0..1 CodeableConcept E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device
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://hl7.org/fhir/resource-types
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: Location
... publisher S 1..1 string The name of the organization publishing this resource
... contact S 1..* ContactDetail The contact information for whom to contact about this resource
... useContext S 1..* UsageContext The ISO 3166 code for use context
... author S 1..1 ContactDetail The original author of the measure content, may be same as publisher, when otherwise, must include a relatedArtifact for the original author's publication
.... name S 1..1 string The author must be identified by name. Can be the name of an individual or an organization.
.... telecom S 1..* ContactPoint There must be contact information for the author.
... relatedArtifact S 1..* RelatedArtifact There must be at least one artifact describing the measure in human readable form.
... library S 1..* canonical(Public Health Measure Library) Logic used by the measure
... group S 0..* BackboneElement Population criteria group
.... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
..... groupAtts S 1..1 (Complex) Describes the attributes of one or more sections of the measure (form) being reported
URL: http://hl7.org/fhir/uv/saner/StructureDefinition/MeasureGroupAttributes
...... Slices for extension Content/Rules for all slices
....... extension:scoring 0..1 Extension Extension
........ value[x] S 1..1 CodeableConcept Measure must have a scoring
....... extension:type 0..1 Extension Extension
........ value[x] S 1..1 CodeableConcept Value of extension
....... extension:rateAggregation 0..1 Extension Extension
........ value[x] 0..1 string count | point-in-time | cumulative
Binding: Measure Rate Aggregation Value Set (required)
....... extension:improvementNotation 0..1 Extension Extension
........ value[x] S 0..1 CodeableConcept Value of extension
Binding: MeasureImprovementNotation (required)
....... extension:subject 1..1 Extension Extension
........ value[x] 0..1 MeasuredItemDescription Concept - reference to a terminology or just text
.... population S 0..* BackboneElement Population criteria
..... code S 1..1 CodeableConcept initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
...... coding S 1..* Coding The coding gives a 'name' for this population and must be supplied
...... text 0..1 string A human readable description of what this population is
..... description S 1..1 string Human readable instructions for counting or measuring this population
..... criteria 1..1 MeasureCriteria An expression that can be used to generate a value
.... stratifier S 0..* BackboneElement A group may have none, some or many strata
..... code S 1..1 CodeableConcept Describes the purpose of this stratifier
...... coding S 0..* Coding Optional code uniquely identifying the strata
....... display S 1..1 string Provides a human readable name for the strata
...... text S 1..1 string Describes the function of the stratifier.
..... description S 1..1 string Describes the overall function of the strata.
..... criteria S 1..1 MeasureCriteria An expression that can be used to generate a value
..... component 0..0
... supplementalData
.... code 1..1 CodeableConcept Resource type included in the supplementalData
Binding: ResourceType (extensible)
.... description 1..1 string The human readable description of this supplemental data
.... criteria 1..1 MeasureCriteria An expression that can be used to generate a value

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Measure.statusrequiredMeasureStatus
http://hl7.org/fhir/uv/saner/ValueSet/MeasureStatus
from this IG
Measure.group.extension:groupAtts.extension:rateAggregation.value[x]requiredMeasureRateAggregationValues (a valid code from Measure Rate Aggregation Coding System)
http://hl7.org/fhir/uv/saner/ValueSet/MeasureRateAggregationValues
from this IG
Measure.group.extension:groupAtts.extension:improvementNotation.value[x]requiredMeasureImprovementNotation
http://hl7.org/fhir/ValueSet/measure-improvement-notation
from the FHIR Standard
Measure.supplementalData.codeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Measure C 0..* Measure 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
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... measureTiming S 1..1 MeasureReportingTiming Enables specification of proposed measure reporting
URL: http://hl7.org/fhir/uv/saner/StructureDefinition/ReportingPeriod
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... version SΣ 1..1 string Resources are versioned like IG's 0.1.0 = first development version, 0.2.0 - first published for review version, 1.0.0 first official version ...
... name SΣC 1..1 string Each resource must have a name.
... status ?!Σ 1..1 code draft | active | retired
Binding: Measure Status Values (required)
... experimental SΣ 1..1 boolean A resource must indicate its experimental status
... subject[x] 0..1 CodeableConcept E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device
Binding: SubjectType (extensible): The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization, Location, etc.).


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://hl7.org/fhir/resource-types
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: Location
... publisher SΣ 1..1 string The name of the organization publishing this resource
... contact SΣ 1..* ContactDetail The contact information for whom to contact about this resource
... useContext SΣ 1..* UsageContext The ISO 3166 code for use context
... author S 1..1 ContactDetail The original author of the measure content, may be same as publisher, when otherwise, must include a relatedArtifact for the original author's publication
.... name SΣ 1..1 string The author must be identified by name. Can be the name of an individual or an organization.
.... telecom SΣ 1..* ContactPoint There must be contact information for the author.
... relatedArtifact S 1..* RelatedArtifact There must be at least one artifact describing the measure in human readable form.
... library S 1..* canonical(Public Health Measure Library) Logic used by the measure
... group S 0..* BackboneElement Population criteria group
.... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
..... groupAtts S 1..1 (Complex) Describes the attributes of one or more sections of the measure (form) being reported
URL: http://hl7.org/fhir/uv/saner/StructureDefinition/MeasureGroupAttributes
...... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
....... extension:scoring S 0..1 Extension Extension
........ extension 0..0
........ url 1..1 uri "scoring"
........ value[x] S 1..1 CodeableConcept Measure must have a scoring
Binding: Measure Scoring (required)
....... extension:compositeScoring 0..1 Extension Like Measure.compositeScoring, but applies to group
........ extension 0..0
........ url 1..1 uri "compositeScoring"
....... extension:type S 0..1 Extension Extension
........ extension 0..0
........ url 1..1 uri "type"
........ value[x] S 1..1 CodeableConcept Value of extension
Binding: MeasureType (required)
....... extension:riskAdjustment 0..1 Extension Like Measure.riskAdjustment, but applies to group
........ extension 0..0
........ url 1..1 uri "riskAdjustment"
....... extension:rateAggregation 0..1 Extension Extension
........ extension 0..0
........ url 1..1 uri "rateAggregation"
........ value[x] 0..1 string count | point-in-time | cumulative
Binding: Measure Rate Aggregation Value Set (required)
....... extension:improvementNotation 0..1 Extension Extension
........ extension 0..0
........ url 1..1 uri "improvementNotation"
........ value[x] S 0..1 CodeableConcept Value of extension
Binding: MeasureImprovementNotation (required)
....... extension:subject S 1..1 Extension Extension
........ extension 0..0
........ url 1..1 uri "subject"
........ value[x] 0..1 MeasuredItemDescription Concept - reference to a terminology or just text
Binding: ResourceType (extensible)
....... extension:subjectValueSet S 0..1 Extension Identifies the ValueSet describing the subject elements to count based on a code.
........ extension 0..0
........ url 1..1 uri "subjectValueSet"
...... url 1..1 uri "http://hl7.org/fhir/uv/saner/StructureDefinition/MeasureGroupAttributes"
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... population S 0..* BackboneElement Population criteria
..... 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.

...... coding SΣ 1..* Coding The coding gives a 'name' for this population and must be supplied
...... text Σ 0..1 string A human readable description of what this population is
..... description S 1..1 string Human readable instructions for counting or measuring this population
..... criteria C 1..1 MeasureCriteria An expression that can be used to generate a value
exp-1: An expression or a reference must be provided
.... stratifier S 0..* BackboneElement A group may have none, some or many strata
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code S 1..1 CodeableConcept Describes the purpose of this stratifier
...... coding SΣ 0..* Coding Optional code uniquely identifying the strata
....... display SΣ 1..1 string Provides a human readable name for the strata
...... text SΣ 1..1 string Describes the function of the stratifier.
..... description S 1..1 string Describes the overall function of the strata.
..... criteria SC 1..1 MeasureCriteria An expression that can be used to generate a value
exp-1: An expression or a reference must be provided

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Measure.statusrequiredMeasureStatus
http://hl7.org/fhir/uv/saner/ValueSet/MeasureStatus
from this IG
Measure.subject[x]extensiblePattern: Location
http://hl7.org/fhir/ValueSet/subject-type
from the FHIR Standard
Measure.group.extension:groupAtts.extension:scoring.value[x]requiredMeasureScoring
http://hl7.org/fhir/uv/saner/ValueSet/MeasureScoring
from this IG
Measure.group.extension:groupAtts.extension:type.value[x]requiredMeasureType
http://hl7.org/fhir/ValueSet/measure-type
from the FHIR Standard
Measure.group.extension:groupAtts.extension:rateAggregation.value[x]requiredMeasureRateAggregationValues (a valid code from Measure Rate Aggregation Coding System)
http://hl7.org/fhir/uv/saner/ValueSet/MeasureRateAggregationValues
from this IG
Measure.group.extension:groupAtts.extension:improvementNotation.value[x]requiredMeasureImprovementNotation
http://hl7.org/fhir/ValueSet/measure-improvement-notation
from the FHIR Standard
Measure.group.extension:groupAtts.extension:subject.value[x]extensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Measure.group.population.codeextensibleMeasurePopulationType
http://hl7.org/fhir/ValueSet/measure-population
from the FHIR Standard

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Measure C 0..* Measure 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
... 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 1..* Extension Extension
Slice: Unordered, Open by value:url
.... measureTiming S 1..1 MeasureReportingTiming Enables specification of proposed measure reporting
URL: http://hl7.org/fhir/uv/saner/StructureDefinition/ReportingPeriod
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... url SΣ 1..1 uri Each resource must have a url.
... identifier Σ 0..* Identifier Additional identifier for the measure
... version SΣ 1..1 string Resources are versioned like IG's 0.1.0 = first development version, 0.2.0 - first published for review version, 1.0.0 first official version ...
... name SΣC 1..1 string Each resource must have a name.
... 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
Binding: Measure Status Values (required)
... experimental SΣ 1..1 boolean A resource must indicate its experimental status
... subject[x] 0..1 CodeableConcept E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device
Binding: SubjectType (extensible): The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization, Location, etc.).


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://hl7.org/fhir/resource-types
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: Location
..... 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
... date Σ 0..1 dateTime Date last changed
... publisher SΣ 1..1 string The name of the organization publishing this resource
... contact SΣ 1..* ContactDetail The contact information for whom to contact about this resource
... description Σ 0..1 markdown Natural language description of the measure
... useContext SΣ 1..* UsageContext The ISO 3166 code for use context
... 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 S 1..1 ContactDetail The original author of the measure content, may be same as publisher, when otherwise, must include a relatedArtifact for the original author's publication
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... name SΣ 1..1 string The author must be identified by name. Can be the name of an individual or an organization.
.... telecom SΣ 1..* ContactPoint There must be contact information for the author.
... editor 0..* ContactDetail Who edited the content
... reviewer 0..* ContactDetail Who reviewed the content
... endorser 0..* ContactDetail Who endorsed the content
... relatedArtifact S 1..* RelatedArtifact There must be at least one artifact describing the measure in human readable form.
... library S 1..* canonical(Public Health Measure Library) Logic used by the measure