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

Quality Measure Implementation Guide (STU5), published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 5.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/cqf-measures/ and changes regularly. See the Directory of published versions

Resource Profile: CQFM Publishable Measure

Official URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-measure-cqfm Version: 4.0.0
Active as of 2024-10-11 Computable Name: CQFMPublishableMeasure

The CQFM Publishable Measure profile defines the minimum expectations to enable appropriate content management, discovery, and utilization of published electronic Clinical Quality Measures (eCQMs).

For more information on the usage of this profile, refer to the [profiles] and [packaging] pages.

Usage:

Formal Views of Profile Content

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

This structure is derived from CRMIPublishableMeasure

NameFlagsCard.TypeDescription & Constraintsdoco
.. Measure 1..1 CRMIPublishableMeasure A quality measure definition
... text S 1..1 Narrative Text summary of the resource, for human interpretation
... Slices for extension Content/Rules for all slices
.... supplementalDataGuidance S 0..* (Complex) Supplemental data guidance
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance
.... comment S 0..* (Complex) Additional documentation, review, or usage guidance
URL: http://hl7.org/fhir/StructureDefinition/cqf-artifactComment
.... softwaresystem S 0..* Reference(CRMI Software System Device) Extension
URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem
.... improvementNotationGuidance S 0..1 CodeableConcept increase | decrease
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation
Binding: MeasureImprovementNotation (required): Indicates how to interpret the calculated score of the measure

... Slices for identifier S 3..* Identifier Additional identifier for the measure
Slice: Unordered, Open by value:type
.... identifier:versionIndependentIdentifier S 1..1 Identifier Measure guid
..... use S 1..1 code usual | official | temp | secondary | old (If known)
Fixed Value: official
..... type S 1..1 CodeableConcept Description of identifier
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: version-independent
..... system S 1..1 uri The namespace for the identifier value
Fixed Value: urn:ietf:rfc:3986
..... value S 1..1 string The value that is unique
.... identifier:versionSpecificIdentifier S 1..1 Identifier Measure version guid
..... use S 1..1 code usual | official | temp | secondary | old (If known)
Fixed Value: official
..... type S 1..1 CodeableConcept Description of identifier
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: version-specific
..... system S 1..1 uri The namespace for the identifier value
Fixed Value: urn:ietf:rfc:3986
..... value S 1..1 string The value that is unique
.... identifier:shortName S 1..1 Identifier Short name
..... use S 1..1 code usual | official | temp | secondary | old (If known)
Fixed Value: usual
..... type S 1..1 CodeableConcept Description of identifier
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: short-name
..... value S 1..1 string The value that is unique
.... identifier:endorserIdentifier S 0..* Identifier Endorser identifier
..... use S 1..1 code usual | official | temp | secondary | old (If known)
Fixed Value: official
..... type S 1..1 CodeableConcept Description of identifier
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: endorser
..... system S 0..1 uri The namespace for the identifier value
..... value S 1..1 string The value that is unique
..... assigner S 1..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:publisherIdentifier S 0..* Identifier Publisher identifier
..... use S 1..1 code usual | official | temp | secondary | old (If known)
Fixed Value: official
..... type S 1..1 CodeableConcept Description of identifier
Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: publisher
..... system S 0..1 uri The namespace for the identifier value
..... value S 1..1 string The value that is unique
..... assigner S 1..1 Reference(Organization) Organization that issued id (may be just text)
... title S 1..1 string Name for this measure (human friendly)
... status 1..1 code draft | active | retired | unknown
... date S 1..1 dateTime Date last changed
... publisher 1..1 string Name of the publisher (organization or individual)
... contact S 1..* ContactDetail Contact details for the publisher
... Slices for useContext S 0..* UsageContext The context that the content is intended to support
Slice: Unordered, Open by value:code
.... useContext:intendedVenue S 0..* UsageContext What venue?
..... code S 1..1 Coding Type of context being specified
Required Pattern: At least the following
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/usage-context-type
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: venue
..... value[x] S 1..1 CodeableConcept Value that defines the context
Binding: Intended Venue (extensible)
... purpose S 0..1 markdown Why this measure is defined
... usage S 0..1 string Allows measure developers to provide additional guidance so that implementers can more easily interpret and implement components of the measure.
... copyright S 0..1 markdown Use and/or publishing restrictions
... approvalDate S 0..1 date When the measure was approved by publisher
... lastReviewDate S 0..1 date When the measure was last reviewed
... effectivePeriod S 0..1 Period When the measure is expected to be used
.... Slices for extension Content/Rules for all slices
..... anchor S 0..1 dateTime Date of first effective use
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectivePeriodAnchor
..... duration S 0..1 Duration What reporting period is used
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectivePeriodDuration
... topic S 0..* CodeableConcept The category of the measure, such as Education, Treatment, Assessment, etc.
... author S 0..* ContactDetail Who authored the content
... editor S 0..* ContactDetail Who edited the content
... reviewer S 0..* ContactDetail Who reviewed the content
... endorser S 0..* ContactDetail Who endorsed the content
... Slices for relatedArtifact S 0..* RelatedArtifact Additional documentation, citations, etc.
Slice: Unordered, Open by value:type
.... relatedArtifact:predecessor S 0..1 RelatedArtifact Previous measure?
..... type S 1..1 code documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of
Fixed Value: predecessor
..... resource S 1..1 canonical(Measure) What resource is being referenced
.... relatedArtifact:citation S 0..* RelatedArtifact Reference/citation
..... Slices for extension Content/Rules for all slices
...... isPrimaryCitation 0..1 boolean Primary reference
URL: http://hl7.org/fhir/StructureDefinition/cqf-isPrimaryCitation
...... publicationStatus 0..1 code Publication status of referenced artifact
URL: http://hl7.org/fhir/StructureDefinition/cqf-publicationStatus
Binding: PublicationStatus (required): The lifecycle status of a reference artifact

...... publicationDate 0..1 date Publication date of referenced artifact
URL: http://hl7.org/fhir/StructureDefinition/cqf-publicationDate
..... type S 1..1 code documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of
Fixed Value: citation
.... relatedArtifact:derived-from S 0..* RelatedArtifact URL or canonical reference to other resources that a measure is derived from
..... type S 1..1 code documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of
Fixed Value: derived-from
..... label 0..1 string Short label
..... display 0..1 string Brief description of the related artifact
..... url 0..1 url Should be permalink otherwise include an "accessed date"
..... resource 0..1 canonical(Measure) Should be permalink otherwise include an "accessed date"
... disclaimer S 0..1 markdown Disclaimer for use of the measure or its referenced content
... type SΣ 0..* CodeableConcept process | outcome | structure | patient-reported-outcome | composite
Binding: MeasureType (extensible)
... rationale S 0..1 markdown Justification for the measure in terms of impact, gap in care, and evidence.
... definition 0..* markdown Defined terms used in the measure documentation
.... Slices for extension Content/Rules for all slices
..... definitionTerm 1..1 (Complex) Defined term
URL: http://hl7.org/fhir/StructureDefinition/cqf-definitionTerm
... guidance 0..0
... group
.... Slices for extension Content/Rules for all slices
..... improvementNotationGuidance S 0..1 CodeableConcept increase | decrease
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation
Binding: MeasureImprovementNotation (required): Indicates how to interpret the calculated score of the measure

... supplementalData S 0..* BackboneElement What other data should be reported with the measure
.... Slices for extension Content/Rules for all slices
..... includeInReportType S 0..* code The type of report the element should be included in
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType
Binding: MeasureReportType (required): The type of report the element should be included in



doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Measure.useContext:intendedVenue.value[x]extensibleIntendedVenue (a valid code from Intended Venue)
http://hl7.org/fhir/us/cqfmeasures/ValueSet/intended-venue
from this IG
Measure.typeextensibleMeasureType
http://terminology.hl7.org/ValueSet/measure-type
NameFlagsCard.TypeDescription & Constraintsdoco
.. Measure C 1..1 CRMIPublishableMeasure 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
... text S 1..1 Narrative Text summary of the resource, for human interpretation
... Slices for extension Content/Rules for all slices
.... copyrightLabel S 0..1 string Copyright holder and year(s)
URL: http://hl7.org/fhir/StructureDefinition/artifact-copyrightLabel
.... supplementalDataGuidance S 0..* (Complex) Supplemental data guidance
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance
.... comment S 0..* (Complex) Additional documentation, review, or usage guidance
URL: http://hl7.org/fhir/StructureDefinition/cqf-artifactComment
.... softwaresystem S 0..* Reference(CRMI Software System Device) Extension
URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem
.... improvementNotationGuidance S 0..1 CodeableConcept increase | decrease
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation
Binding: MeasureImprovementNotation (required): Indicates how to interpret the calculated score of the measure


... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for identifier SΣ 3..* Identifier Additional identifier for the measure
Slice: Unordered, Open by value:type
.... identifier:versionIndependentIdentifier SΣ 1..1 Identifier Measure guid
..... use ?!SΣ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .


Fixed Value: official
..... type SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: version-independent
..... system SΣ 1..1 uri The namespace for the identifier value
Fixed Value: urn:ietf:rfc:3986
..... value SΣ 1..1 string The value that is unique
Example General: 123456
.... identifier:versionSpecificIdentifier SΣ 1..1 Identifier Measure version guid
..... use ?!SΣ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .


Fixed Value: official
..... type SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: version-specific
..... system SΣ 1..1 uri The namespace for the identifier value
Fixed Value: urn:ietf:rfc:3986
..... value SΣ 1..1 string The value that is unique
Example General: 123456
.... identifier:shortName SΣ 1..1 Identifier Short name
..... use ?!SΣ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .


Fixed Value: usual
..... type SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: short-name
..... value SΣ 1..1 string The value that is unique
Example General: 123456
.... identifier:endorserIdentifier SΣ 0..* Identifier Endorser identifier
..... use ?!SΣ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .


Fixed Value: official
..... type SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: endorser
..... system SΣ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string The value that is unique
Example General: 123456
..... assigner SΣ 1..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:publisherIdentifier SΣ 0..* Identifier Publisher identifier
..... use ?!SΣ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .


Fixed Value: official
..... type SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: publisher
..... system SΣ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string The value that is unique
Example General: 123456
..... assigner SΣ 1..1 Reference(Organization) Organization that issued id (may be just text)
... title SΣ 1..1 string Name for this measure (human friendly)
... status ?!Σ 1..1 code draft | active | retired | unknown
Binding: PublicationStatus (required): The lifecycle status of an artifact.

... date SΣ 1..1 dateTime Date last changed
... publisher Σ 1..1 string Name of the publisher (organization or individual)
... contact SΣ 1..* ContactDetail Contact details for the publisher
... Slices for useContext SΣ 0..* UsageContext The context that the content is intended to support
Slice: Unordered, Open by value:code
.... useContext:intendedVenue SΣ 0..* UsageContext What venue?
..... code SΣ 1..1 Coding Type of context being specified
Binding: UsageContextType (extensible): A code that specifies a type of context being specified by a usage context.


Required Pattern: At least the following
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/usage-context-type
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: venue
..... value[x] SΣ 1..1 CodeableConcept Value that defines the context
Binding: Intended Venue (extensible)
... jurisdiction SΣ 0..* CodeableConcept Intended jurisdiction for measure (if applicable)
Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use.


... purpose S 0..1 markdown Why this measure is defined
... usage S 0..1 string Allows measure developers to provide additional guidance so that implementers can more easily interpret and implement components of the measure.
... copyright S 0..1 markdown Use and/or publishing restrictions
... approvalDate S 0..1 date When the measure was approved by publisher
... lastReviewDate S 0..1 date When the measure was last reviewed
... effectivePeriod SΣ 0..1 Period When the measure is expected to be used
.... Slices for extension Content/Rules for all slices
..... anchor S 0..1 dateTime Date of first effective use
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectivePeriodAnchor
..... duration S 0..1 Duration What reporting period is used
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectivePeriodDuration
... topic S 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 0..* ContactDetail Who authored the content
... editor S 0..* ContactDetail Who edited the content
... reviewer S 0..* ContactDetail Who reviewed the content
... endorser S 0..* ContactDetail Who endorsed the content
... Slices for relatedArtifact S 0..* RelatedArtifact Additional documentation, citations, etc.
Slice: Unordered, Open by value:type
.... relatedArtifact:All Slices Content/Rules for all slices
..... type Σ 1..1 code documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of
Binding: RelatedArtifactType (required): The type of relationship to the related artifact.

..... display SΣ 0..1 string Brief description of the related artifact
..... document SΣ 0..1 Attachment What document is being referenced
..... resource SΣ 0..1 canonical(Resource) What resource is being referenced
.... relatedArtifact:predecessor S 0..1 RelatedArtifact Previous measure?
..... type SΣ 1..1 code documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of
Binding: RelatedArtifactType (required): The type of relationship to the related artifact.


Fixed Value: predecessor
..... display SΣ 0..1 string Brief description of the related artifact
..... document SΣ 0..1 Attachment What document is being referenced
..... resource SΣ 1..1 canonical(Measure) What resource is being referenced
.... relatedArtifact:citation S 0..* RelatedArtifact Reference/citation
..... Slices for extension Content/Rules for all slices
...... isPrimaryCitation 0..1 boolean Primary reference
URL: http://hl7.org/fhir/StructureDefinition/cqf-isPrimaryCitation
...... publicationStatus 0..1 code Publication status of referenced artifact
URL: http://hl7.org/fhir/StructureDefinition/cqf-publicationStatus
Binding: PublicationStatus (required): The lifecycle status of a reference artifact


...... publicationDate 0..1 date Publication date of referenced artifact
URL: http://hl7.org/fhir/StructureDefinition/cqf-publicationDate
..... type SΣ 1..1 code documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of
Binding: RelatedArtifactType (required): The type of relationship to the related artifact.


Fixed Value: citation
..... display SΣ 0..1 string Brief description of the related artifact
..... document SΣ 0..1 Attachment What document is being referenced
..... resource SΣ 0..1 canonical(Resource) What resource is being referenced
.... relatedArtifact:derived-from S 0..* RelatedArtifact URL or canonical reference to other resources that a measure is derived from
..... type SΣ 1..1 code documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of
Binding: RelatedArtifactType (required): The type of relationship to the related artifact.


Fixed Value: derived-from
..... label Σ 0..1 string Short label
..... display SΣ 0..1 string Brief description of the related artifact
..... url Σ 0..1 url Should be permalink otherwise include an "accessed date"
..... document SΣ 0..1 Attachment What document is being referenced
..... resource SΣ 0..1 canonical(Measure) Should be permalink otherwise include an "accessed date"
... disclaimer SΣ 0..1 markdown Disclaimer for use of the measure or its referenced content
... type SΣ 0..* CodeableConcept process | outcome | structure | patient-reported-outcome | composite
Binding: MeasureType (extensible)
... rationale SΣ 0..1 markdown Justification for the measure in terms of impact, gap in care, and evidence.
... definition Σ 0..* markdown Defined terms used in the measure documentation
.... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
..... definitionTerm 1..1 (Complex) Defined term
URL: http://hl7.org/fhir/StructureDefinition/cqf-definitionTerm
... group 0..* BackboneElement Population criteria group
.... Slices for extension Content/Rules for all slices
..... improvementNotationGuidance S 0..1 CodeableConcept increase | decrease
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation
Binding: MeasureImprovementNotation (required): Indicates how to interpret the calculated score of the measure


.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
... supplementalData S 0..* BackboneElement What other data should be reported with the measure
.... Slices for extension Content/Rules for all slices
..... includeInReportType S 0..* code The type of report the element should be included in
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType
Binding: MeasureReportType (required): The type of report the element should be included in


.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... criteria 1..1 Expression Expression describing additional data to be reported

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Measure.identifier:versionIndependentIdentifier.userequiredFixed Value: official
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Measure.identifier:versionIndependentIdentifier.typeextensiblePattern: version-independent
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Measure.identifier:versionSpecificIdentifier.userequiredFixed Value: official
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Measure.identifier:versionSpecificIdentifier.typeextensiblePattern: version-specific
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Measure.identifier:shortName.userequiredFixed Value: usual
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Measure.identifier:shortName.typeextensiblePattern: short-name
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Measure.identifier:endorserIdentifier.userequiredFixed Value: official
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Measure.identifier:endorserIdentifier.typeextensiblePattern: endorser
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Measure.identifier:publisherIdentifier.userequiredFixed Value: official
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Measure.identifier:publisherIdentifier.typeextensiblePattern: publisher
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Measure.statusrequiredPublicationStatus
http://hl7.org/fhir/ValueSet/publication-status|4.0.1
from the FHIR Standard
Measure.useContext:intendedVenue.codeextensiblePattern: venue
http://hl7.org/fhir/ValueSet/usage-context-type
from the FHIR Standard
Measure.useContext:intendedVenue.value[x]extensibleIntendedVenue (a valid code from Intended Venue)
http://hl7.org/fhir/us/cqfmeasures/ValueSet/intended-venue
from this IG
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.relatedArtifact.typerequiredRelatedArtifactType
http://hl7.org/fhir/ValueSet/related-artifact-type|4.0.1
from the FHIR Standard
Measure.relatedArtifact:predecessor.typerequiredFixed Value: predecessor
http://hl7.org/fhir/ValueSet/related-artifact-type|4.0.1
from the FHIR Standard
Measure.relatedArtifact:citation.typerequiredFixed Value: citation
http://hl7.org/fhir/ValueSet/related-artifact-type|4.0.1
from the FHIR Standard
Measure.relatedArtifact:derived-from.typerequiredFixed Value: derived-from
http://hl7.org/fhir/ValueSet/related-artifact-type|4.0.1
from the FHIR Standard
Measure.typeextensibleMeasureType
http://terminology.hl7.org/ValueSet/measure-type

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMeasureIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMeasureIf 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-4errorMeasureIf 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-5errorMeasureIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMeasureA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
mea-0warningMeasureName 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-1errorMeasureStratifier SHALL be either a single criteria or a set of criteria components
: group.stratifier.all((code | description | criteria).exists() xor component.exists())
NameFlagsCard.TypeDescription & Constraintsdoco
.. Measure C 1..1 CRMIPublishableMeasure 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 S 1..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... copyrightLabel S 0..1 string Copyright holder and year(s)
URL: http://hl7.org/fhir/StructureDefinition/artifact-copyrightLabel
.... supplementalDataGuidance S 0..* (Complex) Supplemental data guidance
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance
.... comment S 0..* (Complex) Additional documentation, review, or usage guidance
URL: http://hl7.org/fhir/StructureDefinition/cqf-artifactComment
.... softwaresystem S 0..* Reference(CRMI Software System Device) Extension
URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem
.... improvementNotationGuidance S 0..1 CodeableConcept increase | decrease
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation
Binding: MeasureImprovementNotation (required): Indicates how to interpret the calculated score of the measure


... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... url Σ 0..1 uri Canonical identifier for this measure, represented as a URI (globally unique)
... Slices for identifier SΣ 3..* Identifier Additional identifier for the measure
Slice: Unordered, Open by value:type
.... identifier:versionIndependentIdentifier SΣ 1..1 Identifier Measure guid
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!SΣ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .


Fixed Value: official
..... type SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: version-independent
....... 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
..... system SΣ 1..1 uri The namespace for the identifier value
Fixed Value: urn:ietf:rfc:3986
..... value SΣ 1..1 string The value that is unique
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:versionSpecificIdentifier SΣ 1..1 Identifier Measure version guid
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!SΣ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .


Fixed Value: official
..... type SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: version-specific
....... 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
..... system SΣ 1..1 uri The namespace for the identifier value
Fixed Value: urn:ietf:rfc:3986
..... value SΣ 1..1 string The value that is unique
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:shortName SΣ 1..1 Identifier Short name
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!SΣ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .


Fixed Value: usual
..... type SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: short-name
....... 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
..... system Σ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string The value that is unique
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:endorserIdentifier SΣ 0..* Identifier Endorser identifier
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!SΣ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .


Fixed Value: official
..... type SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: endorser
....... 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
..... system SΣ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string The value that is unique
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner SΣ 1..1 Reference(Organization) Organization that issued id (may be just text)
.... identifier:publisherIdentifier SΣ 0..* Identifier Publisher identifier
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... use ?!SΣ 1..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .


Fixed Value: official
..... type SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: publisher
....... 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
..... system SΣ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
..... value SΣ 1..1 string The value that is unique
Example General: 123456
..... period Σ 0..1 Period Time period when id is/was valid for use
..... assigner SΣ 1..1 Reference(Organization) Organization that issued id (may be just text)
... version Σ 0..1 string Business version of the measure
... name ΣC 0..1 string Name for this measure (computer friendly)
... title SΣ 1..1 string Name for this measure (human friendly)
... subtitle 0..1 string Subordinate title of the measure
... status ?!Σ 1..1 code draft | active | retired | unknown
Binding: PublicationStatus (required): The lifecycle status of an artifact.

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

.... subjectCodeableConcept CodeableConcept
.... subjectReference Reference(Group)
... date SΣ 1..1 dateTime Date last changed
... publisher Σ 1..1 string Name of the publisher (organization or individual)
... contact SΣ 1..* ContactDetail Contact details for the publisher
... description Σ 0..1 markdown Natural language description of the measure
... Slices for useContext SΣ 0..* UsageContext The context that the content is intended to support
Slice: Unordered, Open by value:code
.... useContext:intendedVenue SΣ 0..* UsageContext What venue?
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... code SΣ 1..1 Coding Type of context being specified
Binding: UsageContextType (extensible): A code that specifies a type of context being specified by a usage context.


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/usage-context-type
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: venue
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... value[x] SΣ 1..1 CodeableConcept Value that defines the context
Binding: Intended Venue (extensible)
... jurisdiction SΣ 0..* CodeableConcept Intended jurisdiction for measure (if applicable)
Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use.


... purpose S 0..1 markdown Why this measure is defined
... usage S 0..1 string Allows measure developers to provide additional guidance so that implementers can more easily interpret and implement components of the measure.
... copyright S 0..1 markdown Use and/or publishing restrictions
... approvalDate S 0..1 date When the measure was approved by publisher
... lastReviewDate S 0..1 date When the measure was last reviewed
... effectivePeriod SΣ 0..1 Period When the measure is expected to be used
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... anchor S 0..1 dateTime Date of first effective use
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectivePeriodAnchor
..... duration S 0..1 Duration What reporting period is used
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectivePeriodDuration
.... start ΣC 0..1 dateTime Starting time with inclusive boundary
.... end ΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
... topic S 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 0..* ContactDetail Who authored the content
... editor S 0..* ContactDetail Who edited the content
... reviewer S 0..* ContactDetail Who reviewed the content
... endorser S 0..* ContactDetail Who endorsed the content
... Slices for relatedArtifact S 0..* RelatedArtifact Additional documentation, citations, etc.
Slice: Unordered, Open by value:type
.... relatedArtifact:All Slices Content/Rules for all slices
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... type Σ 1..1 code documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of
Binding: RelatedArtifactType (required): The type of relationship to the related artifact.

..... label Σ 0..1 string Short label
..... display SΣ 0..1 string Brief description of the related artifact
..... citation Σ 0..1 markdown Bibliographic citation for the artifact
..... url Σ 0..1 url Where the artifact can be accessed
..... document SΣ 0..1 Attachment What document is being referenced
..... resource SΣ 0..1 canonical(Resource) What resource is being referenced
.... relatedArtifact:predecessor S 0..1 RelatedArtifact Previous measure?
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... type SΣ 1..1 code documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of
Binding: RelatedArtifactType (required): The type of relationship to the related artifact.


Fixed Value: predecessor
..... label Σ 0..1 string Short label
..... display SΣ 0..1 string Brief description of the related artifact
..... citation Σ 0..1 markdown Bibliographic citation for the artifact
..... url Σ 0..1 url Where the artifact can be accessed
..... document SΣ 0..1 Attachment What document is being referenced
..... resource SΣ 1..1 canonical(Measure) What resource is being referenced
.... relatedArtifact:citation S 0..* RelatedArtifact Reference/citation
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... isPrimaryCitation 0..1 boolean Primary reference
URL: http://hl7.org/fhir/StructureDefinition/cqf-isPrimaryCitation
...... publicationStatus 0..1 code Publication status of referenced artifact
URL: http://hl7.org/fhir/StructureDefinition/cqf-publicationStatus
Binding: PublicationStatus (required): The lifecycle status of a reference artifact


...... publicationDate 0..1 date Publication date of referenced artifact
URL: http://hl7.org/fhir/StructureDefinition/cqf-publicationDate
..... type SΣ 1..1 code documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of
Binding: RelatedArtifactType (required): The type of relationship to the related artifact.


Fixed Value: citation
..... label Σ 0..1 string Short label
..... display SΣ 0..1 string Brief description of the related artifact
..... citation Σ 0..1 markdown Bibliographic citation for the artifact
..... url Σ 0..1 url Where the artifact can be accessed
..... document SΣ 0..1 Attachment What document is being referenced
..... resource SΣ 0..1 canonical(Resource) What resource is being referenced
.... relatedArtifact:derived-from S 0..* RelatedArtifact URL or canonical reference to other resources that a measure is derived from
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... type SΣ 1..1 code documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of
Binding: RelatedArtifactType (required): The type of relationship to the related artifact.


Fixed Value: derived-from
..... label Σ 0..1 string Short label
..... display SΣ 0..1 string Brief description of the related artifact
..... citation Σ 0..1 markdown Bibliographic citation for the artifact
..... url Σ 0..1 url Should be permalink otherwise include an "accessed date"
..... document SΣ 0..1 Attachment What document is being referenced
..... resource SΣ 0..1 canonical(Measure) Should be permalink otherwise include an "accessed date"
... library 0..* canonical(Library) Logic used by the measure
... disclaimer SΣ 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 SΣ 0..* CodeableConcept process | outcome | structure | patient-reported-outcome | composite
Binding: MeasureType (extensible)
... 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 SΣ 0..1 markdown Justification for the measure in terms of impact, gap in care, and evidence.
... 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
.... id 0..1 string xml:id (or equivalent in JSON)
.... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
..... definitionTerm 1..1 (Complex) Defined term
URL: http://hl7.org/fhir/StructureDefinition/cqf-definitionTerm
.... value 0..1 string Primitive value for markdown
... group 0..* BackboneElement Population criteria group
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... improvementNotationGuidance S 0..1 CodeableConcept increase | decrease
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation
Binding: MeasureImprovementNotation (required): Indicates how to interpret the calculated score of the measure


.... modifierExtension ?!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 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 0..1 CodeableConcept initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
Binding: MeasurePopulationType (extensible): The type of population.

..... description 0..1 string The human readable description of this population criteria
..... criteria 1..1 Expression The criteria that defines this population
.... stratifier 0..* BackboneElement Stratifier criteria for the measure
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 0..1 CodeableConcept Meaning of the stratifier
..... description 0..1 string The human readable description of this stratifier
..... criteria 0..1 Expression How the measure should be stratified
..... component 0..* BackboneElement Stratifier criteria component for the measure
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... code 0..1 CodeableConcept Meaning of the stratifier component
...... description 0..1 string The human readable description of this stratifier component
...... criteria 1..1 Expression Component of how the measure should be stratified
... supplementalData S 0..* BackboneElement What other data should be reported with the measure
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... includeInReportType S 0..* code The type of report the element should be included in
URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-includeInReportType
Binding: MeasureReportType (required): The type of report the element should be included in


.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 0..1 CodeableConcept Meaning of the supplemental data
.... usage 0..* CodeableConcept supplemental-data | risk-adjustment-factor
Binding: MeasureDataUsage (extensible): The intended usage for supplemental data elements in the measure.


.... description 0..1 string The human readable description of this supplemental data
.... criteria 1..1 Expression Expression describing additional data to be reported

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.identifier:versionIndependentIdentifier.userequiredFixed Value: official
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Measure.identifier:versionIndependentIdentifier.typeextensiblePattern: version-independent
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Measure.identifier:versionSpecificIdentifier.userequiredFixed Value: official
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Measure.identifier:versionSpecificIdentifier.typeextensiblePattern: version-specific
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Measure.identifier:shortName.userequiredFixed Value: usual
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Measure.identifier:shortName.typeextensiblePattern: short-name
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Measure.identifier:endorserIdentifier.userequiredFixed Value: official
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Measure.identifier:endorserIdentifier.typeextensiblePattern: endorser
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Measure.identifier:publisherIdentifier.userequiredFixed Value: official
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
Measure.identifier:publisherIdentifier.typeextensiblePattern: publisher
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
Measure.statusrequiredPublicationStatus
http://hl7.org/fhir/ValueSet/publication-status|4.0.1
from the FHIR Standard
Measure.subject[x]extensibleSubjectType
http://hl7.org/fhir/ValueSet/subject-type
from the FHIR Standard
Measure.useContext:intendedVenue.codeextensiblePattern: venue
http://hl7.org/fhir/ValueSet/usage-context-type
from the FHIR Standard
Measure.useContext:intendedVenue.value[x]extensibleIntendedVenue (a valid code from Intended Venue)
http://hl7.org/fhir/us/cqfmeasures/ValueSet/intended-venue
from this IG
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.relatedArtifact.typerequiredRelatedArtifactType
http://hl7.org/fhir/ValueSet/related-artifact-type|4.0.1
from the FHIR Standard
Measure.relatedArtifact:predecessor.typerequiredFixed Value: predecessor
http://hl7.org/fhir/ValueSet/related-artifact-type|4.0.1
from the FHIR Standard
Measure.relatedArtifact:citation.typerequiredFixed Value: citation
http://hl7.org/fhir/ValueSet/related-artifact-type|4.0.1
from the FHIR Standard
Measure.relatedArtifact:derived-from.typerequiredFixed Value: derived-from
http://hl7.org/fhir/ValueSet/related-artifact-type|4.0.1
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://terminology.hl7.org/ValueSet/measure-type
Measure.improvementNotationrequiredMeasureImprovementNotation
http://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.1
from the FHIR Standard
Measure.group.population.codeextensibleMeasurePopulationType
http://hl7.org/fhir/ValueSet/measure-population
from the FHIR Standard
Measure.supplementalData.usageextensibleMeasureDataUsage
http://hl7.org/fhir/ValueSet/measure-data-usage
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMeasureIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMeasureIf 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-4errorMeasureIf 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-5errorMeasureIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMeasureA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
mea-0warningMeasureName 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-1errorMeasureStratifier SHALL be either a single criteria or a set of criteria components
: group.stratifier.all((code | description | criteria).exists() xor component.exists())