Da Vinci Risk Adjustment Implementation Guide
2.1.0 - STU 2.1 United States of America flag

Da Vinci Risk Adjustment Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 2.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-ra/ and changes regularly. See the Directory of published versions

Resource Profile: Risk Adjustment Model Measure

Official URL: http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-model-measure Version: 2.1.0
Standards status: Trial-use Maturity Level: 2 Computable Name: RiskAdjustmentModelMeasure
Other Identifiers: OID:2.16.840.1.113883.4.642.40.29.42.13

Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License

This risk adjustment model measure profile is based on the Measure resource to represent a risk adjustment model and its version, such as CMS-HCC version 24, CMS-HCC version 28.

Mandatory Data Elements and Terminology

The following data-elements must always be present (Mandatory) or must be supported (Must Support). The Formal Views below provides the formal summary, definitions, and terminology requirements.

Each Measure must have:

  1. A Measure.status element
  2. A Measure.identifier element which is the identifier of a Risk Adjustment Model
  3. A Measure.version element which is the version of the Risk Adjustment Model

Each Measure should have ([Must Support]):

  1. A Measure.name element
  2. A Measure.title element

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Measure C 0..* Measure A Risk Adjustment Model
Constraints: mea-0, mea-1
... meta SΣ 1..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... version SΣ 1..1 string Risk Adjustment Model version, e.g., 24, 28
... name SΣC 0..1 string e.g., CMS-HCCv24, CMS-HCCv28
... title SΣ 0..1 string E.g., CMS Hierarchical Category Condition (CMS-HCC) Risk Adjustment Model Version 24
... status ?!SΣ 1..1 code draft | active | retired | unknown
Binding: PublicationStatus (required): The lifecycle status of an artifact.
... library S 0..* canonical(Library) Risk Adjustment Model library

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Measure.status Base required PublicationStatus 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Measure If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Measure If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Measure If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Measure If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Measure A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
mea-0 warning Measure Name should be usable as an identifier for the module by machine processing applications such as code generation name.matches('[A-Z]([A-Za-z0-9_]){0,254}')
mea-1 error Measure Stratifier SHALL be either a single criteria or a set of criteria components group.stratifier.all((code | description | criteria).exists() xor component.exists())

This structure is derived from Measure

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Measure 0..* Measure A Risk Adjustment Model
... meta S 1..1 Meta Metadata about the resource
... identifier S 1..* Identifier Risk Adjustment Model ID, e.g., CMS-HCC
... version S 1..1 string Risk Adjustment Model version, e.g., 24, 28
... title S 0..1 string E.g., CMS Hierarchical Category Condition (CMS-HCC) Risk Adjustment Model Version 24
... status S 1..1 code draft | active | retired | unknown
... library S 0..* canonical(Library) Risk Adjustment Model library

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Measure C 0..* Measure A Risk Adjustment Model
Constraints: mea-0, mea-1
... id Σ 0..1 id Logical id of this artifact
... meta SΣ 1..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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... url Σ 0..1 uri Canonical identifier for this measure, represented as a URI (globally unique)
... identifier SΣ 1..* Identifier Risk Adjustment Model ID, e.g., CMS-HCC
... version SΣ 1..1 string Risk Adjustment Model version, e.g., 24, 28
... name SΣC 0..1 string e.g., CMS-HCCv24, CMS-HCCv28
... title SΣ 0..1 string E.g., CMS Hierarchical Category Condition (CMS-HCC) Risk Adjustment Model Version 24
... subtitle 0..1 string Subordinate title of the measure
... status ?!SΣ 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 Σ 0..1 dateTime Date last changed
... publisher Σ 0..1 string Name of the publisher (organization or individual)
... contact Σ 0..* ContactDetail Contact details for the publisher
... description Σ 0..1 markdown Natural language description of the measure
... useContext Σ 0..* UsageContext The context that the content is intended to support
... jurisdiction Σ 0..* CodeableConcept Intended jurisdiction for measure (if applicable)
Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use.
... purpose 0..1 markdown Why this measure is defined
... usage 0..1 string Describes the clinical usage of the measure
... copyright 0..1 markdown Use and/or publishing restrictions
... approvalDate 0..1 date When the measure was approved by publisher
... lastReviewDate 0..1 date When the measure was last reviewed
... effectivePeriod Σ 0..1 Period When the measure is expected to be used
... topic 0..* CodeableConcept The category of the measure, such as Education, Treatment, Assessment, etc.
Binding: DefinitionTopic (example): High-level categorization of the definition, used for searching, sorting, and filtering.
... author 0..* ContactDetail Who authored the content
... editor 0..* ContactDetail Who edited the content
... reviewer 0..* ContactDetail Who reviewed the content
... endorser 0..* ContactDetail Who endorsed the content
... relatedArtifact 0..* RelatedArtifact Additional documentation, citations, etc.
... library S 0..* canonical(Library) Risk Adjustment Model library
... 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 0..* BackboneElement Population criteria group
.... 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 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 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 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

Path Status Usage ValueSet Version Source
Measure.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Measure.status Base required PublicationStatus 📍4.0.1 FHIR Std.
Measure.subject[x] Base extensible Subject type 📍4.0.1 FHIR Std.
Measure.jurisdiction Base extensible Jurisdiction 📍4.0.1 FHIR Std.
Measure.topic Base example DefinitionTopic 📍4.0.1 FHIR Std.
Measure.scoring Base extensible MeasureScoring 📍4.0.1 FHIR Std.
Measure.compositeScoring Base extensible CompositeMeasureScoring 📍4.0.1 FHIR Std.
Measure.type Base extensible MeasureType 📍4.0.1 FHIR Std.
Measure.improvementNotation Base required MeasureImprovementNotation 📍4.0.1 FHIR Std.
Measure.group.population.​code Base extensible MeasurePopulationType 📍4.0.1 FHIR Std.
Measure.supplementalData.​usage Base extensible MeasureDataUsage 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Measure If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Measure If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Measure If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Measure If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Measure A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
mea-0 warning Measure Name should be usable as an identifier for the module by machine processing applications such as code generation name.matches('[A-Z]([A-Za-z0-9_]){0,254}')
mea-1 error Measure Stratifier SHALL be either a single criteria or a set of criteria components group.stratifier.all((code | description | criteria).exists() xor component.exists())

This structure is derived from Measure

Summary

Mandatory: 3 elements
Must-Support: 7 elements

Maturity: 2

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Measure C 0..* Measure A Risk Adjustment Model
Constraints: mea-0, mea-1
... meta SΣ 1..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... version SΣ 1..1 string Risk Adjustment Model version, e.g., 24, 28
... name SΣC 0..1 string e.g., CMS-HCCv24, CMS-HCCv28
... title SΣ 0..1 string E.g., CMS Hierarchical Category Condition (CMS-HCC) Risk Adjustment Model Version 24
... status ?!SΣ 1..1 code draft | active | retired | unknown
Binding: PublicationStatus (required): The lifecycle status of an artifact.
... library S 0..* canonical(Library) Risk Adjustment Model library

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Measure.status Base required PublicationStatus 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Measure If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Measure If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Measure If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Measure If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Measure A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
mea-0 warning Measure Name should be usable as an identifier for the module by machine processing applications such as code generation name.matches('[A-Z]([A-Za-z0-9_]){0,254}')
mea-1 error Measure Stratifier SHALL be either a single criteria or a set of criteria components group.stratifier.all((code | description | criteria).exists() xor component.exists())

Differential View

This structure is derived from Measure

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Measure 0..* Measure A Risk Adjustment Model
... meta S 1..1 Meta Metadata about the resource
... identifier S 1..* Identifier Risk Adjustment Model ID, e.g., CMS-HCC
... version S 1..1 string Risk Adjustment Model version, e.g., 24, 28
... title S 0..1 string E.g., CMS Hierarchical Category Condition (CMS-HCC) Risk Adjustment Model Version 24
... status S 1..1 code draft | active | retired | unknown
... library S 0..* canonical(Library) Risk Adjustment Model library

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Measure C 0..* Measure A Risk Adjustment Model
Constraints: mea-0, mea-1
... id Σ 0..1 id Logical id of this artifact
... meta SΣ 1..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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... url Σ 0..1 uri Canonical identifier for this measure, represented as a URI (globally unique)
... identifier SΣ 1..* Identifier Risk Adjustment Model ID, e.g., CMS-HCC
... version SΣ 1..1 string Risk Adjustment Model version, e.g., 24, 28
... name SΣC 0..1 string e.g., CMS-HCCv24, CMS-HCCv28
... title SΣ 0..1 string E.g., CMS Hierarchical Category Condition (CMS-HCC) Risk Adjustment Model Version 24
... subtitle 0..1 string Subordinate title of the measure
... status ?!SΣ 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 Σ 0..1 dateTime Date last changed
... publisher Σ 0..1 string Name of the publisher (organization or individual)
... contact Σ 0..* ContactDetail Contact details for the publisher
... description Σ 0..1 markdown Natural language description of the measure
... useContext Σ 0..* UsageContext The context that the content is intended to support
... jurisdiction Σ 0..* CodeableConcept Intended jurisdiction for measure (if applicable)
Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use.
... purpose 0..1 markdown Why this measure is defined
... usage 0..1 string Describes the clinical usage of the measure
... copyright 0..1 markdown Use and/or publishing restrictions
... approvalDate 0..1 date When the measure was approved by publisher
... lastReviewDate 0..1 date When the measure was last reviewed
... effectivePeriod Σ 0..1 Period When the measure is expected to be used
... topic 0..* CodeableConcept The category of the measure, such as Education, Treatment, Assessment, etc.
Binding: DefinitionTopic (example): High-level categorization of the definition, used for searching, sorting, and filtering.
... author 0..* ContactDetail Who authored the content
... editor 0..* ContactDetail Who edited the content
... reviewer 0..* ContactDetail Who reviewed the content
... endorser 0..* ContactDetail Who endorsed the content
... relatedArtifact 0..* RelatedArtifact Additional documentation, citations, etc.
... library S 0..* canonical(Library) Risk Adjustment Model library
... 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 0..* BackboneElement Population criteria group
.... 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 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 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 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

Path Status Usage ValueSet Version Source
Measure.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Measure.status Base required PublicationStatus 📍4.0.1 FHIR Std.
Measure.subject[x] Base extensible Subject type 📍4.0.1 FHIR Std.
Measure.jurisdiction Base extensible Jurisdiction 📍4.0.1 FHIR Std.
Measure.topic Base example DefinitionTopic 📍4.0.1 FHIR Std.
Measure.scoring Base extensible MeasureScoring 📍4.0.1 FHIR Std.
Measure.compositeScoring Base extensible CompositeMeasureScoring 📍4.0.1 FHIR Std.
Measure.type Base extensible MeasureType 📍4.0.1 FHIR Std.
Measure.improvementNotation Base required MeasureImprovementNotation 📍4.0.1 FHIR Std.
Measure.group.population.​code Base extensible MeasurePopulationType 📍4.0.1 FHIR Std.
Measure.supplementalData.​usage Base extensible MeasureDataUsage 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Measure If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Measure If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Measure If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Measure If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Measure A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
mea-0 warning Measure Name should be usable as an identifier for the module by machine processing applications such as code generation name.matches('[A-Z]([A-Za-z0-9_]){0,254}')
mea-1 error Measure Stratifier SHALL be either a single criteria or a set of criteria components group.stratifier.all((code | description | criteria).exists() xor component.exists())

This structure is derived from Measure

Summary

Mandatory: 3 elements
Must-Support: 7 elements

Maturity: 2

 

Other representations of profile: CSV, Excel, Schematron