Quality Measure Implementation Guide
1.0.0 - STU 1
Quality Measure Implementation Guide
1.0.0 - STU 1
Quality Measure Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-cqm/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-cvmeasure | Version: 1.0.0 | |||
| Standards status: Trial-use | Maturity Level: 4 | Computable Name: CQMContinuousVariableMeasure | ||
| Other Identifiers: OID:2.16.840.1.113883.4.642.40.61.42.10 | ||||
The CQM Continuous Variable Measure Profile describes a continuous variable scoring measure. For more information on the usage of this profile, refer to the Profiles and Packaging pages in this implementation guide.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  Measure |
SC | 0..* | CQMComputableMeasure | A quality measure definition Constraints: mea-0, mea-1, comp-1, comp-2, comp-3, comp-4, comp-5, comp-6, comp-7 |
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
  Slices for extension |
Content/Rules for all slices | |||
   extension:populationBasis |
SC | 0..* | code, DataRequirement | What type of population URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis Binding: FHIRAllTypes (required): The type of elements in the population Constraints: popBasis-1 |
| extension:scoringUnit |
SC | 0..1 | CodeableConcept | What units? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoringUnit |
| extension:effectiveDataRequirements |
S | 0..1 | canonical(CRMI Module Definition Library) | Effective required data for evaluation URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements |
 extension:scoringPrecision |
0..1 | positiveInt | Number of decimal places URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoringPrecision | |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| status |
?!Σ | 1..1 | code | draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact. |
 subject[x] |
S | 0..1 | E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device Binding: Subject Type Value Set (extensible) | |
 subjectCodeableConcept |
CodeableConcept | |||
  subjectReference |
Reference(Group) | |||
| usage |
S | 0..1 | string | Describes the clinical usage of the measure |
| library |
S | 0..1 | canonical(CRMI Computable Library) | Logic used by the measure |
| scoring |
SΣC | 0..1 | CodeableConcept | continuous-variable Binding: Measure Scoring (extensible) 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/measure-scoring | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: continuous-variable | |
| 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 | |
| type |
SΣC | 0..* | CodeableConcept | Indicates whether the measure is used to examine a process, an outcome over time, a patient-reported outcome, or a structure measure such as utilization. Binding: ObservationMeasureType (extensible): Indicates the type of quality measure based on the observation value. |
| improvementNotation |
SΣC | 0..1 | CodeableConcept | increase | decrease Binding: MeasureImprovementNotation (required) |
| group |
SC | 1..* | BackboneElement | Population criteria group Constraints: comp-8, comp-9, cmp-12 |
 Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:linkId |
S | 1..1 | string | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.linkId |
| extension:populationBasis |
SC | 0..1 | code, DataRequirement | What type of population URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis Binding: FHIRAllTypes (required): The type of elements in the population Constraints: popBasis-1 |
| extension:scoring |
SC | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring Binding: Measure Scoring (extensible): How the measure calculation is performed |
| extension:scoringUnit |
SC | 0..1 | CodeableConcept | What units? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoringUnit |
| extension:scoringPrecision |
0..1 | positiveInt | Number of decimal places URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoringPrecision | |
| extension:compositeScoring |
S | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-compositeScoring Binding: CompositeMeasureScoring (extensible): How the composite measure calculation is performed |
| extension:component |
S | 0..* | RelatedArtifact | What artifact URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-component |
| extension:type |
C | 0..* | CodeableConcept | Extension URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-type Binding: ObservationMeasureType (extensible): Indicates the type of quality measure based on the observation value. |
| extension:riskAdjustment |
C | 0..1 | string | How risk adjustment is applied for this measure URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-riskAdjustment |
| extension:rateAggregation |
C | 0..1 | string | How is rate aggregation performed for this measure URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-rateAggregation |
| extension:improvementNotation |
SC | 0..1 | CodeableConcept | increase | decrease URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-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 |
S | 0..1 | CodeableConcept | Meaning of the group |
| description |
S | 0..1 | string | Summary description |
| Slices for population |
SC | 3..4 | BackboneElement | Population criteria Slice: Unordered, Open by value:code |
  population:All Slices |
Content/Rules for all slices | |||
 Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:linkId |
S | 1..1 | string | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code |
S | 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 |
S | 0..1 | string | The human readable description of this population criteria |
| criteria |
1..1 | Expression | The criteria that defines this population | |
| population:initialPopulation |
S | 1..1 | BackboneElement | Initial Population |
 Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
 extension:linkId |
S | 1..1 | string | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId |
 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. 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/measure-population | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: initial-population | |
| 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 | |
| description |
S | 0..1 | string | The human readable description of this population criteria |
 criteria |
1..1 | Expression | The criteria that defines this population | |
| population:measurePopulation |
S | 1..1 | BackboneElement | Measure Population |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:linkId |
S | 1..1 | string | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId |
| 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. 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/measure-population | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: measure-population | |
| 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 | |
| description |
S | 0..1 | string | The human readable description of this population criteria |
| criteria |
1..1 | Expression | The criteria that defines this population | |
| population:measurePopulationExclusion |
S | 0..1 | BackboneElement | Measure Population Exclusion |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:linkId |
S | 1..1 | string | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId |
| 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. 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/measure-population | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: measure-population-exclusion | |
| 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 | |
| description |
S | 0..1 | string | The human readable description of this population criteria |
| criteria |
1..1 | Expression | The criteria that defines this population | |
 population:measureObservation |
S | 1..1 | BackboneElement | Measure Observation |
 Slices for extension |
3..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:linkId |
S | 1..1 | string | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId |
| extension:criteriaReference |
S | 1..1 | string | Criteria reference URL: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference |
| extension:aggregateMethod |
S | 1..1 | code | Aggregate with URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-aggregateMethod Binding: Measure Aggregate Method (preferred): Aggregation method for a measure (e.g. sum, average, median, minimum, maximum, count) |
| 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. 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/measure-population | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: measure-observation | |
| 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 | |
| description |
S | 0..1 | string | The human readable description of this population criteria |
| criteria |
1..1 | Expression | The criteria that defines this population | |
 stratifier |
S | 0..* | BackboneElement | Stratifier criteria for the measure |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:appliesTo |
0..* | CodeableConcept | Which population does this stratifier apply to? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-appliesTo Binding: MeasurePopulationType (extensible): Indicates the population | |
| extension:linkId |
S | 1..1 | string | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.stratifier.linkId |
| extension:valueSet |
0..1 | canonical(ValueSet) | What stratum values? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-valueSet | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code |
S | 0..1 | CodeableConcept | Meaning of the stratifier Binding: Measure Stratifier Type (preferred) |
| description |
S | 0..1 | string | The human readable description of this stratifier |
| component |
S | 0..* | BackboneElement | Stratifier criteria component for the measure |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:linkId |
S | 1..1 | string | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.stratifier.component.linkId |
| extension:valueSet |
0..1 | canonical(ValueSet) | What stratum values? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-valueSet | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code |
S | 0..1 | CodeableConcept | Meaning of the stratifier component Binding: Measure Stratifier Type (preferred) |
| description |
S | 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 |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:linkId |
S | 1..1 | string | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.supplementalData.linkId |
| extension:valueSet |
0..1 | canonical(ValueSet) | What stratum values? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-valueSet | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code |
S | 0..1 | CodeableConcept | Meaning of the supplemental data |
| usage |
S | 0..* | CodeableConcept | supplemental-data | risk-adjustment-factor Binding: MeasureDataUsage (extensible): The intended usage for supplemental data elements in the measure. |
| description |
S | 0..1 | string | The human readable description of this supplemental data |
| criteria |
1..1 | Expression | Expression describing additional data to be reported | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| Measure.status | required | PublicationStatushttp://hl7.org/fhir/ValueSet/publication-status|4.0.1From the FHIR Standard | |
| Measure.subject[x] | extensible | SubjectTypeValueSethttp://hl7.org/fhir/uv/cqm/ValueSet/subject-typeFrom this IG | |
| Measure.scoring | extensible | Pattern Value: continuous-variablehttp://terminology.hl7.org/ValueSet/measure-scoring | |
| Measure.type | extensible | ObservationMeasureTypehttp://terminology.hl7.org/ValueSet/v3-ObservationMeasureType | |
| Measure.improvementNotation | required | MeasureImprovementNotationhttp://terminology.hl7.org/ValueSet/measure-improvement-notation | |
| Measure.group.population.code | extensible | MeasurePopulationTypehttp://hl7.org/fhir/ValueSet/measure-populationFrom the FHIR Standard | |
| Measure.group.population:initialPopulation.code | extensible | Pattern Value: initial-populationhttp://hl7.org/fhir/ValueSet/measure-populationFrom the FHIR Standard | |
| Measure.group.population:measurePopulation.code | extensible | Pattern Value: measure-populationhttp://hl7.org/fhir/ValueSet/measure-populationFrom the FHIR Standard | |
| Measure.group.population:measurePopulationExclusion.code | extensible | Pattern Value: measure-population-exclusionhttp://hl7.org/fhir/ValueSet/measure-populationFrom the FHIR Standard | |
| Measure.group.population:measureObservation.code | extensible | Pattern Value: measure-observationhttp://hl7.org/fhir/ValueSet/measure-populationFrom the FHIR Standard | |
| Measure.group.stratifier.code | preferred | MeasureStratifierType(a valid code from Measure Stratifier Type Codes)http://terminology.hl7.org/ValueSet/measure-stratifier-typeFrom this IG | |
| Measure.group.stratifier.component.code | preferred | MeasureStratifierType(a valid code from Measure Stratifier Type Codes)http://terminology.hl7.org/ValueSet/measure-stratifier-typeFrom this IG | |
| Measure.supplementalData.usage | extensible | MeasureDataUsagehttp://hl7.org/fhir/ValueSet/measure-data-usageFrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| cmp-12 | error | Measure.group | Continuous variable measures may not have other than initial population, measure-population, measure-population-exclusion, and measure-observation criteria : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').exists() and extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').value.coding.code contains 'continuous-variable' implies population.select(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code in ('initial-population' | 'measure-population' | 'measure-population-exclusion' | 'measure-observation')).allTrue() | |
| comp-1 | error | Measure | Population basis must be specified at the root, or on each group : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis').exists() or group.select(extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis').exists()).allTrue() | |
| comp-2 | error | Measure | Scoring is required. It must be specified on the root only, or on every group, and it cannot be on both. : (scoring.exists() and group.extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').empty()) xor (scoring.empty() and group.all(extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').exists())) | |
| comp-3 | error | Measure | Scoring unit may only be specified at the root if the scoring is also specified at the root : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoringUnit').exists() implies scoring.exists() | |
| comp-4 | error | Measure | If scoring is specified on the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required on the root. : scoring.exists() and (scoring.coding.code in ('proportion' | 'ratio' | 'continuous-variable')) implies improvementNotation.exists() | |
| comp-5 | error | Measure | If type is specified at the root, it may not be specified on any group : type.exists() implies group.select(extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-type').exists()).allFalse() | |
| comp-6 | error | Measure | If riskAdjustment is specified at the root, it may not be specified on any group : riskAdjustment.exists() implies group.select(extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-riskAdjustment').exists()).allFalse() | |
| comp-7 | error | Measure | If rateAggregation is specified at the root, it may not be specified on any group : rateAggregation.exists() implies group.select(extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-rateAggregation').exists()).allFalse() | |
| comp-8 | error | Measure.group | Scoring unit may only be specified at the root if the scoring is also specified at the root : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoringUnit').exists() implies extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').exists() | |
| comp-9 | error | Measure.group | If scoring is specified on the group and the scoring type is 'proportion', 'ratio', or 'continuous-variable' then the improvementNotation element is required. : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').exists() and extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').value.coding.code in ('proportion' | 'ratio' | 'continuous-variable') implies extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-improvementNotation').exists() | |
| 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()) | |
| popBasis-1 | error | Measure.extension:populationBasis, Measure.group.extension:populationBasis | If DataRequirement.type is present, it may only contain the elements 'profile' and 'codeFilter'. : value.exists() and value.is(DataRequirement) implies ( value.as(DataRequirement).type.exists() and value.as(DataRequirement).limit.empty() and value.as(DataRequirement).sort.empty() and value.as(DataRequirement).dateFilter.empty() and value.as(DataRequirement).subject.empty() and value.as(DataRequirement).mustSupport.empty()) |
This structure is derived from CQMComputableMeasure
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Measure |
0..* | CQMComputableMeasure | A quality measure definition | |
| scoring |
S | 0..1 | CodeableConcept | continuous-variable 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/measure-scoring | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: continuous-variable | |
| group |
SC | 1..* | BackboneElement | Population criteria group Constraints: cmp-12 |
| Slices for extension |
Content/Rules for all slices | |||
| extension:scoring |
SC | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring Binding: Measure Scoring (extensible): How the measure calculation is performed |
| Slices for population |
SC | 3..4 | BackboneElement | Population criteria Slice: Unordered, Open by value:code |
| population:initialPopulation |
S | 1..1 | BackboneElement | Initial Population |
 code |
S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation 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/measure-population | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: initial-population | |
| population:measurePopulation |
S | 1..1 | BackboneElement | Measure Population |
| code |
S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation 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/measure-population | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: measure-population | |
| population:measurePopulationExclusion |
S | 0..1 | BackboneElement | Measure Population Exclusion |
| code |
S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation 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/measure-population | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: measure-population-exclusion | |
| population:measureObservation |
S | 1..1 | BackboneElement | Measure Observation |
| Slices for extension |
Content/Rules for all slices | |||
| extension:criteriaReference |
S | 1..1 | string | Criteria reference URL: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference |
| extension:aggregateMethod |
S | 1..1 | code | Aggregate with URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-aggregateMethod Binding: Measure Aggregate Method (preferred): Aggregation method for a measure (e.g. sum, average, median, minimum, maximum, count) |
| code |
S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation 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/measure-population | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: measure-observation | |
| Documentation for this format | ||||
| Id | Grade | Path(s) | Details | Requirements |
| cmp-12 | error | Measure.group | Continuous variable measures may not have other than initial population, measure-population, measure-population-exclusion, and measure-observation criteria : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').exists() and extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').value.coding.code contains 'continuous-variable' implies population.select(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code in ('initial-population' | 'measure-population' | 'measure-population-exclusion' | 'measure-observation')).allTrue() |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Measure |
SC | 0..* | CQMComputableMeasure | A quality measure definition Constraints: mea-0, mea-1, comp-1, comp-2, comp-3, comp-4, comp-5, comp-6, comp-7 | ||||
| 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.
| |||||
| 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 | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:populationBasis |
SC | 0..* | code, DataRequirement | What type of population URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis Binding: FHIRAllTypes (required): The type of elements in the population Constraints: popBasis-1 | ||||
| extension:scoringUnit |
SC | 0..1 | CodeableConcept | What units? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoringUnit | ||||
| extension:effectiveDataRequirements |
S | 0..1 | canonical(CRMI Module Definition Library) | Effective required data for evaluation URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements | ||||
| extension:scoringPrecision |
0..1 | positiveInt | Number of decimal places URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoringPrecision | |||||
| 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 |
Σ | 0..* | Identifier | Additional identifier for the measure | ||||
| version |
Σ | 0..1 | string | Business version of the measure | ||||
| name |
ΣC | 0..1 | string | Name for this measure (computer friendly) | ||||
| 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 | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact. | ||||
| experimental |
Σ | 0..1 | boolean | For testing purposes, not real usage | ||||
| subject[x] |
S | 0..1 | E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device Binding: Subject Type Value Set (extensible) | |||||
| 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 |
S | 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..1 | canonical(CRMI Computable Library) | Logic used by the measure | ||||
| disclaimer |
Σ | 0..1 | markdown | Disclaimer for use of the measure or its referenced content | ||||
| scoring |
SΣC | 0..1 | CodeableConcept | continuous-variable Binding: Measure Scoring (extensible) 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/measure-scoring | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: continuous-variable | |||||
| 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 | |||||
| compositeScoring |
Σ | 0..1 | CodeableConcept | opportunity | all-or-nothing | linear | weighted Binding: CompositeMeasureScoring (extensible): The composite scoring method of the measure. | ||||
| type |
SΣC | 0..* | CodeableConcept | Indicates whether the measure is used to examine a process, an outcome over time, a patient-reported outcome, or a structure measure such as utilization. Binding: ObservationMeasureType (extensible): Indicates the type of quality measure based on the observation value. | ||||
| riskAdjustment |
ΣC | 0..1 | string | How risk adjustment is applied for this measure | ||||
| rateAggregation |
ΣC | 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 |
SΣC | 0..1 | CodeableConcept | increase | decrease Binding: MeasureImprovementNotation (required) | ||||
| definition |
Σ | 0..* | markdown | Defined terms used in the measure documentation | ||||
| guidance |
Σ | 0..1 | markdown | Additional guidance for implementers | ||||
| group |
SC | 1..* | BackboneElement | Population criteria group Constraints: comp-8, comp-9, cmp-12 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:linkId |
S | 1..1 | string | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.linkId | ||||
| extension:populationBasis |
SC | 0..1 | code, DataRequirement | What type of population URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis Binding: FHIRAllTypes (required): The type of elements in the population Constraints: popBasis-1 | ||||
| extension:scoring |
SC | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring Binding: Measure Scoring (extensible): How the measure calculation is performed | ||||
| extension:scoringUnit |
SC | 0..1 | CodeableConcept | What units? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoringUnit | ||||
| extension:scoringPrecision |
0..1 | positiveInt | Number of decimal places URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoringPrecision | |||||
| extension:compositeScoring |
S | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-compositeScoring Binding: CompositeMeasureScoring (extensible): How the composite measure calculation is performed | ||||
| extension:component |
S | 0..* | RelatedArtifact | What artifact URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-component | ||||
| extension:type |
C | 0..* | CodeableConcept | Extension URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-type Binding: ObservationMeasureType (extensible): Indicates the type of quality measure based on the observation value. | ||||
| extension:riskAdjustment |
C | 0..1 | string | How risk adjustment is applied for this measure URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-riskAdjustment | ||||
| extension:rateAggregation |
C | 0..1 | string | How is rate aggregation performed for this measure URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-rateAggregation | ||||
| extension:improvementNotation |
SC | 0..1 | CodeableConcept | increase | decrease URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-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 |
S | 0..1 | CodeableConcept | Meaning of the group | ||||
| description |
S | 0..1 | string | Summary description | ||||
| Slices for population |
SC | 3..4 | BackboneElement | Population criteria Slice: Unordered, Open by value:code | ||||
| population:All Slices |
Content/Rules for all slices | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:linkId |
S | 1..1 | string | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId | ||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
S | 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 |
S | 0..1 | string | The human readable description of this population criteria | ||||
| criteria |
1..1 | Expression | The criteria that defines this population | |||||
| population:initialPopulation |
S | 1..1 | BackboneElement | Initial Population | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:linkId |
S | 1..1 | string | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId | ||||
| 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. 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/measure-population | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: initial-population | |||||
| 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 | |||||
| description |
S | 0..1 | string | The human readable description of this population criteria | ||||
| criteria |
1..1 | Expression | The criteria that defines this population | |||||
| population:measurePopulation |
S | 1..1 | BackboneElement | Measure Population | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:linkId |
S | 1..1 | string | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId | ||||
| 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. 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/measure-population | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: measure-population | |||||
| 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 | |||||
| description |
S | 0..1 | string | The human readable description of this population criteria | ||||
| criteria |
1..1 | Expression | The criteria that defines this population | |||||
| population:measurePopulationExclusion |
S | 0..1 | BackboneElement | Measure Population Exclusion | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:linkId |
S | 1..1 | string | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId | ||||
| 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. 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/measure-population | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: measure-population-exclusion | |||||
| 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 | |||||
| description |
S | 0..1 | string | The human readable description of this population criteria | ||||
| criteria |
1..1 | Expression | The criteria that defines this population | |||||
| population:measureObservation |
S | 1..1 | BackboneElement | Measure Observation | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
3..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:linkId |
S | 1..1 | string | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId | ||||
| extension:criteriaReference |
S | 1..1 | string | Criteria reference URL: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference | ||||
| extension:aggregateMethod |
S | 1..1 | code | Aggregate with URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-aggregateMethod Binding: Measure Aggregate Method (preferred): Aggregation method for a measure (e.g. sum, average, median, minimum, maximum, count) | ||||
| 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. 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/measure-population | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: measure-observation | |||||
| 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 | |||||
| description |
S | 0..1 | string | The human readable description of this population criteria | ||||
| criteria |
1..1 | Expression | The criteria that defines this population | |||||
| stratifier |
S | 0..* | BackboneElement | Stratifier criteria for the measure | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:appliesTo |
0..* | CodeableConcept | Which population does this stratifier apply to? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-appliesTo Binding: MeasurePopulationType (extensible): Indicates the population | |||||
| extension:linkId |
S | 1..1 | string | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.stratifier.linkId | ||||
| extension:valueSet |
0..1 | canonical(ValueSet) | What stratum values? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-valueSet | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
S | 0..1 | CodeableConcept | Meaning of the stratifier Binding: Measure Stratifier Type (preferred) | ||||
| description |
S | 0..1 | string | The human readable description of this stratifier | ||||
| criteria |
0..1 | Expression | How the measure should be stratified | |||||
| component |
S | 0..* | BackboneElement | Stratifier criteria component for the measure | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:linkId |
S | 1..1 | string | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.stratifier.component.linkId | ||||
| extension:valueSet |
0..1 | canonical(ValueSet) | What stratum values? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-valueSet | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
S | 0..1 | CodeableConcept | Meaning of the stratifier component Binding: Measure Stratifier Type (preferred) | ||||
| description |
S | 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 |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:linkId |
S | 1..1 | string | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.supplementalData.linkId | ||||
| extension:valueSet |
0..1 | canonical(ValueSet) | What stratum values? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-valueSet | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
S | 0..1 | CodeableConcept | Meaning of the supplemental data | ||||
| usage |
S | 0..* | CodeableConcept | supplemental-data | risk-adjustment-factor Binding: MeasureDataUsage (extensible): The intended usage for supplemental data elements in the measure. | ||||
| description |
S | 0..1 | string | The human readable description of this supplemental data | ||||
| criteria |
1..1 | Expression | Expression describing additional data to be reported | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| Measure.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesFrom the FHIR Standard
| ||||
| Measure.status | required | PublicationStatushttp://hl7.org/fhir/ValueSet/publication-status|4.0.1From the FHIR Standard | ||||
| Measure.subject[x] | extensible | SubjectTypeValueSethttp://hl7.org/fhir/uv/cqm/ValueSet/subject-typeFrom this IG | ||||
| Measure.jurisdiction | extensible | Jurisdiction ValueSethttp://hl7.org/fhir/ValueSet/jurisdictionFrom the FHIR Standard | ||||
| Measure.topic | example | DefinitionTopichttp://hl7.org/fhir/ValueSet/definition-topicFrom the FHIR Standard | ||||
| Measure.scoring | extensible | Pattern Value: continuous-variablehttp://terminology.hl7.org/ValueSet/measure-scoring | ||||
| Measure.compositeScoring | extensible | CompositeMeasureScoringhttp://hl7.org/fhir/ValueSet/composite-measure-scoringFrom the FHIR Standard | ||||
| Measure.type | extensible | ObservationMeasureTypehttp://terminology.hl7.org/ValueSet/v3-ObservationMeasureType | ||||
| Measure.improvementNotation | required | MeasureImprovementNotationhttp://terminology.hl7.org/ValueSet/measure-improvement-notation | ||||
| Measure.group.population.code | extensible | MeasurePopulationTypehttp://hl7.org/fhir/ValueSet/measure-populationFrom the FHIR Standard | ||||
| Measure.group.population:initialPopulation.code | extensible | Pattern Value: initial-populationhttp://hl7.org/fhir/ValueSet/measure-populationFrom the FHIR Standard | ||||
| Measure.group.population:measurePopulation.code | extensible | Pattern Value: measure-populationhttp://hl7.org/fhir/ValueSet/measure-populationFrom the FHIR Standard | ||||
| Measure.group.population:measurePopulationExclusion.code | extensible | Pattern Value: measure-population-exclusionhttp://hl7.org/fhir/ValueSet/measure-populationFrom the FHIR Standard | ||||
| Measure.group.population:measureObservation.code | extensible | Pattern Value: measure-observationhttp://hl7.org/fhir/ValueSet/measure-populationFrom the FHIR Standard | ||||
| Measure.group.stratifier.code | preferred | MeasureStratifierType(a valid code from Measure Stratifier Type Codes)http://terminology.hl7.org/ValueSet/measure-stratifier-typeFrom this IG | ||||
| Measure.group.stratifier.component.code | preferred | MeasureStratifierType(a valid code from Measure Stratifier Type Codes)http://terminology.hl7.org/ValueSet/measure-stratifier-typeFrom this IG | ||||
| Measure.supplementalData.usage | extensible | MeasureDataUsagehttp://hl7.org/fhir/ValueSet/measure-data-usageFrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| cmp-12 | error | Measure.group | Continuous variable measures may not have other than initial population, measure-population, measure-population-exclusion, and measure-observation criteria : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').exists() and extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').value.coding.code contains 'continuous-variable' implies population.select(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code in ('initial-population' | 'measure-population' | 'measure-population-exclusion' | 'measure-observation')).allTrue() | |
| comp-1 | error | Measure | Population basis must be specified at the root, or on each group : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis').exists() or group.select(extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis').exists()).allTrue() | |
| comp-2 | error | Measure | Scoring is required. It must be specified on the root only, or on every group, and it cannot be on both. : (scoring.exists() and group.extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').empty()) xor (scoring.empty() and group.all(extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').exists())) | |
| comp-3 | error | Measure | Scoring unit may only be specified at the root if the scoring is also specified at the root : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoringUnit').exists() implies scoring.exists() | |
| comp-4 | error | Measure | If scoring is specified on the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required on the root. : scoring.exists() and (scoring.coding.code in ('proportion' | 'ratio' | 'continuous-variable')) implies improvementNotation.exists() | |
| comp-5 | error | Measure | If type is specified at the root, it may not be specified on any group : type.exists() implies group.select(extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-type').exists()).allFalse() | |
| comp-6 | error | Measure | If riskAdjustment is specified at the root, it may not be specified on any group : riskAdjustment.exists() implies group.select(extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-riskAdjustment').exists()).allFalse() | |
| comp-7 | error | Measure | If rateAggregation is specified at the root, it may not be specified on any group : rateAggregation.exists() implies group.select(extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-rateAggregation').exists()).allFalse() | |
| comp-8 | error | Measure.group | Scoring unit may only be specified at the root if the scoring is also specified at the root : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoringUnit').exists() implies extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').exists() | |
| comp-9 | error | Measure.group | If scoring is specified on the group and the scoring type is 'proportion', 'ratio', or 'continuous-variable' then the improvementNotation element is required. : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').exists() and extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').value.coding.code in ('proportion' | 'ratio' | 'continuous-variable') implies extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-improvementNotation').exists() | |
| 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()) | |
| popBasis-1 | error | Measure.extension:populationBasis, Measure.group.extension:populationBasis | If DataRequirement.type is present, it may only contain the elements 'profile' and 'codeFilter'. : value.exists() and value.is(DataRequirement) implies ( value.as(DataRequirement).type.exists() and value.as(DataRequirement).limit.empty() and value.as(DataRequirement).sort.empty() and value.as(DataRequirement).dateFilter.empty() and value.as(DataRequirement).subject.empty() and value.as(DataRequirement).mustSupport.empty()) |
This structure is derived from CQMComputableMeasure
Summary
Mandatory: 9 elements(1 nested mandatory element)
Must-Support: 14 elements
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Maturity: 4
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Measure |
SC | 0..* | CQMComputableMeasure | A quality measure definition Constraints: mea-0, mea-1, comp-1, comp-2, comp-3, comp-4, comp-5, comp-6, comp-7 |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| Slices for extension |
Content/Rules for all slices | |||
| extension:populationBasis |
SC | 0..* | code, DataRequirement | What type of population URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis Binding: FHIRAllTypes (required): The type of elements in the population Constraints: popBasis-1 |
| extension:scoringUnit |
SC | 0..1 | CodeableConcept | What units? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoringUnit |
| extension:effectiveDataRequirements |
S | 0..1 | canonical(CRMI Module Definition Library) | Effective required data for evaluation URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements |
| extension:scoringPrecision |
0..1 | positiveInt | Number of decimal places URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoringPrecision | |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| status |
?!Σ | 1..1 | code | draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact. |
| subject[x] |
S | 0..1 | E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device Binding: Subject Type Value Set (extensible) | |
| subjectCodeableConcept |
CodeableConcept | |||
| subjectReference |
Reference(Group) | |||
| usage |
S | 0..1 | string | Describes the clinical usage of the measure |
| library |
S | 0..1 | canonical(CRMI Computable Library) | Logic used by the measure |
| scoring |
SΣC | 0..1 | CodeableConcept | continuous-variable Binding: Measure Scoring (extensible) 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/measure-scoring | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: continuous-variable | |
| 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 | |
| type |
SΣC | 0..* | CodeableConcept | Indicates whether the measure is used to examine a process, an outcome over time, a patient-reported outcome, or a structure measure such as utilization. Binding: ObservationMeasureType (extensible): Indicates the type of quality measure based on the observation value. |
| improvementNotation |
SΣC | 0..1 | CodeableConcept | increase | decrease Binding: MeasureImprovementNotation (required) |
| group |
SC | 1..* | BackboneElement | Population criteria group Constraints: comp-8, comp-9, cmp-12 |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:linkId |
S | 1..1 | string | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.linkId |
| extension:populationBasis |
SC | 0..1 | code, DataRequirement | What type of population URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis Binding: FHIRAllTypes (required): The type of elements in the population Constraints: popBasis-1 |
| extension:scoring |
SC | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring Binding: Measure Scoring (extensible): How the measure calculation is performed |
| extension:scoringUnit |
SC | 0..1 | CodeableConcept | What units? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoringUnit |
| extension:scoringPrecision |
0..1 | positiveInt | Number of decimal places URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoringPrecision | |
| extension:compositeScoring |
S | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-compositeScoring Binding: CompositeMeasureScoring (extensible): How the composite measure calculation is performed |
| extension:component |
S | 0..* | RelatedArtifact | What artifact URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-component |
| extension:type |
C | 0..* | CodeableConcept | Extension URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-type Binding: ObservationMeasureType (extensible): Indicates the type of quality measure based on the observation value. |
| extension:riskAdjustment |
C | 0..1 | string | How risk adjustment is applied for this measure URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-riskAdjustment |
| extension:rateAggregation |
C | 0..1 | string | How is rate aggregation performed for this measure URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-rateAggregation |
| extension:improvementNotation |
SC | 0..1 | CodeableConcept | increase | decrease URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-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 |
S | 0..1 | CodeableConcept | Meaning of the group |
| description |
S | 0..1 | string | Summary description |
| Slices for population |
SC | 3..4 | BackboneElement | Population criteria Slice: Unordered, Open by value:code |
| population:All Slices |
Content/Rules for all slices | |||
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:linkId |
S | 1..1 | string | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code |
S | 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 |
S | 0..1 | string | The human readable description of this population criteria |
| criteria |
1..1 | Expression | The criteria that defines this population | |
| population:initialPopulation |
S | 1..1 | BackboneElement | Initial Population |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:linkId |
S | 1..1 | string | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId |
| 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. 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/measure-population | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: initial-population | |
| 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 | |
| description |
S | 0..1 | string | The human readable description of this population criteria |
| criteria |
1..1 | Expression | The criteria that defines this population | |
| population:measurePopulation |
S | 1..1 | BackboneElement | Measure Population |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:linkId |
S | 1..1 | string | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId |
| 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. 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/measure-population | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: measure-population | |
| 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 | |
| description |
S | 0..1 | string | The human readable description of this population criteria |
| criteria |
1..1 | Expression | The criteria that defines this population | |
| population:measurePopulationExclusion |
S | 0..1 | BackboneElement | Measure Population Exclusion |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:linkId |
S | 1..1 | string | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId |
| 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. 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/measure-population | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: measure-population-exclusion | |
| 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 | |
| description |
S | 0..1 | string | The human readable description of this population criteria |
| criteria |
1..1 | Expression | The criteria that defines this population | |
| population:measureObservation |
S | 1..1 | BackboneElement | Measure Observation |
| Slices for extension |
3..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:linkId |
S | 1..1 | string | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId |
| extension:criteriaReference |
S | 1..1 | string | Criteria reference URL: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference |
| extension:aggregateMethod |
S | 1..1 | code | Aggregate with URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-aggregateMethod Binding: Measure Aggregate Method (preferred): Aggregation method for a measure (e.g. sum, average, median, minimum, maximum, count) |
| 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. 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/measure-population | |
| version |
0..1 | string | Version of the system - if relevant | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: measure-observation | |
| 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 | |
| description |
S | 0..1 | string | The human readable description of this population criteria |
| criteria |
1..1 | Expression | The criteria that defines this population | |
| stratifier |
S | 0..* | BackboneElement | Stratifier criteria for the measure |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:appliesTo |
0..* | CodeableConcept | Which population does this stratifier apply to? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-appliesTo Binding: MeasurePopulationType (extensible): Indicates the population | |
| extension:linkId |
S | 1..1 | string | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.stratifier.linkId |
| extension:valueSet |
0..1 | canonical(ValueSet) | What stratum values? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-valueSet | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code |
S | 0..1 | CodeableConcept | Meaning of the stratifier Binding: Measure Stratifier Type (preferred) |
| description |
S | 0..1 | string | The human readable description of this stratifier |
| component |
S | 0..* | BackboneElement | Stratifier criteria component for the measure |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:linkId |
S | 1..1 | string | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.stratifier.component.linkId |
| extension:valueSet |
0..1 | canonical(ValueSet) | What stratum values? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-valueSet | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code |
S | 0..1 | CodeableConcept | Meaning of the stratifier component Binding: Measure Stratifier Type (preferred) |
| description |
S | 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 |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:linkId |
S | 1..1 | string | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.supplementalData.linkId |
| extension:valueSet |
0..1 | canonical(ValueSet) | What stratum values? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-valueSet | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code |
S | 0..1 | CodeableConcept | Meaning of the supplemental data |
| usage |
S | 0..* | CodeableConcept | supplemental-data | risk-adjustment-factor Binding: MeasureDataUsage (extensible): The intended usage for supplemental data elements in the measure. |
| description |
S | 0..1 | string | The human readable description of this supplemental data |
| criteria |
1..1 | Expression | Expression describing additional data to be reported | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| Measure.status | required | PublicationStatushttp://hl7.org/fhir/ValueSet/publication-status|4.0.1From the FHIR Standard | |
| Measure.subject[x] | extensible | SubjectTypeValueSethttp://hl7.org/fhir/uv/cqm/ValueSet/subject-typeFrom this IG | |
| Measure.scoring | extensible | Pattern Value: continuous-variablehttp://terminology.hl7.org/ValueSet/measure-scoring | |
| Measure.type | extensible | ObservationMeasureTypehttp://terminology.hl7.org/ValueSet/v3-ObservationMeasureType | |
| Measure.improvementNotation | required | MeasureImprovementNotationhttp://terminology.hl7.org/ValueSet/measure-improvement-notation | |
| Measure.group.population.code | extensible | MeasurePopulationTypehttp://hl7.org/fhir/ValueSet/measure-populationFrom the FHIR Standard | |
| Measure.group.population:initialPopulation.code | extensible | Pattern Value: initial-populationhttp://hl7.org/fhir/ValueSet/measure-populationFrom the FHIR Standard | |
| Measure.group.population:measurePopulation.code | extensible | Pattern Value: measure-populationhttp://hl7.org/fhir/ValueSet/measure-populationFrom the FHIR Standard | |
| Measure.group.population:measurePopulationExclusion.code | extensible | Pattern Value: measure-population-exclusionhttp://hl7.org/fhir/ValueSet/measure-populationFrom the FHIR Standard | |
| Measure.group.population:measureObservation.code | extensible | Pattern Value: measure-observationhttp://hl7.org/fhir/ValueSet/measure-populationFrom the FHIR Standard | |
| Measure.group.stratifier.code | preferred | MeasureStratifierType(a valid code from Measure Stratifier Type Codes)http://terminology.hl7.org/ValueSet/measure-stratifier-typeFrom this IG | |
| Measure.group.stratifier.component.code | preferred | MeasureStratifierType(a valid code from Measure Stratifier Type Codes)http://terminology.hl7.org/ValueSet/measure-stratifier-typeFrom this IG | |
| Measure.supplementalData.usage | extensible | MeasureDataUsagehttp://hl7.org/fhir/ValueSet/measure-data-usageFrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| cmp-12 | error | Measure.group | Continuous variable measures may not have other than initial population, measure-population, measure-population-exclusion, and measure-observation criteria : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').exists() and extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').value.coding.code contains 'continuous-variable' implies population.select(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code in ('initial-population' | 'measure-population' | 'measure-population-exclusion' | 'measure-observation')).allTrue() | |
| comp-1 | error | Measure | Population basis must be specified at the root, or on each group : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis').exists() or group.select(extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis').exists()).allTrue() | |
| comp-2 | error | Measure | Scoring is required. It must be specified on the root only, or on every group, and it cannot be on both. : (scoring.exists() and group.extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').empty()) xor (scoring.empty() and group.all(extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').exists())) | |
| comp-3 | error | Measure | Scoring unit may only be specified at the root if the scoring is also specified at the root : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoringUnit').exists() implies scoring.exists() | |
| comp-4 | error | Measure | If scoring is specified on the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required on the root. : scoring.exists() and (scoring.coding.code in ('proportion' | 'ratio' | 'continuous-variable')) implies improvementNotation.exists() | |
| comp-5 | error | Measure | If type is specified at the root, it may not be specified on any group : type.exists() implies group.select(extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-type').exists()).allFalse() | |
| comp-6 | error | Measure | If riskAdjustment is specified at the root, it may not be specified on any group : riskAdjustment.exists() implies group.select(extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-riskAdjustment').exists()).allFalse() | |
| comp-7 | error | Measure | If rateAggregation is specified at the root, it may not be specified on any group : rateAggregation.exists() implies group.select(extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-rateAggregation').exists()).allFalse() | |
| comp-8 | error | Measure.group | Scoring unit may only be specified at the root if the scoring is also specified at the root : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoringUnit').exists() implies extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').exists() | |
| comp-9 | error | Measure.group | If scoring is specified on the group and the scoring type is 'proportion', 'ratio', or 'continuous-variable' then the improvementNotation element is required. : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').exists() and extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').value.coding.code in ('proportion' | 'ratio' | 'continuous-variable') implies extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-improvementNotation').exists() | |
| 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()) | |
| popBasis-1 | error | Measure.extension:populationBasis, Measure.group.extension:populationBasis | If DataRequirement.type is present, it may only contain the elements 'profile' and 'codeFilter'. : value.exists() and value.is(DataRequirement) implies ( value.as(DataRequirement).type.exists() and value.as(DataRequirement).limit.empty() and value.as(DataRequirement).sort.empty() and value.as(DataRequirement).dateFilter.empty() and value.as(DataRequirement).subject.empty() and value.as(DataRequirement).mustSupport.empty()) |
Differential View
This structure is derived from CQMComputableMeasure
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Measure |
0..* | CQMComputableMeasure | A quality measure definition | |
| scoring |
S | 0..1 | CodeableConcept | continuous-variable 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/measure-scoring | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: continuous-variable | |
| group |
SC | 1..* | BackboneElement | Population criteria group Constraints: cmp-12 |
| Slices for extension |
Content/Rules for all slices | |||
| extension:scoring |
SC | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring Binding: Measure Scoring (extensible): How the measure calculation is performed |
| Slices for population |
SC | 3..4 | BackboneElement | Population criteria Slice: Unordered, Open by value:code |
| population:initialPopulation |
S | 1..1 | BackboneElement | Initial Population |
| code |
S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation 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/measure-population | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: initial-population | |
| population:measurePopulation |
S | 1..1 | BackboneElement | Measure Population |
| code |
S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation 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/measure-population | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: measure-population | |
| population:measurePopulationExclusion |
S | 0..1 | BackboneElement | Measure Population Exclusion |
| code |
S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation 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/measure-population | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: measure-population-exclusion | |
| population:measureObservation |
S | 1..1 | BackboneElement | Measure Observation |
| Slices for extension |
Content/Rules for all slices | |||
| extension:criteriaReference |
S | 1..1 | string | Criteria reference URL: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference |
| extension:aggregateMethod |
S | 1..1 | code | Aggregate with URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-aggregateMethod Binding: Measure Aggregate Method (preferred): Aggregation method for a measure (e.g. sum, average, median, minimum, maximum, count) |
| code |
S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation 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/measure-population | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: measure-observation | |
| Documentation for this format | ||||
| Id | Grade | Path(s) | Details | Requirements |
| cmp-12 | error | Measure.group | Continuous variable measures may not have other than initial population, measure-population, measure-population-exclusion, and measure-observation criteria : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').exists() and extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').value.coding.code contains 'continuous-variable' implies population.select(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code in ('initial-population' | 'measure-population' | 'measure-population-exclusion' | 'measure-observation')).allTrue() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Measure |
SC | 0..* | CQMComputableMeasure | A quality measure definition Constraints: mea-0, mea-1, comp-1, comp-2, comp-3, comp-4, comp-5, comp-6, comp-7 | ||||
| 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.
| |||||
| 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 | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:populationBasis |
SC | 0..* | code, DataRequirement | What type of population URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis Binding: FHIRAllTypes (required): The type of elements in the population Constraints: popBasis-1 | ||||
| extension:scoringUnit |
SC | 0..1 | CodeableConcept | What units? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoringUnit | ||||
| extension:effectiveDataRequirements |
S | 0..1 | canonical(CRMI Module Definition Library) | Effective required data for evaluation URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements | ||||
| extension:scoringPrecision |
0..1 | positiveInt | Number of decimal places URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoringPrecision | |||||
| 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 |
Σ | 0..* | Identifier | Additional identifier for the measure | ||||
| version |
Σ | 0..1 | string | Business version of the measure | ||||
| name |
ΣC | 0..1 | string | Name for this measure (computer friendly) | ||||
| 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 | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact. | ||||
| experimental |
Σ | 0..1 | boolean | For testing purposes, not real usage | ||||
| subject[x] |
S | 0..1 | E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device Binding: Subject Type Value Set (extensible) | |||||
| 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 |
S | 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..1 | canonical(CRMI Computable Library) | Logic used by the measure | ||||
| disclaimer |
Σ | 0..1 | markdown | Disclaimer for use of the measure or its referenced content | ||||
| scoring |
SΣC | 0..1 | CodeableConcept | continuous-variable Binding: Measure Scoring (extensible) 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/measure-scoring | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: continuous-variable | |||||
| 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 | |||||
| compositeScoring |
Σ | 0..1 | CodeableConcept | opportunity | all-or-nothing | linear | weighted Binding: CompositeMeasureScoring (extensible): The composite scoring method of the measure. | ||||
| type |
SΣC | 0..* | CodeableConcept | Indicates whether the measure is used to examine a process, an outcome over time, a patient-reported outcome, or a structure measure such as utilization. Binding: ObservationMeasureType (extensible): Indicates the type of quality measure based on the observation value. | ||||
| riskAdjustment |
ΣC | 0..1 | string | How risk adjustment is applied for this measure | ||||
| rateAggregation |
ΣC | 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 |
SΣC | 0..1 | CodeableConcept | increase | decrease Binding: MeasureImprovementNotation (required) | ||||
| definition |
Σ | 0..* | markdown | Defined terms used in the measure documentation | ||||
| guidance |
Σ | 0..1 | markdown | Additional guidance for implementers | ||||
| group |
SC | 1..* | BackboneElement | Population criteria group Constraints: comp-8, comp-9, cmp-12 | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:linkId |
S | 1..1 | string | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.linkId | ||||
| extension:populationBasis |
SC | 0..1 | code, DataRequirement | What type of population URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis Binding: FHIRAllTypes (required): The type of elements in the population Constraints: popBasis-1 | ||||
| extension:scoring |
SC | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring Binding: Measure Scoring (extensible): How the measure calculation is performed | ||||
| extension:scoringUnit |
SC | 0..1 | CodeableConcept | What units? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoringUnit | ||||
| extension:scoringPrecision |
0..1 | positiveInt | Number of decimal places URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoringPrecision | |||||
| extension:compositeScoring |
S | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-compositeScoring Binding: CompositeMeasureScoring (extensible): How the composite measure calculation is performed | ||||
| extension:component |
S | 0..* | RelatedArtifact | What artifact URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-component | ||||
| extension:type |
C | 0..* | CodeableConcept | Extension URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-type Binding: ObservationMeasureType (extensible): Indicates the type of quality measure based on the observation value. | ||||
| extension:riskAdjustment |
C | 0..1 | string | How risk adjustment is applied for this measure URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-riskAdjustment | ||||
| extension:rateAggregation |
C | 0..1 | string | How is rate aggregation performed for this measure URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-rateAggregation | ||||
| extension:improvementNotation |
SC | 0..1 | CodeableConcept | increase | decrease URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-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 |
S | 0..1 | CodeableConcept | Meaning of the group | ||||
| description |
S | 0..1 | string | Summary description | ||||
| Slices for population |
SC | 3..4 | BackboneElement | Population criteria Slice: Unordered, Open by value:code | ||||
| population:All Slices |
Content/Rules for all slices | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:linkId |
S | 1..1 | string | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId | ||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
S | 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 |
S | 0..1 | string | The human readable description of this population criteria | ||||
| criteria |
1..1 | Expression | The criteria that defines this population | |||||
| population:initialPopulation |
S | 1..1 | BackboneElement | Initial Population | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:linkId |
S | 1..1 | string | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId | ||||
| 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. 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/measure-population | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: initial-population | |||||
| 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 | |||||
| description |
S | 0..1 | string | The human readable description of this population criteria | ||||
| criteria |
1..1 | Expression | The criteria that defines this population | |||||
| population:measurePopulation |
S | 1..1 | BackboneElement | Measure Population | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:linkId |
S | 1..1 | string | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId | ||||
| 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. 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/measure-population | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: measure-population | |||||
| 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 | |||||
| description |
S | 0..1 | string | The human readable description of this population criteria | ||||
| criteria |
1..1 | Expression | The criteria that defines this population | |||||
| population:measurePopulationExclusion |
S | 0..1 | BackboneElement | Measure Population Exclusion | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:linkId |
S | 1..1 | string | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId | ||||
| 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. 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/measure-population | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: measure-population-exclusion | |||||
| 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 | |||||
| description |
S | 0..1 | string | The human readable description of this population criteria | ||||
| criteria |
1..1 | Expression | The criteria that defines this population | |||||
| population:measureObservation |
S | 1..1 | BackboneElement | Measure Observation | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
3..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:linkId |
S | 1..1 | string | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId | ||||
| extension:criteriaReference |
S | 1..1 | string | Criteria reference URL: http://hl7.org/fhir/StructureDefinition/cqf-criteriaReference | ||||
| extension:aggregateMethod |
S | 1..1 | code | Aggregate with URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-aggregateMethod Binding: Measure Aggregate Method (preferred): Aggregation method for a measure (e.g. sum, average, median, minimum, maximum, count) | ||||
| 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. 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/measure-population | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: measure-observation | |||||
| 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 | |||||
| description |
S | 0..1 | string | The human readable description of this population criteria | ||||
| criteria |
1..1 | Expression | The criteria that defines this population | |||||
| stratifier |
S | 0..* | BackboneElement | Stratifier criteria for the measure | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:appliesTo |
0..* | CodeableConcept | Which population does this stratifier apply to? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-appliesTo Binding: MeasurePopulationType (extensible): Indicates the population | |||||
| extension:linkId |
S | 1..1 | string | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.stratifier.linkId | ||||
| extension:valueSet |
0..1 | canonical(ValueSet) | What stratum values? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-valueSet | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
S | 0..1 | CodeableConcept | Meaning of the stratifier Binding: Measure Stratifier Type (preferred) | ||||
| description |
S | 0..1 | string | The human readable description of this stratifier | ||||
| criteria |
0..1 | Expression | How the measure should be stratified | |||||
| component |
S | 0..* | BackboneElement | Stratifier criteria component for the measure | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:linkId |
S | 1..1 | string | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.stratifier.component.linkId | ||||
| extension:valueSet |
0..1 | canonical(ValueSet) | What stratum values? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-valueSet | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
S | 0..1 | CodeableConcept | Meaning of the stratifier component Binding: Measure Stratifier Type (preferred) | ||||
| description |
S | 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 |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:linkId |
S | 1..1 | string | Optional Extensions Element URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.supplementalData.linkId | ||||
| extension:valueSet |
0..1 | canonical(ValueSet) | What stratum values? URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-valueSet | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
S | 0..1 | CodeableConcept | Meaning of the supplemental data | ||||
| usage |
S | 0..* | CodeableConcept | supplemental-data | risk-adjustment-factor Binding: MeasureDataUsage (extensible): The intended usage for supplemental data elements in the measure. | ||||
| description |
S | 0..1 | string | The human readable description of this supplemental data | ||||
| criteria |
1..1 | Expression | Expression describing additional data to be reported | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| Measure.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesFrom the FHIR Standard
| ||||
| Measure.status | required | PublicationStatushttp://hl7.org/fhir/ValueSet/publication-status|4.0.1From the FHIR Standard | ||||
| Measure.subject[x] | extensible | SubjectTypeValueSethttp://hl7.org/fhir/uv/cqm/ValueSet/subject-typeFrom this IG | ||||
| Measure.jurisdiction | extensible | Jurisdiction ValueSethttp://hl7.org/fhir/ValueSet/jurisdictionFrom the FHIR Standard | ||||
| Measure.topic | example | DefinitionTopichttp://hl7.org/fhir/ValueSet/definition-topicFrom the FHIR Standard | ||||
| Measure.scoring | extensible | Pattern Value: continuous-variablehttp://terminology.hl7.org/ValueSet/measure-scoring | ||||
| Measure.compositeScoring | extensible | CompositeMeasureScoringhttp://hl7.org/fhir/ValueSet/composite-measure-scoringFrom the FHIR Standard | ||||
| Measure.type | extensible | ObservationMeasureTypehttp://terminology.hl7.org/ValueSet/v3-ObservationMeasureType | ||||
| Measure.improvementNotation | required | MeasureImprovementNotationhttp://terminology.hl7.org/ValueSet/measure-improvement-notation | ||||
| Measure.group.population.code | extensible | MeasurePopulationTypehttp://hl7.org/fhir/ValueSet/measure-populationFrom the FHIR Standard | ||||
| Measure.group.population:initialPopulation.code | extensible | Pattern Value: initial-populationhttp://hl7.org/fhir/ValueSet/measure-populationFrom the FHIR Standard | ||||
| Measure.group.population:measurePopulation.code | extensible | Pattern Value: measure-populationhttp://hl7.org/fhir/ValueSet/measure-populationFrom the FHIR Standard | ||||
| Measure.group.population:measurePopulationExclusion.code | extensible | Pattern Value: measure-population-exclusionhttp://hl7.org/fhir/ValueSet/measure-populationFrom the FHIR Standard | ||||
| Measure.group.population:measureObservation.code | extensible | Pattern Value: measure-observationhttp://hl7.org/fhir/ValueSet/measure-populationFrom the FHIR Standard | ||||
| Measure.group.stratifier.code | preferred | MeasureStratifierType(a valid code from Measure Stratifier Type Codes)http://terminology.hl7.org/ValueSet/measure-stratifier-typeFrom this IG | ||||
| Measure.group.stratifier.component.code | preferred | MeasureStratifierType(a valid code from Measure Stratifier Type Codes)http://terminology.hl7.org/ValueSet/measure-stratifier-typeFrom this IG | ||||
| Measure.supplementalData.usage | extensible | MeasureDataUsagehttp://hl7.org/fhir/ValueSet/measure-data-usageFrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| cmp-12 | error | Measure.group | Continuous variable measures may not have other than initial population, measure-population, measure-population-exclusion, and measure-observation criteria : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').exists() and extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').value.coding.code contains 'continuous-variable' implies population.select(code.coding.where(system = 'http://terminology.hl7.org/CodeSystem/measure-population').code in ('initial-population' | 'measure-population' | 'measure-population-exclusion' | 'measure-observation')).allTrue() | |
| comp-1 | error | Measure | Population basis must be specified at the root, or on each group : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis').exists() or group.select(extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis').exists()).allTrue() | |
| comp-2 | error | Measure | Scoring is required. It must be specified on the root only, or on every group, and it cannot be on both. : (scoring.exists() and group.extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').empty()) xor (scoring.empty() and group.all(extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').exists())) | |
| comp-3 | error | Measure | Scoring unit may only be specified at the root if the scoring is also specified at the root : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoringUnit').exists() implies scoring.exists() | |
| comp-4 | error | Measure | If scoring is specified on the root and the scoring type is 'proportion','ratio', or 'continuous-variable' then the improvementNotation element is required on the root. : scoring.exists() and (scoring.coding.code in ('proportion' | 'ratio' | 'continuous-variable')) implies improvementNotation.exists() | |
| comp-5 | error | Measure | If type is specified at the root, it may not be specified on any group : type.exists() implies group.select(extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-type').exists()).allFalse() | |
| comp-6 | error | Measure | If riskAdjustment is specified at the root, it may not be specified on any group : riskAdjustment.exists() implies group.select(extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-riskAdjustment').exists()).allFalse() | |
| comp-7 | error | Measure | If rateAggregation is specified at the root, it may not be specified on any group : rateAggregation.exists() implies group.select(extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-rateAggregation').exists()).allFalse() | |
| comp-8 | error | Measure.group | Scoring unit may only be specified at the root if the scoring is also specified at the root : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoringUnit').exists() implies extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').exists() | |
| comp-9 | error | Measure.group | If scoring is specified on the group and the scoring type is 'proportion', 'ratio', or 'continuous-variable' then the improvementNotation element is required. : extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').exists() and extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring').value.coding.code in ('proportion' | 'ratio' | 'continuous-variable') implies extension('http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-improvementNotation').exists() | |
| 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()) | |
| popBasis-1 | error | Measure.extension:populationBasis, Measure.group.extension:populationBasis | If DataRequirement.type is present, it may only contain the elements 'profile' and 'codeFilter'. : value.exists() and value.is(DataRequirement) implies ( value.as(DataRequirement).type.exists() and value.as(DataRequirement).limit.empty() and value.as(DataRequirement).sort.empty() and value.as(DataRequirement).dateFilter.empty() and value.as(DataRequirement).subject.empty() and value.as(DataRequirement).mustSupport.empty()) |
This structure is derived from CQMComputableMeasure
Summary
Mandatory: 9 elements(1 nested mandatory element)
Must-Support: 14 elements
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Maturity: 4
Other representations of profile: CSV, Excel, Schematron
IG © 2019+ HL7 International / Clinical Quality Information. Package hl7.fhir.uv.cqm#1.0.0 based on FHIR 4.0.1. Generated 2025-08-27
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