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-publishablemeasure | Version: 1.0.0 | |||
Standards status: Trial-use | Maturity Level: 4 | Computable Name: CQMPublishableMeasure | ||
Other Identifiers: OID:2.16.840.1.113883.4.642.40.61.42.23 |
The CQM Publishable Measure profile defines the minimum expectations to enable appropriate content management, discovery, and utilization of published Quality Measures (QMs). 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: ![]() ![]() |
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C | 1..1 | CRMIPublishableMeasure | A quality measure definition Constraints: mea-0, mea-1 |
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?!Σ | 0..1 | uri | A set of rules under which this content was created |
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S | 1..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 |
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Content/Rules for all slices | |||
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S | 0..1 | string | Copyright holder and year(s) URL: http://hl7.org/fhir/StructureDefinition/artifact-copyrightLabel |
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0..1 | markdown | Extension URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-limitations | |
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0..1 | markdown | Extension URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-trendingIssues | |
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S | 0..* | (Complex) | Supplemental data guidance URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-supplementalDataGuidance |
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S | 0..* | (Complex) | Additional documentation, review, or usage guidance URL: http://hl7.org/fhir/StructureDefinition/cqf-artifactComment |
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S | 0..* | Reference(CRMI Software System Device) | Extension URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem |
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S | 0..1 | markdown | Explanation of improvement notation URL: http://hl7.org/fhir/StructureDefinition/cqf-improvementNotationGuidance |
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?! | 0..* | Extension | Extensions that cannot be ignored |
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SΣ | 3..* | Identifier | Additional identifier for the measure Slice: Unordered, Open by value:type |
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SΣ | 1..1 | Identifier | Measure guid |
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?!SΣ | 1..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official |
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SΣ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type | |
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0..1 | string | Version of the system - if relevant | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: version-independent | |
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0..1 | string | Representation defined by the system | |
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0..1 | boolean | If this coding was chosen directly by the user | |
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0..1 | string | Plain text representation of the concept | |
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SΣ | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986 |
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SΣ | 1..1 | string | The value that is unique Example General: 123456 |
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SΣ | 1..1 | Identifier | Measure version guid |
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?!SΣ | 1..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official |
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SΣ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type | |
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0..1 | string | Version of the system - if relevant | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: version-specific | |
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0..1 | string | Representation defined by the system | |
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0..1 | boolean | If this coding was chosen directly by the user | |
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0..1 | string | Plain text representation of the concept | |
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SΣ | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986 |
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SΣ | 1..1 | string | The value that is unique Example General: 123456 |
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SΣ | 1..1 | Identifier | Short name |
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?!SΣ | 1..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: usual |
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SΣ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type | |
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0..1 | string | Version of the system - if relevant | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: short-name | |
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0..1 | string | Representation defined by the system | |
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0..1 | boolean | If this coding was chosen directly by the user | |
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0..1 | string | Plain text representation of the concept | |
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SΣ | 1..1 | string | The value that is unique Example General: 123456 |
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SΣ | 0..* | Identifier | Endorser identifier |
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?!SΣ | 1..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official |
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SΣ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type | |
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0..1 | string | Version of the system - if relevant | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: endorser | |
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0..1 | string | Representation defined by the system | |
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0..1 | boolean | If this coding was chosen directly by the user | |
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0..1 | string | Plain text representation of the concept | |
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SΣ | 0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient |
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SΣ | 1..1 | string | The value that is unique Example General: 123456 |
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SΣ | 1..1 | Reference(Organization) | Organization that issued id (may be just text) |
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SΣ | 1..1 | string | Text alternative for the resource |
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SΣ | 0..* | Identifier | Publisher identifier |
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?!SΣ | 1..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official |
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SΣ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type | |
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0..1 | string | Version of the system - if relevant | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: publisher | |
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0..1 | string | Representation defined by the system | |
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0..1 | boolean | If this coding was chosen directly by the user | |
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0..1 | string | Plain text representation of the concept | |
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SΣ | 0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient |
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SΣ | 1..1 | string | The value that is unique Example General: 123456 |
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SΣ | 1..1 | Reference(Organization) | Organization that issued id (may be just text) |
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SΣ | 1..1 | string | Text alternative for the resource |
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SΣ | 1..1 | string | Name for this measure (human friendly) |
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?!Σ | 1..1 | code | draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact. |
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SΣ | 1..1 | dateTime | Date last changed |
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Σ | 1..1 | string | Name of the publisher (organization or individual) |
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SΣ | 1..* | ContactDetail | Contact details for the publisher |
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SΣ | 0..* | UsageContext | The context that the content is intended to support Slice: Unordered, Open by value:code |
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SΣ | 0..* | UsageContext | What venue? |
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SΣ | 1..1 | Coding | Type of context being specified Binding: UsageContextType (extensible): A code that specifies a type of context being specified by a usage context. Required Pattern: At least the following |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/usage-context-type | |
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0..1 | string | Version of the system - if relevant | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: venue | |
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0..1 | string | Representation defined by the system | |
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0..1 | boolean | If this coding was chosen directly by the user | |
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SΣ | 1..1 | CodeableConcept | Value that defines the context Binding: Intended Venue (extensible) |
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SΣ | 0..* | CodeableConcept | Intended jurisdiction for measure (if applicable) Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use. |
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S | 0..1 | markdown | Why this measure is defined |
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S | 0..1 | string | Allows measure developers to provide additional guidance so that implementers can more easily interpret and implement components of the measure. |
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S | 0..1 | markdown | Use and/or publishing restrictions |
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S | 0..1 | date | When the measure was approved by publisher |
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S | 0..1 | date | When the measure was last reviewed |
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SΣ | 0..1 | Period | When the measure is expected to be used |
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Content/Rules for all slices | |||
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S | 0..1 | dateTime | Date of first effective use URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-effectivePeriodAnchor |
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S | 0..1 | Duration | What reporting period is used URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-effectivePeriodDuration |
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S | 0..* | CodeableConcept | The category of the measure, such as Education, Treatment, Assessment, etc. Binding: DefinitionTopic (example): High-level categorization of the definition, used for searching, sorting, and filtering. |
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S | 0..* | ContactDetail | Who authored the content |
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S | 0..* | ContactDetail | Who edited the content |
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S | 0..* | ContactDetail | Who reviewed the content |
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S | 0..* | ContactDetail | Who endorsed the content |
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S | 0..* | RelatedArtifact | Additional documentation, citations, etc. Slice: Unordered, Open by value:type |
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Content/Rules for all slices | |||
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Σ | 1..1 | code | documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of Binding: RelatedArtifactType (required): The type of relationship to the related artifact. |
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SΣ | 0..1 | string | Brief description of the related artifact |
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SΣ | 0..1 | Attachment | What document is being referenced |
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SΣ | 0..1 | canonical(Resource) | What resource is being referenced |
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S | 0..1 | RelatedArtifact | Previous measure? |
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SΣ | 1..1 | code | documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of Binding: RelatedArtifactType (required): The type of relationship to the related artifact. Fixed Value: predecessor |
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SΣ | 0..1 | string | Brief description of the related artifact |
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SΣ | 0..1 | Attachment | What document is being referenced |
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SΣ | 1..1 | canonical(Measure) | What resource is being referenced |
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S | 0..* | RelatedArtifact | Reference/citation |
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Content/Rules for all slices | |||
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0..1 | boolean | Primary reference URL: http://hl7.org/fhir/StructureDefinition/cqf-isPrimaryCitation | |
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0..1 | code | Publication status of referenced artifact URL: http://hl7.org/fhir/StructureDefinition/cqf-publicationStatus Binding: PublicationStatus (required): The lifecycle status of a reference artifact | |
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0..1 | date | Publication date of referenced artifact URL: http://hl7.org/fhir/StructureDefinition/cqf-publicationDate | |
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SΣ | 1..1 | code | documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of Binding: RelatedArtifactType (required): The type of relationship to the related artifact. Fixed Value: citation |
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SΣ | 0..1 | string | Brief description of the related artifact |
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SΣ | 0..1 | Attachment | What document is being referenced |
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SΣ | 0..1 | canonical(Resource) | What resource is being referenced |
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S | 0..* | RelatedArtifact | URL or canonical reference to other resources that a measure is derived from |
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SΣ | 1..1 | code | documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of Binding: RelatedArtifactType (required): The type of relationship to the related artifact. Fixed Value: derived-from |
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Σ | 0..1 | string | Short label |
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SΣ | 0..1 | string | Brief description of the related artifact |
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Σ | 0..1 | url | Should be permalink otherwise include an "accessed date" |
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SΣ | 0..1 | Attachment | What document is being referenced |
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SΣ | 0..1 | canonical(Measure) | Should be permalink otherwise include an "accessed date" |
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SΣ | 0..1 | markdown | Disclaimer for use of the measure or its referenced content |
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SΣ | 0..* | CodeableConcept | process | outcome | structure | patient-reported-outcome | composite Binding: MeasureType (extensible) |
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SΣ | 0..1 | markdown | Justification for the measure in terms of impact, gap in care, and evidence. |
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Σ | 0..* | markdown | Defined terms used in the measure documentation |
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1..* | Extension | Extension Slice: Unordered, Open by value:url | |
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1..1 | (Complex) | Defined term URL: http://hl7.org/fhir/StructureDefinition/cqf-definitionTerm | |
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0..* | BackboneElement | Population criteria group | |
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Content/Rules for all slices | |||
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S | 0..1 | markdown | Explanation of improvement notation URL: http://hl7.org/fhir/StructureDefinition/cqf-improvementNotationGuidance |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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S | 0..* | BackboneElement | What other data should be reported with the measure |
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Content/Rules for all slices | |||
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S | 0..* | code | The type of report the element should be included in URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-includeInReportType Binding: MeasureReportType (required): The type of report the element should be included in |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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1..1 | Expression | Expression describing additional data to be reported | |
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Path | Conformance | ValueSet / Code | URI |
Measure.identifier:versionIndependentIdentifier.use | required | Fixed Value: officialhttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard | |
Measure.identifier:versionIndependentIdentifier.type | extensible | Pattern Value: version-independenthttp://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard | |
Measure.identifier:versionSpecificIdentifier.use | required | Fixed Value: officialhttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard | |
Measure.identifier:versionSpecificIdentifier.type | extensible | Pattern Value: version-specifichttp://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard | |
Measure.identifier:shortName.use | required | Fixed Value: usualhttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard | |
Measure.identifier:shortName.type | extensible | Pattern Value: short-namehttp://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard | |
Measure.identifier:endorserIdentifier.use | required | Fixed Value: officialhttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard | |
Measure.identifier:endorserIdentifier.type | extensible | Pattern Value: endorserhttp://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard | |
Measure.identifier:publisherIdentifier.use | required | Fixed Value: officialhttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard | |
Measure.identifier:publisherIdentifier.type | extensible | Pattern Value: publisherhttp://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard | |
Measure.status | required | PublicationStatushttp://hl7.org/fhir/ValueSet/publication-status|4.0.1 From the FHIR Standard | |
Measure.useContext:intendedVenue.code | extensible | Pattern Value: venuehttp://hl7.org/fhir/ValueSet/usage-context-type From the FHIR Standard | |
Measure.useContext:intendedVenue.value[x] | extensible | IntendedVenue(a valid code from Intended Venue Codes)http://hl7.org/fhir/uv/cqm/ValueSet/intended-venue From this IG | |
Measure.jurisdiction | extensible | Jurisdiction ValueSethttp://hl7.org/fhir/ValueSet/jurisdiction From the FHIR Standard | |
Measure.topic | example | DefinitionTopichttp://hl7.org/fhir/ValueSet/definition-topic From the FHIR Standard | |
Measure.relatedArtifact.type | required | RelatedArtifactTypehttp://hl7.org/fhir/ValueSet/related-artifact-type|4.0.1 From the FHIR Standard | |
Measure.relatedArtifact:predecessor.type | required | Fixed Value: predecessorhttp://hl7.org/fhir/ValueSet/related-artifact-type|4.0.1 From the FHIR Standard | |
Measure.relatedArtifact:citation.type | required | Fixed Value: citationhttp://hl7.org/fhir/ValueSet/related-artifact-type|4.0.1 From the FHIR Standard | |
Measure.relatedArtifact:derived-from.type | required | Fixed Value: derived-fromhttp://hl7.org/fhir/ValueSet/related-artifact-type|4.0.1 From the FHIR Standard | |
Measure.type | extensible | MeasureTypehttp://terminology.hl7.org/ValueSet/measure-type |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | Measure | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Measure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | Measure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Measure | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Measure | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
mea-0 | warning | Measure | Name should be usable as an identifier for the module by machine processing applications such as code generation : name.matches('[A-Z]([A-Za-z0-9_]){0,254}') | |
mea-1 | error | Measure | Stratifier SHALL be either a single criteria or a set of criteria components : group.stratifier.all((code | description | criteria).exists() xor component.exists()) |
This structure is derived from CRMIPublishableMeasure
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
---|---|---|---|---|
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1..1 | CRMIPublishableMeasure | A quality measure definition | |
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S | 1..1 | Narrative | Text summary of the resource, for human interpretation |
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Content/Rules for all slices | |||
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0..1 | markdown | Extension URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-limitations | |
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0..1 | markdown | Extension URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-trendingIssues | |
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S | 0..* | (Complex) | Supplemental data guidance URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-supplementalDataGuidance |
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S | 0..* | (Complex) | Additional documentation, review, or usage guidance URL: http://hl7.org/fhir/StructureDefinition/cqf-artifactComment |
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S | 0..* | Reference(CRMI Software System Device) | Extension URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem |
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S | 0..1 | markdown | Explanation of improvement notation URL: http://hl7.org/fhir/StructureDefinition/cqf-improvementNotationGuidance |
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S | 3..* | Identifier | Additional identifier for the measure Slice: Unordered, Open by value:type |
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S | 1..1 | Identifier | Measure guid |
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S | 1..1 | code | usual | official | temp | secondary | old (If known) Fixed Value: official |
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S | 1..1 | CodeableConcept | Description of identifier Required Pattern: At least the following |
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: version-independent | |
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S | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986 |
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S | 1..1 | string | The value that is unique |
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S | 1..1 | Identifier | Measure version guid |
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S | 1..1 | code | usual | official | temp | secondary | old (If known) Fixed Value: official |
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S | 1..1 | CodeableConcept | Description of identifier Required Pattern: At least the following |
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: version-specific | |
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S | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986 |
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S | 1..1 | string | The value that is unique |
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S | 1..1 | Identifier | Short name |
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S | 1..1 | code | usual | official | temp | secondary | old (If known) Fixed Value: usual |
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S | 1..1 | CodeableConcept | Description of identifier Required Pattern: At least the following |
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: short-name | |
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S | 1..1 | string | The value that is unique |
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S | 0..* | Identifier | Endorser identifier |
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S | 1..1 | code | usual | official | temp | secondary | old (If known) Fixed Value: official |
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S | 1..1 | CodeableConcept | Description of identifier Required Pattern: At least the following |
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: endorser | |
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S | 0..1 | uri | The namespace for the identifier value |
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S | 1..1 | string | The value that is unique |
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S | 1..1 | Reference(Organization) | Organization that issued id (may be just text) |
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S | 1..1 | string | Text alternative for the resource |
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S | 0..* | Identifier | Publisher identifier |
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S | 1..1 | code | usual | official | temp | secondary | old (If known) Fixed Value: official |
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S | 1..1 | CodeableConcept | Description of identifier Required Pattern: At least the following |
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: publisher | |
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S | 0..1 | uri | The namespace for the identifier value |
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S | 1..1 | string | The value that is unique |
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S | 1..1 | Reference(Organization) | Organization that issued id (may be just text) |
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S | 1..1 | string | Text alternative for the resource |
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S | 1..1 | string | Name for this measure (human friendly) |
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1..1 | code | draft | active | retired | unknown | |
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S | 1..1 | dateTime | Date last changed |
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1..1 | string | Name of the publisher (organization or individual) | |
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S | 1..* | ContactDetail | Contact details for the publisher |
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S | 0..* | UsageContext | The context that the content is intended to support Slice: Unordered, Open by value:code |
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S | 0..* | UsageContext | What venue? |
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S | 1..1 | Coding | Type of context being specified Required Pattern: At least the following |
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/usage-context-type | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: venue | |
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S | 1..1 | CodeableConcept | Value that defines the context Binding: Intended Venue (extensible) |
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S | 0..1 | markdown | Why this measure is defined |
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S | 0..1 | string | Allows measure developers to provide additional guidance so that implementers can more easily interpret and implement components of the measure. |
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S | 0..1 | markdown | Use and/or publishing restrictions |
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S | 0..1 | date | When the measure was approved by publisher |
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S | 0..1 | date | When the measure was last reviewed |
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S | 0..1 | Period | When the measure is expected to be used |
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Content/Rules for all slices | |||
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S | 0..1 | dateTime | Date of first effective use URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-effectivePeriodAnchor |
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S | 0..1 | Duration | What reporting period is used URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-effectivePeriodDuration |
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S | 0..* | CodeableConcept | The category of the measure, such as Education, Treatment, Assessment, etc. |
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S | 0..* | ContactDetail | Who authored the content |
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S | 0..* | ContactDetail | Who edited the content |
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S | 0..* | ContactDetail | Who reviewed the content |
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S | 0..* | ContactDetail | Who endorsed the content |
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S | 0..* | RelatedArtifact | Additional documentation, citations, etc. Slice: Unordered, Open by value:type |
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S | 0..1 | RelatedArtifact | Previous measure? |
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S | 1..1 | code | documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of Fixed Value: predecessor |
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S | 1..1 | canonical(Measure) | What resource is being referenced |
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S | 0..* | RelatedArtifact | Reference/citation |
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Content/Rules for all slices | |||
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0..1 | boolean | Primary reference URL: http://hl7.org/fhir/StructureDefinition/cqf-isPrimaryCitation | |
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0..1 | code | Publication status of referenced artifact URL: http://hl7.org/fhir/StructureDefinition/cqf-publicationStatus Binding: PublicationStatus (required): The lifecycle status of a reference artifact | |
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0..1 | date | Publication date of referenced artifact URL: http://hl7.org/fhir/StructureDefinition/cqf-publicationDate | |
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S | 1..1 | code | documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of Fixed Value: citation |
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S | 0..* | RelatedArtifact | URL or canonical reference to other resources that a measure is derived from |
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S | 1..1 | code | documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of Fixed Value: derived-from |
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0..1 | string | Short label | |
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0..1 | string | Brief description of the related artifact | |
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0..1 | url | Should be permalink otherwise include an "accessed date" | |
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0..1 | canonical(Measure) | Should be permalink otherwise include an "accessed date" | |
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S | 0..1 | markdown | Disclaimer for use of the measure or its referenced content |
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SΣ | 0..* | CodeableConcept | process | outcome | structure | patient-reported-outcome | composite Binding: MeasureType (extensible) |
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S | 0..1 | markdown | Justification for the measure in terms of impact, gap in care, and evidence. |
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0..* | markdown | Defined terms used in the measure documentation | |
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Content/Rules for all slices | |||
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1..1 | (Complex) | Defined term URL: http://hl7.org/fhir/StructureDefinition/cqf-definitionTerm | |
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0..0 | |||
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||||
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Content/Rules for all slices | |||
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S | 0..1 | markdown | Explanation of improvement notation URL: http://hl7.org/fhir/StructureDefinition/cqf-improvementNotationGuidance |
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S | 0..* | BackboneElement | What other data should be reported with the measure |
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Content/Rules for all slices | |||
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S | 0..* | code | The type of report the element should be included in URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-includeInReportType Binding: MeasureReportType (required): The type of report the element should be included in |
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Path | Conformance | ValueSet | URI |
Measure.useContext:intendedVenue.value[x] | extensible | IntendedVenue(a valid code from Intended Venue Codes)http://hl7.org/fhir/uv/cqm/ValueSet/intended-venue From this IG | |
Measure.type | extensible | MeasureTypehttp://terminology.hl7.org/ValueSet/measure-type |
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
---|---|---|---|---|---|---|---|---|
![]() ![]() |
C | 1..1 | CRMIPublishableMeasure | A quality measure definition Constraints: mea-0, mea-1 | ||||
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Σ | 0..1 | id | Logical id of this artifact | ||||
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Σ | 0..1 | Meta | Metadata about the resource | ||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
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0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
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S | 1..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 | ||||
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0..* | Resource | Contained, inline Resources | |||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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S | 0..1 | string | Copyright holder and year(s) URL: http://hl7.org/fhir/StructureDefinition/artifact-copyrightLabel | ||||
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0..1 | markdown | Extension URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-limitations | |||||
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0..1 | markdown | Extension URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-trendingIssues | |||||
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S | 0..* | (Complex) | Supplemental data guidance URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-supplementalDataGuidance | ||||
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S | 0..* | (Complex) | Additional documentation, review, or usage guidance URL: http://hl7.org/fhir/StructureDefinition/cqf-artifactComment | ||||
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S | 0..* | Reference(CRMI Software System Device) | Extension URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem | ||||
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S | 0..1 | markdown | Explanation of improvement notation URL: http://hl7.org/fhir/StructureDefinition/cqf-improvementNotationGuidance | ||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||
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Σ | 0..1 | uri | Canonical identifier for this measure, represented as a URI (globally unique) | ||||
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SΣ | 3..* | Identifier | Additional identifier for the measure Slice: Unordered, Open by value:type | ||||
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SΣ | 1..1 | Identifier | Measure guid | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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?!SΣ | 1..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official | ||||
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SΣ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type | |||||
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0..1 | string | Version of the system - if relevant | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: version-independent | |||||
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0..1 | string | Representation defined by the system | |||||
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0..1 | boolean | If this coding was chosen directly by the user | |||||
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0..1 | string | Plain text representation of the concept | |||||
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SΣ | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986 | ||||
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SΣ | 1..1 | string | The value that is unique Example General: 123456 | ||||
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Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
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Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
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SΣ | 1..1 | Identifier | Measure version guid | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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?!SΣ | 1..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official | ||||
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SΣ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type | |||||
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0..1 | string | Version of the system - if relevant | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: version-specific | |||||
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0..1 | string | Representation defined by the system | |||||
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0..1 | boolean | If this coding was chosen directly by the user | |||||
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0..1 | string | Plain text representation of the concept | |||||
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SΣ | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986 | ||||
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SΣ | 1..1 | string | The value that is unique Example General: 123456 | ||||
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Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
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Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
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SΣ | 1..1 | Identifier | Short name | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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?!SΣ | 1..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: usual | ||||
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SΣ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type | |||||
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0..1 | string | Version of the system - if relevant | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: short-name | |||||
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0..1 | string | Representation defined by the system | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | boolean | If this coding was chosen directly by the user | |||||
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0..1 | string | Plain text representation of the concept | |||||
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Σ | 0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | ||||
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SΣ | 1..1 | string | The value that is unique Example General: 123456 | ||||
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Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
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Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
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SΣ | 0..* | Identifier | Endorser identifier | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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?!SΣ | 1..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official | ||||
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SΣ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following | ||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type | |||||
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0..1 | string | Version of the system - if relevant | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: endorser | |||||
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0..1 | string | Representation defined by the system | |||||
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0..1 | boolean | If this coding was chosen directly by the user | |||||
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0..1 | string | Plain text representation of the concept | |||||
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SΣ | 0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | ||||
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SΣ | 1..1 | string | The value that is unique Example General: 123456 | ||||
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Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
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SΣ | 1..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
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Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
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Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
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SΣ | 1..1 | string | Text alternative for the resource | ||||
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SΣ | 0..* | Identifier | Publisher identifier | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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?!SΣ | 1..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official | ||||
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SΣ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type | |||||
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0..1 | string | Version of the system - if relevant | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: publisher | |||||
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0..1 | string | Representation defined by the system | |||||
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0..1 | boolean | If this coding was chosen directly by the user | |||||
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0..1 | string | Plain text representation of the concept | |||||
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SΣ | 0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | ||||
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SΣ | 1..1 | string | The value that is unique Example General: 123456 | ||||
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Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
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SΣ | 1..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
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Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
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Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
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SΣ | 1..1 | string | Text alternative for the resource | ||||
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Σ | 0..1 | string | Business version of the measure | ||||
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ΣC | 0..1 | string | Name for this measure (computer friendly) | ||||
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SΣ | 1..1 | string | Name for this measure (human friendly) | ||||
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0..1 | string | Subordinate title of the measure | |||||
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?!Σ | 1..1 | code | draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact. | ||||
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Σ | 0..1 | boolean | For testing purposes, not real usage | ||||
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0..1 | E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device Binding: SubjectType (extensible): The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization, Location, etc.). | ||||||
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CodeableConcept | |||||||
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Reference(Group) | |||||||
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SΣ | 1..1 | dateTime | Date last changed | ||||
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Σ | 1..1 | string | Name of the publisher (organization or individual) | ||||
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SΣ | 1..* | ContactDetail | Contact details for the publisher | ||||
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Σ | 0..1 | markdown | Natural language description of the measure | ||||
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SΣ | 0..* | UsageContext | The context that the content is intended to support Slice: Unordered, Open by value:code | ||||
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SΣ | 0..* | UsageContext | What venue? | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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SΣ | 1..1 | Coding | Type of context being specified Binding: UsageContextType (extensible): A code that specifies a type of context being specified by a usage context. Required Pattern: At least the following | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/usage-context-type | |||||
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0..1 | string | Version of the system - if relevant | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: venue | |||||
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0..1 | string | Representation defined by the system | |||||
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0..1 | boolean | If this coding was chosen directly by the user | |||||
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SΣ | 1..1 | CodeableConcept | Value that defines the context Binding: Intended Venue (extensible) | ||||
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SΣ | 0..* | CodeableConcept | Intended jurisdiction for measure (if applicable) Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use. | ||||
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S | 0..1 | markdown | Why this measure is defined | ||||
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S | 0..1 | string | Allows measure developers to provide additional guidance so that implementers can more easily interpret and implement components of the measure. | ||||
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S | 0..1 | markdown | Use and/or publishing restrictions | ||||
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S | 0..1 | date | When the measure was approved by publisher | ||||
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S | 0..1 | date | When the measure was last reviewed | ||||
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SΣ | 0..1 | Period | When the measure is expected to be used | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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S | 0..1 | dateTime | Date of first effective use URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-effectivePeriodAnchor | ||||
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S | 0..1 | Duration | What reporting period is used URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-effectivePeriodDuration | ||||
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ΣC | 0..1 | dateTime | Starting time with inclusive boundary | ||||
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ΣC | 0..1 | dateTime | End time with inclusive boundary, if not ongoing | ||||
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S | 0..* | CodeableConcept | The category of the measure, such as Education, Treatment, Assessment, etc. Binding: DefinitionTopic (example): High-level categorization of the definition, used for searching, sorting, and filtering. | ||||
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S | 0..* | ContactDetail | Who authored the content | ||||
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S | 0..* | ContactDetail | Who edited the content | ||||
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S | 0..* | ContactDetail | Who reviewed the content | ||||
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S | 0..* | ContactDetail | Who endorsed the content | ||||
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S | 0..* | RelatedArtifact | Additional documentation, citations, etc. Slice: Unordered, Open by value:type | ||||
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Content/Rules for all slices | |||||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 1..1 | code | documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of Binding: RelatedArtifactType (required): The type of relationship to the related artifact. | ||||
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Σ | 0..1 | string | Short label | ||||
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SΣ | 0..1 | string | Brief description of the related artifact | ||||
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Σ | 0..1 | markdown | Bibliographic citation for the artifact | ||||
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Σ | 0..1 | url | Where the artifact can be accessed | ||||
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SΣ | 0..1 | Attachment | What document is being referenced | ||||
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SΣ | 0..1 | canonical(Resource) | What resource is being referenced | ||||
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S | 0..1 | RelatedArtifact | Previous measure? | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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SΣ | 1..1 | code | documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of Binding: RelatedArtifactType (required): The type of relationship to the related artifact. Fixed Value: predecessor | ||||
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Σ | 0..1 | string | Short label | ||||
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SΣ | 0..1 | string | Brief description of the related artifact | ||||
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Σ | 0..1 | markdown | Bibliographic citation for the artifact | ||||
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Σ | 0..1 | url | Where the artifact can be accessed | ||||
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SΣ | 0..1 | Attachment | What document is being referenced | ||||
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SΣ | 1..1 | canonical(Measure) | What resource is being referenced | ||||
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S | 0..* | RelatedArtifact | Reference/citation | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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0..1 | boolean | Primary reference URL: http://hl7.org/fhir/StructureDefinition/cqf-isPrimaryCitation | |||||
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0..1 | code | Publication status of referenced artifact URL: http://hl7.org/fhir/StructureDefinition/cqf-publicationStatus Binding: PublicationStatus (required): The lifecycle status of a reference artifact | |||||
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0..1 | date | Publication date of referenced artifact URL: http://hl7.org/fhir/StructureDefinition/cqf-publicationDate | |||||
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SΣ | 1..1 | code | documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of Binding: RelatedArtifactType (required): The type of relationship to the related artifact. Fixed Value: citation | ||||
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Σ | 0..1 | string | Short label | ||||
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SΣ | 0..1 | string | Brief description of the related artifact | ||||
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Σ | 0..1 | markdown | Bibliographic citation for the artifact | ||||
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Σ | 0..1 | url | Where the artifact can be accessed | ||||
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SΣ | 0..1 | Attachment | What document is being referenced | ||||
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SΣ | 0..1 | canonical(Resource) | What resource is being referenced | ||||
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S | 0..* | RelatedArtifact | URL or canonical reference to other resources that a measure is derived from | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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SΣ | 1..1 | code | documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of Binding: RelatedArtifactType (required): The type of relationship to the related artifact. Fixed Value: derived-from | ||||
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Σ | 0..1 | string | Short label | ||||
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SΣ | 0..1 | string | Brief description of the related artifact | ||||
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Σ | 0..1 | markdown | Bibliographic citation for the artifact | ||||
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Σ | 0..1 | url | Should be permalink otherwise include an "accessed date" | ||||
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SΣ | 0..1 | Attachment | What document is being referenced | ||||
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SΣ | 0..1 | canonical(Measure) | Should be permalink otherwise include an "accessed date" | ||||
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0..* | canonical(Library) | Logic used by the measure | |||||
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SΣ | 0..1 | markdown | Disclaimer for use of the measure or its referenced content | ||||
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Σ | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort Binding: MeasureScoring (extensible): The scoring type of the measure. | ||||
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Σ | 0..1 | CodeableConcept | opportunity | all-or-nothing | linear | weighted Binding: CompositeMeasureScoring (extensible): The composite scoring method of the measure. | ||||
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SΣ | 0..* | CodeableConcept | process | outcome | structure | patient-reported-outcome | composite Binding: MeasureType (extensible) | ||||
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Σ | 0..1 | string | How risk adjustment is applied for this measure | ||||
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Σ | 0..1 | string | How is rate aggregation performed for this measure | ||||
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SΣ | 0..1 | markdown | Justification for the measure in terms of impact, gap in care, and evidence. | ||||
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Σ | 0..1 | markdown | Summary of clinical guidelines | ||||
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Σ | 0..1 | CodeableConcept | increase | decrease Binding: MeasureImprovementNotation (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue. | ||||
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Σ | 0..* | markdown | Defined terms used in the measure documentation | ||||
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0..1 | string | xml:id (or equivalent in JSON) | |||||
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1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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1..1 | (Complex) | Defined term URL: http://hl7.org/fhir/StructureDefinition/cqf-definitionTerm | |||||
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0..1 | string | Primitive value for markdown | |||||
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0..* | BackboneElement | Population criteria group | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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S | 0..1 | markdown | Explanation of improvement notation URL: http://hl7.org/fhir/StructureDefinition/cqf-improvementNotationGuidance | ||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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0..1 | CodeableConcept | Meaning of the group | |||||
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0..1 | string | Summary description | |||||
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0..* | BackboneElement | Population criteria | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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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. | |||||
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0..1 | string | The human readable description of this population criteria | |||||
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1..1 | Expression | The criteria that defines this population | |||||
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0..* | BackboneElement | Stratifier criteria for the measure | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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0..1 | CodeableConcept | Meaning of the stratifier | |||||
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0..1 | string | The human readable description of this stratifier | |||||
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0..1 | Expression | How the measure should be stratified | |||||
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0..* | BackboneElement | Stratifier criteria component for the measure | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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0..1 | CodeableConcept | Meaning of the stratifier component | |||||
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0..1 | string | The human readable description of this stratifier component | |||||
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1..1 | Expression | Component of how the measure should be stratified | |||||
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S | 0..* | BackboneElement | What other data should be reported with the measure | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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S | 0..* | code | The type of report the element should be included in URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-includeInReportType Binding: MeasureReportType (required): The type of report the element should be included in | ||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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0..1 | CodeableConcept | Meaning of the supplemental data | |||||
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0..* | CodeableConcept | supplemental-data | risk-adjustment-factor Binding: MeasureDataUsage (extensible): The intended usage for supplemental data elements in the measure. | |||||
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0..1 | string | The human readable description of this supplemental data | |||||
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1..1 | Expression | Expression describing additional data to be reported | |||||
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Path | Conformance | ValueSet / Code | URI | |||
Measure.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages From the FHIR Standard
| ||||
Measure.identifier:versionIndependentIdentifier.use | required | Fixed Value: officialhttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard | ||||
Measure.identifier:versionIndependentIdentifier.type | extensible | Pattern Value: version-independenthttp://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard | ||||
Measure.identifier:versionSpecificIdentifier.use | required | Fixed Value: officialhttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard | ||||
Measure.identifier:versionSpecificIdentifier.type | extensible | Pattern Value: version-specifichttp://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard | ||||
Measure.identifier:shortName.use | required | Fixed Value: usualhttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard | ||||
Measure.identifier:shortName.type | extensible | Pattern Value: short-namehttp://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard | ||||
Measure.identifier:endorserIdentifier.use | required | Fixed Value: officialhttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard | ||||
Measure.identifier:endorserIdentifier.type | extensible | Pattern Value: endorserhttp://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard | ||||
Measure.identifier:endorserIdentifier.assigner.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard | ||||
Measure.identifier:publisherIdentifier.use | required | Fixed Value: officialhttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard | ||||
Measure.identifier:publisherIdentifier.type | extensible | Pattern Value: publisherhttp://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard | ||||
Measure.identifier:publisherIdentifier.assigner.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard | ||||
Measure.status | required | PublicationStatushttp://hl7.org/fhir/ValueSet/publication-status|4.0.1 From the FHIR Standard | ||||
Measure.subject[x] | extensible | SubjectTypehttp://hl7.org/fhir/ValueSet/subject-type From the FHIR Standard | ||||
Measure.useContext:intendedVenue.code | extensible | Pattern Value: venuehttp://hl7.org/fhir/ValueSet/usage-context-type From the FHIR Standard | ||||
Measure.useContext:intendedVenue.value[x] | extensible | IntendedVenue(a valid code from Intended Venue Codes)http://hl7.org/fhir/uv/cqm/ValueSet/intended-venue From this IG | ||||
Measure.jurisdiction | extensible | Jurisdiction ValueSethttp://hl7.org/fhir/ValueSet/jurisdiction From the FHIR Standard | ||||
Measure.topic | example | DefinitionTopichttp://hl7.org/fhir/ValueSet/definition-topic From the FHIR Standard | ||||
Measure.relatedArtifact.type | required | RelatedArtifactTypehttp://hl7.org/fhir/ValueSet/related-artifact-type|4.0.1 From the FHIR Standard | ||||
Measure.relatedArtifact:predecessor.type | required | Fixed Value: predecessorhttp://hl7.org/fhir/ValueSet/related-artifact-type|4.0.1 From the FHIR Standard | ||||
Measure.relatedArtifact:citation.type | required | Fixed Value: citationhttp://hl7.org/fhir/ValueSet/related-artifact-type|4.0.1 From the FHIR Standard | ||||
Measure.relatedArtifact:derived-from.type | required | Fixed Value: derived-fromhttp://hl7.org/fhir/ValueSet/related-artifact-type|4.0.1 From the FHIR Standard | ||||
Measure.scoring | extensible | MeasureScoringhttp://hl7.org/fhir/ValueSet/measure-scoring From the FHIR Standard | ||||
Measure.compositeScoring | extensible | CompositeMeasureScoringhttp://hl7.org/fhir/ValueSet/composite-measure-scoring From the FHIR Standard | ||||
Measure.type | extensible | MeasureTypehttp://terminology.hl7.org/ValueSet/measure-type | ||||
Measure.improvementNotation | required | MeasureImprovementNotationhttp://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.1 From the FHIR Standard | ||||
Measure.group.population.code | extensible | MeasurePopulationTypehttp://hl7.org/fhir/ValueSet/measure-population From the FHIR Standard | ||||
Measure.supplementalData.usage | extensible | MeasureDataUsagehttp://hl7.org/fhir/ValueSet/measure-data-usage From the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | Measure | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Measure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | Measure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Measure | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Measure | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
mea-0 | warning | Measure | Name should be usable as an identifier for the module by machine processing applications such as code generation : name.matches('[A-Z]([A-Za-z0-9_]){0,254}') | |
mea-1 | error | Measure | Stratifier SHALL be either a single criteria or a set of criteria components : group.stratifier.all((code | description | criteria).exists() xor component.exists()) |
This structure is derived from CRMIPublishableMeasure
Summary
Mandatory: 20 elements(17 nested mandatory elements)
Must-Support: 68 elements
Fixed: 10 elements
Prohibited: 1 element
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: ![]() ![]() |
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C | 1..1 | CRMIPublishableMeasure | A quality measure definition Constraints: mea-0, mea-1 |
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?!Σ | 0..1 | uri | A set of rules under which this content was created |
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S | 1..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 |
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Content/Rules for all slices | |||
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S | 0..1 | string | Copyright holder and year(s) URL: http://hl7.org/fhir/StructureDefinition/artifact-copyrightLabel |
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0..1 | markdown | Extension URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-limitations | |
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0..1 | markdown | Extension URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-trendingIssues | |
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S | 0..* | (Complex) | Supplemental data guidance URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-supplementalDataGuidance |
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S | 0..* | (Complex) | Additional documentation, review, or usage guidance URL: http://hl7.org/fhir/StructureDefinition/cqf-artifactComment |
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S | 0..* | Reference(CRMI Software System Device) | Extension URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem |
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S | 0..1 | markdown | Explanation of improvement notation URL: http://hl7.org/fhir/StructureDefinition/cqf-improvementNotationGuidance |
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?! | 0..* | Extension | Extensions that cannot be ignored |
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SΣ | 3..* | Identifier | Additional identifier for the measure Slice: Unordered, Open by value:type |
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SΣ | 1..1 | Identifier | Measure guid |
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?!SΣ | 1..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official |
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SΣ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type | |
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0..1 | string | Version of the system - if relevant | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: version-independent | |
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0..1 | string | Representation defined by the system | |
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0..1 | boolean | If this coding was chosen directly by the user | |
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0..1 | string | Plain text representation of the concept | |
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SΣ | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986 |
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SΣ | 1..1 | string | The value that is unique Example General: 123456 |
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SΣ | 1..1 | Identifier | Measure version guid |
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?!SΣ | 1..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official |
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SΣ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type | |
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0..1 | string | Version of the system - if relevant | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: version-specific | |
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0..1 | string | Representation defined by the system | |
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0..1 | boolean | If this coding was chosen directly by the user | |
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0..1 | string | Plain text representation of the concept | |
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SΣ | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986 |
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SΣ | 1..1 | string | The value that is unique Example General: 123456 |
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SΣ | 1..1 | Identifier | Short name |
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?!SΣ | 1..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: usual |
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SΣ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type | |
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0..1 | string | Version of the system - if relevant | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: short-name | |
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0..1 | string | Representation defined by the system | |
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0..1 | boolean | If this coding was chosen directly by the user | |
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0..1 | string | Plain text representation of the concept | |
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SΣ | 1..1 | string | The value that is unique Example General: 123456 |
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SΣ | 0..* | Identifier | Endorser identifier |
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?!SΣ | 1..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official |
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SΣ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type | |
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0..1 | string | Version of the system - if relevant | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: endorser | |
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0..1 | string | Representation defined by the system | |
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0..1 | boolean | If this coding was chosen directly by the user | |
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0..1 | string | Plain text representation of the concept | |
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SΣ | 0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient |
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SΣ | 1..1 | string | The value that is unique Example General: 123456 |
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SΣ | 1..1 | Reference(Organization) | Organization that issued id (may be just text) |
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SΣ | 1..1 | string | Text alternative for the resource |
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SΣ | 0..* | Identifier | Publisher identifier |
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?!SΣ | 1..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official |
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SΣ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type | |
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0..1 | string | Version of the system - if relevant | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: publisher | |
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0..1 | string | Representation defined by the system | |
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0..1 | boolean | If this coding was chosen directly by the user | |
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0..1 | string | Plain text representation of the concept | |
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SΣ | 0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient |
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SΣ | 1..1 | string | The value that is unique Example General: 123456 |
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SΣ | 1..1 | Reference(Organization) | Organization that issued id (may be just text) |
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SΣ | 1..1 | string | Text alternative for the resource |
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SΣ | 1..1 | string | Name for this measure (human friendly) |
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?!Σ | 1..1 | code | draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact. |
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SΣ | 1..1 | dateTime | Date last changed |
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Σ | 1..1 | string | Name of the publisher (organization or individual) |
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SΣ | 1..* | ContactDetail | Contact details for the publisher |
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SΣ | 0..* | UsageContext | The context that the content is intended to support Slice: Unordered, Open by value:code |
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SΣ | 0..* | UsageContext | What venue? |
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SΣ | 1..1 | Coding | Type of context being specified Binding: UsageContextType (extensible): A code that specifies a type of context being specified by a usage context. Required Pattern: At least the following |
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0..1 | string | Unique id for inter-element referencing | |
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0..* | Extension | Additional content defined by implementations | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/usage-context-type | |
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0..1 | string | Version of the system - if relevant | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: venue | |
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0..1 | string | Representation defined by the system | |
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0..1 | boolean | If this coding was chosen directly by the user | |
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SΣ | 1..1 | CodeableConcept | Value that defines the context Binding: Intended Venue (extensible) |
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SΣ | 0..* | CodeableConcept | Intended jurisdiction for measure (if applicable) Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use. |
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S | 0..1 | markdown | Why this measure is defined |
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S | 0..1 | string | Allows measure developers to provide additional guidance so that implementers can more easily interpret and implement components of the measure. |
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S | 0..1 | markdown | Use and/or publishing restrictions |
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S | 0..1 | date | When the measure was approved by publisher |
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S | 0..1 | date | When the measure was last reviewed |
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SΣ | 0..1 | Period | When the measure is expected to be used |
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Content/Rules for all slices | |||
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S | 0..1 | dateTime | Date of first effective use URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-effectivePeriodAnchor |
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S | 0..1 | Duration | What reporting period is used URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-effectivePeriodDuration |
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S | 0..* | CodeableConcept | The category of the measure, such as Education, Treatment, Assessment, etc. Binding: DefinitionTopic (example): High-level categorization of the definition, used for searching, sorting, and filtering. |
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S | 0..* | ContactDetail | Who authored the content |
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S | 0..* | ContactDetail | Who edited the content |
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S | 0..* | ContactDetail | Who reviewed the content |
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S | 0..* | ContactDetail | Who endorsed the content |
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S | 0..* | RelatedArtifact | Additional documentation, citations, etc. Slice: Unordered, Open by value:type |
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Content/Rules for all slices | |||
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Σ | 1..1 | code | documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of Binding: RelatedArtifactType (required): The type of relationship to the related artifact. |
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SΣ | 0..1 | string | Brief description of the related artifact |
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SΣ | 0..1 | Attachment | What document is being referenced |
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SΣ | 0..1 | canonical(Resource) | What resource is being referenced |
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S | 0..1 | RelatedArtifact | Previous measure? |
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SΣ | 1..1 | code | documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of Binding: RelatedArtifactType (required): The type of relationship to the related artifact. Fixed Value: predecessor |
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SΣ | 0..1 | string | Brief description of the related artifact |
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SΣ | 0..1 | Attachment | What document is being referenced |
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SΣ | 1..1 | canonical(Measure) | What resource is being referenced |
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S | 0..* | RelatedArtifact | Reference/citation |
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Content/Rules for all slices | |||
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0..1 | boolean | Primary reference URL: http://hl7.org/fhir/StructureDefinition/cqf-isPrimaryCitation | |
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0..1 | code | Publication status of referenced artifact URL: http://hl7.org/fhir/StructureDefinition/cqf-publicationStatus Binding: PublicationStatus (required): The lifecycle status of a reference artifact | |
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0..1 | date | Publication date of referenced artifact URL: http://hl7.org/fhir/StructureDefinition/cqf-publicationDate | |
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SΣ | 1..1 | code | documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of Binding: RelatedArtifactType (required): The type of relationship to the related artifact. Fixed Value: citation |
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SΣ | 0..1 | string | Brief description of the related artifact |
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SΣ | 0..1 | Attachment | What document is being referenced |
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SΣ | 0..1 | canonical(Resource) | What resource is being referenced |
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S | 0..* | RelatedArtifact | URL or canonical reference to other resources that a measure is derived from |
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SΣ | 1..1 | code | documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of Binding: RelatedArtifactType (required): The type of relationship to the related artifact. Fixed Value: derived-from |
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Σ | 0..1 | string | Short label |
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SΣ | 0..1 | string | Brief description of the related artifact |
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Σ | 0..1 | url | Should be permalink otherwise include an "accessed date" |
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SΣ | 0..1 | Attachment | What document is being referenced |
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SΣ | 0..1 | canonical(Measure) | Should be permalink otherwise include an "accessed date" |
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SΣ | 0..1 | markdown | Disclaimer for use of the measure or its referenced content |
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SΣ | 0..* | CodeableConcept | process | outcome | structure | patient-reported-outcome | composite Binding: MeasureType (extensible) |
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SΣ | 0..1 | markdown | Justification for the measure in terms of impact, gap in care, and evidence. |
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Σ | 0..* | markdown | Defined terms used in the measure documentation |
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1..* | Extension | Extension Slice: Unordered, Open by value:url | |
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1..1 | (Complex) | Defined term URL: http://hl7.org/fhir/StructureDefinition/cqf-definitionTerm | |
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0..* | BackboneElement | Population criteria group | |
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Content/Rules for all slices | |||
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S | 0..1 | markdown | Explanation of improvement notation URL: http://hl7.org/fhir/StructureDefinition/cqf-improvementNotationGuidance |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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S | 0..* | BackboneElement | What other data should be reported with the measure |
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Content/Rules for all slices | |||
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S | 0..* | code | The type of report the element should be included in URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-includeInReportType Binding: MeasureReportType (required): The type of report the element should be included in |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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1..1 | Expression | Expression describing additional data to be reported | |
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Path | Conformance | ValueSet / Code | URI |
Measure.identifier:versionIndependentIdentifier.use | required | Fixed Value: officialhttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard | |
Measure.identifier:versionIndependentIdentifier.type | extensible | Pattern Value: version-independenthttp://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard | |
Measure.identifier:versionSpecificIdentifier.use | required | Fixed Value: officialhttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard | |
Measure.identifier:versionSpecificIdentifier.type | extensible | Pattern Value: version-specifichttp://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard | |
Measure.identifier:shortName.use | required | Fixed Value: usualhttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard | |
Measure.identifier:shortName.type | extensible | Pattern Value: short-namehttp://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard | |
Measure.identifier:endorserIdentifier.use | required | Fixed Value: officialhttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard | |
Measure.identifier:endorserIdentifier.type | extensible | Pattern Value: endorserhttp://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard | |
Measure.identifier:publisherIdentifier.use | required | Fixed Value: officialhttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard | |
Measure.identifier:publisherIdentifier.type | extensible | Pattern Value: publisherhttp://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard | |
Measure.status | required | PublicationStatushttp://hl7.org/fhir/ValueSet/publication-status|4.0.1 From the FHIR Standard | |
Measure.useContext:intendedVenue.code | extensible | Pattern Value: venuehttp://hl7.org/fhir/ValueSet/usage-context-type From the FHIR Standard | |
Measure.useContext:intendedVenue.value[x] | extensible | IntendedVenue(a valid code from Intended Venue Codes)http://hl7.org/fhir/uv/cqm/ValueSet/intended-venue From this IG | |
Measure.jurisdiction | extensible | Jurisdiction ValueSethttp://hl7.org/fhir/ValueSet/jurisdiction From the FHIR Standard | |
Measure.topic | example | DefinitionTopichttp://hl7.org/fhir/ValueSet/definition-topic From the FHIR Standard | |
Measure.relatedArtifact.type | required | RelatedArtifactTypehttp://hl7.org/fhir/ValueSet/related-artifact-type|4.0.1 From the FHIR Standard | |
Measure.relatedArtifact:predecessor.type | required | Fixed Value: predecessorhttp://hl7.org/fhir/ValueSet/related-artifact-type|4.0.1 From the FHIR Standard | |
Measure.relatedArtifact:citation.type | required | Fixed Value: citationhttp://hl7.org/fhir/ValueSet/related-artifact-type|4.0.1 From the FHIR Standard | |
Measure.relatedArtifact:derived-from.type | required | Fixed Value: derived-fromhttp://hl7.org/fhir/ValueSet/related-artifact-type|4.0.1 From the FHIR Standard | |
Measure.type | extensible | MeasureTypehttp://terminology.hl7.org/ValueSet/measure-type |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | Measure | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Measure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | Measure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Measure | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Measure | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
mea-0 | warning | Measure | Name should be usable as an identifier for the module by machine processing applications such as code generation : name.matches('[A-Z]([A-Za-z0-9_]){0,254}') | |
mea-1 | error | Measure | Stratifier SHALL be either a single criteria or a set of criteria components : group.stratifier.all((code | description | criteria).exists() xor component.exists()) |
Differential View
This structure is derived from CRMIPublishableMeasure
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
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1..1 | CRMIPublishableMeasure | A quality measure definition | |
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S | 1..1 | Narrative | Text summary of the resource, for human interpretation |
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Content/Rules for all slices | |||
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0..1 | markdown | Extension URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-limitations | |
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0..1 | markdown | Extension URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-trendingIssues | |
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S | 0..* | (Complex) | Supplemental data guidance URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-supplementalDataGuidance |
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S | 0..* | (Complex) | Additional documentation, review, or usage guidance URL: http://hl7.org/fhir/StructureDefinition/cqf-artifactComment |
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S | 0..* | Reference(CRMI Software System Device) | Extension URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem |
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S | 0..1 | markdown | Explanation of improvement notation URL: http://hl7.org/fhir/StructureDefinition/cqf-improvementNotationGuidance |
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S | 3..* | Identifier | Additional identifier for the measure Slice: Unordered, Open by value:type |
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S | 1..1 | Identifier | Measure guid |
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S | 1..1 | code | usual | official | temp | secondary | old (If known) Fixed Value: official |
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S | 1..1 | CodeableConcept | Description of identifier Required Pattern: At least the following |
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: version-independent | |
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S | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986 |
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S | 1..1 | string | The value that is unique |
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S | 1..1 | Identifier | Measure version guid |
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S | 1..1 | code | usual | official | temp | secondary | old (If known) Fixed Value: official |
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S | 1..1 | CodeableConcept | Description of identifier Required Pattern: At least the following |
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: version-specific | |
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S | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986 |
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S | 1..1 | string | The value that is unique |
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S | 1..1 | Identifier | Short name |
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S | 1..1 | code | usual | official | temp | secondary | old (If known) Fixed Value: usual |
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S | 1..1 | CodeableConcept | Description of identifier Required Pattern: At least the following |
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: short-name | |
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S | 1..1 | string | The value that is unique |
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S | 0..* | Identifier | Endorser identifier |
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S | 1..1 | code | usual | official | temp | secondary | old (If known) Fixed Value: official |
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S | 1..1 | CodeableConcept | Description of identifier Required Pattern: At least the following |
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: endorser | |
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S | 0..1 | uri | The namespace for the identifier value |
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S | 1..1 | string | The value that is unique |
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S | 1..1 | Reference(Organization) | Organization that issued id (may be just text) |
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S | 1..1 | string | Text alternative for the resource |
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S | 0..* | Identifier | Publisher identifier |
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S | 1..1 | code | usual | official | temp | secondary | old (If known) Fixed Value: official |
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S | 1..1 | CodeableConcept | Description of identifier Required Pattern: At least the following |
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: publisher | |
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S | 0..1 | uri | The namespace for the identifier value |
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S | 1..1 | string | The value that is unique |
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S | 1..1 | Reference(Organization) | Organization that issued id (may be just text) |
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S | 1..1 | string | Text alternative for the resource |
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S | 1..1 | string | Name for this measure (human friendly) |
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1..1 | code | draft | active | retired | unknown | |
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S | 1..1 | dateTime | Date last changed |
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1..1 | string | Name of the publisher (organization or individual) | |
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S | 1..* | ContactDetail | Contact details for the publisher |
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S | 0..* | UsageContext | The context that the content is intended to support Slice: Unordered, Open by value:code |
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S | 0..* | UsageContext | What venue? |
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S | 1..1 | Coding | Type of context being specified Required Pattern: At least the following |
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/usage-context-type | |
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1..1 | code | Symbol in syntax defined by the system Fixed Value: venue | |
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S | 1..1 | CodeableConcept | Value that defines the context Binding: Intended Venue (extensible) |
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S | 0..1 | markdown | Why this measure is defined |
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S | 0..1 | string | Allows measure developers to provide additional guidance so that implementers can more easily interpret and implement components of the measure. |
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S | 0..1 | markdown | Use and/or publishing restrictions |
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S | 0..1 | date | When the measure was approved by publisher |
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S | 0..1 | date | When the measure was last reviewed |
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S | 0..1 | Period | When the measure is expected to be used |
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Content/Rules for all slices | |||
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S | 0..1 | dateTime | Date of first effective use URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-effectivePeriodAnchor |
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S | 0..1 | Duration | What reporting period is used URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-effectivePeriodDuration |
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S | 0..* | CodeableConcept | The category of the measure, such as Education, Treatment, Assessment, etc. |
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S | 0..* | ContactDetail | Who authored the content |
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S | 0..* | ContactDetail | Who edited the content |
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S | 0..* | ContactDetail | Who reviewed the content |
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S | 0..* | ContactDetail | Who endorsed the content |
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S | 0..* | RelatedArtifact | Additional documentation, citations, etc. Slice: Unordered, Open by value:type |
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S | 0..1 | RelatedArtifact | Previous measure? |
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S | 1..1 | code | documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of Fixed Value: predecessor |
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S | 1..1 | canonical(Measure) | What resource is being referenced |
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S | 0..* | RelatedArtifact | Reference/citation |
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Content/Rules for all slices | |||
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0..1 | boolean | Primary reference URL: http://hl7.org/fhir/StructureDefinition/cqf-isPrimaryCitation | |
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0..1 | code | Publication status of referenced artifact URL: http://hl7.org/fhir/StructureDefinition/cqf-publicationStatus Binding: PublicationStatus (required): The lifecycle status of a reference artifact | |
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0..1 | date | Publication date of referenced artifact URL: http://hl7.org/fhir/StructureDefinition/cqf-publicationDate | |
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S | 1..1 | code | documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of Fixed Value: citation |
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S | 0..* | RelatedArtifact | URL or canonical reference to other resources that a measure is derived from |
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S | 1..1 | code | documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of Fixed Value: derived-from |
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0..1 | string | Short label | |
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0..1 | string | Brief description of the related artifact | |
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0..1 | url | Should be permalink otherwise include an "accessed date" | |
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0..1 | canonical(Measure) | Should be permalink otherwise include an "accessed date" | |
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S | 0..1 | markdown | Disclaimer for use of the measure or its referenced content |
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SΣ | 0..* | CodeableConcept | process | outcome | structure | patient-reported-outcome | composite Binding: MeasureType (extensible) |
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S | 0..1 | markdown | Justification for the measure in terms of impact, gap in care, and evidence. |
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0..* | markdown | Defined terms used in the measure documentation | |
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Content/Rules for all slices | |||
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1..1 | (Complex) | Defined term URL: http://hl7.org/fhir/StructureDefinition/cqf-definitionTerm | |
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0..0 | |||
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Content/Rules for all slices | |||
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S | 0..1 | markdown | Explanation of improvement notation URL: http://hl7.org/fhir/StructureDefinition/cqf-improvementNotationGuidance |
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S | 0..* | BackboneElement | What other data should be reported with the measure |
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Content/Rules for all slices | |||
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S | 0..* | code | The type of report the element should be included in URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-includeInReportType Binding: MeasureReportType (required): The type of report the element should be included in |
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Path | Conformance | ValueSet | URI |
Measure.useContext:intendedVenue.value[x] | extensible | IntendedVenue(a valid code from Intended Venue Codes)http://hl7.org/fhir/uv/cqm/ValueSet/intended-venue From this IG | |
Measure.type | extensible | MeasureTypehttp://terminology.hl7.org/ValueSet/measure-type |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
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C | 1..1 | CRMIPublishableMeasure | A quality measure definition Constraints: mea-0, mea-1 | ||||
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Σ | 0..1 | id | Logical id of this artifact | ||||
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Σ | 0..1 | Meta | Metadata about the resource | ||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
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0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
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S | 1..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 | ||||
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0..* | Resource | Contained, inline Resources | |||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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S | 0..1 | string | Copyright holder and year(s) URL: http://hl7.org/fhir/StructureDefinition/artifact-copyrightLabel | ||||
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0..1 | markdown | Extension URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-limitations | |||||
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0..1 | markdown | Extension URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-trendingIssues | |||||
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S | 0..* | (Complex) | Supplemental data guidance URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-supplementalDataGuidance | ||||
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S | 0..* | (Complex) | Additional documentation, review, or usage guidance URL: http://hl7.org/fhir/StructureDefinition/cqf-artifactComment | ||||
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S | 0..* | Reference(CRMI Software System Device) | Extension URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem | ||||
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S | 0..1 | markdown | Explanation of improvement notation URL: http://hl7.org/fhir/StructureDefinition/cqf-improvementNotationGuidance | ||||
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?! | 0..* | Extension | Extensions that cannot be ignored | ||||
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Σ | 0..1 | uri | Canonical identifier for this measure, represented as a URI (globally unique) | ||||
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SΣ | 3..* | Identifier | Additional identifier for the measure Slice: Unordered, Open by value:type | ||||
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SΣ | 1..1 | Identifier | Measure guid | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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?!SΣ | 1..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official | ||||
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SΣ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type | |||||
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0..1 | string | Version of the system - if relevant | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: version-independent | |||||
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0..1 | string | Representation defined by the system | |||||
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0..1 | boolean | If this coding was chosen directly by the user | |||||
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0..1 | string | Plain text representation of the concept | |||||
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SΣ | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986 | ||||
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SΣ | 1..1 | string | The value that is unique Example General: 123456 | ||||
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Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
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Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
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SΣ | 1..1 | Identifier | Measure version guid | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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?!SΣ | 1..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official | ||||
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SΣ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type | |||||
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0..1 | string | Version of the system - if relevant | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: version-specific | |||||
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0..1 | string | Representation defined by the system | |||||
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0..1 | boolean | If this coding was chosen directly by the user | |||||
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0..1 | string | Plain text representation of the concept | |||||
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SΣ | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986 | ||||
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SΣ | 1..1 | string | The value that is unique Example General: 123456 | ||||
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Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
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Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
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SΣ | 1..1 | Identifier | Short name | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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?!SΣ | 1..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: usual | ||||
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SΣ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type | |||||
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0..1 | string | Version of the system - if relevant | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: short-name | |||||
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0..1 | string | Representation defined by the system | |||||
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0..1 | boolean | If this coding was chosen directly by the user | |||||
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0..1 | string | Plain text representation of the concept | |||||
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Σ | 0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | ||||
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SΣ | 1..1 | string | The value that is unique Example General: 123456 | ||||
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Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
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Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
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SΣ | 0..* | Identifier | Endorser identifier | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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?!SΣ | 1..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official | ||||
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SΣ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type | |||||
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0..1 | string | Version of the system - if relevant | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: endorser | |||||
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0..1 | string | Representation defined by the system | |||||
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0..1 | boolean | If this coding was chosen directly by the user | |||||
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0..1 | string | Plain text representation of the concept | |||||
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SΣ | 0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | ||||
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SΣ | 1..1 | string | The value that is unique Example General: 123456 | ||||
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Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
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SΣ | 1..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
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Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
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Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
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SΣ | 1..1 | string | Text alternative for the resource | ||||
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SΣ | 0..* | Identifier | Publisher identifier | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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?!SΣ | 1..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official | ||||
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SΣ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..* | Coding | Code defined by a terminology system Fixed Value: (Complex) | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type | |||||
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0..1 | string | Version of the system - if relevant | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: publisher | |||||
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0..1 | string | Representation defined by the system | |||||
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0..1 | boolean | If this coding was chosen directly by the user | |||||
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0..1 | string | Plain text representation of the concept | |||||
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SΣ | 0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | ||||
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SΣ | 1..1 | string | The value that is unique Example General: 123456 | ||||
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Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
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SΣ | 1..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
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Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
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Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
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SΣ | 1..1 | string | Text alternative for the resource | ||||
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Σ | 0..1 | string | Business version of the measure | ||||
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ΣC | 0..1 | string | Name for this measure (computer friendly) | ||||
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SΣ | 1..1 | string | Name for this measure (human friendly) | ||||
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0..1 | string | Subordinate title of the measure | |||||
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?!Σ | 1..1 | code | draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact. | ||||
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Σ | 0..1 | boolean | For testing purposes, not real usage | ||||
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0..1 | E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device Binding: SubjectType (extensible): The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization, Location, etc.). | ||||||
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CodeableConcept | |||||||
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Reference(Group) | |||||||
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SΣ | 1..1 | dateTime | Date last changed | ||||
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Σ | 1..1 | string | Name of the publisher (organization or individual) | ||||
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SΣ | 1..* | ContactDetail | Contact details for the publisher | ||||
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Σ | 0..1 | markdown | Natural language description of the measure | ||||
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SΣ | 0..* | UsageContext | The context that the content is intended to support Slice: Unordered, Open by value:code | ||||
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SΣ | 0..* | UsageContext | What venue? | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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SΣ | 1..1 | Coding | Type of context being specified Binding: UsageContextType (extensible): A code that specifies a type of context being specified by a usage context. Required Pattern: At least the following | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/usage-context-type | |||||
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0..1 | string | Version of the system - if relevant | |||||
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1..1 | code | Symbol in syntax defined by the system Fixed Value: venue | |||||
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0..1 | string | Representation defined by the system | |||||
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0..1 | boolean | If this coding was chosen directly by the user | |||||
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SΣ | 1..1 | CodeableConcept | Value that defines the context Binding: Intended Venue (extensible) | ||||
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SΣ | 0..* | CodeableConcept | Intended jurisdiction for measure (if applicable) Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use. | ||||
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S | 0..1 | markdown | Why this measure is defined | ||||
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S | 0..1 | string | Allows measure developers to provide additional guidance so that implementers can more easily interpret and implement components of the measure. | ||||
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S | 0..1 | markdown | Use and/or publishing restrictions | ||||
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S | 0..1 | date | When the measure was approved by publisher | ||||
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S | 0..1 | date | When the measure was last reviewed | ||||
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SΣ | 0..1 | Period | When the measure is expected to be used | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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S | 0..1 | dateTime | Date of first effective use URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-effectivePeriodAnchor | ||||
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S | 0..1 | Duration | What reporting period is used URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-effectivePeriodDuration | ||||
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ΣC | 0..1 | dateTime | Starting time with inclusive boundary | ||||
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ΣC | 0..1 | dateTime | End time with inclusive boundary, if not ongoing | ||||
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S | 0..* | CodeableConcept | The category of the measure, such as Education, Treatment, Assessment, etc. Binding: DefinitionTopic (example): High-level categorization of the definition, used for searching, sorting, and filtering. | ||||
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S | 0..* | ContactDetail | Who authored the content | ||||
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S | 0..* | ContactDetail | Who edited the content | ||||
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S | 0..* | ContactDetail | Who reviewed the content | ||||
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S | 0..* | ContactDetail | Who endorsed the content | ||||
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S | 0..* | RelatedArtifact | Additional documentation, citations, etc. Slice: Unordered, Open by value:type | ||||
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Content/Rules for all slices | |||||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 1..1 | code | documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of Binding: RelatedArtifactType (required): The type of relationship to the related artifact. | ||||
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Σ | 0..1 | string | Short label | ||||
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SΣ | 0..1 | string | Brief description of the related artifact | ||||
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Σ | 0..1 | markdown | Bibliographic citation for the artifact | ||||
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Σ | 0..1 | url | Where the artifact can be accessed | ||||
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SΣ | 0..1 | Attachment | What document is being referenced | ||||
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SΣ | 0..1 | canonical(Resource) | What resource is being referenced | ||||
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S | 0..1 | RelatedArtifact | Previous measure? | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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SΣ | 1..1 | code | documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of Binding: RelatedArtifactType (required): The type of relationship to the related artifact. Fixed Value: predecessor | ||||
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Σ | 0..1 | string | Short label | ||||
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SΣ | 0..1 | string | Brief description of the related artifact | ||||
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Σ | 0..1 | markdown | Bibliographic citation for the artifact | ||||
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Σ | 0..1 | url | Where the artifact can be accessed | ||||
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SΣ | 0..1 | Attachment | What document is being referenced | ||||
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SΣ | 1..1 | canonical(Measure) | What resource is being referenced | ||||
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S | 0..* | RelatedArtifact | Reference/citation | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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0..1 | boolean | Primary reference URL: http://hl7.org/fhir/StructureDefinition/cqf-isPrimaryCitation | |||||
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0..1 | code | Publication status of referenced artifact URL: http://hl7.org/fhir/StructureDefinition/cqf-publicationStatus Binding: PublicationStatus (required): The lifecycle status of a reference artifact | |||||
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0..1 | date | Publication date of referenced artifact URL: http://hl7.org/fhir/StructureDefinition/cqf-publicationDate | |||||
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SΣ | 1..1 | code | documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of Binding: RelatedArtifactType (required): The type of relationship to the related artifact. Fixed Value: citation | ||||
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Σ | 0..1 | string | Short label | ||||
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SΣ | 0..1 | string | Brief description of the related artifact | ||||
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Σ | 0..1 | markdown | Bibliographic citation for the artifact | ||||
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Σ | 0..1 | url | Where the artifact can be accessed | ||||
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SΣ | 0..1 | Attachment | What document is being referenced | ||||
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SΣ | 0..1 | canonical(Resource) | What resource is being referenced | ||||
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S | 0..* | RelatedArtifact | URL or canonical reference to other resources that a measure is derived from | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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SΣ | 1..1 | code | documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of Binding: RelatedArtifactType (required): The type of relationship to the related artifact. Fixed Value: derived-from | ||||
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Σ | 0..1 | string | Short label | ||||
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SΣ | 0..1 | string | Brief description of the related artifact | ||||
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Σ | 0..1 | markdown | Bibliographic citation for the artifact | ||||
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Σ | 0..1 | url | Should be permalink otherwise include an "accessed date" | ||||
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SΣ | 0..1 | Attachment | What document is being referenced | ||||
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SΣ | 0..1 | canonical(Measure) | Should be permalink otherwise include an "accessed date" | ||||
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0..* | canonical(Library) | Logic used by the measure | |||||
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SΣ | 0..1 | markdown | Disclaimer for use of the measure or its referenced content | ||||
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Σ | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort Binding: MeasureScoring (extensible): The scoring type of the measure. | ||||
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Σ | 0..1 | CodeableConcept | opportunity | all-or-nothing | linear | weighted Binding: CompositeMeasureScoring (extensible): The composite scoring method of the measure. | ||||
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SΣ | 0..* | CodeableConcept | process | outcome | structure | patient-reported-outcome | composite Binding: MeasureType (extensible) | ||||
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Σ | 0..1 | string | How risk adjustment is applied for this measure | ||||
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Σ | 0..1 | string | How is rate aggregation performed for this measure | ||||
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SΣ | 0..1 | markdown | Justification for the measure in terms of impact, gap in care, and evidence. | ||||
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Σ | 0..1 | markdown | Summary of clinical guidelines | ||||
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Σ | 0..1 | CodeableConcept | increase | decrease Binding: MeasureImprovementNotation (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue. | ||||
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Σ | 0..* | markdown | Defined terms used in the measure documentation | ||||
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0..1 | string | xml:id (or equivalent in JSON) | |||||
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1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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1..1 | (Complex) | Defined term URL: http://hl7.org/fhir/StructureDefinition/cqf-definitionTerm | |||||
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0..1 | string | Primitive value for markdown | |||||
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0..* | BackboneElement | Population criteria group | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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S | 0..1 | markdown | Explanation of improvement notation URL: http://hl7.org/fhir/StructureDefinition/cqf-improvementNotationGuidance | ||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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0..1 | CodeableConcept | Meaning of the group | |||||
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0..1 | string | Summary description | |||||
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0..* | BackboneElement | Population criteria | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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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. | |||||
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0..1 | string | The human readable description of this population criteria | |||||
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1..1 | Expression | The criteria that defines this population | |||||
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0..* | BackboneElement | Stratifier criteria for the measure | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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0..1 | CodeableConcept | Meaning of the stratifier | |||||
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0..1 | string | The human readable description of this stratifier | |||||
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0..1 | Expression | How the measure should be stratified | |||||
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0..* | BackboneElement | Stratifier criteria component for the measure | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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0..1 | CodeableConcept | Meaning of the stratifier component | |||||
![]() ![]() ![]() ![]() ![]() ![]() |
0..1 | string | The human readable description of this stratifier component | |||||
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1..1 | Expression | Component of how the measure should be stratified | |||||
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S | 0..* | BackboneElement | What other data should be reported with the measure | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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S | 0..* | code | The type of report the element should be included in URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-includeInReportType Binding: MeasureReportType (required): The type of report the element should be included in | ||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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0..1 | CodeableConcept | Meaning of the supplemental data | |||||
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0..* | CodeableConcept | supplemental-data | risk-adjustment-factor Binding: MeasureDataUsage (extensible): The intended usage for supplemental data elements in the measure. | |||||
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0..1 | string | The human readable description of this supplemental data | |||||
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1..1 | Expression | Expression describing additional data to be reported | |||||
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Path | Conformance | ValueSet / Code | URI | |||
Measure.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages From the FHIR Standard
| ||||
Measure.identifier:versionIndependentIdentifier.use | required | Fixed Value: officialhttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard | ||||
Measure.identifier:versionIndependentIdentifier.type | extensible | Pattern Value: version-independenthttp://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard | ||||
Measure.identifier:versionSpecificIdentifier.use | required | Fixed Value: officialhttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard | ||||
Measure.identifier:versionSpecificIdentifier.type | extensible | Pattern Value: version-specifichttp://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard | ||||
Measure.identifier:shortName.use | required | Fixed Value: usualhttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard | ||||
Measure.identifier:shortName.type | extensible | Pattern Value: short-namehttp://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard | ||||
Measure.identifier:endorserIdentifier.use | required | Fixed Value: officialhttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard | ||||
Measure.identifier:endorserIdentifier.type | extensible | Pattern Value: endorserhttp://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard | ||||
Measure.identifier:endorserIdentifier.assigner.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard | ||||
Measure.identifier:publisherIdentifier.use | required | Fixed Value: officialhttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard | ||||
Measure.identifier:publisherIdentifier.type | extensible | Pattern Value: publisherhttp://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard | ||||
Measure.identifier:publisherIdentifier.assigner.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types From the FHIR Standard | ||||
Measure.status | required | PublicationStatushttp://hl7.org/fhir/ValueSet/publication-status|4.0.1 From the FHIR Standard | ||||
Measure.subject[x] | extensible | SubjectTypehttp://hl7.org/fhir/ValueSet/subject-type From the FHIR Standard | ||||
Measure.useContext:intendedVenue.code | extensible | Pattern Value: venuehttp://hl7.org/fhir/ValueSet/usage-context-type From the FHIR Standard | ||||
Measure.useContext:intendedVenue.value[x] | extensible | IntendedVenue(a valid code from Intended Venue Codes)http://hl7.org/fhir/uv/cqm/ValueSet/intended-venue From this IG | ||||
Measure.jurisdiction | extensible | Jurisdiction ValueSethttp://hl7.org/fhir/ValueSet/jurisdiction From the FHIR Standard | ||||
Measure.topic | example | DefinitionTopichttp://hl7.org/fhir/ValueSet/definition-topic From the FHIR Standard | ||||
Measure.relatedArtifact.type | required | RelatedArtifactTypehttp://hl7.org/fhir/ValueSet/related-artifact-type|4.0.1 From the FHIR Standard | ||||
Measure.relatedArtifact:predecessor.type | required | Fixed Value: predecessorhttp://hl7.org/fhir/ValueSet/related-artifact-type|4.0.1 From the FHIR Standard | ||||
Measure.relatedArtifact:citation.type | required | Fixed Value: citationhttp://hl7.org/fhir/ValueSet/related-artifact-type|4.0.1 From the FHIR Standard | ||||
Measure.relatedArtifact:derived-from.type | required | Fixed Value: derived-fromhttp://hl7.org/fhir/ValueSet/related-artifact-type|4.0.1 From the FHIR Standard | ||||
Measure.scoring | extensible | MeasureScoringhttp://hl7.org/fhir/ValueSet/measure-scoring From the FHIR Standard | ||||
Measure.compositeScoring | extensible | CompositeMeasureScoringhttp://hl7.org/fhir/ValueSet/composite-measure-scoring From the FHIR Standard | ||||
Measure.type | extensible | MeasureTypehttp://terminology.hl7.org/ValueSet/measure-type | ||||
Measure.improvementNotation | required | MeasureImprovementNotationhttp://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.1 From the FHIR Standard | ||||
Measure.group.population.code | extensible | MeasurePopulationTypehttp://hl7.org/fhir/ValueSet/measure-population From the FHIR Standard | ||||
Measure.supplementalData.usage | extensible | MeasureDataUsagehttp://hl7.org/fhir/ValueSet/measure-data-usage From the FHIR Standard |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | Measure | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | Measure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | Measure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | Measure | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | Measure | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
mea-0 | warning | Measure | Name should be usable as an identifier for the module by machine processing applications such as code generation : name.matches('[A-Z]([A-Za-z0-9_]){0,254}') | |
mea-1 | error | Measure | Stratifier SHALL be either a single criteria or a set of criteria components : group.stratifier.all((code | description | criteria).exists() xor component.exists()) |
This structure is derived from CRMIPublishableMeasure
Summary
Mandatory: 20 elements(17 nested mandatory elements)
Must-Support: 68 elements
Fixed: 10 elements
Prohibited: 1 element
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Maturity: 4
Other representations of profile: CSV, Excel, Schematron