FHIR Extensions Pack
5.2.0-ballot - 5.2.0 Ballot - September 2024) International flag

FHIR Extensions Pack, published by HL7 International / FHIR Infrastructure. This guide is not an authorized publication; it is the continuous build for version 5.2.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-extensions/ and changes regularly. See the Directory of published versions

Extension: CQF Improvement Notation Guidance

Official URL: http://hl7.org/fhir/StructureDefinition/cqf-improvementNotationGuidance Version: 5.2.0-ballot
Standards status: Trial-use Maturity Level: 1 Responsible: HL7 International / Clinical Quality Information Computable Name: CQFImprovementNotationGuidance

Narrative text to explain the improvement notation and how to interpret it.

In some cases, additional guidance is required to clearly communicate measure intent around improvement notation. For example, a measure looking at Ceasarean-section births may have an improvement notation of “decrease”, but it is critical to be able to communicate that a measure score of 0 is not the intent.

Context of Use

This extension may be used on the following element(s):

  • Element ID Measure
  • Element ID Measure.group
  • Element ID MeasureReport
  • Element ID MeasureReport.group

Usage info

Usage:

  • This Extension is not used by any profiles in this Implementation Guide

Changes since version 1.0.0:

  • New Content

    • Formal Views of Extension Content

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

    This structure is derived from Extension

    Summary

    Simple Extension of type markdown: Narrative text to explain the improvement notation and how to interpret it.

    Maturity: 1

    This structure is derived from Extension

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Extension 0..1 Extension Explanation of improvement notation
    ... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/cqf-improvementNotationGuidance"
    ... value[x] 1..1 markdown Value of extension

    doco Documentation for this format
    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Extension 0..1 Extension Explanation of improvement notation
    ... id 0..1 id Unique id for inter-element referencing
    ... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    ... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/cqf-improvementNotationGuidance"

    doco Documentation for this format

    This structure is derived from Extension

    Summary

    Simple Extension of type markdown: Narrative text to explain the improvement notation and how to interpret it.

    Maturity: 1

    Differential View

    This structure is derived from Extension

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Extension 0..1 Extension Explanation of improvement notation
    ... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/cqf-improvementNotationGuidance"
    ... value[x] 1..1 markdown Value of extension

    doco Documentation for this format

    Snapshot View

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Extension 0..1 Extension Explanation of improvement notation
    ... id 0..1 id Unique id for inter-element referencing
    ... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    ... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/cqf-improvementNotationGuidance"

    doco Documentation for this format

     

    Other representations of profile: CSV, Excel, Schematron

    Constraints

    IdGradePath(s)DetailsRequirements
    ele-1error**ALL** elementsAll FHIR elements must have a @value or children
    : hasValue() or (children().count() > id.count())
    ext-1error**ALL** extensionsMust have either extensions or value[x], not both
    : extension.exists() != value.exists()

    Search Parameters for this Extension

    (none found)