Kenya Core Implementation Guide
1.0.0 - release Kenya flag

Kenya Core Implementation Guide, published by Digital Health Agency (DHA), Kenya. 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/IntelliSOFT-Consulting/Kenya-core-FHIR-IG/ and changes regularly. See the Directory of published versions

Resource Profile: Kenya Core Measure Profile

Official URL: https://fhir.dha.go.ke/ig/core/StructureDefinition/kenya-core-measure Version: 1.0.0
Active as of 2026-08-12 Computable Name: KenyaCoreMeasure

Kenya Core profile for a quality/performance Measure definition, e.g. HIV viral suppression rate, ANC 4th visit coverage, used for reporting to the Social Health Authority and MOH.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Measure C 0..* Measure A quality measure definition
Constraints: mea-0, mea-1
... id SΣ 1..1 id Logical id of this artifact
... meta SΣ 1..1 Meta Metadata about the resource
.... profile Σ 1..* canonical(StructureDefinition) Profiles this resource claims to conform to

Required Pattern: https://fhir.dha.go.ke/ig/core/StructureDefinition/kenya-core-measure|1.0.0
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... url SΣ 1..1 uri Canonical identifier for this measure
... identifier SΣ 0..* Identifier Additional identifier for the measure
.... use ?!SΣ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... type SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
.... system SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ 1..1 string The value that is unique
Example General: 123456
... version SΣ 0..1 string Business version of the measure
... name SΣC 1..1 string Computer-friendly name for the measure
... title SΣ 1..1 string Human-readable name for the measure
... status ?!SΣ 1..1 code draft | active | retired | unknown
Binding: PublicationStatus (required): The lifecycle status of an artifact.
... experimental SΣ 0..1 boolean For testing purposes, not real usage
... date SΣ 0..1 dateTime Date last changed
... publisher SΣ 0..1 string Name of the publisher (organization or individual)
... description SΣ 1..1 markdown What the measure is about and why it is being reported
... useContext SΣ 0..* UsageContext The context that the content is intended to support
... library S 0..* canonical(Library) Logic used by the measure
... scoring SΣ 0..1 CodeableConcept proportion | ratio | continuous-variable | cohort
Binding: MeasureScoring (extensible): The scoring type of the measure.
.... coding SΣ 1..* Coding Code defined by a terminology system
..... system SΣ 1..1 uri Identity of the terminology system
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 0..1 string Representation defined by the system
.... text SΣ 0..1 string Plain text representation of the concept
... type SΣ 0..* CodeableConcept process | outcome | structure | patient-reported-outcome | composite
Binding: MeasureType (extensible): The type of measure (includes codes from 2.16.840.1.113883.1.11.20368).
.... coding SΣ 1..* Coding Code defined by a terminology system
..... system SΣ 1..1 uri Identity of the terminology system
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 0..1 string Representation defined by the system
.... text SΣ 0..1 string Plain text representation of the concept
... rationale SΣ 0..1 markdown Detailed description of why the measure exists
... improvementNotation SΣ 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.
... group S 0..* BackboneElement Population criteria group
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... population S 0..* BackboneElement Population criteria
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code S 0..1 CodeableConcept initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
Binding: MeasurePopulationType (extensible): The type of population.
..... criteria S 1..1 Expression The criteria that defines this population

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Measure.identifier.use Base required IdentifierUse 📍4.0.1 FHIR Std.
Measure.identifier.type Base extensible IdentifierType 📍4.0.1 FHIR Std.
Measure.status Base required PublicationStatus 📍4.0.1 FHIR Std.
Measure.scoring Base extensible MeasureScoring 📍4.0.1 FHIR Std.
Measure.type Base extensible MeasureType 📍4.0.1 FHIR Std.
Measure.improvementNotation Base required MeasureImprovementNotation 📍4.0.1 FHIR Std.
Measure.group.population.​code Base extensible MeasurePopulationType 📍4.0.1 FHIR Std.

Constraints

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

This structure is derived from Measure

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Measure 0..* Measure A quality measure definition
... id S 1..1 id Logical id of this artifact
... meta S 1..1 Meta Metadata about the resource
.... profile 1..* canonical(StructureDefinition) Profiles this resource claims to conform to
Required Pattern: https://fhir.dha.go.ke/ig/core/StructureDefinition/kenya-core-measure|1.0.0
... url S 1..1 uri Canonical identifier for this measure
.... use S 0..1 code usual | official | temp | secondary | old (If known)
.... type S 1..1 CodeableConcept Description of identifier
.... system S 1..1 uri The namespace for the identifier value
.... value S 1..1 string The value that is unique
... version S 0..1 string Business version of the measure
... name S 1..1 string Computer-friendly name for the measure
... title S 1..1 string Human-readable name for the measure
... status S 1..1 code draft | active | retired | unknown
... experimental S 0..1 boolean For testing purposes, not real usage
... date S 0..1 dateTime Date last changed
... publisher S 0..1 string Name of the publisher (organization or individual)
... description S 1..1 markdown What the measure is about and why it is being reported
... useContext S 0..* UsageContext The context that the content is intended to support
... library S 0..* canonical(Library) Logic used by the measure
... scoring S 0..1 CodeableConcept proportion | ratio | continuous-variable | cohort
.... coding S 1..* Coding Code defined by a terminology system
..... system S 1..1 uri Identity of the terminology system
..... code S 1..1 code Symbol in syntax defined by the system
..... display S 0..1 string Representation defined by the system
.... text S 0..1 string Plain text representation of the concept
... type S 0..* CodeableConcept process | outcome | structure | patient-reported-outcome | composite
.... coding S 1..* Coding Code defined by a terminology system
..... system S 1..1 uri Identity of the terminology system
..... code S 1..1 code Symbol in syntax defined by the system
..... display S 0..1 string Representation defined by the system
.... text S 0..1 string Plain text representation of the concept
... rationale S 0..1 markdown Detailed description of why the measure exists
... improvementNotation S 0..1 CodeableConcept increase | decrease
... group S 0..* BackboneElement Population criteria group
.... population S 0..* BackboneElement Population criteria
..... code S 0..1 CodeableConcept initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
..... criteria S 1..1 Expression The criteria that defines this population

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Measure C 0..* Measure A quality measure definition
Constraints: mea-0, mea-1
... id SΣ 1..1 id Logical id of this artifact
... meta SΣ 1..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 1..* canonical(StructureDefinition) Profiles this resource claims to conform to

Required Pattern: https://fhir.dha.go.ke/ig/core/StructureDefinition/kenya-core-measure|1.0.0
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... url SΣ 1..1 uri Canonical identifier for this measure
... identifier SΣ 0..* Identifier Additional identifier for the measure
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!SΣ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... type SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
.... system SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ 1..1 string The value that is unique
Example General: 123456
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... version SΣ 0..1 string Business version of the measure
... name SΣC 1..1 string Computer-friendly name for the measure
... title SΣ 1..1 string Human-readable name for the measure
... subtitle 0..1 string Subordinate title of the measure
... status ?!SΣ 1..1 code draft | active | retired | unknown
Binding: PublicationStatus (required): The lifecycle status of an artifact.
... experimental SΣ 0..1 boolean For testing purposes, not real usage
... subject[x] 0..1 E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device
Binding: SubjectType (extensible): The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization, Location, etc.).
.... subjectCodeableConcept CodeableConcept
.... subjectReference Reference(Group)
... date SΣ 0..1 dateTime Date last changed
... publisher SΣ 0..1 string Name of the publisher (organization or individual)
... contact Σ 0..* ContactDetail Contact details for the publisher
... description SΣ 1..1 markdown What the measure is about and why it is being reported
... useContext SΣ 0..* UsageContext The context that the content is intended to support
... jurisdiction Σ 0..* CodeableConcept Intended jurisdiction for measure (if applicable)
Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use.
... purpose 0..1 markdown Why this measure is defined
... usage 0..1 string Describes the clinical usage of the measure
... copyright 0..1 markdown Use and/or publishing restrictions
... approvalDate 0..1 date When the measure was approved by publisher
... lastReviewDate 0..1 date When the measure was last reviewed
... effectivePeriod Σ 0..1 Period When the measure is expected to be used
... topic 0..* CodeableConcept The category of the measure, such as Education, Treatment, Assessment, etc.
Binding: DefinitionTopic (example): High-level categorization of the definition, used for searching, sorting, and filtering.
... author 0..* ContactDetail Who authored the content
... editor 0..* ContactDetail Who edited the content
... reviewer 0..* ContactDetail Who reviewed the content
... endorser 0..* ContactDetail Who endorsed the content
... relatedArtifact 0..* RelatedArtifact Additional documentation, citations, etc.
... library S 0..* canonical(Library) Logic used by the measure
... disclaimer Σ 0..1 markdown Disclaimer for use of the measure or its referenced content
... scoring SΣ 0..1 CodeableConcept proportion | ratio | continuous-variable | cohort
Binding: MeasureScoring (extensible): The scoring type of the measure.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣ 1..* Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system SΣ 1..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text SΣ 0..1 string Plain text representation of the concept
... compositeScoring Σ 0..1 CodeableConcept opportunity | all-or-nothing | linear | weighted
Binding: CompositeMeasureScoring (extensible): The composite scoring method of the measure.
... type SΣ 0..* CodeableConcept process | outcome | structure | patient-reported-outcome | composite
Binding: MeasureType (extensible): The type of measure (includes codes from 2.16.840.1.113883.1.11.20368).
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣ 1..* Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system SΣ 1..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text SΣ 0..1 string Plain text representation of the concept
... riskAdjustment Σ 0..1 string How risk adjustment is applied for this measure
... rateAggregation Σ 0..1 string How is rate aggregation performed for this measure
... rationale SΣ 0..1 markdown Detailed description of why the measure exists
... clinicalRecommendationStatement Σ 0..1 markdown Summary of clinical guidelines
... improvementNotation SΣ 0..1 CodeableConcept increase | decrease
Binding: MeasureImprovementNotation (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.
... definition Σ 0..* markdown Defined terms used in the measure documentation
... guidance Σ 0..1 markdown Additional guidance for implementers
... group S 0..* BackboneElement Population criteria group
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 0..1 CodeableConcept Meaning of the group
.... description 0..1 string Summary description
.... population S 0..* BackboneElement Population criteria
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code S 0..1 CodeableConcept initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
Binding: MeasurePopulationType (extensible): The type of population.
..... description 0..1 string The human readable description of this population criteria
..... criteria S 1..1 Expression The criteria that defines this population
.... stratifier 0..* BackboneElement Stratifier criteria for the measure
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 0..1 CodeableConcept Meaning of the stratifier
..... description 0..1 string The human readable description of this stratifier
..... criteria 0..1 Expression How the measure should be stratified
..... component 0..* BackboneElement Stratifier criteria component for the measure
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... code 0..1 CodeableConcept Meaning of the stratifier component
...... description 0..1 string The human readable description of this stratifier component
...... criteria 1..1 Expression Component of how the measure should be stratified
... supplementalData 0..* BackboneElement What other data should be reported with the measure
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 0..1 CodeableConcept Meaning of the supplemental data
.... usage 0..* CodeableConcept supplemental-data | risk-adjustment-factor
Binding: MeasureDataUsage (extensible): The intended usage for supplemental data elements in the measure.
.... description 0..1 string The human readable description of this supplemental data
.... criteria 1..1 Expression Expression describing additional data to be reported

doco Documentation for this format

Terminology Bindings

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

Constraints

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

This structure is derived from Measure

Summary

Mandatory: 7 elements(9 nested mandatory elements)
Must-Support: 36 elements

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Measure C 0..* Measure A quality measure definition
Constraints: mea-0, mea-1
... id SΣ 1..1 id Logical id of this artifact
... meta SΣ 1..1 Meta Metadata about the resource
.... profile Σ 1..* canonical(StructureDefinition) Profiles this resource claims to conform to

Required Pattern: https://fhir.dha.go.ke/ig/core/StructureDefinition/kenya-core-measure|1.0.0
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... url SΣ 1..1 uri Canonical identifier for this measure
... identifier SΣ 0..* Identifier Additional identifier for the measure
.... use ?!SΣ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... type SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
.... system SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ 1..1 string The value that is unique
Example General: 123456
... version SΣ 0..1 string Business version of the measure
... name SΣC 1..1 string Computer-friendly name for the measure
... title SΣ 1..1 string Human-readable name for the measure
... status ?!SΣ 1..1 code draft | active | retired | unknown
Binding: PublicationStatus (required): The lifecycle status of an artifact.
... experimental SΣ 0..1 boolean For testing purposes, not real usage
... date SΣ 0..1 dateTime Date last changed
... publisher SΣ 0..1 string Name of the publisher (organization or individual)
... description SΣ 1..1 markdown What the measure is about and why it is being reported
... useContext SΣ 0..* UsageContext The context that the content is intended to support
... library S 0..* canonical(Library) Logic used by the measure
... scoring SΣ 0..1 CodeableConcept proportion | ratio | continuous-variable | cohort
Binding: MeasureScoring (extensible): The scoring type of the measure.
.... coding SΣ 1..* Coding Code defined by a terminology system
..... system SΣ 1..1 uri Identity of the terminology system
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 0..1 string Representation defined by the system
.... text SΣ 0..1 string Plain text representation of the concept
... type SΣ 0..* CodeableConcept process | outcome | structure | patient-reported-outcome | composite
Binding: MeasureType (extensible): The type of measure (includes codes from 2.16.840.1.113883.1.11.20368).
.... coding SΣ 1..* Coding Code defined by a terminology system
..... system SΣ 1..1 uri Identity of the terminology system
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 0..1 string Representation defined by the system
.... text SΣ 0..1 string Plain text representation of the concept
... rationale SΣ 0..1 markdown Detailed description of why the measure exists
... improvementNotation SΣ 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.
... group S 0..* BackboneElement Population criteria group
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... population S 0..* BackboneElement Population criteria
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code S 0..1 CodeableConcept initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
Binding: MeasurePopulationType (extensible): The type of population.
..... criteria S 1..1 Expression The criteria that defines this population

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Measure.identifier.use Base required IdentifierUse 📍4.0.1 FHIR Std.
Measure.identifier.type Base extensible IdentifierType 📍4.0.1 FHIR Std.
Measure.status Base required PublicationStatus 📍4.0.1 FHIR Std.
Measure.scoring Base extensible MeasureScoring 📍4.0.1 FHIR Std.
Measure.type Base extensible MeasureType 📍4.0.1 FHIR Std.
Measure.improvementNotation Base required MeasureImprovementNotation 📍4.0.1 FHIR Std.
Measure.group.population.​code Base extensible MeasurePopulationType 📍4.0.1 FHIR Std.

Constraints

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

Differential View

This structure is derived from Measure

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Measure 0..* Measure A quality measure definition
... id S 1..1 id Logical id of this artifact
... meta S 1..1 Meta Metadata about the resource
.... profile 1..* canonical(StructureDefinition) Profiles this resource claims to conform to
Required Pattern: https://fhir.dha.go.ke/ig/core/StructureDefinition/kenya-core-measure|1.0.0
... url S 1..1 uri Canonical identifier for this measure
.... use S 0..1 code usual | official | temp | secondary | old (If known)
.... type S 1..1 CodeableConcept Description of identifier
.... system S 1..1 uri The namespace for the identifier value
.... value S 1..1 string The value that is unique
... version S 0..1 string Business version of the measure
... name S 1..1 string Computer-friendly name for the measure
... title S 1..1 string Human-readable name for the measure
... status S 1..1 code draft | active | retired | unknown
... experimental S 0..1 boolean For testing purposes, not real usage
... date S 0..1 dateTime Date last changed
... publisher S 0..1 string Name of the publisher (organization or individual)
... description S 1..1 markdown What the measure is about and why it is being reported
... useContext S 0..* UsageContext The context that the content is intended to support
... library S 0..* canonical(Library) Logic used by the measure
... scoring S 0..1 CodeableConcept proportion | ratio | continuous-variable | cohort
.... coding S 1..* Coding Code defined by a terminology system
..... system S 1..1 uri Identity of the terminology system
..... code S 1..1 code Symbol in syntax defined by the system
..... display S 0..1 string Representation defined by the system
.... text S 0..1 string Plain text representation of the concept
... type S 0..* CodeableConcept process | outcome | structure | patient-reported-outcome | composite
.... coding S 1..* Coding Code defined by a terminology system
..... system S 1..1 uri Identity of the terminology system
..... code S 1..1 code Symbol in syntax defined by the system
..... display S 0..1 string Representation defined by the system
.... text S 0..1 string Plain text representation of the concept
... rationale S 0..1 markdown Detailed description of why the measure exists
... improvementNotation S 0..1 CodeableConcept increase | decrease
... group S 0..* BackboneElement Population criteria group
.... population S 0..* BackboneElement Population criteria
..... code S 0..1 CodeableConcept initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
..... criteria S 1..1 Expression The criteria that defines this population

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Measure C 0..* Measure A quality measure definition
Constraints: mea-0, mea-1
... id SΣ 1..1 id Logical id of this artifact
... meta SΣ 1..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 1..* canonical(StructureDefinition) Profiles this resource claims to conform to

Required Pattern: https://fhir.dha.go.ke/ig/core/StructureDefinition/kenya-core-measure|1.0.0
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... url SΣ 1..1 uri Canonical identifier for this measure
... identifier SΣ 0..* Identifier Additional identifier for the measure
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!SΣ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... type SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
.... system SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ 1..1 string The value that is unique
Example General: 123456
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... version SΣ 0..1 string Business version of the measure
... name SΣC 1..1 string Computer-friendly name for the measure
... title SΣ 1..1 string Human-readable name for the measure
... subtitle 0..1 string Subordinate title of the measure
... status ?!SΣ 1..1 code draft | active | retired | unknown
Binding: PublicationStatus (required): The lifecycle status of an artifact.
... experimental SΣ 0..1 boolean For testing purposes, not real usage
... subject[x] 0..1 E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device
Binding: SubjectType (extensible): The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization, Location, etc.).
.... subjectCodeableConcept CodeableConcept
.... subjectReference Reference(Group)
... date SΣ 0..1 dateTime Date last changed
... publisher SΣ 0..1 string Name of the publisher (organization or individual)
... contact Σ 0..* ContactDetail Contact details for the publisher
... description SΣ 1..1 markdown What the measure is about and why it is being reported
... useContext SΣ 0..* UsageContext The context that the content is intended to support
... jurisdiction Σ 0..* CodeableConcept Intended jurisdiction for measure (if applicable)
Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use.
... purpose 0..1 markdown Why this measure is defined
... usage 0..1 string Describes the clinical usage of the measure
... copyright 0..1 markdown Use and/or publishing restrictions
... approvalDate 0..1 date When the measure was approved by publisher
... lastReviewDate 0..1 date When the measure was last reviewed
... effectivePeriod Σ 0..1 Period When the measure is expected to be used
... topic 0..* CodeableConcept The category of the measure, such as Education, Treatment, Assessment, etc.
Binding: DefinitionTopic (example): High-level categorization of the definition, used for searching, sorting, and filtering.
... author 0..* ContactDetail Who authored the content
... editor 0..* ContactDetail Who edited the content
... reviewer 0..* ContactDetail Who reviewed the content
... endorser 0..* ContactDetail Who endorsed the content
... relatedArtifact 0..* RelatedArtifact Additional documentation, citations, etc.
... library S 0..* canonical(Library) Logic used by the measure
... disclaimer Σ 0..1 markdown Disclaimer for use of the measure or its referenced content
... scoring SΣ 0..1 CodeableConcept proportion | ratio | continuous-variable | cohort
Binding: MeasureScoring (extensible): The scoring type of the measure.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣ 1..* Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system SΣ 1..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text SΣ 0..1 string Plain text representation of the concept
... compositeScoring Σ 0..1 CodeableConcept opportunity | all-or-nothing | linear | weighted
Binding: CompositeMeasureScoring (extensible): The composite scoring method of the measure.
... type SΣ 0..* CodeableConcept process | outcome | structure | patient-reported-outcome | composite
Binding: MeasureType (extensible): The type of measure (includes codes from 2.16.840.1.113883.1.11.20368).
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣ 1..* Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system SΣ 1..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text SΣ 0..1 string Plain text representation of the concept
... riskAdjustment Σ 0..1 string How risk adjustment is applied for this measure
... rateAggregation Σ 0..1 string How is rate aggregation performed for this measure
... rationale SΣ 0..1 markdown Detailed description of why the measure exists
... clinicalRecommendationStatement Σ 0..1 markdown Summary of clinical guidelines
... improvementNotation SΣ 0..1 CodeableConcept increase | decrease
Binding: MeasureImprovementNotation (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.
... definition Σ 0..* markdown Defined terms used in the measure documentation
... guidance Σ 0..1 markdown Additional guidance for implementers
... group S 0..* BackboneElement Population criteria group
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 0..1 CodeableConcept Meaning of the group
.... description 0..1 string Summary description
.... population S 0..* BackboneElement Population criteria
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code S 0..1 CodeableConcept initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
Binding: MeasurePopulationType (extensible): The type of population.
..... description 0..1 string The human readable description of this population criteria
..... criteria S 1..1 Expression The criteria that defines this population
.... stratifier 0..* BackboneElement Stratifier criteria for the measure
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code 0..1 CodeableConcept Meaning of the stratifier
..... description 0..1 string The human readable description of this stratifier
..... criteria 0..1 Expression How the measure should be stratified
..... component 0..* BackboneElement Stratifier criteria component for the measure
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... code 0..1 CodeableConcept Meaning of the stratifier component
...... description 0..1 string The human readable description of this stratifier component
...... criteria 1..1 Expression Component of how the measure should be stratified
... supplementalData 0..* BackboneElement What other data should be reported with the measure
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code 0..1 CodeableConcept Meaning of the supplemental data
.... usage 0..* CodeableConcept supplemental-data | risk-adjustment-factor
Binding: MeasureDataUsage (extensible): The intended usage for supplemental data elements in the measure.
.... description 0..1 string The human readable description of this supplemental data
.... criteria 1..1 Expression Expression describing additional data to be reported

doco Documentation for this format

Terminology Bindings

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

Constraints

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

This structure is derived from Measure

Summary

Mandatory: 7 elements(9 nested mandatory elements)
Must-Support: 36 elements

 

Other representations of profile: CSV, Excel, Schematron