NPHCDA Immunization FHIR IG, published by https://nphcda.gov.ng. 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/Nigeria-FHIR-Community/ImmunizationIG/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• XML
• JSON
• TTL

Resource Profile: NG-Imm Measure

A profile on the Measure resource used to define immunization indicators within Nigeria’s routine immunization program.

Usages:

• Refer to this Profile: NG-Imm MeasureReport

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.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from Measure

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Measure			Measure
identifier	S	1..1	Identifier	Additional identifier for the measure
value		1..1	string	A unique identifier for the indicator definition (e.g. dropout-rate, bcg-coverage).
name	S	1..1	string	A machine-friendly name for the measure (e.g., DropoutRate).
title	S	1..1	string	A human-readable title for the measure (e.g., 'Penta1 to Measles Dropout Rate').
status	S	1..1	code	Indicates the status of the measure (e.g., draft, active, retired).
date	S	1..1	dateTime	The date this measure profile or version was published.
publisher	S	0..1	string	The organization or person responsible for publishing the measure.
description	S	1..1	markdown	Detailed description of what this measure represents.
purpose	S	0..1	markdown	Explains the reason this measure exists and what it is intended to support.
topic	S	0..*	CodeableConcept	A code or text indicating the domain/topic of the measure (e.g., Immunization Coverage).
library	S	0..1	canonical(Library)	Reference to the logic library (e.g., CQL or ELM) defining computation rules for the measure.
scoring	S	1..1	CodeableConcept	How the measure is scored (e.g., proportion, ratio, continuous-variable).
improvementNotation	S	0..1	CodeableConcept	Indicates whether an increase or decrease in the score is desirable.
group	S	1..*	BackboneElement	Population criteria group
population	S	2..*	BackboneElement	Population criteria
code		1..1	CodeableConcept	The type of population for the measure (e.g., numerator, denominator, initial-population).
description	S	1..1	string	Description of the population involved in the indicator.
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Measure	C	0..*	Measure	A quality measure definition Constraints: mea-0, mea-1
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..1	Identifier	Additional identifier for the measure
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
value	Σ	1..1	string	A unique identifier for the indicator definition (e.g. dropout-rate, bcg-coverage). Example General: 123456
name	SΣC	1..1	string	A machine-friendly name for the measure (e.g., DropoutRate).
title	SΣ	1..1	string	A human-readable title for the measure (e.g., 'Penta1 to Measles Dropout Rate').
status	?!SΣ	1..1	code	Indicates the status of the measure (e.g., draft, active, retired). Binding: PublicationStatus (required): The lifecycle status of an artifact.
date	SΣ	1..1	dateTime	The date this measure profile or version was published.
publisher	SΣ	0..1	string	The organization or person responsible for publishing the measure.
description	SΣ	1..1	markdown	Detailed description of what this measure represents.
purpose	S	0..1	markdown	Explains the reason this measure exists and what it is intended to support.
topic	S	0..*	CodeableConcept	A code or text indicating the domain/topic of the measure (e.g., Immunization Coverage). Binding: DefinitionTopic (example): High-level categorization of the definition, used for searching, sorting, and filtering.
library	S	0..1	canonical(Library)	Reference to the logic library (e.g., CQL or ELM) defining computation rules for the measure.
scoring	SΣ	1..1	CodeableConcept	How the measure is scored (e.g., proportion, ratio, continuous-variable). Binding: MeasureScoring (extensible): The scoring type of the measure.
improvementNotation	SΣ	0..1	CodeableConcept	Indicates whether an increase or decrease in the score is desirable. 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	1..*	BackboneElement	Population criteria group
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
population	S	2..*	BackboneElement	Population criteria
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	The type of population for the measure (e.g., numerator, denominator, initial-population). Binding: MeasurePopulationType (extensible): The type of population.
description	S	1..1	string	Description of the population involved in the indicator.
criteria		1..1	Expression	The criteria that defines this population
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Measure.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Measure.status	required	PublicationStatus http://hl7.org/fhir/ValueSet/publication-status|4.0.1 From the FHIR Standard
Measure.topic	example	DefinitionTopic http://hl7.org/fhir/ValueSet/definition-topic From the FHIR Standard
Measure.scoring	extensible	MeasureScoring http://hl7.org/fhir/ValueSet/measure-scoring From the FHIR Standard
Measure.improvementNotation	required	MeasureImprovementNotation http://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.1 From the FHIR Standard
Measure.group.population.code	extensible	MeasurePopulationType http://hl7.org/fhir/ValueSet/measure-population From the FHIR Standard

Constraints

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())

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Measure	C	0..*	Measure	A quality measure definition Constraints: mea-0, mea-1
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
url	Σ	0..1	uri	Canonical identifier for this measure, represented as a URI (globally unique)
identifier	SΣ	1..1	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	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..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	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	A unique identifier for the indicator definition (e.g. dropout-rate, bcg-coverage). 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	Σ	0..1	string	Business version of the measure
name	SΣC	1..1	string	A machine-friendly name for the measure (e.g., DropoutRate).
title	SΣ	1..1	string	A human-readable title for the measure (e.g., 'Penta1 to Measles Dropout Rate').
subtitle		0..1	string	Subordinate title of the measure
status	?!SΣ	1..1	code	Indicates the status of the measure (e.g., draft, active, retired). Binding: PublicationStatus (required): The lifecycle status of an artifact.
experimental	Σ	0..1	boolean	For testing purposes, not real usage
subject[x]		0..1		E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device Binding: SubjectType (extensible): The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization, Location, etc.).
subjectCodeableConcept			CodeableConcept
subjectReference			Reference(Group)
date	SΣ	1..1	dateTime	The date this measure profile or version was published.
publisher	SΣ	0..1	string	The organization or person responsible for publishing the measure.
contact	Σ	0..*	ContactDetail	Contact details for the publisher
description	SΣ	1..1	markdown	Detailed description of what this measure represents.
useContext	Σ	0..*	UsageContext	The context that the content is intended to support
jurisdiction	Σ	0..*	CodeableConcept	Intended jurisdiction for measure (if applicable) Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use.
purpose	S	0..1	markdown	Explains the reason this measure exists and what it is intended to support.
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	S	0..*	CodeableConcept	A code or text indicating the domain/topic of the measure (e.g., Immunization Coverage). Binding: DefinitionTopic (example): High-level categorization of the definition, used for searching, sorting, and filtering.
author		0..*	ContactDetail	Who authored the content
editor		0..*	ContactDetail	Who edited the content
reviewer		0..*	ContactDetail	Who reviewed the content
endorser		0..*	ContactDetail	Who endorsed the content
relatedArtifact		0..*	RelatedArtifact	Additional documentation, citations, etc.
library	S	0..1	canonical(Library)	Reference to the logic library (e.g., CQL or ELM) defining computation rules for the measure.
disclaimer	Σ	0..1	markdown	Disclaimer for use of the measure or its referenced content
scoring	SΣ	1..1	CodeableConcept	How the measure is scored (e.g., proportion, ratio, continuous-variable). Binding: MeasureScoring (extensible): The scoring type of the measure.
compositeScoring	Σ	0..1	CodeableConcept	opportunity | all-or-nothing | linear | weighted Binding: CompositeMeasureScoring (extensible): The composite scoring method of the measure.
type	Σ	0..*	CodeableConcept	process | outcome | structure | patient-reported-outcome | composite Binding: MeasureType (extensible): The type of measure (includes codes from 2.16.840.1.113883.1.11.20368).
riskAdjustment	Σ	0..1	string	How risk adjustment is applied for this measure
rateAggregation	Σ	0..1	string	How is rate aggregation performed for this measure
rationale	Σ	0..1	markdown	Detailed description of why the measure exists
clinicalRecommendationStatement	Σ	0..1	markdown	Summary of clinical guidelines
improvementNotation	SΣ	0..1	CodeableConcept	Indicates whether an increase or decrease in the score is desirable. 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	1..*	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	2..*	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		1..1	CodeableConcept	The type of population for the measure (e.g., numerator, denominator, initial-population). Binding: MeasurePopulationType (extensible): The type of population.
description	S	1..1	string	Description of the population involved in the indicator.
criteria		1..1	Expression	The criteria that defines this population
stratifier		0..*	BackboneElement	Stratifier criteria for the measure
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	Meaning of the stratifier
description		0..1	string	The human readable description of this stratifier
criteria		0..1	Expression	How the measure should be stratified
component		0..*	BackboneElement	Stratifier criteria component for the measure
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	Meaning of the stratifier component
description		0..1	string	The human readable description of this stratifier component
criteria		1..1	Expression	Component of how the measure should be stratified
supplementalData		0..*	BackboneElement	What other data should be reported with the measure
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	Meaning of the supplemental data
usage		0..*	CodeableConcept	supplemental-data | risk-adjustment-factor Binding: MeasureDataUsage (extensible): The intended usage for supplemental data elements in the measure.
description		0..1	string	The human readable description of this supplemental data
criteria		1..1	Expression	Expression describing additional data to be reported
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Measure.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Measure.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Measure.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Measure.status	required	PublicationStatus http://hl7.org/fhir/ValueSet/publication-status|4.0.1 From the FHIR Standard
Measure.subject[x]	extensible	SubjectType http://hl7.org/fhir/ValueSet/subject-type From the FHIR Standard
Measure.jurisdiction	extensible	Jurisdiction ValueSet http://hl7.org/fhir/ValueSet/jurisdiction From the FHIR Standard
Measure.topic	example	DefinitionTopic http://hl7.org/fhir/ValueSet/definition-topic From the FHIR Standard
Measure.scoring	extensible	MeasureScoring http://hl7.org/fhir/ValueSet/measure-scoring From the FHIR Standard
Measure.compositeScoring	extensible	CompositeMeasureScoring http://hl7.org/fhir/ValueSet/composite-measure-scoring From the FHIR Standard
Measure.type	extensible	MeasureType http://hl7.org/fhir/ValueSet/measure-type From the FHIR Standard
Measure.improvementNotation	required	MeasureImprovementNotation http://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.1 From the FHIR Standard
Measure.group.population.code	extensible	MeasurePopulationType http://hl7.org/fhir/ValueSet/measure-population From the FHIR Standard
Measure.supplementalData.usage	extensible	MeasureDataUsage http://hl7.org/fhir/ValueSet/measure-data-usage From the FHIR Standard

Constraints

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 Measure

Summary

Mandatory: 10 elements
Must-Support: 15 elements

Differential View

This structure is derived from Measure

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Measure			Measure
identifier	S	1..1	Identifier	Additional identifier for the measure
value		1..1	string	A unique identifier for the indicator definition (e.g. dropout-rate, bcg-coverage).
name	S	1..1	string	A machine-friendly name for the measure (e.g., DropoutRate).
title	S	1..1	string	A human-readable title for the measure (e.g., 'Penta1 to Measles Dropout Rate').
status	S	1..1	code	Indicates the status of the measure (e.g., draft, active, retired).
date	S	1..1	dateTime	The date this measure profile or version was published.
publisher	S	0..1	string	The organization or person responsible for publishing the measure.
description	S	1..1	markdown	Detailed description of what this measure represents.
purpose	S	0..1	markdown	Explains the reason this measure exists and what it is intended to support.
topic	S	0..*	CodeableConcept	A code or text indicating the domain/topic of the measure (e.g., Immunization Coverage).
library	S	0..1	canonical(Library)	Reference to the logic library (e.g., CQL or ELM) defining computation rules for the measure.
scoring	S	1..1	CodeableConcept	How the measure is scored (e.g., proportion, ratio, continuous-variable).
improvementNotation	S	0..1	CodeableConcept	Indicates whether an increase or decrease in the score is desirable.
group	S	1..*	BackboneElement	Population criteria group
population	S	2..*	BackboneElement	Population criteria
code		1..1	CodeableConcept	The type of population for the measure (e.g., numerator, denominator, initial-population).
description	S	1..1	string	Description of the population involved in the indicator.
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Measure	C	0..*	Measure	A quality measure definition Constraints: mea-0, mea-1
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..1	Identifier	Additional identifier for the measure
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
value	Σ	1..1	string	A unique identifier for the indicator definition (e.g. dropout-rate, bcg-coverage). Example General: 123456
name	SΣC	1..1	string	A machine-friendly name for the measure (e.g., DropoutRate).
title	SΣ	1..1	string	A human-readable title for the measure (e.g., 'Penta1 to Measles Dropout Rate').
status	?!SΣ	1..1	code	Indicates the status of the measure (e.g., draft, active, retired). Binding: PublicationStatus (required): The lifecycle status of an artifact.
date	SΣ	1..1	dateTime	The date this measure profile or version was published.
publisher	SΣ	0..1	string	The organization or person responsible for publishing the measure.
description	SΣ	1..1	markdown	Detailed description of what this measure represents.
purpose	S	0..1	markdown	Explains the reason this measure exists and what it is intended to support.
topic	S	0..*	CodeableConcept	A code or text indicating the domain/topic of the measure (e.g., Immunization Coverage). Binding: DefinitionTopic (example): High-level categorization of the definition, used for searching, sorting, and filtering.
library	S	0..1	canonical(Library)	Reference to the logic library (e.g., CQL or ELM) defining computation rules for the measure.
scoring	SΣ	1..1	CodeableConcept	How the measure is scored (e.g., proportion, ratio, continuous-variable). Binding: MeasureScoring (extensible): The scoring type of the measure.
improvementNotation	SΣ	0..1	CodeableConcept	Indicates whether an increase or decrease in the score is desirable. 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	1..*	BackboneElement	Population criteria group
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
population	S	2..*	BackboneElement	Population criteria
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	The type of population for the measure (e.g., numerator, denominator, initial-population). Binding: MeasurePopulationType (extensible): The type of population.
description	S	1..1	string	Description of the population involved in the indicator.
criteria		1..1	Expression	The criteria that defines this population
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Measure.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Measure.status	required	PublicationStatus http://hl7.org/fhir/ValueSet/publication-status|4.0.1 From the FHIR Standard
Measure.topic	example	DefinitionTopic http://hl7.org/fhir/ValueSet/definition-topic From the FHIR Standard
Measure.scoring	extensible	MeasureScoring http://hl7.org/fhir/ValueSet/measure-scoring From the FHIR Standard
Measure.improvementNotation	required	MeasureImprovementNotation http://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.1 From the FHIR Standard
Measure.group.population.code	extensible	MeasurePopulationType http://hl7.org/fhir/ValueSet/measure-population From the FHIR Standard

Constraints

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())

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Measure	C	0..*	Measure	A quality measure definition Constraints: mea-0, mea-1
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
url	Σ	0..1	uri	Canonical identifier for this measure, represented as a URI (globally unique)
identifier	SΣ	1..1	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	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..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	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	A unique identifier for the indicator definition (e.g. dropout-rate, bcg-coverage). 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	Σ	0..1	string	Business version of the measure
name	SΣC	1..1	string	A machine-friendly name for the measure (e.g., DropoutRate).
title	SΣ	1..1	string	A human-readable title for the measure (e.g., 'Penta1 to Measles Dropout Rate').
subtitle		0..1	string	Subordinate title of the measure
status	?!SΣ	1..1	code	Indicates the status of the measure (e.g., draft, active, retired). Binding: PublicationStatus (required): The lifecycle status of an artifact.
experimental	Σ	0..1	boolean	For testing purposes, not real usage
subject[x]		0..1		E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device Binding: SubjectType (extensible): The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization, Location, etc.).
subjectCodeableConcept			CodeableConcept
subjectReference			Reference(Group)
date	SΣ	1..1	dateTime	The date this measure profile or version was published.
publisher	SΣ	0..1	string	The organization or person responsible for publishing the measure.
contact	Σ	0..*	ContactDetail	Contact details for the publisher
description	SΣ	1..1	markdown	Detailed description of what this measure represents.
useContext	Σ	0..*	UsageContext	The context that the content is intended to support
jurisdiction	Σ	0..*	CodeableConcept	Intended jurisdiction for measure (if applicable) Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use.
purpose	S	0..1	markdown	Explains the reason this measure exists and what it is intended to support.
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	S	0..*	CodeableConcept	A code or text indicating the domain/topic of the measure (e.g., Immunization Coverage). Binding: DefinitionTopic (example): High-level categorization of the definition, used for searching, sorting, and filtering.
author		0..*	ContactDetail	Who authored the content
editor		0..*	ContactDetail	Who edited the content
reviewer		0..*	ContactDetail	Who reviewed the content
endorser		0..*	ContactDetail	Who endorsed the content
relatedArtifact		0..*	RelatedArtifact	Additional documentation, citations, etc.
library	S	0..1	canonical(Library)	Reference to the logic library (e.g., CQL or ELM) defining computation rules for the measure.
disclaimer	Σ	0..1	markdown	Disclaimer for use of the measure or its referenced content
scoring	SΣ	1..1	CodeableConcept	How the measure is scored (e.g., proportion, ratio, continuous-variable). Binding: MeasureScoring (extensible): The scoring type of the measure.
compositeScoring	Σ	0..1	CodeableConcept	opportunity | all-or-nothing | linear | weighted Binding: CompositeMeasureScoring (extensible): The composite scoring method of the measure.
type	Σ	0..*	CodeableConcept	process | outcome | structure | patient-reported-outcome | composite Binding: MeasureType (extensible): The type of measure (includes codes from 2.16.840.1.113883.1.11.20368).
riskAdjustment	Σ	0..1	string	How risk adjustment is applied for this measure
rateAggregation	Σ	0..1	string	How is rate aggregation performed for this measure
rationale	Σ	0..1	markdown	Detailed description of why the measure exists
clinicalRecommendationStatement	Σ	0..1	markdown	Summary of clinical guidelines
improvementNotation	SΣ	0..1	CodeableConcept	Indicates whether an increase or decrease in the score is desirable. 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	1..*	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	2..*	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		1..1	CodeableConcept	The type of population for the measure (e.g., numerator, denominator, initial-population). Binding: MeasurePopulationType (extensible): The type of population.
description	S	1..1	string	Description of the population involved in the indicator.
criteria		1..1	Expression	The criteria that defines this population
stratifier		0..*	BackboneElement	Stratifier criteria for the measure
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	Meaning of the stratifier
description		0..1	string	The human readable description of this stratifier
criteria		0..1	Expression	How the measure should be stratified
component		0..*	BackboneElement	Stratifier criteria component for the measure
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	Meaning of the stratifier component
description		0..1	string	The human readable description of this stratifier component
criteria		1..1	Expression	Component of how the measure should be stratified
supplementalData		0..*	BackboneElement	What other data should be reported with the measure
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	Meaning of the supplemental data
usage		0..*	CodeableConcept	supplemental-data | risk-adjustment-factor Binding: MeasureDataUsage (extensible): The intended usage for supplemental data elements in the measure.
description		0..1	string	The human readable description of this supplemental data
criteria		1..1	Expression	Expression describing additional data to be reported
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Measure.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Measure.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 From the FHIR Standard
Measure.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type From the FHIR Standard
Measure.status	required	PublicationStatus http://hl7.org/fhir/ValueSet/publication-status|4.0.1 From the FHIR Standard
Measure.subject[x]	extensible	SubjectType http://hl7.org/fhir/ValueSet/subject-type From the FHIR Standard
Measure.jurisdiction	extensible	Jurisdiction ValueSet http://hl7.org/fhir/ValueSet/jurisdiction From the FHIR Standard
Measure.topic	example	DefinitionTopic http://hl7.org/fhir/ValueSet/definition-topic From the FHIR Standard
Measure.scoring	extensible	MeasureScoring http://hl7.org/fhir/ValueSet/measure-scoring From the FHIR Standard
Measure.compositeScoring	extensible	CompositeMeasureScoring http://hl7.org/fhir/ValueSet/composite-measure-scoring From the FHIR Standard
Measure.type	extensible	MeasureType http://hl7.org/fhir/ValueSet/measure-type From the FHIR Standard
Measure.improvementNotation	required	MeasureImprovementNotation http://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.1 From the FHIR Standard
Measure.group.population.code	extensible	MeasurePopulationType http://hl7.org/fhir/ValueSet/measure-population From the FHIR Standard
Measure.supplementalData.usage	extensible	MeasureDataUsage http://hl7.org/fhir/ValueSet/measure-data-usage From the FHIR Standard

Constraints

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 Measure

Summary

Mandatory: 10 elements
Must-Support: 15 elements

Other representations of profile: CSV, Excel, Schematron