NPHCDA Immunization FHIR IG, published by https://nphcda.gov.ng. This guide is not an authorized publication; it is the continuous build for version 0.9.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Nigeria-FHIR-Community/NPHCDA-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:

• Use this Profile: IMMZ.H Bundle GenerateReport
• 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.

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Measure	C	0..*	Measure	A quality measure definition Constraints: mea-0, mea-1
Measure.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Measure.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Measure.identifier	S This element must be supported. Σ This element is included in summaries.	1..1	Identifier	Additional identifier for the measure
Measure.identifier.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Measure.identifier.value	Σ This element is included in summaries.	1..1	string	A unique identifier for the indicator definition (e.g. dropout-rate, bcg-coverage). Example General: 123456
Measure.name	S This element must be supported. Σ This element is included in summaries. C	1..1	string	A machine-friendly name for the measure (e.g., DropoutRate).
Measure.title	S This element must be supported. Σ This element is included in summaries.	1..1	string	A human-readable title for the measure (e.g., 'Penta1 to Measles Dropout Rate').
Measure.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	Indicates the status of the measure (e.g., draft, active, retired). Binding: PublicationStatus (required): The lifecycle status of an artifact.
Measure.date	S This element must be supported. Σ This element is included in summaries.	1..1	dateTime	The date this measure profile or version was published.
Measure.publisher	S This element must be supported. Σ This element is included in summaries.	0..1	string	The organization or person responsible for publishing the measure.
Measure.description	S This element must be supported. Σ This element is included in summaries.	1..1	markdown	Detailed description of what this measure represents.
Measure.purpose	S This element must be supported.	0..1	markdown	Explains the reason this measure exists and what it is intended to support.
Measure.topic	S This element must be supported.	0..1	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.
Measure.library	S This element must be supported.	0..1	canonical(Library)	Reference to the logic library (e.g., CQL or ELM) defining computation rules for the measure.
Measure.scoring	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	How the measure is scored (e.g., proportion, ratio, continuous-variable). Binding: MeasureScoring (extensible): The scoring type of the measure.
Measure.improvementNotation	S This element must be supported. Σ This element is included in summaries.	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.
Measure.group	S This element must be supported.	0..10	BackboneElement	Population criteria group
Measure.group.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Measure.group.population	S This element must be supported.	0..10	BackboneElement	Population criteria
Measure.group.population.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Measure.group.population.code		0..1	CodeableConcept	The type of population for the measure (e.g., numerator, denominator, initial-population). Binding: MeasurePopulationType (extensible): The type of population.
Measure.group.population.description	S This element must be supported.	0..1	string	Description of the population involved in the indicator.
Measure.group.population.criteria	S This element must be supported.	1..1	Expression	Description of the population involved in the indicator.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Measure.identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Measure.status	Base	required	PublicationStatus	📍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.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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Measure			Measure
Measure.identifier	S This element must be supported.	1..1	Identifier	Additional identifier for the measure
Measure.identifier.value		1..1	string	A unique identifier for the indicator definition (e.g. dropout-rate, bcg-coverage).
Measure.name	S This element must be supported.	1..1	string	A machine-friendly name for the measure (e.g., DropoutRate).
Measure.title	S This element must be supported.	1..1	string	A human-readable title for the measure (e.g., 'Penta1 to Measles Dropout Rate').
Measure.status	S This element must be supported.	1..1	code	Indicates the status of the measure (e.g., draft, active, retired).
Measure.date	S This element must be supported.	1..1	dateTime	The date this measure profile or version was published.
Measure.publisher	S This element must be supported.	0..1	string	The organization or person responsible for publishing the measure.
Measure.description	S This element must be supported.	1..1	markdown	Detailed description of what this measure represents.
Measure.purpose	S This element must be supported.	0..1	markdown	Explains the reason this measure exists and what it is intended to support.
Measure.topic	S This element must be supported.	0..1	CodeableConcept	A code or text indicating the domain/topic of the measure (e.g., Immunization Coverage).
Measure.library	S This element must be supported.	0..1	canonical(Library)	Reference to the logic library (e.g., CQL or ELM) defining computation rules for the measure.
Measure.scoring	S This element must be supported.	1..1	CodeableConcept	How the measure is scored (e.g., proportion, ratio, continuous-variable).
Measure.improvementNotation	S This element must be supported.	0..1	CodeableConcept	Indicates whether an increase or decrease in the score is desirable.
Measure.group	S This element must be supported.	0..10	BackboneElement	Population criteria group
Measure.group.population	S This element must be supported.	0..10	BackboneElement	Population criteria
Measure.group.population.code		0..1	CodeableConcept	The type of population for the measure (e.g., numerator, denominator, initial-population).
Measure.group.population.description	S This element must be supported.	0..1	string	Description of the population involved in the indicator.
Measure.group.population.criteria	S This element must be supported.	1..1	Expression	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
Measure.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
Measure.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
Measure.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Measure.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Measure.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
Measure.contained		0..*	Resource	Contained, inline Resources
Measure.extension		0..*	Extension	Additional content defined by implementations
Measure.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Measure.url	Σ This element is included in summaries.	0..1	uri	Canonical identifier for this measure, represented as a URI (globally unique)
Measure.identifier	S This element must be supported. Σ This element is included in summaries.	1..1	Identifier	Additional identifier for the measure
Measure.identifier.id		0..1	string	Unique id for inter-element referencing
Measure.identifier.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Measure.identifier.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Measure.identifier.type	Σ This element is included in summaries.	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.
Measure.identifier.system	Σ This element is included in summaries.	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
Measure.identifier.value	Σ This element is included in summaries.	1..1	string	A unique identifier for the indicator definition (e.g. dropout-rate, bcg-coverage). Example General: 123456
Measure.identifier.period	Σ This element is included in summaries.	0..1	Period	Time period when id is/was valid for use
Measure.identifier.assigner	Σ This element is included in summaries.	0..1	Reference(Organization)	Organization that issued id (may be just text)
Measure.version	Σ This element is included in summaries.	0..1	string	Business version of the measure
Measure.name	S This element must be supported. Σ This element is included in summaries. C	1..1	string	A machine-friendly name for the measure (e.g., DropoutRate).
Measure.title	S This element must be supported. Σ This element is included in summaries.	1..1	string	A human-readable title for the measure (e.g., 'Penta1 to Measles Dropout Rate').
Measure.subtitle		0..1	string	Subordinate title of the measure
Measure.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	Indicates the status of the measure (e.g., draft, active, retired). Binding: PublicationStatus (required): The lifecycle status of an artifact.
Measure.experimental	Σ This element is included in summaries.	0..1	boolean	For testing purposes, not real usage
Measure.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.).
Measure.subject[x].subjectCodeableConcept			CodeableConcept
Measure.subject[x].subjectReference			Reference(Group)
Measure.date	S This element must be supported. Σ This element is included in summaries.	1..1	dateTime	The date this measure profile or version was published.
Measure.publisher	S This element must be supported. Σ This element is included in summaries.	0..1	string	The organization or person responsible for publishing the measure.
Measure.contact	Σ This element is included in summaries.	0..*	ContactDetail	Contact details for the publisher
Measure.description	S This element must be supported. Σ This element is included in summaries.	1..1	markdown	Detailed description of what this measure represents.
Measure.useContext	Σ This element is included in summaries.	0..*	UsageContext	The context that the content is intended to support
Measure.jurisdiction	Σ This element is included in summaries.	0..*	CodeableConcept	Intended jurisdiction for measure (if applicable) Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use.
Measure.purpose	S This element must be supported.	0..1	markdown	Explains the reason this measure exists and what it is intended to support.
Measure.usage		0..1	string	Describes the clinical usage of the measure
Measure.copyright		0..1	markdown	Use and/or publishing restrictions
Measure.approvalDate		0..1	date	When the measure was approved by publisher
Measure.lastReviewDate		0..1	date	When the measure was last reviewed
Measure.effectivePeriod	Σ This element is included in summaries.	0..1	Period	When the measure is expected to be used
Measure.topic	S This element must be supported.	0..1	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.
Measure.author		0..*	ContactDetail	Who authored the content
Measure.editor		0..*	ContactDetail	Who edited the content
Measure.reviewer		0..*	ContactDetail	Who reviewed the content
Measure.endorser		0..*	ContactDetail	Who endorsed the content
Measure.relatedArtifact		0..*	RelatedArtifact	Additional documentation, citations, etc.
Measure.library	S This element must be supported.	0..1	canonical(Library)	Reference to the logic library (e.g., CQL or ELM) defining computation rules for the measure.
Measure.disclaimer	Σ This element is included in summaries.	0..1	markdown	Disclaimer for use of the measure or its referenced content
Measure.scoring	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	How the measure is scored (e.g., proportion, ratio, continuous-variable). Binding: MeasureScoring (extensible): The scoring type of the measure.
Measure.compositeScoring	Σ This element is included in summaries.	0..1	CodeableConcept	opportunity | all-or-nothing | linear | weighted Binding: CompositeMeasureScoring (extensible): The composite scoring method of the measure.
Measure.type	Σ This element is included in summaries.	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).
Measure.riskAdjustment	Σ This element is included in summaries.	0..1	string	How risk adjustment is applied for this measure
Measure.rateAggregation	Σ This element is included in summaries.	0..1	string	How is rate aggregation performed for this measure
Measure.rationale	Σ This element is included in summaries.	0..1	markdown	Detailed description of why the measure exists
Measure.clinicalRecommendationStatement	Σ This element is included in summaries.	0..1	markdown	Summary of clinical guidelines
Measure.improvementNotation	S This element must be supported. Σ This element is included in summaries.	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.
Measure.definition	Σ This element is included in summaries.	0..*	markdown	Defined terms used in the measure documentation
Measure.guidance	Σ This element is included in summaries.	0..1	markdown	Additional guidance for implementers
Measure.group	S This element must be supported.	0..10	BackboneElement	Population criteria group
Measure.group.id		0..1	string	Unique id for inter-element referencing
Measure.group.extension		0..*	Extension	Additional content defined by implementations
Measure.group.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Measure.group.code		0..1	CodeableConcept	Meaning of the group
Measure.group.description		0..1	string	Summary description
Measure.group.population	S This element must be supported.	0..10	BackboneElement	Population criteria
Measure.group.population.id		0..1	string	Unique id for inter-element referencing
Measure.group.population.extension		0..*	Extension	Additional content defined by implementations
Measure.group.population.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Measure.group.population.code		0..1	CodeableConcept	The type of population for the measure (e.g., numerator, denominator, initial-population). Binding: MeasurePopulationType (extensible): The type of population.
Measure.group.population.description	S This element must be supported.	0..1	string	Description of the population involved in the indicator.
Measure.group.population.criteria	S This element must be supported.	1..1	Expression	Description of the population involved in the indicator.
Measure.group.stratifier		0..*	BackboneElement	Stratifier criteria for the measure
Measure.group.stratifier.id		0..1	string	Unique id for inter-element referencing
Measure.group.stratifier.extension		0..*	Extension	Additional content defined by implementations
Measure.group.stratifier.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Measure.group.stratifier.code		0..1	CodeableConcept	Meaning of the stratifier
Measure.group.stratifier.description		0..1	string	The human readable description of this stratifier
Measure.group.stratifier.criteria		0..1	Expression	How the measure should be stratified
Measure.group.stratifier.component		0..*	BackboneElement	Stratifier criteria component for the measure
Measure.group.stratifier.component.id		0..1	string	Unique id for inter-element referencing
Measure.group.stratifier.component.extension		0..*	Extension	Additional content defined by implementations
Measure.group.stratifier.component.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Measure.group.stratifier.component.code		0..1	CodeableConcept	Meaning of the stratifier component
Measure.group.stratifier.component.description		0..1	string	The human readable description of this stratifier component
Measure.group.stratifier.component.criteria		1..1	Expression	Component of how the measure should be stratified
Measure.supplementalData		0..*	BackboneElement	What other data should be reported with the measure
Measure.supplementalData.id		0..1	string	Unique id for inter-element referencing
Measure.supplementalData.extension		0..*	Extension	Additional content defined by implementations
Measure.supplementalData.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Measure.supplementalData.code		0..1	CodeableConcept	Meaning of the supplemental data
Measure.supplementalData.usage		0..*	CodeableConcept	supplemental-data | risk-adjustment-factor Binding: MeasureDataUsage (extensible): The intended usage for supplemental data elements in the measure.
Measure.supplementalData.description		0..1	string	The human readable description of this supplemental data
Measure.supplementalData.criteria		1..1	Expression	Expression describing additional data to be reported
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
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
Must-Support: 16 elements

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
Measure.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Measure.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Measure.identifier	S This element must be supported. Σ This element is included in summaries.	1..1	Identifier	Additional identifier for the measure
Measure.identifier.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Measure.identifier.value	Σ This element is included in summaries.	1..1	string	A unique identifier for the indicator definition (e.g. dropout-rate, bcg-coverage). Example General: 123456
Measure.name	S This element must be supported. Σ This element is included in summaries. C	1..1	string	A machine-friendly name for the measure (e.g., DropoutRate).
Measure.title	S This element must be supported. Σ This element is included in summaries.	1..1	string	A human-readable title for the measure (e.g., 'Penta1 to Measles Dropout Rate').
Measure.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	Indicates the status of the measure (e.g., draft, active, retired). Binding: PublicationStatus (required): The lifecycle status of an artifact.
Measure.date	S This element must be supported. Σ This element is included in summaries.	1..1	dateTime	The date this measure profile or version was published.
Measure.publisher	S This element must be supported. Σ This element is included in summaries.	0..1	string	The organization or person responsible for publishing the measure.
Measure.description	S This element must be supported. Σ This element is included in summaries.	1..1	markdown	Detailed description of what this measure represents.
Measure.purpose	S This element must be supported.	0..1	markdown	Explains the reason this measure exists and what it is intended to support.
Measure.topic	S This element must be supported.	0..1	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.
Measure.library	S This element must be supported.	0..1	canonical(Library)	Reference to the logic library (e.g., CQL or ELM) defining computation rules for the measure.
Measure.scoring	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	How the measure is scored (e.g., proportion, ratio, continuous-variable). Binding: MeasureScoring (extensible): The scoring type of the measure.
Measure.improvementNotation	S This element must be supported. Σ This element is included in summaries.	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.
Measure.group	S This element must be supported.	0..10	BackboneElement	Population criteria group
Measure.group.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Measure.group.population	S This element must be supported.	0..10	BackboneElement	Population criteria
Measure.group.population.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Measure.group.population.code		0..1	CodeableConcept	The type of population for the measure (e.g., numerator, denominator, initial-population). Binding: MeasurePopulationType (extensible): The type of population.
Measure.group.population.description	S This element must be supported.	0..1	string	Description of the population involved in the indicator.
Measure.group.population.criteria	S This element must be supported.	1..1	Expression	Description of the population involved in the indicator.
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Measure.identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Measure.status	Base	required	PublicationStatus	📍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.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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Measure			Measure
Measure.identifier	S This element must be supported.	1..1	Identifier	Additional identifier for the measure
Measure.identifier.value		1..1	string	A unique identifier for the indicator definition (e.g. dropout-rate, bcg-coverage).
Measure.name	S This element must be supported.	1..1	string	A machine-friendly name for the measure (e.g., DropoutRate).
Measure.title	S This element must be supported.	1..1	string	A human-readable title for the measure (e.g., 'Penta1 to Measles Dropout Rate').
Measure.status	S This element must be supported.	1..1	code	Indicates the status of the measure (e.g., draft, active, retired).
Measure.date	S This element must be supported.	1..1	dateTime	The date this measure profile or version was published.
Measure.publisher	S This element must be supported.	0..1	string	The organization or person responsible for publishing the measure.
Measure.description	S This element must be supported.	1..1	markdown	Detailed description of what this measure represents.
Measure.purpose	S This element must be supported.	0..1	markdown	Explains the reason this measure exists and what it is intended to support.
Measure.topic	S This element must be supported.	0..1	CodeableConcept	A code or text indicating the domain/topic of the measure (e.g., Immunization Coverage).
Measure.library	S This element must be supported.	0..1	canonical(Library)	Reference to the logic library (e.g., CQL or ELM) defining computation rules for the measure.
Measure.scoring	S This element must be supported.	1..1	CodeableConcept	How the measure is scored (e.g., proportion, ratio, continuous-variable).
Measure.improvementNotation	S This element must be supported.	0..1	CodeableConcept	Indicates whether an increase or decrease in the score is desirable.
Measure.group	S This element must be supported.	0..10	BackboneElement	Population criteria group
Measure.group.population	S This element must be supported.	0..10	BackboneElement	Population criteria
Measure.group.population.code		0..1	CodeableConcept	The type of population for the measure (e.g., numerator, denominator, initial-population).
Measure.group.population.description	S This element must be supported.	0..1	string	Description of the population involved in the indicator.
Measure.group.population.criteria	S This element must be supported.	1..1	Expression	Description of the population involved in the indicator.
Documentation for this format

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
Measure.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
Measure.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
Measure.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Measure.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Measure.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
Measure.contained		0..*	Resource	Contained, inline Resources
Measure.extension		0..*	Extension	Additional content defined by implementations
Measure.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Measure.url	Σ This element is included in summaries.	0..1	uri	Canonical identifier for this measure, represented as a URI (globally unique)
Measure.identifier	S This element must be supported. Σ This element is included in summaries.	1..1	Identifier	Additional identifier for the measure
Measure.identifier.id		0..1	string	Unique id for inter-element referencing
Measure.identifier.extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Measure.identifier.use	?! This element is a modifier element. Σ This element is included in summaries.	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Measure.identifier.type	Σ This element is included in summaries.	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.
Measure.identifier.system	Σ This element is included in summaries.	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
Measure.identifier.value	Σ This element is included in summaries.	1..1	string	A unique identifier for the indicator definition (e.g. dropout-rate, bcg-coverage). Example General: 123456
Measure.identifier.period	Σ This element is included in summaries.	0..1	Period	Time period when id is/was valid for use
Measure.identifier.assigner	Σ This element is included in summaries.	0..1	Reference(Organization)	Organization that issued id (may be just text)
Measure.version	Σ This element is included in summaries.	0..1	string	Business version of the measure
Measure.name	S This element must be supported. Σ This element is included in summaries. C	1..1	string	A machine-friendly name for the measure (e.g., DropoutRate).
Measure.title	S This element must be supported. Σ This element is included in summaries.	1..1	string	A human-readable title for the measure (e.g., 'Penta1 to Measles Dropout Rate').
Measure.subtitle		0..1	string	Subordinate title of the measure
Measure.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	Indicates the status of the measure (e.g., draft, active, retired). Binding: PublicationStatus (required): The lifecycle status of an artifact.
Measure.experimental	Σ This element is included in summaries.	0..1	boolean	For testing purposes, not real usage
Measure.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.).
Measure.subject[x].subjectCodeableConcept			CodeableConcept
Measure.subject[x].subjectReference			Reference(Group)
Measure.date	S This element must be supported. Σ This element is included in summaries.	1..1	dateTime	The date this measure profile or version was published.
Measure.publisher	S This element must be supported. Σ This element is included in summaries.	0..1	string	The organization or person responsible for publishing the measure.
Measure.contact	Σ This element is included in summaries.	0..*	ContactDetail	Contact details for the publisher
Measure.description	S This element must be supported. Σ This element is included in summaries.	1..1	markdown	Detailed description of what this measure represents.
Measure.useContext	Σ This element is included in summaries.	0..*	UsageContext	The context that the content is intended to support
Measure.jurisdiction	Σ This element is included in summaries.	0..*	CodeableConcept	Intended jurisdiction for measure (if applicable) Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use.
Measure.purpose	S This element must be supported.	0..1	markdown	Explains the reason this measure exists and what it is intended to support.
Measure.usage		0..1	string	Describes the clinical usage of the measure
Measure.copyright		0..1	markdown	Use and/or publishing restrictions
Measure.approvalDate		0..1	date	When the measure was approved by publisher
Measure.lastReviewDate		0..1	date	When the measure was last reviewed
Measure.effectivePeriod	Σ This element is included in summaries.	0..1	Period	When the measure is expected to be used
Measure.topic	S This element must be supported.	0..1	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.
Measure.author		0..*	ContactDetail	Who authored the content
Measure.editor		0..*	ContactDetail	Who edited the content
Measure.reviewer		0..*	ContactDetail	Who reviewed the content
Measure.endorser		0..*	ContactDetail	Who endorsed the content
Measure.relatedArtifact		0..*	RelatedArtifact	Additional documentation, citations, etc.
Measure.library	S This element must be supported.	0..1	canonical(Library)	Reference to the logic library (e.g., CQL or ELM) defining computation rules for the measure.
Measure.disclaimer	Σ This element is included in summaries.	0..1	markdown	Disclaimer for use of the measure or its referenced content
Measure.scoring	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	How the measure is scored (e.g., proportion, ratio, continuous-variable). Binding: MeasureScoring (extensible): The scoring type of the measure.
Measure.compositeScoring	Σ This element is included in summaries.	0..1	CodeableConcept	opportunity | all-or-nothing | linear | weighted Binding: CompositeMeasureScoring (extensible): The composite scoring method of the measure.
Measure.type	Σ This element is included in summaries.	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).
Measure.riskAdjustment	Σ This element is included in summaries.	0..1	string	How risk adjustment is applied for this measure
Measure.rateAggregation	Σ This element is included in summaries.	0..1	string	How is rate aggregation performed for this measure
Measure.rationale	Σ This element is included in summaries.	0..1	markdown	Detailed description of why the measure exists
Measure.clinicalRecommendationStatement	Σ This element is included in summaries.	0..1	markdown	Summary of clinical guidelines
Measure.improvementNotation	S This element must be supported. Σ This element is included in summaries.	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.
Measure.definition	Σ This element is included in summaries.	0..*	markdown	Defined terms used in the measure documentation
Measure.guidance	Σ This element is included in summaries.	0..1	markdown	Additional guidance for implementers
Measure.group	S This element must be supported.	0..10	BackboneElement	Population criteria group
Measure.group.id		0..1	string	Unique id for inter-element referencing
Measure.group.extension		0..*	Extension	Additional content defined by implementations
Measure.group.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Measure.group.code		0..1	CodeableConcept	Meaning of the group
Measure.group.description		0..1	string	Summary description
Measure.group.population	S This element must be supported.	0..10	BackboneElement	Population criteria
Measure.group.population.id		0..1	string	Unique id for inter-element referencing
Measure.group.population.extension		0..*	Extension	Additional content defined by implementations
Measure.group.population.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Measure.group.population.code		0..1	CodeableConcept	The type of population for the measure (e.g., numerator, denominator, initial-population). Binding: MeasurePopulationType (extensible): The type of population.
Measure.group.population.description	S This element must be supported.	0..1	string	Description of the population involved in the indicator.
Measure.group.population.criteria	S This element must be supported.	1..1	Expression	Description of the population involved in the indicator.
Measure.group.stratifier		0..*	BackboneElement	Stratifier criteria for the measure
Measure.group.stratifier.id		0..1	string	Unique id for inter-element referencing
Measure.group.stratifier.extension		0..*	Extension	Additional content defined by implementations
Measure.group.stratifier.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Measure.group.stratifier.code		0..1	CodeableConcept	Meaning of the stratifier
Measure.group.stratifier.description		0..1	string	The human readable description of this stratifier
Measure.group.stratifier.criteria		0..1	Expression	How the measure should be stratified
Measure.group.stratifier.component		0..*	BackboneElement	Stratifier criteria component for the measure
Measure.group.stratifier.component.id		0..1	string	Unique id for inter-element referencing
Measure.group.stratifier.component.extension		0..*	Extension	Additional content defined by implementations
Measure.group.stratifier.component.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Measure.group.stratifier.component.code		0..1	CodeableConcept	Meaning of the stratifier component
Measure.group.stratifier.component.description		0..1	string	The human readable description of this stratifier component
Measure.group.stratifier.component.criteria		1..1	Expression	Component of how the measure should be stratified
Measure.supplementalData		0..*	BackboneElement	What other data should be reported with the measure
Measure.supplementalData.id		0..1	string	Unique id for inter-element referencing
Measure.supplementalData.extension		0..*	Extension	Additional content defined by implementations
Measure.supplementalData.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Measure.supplementalData.code		0..1	CodeableConcept	Meaning of the supplemental data
Measure.supplementalData.usage		0..*	CodeableConcept	supplemental-data | risk-adjustment-factor Binding: MeasureDataUsage (extensible): The intended usage for supplemental data elements in the measure.
Measure.supplementalData.description		0..1	string	The human readable description of this supplemental data
Measure.supplementalData.criteria		1..1	Expression	Expression describing additional data to be reported
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
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
Must-Support: 16 elements

Other representations of profile: CSV, Excel, Schematron