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14.18.11.7 StructureDefinition: PublishableMeasure

Clinical Quality Information icon Work Group  Maturity Level: 0 Trial Use Use Context: Any

The canonical URL for this profile is: 

http://hl7.org/fhir/StructureDefinition/publishablemeasure

Supports declaration of the Measure metadata required by HL7 and other organizations that share and publish measures with a focus on the aspects of that metadata that are important for post-publication activities including distribution, inclusion in repositories, consumption, and implementation.

Note to Implementers: All of the shareable, publishable, computable, and executable profiles will be migrating to the new Canonical Resource Management icon implementation guide as part of the next FHIR release. Implementers are encouraged to look there for updates, corrections and clarifications.

This profile was published on Thu, Jan 1, 1970 00:00+0000 as a draft by HL7.

14.18.11.7.1 Formal Views of Profile Content

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

This structure is derived from ShareableMeasure.

Summary

Mandatory: 1 element
Must-Support: 22 elements

This indicates the differences between this profile and the base ShareableMeasure structure.

Name iconFlags iconCard. iconType iconDescription & Constraints icondoco icon
.. Measure 1..1 ShareableMeasure A quality measure definition
... identifier S 0..* Identifier Additional identifier for the measure
... date S 1..1 dateTime Date last changed
... contact S 0..* ContactDetail Contact details for the publisher
... useContext S 0..* UsageContext The context that the content is intended to support
... jurisdiction S 0..* CodeableConcept Intended jurisdiction for measure (if applicable)
... purpose S 0..1 markdown Why this measure is defined
... usage S 0..1 markdown Describes the clinical usage of the measure
... copyright S 0..1 markdown Use and/or publishing restrictions
... copyrightLabel S 0..1 string Copyright holder and year(s)
... approvalDate S 0..1 date When the measure was approved by publisher
... lastReviewDate S 0..1 date When the measure was last reviewed by the publisher
... effectivePeriod S 0..1 Period When the measure is expected to be used
... topic S 0..* CodeableConcept The category of the measure, such as Education, Treatment, Assessment, etc
... author S 0..* ContactDetail Who authored the content
... editor S 0..* ContactDetail Who edited the content
... reviewer S 0..* ContactDetail Who reviewed the content
... endorser S 0..* ContactDetail Who endorsed the content
... relatedArtifact S 0..* RelatedArtifact Additional documentation, citations, etc
.... display S 0..1 string Brief description of the related artifact
.... document S 0..1 Attachment What document is being referenced
.... resource S 0..1 canonical(Resource) What artifact is being referenced
.... resourceReference S 0..1 Reference(Resource) What artifact, if not a conformance resource

doco Documentation for this format icon

This provides the consolidated view (aka snapshot) of the profile after applying the changes in this profile to the base ShareableMeasure structure.

Name iconFlags iconCard. iconType iconDescription & Constraints icondoco icon
.. Measure C icon 1..1 ShareableMeasure A quality measure definition
cnl-0: Name should be usable as an identifier for the module by machine processing applications such as code generation
mea-1: Stratifier SHALL be either a single criteria or a set of criteria components
... 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: All Languages (required): IETF language tag for a human language

Additional BindingsPurpose
Common Languages Starter Set
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... knowledgeCapability S 0..* code shareable | computable | publishable | executable
URL: http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability
Binding: Knowledge Capability Value Set (required)
.... knowledgeRepresentationLevel S 0..* code narrative | semi-structured | structured | executable
URL: http://hl7.org/fhir/StructureDefinition/cqf-knowledgeRepresentationLevel
Binding: Knowledge Representation Level (required)
.... artifactComment S 0..* (Complex) Additional documentation, review, or usage guidance
URL: http://hl7.org/fhir/StructureDefinition/cqf-artifactComment
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... url SΣC icon 1..1 uri Canonical identifier for this measure, represented as a URI (globally unique)
cnl-1: URL should not contain | or # - these characters make processing canonical references problematic
... identifier SΣ 0..* Identifier Additional identifier for the measure
... version SΣ 1..1 string Business version of the measure
... versionAlgorithm[x] SΣ 0..1 How to compare versions
Binding: Version Algorithm (extensible)
.... versionAlgorithmString string
.... versionAlgorithmCoding Coding
... name SΣC icon 0..1 string Name for this measure (computer friendly)
... title SΣ 1..1 string Name for this measure (human friendly)
... subtitle 0..1 string Subordinate title of the measure
... status ?!Σ 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: Participant Resource Types (extensible): The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization, Location, etc.).

.... subjectCodeableConcept CodeableConcept
.... subjectReference Reference(Group)
... basis Σ 0..1 code Population basis
Binding: All FHIR Types (required)
... date SΣ 1..1 dateTime Date last changed
... publisher SΣ 0..1 string Name of the publisher/steward (organization or individual)
... contact SΣ 0..* ContactDetail Contact details for the publisher
... description SΣ 1..1 markdown Natural language description of the measure
... useContext SΣ 0..* UsageContext The context that the content is intended to support
... jurisdiction SΣ 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 Why this measure is defined
... usage S 0..1 markdown Describes the clinical usage of the measure
... copyright S 0..1 markdown Use and/or publishing restrictions
... copyrightLabel S 0..1 string Copyright holder and year(s)
... approvalDate S 0..1 date When the measure was approved by publisher
... lastReviewDate S 0..1 date When the measure was last reviewed by the publisher
... effectivePeriod SΣ 0..1 Period When the measure is expected to be used
... topic S 0..* CodeableConcept The category of the measure, such as Education, Treatment, Assessment, etc
Binding: Definition Topic (example): High-level categorization of the definition, used for searching, sorting, and filtering.


... author S 0..* ContactDetail Who authored the content
... editor S 0..* ContactDetail Who edited the content
... reviewer S 0..* ContactDetail Who reviewed the content
... endorser S 0..* ContactDetail Who endorsed the content
... relatedArtifact S 0..* RelatedArtifact Additional documentation, citations, etc
.... id 0..1 id Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... type 1..1 code documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | documents | specification-of | created-with | cite-as
Binding: RelatedArtifactType (required): The type of relationship to the related artifact.

.... classifier 0..* CodeableConcept Additional classifiers
Binding: Citation Artifact Classifier (example): Additional classifiers for the related artifact.


.... label 0..1 string Short label
.... display S 0..1 string Brief description of the related artifact
.... citation 0..1 markdown Bibliographic citation for the artifact
.... document S 0..1 Attachment What document is being referenced
.... resource S 0..1 canonical(Resource) What artifact is being referenced
.... resourceReference S 0..1 Reference(Resource) What artifact, if not a conformance resource
.... publicationStatus 0..1 code draft | active | retired | unknown
Binding: PublicationStatus (required): Publication status of an artifact being referred to.

.... publicationDate 0..1 date Date of publication of the artifact being referred to
... library 0..* canonical(Library) Logic used by the measure
... disclaimer Σ 0..1 markdown Disclaimer for use of the measure or its referenced content
... scoring Σ 0..1 CodeableConcept proportion | ratio | continuous-variable | cohort
Binding: Measure Scoring icon (extensible): The scoring type of the measure.

... scoringUnit Σ 0..1 CodeableConcept What units?
Binding: Measure Scoring Unit (example)
... compositeScoring Σ 0..1 CodeableConcept opportunity | all-or-nothing | linear | weighted
Binding: Composite Measure Scoring (extensible): The composite scoring method of the measure.

... type Σ 0..* CodeableConcept process | outcome | structure | patient-reported-outcome | composite
Binding: Measure Type (extensible): The type of measure (includes codes from 2.16.840.1.113883.1.11.20368).


... riskAdjustment Σ 0..1 markdown How risk adjustment is applied for this measure
... rateAggregation Σ 0..1 markdown 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 Σ 0..1 CodeableConcept increase | decrease
Binding: Measure Improvement Notation (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.

... term 0..* BackboneElement Defined terms used in the measure documentation
.... 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 What term?
Binding: Measure Definition Example (example): Codeable representations of measure definition terms.

.... definition 0..1 markdown Meaning of the term
... guidance Σ 0..1 markdown Additional guidance for implementers (deprecated)
... group C icon 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
.... linkId C icon 0..1 string Unique id for group in measure
mea-2: Link ids should be 255 characters or less
.... code 0..1 CodeableConcept Meaning of the group
Binding: Measure Group Example (example): Example of measure groups.

.... description 0..1 markdown Summary description
.... type Σ 0..* CodeableConcept process | outcome | structure | patient-reported-outcome | composite
Binding: Measure Type (extensible)
.... subject[x] 0..1 E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device
Binding: Participant Resource Types (extensible): The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization, Location, etc.).

..... subjectCodeableConcept CodeableConcept
..... subjectReference Reference(Group)
.... basis Σ 0..1 code Population basis
Binding: All FHIR Types (required)
.... scoring Σ 0..1 CodeableConcept proportion | ratio | continuous-variable | cohort
Binding: Measure Scoring icon (extensible)
.... scoringUnit Σ 0..1 CodeableConcept What units?
Binding: Measure Scoring Unit (example)
.... rateAggregation Σ 0..1 markdown How is rate aggregation performed for this measure
.... improvementNotation Σ 0..1 CodeableConcept increase | decrease
Binding: Measure Improvement Notation (required)
.... library 0..* canonical(Library) Logic used by the measure group
.... population 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
..... linkId C icon 0..1 string Unique id for population in measure
mea-3: Link ids should be 255 characters or less
..... code 0..1 CodeableConcept initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
Binding: Measure Population Type (extensible): The type of population.

..... description 0..1 markdown The human readable description of this population criteria
..... criteria 0..1 Expression The criteria that defines this population
..... groupDefinition 0..1 Reference(Group) A group resource that defines this population
..... inputPopulationId 0..1 string Which population
..... aggregateMethod 0..1 CodeableConcept Aggregation method for a measure score (e.g. sum, average, median, minimum, maximum, count)
Binding: Measure Aggregate Method (extensible)
.... stratifier C icon 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
..... linkId C icon 0..1 string Unique id for stratifier in measure
mea-4: Link ids should be 255 characters or less
..... code C icon 0..1 CodeableConcept Meaning of the stratifier
Binding: Measure Stratifier Example (example): Meaning of the stratifier.

..... description C icon 0..1 markdown The human readable description of this stratifier
..... criteria C icon 0..1 Expression How the measure should be stratified
..... groupDefinition 0..1 Reference(Group) A group resource that defines this population
..... component C icon 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
...... linkId C icon 0..1 string Unique id for stratifier component in measure
mea-5: Link ids should be 255 characters or less
...... code 0..1 CodeableConcept Meaning of the stratifier component
Binding: Measure Stratifier Example (example): Meaning of the stratifier.

...... description 0..1 markdown The human readable description of this stratifier component
...... criteria 0..1 Expression Component of how the measure should be stratified
...... groupDefinition 0..1 Reference(Group) A group resource that defines this population
... 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
.... linkId C icon 0..1 string Unique id for supplementalData in measure
mea-6: Link ids should be 255 characters or less
.... code 0..1 CodeableConcept Meaning of the supplemental data
Binding: Measure Supplemental Data Example (example): Meaning of the supplemental data.

.... usage 0..* CodeableConcept supplemental-data | risk-adjustment-factor
Binding: Measure Data Usage (extensible): The intended usage for supplemental data elements in the measure.


.... description 0..1 markdown The human readable description of this supplemental data
.... criteria 1..1 Expression Expression describing additional data to be reported

doco Documentation for this format icon
<!-- PublishableMeasure -->doco

<Measure xmlns="http://hl7.org/fhir"
>
  <!-- from Element: extension -->
 <id value="[id]"/><!-- 0..1 Logical id of this artifact -->
 <meta><!-- I 0..1 Meta Metadata about the resource --></meta>
 <implicitRules value="[uri]"/><!-- I 0..1 A set of rules under which this content was created -->
 <language value="[code]"/><!-- I 0..1 Language of the resource content   -->
 <text><!-- I 0..1 Narrative 
     Text summary of the resource, for human interpretation --></text>
 <contained><!-- 0..* Resource Contained, inline Resources --></contained>
 <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored  --></modifierExtension>
 <url value="[uri]"/><!-- I 1..1 Canonical identifier for this measure, represented as a URI (globally unique) -->
 <identifier><!-- I 0..* Identifier Additional identifier for the measure --></identifier>
 <version value="[string]"/><!-- I 1..1 Business version of the measure -->
 <versionAlgorithm[x]><!-- I 0..1 string|Coding How to compare versions   --></versionAlgorithm[x]>
 <name value="[string]"/><!-- I 0..1 Name for this measure (computer friendly) -->
 <title value="[string]"/><!-- I 1..1 Name for this measure (human friendly) -->
 <subtitle value="[string]"/><!-- I 0..1 Subordinate title of the measure -->
 <status value="[code]"/><!-- I 1..1 draft | active | retired | unknown   -->
 <experimental value="[boolean]"/><!-- I 0..1 For testing purposes, not real usage -->
 <subject[x]><!-- I 0..1 CodeableConcept|Reference(Group) E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device   --></subject[x]>
 <basis value="[code]"/><!-- I 0..1 Population basis   -->
 <date value="[dateTime]"/><!-- I 1..1 Date last changed -->
 <publisher value="[string]"/><!-- I 0..1 Name of the publisher/steward (organization or individual) -->
 <contact><!-- I 0..* ContactDetail Contact details for the publisher --></contact>
 <description value="[markdown]"/><!-- I 1..1 Natural language description of the measure -->
 <useContext><!-- I 0..* UsageContext 
     The context that the content is intended to support --></useContext>
 <jurisdiction><!-- I 0..* CodeableConcept Intended jurisdiction for measure (if applicable)   --></jurisdiction>
 <purpose value="[markdown]"/><!-- I 0..1 Why this measure is defined -->
 <usage value="[markdown]"/><!-- I 0..1 Describes the clinical usage of the measure -->
 <copyright value="[markdown]"/><!-- I 0..1 Use and/or publishing restrictions -->
 <copyrightLabel value="[string]"/><!-- I 0..1 Copyright holder and year(s) -->
 <approvalDate value="[date]"/><!-- I 0..1 When the measure was approved by publisher -->
 <lastReviewDate value="[date]"/><!-- I 0..1 When the measure was last reviewed by the publisher -->
 <effectivePeriod><!-- I 0..1 Period 
     When the measure is expected to be used --></effectivePeriod>
 <topic><!-- I 0..* CodeableConcept The category of the measure, such as Education, Treatment, Assessment, etc   --></topic>
 <author><!-- I 0..* ContactDetail Who authored the content --></author>
 <editor><!-- I 0..* ContactDetail Who edited the content --></editor>
 <reviewer><!-- I 0..* ContactDetail Who reviewed the content --></reviewer>
 <endorser><!-- I 0..* ContactDetail Who endorsed the content --></endorser>
 <relatedArtifact> I 0..* RelatedArtifact  <!-- I 0..* Additional documentation, citations, etc -->
  <type value="[code]"/><!-- I 1..1 documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | documents | specification-of | created-with | cite-as   -->
  <classifier><!-- I 0..* CodeableConcept Additional classifiers   --></classifier>
  <label value="[string]"/><!-- I 0..1 Short label -->
  <display value="[string]"/><!-- I 0..1 Brief description of the related artifact -->
  <citation value="[markdown]"/><!-- I 0..1 Bibliographic citation for the artifact -->
  <document><!-- I 0..1 Attachment 
      What document is being referenced --></document>
  <resource value="[canonical]"/><!-- I 0..1 What artifact is being referenced -->
  <resourceReference><!-- I 0..1 Reference(Resource) 
      What artifact, if not a conformance resource --></resourceReference>
  <publicationStatus value="[code]"/><!-- I 0..1 draft | active | retired | unknown   -->
  <publicationDate value="[date]"/><!-- I 0..1 Date of publication of the artifact being referred to -->
 </relatedArtifact>
 <library value="[canonical]"/><!-- I 0..* Logic used by the measure -->
 <disclaimer value="[markdown]"/><!-- I 0..1 Disclaimer for use of the measure or its referenced content -->
 <scoring><!-- I 0..1 CodeableConcept proportion | ratio | continuous-variable | cohort icon   --></scoring>
 <scoringUnit><!-- I 0..1 CodeableConcept What units?   --></scoringUnit>
 <compositeScoring><!-- I 0..1 CodeableConcept opportunity | all-or-nothing | linear | weighted   --></compositeScoring>
 <type><!-- I 0..* CodeableConcept process | outcome | structure | patient-reported-outcome | composite   --></type>
 <riskAdjustment value="[markdown]"/><!-- I 0..1 How risk adjustment is applied for this measure -->
 <rateAggregation value="[markdown]"/><!-- I 0..1 How is rate aggregation performed for this measure -->
 <rationale value="[markdown]"/><!-- I 0..1 Detailed description of why the measure exists -->
 <clinicalRecommendationStatement value="[markdown]"/><!-- I 0..1 Summary of clinical guidelines -->
 <improvementNotation><!-- I 0..1 CodeableConcept increase | decrease   --></improvementNotation>
 <term> I 0..* BackboneElement  <!-- I 0..* Defined terms used in the measure documentation -->
  <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
  <code><!-- I 0..1 CodeableConcept What term?   --></code>
  <definition value="[markdown]"/><!-- I 0..1 Meaning of the term -->
 </term>
 <guidance value="[markdown]"/><!-- I 0..1 Additional guidance for implementers (deprecated) -->
 <group> I 0..* BackboneElement  <!-- I 0..* Population criteria group -->
  <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
  <linkId value="[string]"/><!-- I 0..1 Unique id for group in measure -->
  <code><!-- I 0..1 CodeableConcept Meaning of the group   --></code>
  <description value="[markdown]"/><!-- I 0..1 Summary description -->
  <type><!-- I 0..* CodeableConcept process | outcome | structure | patient-reported-outcome | composite   --></type>
  <subject[x]><!-- I 0..1 CodeableConcept|Reference(Group) E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device   --></subject[x]>
  <basis value="[code]"/><!-- I 0..1 Population basis   -->
  <scoring><!-- I 0..1 CodeableConcept proportion | ratio | continuous-variable | cohort icon   --></scoring>
  <scoringUnit><!-- I 0..1 CodeableConcept What units?   --></scoringUnit>
  <rateAggregation value="[markdown]"/><!-- I 0..1 How is rate aggregation performed for this measure -->
  <improvementNotation><!-- I 0..1 CodeableConcept increase | decrease   --></improvementNotation>
  <library value="[canonical]"/><!-- I 0..* Logic used by the measure group -->
  <population> I 0..* BackboneElement  <!-- I 0..* Population criteria -->
   <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
   <linkId value="[string]"/><!-- I 0..1 Unique id for population in measure -->
   <code><!-- I 0..1 CodeableConcept initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation   --></code>
   <description value="[markdown]"/><!-- I 0..1 The human readable description of this population criteria -->
   <criteria><!-- I 0..1 Expression 
       The criteria that defines this population --></criteria>
   <groupDefinition><!-- I 0..1 Reference(Group) 
       A group resource that defines this population --></groupDefinition>
   <inputPopulationId value="[string]"/><!-- I 0..1 Which population -->
   <aggregateMethod><!-- I 0..1 CodeableConcept Aggregation method for a measure score (e.g. sum, average, median, minimum, maximum, count)   --></aggregateMethod>
  </population>
  <stratifier> I 0..* BackboneElement  <!-- I 0..* Stratifier criteria for the measure -->
   <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
   <linkId value="[string]"/><!-- I 0..1 Unique id for stratifier in measure -->
   <code><!-- I 0..1 CodeableConcept Meaning of the stratifier   --></code>
   <description value="[markdown]"/><!-- I 0..1 The human readable description of this stratifier -->
   <criteria><!-- I 0..1 Expression 
       How the measure should be stratified --></criteria>
   <groupDefinition><!-- I 0..1 Reference(Group) 
       A group resource that defines this population --></groupDefinition>
   <component> I 0..* BackboneElement  <!-- I 0..* Stratifier criteria component for the measure -->
    <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
    <linkId value="[string]"/><!-- I 0..1 Unique id for stratifier component in measure -->
    <code><!-- I 0..1 CodeableConcept Meaning of the stratifier component   --></code>
    <description value="[markdown]"/><!-- I 0..1 
        The human readable description of this stratifier component -->
    <criteria><!-- I 0..1 Expression 
        Component of how the measure should be stratified --></criteria>
    <groupDefinition><!-- I 0..1 Reference(Group) 
        A group resource that defines this population --></groupDefinition>
   </component>
  </stratifier>
 </group>
 <supplementalData> I 0..* BackboneElement  <!-- I 0..* What other data should be reported with the measure -->
  <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
  <linkId value="[string]"/><!-- I 0..1 Unique id for supplementalData in measure -->
  <code><!-- I 0..1 CodeableConcept Meaning of the supplemental data   --></code>
  <usage><!-- I 0..* CodeableConcept supplemental-data | risk-adjustment-factor   --></usage>
  <description value="[markdown]"/><!-- I 0..1 The human readable description of this supplemental data -->
  <criteria><!-- I 1..1 Expression 
      Expression describing additional data to be reported --></criteria>
 </supplementalData>
</Measure>

{ // PublishableMeasure
  // from Element: extension
    "meta" : { Meta }, // IMetadata about the resource
    "implicitRules" : "<uri>", // IA set of rules under which this content was created
    "language" : "<code>", // ILanguage of the resource content
    "text" : { Narrative }, // IText summary of the resource, for human interpretation
    "contained" : [{ Resource }], //Contained, inline Resources
    "extension" : [ //  sliced by value:url  in the specified order, Open 
      { // shareable | computable | publishable | executable // I
        // from Element: extension
      },
      { // narrative | semi-structured | structured | executable // I
        // from Element: extension
      },
      { // Additional documentation, review, or usage guidance // I
        // from Element: extension
      }
    ],
    "modifierExtension" : [{ Extension }], // IExtensions that cannot be ignored
    "url" : "<uri>", // I R! Canonical identifier for this measure, represented as a URI (globally unique)
    "identifier" : [{ Identifier }], // IAdditional identifier for the measure
    "version" : "<string>", // I R! Business version of the measure
  // value[x]: How to compare versions. One of these 2:
    "versionAlgorithmString" : "<string>", // IHow to compare versions
    "versionAlgorithmCoding" : { Coding }, // IHow to compare versions
    "name" : "<string>", // IName for this measure (computer friendly)
    "title" : "<string>", // I R! Name for this measure (human friendly)
    "subtitle" : "<string>", // ISubordinate title of the measure
    "status" : "<code>", // I R! draft | active | retired | unknown
    "experimental" : <boolean>, // IFor testing purposes, not real usage
  // value[x]: E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device. One of these 2:
    "subjectCodeableConcept" : { CodeableConcept }, // IE.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device
    "subjectReference" : { Reference(Group) }, // IE.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device
    "basis" : "<code>", // IPopulation basis
    "date" : "<dateTime>", // I R! Date last changed
    "publisher" : "<string>", // IName of the publisher/steward (organization or individual)
    "contact" : [{ ContactDetail }], // IContact details for the publisher
    "description" : "<markdown>", // I R! Natural language description of the measure
    "useContext" : [{ UsageContext }], // IThe context that the content is intended to support
    "jurisdiction" : [{ CodeableConcept }], // IIntended jurisdiction for measure (if applicable)
    "purpose" : "<markdown>", // IWhy this measure is defined
    "usage" : "<markdown>", // IDescribes the clinical usage of the measure
    "copyright" : "<markdown>", // IUse and/or publishing restrictions
    "copyrightLabel" : "<string>", // ICopyright holder and year(s)
    "approvalDate" : "<date>", // IWhen the measure was approved by publisher
    "lastReviewDate" : "<date>", // IWhen the measure was last reviewed by the publisher
    "effectivePeriod" : { Period }, // IWhen the measure is expected to be used
    "topic" : [{ CodeableConcept }], // IThe category of the measure, such as Education, Treatment, Assessment, etc
    "author" : [{ ContactDetail }], // IWho authored the content
    "editor" : [{ ContactDetail }], // IWho edited the content
    "reviewer" : [{ ContactDetail }], // IWho reviewed the content
    "endorser" : [{ ContactDetail }], // IWho endorsed the content
    "relatedArtifact" : [{ RelatedArtifact }], // IAdditional documentation, citations, etc
    "library" : ["<canonical>"], // ILogic used by the measure
    "disclaimer" : "<markdown>", // IDisclaimer for use of the measure or its referenced content
    "scoring" : { CodeableConcept }, // Iproportion | ratio | continuous-variable | cohort icon
    "scoringUnit" : { CodeableConcept }, // IWhat units?
    "compositeScoring" : { CodeableConcept }, // Iopportunity | all-or-nothing | linear | weighted
    "type" : [{ CodeableConcept }], // Iprocess | outcome | structure | patient-reported-outcome | composite
    "riskAdjustment" : "<markdown>", // IHow risk adjustment is applied for this measure
    "rateAggregation" : "<markdown>", // IHow is rate aggregation performed for this measure
    "rationale" : "<markdown>", // IDetailed description of why the measure exists
    "clinicalRecommendationStatement" : "<markdown>", // ISummary of clinical guidelines
    "improvementNotation" : { CodeableConcept }, // Iincrease | decrease
    "term" : [{ BackboneElement }], // IDefined terms used in the measure documentation
    "guidance" : "<markdown>", // IAdditional guidance for implementers (deprecated)
    "group" : [{ BackboneElement }], // IPopulation criteria group
    "supplementalData" : [{ BackboneElement }], // IWhat other data should be reported with the measure
  }

This structure is derived from ShareableMeasure.

Summary

Mandatory: 1 element
Must-Support: 22 elements

Differential View

This indicates the differences between this profile and the base ShareableMeasure structure.

Name iconFlags iconCard. iconType iconDescription & Constraints icondoco icon
.. Measure 1..1 ShareableMeasure A quality measure definition
... identifier S 0..* Identifier Additional identifier for the measure
... date S 1..1 dateTime Date last changed
... contact S 0..* ContactDetail Contact details for the publisher
... useContext S 0..* UsageContext The context that the content is intended to support
... jurisdiction S 0..* CodeableConcept Intended jurisdiction for measure (if applicable)
... purpose S 0..1 markdown Why this measure is defined
... usage S 0..1 markdown Describes the clinical usage of the measure
... copyright S 0..1 markdown Use and/or publishing restrictions
... copyrightLabel S 0..1 string Copyright holder and year(s)
... approvalDate S 0..1 date When the measure was approved by publisher
... lastReviewDate S 0..1 date When the measure was last reviewed by the publisher
... effectivePeriod S 0..1 Period When the measure is expected to be used
... topic S 0..* CodeableConcept The category of the measure, such as Education, Treatment, Assessment, etc
... author S 0..* ContactDetail Who authored the content
... editor S 0..* ContactDetail Who edited the content
... reviewer S 0..* ContactDetail Who reviewed the content
... endorser S 0..* ContactDetail Who endorsed the content
... relatedArtifact S 0..* RelatedArtifact Additional documentation, citations, etc
.... display S 0..1 string Brief description of the related artifact
.... document S 0..1 Attachment What document is being referenced
.... resource S 0..1 canonical(Resource) What artifact is being referenced
.... resourceReference S 0..1 Reference(Resource) What artifact, if not a conformance resource

doco Documentation for this format icon

Snapshot View

This provides the consolidated view (aka snapshot) of the profile after applying the changes in this profile to the base ShareableMeasure structure.

Name iconFlags iconCard. iconType iconDescription & Constraints icondoco icon
.. Measure C icon 1..1 ShareableMeasure A quality measure definition
cnl-0: Name should be usable as an identifier for the module by machine processing applications such as code generation
mea-1: Stratifier SHALL be either a single criteria or a set of criteria components
... 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: All Languages (required): IETF language tag for a human language

Additional BindingsPurpose
Common Languages Starter Set
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... knowledgeCapability S 0..* code shareable | computable | publishable | executable
URL: http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability
Binding: Knowledge Capability Value Set (required)
.... knowledgeRepresentationLevel S 0..* code narrative | semi-structured | structured | executable
URL: http://hl7.org/fhir/StructureDefinition/cqf-knowledgeRepresentationLevel
Binding: Knowledge Representation Level (required)
.... artifactComment S 0..* (Complex) Additional documentation, review, or usage guidance
URL: http://hl7.org/fhir/StructureDefinition/cqf-artifactComment
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... url SΣC icon 1..1 uri Canonical identifier for this measure, represented as a URI (globally unique)
cnl-1: URL should not contain | or # - these characters make processing canonical references problematic
... identifier SΣ 0..* Identifier Additional identifier for the measure
... version SΣ 1..1 string Business version of the measure
... versionAlgorithm[x] SΣ 0..1 How to compare versions
Binding: Version Algorithm (extensible)
.... versionAlgorithmString string
.... versionAlgorithmCoding Coding
... name SΣC icon 0..1 string Name for this measure (computer friendly)
... title SΣ 1..1 string Name for this measure (human friendly)
... subtitle 0..1 string Subordinate title of the measure
... status ?!Σ 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: Participant Resource Types (extensible): The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization, Location, etc.).

.... subjectCodeableConcept CodeableConcept
.... subjectReference Reference(Group)
... basis Σ 0..1 code Population basis
Binding: All FHIR Types (required)
... date SΣ 1..1 dateTime Date last changed
... publisher SΣ 0..1 string Name of the publisher/steward (organization or individual)
... contact SΣ 0..* ContactDetail Contact details for the publisher
... description SΣ 1..1 markdown Natural language description of the measure
... useContext SΣ 0..* UsageContext The context that the content is intended to support
... jurisdiction SΣ 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 Why this measure is defined
... usage S 0..1 markdown Describes the clinical usage of the measure
... copyright S 0..1 markdown Use and/or publishing restrictions
... copyrightLabel S 0..1 string Copyright holder and year(s)
... approvalDate S 0..1 date When the measure was approved by publisher
... lastReviewDate S 0..1 date When the measure was last reviewed by the publisher
... effectivePeriod SΣ 0..1 Period When the measure is expected to be used
... topic S 0..* CodeableConcept The category of the measure, such as Education, Treatment, Assessment, etc
Binding: Definition Topic (example): High-level categorization of the definition, used for searching, sorting, and filtering.


... author S 0..* ContactDetail Who authored the content
... editor S 0..* ContactDetail Who edited the content
... reviewer S 0..* ContactDetail Who reviewed the content
... endorser S 0..* ContactDetail Who endorsed the content
... relatedArtifact S 0..* RelatedArtifact Additional documentation, citations, etc
.... id 0..1 id Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... type 1..1 code documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | documents | specification-of | created-with | cite-as
Binding: RelatedArtifactType (required): The type of relationship to the related artifact.

.... classifier 0..* CodeableConcept Additional classifiers
Binding: Citation Artifact Classifier (example): Additional classifiers for the related artifact.


.... label 0..1 string Short label
.... display S 0..1 string Brief description of the related artifact
.... citation 0..1 markdown Bibliographic citation for the artifact
.... document S 0..1 Attachment What document is being referenced
.... resource S 0..1 canonical(Resource) What artifact is being referenced
.... resourceReference S 0..1 Reference(Resource) What artifact, if not a conformance resource
.... publicationStatus 0..1 code draft | active | retired | unknown
Binding: PublicationStatus (required): Publication status of an artifact being referred to.

.... publicationDate 0..1 date Date of publication of the artifact being referred to
... library 0..* canonical(Library) Logic used by the measure
... disclaimer Σ 0..1 markdown Disclaimer for use of the measure or its referenced content
... scoring Σ 0..1 CodeableConcept proportion | ratio | continuous-variable | cohort
Binding: Measure Scoring icon (extensible): The scoring type of the measure.

... scoringUnit Σ 0..1 CodeableConcept What units?
Binding: Measure Scoring Unit (example)
... compositeScoring Σ 0..1 CodeableConcept opportunity | all-or-nothing | linear | weighted
Binding: Composite Measure Scoring (extensible): The composite scoring method of the measure.

... type Σ 0..* CodeableConcept process | outcome | structure | patient-reported-outcome | composite
Binding: Measure Type (extensible): The type of measure (includes codes from 2.16.840.1.113883.1.11.20368).


... riskAdjustment Σ 0..1 markdown How risk adjustment is applied for this measure
... rateAggregation Σ 0..1 markdown 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 Σ 0..1 CodeableConcept increase | decrease
Binding: Measure Improvement Notation (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.

... term 0..* BackboneElement Defined terms used in the measure documentation
.... 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 What term?
Binding: Measure Definition Example (example): Codeable representations of measure definition terms.

.... definition 0..1 markdown Meaning of the term
... guidance Σ 0..1 markdown Additional guidance for implementers (deprecated)
... group C icon 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
.... linkId C icon 0..1 string Unique id for group in measure
mea-2: Link ids should be 255 characters or less
.... code 0..1 CodeableConcept Meaning of the group
Binding: Measure Group Example (example): Example of measure groups.

.... description 0..1 markdown Summary description
.... type Σ 0..* CodeableConcept process | outcome | structure | patient-reported-outcome | composite
Binding: Measure Type (extensible)
.... subject[x] 0..1 E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device
Binding: Participant Resource Types (extensible): The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization, Location, etc.).

..... subjectCodeableConcept CodeableConcept
..... subjectReference Reference(Group)
.... basis Σ 0..1 code Population basis
Binding: All FHIR Types (required)
.... scoring Σ 0..1 CodeableConcept proportion | ratio | continuous-variable | cohort
Binding: Measure Scoring icon (extensible)
.... scoringUnit Σ 0..1 CodeableConcept What units?
Binding: Measure Scoring Unit (example)
.... rateAggregation Σ 0..1 markdown How is rate aggregation performed for this measure
.... improvementNotation Σ 0..1 CodeableConcept increase | decrease
Binding: Measure Improvement Notation (required)
.... library 0..* canonical(Library) Logic used by the measure group
.... population 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
..... linkId C icon 0..1 string Unique id for population in measure
mea-3: Link ids should be 255 characters or less
..... code 0..1 CodeableConcept initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
Binding: Measure Population Type (extensible): The type of population.

..... description 0..1 markdown The human readable description of this population criteria
..... criteria 0..1 Expression The criteria that defines this population
..... groupDefinition 0..1 Reference(Group) A group resource that defines this population
..... inputPopulationId 0..1 string Which population
..... aggregateMethod 0..1 CodeableConcept Aggregation method for a measure score (e.g. sum, average, median, minimum, maximum, count)
Binding: Measure Aggregate Method (extensible)
.... stratifier C icon 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
..... linkId C icon 0..1 string Unique id for stratifier in measure
mea-4: Link ids should be 255 characters or less
..... code C icon 0..1 CodeableConcept Meaning of the stratifier
Binding: Measure Stratifier Example (example): Meaning of the stratifier.

..... description C icon 0..1 markdown The human readable description of this stratifier
..... criteria C icon 0..1 Expression How the measure should be stratified
..... groupDefinition 0..1 Reference(Group) A group resource that defines this population
..... component C icon 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
...... linkId C icon 0..1 string Unique id for stratifier component in measure
mea-5: Link ids should be 255 characters or less
...... code 0..1 CodeableConcept Meaning of the stratifier component
Binding: Measure Stratifier Example (example): Meaning of the stratifier.

...... description 0..1 markdown The human readable description of this stratifier component
...... criteria 0..1 Expression Component of how the measure should be stratified
...... groupDefinition 0..1 Reference(Group) A group resource that defines this population
... 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
.... linkId C icon 0..1 string Unique id for supplementalData in measure
mea-6: Link ids should be 255 characters or less
.... code 0..1 CodeableConcept Meaning of the supplemental data
Binding: Measure Supplemental Data Example (example): Meaning of the supplemental data.

.... usage 0..* CodeableConcept supplemental-data | risk-adjustment-factor
Binding: Measure Data Usage (extensible): The intended usage for supplemental data elements in the measure.


.... description 0..1 markdown The human readable description of this supplemental data
.... criteria 1..1 Expression Expression describing additional data to be reported

doco Documentation for this format icon

XML Template

<!-- PublishableMeasure -->doco

<Measure xmlns="http://hl7.org/fhir"
>
  <!-- from Element: extension -->
 <id value="[id]"/><!-- 0..1 Logical id of this artifact -->
 <meta><!-- I 0..1 Meta Metadata about the resource --></meta>
 <implicitRules value="[uri]"/><!-- I 0..1 A set of rules under which this content was created -->
 <language value="[code]"/><!-- I 0..1 Language of the resource content   -->
 <text><!-- I 0..1 Narrative 
     Text summary of the resource, for human interpretation --></text>
 <contained><!-- 0..* Resource Contained, inline Resources --></contained>
 <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored  --></modifierExtension>
 <url value="[uri]"/><!-- I 1..1 Canonical identifier for this measure, represented as a URI (globally unique) -->
 <identifier><!-- I 0..* Identifier Additional identifier for the measure --></identifier>
 <version value="[string]"/><!-- I 1..1 Business version of the measure -->
 <versionAlgorithm[x]><!-- I 0..1 string|Coding How to compare versions   --></versionAlgorithm[x]>
 <name value="[string]"/><!-- I 0..1 Name for this measure (computer friendly) -->
 <title value="[string]"/><!-- I 1..1 Name for this measure (human friendly) -->
 <subtitle value="[string]"/><!-- I 0..1 Subordinate title of the measure -->
 <status value="[code]"/><!-- I 1..1 draft | active | retired | unknown   -->
 <experimental value="[boolean]"/><!-- I 0..1 For testing purposes, not real usage -->
 <subject[x]><!-- I 0..1 CodeableConcept|Reference(Group) E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device   --></subject[x]>
 <basis value="[code]"/><!-- I 0..1 Population basis   -->
 <date value="[dateTime]"/><!-- I 1..1 Date last changed -->
 <publisher value="[string]"/><!-- I 0..1 Name of the publisher/steward (organization or individual) -->
 <contact><!-- I 0..* ContactDetail Contact details for the publisher --></contact>
 <description value="[markdown]"/><!-- I 1..1 Natural language description of the measure -->
 <useContext><!-- I 0..* UsageContext 
     The context that the content is intended to support --></useContext>
 <jurisdiction><!-- I 0..* CodeableConcept Intended jurisdiction for measure (if applicable)   --></jurisdiction>
 <purpose value="[markdown]"/><!-- I 0..1 Why this measure is defined -->
 <usage value="[markdown]"/><!-- I 0..1 Describes the clinical usage of the measure -->
 <copyright value="[markdown]"/><!-- I 0..1 Use and/or publishing restrictions -->
 <copyrightLabel value="[string]"/><!-- I 0..1 Copyright holder and year(s) -->
 <approvalDate value="[date]"/><!-- I 0..1 When the measure was approved by publisher -->
 <lastReviewDate value="[date]"/><!-- I 0..1 When the measure was last reviewed by the publisher -->
 <effectivePeriod><!-- I 0..1 Period 
     When the measure is expected to be used --></effectivePeriod>
 <topic><!-- I 0..* CodeableConcept The category of the measure, such as Education, Treatment, Assessment, etc   --></topic>
 <author><!-- I 0..* ContactDetail Who authored the content --></author>
 <editor><!-- I 0..* ContactDetail Who edited the content --></editor>
 <reviewer><!-- I 0..* ContactDetail Who reviewed the content --></reviewer>
 <endorser><!-- I 0..* ContactDetail Who endorsed the content --></endorser>
 <relatedArtifact> I 0..* RelatedArtifact  <!-- I 0..* Additional documentation, citations, etc -->
  <type value="[code]"/><!-- I 1..1 documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | documents | specification-of | created-with | cite-as   -->
  <classifier><!-- I 0..* CodeableConcept Additional classifiers   --></classifier>
  <label value="[string]"/><!-- I 0..1 Short label -->
  <display value="[string]"/><!-- I 0..1 Brief description of the related artifact -->
  <citation value="[markdown]"/><!-- I 0..1 Bibliographic citation for the artifact -->
  <document><!-- I 0..1 Attachment 
      What document is being referenced --></document>
  <resource value="[canonical]"/><!-- I 0..1 What artifact is being referenced -->
  <resourceReference><!-- I 0..1 Reference(Resource) 
      What artifact, if not a conformance resource --></resourceReference>
  <publicationStatus value="[code]"/><!-- I 0..1 draft | active | retired | unknown   -->
  <publicationDate value="[date]"/><!-- I 0..1 Date of publication of the artifact being referred to -->
 </relatedArtifact>
 <library value="[canonical]"/><!-- I 0..* Logic used by the measure -->
 <disclaimer value="[markdown]"/><!-- I 0..1 Disclaimer for use of the measure or its referenced content -->
 <scoring><!-- I 0..1 CodeableConcept proportion | ratio | continuous-variable | cohort icon   --></scoring>
 <scoringUnit><!-- I 0..1 CodeableConcept What units?   --></scoringUnit>
 <compositeScoring><!-- I 0..1 CodeableConcept opportunity | all-or-nothing | linear | weighted   --></compositeScoring>
 <type><!-- I 0..* CodeableConcept process | outcome | structure | patient-reported-outcome | composite   --></type>
 <riskAdjustment value="[markdown]"/><!-- I 0..1 How risk adjustment is applied for this measure -->
 <rateAggregation value="[markdown]"/><!-- I 0..1 How is rate aggregation performed for this measure -->
 <rationale value="[markdown]"/><!-- I 0..1 Detailed description of why the measure exists -->
 <clinicalRecommendationStatement value="[markdown]"/><!-- I 0..1 Summary of clinical guidelines -->
 <improvementNotation><!-- I 0..1 CodeableConcept increase | decrease   --></improvementNotation>
 <term> I 0..* BackboneElement  <!-- I 0..* Defined terms used in the measure documentation -->
  <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
  <code><!-- I 0..1 CodeableConcept What term?   --></code>
  <definition value="[markdown]"/><!-- I 0..1 Meaning of the term -->
 </term>
 <guidance value="[markdown]"/><!-- I 0..1 Additional guidance for implementers (deprecated) -->
 <group> I 0..* BackboneElement  <!-- I 0..* Population criteria group -->
  <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
  <linkId value="[string]"/><!-- I 0..1 Unique id for group in measure -->
  <code><!-- I 0..1 CodeableConcept Meaning of the group   --></code>
  <description value="[markdown]"/><!-- I 0..1 Summary description -->
  <type><!-- I 0..* CodeableConcept process | outcome | structure | patient-reported-outcome | composite   --></type>
  <subject[x]><!-- I 0..1 CodeableConcept|Reference(Group) E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device   --></subject[x]>
  <basis value="[code]"/><!-- I 0..1 Population basis   -->
  <scoring><!-- I 0..1 CodeableConcept proportion | ratio | continuous-variable | cohort icon   --></scoring>
  <scoringUnit><!-- I 0..1 CodeableConcept What units?   --></scoringUnit>
  <rateAggregation value="[markdown]"/><!-- I 0..1 How is rate aggregation performed for this measure -->
  <improvementNotation><!-- I 0..1 CodeableConcept increase | decrease   --></improvementNotation>
  <library value="[canonical]"/><!-- I 0..* Logic used by the measure group -->
  <population> I 0..* BackboneElement  <!-- I 0..* Population criteria -->
   <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
   <linkId value="[string]"/><!-- I 0..1 Unique id for population in measure -->
   <code><!-- I 0..1 CodeableConcept initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation   --></code>
   <description value="[markdown]"/><!-- I 0..1 The human readable description of this population criteria -->
   <criteria><!-- I 0..1 Expression 
       The criteria that defines this population --></criteria>
   <groupDefinition><!-- I 0..1 Reference(Group) 
       A group resource that defines this population --></groupDefinition>
   <inputPopulationId value="[string]"/><!-- I 0..1 Which population -->
   <aggregateMethod><!-- I 0..1 CodeableConcept Aggregation method for a measure score (e.g. sum, average, median, minimum, maximum, count)   --></aggregateMethod>
  </population>
  <stratifier> I 0..* BackboneElement  <!-- I 0..* Stratifier criteria for the measure -->
   <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
   <linkId value="[string]"/><!-- I 0..1 Unique id for stratifier in measure -->
   <code><!-- I 0..1 CodeableConcept Meaning of the stratifier   --></code>
   <description value="[markdown]"/><!-- I 0..1 The human readable description of this stratifier -->
   <criteria><!-- I 0..1 Expression 
       How the measure should be stratified --></criteria>
   <groupDefinition><!-- I 0..1 Reference(Group) 
       A group resource that defines this population --></groupDefinition>
   <component> I 0..* BackboneElement  <!-- I 0..* Stratifier criteria component for the measure -->
    <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
    <linkId value="[string]"/><!-- I 0..1 Unique id for stratifier component in measure -->
    <code><!-- I 0..1 CodeableConcept Meaning of the stratifier component   --></code>
    <description value="[markdown]"/><!-- I 0..1 
        The human readable description of this stratifier component -->
    <criteria><!-- I 0..1 Expression 
        Component of how the measure should be stratified --></criteria>
    <groupDefinition><!-- I 0..1 Reference(Group) 
        A group resource that defines this population --></groupDefinition>
   </component>
  </stratifier>
 </group>
 <supplementalData> I 0..* BackboneElement  <!-- I 0..* What other data should be reported with the measure -->
  <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
  <linkId value="[string]"/><!-- I 0..1 Unique id for supplementalData in measure -->
  <code><!-- I 0..1 CodeableConcept Meaning of the supplemental data   --></code>
  <usage><!-- I 0..* CodeableConcept supplemental-data | risk-adjustment-factor   --></usage>
  <description value="[markdown]"/><!-- I 0..1 The human readable description of this supplemental data -->
  <criteria><!-- I 1..1 Expression 
      Expression describing additional data to be reported --></criteria>
 </supplementalData>
</Measure>

JSON Template

{ // PublishableMeasure
  // from Element: extension
    "meta" : { Meta }, // IMetadata about the resource
    "implicitRules" : "<uri>", // IA set of rules under which this content was created
    "language" : "<code>", // ILanguage of the resource content
    "text" : { Narrative }, // IText summary of the resource, for human interpretation
    "contained" : [{ Resource }], //Contained, inline Resources
    "extension" : [ //  sliced by value:url  in the specified order, Open 
      { // shareable | computable | publishable | executable // I
        // from Element: extension
      },
      { // narrative | semi-structured | structured | executable // I
        // from Element: extension
      },
      { // Additional documentation, review, or usage guidance // I
        // from Element: extension
      }
    ],
    "modifierExtension" : [{ Extension }], // IExtensions that cannot be ignored
    "url" : "<uri>", // I R! Canonical identifier for this measure, represented as a URI (globally unique)
    "identifier" : [{ Identifier }], // IAdditional identifier for the measure
    "version" : "<string>", // I R! Business version of the measure
  // value[x]: How to compare versions. One of these 2:
    "versionAlgorithmString" : "<string>", // IHow to compare versions
    "versionAlgorithmCoding" : { Coding }, // IHow to compare versions
    "name" : "<string>", // IName for this measure (computer friendly)
    "title" : "<string>", // I R! Name for this measure (human friendly)
    "subtitle" : "<string>", // ISubordinate title of the measure
    "status" : "<code>", // I R! draft | active | retired | unknown
    "experimental" : <boolean>, // IFor testing purposes, not real usage
  // value[x]: E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device. One of these 2:
    "subjectCodeableConcept" : { CodeableConcept }, // IE.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device
    "subjectReference" : { Reference(Group) }, // IE.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device
    "basis" : "<code>", // IPopulation basis
    "date" : "<dateTime>", // I R! Date last changed
    "publisher" : "<string>", // IName of the publisher/steward (organization or individual)
    "contact" : [{ ContactDetail }], // IContact details for the publisher
    "description" : "<markdown>", // I R! Natural language description of the measure
    "useContext" : [{ UsageContext }], // IThe context that the content is intended to support
    "jurisdiction" : [{ CodeableConcept }], // IIntended jurisdiction for measure (if applicable)
    "purpose" : "<markdown>", // IWhy this measure is defined
    "usage" : "<markdown>", // IDescribes the clinical usage of the measure
    "copyright" : "<markdown>", // IUse and/or publishing restrictions
    "copyrightLabel" : "<string>", // ICopyright holder and year(s)
    "approvalDate" : "<date>", // IWhen the measure was approved by publisher
    "lastReviewDate" : "<date>", // IWhen the measure was last reviewed by the publisher
    "effectivePeriod" : { Period }, // IWhen the measure is expected to be used
    "topic" : [{ CodeableConcept }], // IThe category of the measure, such as Education, Treatment, Assessment, etc
    "author" : [{ ContactDetail }], // IWho authored the content
    "editor" : [{ ContactDetail }], // IWho edited the content
    "reviewer" : [{ ContactDetail }], // IWho reviewed the content
    "endorser" : [{ ContactDetail }], // IWho endorsed the content
    "relatedArtifact" : [{ RelatedArtifact }], // IAdditional documentation, citations, etc
    "library" : ["<canonical>"], // ILogic used by the measure
    "disclaimer" : "<markdown>", // IDisclaimer for use of the measure or its referenced content
    "scoring" : { CodeableConcept }, // Iproportion | ratio | continuous-variable | cohort icon
    "scoringUnit" : { CodeableConcept }, // IWhat units?
    "compositeScoring" : { CodeableConcept }, // Iopportunity | all-or-nothing | linear | weighted
    "type" : [{ CodeableConcept }], // Iprocess | outcome | structure | patient-reported-outcome | composite
    "riskAdjustment" : "<markdown>", // IHow risk adjustment is applied for this measure
    "rateAggregation" : "<markdown>", // IHow is rate aggregation performed for this measure
    "rationale" : "<markdown>", // IDetailed description of why the measure exists
    "clinicalRecommendationStatement" : "<markdown>", // ISummary of clinical guidelines
    "improvementNotation" : { CodeableConcept }, // Iincrease | decrease
    "term" : [{ BackboneElement }], // IDefined terms used in the measure documentation
    "guidance" : "<markdown>", // IAdditional guidance for implementers (deprecated)
    "group" : [{ BackboneElement }], // IPopulation criteria group
    "supplementalData" : [{ BackboneElement }], // IWhat other data should be reported with the measure
  }

 

Alternate definitions: Master Definition (XML, JSON), Schematron

14.18.11.7.2 Terminology Bindings

Path Name Conformance ValueSet
Measure.language All Languages required All Languages
Measure.versionAlgorithm[x] Version Algorithm extensible Version Algorithm
Measure.status PublicationStatus required PublicationStatus
Measure.subject[x] Participant Resource Types extensible Participant Resource Types
Measure.basis All FHIR Types required All FHIR Types
Measure.jurisdiction Jurisdiction ValueSet extensible Jurisdiction ValueSet
Measure.topic Definition Topic example Definition Topic
Measure.relatedArtifact.type RelatedArtifactType required RelatedArtifactType
Measure.relatedArtifact.classifier Citation Artifact Classifier example Citation Artifact Classifier
Measure.relatedArtifact.publicationStatus PublicationStatus required PublicationStatus
Measure.scoring Measure Scoring extensible Measure Scoring icon
Measure.scoringUnit Measure Scoring Unit example Measure Scoring Unit
Measure.compositeScoring Composite Measure Scoring extensible Composite Measure Scoring
Measure.type Measure Type extensible Measure Type
Measure.improvementNotation Measure Improvement Notation required Measure Improvement Notation
Measure.term.code Measure Definition Example example Measure Definition Example
Measure.group.code Measure Group Example example Measure Group Example
Measure.group.type Measure Type extensible Measure Type
Measure.group.subject[x] Participant Resource Types extensible Participant Resource Types
Measure.group.basis All FHIR Types required All FHIR Types
Measure.group.scoring Measure Scoring extensible Measure Scoring icon
Measure.group.scoringUnit Measure Scoring Unit example Measure Scoring Unit
Measure.group.improvementNotation Measure Improvement Notation required Measure Improvement Notation
Measure.group.population.code Measure Population Type extensible Measure Population Type
Measure.group.population.aggregateMethod Measure Aggregate Method extensible Measure Aggregate Method
Measure.group.stratifier.code Measure Stratifier Example example Measure Stratifier Example
Measure.group.stratifier.component.code Measure Stratifier Example example Measure Stratifier Example
Measure.supplementalData.code Measure Supplemental Data Example example Measure Supplemental Data Example
Measure.supplementalData.usage Measure Data Usage extensible Measure Data Usage
. .