Composition.id
MeasureReport
|
|
Definition
|
The
logical
id
of
the
resource,
as
used
in
the
URL
for
the
resource.
Once
assigned,
this
value
never
changes.
The MeasureReport resource contains the results of evaluating a measure.
|
|
Control
|
0..1
1..1
|
Type
id
Summary
|
Comments
The
only
time
that
a
resource
does
not
have
an
id
is
when
it
is
being
submitted
to
the
server
using
a
create
operation.
Bundles
always
have
an
id,
though
it
is
usually
a
generated
UUID.
true
|
Composition.meta
MeasureReport.measure
|
|
Definition
|
The
metadata
about
the
resource.
This
is
content
that
is
maintained
by
the
infrastructure.
Changes
to
the
content
may
not
always
be
associated
with
version
changes
to
the
resource.
A reference to the Measure that was evaluated to produce this report.
|
|
Control
|
0..1
1..1
|
|
Type
|
Meta
Composition.implicitRules
Definition
A
reference
to
a
set
of
rules
that
were
followed
when
the
resource
was
constructed,
and
which
must
be
understood
when
processing
the
content.
Control
0..1
Type
Reference
uri
(
Measure
)
|
Is
Modifier
Summary
|
true
|
Comments
Asserting
this
rule
set
restricts
the
content
to
be
only
understood
by
a
limited
set
of
trading
partners.
This
inherently
limits
the
usefulness
of
the
data
in
the
long
term.
However,
the
existing
health
eco-system
is
highly
fractured,
and
not
yet
ready
to
define,
collect,
and
exchange
data
in
a
generally
computable
sense.
Wherever
possible,
implementers
and/or
specification
writers
should
avoid
using
this
element
as
much
as
possible.
Composition.language
MeasureReport.type
|
|
Definition
|
The
base
language
in
which
the
resource
is
written.
The type of measure report. This may be an individual report, which provides a single patient's score for the measure, a patient listing, which returns the list of patients that meet the various criteria in the measure, or a summary report, which returns a population count for each criteria in the measure.
|
|
Control
|
0..1
1..1
|
|
Binding
|
A
human
language.
The
codes
SHALL
be
taken
from
http://tools.ietf.org/html/bcp47
MeasureReportType:
The type of the measure report
(
Required
)
|
|
Type
|
code
|
Comments
Summary
|
Language
is
provided
to
support
indexing
and
accessibility
(typically,
services
such
as
text
to
speech
use
the
language
tag).
The
html
language
tag
in
the
narrative
applies
to
the
narrative.
The
language
tag
on
the
resource
may
be
used
to
specify
the
language
of
other
presentations
generated
from
the
data
in
the
resource
Not
all
the
content
has
to
be
in
the
base
language.
The
Resource.language
should
not
be
assumed
to
apply
to
the
narrative
automatically.
If
a
language
is
specified,
it
should
it
also
be
specified
on
the
div
element
in
the
html
(see
rules
in
HTML5
for
information
about
the
relationship
between
xml:lang
and
the
html
lang
attribute).
true
|
Composition.text
MeasureReport.patient
|
|
Definition
|
A
human-readable
narrative
that
contains
a
summary
of
the
resource,
and
may
be
used
to
represent
the
content
of
the
resource
to
a
human.
The
narrative
need
not
encode
all
the
structured
data,
but
is
required
to
contain
sufficient
detail
to
make
it
"clinically
safe"
for
a
human
to
just
read
the
narrative.
Resource
definitions
may
define
what
content
should
be
represented
in
the
narrative
to
ensure
clinical
safety.
Optional Patient if the report was requested for a single patient.
|
|
Control
|
0..1
This
element
is
affected
by
the
following
invariants:
dom-1
|
|
Type
|
Narrative
Reference
(
Patient
)
|
Alternate
Names
narrative,
html,
xhtml,
display
Summary
Comments
|
Contained
resources
do
not
have
narrative.
Resources
that
are
not
contained
SHOULD
have
a
narrative.
true
|
Composition.contained
MeasureReport.period
|
|
Definition
|
These
resources
do
not
have
an
independent
existence
apart
from
the
resource
that
contains
them
-
they
cannot
be
identified
independently,
and
nor
can
they
have
their
own
independent
transaction
scope.
The reporting period for which the report was calculated.
|
|
Control
|
0..*
1..1
|
|
Type
|
Resource
Period
|
Alternate
Names
inline
resources,
anonymous
resources,
contained
resources
Summary
Comments
|
This
should
never
be
done
when
the
content
can
be
identified
properly,
as
once
identification
is
lost,
it
is
extremely
difficult
(and
context
dependent)
to
restore
it
again.
true
|
Composition.extension
MeasureReport.status
|
|
Definition
|
May
be
used
to
represent
additional
information
that
is
not
part
of
the
basic
definition
of
the
resource.
In
order
to
make
the
use
of
extensions
safe
and
manageable,
there
is
a
strict
set
of
governance
applied
to
the
definition
and
use
of
extensions.
Though
any
implementer
is
allowed
to
define
an
extension,
there
is
a
set
of
requirements
that
SHALL
be
met
as
part
of
the
definition
of
the
extension.
The report status. No data will be available until the report status is complete.
|
|
Control
|
0..*
Type
Extension
Alternate
Names
extensions,
user
content
1..1
|
Comments
There
can
be
no
stigma
associated
with
the
use
of
extensions
by
any
application,
project,
or
standard
-
regardless
of
the
institution
or
jurisdiction
that
uses
or
defines
the
extensions.
The
use
of
extensions
is
what
allows
the
FHIR
specification
to
retain
a
core
level
of
simplicity
for
everyone.
Binding
Composition.modifierExtension
Definition
May
be
used
to
represent
additional
information
that
is
not
part
of
the
basic
definition
of
the
resource,
and
that
modifies
the
understanding
of
the
element
that
contains
it.
Usually
modifier
elements
provide
negation
or
qualification.
In
order
to
make
the
use
of
extensions
safe
and
manageable,
there
is
a
strict
set
of
governance
applied
to
the
definition
and
use
of
extensions.
Though
any
implementer
is
allowed
to
define
an
extension,
there
is
a
set
of
requirements
that
SHALL
be
met
as
part
of
the
definition
of
the
extension.
Applications
processing
a
resource
are
required
to
check
for
modifier
extensions.
|
Control
MeasureReportStatus:
The status of the measure report
(
Required
0..*
)
|
|
Type
|
Extension
code
|
Is
Modifier
Summary
|
true
|
Alternate
Names
extensions,
user
content
Comments
There
can
be
no
stigma
associated
with
the
use
of
extensions
by
any
application,
project,
or
standard
-
regardless
of
the
institution
or
jurisdiction
that
uses
or
defines
the
extensions.
The
use
of
extensions
is
what
allows
the
FHIR
specification
to
retain
a
core
level
of
simplicity
for
everyone.
Composition.identifier
MeasureReport.date
|
|
Definition
|
Logical
Identifier
for
the
composition,
assigned
when
created.
This
identifier
stays
constant
as
the
composition
is
changed
over
time.
The date this measure report was generated.
|
|
Control
|
0..1
|
Type
Identifier
Comments
See
discussion
in
resource
definition
for
how
these
relate.
Composition.date
Definition
The
composition
editing
time,
when
the
composition
was
last
logically
changed
by
the
author.
Control
1..1
|
Type
|
dateTime
|
Requirements
dateTime
is
used
for
tracking,
organizing
versions
and
searching.
Summary
Comments
|
The
Last
Modified
Date
on
the
composition
may
be
after
the
date
of
the
document
was
attested
without
being
changed.
true
|
Composition.type
MeasureReport.reportingOrganization
|
|
Definition
|
Specifies
the
particular
kind
of
composition
(e.g.
History
and
Physical,
Discharge
Summary,
Progress
Note).
This
usually
equates
to
the
purpose
of
making
the
composition.
Reporting Organization.
|
|
Control
|
1..1
Binding
Type
of
a
composition.
The
codes
SHOULD
be
taken
from
FHIR
Document
Type
Codes
0..1
|
|
Type
|
CodeableConcept
Reference
(
Organization
)
|
Requirements
Key
metadata
element
describing
the
composition,
used
in
searching/filtering.
Summary
Comments
|
For
Composition
type,
LOINC
is
ubiquitous
and
strongly
endorsed
by
HL7.
Most
implementation
guides
will
require
a
specific
LOINC
code,
or
use
LOINC
as
an
extensible
binding.
true
|
Composition.class
MeasureReport.group
|
|
Definition
|
A
categorization
for
the
type
of
the
composition.
This
may
be
implied
by
or
derived
from
the
code
specified
in
the
Composition
Type.
The results of the calculation, one for each population group in the measure.
|
|
Control
|
0..1
Binding
High-level
kind
of
a
clinical
document
at
a
macro
level.
For
example
codes,
see
FHIR
Document
Class
Codes
0..*
|
Type
CodeableConcept
Summary
|
Requirements
Helps
humans
to
assess
whether
the
composition
is
of
interest
when
viewing
an
index
of
compositions
or
documents.
Comments
This
is
a
metadata
field
from
XDS/MHD
.
true
|
Composition.title
MeasureReport.group.identifier
|
|
Definition
|
Official
human-readable
label
for
the
composition.
Control
1..1
Type
string
The identifier of the population group as defined in the measure definition.
|
Comments
For
many
compositions,
the
title
is
the
same
as
the
text
or
a
display
name
of
Composition.type
(e.g.
a
"consultation"
or
"progress
note").
Note
that
CDA
does
not
make
title
mandatory,
but
there
are
no
known
cases
where
it
is
useful
for
title
to
be
omitted,
so
it
is
mandatory
here.
Feedback
on
this
requirement
is
welcome
during
the
trial
use
period.
Composition.status
|
Definition
The
workflow/clinical
status
of
this
composition.
The
status
is
a
marker
for
the
clinical
standing
of
the
document.
This is a business identifer, not a resource identifier (see
discussion
)
|
|
Control
|
1..1
|
Binding
The
workflow/clinical
status
of
the
composition.
The
codes
SHALL
be
taken
from
CompositionStatus
|
Type
|
code
Identifier
|
Is
Modifier
Summary
|
true
|
Requirements
Need
to
be
able
to
mark
interim,
amended,
or
withdrawn
compositions
or
documents.
Comments
If
a
composition
is
marked
as
withdrawn,
the
compositions/documents
in
the
series,
or
data
from
the
composition
or
document
series,
should
never
be
displayed
to
a
user
without
being
clearly
marked
as
untrustworthy.
The
flag
"withdrawn"
is
why
this
element
is
labeled
as
a
modifier
of
other
elements.
Some
reporting
work
flows
require
that
the
original
narrative
of
a
final
document
never
be
altered;
instead,
only
new
narrative
can
be
added.
The
composition
resource
has
no
explicit
status
for
explicitly
noting
whether
this
business
rule
is
in
effect.
This
would
be
handled
by
an
extension
if
required.
Composition.confidentiality
MeasureReport.group.population
|
|
Definition
|
The
code
specifying
the
level
of
confidentiality
of
the
Composition.
The populations that make up the population group, one for each type of population appropriate for the measure.
|
|
Control
|
1..1
Binding
Codes
specifying
the
level
of
confidentiality
of
the
composition.
The
codes
SHALL
be
taken
from
v3
Code
System
Confidentiality
Type
code
0..*
|
Is
Modifier
Summary
|
true
|
Comments
The
exact
use
of
this
element,
and
enforcement
and
issues
related
to
highly
sensitive
documents
are
out
of
scope
for
the
base
specification,
and
delegated
to
implementation
profiles
(see
security
section).
Composition.subject
MeasureReport.group.population.type
|
|
Definition
|
Who
or
what
the
composition
is
about.
The
composition
can
be
about
a
person,
(patient
or
healthcare
practitioner),
a
device
(I.e.
machine)
or
even
a
group
of
subjects
(such
as
a
document
about
a
herd
of
livestock,
or
a
set
of
patients
that
share
a
common
exposure).
The type of the population.
|
|
Control
|
1..1
|
Type
Binding
|
Choice
of:
Reference
(
Patient
),
Reference
(
Practitioner
),
Reference
(
Group
),
Reference
(
Device
),
Reference
(
Location
MeasurePopulationType:
The type of population (e.g. initial, numerator, denominator, etc.)
(
Required
)
|
Requirements
For
a
mreasure
report,
the
subject
indicates
who
ior
what
is
being
measured?
For
example,
the
provider,
hospital,
or
health
plan
that
is
being
measured
by
the
scores
included
in
the
report.
Comments
if
a
report
contains
the
results
of
more
than
one
measure,
each
measure
should
be
measuring
the
same
entity.
Composition.author
Definition
Identifies
who
is
responsible
for
the
information
in
the
composition.
(Not
necessarily
who
typed
it
in.).
Control
1..*
|
Type
|
Choice
of:
Reference
(
Practitioner
),
Reference
(
Device
),
Reference
(
Patient
),
Reference
(
RelatedPerson
)
Requirements
Identifies
who
is
responsible
for
the
content.
Composition.attester
Definition
A
participant
who
has
attested
to
the
accuracy
of
the
composition/document.
Control
code
|
0..*
Type
BackboneElement
Summary
|
Requirements
Identifies
responsibility
for
the
accuracy
of
the
composition
content.
Comments
Only
list
each
attester
once.
true
|
Composition.attester.id
MeasureReport.group.population.count
|
|
Definition
|
unique
id
for
the
element
within
a
resource
(for
internal
references).
The number of members of the population.
|
|
Control
|
0..1
|
|
Type
|
id
Composition.attester.extension
Definition
May
be
used
to
represent
additional
information
that
is
not
part
of
the
basic
definition
of
the
element.
In
order
to
make
the
use
of
extensions
safe
and
manageable,
there
is
a
strict
set
of
governance
applied
to
the
definition
and
use
of
extensions.
Though
any
implementer
is
allowed
to
define
an
extension,
there
is
a
set
of
requirements
that
SHALL
be
met
as
part
of
the
definition
of
the
extension.
Control
integer
|
0..*
Type
Extension
Summary
|
Alternate
Names
extensions,
user
content
Comments
There
can
be
no
stigma
associated
with
the
use
of
extensions
by
any
application,
project,
or
standard
-
regardless
of
the
institution
or
jurisdiction
that
uses
or
defines
the
extensions.
The
use
of
extensions
is
what
allows
the
FHIR
specification
to
retain
a
core
level
of
simplicity
for
everyone.
true
|
Composition.attester.modifierExtension
MeasureReport.group.population.patients
|
|
Definition
|
May
be
used
to
represent
additional
information
that
is
not
part
of
the
basic
definition
of
the
element,
and
that
modifies
the
understanding
of
the
element
that
contains
it.
Usually
modifier
elements
provide
negation
or
qualification.
In
order
to
make
the
use
of
extensions
safe
and
manageable,
there
is
a
strict
set
of
governance
applied
to
the
definition
and
use
of
extensions.
Though
any
implementer
is
allowed
to
define
an
extension,
there
is
a
set
of
requirements
that
SHALL
be
met
as
part
of
the
definition
of
the
extension.
Applications
processing
a
resource
are
required
to
check
for
modifier
extensions.
This element refers to a List of patient level MeasureReport resources, one for each patient in this population.
|
|
Control
|
0..*
0..1
|
|
Type
|
Extension
Reference
(
List
)
|
Is
Modifier
Summary
|
true
|
Alternate
Names
extensions,
user
content,
modifiers
Comments
There
can
be
no
stigma
associated
with
the
use
of
extensions
by
any
application,
project,
or
standard
-
regardless
of
the
institution
or
jurisdiction
that
uses
or
defines
the
extensions.
The
use
of
extensions
is
what
allows
the
FHIR
specification
to
retain
a
core
level
of
simplicity
for
everyone.
Composition.attester.mode
MeasureReport.group.measureScore
|
|
Definition
|
The
type
of
attestation
the
authenticator
offers.
The measure score.
|
|
Control
|
1..*
Binding
The
way
in
which
a
person
authenticated
a
composition.
The
codes
SHALL
be
taken
from
CompositionAttestationMode
0..1
|
|
Type
|
code
Requirements
Indicates
the
level
of
authority
of
the
attestation.
Comments
Use
more
than
one
code
where
a
single
attester
has
more
than
one
mode
(professional
and
legal
are
often
paired).
Composition.attester.time
Definition
When
composition
was
attested
by
the
party.
Control
decimal
|
0..1
Type
dateTime
Summary
|
Requirements
Identifies
when
the
information
in
the
composition
was
deemed
accurate.
(Things
may
have
changed
since
then.).
true
|
Composition.attester.party
MeasureReport.group.stratifier
|
|
Definition
|
Who
attested
the
composition
in
the
specified
way.
When a measure includes multiple stratifiers, there will be a stratifier group for each stratifier defined by the measure.
|
|
Control
|
0..1
0..*
|
Type
Choice
of:
Reference
(
Patient
),
Reference
(
Practitioner
),
Reference
(
Organization
Summary
)
Requirements
|
Identifies
who
has
taken
on
the
responsibility
for
accuracy
of
the
composition
content.
true
|
Composition.custodian
MeasureReport.group.stratifier.identifier
|
|
Definition
|
Identifies
the
organization
or
group
who
is
responsible
for
ongoing
maintenance
of
and
access
to
the
composition/document
information.
Control
0..1
The identifier of this stratifier, as defined in the measure definition.
|
Type
Note
|
Reference
(
Organization
This is a business identifer, not a resource identifier (see
discussion
)
|
Requirements
Identifies
where
to
go
to
find
the
current
version,
where
to
report
issues,
etc.
Comments
This
is
useful
when
documents
are
derived
from
a
composition
-
provides
guidance
for
how
to
get
the
latest
version
of
the
document.
This
is
optional
because
this
is
sometimes
not
known
by
the
authoring
system,
and
can
be
inferred
by
context.
However
it
is
important
that
this
information
be
known
when
working
with
a
derived
document,
so
providing
a
custodian
is
encouraged.
Composition.event
Definition
The
clinical
service,
such
as
a
colonoscopy
or
an
appendectomy,
being
documented.
|
Control
|
0..0
1..1
|
|
Type
|
BackboneElement
Identifier
|
Must
Support
Summary
|
true
|
Requirements
The
report's
results
will
typically
span
many
cases
that
may
each
span
many
events.
Comments
The
event
needs
to
be
consistent
with
the
type
element,
though
can
provide
further
information
if
desired.
Composition.event.id
MeasureReport.group.stratifier.group
|
|
Definition
|
unique
id
for
the
element
within
a
resource
(for
internal
references).
This element contains the results for a single stratum within the stratifier. For example, when stratifying on administrative gender, there will be four strata, one for each possible gender value.
|
|
Control
|
0..1
0..*
|
Type
Summary
|
id
true
|
Composition.event.extension
MeasureReport.group.stratifier.group.value
|
|
Definition
|
May
be
used
to
represent
additional
information
that
is
not
part
of
the
basic
definition
of
the
element.
In
order
to
make
the
use
of
extensions
safe
and
manageable,
there
is
a
strict
set
of
governance
applied
to
the
definition
and
use
of
extensions.
Though
any
implementer
is
allowed
to
define
an
extension,
there
is
a
set
of
requirements
that
SHALL
be
met
as
part
of
the
definition
of
the
extension.
The value for this stratum, expressed as a string. When defining stratifiers on complex values, the value must be rendered such that the value for each stratum within the stratifier is unique.
|
|
Control
|
0..*
1..1
|
|
Type
|
Extension
string
|
Alternate
Names
extensions,
user
content
Summary
Comments
|
There
can
be
no
stigma
associated
with
the
use
of
extensions
by
any
application,
project,
or
standard
-
regardless
of
the
institution
or
jurisdiction
that
uses
or
defines
the
extensions.
The
use
of
extensions
is
what
allows
the
FHIR
specification
to
retain
a
core
level
of
simplicity
for
everyone.
true
|
Composition.event.modifierExtension
MeasureReport.group.stratifier.group.population
|
|
Definition
|
May
be
used
to
represent
additional
information
that
is
not
part
of
the
basic
definition
of
the
element,
and
that
modifies
the
understanding
of
the
element
that
contains
it.
Usually
modifier
elements
provide
negation
or
qualification.
In
order
to
make
the
use
of
extensions
safe
and
manageable,
there
is
a
strict
set
of
governance
applied
to
the
definition
and
use
of
extensions.
Though
any
implementer
is
allowed
to
define
an
extension,
there
is
a
set
of
requirements
that
SHALL
be
met
as
part
of
the
definition
of
the
extension.
Applications
processing
a
resource
are
required
to
check
for
modifier
extensions.
The populations that make up the stratum, one for each type of population appropriate to the measure.
|
|
Control
|
0..*
|
Type
Extension
Is
Modifier
Summary
|
true
|
Alternate
Names
extensions,
user
content,
modifiers
Comments
There
can
be
no
stigma
associated
with
the
use
of
extensions
by
any
application,
project,
or
standard
-
regardless
of
the
institution
or
jurisdiction
that
uses
or
defines
the
extensions.
The
use
of
extensions
is
what
allows
the
FHIR
specification
to
retain
a
core
level
of
simplicity
for
everyone.
Composition.event.code
MeasureReport.group.stratifier.group.population.type
|
|
Definition
|
This
list
of
codes
represents
the
main
clinical
acts,
such
as
a
colonoscopy
or
an
appendectomy,
being
documented.
In
some
cases,
the
event
is
inherent
in
the
typeCode,
such
as
a
"History
and
Physical
Report"
in
which
the
procedure
being
documented
is
necessarily
a
"History
and
Physical"
act.
The type of the population.
|
|
Control
|
0..0
1..1
|
|
Binding
|
This
list
of
codes
represents
the
main
clinical
acts
being
documented.
For
example
codes,
see
v3
Code
System
ActCode
MeasurePopulationType:
The type of population (e.g. initial, numerator, denominator, etc.)
(
Required
)
|
|
Type
|
CodeableConcept
code
|
Must
Support
Summary
|
true
|
Comments
An
event
can
further
specialize
the
act
inherent
in
the
typeCode,
such
as
where
it
is
simply
"Procedure
Report"
and
the
procedure
was
a
"colonoscopy".
If
one
or
more
eventCodes
are
included,
they
SHALL
NOT
conflict
with
the
values
inherent
in
the
classCode,
practiceSettingCode
or
typeCode,
as
such
a
conflict
would
create
an
ambiguous
situation.
This
short
list
of
codes
is
provided
to
be
used
as
key
words
for
certain
types
of
queries.
Composition.event.period
MeasureReport.group.stratifier.group.population.count
|
|
Definition
|
The
period
of
time
covered
by
the
documentation.
There
is
no
assertion
that
the
documentation
is
a
complete
representation
for
this
period,
only
that
it
documents
events
during
this
time.
The number of members of the population in this stratum.
|
|
Control
|
0..0
0..1
|
|
Type
|
Period
integer
|
Must
Support
Summary
|
true
|
Composition.event.detail
MeasureReport.group.stratifier.group.population.patients
|
|
Definition
|
Full
details
for
the
event(s)
the
composition/documentation
consents.
This element refers to a List of patient level MeasureReport resources, one for each patient in this population in this stratum.
|
|
Control
|
0..0
0..1
|
|
Type
|
Reference
(
Resource
List
)
|
Must
Support
Summary
|
true
|
Composition.encounter
MeasureReport.group.stratifier.group.measureScore
|
|
Definition
|
Describes
the
clinical
encounter
or
type
of
care
this
documentation
is
associated
with.
The measure score for this stratum.
|
|
Control
|
0..0
0..1
|
|
Type
|
Reference
(
Encounter
decimal
)
|
Must
Support
Summary
|
true
|
Requirements
Provides
context
for
the
composition
and
supports
searching.
Composition.section
MeasureReport.group.supplementalData
|
|
Definition
|
The
root
of
the
contents
that
make
up
the
composition.
Supplemental data elements for the measure provide additional information requested by the measure for each patient involved in the populations.
|
|
Control
|
0..*
|
Type
BackboneElement
Summary
|
Invariants
Defined
on
this
element
cmp-1
:
A
section
must
at
least
one
of
text,
entries,
or
sub-sections
(xpath:
exists(f:text)
or
exists(f:entry)
or
exists(f:section))
cmp-2
:
A
section
can
only
have
an
emptyReason
if
it
is
empty
(xpath:
not(exists(f:emptyReason)
and
exists(f:entry)))
true
|
Composition.section.id
MeasureReport.group.supplementalData.identifier
|
|
Definition
|
unique
id
for
the
element
within
a
resource
(for
internal
references).
Control
0..1
The identifier of the supplemental data element as defined in the measure.
|
Type
Note
|
id
This is a business identifer, not a resource identifier (see
discussion
Composition.section.extension
Definition
May
be
used
to
represent
additional
information
that
is
not
part
of
the
basic
definition
of
the
element.
In
order
to
make
the
use
of
extensions
safe
and
manageable,
there
is
a
strict
set
of
governance
applied
to
the
definition
and
use
of
extensions.
Though
any
implementer
is
allowed
to
define
an
extension,
there
is
a
set
of
requirements
that
SHALL
be
met
as
part
of
the
definition
of
the
extension.
)
|
|
Control
|
0..*
1..1
|
|
Type
|
Extension
Identifier
|
Alternate
Names
extensions,
user
content
Summary
Comments
|
There
can
be
no
stigma
associated
with
the
use
of
extensions
by
any
application,
project,
or
standard
-
regardless
of
the
institution
or
jurisdiction
that
uses
or
defines
the
extensions.
The
use
of
extensions
is
what
allows
the
FHIR
specification
to
retain
a
core
level
of
simplicity
for
everyone.
true
|
Composition.section.modifierExtension
MeasureReport.group.supplementalData.group
|
|
Definition
|
May
be
used
to
represent
additional
information
that
is
not
part
of
the
basic
definition
of
the
element,
and
that
modifies
the
understanding
of
the
element
that
contains
it.
Usually
modifier
elements
provide
negation
or
qualification.
In
order
to
make
the
use
of
extensions
safe
and
manageable,
there
is
a
strict
set
of
governance
applied
to
the
definition
and
use
of
extensions.
Though
any
implementer
is
allowed
to
define
an
extension,
there
is
a
set
of
requirements
that
SHALL
be
met
as
part
of
the
definition
of
the
extension.
Applications
processing
a
resource
are
required
to
check
for
modifier
extensions.
This element contains the results for a single value within the supplemental data. For example, when reporting supplemental data for administrative gender, there will be four groups, one for each possible gender value.
|
|
Control
|
0..*
|
Type
Extension
Is
Modifier
Summary
|
true
|
Alternate
Names
extensions,
user
content,
modifiers
Comments
There
can
be
no
stigma
associated
with
the
use
of
extensions
by
any
application,
project,
or
standard
-
regardless
of
the
institution
or
jurisdiction
that
uses
or
defines
the
extensions.
The
use
of
extensions
is
what
allows
the
FHIR
specification
to
retain
a
core
level
of
simplicity
for
everyone.
Composition.section.title
MeasureReport.group.supplementalData.group.value
|
|
Definition
|
The
heading
for
this
particular
section.
This
will
be
part
of
the
rendered
content
for
the
document.
The value for this supplemental data element, expressed as a string. When defining supplemental data on complex values, the value must be rendered such that the value for each group within the supplemental data element is unique.
|
|
Control
|
0..1
1..1
|
|
Type
|
string
|
Requirements
Section
headings
are
often
standardized
for
different
types
of
documents.
They
give
guidance
to
humans
on
how
the
document
is
organized.
Alternate
Names
header,
label,
caption
Summary
Comments
|
The
title
identifies
the
section
for
a
human
reader.
The
title
must
be
consistent
with
the
narrative
of
the
resource
that
is
the
target
of
the
section.content
reference.
Generally,
sections
SHOULD
have
titles,
but
in
some
documents
it
is
unnecessary
or
inappropriate.
Typically,
this
is
where
a
section
has
subsections
that
have
their
own
adequately
distinguishing
title,
or
documents
that
only
have
a
single
section.
Most
Implementation
Guides
will
make
section
title
to
be
a
required
element.
true
|
Composition.section.code
MeasureReport.group.supplementalData.group.count
|
|
Definition
|
A
code
identifying
the
kind
of
content
contained
within
the
section.
This
must
be
consistent
with
the
section
title.
The number of members in the supplemental data group.
|
|
Control
|
0..1
|
Binding
Classification
of
a
section
of
a
composition/document.
For
example
codes,
see
Document
Section
Codes
|
Type
|
CodeableConcept
Requirements
Provides
computable
standardized
labels
to
topics
within
the
document.
Comments
The
code
identifies
the
section
for
an
automated
processor
of
the
document.
This
is
particularly
relevant
when
using
profiles
to
control
the
structure
of
the
document.
If
the
section
has
content
(instead
of
sub-sections),
the
section.code
does
not
change
the
meaning
or
interpretation
of
the
resource
that
is
the
content
of
the
section
in
the
comments
for
the
section.code.
Composition.section.text
Definition
A
human-readable
narrative
that
contains
the
attested
content
of
the
section,
used
to
represent
the
content
of
the
resource
to
a
human.
The
narrative
need
not
encode
all
the
structured
data,
but
is
required
to
contain
sufficient
detail
to
make
it
"clinically
safe"
for
a
human
to
just
read
the
narrative.
Control
integer
|
0..1
This
element
is
affected
by
the
following
invariants:
cmp-1
Type
Narrative
Summary
|
Comments
Document
profiles
may
define
what
content
should
be
represented
in
the
narrative
to
ensure
clinical
safety.
true
|
Composition.section.mode
MeasureReport.group.supplementalData.group.patients
|
|
Definition
|
How
the
entry
list
was
prepared
-
whether
it
is
a
working
list
that
is
suitable
for
being
maintained
on
an
ongoing
basis,
or
if
it
represents
a
snapshot
of
a
list
of
items
from
another
source,
or
whether
it
is
a
prepared
list
where
items
may
be
marked
as
added,
modified
or
deleted.
This element refers to a List of patient level MeasureReport resources, one for each patient in this population.
|
|
Control
|
0..1
|
Binding
The
processing
mode
that
applies
to
this
section.
The
codes
SHALL
be
taken
from
ListMode
|
Type
|
code
Is
Modifier
true
Requirements
Sections
are
used
in
various
ways,
and
it
must
be
known
in
what
way
it
is
safe
to
use
the
entries
in
them.
Composition.section.orderedBy
Definition
Specifies
the
order
applied
to
the
items
in
the
section
entries.
Control
0..1
Binding
Reference
What
order
applies
to
the
items
in
the
entry.
The
codes
SHOULD
be
taken
from
(
List
Order
Codes
)
|
Type
CodeableConcept
Summary
|
Requirements
Important
for
presentation
and
rendering.
Lists
may
be
sorted
to
place
more
important
information
first
or
to
group
related
entries.
Comments
Applications
SHOULD
render
ordered
lists
in
the
order
provided,
but
MAY
allow
users
to
re-order
based
on
their
own
preferences
as
well.
If
there
is
no
order
specified,
the
order
is
unknown,
though
there
may
still
be
some
order.
true
|
Composition.section.entry
MeasureReport.evaluatedResources
|
|
Definition
|
The
content
(narrative
and
data)
associated
with
the
section.
A reference to a Bundle containing the Resources that were used in the evaluation of this report.
|
|
Control
|
1..1
This
element
is
affected
by
the
following
invariants:
cmp-2
0..1
|
|
Type
|
Reference
(
Observation
Bundle
)
|
Comments
If
there
are
no
entries
in
the
list,
an
emptyReason
SHOULD
be
provided.
Composition.section.emptyReason
Definition
If
the
section
is
empty,
why
the
list
is
empty.
An
empty
section
typically
has
some
text
explaining
the
empty
reason.
Control
0..1
This
element
is
affected
by
the
following
invariants:
cmp-2
Binding
If
a
section
is
empty,
why
it
is
empty.
The
codes
SHOULD
be
taken
from
List
Empty
Reasons
Type
CodeableConcept
Requirements
Allows
capturing
things
like
"none
exist"
or
"not
asked"
which
can
be
important
for
most
lists.
Comments
The
various
reasons
for
an
empty
section
make
a
significant
interpretation
to
its
interpretation.
Note
that
this
code
is
for
use
when
the
entire
section
content
has
been
suppressed,
and
not
for
when
individual
items
are
omitted
-
implementers
may
consider
using
a
text
note
or
a
flag
on
an
entry
in
these
cases.
Composition.section.section
Definition
A
nested
sub-section
within
this
section.
Control
Summary
|
0..*
This
element
is
affected
by
the
following
invariants:
cmp-1
Type
See
section
Comments
Nested
sections
are
primarily
used
to
help
human
readers
navigate
to
particular
portions
of
the
document.
true
|
©
HL7.org
2011+.
FHIR
DSTU2
(v1.0.2-7202)
generated
on
Sat,
Oct
24,
2015
07:43+1100.
Links:
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|
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|
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Contents
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