Release 4 5 Preview #1

This page is part of the FHIR Specification (v4.0.1: R4 - Mixed Normative and STU ) in it's permanent home (it will always be available at this URL). (v4.2.0: R5 Preview #1). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4

Clinical Quality Information Work Group   Maturity Level : 1 Trial Use Use Context : Any

The official URL for this profile is:

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

Enforces the minimum information set for the measure metadata required by HL7 and other organizations that share and publish measures

This profile was published on [no date] as a draft by HL7.

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

This structure is derived from Measure .

Summary

Mandatory: 6 elements
Must-Support: 6 elements

Name Flags Card. Type Description & Constraints doco
. . Measure I 1..1 Measure A quality measure definition
. . . id Σ 0..1 string id Logical id of this artifact
. . . meta Σ I 0..1 Meta Metadata about the resource
. . . implicitRules ?! Σ I 0..1 uri A set of rules under which this content was created
. . . language I 0..1 code Language of the resource content
Binding: Common Languages ( preferred )
Max Binding: All Languages
. . . text I 0..1 Narrative Text summary of the resource, for human interpretation
. . . contained 0..* Resource Contained, inline Resources
. . . extension I 0..* Extension Additional content defined by implementations
. . . modifierExtension ?! I 0..* Extension Extensions that cannot be ignored
. . . url Σ I 1..1 uri Canonical identifier for this measure, represented as a URI (globally unique)
. . . identifier S Σ I 0..* Identifier Additional identifier for the measure
. . . version Σ I 1..1 string Business version of the measure
. . . name Σ I 1..1 string Name for this measure (computer friendly)
. . . title S Σ I 0..1 string Name for this measure (human friendly)
. . . subtitle I 0..1 string Subordinate title of the measure
. . . status ?! Σ I 1..1 code draft | active | retired | unknown
Binding: PublicationStatus ( required )
. . . experimental Σ I 1..1 boolean For testing purposes, not real usage
. . . subject[x] I 0..1 E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device
Binding: Subject type ( extensible )
. . . . subjectCodeableConcept CodeableConcept
. . . . subjectReference Reference (group.html) ( Group )
. . . date S Σ I 0..1 dateTime Date last changed
. . . publisher Σ I 1..1 string Name of the publisher (organization or individual)
. . . contact S Σ I 0..* ContactDetail Contact details for the publisher
. . . description Σ I 1..1 markdown Natural language description of the measure
. . . useContext S Σ I 0..* UsageContext The context that the content is intended to support
. . . jurisdiction S Σ I 0..* CodeableConcept Intended jurisdiction for measure (if applicable)
Binding: Jurisdiction ( extensible )
. . . purpose I 0..1 markdown Why this measure is defined
. . . usage I 0..1 string Describes the clinical usage of the measure
. . . copyright I 0..1 markdown Use and/or publishing restrictions
. . . approvalDate I 0..1 date When the measure was approved by publisher
. . . lastReviewDate I 0..1 date When the measure was last reviewed
. . . effectivePeriod Σ I 0..1 Period When the measure is expected to be used
. . . topic I 0..* CodeableConcept The category of the measure, such as Education, Treatment, Assessment, etc.
Binding: DefinitionTopic ( example )
. . . author I 0..* ContactDetail Who authored the content
. . . editor I 0..* ContactDetail Who edited the content
. . . reviewer I 0..* ContactDetail Who reviewed the content
. . . endorser I 0..* ContactDetail Who endorsed the content
. . . relatedArtifact I 0..* RelatedArtifact Additional documentation, citations, etc.
. . . library I 0..* canonical ( Library ) Logic used by the measure
. . . disclaimer Σ I 0..1 markdown Disclaimer for use of the measure or its referenced content
. . . scoring Σ I 0..1 CodeableConcept proportion | ratio | continuous-variable | cohort
Binding: MeasureScoring ( extensible )
. . . compositeScoring Σ I 0..1 CodeableConcept opportunity | all-or-nothing | linear | weighted
Binding: CompositeMeasureScoring ( extensible )
. . . type Σ I 0..* CodeableConcept process | outcome | structure | patient-reported-outcome | composite
Binding: MeasureType ( extensible )
. . . riskAdjustment Σ I 0..1 string How risk adjustment is applied for this measure
. . . rateAggregation Σ I 0..1 string How is rate aggregation performed for this measure
. . . rationale Σ I 0..1 markdown Detailed description of why the measure exists
. . . clinicalRecommendationStatement Σ I 0..1 markdown Summary of clinical guidelines
. . . improvementNotation Σ I 0..1 CodeableConcept increase | decrease
Binding: MeasureImprovementNotation ( required )
. . . definition Σ I 0..* markdown Defined terms used in the measure documentation
. . . guidance Σ I 0..1 markdown Additional guidance for implementers
. . . group I 0..* BackboneElement Population criteria group
. . . . id 0..1 string id Unique id for inter-element referencing
. . . . extension I 0..* Extension Additional content defined by implementations
. . . . modifierExtension ?! Σ I 0..* Extension Extensions that cannot be ignored even if unrecognized
. . . . code I 0..1 CodeableConcept Meaning of the group
. . . . description I 0..1 string Summary description
. . . . population I 0..* BackboneElement Population criteria
. . . . . id 0..1 string id Unique id for inter-element referencing
. . . . . extension I 0..* Extension Additional content defined by implementations
. . . . . modifierExtension ?! Σ I 0..* Extension Extensions that cannot be ignored even if unrecognized
. . . . . code I 0..1 CodeableConcept initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
Binding: MeasurePopulationType ( extensible )
. . . . . description I 0..1 string The human readable description of this population criteria
. . . . . criteria I 1..1 Expression The criteria that defines this population
. . . . stratifier I 0..* BackboneElement Stratifier criteria for the measure
. . . . . id 0..1 string id Unique id for inter-element referencing
. . . . . extension I 0..* Extension Additional content defined by implementations
. . . . . modifierExtension ?! Σ I 0..* Extension Extensions that cannot be ignored even if unrecognized
. . . . . code I 0..1 CodeableConcept Meaning of the stratifier
. . . . . description I 0..1 string The human readable description of this stratifier
. . . . . criteria I 0..1 Expression How the measure should be stratified
. . . . . component I 0..* BackboneElement Stratifier criteria component for the measure
. . . . . . id 0..1 string id Unique id for inter-element referencing
. . . . . . extension I 0..* Extension Additional content defined by implementations
. . . . . . modifierExtension ?! Σ I 0..* Extension Extensions that cannot be ignored even if unrecognized
. . . . . . code I 0..1 CodeableConcept Meaning of the stratifier component
. . . . . . description I 0..1 string The human readable description of this stratifier component
. . . . . . criteria I 1..1 Expression Component of how the measure should be stratified
. . . supplementalData I 0..* BackboneElement What other data should be reported with the measure
. . . . id 0..1 string id Unique id for inter-element referencing
. . . . extension I 0..* Extension Additional content defined by implementations
. . . . modifierExtension ?! Σ I 0..* Extension Extensions that cannot be ignored even if unrecognized
. . . . code I 0..1 CodeableConcept Meaning of the supplemental data
. . . . usage I 0..* CodeableConcept supplemental-data | risk-adjustment-factor
Binding: MeasureDataUsage ( extensible )
. . . . description I 0..1 string The human readable description of this supplemental data
. . . . criteria I 1..1 Expression Expression describing additional data to be reported

doco Documentation for this format
<!-- Shareable Measure -->doco

<Measure xmlns="http://hl7.org/fhir"
>
  <!-- from Element: extension -->
 <</id>

 <id value="[id]"/><!-- 0..1 Logical id of this artifact -->

 <meta><!-- ?? 0..1 Meta Metadata about the resource --></meta>
 <implicitRules value="[uri]"/><!-- ?? 0..1 A set of rules under which this content was created -->
 <language value="[code]"/><!-- ?? 0..1 Language of the resource content   -->
 <text><!-- ?? 0..1 Narrative 
     Text summary of the resource, for human interpretation --></text>
 <contained><!-- 0..* Resource Contained, inline Resources --></contained>
 <modifierExtension><!-- ?? 0..* Extension  Extensions that cannot be ignored  --></modifierExtension>
 <url value="[uri]"/><!-- ?? 1..1 Canonical identifier for this measure, represented as a URI (globally unique) -->
 <identifier><!-- ?? 0..* Identifier Additional identifier for the measure --></identifier>
 <version value="[string]"/><!-- ?? 1..1 Business version of the measure -->
 <name value="[string]"/><!-- ?? 1..1 Name for this measure (computer friendly) -->
 <title value="[string]"/><!-- ?? 0..1 Name for this measure (human friendly) -->
 <subtitle value="[string]"/><!-- ?? 0..1 Subordinate title of the measure -->
 <status value="[code]"/><!-- ?? 1..1 draft | active | retired | unknown   -->
 <experimental value="[boolean]"/><!-- ?? 1..1 For testing purposes, not real usage -->
 <subject[x]><!-- ?? 0..1 CodeableConcept|Reference(Group) E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device   --></subject[x]>
 <date value="[dateTime]"/><!-- ?? 0..1 Date last changed -->
 <publisher value="[string]"/><!-- ?? 1..1 Name of the publisher (organization or individual) -->
 <contact><!-- ?? 0..* ContactDetail Contact details for the publisher --></contact>
 <description value="[markdown]"/><!-- ?? 1..1 Natural language description of the measure -->
 <useContext><!-- ?? 0..* UsageContext 
     The context that the content is intended to support --></useContext>
 <jurisdiction><!-- ?? 0..* CodeableConcept Intended jurisdiction for measure (if applicable)   --></jurisdiction>
 <purpose value="[markdown]"/><!-- ?? 0..1 Why this measure is defined -->
 <usage value="[string]"/><!-- ?? 0..1 Describes the clinical usage of the measure -->
 <copyright value="[markdown]"/><!-- ?? 0..1 Use and/or publishing restrictions -->
 <approvalDate value="[date]"/><!-- ?? 0..1 When the measure was approved by publisher -->
 <lastReviewDate value="[date]"/><!-- ?? 0..1 When the measure was last reviewed -->
 <effectivePeriod><!-- ?? 0..1 Period 
     When the measure is expected to be used --></effectivePeriod>
 <topic><!-- ?? 0..* CodeableConcept The category of the measure, such as Education, Treatment, Assessment, etc.   --></topic>
 <author><!-- ?? 0..* ContactDetail Who authored the content --></author>
 <editor><!-- ?? 0..* ContactDetail Who edited the content --></editor>
 <reviewer><!-- ?? 0..* ContactDetail Who reviewed the content --></reviewer>
 <endorser><!-- ?? 0..* ContactDetail Who endorsed the content --></endorser>
 <relatedArtifact><!-- ?? 0..* RelatedArtifact 
     Additional documentation, citations, etc. --></relatedArtifact>
 <library value="[canonical]"/><!-- ?? 0..* Logic used by the measure -->
 <disclaimer value="[markdown]"/><!-- ?? 0..1 Disclaimer for use of the measure or its referenced content -->
 <scoring><!-- ?? 0..1 CodeableConcept proportion | ratio | continuous-variable | cohort   --></scoring>
 <compositeScoring><!-- ?? 0..1 CodeableConcept opportunity | all-or-nothing | linear | weighted   --></compositeScoring>
 <type><!-- ?? 0..* CodeableConcept process | outcome | structure | patient-reported-outcome | composite   --></type>
 <riskAdjustment value="[string]"/><!-- ?? 0..1 How risk adjustment is applied for this measure -->
 <rateAggregation value="[string]"/><!-- ?? 0..1 How is rate aggregation performed for this measure -->
 <rationale value="[markdown]"/><!-- ?? 0..1 Detailed description of why the measure exists -->
 <clinicalRecommendationStatement value="[markdown]"/><!-- ?? 0..1 Summary of clinical guidelines -->
 <improvementNotation><!-- ?? 0..1 CodeableConcept increase | decrease   --></improvementNotation>
 <definition value="[markdown]"/><!-- ?? 0..* Defined terms used in the measure documentation -->
 <guidance value="[markdown]"/><!-- ?? 0..1 Additional guidance for implementers -->
 <

 <group> ?? 0..* BackboneElement  <!-- ?? 0..* Population criteria group -->

  <modifierExtension><!-- ?? 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
  <code><!-- ?? 0..1 CodeableConcept Meaning of the group --></code>
  <description value="[string]"/><!-- ?? 0..1 Summary description -->
  <

  <population> ?? 0..* BackboneElement  <!-- ?? 0..* Population criteria -->

   <modifierExtension><!-- ?? 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
   <code><!-- ?? 0..1 CodeableConcept initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation   --></code>
   <description value="[string]"/><!-- ?? 0..1 The human readable description of this population criteria -->
   <criteria><!-- ?? 1..1 Expression 
       The criteria that defines this population --></criteria>
  </population>
  <

  <stratifier> ?? 0..* BackboneElement  <!-- ?? 0..* Stratifier criteria for the measure -->

   <modifierExtension><!-- ?? 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
   <code><!-- ?? 0..1 CodeableConcept 
       Meaning of the stratifier --></code>
   <description value="[string]"/><!-- ?? 0..1 The human readable description of this stratifier -->
   <criteria><!-- ?? 0..1 Expression 
       How the measure should be stratified --></criteria>
   <

   <component> ?? 0..* BackboneElement  <!-- ?? 0..* Stratifier criteria component for the measure -->

    <modifierExtension><!-- ?? 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
    <code><!-- ?? 0..1 CodeableConcept 
        Meaning of the stratifier component --></code>
    <description value="[string]"/><!-- ?? 0..1 
        The human readable description of this stratifier component -->
    <criteria><!-- ?? 1..1 Expression 
        Component of how the measure should be stratified --></criteria>
   </component>
  </stratifier>
 </group>
 <

 <supplementalData> ?? 0..* BackboneElement  <!-- ?? 0..* What other data should be reported with the measure -->

  <modifierExtension><!-- ?? 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
  <code><!-- ?? 0..1 CodeableConcept 
      Meaning of the supplemental data --></code>
  <usage><!-- ?? 0..* CodeableConcept supplemental-data | risk-adjustment-factor   --></usage>
  <description value="[string]"/><!-- ?? 0..1 The human readable description of this supplemental data -->
  <criteria><!-- ?? 1..1 Expression 
      Expression describing additional data to be reported --></criteria>
 </supplementalData>
</Measure>
{ // Shareable Measure
  // from Element: extension
    "meta" : { Meta }, // C?Metadata about the resource
    "implicitRules" : "<uri>", // C?A set of rules under which this content was created
    "language" : "<code>", // C?Language of the resource content
    "text" : { Narrative }, // C?Text summary of the resource, for human interpretation
    "contained" : [{ Resource }], //Contained, inline Resources
    "modifierExtension" : [{ Extension }], // C?Extensions that cannot be ignored
    "url" : "<uri>", // C? R! Canonical identifier for this measure, represented as a URI (globally unique)
    "identifier" : [{ Identifier }], // C?Additional identifier for the measure
    "version" : "<string>", // C? R! Business version of the measure
    "name" : "<string>", // C? R! Name for this measure (computer friendly)
    "title" : "<string>", // C?Name for this measure (human friendly)
    "subtitle" : "<string>", // C?Subordinate title of the measure
    "status" : "<code>", // C? R! draft | active | retired | unknown
    "experimental" : <boolean>, // C? R! For testing purposes, not real usage
// value[x]: E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device. One of these 2:
    "subjectCodeableConcept" : { CodeableConcept }, // C?E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device
    "subjectReference" : { Reference(Group) }, // C?E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device
    "date" : "<dateTime>", // C?Date last changed
    "publisher" : "<string>", // C? R! Name of the publisher (organization or individual)
    "contact" : [{ ContactDetail }], // C?Contact details for the publisher
    "description" : "<markdown>", // C? R! Natural language description of the measure
    "useContext" : [{ UsageContext }], // C?The context that the content is intended to support
    "jurisdiction" : [{ CodeableConcept }], // C?Intended jurisdiction for measure (if applicable)
    "purpose" : "<markdown>", // C?Why this measure is defined
    "usage" : "<string>", // C?Describes the clinical usage of the measure
    "copyright" : "<markdown>", // C?Use and/or publishing restrictions
    "approvalDate" : "<date>", // C?When the measure was approved by publisher
    "lastReviewDate" : "<date>", // C?When the measure was last reviewed
    "effectivePeriod" : { Period }, // C?When the measure is expected to be used
    "topic" : [{ CodeableConcept }], // C?The category of the measure, such as Education, Treatment, Assessment, etc.
    "author" : [{ ContactDetail }], // C?Who authored the content
    "editor" : [{ ContactDetail }], // C?Who edited the content
    "reviewer" : [{ ContactDetail }], // C?Who reviewed the content
    "endorser" : [{ ContactDetail }], // C?Who endorsed the content
    "relatedArtifact" : [{ RelatedArtifact }], // C?Additional documentation, citations, etc.
    "library" : ["<canonical>"], // C?Logic used by the measure
    "disclaimer" : "<markdown>", // C?Disclaimer for use of the measure or its referenced content
    "scoring" : { CodeableConcept }, // C?proportion | ratio | continuous-variable | cohort
    "compositeScoring" : { CodeableConcept }, // C?opportunity | all-or-nothing | linear | weighted
    "type" : [{ CodeableConcept }], // C?process | outcome | structure | patient-reported-outcome | composite
    "riskAdjustment" : "<string>", // C?How risk adjustment is applied for this measure
    "rateAggregation" : "<string>", // C?How is rate aggregation performed for this measure
    "rationale" : "<markdown>", // C?Detailed description of why the measure exists
    "clinicalRecommendationStatement" : "<markdown>", // C?Summary of clinical guidelines
    "improvementNotation" : { CodeableConcept }, // C?increase | decrease
    "definition" : ["<markdown>"], // C?Defined terms used in the measure documentation
    "guidance" : "<markdown>", // C?Additional guidance for implementers
    "
    "

    "group" : [{ BackboneElement }] // C?Population criteria group
    "supplementalData" : [{ BackboneElement }], // C?What other data should be reported with the measure

  }

This structure is derived from Measure .

Summary

Mandatory: 6 elements
Must-Support: 6 elements

Snapshot View

Name Flags Card. Type Description & Constraints doco
. . Measure I 1..1 Measure A quality measure definition
. . . id Σ 0..1 string id Logical id of this artifact
. . . meta Σ I 0..1 Meta Metadata about the resource
. . . implicitRules ?! Σ I 0..1 uri A set of rules under which this content was created
. . . language I 0..1 code Language of the resource content
Binding: Common Languages ( preferred )
Max Binding: All Languages
. . . text I 0..1 Narrative Text summary of the resource, for human interpretation
. . . contained 0..* Resource Contained, inline Resources
. . . extension I 0..* Extension Additional content defined by implementations
. . . modifierExtension ?! I 0..* Extension Extensions that cannot be ignored
. . . url Σ I 1..1 uri Canonical identifier for this measure, represented as a URI (globally unique)
. . . identifier S Σ I 0..* Identifier Additional identifier for the measure
. . . version Σ I 1..1 string Business version of the measure
. . . name Σ I 1..1 string Name for this measure (computer friendly)
. . . title S Σ I 0..1 string Name for this measure (human friendly)
. . . subtitle I 0..1 string Subordinate title of the measure
. . . status ?! Σ I 1..1 code draft | active | retired | unknown
Binding: PublicationStatus ( required )
. . . experimental Σ I 1..1 boolean For testing purposes, not real usage
. . . subject[x] I 0..1 E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device
Binding: Subject type ( extensible )
. . . . subjectCodeableConcept CodeableConcept
. . . . subjectReference Reference (group.html) ( Group )
. . . date S Σ I 0..1 dateTime Date last changed
. . . publisher Σ I 1..1 string Name of the publisher (organization or individual)
. . . contact S Σ I 0..* ContactDetail Contact details for the publisher
. . . description Σ I 1..1 markdown Natural language description of the measure
. . . useContext S Σ I 0..* UsageContext The context that the content is intended to support
. . . jurisdiction S Σ I 0..* CodeableConcept Intended jurisdiction for measure (if applicable)
Binding: Jurisdiction ( extensible )
. . . purpose I 0..1 markdown Why this measure is defined
. . . usage I 0..1 string Describes the clinical usage of the measure
. . . copyright I 0..1 markdown Use and/or publishing restrictions
. . . approvalDate I 0..1 date When the measure was approved by publisher
. . . lastReviewDate I 0..1 date When the measure was last reviewed
. . . effectivePeriod Σ I 0..1 Period When the measure is expected to be used
. . . topic I 0..* CodeableConcept The category of the measure, such as Education, Treatment, Assessment, etc.
Binding: DefinitionTopic ( example )
. . . author I 0..* ContactDetail Who authored the content
. . . editor I 0..* ContactDetail Who edited the content
. . . reviewer I 0..* ContactDetail Who reviewed the content
. . . endorser I 0..* ContactDetail Who endorsed the content
. . . relatedArtifact I 0..* RelatedArtifact Additional documentation, citations, etc.
. . . library I 0..* canonical ( Library ) Logic used by the measure
. . . disclaimer Σ I 0..1 markdown Disclaimer for use of the measure or its referenced content
. . . scoring Σ I 0..1 CodeableConcept proportion | ratio | continuous-variable | cohort
Binding: MeasureScoring ( extensible )
. . . compositeScoring Σ I 0..1 CodeableConcept opportunity | all-or-nothing | linear | weighted
Binding: CompositeMeasureScoring ( extensible )
. . . type Σ I 0..* CodeableConcept process | outcome | structure | patient-reported-outcome | composite
Binding: MeasureType ( extensible )
. . . riskAdjustment Σ I 0..1 string How risk adjustment is applied for this measure
. . . rateAggregation Σ I 0..1 string How is rate aggregation performed for this measure
. . . rationale Σ I 0..1 markdown Detailed description of why the measure exists
. . . clinicalRecommendationStatement Σ I 0..1 markdown Summary of clinical guidelines
. . . improvementNotation Σ I 0..1 CodeableConcept increase | decrease
Binding: MeasureImprovementNotation ( required )
. . . definition Σ I 0..* markdown Defined terms used in the measure documentation
. . . guidance Σ I 0..1 markdown Additional guidance for implementers
. . . group I 0..* BackboneElement Population criteria group
. . . . id 0..1 string id Unique id for inter-element referencing
. . . . extension I 0..* Extension Additional content defined by implementations
. . . . modifierExtension ?! Σ I 0..* Extension Extensions that cannot be ignored even if unrecognized
. . . . code I 0..1 CodeableConcept Meaning of the group
. . . . description I 0..1 string Summary description
. . . . population I 0..* BackboneElement Population criteria
. . . . . id 0..1 string id Unique id for inter-element referencing
. . . . . extension I 0..* Extension Additional content defined by implementations
. . . . . modifierExtension ?! Σ I 0..* Extension Extensions that cannot be ignored even if unrecognized
. . . . . code I 0..1 CodeableConcept initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
Binding: MeasurePopulationType ( extensible )
. . . . . description I 0..1 string The human readable description of this population criteria
. . . . . criteria I 1..1 Expression The criteria that defines this population
. . . . stratifier I 0..* BackboneElement Stratifier criteria for the measure
. . . . . id 0..1 string id Unique id for inter-element referencing
. . . . . extension I 0..* Extension Additional content defined by implementations
. . . . . modifierExtension ?! Σ I 0..* Extension Extensions that cannot be ignored even if unrecognized
. . . . . code I 0..1 CodeableConcept Meaning of the stratifier
. . . . . description I 0..1 string The human readable description of this stratifier
. . . . . criteria I 0..1 Expression How the measure should be stratified
. . . . . component I 0..* BackboneElement Stratifier criteria component for the measure
. . . . . . id 0..1 string id Unique id for inter-element referencing
. . . . . . extension I 0..* Extension Additional content defined by implementations
. . . . . . modifierExtension ?! Σ I 0..* Extension Extensions that cannot be ignored even if unrecognized
. . . . . . code I 0..1 CodeableConcept Meaning of the stratifier component
. . . . . . description I 0..1 string The human readable description of this stratifier component
. . . . . . criteria I 1..1 Expression Component of how the measure should be stratified
. . . supplementalData I 0..* BackboneElement What other data should be reported with the measure
. . . . id 0..1 string id Unique id for inter-element referencing
. . . . extension I 0..* Extension Additional content defined by implementations
. . . . modifierExtension ?! Σ I 0..* Extension Extensions that cannot be ignored even if unrecognized
. . . . code I 0..1 CodeableConcept Meaning of the supplemental data
. . . . usage I 0..* CodeableConcept supplemental-data | risk-adjustment-factor
Binding: MeasureDataUsage ( extensible )
. . . . description I 0..1 string The human readable description of this supplemental data
. . . . criteria I 1..1 Expression Expression describing additional data to be reported

doco Documentation for this format

XML Template

<!-- Shareable Measure -->doco

<Measure xmlns="http://hl7.org/fhir"
>
  <!-- from Element: extension -->
 <</id>

 <id value="[id]"/><!-- 0..1 Logical id of this artifact -->

 <meta><!-- ?? 0..1 Meta Metadata about the resource --></meta>
 <implicitRules value="[uri]"/><!-- ?? 0..1 A set of rules under which this content was created -->
 <language value="[code]"/><!-- ?? 0..1 Language of the resource content   -->
 <text><!-- ?? 0..1 Narrative 
     Text summary of the resource, for human interpretation --></text>
 <contained><!-- 0..* Resource Contained, inline Resources --></contained>
 <modifierExtension><!-- ?? 0..* Extension  Extensions that cannot be ignored  --></modifierExtension>
 <url value="[uri]"/><!-- ?? 1..1 Canonical identifier for this measure, represented as a URI (globally unique) -->
 <identifier><!-- ?? 0..* Identifier Additional identifier for the measure --></identifier>
 <version value="[string]"/><!-- ?? 1..1 Business version of the measure -->
 <name value="[string]"/><!-- ?? 1..1 Name for this measure (computer friendly) -->
 <title value="[string]"/><!-- ?? 0..1 Name for this measure (human friendly) -->
 <subtitle value="[string]"/><!-- ?? 0..1 Subordinate title of the measure -->
 <status value="[code]"/><!-- ?? 1..1 draft | active | retired | unknown   -->
 <experimental value="[boolean]"/><!-- ?? 1..1 For testing purposes, not real usage -->
 <subject[x]><!-- ?? 0..1 CodeableConcept|Reference(Group) E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device   --></subject[x]>
 <date value="[dateTime]"/><!-- ?? 0..1 Date last changed -->
 <publisher value="[string]"/><!-- ?? 1..1 Name of the publisher (organization or individual) -->
 <contact><!-- ?? 0..* ContactDetail Contact details for the publisher --></contact>
 <description value="[markdown]"/><!-- ?? 1..1 Natural language description of the measure -->
 <useContext><!-- ?? 0..* UsageContext 
     The context that the content is intended to support --></useContext>
 <jurisdiction><!-- ?? 0..* CodeableConcept Intended jurisdiction for measure (if applicable)   --></jurisdiction>
 <purpose value="[markdown]"/><!-- ?? 0..1 Why this measure is defined -->
 <usage value="[string]"/><!-- ?? 0..1 Describes the clinical usage of the measure -->
 <copyright value="[markdown]"/><!-- ?? 0..1 Use and/or publishing restrictions -->
 <approvalDate value="[date]"/><!-- ?? 0..1 When the measure was approved by publisher -->
 <lastReviewDate value="[date]"/><!-- ?? 0..1 When the measure was last reviewed -->
 <effectivePeriod><!-- ?? 0..1 Period 
     When the measure is expected to be used --></effectivePeriod>
 <topic><!-- ?? 0..* CodeableConcept The category of the measure, such as Education, Treatment, Assessment, etc.   --></topic>
 <author><!-- ?? 0..* ContactDetail Who authored the content --></author>
 <editor><!-- ?? 0..* ContactDetail Who edited the content --></editor>
 <reviewer><!-- ?? 0..* ContactDetail Who reviewed the content --></reviewer>
 <endorser><!-- ?? 0..* ContactDetail Who endorsed the content --></endorser>
 <relatedArtifact><!-- ?? 0..* RelatedArtifact 
     Additional documentation, citations, etc. --></relatedArtifact>
 <library value="[canonical]"/><!-- ?? 0..* Logic used by the measure -->
 <disclaimer value="[markdown]"/><!-- ?? 0..1 Disclaimer for use of the measure or its referenced content -->
 <scoring><!-- ?? 0..1 CodeableConcept proportion | ratio | continuous-variable | cohort   --></scoring>
 <compositeScoring><!-- ?? 0..1 CodeableConcept opportunity | all-or-nothing | linear | weighted   --></compositeScoring>
 <type><!-- ?? 0..* CodeableConcept process | outcome | structure | patient-reported-outcome | composite   --></type>
 <riskAdjustment value="[string]"/><!-- ?? 0..1 How risk adjustment is applied for this measure -->
 <rateAggregation value="[string]"/><!-- ?? 0..1 How is rate aggregation performed for this measure -->
 <rationale value="[markdown]"/><!-- ?? 0..1 Detailed description of why the measure exists -->
 <clinicalRecommendationStatement value="[markdown]"/><!-- ?? 0..1 Summary of clinical guidelines -->
 <improvementNotation><!-- ?? 0..1 CodeableConcept increase | decrease   --></improvementNotation>
 <definition value="[markdown]"/><!-- ?? 0..* Defined terms used in the measure documentation -->
 <guidance value="[markdown]"/><!-- ?? 0..1 Additional guidance for implementers -->
 <

 <group> ?? 0..* BackboneElement  <!-- ?? 0..* Population criteria group -->

  <modifierExtension><!-- ?? 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
  <code><!-- ?? 0..1 CodeableConcept Meaning of the group --></code>
  <description value="[string]"/><!-- ?? 0..1 Summary description -->
  <

  <population> ?? 0..* BackboneElement  <!-- ?? 0..* Population criteria -->

   <modifierExtension><!-- ?? 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
   <code><!-- ?? 0..1 CodeableConcept initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation   --></code>
   <description value="[string]"/><!-- ?? 0..1 The human readable description of this population criteria -->
   <criteria><!-- ?? 1..1 Expression 
       The criteria that defines this population --></criteria>
  </population>
  <

  <stratifier> ?? 0..* BackboneElement  <!-- ?? 0..* Stratifier criteria for the measure -->

   <modifierExtension><!-- ?? 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
   <code><!-- ?? 0..1 CodeableConcept 
       Meaning of the stratifier --></code>
   <description value="[string]"/><!-- ?? 0..1 The human readable description of this stratifier -->
   <criteria><!-- ?? 0..1 Expression 
       How the measure should be stratified --></criteria>
   <

   <component> ?? 0..* BackboneElement  <!-- ?? 0..* Stratifier criteria component for the measure -->

    <modifierExtension><!-- ?? 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
    <code><!-- ?? 0..1 CodeableConcept 
        Meaning of the stratifier component --></code>
    <description value="[string]"/><!-- ?? 0..1 
        The human readable description of this stratifier component -->
    <criteria><!-- ?? 1..1 Expression 
        Component of how the measure should be stratified --></criteria>
   </component>
  </stratifier>
 </group>
 <

 <supplementalData> ?? 0..* BackboneElement  <!-- ?? 0..* What other data should be reported with the measure -->

  <modifierExtension><!-- ?? 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
  <code><!-- ?? 0..1 CodeableConcept 
      Meaning of the supplemental data --></code>
  <usage><!-- ?? 0..* CodeableConcept supplemental-data | risk-adjustment-factor   --></usage>
  <description value="[string]"/><!-- ?? 0..1 The human readable description of this supplemental data -->
  <criteria><!-- ?? 1..1 Expression 
      Expression describing additional data to be reported --></criteria>
 </supplementalData>
</Measure>

JSON Template

{ // Shareable Measure
  // from Element: extension
    "meta" : { Meta }, // C?Metadata about the resource
    "implicitRules" : "<uri>", // C?A set of rules under which this content was created
    "language" : "<code>", // C?Language of the resource content
    "text" : { Narrative }, // C?Text summary of the resource, for human interpretation
    "contained" : [{ Resource }], //Contained, inline Resources
    "modifierExtension" : [{ Extension }], // C?Extensions that cannot be ignored
    "url" : "<uri>", // C? R! Canonical identifier for this measure, represented as a URI (globally unique)
    "identifier" : [{ Identifier }], // C?Additional identifier for the measure
    "version" : "<string>", // C? R! Business version of the measure
    "name" : "<string>", // C? R! Name for this measure (computer friendly)
    "title" : "<string>", // C?Name for this measure (human friendly)
    "subtitle" : "<string>", // C?Subordinate title of the measure
    "status" : "<code>", // C? R! draft | active | retired | unknown
    "experimental" : <boolean>, // C? R! For testing purposes, not real usage
// value[x]: E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device. One of these 2:
    "subjectCodeableConcept" : { CodeableConcept }, // C?E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device
    "subjectReference" : { Reference(Group) }, // C?E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device
    "date" : "<dateTime>", // C?Date last changed
    "publisher" : "<string>", // C? R! Name of the publisher (organization or individual)
    "contact" : [{ ContactDetail }], // C?Contact details for the publisher
    "description" : "<markdown>", // C? R! Natural language description of the measure
    "useContext" : [{ UsageContext }], // C?The context that the content is intended to support
    "jurisdiction" : [{ CodeableConcept }], // C?Intended jurisdiction for measure (if applicable)
    "purpose" : "<markdown>", // C?Why this measure is defined
    "usage" : "<string>", // C?Describes the clinical usage of the measure
    "copyright" : "<markdown>", // C?Use and/or publishing restrictions
    "approvalDate" : "<date>", // C?When the measure was approved by publisher
    "lastReviewDate" : "<date>", // C?When the measure was last reviewed
    "effectivePeriod" : { Period }, // C?When the measure is expected to be used
    "topic" : [{ CodeableConcept }], // C?The category of the measure, such as Education, Treatment, Assessment, etc.
    "author" : [{ ContactDetail }], // C?Who authored the content
    "editor" : [{ ContactDetail }], // C?Who edited the content
    "reviewer" : [{ ContactDetail }], // C?Who reviewed the content
    "endorser" : [{ ContactDetail }], // C?Who endorsed the content
    "relatedArtifact" : [{ RelatedArtifact }], // C?Additional documentation, citations, etc.
    "library" : ["<canonical>"], // C?Logic used by the measure
    "disclaimer" : "<markdown>", // C?Disclaimer for use of the measure or its referenced content
    "scoring" : { CodeableConcept }, // C?proportion | ratio | continuous-variable | cohort
    "compositeScoring" : { CodeableConcept }, // C?opportunity | all-or-nothing | linear | weighted
    "type" : [{ CodeableConcept }], // C?process | outcome | structure | patient-reported-outcome | composite
    "riskAdjustment" : "<string>", // C?How risk adjustment is applied for this measure
    "rateAggregation" : "<string>", // C?How is rate aggregation performed for this measure
    "rationale" : "<markdown>", // C?Detailed description of why the measure exists
    "clinicalRecommendationStatement" : "<markdown>", // C?Summary of clinical guidelines
    "improvementNotation" : { CodeableConcept }, // C?increase | decrease
    "definition" : ["<markdown>"], // C?Defined terms used in the measure documentation
    "guidance" : "<markdown>", // C?Additional guidance for implementers
    "
    "

    "group" : [{ BackboneElement }] // C?Population criteria group
    "supplementalData" : [{ BackboneElement }], // C?What other data should be reported with the measure

  }

 

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

Path Name Conformance ValueSet
Measure.language Common Languages preferred Common Languages
Measure.status PublicationStatus required PublicationStatus
Measure.subject[x] Subject type extensible Subject type
Measure.jurisdiction Jurisdiction extensible Jurisdiction
Measure.topic DefinitionTopic example DefinitionTopic
Measure.scoring MeasureScoring extensible MeasureScoring
Measure.compositeScoring CompositeMeasureScoring extensible CompositeMeasureScoring
Measure.type MeasureType extensible MeasureType
Measure.improvementNotation MeasureImprovementNotation required MeasureImprovementNotation
Measure.group.population.code MeasurePopulationType extensible MeasurePopulationType
Measure.supplementalData.usage MeasureDataUsage extensible MeasureDataUsage
.