Shareable
Measure
ShareableMeasure
<?xml version="1.0" encoding="UTF-8"?>
Enforces the minimum information set for the measure metadata required by HL7 and other
organizations that share and publish measures
Name should be usable as an identifier for the module by machine processing applications
such as code generation
If the resource is contained in another resource, it SHALL be referred to from elsewhere
in the resource or SHALL refer to the containing resource
contained.where(((id.exists() and ('#'+id in (%resource.descendants().reference | %resource.descenda
nts().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))))
or descendants().where(reference = '#').exists() or descendants().where(as(canonical)
= '#').exists() or descendants().where(as(uri) = '#').exists()).not()).trace('unmatched',
id).empty()
not(exists(for $contained in f:contained return $contained[not(exists(parent::*/descendant::f:refere
nce/@value=concat('#', $contained/*/f:id/@value)) or exists(descendant::f:reference[@value='#']))]))
If a resource is contained in another resource, it SHALL NOT have a meta.versionId or
a meta.lastUpdated
When a resource has no narrative, only systems that fully understand the data can display
the resource to a human safely. Including a human readable representation in the resource
makes for a much more robust eco-system and cheaper handling of resources by intermediary
systems. Some ecosystems restrict distribution of resources to only those systems that
do fully understand the resources, and as a consequence implementers may believe that
the narrative is superfluous. However experience shows that such eco-systems often open
up to new participants over time.
The logical id of the resource, as used in the URL for the resource. Once assigned, this
value never changes.
The only time that a resource does not have an id is when it is being submitted to the
server using a create operation.
The metadata about the resource. This is content that is maintained by the infrastructure.
Changes to the content might not always be associated with version changes to the resource.
A reference to a set of rules that were followed when the resource was constructed, and
which must be understood when processing the content. Often, this is a reference to an
implementation guide that defines the special rules along with other profiles etc.
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. Often, when used, the URL
is a reference to an implementation guide that defines these special rules as part of
it's narrative along with other profiles, value sets, etc.
This element is labeled as a modifier because the implicit rules may provide additional
knowledge about the resource that modifies it's meaning or interpretation
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).
A human-readable narrative that contains a summary of the resource and can 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.
Contained resources do not have narrative. Resources that are not contained SHOULD have
a narrative. In some cases, a resource may only have text with little or no additional
discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary
for data from legacy systems where information is captured as a "text blob"
or where text is additionally entered raw or narrated and encoded information is added
later.
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.
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. Contained
resources may have profiles and tags In their meta elements, but SHALL NOT have security
labels.
Containing new R4B resources within R4 resources may cause interoperability issues if
instances are shared with R4 systems
($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable
or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this
is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition
or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus
or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence
or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefi
nition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition
or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorizat
ion or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource
is SubscriptionTopic)
not(f:Citation|f:Evidence|f:EvidenceReport|f:EvidenceVariable|f:MedicinalProductDefinition|f:Package
dProductDefinition|f:AdministrableProductDefinition|f:Ingredient|f:ClinicalUseDefinition|f:RegulatedA
uthorization|f:SubstanceDefinition|f:SubscriptionStatus|f:SubscriptionTopic) or not(parent::f:Citatio
n|parent::f:Evidence|parent::f:EvidenceReport|parent::f:EvidenceVariable|parent::f:MedicinalProductDe
finition|parent::f:PackagedProductDefinition|parent::f:AdministrableProductDefinition|parent::f:Ingre
dient|parent::f:ClinicalUseDefinition|parent::f:RegulatedAuthorization|parent::f:SubstanceDefinition|
f:SubscriptionStatus|f:SubscriptionTopic)
May be used to represent additional information that is not part of the basic definition
of the resource. 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
can define an extension, there is a set of requirements that SHALL be met as part of the
definition of the extension.
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.
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 and/or
the understanding of the containing element's descendants. Usually modifier elements provide
negation or qualification. 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.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
(including cannot change the meaning of modifierExtension itself).
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.
Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly
distinguished from the vast majority of extensions which can be safely ignored. This
promotes interoperability by eliminating the need for implementers to prohibit the presence
of extensions. For further information, see the [definition of modifier extensions](extensibility.ht
ml#modifierExtension).
Modifier extensions are expected to modify the meaning or interpretation of the resource
that contains them
An absolute URI that is used to identify this measure when it is referenced in a specification,
model, design or an instance; also called its canonical identifier. This SHOULD be globally
unique and SHOULD be a literal address at which at which an authoritative instance of
this measure is (or will be) published. This URL can be the target of a canonical reference.
It SHALL remain the same when the measure is stored on different servers.
Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred. Multiple instances
may share the same URL if they have a distinct version.
The determination of when to create a new version of a resource (same url, new version)
vs. defining a new artifact is up to the author. Considerations for making this decision
are found in [Technical and Business Versions](resource.html#versions).
In some cases, the resource can no longer be found at the stated url, but the url itself
cannot change. Implementations can use the [meta.source](resource.html#meta) element to
indicate where the current master source of the resource can be found.
A formal identifier that is used to identify this measure when it is represented in other
formats, or referenced in a specification, model, design or an instance.
Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier)
data type, and can then identify this measure outside of FHIR, where it is not possible
to use the logical URI.
Allows externally provided and/or usable business identifiers to be easily associated
with the module.
The identifier that is used to identify this version of the measure when it is referenced
in a specification, model, design or instance. This is an arbitrary value managed by the
measure author and is not expected to be globally unique. For example, it might be a timestamp
(e.g. yyyymmdd) if a managed version is not available. There is also no expectation that
versions can be placed in a lexicographical sequence. To provide a version consistent
with the Decision Support Service specification, use the format Major.Minor.Revision (e.g.
1.0.0). For more information on versioning knowledge assets, refer to the Decision Support
Service specification. Note that a version is required for non-experimental active artifacts.
There may be different measure instances that have the same identifier but different versions.
The version can be appended to the url in a reference to allow a reference to a particular
business version of the measure with the format [url]|[version].
A natural language name identifying the measure. This name should be usable as an identifier
for the module by machine processing applications such as code generation.
The name is not expected to be globally unique. The name should be a simple alphanumeric
type name to ensure that it is machine-processing friendly.
This name does not need to be machine-processing friendly and may contain punctuation,
white-space, etc.
An explanatory or alternate title for the measure giving additional information about
its content.
This is labeled as "Is Modifier" because applications should not use a retired
{{title}} without due consideration
A Boolean value to indicate that this measure is authored for testing purposes (or education/evaluat
ion/marketing) and is not intended to be used for genuine usage.
Enables experimental content to be developed following the same lifecycle that would be
used for a production-level measure.
The intended subjects for the measure. If this element is not provided, a Patient subject
is assumed, but the subject of the measure can be anything.
The subject of the measure is critical in interpreting the criteria definitions, as the
logic in the measures is evaluated with respect to a particular subject. This corresponds
roughly to the notion of a Compartment in that it limits what content is available based
on its relationship to the subject. In CQL, this corresponds to the context declaration.
The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization,
Location, etc.).
The date (and optionally time) when the measure was published. The date must change when
the business version changes and it must change if the status code changes. In addition,
it should change when the substantive content of the measure changes.
Note that this is not the same as the resource last-modified-date, since the resource
may be a secondary representation of the measure. Additional specific dates may be added
as extensions or be found by consulting Provenances associated with past versions of the
resource.
Usually an organization but may be an individual. The publisher (or steward) of the measure
is the organization or individual primarily responsible for the maintenance and upkeep
of the measure. This is not necessarily the same individual or organization that developed
and initially authored the content. The publisher is the primary point of contact for
questions or issues with the measure. This item SHOULD be populated unless the information
is available from context.
Helps establish the "authority/credibility" of the measure. May also allow
for contact.
This description can be used to capture details such as why the measure was built, comments
about misuse, instructions for clinical use and interpretation, literature references,
examples from the paper world, etc. It is not a rendering of the measure as conveyed in
the 'text' field of the resource itself. This item SHOULD be populated unless the information
is available from context (e.g. the language of the measure is presumed to be the predominant
language in the place the measure was created).
The content was developed with a focus and intent of supporting the contexts that are
listed. These contexts may be general categories (gender, age, ...) or may be references
to specific programs (insurance plans, studies, ...) and may be used to assist with indexing
and searching for appropriate measure instances.
When multiple useContexts are specified, there is no expectation that all or any of the
contexts apply.
It may be possible for the measure to be used in jurisdictions other than those for which
it was originally designed or intended.
This element does not describe the usage of the measure. Instead, it provides traceability
of ''why'' the resource is either needed or ''why'' it is defined as it is. This may
be used to point to source materials or specifications that drove the structure of this
measure.
A copyright statement relating to the measure and/or its contents. Copyright statements
are generally legal restrictions on the use and publishing of the measure.
Consumers must be able to determine any legal restrictions on the use of the measure and/or
its content.
The date on which the resource content was approved by the publisher. Approval happens
once when the content is officially approved for usage.
The 'date' element may be more recent than the approval date because of minor changes
or editorial corrections.
.outboundRelationship[typeCode=SUBJ].act[classCode=CACT;moodCode=EVN;code="approval"].effe
ctiveTime
The date on which the resource content was last reviewed. Review happens periodically
after approval but does not change the original approval date.
Gives a sense of how "current" the content is. Resources that have not been
reviewed in a long time may have a risk of being less appropriate/relevant.
.outboundRleationship[typeCode=SUBJ;subsetCode=RECENT].act[classCode=CACT;moodCode=EVN;code=review].
effectiveTime
The effective period for a measure determines when the content is applicable for usage
and is independent of publication and review dates. For example, a measure intended to
be used for the year 2016 might be published in 2015.
Allows establishing a transition before a resource comes into effect and also allows for
a sunsetting process when new versions of the measure are or are expected to be used
instead.
Descriptive topics related to the content of the measure. Topics provide a high-level
categorization grouping types of measures that can be useful for filtering and searching.
Repositories must be able to determine how to categorize the measure so that it can be
found by topical searches.
An individiual or organization primarily involved in the creation and maintenance of the
content.
.participation[typeCode=AUT] { not a great match, but there does not appear to be an editor
concept in V3 participation }
An individual or organization responsible for officially endorsing the content for use
in some setting.
Each related artifact is either an attachment, or a reference to another resource, but
not both.
Measures must be able to provide enough information for consumers of the content (and/or
interventions or results produced by the content) to be able to determine and understand
the justification for and evidence in support of the content.
.outboundRelationship[typeCode=DOC,RSON,PREV, DRIV, USE, COMP] {successor would be PREV
w/ inversionInd=true; No support for citation}
Notices and disclaimers regarding the use of the measure or related to intellectual property
(such as code systems) referenced by the measure.
Some organizations require that notices and disclosures be included when publishing measures
that reference their intellecutal property.
Indicates how the calculation is performed for the measure, including proportion, ratio,
continuous-variable, and cohort. The value set is extensible, allowing additional measure
scoring types to be represented.
If this is a composite measure, the scoring method used to combine the component measures
to determine the composite score.
Indicates whether the measure is used to examine a process, an outcome over time, a patient-reported
outcome, or a structure measure such as utilization.
A description of the risk adjustment factors that may impact the resulting score for the
measure and how they may be accounted for when computing and reporting measure results.
Describes the method of adjusting for clinical severity and conditions present at the
start of care that can influence patient outcomes for making valid comparisons of outcome
measures across providers. Indicates whether a measure is subject to the statistical process
for reducing, removing, or clarifying the influences of confounding factors to allow for
more useful comparisons.
Describes how to combine the information calculated, based on logic in each of several
populations, into one summarized result.
The measure rate for an organization or clinician is based upon the entities’ aggregate
data and summarizes the performance of the entity over a given time period (e.g., monthly,
quarterly, yearly). The aggregated data are derived from the results of a specific measure
algorithm and, if appropriate, the application of specific risk adjustment models. Can
also be used to describe how to risk adjust the data based on supplemental data elements
described in the eMeasure (e.g., pneumonia hospital measures antibiotic selection in the
ICU versus non-ICU and then the roll-up of the two). This could be applied to aggregated
cohort measure definitions (e.g., CDC's aggregate reporting for TB at the state level).
Provides a succinct statement of the need for the measure. Usually includes statements
pertaining to importance criterion: impact, gap in care, and evidence.
Measure developers need to be able to provide a detailed description of the purpose of
the measure. This element provides detailed rationale, where the purpose element provides
a summary of the rationale.
Provides a summary of relevant clinical guidelines or other clinical recommendations supporting
the measure.
Information on whether an increase or decrease in score is the preferred result (e.g.,
a higher score indicates better quality OR a lower score indicates better quality OR quality
is within a range).
Measure consumers and implementers must be able to determine how to interpret a measure
score.
Observation values that indicate what change in a measurement value or score is indicative
of an improvement in the measured item or scored issue.
Measure developers must be able to provide precise definitions of terms used within measure
descriptions and guidance to help communicate the intent of the measure.
Additional guidance for the measure including how it can be used in a clinical context,
and the intent of the measure.
Measure developers must be able to provide additional guidance for implementers to understand
the intent with greater specificity than that provided in the population criteria of the
measure. This element provides detailed guidance, where the usage element provides a summary
of the guidance.
Unique id for the element within a resource (for internal references). This may be any
string value that does not contain spaces.
May be used to represent additional information that is not part of the basic definition
of the element. 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
can define an extension, there is a set of requirements that SHALL be met as part of the
definition of the extension.
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.
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 in which it is contained
and/or the understanding of the containing element's descendants. Usually modifier elements
provide negation or qualification. 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 can 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.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
(including cannot change the meaning of modifierExtension itself).
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.
Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly
distinguished from the vast majority of extensions which can be safely ignored. This
promotes interoperability by eliminating the need for implementers to prohibit the presence
of extensions. For further information, see the [definition of modifier extensions](extensibility.ht
ml#modifierExtension).
Modifier extensions are expected to modify the meaning or interpretation of the element
that contains them
Indicates a meaning for the group. This can be as simple as a unique identifier, or it
can establish meaning in a broader context by drawing from a terminology, allowing groups
to be correlated across measures.
Unique id for the element within a resource (for internal references). This may be any
string value that does not contain spaces.
May be used to represent additional information that is not part of the basic definition
of the element. 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
can define an extension, there is a set of requirements that SHALL be met as part of the
definition of the extension.
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.
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 in which it is contained
and/or the understanding of the containing element's descendants. Usually modifier elements
provide negation or qualification. 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 can 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.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
(including cannot change the meaning of modifierExtension itself).
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.
Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly
distinguished from the vast majority of extensions which can be safely ignored. This
promotes interoperability by eliminating the need for implementers to prohibit the presence
of extensions. For further information, see the [definition of modifier extensions](extensibility.ht
ml#modifierExtension).
Modifier extensions are expected to modify the meaning or interpretation of the element
that contains them
initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion
| denominator-exception | measure-population | measure-population-exclusion | measure-observation
An expression that specifies the criteria for the population, typically the name of an
expression in a library.
In the case of a continuous-variable or ratio measure, this may be the name of a function
that calculates the value of the individual observation for each patient or event in the
population. For these types of measures, individual observations are reported as observation
resources included in the evaluatedResources bundle for each patient. See the MeasureReport
resource or the Quality Reporting topic for more information.
The stratifier criteria for the measure report, specified as either the name of a valid
CQL expression defined within a referenced library or a valid FHIR Resource Path.
Unique id for the element within a resource (for internal references). This may be any
string value that does not contain spaces.
May be used to represent additional information that is not part of the basic definition
of the element. 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
can define an extension, there is a set of requirements that SHALL be met as part of the
definition of the extension.
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.
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 in which it is contained
and/or the understanding of the containing element's descendants. Usually modifier elements
provide negation or qualification. 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 can 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.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
(including cannot change the meaning of modifierExtension itself).
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.
Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly
distinguished from the vast majority of extensions which can be safely ignored. This
promotes interoperability by eliminating the need for implementers to prohibit the presence
of extensions. For further information, see the [definition of modifier extensions](extensibility.ht
ml#modifierExtension).
Modifier extensions are expected to modify the meaning or interpretation of the element
that contains them
Indicates a meaning for the stratifier. This can be as simple as a unique identifier,
or it can establish meaning in a broader context by drawing from a terminology, allowing
stratifiers to be correlated across measures.
An expression that specifies the criteria for the stratifier. This is typically the name
of an expression defined within a referenced library, but it may also be a path to a stratifier
element.
A component of the stratifier criteria for the measure report, specified as either the
name of a valid CQL expression defined within a referenced library or a valid FHIR Resource
Path.
Unique id for the element within a resource (for internal references). This may be any
string value that does not contain spaces.
May be used to represent additional information that is not part of the basic definition
of the element. 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
can define an extension, there is a set of requirements that SHALL be met as part of the
definition of the extension.
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.
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 in which it is contained
and/or the understanding of the containing element's descendants. Usually modifier elements
provide negation or qualification. 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 can 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.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
(including cannot change the meaning of modifierExtension itself).
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.
Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly
distinguished from the vast majority of extensions which can be safely ignored. This
promotes interoperability by eliminating the need for implementers to prohibit the presence
of extensions. For further information, see the [definition of modifier extensions](extensibility.ht
ml#modifierExtension).
Modifier extensions are expected to modify the meaning or interpretation of the element
that contains them
Indicates a meaning for the stratifier component. This can be as simple as a unique identifier,
or it can establish meaning in a broader context by drawing from a terminology, allowing
stratifiers to be correlated across measures.
An expression that specifies the criteria for this component of the stratifier. This is
typically the name of an expression defined within a referenced library, but it may also
be a path to a stratifier element.
The supplemental data criteria for the measure report, specified as either the name of
a valid CQL expression within a referenced library, or a valid FHIR Resource Path.
Note that supplemental data are reported as observations for each patient and included
in the evaluatedResources bundle. See the MeasureReport resource or the Quality Reporting
topic for more information.
Unique id for the element within a resource (for internal references). This may be any
string value that does not contain spaces.
May be used to represent additional information that is not part of the basic definition
of the element. 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
can define an extension, there is a set of requirements that SHALL be met as part of the
definition of the extension.
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.
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 in which it is contained
and/or the understanding of the containing element's descendants. Usually modifier elements
provide negation or qualification. 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 can 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.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
(including cannot change the meaning of modifierExtension itself).
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.
Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly
distinguished from the vast majority of extensions which can be safely ignored. This
promotes interoperability by eliminating the need for implementers to prohibit the presence
of extensions. For further information, see the [definition of modifier extensions](extensibility.ht
ml#modifierExtension).
Modifier extensions are expected to modify the meaning or interpretation of the element
that contains them
Indicates a meaning for the supplemental data. This can be as simple as a unique identifier,
or it can establish meaning in a broader context by drawing from a terminology, allowing
supplemental data to be correlated across measures.
An indicator of the intended usage for the supplemental data element. Supplemental data
indicates the data is additional information requested to augment the measure information.
Risk adjustment factor indicates the data is additional information used to calculate
risk adjustment factors when applying a risk model to the measure calculation.
The criteria for the supplemental data. This is typically the name of a valid expression
defined within a referenced library, but it may also be a path to a specific data element.
The criteria defines the data to be returned for this element.
<?xml version="1.0" encoding="UTF-8"?>
<StructureDefinition xmlns="http://hl7.org/fhir"> <id value="shareablemeasure"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml">to do</div> </text> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm"> <valueInteger value="3"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"> <valueCode value="cqi"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="trial-use"/> </extension> <url value="http://hl7.org/fhir/StructureDefinition/shareablemeasure"/> <identifier> <system value="urn:ietf:rfc:3986"/> <value value="urn:oid:2.16.840.1.113883.4.642.5.1376"/> </identifier> <version value="5.0.0-draft-final"/> <name value="ShareableMeasure"/> <title value="Shareable Measure"/> <status value="draft"/> <experimental value="false"/> <date value="2020-12-28T16:55:11+11:00"/> <publisher value="HL7"/> <description value="Enforces the minimum information set for the measure metadata required by HL7 and
other organizations that share and publish measures"/>
<fhirVersion value="5.0.0-draft-final"/> <mapping> <identity value="rim"/> <uri value="http://hl7.org/v3"/> <name value="RIM Mapping"/> </mapping> <mapping> <identity value="workflow"/> <uri value="http://hl7.org/fhir/workflow"/> <name value="Workflow Pattern"/> </mapping> <mapping> <identity value="w5"/> <uri value="http://hl7.org/fhir/fivews"/> <name value="FiveWs Pattern Mapping"/> </mapping> <mapping> <identity value="objimpl"/> <uri value="http://hl7.org/fhir/object-implementation"/> <name value="Object Implementation Information"/> </mapping> <kind value="resource"/> <abstract value="false"/> <type value="Measure"/> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Measure"/> <derivation value="constraint"/> <snapshot> <element id="Measure"> <path value="Measure"/> <short value="A quality measure definition"/> <definition value="The Measure resource provides the definition of a quality measure."/> <min value="1"/> <max value="1"/> <base> <path value="Measure"/> <min value="0"/> <max value="*"/> </base> <constraint> <key value="cnl-0"/> <severity value="warning"/> <human value="Name should be usable as an identifier for the module by machine processing applications
such as code generation"/>
<expression value="name.exists() implies name.matches('^[A-Z]([A-Za-z0-9_]){1,254}$')"/> <source value="http://hl7.org/fhir/StructureDefinition/Measure"/> </constraint> <constraint> <key value="mea-1"/> <severity value="error"/> <human value="Stratifier SHALL be either a single criteria or a set of criteria components"/> <expression value="group.stratifier.all((code | description | criteria).exists() xor component.exists())"/> <source value="http://hl7.org/fhir/StructureDefinition/Measure"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="workflow"/> <map value="Definition"/> </mapping> <mapping> <identity value="rim"/> <map value="Observation[classCode=OBS, moodCode=DEFN]"/> </mapping> <mapping> <identity value="w5"/> <map value="clinical.general"/> </mapping> </element> <element id="Measure.id"> <path value="Measure.id"/> <short value="Logical id of this artifact"/> <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned,
this value never changes."/>
<comment value="Within the context of the FHIR RESTful interactions, the resource has an id except
for cases like the create and conditional update. Otherwise, the use of the resouce
id depends on the given use case."/>
<min value="0"/> <max value="1"/> <base> <path value="Resource.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="id"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="Measure.meta"> <path value="Measure.meta"/> <short value="Metadata about the resource"/> <definition value="The metadata about the resource. This is content that is maintained by the infrastructure.
Changes to the content might not always be associated with version changes to the
resource."/>
<min value="0"/> <max value="1"/> <base> <path value="Resource.meta"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Meta"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="Measure.implicitRules"> <path value="Measure.implicitRules"/> <short value="A set of rules under which this content was created"/> <definition value="A reference to a set of rules that were followed when the resource was constructed,
and which must be understood when processing the content. Often, this is a reference
to an implementation guide that defines the special rules along with other profiles
etc."/>
<comment value="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. Often, when used, the URL is a reference to an implementation guide
that defines these special rules as part of its narrative along with other profiles,
value sets, etc."/>
<min value="0"/> <max value="1"/> <base> <path value="Resource.implicitRules"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="true"/> <isModifierReason value="This element is labeled as a modifier because the implicit rules may provide additional
knowledge about the resource that modifies its meaning or interpretation"/>
<isSummary value="true"/> </element> <element id="Measure.language"> <path value="Measure.language"/> <short value="Language of the resource content"/> <definition value="The base language in which the resource is written."/> <comment value="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)."/>
<min value="0"/> <max value="1"/> <base> <path value="Resource.language"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="Language"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding"> <valueBoolean value="true"/> </extension> <strength value="required"/> <description value="IETF language tag for a human language"/> <valueSet value="http://hl7.org/fhir/ValueSet/all-languages|5.0.0-draft-final"/> <additional> <purpose value="starter"/> <valueSet value="http://hl7.org/fhir/ValueSet/languages"/> </additional> </binding> </element> <element id="Measure.text"> <path value="Measure.text"/> <short value="Text summary of the resource, for human interpretation"/> <definition value="A human-readable narrative that contains a summary of the resource and can 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."/>
<comment value="Contained resources do not have a narrative. Resources that are not contained SHOULD
have a narrative. In some cases, a resource may only have text with little or no
additional discrete data (as long as all minOccurs=1 elements are satisfied).
This may be necessary for data from legacy systems where information is captured
as a "text blob" or where text is additionally entered raw or narrated
and encoded information is added later."/>
<alias value="narrative"/> <alias value="html"/> <alias value="xhtml"/> <alias value="display"/> <min value="0"/> <max value="1"/> <base> <path value="DomainResource.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Narrative"/> </type> <condition value="dom-6"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="Act.text?"/> </mapping> </element> <element id="Measure.contained"> <path value="Measure.contained"/> <short value="Contained, inline Resources"/> <definition value="These resources do not have an independent existence apart from the resource that
contains them - they cannot be identified independently, nor can they have their
own independent transaction scope. This is allowed to be a Parameters resource
if and only if it is referenced by a resource that provides context/meaning."/>
<comment value="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. Contained resources may have profiles and tags in their meta elements,
but SHALL NOT have security labels."/>
<alias value="inline resources"/> <alias value="anonymous resources"/> <alias value="contained resources"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.contained"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Resource"/> </type> <condition value="dom-2"/> <condition value="dom-4"/> <condition value="dom-3"/> <condition value="dom-5"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Measure.extension"> <path value="Measure.extension"/> <slicing> <discriminator> <type value="value"/> <path value="url"/> </discriminator> <ordered value="false"/> <rules value="open"/> </slicing> <short value="Extension"/> <definition value="An Extension"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="Measure.extension:knowledgeCapability"> <path value="Measure.extension"/> <sliceName value="knowledgeCapability"/> <short value="shareable | computable | publishable | executable"/> <definition value="Defines a knowledge capability afforded by this knowledge artifact."/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> </element> <element id="Measure.extension:knowledgeRepresentationLevel"> <path value="Measure.extension"/> <sliceName value="knowledgeRepresentationLevel"/> <short value="narrative | semi-structured | structured | executable"/> <definition value="Defines a knowledge representation level provided by this knowledge artifact."/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/cqf-knowledgeRepresentationLevel"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> </element> <element id="Measure.extension:artifactComment"> <path value="Measure.extension"/> <sliceName value="artifactComment"/> <short value="Additional documentation, review, or usage guidance"/> <definition value="A comment containing additional documentation, a review comment, usage guidance,
or other relevant information from a particular user."/>
<min value="0"/> <max value="*"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/cqf-artifactComment"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> </element> <element id="Measure.modifierExtension"> <path value="Measure.modifierExtension"/> <short value="Extensions that cannot be ignored"/> <definition value="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 and/or the understanding of the containing element's descendants. Usually modifier
elements provide negation or qualification. To make the use of extensions safe
and managable, 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.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or
DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment value="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."/>
<requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be
clearly distinguished from the vast majority of extensions which can be safely
ignored. This promotes interoperability by eliminating the need for implementers
to prohibit the presence of extensions. For further information, see the [definition
of modifier extensions](extensibility.html#modifierExtension)."/>
<alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the
resource that contains them"/>
<isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Measure.url"> <path value="Measure.url"/> <short value="Canonical identifier for this measure, represented as a URI (globally unique)"/> <definition value="An absolute URI that is used to identify this measure when it is referenced in
a specification, model, design or an instance; also called its canonical identifier.
This SHOULD be globally unique and SHOULD be a literal address at which an authoritative
instance of this measure is (or will be) published. This URL can be the target
of a canonical reference. It SHALL remain the same when the measure is stored on
different servers."/>
<comment value="Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred. Multiple
instances may share the same URL if they have a distinct version.
The determination of when to create a new version of a resource (same url, new
version) vs. defining a new artifact is up to the author. Considerations for making
this decision are found in [Technical and Business Versions](resource.html#versions).
In some cases, the resource can no longer be found at the stated url, but the url
itself cannot change. Implementations can use the [meta.source](resource.html#meta)
element to indicate where the current master source of the resource can be found."/>
<requirements value="Allows the measure to be referenced by a single globally unique identifier."/> <min value="1"/> <max value="1"/> <base> <path value="Measure.url"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <constraint> <key value="cnl-1"/> <severity value="warning"/> <human value="URL should not contain | or # - these characters make processing canonical references
problematic"/>
<expression value="exists() implies matches('^[^|# ]+$')"/> <source value="http://hl7.org/fhir/StructureDefinition/Measure"/> </constraint> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Definition.url"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.identifier"/> </mapping> <mapping> <identity value="rim"/> <map value=".identifier[scope=BUSN;reliability=ISS]"/> </mapping> </element> <element id="Measure.identifier"> <path value="Measure.identifier"/> <short value="Additional identifier for the measure"/> <definition value="A formal identifier that is used to identify this measure when it is represented
in other formats, or referenced in a specification, model, design or an instance."/>
<comment value="Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier)
data type, and can then identify this measure outside of FHIR, where it is not
possible to use the logical URI."/>
<requirements value="Allows externally provided and/or usable business identifiers to be easily associated
with the module."/>
<min value="0"/> <max value="*"/> <base> <path value="Measure.identifier"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Identifier"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Definition.identifier"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.identifier"/> </mapping> <mapping> <identity value="rim"/> <map value=".identifier"/> </mapping> <mapping> <identity value="objimpl"/> <map value="no-gen-base"/> </mapping> </element> <element id="Measure.version"> <path value="Measure.version"/> <short value="Business version of the measure"/> <definition value="The identifier that is used to identify this version of the measure when it is
referenced in a specification, model, design or instance. This is an arbitrary
value managed by the measure author and is not expected to be globally unique.
For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not
available. There is also no expectation that versions can be placed in a lexicographical
sequence. To provide a version consistent with the Decision Support Service specification,
use the format Major.Minor.Revision (e.g. 1.0.0). For more information on versioning
knowledge assets, refer to the Decision Support Service specification. Note that
a version is required for non-experimental active artifacts."/>
<comment value="There may be different measure instances that have the same identifier but different
versions. The version can be appended to the url in a reference to allow a reference
to a particular business version of the measure with the format [url]|[version].
The version SHOULD NOT contain a '#' - see [Business Version](resource.html#bv-format)."/>
<min value="1"/> <max value="1"/> <base> <path value="Measure.version"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Definition.version"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.version"/> </mapping> <mapping> <identity value="rim"/> <map value="N/A (to add?)"/> </mapping> <mapping> <identity value="objimpl"/> <map value="no-gen-base"/> </mapping> </element> <element id="Measure.versionAlgorithm[x]"> <path value="Measure.versionAlgorithm[x]"/> <short value="How to compare versions"/> <definition value="Indicates the mechanism used to compare versions to determine which is more current."/> <comment value="If set as a string, this is a FHIRPath expression that has two additional context
variables passed in - %version1 and %version2 and will return a negative number
if version1 is newer, a positive number if version2 and a 0 if the version ordering
can't be successfully be determined."/>
<min value="0"/> <max value="1"/> <base> <path value="Measure.versionAlgorithm[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <type> <code value="Coding"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <strength value="extensible"/> <valueSet value="http://hl7.org/fhir/ValueSet/version-algorithm"/> </binding> <mapping> <identity value="workflow"/> <map value="Definition.versionAlgorithm"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.version"/> </mapping> <mapping> <identity value="rim"/> <map value="N/A (to add?)"/> </mapping> <mapping> <identity value="objimpl"/> <map value="no-gen-base"/> </mapping> </element> <element id="Measure.name"> <path value="Measure.name"/> <short value="Name for this measure (computer friendly)"/> <definition value="A natural language name identifying the measure. This name should be usable as
an identifier for the module by machine processing applications such as code generation."/>
<comment value="The name is not expected to be globally unique. The name should be a simple alphanumeric
type name to ensure that it is machine-processing friendly."/>
<requirements value="Support human navigation and code generation."/> <min value="0"/> <max value="1"/> <base> <path value="Measure.name"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <condition value="cnl-0"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Definition.name"/> </mapping> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Measure.title"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <path value="Measure.title"/> <short value="Name for this measure (human friendly)"/> <definition value="A short, descriptive, user-friendly title for the measure."/> <comment value="This name does not need to be machine-processing friendly and may contain punctuation,
white-space, etc."/>
<min value="1"/> <max value="1"/> <base> <path value="Measure.title"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Definition.title"/> </mapping> <mapping> <identity value="rim"/> <map value=".title"/> </mapping> </element> <element id="Measure.subtitle"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <path value="Measure.subtitle"/> <short value="Subordinate title of the measure"/> <definition value="An explanatory or alternate title for the measure giving additional information
about its content."/>
<min value="0"/> <max value="1"/> <base> <path value="Measure.subtitle"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A (to add?)"/> </mapping> </element> <element id="Measure.status"> <path value="Measure.status"/> <short value="draft | active | retired | unknown"/> <definition value="The status of this measure. Enables tracking the life-cycle of the content."/> <comment value="Allows filtering of measures that are appropriate for use versus not."/> <min value="1"/> <max value="1"/> <base> <path value="Measure.status"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="true"/> <isModifierReason value="This is labeled as "Is Modifier" because applications should not use
a retired {{title}} without due consideration"/>
<isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="PublicationStatus"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding"> <valueBoolean value="true"/> </extension> <strength value="required"/> <description value="The lifecycle status of an artifact."/> <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|5.0.0-draft-final"/> </binding> <mapping> <identity value="workflow"/> <map value="Definition.status"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.status"/> </mapping> <mapping> <identity value="rim"/> <map value=".status"/> </mapping> </element> <element id="Measure.experimental"> <path value="Measure.experimental"/> <short value="For testing purposes, not real usage"/> <definition value="A Boolean value to indicate that this measure is authored for testing purposes
(or education/evaluation/marketing) and is not intended to be used for genuine
usage."/>
<comment value="Allows filtering of measures that are appropriate for use versus not."/> <requirements value="Enables experimental content to be developed following the same lifecycle that
would be used for a production-level measure."/>
<min value="0"/> <max value="1"/> <base> <path value="Measure.experimental"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <meaningWhenMissing value="If absent, this resource is treated as though it is not experimental."/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Definition.experimental"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.class"/> </mapping> <mapping> <identity value="rim"/> <map value="N/A (to add?)"/> </mapping> </element> <element id="Measure.subject[x]"> <path value="Measure.subject[x]"/> <short value="E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device"/> <definition value="The intended subjects for the measure. If this element is not provided, a Patient
subject is assumed, but the subject of the measure can be anything."/>
<comment value="The subject of the measure is critical in interpreting the criteria definitions,
as the logic in the measures is evaluated with respect to a particular subject.
This corresponds roughly to the notion of a Compartment in that it limits what
content is available based on its relationship to the subject. In CQL, this corresponds
to the context declaration."/>
<min value="0"/> <max value="1"/> <base> <path value="Measure.subject[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/> </type> <meaningWhenMissing value="Patient"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="SubjectType"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding"> <valueBoolean value="true"/> </extension> <strength value="extensible"/> <description value="The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization,
Location, etc.)."/>
<valueSet value="http://hl7.org/fhir/ValueSet/participant-resource-types"/> </binding> <mapping> <identity value="rim"/> <map value="N/A (to add?) { only applies for subject Patient? }"/> </mapping> </element> <element id="Measure.basis"> <path value="Measure.basis"/> <short value="Population basis"/> <definition value="The population basis specifies the type of elements in the population. For a subject-based
measure, this is boolean (because the subject and the population basis are the
same, and the population criteria define yes/no values for each individual in the
population). For measures that have a population basis that is different than the
subject, this element specifies the type of the population basis. For example,
an encounter-based measure has a subject of Patient and a population basis of Encounter,
and the population criteria all return lists of Encounters."/>
<comment value="For a subject-based measure, the population basis is simply boolean; all the criteria
are expressed as true/false conditions that determine membership of an individual
case in the population. For non-subject-based measures, the population basis can
be any resource type, and the criteria are queries that return the subject's contribution
to the population as a list of that resource type. For example, for a procedure-based
measure, the population criteria would return lists of procedures that should be
included in each population."/>
<requirements value="Allows non-subject-based measures to be specified"/> <min value="0"/> <max value="1"/> <base> <path value="Measure.basis"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <meaningWhenMissing value="boolean"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="BasisType"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding"> <valueBoolean value="true"/> </extension> <strength value="required"/> <valueSet value="http://hl7.org/fhir/ValueSet/fhir-types|5.0.0-draft-final"/> </binding> <mapping> <identity value="rim"/> <map value="N/A (to add?) { only applies for subject Patient? }"/> </mapping> </element> <element id="Measure.date"> <path value="Measure.date"/> <short value="Date last changed"/> <definition value="The date (and optionally time) when the measure was last significantly changed.
The date must change when the business version changes and it must change if the
status code changes. In addition, it should change when the substantive content
of the measure changes."/>
<comment value="The date is often not tracked until the resource is published, but may be present
on draft content. Note that this is not the same as the resource last-modified-date,
since the resource may be a secondary representation of the measure. Additional
specific dates may be added as extensions or be found by consulting Provenances
associated with past versions of the resource."/>
<alias value="Revision Date"/> <min value="0"/> <max value="1"/> <base> <path value="Measure.date"/> <min value="0"/> <max value="1"/> </base> <type> <code value="dateTime"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Definition.date"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.recorded"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=AUT].time"/> </mapping> </element> <element id="Measure.publisher"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <path value="Measure.publisher"/> <short value="Name of the publisher/steward (organization or individual)"/> <definition value="The name of the organization or individual responsible for the release and ongoing
maintenance of the measure."/>
<comment value="Usually an organization but may be an individual. The publisher (or steward) of
the measure is the organization or individual primarily responsible for the maintenance
and upkeep of the measure. This is not necessarily the same individual or organization
that developed and initially authored the content. The publisher is the primary
point of contact for questions or issues with the measure. This item SHOULD be
populated unless the information is available from context."/>
<requirements value="Helps establish the "authority/credibility" of the measure. May also
allow for contact."/>
<min value="0"/> <max value="1"/> <base> <path value="Measure.publisher"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Definition.publisher"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.witness"/> </mapping> <mapping> <identity value="rim"/> <map value="participation[typeCode=AUT].role"/> </mapping> </element> <element id="Measure.contact"> <path value="Measure.contact"/> <short value="Contact details for the publisher"/> <definition value="Contact details to assist a user in finding and communicating with the publisher."/> <comment value="May be a web site, an email address, a telephone number, etc."/> <min value="0"/> <max value="*"/> <base> <path value="Measure.contact"/> <min value="0"/> <max value="*"/> </base> <type> <code value="ContactDetail"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Definition.contact"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=CALLBCK].role"/> </mapping> </element> <element id="Measure.description"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <path value="Measure.description"/> <short value="Natural language description of the measure"/> <definition value="A free text natural language description of the measure from a consumer's perspective."/> <comment value="This description can be used to capture details such as comments about misuse,
instructions for clinical use and interpretation, literature references, examples
from the paper world, etc. It is not a rendering of the measure as conveyed in
the 'text' field of the resource itself. This item SHOULD be populated unless the
information is available from context (e.g. the language of the measure is presumed
to be the predominant language in the place the measure was created)."/>
<min value="1"/> <max value="1"/> <base> <path value="Measure.description"/> <min value="0"/> <max value="1"/> </base> <type> <code value="markdown"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="true"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Definition.description"/> </mapping> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="Measure.useContext"> <path value="Measure.useContext"/> <short value="The context that the content is intended to support"/> <definition value="The content was developed with a focus and intent of supporting the contexts that
are listed. These contexts may be general categories (gender, age, ...) or may
be references to specific programs (insurance plans, studies, ...) and may be used
to assist with indexing and searching for appropriate measure instances."/>
<comment value="When multiple useContexts are specified, there is no expectation that all or any
of the contexts apply."/>
<requirements value="Assist in searching for appropriate content."/> <min value="0"/> <max value="*"/> <base> <path value="Measure.useContext"/> <min value="0"/> <max value="*"/> </base> <type> <code value="UsageContext"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Definition.useContext"/> </mapping> <mapping> <identity value="rim"/> <map value="N/A (to add?)"/> </mapping> </element> <element id="Measure.jurisdiction"> <path value="Measure.jurisdiction"/> <short value="Intended jurisdiction for measure (if applicable)"/> <definition value="A legal or geographic region in which the measure is intended to be used."/> <comment value="It may be possible for the measure to be used in jurisdictions other than those
for which it was originally designed or intended."/>
<min value="0"/> <max value="*"/> <base> <path value="Measure.jurisdiction"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="Jurisdiction"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding"> <valueBoolean value="true"/> </extension> <strength value="extensible"/> <description value="Countries and regions within which this artifact is targeted for use."/> <valueSet value="http://hl7.org/fhir/ValueSet/jurisdiction"/> </binding> <mapping> <identity value="workflow"/> <map value="Definition.jurisdiction"/> </mapping> <mapping> <identity value="rim"/> <map value="N/A (to add?)"/> </mapping> </element> <element id="Measure.purpose"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <path value="Measure.purpose"/> <short value="Why this measure is defined"/> <definition value="Explanation of why this measure is needed and why it has been designed as it has."/> <comment value="This element does not describe the usage of the measure. Instead, it provides traceability
of ''why'' the resource is either needed or ''why'' it is defined as it is. This
may be used to point to source materials or specifications that drove the structure
of this measure."/>
<min value="0"/> <max value="1"/> <base> <path value="Measure.purpose"/> <min value="0"/> <max value="1"/> </base> <type> <code value="markdown"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="workflow"/> <map value="Definition.purpose"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.why[x]"/> </mapping> <mapping> <identity value="rim"/> <map value=".reasonCode.text"/> </mapping> <mapping> <identity value="objimpl"/> <map value="no-gen-base"/> </mapping> </element> <element id="Measure.usage"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <path value="Measure.usage"/> <short value="Describes the clinical usage of the measure"/> <definition value="A detailed description, from a clinical perspective, of how the measure is used."/> <comment value="This metadata element was typically referred to as Guidance in HQMF"/> <requirements value="Measure developers must be able to provide additional guidance for implementers
to understand the intent with greater specificity than that provided in the population
criteria of the measure. This element provides detailed guidance, where the usage
element provides a summary of the guidance."/>
<alias value="guidance"/> <min value="0"/> <max value="1"/> <base> <path value="Measure.usage"/> <min value="0"/> <max value="1"/> </base> <type> <code value="markdown"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A (to add?)"/> </mapping> </element> <element id="Measure.copyright"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <path value="Measure.copyright"/> <short value="Use and/or publishing restrictions"/> <definition value="A copyright statement relating to the measure and/or its contents. Copyright statements
are generally legal restrictions on the use and publishing of the measure."/>
<comment value="The short copyright declaration (e.g. (c) '2015+ xyz organization' should be sent
in the copyrightLabel element."/>
<requirements value="Consumers must be able to determine any legal restrictions on the use of the measure
and/or its content."/>
<alias value="License"/> <alias value="Restrictions"/> <min value="0"/> <max value="1"/> <base> <path value="Measure.copyright"/> <min value="0"/> <max value="1"/> </base> <type> <code value="markdown"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="workflow"/> <map value="Definition.copyright"/> </mapping> <mapping> <identity value="rim"/> <map value="N/A (to add?)"/> </mapping> <mapping> <identity value="objimpl"/> <map value="no-gen-base"/> </mapping> </element> <element id="Measure.copyrightLabel"> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable"> <valueBoolean value="true"/> </extension> <path value="Measure.copyrightLabel"/> <short value="Copyright holder and year(s)"/> <definition value="A short string (<50 characters), suitable for inclusion in a page footer that
identifies the copyright holder, effective period, and optionally whether rights
are resctricted. (e.g. 'All rights reserved', 'Some rights reserved')."/>
<comment value="The (c) symbol should NOT be included in this string. It will be added by software
when rendering the notation. Full details about licensing, restrictions, warrantees,
etc. goes in the more general 'copyright' element."/>
<requirements value="Defines the content expected to be rendered in all representations of the artifact."/> <min value="0"/> <max value="1"/> <base> <path value="Measure.copyrightLabel"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="workflow"/> <map value="Definition.copyrightLabel"/> </mapping> <mapping> <identity value="rim"/> <map value="N/A (to add?)"/> </mapping> <mapping> <identity value="objimpl"/> <map value="no-gen-base"/> </mapping> </element> <element id="Measure.approvalDate"> <path value="Measure.approvalDate"/> <short value="When the measure was approved by publisher"/> <definition value="The date on which the resource content was approved by the publisher. Approval
happens once when the content is officially approved for usage."/>
<comment value="The 'date' element may be more recent than the approval date because of minor changes
or editorial corrections."/>
<min value="0"/> <max value="1"/> <base> <path value="Measure.approvalDate"/> <min value="0"/> <max value="1"/> </base> <type> <code value="date"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="workflow"/> <map value="Definition.approvalDate"/> </mapping> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=SUBJ].act[classCode=CACT;moodCode=EVN;code="approval"
;].effectiveTime"/>
</mapping> <mapping> <identity value="objimpl"/> <map value="no-gen-base"/> </mapping> </element> <element id="Measure.lastReviewDate"> <path value="Measure.lastReviewDate"/> <short value="When the measure was last reviewed by the publisher"/> <definition value="The date on which the resource content was last reviewed. Review happens periodically
after approval but does not change the original approval date."/>
<comment value="If specified, this date follows the original approval date."/> <requirements value="Gives a sense of how "current" the content is. Resources that have not
been reviewed in a long time may have a risk of being less appropriate/relevant."/>
<min value="0"/> <max value="1"/> <base> <path value="Measure.lastReviewDate"/> <min value="0"/> <max value="1"/> </base> <type> <code value="date"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="workflow"/> <map value="Definition.lastReviewDate"/> </mapping> <mapping> <identity value="rim"/> <map value=".outboundRleationship[typeCode=SUBJ;subsetCode=RECENT].act[classCode=CACT;moodCode=EVN;code=r
eview].effectiveTime"/>
</mapping> <mapping> <identity value="objimpl"/> <map value="no-gen-base"/> </mapping> </element> <element id="Measure.effectivePeriod"> <path value="Measure.effectivePeriod"/> <short value="When the measure is expected to be used"/> <definition value="The period during which the measure content was or is planned to be in active use."/> <comment value="The effective period for a measure determines when the content is applicable for
usage and is independent of publication and review dates. For example, a measure
intended to be used for the year 2016 might be published in 2015."/>
<requirements value="Allows establishing a transition before a resource comes into effect and also allows
for a sunsetting process when new versions of the measure are or are expected
to be used instead."/>
<min value="0"/> <max value="1"/> <base> <path value="Measure.effectivePeriod"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Period"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Definition.effectivePeriod"/> </mapping> <mapping> <identity value="rim"/> <map value=".effectiveTime"/> </mapping> <mapping> <identity value="objimpl"/> <map value="no-gen-base"/> </mapping> </element> <element id="Measure.topic"> <path value="Measure.topic"/> <short value="The category of the measure, such as Education, Treatment, Assessment, etc"/> <definition value="Descriptive topics related to the content of the measure. Topics provide a high-level
categorization grouping types of measures that can be useful for filtering and
searching."/>
<requirements value="Repositories must be able to determine how to categorize the measure so that it
can be found by topical searches."/>
<min value="0"/> <max value="*"/> <base> <path value="Measure.topic"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="DefinitionTopic"/> </extension> <strength value="example"/> <description value="High-level categorization of the definition, used for searching, sorting, and filtering."/> <valueSet value="http://hl7.org/fhir/ValueSet/definition-topic"/> </binding> <mapping> <identity value="rim"/> <map value="N/A (to add?)"/> </mapping> </element> <element id="Measure.author"> <path value="Measure.author"/> <short value="Who authored the content"/> <definition value="An individiual or organization primarily involved in the creation and maintenance
of the content."/>
<min value="0"/> <max value="*"/> <base> <path value="Measure.author"/> <min value="0"/> <max value="*"/> </base> <type> <code value="ContactDetail"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".participation[typeCode=AUT]"/> </mapping> </element> <element id="Measure.editor"> <path value="Measure.editor"/> <short value="Who edited the content"/> <definition value="An individual or organization primarily responsible for internal coherence of the
content."/>
<min value="0"/> <max value="*"/> <base> <path value="Measure.editor"/> <min value="0"/> <max value="*"/> </base> <type> <code value="ContactDetail"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".participation[typeCode=AUT] { not a great match, but there does not appear to
be an editor concept in V3 participation }"/>
</mapping> </element> <element id="Measure.reviewer"> <path value="Measure.reviewer"/> <short value="Who reviewed the content"/> <definition value="An individual or organization asserted by the publisher to be primarily responsible
for review of some aspect of the content."/>
<min value="0"/> <max value="*"/> <base> <path value="Measure.reviewer"/> <min value="0"/> <max value="*"/> </base> <type> <code value="ContactDetail"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".participation[typeCode=VRF] {not clear whether VRF best corresponds to reviewer
or endorser}"/>
</mapping> </element> <element id="Measure.endorser"> <path value="Measure.endorser"/> <short value="Who endorsed the content"/> <definition value="An individual or organization asserted by the publisher to be responsible for officially
endorsing the content for use in some setting."/>
<min value="0"/> <max value="*"/> <base> <path value="Measure.endorser"/> <min value="0"/> <max value="*"/> </base> <type> <code value="ContactDetail"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".participation[typeCode=VRF] {not clear whether VRF best corresponds to reviewer
or endorser}"/>
</mapping> </element> <element id="Measure.relatedArtifact"> <path value="Measure.relatedArtifact"/> <short value="Additional documentation, citations, etc"/> <definition value="Related artifacts such as additional documentation, justification, or bibliographic
references."/>
<comment value="Each related artifact is either an attachment, or a reference to another resource,
but not both."/>
<requirements value="Measures must be able to provide enough information for consumers of the content
(and/or interventions or results produced by the content) to be able to determine
and understand the justification for and evidence in support of the content."/>
<min value="0"/> <max value="*"/> <base> <path value="Measure.relatedArtifact"/> <min value="0"/> <max value="*"/> </base> <type> <code value="RelatedArtifact"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=DOC,RSON,PREV, DRIV, USE, COMP] {successor would
be PREV w/ inversionInd=true; No support for citation}"/>
</mapping> </element> <element id="Measure.library"> <path value="Measure.library"/> <short value="Logic used by the measure"/> <definition value="A reference to a Library resource containing the formal logic used by the measure."/> <min value="0"/> <max value="*"/> <base> <path value="Measure.library"/> <min value="0"/> <max value="*"/> </base> <type> <code value="canonical"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Library"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A (to add?)"/> </mapping> </element> <element id="Measure.disclaimer"> <path value="Measure.disclaimer"/> <short value="Disclaimer for use of the measure or its referenced content"/> <definition value="Notices and disclaimers regarding the use of the measure or related to intellectual
property (such as code systems) referenced by the measure."/>
<requirements value="Some organizations require that notices and disclosures be included when publishing
measures that reference their intellecutal property."/>
<min value="0"/> <max value="1"/> <base> <path value="Measure.disclaimer"/> <min value="0"/> <max value="1"/> </base> <type> <code value="markdown"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A (to add?)"/> </mapping> </element> <element id="Measure.scoring"> <path value="Measure.scoring"/> <short value="proportion | ratio | continuous-variable | cohort"/> <definition value="Indicates how the calculation is performed for the measure, including proportion,
ratio, continuous-variable, and cohort. The value set is extensible, allowing additional
measure scoring types to be represented."/>
<min value="0"/> <max value="1"/> <base> <path value="Measure.scoring"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MeasureScoring"/> </extension> <strength value="extensible"/> <description value="The scoring type of the measure."/> <valueSet value="http://hl7.org/fhir/ValueSet/measure-scoring"/> </binding> <mapping> <identity value="rim"/> <map value=".methodCode { the aspect of how the calculation is performed }"/> </mapping> </element> <element id="Measure.scoringUnit"> <path value="Measure.scoringUnit"/> <short value="What units?"/> <definition value="Defines the expected units of measure for the measure score. This element SHOULD
be specified as a UCUM unit."/>
<comment value="When this element is specified, implementations are expected to report measure
scores in the specified units. Note that this may involve unit conversion if the
expected units are different than the units of the resulting score calculation.
In this case, unit conversions SHALL be performed according to the unit conversion
semantics specified by UCUM."/>
<requirements value="When the unit cannot be inferred directly from the calculation logic, this element
allows the specification of the desired units of measure of the output."/>
<min value="0"/> <max value="1"/> <base> <path value="Measure.scoringUnit"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MeasureScoringUnit"/> </extension> <strength value="example"/> <valueSet value="http://hl7.org/fhir/ValueSet/measure-scoring-unit"/> </binding> <mapping> <identity value="rim"/> <map value=".methodCode { the aspect of how the calculation is performed }"/> </mapping> </element> <element id="Measure.compositeScoring"> <path value="Measure.compositeScoring"/> <short value="opportunity | all-or-nothing | linear | weighted"/> <definition value="If this is a composite measure, the scoring method used to combine the component
measures to determine the composite score."/>
<min value="0"/> <max value="1"/> <base> <path value="Measure.compositeScoring"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="CompositeMeasureScoring"/> </extension> <strength value="extensible"/> <description value="The composite scoring method of the measure."/> <valueSet value="http://hl7.org/fhir/ValueSet/composite-measure-scoring"/> </binding> <mapping> <identity value="rim"/> <map value=".methodCode { the aspect of how component measures are combined }"/> </mapping> </element> <element id="Measure.type"> <path value="Measure.type"/> <short value="process | outcome | structure | patient-reported-outcome | composite"/> <definition value="Indicates whether the measure is used to examine a process, an outcome over time,
a patient-reported outcome, or a structure measure such as utilization."/>
<min value="0"/> <max value="*"/> <base> <path value="Measure.type"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MeasureType"/> </extension> <strength value="extensible"/> <description value="The type of measure (includes codes from 2.16.840.1.113883.1.11.20368)."/> <valueSet value="http://hl7.org/fhir/ValueSet/measure-type"/> </binding> <mapping> <identity value="rim"/> <map value=".methodCode { the aspect of what the measure applies to }"/> </mapping> </element> <element id="Measure.riskAdjustment"> <path value="Measure.riskAdjustment"/> <short value="How risk adjustment is applied for this measure"/> <definition value="A description of the risk adjustment factors that may impact the resulting score
for the measure and how they may be accounted for when computing and reporting
measure results."/>
<comment value="Describes the method of adjusting for clinical severity and conditions present
at the start of care that can influence patient outcomes for making valid comparisons
of outcome measures across providers. Indicates whether a measure is subject to
the statistical process for reducing, removing, or clarifying the influences of
confounding factors to allow for more useful comparisons."/>
<min value="0"/> <max value="1"/> <base> <path value="Measure.riskAdjustment"/> <min value="0"/> <max value="1"/> </base> <type> <code value="markdown"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A (to add?)"/> </mapping> </element> <element id="Measure.rateAggregation"> <path value="Measure.rateAggregation"/> <short value="How is rate aggregation performed for this measure"/> <definition value="Describes how to combine the information calculated, based on logic in each of
several populations, into one summarized result."/>
<comment value="The measure rate for an organization or clinician is based upon the entities’ aggregate
data and summarizes the performance of the entity over a given time period (e.g.,
monthly, quarterly, yearly). The aggregated data are derived from the results of
a specific measure algorithm and, if appropriate, the application of specific risk
adjustment models. Can also be used to describe how to risk adjust the data based
on supplemental data elements described in the eMeasure (e.g., pneumonia hospital
measures antibiotic selection in the ICU versus non-ICU and then the roll-up of
the two). This could be applied to aggregated cohort measure definitions (e.g.,
CDC's aggregate reporting for TB at the state level)."/>
<min value="0"/> <max value="1"/> <base> <path value="Measure.rateAggregation"/> <min value="0"/> <max value="1"/> </base> <type> <code value="markdown"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A (to add?)"/> </mapping> </element> <element id="Measure.rationale"> <path value="Measure.rationale"/> <short value="Detailed description of why the measure exists"/> <definition value="Provides a succinct statement of the need for the measure. Usually includes statements
pertaining to importance criterion: impact, gap in care, and evidence."/>
<requirements value="Measure developers need to be able to provide a detailed description of the purpose
of the measure. This element provides detailed rationale, where the purpose element
provides a summary of the rationale."/>
<min value="0"/> <max value="1"/> <base> <path value="Measure.rationale"/> <min value="0"/> <max value="1"/> </base> <type> <code value="markdown"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A (to add?)"/> </mapping> </element> <element id="Measure.clinicalRecommendationStatement"> <path value="Measure.clinicalRecommendationStatement"/> <short value="Summary of clinical guidelines"/> <definition value="Provides a summary of relevant clinical guidelines or other clinical recommendations
supporting the measure."/>
<min value="0"/> <max value="1"/> <base> <path value="Measure.clinicalRecommendationStatement"/> <min value="0"/> <max value="1"/> </base> <type> <code value="markdown"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A (to add?)"/> </mapping> </element> <element id="Measure.improvementNotation"> <path value="Measure.improvementNotation"/> <short value="increase | decrease"/> <definition value="Information on whether an increase or decrease in score is the preferred result
(e.g., a higher score indicates better quality OR a lower score indicates better
quality OR quality is within a range)."/>
<requirements value="Measure consumers and implementers must be able to determine how to interpret a
measure score."/>
<min value="0"/> <max value="1"/> <base> <path value="Measure.improvementNotation"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MeasureImprovementNotation"/> </extension> <strength value="required"/> <description value="Observation values that indicate what change in a measurement value or score is
indicative of an improvement in the measured item or scored issue."/>
<valueSet value="http://hl7.org/fhir/ValueSet/measure-improvement-notation|5.0.0-draft-final"/> </binding> <mapping> <identity value="rim"/> <map value=".interpretationCode"/> </mapping> </element> <element id="Measure.term"> <path value="Measure.term"/> <short value="Defined terms used in the measure documentation"/> <definition value="Provides a description of an individual term used within the measure."/> <requirements value="Measure developers must be able to provide precise definitions of terms used within
measure descriptions and guidance to help communicate the intent of the measure."/>
<min value="0"/> <max value="*"/> <base> <path value="Measure.term"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Measure.term.id"> <path value="Measure.term.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may
be any string value that does not contain spaces."/>
<min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <condition value="ele-1"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Measure.term.extension"> <path value="Measure.term.extension"/> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition
of the element. To make the use of extensions safe and managable, there is a strict
set of governance applied to the definition and use of extensions. Though any implementer
can define an extension, there is a set of requirements that SHALL be met as part
of the definition of the extension."/>
<comment value="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."/>
<alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Measure.term.modifierExtension"> <path value="Measure.term.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="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 in which it is
contained and/or the understanding of the containing element's descendants. Usually
modifier elements provide negation or qualification. To make the use of extensions
safe and managable, there is a strict set of governance applied to the definition
and use of extensions. Though any implementer can 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.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or
DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment value="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."/>
<requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be
clearly distinguished from the vast majority of extensions which can be safely
ignored. This promotes interoperability by eliminating the need for implementers
to prohibit the presence of extensions. For further information, see the [definition
of modifier extensions](extensibility.html#modifierExtension)."/>
<alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the
element that contains them"/>
<isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Measure.term.code"> <path value="Measure.term.code"/> <short value="What term?"/> <definition value="A codeable representation of the defined term."/> <min value="0"/> <max value="1"/> <base> <path value="Measure.term.code"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="DefinitionCode"/> </extension> <strength value="example"/> <description value="Codeable representations of measure definition terms."/> <valueSet value="http://hl7.org/fhir/ValueSet/measure-definition-example"/> </binding> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Measure.term.definition"> <path value="Measure.term.definition"/> <short value="Meaning of the term"/> <definition value="Provides a definition for the term as used within the measure."/> <min value="0"/> <max value="1"/> <base> <path value="Measure.term.definition"/> <min value="0"/> <max value="1"/> </base> <type> <code value="markdown"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A (to add?)"/> </mapping> </element> <element id="Measure.guidance"> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="deprecated"/> </extension> <path value="Measure.guidance"/> <short value="Additional guidance for implementers (deprecated)"/> <definition value="Additional guidance for the measure including how it can be used in a clinical
context, and the intent of the measure."/>
<comment value="NOTE: This element is deprecated in favor of the usage element"/> <requirements value="Measure developers must be able to provide additional guidance for implementers
to understand the intent with greater specificity than that provided in the population
criteria of the measure. This element provides detailed guidance, where the usage
element provides a summary of the guidance."/>
<min value="0"/> <max value="1"/> <base> <path value="Measure.guidance"/> <min value="0"/> <max value="1"/> </base> <type> <code value="markdown"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A (to add?)"/> </mapping> </element> <element id="Measure.group"> <path value="Measure.group"/> <short value="Population criteria group"/> <definition value="A group of population criteria for the measure."/> <min value="0"/> <max value="*"/> <base> <path value="Measure.group"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <condition value="mea-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP]"/> </mapping> </element> <element id="Measure.group.id"> <path value="Measure.group.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may
be any string value that does not contain spaces."/>
<min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <condition value="ele-1"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Measure.group.extension"> <path value="Measure.group.extension"/> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition
of the element. To make the use of extensions safe and managable, there is a strict
set of governance applied to the definition and use of extensions. Though any implementer
can define an extension, there is a set of requirements that SHALL be met as part
of the definition of the extension."/>
<comment value="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."/>
<alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Measure.group.modifierExtension"> <path value="Measure.group.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="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 in which it is
contained and/or the understanding of the containing element's descendants. Usually
modifier elements provide negation or qualification. To make the use of extensions
safe and managable, there is a strict set of governance applied to the definition
and use of extensions. Though any implementer can 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.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or
DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment value="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."/>
<requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be
clearly distinguished from the vast majority of extensions which can be safely
ignored. This promotes interoperability by eliminating the need for implementers
to prohibit the presence of extensions. For further information, see the [definition
of modifier extensions](extensibility.html#modifierExtension)."/>
<alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the
element that contains them"/>
<isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Measure.group.linkId"> <path value="Measure.group.linkId"/> <short value="Unique id for group in measure"/> <definition value="An identifier that is unique within the Measure allowing linkage to the equivalent
item in a MeasureReport resource."/>
<comment value="This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended
to have any meaning. GUIDs or sequential numbers are appropriate here.
LinkIds can have whitespaces and slashes by design. Tooling should not rely on
linkIds being valid XHTML element IDs, and should not directly embed them as such"/>
<requirements value="[MeasureReport](measurereport.html#) does not require omitted groups to be included."/> <min value="0"/> <max value="1"/> <base> <path value="Measure.group.linkId"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="mea-2"/> <severity value="warning"/> <human value="Link ids should be 255 characters or less"/> <expression value="$this.length() <= 255"/> <source value="http://hl7.org/fhir/StructureDefinition/Measure"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".id"/> </mapping> </element> <element id="Measure.group.code"> <path value="Measure.group.code"/> <short value="Meaning of the group"/> <definition value="Indicates a meaning for the group. This can be as simple as a unique identifier,
or it can establish meaning in a broader context by drawing from a terminology,
allowing groups to be correlated across measures."/>
<min value="0"/> <max value="1"/> <base> <path value="Measure.group.code"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MeasureGroupExample"/> </extension> <strength value="example"/> <description value="Example of measure groups."/> <valueSet value="http://hl7.org/fhir/ValueSet/measure-group-example"/> </binding> <mapping> <identity value="rim"/> <map value=".code"/> </mapping> </element> <element id="Measure.group.description"> <path value="Measure.group.description"/> <short value="Summary description"/> <definition value="The human readable description of this population group."/> <min value="0"/> <max value="1"/> <base> <path value="Measure.group.description"/> <min value="0"/> <max value="1"/> </base> <type> <code value="markdown"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="Measure.group.type"> <path value="Measure.group.type"/> <short value="process | outcome | structure | patient-reported-outcome | composite"/> <definition value="Indicates whether the measure is used to examine a process, an outcome over time,
a patient-reported outcome, or a structure measure such as utilization."/>
<comment value="When specified at the group level, defines the measure type for this specific group.
If not specified, the measureType of the group is determined by the root type element"/>
<min value="0"/> <max value="*"/> <base> <path value="Measure.group.type"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MeasureType"/> </extension> <strength value="extensible"/> <valueSet value="http://hl7.org/fhir/ValueSet/measure-type"/> </binding> <mapping> <identity value="rim"/> <map value=".typeCode"/> </mapping> </element> <element id="Measure.group.subject[x]"> <path value="Measure.group.subject[x]"/> <short value="E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device"/> <definition value="The intended subjects for the measure. If this element is not provided, a Patient
subject is assumed, but the subject of the measure can be anything."/>
<comment value="The subject of the measure is critical in interpreting the criteria definitions,
as the logic in the measures is evaluated with respect to a particular subject.
This corresponds roughly to the notion of a Compartment in that it limits what
content is available based on its relationship to the subject. In CQL, this corresponds
to the context declaration."/>
<min value="0"/> <max value="1"/> <base> <path value="Measure.group.subject[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/> </type> <meaningWhenMissing value="Patient"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="SubjectType"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding"> <valueBoolean value="true"/> </extension> <strength value="extensible"/> <description value="The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization,
Location, etc.)."/>
<valueSet value="http://hl7.org/fhir/ValueSet/participant-resource-types"/> </binding> <mapping> <identity value="rim"/> <map value="N/A (to add?) { only applies for subject Patient? }"/> </mapping> </element> <element id="Measure.group.basis"> <path value="Measure.group.basis"/> <short value="Population basis"/> <definition value="The population basis specifies the type of elements in the population. For a subject-based
measure, this is boolean (because the subject and the population basis are the
same, and the population criteria define yes/no values for each individual in the
population). For measures that have a population basis that is different than the
subject, this element specifies the type of the population basis. For example,
an encounter-based measure has a subject of Patient and a population basis of Encounter,
and the population criteria all return lists of Encounters."/>
<comment value="When specified at the group level, defines the population basis for this specific
group. If not specified, the basis for the group is determined by the root basis
element"/>
<requirements value="Allows non-subject-based measures to be specified"/> <min value="0"/> <max value="1"/> <base> <path value="Measure.group.basis"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <meaningWhenMissing value="boolean"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="BasisType"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding"> <valueBoolean value="true"/> </extension> <strength value="required"/> <valueSet value="http://hl7.org/fhir/ValueSet/fhir-types|5.0.0-draft-final"/> </binding> <mapping> <identity value="rim"/> <map value="N/A (to add?) { only applies for subject Patient? }"/> </mapping> </element> <element id="Measure.group.scoring"> <path value="Measure.group.scoring"/> <short value="proportion | ratio | continuous-variable | cohort"/> <definition value="Indicates how the calculation is performed for the measure, including proportion,
ratio, continuous-variable, and cohort. The value set is extensible, allowing additional
measure scoring types to be represented."/>
<comment value="When specified at the group level, defines the scoring for this specific group.
If not specified, scoring for this group is determined by the root scoring element"/>
<min value="0"/> <max value="1"/> <base> <path value="Measure.group.scoring"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MeasureScoring"/> </extension> <strength value="extensible"/> <valueSet value="http://hl7.org/fhir/ValueSet/measure-scoring"/> </binding> <mapping> <identity value="rim"/> <map value=".methodCode { the aspect of how the calculation is performed }"/> </mapping> </element> <element id="Measure.group.scoringUnit"> <path value="Measure.group.scoringUnit"/> <short value="What units?"/> <definition value="Defines the expected units of measure for the measure score. This element SHOULD
be specified as a UCUM unit."/>
<comment value="When specified at the group level, this defines the scoringUnit for this specific
group. If not specified, the scoringUnit for this group is determined by the root
scoringUnit element. As with the root element, when this element is specified,
implementations are expected to report measure scores in the specified units. Note
that this may involve unit conversion if the expected units are different than
the units of the resulting score calculation. In this case, unit conversions SHALL
be performed according to the unit conversion semantics specified by UCUM."/>
<requirements value="When the unit cannot be inferred directly from the calculation logic, this element
allows the specification of the desired units of measure of the output."/>
<min value="0"/> <max value="1"/> <base> <path value="Measure.group.scoringUnit"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MeasureScoringUnit"/> </extension> <strength value="example"/> <valueSet value="http://hl7.org/fhir/ValueSet/measure-scoring-unit"/> </binding> <mapping> <identity value="rim"/> <map value=".methodCode { the aspect of how the calculation is performed }"/> </mapping> </element> <element id="Measure.group.rateAggregation"> <path value="Measure.group.rateAggregation"/> <short value="How is rate aggregation performed for this measure"/> <definition value="Describes how to combine the information calculated, based on logic in each of
several populations, into one summarized result."/>
<comment value="The measure rate for an organization or clinician is based upon the entities’ aggregate
data and summarizes the performance of the entity over a given time period (e.g.,
monthly, quarterly, yearly). The aggregated data are derived from the results of
a specific measure algorithm and, if appropriate, the application of specific risk
adjustment models. Can also be used to describe how to risk adjust the data based
on supplemental data elements described in the eMeasure (e.g., pneumonia hospital
measures antibiotic selection in the ICU versus non-ICU and then the roll-up of
the two). This could be applied to aggregated cohort measure definitions (e.g.,
CDC's aggregate reporting for TB at the state level)."/>
<min value="0"/> <max value="1"/> <base> <path value="Measure.group.rateAggregation"/> <min value="0"/> <max value="1"/> </base> <type> <code value="markdown"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A (to add?)"/> </mapping> </element> <element id="Measure.group.improvementNotation"> <path value="Measure.group.improvementNotation"/> <short value="increase | decrease"/> <definition value="Information on whether an increase or decrease in score is the preferred result
(e.g., a higher score indicates better quality OR a lower score indicates better
quality OR quality is within a range)."/>
<comment value="When specified at the group level, this element defines the improvementNotation
for this specific group. If not specified, improvementNotation for this group is
determined by the root improvementNotation element"/>
<requirements value="Measure consumers and implementers must be able to determine how to interpret a
measure score."/>
<min value="0"/> <max value="1"/> <base> <path value="Measure.group.improvementNotation"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MeasureImprovementNotation"/> </extension> <strength value="required"/> <valueSet value="http://hl7.org/fhir/ValueSet/measure-improvement-notation|5.0.0-draft-final"/> </binding> <mapping> <identity value="rim"/> <map value=".methodCode { the aspect of how the calculation is performed }"/> </mapping> </element> <element id="Measure.group.library"> <path value="Measure.group.library"/> <short value="Logic used by the measure group"/> <definition value="A reference to a Library resource containing the formal logic used by the measure
group."/>
<min value="0"/> <max value="*"/> <base> <path value="Measure.group.library"/> <min value="0"/> <max value="*"/> </base> <type> <code value="canonical"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Library"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A (to add?)"/> </mapping> </element> <element id="Measure.group.population"> <path value="Measure.group.population"/> <short value="Population criteria"/> <definition value="A population criteria for the measure."/> <min value="0"/> <max value="*"/> <base> <path value="Measure.group.population"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP]"/> </mapping> </element> <element id="Measure.group.population.id"> <path value="Measure.group.population.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may
be any string value that does not contain spaces."/>
<min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <condition value="ele-1"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Measure.group.population.extension"> <path value="Measure.group.population.extension"/> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition
of the element. To make the use of extensions safe and managable, there is a strict
set of governance applied to the definition and use of extensions. Though any implementer
can define an extension, there is a set of requirements that SHALL be met as part
of the definition of the extension."/>
<comment value="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."/>
<alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Measure.group.population.modifierExtension"> <path value="Measure.group.population.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="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 in which it is
contained and/or the understanding of the containing element's descendants. Usually
modifier elements provide negation or qualification. To make the use of extensions
safe and managable, there is a strict set of governance applied to the definition
and use of extensions. Though any implementer can 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.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or
DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment value="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."/>
<requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be
clearly distinguished from the vast majority of extensions which can be safely
ignored. This promotes interoperability by eliminating the need for implementers
to prohibit the presence of extensions. For further information, see the [definition
of modifier extensions](extensibility.html#modifierExtension)."/>
<alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the
element that contains them"/>
<isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Measure.group.population.linkId"> <path value="Measure.group.population.linkId"/> <short value="Unique id for population in measure"/> <definition value="An identifier that is unique within the Measure allowing linkage to the equivalent
population in a MeasureReport resource."/>
<comment value="This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended
to have any meaning. GUIDs or sequential numbers are appropriate here.
LinkIds can have whitespaces and slashes by design. Tooling should not rely on
linkIds being valid XHTML element IDs, and should not directly embed them as such"/>
<requirements value="[MeasureReport](measurereport.html#) does not require omitted populations to be
included."/>
<min value="0"/> <max value="1"/> <base> <path value="Measure.group.population.linkId"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="mea-3"/> <severity value="warning"/> <human value="Link ids should be 255 characters or less"/> <expression value="$this.length() <= 255"/> <source value="http://hl7.org/fhir/StructureDefinition/Measure"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".id"/> </mapping> </element> <element id="Measure.group.population.code"> <path value="Measure.group.population.code"/> <short value="initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion
| denominator-exception | measure-population | measure-population-exclusion | measure-observa
tion"/>
<definition value="The type of population criteria."/> <min value="0"/> <max value="1"/> <base> <path value="Measure.group.population.code"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MeasurePopulationType"/> </extension> <strength value="extensible"/> <description value="The type of population."/> <valueSet value="http://hl7.org/fhir/ValueSet/measure-population"/> </binding> <mapping> <identity value="rim"/> <map value=".code"/> </mapping> </element> <element id="Measure.group.population.description"> <path value="Measure.group.population.description"/> <short value="The human readable description of this population criteria"/> <definition value="The human readable description of this population criteria."/> <min value="0"/> <max value="1"/> <base> <path value="Measure.group.population.description"/> <min value="0"/> <max value="1"/> </base> <type> <code value="markdown"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="Measure.group.population.criteria"> <path value="Measure.group.population.criteria"/> <short value="The criteria that defines this population"/> <definition value="An expression that specifies the criteria for the population, typically the name
of an expression in a library."/>
<comment value="In the case of a continuous-variable or ratio measure, this may be the name of
a function that calculates the value of the individual observation for each patient
or event in the population. For these types of measures, individual observations
are reported as observation resources included in the evaluatedResources bundle
for each patient. See the MeasureReport resource or the Quality Reporting topic
for more information."/>
<min value="0"/> <max value="1"/> <base> <path value="Measure.group.population.criteria"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Expression"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A (to add?)"/> </mapping> </element> <element id="Measure.group.population.groupDefinition"> <path value="Measure.group.population.groupDefinition"/> <short value="A group resource that defines this population"/> <definition value="A Group resource that defines this population as a set of characteristics."/> <comment value="Note that this approach can only be used for measures where the basis is of the
same type as the populations (e.g. a Patient-based measure, rather than an Encounter-based
measure). In addition, the referenced Group resource SHALL be a definitional (as
opposed to an actual) group."/>
<min value="0"/> <max value="1"/> <base> <path value="Measure.group.population.groupDefinition"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A (to add?)"/> </mapping> </element> <element id="Measure.group.population.inputPopulationId"> <path value="Measure.group.population.inputPopulationId"/> <short value="Which population"/> <definition value="The id of a population element in this measure that provides the input for this
population criteria. In most cases, the scoring structure of the measure implies
specific relationships (e.g. the Numerator uses the Denominator as the source in
a proportion scoring). In some cases, however, multiple possible choices exist
and must be resolved explicitly. For example in a ratio measure with multiple initial
populations, the denominator must specify which population should be used as the
starting point."/>
<requirements value="For ratio and continuous variable measures, the source populations must be specified
explicitly when they cannot be unambiguously determined from the scoring structure."/>
<min value="0"/> <max value="1"/> <base> <path value="Measure.group.population.inputPopulationId"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A (to add?)"/> </mapping> </element> <element id="Measure.group.population.aggregateMethod"> <path value="Measure.group.population.aggregateMethod"/> <short value="Aggregation method for a measure score (e.g. sum, average, median, minimum, maximum,
count)"/>
<definition value="Specifies which method should be used to aggregate measure observation values.
For most scoring types, this is implied by scoring (e.g. a proportion measure counts
members of the populations). For continuous variables, however, this information
must be specified to ensure correct calculation."/>
<requirements value="For continuous variable measures, specifications must be able to indicate the aggregation
method to be used for tallying results from individual observations."/>
<min value="0"/> <max value="1"/> <base> <path value="Measure.group.population.aggregateMethod"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MeasureAggregateMethod"/> </extension> <strength value="extensible"/> <valueSet value="http://hl7.org/fhir/ValueSet/measure-aggregate-method"/> </binding> <mapping> <identity value="rim"/> <map value="N/A (to add?)"/> </mapping> </element> <element id="Measure.group.stratifier"> <path value="Measure.group.stratifier"/> <short value="Stratifier criteria for the measure"/> <definition value="The stratifier criteria for the measure report, specified as either the name of
a valid CQL expression defined within a referenced library or a valid FHIR Resource
Path."/>
<min value="0"/> <max value="*"/> <base> <path value="Measure.group.stratifier"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <condition value="mea-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP]"/> </mapping> </element> <element id="Measure.group.stratifier.id"> <path value="Measure.group.stratifier.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may
be any string value that does not contain spaces."/>
<min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <condition value="ele-1"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Measure.group.stratifier.extension"> <path value="Measure.group.stratifier.extension"/> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition
of the element. To make the use of extensions safe and managable, there is a strict
set of governance applied to the definition and use of extensions. Though any implementer
can define an extension, there is a set of requirements that SHALL be met as part
of the definition of the extension."/>
<comment value="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."/>
<alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Measure.group.stratifier.modifierExtension"> <path value="Measure.group.stratifier.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="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 in which it is
contained and/or the understanding of the containing element's descendants. Usually
modifier elements provide negation or qualification. To make the use of extensions
safe and managable, there is a strict set of governance applied to the definition
and use of extensions. Though any implementer can 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.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or
DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment value="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."/>
<requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be
clearly distinguished from the vast majority of extensions which can be safely
ignored. This promotes interoperability by eliminating the need for implementers
to prohibit the presence of extensions. For further information, see the [definition
of modifier extensions](extensibility.html#modifierExtension)."/>
<alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the
element that contains them"/>
<isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Measure.group.stratifier.linkId"> <path value="Measure.group.stratifier.linkId"/> <short value="Unique id for stratifier in measure"/> <definition value="An identifier that is unique within the Measure allowing linkage to the equivalent
item in a MeasureReport resource."/>
<comment value="This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended
to have any meaning. GUIDs or sequential numbers are appropriate here.
LinkIds can have whitespaces and slashes by design. Tooling should not rely on
linkIds being valid XHTML element IDs, and should not directly embed them as such"/>
<requirements value="[MeasureReport](measurereport.html#) does not require omitted stratifiers to be
included."/>
<min value="0"/> <max value="1"/> <base> <path value="Measure.group.stratifier.linkId"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="mea-4"/> <severity value="warning"/> <human value="Link ids should be 255 characters or less"/> <expression value="$this.length() <= 255"/> <source value="http://hl7.org/fhir/StructureDefinition/Measure"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".id"/> </mapping> </element> <element id="Measure.group.stratifier.code"> <path value="Measure.group.stratifier.code"/> <short value="Meaning of the stratifier"/> <definition value="Indicates a meaning for the stratifier. This can be as simple as a unique identifier,
or it can establish meaning in a broader context by drawing from a terminology,
allowing stratifiers to be correlated across measures."/>
<min value="0"/> <max value="1"/> <base> <path value="Measure.group.stratifier.code"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <condition value="mea-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MeasureStratifierExample"/> </extension> <strength value="example"/> <description value="Meaning of the stratifier."/> <valueSet value="http://hl7.org/fhir/ValueSet/measure-stratifier-example"/> </binding> <mapping> <identity value="rim"/> <map value=".code"/> </mapping> </element> <element id="Measure.group.stratifier.description"> <path value="Measure.group.stratifier.description"/> <short value="The human readable description of this stratifier"/> <definition value="The human readable description of this stratifier criteria."/> <min value="0"/> <max value="1"/> <base> <path value="Measure.group.stratifier.description"/> <min value="0"/> <max value="1"/> </base> <type> <code value="markdown"/> </type> <condition value="mea-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="Measure.group.stratifier.criteria"> <path value="Measure.group.stratifier.criteria"/> <short value="How the measure should be stratified"/> <definition value="An expression that specifies the criteria for the stratifier. This is typically
the name of an expression defined within a referenced library, but it may also
be a path to a stratifier element."/>
<min value="0"/> <max value="1"/> <base> <path value="Measure.group.stratifier.criteria"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Expression"/> </type> <condition value="mea-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A (to add?)"/> </mapping> </element> <element id="Measure.group.stratifier.groupDefinition"> <path value="Measure.group.stratifier.groupDefinition"/> <short value="A group resource that defines this population"/> <definition value="A Group resource that defines this population as a set of characteristics."/> <comment value="Note that this approach can only be used for measures where the basis is of the
same type as the populations (e.g. a Patient-based measure, rather than an Encounter-based
measure). In addition, the referenced Group SHALL be a definitional (as opposed
to an actual) group."/>
<min value="0"/> <max value="1"/> <base> <path value="Measure.group.stratifier.groupDefinition"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A (to add?)"/> </mapping> </element> <element id="Measure.group.stratifier.component"> <path value="Measure.group.stratifier.component"/> <short value="Stratifier criteria component for the measure"/> <definition value="A component of the stratifier criteria for the measure report, specified as either
the name of a valid CQL expression defined within a referenced library or a valid
FHIR Resource Path."/>
<comment value="Stratifiers are defined either as a single criteria, or as a set of component criteria."/> <min value="0"/> <max value="*"/> <base> <path value="Measure.group.stratifier.component"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <condition value="mea-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP]"/> </mapping> </element> <element id="Measure.group.stratifier.component.id"> <path value="Measure.group.stratifier.component.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may
be any string value that does not contain spaces."/>
<min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <condition value="ele-1"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Measure.group.stratifier.component.extension"> <path value="Measure.group.stratifier.component.extension"/> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition
of the element. To make the use of extensions safe and managable, there is a strict
set of governance applied to the definition and use of extensions. Though any implementer
can define an extension, there is a set of requirements that SHALL be met as part
of the definition of the extension."/>
<comment value="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."/>
<alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Measure.group.stratifier.component.modifierExtension"> <path value="Measure.group.stratifier.component.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="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 in which it is
contained and/or the understanding of the containing element's descendants. Usually
modifier elements provide negation or qualification. To make the use of extensions
safe and managable, there is a strict set of governance applied to the definition
and use of extensions. Though any implementer can 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.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or
DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment value="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."/>
<requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be
clearly distinguished from the vast majority of extensions which can be safely
ignored. This promotes interoperability by eliminating the need for implementers
to prohibit the presence of extensions. For further information, see the [definition
of modifier extensions](extensibility.html#modifierExtension)."/>
<alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the
element that contains them"/>
<isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Measure.group.stratifier.component.linkId"> <path value="Measure.group.stratifier.component.linkId"/> <short value="Unique id for stratifier component in measure"/> <definition value="An identifier that is unique within the Measure allowing linkage to the equivalent
item in a MeasureReport resource."/>
<comment value="This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended
to have any meaning. GUIDs or sequential numbers are appropriate here.
LinkIds can have whitespaces and slashes by design. Tooling should not rely on
linkIds being valid XHTML element IDs, and should not directly embed them as such"/>
<requirements value="[MeasureReport](measurereport.html#) does not require omitted stratifier components
to be included."/>
<min value="0"/> <max value="1"/> <base> <path value="Measure.group.stratifier.component.linkId"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="mea-5"/> <severity value="warning"/> <human value="Link ids should be 255 characters or less"/> <expression value="$this.length() <= 255"/> <source value="http://hl7.org/fhir/StructureDefinition/Measure"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".id"/> </mapping> </element> <element id="Measure.group.stratifier.component.code"> <path value="Measure.group.stratifier.component.code"/> <short value="Meaning of the stratifier component"/> <definition value="Indicates a meaning for the stratifier component. This can be as simple as a unique
identifier, or it can establish meaning in a broader context by drawing from a
terminology, allowing stratifiers to be correlated across measures."/>
<min value="0"/> <max value="1"/> <base> <path value="Measure.group.stratifier.component.code"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MeasureStratifierExample"/> </extension> <strength value="example"/> <description value="Meaning of the stratifier."/> <valueSet value="http://hl7.org/fhir/ValueSet/measure-stratifier-example"/> </binding> <mapping> <identity value="rim"/> <map value=".code"/> </mapping> </element> <element id="Measure.group.stratifier.component.description"> <path value="Measure.group.stratifier.component.description"/> <short value="The human readable description of this stratifier component"/> <definition value="The human readable description of this stratifier criteria component."/> <min value="0"/> <max value="1"/> <base> <path value="Measure.group.stratifier.component.description"/> <min value="0"/> <max value="1"/> </base> <type> <code value="markdown"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="Measure.group.stratifier.component.criteria"> <path value="Measure.group.stratifier.component.criteria"/> <short value="Component of how the measure should be stratified"/> <definition value="An expression that specifies the criteria for this component of the stratifier.
This is typically the name of an expression defined within a referenced library,
but it may also be a path to a stratifier element."/>
<min value="0"/> <max value="1"/> <base> <path value="Measure.group.stratifier.component.criteria"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Expression"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A (to add?)"/> </mapping> </element> <element id="Measure.group.stratifier.component.groupDefinition"> <path value="Measure.group.stratifier.component.groupDefinition"/> <short value="A group resource that defines this population"/> <definition value="A Group resource that defines this population as a set of characteristics."/> <comment value="Note that this approach can only be used for measures where the basis is of the
same type as the populations (e.g. a Patient-based measure, rather than an Encounter-based
measure). In addition, the referenced Group SHALL be a definitional (as opposed
to an actual) group."/>
<min value="0"/> <max value="1"/> <base> <path value="Measure.group.stratifier.component.groupDefinition"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A (to add?)"/> </mapping> </element> <element id="Measure.supplementalData"> <path value="Measure.supplementalData"/> <short value="What other data should be reported with the measure"/> <definition value="The supplemental data criteria for the measure report, specified as either the
name of a valid CQL expression within a referenced library, or a valid FHIR Resource
Path."/>
<comment value="Note that supplemental data are reported as observations for each patient and included
in the evaluatedResources bundle. See the MeasureReport resource or the Quality
Reporting topic for more information."/>
<min value="0"/> <max value="*"/> <base> <path value="Measure.supplementalData"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP]"/> </mapping> </element> <element id="Measure.supplementalData.id"> <path value="Measure.supplementalData.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may
be any string value that does not contain spaces."/>
<min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base> <type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <condition value="ele-1"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Measure.supplementalData.extension"> <path value="Measure.supplementalData.extension"/> <short value="Additional content defined by implementations"/> <definition value="May be used to represent additional information that is not part of the basic definition
of the element. To make the use of extensions safe and managable, there is a strict
set of governance applied to the definition and use of extensions. Though any implementer
can define an extension, there is a set of requirements that SHALL be met as part
of the definition of the extension."/>
<comment value="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."/>
<alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="Measure.supplementalData.modifierExtension"> <path value="Measure.supplementalData.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="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 in which it is
contained and/or the understanding of the containing element's descendants. Usually
modifier elements provide negation or qualification. To make the use of extensions
safe and managable, there is a strict set of governance applied to the definition
and use of extensions. Though any implementer can 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.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or
DomainResource (including cannot change the meaning of modifierExtension itself)."/>
<comment value="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."/>
<requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be
clearly distinguished from the vast majority of extensions which can be safely
ignored. This promotes interoperability by eliminating the need for implementers
to prohibit the presence of extensions. For further information, see the [definition
of modifier extensions](extensibility.html#modifierExtension)."/>
<alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the
element that contains them"/>
<isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="Measure.supplementalData.linkId"> <path value="Measure.supplementalData.linkId"/> <short value="Unique id for supplementalData in measure"/> <definition value="An identifier that is unique within the Measure allowing linkage to the equivalent
item in a MeasureReport resource."/>
<comment value="This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended
to have any meaning. GUIDs or sequential numbers are appropriate here.
LinkIds can have whitespaces and slashes by design. Tooling should not rely on
linkIds being valid XHTML element IDs, and should not directly embed them as such"/>
<requirements value="[MeasureReport](measurereport.html#) does not require omitted supplementalData
to be included."/>
<min value="0"/> <max value="1"/> <base> <path value="Measure.supplementalData.linkId"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="mea-6"/> <severity value="warning"/> <human value="Link ids should be 255 characters or less"/> <expression value="$this.length() <= 255"/> <source value="http://hl7.org/fhir/StructureDefinition/Measure"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".id"/> </mapping> </element> <element id="Measure.supplementalData.code"> <path value="Measure.supplementalData.code"/> <short value="Meaning of the supplemental data"/> <definition value="Indicates a meaning for the supplemental data. This can be as simple as a unique
identifier, or it can establish meaning in a broader context by drawing from a
terminology, allowing supplemental data to be correlated across measures."/>
<min value="0"/> <max value="1"/> <base> <path value="Measure.supplementalData.code"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MeasureSupplementalDataExample"/> </extension> <strength value="example"/> <description value="Meaning of the supplemental data."/> <valueSet value="http://hl7.org/fhir/ValueSet/measure-supplemental-data-example"/> </binding> <mapping> <identity value="rim"/> <map value=".code"/> </mapping> </element> <element id="Measure.supplementalData.usage"> <path value="Measure.supplementalData.usage"/> <short value="supplemental-data | risk-adjustment-factor"/> <definition value="An indicator of the intended usage for the supplemental data element. Supplemental
data indicates the data is additional information requested to augment the measure
information. Risk adjustment factor indicates the data is additional information
used to calculate risk adjustment factors when applying a risk model to the measure
calculation."/>
<min value="0"/> <max value="*"/> <base> <path value="Measure.supplementalData.usage"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MeasureDataUsage"/> </extension> <strength value="extensible"/> <description value="The intended usage for supplemental data elements in the measure."/> <valueSet value="http://hl7.org/fhir/ValueSet/measure-data-usage"/> </binding> <mapping> <identity value="rim"/> <map value=".methodCode"/> </mapping> </element> <element id="Measure.supplementalData.description"> <path value="Measure.supplementalData.description"/> <short value="The human readable description of this supplemental data"/> <definition value="The human readable description of this supplemental data."/> <min value="0"/> <max value="1"/> <base> <path value="Measure.supplementalData.description"/> <min value="0"/> <max value="1"/> </base> <type> <code value="markdown"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="Measure.supplementalData.criteria"> <path value="Measure.supplementalData.criteria"/> <short value="Expression describing additional data to be reported"/> <definition value="The criteria for the supplemental data. This is typically the name of a valid expression
defined within a referenced library, but it may also be a path to a specific data
element. The criteria defines the data to be returned for this element."/>
<min value="1"/> <max value="1"/> <base> <path value="Measure.supplementalData.criteria"/> <min value="1"/> <max value="1"/> </base> <type> <code value="Expression"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A (to add?)"/> </mapping> </element> </snapshot> <differential> <element id="Measure"> <path value="Measure"/> <min value="1"/> <max value="1"/> </element> <element id="Measure.extension:knowledgeCapability"> <path value="Measure.extension"/> <sliceName value="knowledgeCapability"/> <min value="0"/> <max value="*"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability"/> </type> <mustSupport value="true"/> </element> <element id="Measure.extension:knowledgeRepresentationLevel"> <path value="Measure.extension"/> <sliceName value="knowledgeRepresentationLevel"/> <min value="0"/> <max value="*"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/cqf-knowledgeRepresentationLevel"/> </type> <mustSupport value="true"/> </element> <element id="Measure.extension:artifactComment"> <path value="Measure.extension"/> <sliceName value="artifactComment"/> <min value="0"/> <max value="*"/> <type> <code value="Extension"/> <profile value="http://hl7.org/fhir/StructureDefinition/cqf-artifactComment"/> </type> <mustSupport value="true"/> </element> <element id="Measure.url"> <path value="Measure.url"/> <min value="1"/> <max value="1"/> <mustSupport value="true"/> </element> <element id="Measure.version"> <path value="Measure.version"/> <min value="1"/> <max value="1"/> <mustSupport value="true"/> </element> <element id="Measure.versionAlgorithm[x]"> <path value="Measure.versionAlgorithm[x]"/> <mustSupport value="true"/> </element> <element id="Measure.name"> <path value="Measure.name"/> <mustSupport value="true"/> </element> <element id="Measure.title"> <path value="Measure.title"/> <min value="1"/> <max value="1"/> <mustSupport value="true"/> </element> <element id="Measure.experimental"> <path value="Measure.experimental"/> <mustSupport value="true"/> </element> <element id="Measure.publisher"> <path value="Measure.publisher"/> <mustSupport value="true"/> </element> <element id="Measure.description"> <path value="Measure.description"/> <min value="1"/> <max value="1"/> <mustSupport value="true"/> </element> </differential>
</
StructureDefinition
>
Clinical
Reasoning
.
Page
versions:
R5
R4B
R4
|
Propose
a
change