This structure is derived from Measure .

Summary

Mandatory: 6 elements
Must-Support: 6 elements

This structure is derived from indicates the differences between this profile and the base Measure . structure.

Name	Flags	Card.	Type	Description & Constraints
Measure		1..1	Measure	A quality measure definition
url		1..1	uri	Canonical identifier for this measure, represented as a URI (globally unique)
identifier	S	0 .. *	Identifier	Additional identifier for the measure
version		1..1	string	Business version of the measure
name		1..1	string	Name for this measure (computer friendly)
title	S	0..1	string	Name for this measure (human friendly)
experimental		1..1	boolean	For testing purposes, not real usage
date	S	0..1	dateTime	Date last changed
publisher		1..1	string	Name of the publisher publisher/steward (organization or individual)
contact	S	0 .. *	ContactDetail	Contact details for the publisher
description		1..1	markdown	Natural language description of the measure
useContext	S	0 .. *	UsageContext	The context that the content is intended to support
jurisdiction	S	0 .. *	CodeableConcept	Intended jurisdiction for measure (if applicable)
Documentation for this format

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

Name	Flags	Card.	Type	Description & Constraints
Measure	I C	1..1	Measure	A quality measure definition
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?! Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: Common Languages ( preferred ): IETF language tag Additional Bindings Purpose All Languages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?! Σ	0..*	Extension	Extensions that cannot be ignored
url	Σ C	1..1	uri	Canonical identifier for this measure, represented as a URI (globally unique)
identifier	S Σ	0..*	Identifier	Additional identifier for the measure
version	Σ	1..1	string	Business version of the measure
name	Σ I C	1..1	string	Name for this measure (computer friendly)
title	S Σ	0..1	string	Name for this measure (human friendly)
subtitle		0..1	string	Subordinate title of the measure
status	?! Σ	1..1	code	draft | active | retired | unknown Binding: PublicationStatus ( required ): The lifecycle status of an artifact.
experimental	Σ	1..1	boolean	For testing purposes, not real usage
subject[x]		0..1		E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device Binding: Subject type Participant Resource Types ( extensible ): The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization, Location, etc.).
subjectCodeableConcept			CodeableConcept
subjectReference			Reference ( Group )
basis	Σ	0..1	code	Population basis Binding: All FHIR Types ( required )
date	S Σ	0..1	dateTime	Date last changed
publisher	Σ	1..1	string	Name of the publisher publisher/steward (organization or individual)
contact	S Σ	0..*	ContactDetail	Contact details for the publisher
description	Σ	1..1	markdown	Natural language description of the measure
useContext	S Σ	0..*	UsageContext	The context that the content is intended to support
jurisdiction	S Σ	0..*	CodeableConcept	Intended jurisdiction for measure (if applicable) Binding: Jurisdiction ValueSet ( extensible ): Countries and regions within which this artifact is targeted for use.
purpose		0..1	markdown	Why this measure is defined
usage		0..1	string	Describes the clinical usage of the measure
copyright		0..1	markdown	Use and/or publishing restrictions
approvalDate		0..1	date	When the measure was approved by publisher
lastReviewDate		0..1	date	When the measure was last reviewed
effectivePeriod	Σ	0..1	Period	When the measure is expected to be used
topic		0..*	CodeableConcept	The category of the measure, such as Education, Treatment, Assessment, etc. Binding: DefinitionTopic ( example ): High-level categorization of the definition, used for searching, sorting, and filtering.
author		0..*	ContactDetail	Who authored the content
editor		0..*	ContactDetail	Who edited the content
reviewer		0..*	ContactDetail	Who reviewed the content
endorser		0..*	ContactDetail	Who endorsed the content
relatedArtifact		0..*	RelatedArtifact	Additional documentation, citations, etc.
library		0..*	canonical ( Library )	Logic used by the measure
disclaimer	Σ	0..1	markdown	Disclaimer for use of the measure or its referenced content
scoring	Σ	0..1	CodeableConcept	proportion | ratio | continuous-variable | cohort Binding: MeasureScoring ( extensible ): The scoring type of the measure.
scoringUnit	Σ	0..1	CodeableConcept	What units? Binding: Measure Scoring Unit ( example )
compositeScoring	Σ	0..1	CodeableConcept	opportunity | all-or-nothing | linear | weighted Binding: CompositeMeasureScoring ( extensible ): The composite scoring method of the measure.
type	Σ	0..*	CodeableConcept	process | outcome | structure | patient-reported-outcome | composite Binding: MeasureType ( extensible ): The type of measure (includes codes from 2.16.840.1.113883.1.11.20368).
riskAdjustment	Σ	0..1	string	How risk adjustment is applied for this measure
rateAggregation	Σ	0..1	string	How is rate aggregation performed for this measure
rationale	Σ	0..1	markdown	Detailed description of why the measure exists
clinicalRecommendationStatement	Σ	0..1	markdown	Summary of clinical guidelines
improvementNotation	Σ	0..1	CodeableConcept	increase | decrease Binding: MeasureImprovementNotation ( required ): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.
definition term		0..*	markdown BackboneElement	Defined terms used in the measure documentation
guidance id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?! Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	What term? Binding: MeasureDefinitionExample ( example ): Codeable representations of measure definition terms.
definition		0..1	markdown	Meaning of the term
guidance	Σ	0..1	markdown	Additional guidance for implementers
group		0..*	BackboneElement	Population criteria group
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?! Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	Meaning of the group Binding: MeasureGroupExample ( example ): Example of measure groups.
description		0..1	string	Summary description
type	Σ	0..*	CodeableConcept	process | outcome | structure | patient-reported-outcome | composite Binding: MeasureType ( extensible )
basis	Σ	0..1	code	Population basis Binding: All FHIR Types ( required )
scoring	Σ	0..1	string CodeableConcept	Summary description proportion | ratio | continuous-variable | cohort Binding: MeasureScoring ( extensible )
scoringUnit	Σ	0..1	CodeableConcept	What units? Binding: Measure Scoring Unit ( example )
improvementNotation	Σ	0..1	CodeableConcept	increase | decrease Binding: MeasureImprovementNotation ( required )
population		0..*	BackboneElement	Population criteria
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?! Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType ( extensible ): The type of population.
description		0..1	string	The human readable description of this population criteria
criteria		1..1	Expression	The criteria that defines this population
inputPopulationId		0..1	string	Which population
aggregateMethod		0..1	CodeableConcept	Aggregation method for a measure score (e.g. sum, average, median, minimum, maximum, count) Binding: Measure Aggregate Method ( extensible )
stratifier		0..*	BackboneElement	Stratifier criteria for the measure
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?! Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	Meaning of the stratifier Binding: MeasureStratifierExample ( example ): Meaning of the stratifier.
description		0..1	string	The human readable description of this stratifier
criteria		0..1	Expression	How the measure should be stratified
component		0..*	BackboneElement	Stratifier criteria component for the measure
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?! Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	Meaning of the stratifier component Binding: MeasureStratifierExample ( example ): Meaning of the stratifier.
description		0..1	string	The human readable description of this stratifier component
criteria		1..1	Expression	Component of how the measure should be stratified
supplementalData		0..*	BackboneElement	What other data should be reported with the measure
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?! Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	Meaning of the supplemental data Binding: MeasureSupplementalDataExample ( example ): Meaning of the supplemental data.
usage		0..*	CodeableConcept	supplemental-data | risk-adjustment-factor Binding: MeasureDataUsage ( extensible ): The intended usage for supplemental data elements in the measure.
description		0..1	string	The human readable description of this supplemental data
criteria		1..1	Expression	Expression describing additional data to be reported
Documentation for this format

<!-- Shareable Measure -->

<Measure xmlns="http://hl7.org/fhir"
>
  <!-- from Element: extension -->
 <id value="[id]"/><!-- 0..1 Logical id of this artifact -->
 <</meta>
 <
 <
 <

 <meta><!-- I 0..1 Meta Metadata about the resource --></meta>
 <implicitRules value="[uri]"/><!-- I 0..1 A set of rules under which this content was created -->
 <language value="[code]"/><!-- I 0..1 Language of the resource content   -->
 <text><!-- I 0..1 Narrative 

     Text summary of the resource, for human interpretation --></text>
 <</contained>

 <contained><!-- 0..* Resource Contained, inline Resources --></contained>

 <Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict"></modifierExtension>
 <
 <</identifier>
 <
 <
 <
 <
 <
 <
 <</subject[x]>
 <
 <
 <</contact>
 <
 <

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict">modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored  --></modifierExtension>
 <url value="[uri]"/><!-- I 1..1 Canonical identifier for this measure, represented as a URI (globally unique) -->
 <identifier><!-- I 0..* Identifier Additional identifier for the measure --></identifier>
 <version value="[string]"/><!-- I 1..1 Business version of the measure -->
 <name value="[string]"/><!-- I 1..1 Name for this measure (computer friendly) -->
 <title value="[string]"/><!-- I 0..1 Name for this measure (human friendly) -->
 <subtitle value="[string]"/><!-- I 0..1 Subordinate title of the measure -->
 <status value="[code]"/><!-- I 1..1 draft | active | retired | unknown   -->
 <experimental value="[boolean]"/><!-- I 1..1 For testing purposes, not real usage -->
 <subject[x]><!-- I 0..1 CodeableConcept|Reference(Group) E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device   --></subject[x]>
 <basis value="[code]"/><!-- I 0..1 Population basis   -->
 <date value="[dateTime]"/><!-- I 0..1 Date last changed -->
 <publisher value="[string]"/><!-- I 1..1 Name of the publisher/steward (organization or individual) -->
 <contact><!-- I 0..* ContactDetail Contact details for the publisher --></contact>
 <description value="[markdown]"/><!-- I 1..1 Natural language description of the measure -->
 <useContext><!-- I 0..* UsageContext 

     The context that the content is intended to support --></useContext>
 <</jurisdiction>
 <
 <
 <
 <
 <
 <

 <jurisdiction><!-- I 0..* CodeableConcept Intended jurisdiction for measure (if applicable)   --></jurisdiction>
 <purpose value="[markdown]"/><!-- I 0..1 Why this measure is defined -->
 <usage value="[string]"/><!-- I 0..1 Describes the clinical usage of the measure -->
 <copyright value="[markdown]"/><!-- I 0..1 Use and/or publishing restrictions -->
 <approvalDate value="[date]"/><!-- I 0..1 When the measure was approved by publisher -->
 <lastReviewDate value="[date]"/><!-- I 0..1 When the measure was last reviewed -->
 <effectivePeriod><!-- I 0..1 Period 

     When the measure is expected to be used --></effectivePeriod>
 <</topic>
 <</author>
 <</editor>
 <</reviewer>
 <</endorser>
 <

 <topic><!-- I 0..* CodeableConcept The category of the measure, such as Education, Treatment, Assessment, etc.   --></topic>
 <author><!-- I 0..* ContactDetail Who authored the content --></author>
 <editor><!-- I 0..* ContactDetail Who edited the content --></editor>
 <reviewer><!-- I 0..* ContactDetail Who reviewed the content --></reviewer>
 <endorser><!-- I 0..* ContactDetail Who endorsed the content --></endorser>
 <relatedArtifact><!-- I 0..* RelatedArtifact 

     Additional documentation, citations, etc. --></relatedArtifact>
 <
 <
 <</scoring>
 <</compositeScoring>
 <</type>
 <
 <
 <
 <
 <</improvementNotation>
 <
 <
 <

 <library value="[canonical]"/><!-- I 0..* Logic used by the measure -->
 <disclaimer value="[markdown]"/><!-- I 0..1 Disclaimer for use of the measure or its referenced content -->
 <scoring><!-- I 0..1 CodeableConcept proportion | ratio | continuous-variable | cohort   --></scoring>
 <scoringUnit><!-- I 0..1 CodeableConcept What units?   --></scoringUnit>
 <compositeScoring><!-- I 0..1 CodeableConcept opportunity | all-or-nothing | linear | weighted   --></compositeScoring>
 <type><!-- I 0..* CodeableConcept process | outcome | structure | patient-reported-outcome | composite   --></type>
 <riskAdjustment value="[string]"/><!-- I 0..1 How risk adjustment is applied for this measure -->
 <rateAggregation value="[string]"/><!-- I 0..1 How is rate aggregation performed for this measure -->
 <rationale value="[markdown]"/><!-- I 0..1 Detailed description of why the measure exists -->
 <clinicalRecommendationStatement value="[markdown]"/><!-- I 0..1 Summary of clinical guidelines -->
 <improvementNotation><!-- I 0..1 CodeableConcept increase | decrease   --></improvementNotation>
 <term> I 0..* BackboneElement  <!-- I 0..* Defined terms used in the measure documentation -->
  <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
  <code><!-- I 0..1 CodeableConcept What term?   --></code>
  <definition value="[markdown]"/><!-- I 0..1 Meaning of the term -->
 </term>
 <guidance value="[markdown]"/><!-- I 0..1 Additional guidance for implementers -->
 <group> I 0..* BackboneElement  <!-- I 0..* Population criteria group -->

  <Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict"></modifierExtension>
  <</code>
  <
  <

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict">modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
  <code><!-- I 0..1 CodeableConcept Meaning of the group   --></code>
  <description value="[string]"/><!-- I 0..1 Summary description -->
  <type><!-- I 0..* CodeableConcept process | outcome | structure | patient-reported-outcome | composite   --></type>
  <basis value="[code]"/><!-- I 0..1 Population basis   -->
  <scoring><!-- I 0..1 CodeableConcept proportion | ratio | continuous-variable | cohort   --></scoring>
  <scoringUnit><!-- I 0..1 CodeableConcept What units?   --></scoringUnit>
  <improvementNotation><!-- I 0..1 CodeableConcept increase | decrease   --></improvementNotation>
  <population> I 0..* BackboneElement  <!-- I 0..* Population criteria -->

   <Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict"></modifierExtension>
   <</code>
   <
   <

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict">modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
   <code><!-- I 0..1 CodeableConcept initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation   --></code>
   <description value="[string]"/><!-- I 0..1 The human readable description of this population criteria -->
   <criteria><!-- I 1..1 Expression 

       The criteria that defines this population --></criteria>
   <inputPopulationId value="[string]"/><!-- I 0..1 Which population -->
   <aggregateMethod><!-- I 0..1 CodeableConcept Aggregation method for a measure score (e.g. sum, average, median, minimum, maximum, count)   --></aggregateMethod>

  </population>
  <

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

   <Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict"></modifierExtension>
   <</code>
   <
   <

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict">modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
   <code><!-- I 0..1 CodeableConcept Meaning of the stratifier   --></code>
   <description value="[string]"/><!-- I 0..1 The human readable description of this stratifier -->
   <criteria><!-- I 0..1 Expression 

       How the measure should be stratified --></criteria>
   <

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

    <Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict"></modifierExtension>
    <</code>
    <

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict">modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
    <code><!-- I 0..1 CodeableConcept Meaning of the stratifier component   --></code>
    <description value="[string]"/><!-- I 0..1 

        The human readable description of this stratifier component -->
    <

    <criteria><!-- I 1..1 Expression 

        Component of how the measure should be stratified --></criteria>
   </component>
  </stratifier>
 </group>
 <

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

  <Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict"></modifierExtension>
  <</code>
  <</usage>
  <
  <

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict">modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
  <code><!-- I 0..1 CodeableConcept Meaning of the supplemental data   --></code>
  <usage><!-- I 0..* CodeableConcept supplemental-data | risk-adjustment-factor   --></usage>
  <description value="[string]"/><!-- I 0..1 The human readable description of this supplemental data -->
  <criteria><!-- I 1..1 Expression 

      Expression describing additional data to be reported --></criteria>
 </supplementalData>
</Measure>

{ // Shareable Measure
  // from Element: extension
    "
    "
    "
    "
    "

    "meta" : { Meta }, // IMetadata about the resource
    "implicitRules" : "<uri>", // IA set of rules under which this content was created
    "language" : "<code>", // ILanguage of the resource content
    "text" : { Narrative }, // IText summary of the resource, for human interpretation
    "contained" : [{ Resource }], //Contained, inline Resources

    "Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict">
    "
    "
    "
    "
    "
    "
    "
    "

    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict">modifierExtension" : [{ Extension }], // IExtensions that cannot be ignored
    "url" : "<uri>", // I R! Canonical identifier for this measure, represented as a URI (globally unique)
    "identifier" : [{ Identifier }], // IAdditional identifier for the measure
    "version" : "<string>", // I R! Business version of the measure
    "name" : "<string>", // I R! Name for this measure (computer friendly)
    "title" : "<string>", // IName for this measure (human friendly)
    "subtitle" : "<string>", // ISubordinate title of the measure
    "status" : "<code>", // I R! draft | active | retired | unknown
    "experimental" : <boolean>, // I R! For testing purposes, not real usage
  // value[x]: E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device. One of these 2:

    "subjectCodeableConcept" : { CodeableConcept }, // IE.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device
    "subjectReference" : { Reference(Group) }, // IE.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device
    "basis" : "<code>", // IPopulation basis
    "date" : "<dateTime>", // IDate last changed
    "publisher" : "<string>", // I R! Name of the publisher/steward (organization or individual)
    "contact" : [{ ContactDetail }], // IContact details for the publisher
    "description" : "<markdown>", // I R! Natural language description of the measure
    "useContext" : [{ UsageContext }], // IThe context that the content is intended to support
    "jurisdiction" : [{ CodeableConcept }], // IIntended jurisdiction for measure (if applicable)
    "purpose" : "<markdown>", // IWhy this measure is defined
    "usage" : "<string>", // IDescribes the clinical usage of the measure
    "copyright" : "<markdown>", // IUse and/or publishing restrictions
    "approvalDate" : "<date>", // IWhen the measure was approved by publisher
    "lastReviewDate" : "<date>", // IWhen the measure was last reviewed
    "effectivePeriod" : { Period }, // IWhen the measure is expected to be used
    "topic" : [{ CodeableConcept }], // IThe category of the measure, such as Education, Treatment, Assessment, etc.
    "author" : [{ ContactDetail }], // IWho authored the content
    "editor" : [{ ContactDetail }], // IWho edited the content
    "reviewer" : [{ ContactDetail }], // IWho reviewed the content
    "endorser" : [{ ContactDetail }], // IWho endorsed the content
    "relatedArtifact" : [{ RelatedArtifact }], // IAdditional documentation, citations, etc.
    "library" : ["<canonical>"], // ILogic used by the measure
    "disclaimer" : "<markdown>", // IDisclaimer for use of the measure or its referenced content
    "scoring" : { CodeableConcept }, // Iproportion | ratio | continuous-variable | cohort
    "scoringUnit" : { CodeableConcept }, // IWhat units?
    "compositeScoring" : { CodeableConcept }, // Iopportunity | all-or-nothing | linear | weighted
    "type" : [{ CodeableConcept }], // Iprocess | outcome | structure | patient-reported-outcome | composite
    "riskAdjustment" : "<string>", // IHow risk adjustment is applied for this measure
    "rateAggregation" : "<string>", // IHow is rate aggregation performed for this measure
    "rationale" : "<markdown>", // IDetailed description of why the measure exists
    "clinicalRecommendationStatement" : "<markdown>", // ISummary of clinical guidelines
    "improvementNotation" : { CodeableConcept }, // Iincrease | decrease
    "term" : [{ BackboneElement }], // IDefined terms used in the measure documentation
    "guidance" : "<markdown>", // IAdditional guidance for implementers
    "group" : [{ BackboneElement }], // IPopulation criteria group
    "supplementalData" : [{ BackboneElement }] // IWhat other data should be reported with the measure

  }

Summary

Mandatory: 6 elements
Must-Support: 6 elements

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

Name	Flags	Card.	Type	Description & Constraints
Measure	I C	1..1	Measure	A quality measure definition
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?! Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: Common Languages ( preferred ): IETF language tag Additional Bindings Purpose All Languages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?! Σ	0..*	Extension	Extensions that cannot be ignored
url	Σ C	1..1	uri	Canonical identifier for this measure, represented as a URI (globally unique)
identifier	S Σ	0..*	Identifier	Additional identifier for the measure
version	Σ	1..1	string	Business version of the measure
name	Σ I C	1..1	string	Name for this measure (computer friendly)
title	S Σ	0..1	string	Name for this measure (human friendly)
subtitle		0..1	string	Subordinate title of the measure
status	?! Σ	1..1	code	draft | active | retired | unknown Binding: PublicationStatus ( required ): The lifecycle status of an artifact.
experimental	Σ	1..1	boolean	For testing purposes, not real usage
subject[x]		0..1		E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device Binding: Subject type Participant Resource Types ( extensible ): The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization, Location, etc.).
subjectCodeableConcept			CodeableConcept
subjectReference			Reference ( Group )
basis	Σ	0..1	code	Population basis Binding: All FHIR Types ( required )
date	S Σ	0..1	dateTime	Date last changed
publisher	Σ	1..1	string	Name of the publisher publisher/steward (organization or individual)
contact	S Σ	0..*	ContactDetail	Contact details for the publisher
description	Σ	1..1	markdown	Natural language description of the measure
useContext	S Σ	0..*	UsageContext	The context that the content is intended to support
jurisdiction	S Σ	0..*	CodeableConcept	Intended jurisdiction for measure (if applicable) Binding: Jurisdiction ValueSet ( extensible ): Countries and regions within which this artifact is targeted for use.
purpose		0..1	markdown	Why this measure is defined
usage		0..1	string	Describes the clinical usage of the measure
copyright		0..1	markdown	Use and/or publishing restrictions
approvalDate		0..1	date	When the measure was approved by publisher
lastReviewDate		0..1	date	When the measure was last reviewed
effectivePeriod	Σ	0..1	Period	When the measure is expected to be used
topic		0..*	CodeableConcept	The category of the measure, such as Education, Treatment, Assessment, etc. Binding: DefinitionTopic ( example ): High-level categorization of the definition, used for searching, sorting, and filtering.
author		0..*	ContactDetail	Who authored the content
editor		0..*	ContactDetail	Who edited the content
reviewer		0..*	ContactDetail	Who reviewed the content
endorser		0..*	ContactDetail	Who endorsed the content
relatedArtifact		0..*	RelatedArtifact	Additional documentation, citations, etc.
library		0..*	canonical ( Library )	Logic used by the measure
disclaimer	Σ	0..1	markdown	Disclaimer for use of the measure or its referenced content
scoring	Σ	0..1	CodeableConcept	proportion | ratio | continuous-variable | cohort Binding: MeasureScoring ( extensible ): The scoring type of the measure.
scoringUnit	Σ	0..1	CodeableConcept	What units? Binding: Measure Scoring Unit ( example )
compositeScoring	Σ	0..1	CodeableConcept	opportunity | all-or-nothing | linear | weighted Binding: CompositeMeasureScoring ( extensible ): The composite scoring method of the measure.
type	Σ	0..*	CodeableConcept	process | outcome | structure | patient-reported-outcome | composite Binding: MeasureType ( extensible ): The type of measure (includes codes from 2.16.840.1.113883.1.11.20368).
riskAdjustment	Σ	0..1	string	How risk adjustment is applied for this measure
rateAggregation	Σ	0..1	string	How is rate aggregation performed for this measure
rationale	Σ	0..1	markdown	Detailed description of why the measure exists
clinicalRecommendationStatement	Σ	0..1	markdown	Summary of clinical guidelines
improvementNotation	Σ	0..1	CodeableConcept	increase | decrease Binding: MeasureImprovementNotation ( required ): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.
definition term		0..*	markdown BackboneElement	Defined terms used in the measure documentation
guidance id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?! Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	What term? Binding: MeasureDefinitionExample ( example ): Codeable representations of measure definition terms.
definition		0..1	markdown	Meaning of the term
guidance	Σ	0..1	markdown	Additional guidance for implementers
group		0..*	BackboneElement	Population criteria group
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?! Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	Meaning of the group Binding: MeasureGroupExample ( example ): Example of measure groups.
description		0..1	string	Summary description
type	Σ	0..*	CodeableConcept	process | outcome | structure | patient-reported-outcome | composite Binding: MeasureType ( extensible )
basis	Σ	0..1	code	Population basis Binding: All FHIR Types ( required )
scoring	Σ	0..1	string CodeableConcept	Summary description proportion | ratio | continuous-variable | cohort Binding: MeasureScoring ( extensible )
scoringUnit	Σ	0..1	CodeableConcept	What units? Binding: Measure Scoring Unit ( example )
improvementNotation	Σ	0..1	CodeableConcept	increase | decrease Binding: MeasureImprovementNotation ( required )
population		0..*	BackboneElement	Population criteria
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?! Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType ( extensible ): The type of population.
description		0..1	string	The human readable description of this population criteria
criteria		1..1	Expression	The criteria that defines this population
inputPopulationId		0..1	string	Which population
aggregateMethod		0..1	CodeableConcept	Aggregation method for a measure score (e.g. sum, average, median, minimum, maximum, count) Binding: Measure Aggregate Method ( extensible )
stratifier		0..*	BackboneElement	Stratifier criteria for the measure
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?! Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	Meaning of the stratifier Binding: MeasureStratifierExample ( example ): Meaning of the stratifier.
description		0..1	string	The human readable description of this stratifier
criteria		0..1	Expression	How the measure should be stratified
component		0..*	BackboneElement	Stratifier criteria component for the measure
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?! Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	Meaning of the stratifier component Binding: MeasureStratifierExample ( example ): Meaning of the stratifier.
description		0..1	string	The human readable description of this stratifier component
criteria		1..1	Expression	Component of how the measure should be stratified
supplementalData		0..*	BackboneElement	What other data should be reported with the measure
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?! Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	Meaning of the supplemental data Binding: MeasureSupplementalDataExample ( example ): Meaning of the supplemental data.
usage		0..*	CodeableConcept	supplemental-data | risk-adjustment-factor Binding: MeasureDataUsage ( extensible ): The intended usage for supplemental data elements in the measure.
description		0..1	string	The human readable description of this supplemental data
criteria		1..1	Expression	Expression describing additional data to be reported
Documentation for this format

<!-- Shareable Measure -->

<Measure xmlns="http://hl7.org/fhir"
>
  <!-- from Element: extension -->
 <id value="[id]"/><!-- 0..1 Logical id of this artifact -->
 <</meta>
 <
 <
 <

 <meta><!-- I 0..1 Meta Metadata about the resource --></meta>
 <implicitRules value="[uri]"/><!-- I 0..1 A set of rules under which this content was created -->
 <language value="[code]"/><!-- I 0..1 Language of the resource content   -->
 <text><!-- I 0..1 Narrative 

     Text summary of the resource, for human interpretation --></text>
 <</contained>

 <contained><!-- 0..* Resource Contained, inline Resources --></contained>

 <Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict"></modifierExtension>
 <
 <</identifier>
 <
 <
 <
 <
 <
 <
 <</subject[x]>
 <
 <
 <</contact>
 <
 <

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict">modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored  --></modifierExtension>
 <url value="[uri]"/><!-- I 1..1 Canonical identifier for this measure, represented as a URI (globally unique) -->
 <identifier><!-- I 0..* Identifier Additional identifier for the measure --></identifier>
 <version value="[string]"/><!-- I 1..1 Business version of the measure -->
 <name value="[string]"/><!-- I 1..1 Name for this measure (computer friendly) -->
 <title value="[string]"/><!-- I 0..1 Name for this measure (human friendly) -->
 <subtitle value="[string]"/><!-- I 0..1 Subordinate title of the measure -->
 <status value="[code]"/><!-- I 1..1 draft | active | retired | unknown   -->
 <experimental value="[boolean]"/><!-- I 1..1 For testing purposes, not real usage -->
 <subject[x]><!-- I 0..1 CodeableConcept|Reference(Group) E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device   --></subject[x]>
 <basis value="[code]"/><!-- I 0..1 Population basis   -->
 <date value="[dateTime]"/><!-- I 0..1 Date last changed -->
 <publisher value="[string]"/><!-- I 1..1 Name of the publisher/steward (organization or individual) -->
 <contact><!-- I 0..* ContactDetail Contact details for the publisher --></contact>
 <description value="[markdown]"/><!-- I 1..1 Natural language description of the measure -->
 <useContext><!-- I 0..* UsageContext 

     The context that the content is intended to support --></useContext>
 <</jurisdiction>
 <
 <
 <
 <
 <
 <

 <jurisdiction><!-- I 0..* CodeableConcept Intended jurisdiction for measure (if applicable)   --></jurisdiction>
 <purpose value="[markdown]"/><!-- I 0..1 Why this measure is defined -->
 <usage value="[string]"/><!-- I 0..1 Describes the clinical usage of the measure -->
 <copyright value="[markdown]"/><!-- I 0..1 Use and/or publishing restrictions -->
 <approvalDate value="[date]"/><!-- I 0..1 When the measure was approved by publisher -->
 <lastReviewDate value="[date]"/><!-- I 0..1 When the measure was last reviewed -->
 <effectivePeriod><!-- I 0..1 Period 

     When the measure is expected to be used --></effectivePeriod>
 <</topic>
 <</author>
 <</editor>
 <</reviewer>
 <</endorser>
 <

 <topic><!-- I 0..* CodeableConcept The category of the measure, such as Education, Treatment, Assessment, etc.   --></topic>
 <author><!-- I 0..* ContactDetail Who authored the content --></author>
 <editor><!-- I 0..* ContactDetail Who edited the content --></editor>
 <reviewer><!-- I 0..* ContactDetail Who reviewed the content --></reviewer>
 <endorser><!-- I 0..* ContactDetail Who endorsed the content --></endorser>
 <relatedArtifact><!-- I 0..* RelatedArtifact 

     Additional documentation, citations, etc. --></relatedArtifact>
 <
 <
 <</scoring>
 <</compositeScoring>
 <</type>
 <
 <
 <
 <
 <</improvementNotation>
 <
 <
 <

 <library value="[canonical]"/><!-- I 0..* Logic used by the measure -->
 <disclaimer value="[markdown]"/><!-- I 0..1 Disclaimer for use of the measure or its referenced content -->
 <scoring><!-- I 0..1 CodeableConcept proportion | ratio | continuous-variable | cohort   --></scoring>
 <scoringUnit><!-- I 0..1 CodeableConcept What units?   --></scoringUnit>
 <compositeScoring><!-- I 0..1 CodeableConcept opportunity | all-or-nothing | linear | weighted   --></compositeScoring>
 <type><!-- I 0..* CodeableConcept process | outcome | structure | patient-reported-outcome | composite   --></type>
 <riskAdjustment value="[string]"/><!-- I 0..1 How risk adjustment is applied for this measure -->
 <rateAggregation value="[string]"/><!-- I 0..1 How is rate aggregation performed for this measure -->
 <rationale value="[markdown]"/><!-- I 0..1 Detailed description of why the measure exists -->
 <clinicalRecommendationStatement value="[markdown]"/><!-- I 0..1 Summary of clinical guidelines -->
 <improvementNotation><!-- I 0..1 CodeableConcept increase | decrease   --></improvementNotation>
 <term> I 0..* BackboneElement  <!-- I 0..* Defined terms used in the measure documentation -->
  <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
  <code><!-- I 0..1 CodeableConcept What term?   --></code>
  <definition value="[markdown]"/><!-- I 0..1 Meaning of the term -->
 </term>
 <guidance value="[markdown]"/><!-- I 0..1 Additional guidance for implementers -->
 <group> I 0..* BackboneElement  <!-- I 0..* Population criteria group -->

  <Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict"></modifierExtension>
  <</code>
  <
  <

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict">modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
  <code><!-- I 0..1 CodeableConcept Meaning of the group   --></code>
  <description value="[string]"/><!-- I 0..1 Summary description -->
  <type><!-- I 0..* CodeableConcept process | outcome | structure | patient-reported-outcome | composite   --></type>
  <basis value="[code]"/><!-- I 0..1 Population basis   -->
  <scoring><!-- I 0..1 CodeableConcept proportion | ratio | continuous-variable | cohort   --></scoring>
  <scoringUnit><!-- I 0..1 CodeableConcept What units?   --></scoringUnit>
  <improvementNotation><!-- I 0..1 CodeableConcept increase | decrease   --></improvementNotation>
  <population> I 0..* BackboneElement  <!-- I 0..* Population criteria -->

   <Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict"></modifierExtension>
   <</code>
   <
   <

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict">modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
   <code><!-- I 0..1 CodeableConcept initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation   --></code>
   <description value="[string]"/><!-- I 0..1 The human readable description of this population criteria -->
   <criteria><!-- I 1..1 Expression 

       The criteria that defines this population --></criteria>
   <inputPopulationId value="[string]"/><!-- I 0..1 Which population -->
   <aggregateMethod><!-- I 0..1 CodeableConcept Aggregation method for a measure score (e.g. sum, average, median, minimum, maximum, count)   --></aggregateMethod>

  </population>
  <

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

   <Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict"></modifierExtension>
   <</code>
   <
   <

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict">modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
   <code><!-- I 0..1 CodeableConcept Meaning of the stratifier   --></code>
   <description value="[string]"/><!-- I 0..1 The human readable description of this stratifier -->
   <criteria><!-- I 0..1 Expression 

       How the measure should be stratified --></criteria>
   <

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

    <Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict"></modifierExtension>
    <</code>
    <

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict">modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
    <code><!-- I 0..1 CodeableConcept Meaning of the stratifier component   --></code>
    <description value="[string]"/><!-- I 0..1 

        The human readable description of this stratifier component -->
    <

    <criteria><!-- I 1..1 Expression 

        Component of how the measure should be stratified --></criteria>
   </component>
  </stratifier>
 </group>
 <

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

  <Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict"></modifierExtension>
  <</code>
  <</usage>
  <
  <

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict">modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
  <code><!-- I 0..1 CodeableConcept Meaning of the supplemental data   --></code>
  <usage><!-- I 0..* CodeableConcept supplemental-data | risk-adjustment-factor   --></usage>
  <description value="[string]"/><!-- I 0..1 The human readable description of this supplemental data -->
  <criteria><!-- I 1..1 Expression 

      Expression describing additional data to be reported --></criteria>
 </supplementalData>
</Measure>

{ // Shareable Measure
  // from Element: extension
    "
    "
    "
    "
    "

    "meta" : { Meta }, // IMetadata about the resource
    "implicitRules" : "<uri>", // IA set of rules under which this content was created
    "language" : "<code>", // ILanguage of the resource content
    "text" : { Narrative }, // IText summary of the resource, for human interpretation
    "contained" : [{ Resource }], //Contained, inline Resources

    "Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict">
    "
    "
    "
    "
    "
    "
    "
    "

    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "
    "

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict">modifierExtension" : [{ Extension }], // IExtensions that cannot be ignored
    "url" : "<uri>", // I R! Canonical identifier for this measure, represented as a URI (globally unique)
    "identifier" : [{ Identifier }], // IAdditional identifier for the measure
    "version" : "<string>", // I R! Business version of the measure
    "name" : "<string>", // I R! Name for this measure (computer friendly)
    "title" : "<string>", // IName for this measure (human friendly)
    "subtitle" : "<string>", // ISubordinate title of the measure
    "status" : "<code>", // I R! draft | active | retired | unknown
    "experimental" : <boolean>, // I R! For testing purposes, not real usage
  // value[x]: E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device. One of these 2:

    "subjectCodeableConcept" : { CodeableConcept }, // IE.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device
    "subjectReference" : { Reference(Group) }, // IE.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device
    "basis" : "<code>", // IPopulation basis
    "date" : "<dateTime>", // IDate last changed
    "publisher" : "<string>", // I R! Name of the publisher/steward (organization or individual)
    "contact" : [{ ContactDetail }], // IContact details for the publisher
    "description" : "<markdown>", // I R! Natural language description of the measure
    "useContext" : [{ UsageContext }], // IThe context that the content is intended to support
    "jurisdiction" : [{ CodeableConcept }], // IIntended jurisdiction for measure (if applicable)
    "purpose" : "<markdown>", // IWhy this measure is defined
    "usage" : "<string>", // IDescribes the clinical usage of the measure
    "copyright" : "<markdown>", // IUse and/or publishing restrictions
    "approvalDate" : "<date>", // IWhen the measure was approved by publisher
    "lastReviewDate" : "<date>", // IWhen the measure was last reviewed
    "effectivePeriod" : { Period }, // IWhen the measure is expected to be used
    "topic" : [{ CodeableConcept }], // IThe category of the measure, such as Education, Treatment, Assessment, etc.
    "author" : [{ ContactDetail }], // IWho authored the content
    "editor" : [{ ContactDetail }], // IWho edited the content
    "reviewer" : [{ ContactDetail }], // IWho reviewed the content
    "endorser" : [{ ContactDetail }], // IWho endorsed the content
    "relatedArtifact" : [{ RelatedArtifact }], // IAdditional documentation, citations, etc.
    "library" : ["<canonical>"], // ILogic used by the measure
    "disclaimer" : "<markdown>", // IDisclaimer for use of the measure or its referenced content
    "scoring" : { CodeableConcept }, // Iproportion | ratio | continuous-variable | cohort
    "scoringUnit" : { CodeableConcept }, // IWhat units?
    "compositeScoring" : { CodeableConcept }, // Iopportunity | all-or-nothing | linear | weighted
    "type" : [{ CodeableConcept }], // Iprocess | outcome | structure | patient-reported-outcome | composite
    "riskAdjustment" : "<string>", // IHow risk adjustment is applied for this measure
    "rateAggregation" : "<string>", // IHow is rate aggregation performed for this measure
    "rationale" : "<markdown>", // IDetailed description of why the measure exists
    "clinicalRecommendationStatement" : "<markdown>", // ISummary of clinical guidelines
    "improvementNotation" : { CodeableConcept }, // Iincrease | decrease
    "term" : [{ BackboneElement }], // IDefined terms used in the measure documentation
    "guidance" : "<markdown>", // IAdditional guidance for implementers
    "group" : [{ BackboneElement }], // IPopulation criteria group
    "supplementalData" : [{ BackboneElement }] // IWhat other data should be reported with the measure

  }