Release 5 R6 Ballot (1st Draft)

This page is part of the FHIR Specification (v5.0.0: R5 - STU v6.0.0-ballot1: Release 6 Ballot (1st Draft) (see Ballot Notes ). This is the The current published version in it's permanent home (it will always be available at this URL). is 5.0.0 . For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4

14.18.12.2 StructureDefinition: ShareableMeasure

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

The canonical URL for this profile is: 

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

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

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

This profile was published on Thu, Jan 1, 1970 00:00+1000 as a draft by HL7.

14.18.12.2.1 Formal Views of Profile Content

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

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

Name Flags Card. Type Description & Constraints doco
. . Measure 1..1 Measure A quality measure definition
. . . knowledgeCapability S 0..* code shareable | computable | publishable | executable
URL: http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability
Binding: Knowledge Capability Value Set ( required )
. . . knowledgeRepresentationLevel S 0..* code narrative | semi-structured | structured | executable
URL: http://hl7.org/fhir/StructureDefinition/cqf-knowledgeRepresentationLevel
Binding: Knowledge Representation Level ( required )
. . . artifactComment S 0..* (Complex) Additional documentation, review, or usage guidance
URL: http://hl7.org/fhir/StructureDefinition/cqf-artifactComment
. . . version S 1..1 string Business version of the measure
. . . versionAlgorithm[x] S 0 .. 1 string , Coding How to compare versions
. . . name S 0 .. 1 string Name for this measure (computer friendly)
. . . title S 1..1 string Name for this measure (human friendly)
. . . experimental S 0 .. 1 boolean For testing purposes, not real usage
. . . publisher S 0 .. 1 string Name of the publisher/steward (organization or individual)
. . . description S 1..1 markdown Natural language description of the measure

doco Documentation for this format icon

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

XD
Name Flags Card. Type Description & Constraints doco
. . Measure C icon 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: All Languages ( required ): IETF language tag for a human language

text 0..1 Narrative Text summary of the resource, for human interpretation contained 0..* Resource Contained, inline Resources Slices for extension 0..* Extension Extension Slice: Unordered, Open by value:url knowledgeCapability S 0..* code shareable | computable | publishable | executable URL: http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability Binding: Knowledge Capability ( required ) knowledgeRepresentationLevel S 0..* code narrative | semi-structured | structured | executable URL: http://hl7.org/fhir/StructureDefinition/cqf-knowledgeRepresentationLevel Binding: Knowledge Representation Level ( required ) artifactComment S 0..* (Complex) Additional documentation, review, or usage guidance URL: http://hl7.org/fhir/StructureDefinition/cqf-artifactComment modifierExtension ?! Σ 0..* Extension Extensions that cannot be ignored url S Σ C 1..1 uri Canonical identifier for this measure, represented as a URI (globally unique) identifier Σ 0..* Identifier Additional identifier for the measure version S Σ 1..1 string Business version of the measure versionAlgorithm[x] S Σ 0..1 How to compare versions Binding: Version Algorithm ( extensible ) versionAlgorithmString string versionAlgorithmCoding Coding name S Σ C 0..1 string Name for this measure (computer friendly) title S Σ 1..1 string Name for this measure (human friendly) subtitle 0..1 string Subordinate title of the measure status ?! Σ 1..1 code draft | active | retired | unknown Binding: PublicationStatus ( required ): The lifecycle status of an artifact. experimental S Σ 0..1 boolean For testing purposes, not real usage subject[x] 0..1 E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device Binding: Participant Resource Types ( extensible ): The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization, Location, etc.). subjectCodeableConcept CodeableConcept subjectReference Reference ( Group ) basis Σ 0..1 code Population basis Binding: All FHIR Types ( required ) date Σ 0..1 dateTime Date last changed publisher S Σ 0..1 string Name of the publisher/steward (organization or individual) contact Σ 0..* ContactDetail Contact details for the publisher description S Σ 1..1 markdown Natural language description of the measure useContext Σ 0..* UsageContext The context that the content is intended to support jurisdiction Σ XD 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 markdown Describes the clinical usage of the measure copyright 0..1 markdown Use and/or publishing restrictions copyrightLabel 0..1 string Copyright holder and year(s) approvalDate 0..1 date When the measure was approved by publisher lastReviewDate 0..1 date When the measure was last reviewed by the publisher effectivePeriod Σ 0..1 Period When the measure is expected to be used topic XD 0..* CodeableConcept The category of the measure, such as Education, Treatment, Assessment, etc Binding: Definition Topic ( example ): High-level categorization of the definition, used for searching, sorting, and filtering. author 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: Composite Measure Scoring ( extensible ): The composite scoring method of the measure. type Σ 0..* CodeableConcept process | outcome | structure | patient-reported-outcome | composite Binding: Measure Type ( extensible ): The type of measure (includes codes from 2.16.840.1.113883.1.11.20368). riskAdjustment Σ 0..1 markdown How risk adjustment is applied for this measure rateAggregation Σ 0..1 markdown How is rate aggregation performed for this measure rationale Σ 0..1 markdown Detailed description of why the measure exists clinicalRecommendationStatement Σ 0..1 markdown Summary of clinical guidelines improvementNotation Σ 0..1 CodeableConcept increase | decrease Binding: Measure Improvement Notation ( required ): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue. term 0..* BackboneElement Defined terms used in the measure documentation id 0..1 string Unique id for inter-element referencing extension 0..* Extension Additional content defined by implementations modifierExtension ?! Σ 0..* Extension Extensions that cannot be ignored even if unrecognized code 0..1 CodeableConcept What term? Binding: Measure Definition Example ( example ): Codeable representations of measure definition terms. definition 0..1 markdown Meaning of the term guidance Σ XD 0..1 markdown Additional guidance for implementers (deprecated) group C 0..* BackboneElement Population criteria group id 0..1 string Unique id for inter-element referencing extension 0..* Extension Additional content defined by implementations modifierExtension ?! Σ 0..* Extension Extensions that cannot be ignored even if unrecognized linkId C 0..1 string Unique id for group in measure code 0..1 CodeableConcept Meaning of the group Binding: Measure Group Example ( example ): Example of measure groups. description 0..1 markdown Summary description type Σ 0..* CodeableConcept process | outcome | structure | patient-reported-outcome | composite Binding: Measure Type ( extensible ) subject[x] 0..1 E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device Binding: Participant Resource Types ( extensible ): The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization, Location, etc.). subjectCodeableConcept CodeableConcept subjectReference Reference ( Group ) basis Σ 0..1 code Population basis Binding: All FHIR Types ( required ) scoring Σ 0..1 CodeableConcept proportion | ratio | continuous-variable | cohort Binding: MeasureScoring ( extensible ) scoringUnit Σ 0..1 CodeableConcept What units? Binding: Measure Scoring Unit ( example ) rateAggregation Σ 0..1 markdown How is rate aggregation performed for this measure improvementNotation Σ 0..1 CodeableConcept increase | decrease Binding: Measure Improvement Notation ( required ) library 0..* canonical ( Library ) Logic used by the measure group population 0..* BackboneElement Population criteria id 0..1 string Unique id for inter-element referencing extension 0..* Extension Additional content defined by implementations modifierExtension ?! Σ 0..* Extension Extensions that cannot be ignored even if unrecognized linkId C 0..1 string Unique id for population in measure code 0..1 CodeableConcept initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: Measure Population Type ( extensible ): The type of population. description 0..1 markdown The human readable description of this population criteria criteria 0..1 Expression The criteria that defines this population groupDefinition 0..1 Reference ( Group ) A group resource that defines this population inputPopulationId 0..1 string Which population aggregateMethod 0..1 CodeableConcept Aggregation method for a measure score (e.g. sum, average, median, minimum, maximum, count) Binding: Measure Aggregate Method ( extensible ) stratifier C 0..* BackboneElement Stratifier criteria for the measure id 0..1 string Unique id for inter-element referencing extension 0..* Extension Additional content defined by implementations modifierExtension ?! Σ 0..* Extension Extensions that cannot be ignored even if unrecognized linkId C 0..1 string Unique id for stratifier in measure code C 0..1 CodeableConcept Meaning of the stratifier Binding: Measure Stratifier Example ( example ): Meaning of the stratifier. description C 0..1 markdown The human readable description of this stratifier criteria C 0..1 Expression How the measure should be stratified groupDefinition 0..1 Reference ( Group ) A group resource that defines this population component C 0..* BackboneElement Stratifier criteria component for the measure id 0..1 string Unique id for inter-element referencing extension 0..* Extension Additional content defined by implementations modifierExtension ?! Σ 0..* Extension Extensions that cannot be ignored even if unrecognized linkId C 0..1 string Unique id for stratifier component in measure code 0..1 CodeableConcept Meaning of the stratifier component Binding: Measure Stratifier Example ( example ): Meaning of the stratifier. description 0..1 markdown The human readable description of this stratifier component criteria 0..1 Expression Component of how the measure should be stratified groupDefinition 0..1 Reference ( Group ) A group resource that defines this population supplementalData 0..* BackboneElement What other data should be reported with the measure id 0..1 string Unique id for inter-element referencing extension 0..* Extension Additional content defined by implementations modifierExtension ?! Σ 0..* Extension Extensions that cannot be ignored even if unrecognized linkId C 0..1 string Unique id for supplementalData in measure code 0..1 CodeableConcept Meaning of the supplemental data Binding: Measure Supplemental Data Example ( example ): Meaning of the supplemental data. usage 0..* CodeableConcept supplemental-data | risk-adjustment-factor Binding: Measure Data Usage ( extensible ): The intended usage for supplemental data elements in the measure. description 0..1 markdown The human readable description of this supplemental data criteria 1..1 Expression Expression describing additional data to be reported Documentation for this format <!-- ShareableMeasure --> < xmlns="http://hl7.org/fhir" > <!-- from Element: --> < <</meta> < < < Text summary of the resource, for human interpretation</text> <</contained> <<a href="shareablemeasure-definitions.html#Measure.modifierExtension" title="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) (this element modifies the meaning of other elements)" class="dict"></modifierExtension> < <</identifier> < <</versionAlgorithm[x]> < < < < < <</subject[x]> < < < <</contact> < < The context that the content is intended to support</useContext> <</jurisdiction> < < < < < < < When the measure is expected to be used</effectivePeriod> <</topic> <</author> <</editor> <</reviewer> <</endorser> < Additional documentation, citations, etc</relatedArtifact> < < <</scoring> <</scoringUnit> <</compositeScoring> <</type> < < < < <</improvementNotation> < <<a href="shareablemeasure-definitions.html#Measure.term.modifierExtension" title="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) (this element modifies the meaning of other elements)" class="dict"></modifierExtension> <</code> < </term> < < <<a href="shareablemeasure-definitions.html#Measure.group.modifierExtension" title="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) (this element modifies the meaning of other elements)" class="dict"></modifierExtension> < <</code> < <</type> <</subject[x]> < <</scoring> <</scoringUnit> < <</improvementNotation> < < <<a href="shareablemeasure-definitions.html#Measure.group.population.modifierExtension" title="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) (this element modifies the meaning of other elements)" class="dict"></modifierExtension> < <</code> < < The criteria that defines this population</criteria> < A group resource that defines this population</groupDefinition> < <</aggregateMethod> </population> < <<a href="shareablemeasure-definitions.html#Measure.group.stratifier.modifierExtension" title="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) (this element modifies the meaning of other elements)" class="dict"></modifierExtension> < <</code> < < How the measure should be stratified</criteria> < A group resource that defines this population</groupDefinition> < <<a href="shareablemeasure-definitions.html#Measure.group.stratifier.component.modifierExtension" title="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) (this element modifies the meaning of other elements)" class="dict"></modifierExtension> < <</code> < The human readable description of this stratifier component < Component of how the measure should be stratified</criteria> < A group resource that defines this population</groupDefinition> </component> </stratifier> </group> < <<a href="shareablemeasure-definitions.html#Measure.supplementalData.modifierExtension" title="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) (this element modifies the meaning of other elements)" class="dict"></modifierExtension> < <</code> <</usage> < < Expression describing additional data to be reported</criteria> </supplementalData> </Measure> { // // from Element: " " " " " " { // // from Element: }, { // // from Element: }, { // // from Element: } ], "<a href="shareablemeasure-definitions.html#Measure.modifierExtension" title="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) (this element modifies the meaning of other elements)" class="dict"> " " " " " " " " " " " " " " " " " " " " " " " " " " " " " " " " " " " " " " " " " " " " " " " } This structure is derived from Measure . Summary Mandatory: 4 elements Must-Support: 11 elements Extensions This structure refers to these extensions: http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability http://hl7.org/fhir/StructureDefinition/cqf-knowledgeRepresentationLevel http://hl7.org/fhir/StructureDefinition/cqf-artifactComment 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 A set of rules under which this content was created language 0..1 code Language of the resource content Binding: All Languages ( required ): IETF language tag for a human language
Differential View This 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 knowledgeCapability S 0..* code shareable | computable | publishable | executable URL: http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability Binding: Knowledge Capability ( required ) knowledgeRepresentationLevel S 0..* code narrative | semi-structured | structured | executable URL: http://hl7.org/fhir/StructureDefinition/cqf-knowledgeRepresentationLevel Binding: Knowledge Representation Level ( required ) artifactComment S 0..* (Complex) Additional documentation, review, or usage guidance URL: http://hl7.org/fhir/StructureDefinition/cqf-artifactComment url S 1..1 uri Canonical identifier for this measure, represented as a URI (globally unique) version S 1..1 string Business version of the measure versionAlgorithm[x] S 0 .. 1 string , Coding How to compare versions name S 0 .. 1 string Name for this measure (computer friendly) title S 1..1 string Name for this measure (human friendly) experimental S 0 .. 1 boolean For testing purposes, not real usage publisher S 0 .. 1 string Name of the publisher/steward (organization or individual) description S 1..1 markdown Natural language description of the measure Documentation for this format Snapshot View Bindings 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 Purpose
Common Languages uri Starter Set
. . . text 0..1 Narrative Text summary of the resource, for human interpretation
. . . contained 0..* Resource Contained, inline Resources
. . . Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
. . . knowledgeCapability S 0..* code shareable | computable | publishable | executable
URL: http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability
Binding: Knowledge Capability Value Set ( required )
. . . knowledgeRepresentationLevel S 0..* code narrative | semi-structured | structured | executable
URL: http://hl7.org/fhir/StructureDefinition/cqf-knowledgeRepresentationLevel
Binding: Knowledge Representation Level ( required )
. . . artifactComment S 0..* (Complex) Additional documentation, review, or usage guidance
URL: http://hl7.org/fhir/StructureDefinition/cqf-artifactComment
. . . modifierExtension ?! Σ 0..* Extension Extensions that cannot be ignored
. . . url S Σ C icon 1..1 uri Canonical identifier for this measure, represented as a URI (globally unique)
. . . identifier Σ 0..* Identifier Additional identifier for the measure
. . . version S Σ 1..1 string Business version of the measure
. . . versionAlgorithm[x] S Σ 0..1 How to compare versions
Binding: Version Algorithm ( extensible )
. . . . versionAlgorithmString string
. . . . versionAlgorithmCoding Coding
. . . name S Σ C icon 0..1 string Name for this measure (computer friendly)
. . . title S Σ 1..1 string Name for this measure (human friendly)
. . . subtitle 0..1 string Subordinate title of the measure
. . . status ?! Σ 1..1 code draft | active | retired | unknown
Binding: PublicationStatus ( required ): The lifecycle status of an artifact.

. . . experimental S Σ 0..1 boolean For testing purposes, not real usage
. . . subject[x] 0..1 E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device
Binding: Participant Resource Types ( extensible ): The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization, Location, etc.).

. . . . subjectCodeableConcept CodeableConcept
. . . . subjectReference Reference ( Group )
. . . basis Σ 0..1 code Population basis
Binding: All FHIR Types ( required )
. . . date Σ 0..1 dateTime Date last changed
. . . publisher S Σ 0..1 string Name of the publisher/steward (organization or individual)
. . . contact Σ 0..* ContactDetail Contact details for the publisher
. . . description S Σ 1..1 markdown Natural language description of the measure
. . . useContext Σ 0..* UsageContext The context that the content is intended to support
. . . jurisdiction Σ XD 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 markdown Describes the clinical usage of the measure
. . . copyright 0..1 markdown Use and/or publishing restrictions
. . . copyrightLabel 0..1 string Copyright holder and year(s)
. . . approvalDate 0..1 date When the measure was approved by publisher
. . . lastReviewDate 0..1 date When the measure was last reviewed by the publisher
. . . 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: Definition Topic ( 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 icon ( extensible ): The scoring type of the measure.

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

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


. . . riskAdjustment Σ 0..1 markdown How risk adjustment is applied for this measure
. . . rateAggregation Σ 0..1 markdown How is rate aggregation performed for this measure
. . . rationale Σ 0..1 markdown Detailed description of why the measure exists
. . . clinicalRecommendationStatement Σ 0..1 markdown Summary of clinical guidelines
. . . improvementNotation Σ 0..1 CodeableConcept increase | decrease
Binding: Measure Improvement Notation ( required ): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.

. . . term 0..* BackboneElement Defined terms used in the measure documentation
. . . . id 0..1 string Unique id for inter-element referencing
. . . . extension 0..* Extension Additional content defined by implementations
. . . . modifierExtension ?! Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
. . . . code 0..1 CodeableConcept What term?
Binding: Measure Definition Example ( example ): Codeable representations of measure definition terms.

. . . . definition 0..1 markdown Meaning of the term
. . . guidance Σ XD 0..1 markdown Additional guidance for implementers (deprecated)
. . . group C icon 0..* BackboneElement Population criteria group
. . . . id 0..1 string Unique id for inter-element referencing
. . . . extension 0..* Extension Additional content defined by implementations
. . . . modifierExtension ?! Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
. . . . linkId C icon 0..1 string Unique id for group in measure
. . . . code 0..1 CodeableConcept Meaning of the group
Binding: Measure Group Example ( example ): Example of measure groups.

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

. . . . . subjectCodeableConcept CodeableConcept
. . . . . subjectReference Reference ( Group )
. . . . basis Σ 0..1 code Population basis
Binding: All FHIR Types ( required )
. . . . scoring Σ 0..1 CodeableConcept proportion | ratio | continuous-variable | cohort
Binding: MeasureScoring icon ( extensible )
. . . . scoringUnit Σ 0..1 CodeableConcept What units?
Binding: Measure Scoring Unit ( example )
. . . . rateAggregation Σ 0..1 markdown How is rate aggregation performed for this measure
. . . . improvementNotation Σ 0..1 CodeableConcept increase | decrease
Binding: Measure Improvement Notation ( required )
. . . . library 0..* canonical ( Library ) Logic used by the measure group
. . . . population 0..* BackboneElement Population criteria
. . . . . id 0..1 string Unique id for inter-element referencing
. . . . . extension 0..* Extension Additional content defined by implementations
. . . . . modifierExtension ?! Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
. . . . . linkId C icon 0..1 string Unique id for population in measure
. . . . . code 0..1 CodeableConcept initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
Binding: Measure Population Type ( extensible ): The type of population.

. . . . . description 0..1 markdown The human readable description of this population criteria
. . . . . criteria 0..1 Expression The criteria that defines this population
. . . . . groupDefinition 0..1 Reference ( Group ) A group resource that defines this population
. . . . . inputPopulationId 0..1 string Which population
. . . . . aggregateMethod 0..1 CodeableConcept Aggregation method for a measure score (e.g. sum, average, median, minimum, maximum, count)
Binding: Measure Aggregate Method ( extensible )
. . . . stratifier C icon 0..* BackboneElement Stratifier criteria for the measure
. . . . . id 0..1 string Unique id for inter-element referencing
. . . . . extension 0..* Extension Additional content defined by implementations
. . . . . modifierExtension ?! Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
. . . . . linkId C icon 0..1 string Unique id for stratifier in measure
. . . . . code C icon 0..1 CodeableConcept Meaning of the stratifier
Binding: Measure Stratifier Example ( example ): Meaning of the stratifier.

. . . . . description C icon 0..1 markdown The human readable description of this stratifier
. . . . . criteria C icon 0..1 Expression How the measure should be stratified
. . . . . groupDefinition 0..1 Reference ( Group ) A group resource that defines this population
. . . . . component C icon 0..* BackboneElement Stratifier criteria component for the measure
. . . . . . id 0..1 string Unique id for inter-element referencing
. . . . . . extension 0..* Extension Additional content defined by implementations
. . . . . . modifierExtension ?! Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
. . . . . . linkId C icon 0..1 string Unique id for stratifier component in measure
. . . . . . code 0..1 CodeableConcept Meaning of the stratifier component
Binding: Measure Stratifier Example ( example ): Meaning of the stratifier.

. . . . . . description 0..1 markdown The human readable description of this stratifier component
. . . . . . criteria 0..1 Expression Component of how the measure should be stratified
. . . . . . groupDefinition 0..1 Reference ( Group ) A group resource that defines this population
. . . supplementalData 0..* BackboneElement What other data should be reported with the measure
. . . . id 0..1 string Unique id for inter-element referencing
. . . . extension 0..* Extension Additional content defined by implementations
. . modifierExtension ?! Σ 0..* Extension Extensions that cannot be ignored even if unrecognized linkId C 0..1 string Unique id for supplementalData in measure code 0..1 CodeableConcept Meaning of the supplemental data Binding: Measure Supplemental Data Example ( example ): Meaning of the supplemental data. usage 0..* CodeableConcept supplemental-data | risk-adjustment-factor Binding: Measure Data Usage ( extensible ): The intended usage for supplemental data elements in the measure. description 0..1 markdown The human readable description of this supplemental data criteria 1..1 Expression Expression describing additional data to be reported Documentation for this format XML Template <!-- ShareableMeasure --> < xmlns="http://hl7.org/fhir" > <!-- from Element: --> < <</meta> < < < Text summary of the resource, for human interpretation</text> <</contained> <<a href="shareablemeasure-definitions.html#Measure.modifierExtension" title="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) (this element modifies the meaning of other elements)" class="dict"></modifierExtension> < <</identifier> < <</versionAlgorithm[x]> < < < < < <</subject[x]> < < < <</contact> < < The context that the content is intended to support</useContext> <</jurisdiction> < < < < < < < When the measure is expected to be used</effectivePeriod> <</topic> <</author> <</editor> <</reviewer> <</endorser> < Additional documentation, citations, etc</relatedArtifact> < < <</scoring> <</scoringUnit> <</compositeScoring> <</type> < < < < <</improvementNotation> < <<a href="shareablemeasure-definitions.html#Measure.term.modifierExtension" title="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) (this element modifies the meaning of other elements)" class="dict"></modifierExtension> <</code> < </term> < < <<a href="shareablemeasure-definitions.html#Measure.group.modifierExtension" title="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) (this element modifies the meaning of other elements)" class="dict"></modifierExtension> < <</code> < <</type> <</subject[x]> < <</scoring> <</scoringUnit> < <</improvementNotation> < < <<a href="shareablemeasure-definitions.html#Measure.group.population.modifierExtension" title="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) (this element modifies the meaning of other elements)" class="dict"></modifierExtension> < <</code> < < The criteria that defines this population</criteria> < A group resource that defines this population</groupDefinition> < <</aggregateMethod> </population> < <<a href="shareablemeasure-definitions.html#Measure.group.stratifier.modifierExtension" title="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) (this element modifies the meaning of other elements)" class="dict"></modifierExtension> < <</code> < < How the measure should be stratified</criteria> < A group resource that defines this population</groupDefinition> < <<a href="shareablemeasure-definitions.html#Measure.group.stratifier.component.modifierExtension" title="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) (this element modifies the meaning of other elements)" class="dict"></modifierExtension> < <</code> < The human readable description of this stratifier component < Component of how the measure should be stratified</criteria> < A group resource that defines this population</groupDefinition> </component> </stratifier> </group> < <<a href="shareablemeasure-definitions.html#Measure.supplementalData.modifierExtension" title="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) (this element modifies the meaning of other elements)" class="dict"></modifierExtension> < <</code> <</usage> < < Expression describing additional data to be reported</criteria> </supplementalData> </Measure> JSON Template { // // from Element: " " " " " " { // // from Element: }, { // // from Element: }, { // // from Element: } ], "<a href="shareablemeasure-definitions.html#Measure.modifierExtension" title="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) (this element modifies the meaning of other elements)" class="dict"> " " " " " " " " " " " " " " " " " " " " " " " " " " " " " " " " " " " " " " " " " " " " " " " }   Alternate definitions: Master Definition ( XML , JSON ), Schematron 14.18.12.2.2 Terminology Bindings Path Name Conformance ValueSet Measure.language All Languages required All Languages Measure.versionAlgorithm[x] Version Algorithm extensible Version Algorithm Measure.status PublicationStatus required PublicationStatus Measure.subject[x] Participant Resource Types extensible Participant Resource Types Measure.basis All FHIR Types required All FHIR Types Measure.jurisdiction Jurisdiction ValueSet extensible Jurisdiction ValueSet Measure.topic Definition Topic example Definition Topic Measure.scoring MeasureScoring extensible MeasureScoring Measure.scoringUnit Measure Scoring Unit example Measure Scoring Unit Measure.compositeScoring Composite Measure Scoring extensible Composite Measure Scoring Measure.type Measure Type extensible Measure Type Measure.improvementNotation Measure Improvement Notation required Measure Improvement Notation Measure.term.code Measure Definition Example example Measure Definition Example Measure.group.code Measure Group Example example Measure Group Example Measure.group.type Measure Type extensible Measure Type Measure.group.subject[x] Participant Resource Types extensible Participant Resource Types Measure.group.basis All FHIR Types required All FHIR Types Measure.group.scoring MeasureScoring extensible MeasureScoring Measure.group.scoringUnit Measure Scoring Unit example Measure Scoring Unit Measure.group.improvementNotation Measure Improvement Notation required Measure Improvement Notation Measure.group.population.code Measure Population Type extensible Measure Population Type Measure.group.population.aggregateMethod Measure Aggregate Method extensible Measure Aggregate Method Measure.group.stratifier.code Measure Stratifier Example example Measure Stratifier Example Measure.group.stratifier.component.code Measure Stratifier Example example Measure Stratifier Example Measure.supplementalData.code Measure Supplemental Data Example example Measure Supplemental Data Example Measure.supplementalData.usage Measure Data Usage extensible Measure Data Usage . . 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