This structure is derived from ShareableMeasure .

Summary

Mandatory: 1 element
Must-Support: 22 elements

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

Name	Flags	Card.	Type	Description & Constraints
Measure		1..1	ShareableMeasure	A quality measure definition
identifier	S	0 .. *	Identifier	Additional identifier for the measure
date	S	1..1	dateTime	Date last changed
contact	S	0 .. *	ContactDetail	Contact details for the publisher
useContext	S	0 .. *	UsageContext	The context that the content is intended to support
jurisdiction	S	0 .. *	CodeableConcept	Intended jurisdiction for measure (if applicable)
purpose	S	0 .. 1	markdown	Why this measure is defined
usage	S	0 .. 1	markdown	Describes the clinical usage of the measure
copyright	S	0 .. 1	markdown	Use and/or publishing restrictions
copyrightLabel	S	0 .. 1	string	Copyright holder and year(s)
approvalDate	S	0 .. 1	date	When the measure was approved by publisher
lastReviewDate	S	0 .. 1	date	When the measure was last reviewed by the publisher
effectivePeriod	S	0 .. 1	Period	When the measure is expected to be used
topic	S	0 .. *	CodeableConcept	The category of the measure, such as Education, Treatment, Assessment, etc
author	S	0 .. *	ContactDetail	Who authored the content
editor	S	0 .. *	ContactDetail	Who edited the content
reviewer	S	0 .. *	ContactDetail	Who reviewed the content
endorser	S	0 .. *	ContactDetail	Who endorsed the content
relatedArtifact	S	0 .. *	RelatedArtifact	Additional documentation, citations, etc
display	S	0 .. 1	string	Brief description of the related artifact
document	S	0 .. 1	Attachment	What document is being referenced
resource	S	0 .. 1	canonical ( Resource )	What artifact is being referenced
resourceReference	S	0 .. 1	Reference ( Resource )	What artifact, if not a conformance resource
Documentation for this format

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

Name	Flags	Card.	Type	Description & Constraints
Measure	C	1..1	ShareableMeasure	A quality measure definition cnl-0: Name should be usable as an identifier for the module by machine processing applications such as code generation mea-1: Stratifier SHALL be either a single criteria or a set of criteria components
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 Additional Bindings Purpose Common Languages 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	1..1	uri	Canonical identifier for this measure, represented as a URI (globally unique) cnl-1: URL should not contain | or # - these characters make processing canonical references problematic
identifier	S 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	S Σ	1..1	dateTime	Date last changed
publisher	S Σ	0..1	string	Name of the publisher/steward (organization or individual)
contact	S Σ	0..*	ContactDetail	Contact details for the publisher
description	S 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	S	0..1	markdown	Why this measure is defined
usage	S	0..1	markdown	Describes the clinical usage of the measure
copyright	S	0..1	markdown	Use and/or publishing restrictions
copyrightLabel	S	0..1	string	Copyright holder and year(s)
approvalDate	S	0..1	date	When the measure was approved by publisher
lastReviewDate	S	0..1	date	When the measure was last reviewed by the publisher
effectivePeriod	S Σ	0..1	Period	When the measure is expected to be used
topic	S	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	S	0..*	ContactDetail	Who authored the content
editor	S	0..*	ContactDetail	Who edited the content
reviewer	S	0..*	ContactDetail	Who reviewed the content
endorser	S	0..*	ContactDetail	Who endorsed the content
relatedArtifact	S	0..*	RelatedArtifact	Additional documentation, citations, etc
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	1..1	code	documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | documents | specification-of | created-with | cite-as Binding: RelatedArtifactType ( required ): The type of relationship to the related artifact.
classifier	Σ	0..*	CodeableConcept	Additional classifiers Binding: Citation Artifact Classifier ( example ): Additional classifiers for the related artifact.
label	Σ	0..1	string	Short label
display	S Σ	0..1	string	Brief description of the related artifact
citation	Σ	0..1	markdown	Bibliographic citation for the artifact
document	S Σ	0..1	Attachment	What document is being referenced
resource	S Σ	0..1	canonical ( Resource )	What artifact is being referenced
resourceReference	S Σ	0..1	Reference ( Resource )	What artifact, if not a conformance resource
publicationStatus	Σ	0..1	code	draft | active | retired | unknown Binding: PublicationStatus ( required ): Publication status of an artifact being referred to.
publicationDate	Σ	0..1	date	Date of publication of the artifact being referred to
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 Measure Scoring ( 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 mea-2: Link ids should be 255 characters or less
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 Measure Scoring ( 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 mea-3: Link ids should be 255 characters or less
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 mea-4: Link ids should be 255 characters or less
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 mea-5: Link ids should be 255 characters or less
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 mea-6: Link ids should be 255 characters or less
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

<!-- PublishableMeasure -->

<Measure xmlns="http://hl7.org/fhir"
>
  <!-- from Element: extension -->
 <id value="[id]"/><!-- 0..1 Logical id of this artifact -->
 <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><!-- 0..* Resource Contained, inline Resources --></contained>
 <<a href="publishablemeasure-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>

 <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 -->
 <versionAlgorithm[x]><!-- I 0..1 string|Coding How to compare versions   --></versionAlgorithm[x]>
 <name value="[string]"/><!-- I 0..1 Name for this measure (computer friendly) -->
 <title value="[string]"/><!-- I 1..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 0..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 1..1 Date last changed -->
 <publisher value="[string]"/><!-- I 0..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><!-- I 0..* CodeableConcept Intended jurisdiction for measure (if applicable)   --></jurisdiction>
 <purpose value="[markdown]"/><!-- I 0..1 Why this measure is defined -->
 <usage value="[markdown]"/><!-- I 0..1 Describes the clinical usage of the measure -->
 <copyright value="[markdown]"/><!-- I 0..1 Use and/or publishing restrictions -->
 <copyrightLabel value="[string]"/><!-- I 0..1 Copyright holder and year(s) -->
 <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 by the publisher -->
 <effectivePeriod><!-- I 0..1 Period 
     When the measure is expected to be used --></effectivePeriod>
 <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  <!-- I 0..* Additional documentation, citations, etc -->
  <type value="[code]"/><!-- I 1..1 documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | documents | specification-of | created-with | cite-as   -->
  <classifier><!-- I 0..* CodeableConcept Additional classifiers   --></classifier>
  <label value="[string]"/><!-- I 0..1 Short label -->
  <display value="[string]"/><!-- I 0..1 Brief description of the related artifact -->
  <citation value="[markdown]"/><!-- I 0..1 Bibliographic citation for the artifact -->
  <document><!-- I 0..1 Attachment 
      What document is being referenced --></document>
  <resource value="[canonical]"/><!-- I 0..1 What artifact is being referenced -->
  <resourceReference><!-- I 0..1 Reference(Resource) 
      What artifact, if not a conformance resource --></resourceReference>
  <publicationStatus value="[code]"/><!-- I 0..1 draft | active | retired | unknown   -->
  <publicationDate value="[date]"/><!-- I 0..1 Date of publication of the artifact being referred to -->
 </relatedArtifact>
 <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>

 <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="[markdown]"/><!-- I 0..1 How risk adjustment is applied for this measure -->
 <rateAggregation value="[markdown]"/><!-- 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 -->
  <<a href="publishablemeasure-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>

  <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 (deprecated) -->
 <group> I 0..* BackboneElement  <!-- I 0..* Population criteria group -->
  <<a href="publishablemeasure-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>

  <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>

  <linkId value="[string]"/><!-- I 0..1 Unique id for group in measure -->
  <code><!-- I 0..1 CodeableConcept Meaning of the group   --></code>
  <description value="[markdown]"/><!-- I 0..1 Summary description -->
  <type><!-- I 0..* CodeableConcept process | outcome | structure | patient-reported-outcome | composite   --></type>
  <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   -->
  <</scoring>

  <scoring><!-- I 0..1 CodeableConcept proportion | ratio | continuous-variable | cohort    --></scoring>

  <scoringUnit><!-- I 0..1 CodeableConcept What units?   --></scoringUnit>
  <rateAggregation value="[markdown]"/><!-- I 0..1 How is rate aggregation performed for this measure -->
  <improvementNotation><!-- I 0..1 CodeableConcept increase | decrease   --></improvementNotation>
  <library value="[canonical]"/><!-- I 0..* Logic used by the measure group -->
  <population> I 0..* BackboneElement  <!-- I 0..* Population criteria -->
   <<a href="publishablemeasure-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>

   <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>

   <linkId value="[string]"/><!-- I 0..1 Unique id for population in measure -->
   <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="[markdown]"/><!-- I 0..1 The human readable description of this population criteria -->
   <criteria><!-- I 0..1 Expression 
       The criteria that defines this population --></criteria>
   <groupDefinition><!-- I 0..1 Reference(Group) 
       A group resource that defines this population --></groupDefinition>
   <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 -->
   <<a href="publishablemeasure-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>

   <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>

   <linkId value="[string]"/><!-- I 0..1 Unique id for stratifier in measure -->
   <code><!-- I 0..1 CodeableConcept Meaning of the stratifier   --></code>
   <description value="[markdown]"/><!-- I 0..1 The human readable description of this stratifier -->
   <criteria><!-- I 0..1 Expression 
       How the measure should be stratified --></criteria>
   <groupDefinition><!-- I 0..1 Reference(Group) 
       A group resource that defines this population --></groupDefinition>
   <component> I 0..* BackboneElement  <!-- I 0..* Stratifier criteria component for the measure -->
    <<a href="publishablemeasure-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>

    <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>

    <linkId value="[string]"/><!-- I 0..1 Unique id for stratifier component in measure -->
    <code><!-- I 0..1 CodeableConcept Meaning of the stratifier component   --></code>
    <description value="[markdown]"/><!-- I 0..1 
        The human readable description of this stratifier component -->
    <criteria><!-- I 0..1 Expression 
        Component of how the measure should be stratified --></criteria>
    <groupDefinition><!-- I 0..1 Reference(Group) 
        A group resource that defines this population --></groupDefinition>
   </component>
  </stratifier>
 </group>
 <supplementalData> I 0..* BackboneElement  <!-- I 0..* What other data should be reported with the measure -->
  <<a href="publishablemeasure-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>

  <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>

  <linkId value="[string]"/><!-- I 0..1 Unique id for supplementalData in measure -->
  <code><!-- I 0..1 CodeableConcept Meaning of the supplemental data   --></code>
  <usage><!-- I 0..* CodeableConcept supplemental-data | risk-adjustment-factor   --></usage>
  <description value="[markdown]"/><!-- 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>

{ // PublishableMeasure
  // 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
    "extension" : [ //  sliced by value:url  in the specified order, Open 
      { // shareable | computable | publishable | executable // I
        // from Element: extension
      },
      { // narrative | semi-structured | structured | executable // I
        // from Element: extension
      },
      { // Additional documentation, review, or usage guidance // I
        // from Element: extension
      }
    ],
    "<a href="publishablemeasure-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" : [{ 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
  // value[x]: How to compare versions. One of these 2:
    "versionAlgorithmString" : "<string>", // IHow to compare versions
    "versionAlgorithmCoding" : { Coding }, // IHow to compare versions
    "name" : "<string>", // IName for this measure (computer friendly)
    "title" : "<string>", // I R! Name for this measure (human friendly)
    "subtitle" : "<string>", // ISubordinate title of the measure
    "status" : "<code>", // I R! draft | active | retired | unknown
    "experimental" : <boolean>, // IFor 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>", // I R! Date last changed
    "publisher" : "<string>", // IName 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" : "<markdown>", // IDescribes the clinical usage of the measure
    "copyright" : "<markdown>", // IUse and/or publishing restrictions
    "copyrightLabel" : "<string>", // ICopyright holder and year(s)
    "approvalDate" : "<date>", // IWhen the measure was approved by publisher
    "lastReviewDate" : "<date>", // IWhen the measure was last reviewed by the publisher
    "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" : "<markdown>", // IHow risk adjustment is applied for this measure
    "rateAggregation" : "<markdown>", // 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 (deprecated)
    "group" : [{ BackboneElement }], // IPopulation criteria group
    "supplementalData" : [{ BackboneElement }], // IWhat other data should be reported with the measure
  }

Summary

Mandatory: 1 element
Must-Support: 22 elements

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

Name	Flags	Card.	Type	Description & Constraints
Measure	C	1..1	ShareableMeasure	A quality measure definition cnl-0: Name should be usable as an identifier for the module by machine processing applications such as code generation mea-1: Stratifier SHALL be either a single criteria or a set of criteria components
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 Additional Bindings Purpose Common Languages 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	1..1	uri	Canonical identifier for this measure, represented as a URI (globally unique) cnl-1: URL should not contain | or # - these characters make processing canonical references problematic
identifier	S 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	S Σ	1..1	dateTime	Date last changed
publisher	S Σ	0..1	string	Name of the publisher/steward (organization or individual)
contact	S Σ	0..*	ContactDetail	Contact details for the publisher
description	S 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	S	0..1	markdown	Why this measure is defined
usage	S	0..1	markdown	Describes the clinical usage of the measure
copyright	S	0..1	markdown	Use and/or publishing restrictions
copyrightLabel	S	0..1	string	Copyright holder and year(s)
approvalDate	S	0..1	date	When the measure was approved by publisher
lastReviewDate	S	0..1	date	When the measure was last reviewed by the publisher
effectivePeriod	S Σ	0..1	Period	When the measure is expected to be used
topic	S	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	S	0..*	ContactDetail	Who authored the content
editor	S	0..*	ContactDetail	Who edited the content
reviewer	S	0..*	ContactDetail	Who reviewed the content
endorser	S	0..*	ContactDetail	Who endorsed the content
relatedArtifact	S	0..*	RelatedArtifact	Additional documentation, citations, etc
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	1..1	code	documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | documents | specification-of | created-with | cite-as Binding: RelatedArtifactType ( required ): The type of relationship to the related artifact.
classifier	Σ	0..*	CodeableConcept	Additional classifiers Binding: Citation Artifact Classifier ( example ): Additional classifiers for the related artifact.
label	Σ	0..1	string	Short label
display	S Σ	0..1	string	Brief description of the related artifact
citation	Σ	0..1	markdown	Bibliographic citation for the artifact
document	S Σ	0..1	Attachment	What document is being referenced
resource	S Σ	0..1	canonical ( Resource )	What artifact is being referenced
resourceReference	S Σ	0..1	Reference ( Resource )	What artifact, if not a conformance resource
publicationStatus	Σ	0..1	code	draft | active | retired | unknown Binding: PublicationStatus ( required ): Publication status of an artifact being referred to.
publicationDate	Σ	0..1	date	Date of publication of the artifact being referred to
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 Measure Scoring ( 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 mea-2: Link ids should be 255 characters or less
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 Measure Scoring ( 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 mea-3: Link ids should be 255 characters or less
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 mea-4: Link ids should be 255 characters or less
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 mea-5: Link ids should be 255 characters or less
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 mea-6: Link ids should be 255 characters or less
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

<!-- PublishableMeasure -->

<Measure xmlns="http://hl7.org/fhir"
>
  <!-- from Element: extension -->
 <id value="[id]"/><!-- 0..1 Logical id of this artifact -->
 <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><!-- 0..* Resource Contained, inline Resources --></contained>
 <<a href="publishablemeasure-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>

 <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 -->
 <versionAlgorithm[x]><!-- I 0..1 string|Coding How to compare versions   --></versionAlgorithm[x]>
 <name value="[string]"/><!-- I 0..1 Name for this measure (computer friendly) -->
 <title value="[string]"/><!-- I 1..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 0..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 1..1 Date last changed -->
 <publisher value="[string]"/><!-- I 0..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><!-- I 0..* CodeableConcept Intended jurisdiction for measure (if applicable)   --></jurisdiction>
 <purpose value="[markdown]"/><!-- I 0..1 Why this measure is defined -->
 <usage value="[markdown]"/><!-- I 0..1 Describes the clinical usage of the measure -->
 <copyright value="[markdown]"/><!-- I 0..1 Use and/or publishing restrictions -->
 <copyrightLabel value="[string]"/><!-- I 0..1 Copyright holder and year(s) -->
 <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 by the publisher -->
 <effectivePeriod><!-- I 0..1 Period 
     When the measure is expected to be used --></effectivePeriod>
 <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  <!-- I 0..* Additional documentation, citations, etc -->
  <type value="[code]"/><!-- I 1..1 documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of | part-of | amends | amended-with | appends | appended-with | cites | cited-by | comments-on | comment-in | contains | contained-in | corrects | correction-in | replaces | replaced-with | retracts | retracted-by | signs | similar-to | supports | supported-with | transforms | transformed-into | transformed-with | documents | specification-of | created-with | cite-as   -->
  <classifier><!-- I 0..* CodeableConcept Additional classifiers   --></classifier>
  <label value="[string]"/><!-- I 0..1 Short label -->
  <display value="[string]"/><!-- I 0..1 Brief description of the related artifact -->
  <citation value="[markdown]"/><!-- I 0..1 Bibliographic citation for the artifact -->
  <document><!-- I 0..1 Attachment 
      What document is being referenced --></document>
  <resource value="[canonical]"/><!-- I 0..1 What artifact is being referenced -->
  <resourceReference><!-- I 0..1 Reference(Resource) 
      What artifact, if not a conformance resource --></resourceReference>
  <publicationStatus value="[code]"/><!-- I 0..1 draft | active | retired | unknown   -->
  <publicationDate value="[date]"/><!-- I 0..1 Date of publication of the artifact being referred to -->
 </relatedArtifact>
 <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>

 <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="[markdown]"/><!-- I 0..1 How risk adjustment is applied for this measure -->
 <rateAggregation value="[markdown]"/><!-- 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 -->
  <<a href="publishablemeasure-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>

  <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 (deprecated) -->
 <group> I 0..* BackboneElement  <!-- I 0..* Population criteria group -->
  <<a href="publishablemeasure-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>

  <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>

  <linkId value="[string]"/><!-- I 0..1 Unique id for group in measure -->
  <code><!-- I 0..1 CodeableConcept Meaning of the group   --></code>
  <description value="[markdown]"/><!-- I 0..1 Summary description -->
  <type><!-- I 0..* CodeableConcept process | outcome | structure | patient-reported-outcome | composite   --></type>
  <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   -->
  <</scoring>

  <scoring><!-- I 0..1 CodeableConcept proportion | ratio | continuous-variable | cohort    --></scoring>

  <scoringUnit><!-- I 0..1 CodeableConcept What units?   --></scoringUnit>
  <rateAggregation value="[markdown]"/><!-- I 0..1 How is rate aggregation performed for this measure -->
  <improvementNotation><!-- I 0..1 CodeableConcept increase | decrease   --></improvementNotation>
  <library value="[canonical]"/><!-- I 0..* Logic used by the measure group -->
  <population> I 0..* BackboneElement  <!-- I 0..* Population criteria -->
   <<a href="publishablemeasure-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>

   <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>

   <linkId value="[string]"/><!-- I 0..1 Unique id for population in measure -->
   <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="[markdown]"/><!-- I 0..1 The human readable description of this population criteria -->
   <criteria><!-- I 0..1 Expression 
       The criteria that defines this population --></criteria>
   <groupDefinition><!-- I 0..1 Reference(Group) 
       A group resource that defines this population --></groupDefinition>
   <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 -->
   <<a href="publishablemeasure-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>

   <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>

   <linkId value="[string]"/><!-- I 0..1 Unique id for stratifier in measure -->
   <code><!-- I 0..1 CodeableConcept Meaning of the stratifier   --></code>
   <description value="[markdown]"/><!-- I 0..1 The human readable description of this stratifier -->
   <criteria><!-- I 0..1 Expression 
       How the measure should be stratified --></criteria>
   <groupDefinition><!-- I 0..1 Reference(Group) 
       A group resource that defines this population --></groupDefinition>
   <component> I 0..* BackboneElement  <!-- I 0..* Stratifier criteria component for the measure -->
    <<a href="publishablemeasure-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>

    <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>

    <linkId value="[string]"/><!-- I 0..1 Unique id for stratifier component in measure -->
    <code><!-- I 0..1 CodeableConcept Meaning of the stratifier component   --></code>
    <description value="[markdown]"/><!-- I 0..1 
        The human readable description of this stratifier component -->
    <criteria><!-- I 0..1 Expression 
        Component of how the measure should be stratified --></criteria>
    <groupDefinition><!-- I 0..1 Reference(Group) 
        A group resource that defines this population --></groupDefinition>
   </component>
  </stratifier>
 </group>
 <supplementalData> I 0..* BackboneElement  <!-- I 0..* What other data should be reported with the measure -->
  <<a href="publishablemeasure-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>

  <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>

  <linkId value="[string]"/><!-- I 0..1 Unique id for supplementalData in measure -->
  <code><!-- I 0..1 CodeableConcept Meaning of the supplemental data   --></code>
  <usage><!-- I 0..* CodeableConcept supplemental-data | risk-adjustment-factor   --></usage>
  <description value="[markdown]"/><!-- 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>