Release 4B 5

This page is part of the FHIR Specification (v4.3.0: R4B (v5.0.0: R5 - STU ). The This is the current published version which supercedes in it's permanent home (it will always be available at this version is 5.0.0 . URL). For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R5 R4B R4 R3

Measure.profile.xml

Example StructureDefinition/Measure (XML)

Clinical Quality Information Work Group Maturity Level : N/A Standards Status : Informative Compartments : Not linked to any No defined compartments

Raw XML ( canonical form + also see XML Format Specification )

Jump past Narrative

StructureDefinition for measure

<?xml version="1.0" encoding="UTF-8"?>


  
  
    
  
  
    
    
      
        
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           padding:0px 4px 0px 4pxA quality measure definition
            

<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="Measure"/> 
  <meta> 
    <lastUpdated value="2023-03-26T15:21:02.749+11:00"/> 
  </meta> 
  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
      <table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align:
       top;">
        <tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align:

         top">
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="The logical name of the element">Name</a>           </th>           <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Information about the use of the element">Flags</a>           </th>           <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Minimum and Maximum # of times the the element can appear in the instance">Card.</a>           </th>           <th class="hierarchy" style="width: 100px">            <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Reference to the type of the element">Type</a>           </th>           <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Additional information about the element">Description &amp; Constraints</a>             <span style="float: right">              <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format">                <img alt="doco" src="data:(snipped in html view)" style="background-color: inherit"/>               </a>             </span>           </th>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
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            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Resource"/>              <span title="Measure : The Measure resource provides the definition of a quality measure.">Measure</span>             <a name="Measure"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="versions.html#std-process" style="padding-left: 3px; padding-right: 3px; border: 1px grey solid; font-weight: bold;

             color: black; background-color: #fff5e6" title="Standards Status = Trial Use">TU</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="domainresource.html">DomainResource</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">A quality measure definition
            <br/>  
            <span style="font-style: italic" title="cnl-0">+ Warning: Name should be usable as an identifier for the module by machine processing
               applications such as code generation
            
            
            Elements defined in Ancestors: 
            The logical id of the resource, as used in the URL for the resource. Once assigned, this
             value never changes., 

               applications such as code generation</span> 
            <br/>              <span style="font-style: italic" title="mea-1">+ Rule: Stratifier SHALL be either a single criteria or a set of criteria components</span>             <br/>              <br/>  Elements defined in Ancestors:             <a href="resource.html#Resource" title="The logical id of the resource, as used in the URL for the resource. Once assigned,

             this value never changes.">id</a> , 

            <a href="resource.html#Resource" title="The metadata about the resource. This is content that is maintained by the infrastructure.
             Changes to the content might not always be associated with version changes to the resource., 
            A reference to a set of rules that were followed when the resource was constructed, and
             which must be understood when processing the content. Often, this is a reference to an
             implementation guide that defines the special rules along with other profiles etc., 
            , 
            A human-readable narrative that contains a summary of the resource and can be used to
             represent the content of the resource to a human. The narrative need not encode all the
             structured data, but is required to contain sufficient detail to make it &quot;clinically
             safe&quot; for a human to just read the narrative. Resource definitions may define what
             content should be represented in the narrative to ensure clinical safety., 
            These resources do not have an independent existence apart from the resource that contains
             them - they cannot be identified independently, and nor can they have their own independent
             transaction scope., 

             Changes to the content might not always be associated with version changes to the
             resource.">meta</a> , 
            <a href="resource.html#Resource" title="A reference to a set of rules that were followed when the resource was constructed,

             and which must be understood when processing the content. Often, this is a reference
             to an implementation guide that defines the special rules along with other profiles
             etc.">implicitRules</a> , 
            <a href="resource.html#Resource" title="The base language in which the resource is written.">language</a> ,             <a href="domainresource.html#DomainResource" title="A human-readable narrative that contains a summary of the resource and can be used

             to represent the content of the resource to a human. The narrative need not encode
             all the structured data, but is required to contain sufficient detail to make it
             &quot;clinically safe&quot; for a human to just read the narrative. Resource definitions
             may define what content should be represented in the narrative to ensure clinical
             safety.">text</a> , 
            <a href="domainresource.html#DomainResource" title="These resources do not have an independent existence apart from the resource that

             contains them - they cannot be identified independently, nor can they have their
             own independent transaction scope. This is allowed to be a Parameters resource
             if and only if it is referenced by a resource that provides context/meaning.">contained</a> , 

            <a href="domainresource.html#DomainResource" title="May be used to represent additional information that is not part of the basic definition
             of the resource. To make the use of extensions safe and manageable, there is a strict
             set of governance  applied to the definition and use of extensions. Though any implementer
             can define an extension, there is a set of requirements that SHALL be met as part of the
             definition of the extension., 

             of the resource. 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.">extension</a> , 

            <a href="domainresource.html#DomainResource" 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 manageable, there is
             a strict set of governance applied to the definition and use of extensions. Though any
             implementer is allowed to define an extension, there is a set of requirements that SHALL
             be met as part of the definition of the extension. Applications processing a resource
             are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
             (including cannot change the meaning of modifierExtension itself).
          
        

        
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            Measure.url : An absolute URI that is used to identify this measure when it is referenced
             in a specification, model, design or an instance; also called its canonical identifier.
             This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative
             instance of this measure is (or will be) published. This URL can be the target of a canonical
             reference. It SHALL remain the same when the measure is stored on different servers.
            
          
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           solid; padding:0px 4px 0px 4px
            
          
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            Measure.identifier : A formal identifier that is used to identify this measure when it
             is represented in other formats, or referenced in a specification, model, design or an
             instance.
            
          
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxAdditional identifier for the measure
            
          
        

        
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             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).">modifierExtension</a> 
            <br/>              <span title="uml.html#interfaces">Interfaces Implemented: </span>             <a href="metadataresource.html#MetadataResource" title="Common Interface declaration for conformance and knowledge artifact resources.">MetadataResource</a>           </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
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            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>              <span title="Measure.url : An absolute URI that is used to identify this measure when it is

             referenced in a specification, model, design or an instance; also called its canonical
             identifier. This SHOULD be globally unique and SHOULD be a literal address at which
             an authoritative instance of this measure is (or will be) published. This URL can
             be the target of a canonical reference. It SHALL remain the same when the measure
             is stored on different servers.">url</span> 
            <a name="Measure.url"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a>             <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;

             color: #301212; background-color: #fdf4f4;" title="This element has or is affected by some invariants">C</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#uri">uri</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">Canonical identifier for this measure, represented as a URI (globally unique)
            <br/>              <span style="font-style: italic" title="cnl-1">+ Warning: URL should not contain | or # - these characters make processing canonical

               references problematic</span> 
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAwEwfT6/ddA0GBAxO3NrLlKUj
          9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>              <span title="Measure.identifier : A formal identifier that is used to identify this measure

             when it is represented in other formats, or referenced in a specification, model,
             design or an instance.">identifier</span> 
            <a name="Measure.identifier"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Identifier">Identifier</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">Additional identifier for the measure
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>  
            <span title="Measure.version : The identifier that is used to identify this version of the measure
             when it is referenced in a specification, model, design or instance. This is an arbitrary
             value managed by the measure author and is not expected to be globally unique. For example,
             it might be a timestamp (e.g. yyyymmdd) if a managed version is not available. There is
             also no expectation that versions can be placed in a lexicographical sequence. To provide
             a version consistent with the Decision Support Service specification, use the format Major.Minor.Rev
            ision (e.g. 1.0.0). For more information on versioning knowledge assets, refer to the Decision
             Support Service specification. Note that a version is required for non-experimental active
             artifacts.
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
        

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVBORw0KGg
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          PVYVAgIJrA/sAAAAASUVORK5CYII=)
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            dCABMPwMo2ctnoQAAAABJRU5ErkJggg==
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            RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7
            /2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC
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            RgwAAAABJRU5ErkJggg== 
            Measure.name : A natural language name identifying the measure. This name should be usable
             as an identifier for the module by machine processing applications such as code generation.
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
        

        
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVB
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          EQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)
            data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3
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           solid; padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
        

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVBORw0KGg
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             when it is referenced in a specification, model, design or instance. This is an
             arbitrary value managed by the measure author and is not expected to be globally
             unique. For example, it might be a timestamp (e.g. yyyymmdd) if a managed version
             is not available. There is also no expectation that versions can be placed in a
             lexicographical sequence. To provide a version consistent with the Decision Support
             Service specification, use the format Major.Minor.Revision (e.g. 1.0.0). For more
             information on versioning knowledge assets, refer to the Decision Support Service
             specification. Note that a version is required for non-experimental active artifacts.">version</span> 
            <a name="Measure.version"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#string">string</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">Business version of the measure
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAwEwfT6/ddA0GBAxO3NrLlKUj
          9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Choice of Types"/>              <span title="Measure.versionAlgorithm[x] : Indicates the mechanism used to compare versions

             to determine which is more current.">versionAlgorithm[x]</span> 
            <a name="Measure.versionAlgorithm_x_"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">How to compare versions
            <br/>  Binding:             <a href="valueset-version-algorithm.html">Version Algorithm</a>  (            <a href="terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value

             set if any of the codes within the value set can apply to the concept being communicated.
              If the value set does not cover the concept (based on human review), alternate
             codings (or, data type allowing, text) may be included instead.">Extensible</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>              <span title="A sequence of Unicode characters">versionAlgorithmString</span>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#string">string</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
        </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAwEwfT6/ddA0GBAxO3NrLlKUj
          9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>              <span title="A reference to a code defined by a terminology system.">versionAlgorithmCoding</span>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Coding">Coding</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px"/> 
        </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>              <span title="Measure.name : A natural language name identifying the measure. This name should

             be usable as an identifier for the module by machine processing applications such
             as code generation.">name</span> 
            <a name="Measure.name"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a>             <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;

             color: #301212; background-color: #fdf4f4;" title="This element has or is affected by some invariants">C</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#string">string</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">Name for this measure (computer friendly)
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAwEwfT6/ddA0GBAxO3NrLlKUj
          9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
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           solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a>             <a href="languages.html#translatable" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is a candidate for being translated">T</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#string">string</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">Name for this measure (human friendly)
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

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            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>  
            <span title="Measure.subtitle : An explanatory or alternate title for the measure giving additional
             information about its content.
            
          
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
        

        
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxdraft | active | retired | unknown
            
             (
            )
          
        

        
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            Measure.experimental : A Boolean value to indicate that this measure is authored for testing
             purposes (or education/evaluation/marketing) and is not intended to be used for genuine
             usage.
            
          
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           padding:0px 4px 0px 4px
            
          
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           padding:0px 4px 0px 4px
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           padding:0px 4px 0px 4px
        

        
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            Measure.subject[x] : The intended subjects for the measure. If this element is not provided,
             a Patient subject is assumed, but the subject of the measure can be anything.
            
          
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           solid; padding:0px 4px 0px 4px
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxE.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device
            
             (
            To be conformant, the concept in this element SHALL be from the specified value set if
             any of the codes within the value set can apply to the concept being communicated.  If
             the value set does not cover the concept (based on human review), alternate codings (or,
             data type allowing, text) may be included instead.)
          
        

        
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            A concept that may be defined by a formal reference to a terminology or ontology or may
             be provided by text.
          
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           padding:0px 4px 0px 4px
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           padding:0px 4px 0px 4px
        

        
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           solid; padding:0px 4px 0px 4px
            (
            )
          
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           solid; padding:0px 4px 0px 4px
        

        
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            Measure.date : The date  (and optionally time) when the measure was published. The date
             must change when the business version changes and it must change if the status code changes.
             In addition, it should change when the substantive content of the measure changes.
            
          
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           padding:0px 4px 0px 4px
        

        
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            Measure.contact : Contact details to assist a user in finding and communicating with the
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            Measure.description : A free text natural language description of the measure from a consumer's
             perspective.
            
          
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           solid; padding:0px 4px 0px 4px
        

        
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            Measure.useContext : The content was developed with a focus and intent of supporting the
             contexts that are listed. These contexts may be general categories (gender, age, ...)
             or may be references to specific programs (insurance plans, studies, ...) and may be used
             to assist with indexing and searching for appropriate measure instances.
            
          
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxThe context that the content is intended to support
            
          
        

        
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            Measure.jurisdiction : A legal or geographic region in which the measure is intended to
             be used.
            
          
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxIntended jurisdiction for measure (if applicable)
            
             (
            To be conformant, the concept in this element SHALL be from the specified value set if
             any of the codes within the value set can apply to the concept being communicated.  If
             the value set does not cover the concept (based on human review), alternate codings (or,
             data type allowing, text) may be included instead.)
            
          
        

        
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            Measure.purpose : Explanation of why this measure is needed and why it has been designed
             as it has.
            
          
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           padding:0px 4px 0px 4px
        

        
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            Measure.usage : A detailed description, from a clinical perspective, of how the measure
             is used.
            
          
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           solid; padding:0px 4px 0px 4px
        

        
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            /2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC
            data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpwYAAAARk
            lEQVQ4y2P8//8/AyWAhYFCMAgMuHjx4n+KXaCv+I0szW8WpCG8kFO1lGFKW/SIjAUYgxz/MzAwMDC+nqhDUTQyjuYFBgCNmhP4OvT
            RgwAAAABJRU5ErkJggg== 

             information about its content.">subtitle</span> 
            <a name="Measure.subtitle"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="languages.html#translatable" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is a candidate for being translated">T</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#string">string</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">Subordinate title of the measure
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAwEwfT6/ddA0GBAxO3NrLlKUj
          9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>              <span title="Measure.status : The status of this measure. Enables tracking the life-cycle of

             the content.">status</span> 
            <a name="Measure.status"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="conformance-rules.html#isModifier" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is a modifier element">?!</a>             <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#code">code</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">draft | active | retired | unknown
            <br/>  Binding:             <a href="valueset-publication-status.html">PublicationStatus</a>  (            <a href="terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value

             set.">Required</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>              <span title="Measure.experimental : A Boolean value to indicate that this measure is authored

             for testing purposes (or education/evaluation/marketing) and is not intended to
             be used for genuine usage.">experimental</span> 
            <a name="Measure.experimental"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#boolean">boolean</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">For testing purposes, not real usage
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAwEwfT6/ddA0GBAxO3NrLlKUj
          9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Choice of Types"/>              <span title="Measure.subject[x] : The intended subjects for the measure. If this element is

             not provided, a Patient subject is assumed, but the subject of the measure can
             be anything.">subject[x]</span> 
            <a name="Measure.subject_x_"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device
            <br/>  Binding:             <a href="valueset-participant-resource-types.html">Participant Resource Types</a>  (            <a href="terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value

             set if any of the codes within the value set can apply to the concept being communicated.
              If the value set does not cover the concept (based on human review), alternate
             codings (or, data type allowing, text) may be included instead.">Extensible</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>              <span title="A concept that may be defined by a formal reference to a terminology or ontology

             or may be provided by text.">subjectCodeableConcept</span> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
        </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAwEwfT6/ddA0GBAxO3NrLlKUj
          9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>  subjectReference          </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (            <a href="group.html">Group</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px"/> 
        </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>              <span title="Measure.basis : The population basis specifies the type of elements in the population.

             For a subject-based measure, this is boolean (because the subject and the population
             basis are the same, and the population criteria define yes/no values for each individual
             in the population). For measures that have a population basis that is different
             than the subject, this element specifies the type of the population basis. For
             example, an encounter-based measure has a subject of Patient and a population basis
             of Encounter, and the population criteria all return lists of Encounters.">basis</span> 
            <a name="Measure.basis"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#code">code</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">Population basis
            <br/>  Binding:             <a href="valueset-fhir-types.html">All FHIR Types</a>  (            <a href="terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value

             set.">Required</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAwEwfT6/ddA0GBAxO3NrLlKUj
          9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>              <span title="Measure.date : The date  (and optionally time) when the measure was last significantly

             changed. The date must change when the business version changes and it must change
             if the status code changes. In addition, it should change when the substantive
             content of the measure changes.">date</span> 
            <a name="Measure.date"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#dateTime">dateTime</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">Date last changed
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>              <span title="Measure.publisher : The name of the organization or individual responsible for

             the release and ongoing maintenance of the measure.">publisher</span> 
            <a name="Measure.publisher"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a>             <a href="languages.html#translatable" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is a candidate for being translated">T</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#string">string</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">Name of the publisher/steward (organization or individual)
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAwEwfT6/ddA0GBAxO3NrLlKUj
          9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>              <span title="Measure.contact : Contact details to assist a user in finding and communicating

             with the publisher.">contact</span> 
            <a name="Measure.contact"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="metadatatypes.html#ContactDetail">ContactDetail</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">Contact details for the publisher
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>              <span title="Measure.description : A free text natural language description of the measure from

             a consumer's perspective.">description</span> 
            <a name="Measure.description"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a>             <a href="languages.html#translatable" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is a candidate for being translated">T</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#markdown">markdown</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">Natural language description of the measure
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAwEwfT6/ddA0GBAxO3NrLlKUj
          9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>              <span title="Measure.useContext : The content was developed with a focus and intent of supporting

             the contexts that are listed. These contexts may be general categories (gender,
             age, ...) or may be references to specific programs (insurance plans, studies,
             ...) and may be used to assist with indexing and searching for appropriate measure
             instances.">useContext</span> 
            <a name="Measure.useContext"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="metadatatypes.html#UsageContext">UsageContext</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">The context that the content is intended to support
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>              <span title="Measure.jurisdiction : A legal or geographic region in which the measure is intended

             to be used.">jurisdiction</span> 
            <a name="Measure.jurisdiction"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a>             <a href="versions.html#std-process" style="padding-left: 3px; padding-right: 3px; border: 1px grey solid; font-weight: bold;

             color: black; background-color: #ffcccc" title="Standards Status = Deprecated">XD</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">Intended jurisdiction for measure (if applicable)
            <br/>  Binding:             <a href="valueset-jurisdiction.html">Jurisdiction ValueSet</a>  (            <a href="terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value

             set if any of the codes within the value set can apply to the concept being communicated.
              If the value set does not cover the concept (based on human review), alternate
             codings (or, data type allowing, text) may be included instead.">Extensible</a> )
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAwEwfT6/ddA0GBAxO3NrLlKUj
          9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>              <span title="Measure.purpose : Explanation of why this measure is needed and why it has been

             designed as it has.">purpose</span> 
            <a name="Measure.purpose"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="languages.html#translatable" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is a candidate for being translated">T</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#markdown">markdown</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">Why this measure is defined
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>              <span title="Measure.usage : A detailed description, from a clinical perspective, of how the

             measure is used.">usage</span> 
            <a name="Measure.usage"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="languages.html#translatable" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is a candidate for being translated">T</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#markdown">markdown</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">Describes the clinical usage of the measure
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAwEwfT6/ddA0GBAxO3NrLlKUj
          9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>  
            <span title="Measure.copyright : A copyright statement relating to the measure and/or its contents.
             Copyright statements are generally legal restrictions on the use and publishing of the
             measure.
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
        

        
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVB
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          EQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)
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            Measure.approvalDate : The date on which the resource content was approved by the publisher.
             Approval happens once when the content is officially approved for usage.
            
          
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           solid; padding:0px 4px 0px 4px
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           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
        

        
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            Measure.lastReviewDate : The date on which the resource content was last reviewed. Review
             happens periodically after approval but does not change the original approval date.
            
          
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           padding:0px 4px 0px 4px
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           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
        

        
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           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVB
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            Measure.effectivePeriod : The period during which the measure content was or is planned
             to be in active use.
            
          
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
        

        
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            Measure.topic : Descriptive topics related to the content of the measure. Topics provide
             a high-level categorization grouping types of measures that can be useful for filtering
             and searching.
            
          
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           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxThe category of the measure, such as Education, Treatment, Assessment, etc.
            
             (
            Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.)
            
          
        

        
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            Measure.author : An individiual or organization primarily involved in the creation and
             maintenance of the content.
            
          
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           solid; padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxWho authored the content
            
          
        

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            Measure.editor : An individual or organization primarily responsible for internal coherence
             of the content.
            
          
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           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxWho edited the content
            
          
        

        
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVB
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            Measure.reviewer : An individual or organization primarily responsible for review of some
             aspect of the content.
            
          
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxWho reviewed the content
            
          
        

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVBORw0KGg
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            Measure.endorser : An individual or organization responsible for officially endorsing
             the content for use in some setting.
            
          
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxWho endorsed the content
            
          
        

        
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           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVB
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             Copyright statements are generally legal restrictions on the use and publishing
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           solid; padding:0px 4px 0px 4px">Use and/or publishing restrictions
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

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            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>              <span title="Measure.copyrightLabel : A short string (&lt;50 characters), suitable for inclusion

             in a page footer that identifies the copyright holder, effective period, and optionally
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           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="languages.html#translatable" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is a candidate for being translated">T</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
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            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>              <span title="Measure.approvalDate : The date on which the resource content was approved by the

             publisher. Approval happens once when the content is officially approved for usage.">approvalDate</span> 
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           solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

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           solid; padding:0px 4px 0px 4px">When the measure was approved by publisher
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

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            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>              <span title="Measure.lastReviewDate : The date on which the resource content was last reviewed.

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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

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            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
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            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>              <span title="Measure.effectivePeriod : The period during which the measure content was or is

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           solid; padding:0px 4px 0px 4px">
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
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           solid; padding:0px 4px 0px 4px">When the measure is expected to be used
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
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            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>              <span title="Measure.topic : Descriptive topics related to the content of the measure. Topics

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           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="versions.html#std-process" style="padding-left: 3px; padding-right: 3px; border: 1px grey solid; font-weight: bold;

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          </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">The category of the measure, such as Education, Treatment, Assessment, etc
            <br/>  Binding:             <a href="valueset-definition-topic.html">Definition Topic</a>  (            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value

             set.  The value set merely provides examples of the types of concepts intended
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            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

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            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>              <span title="Measure.author : An individiual or organization primarily involved in the creation

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            <a name="Measure.author"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="metadatatypes.html#ContactDetail">ContactDetail</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">Who authored the content
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

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            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>              <span title="Measure.editor : An individual or organization primarily responsible for internal

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            <a name="Measure.editor"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

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            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
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            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>              <span title="Measure.reviewer : An individual or organization asserted by the publisher to be

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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

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            <a href="metadatatypes.html#ContactDetail">ContactDetail</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

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            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

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            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>              <span title="Measure.endorser : An individual or organization asserted by the publisher to be

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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

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            <span title="Measure.relatedArtifact : Related artifacts such as additional documentation, justification,
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVBORw0KGg
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            Measure.library : A reference to a Library resource containing the formal logic used by
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            (
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxLogic used by the measure
            
          
        

        
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            Measure.disclaimer : Notices and disclaimers regarding the use of the measure or related
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
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           solid; padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
        

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVBORw0KGg
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             or bibliographic references.">relatedArtifact</span> 
            <a name="Measure.relatedArtifact"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="metadatatypes.html#RelatedArtifact">RelatedArtifact</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">Additional documentation, citations, etc
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
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             used by the measure.">library</span> 
            <a name="Measure.library"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#canonical">canonical</a> (            <a href="library.html">Library</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">Logic used by the measure
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
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            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>              <span title="Measure.disclaimer : Notices and disclaimers regarding the use of the measure or

             related to intellectual property (such as code systems) referenced by the measure.">disclaimer</span> 
            <a name="Measure.disclaimer"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#markdown">markdown</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">Disclaimer for use of the measure or its referenced content
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
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            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>  
            <span title="Measure.scoring : Indicates how the calculation is performed for the measure, including
             proportion, ratio, continuous-variable, and cohort. The value set is extensible, allowing
             additional measure scoring types to be represented.
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxproportion | ratio | continuous-variable | cohort
            
             (
            To be conformant, the concept in this element SHALL be from the specified value set if
             any of the codes within the value set can apply to the concept being communicated.  If
             the value set does not cover the concept (based on human review), alternate codings (or,
             data type allowing, text) may be included instead.)
          
        

        
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVB
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            Measure.compositeScoring : If this is a composite measure, the scoring method used to
             combine the component measures to determine the composite score.
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxopportunity | all-or-nothing | linear | weighted
            
             (
            To be conformant, the concept in this element SHALL be from the specified value set if
             any of the codes within the value set can apply to the concept being communicated.  If
             the value set does not cover the concept (based on human review), alternate codings (or,
             data type allowing, text) may be included instead.)
          
        

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVBORw0KGg
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             proportion, ratio, continuous-variable, and cohort. The value set is extensible,
             allowing additional measure scoring types to be represented.">scoring</span> 
            <a name="Measure.scoring"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">proportion | ratio | continuous-variable | cohort
            <br/>  Binding:             <a href="http://terminology.hl7.org/5.1.0/ValueSet-measure-scoring.html">MeasureScoring</a>  (            <a href="terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value

             set if any of the codes within the value set can apply to the concept being communicated.
              If the value set does not cover the concept (based on human review), alternate
             codings (or, data type allowing, text) may be included instead.">Extensible</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAwEwfT6/ddA0GBAxO3NrLlKUj
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            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>              <span title="Measure.scoringUnit : Defines the expected units of measure for the measure score.

             This element SHOULD be specified as a UCUM unit.">scoringUnit</span> 
            <a name="Measure.scoringUnit"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">What units?
            <br/>  Binding:             <a href="valueset-measure-scoring-unit.html">Measure Scoring Unit</a>  (            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value

             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>              <span title="Measure.compositeScoring : If this is a composite measure, the scoring method used

             to combine the component measures to determine the composite score.">compositeScoring</span> 
            <a name="Measure.compositeScoring"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">opportunity | all-or-nothing | linear | weighted
            <br/>  Binding:             <a href="valueset-composite-measure-scoring.html">Composite Measure Scoring</a>  (            <a href="terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value

             set if any of the codes within the value set can apply to the concept being communicated.
              If the value set does not cover the concept (based on human review), alternate
             codings (or, data type allowing, text) may be included instead.">Extensible</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
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           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
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          9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>  
            <span title="Measure.type : Indicates whether the measure is used to examine a process, an outcome
             over time, a patient-reported outcome, or a structure measure such as utilization.
            
          
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           padding:0px 4px 0px 4px
            
          
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           padding:0px 4px 0px 4px
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           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxprocess | outcome | structure | patient-reported-outcome | composite
            
             (
            To be conformant, the concept in this element SHALL be from the specified value set if
             any of the codes within the value set can apply to the concept being communicated.  If
             the value set does not cover the concept (based on human review), alternate codings (or,
             data type allowing, text) may be included instead.)
            
          
        

        
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            Measure.riskAdjustment : A description of the risk adjustment factors that may impact
             the resulting score for the measure and how they may be accounted for when computing and
             reporting measure results.
            
          
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           solid; padding:0px 4px 0px 4px
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           solid; padding:0px 4px 0px 4px
        

        
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            Measure.rateAggregation : Describes how to combine the information calculated, based on
             logic in each of several populations, into one summarized result.
            
          
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           padding:0px 4px 0px 4px
            
          
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           padding:0px 4px 0px 4px
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           padding:0px 4px 0px 4px
            
          
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           padding:0px 4px 0px 4px
        

        
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            Measure.rationale : Provides a succinct statement of the need for the measure. Usually
             includes statements pertaining to importance criterion: impact, gap in care, and evidence.
            
          
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           solid; padding:0px 4px 0px 4px
            
          
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           solid; padding:0px 4px 0px 4px
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           solid; padding:0px 4px 0px 4px
        

        
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            Measure.clinicalRecommendationStatement : Provides a summary of relevant clinical guidelines
             or other clinical recommendations supporting the measure.
            
          
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           padding:0px 4px 0px 4px
            
          
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           padding:0px 4px 0px 4px
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           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
        

        
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            Measure.improvementNotation : Information on whether an increase or decrease in score
             is the preferred result (e.g., a higher score indicates better quality OR a lower score
             indicates better quality OR quality is within a range).
            
          
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           solid; padding:0px 4px 0px 4pxincrease | decrease
            
             (
            )
          
        

        
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           padding:0px 4px 0px 4pxDefined terms used in the measure documentation
            
          
        

        
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            Measure.guidance : Additional guidance for the measure including how it can be used in
             a clinical context, and the intent of the measure.
            
          
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            Measure.group.code : Indicates a meaning for the group. This can be as simple as a unique
             identifier, or it can establish meaning in a broader context by drawing from a terminology,
             allowing groups to be correlated across measures.
            
          
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             (
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           padding:0px 4px 0px 4pxinitial-population | numerator | numerator-exclusion | denominator | denominator-exclusion
             | denominator-exception | measure-population | measure-population-exclusion | measure-observation
            
             (
            To be conformant, the concept in this element SHALL be from the specified value set if
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             data type allowing, text) may be included instead.)
          
        

        
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             over time, a patient-reported outcome, or a structure measure such as utilization.">type</span> 
            <a name="Measure.type"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">process | outcome | structure | patient-reported-outcome | composite
            <br/>  Binding:             <a href="valueset-measure-type.html">Measure Type</a>  (            <a href="terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value

             set if any of the codes within the value set can apply to the concept being communicated.
              If the value set does not cover the concept (based on human review), alternate
             codings (or, data type allowing, text) may be included instead.">Extensible</a> )
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>              <span title="Measure.riskAdjustment : A description of the risk adjustment factors that may

             impact the resulting score for the measure and how they may be accounted for when
             computing and reporting measure results.">riskAdjustment</span> 
            <a name="Measure.riskAdjustment"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#markdown">markdown</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">How risk adjustment is applied for this measure
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAwEwfT6/ddA0GBAxO3NrLlKUj
          9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>              <span title="Measure.rateAggregation : Describes how to combine the information calculated,

             based on logic in each of several populations, into one summarized result.">rateAggregation</span> 
            <a name="Measure.rateAggregation"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#markdown">markdown</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">How is rate aggregation performed for this measure
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>              <span title="Measure.rationale : Provides a succinct statement of the need for the measure.

             Usually includes statements pertaining to importance criterion: impact, gap in
             care, and evidence.">rationale</span> 
            <a name="Measure.rationale"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#markdown">markdown</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">Detailed description of why the measure exists
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAwEwfT6/ddA0GBAxO3NrLlKUj
          9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>              <span title="Measure.clinicalRecommendationStatement : Provides a summary of relevant clinical

             guidelines or other clinical recommendations supporting the measure.">clinicalRecommendationStatement</span> 
            <a name="Measure.clinicalRecommendationStatement"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#markdown">markdown</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">Summary of clinical guidelines
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>              <span title="Measure.improvementNotation : Information on whether an increase or decrease in

             score is the preferred result (e.g., a higher score indicates better quality OR
             a lower score indicates better quality OR quality is within a range).">improvementNotation</span> 
            <a name="Measure.improvementNotation"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">increase | decrease
            <br/>  Binding:             <a href="valueset-measure-improvement-notation.html">Measure Improvement Notation</a>  (            <a href="terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value

             set.">Required</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAwEwfT6/ddA0GBAxO3NrLlKUj
          9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Element"/>              <span title="Measure.term : Provides a description of an individual term used within the measure.">term</span>             <a name="Measure.term"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="types.html#BackBoneElement">BackboneElement</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">Defined terms used in the measure documentation
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>              <span title="Measure.term.code : A codeable representation of the defined term.">code</span>             <a name="Measure.term.code"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">What term?
            <br/>  Binding:             <a href="valueset-measure-definition-example.html">Measure Definition Example</a>  (            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value

             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAwEwfT6/ddA0GBAxO3NrLlKUj
          9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>              <span title="Measure.term.definition : Provides a definition for the term as used within the

             measure.">definition</span> 
            <a name="Measure.term.definition"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#markdown">markdown</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">Meaning of the term
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>              <span title="Measure.guidance : Additional guidance for the measure including how it can be

             used in a clinical context, and the intent of the measure.">guidance</span> 
            <a name="Measure.guidance"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a>             <a href="versions.html#std-process" style="padding-left: 3px; padding-right: 3px; border: 1px grey solid; font-weight: bold;

             color: black; background-color: #ffcccc" title="Standards Status = Deprecated">XD</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#markdown">markdown</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">Additional guidance for implementers (deprecated)
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAwEwfT6/ddA0GBAxO3NrLlKUj
          9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Element"/>              <span title="Measure.group : A group of population criteria for the measure.">group</span>             <a name="Measure.group"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;

             color: #301212; background-color: #fdf4f4;" title="This element has or is affected by some invariants">C</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="types.html#BackBoneElement">BackboneElement</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">Population criteria group
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>              <span title="Measure.group.linkId : An identifier that is unique within the Measure allowing

             linkage to the equivalent item in a MeasureReport resource.">linkId</span> 
            <a name="Measure.group.linkId"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;

             color: #301212; background-color: #fdf4f4;" title="This element has or is affected by some invariants">C</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#string">string</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">Unique id for group in measure
            <br/>              <span style="font-style: italic" title="mea-2">+ Warning: Link ids should be 255 characters or less</span>             <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBADwftr/v8GtdbqEAthAtMspJ
          JUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>              <span title="Measure.group.code : Indicates a meaning for the group. This can be as simple as

             a unique identifier, or it can establish meaning in a broader context by drawing
             from a terminology, allowing groups to be correlated across measures.">code</span> 
            <a name="Measure.group.code"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">Meaning of the group
            <br/>  Binding:             <a href="valueset-measure-group-example.html">Measure Group Example</a>  (            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value

             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>              <span title="Measure.group.description : The human readable description of this population group.">description</span>             <a name="Measure.group.description"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#markdown">markdown</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">Summary description
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBADwftr/v8GtdbqEAthAtMspJ
          JUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>              <span title="Measure.group.type : Indicates whether the measure is used to examine a process,

             an outcome over time, a patient-reported outcome, or a structure measure such as
             utilization.">type</span> 
            <a name="Measure.group.type"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">process | outcome | structure | patient-reported-outcome | composite
            <br/>  Binding:             <a href="valueset-measure-type.html">Measure Type</a>  (            <a href="terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value

             set if any of the codes within the value set can apply to the concept being communicated.
              If the value set does not cover the concept (based on human review), alternate
             codings (or, data type allowing, text) may be included instead.">Extensible</a> )
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Choice of Types"/>              <span title="Measure.group.subject[x] : The intended subjects for the measure. If this element

             is not provided, a Patient subject is assumed, but the subject of the measure can
             be anything.">subject[x]</span> 
            <a name="Measure.group.subject_x_"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device
            <br/>  Binding:             <a href="valueset-participant-resource-types.html">Participant Resource Types</a>  (            <a href="terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value

             set if any of the codes within the value set can apply to the concept being communicated.
              If the value set does not cover the concept (based on human review), alternate
             codings (or, data type allowing, text) may be included instead.">Extensible</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LsQ0AIAwDwezq/WcAaqhSoDRn6ZqXXE
          mq42zdrWP6DwAAzHkCAADALxtMUUAsbN3VPQAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>              <span title="A concept that may be defined by a formal reference to a terminology or ontology

             or may be provided by text.">subjectCodeableConcept</span> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px"/> 
        </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource"/>  subjectReference          </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (            <a href="group.html">Group</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
        </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBADwftr/v8GtdbqEAthAtMspJ
          JUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>              <span title="Measure.group.basis : The population basis specifies the type of elements in the

             population. For a subject-based measure, this is boolean (because the subject and
             the population basis are the same, and the population criteria define yes/no values
             for each individual in the population). For measures that have a population basis
             that is different than the subject, this element specifies the type of the population
             basis. For example, an encounter-based measure has a subject of Patient and a population
             basis of Encounter, and the population criteria all return lists of Encounters.">basis</span> 
            <a name="Measure.group.basis"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#code">code</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">Population basis
            <br/>  Binding:             <a href="valueset-fhir-types.html">All FHIR Types</a>  (            <a href="terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value

             set.">Required</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>              <span title="Measure.group.scoring : Indicates how the calculation is performed for the measure,

             including proportion, ratio, continuous-variable, and cohort. The value set is
             extensible, allowing additional measure scoring types to be represented.">scoring</span> 
            <a name="Measure.group.scoring"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">proportion | ratio | continuous-variable | cohort
            <br/>  Binding:             <a href="http://terminology.hl7.org/5.1.0/ValueSet-measure-scoring.html">MeasureScoring</a>  (            <a href="terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value

             set if any of the codes within the value set can apply to the concept being communicated.
              If the value set does not cover the concept (based on human review), alternate
             codings (or, data type allowing, text) may be included instead.">Extensible</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBADwftr/v8GtdbqEAthAtMspJ
          JUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>              <span title="Measure.group.scoringUnit : Defines the expected units of measure for the measure

             score. This element SHOULD be specified as a UCUM unit.">scoringUnit</span> 
            <a name="Measure.group.scoringUnit"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">What units?
            <br/>  Binding:             <a href="valueset-measure-scoring-unit.html">Measure Scoring Unit</a>  (            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value

             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>              <span title="Measure.group.rateAggregation : Describes how to combine the information calculated,

             based on logic in each of several populations, into one summarized result.">rateAggregation</span> 
            <a name="Measure.group.rateAggregation"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#markdown">markdown</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">How is rate aggregation performed for this measure
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBADwftr/v8GtdbqEAthAtMspJ
          JUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>              <span title="Measure.group.improvementNotation : Information on whether an increase or decrease

             in score is the preferred result (e.g., a higher score indicates better quality
             OR a lower score indicates better quality OR quality is within a range).">improvementNotation</span> 
            <a name="Measure.group.improvementNotation"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">increase | decrease
            <br/>  Binding:             <a href="valueset-measure-improvement-notation.html">Measure Improvement Notation</a>  (            <a href="terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value

             set.">Required</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource"/>              <span title="Measure.group.library : A reference to a Library resource containing the formal

             logic used by the measure group.">library</span> 
            <a name="Measure.group.library"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#canonical">canonical</a> (            <a href="library.html">Library</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">Logic used by the measure group
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBADwftr/v8GtdbqEAthAtMspJ
          JUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Element"/>              <span title="Measure.group.population : A population criteria for the measure.">population</span>             <a name="Measure.group.population"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="types.html#BackBoneElement">BackboneElement</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">Population criteria
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LsQ0AIAw
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            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>              <span title="Measure.group.population.linkId : An identifier that is unique within the Measure

             allowing linkage to the equivalent population in a MeasureReport resource.">linkId</span> 
            <a name="Measure.group.population.linkId"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;

             color: #301212; background-color: #fdf4f4;" title="This element has or is affected by some invariants">C</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#string">string</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">Unique id for population in measure
            <br/>              <span style="font-style: italic" title="mea-3">+ Warning: Link ids should be 255 characters or less</span>             <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LsQ0AIAwDwezq/WcAaqhSoDRn6ZqXXE
          mq42zdrWP6DwAAzHkCAADALxtMUUAsbN3VPQAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>              <span title="Measure.group.population.code : The type of population criteria.">code</span>             <a name="Measure.group.population.code"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion
             | denominator-exception | measure-population | measure-population-exclusion | measure-observa
            tion
            <br/>  Binding:             <a href="valueset-measure-population.html">Measure Population Type</a>  (            <a href="terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value

             set if any of the codes within the value set can apply to the concept being communicated.
              If the value set does not cover the concept (based on human review), alternate
             codings (or, data type allowing, text) may be included instead.">Extensible</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LsQ0AIAw
          Dwezq/WcAaqhSoDRn6ZqXXEmq42zdrWP6DwAAzHkCAADALxtMUUAsbN3VPQAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>  
            <span title="Measure.group.population.description : The human readable description of this population
             criteria.
            
          
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           solid; padding:0px 4px 0px 4px
        

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            3u0vrqyP3owPvepfXQivDQkO/PkKh9K7STVf779P///wD/ACH5BAEKAH8ALAAAAAAQABAAAAemgH+CgxeFF4OIhBdKGwFChYl/hYw
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            Measure.group.population.criteria : An expression that specifies the criteria for the
             population, typically the name of an expression in a library.
            
          
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           padding:0px 4px 0px 4px
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           padding:0px 4px 0px 4px
        

        
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           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVB
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            Measure.group.stratifier : The stratifier criteria for the measure report, specified as
             either the name of a valid CQL expression defined within a referenced library or a valid
             FHIR Resource Path.
            
          
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            Measure.group.stratifier.code : Indicates a meaning for the stratifier. This can be as
             simple as a unique identifier, or it can establish meaning in a broader context by drawing
             from a terminology, allowing stratifiers to be correlated across measures.
            
          
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           padding:0px 4px 0px 4pxMeaning of the stratifier
            
             (
            Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.)
          
        

        
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            Measure.group.stratifier.description : The human readable description of this stratifier
             criteria.
            
          
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            Measure.group.stratifier.criteria : An expression that specifies the criteria for the
             stratifier. This is typically the name of an expression defined within a referenced library,
             but it may also be a path to a stratifier element.
            
          
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            Measure.group.stratifier.component : A component of the stratifier criteria for the measure
             report, specified as either the name of a valid CQL expression defined within a referenced
             library or a valid FHIR Resource Path.
            
          
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxStratifier criteria component for the measure
            
          
        

        
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            Measure.group.stratifier.component.code : Indicates a meaning for the stratifier component.
             This can be as simple as a unique identifier, or it can establish meaning in a broader
             context by drawing from a terminology, allowing stratifiers to be correlated across measures.
            
          
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxMeaning of the stratifier component
            
             (
            Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.)
          
        

        
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            Measure.group.stratifier.component.description : The human readable description of this
             stratifier criteria component.
            
          
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            Measure.group.stratifier.component.criteria : An expression that specifies the criteria
             for this component of the stratifier. This is typically the name of an expression defined
             within a referenced library, but it may also be a path to a stratifier element.
            
          
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            Measure.supplementalData : The supplemental data criteria for the measure report, specified
             as either the name of a valid CQL expression within a referenced library, or a valid FHIR
             Resource Path.
            
          
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            Measure.supplementalData.code : Indicates a meaning for the supplemental data. This can

             criteria.">description</span> 
            <a name="Measure.group.population.description"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#markdown">markdown</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">The human readable description of this population criteria
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
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            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>              <span title="Measure.group.population.criteria : An expression that specifies the criteria for

             the population, typically the name of an expression in a library.">criteria</span> 
            <a name="Measure.group.population.criteria"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="metadatatypes.html#Expression">Expression</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">The criteria that defines this population
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
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            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource"/>              <span title="Measure.group.population.groupDefinition : A Group resource that defines this population

             as a set of characteristics.">groupDefinition</span> 
            <a name="Measure.group.population.groupDefinition"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (            <a href="group.html">Group</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">A group resource that defines this population
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
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            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>              <span title="Measure.group.population.inputPopulationId : The id of a population element in

             this measure that provides the input for this population criteria. In most cases,
             the scoring structure of the measure implies specific relationships (e.g. the Numerator
             uses the Denominator as the source in a proportion scoring). In some cases, however,
             multiple possible choices exist and must be resolved explicitly. For example in
             a ratio measure with multiple initial populations, the denominator must specify
             which population should be used as the starting point.">inputPopulationId</span> 
            <a name="Measure.group.population.inputPopulationId"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#string">string</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">Which population
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
          Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>              <span title="Measure.group.population.aggregateMethod : Specifies which method should be used

             to aggregate measure observation values. For most scoring types, this is implied
             by scoring (e.g. a proportion measure counts members of the populations). For continuous
             variables, however, this information must be specified to ensure correct calculation.">aggregateMethod</span> 
            <a name="Measure.group.population.aggregateMethod"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">Aggregation method for a measure score (e.g. sum, average, median, minimum, maximum,
             count)
            <br/>  Binding:             <a href="valueset-measure-aggregate-method.html">Measure Aggregate Method</a>  (            <a href="terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value

             set if any of the codes within the value set can apply to the concept being communicated.
              If the value set does not cover the concept (based on human review), alternate
             codings (or, data type allowing, text) may be included instead.">Extensible</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAwEwfT6/ddA0GBAxO3NrLlKUj
          9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Element"/>              <span title="Measure.group.stratifier : The stratifier criteria for the measure report, specified

             as either the name of a valid CQL expression defined within a referenced library
             or a valid FHIR Resource Path.">stratifier</span> 
            <a name="Measure.group.stratifier"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;

             color: #301212; background-color: #fdf4f4;" title="This element has or is affected by some invariants">C</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="types.html#BackBoneElement">BackboneElement</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">Stratifier criteria for the measure
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3NoQ0AIBR
          Dwb9r958B0KAgAcw1OfNMK0ntGGtze+n3PwAAcG4JAAAAt3RWK0BWYk6o4QAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>              <span title="Measure.group.stratifier.linkId : An identifier that is unique within the Measure

             allowing linkage to the equivalent item in a MeasureReport resource.">linkId</span> 
            <a name="Measure.group.stratifier.linkId"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;

             color: #301212; background-color: #fdf4f4;" title="This element has or is affected by some invariants">C</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#string">string</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">Unique id for stratifier in measure
            <br/>              <span style="font-style: italic" title="mea-4">+ Warning: Link ids should be 255 characters or less</span>             <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3NoQ0AIBRDwb9r958B0KAgAcw1OfNMK0
          ntGGtze+n3PwAAcG4JAAAAt3RWK0BWYk6o4QAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>              <span title="Measure.group.stratifier.code : Indicates a meaning for the stratifier. This can
             be as simple as a unique identifier, or it can establish meaning in a broader context
             by drawing from a terminology, allowing supplemental data to be correlated across measures.
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxMeaning of the supplemental data
            
             (
            Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.)
          
        

        
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVB
          ORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR42u3QwQkAMAwDsezq/WdIO4XJQwa9DTdJpulv258AAMANIgAA
          ADUPYAVAgAJ//usAAAAASUVORK5CYII=)
            data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3
            RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwN
            dCABMPwMo2ctnoQAAAABJRU5ErkJggg==
            data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3
            RJTUUH3wYeFzIZgEiYEgAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAIElEQVQ4y2P8//8/AyWAiYF
            CMGrAqAGjBowaMGoAAgAALL0DKYQ0DPIAAAAASUVORK5CYII=
            data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3
            RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7
            /2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC
            data:image/png;base64,R0lGODlhEAAQAPZ/APrkusOiYvvfqbiXWaV2G+jGhdq1b8GgYf3v1frw3vTUlsWkZNewbcSjY/DQka
            d4Hb6dXv3u0f3v1ObEgfPTlerJiP3w1v79+e7OkPrfrfnjuNOtZPrpydaxa+/YrvvdpP779ZxvFPvnwKKBQaFyF/369M2vdaqHRPz
            58/HNh/vowufFhfroxO3OkPrluv779tK0e6JzGProwvrow9m4eOnIifPTlPDPkP78+Naxaf3v0/zowfXRi+bFhLWUVv379/rnwPvs
            zv3rye3LiPvnv+3MjPDasKiIS/789/3x2f747eXDg+7Mifvu0tu7f+/QkfDTnPXWmPrjsvrjtPbPgrqZW+/QlPz48K2EMv36866OU
            Pvowat8Ivvgq/Pbrvzgq/PguvrgrqN0Gda2evfYm9+7d/rpw9q6e/LSku/Rl/XVl/LSlfrkt+zVqe7Wqv3x1/bNffbOf59wFdS6if
            3u0vrqyP3owPvepfXQivDQkO/PkKh9K7STVf779P///wD/ACH5BAEKAH8ALAAAAAAQABAAAAemgH+CgxeFF4OIhBdKGwFChYl/hYw
            bdkoBPnaQkosbG3d3VEpSUlonUoY1Gzo6QkI8SrGxWBOFG4uySgY5ZWR3PFy2hnaWZXC/PHcPwkpJk1ShoHcxhQEXSUmtFy6+0iSF
            VResrjoTPDzdcoU+F65CduVU6KAhhQa3F8Tx8nchBoYuqoTLZoAKFRIhqGwqJAULFx0GYpBQeChRIR4TJm6KJMhQRUSBAAA7 

             by drawing from a terminology, allowing stratifiers to be correlated across measures.">code</span> 
            <a name="Measure.group.stratifier.code"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;

             color: #301212; background-color: #fdf4f4;" title="This element has or is affected by some invariants">C</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">Meaning of the stratifier
            <br/>  Binding:             <a href="valueset-measure-stratifier-example.html">Measure Stratifier Example</a>  (            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value

             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3NoQ0AIBR
          Dwb9r958B0KAgAcw1OfNMK0ntGGtze+n3PwAAcG4JAAAAt3RWK0BWYk6o4QAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>              <span title="Measure.group.stratifier.description : The human readable description of this stratifier

             criteria.">description</span> 
            <a name="Measure.group.stratifier.description"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;

             color: #301212; background-color: #fdf4f4;" title="This element has or is affected by some invariants">C</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#markdown">markdown</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">The human readable description of this stratifier
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3NoQ0AIBRDwb9r958B0KAgAcw1OfNMK0
          ntGGtze+n3PwAAcG4JAAAAt3RWK0BWYk6o4QAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>              <span title="Measure.group.stratifier.criteria : An expression that specifies the criteria for

             the stratifier. This is typically the name of an expression defined within a referenced
             library, but it may also be a path to a stratifier element.">criteria</span> 
            <a name="Measure.group.stratifier.criteria"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;

             color: #301212; background-color: #fdf4f4;" title="This element has or is affected by some invariants">C</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="metadatatypes.html#Expression">Expression</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">How the measure should be stratified
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3NoQ0AIBR
          Dwb9r958B0KAgAcw1OfNMK0ntGGtze+n3PwAAcG4JAAAAt3RWK0BWYk6o4QAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource"/>              <span title="Measure.group.stratifier.groupDefinition : A Group resource that defines this population

             as a set of characteristics.">groupDefinition</span> 
            <a name="Measure.group.stratifier.groupDefinition"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (            <a href="group.html">Group</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">A group resource that defines this population
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAwEwfT6/ddA0GBAxO3NrLlKUj
          9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Element"/>              <span title="Measure.group.stratifier.component : A component of the stratifier criteria for

             the measure report, specified as either the name of a valid CQL expression defined
             within a referenced library or a valid FHIR Resource Path.">component</span> 
            <a name="Measure.group.stratifier.component"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;

             color: #301212; background-color: #fdf4f4;" title="This element has or is affected by some invariants">C</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="types.html#BackBoneElement">BackboneElement</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">Stratifier criteria component for the measure
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMklEQVR4Xu3OoQ0AMAw
          Dwezq/Wdoi1sUUBDpLB155EpSHWfrbpNM/w8AAJM9AQAA4JcNYKtAVtoTeeEAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>              <span title="Measure.group.stratifier.component.linkId : An identifier that is unique within

             the Measure allowing linkage to the equivalent item in a MeasureReport resource.">linkId</span> 
            <a name="Measure.group.stratifier.component.linkId"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;

             color: #301212; background-color: #fdf4f4;" title="This element has or is affected by some invariants">C</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#string">string</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">Unique id for stratifier component in measure
            <br/>              <span style="font-style: italic" title="mea-5">+ Warning: Link ids should be 255 characters or less</span>             <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMklEQVR4Xu3OoQ0AMAwDwezq/Wdoi1sUUBDpLB155E
          pSHWfrbpNM/w8AAJM9AQAA4JcNYKtAVtoTeeEAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>              <span title="Measure.group.stratifier.component.code : Indicates a meaning for the stratifier

             component. This can be as simple as a unique identifier, or it can establish meaning
             in a broader context by drawing from a terminology, allowing stratifiers to be
             correlated across measures.">code</span> 
            <a name="Measure.group.stratifier.component.code"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">Meaning of the stratifier component
            <br/>  Binding:             <a href="valueset-measure-stratifier-example.html">Measure Stratifier Example</a>  (            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value

             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMklEQVR4Xu3OoQ0AMAw
          Dwezq/Wdoi1sUUBDpLB155EpSHWfrbpNM/w8AAJM9AQAA4JcNYKtAVtoTeeEAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>              <span title="Measure.group.stratifier.component.description : The human readable description

             of this stratifier criteria component.">description</span> 
            <a name="Measure.group.stratifier.component.description"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#markdown">markdown</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">The human readable description of this stratifier component
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMklEQVR4Xu3OoQ0AMAwDwezq/Wdoi1sUUBDpLB155E
          pSHWfrbpNM/w8AAJM9AQAA4JcNYKtAVtoTeeEAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>              <span title="Measure.group.stratifier.component.criteria : An expression that specifies the

             criteria for this component of the stratifier. This is typically the name of an
             expression defined within a referenced library, but it may also be a path to a
             stratifier element.">criteria</span> 
            <a name="Measure.group.stratifier.component.criteria"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="metadatatypes.html#Expression">Expression</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">Component of how the measure should be stratified
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
          EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource"/>              <span title="Measure.group.stratifier.component.groupDefinition : A Group resource that defines

             this population as a set of characteristics.">groupDefinition</span> 
            <a name="Measure.group.stratifier.component.groupDefinition"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (            <a href="group.html">Group</a> )          </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">A group resource that defines this population
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAJUlEQVR4Xu3IIQEAAAgDsHd9/w4EQIOamFnaBgAA4M
          MKAACAKwNp30CqZFfFmwAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Element"/>              <span title="Measure.supplementalData : The supplemental data criteria for the measure report,

             specified as either the name of a valid CQL expression within a referenced library,
             or a valid FHIR Resource Path.">supplementalData</span> 
            <a name="Measure.supplementalData"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="types.html#BackBoneElement">BackboneElement</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">What other data should be reported with the measure
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR4Xu3IsQ0AIAw
          Esez6+89AqKGGJj7JzVWS+mm3zgcAAMxwDQAAgFcaYAVAgNGLTjgAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>              <span title="Measure.supplementalData.linkId : An identifier that is unique within the Measure

             allowing linkage to the equivalent item in a MeasureReport resource.">linkId</span> 
            <a name="Measure.supplementalData.linkId"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;

             color: #301212; background-color: #fdf4f4;" title="This element has or is affected by some invariants">C</a> 
          </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#string">string</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">Unique id for supplementalData in measure
            <br/>              <span style="font-style: italic" title="mea-6">+ Warning: Link ids should be 255 characters or less</span>             <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR4Xu3IsQ0AIAwEsez6+89AqKGGJj7JzVWS+m
          m3zgcAAMxwDQAAgFcaYAVAgNGLTjgAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Data Type"/>              <span title="Measure.supplementalData.code : Indicates a meaning for the supplemental data.

             This can be as simple as a unique identifier, or it can establish meaning in a
             broader context by drawing from a terminology, allowing supplemental data to be
             correlated across measures.">code</span> 
            <a name="Measure.supplementalData.code"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">Meaning of the supplemental data
            <br/>  Binding:             <a href="valueset-measure-supplemental-data-example.html">Measure Supplemental Data Example</a>  (            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value

             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR4Xu3IsQ0AIAw
          Esez6+89AqKGGJj7JzVWS+mm3zgcAAMxwDQAAgFcaYAVAgNGLTjgAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>  
            <span title="Measure.supplementalData.usage : An indicator of the intended usage for the supplemental
             data element. Supplemental data indicates the data is additional information requested
             to augment the measure information. Risk adjustment factor indicates the data is additional
             information used to calculate risk adjustment factors when applying a risk model to the
             measure calculation.
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxsupplemental-data | risk-adjustment-factor
            
             (
            To be conformant, the concept in this element SHALL be from the specified value set if
             any of the codes within the value set can apply to the concept being communicated.  If
             the value set does not cover the concept (based on human review), alternate codings (or,
             data type allowing, text) may be included instead.)
            
          
        

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVBORw0KGg
          oAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR42u3QwQkAMAwDsezq/WdIO4XJQwa9DTdJpulv258AAMANIgAAADUPYAV
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            dCABMPwMo2ctnoQAAAABJRU5ErkJggg==
            data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3
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            CMGrAqAGjBowaMGoAAgAALL0DKYQ0DPIAAAAASUVORK5CYII=
            data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3
            RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7
            /2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC
            data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpwYAAAARk
            lEQVQ4y2P8//8/AyWAhYFCMAgMuHjx4n+KXaCv+I0szW8WpCG8kFO1lGFKW/SIjAUYgxz/MzAwMDC+nqhDUTQyjuYFBgCNmhP4OvT
            RgwAAAABJRU5ErkJggg== 

             to augment the measure information. Risk adjustment factor indicates the data is
             additional information used to calculate risk adjustment factors when applying
             a risk model to the measure calculation.">usage</span> 
            <a name="Measure.supplementalData.usage"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">supplemental-data | risk-adjustment-factor
            <br/>  Binding:             <a href="valueset-measure-data-usage.html">Measure Data Usage</a>  (            <a href="terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value

             set if any of the codes within the value set can apply to the concept being communicated.
              If the value set does not cover the concept (based on human review), alternate
             codings (or, data type allowing, text) may be included instead.">Extensible</a> )
            <br/>              <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALElEQVR4Xu3IsQ0AIAwEsez6+89AqKGGJj7JzVWS+m
          m3zgcAAMxwDQAAgFcaYAVAgNGLTjgAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>  
            <span title="Measure.supplementalData.description : The human readable description of this supplemental
             data.
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
        

        
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVB
          ORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAI0lEQVR42u3QIQEAAAACIL/6/4MvTAQOkLYBAAB4kAAAANwMad9AqkRj
          gNAAAAAASUVORK5CYII=)
            data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3
            RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwN
            dCABMPwMo2ctnoQAAAABJRU5ErkJggg==
            data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3
            RJTUUH3wYeFzIZgEiYEgAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAIElEQVQ4y2P8//8/AyWAiYF
            CMGrAqAGjBowaMGoAAgAALL0DKYQ0DPIAAAAASUVORK5CYII=
            data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3
            RJTUUH3wYeFzME+lXFigAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+3OsRUAIAjEUOL
            +O8cJABttJM11/x1qZAGqRBEVcNIqdWj1efDqQbb3HwwwwEfABmQUHSPM9dtDAAAAAElFTkSuQmCC
            data:image/png;base64,R0lGODlhEAAQAPZ/APrkusOiYvvfqbiXWaV2G+jGhdq1b8GgYf3v1frw3vTUlsWkZNewbcSjY/DQka
            d4Hb6dXv3u0f3v1ObEgfPTlerJiP3w1v79+e7OkPrfrfnjuNOtZPrpydaxa+/YrvvdpP779ZxvFPvnwKKBQaFyF/369M2vdaqHRPz
            58/HNh/vowufFhfroxO3OkPrluv779tK0e6JzGProwvrow9m4eOnIifPTlPDPkP78+Naxaf3v0/zowfXRi+bFhLWUVv379/rnwPvs
            zv3rye3LiPvnv+3MjPDasKiIS/789/3x2f747eXDg+7Mifvu0tu7f+/QkfDTnPXWmPrjsvrjtPbPgrqZW+/QlPz48K2EMv36866OU
            Pvowat8Ivvgq/Pbrvzgq/PguvrgrqN0Gda2evfYm9+7d/rpw9q6e/LSku/Rl/XVl/LSlfrkt+zVqe7Wqv3x1/bNffbOf59wFdS6if
            3u0vrqyP3owPvepfXQivDQkO/PkKh9K7STVf779P///wD/ACH5BAEKAH8ALAAAAAAQABAAAAemgH+CgxeFF4OIhBdKGwFChYl/hYw
            bdkoBPnaQkosbG3d3VEpSUlonUoY1Gzo6QkI8SrGxWBOFG4uySgY5ZWR3PFy2hnaWZXC/PHcPwkpJk1ShoHcxhQEXSUmtFy6+0iSF
            VResrjoTPDzdcoU+F65CduVU6KAhhQa3F8Tx8nchBoYuqoTLZoAKFRIhqGwqJAULFx0GYpBQeChRIR4TJm6KJMhQRUSBAAA7 
            Measure.supplementalData.criteria : The criteria for the supplemental data. This is typically
             the name of a valid expression defined within a referenced library, but it may also be
             a path to a specific data element. The criteria defines the data to be returned for this
             element.
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
        

        
          
            
            
               Documentation for this format
            
          
        
      
    
  
  
    
  
  
    
  
  
    
  
  
    
  
  
    
  
  
  
  
  
  
  
  
  
    
      
      
    
  
  
    
      
      
    
  
  
  
  
    
    
    
  
  
    
    
    
  
  
    
    
    
  
  
    
    
    
  
  
  
  
  
  
  
    
      
      
      
      
      
      
        
        
        
      
      
        
        

             data.">description</span> 
            <a name="Measure.supplementalData.description"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#markdown">markdown</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">The human readable description of this supplemental data
            <br/>            </td>         </tr>         <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAJUlEQVR4Xu3IIQEAAAg
          DsHd9/w4EQIOamFnaBgAA4MMKAACAKwNp30CqZFfFmwAAAABJRU5ErkJggg==)">
            <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: inherit"/>             <img alt="." class="hierarchy" src="data:(snipped in html view)" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>              <span title="Measure.supplementalData.criteria : The criteria for the supplemental data. This

             is typically the name of a valid expression defined within a referenced library,
             but it may also be a path to a specific data element. The criteria defines the
             data to be returned for this element.">criteria</span> 
            <a name="Measure.supplementalData.criteria"> </a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="metadatatypes.html#Expression">Expression</a>           </td>           <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">Expression describing additional data to be reported
            <br/>            </td>         </tr>         <tr>           <td class="hierarchy" colspan="5">            <br/>              <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format">              <img alt="doco" src="data:(snipped in html view)" style="background-color: inherit"/>  Documentation for this format            </a>           </td>         </tr>       </table>     </div>   </text>   <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-category">    <valueString value="Specialized.Quality Reporting &amp;amp; Testing"/>   </extension>   <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-implements">    <valueUri value="http://hl7.org/fhir/StructureDefinition/MetadataResource"/>   </extension>   <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">    <valueCode value="trial-use"/>   </extension>   <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">    <valueInteger value="4"/>   </extension>   <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category">    <valueCode value="anonymous"/>   </extension>   <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">    <valueCode value="cqi"/>   </extension>   <url value="http://hl7.org/fhir/StructureDefinition/Measure"/>   <version value="5.0.0"/>   <name value="Measure"/>   <status value="draft"/>   <experimental value="false"/>   <date value="2023-03-26T15:21:02+11:00"/>   <publisher value="Health Level Seven International (Clinical Quality Information)"/>   <contact>     <telecom>       <system value="url"/>       <value value="http://hl7.org/fhir"/>     </telecom>   </contact>   <contact>     <telecom>       <system value="url"/>       <value value="http://www.hl7.org/Special/committees/cqi/index.cfm"/>     </telecom>   </contact>   <description value="The Measure resource provides the definition of a quality measure."/>   <jurisdiction>     <coding>       <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>       <code value="001"/>       <display value="World"/>     </coding>   </jurisdiction>   <fhirVersion value="5.0.0"/>   <mapping>     <identity value="workflow"/>     <uri value="http://hl7.org/fhir/workflow"/>     <name value="Workflow Pattern"/>   </mapping>   <mapping>     <identity value="w5"/>     <uri value="http://hl7.org/fhir/fivews"/>     <name value="FiveWs Pattern Mapping"/>   </mapping>   <mapping>     <identity value="rim"/>     <uri value="http://hl7.org/v3"/>     <name value="RIM Mapping"/>   </mapping>   <mapping>     <identity value="objimpl"/>     <uri value="http://hl7.org/fhir/object-implementation"/>     <name value="Object Implementation Information"/>   </mapping>   <kind value="resource"/>   <abstract value="false"/>   <type value="Measure"/>   <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource"/>   <derivation value="specialization"/>   <snapshot>     <element id="Measure">      <path value="Measure"/>       <short value="A quality measure definition"/>       <definition value="The Measure resource provides the definition of a quality measure."/>       <min value="0"/>       <max value="*"/>       <base>         <path value="Measure"/>         <min value="0"/>         <max value="*"/>       </base>       <constraint>         <key value="cnl-0"/>         <severity value="warning"/> 
        <human value="Name should be usable as an identifier for the module by machine processing applications
         such as code generation
        
        
        
      
      
        
        
        
        
        
        
      
      
        
        
        If the resource is contained in another resource, it SHALL be referred to from elsewhere
         in the resource or SHALL refer to the containing resource
        contained.where(((id.exists() and ('#'+id in (%resource.descendants().reference | %resource.descenda
        nts().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))))
         or descendants().where(reference = '#').exists() or descendants().where(as(canonical)
         = '#').exists() or descendants().where(as(uri) = '#').exists()).not()).trace('unmatched',
         id).empty()
        not(exists(for $contained in f:contained return $contained[not(exists(parent::*/descendant::f:refere
        nce/@value=concat('#', $contained/*/f:id/@value)) or exists(descendant::f:reference[@value='#']))]))
        
      
      
        
        
        If a resource is contained in another resource, it SHALL NOT have a meta.versionId or
         a meta.lastUpdated
        
        
        
      
      
        
        
        
        
        
        
      
      
        
          
        
        
          When a resource has no narrative, only systems that fully understand the data can display
           the resource to a human safely. Including a human readable representation in the resource
           makes for a much more robust eco-system and cheaper handling of resources by intermediary
           systems. Some ecosystems restrict distribution of resources to only those systems that
           do fully understand the resources, and as a consequence implementers may believe that
           the narrative is superfluous. However experience shows that such eco-systems often open
           up to new participants over time.
        
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
        
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      The logical id of the resource, as used in the URL for the resource. Once assigned, this
       value never changes.
      The only time that a resource does not have an id is when it is being submitted to the
       server using a create operation.
      
      
      
        
        
        
      
      
        
          
        
        
      
      
      
      
    
    
      
      

         such as code generation"/> 
        <expression value="name.exists() implies name.matches('^[A-Z]([A-Za-z0-9_]){1,254}$')"/>         <source value="http://hl7.org/fhir/StructureDefinition/Measure"/>       </constraint>       <constraint>         <key value="mea-1"/>         <severity value="error"/>         <human value="Stratifier SHALL be either a single criteria or a set of criteria components"/>         <expression value="group.stratifier.all((code | description | criteria).exists() xor component.exists())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Measure"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="w5"/>         <map value="conformance.behavior,clinical.general"/>       </mapping>       <mapping>         <identity value="workflow"/>         <map value="Definition"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value="Observation[classCode=OBS, moodCode=DEFN]"/>       </mapping>     </element>     <element id="Measure.id">      <path value="Measure.id"/>       <short value="Logical id of this artifact"/>       <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned,

       this value never changes."/> 
      <comment value="Within the context of the FHIR RESTful interactions, the resource has an id except

       for cases like the create and conditional update. Otherwise, the use of the resouce
       id depends on the given use case."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Resource.id"/>         <min value="0"/>         <max value="1"/>       </base>       <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler

       magic (j)  -->
      <type>         <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">          <valueUrl value="id"/>         </extension>         <code value="http://hl7.org/fhirpath/System.String"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>     </element>     <element id="Measure.meta">      <path value="Measure.meta"/>       <short value="Metadata about the resource"/> 
      <definition value="The metadata about the resource. This is content that is maintained by the infrastructure.
       Changes to the content might not always be associated with version changes to the resource.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
    
    
      
      
      A reference to a set of rules that were followed when the resource was constructed, and
       which must be understood when processing the content. Often, this is a reference to an
       implementation guide that defines the special rules along with other profiles etc.
      Asserting this rule set restricts the content to be only understood by a limited set of
       trading partners. This inherently limits the usefulness of the data in the long term.
       However, the existing health eco-system is highly fractured, and not yet ready to define,
       collect, and exchange data in a generally computable sense. Wherever possible, implementers
       and/or specification writers should avoid using this element. Often, when used, the URL
       is a reference to an implementation guide that defines these special rules as part of
       it's narrative along with other profiles, value sets, etc.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      

       Changes to the content might not always be associated with version changes to the
       resource."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Resource.meta"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="Meta"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>     </element>     <element id="Measure.implicitRules">      <path value="Measure.implicitRules"/>       <short value="A set of rules under which this content was created"/>       <definition value="A reference to a set of rules that were followed when the resource was constructed,

       and which must be understood when processing the content. Often, this is a reference
       to an implementation guide that defines the special rules along with other profiles
       etc."/> 
      <comment value="Asserting this rule set restricts the content to be only understood by a limited

       set of trading partners. This inherently limits the usefulness of the data in the
       long term. However, the existing health eco-system is highly fractured, and not
       yet ready to define, collect, and exchange data in a generally computable sense.
       Wherever possible, implementers and/or specification writers should avoid using
       this element. Often, when used, the URL is a reference to an implementation guide
       that defines these special rules as part of its narrative along with other profiles,
       value sets, etc."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Resource.implicitRules"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="uri"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="true"/> 
      <isModifierReason value="This element is labeled as a modifier because the implicit rules may provide additional
       knowledge about the resource that modifies it's meaning or interpretation
      
    
    
      
      
      
      Language is provided to support indexing and accessibility (typically, services such as
       text to speech use the language tag). The html language tag in the narrative applies 
       to the narrative. The language tag on the resource may be used to specify the language
       of other presentations generated from the data in the resource. Not all the content has
       to be in the base language. The Resource.language should not be assumed to apply to the
       narrative automatically. If a language is specified, it should it also be specified on
       the div element in the html (see rules in HTML5 for information about the relationship
       between xml:lang and the html lang attribute).
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
          
        
        
          
        
        
          
        
        
        
        
      
    
    
      
      
      A human-readable narrative that contains a summary of the resource and can be used to
       represent the content of the resource to a human. The narrative need not encode all the
       structured data, but is required to contain sufficient detail to make it &quot;clinically
       safe&quot; for a human to just read the narrative. Resource definitions may define what
       content should be represented in the narrative to ensure clinical safety.
      Contained resources do not have narrative. Resources that are not contained SHOULD have
       a narrative. In some cases, a resource may only have text with little or no additional
       discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary
       for data from legacy systems where information is captured as a &quot;text blob&quot;
       or where text is additionally entered raw or narrated and encoded information is added
       later.
      
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
        
      
    
    
      
      
      These resources do not have an independent existence apart from the resource that contains
       them - they cannot be identified independently, and nor can they have their own independent
       transaction scope.
      This should never be done when the content can be identified properly, as once identification
       is lost, it is extremely difficult (and context dependent) to restore it again. Contained
       resources may have profiles and tags In their meta elements, but SHALL NOT have security
       labels.
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        Containing new R4B resources within R4 resources may cause interoperability issues if
         instances are shared with R4 systems
        ($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable
         or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this
         is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition
         or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus
         or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence
         or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefi
        nition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition
         or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorizat
        ion or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource
         is SubscriptionTopic)
        not(f:Citation|f:Evidence|f:EvidenceReport|f:EvidenceVariable|f:MedicinalProductDefinition|f:Package
        dProductDefinition|f:AdministrableProductDefinition|f:Ingredient|f:ClinicalUseDefinition|f:RegulatedA
        uthorization|f:SubstanceDefinition|f:SubscriptionStatus|f:SubscriptionTopic) or not(parent::f:Citatio
        n|parent::f:Evidence|parent::f:EvidenceReport|parent::f:EvidenceVariable|parent::f:MedicinalProductDe
        finition|parent::f:PackagedProductDefinition|parent::f:AdministrableProductDefinition|parent::f:Ingre
        dient|parent::f:ClinicalUseDefinition|parent::f:RegulatedAuthorization|parent::f:SubstanceDefinition|
        f:SubscriptionStatus|f:SubscriptionTopic)
        
      
      
      
      
      
        
        
      
    
    
      
      

       knowledge about the resource that modifies its meaning or interpretation"/> 
      <isSummary value="true"/>     </element>     <element id="Measure.language">      <path value="Measure.language"/>       <short value="Language of the resource content"/>       <definition value="The base language in which the resource is written."/>       <comment value="Language is provided to support indexing and accessibility (typically, services

       such as text to speech use the language tag). The html language tag in the narrative
       applies  to the narrative. The language tag on the resource may be used to specify
       the language of other presentations generated from the data in the resource. Not
       all the content has to be in the base language. The Resource.language should not
       be assumed to apply to the narrative automatically. If a language is specified,
       it should it also be specified on the div element in the html (see rules in HTML5
       for information about the relationship between xml:lang and the html lang attribute)."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Resource.language"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="code"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="Language"/>         </extension>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">          <valueBoolean value="true"/>         </extension>         <strength value="required"/>         <description value="IETF language tag for a human language"/>         <valueSet value="http://hl7.org/fhir/ValueSet/all-languages|5.0.0"/>         <additional>           <purpose value="starter"/>           <valueSet value="http://hl7.org/fhir/ValueSet/languages"/>         </additional>       </binding>     </element>     <element id="Measure.text">      <path value="Measure.text"/>       <short value="Text summary of the resource, for human interpretation"/>       <definition value="A human-readable narrative that contains a summary of the resource and can be used

       to represent the content of the resource to a human. The narrative need not encode
       all the structured data, but is required to contain sufficient detail to make it
       &quot;clinically safe&quot; for a human to just read the narrative. Resource definitions
       may define what content should be represented in the narrative to ensure clinical
       safety."/> 
      <comment value="Contained resources do not have a narrative. Resources that are not contained SHOULD

       have a narrative. In some cases, a resource may only have text with little or no
       additional discrete data (as long as all minOccurs=1 elements are satisfied). 
       This may be necessary for data from legacy systems where information is captured
       as a &quot;text blob&quot; or where text is additionally entered raw or narrated
       and encoded information is added later."/> 
      <alias value="narrative"/>       <alias value="html"/>       <alias value="xhtml"/>       <alias value="display"/>       <min value="0"/>       <max value="1"/>       <base>         <path value="DomainResource.text"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="Narrative"/>       </type>       <condition value="dom-6"/>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="Act.text?"/>       </mapping>     </element>     <element id="Measure.contained">      <path value="Measure.contained"/>       <short value="Contained, inline Resources"/>       <definition value="These resources do not have an independent existence apart from the resource that

       contains them - they cannot be identified independently, nor can they have their
       own independent transaction scope. This is allowed to be a Parameters resource
       if and only if it is referenced by a resource that provides context/meaning."/> 
      <comment value="This should never be done when the content can be identified properly, as once

       identification is lost, it is extremely difficult (and context dependent) to restore
       it again. Contained resources may have profiles and tags in their meta elements,
       but SHALL NOT have security labels."/> 
      <alias value="inline resources"/>       <alias value="anonymous resources"/>       <alias value="contained resources"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="DomainResource.contained"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Resource"/>       </type>       <condition value="dom-2"/>       <condition value="dom-4"/>       <condition value="dom-3"/>       <condition value="dom-5"/>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="N/A"/>       </mapping>     </element>     <element id="Measure.extension">      <path value="Measure.extension"/>       <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the resource. To make the use of extensions safe and manageable, there is a strict
       set of governance  applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part of the
       definition of the extension.
      There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone.
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
        
      
    
    
      
      

       of the resource. To make the use of extensions safe and managable, there is a strict
       set of governance applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part
       of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,

       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="DomainResource.extension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <constraint>         <key value="ext-1"/>         <severity value="error"/>         <human value="Must have either extensions or value[x], not both"/>         <expression value="extension.exists() != value.exists()"/>         <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="N/A"/>       </mapping>     </element>     <element id="Measure.modifierExtension">      <path value="Measure.modifierExtension"/>       <short value="Extensions that cannot be ignored"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the resource and that modifies the understanding of the element that contains it and/or
       the understanding of the containing element's descendants. Usually modifier elements provide
       negation or qualification. To make the use of extensions safe and manageable, there is
       a strict set of governance applied to the definition and use of extensions. Though any
       implementer is allowed to define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension. Applications processing a resource
       are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
       (including cannot change the meaning of modifierExtension itself).
      There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone.
      Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly
       distinguished from the vast majority of extensions which can be safely ignored.  This
       promotes interoperability by eliminating the need for implementers to prohibit the presence
       of extensions. For further information, see the [definition of modifier extensions](extensibility.ht
      ml#modifierExtension).
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      
      Modifier extensions are expected to modify the meaning or interpretation of the resource
       that contains them
      
      
        
        
      
    
    
      
      
      An absolute URI that is used to identify this measure when it is referenced in a specification,
       model, design or an instance; also called its canonical identifier. This SHOULD be globally
       unique and SHOULD be a literal address at which at which an authoritative instance of
       this measure is (or will be) published. This URL can be the target of a canonical reference.
       It SHALL remain the same when the measure is stored on different servers.
      Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances
       may share the same URL if they have a distinct version.

The determination of when to create a new version of a resource (same url, new version)
       vs. defining a new artifact is up to the author.  Considerations for making this decision
       are found in [Technical and Business Versions](resource.html#versions). 

In some cases, the resource can no longer be found at the stated url, but the url itself
       cannot change. Implementations can use the [meta.source](resource.html#meta) element to
       indicate where the current master source of the resource can be found.
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      A formal identifier that is used to identify this measure when it is represented in other
       formats, or referenced in a specification, model, design or an instance.

       of the resource and that modifies the understanding of the element that contains
       it and/or the understanding of the containing element's descendants. Usually modifier
       elements provide negation or qualification. To make the use of extensions safe
       and managable, there is a strict set of governance applied to the definition and
       use of extensions. Though any implementer is allowed to define an extension, there
       is a set of requirements that SHALL be met as part of the definition of the extension.
       Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,

       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be

       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition
       of modifier extensions](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="DomainResource.modifierExtension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <constraint>         <key value="ext-1"/>         <severity value="error"/>         <human value="Must have either extensions or value[x], not both"/>         <expression value="extension.exists() != value.exists()"/>         <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="true"/>       <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the

       resource that contains them"/> 
      <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value="N/A"/>       </mapping>     </element>     <element id="Measure.url">      <path value="Measure.url"/>       <short value="Canonical identifier for this measure, represented as a URI (globally unique)"/>       <definition value="An absolute URI that is used to identify this measure when it is referenced in

       a specification, model, design or an instance; also called its canonical identifier.
       This SHOULD be globally unique and SHOULD be a literal address at which an authoritative
       instance of this measure is (or will be) published. This URL can be the target
       of a canonical reference. It SHALL remain the same when the measure is stored on
       different servers."/> 
      <comment value="Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple

       instances may share the same URL if they have a distinct version.
The determination of when to create a new version of a resource (same url, new
       version) vs. defining a new artifact is up to the author.  Considerations for making
       this decision are found in [Technical and Business Versions](resource.html#versions).
       
In some cases, the resource can no longer be found at the stated url, but the url
       itself cannot change. Implementations can use the [meta.source](resource.html#meta)
       element to indicate where the current master source of the resource can be found."/> 
      <requirements value="Allows the measure to be referenced by a single globally unique identifier."/>       <min value="0"/>       <max value="1"/>       <base>         <path value="Measure.url"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="uri"/>       </type>       <constraint>         <key value="cnl-1"/>         <severity value="warning"/>         <human value="URL should not contain | or # - these characters make processing canonical references

         problematic"/> 
        <expression value="exists() implies matches('^[^|# ]+$')"/>         <source value="http://hl7.org/fhir/StructureDefinition/Measure"/>       </constraint>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.url"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.identifier"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".identifier[scope=BUSN;reliability=ISS]"/>       </mapping>     </element>     <element id="Measure.identifier">      <path value="Measure.identifier"/>       <short value="Additional identifier for the measure"/>       <definition value="A formal identifier that is used to identify this measure when it is represented

       in other formats, or referenced in a specification, model, design or an instance."/> 

      <comment value="Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier)
       data type, and can then identify this measure outside of FHIR, where it is not possible
       to use the logical URI.

       data type, and can then identify this measure outside of FHIR, where it is not
       possible to use the logical URI."/> 

      <requirements value="Allows externally provided and/or usable business identifiers to be easily associated
       with the module.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
        
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      The identifier that is used to identify this version of the measure when it is referenced
       in a specification, model, design or instance. This is an arbitrary value managed by the
       measure author and is not expected to be globally unique. For example, it might be a timestamp
       (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that
       versions can be placed in a lexicographical sequence. To provide a version consistent
       with the Decision Support Service specification, use the format Major.Minor.Revision (e.g.
       1.0.0). For more information on versioning knowledge assets, refer to the Decision Support
       Service specification. Note that a version is required for non-experimental active artifacts.
      There may be different measure instances that have the same identifier but different versions.
        The version can be appended to the url in a reference to allow a reference to a particular
       business version of the measure with the format [url]|[version].
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      A natural language name identifying the measure. This name should be usable as an identifier
       for the module by machine processing applications such as code generation.

       with the module."/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="Measure.identifier"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Identifier"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.identifier"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.identifier"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".identifier"/>       </mapping>       <mapping>         <identity value="objimpl"/>         <map value="no-gen-base"/>       </mapping>     </element>     <element id="Measure.version">      <path value="Measure.version"/>       <short value="Business version of the measure"/>       <definition value="The identifier that is used to identify this version of the measure when it is

       referenced in a specification, model, design or instance. This is an arbitrary
       value managed by the measure author and is not expected to be globally unique.
       For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not
       available. There is also no expectation that versions can be placed in a lexicographical
       sequence. To provide a version consistent with the Decision Support Service specification,
       use the format Major.Minor.Revision (e.g. 1.0.0). For more information on versioning
       knowledge assets, refer to the Decision Support Service specification. Note that
       a version is required for non-experimental active artifacts."/> 
      <comment value="There may be different measure instances that have the same identifier but different

       versions.  The version can be appended to the url in a reference to allow a reference
       to a particular business version of the measure with the format [url]|[version].
       The version SHOULD NOT contain a '#' - see [Business Version](resource.html#bv-format)."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Measure.version"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="string"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.version"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.version"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?)"/>       </mapping>       <mapping>         <identity value="objimpl"/>         <map value="no-gen-base"/>       </mapping>     </element>     <element id="Measure.versionAlgorithm[x]">      <path value="Measure.versionAlgorithm[x]"/>       <short value="How to compare versions"/>       <definition value="Indicates the mechanism used to compare versions to determine which is more current."/>       <comment value="If set as a string, this is a FHIRPath expression that has two additional context

       variables passed in - %version1 and %version2 and will return a negative number
       if version1 is newer, a positive number if version2 and a 0 if the version ordering
       can't be successfully be determined."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Measure.versionAlgorithm[x]"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="string"/>       </type>       <type>         <code value="Coding"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <strength value="extensible"/>         <valueSet value="http://hl7.org/fhir/ValueSet/version-algorithm"/>       </binding>       <mapping>         <identity value="workflow"/>         <map value="Definition.versionAlgorithm"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.version"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?)"/>       </mapping>       <mapping>         <identity value="objimpl"/>         <map value="no-gen-base"/>       </mapping>     </element>     <element id="Measure.name">      <path value="Measure.name"/>       <short value="Name for this measure (computer friendly)"/>       <definition value="A natural language name identifying the measure. This name should be usable as

       an identifier for the module by machine processing applications such as code generation."/> 

      <comment value="The name is not expected to be globally unique. The name should be a simple alphanumeric
       type name to ensure that it is machine-processing friendly.
      
      
      
      
        
        
        
      
      
        
      
      
      
        
        
        
        
        
        
      
      
      
      
      
        
        
      
    
    
      
      
      

       type name to ensure that it is machine-processing friendly."/> 
      <requirements value="Support human navigation and code generation."/>       <min value="0"/>       <max value="1"/>       <base>         <path value="Measure.name"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="string"/>       </type>       <condition value="cnl-0"/>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.name"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value="N/A"/>       </mapping>     </element>     <element id="Measure.title">      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">        <valueBoolean value="true"/>       </extension>       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">        <valueBoolean value="true"/>       </extension>       <path value="Measure.title"/>       <short value="Name for this measure (human friendly)"/>       <definition value="A short, descriptive, user-friendly title for the measure."/> 
      <comment value="This name does not need to be machine-processing friendly and may contain punctuation,
       white-space, etc.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      An explanatory or alternate title for the measure giving additional information about
       its content.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
        
      
    
    
      
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      This is labeled as &quot;Is Modifier&quot; because applications should not use a retired
       {{title}} without due consideration
      
      
        
          
        
        
          
        
        
        
        
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      A Boolean value to indicate that this measure is authored for testing purposes (or education/evaluat
      ion/marketing) and is not intended to be used for genuine usage.
      
      Enables experimental content to be developed following the same lifecycle that would be
       used for a production-level measure.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      The intended subjects for the measure. If this element is not provided, a Patient subject
       is assumed, but the subject of the measure can be anything.
      The subject of the measure is critical in interpreting the criteria definitions, as the
       logic in the measures is evaluated with respect to a particular subject. This corresponds
       roughly to the notion of a Compartment in that it limits what content is available based
       on its relationship to the subject. In CQL, this corresponds to the context declaration.
      
      
      
        
        
        
      
      
        
      
      
        
        
      
      
      
        
        
        
        
        
        
      
      
      
      
      
        
          
        
        

       white-space, etc."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Measure.title"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="string"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.title"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".title"/>       </mapping>     </element>     <element id="Measure.subtitle">      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">        <valueBoolean value="true"/>       </extension>       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">        <valueBoolean value="true"/>       </extension>       <path value="Measure.subtitle"/>       <short value="Subordinate title of the measure"/>       <definition value="An explanatory or alternate title for the measure giving additional information

       about its content."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Measure.subtitle"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="string"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?)"/>       </mapping>     </element>     <element id="Measure.status">      <path value="Measure.status"/>       <short value="draft | active | retired | unknown"/>       <definition value="The status of this measure. Enables tracking the life-cycle of the content."/>       <comment value="Allows filtering of measures that are appropriate for use versus not.
See guidance around (not) making local changes to elements [here](canonicalresource.html#loca
      lization)."/> 
      <min value="1"/>       <max value="1"/>       <base>         <path value="Measure.status"/>         <min value="1"/>         <max value="1"/>       </base>       <type>         <code value="code"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="true"/>       <isModifierReason value="This is labeled as &quot;Is Modifier&quot; because applications should not use

       a retired {{title}} without due consideration"/> 
      <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="PublicationStatus"/>         </extension>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">          <valueBoolean value="true"/>         </extension>         <strength value="required"/>         <description value="The lifecycle status of an artifact."/>         <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|5.0.0"/>       </binding>       <mapping>         <identity value="workflow"/>         <map value="Definition.status"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.status"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".status"/>       </mapping>     </element>     <element id="Measure.experimental">      <path value="Measure.experimental"/>       <short value="For testing purposes, not real usage"/>       <definition value="A Boolean value to indicate that this measure is authored for testing purposes

       (or education/evaluation/marketing) and is not intended to be used for genuine
       usage."/> 
      <comment value="Allows filtering of measures that are appropriate for use versus not."/>       <requirements value="Enables experimental content to be developed following the same lifecycle that

       would be used for a production-level measure."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Measure.experimental"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="boolean"/>       </type>       <meaningWhenMissing value="If absent, this resource is treated as though it is not experimental."/>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.experimental"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.class"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?)"/>       </mapping>     </element>     <element id="Measure.subject[x]">      <path value="Measure.subject[x]"/>       <short value="E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device"/>       <definition value="The intended subjects for the measure. If this element is not provided, a Patient

       subject is assumed, but the subject of the measure can be anything."/> 
      <comment value="The subject of the measure is critical in interpreting the criteria definitions,

       as the logic in the measures is evaluated with respect to a particular subject.
       This corresponds roughly to the notion of a Compartment in that it limits what
       content is available based on its relationship to the subject. In CQL, this corresponds
       to the context declaration."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Measure.subject[x]"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/>       </type>       <meaningWhenMissing value="Patient"/>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="SubjectType"/>         </extension>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">          <valueBoolean value="true"/>         </extension>         <strength value="extensible"/> 
        <description value="The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization,
         Location, etc.).
        
      
      
        
        
      
    
    
      
      
      The date  (and optionally time) when the measure was published. The date must change when
       the business version changes and it must change if the status code changes. In addition,
       it should change when the substantive content of the measure changes.
      Note that this is not the same as the resource last-modified-date, since the resource
       may be a secondary representation of the measure. Additional specific dates may be added
       as extensions or be found by consulting Provenances associated with past versions of the
       resource.
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      Usually an organization but may be an individual. The publisher (or steward) of the measure
       is the organization or individual primarily responsible for the maintenance and upkeep
       of the measure. This is not necessarily the same individual or organization that developed
       and initially authored the content. The publisher is the primary point of contact for
       questions or issues with the measure. This item SHOULD be populated unless the information
       is available from context.
      Helps establish the &quot;authority/credibility&quot; of the measure.  May also allow
       for contact.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      This description can be used to capture details such as why the measure was built, comments
       about misuse, instructions for clinical use and interpretation, literature references,
       examples from the paper world, etc. It is not a rendering of the measure as conveyed in
       the 'text' field of the resource itself. This item SHOULD be populated unless the information
       is available from context (e.g. the language of the measure is presumed to be the predominant
       language in the place the measure was created).
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      The content was developed with a focus and intent of supporting the contexts that are
       listed. These contexts may be general categories (gender, age, ...) or may be references
       to specific programs (insurance plans, studies, ...) and may be used to assist with indexing
       and searching for appropriate measure instances.
      When multiple useContexts are specified, there is no expectation that all or any of the
       contexts apply.
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      It may be possible for the measure to be used in jurisdictions other than those for which
       it was originally designed or intended.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
          
        
        
          
        
        
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      

         Location, etc.)."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/participant-resource-types"/>       </binding>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?) { only applies for subject Patient? }"/>       </mapping>     </element>     <element id="Measure.basis">      <path value="Measure.basis"/>       <short value="Population basis"/>       <definition value="The population basis specifies the type of elements in the population. For a subject-based

       measure, this is boolean (because the subject and the population basis are the
       same, and the population criteria define yes/no values for each individual in the
       population). For measures that have a population basis that is different than the
       subject, this element specifies the type of the population basis. For example,
       an encounter-based measure has a subject of Patient and a population basis of Encounter,
       and the population criteria all return lists of Encounters."/> 
      <comment value="For a subject-based measure, the population basis is simply boolean; all the criteria

       are expressed as true/false conditions that determine membership of an individual
       case in the population. For non-subject-based measures, the population basis can
       be any resource type, and the criteria are queries that return the subject's contribution
       to the population as a list of that resource type. For example, for a procedure-based
       measure, the population criteria would return lists of procedures that should be
       included in each population."/> 
      <requirements value="Allows non-subject-based measures to be specified. Note that because the binding

       is to all fhir types, it is possible to specify abstract types such as Resource
       or DomainResource as the basis for a measure. Authoring environments may wish to
       constrain this further, depending on content needs."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Measure.basis"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="code"/>       </type>       <meaningWhenMissing value="boolean"/>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="BasisType"/>         </extension>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">          <valueBoolean value="true"/>         </extension>         <strength value="required"/>         <valueSet value="http://hl7.org/fhir/ValueSet/fhir-types|5.0.0"/>       </binding>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?) { only applies for subject Patient? }"/>       </mapping>     </element>     <element id="Measure.date">      <path value="Measure.date"/>       <short value="Date last changed"/>       <definition value="The date  (and optionally time) when the measure was last significantly changed.

       The date must change when the business version changes and it must change if the
       status code changes. In addition, it should change when the substantive content
       of the measure changes."/> 
      <comment value="The date is often not tracked until the resource is published, but may be present

       on draft content. Note that this is not the same as the resource last-modified-date,
       since the resource may be a secondary representation of the measure. Additional
       specific dates may be added as extensions or be found by consulting Provenances
       associated with past versions of the resource.
See guidance around (not) making local changes to elements [here](canonicalresource.html#loca
      lization)."/> 
      <alias value="Revision Date"/>       <min value="0"/>       <max value="1"/>       <base>         <path value="Measure.date"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="dateTime"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.date"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.recorded"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".participation[typeCode=AUT].time"/>       </mapping>     </element>     <element id="Measure.publisher">      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">        <valueBoolean value="true"/>       </extension>       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">        <valueBoolean value="true"/>       </extension>       <path value="Measure.publisher"/>       <short value="Name of the publisher/steward (organization or individual)"/>       <definition value="The name of the organization or individual responsible for the release and ongoing

       maintenance of the measure."/> 
      <comment value="Usually an organization but may be an individual. The publisher (or steward) of

       the measure is the organization or individual primarily responsible for the maintenance
       and upkeep of the measure. This is not necessarily the same individual or organization
       that developed and initially authored the content. The publisher is the primary
       point of contact for questions or issues with the measure. This item SHOULD be
       populated unless the information is available from context."/> 
      <requirements value="Helps establish the &quot;authority/credibility&quot; of the measure.  May also

       allow for contact."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Measure.publisher"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="string"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.publisher"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.witness"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value="participation[typeCode=AUT].role"/>       </mapping>     </element>     <element id="Measure.contact">      <path value="Measure.contact"/>       <short value="Contact details for the publisher"/>       <definition value="Contact details to assist a user in finding and communicating with the publisher."/>       <comment value="May be a web site, an email address, a telephone number, etc.
See guidance around (not) making local changes to elements [here](canonicalresource.html#loca
      lization)."/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="Measure.contact"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="ContactDetail"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.contact"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".participation[typeCode=CALLBCK].role"/>       </mapping>     </element>     <element id="Measure.description">      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">        <valueBoolean value="true"/>       </extension>       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">        <valueBoolean value="true"/>       </extension>       <path value="Measure.description"/>       <short value="Natural language description of the measure"/>       <definition value="A free text natural language description of the measure from a consumer's perspective."/>       <comment value="This description can be used to capture details such as comments about misuse,

       instructions for clinical use and interpretation, literature references, examples
       from the paper world, etc. It is not a rendering of the measure as conveyed in
       the 'text' field of the resource itself. This item SHOULD be populated unless the
       information is available from context (e.g. the language of the measure is presumed
       to be the predominant language in the place the measure was created)."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Measure.description"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="markdown"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.description"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".text"/>       </mapping>     </element>     <element id="Measure.useContext">      <path value="Measure.useContext"/>       <short value="The context that the content is intended to support"/>       <definition value="The content was developed with a focus and intent of supporting the contexts that

       are listed. These contexts may be general categories (gender, age, ...) or may
       be references to specific programs (insurance plans, studies, ...) and may be used
       to assist with indexing and searching for appropriate measure instances."/> 
      <comment value="When multiple useContexts are specified, there is no expectation that all or any

       of the contexts apply."/> 
      <requirements value="Assist in searching for appropriate content."/>       <min value="0"/>       <max value="*"/>       <base>         <path value="Measure.useContext"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="UsageContext"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.useContext"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?)"/>       </mapping>     </element>     <element id="Measure.jurisdiction">      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">        <valueCode value="deprecated"/>       </extension>       <path value="Measure.jurisdiction"/>       <short value="Intended jurisdiction for measure (if applicable)"/>       <definition value="A legal or geographic region in which the measure is intended to be used."/>       <comment value="It may be possible for the measure to be used in jurisdictions other than those

       for which it was originally designed or intended.
DEPRECATION NOTE: For consistency, implementations are encouraged to migrate to
       using the new 'jurisdiction' code in the useContext element.  (I.e. useContext.code
       indicating http://terminology.hl7.org/CodeSystem/usage-context-type#jurisdiction
       and useContext.valueCodeableConcept indicating the jurisdiction.)"/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="Measure.jurisdiction"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="Jurisdiction"/>         </extension>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">          <valueBoolean value="true"/>         </extension>         <strength value="extensible"/>         <description value="Countries and regions within which this artifact is targeted for use."/>         <valueSet value="http://hl7.org/fhir/ValueSet/jurisdiction"/>       </binding>       <mapping>         <identity value="workflow"/>         <map value="Definition.jurisdiction"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?)"/>       </mapping>     </element>     <element id="Measure.purpose">      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">        <valueBoolean value="true"/>       </extension>       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">        <valueBoolean value="true"/>       </extension>       <path value="Measure.purpose"/>       <short value="Why this measure is defined"/>       <definition value="Explanation of why this measure is needed and why it has been designed as it has."/> 
      <comment value="This element does not describe the usage of the measure. Instead, it provides traceability
       of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may
       be used to point to source materials or specifications that drove the structure of this
       measure.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
        
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
        
      
    
    
      
      

       of ''why'' the resource is either needed or ''why'' it is defined as it is.  This
       may be used to point to source materials or specifications that drove the structure
       of this measure."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Measure.purpose"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="markdown"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.purpose"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.why[x]"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".reasonCode.text"/>       </mapping>       <mapping>         <identity value="objimpl"/>         <map value="no-gen-base"/>       </mapping>     </element>     <element id="Measure.usage">      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">        <valueBoolean value="true"/>       </extension>       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">        <valueBoolean value="true"/>       </extension>       <path value="Measure.usage"/>       <short value="Describes the clinical usage of the measure"/>       <definition value="A detailed description, from a clinical perspective, of how the measure is used."/>       <comment value="This metadata element was typically referred to as Guidance in HQMF"/>       <requirements value="Measure developers must be able to provide additional guidance for implementers

       to understand the intent with greater specificity than that provided in the population
       criteria of the measure. This element provides detailed guidance, where the usage
       element provides a summary of the guidance."/> 
      <alias value="guidance"/>       <min value="0"/>       <max value="1"/>       <base>         <path value="Measure.usage"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="markdown"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?)"/>       </mapping>     </element>     <element id="Measure.copyright">      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">        <valueBoolean value="true"/>       </extension>       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">        <valueBoolean value="true"/>       </extension>       <path value="Measure.copyright"/>       <short value="Use and/or publishing restrictions"/> 
      <definition value="A copyright statement relating to the measure and/or its contents. Copyright statements
       are generally legal restrictions on the use and publishing of the measure.
      Consumers must be able to determine any legal restrictions on the use of the measure and/or
       its content.
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      The date on which the resource content was approved by the publisher. Approval happens
       once when the content is officially approved for usage.

       are generally legal restrictions on the use and publishing of the measure."/> 
      <comment value="The short copyright declaration (e.g. (c) '2015+ xyz organization' should be sent

       in the copyrightLabel element."/> 
      <requirements value="Consumers must be able to determine any legal restrictions on the use of the measure

       and/or its content."/> 
      <alias value="License"/>       <alias value="Restrictions"/>       <min value="0"/>       <max value="1"/>       <base>         <path value="Measure.copyright"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="markdown"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.copyright"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?)"/>       </mapping>       <mapping>         <identity value="objimpl"/>         <map value="no-gen-base"/>       </mapping>     </element>     <element id="Measure.copyrightLabel">      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">        <valueBoolean value="true"/>       </extension>       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">        <valueBoolean value="true"/>       </extension>       <path value="Measure.copyrightLabel"/>       <short value="Copyright holder and year(s)"/>       <definition value="A short string (&lt;50 characters), suitable for inclusion in a page footer that

       identifies the copyright holder, effective period, and optionally whether rights
       are resctricted. (e.g. 'All rights reserved', 'Some rights reserved')."/> 
      <comment value="The (c) symbol should NOT be included in this string. It will be added by software

       when rendering the notation. Full details about licensing, restrictions, warrantees,
       etc. goes in the more general 'copyright' element."/> 
      <requirements value="Defines the content expected to be rendered in all representations of the artifact."/>       <min value="0"/>       <max value="1"/>       <base>         <path value="Measure.copyrightLabel"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="string"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.copyrightLabel"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?)"/>       </mapping>       <mapping>         <identity value="objimpl"/>         <map value="no-gen-base"/>       </mapping>     </element>     <element id="Measure.approvalDate">      <path value="Measure.approvalDate"/>       <short value="When the measure was approved by publisher"/>       <definition value="The date on which the resource content was approved by the publisher. Approval

       happens once when the content is officially approved for usage."/> 

      <comment value="The 'date' element may be more recent than the approval date because of minor changes
       or editorial corrections.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
        
      
      
        
        .outboundRelationship[typeCode=SUBJ].act[classCode=CACT;moodCode=EVN;code=&quot;approval&quot;].effe
        ctiveTime
      
      
        
        
      
    
    
      
      

       or editorial corrections.
See guidance around (not) making local changes to elements [here](canonicalresource.html#loca
      lization)."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Measure.approvalDate"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="date"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.approvalDate"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".outboundRelationship[typeCode=SUBJ].act[classCode=CACT;moodCode=EVN;code=&quot;approval&quot

        ;].effectiveTime"/> 
      </mapping>       <mapping>         <identity value="objimpl"/>         <map value="no-gen-base"/>       </mapping>     </element>     <element id="Measure.lastReviewDate">      <path value="Measure.lastReviewDate"/>       <short value="When the measure was last reviewed by the publisher"/> 
      <definition value="The date on which the resource content was last reviewed. Review happens periodically
       after approval but does not change the original approval date.
      
      Gives a sense of how &quot;current&quot; the content is.  Resources that have not been
       reviewed in a long time may have a risk of being less appropriate/relevant.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
        
      
      
        
        .outboundRleationship[typeCode=SUBJ;subsetCode=RECENT].act[classCode=CACT;moodCode=EVN;code=review].
        effectiveTime
      
      
        
        
      
    
    
      
      
      
      The effective period for a measure  determines when the content is applicable for usage
       and is independent of publication and review dates. For example, a measure intended to
       be used for the year 2016 might be published in 2015.
      Allows establishing a transition before a resource comes into effect and also allows for
       a sunsetting  process when new versions of the measure are or are expected to be used
       instead.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      

       after approval but does not change the original approval date."/> 
      <comment value="If specified, this date follows the original approval date.
See guidance around (not) making local changes to elements [here](canonicalresource.html#loca
      lization)."/> 
      <requirements value="Gives a sense of how &quot;current&quot; the content is.  Resources that have not

       been reviewed in a long time may have a risk of being less appropriate/relevant."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Measure.lastReviewDate"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="date"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.lastReviewDate"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".outboundRleationship[typeCode=SUBJ;subsetCode=RECENT].act[classCode=CACT;moodCode=EVN;code=r

        eview].effectiveTime"/> 
      </mapping>       <mapping>         <identity value="objimpl"/>         <map value="no-gen-base"/>       </mapping>     </element>     <element id="Measure.effectivePeriod">      <path value="Measure.effectivePeriod"/>       <short value="When the measure is expected to be used"/>       <definition value="The period during which the measure content was or is planned to be in active use."/>       <comment value="The effective period for a measure determines when the content is applicable for

       usage and is independent of publication and review dates. For example, a measure
       intended to be used for the year 2016 might be published in 2015.
See guidance around (not) making local changes to elements [here](canonicalresource.html#loca
      lization)."/> 
      <requirements value="Allows establishing a transition before a resource comes into effect and also allows

       for a sunsetting  process when new versions of the measure are or are expected
       to be used instead."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Measure.effectivePeriod"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="Period"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.effectivePeriod"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".effectiveTime"/>       </mapping>       <mapping>         <identity value="objimpl"/>         <map value="no-gen-base"/>       </mapping>     </element>     <element id="Measure.topic">      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">        <valueCode value="deprecated"/>       </extension>       <path value="Measure.topic"/>       <short value="The category of the measure, such as Education, Treatment, Assessment, etc"/> 
      <definition value="Descriptive topics related to the content of the measure. Topics provide a high-level
       categorization grouping types of measures that can be useful for filtering and searching.
      Repositories must be able to determine how to categorize the measure so that it can be
       found by topical searches.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
          
        
        
        
        
      
      
        
        
      
    
    
      
      
      An individiual or organization primarily involved in the creation and maintenance of the
       content.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
        
      
    
    
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
        .participation[typeCode=AUT] { not a great match, but there does not appear to be an editor
         concept in V3 participation }
      
    
    
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
        
      
    
    
      
      
      An individual or organization responsible for officially endorsing the content for use
       in some setting.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
        
      
    
    
      
      
      
      Each related artifact is either an attachment, or a reference to another resource, but
       not both.
      Measures must be able to provide enough information for consumers of the content (and/or
       interventions or results produced by the content) to be able to determine and understand
       the justification for and evidence in support of the content.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
        .outboundRelationship[typeCode=DOC,RSON,PREV, DRIV, USE, COMP] {successor would be PREV
         w/ inversionInd=true; No support for citation}
      
    
    
      
      
      
      
      
      
        
        
        
      
      
        
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
        
      
    
    
      
      
      Notices and disclaimers regarding the use of the measure or related to intellectual property
       (such as code systems) referenced by the measure.
      Some organizations require that notices and disclosures be included when publishing measures
       that reference their intellecutal property.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
        
      
    
    
      
      
      Indicates how the calculation is performed for the measure, including proportion, ratio,
       continuous-variable, and cohort. The value set is extensible, allowing additional measure
       scoring types to be represented.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
          
        
        
        
        
      
      
        
        
      
    
    
      
      
      If this is a composite measure, the scoring method used to combine the component measures
       to determine the composite score.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
          
        
        
        
        
      
      
        
        
      
    
    
      
      
      Indicates whether the measure is used to examine a process, an outcome over time, a patient-reported
       outcome, or a structure measure such as utilization.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
          
        
        
        
        
      
      
        
        
      
    
    
      
      
      A description of the risk adjustment factors that may impact the resulting score for the
       measure and how they may be accounted for when computing and reporting measure results.
      Describes the method of adjusting for clinical severity and conditions present at the
       start of care that can influence patient outcomes for making valid comparisons of outcome
       measures across providers. Indicates whether a measure is subject to the statistical process
       for reducing, removing, or clarifying the influences of confounding factors to allow for
       more useful comparisons.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
        
      
    
    
      
      
      Describes how to combine the information calculated, based on logic in each of several
       populations, into one summarized result.

       categorization grouping types of measures that can be useful for filtering and
       searching."/> 
      <comment value="DEPRECATION NOTE: For consistency, implementations are encouraged to migrate to

       using the new 'topic' code in the useContext element.  (I.e. useContext.code indicating
       http://terminology.hl7.org/CodeSystem/usage-context-type#topic and useContext.valueCodeableCo
      ncept indicating the topic)"/> 
      <requirements value="Repositories must be able to determine how to categorize the measure so that it

       can be found by topical searches."/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="Measure.topic"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="DefinitionTopic"/>         </extension>         <strength value="example"/>         <description value="High-level categorization of the definition, used for searching, sorting, and filtering."/>         <valueSet value="http://hl7.org/fhir/ValueSet/definition-topic"/>       </binding>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?)"/>       </mapping>     </element>     <element id="Measure.author">      <path value="Measure.author"/>       <short value="Who authored the content"/>       <definition value="An individiual or organization primarily involved in the creation and maintenance

       of the content."/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="Measure.author"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="ContactDetail"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value=".participation[typeCode=AUT]"/>       </mapping>     </element>     <element id="Measure.editor">      <path value="Measure.editor"/>       <short value="Who edited the content"/>       <definition value="An individual or organization primarily responsible for internal coherence of the

       content."/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="Measure.editor"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="ContactDetail"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value=".participation[typeCode=AUT] { not a great match, but there does not appear to

         be an editor concept in V3 participation }"/> 
      </mapping>     </element>     <element id="Measure.reviewer">      <path value="Measure.reviewer"/>       <short value="Who reviewed the content"/>       <definition value="An individual or organization asserted by the publisher to be primarily responsible

       for review of some aspect of the content."/> 
      <comment value="See guidance around (not) making local changes to elements [here](canonicalresource.html#loca

      lization)."/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="Measure.reviewer"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="ContactDetail"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value=".participation[typeCode=VRF] {not clear whether VRF best corresponds to reviewer

         or endorser}"/> 
      </mapping>     </element>     <element id="Measure.endorser">      <path value="Measure.endorser"/>       <short value="Who endorsed the content"/>       <definition value="An individual or organization asserted by the publisher to be responsible for officially

       endorsing the content for use in some setting."/> 
      <comment value="See guidance around (not) making local changes to elements [here](canonicalresource.html#loca

      lization)."/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="Measure.endorser"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="ContactDetail"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value=".participation[typeCode=VRF] {not clear whether VRF best corresponds to reviewer

         or endorser}"/> 
      </mapping>     </element>     <element id="Measure.relatedArtifact">      <path value="Measure.relatedArtifact"/>       <short value="Additional documentation, citations, etc"/>       <definition value="Related artifacts such as additional documentation, justification, or bibliographic

       references."/> 
      <comment value="Each related artifact is either an attachment, or a reference to another resource,

       but not both."/> 
      <requirements value="Measures must be able to provide enough information for consumers of the content

       (and/or interventions or results produced by the content) to be able to determine
       and understand the justification for and evidence in support of the content."/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="Measure.relatedArtifact"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="RelatedArtifact"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value=".outboundRelationship[typeCode=DOC,RSON,PREV, DRIV, USE, COMP] {successor would

         be PREV w/ inversionInd=true; No support for citation}"/> 
      </mapping>     </element>     <element id="Measure.library">      <path value="Measure.library"/>       <short value="Logic used by the measure"/>       <definition value="A reference to a Library resource containing the formal logic used by the measure."/>       <min value="0"/>       <max value="*"/>       <base>         <path value="Measure.library"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="canonical"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Library"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?)"/>       </mapping>     </element>     <element id="Measure.disclaimer">      <path value="Measure.disclaimer"/>       <short value="Disclaimer for use of the measure or its referenced content"/>       <definition value="Notices and disclaimers regarding the use of the measure or related to intellectual

       property (such as code systems) referenced by the measure."/> 
      <requirements value="Some organizations require that notices and disclosures be included when publishing

       measures that reference their intellecutal property."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Measure.disclaimer"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="markdown"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?)"/>       </mapping>     </element>     <element id="Measure.scoring">      <path value="Measure.scoring"/>       <short value="proportion | ratio | continuous-variable | cohort"/>       <definition value="Indicates how the calculation is performed for the measure, including proportion,

       ratio, continuous-variable, and cohort. The value set is extensible, allowing additional
       measure scoring types to be represented."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Measure.scoring"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="MeasureScoring"/>         </extension>         <strength value="extensible"/>         <description value="The scoring type of the measure."/>         <valueSet value="http://terminology.hl7.org/ValueSet/measure-scoring"/>       </binding>       <mapping>         <identity value="rim"/>         <map value=".methodCode { the aspect of how the calculation is performed }"/>       </mapping>     </element>     <element id="Measure.scoringUnit">      <path value="Measure.scoringUnit"/>       <short value="What units?"/>       <definition value="Defines the expected units of measure for the measure score. This element SHOULD

       be specified as a UCUM unit."/> 
      <comment value="When this element is specified, implementations are expected to report measure

       scores in the specified units. Note that this may involve unit conversion if the
       expected units are different than the units of the resulting score calculation.
       In this case, unit conversions SHALL be performed according to the unit conversion
       semantics specified by UCUM."/> 
      <requirements value="When the unit cannot be inferred directly from the calculation logic, this element

       allows the specification of the desired units of measure of the output."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Measure.scoringUnit"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="MeasureScoringUnit"/>         </extension>         <strength value="example"/>         <valueSet value="http://hl7.org/fhir/ValueSet/measure-scoring-unit"/>       </binding>       <mapping>         <identity value="rim"/>         <map value=".methodCode { the aspect of how the calculation is performed }"/>       </mapping>     </element>     <element id="Measure.compositeScoring">      <path value="Measure.compositeScoring"/>       <short value="opportunity | all-or-nothing | linear | weighted"/>       <definition value="If this is a composite measure, the scoring method used to combine the component

       measures to determine the composite score."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Measure.compositeScoring"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="CompositeMeasureScoring"/>         </extension>         <strength value="extensible"/>         <description value="The composite scoring method of the measure."/>         <valueSet value="http://hl7.org/fhir/ValueSet/composite-measure-scoring"/>       </binding>       <mapping>         <identity value="rim"/>         <map value=".methodCode { the aspect of how component measures are combined }"/>       </mapping>     </element>     <element id="Measure.type">      <path value="Measure.type"/>       <short value="process | outcome | structure | patient-reported-outcome | composite"/>       <definition value="Indicates whether the measure is used to examine a process, an outcome over time,

       a patient-reported outcome, or a structure measure such as utilization."/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="Measure.type"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="MeasureType"/>         </extension>         <strength value="extensible"/>         <description value="The type of measure (includes codes from 2.16.840.1.113883.1.11.20368)."/>         <valueSet value="http://hl7.org/fhir/ValueSet/measure-type"/>       </binding>       <mapping>         <identity value="rim"/>         <map value=".methodCode { the aspect of what the measure applies to }"/>       </mapping>     </element>     <element id="Measure.riskAdjustment">      <path value="Measure.riskAdjustment"/>       <short value="How risk adjustment is applied for this measure"/>       <definition value="A description of the risk adjustment factors that may impact the resulting score

       for the measure and how they may be accounted for when computing and reporting
       measure results."/> 
      <comment value="Describes the method of adjusting for clinical severity and conditions present

       at the start of care that can influence patient outcomes for making valid comparisons
       of outcome measures across providers. Indicates whether a measure is subject to
       the statistical process for reducing, removing, or clarifying the influences of
       confounding factors to allow for more useful comparisons."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Measure.riskAdjustment"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="markdown"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?)"/>       </mapping>     </element>     <element id="Measure.rateAggregation">      <path value="Measure.rateAggregation"/>       <short value="How is rate aggregation performed for this measure"/>       <definition value="Describes how to combine the information calculated, based on logic in each of

       several populations, into one summarized result."/> 

      <comment value="The measure rate for an organization or clinician is based upon the entities’ aggregate
       data and summarizes the performance of the entity over a given time period (e.g., monthly,
       quarterly, yearly). The aggregated data are derived from the results of a specific measure
       algorithm and, if appropriate, the application of specific risk adjustment models.  Can
       also be used to describe how to risk adjust the data based on supplemental data elements
       described in the eMeasure (e.g., pneumonia hospital measures antibiotic selection in the
       ICU versus non-ICU and then the roll-up of the two). This could be applied to aggregated
       cohort measure definitions (e.g., CDC's aggregate reporting for TB at the state level).
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
        
      
    
    
      
      

       data and summarizes the performance of the entity over a given time period (e.g.,
       monthly, quarterly, yearly). The aggregated data are derived from the results of
       a specific measure algorithm and, if appropriate, the application of specific risk
       adjustment models.  Can also be used to describe how to risk adjust the data based
       on supplemental data elements described in the eMeasure (e.g., pneumonia hospital
       measures antibiotic selection in the ICU versus non-ICU and then the roll-up of
       the two). This could be applied to aggregated cohort measure definitions (e.g.,
       CDC's aggregate reporting for TB at the state level)."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Measure.rateAggregation"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="markdown"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?)"/>       </mapping>     </element>     <element id="Measure.rationale">      <path value="Measure.rationale"/>       <short value="Detailed description of why the measure exists"/> 
      <definition value="Provides a succinct statement of the need for the measure. Usually includes statements
       pertaining to importance criterion: impact, gap in care, and evidence.
      Measure developers need to be able to provide a detailed description of the purpose of
       the measure. This element provides detailed rationale, where the purpose element provides
       a summary of the rationale.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
        
      
    
    
      
      
      Provides a summary of relevant clinical guidelines or other clinical recommendations supporting
       the measure.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
        
      
    
    
      
      
      Information on whether an increase or decrease in score is the preferred result (e.g.,
       a higher score indicates better quality OR a lower score indicates better quality OR quality
       is within a range).
      Measure consumers and implementers must be able to determine how to interpret a measure
       score.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
          
        
        
        Observation values that indicate what change in a measurement value or score is indicative
         of an improvement in the measured item or scored issue.
        
      
      
        
        
      
    
    
      
      
      
      Measure developers must be able to provide precise definitions of terms used within measure
       descriptions and guidance to help communicate the intent of the measure.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
        
      
    
    
      
      
      Additional guidance for the measure including how it can be used in a clinical context,
       and the intent of the measure.
      Measure developers must be able to provide additional guidance for implementers to understand
       the intent with greater specificity than that provided in the population criteria of the
       measure. This element provides detailed guidance, where the usage element provides a summary
       of the guidance.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
        
      
    
    
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
        
      
    
    
      
      
      
      Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces.
      
      
      
        
        
        
      
      
        
          
        
        
      
      
      
      
        
        
      
    
    
      
      

       pertaining to importance criterion: impact, gap in care, and evidence."/> 
      <requirements value="Measure developers need to be able to provide a detailed description of the purpose

       of the measure. This element provides detailed rationale, where the purpose element
       provides a summary of the rationale."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Measure.rationale"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="markdown"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?)"/>       </mapping>     </element>     <element id="Measure.clinicalRecommendationStatement">      <path value="Measure.clinicalRecommendationStatement"/>       <short value="Summary of clinical guidelines"/>       <definition value="Provides a summary of relevant clinical guidelines or other clinical recommendations

       supporting the measure."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Measure.clinicalRecommendationStatement"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="markdown"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?)"/>       </mapping>     </element>     <element id="Measure.improvementNotation">      <path value="Measure.improvementNotation"/>       <short value="increase | decrease"/>       <definition value="Information on whether an increase or decrease in score is the preferred result

       (e.g., a higher score indicates better quality OR a lower score indicates better
       quality OR quality is within a range)."/> 
      <requirements value="Measure consumers and implementers must be able to determine how to interpret a

       measure score."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Measure.improvementNotation"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="MeasureImprovementNotation"/>         </extension>         <strength value="required"/>         <description value="Observation values that indicate what change in a measurement value or score is

         indicative of an improvement in the measured item or scored issue."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/measure-improvement-notation|5.0.0"/>       </binding>       <mapping>         <identity value="rim"/>         <map value=".interpretationCode"/>       </mapping>     </element>     <element id="Measure.term">      <path value="Measure.term"/>       <short value="Defined terms used in the measure documentation"/>       <definition value="Provides a description of an individual term used within the measure."/>       <requirements value="Measure developers must be able to provide precise definitions of terms used within

       measure descriptions and guidance to help communicate the intent of the measure."/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="Measure.term"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="BackboneElement"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="N/A"/>       </mapping>     </element>     <element id="Measure.term.id">      <path value="Measure.term.id"/>       <representation value="xmlAttr"/>       <short value="Unique id for inter-element referencing"/>       <definition value="Unique id for the element within a resource (for internal references). This may

       be any string value that does not contain spaces."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Element.id"/>         <min value="0"/>         <max value="1"/>       </base>       <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler

       magic (j)  -->
      <type>         <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">          <valueUrl value="string"/>         </extension>         <code value="http://hl7.org/fhirpath/System.String"/>       </type>       <condition value="ele-1"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="Measure.term.extension">      <path value="Measure.term.extension"/>       <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. To make the use of extensions safe and manageable, there is a strict set
       of governance  applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part of the
       definition of the extension.
      There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone.
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      

       of the element. To make the use of extensions safe and managable, there is a strict
       set of governance applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part
       of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,

       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="Element.extension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <constraint>         <key value="ext-1"/>         <severity value="error"/>         <human value="Must have either extensions or value[x], not both"/>         <expression value="extension.exists() != value.exists()"/>         <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>       </constraint>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="Measure.term.modifierExtension">      <path value="Measure.term.modifierExtension"/>       <short value="Extensions that cannot be ignored even if unrecognized"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element and that modifies the understanding of the element in which it is contained
       and/or the understanding of the containing element's descendants. Usually modifier elements
       provide negation or qualification. To make the use of extensions safe and manageable,
       there is a strict set of governance applied to the definition and use of extensions. Though
       any implementer can define an extension, there is a set of requirements that SHALL be
       met as part of the definition of the extension. Applications processing a resource are
       required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
       (including cannot change the meaning of modifierExtension itself).
      There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone.
      Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly
       distinguished from the vast majority of extensions which can be safely ignored.  This
       promotes interoperability by eliminating the need for implementers to prohibit the presence
       of extensions. For further information, see the [definition of modifier extensions](extensibility.ht
      ml#modifierExtension).
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      Modifier extensions are expected to modify the meaning or interpretation of the element
       that contains them
      
      
        
        
      
    
    
      
      
      Indicates a meaning for the group. This can be as simple as a unique identifier, or it
       can establish meaning in a broader context by drawing from a terminology, allowing groups
       to be correlated across measures.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
          
        
        
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
        
      
    
    
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
        
      
    
    
      
      
      
      Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces.
      
      
      
        
        
        
      
      
        
          
        
        
      
      
      
      
        
        
      
    
    
      
      

       of the element and that modifies the understanding of the element in which it is
       contained and/or the understanding of the containing element's descendants. Usually
       modifier elements provide negation or qualification. To make the use of extensions
       safe and managable, there is a strict set of governance applied to the definition
       and use of extensions. Though any implementer can define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension.
       Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,

       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be

       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition
       of modifier extensions](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <alias value="modifiers"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="BackboneElement.modifierExtension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <constraint>         <key value="ext-1"/>         <severity value="error"/>         <human value="Must have either extensions or value[x], not both"/>         <expression value="extension.exists() != value.exists()"/>         <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>       </constraint>       <isModifier value="true"/>       <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the

       element that contains them"/> 
      <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value="N/A"/>       </mapping>     </element>     <element id="Measure.term.code">      <path value="Measure.term.code"/>       <short value="What term?"/>       <definition value="A codeable representation of the defined term."/>       <min value="0"/>       <max value="1"/>       <base>         <path value="Measure.term.code"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="DefinitionCode"/>         </extension>         <strength value="example"/>         <description value="Codeable representations of measure definition terms."/>         <valueSet value="http://hl7.org/fhir/ValueSet/measure-definition-example"/>       </binding>       <mapping>         <identity value="rim"/>         <map value="N/A"/>       </mapping>     </element>     <element id="Measure.term.definition">      <path value="Measure.term.definition"/>       <short value="Meaning of the term"/>       <definition value="Provides a definition for the term as used within the measure."/>       <min value="0"/>       <max value="1"/>       <base>         <path value="Measure.term.definition"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="markdown"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?)"/>       </mapping>     </element>     <element id="Measure.guidance">      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">        <valueCode value="deprecated"/>       </extension>       <path value="Measure.guidance"/>       <short value="Additional guidance for implementers (deprecated)"/>       <definition value="Additional guidance for the measure including how it can be used in a clinical

       context, and the intent of the measure."/> 
      <comment value="NOTE: This element is deprecated in favor of the usage element"/>       <requirements value="Measure developers must be able to provide additional guidance for implementers

       to understand the intent with greater specificity than that provided in the population
       criteria of the measure. This element provides detailed guidance, where the usage
       element provides a summary of the guidance."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Measure.guidance"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="markdown"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?)"/>       </mapping>     </element>     <element id="Measure.group">      <path value="Measure.group"/>       <short value="Population criteria group"/>       <definition value="A group of population criteria for the measure."/>       <min value="0"/>       <max value="*"/>       <base>         <path value="Measure.group"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="BackboneElement"/>       </type>       <condition value="mea-1"/>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value=".outboundRelationship[typeCode=COMP]"/>       </mapping>     </element>     <element id="Measure.group.id">      <path value="Measure.group.id"/>       <representation value="xmlAttr"/>       <short value="Unique id for inter-element referencing"/>       <definition value="Unique id for the element within a resource (for internal references). This may

       be any string value that does not contain spaces."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Element.id"/>         <min value="0"/>         <max value="1"/>       </base>       <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler

       magic (j)  -->
      <type>         <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">          <valueUrl value="string"/>         </extension>         <code value="http://hl7.org/fhirpath/System.String"/>       </type>       <condition value="ele-1"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="Measure.group.extension">      <path value="Measure.group.extension"/>       <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. To make the use of extensions safe and manageable, there is a strict set
       of governance  applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part of the
       definition of the extension.
      There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone.
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      

       of the element. To make the use of extensions safe and managable, there is a strict
       set of governance applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part
       of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,

       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="Element.extension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <constraint>         <key value="ext-1"/>         <severity value="error"/>         <human value="Must have either extensions or value[x], not both"/>         <expression value="extension.exists() != value.exists()"/>         <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>       </constraint>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="Measure.group.modifierExtension">      <path value="Measure.group.modifierExtension"/>       <short value="Extensions that cannot be ignored even if unrecognized"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element and that modifies the understanding of the element in which it is contained
       and/or the understanding of the containing element's descendants. Usually modifier elements
       provide negation or qualification. To make the use of extensions safe and manageable,
       there is a strict set of governance applied to the definition and use of extensions. Though
       any implementer can define an extension, there is a set of requirements that SHALL be
       met as part of the definition of the extension. Applications processing a resource are
       required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
       (including cannot change the meaning of modifierExtension itself).
      There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone.
      Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly
       distinguished from the vast majority of extensions which can be safely ignored.  This
       promotes interoperability by eliminating the need for implementers to prohibit the presence
       of extensions. For further information, see the [definition of modifier extensions](extensibility.ht
      ml#modifierExtension).
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      Modifier extensions are expected to modify the meaning or interpretation of the element
       that contains them
      
      
        
        
      
    
    
      

       of the element and that modifies the understanding of the element in which it is
       contained and/or the understanding of the containing element's descendants. Usually
       modifier elements provide negation or qualification. To make the use of extensions
       safe and managable, there is a strict set of governance applied to the definition
       and use of extensions. Though any implementer can define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension.
       Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,

       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be

       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition
       of modifier extensions](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <alias value="modifiers"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="BackboneElement.modifierExtension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <constraint>         <key value="ext-1"/>         <severity value="error"/>         <human value="Must have either extensions or value[x], not both"/>         <expression value="extension.exists() != value.exists()"/>         <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>       </constraint>       <isModifier value="true"/>       <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the

       element that contains them"/> 
      <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value="N/A"/>       </mapping>     </element>     <element id="Measure.group.linkId">      <path value="Measure.group.linkId"/>       <short value="Unique id for group in measure"/>       <definition value="An identifier that is unique within the Measure allowing linkage to the equivalent

       item in a MeasureReport resource."/> 
      <comment value="This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended

       to have any meaning.  GUIDs or sequential numbers are appropriate here.
LinkIds can have whitespaces and slashes by design. Tooling should not rely on
       linkIds being valid XHTML element IDs, and should not directly embed them as such"/> 
      <requirements value="[MeasureReport](measurereport.html#) does not require omitted groups to be included."/>       <min value="0"/>       <max value="1"/>       <base>         <path value="Measure.group.linkId"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="string"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <constraint>         <key value="mea-2"/>         <severity value="warning"/>         <human value="Link ids should be 255 characters or less"/>         <expression value="$this.length() &lt;= 255"/>         <source value="http://hl7.org/fhir/StructureDefinition/Measure"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value=".id"/>       </mapping>     </element>     <element id="Measure.group.code">      <path value="Measure.group.code"/>       <short value="Meaning of the group"/>       <definition value="Indicates a meaning for the group. This can be as simple as a unique identifier,

       or it can establish meaning in a broader context by drawing from a terminology,
       allowing groups to be correlated across measures."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Measure.group.code"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="MeasureGroupExample"/>         </extension>         <strength value="example"/>         <description value="Example of measure groups."/>         <valueSet value="http://hl7.org/fhir/ValueSet/measure-group-example"/>       </binding>       <mapping>         <identity value="rim"/>         <map value=".code"/>       </mapping>     </element>     <element id="Measure.group.description">      <path value="Measure.group.description"/>       <short value="Summary description"/>       <definition value="The human readable description of this population group."/>       <min value="0"/>       <max value="1"/>       <base>         <path value="Measure.group.description"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="markdown"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value=".text"/>       </mapping>     </element>     <element id="Measure.group.type">      <path value="Measure.group.type"/>       <short value="process | outcome | structure | patient-reported-outcome | composite"/>       <definition value="Indicates whether the measure is used to examine a process, an outcome over time,

       a patient-reported outcome, or a structure measure such as utilization."/> 
      <comment value="When specified at the group level, defines the measure type for this specific group.

       If not specified, the measureType of the group is determined by the root type element"/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="Measure.group.type"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="MeasureType"/>         </extension>         <strength value="extensible"/>         <valueSet value="http://hl7.org/fhir/ValueSet/measure-type"/>       </binding>       <mapping>         <identity value="rim"/>         <map value=".typeCode"/>       </mapping>     </element>     <element id="Measure.group.subject[x]">      <path value="Measure.group.subject[x]"/>       <short value="E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device"/>       <definition value="The intended subjects for the measure. If this element is not provided, a Patient

       subject is assumed, but the subject of the measure can be anything."/> 
      <comment value="The subject of the measure is critical in interpreting the criteria definitions,

       as the logic in the measures is evaluated with respect to a particular subject.
       This corresponds roughly to the notion of a Compartment in that it limits what
       content is available based on its relationship to the subject. In CQL, this corresponds
       to the context declaration."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Measure.group.subject[x]"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/>       </type>       <meaningWhenMissing value="Patient"/>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="SubjectType"/>         </extension>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">          <valueBoolean value="true"/>         </extension>         <strength value="extensible"/>         <description value="The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization,

         Location, etc.)."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/participant-resource-types"/>       </binding>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?) { only applies for subject Patient? }"/>       </mapping>     </element>     <element id="Measure.group.basis">      <path value="Measure.group.basis"/>       <short value="Population basis"/>       <definition value="The population basis specifies the type of elements in the population. For a subject-based

       measure, this is boolean (because the subject and the population basis are the
       same, and the population criteria define yes/no values for each individual in the
       population). For measures that have a population basis that is different than the
       subject, this element specifies the type of the population basis. For example,
       an encounter-based measure has a subject of Patient and a population basis of Encounter,
       and the population criteria all return lists of Encounters."/> 
      <comment value="When specified at the group level, defines the population basis for this specific

       group. If not specified, the basis for the group is determined by the root basis
       element"/> 
      <requirements value="Allows non-subject-based measures to be specified"/>       <min value="0"/>       <max value="1"/>       <base>         <path value="Measure.group.basis"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="code"/>       </type>       <meaningWhenMissing value="boolean"/>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="BasisType"/>         </extension>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">          <valueBoolean value="true"/>         </extension>         <strength value="required"/>         <valueSet value="http://hl7.org/fhir/ValueSet/fhir-types|5.0.0"/>       </binding>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?) { only applies for subject Patient? }"/>       </mapping>     </element>     <element id="Measure.group.scoring">      <path value="Measure.group.scoring"/>       <short value="proportion | ratio | continuous-variable | cohort"/>       <definition value="Indicates how the calculation is performed for the measure, including proportion,

       ratio, continuous-variable, and cohort. The value set is extensible, allowing additional
       measure scoring types to be represented."/> 
      <comment value="When specified at the group level, defines the scoring for this specific group.

       If not specified, scoring for this group is determined by the root scoring element"/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Measure.group.scoring"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="MeasureScoring"/>         </extension>         <strength value="extensible"/>         <valueSet value="http://terminology.hl7.org/ValueSet/measure-scoring"/>       </binding>       <mapping>         <identity value="rim"/>         <map value=".methodCode { the aspect of how the calculation is performed }"/>       </mapping>     </element>     <element id="Measure.group.scoringUnit">      <path value="Measure.group.scoringUnit"/>       <short value="What units?"/>       <definition value="Defines the expected units of measure for the measure score. This element SHOULD

       be specified as a UCUM unit."/> 
      <comment value="When specified at the group level, this defines the scoringUnit for this specific

       group. If not specified, the scoringUnit for this group is determined by the root
       scoringUnit element. As with the root element, when this element is specified,
       implementations are expected to report measure scores in the specified units. Note
       that this may involve unit conversion if the expected units are different than
       the units of the resulting score calculation. In this case, unit conversions SHALL
       be performed according to the unit conversion semantics specified by UCUM."/> 
      <requirements value="When the unit cannot be inferred directly from the calculation logic, this element

       allows the specification of the desired units of measure of the output."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Measure.group.scoringUnit"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="MeasureScoringUnit"/>         </extension>         <strength value="example"/>         <valueSet value="http://hl7.org/fhir/ValueSet/measure-scoring-unit"/>       </binding>       <mapping>         <identity value="rim"/>         <map value=".methodCode { the aspect of how the calculation is performed }"/>       </mapping>     </element>     <element id="Measure.group.rateAggregation">      <path value="Measure.group.rateAggregation"/>       <short value="How is rate aggregation performed for this measure"/>       <definition value="Describes how to combine the information calculated, based on logic in each of

       several populations, into one summarized result."/> 
      <comment value="The measure rate for an organization or clinician is based upon the entities’ aggregate

       data and summarizes the performance of the entity over a given time period (e.g.,
       monthly, quarterly, yearly). The aggregated data are derived from the results of
       a specific measure algorithm and, if appropriate, the application of specific risk
       adjustment models.  Can also be used to describe how to risk adjust the data based
       on supplemental data elements described in the eMeasure (e.g., pneumonia hospital
       measures antibiotic selection in the ICU versus non-ICU and then the roll-up of
       the two). This could be applied to aggregated cohort measure definitions (e.g.,
       CDC's aggregate reporting for TB at the state level)."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Measure.group.rateAggregation"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="markdown"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?)"/>       </mapping>     </element>     <element id="Measure.group.improvementNotation">      <path value="Measure.group.improvementNotation"/>       <short value="increase | decrease"/>       <definition value="Information on whether an increase or decrease in score is the preferred result

       (e.g., a higher score indicates better quality OR a lower score indicates better
       quality OR quality is within a range)."/> 
      <comment value="When specified at the group level, this element defines the improvementNotation

       for this specific group. If not specified, improvementNotation for this group is
       determined by the root improvementNotation element"/> 
      <requirements value="Measure consumers and implementers must be able to determine how to interpret a

       measure score."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Measure.group.improvementNotation"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="MeasureImprovementNotation"/>         </extension>         <strength value="required"/>         <valueSet value="http://hl7.org/fhir/ValueSet/measure-improvement-notation|5.0.0"/>       </binding>       <mapping>         <identity value="rim"/>         <map value=".methodCode { the aspect of how the calculation is performed }"/>       </mapping>     </element>     <element id="Measure.group.library">      <path value="Measure.group.library"/>       <short value="Logic used by the measure group"/>       <definition value="A reference to a Library resource containing the formal logic used by the measure

       group."/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="Measure.group.library"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="canonical"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Library"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?)"/>       </mapping>     </element>     <element id="Measure.group.population">      <path value="Measure.group.population"/>       <short value="Population criteria"/>       <definition value="A population criteria for the measure."/>       <min value="0"/>       <max value="*"/>       <base>         <path value="Measure.group.population"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="BackboneElement"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value=".outboundRelationship[typeCode=COMP]"/>       </mapping>     </element>     <element id="Measure.group.population.id">      <path value="Measure.group.population.id"/>       <representation value="xmlAttr"/>       <short value="Unique id for inter-element referencing"/>       <definition value="Unique id for the element within a resource (for internal references). This may

       be any string value that does not contain spaces."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Element.id"/>         <min value="0"/>         <max value="1"/>       </base>       <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler

       magic (j)  -->
      <type>         <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">          <valueUrl value="string"/>         </extension>         <code value="http://hl7.org/fhirpath/System.String"/>       </type>       <condition value="ele-1"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="Measure.group.population.extension">      <path value="Measure.group.population.extension"/>       <short value="Additional content defined by implementations"/>       <definition value="May be used to represent additional information that is not part of the basic definition

       of the element. To make the use of extensions safe and managable, there is a strict
       set of governance applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part
       of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,

       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="Element.extension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <constraint>         <key value="ext-1"/>         <severity value="error"/>         <human value="Must have either extensions or value[x], not both"/>         <expression value="extension.exists() != value.exists()"/>         <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>       </constraint>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="Measure.group.population.modifierExtension">      <path value="Measure.group.population.modifierExtension"/>       <short value="Extensions that cannot be ignored even if unrecognized"/>       <definition value="May be used to represent additional information that is not part of the basic definition

       of the element and that modifies the understanding of the element in which it is
       contained and/or the understanding of the containing element's descendants. Usually
       modifier elements provide negation or qualification. To make the use of extensions
       safe and managable, there is a strict set of governance applied to the definition
       and use of extensions. Though any implementer can define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension.
       Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,

       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be

       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition
       of modifier extensions](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <alias value="modifiers"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="BackboneElement.modifierExtension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <constraint>         <key value="ext-1"/>         <severity value="error"/>         <human value="Must have either extensions or value[x], not both"/>         <expression value="extension.exists() != value.exists()"/>         <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>       </constraint>       <isModifier value="true"/>       <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the

       element that contains them"/> 
      <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value="N/A"/>       </mapping>     </element>     <element id="Measure.group.population.linkId">      <path value="Measure.group.population.linkId"/>       <short value="Unique id for population in measure"/>       <definition value="An identifier that is unique within the Measure allowing linkage to the equivalent

       population in a MeasureReport resource."/> 
      <comment value="This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended

       to have any meaning.  GUIDs or sequential numbers are appropriate here.
LinkIds can have whitespaces and slashes by design. Tooling should not rely on
       linkIds being valid XHTML element IDs, and should not directly embed them as such"/> 
      <requirements value="[MeasureReport](measurereport.html#) does not require omitted populations to be

       included."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Measure.group.population.linkId"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="string"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <constraint>         <key value="mea-3"/>         <severity value="warning"/>         <human value="Link ids should be 255 characters or less"/>         <expression value="$this.length() &lt;= 255"/>         <source value="http://hl7.org/fhir/StructureDefinition/Measure"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value=".id"/>       </mapping>     </element>     <element id="Measure.group.population.code">      <path value="Measure.group.population.code"/> 
      <short value="initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion
       | denominator-exception | measure-population | measure-population-exclusion | measure-observation
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
          
        
        
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
        
      
    
    
      
      
      An expression that specifies the criteria for the population, typically the name of an
       expression in a library.
      In the case of a continuous-variable or ratio measure, this may be the name of a function
       that calculates the value of the individual observation for each patient or event in the
       population. For these types of measures, individual observations are reported as observation
       resources included in the evaluatedResources bundle for each patient. See the MeasureReport
       resource or the Quality Reporting topic for more information.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
        
      
    
    
      
      
      The stratifier criteria for the measure report, specified as either the name of a valid
       CQL expression defined within a referenced library or a valid FHIR Resource Path.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
        
      
    
    
      
      
      
      Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces.
      
      
      
        
        
        
      
      
        
          
        
        
      
      
      
      
        
        
      
    
    
      
      

       | denominator-exception | measure-population | measure-population-exclusion | measure-observa
      tion"/> 
      <definition value="The type of population criteria."/>       <min value="0"/>       <max value="1"/>       <base>         <path value="Measure.group.population.code"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="MeasurePopulationType"/>         </extension>         <strength value="extensible"/>         <description value="The type of population."/>         <valueSet value="http://hl7.org/fhir/ValueSet/measure-population"/>       </binding>       <mapping>         <identity value="rim"/>         <map value=".code"/>       </mapping>     </element>     <element id="Measure.group.population.description">      <path value="Measure.group.population.description"/>       <short value="The human readable description of this population criteria"/>       <definition value="The human readable description of this population criteria."/>       <min value="0"/>       <max value="1"/>       <base>         <path value="Measure.group.population.description"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="markdown"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value=".text"/>       </mapping>     </element>     <element id="Measure.group.population.criteria">      <path value="Measure.group.population.criteria"/>       <short value="The criteria that defines this population"/>       <definition value="An expression that specifies the criteria for the population, typically the name

       of an expression in a library."/> 
      <comment value="In the case of a continuous-variable or ratio measure, this may be the name of

       a function that calculates the value of the individual observation for each patient
       or event in the population. For these types of measures, individual observations
       are reported as observation resources included in the evaluatedResources bundle
       for each patient. See the MeasureReport resource or the Quality Reporting topic
       for more information."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Measure.group.population.criteria"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="Expression"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?)"/>       </mapping>     </element>     <element id="Measure.group.population.groupDefinition">      <path value="Measure.group.population.groupDefinition"/>       <short value="A group resource that defines this population"/>       <definition value="A Group resource that defines this population as a set of characteristics."/>       <comment value="Note that this approach can only be used for measures where the basis is of the

       same type as the populations (e.g. a Patient-based measure, rather than an Encounter-based
       measure). In addition, the referenced Group resource SHALL be a definitional (as
       opposed to an actual) group."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Measure.group.population.groupDefinition"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?)"/>       </mapping>     </element>     <element id="Measure.group.population.inputPopulationId">      <path value="Measure.group.population.inputPopulationId"/>       <short value="Which population"/>       <definition value="The id of a population element in this measure that provides the input for this

       population criteria. In most cases, the scoring structure of the measure implies
       specific relationships (e.g. the Numerator uses the Denominator as the source in
       a proportion scoring). In some cases, however, multiple possible choices exist
       and must be resolved explicitly. For example in a ratio measure with multiple initial
       populations, the denominator must specify which population should be used as the
       starting point."/> 
      <requirements value="For ratio and continuous variable measures, the source populations must be specified

       explicitly when they cannot be unambiguously determined from the scoring structure."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Measure.group.population.inputPopulationId"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="string"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?)"/>       </mapping>     </element>     <element id="Measure.group.population.aggregateMethod">      <path value="Measure.group.population.aggregateMethod"/>       <short value="Aggregation method for a measure score (e.g. sum, average, median, minimum, maximum,

       count)"/> 
      <definition value="Specifies which method should be used to aggregate measure observation values.

       For most scoring types, this is implied by scoring (e.g. a proportion measure counts
       members of the populations). For continuous variables, however, this information
       must be specified to ensure correct calculation."/> 
      <requirements value="For continuous variable measures, specifications must be able to indicate the aggregation

       method to be used for tallying results from individual observations."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Measure.group.population.aggregateMethod"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="MeasureAggregateMethod"/>         </extension>         <strength value="extensible"/>         <valueSet value="http://hl7.org/fhir/ValueSet/measure-aggregate-method"/>       </binding>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?)"/>       </mapping>     </element>     <element id="Measure.group.stratifier">      <path value="Measure.group.stratifier"/>       <short value="Stratifier criteria for the measure"/>       <definition value="The stratifier criteria for the measure report, specified as either the name of

       a valid CQL expression defined within a referenced library or a valid FHIR Resource
       Path."/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="Measure.group.stratifier"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="BackboneElement"/>       </type>       <condition value="mea-1"/>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value=".outboundRelationship[typeCode=COMP]"/>       </mapping>     </element>     <element id="Measure.group.stratifier.id">      <path value="Measure.group.stratifier.id"/>       <representation value="xmlAttr"/>       <short value="Unique id for inter-element referencing"/>       <definition value="Unique id for the element within a resource (for internal references). This may

       be any string value that does not contain spaces."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Element.id"/>         <min value="0"/>         <max value="1"/>       </base>       <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler

       magic (j)  -->
      <type>         <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">          <valueUrl value="string"/>         </extension>         <code value="http://hl7.org/fhirpath/System.String"/>       </type>       <condition value="ele-1"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="Measure.group.stratifier.extension">      <path value="Measure.group.stratifier.extension"/>       <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. To make the use of extensions safe and manageable, there is a strict set
       of governance  applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part of the
       definition of the extension.
      There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone.
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      

       of the element. To make the use of extensions safe and managable, there is a strict
       set of governance applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part
       of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,

       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="Element.extension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <constraint>         <key value="ext-1"/>         <severity value="error"/>         <human value="Must have either extensions or value[x], not both"/>         <expression value="extension.exists() != value.exists()"/>         <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>       </constraint>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="Measure.group.stratifier.modifierExtension">      <path value="Measure.group.stratifier.modifierExtension"/>       <short value="Extensions that cannot be ignored even if unrecognized"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element and that modifies the understanding of the element in which it is contained
       and/or the understanding of the containing element's descendants. Usually modifier elements
       provide negation or qualification. To make the use of extensions safe and manageable,
       there is a strict set of governance applied to the definition and use of extensions. Though
       any implementer can define an extension, there is a set of requirements that SHALL be
       met as part of the definition of the extension. Applications processing a resource are
       required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
       (including cannot change the meaning of modifierExtension itself).
      There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone.
      Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly
       distinguished from the vast majority of extensions which can be safely ignored.  This
       promotes interoperability by eliminating the need for implementers to prohibit the presence
       of extensions. For further information, see the [definition of modifier extensions](extensibility.ht
      ml#modifierExtension).
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      Modifier extensions are expected to modify the meaning or interpretation of the element
       that contains them
      
      
        
        
      
    
    
      
      

       of the element and that modifies the understanding of the element in which it is
       contained and/or the understanding of the containing element's descendants. Usually
       modifier elements provide negation or qualification. To make the use of extensions
       safe and managable, there is a strict set of governance applied to the definition
       and use of extensions. Though any implementer can define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension.
       Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,

       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be

       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition
       of modifier extensions](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <alias value="modifiers"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="BackboneElement.modifierExtension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <constraint>         <key value="ext-1"/>         <severity value="error"/>         <human value="Must have either extensions or value[x], not both"/>         <expression value="extension.exists() != value.exists()"/>         <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>       </constraint>       <isModifier value="true"/>       <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the

       element that contains them"/> 
      <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value="N/A"/>       </mapping>     </element>     <element id="Measure.group.stratifier.linkId">      <path value="Measure.group.stratifier.linkId"/>       <short value="Unique id for stratifier in measure"/>       <definition value="An identifier that is unique within the Measure allowing linkage to the equivalent

       item in a MeasureReport resource."/> 
      <comment value="This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended

       to have any meaning.  GUIDs or sequential numbers are appropriate here.
LinkIds can have whitespaces and slashes by design. Tooling should not rely on
       linkIds being valid XHTML element IDs, and should not directly embed them as such"/> 
      <requirements value="[MeasureReport](measurereport.html#) does not require omitted stratifiers to be

       included."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Measure.group.stratifier.linkId"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="string"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <constraint>         <key value="mea-4"/>         <severity value="warning"/>         <human value="Link ids should be 255 characters or less"/>         <expression value="$this.length() &lt;= 255"/>         <source value="http://hl7.org/fhir/StructureDefinition/Measure"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value=".id"/>       </mapping>     </element>     <element id="Measure.group.stratifier.code">      <path value="Measure.group.stratifier.code"/>       <short value="Meaning of the stratifier"/> 
      <definition value="Indicates a meaning for the stratifier. This can be as simple as a unique identifier,
       or it can establish meaning in a broader context by drawing from a terminology, allowing
       stratifiers to be correlated across measures.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
          
        
        
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
        
      
    
    
      
      
      An expression that specifies the criteria for the stratifier. This is typically the name
       of an expression defined within a referenced library, but it may also be a path to a stratifier
       element.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
        
      
    
    
      
      
      A component of the stratifier criteria for the measure report, specified as either the
       name of a valid CQL expression defined within a referenced library or a valid FHIR Resource
       Path.
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
        
      
    
    
      
      
      
      Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces.
      
      
      
        
        
        
      
      
        
          
        
        
      
      
      
      
        
        
      
    
    
      
      

       or it can establish meaning in a broader context by drawing from a terminology,
       allowing stratifiers to be correlated across measures."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Measure.group.stratifier.code"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <condition value="mea-1"/>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="MeasureStratifierExample"/>         </extension>         <strength value="example"/>         <description value="Meaning of the stratifier."/>         <valueSet value="http://hl7.org/fhir/ValueSet/measure-stratifier-example"/>       </binding>       <mapping>         <identity value="rim"/>         <map value=".code"/>       </mapping>     </element>     <element id="Measure.group.stratifier.description">      <path value="Measure.group.stratifier.description"/>       <short value="The human readable description of this stratifier"/>       <definition value="The human readable description of this stratifier criteria."/>       <min value="0"/>       <max value="1"/>       <base>         <path value="Measure.group.stratifier.description"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="markdown"/>       </type>       <condition value="mea-1"/>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value=".text"/>       </mapping>     </element>     <element id="Measure.group.stratifier.criteria">      <path value="Measure.group.stratifier.criteria"/>       <short value="How the measure should be stratified"/>       <definition value="An expression that specifies the criteria for the stratifier. This is typically

       the name of an expression defined within a referenced library, but it may also
       be a path to a stratifier element."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Measure.group.stratifier.criteria"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="Expression"/>       </type>       <condition value="mea-1"/>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?)"/>       </mapping>     </element>     <element id="Measure.group.stratifier.groupDefinition">      <path value="Measure.group.stratifier.groupDefinition"/>       <short value="A group resource that defines this population"/>       <definition value="A Group resource that defines this population as a set of characteristics."/>       <comment value="Note that this approach can only be used for measures where the basis is of the

       same type as the populations (e.g. a Patient-based measure, rather than an Encounter-based
       measure). In addition, the referenced Group SHALL be a definitional (as opposed
       to an actual) group."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Measure.group.stratifier.groupDefinition"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?)"/>       </mapping>     </element>     <element id="Measure.group.stratifier.component">      <path value="Measure.group.stratifier.component"/>       <short value="Stratifier criteria component for the measure"/>       <definition value="A component of the stratifier criteria for the measure report, specified as either

       the name of a valid CQL expression defined within a referenced library or a valid
       FHIR Resource Path."/> 
      <comment value="Stratifiers are defined either as a single criteria, or as a set of component criteria."/>       <min value="0"/>       <max value="*"/>       <base>         <path value="Measure.group.stratifier.component"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="BackboneElement"/>       </type>       <condition value="mea-1"/>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value=".outboundRelationship[typeCode=COMP]"/>       </mapping>     </element>     <element id="Measure.group.stratifier.component.id">      <path value="Measure.group.stratifier.component.id"/>       <representation value="xmlAttr"/>       <short value="Unique id for inter-element referencing"/>       <definition value="Unique id for the element within a resource (for internal references). This may

       be any string value that does not contain spaces."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Element.id"/>         <min value="0"/>         <max value="1"/>       </base>       <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler

       magic (j)  -->
      <type>         <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">          <valueUrl value="string"/>         </extension>         <code value="http://hl7.org/fhirpath/System.String"/>       </type>       <condition value="ele-1"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="Measure.group.stratifier.component.extension">      <path value="Measure.group.stratifier.component.extension"/>       <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. To make the use of extensions safe and manageable, there is a strict set
       of governance  applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part of the
       definition of the extension.
      There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone.
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      

       of the element. To make the use of extensions safe and managable, there is a strict
       set of governance applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part
       of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,

       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="Element.extension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <constraint>         <key value="ext-1"/>         <severity value="error"/>         <human value="Must have either extensions or value[x], not both"/>         <expression value="extension.exists() != value.exists()"/>         <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>       </constraint>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="Measure.group.stratifier.component.modifierExtension">      <path value="Measure.group.stratifier.component.modifierExtension"/>       <short value="Extensions that cannot be ignored even if unrecognized"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element and that modifies the understanding of the element in which it is contained
       and/or the understanding of the containing element's descendants. Usually modifier elements
       provide negation or qualification. To make the use of extensions safe and manageable,
       there is a strict set of governance applied to the definition and use of extensions. Though
       any implementer can define an extension, there is a set of requirements that SHALL be
       met as part of the definition of the extension. Applications processing a resource are
       required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
       (including cannot change the meaning of modifierExtension itself).
      There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone.
      Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly
       distinguished from the vast majority of extensions which can be safely ignored.  This
       promotes interoperability by eliminating the need for implementers to prohibit the presence
       of extensions. For further information, see the [definition of modifier extensions](extensibility.ht
      ml#modifierExtension).
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      Modifier extensions are expected to modify the meaning or interpretation of the element
       that contains them
      
      
        
        
      
    
    
      
      
      Indicates a meaning for the stratifier component. This can be as simple as a unique identifier,
       or it can establish meaning in a broader context by drawing from a terminology, allowing
       stratifiers to be correlated across measures.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
          
        
        
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
        
      
    
    
      
      
      An expression that specifies the criteria for this component of the stratifier. This is
       typically the name of an expression defined within a referenced library, but it may also
       be a path to a stratifier element.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
        
      
    
    
      
      
      The supplemental data criteria for the measure report, specified as either the name of
       a valid CQL expression within a referenced library, or a valid FHIR Resource Path.
      Note that supplemental data are reported as observations for each patient and included
       in the evaluatedResources bundle. See the MeasureReport resource or the Quality Reporting
       topic for more information.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
        
      
    
    
      
      
      
      Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces.
      
      
      
        
        
        
      
      
        
          
        
        
      
      
      
      
        
        
      
    
    
      
      

       of the element and that modifies the understanding of the element in which it is
       contained and/or the understanding of the containing element's descendants. Usually
       modifier elements provide negation or qualification. To make the use of extensions
       safe and managable, there is a strict set of governance applied to the definition
       and use of extensions. Though any implementer can define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension.
       Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,

       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be

       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition
       of modifier extensions](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <alias value="modifiers"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="BackboneElement.modifierExtension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <constraint>         <key value="ext-1"/>         <severity value="error"/>         <human value="Must have either extensions or value[x], not both"/>         <expression value="extension.exists() != value.exists()"/>         <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>       </constraint>       <isModifier value="true"/>       <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the

       element that contains them"/> 
      <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value="N/A"/>       </mapping>     </element>     <element id="Measure.group.stratifier.component.linkId">      <path value="Measure.group.stratifier.component.linkId"/>       <short value="Unique id for stratifier component in measure"/>       <definition value="An identifier that is unique within the Measure allowing linkage to the equivalent

       item in a MeasureReport resource."/> 
      <comment value="This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended

       to have any meaning.  GUIDs or sequential numbers are appropriate here.
LinkIds can have whitespaces and slashes by design. Tooling should not rely on
       linkIds being valid XHTML element IDs, and should not directly embed them as such"/> 
      <requirements value="[MeasureReport](measurereport.html#) does not require omitted stratifier components

       to be included."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Measure.group.stratifier.component.linkId"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="string"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <constraint>         <key value="mea-5"/>         <severity value="warning"/>         <human value="Link ids should be 255 characters or less"/>         <expression value="$this.length() &lt;= 255"/>         <source value="http://hl7.org/fhir/StructureDefinition/Measure"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value=".id"/>       </mapping>     </element>     <element id="Measure.group.stratifier.component.code">      <path value="Measure.group.stratifier.component.code"/>       <short value="Meaning of the stratifier component"/>       <definition value="Indicates a meaning for the stratifier component. This can be as simple as a unique

       identifier, or it can establish meaning in a broader context by drawing from a
       terminology, allowing stratifiers to be correlated across measures."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Measure.group.stratifier.component.code"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="MeasureStratifierExample"/>         </extension>         <strength value="example"/>         <description value="Meaning of the stratifier."/>         <valueSet value="http://hl7.org/fhir/ValueSet/measure-stratifier-example"/>       </binding>       <mapping>         <identity value="rim"/>         <map value=".code"/>       </mapping>     </element>     <element id="Measure.group.stratifier.component.description">      <path value="Measure.group.stratifier.component.description"/>       <short value="The human readable description of this stratifier component"/>       <definition value="The human readable description of this stratifier criteria component."/>       <min value="0"/>       <max value="1"/>       <base>         <path value="Measure.group.stratifier.component.description"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="markdown"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value=".text"/>       </mapping>     </element>     <element id="Measure.group.stratifier.component.criteria">      <path value="Measure.group.stratifier.component.criteria"/>       <short value="Component of how the measure should be stratified"/>       <definition value="An expression that specifies the criteria for this component of the stratifier.

       This is typically the name of an expression defined within a referenced library,
       but it may also be a path to a stratifier element."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Measure.group.stratifier.component.criteria"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="Expression"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?)"/>       </mapping>     </element>     <element id="Measure.group.stratifier.component.groupDefinition">      <path value="Measure.group.stratifier.component.groupDefinition"/>       <short value="A group resource that defines this population"/>       <definition value="A Group resource that defines this population as a set of characteristics."/>       <comment value="Note that this approach can only be used for measures where the basis is of the

       same type as the populations (e.g. a Patient-based measure, rather than an Encounter-based
       measure). In addition, the referenced Group SHALL be a definitional (as opposed
       to an actual) group."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Measure.group.stratifier.component.groupDefinition"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?)"/>       </mapping>     </element>     <element id="Measure.supplementalData">      <path value="Measure.supplementalData"/>       <short value="What other data should be reported with the measure"/>       <definition value="The supplemental data criteria for the measure report, specified as either the

       name of a valid CQL expression within a referenced library, or a valid FHIR Resource
       Path."/> 
      <comment value="Note that supplemental data are reported as resources for each patient and referenced

       in the supplementalData element of the MeasureReport. If the supplementalData expression
       results in a value other than a resource, it is reported using an Observation resource,
       typically contained in the resulting MeasureReport. See the MeasureReport resource
       and the Quality Reporting topic for more information."/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="Measure.supplementalData"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="BackboneElement"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value=".outboundRelationship[typeCode=COMP]"/>       </mapping>     </element>     <element id="Measure.supplementalData.id">      <path value="Measure.supplementalData.id"/>       <representation value="xmlAttr"/>       <short value="Unique id for inter-element referencing"/>       <definition value="Unique id for the element within a resource (for internal references). This may

       be any string value that does not contain spaces."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Element.id"/>         <min value="0"/>         <max value="1"/>       </base>       <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler

       magic (j)  -->
      <type>         <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">          <valueUrl value="string"/>         </extension>         <code value="http://hl7.org/fhirpath/System.String"/>       </type>       <condition value="ele-1"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="Measure.supplementalData.extension">      <path value="Measure.supplementalData.extension"/>       <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. To make the use of extensions safe and manageable, there is a strict set
       of governance  applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part of the
       definition of the extension.
      There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone.
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      

       of the element. To make the use of extensions safe and managable, there is a strict
       set of governance applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part
       of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,

       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="Element.extension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <constraint>         <key value="ext-1"/>         <severity value="error"/>         <human value="Must have either extensions or value[x], not both"/>         <expression value="extension.exists() != value.exists()"/>         <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>       </constraint>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="n/a"/>       </mapping>     </element>     <element id="Measure.supplementalData.modifierExtension">      <path value="Measure.supplementalData.modifierExtension"/>       <short value="Extensions that cannot be ignored even if unrecognized"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element and that modifies the understanding of the element in which it is contained
       and/or the understanding of the containing element's descendants. Usually modifier elements
       provide negation or qualification. To make the use of extensions safe and manageable,
       there is a strict set of governance applied to the definition and use of extensions. Though
       any implementer can define an extension, there is a set of requirements that SHALL be
       met as part of the definition of the extension. Applications processing a resource are
       required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
       (including cannot change the meaning of modifierExtension itself).
      There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone.
      Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly
       distinguished from the vast majority of extensions which can be safely ignored.  This
       promotes interoperability by eliminating the need for implementers to prohibit the presence
       of extensions. For further information, see the [definition of modifier extensions](extensibility.ht
      ml#modifierExtension).
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      Modifier extensions are expected to modify the meaning or interpretation of the element
       that contains them
      
      
        
        
      
    
    
      
      
      Indicates a meaning for the supplemental data. This can be as simple as a unique identifier,
       or it can establish meaning in a broader context by drawing from a terminology, allowing
       supplemental data to be correlated across measures.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
          
        
        
        
        
      
      
        
        
      
    
    
      
      
      An indicator of the intended usage for the supplemental data element. Supplemental data
       indicates the data is additional information requested to augment the measure information.
       Risk adjustment factor indicates the data is additional information used to calculate
       risk adjustment factors when applying a risk model to the measure calculation.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
          
        
        
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
        
      
    
    
      
      

       of the element and that modifies the understanding of the element in which it is
       contained and/or the understanding of the containing element's descendants. Usually
       modifier elements provide negation or qualification. To make the use of extensions
       safe and managable, there is a strict set of governance applied to the definition
       and use of extensions. Though any implementer can define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension.
       Applications processing a resource are required to check for modifier extensions.
Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,

       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be

       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition
       of modifier extensions](extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/>       <alias value="user content"/>       <alias value="modifiers"/>       <min value="0"/>       <max value="*"/>       <base>         <path value="BackboneElement.modifierExtension"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="Extension"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <constraint>         <key value="ext-1"/>         <severity value="error"/>         <human value="Must have either extensions or value[x], not both"/>         <expression value="extension.exists() != value.exists()"/>         <source value="http://hl7.org/fhir/StructureDefinition/Extension"/>       </constraint>       <isModifier value="true"/>       <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the

       element that contains them"/> 
      <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value="N/A"/>       </mapping>     </element>     <element id="Measure.supplementalData.linkId">      <path value="Measure.supplementalData.linkId"/>       <short value="Unique id for supplementalData in measure"/>       <definition value="An identifier that is unique within the Measure allowing linkage to the equivalent

       item in a MeasureReport resource."/> 
      <comment value="This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended

       to have any meaning.  GUIDs or sequential numbers are appropriate here.
LinkIds can have whitespaces and slashes by design. Tooling should not rely on
       linkIds being valid XHTML element IDs, and should not directly embed them as such"/> 
      <requirements value="[MeasureReport](measurereport.html#) does not require omitted supplementalData

       to be included."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Measure.supplementalData.linkId"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="string"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <constraint>         <key value="mea-6"/>         <severity value="warning"/>         <human value="Link ids should be 255 characters or less"/>         <expression value="$this.length() &lt;= 255"/>         <source value="http://hl7.org/fhir/StructureDefinition/Measure"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value=".id"/>       </mapping>     </element>     <element id="Measure.supplementalData.code">      <path value="Measure.supplementalData.code"/>       <short value="Meaning of the supplemental data"/>       <definition value="Indicates a meaning for the supplemental data. This can be as simple as a unique

       identifier, or it can establish meaning in a broader context by drawing from a
       terminology, allowing supplemental data to be correlated across measures."/> 
      <min value="0"/>       <max value="1"/>       <base>         <path value="Measure.supplementalData.code"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="MeasureSupplementalDataExample"/>         </extension>         <strength value="example"/>         <description value="Meaning of the supplemental data."/>         <valueSet value="http://hl7.org/fhir/ValueSet/measure-supplemental-data-example"/>       </binding>       <mapping>         <identity value="rim"/>         <map value=".code"/>       </mapping>     </element>     <element id="Measure.supplementalData.usage">      <path value="Measure.supplementalData.usage"/>       <short value="supplemental-data | risk-adjustment-factor"/>       <definition value="An indicator of the intended usage for the supplemental data element. Supplemental

       data indicates the data is additional information requested to augment the measure
       information. Risk adjustment factor indicates the data is additional information
       used to calculate risk adjustment factors when applying a risk model to the measure
       calculation."/> 
      <min value="0"/>       <max value="*"/>       <base>         <path value="Measure.supplementalData.usage"/>         <min value="0"/>         <max value="*"/>       </base>       <type>         <code value="CodeableConcept"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="MeasureDataUsage"/>         </extension>         <strength value="extensible"/>         <description value="The intended usage for supplemental data elements in the measure."/>         <valueSet value="http://hl7.org/fhir/ValueSet/measure-data-usage"/>       </binding>       <mapping>         <identity value="rim"/>         <map value=".methodCode"/>       </mapping>     </element>     <element id="Measure.supplementalData.description">      <path value="Measure.supplementalData.description"/>       <short value="The human readable description of this supplemental data"/>       <definition value="The human readable description of this supplemental data."/>       <min value="0"/>       <max value="1"/>       <base>         <path value="Measure.supplementalData.description"/>         <min value="0"/>         <max value="1"/>       </base>       <type>         <code value="markdown"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value=".text"/>       </mapping>     </element>     <element id="Measure.supplementalData.criteria">      <path value="Measure.supplementalData.criteria"/>       <short value="Expression describing additional data to be reported"/> 
      <definition value="The criteria for the supplemental data. This is typically the name of a valid expression
       defined within a referenced library, but it may also be a path to a specific data element.
       The criteria defines the data to be returned for this element.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
        
      
    
  
  
    
      
      
      
      
      
      
        
        

       defined within a referenced library, but it may also be a path to a specific data
       element. The criteria defines the data to be returned for this element."/> 
      <min value="1"/>       <max value="1"/>       <base>         <path value="Measure.supplementalData.criteria"/>         <min value="1"/>         <max value="1"/>       </base>       <type>         <code value="Expression"/>       </type>       <constraint>         <key value="ele-1"/>         <severity value="error"/>         <human value="All FHIR elements must have a @value or children"/>         <expression value="hasValue() or (children().count() &gt; id.count())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Element"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?)"/>       </mapping>     </element>   </snapshot>   <differential>     <element id="Measure">      <path value="Measure"/>       <short value="A quality measure definition"/>       <definition value="The Measure resource provides the definition of a quality measure."/>       <min value="0"/>       <max value="*"/>       <constraint>         <key value="cnl-0"/>         <severity value="warning"/> 
        <human value="Name should be usable as an identifier for the module by machine processing applications
         such as code generation
        
        
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      An absolute URI that is used to identify this measure when it is referenced in a specification,
       model, design or an instance; also called its canonical identifier. This SHOULD be globally
       unique and SHOULD be a literal address at which at which an authoritative instance of
       this measure is (or will be) published. This URL can be the target of a canonical reference.
       It SHALL remain the same when the measure is stored on different servers.
      Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances
       may share the same URL if they have a distinct version.

The determination of when to create a new version of a resource (same url, new version)
       vs. defining a new artifact is up to the author.  Considerations for making this decision
       are found in [Technical and Business Versions](resource.html#versions). 

In some cases, the resource can no longer be found at the stated url, but the url itself
       cannot change. Implementations can use the [meta.source](resource.html#meta) element to
       indicate where the current master source of the resource can be found.
      
      
      
      
        
      
      
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      A formal identifier that is used to identify this measure when it is represented in other
       formats, or referenced in a specification, model, design or an instance.

         such as code generation"/> 
        <expression value="name.exists() implies name.matches('^[A-Z]([A-Za-z0-9_]){1,254}$')"/>         <source value="http://hl7.org/fhir/StructureDefinition/Measure"/>       </constraint>       <constraint>         <key value="mea-1"/>         <severity value="error"/>         <human value="Stratifier SHALL be either a single criteria or a set of criteria components"/>         <expression value="group.stratifier.all((code | description | criteria).exists() xor component.exists())"/>         <source value="http://hl7.org/fhir/StructureDefinition/Measure"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <mapping>         <identity value="workflow"/>         <map value="Definition"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="clinical.general"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value="Observation[classCode=OBS, moodCode=DEFN]"/>       </mapping>     </element>     <element id="Measure.url">      <path value="Measure.url"/>       <short value="Canonical identifier for this measure, represented as a URI (globally unique)"/>       <definition value="An absolute URI that is used to identify this measure when it is referenced in

       a specification, model, design or an instance; also called its canonical identifier.
       This SHOULD be globally unique and SHOULD be a literal address at which an authoritative
       instance of this measure is (or will be) published. This URL can be the target
       of a canonical reference. It SHALL remain the same when the measure is stored on
       different servers."/> 
      <comment value="Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple

       instances may share the same URL if they have a distinct version.
The determination of when to create a new version of a resource (same url, new
       version) vs. defining a new artifact is up to the author.  Considerations for making
       this decision are found in [Technical and Business Versions](resource.html#versions).
       
In some cases, the resource can no longer be found at the stated url, but the url
       itself cannot change. Implementations can use the [meta.source](resource.html#meta)
       element to indicate where the current master source of the resource can be found."/> 
      <requirements value="Allows the measure to be referenced by a single globally unique identifier."/>       <min value="0"/>       <max value="1"/>       <type>         <code value="uri"/>       </type>       <constraint>         <key value="cnl-1"/>         <severity value="warning"/>         <human value="URL should not contain | or # - these characters make processing canonical references

         problematic"/> 
        <expression value="exists() implies matches('^[^|# ]+$')"/>         <source value="http://hl7.org/fhir/StructureDefinition/Measure"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.url"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.identifier"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".identifier[scope=BUSN;reliability=ISS]"/>       </mapping>     </element>     <element id="Measure.identifier">      <path value="Measure.identifier"/>       <short value="Additional identifier for the measure"/>       <definition value="A formal identifier that is used to identify this measure when it is represented

       in other formats, or referenced in a specification, model, design or an instance."/> 

      <comment value="Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier)
       data type, and can then identify this measure outside of FHIR, where it is not possible
       to use the logical URI.

       data type, and can then identify this measure outside of FHIR, where it is not
       possible to use the logical URI."/> 

      <requirements value="Allows externally provided and/or usable business identifiers to be easily associated
       with the module.
      
      
      
        
      
      
      
      
      
        
        
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      The identifier that is used to identify this version of the measure when it is referenced
       in a specification, model, design or instance. This is an arbitrary value managed by the
       measure author and is not expected to be globally unique. For example, it might be a timestamp
       (e.g. yyyymmdd) if a managed version is not available. There is also no expectation that
       versions can be placed in a lexicographical sequence. To provide a version consistent
       with the Decision Support Service specification, use the format Major.Minor.Revision (e.g.
       1.0.0). For more information on versioning knowledge assets, refer to the Decision Support
       Service specification. Note that a version is required for non-experimental active artifacts.
      There may be different measure instances that have the same identifier but different versions.
        The version can be appended to the url in a reference to allow a reference to a particular
       business version of the measure with the format [url]|[version].
      
      
      
        
      
      
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      A natural language name identifying the measure. This name should be usable as an identifier
       for the module by machine processing applications such as code generation.

       with the module."/> 
      <min value="0"/>       <max value="*"/>       <type>         <code value="Identifier"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.identifier"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.identifier"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".identifier"/>       </mapping>       <mapping>         <identity value="objimpl"/>         <map value="no-gen-base"/>       </mapping>     </element>     <element id="Measure.version">      <path value="Measure.version"/>       <short value="Business version of the measure"/>       <definition value="The identifier that is used to identify this version of the measure when it is

       referenced in a specification, model, design or instance. This is an arbitrary
       value managed by the measure author and is not expected to be globally unique.
       For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not
       available. There is also no expectation that versions can be placed in a lexicographical
       sequence. To provide a version consistent with the Decision Support Service specification,
       use the format Major.Minor.Revision (e.g. 1.0.0). For more information on versioning
       knowledge assets, refer to the Decision Support Service specification. Note that
       a version is required for non-experimental active artifacts."/> 
      <comment value="There may be different measure instances that have the same identifier but different

       versions.  The version can be appended to the url in a reference to allow a reference
       to a particular business version of the measure with the format [url]|[version].
       The version SHOULD NOT contain a '#' - see [Business Version](resource.html#bv-format)."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="string"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.version"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.version"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?)"/>       </mapping>       <mapping>         <identity value="objimpl"/>         <map value="no-gen-base"/>       </mapping>     </element>     <element id="Measure.versionAlgorithm[x]">      <path value="Measure.versionAlgorithm[x]"/>       <short value="How to compare versions"/>       <definition value="Indicates the mechanism used to compare versions to determine which is more current."/>       <comment value="If set as a string, this is a FHIRPath expression that has two additional context

       variables passed in - %version1 and %version2 and will return a negative number
       if version1 is newer, a positive number if version2 and a 0 if the version ordering
       can't be successfully be determined."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="string"/>       </type>       <type>         <code value="Coding"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <strength value="extensible"/>         <valueSet value="http://hl7.org/fhir/ValueSet/version-algorithm"/>       </binding>       <mapping>         <identity value="workflow"/>         <map value="Definition.versionAlgorithm"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.version"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?)"/>       </mapping>       <mapping>         <identity value="objimpl"/>         <map value="no-gen-base"/>       </mapping>     </element>     <element id="Measure.name">      <path value="Measure.name"/>       <short value="Name for this measure (computer friendly)"/>       <definition value="A natural language name identifying the measure. This name should be usable as

       an identifier for the module by machine processing applications such as code generation."/> 

      <comment value="The name is not expected to be globally unique. The name should be a simple alphanumeric
       type name to ensure that it is machine-processing friendly.
      
      
      
      
        
      
      
      
      
      
      
        
        
      
    
    
      
      
      

       type name to ensure that it is machine-processing friendly."/> 
      <requirements value="Support human navigation and code generation."/>       <min value="0"/>       <max value="1"/>       <type>         <code value="string"/>       </type>       <condition value="cnl-0"/>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.name"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value="N/A"/>       </mapping>     </element>     <element id="Measure.title">      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">        <valueBoolean value="true"/>       </extension>       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">        <valueBoolean value="true"/>       </extension>       <path value="Measure.title"/>       <short value="Name for this measure (human friendly)"/>       <definition value="A short, descriptive, user-friendly title for the measure."/> 
      <comment value="This name does not need to be machine-processing friendly and may contain punctuation,
       white-space, etc.
      
      
      
        
      
      
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      An explanatory or alternate title for the measure giving additional information about
       its content.
      
      
      
        
      
      
      
      
      
        
        
      
    
    
      
      
      
      
      
      
      
        
      
      
      
      This is labeled as &quot;Is Modifier&quot; because applications should not use a retired
       {{title}} without due consideration
      
      
        
          
        
        
          
        
        
        
        
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      A Boolean value to indicate that this measure is authored for testing purposes (or education/evaluat
      ion/marketing) and is not intended to be used for genuine usage.
      
      Enables experimental content to be developed following the same lifecycle that would be
       used for a production-level measure.
      
      
      
        
      
      
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      The intended subjects for the measure. If this element is not provided, a Patient subject
       is assumed, but the subject of the measure can be anything.
      The subject of the measure is critical in interpreting the criteria definitions, as the
       logic in the measures is evaluated with respect to a particular subject. This corresponds
       roughly to the notion of a Compartment in that it limits what content is available based
       on its relationship to the subject. In CQL, this corresponds to the context declaration.
      
      
      
        
      
      
        
        
      
      
      
      
      
      
        
          
        
        

       white-space, etc."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="string"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.title"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".title"/>       </mapping>     </element>     <element id="Measure.subtitle">      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">        <valueBoolean value="true"/>       </extension>       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">        <valueBoolean value="true"/>       </extension>       <path value="Measure.subtitle"/>       <short value="Subordinate title of the measure"/>       <definition value="An explanatory or alternate title for the measure giving additional information

       about its content."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="string"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?)"/>       </mapping>     </element>     <element id="Measure.status">      <path value="Measure.status"/>       <short value="draft | active | retired | unknown"/>       <definition value="The status of this measure. Enables tracking the life-cycle of the content."/>       <comment value="Allows filtering of measures that are appropriate for use versus not.
See guidance around (not) making local changes to elements [here](canonicalresource.html#loca
      lization)."/> 
      <min value="1"/>       <max value="1"/>       <type>         <code value="code"/>       </type>       <mustSupport value="false"/>       <isModifier value="true"/>       <isModifierReason value="This is labeled as &quot;Is Modifier&quot; because applications should not use

       a retired {{title}} without due consideration"/> 
      <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="PublicationStatus"/>         </extension>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">          <valueBoolean value="true"/>         </extension>         <strength value="required"/>         <description value="The lifecycle status of an artifact."/>         <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|5.0.0"/>       </binding>       <mapping>         <identity value="workflow"/>         <map value="Definition.status"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.status"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".status"/>       </mapping>     </element>     <element id="Measure.experimental">      <path value="Measure.experimental"/>       <short value="For testing purposes, not real usage"/>       <definition value="A Boolean value to indicate that this measure is authored for testing purposes

       (or education/evaluation/marketing) and is not intended to be used for genuine
       usage."/> 
      <comment value="Allows filtering of measures that are appropriate for use versus not."/>       <requirements value="Enables experimental content to be developed following the same lifecycle that

       would be used for a production-level measure."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="boolean"/>       </type>       <meaningWhenMissing value="If absent, this resource is treated as though it is not experimental."/>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.experimental"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.class"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?)"/>       </mapping>     </element>     <element id="Measure.subject[x]">      <path value="Measure.subject[x]"/>       <short value="E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device"/>       <definition value="The intended subjects for the measure. If this element is not provided, a Patient

       subject is assumed, but the subject of the measure can be anything."/> 
      <comment value="The subject of the measure is critical in interpreting the criteria definitions,

       as the logic in the measures is evaluated with respect to a particular subject.
       This corresponds roughly to the notion of a Compartment in that it limits what
       content is available based on its relationship to the subject. In CQL, this corresponds
       to the context declaration."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="CodeableConcept"/>       </type>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/>       </type>       <meaningWhenMissing value="Patient"/>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="SubjectType"/>         </extension>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">          <valueBoolean value="true"/>         </extension>         <strength value="extensible"/> 
        <description value="The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization,
         Location, etc.).
        
      
      
        
        
      
    
    
      
      
      The date  (and optionally time) when the measure was published. The date must change when
       the business version changes and it must change if the status code changes. In addition,
       it should change when the substantive content of the measure changes.
      Note that this is not the same as the resource last-modified-date, since the resource
       may be a secondary representation of the measure. Additional specific dates may be added
       as extensions or be found by consulting Provenances associated with past versions of the
       resource.
      
      
      
      
        
      
      
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      Usually an organization but may be an individual. The publisher (or steward) of the measure
       is the organization or individual primarily responsible for the maintenance and upkeep
       of the measure. This is not necessarily the same individual or organization that developed
       and initially authored the content. The publisher is the primary point of contact for
       questions or issues with the measure. This item SHOULD be populated unless the information
       is available from context.
      Helps establish the &quot;authority/credibility&quot; of the measure.  May also allow
       for contact.
      
      
      
        
      
      
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
      
        
      
      
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      This description can be used to capture details such as why the measure was built, comments
       about misuse, instructions for clinical use and interpretation, literature references,
       examples from the paper world, etc. It is not a rendering of the measure as conveyed in
       the 'text' field of the resource itself. This item SHOULD be populated unless the information
       is available from context (e.g. the language of the measure is presumed to be the predominant
       language in the place the measure was created).
      
      
      
        
      
      
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      The content was developed with a focus and intent of supporting the contexts that are
       listed. These contexts may be general categories (gender, age, ...) or may be references
       to specific programs (insurance plans, studies, ...) and may be used to assist with indexing
       and searching for appropriate measure instances.
      When multiple useContexts are specified, there is no expectation that all or any of the
       contexts apply.
      
      
      
      
        
      
      
      
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      It may be possible for the measure to be used in jurisdictions other than those for which
       it was originally designed or intended.
      
      
      
        
      
      
      
      
      
        
          
        
        
          
        
        
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      

         Location, etc.)."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/participant-resource-types"/>       </binding>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?) { only applies for subject Patient? }"/>       </mapping>     </element>     <element id="Measure.basis">      <path value="Measure.basis"/>       <short value="Population basis"/>       <definition value="The population basis specifies the type of elements in the population. For a subject-based

       measure, this is boolean (because the subject and the population basis are the
       same, and the population criteria define yes/no values for each individual in the
       population). For measures that have a population basis that is different than the
       subject, this element specifies the type of the population basis. For example,
       an encounter-based measure has a subject of Patient and a population basis of Encounter,
       and the population criteria all return lists of Encounters."/> 
      <comment value="For a subject-based measure, the population basis is simply boolean; all the criteria

       are expressed as true/false conditions that determine membership of an individual
       case in the population. For non-subject-based measures, the population basis can
       be any resource type, and the criteria are queries that return the subject's contribution
       to the population as a list of that resource type. For example, for a procedure-based
       measure, the population criteria would return lists of procedures that should be
       included in each population."/> 
      <requirements value="Allows non-subject-based measures to be specified. Note that because the binding

       is to all fhir types, it is possible to specify abstract types such as Resource
       or DomainResource as the basis for a measure. Authoring environments may wish to
       constrain this further, depending on content needs."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="code"/>       </type>       <meaningWhenMissing value="boolean"/>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="BasisType"/>         </extension>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">          <valueBoolean value="true"/>         </extension>         <strength value="required"/>         <valueSet value="http://hl7.org/fhir/ValueSet/fhir-types|5.0.0"/>       </binding>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?) { only applies for subject Patient? }"/>       </mapping>     </element>     <element id="Measure.date">      <path value="Measure.date"/>       <short value="Date last changed"/>       <definition value="The date  (and optionally time) when the measure was last significantly changed.

       The date must change when the business version changes and it must change if the
       status code changes. In addition, it should change when the substantive content
       of the measure changes."/> 
      <comment value="The date is often not tracked until the resource is published, but may be present

       on draft content. Note that this is not the same as the resource last-modified-date,
       since the resource may be a secondary representation of the measure. Additional
       specific dates may be added as extensions or be found by consulting Provenances
       associated with past versions of the resource.
See guidance around (not) making local changes to elements [here](canonicalresource.html#loca
      lization)."/> 
      <alias value="Revision Date"/>       <min value="0"/>       <max value="1"/>       <type>         <code value="dateTime"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.date"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.recorded"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".participation[typeCode=AUT].time"/>       </mapping>     </element>     <element id="Measure.publisher">      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">        <valueBoolean value="true"/>       </extension>       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">        <valueBoolean value="true"/>       </extension>       <path value="Measure.publisher"/>       <short value="Name of the publisher/steward (organization or individual)"/>       <definition value="The name of the organization or individual responsible for the release and ongoing

       maintenance of the measure."/> 
      <comment value="Usually an organization but may be an individual. The publisher (or steward) of

       the measure is the organization or individual primarily responsible for the maintenance
       and upkeep of the measure. This is not necessarily the same individual or organization
       that developed and initially authored the content. The publisher is the primary
       point of contact for questions or issues with the measure. This item SHOULD be
       populated unless the information is available from context."/> 
      <requirements value="Helps establish the &quot;authority/credibility&quot; of the measure.  May also

       allow for contact."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="string"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.publisher"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.witness"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value="participation[typeCode=AUT].role"/>       </mapping>     </element>     <element id="Measure.contact">      <path value="Measure.contact"/>       <short value="Contact details for the publisher"/>       <definition value="Contact details to assist a user in finding and communicating with the publisher."/>       <comment value="May be a web site, an email address, a telephone number, etc.
See guidance around (not) making local changes to elements [here](canonicalresource.html#loca
      lization)."/> 
      <min value="0"/>       <max value="*"/>       <type>         <code value="ContactDetail"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.contact"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".participation[typeCode=CALLBCK].role"/>       </mapping>     </element>     <element id="Measure.description">      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">        <valueBoolean value="true"/>       </extension>       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">        <valueBoolean value="true"/>       </extension>       <path value="Measure.description"/>       <short value="Natural language description of the measure"/>       <definition value="A free text natural language description of the measure from a consumer's perspective."/>       <comment value="This description can be used to capture details such as comments about misuse,

       instructions for clinical use and interpretation, literature references, examples
       from the paper world, etc. It is not a rendering of the measure as conveyed in
       the 'text' field of the resource itself. This item SHOULD be populated unless the
       information is available from context (e.g. the language of the measure is presumed
       to be the predominant language in the place the measure was created)."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="markdown"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.description"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".text"/>       </mapping>     </element>     <element id="Measure.useContext">      <path value="Measure.useContext"/>       <short value="The context that the content is intended to support"/>       <definition value="The content was developed with a focus and intent of supporting the contexts that

       are listed. These contexts may be general categories (gender, age, ...) or may
       be references to specific programs (insurance plans, studies, ...) and may be used
       to assist with indexing and searching for appropriate measure instances."/> 
      <comment value="When multiple useContexts are specified, there is no expectation that all or any

       of the contexts apply."/> 
      <requirements value="Assist in searching for appropriate content."/>       <min value="0"/>       <max value="*"/>       <type>         <code value="UsageContext"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.useContext"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?)"/>       </mapping>     </element>     <element id="Measure.jurisdiction">      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">        <valueCode value="deprecated"/>       </extension>       <path value="Measure.jurisdiction"/>       <short value="Intended jurisdiction for measure (if applicable)"/>       <definition value="A legal or geographic region in which the measure is intended to be used."/>       <comment value="It may be possible for the measure to be used in jurisdictions other than those

       for which it was originally designed or intended.
DEPRECATION NOTE: For consistency, implementations are encouraged to migrate to
       using the new 'jurisdiction' code in the useContext element.  (I.e. useContext.code
       indicating http://terminology.hl7.org/CodeSystem/usage-context-type#jurisdiction
       and useContext.valueCodeableConcept indicating the jurisdiction.)"/> 
      <min value="0"/>       <max value="*"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="Jurisdiction"/>         </extension>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">          <valueBoolean value="true"/>         </extension>         <strength value="extensible"/>         <description value="Countries and regions within which this artifact is targeted for use."/>         <valueSet value="http://hl7.org/fhir/ValueSet/jurisdiction"/>       </binding>       <mapping>         <identity value="workflow"/>         <map value="Definition.jurisdiction"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?)"/>       </mapping>     </element>     <element id="Measure.purpose">      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">        <valueBoolean value="true"/>       </extension>       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">        <valueBoolean value="true"/>       </extension>       <path value="Measure.purpose"/>       <short value="Why this measure is defined"/>       <definition value="Explanation of why this measure is needed and why it has been designed as it has."/> 
      <comment value="This element does not describe the usage of the measure. Instead, it provides traceability
       of ''why'' the resource is either needed or ''why'' it is defined as it is.  This may
       be used to point to source materials or specifications that drove the structure of this
       measure.
      
      
      
        
      
      
      
      
      
        
        
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
      
      
      
        
        
      
    
    
      
      

       of ''why'' the resource is either needed or ''why'' it is defined as it is.  This
       may be used to point to source materials or specifications that drove the structure
       of this measure."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="markdown"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.purpose"/>       </mapping>       <mapping>         <identity value="w5"/>         <map value="FiveWs.why[x]"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".reasonCode.text"/>       </mapping>       <mapping>         <identity value="objimpl"/>         <map value="no-gen-base"/>       </mapping>     </element>     <element id="Measure.usage">      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">        <valueBoolean value="true"/>       </extension>       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">        <valueBoolean value="true"/>       </extension>       <path value="Measure.usage"/>       <short value="Describes the clinical usage of the measure"/>       <definition value="A detailed description, from a clinical perspective, of how the measure is used."/>       <comment value="This metadata element was typically referred to as Guidance in HQMF"/>       <requirements value="Measure developers must be able to provide additional guidance for implementers

       to understand the intent with greater specificity than that provided in the population
       criteria of the measure. This element provides detailed guidance, where the usage
       element provides a summary of the guidance."/> 
      <alias value="guidance"/>       <min value="0"/>       <max value="1"/>       <type>         <code value="markdown"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?)"/>       </mapping>     </element>     <element id="Measure.copyright">      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">        <valueBoolean value="true"/>       </extension>       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">        <valueBoolean value="true"/>       </extension>       <path value="Measure.copyright"/>       <short value="Use and/or publishing restrictions"/> 
      <definition value="A copyright statement relating to the measure and/or its contents. Copyright statements
       are generally legal restrictions on the use and publishing of the measure.
      Consumers must be able to determine any legal restrictions on the use of the measure and/or
       its content.
      
      
      
      
      
        
      
      
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      
      The date on which the resource content was approved by the publisher. Approval happens
       once when the content is officially approved for usage.

       are generally legal restrictions on the use and publishing of the measure."/> 
      <comment value="The short copyright declaration (e.g. (c) '2015+ xyz organization' should be sent

       in the copyrightLabel element."/> 
      <requirements value="Consumers must be able to determine any legal restrictions on the use of the measure

       and/or its content."/> 
      <alias value="License"/>       <alias value="Restrictions"/>       <min value="0"/>       <max value="1"/>       <type>         <code value="markdown"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.copyright"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?)"/>       </mapping>       <mapping>         <identity value="objimpl"/>         <map value="no-gen-base"/>       </mapping>     </element>     <element id="Measure.copyrightLabel">      <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">        <valueBoolean value="true"/>       </extension>       <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable">        <valueBoolean value="true"/>       </extension>       <path value="Measure.copyrightLabel"/>       <short value="Copyright holder and year(s)"/>       <definition value="A short string (&lt;50 characters), suitable for inclusion in a page footer that

       identifies the copyright holder, effective period, and optionally whether rights
       are resctricted. (e.g. 'All rights reserved', 'Some rights reserved')."/> 
      <comment value="The (c) symbol should NOT be included in this string. It will be added by software

       when rendering the notation. Full details about licensing, restrictions, warrantees,
       etc. goes in the more general 'copyright' element."/> 
      <requirements value="Defines the content expected to be rendered in all representations of the artifact."/>       <min value="0"/>       <max value="1"/>       <type>         <code value="string"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.copyrightLabel"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?)"/>       </mapping>       <mapping>         <identity value="objimpl"/>         <map value="no-gen-base"/>       </mapping>     </element>     <element id="Measure.approvalDate">      <path value="Measure.approvalDate"/>       <short value="When the measure was approved by publisher"/>       <definition value="The date on which the resource content was approved by the publisher. Approval

       happens once when the content is officially approved for usage."/> 

      <comment value="The 'date' element may be more recent than the approval date because of minor changes
       or editorial corrections.
      
      
      
        
      
      
      
      
      
        
        
      
      
        
        .outboundRelationship[typeCode=SUBJ].act[classCode=CACT;moodCode=EVN;code=&quot;approval&quot;].effe
        ctiveTime
      
      
        
        
      
    
    
      
      

       or editorial corrections.
See guidance around (not) making local changes to elements [here](canonicalresource.html#loca
      lization)."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="date"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.approvalDate"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".outboundRelationship[typeCode=SUBJ].act[classCode=CACT;moodCode=EVN;code=&quot;approval&quot

        ;].effectiveTime"/> 
      </mapping>       <mapping>         <identity value="objimpl"/>         <map value="no-gen-base"/>       </mapping>     </element>     <element id="Measure.lastReviewDate">      <path value="Measure.lastReviewDate"/>       <short value="When the measure was last reviewed by the publisher"/> 
      <definition value="The date on which the resource content was last reviewed. Review happens periodically
       after approval but does not change the original approval date.
      
      Gives a sense of how &quot;current&quot; the content is.  Resources that have not been
       reviewed in a long time may have a risk of being less appropriate/relevant.
      
      
      
        
      
      
      
      
      
        
        
      
      
        
        .outboundRleationship[typeCode=SUBJ;subsetCode=RECENT].act[classCode=CACT;moodCode=EVN;code=review].
        effectiveTime
      
      
        
        
      
    
    
      
      
      
      The effective period for a measure  determines when the content is applicable for usage
       and is independent of publication and review dates. For example, a measure intended to
       be used for the year 2016 might be published in 2015.
      Allows establishing a transition before a resource comes into effect and also allows for
       a sunsetting  process when new versions of the measure are or are expected to be used
       instead.
      
      
      
        
      
      
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    
    
      
      

       after approval but does not change the original approval date."/> 
      <comment value="If specified, this date follows the original approval date.
See guidance around (not) making local changes to elements [here](canonicalresource.html#loca
      lization)."/> 
      <requirements value="Gives a sense of how &quot;current&quot; the content is.  Resources that have not

       been reviewed in a long time may have a risk of being less appropriate/relevant."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="date"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.lastReviewDate"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".outboundRleationship[typeCode=SUBJ;subsetCode=RECENT].act[classCode=CACT;moodCode=EVN;code=r

        eview].effectiveTime"/> 
      </mapping>       <mapping>         <identity value="objimpl"/>         <map value="no-gen-base"/>       </mapping>     </element>     <element id="Measure.effectivePeriod">      <path value="Measure.effectivePeriod"/>       <short value="When the measure is expected to be used"/>       <definition value="The period during which the measure content was or is planned to be in active use."/>       <comment value="The effective period for a measure determines when the content is applicable for

       usage and is independent of publication and review dates. For example, a measure
       intended to be used for the year 2016 might be published in 2015.
See guidance around (not) making local changes to elements [here](canonicalresource.html#loca
      lization)."/> 
      <requirements value="Allows establishing a transition before a resource comes into effect and also allows

       for a sunsetting  process when new versions of the measure are or are expected
       to be used instead."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="Period"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="workflow"/>         <map value="Definition.effectivePeriod"/>       </mapping>       <mapping>         <identity value="rim"/>         <map value=".effectiveTime"/>       </mapping>       <mapping>         <identity value="objimpl"/>         <map value="no-gen-base"/>       </mapping>     </element>     <element id="Measure.topic">      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">        <valueCode value="deprecated"/>       </extension>       <path value="Measure.topic"/>       <short value="The category of the measure, such as Education, Treatment, Assessment, etc"/> 
      <definition value="Descriptive topics related to the content of the measure. Topics provide a high-level
       categorization grouping types of measures that can be useful for filtering and searching.
      Repositories must be able to determine how to categorize the measure so that it can be
       found by topical searches.
      
      
      
        
      
      
      
      
      
        
          
        
        
        
        
      
      
        
        
      
    
    
      
      
      An individiual or organization primarily involved in the creation and maintenance of the
       content.
      
      
      
        
      
      
      
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
      
      
      
        
        .participation[typeCode=AUT] { not a great match, but there does not appear to be an editor
         concept in V3 participation }
      
    
    
      
      
      
      
      
      
        
      
      
      
      
      
        
        
      
    
    
      
      
      An individual or organization responsible for officially endorsing the content for use
       in some setting.
      
      
      
        
      
      
      
      
      
        
        
      
    
    
      
      
      
      Each related artifact is either an attachment, or a reference to another resource, but
       not both.
      Measures must be able to provide enough information for consumers of the content (and/or
       interventions or results produced by the content) to be able to determine and understand
       the justification for and evidence in support of the content.
      
      
      
        
      
      
      
      
      
        
        .outboundRelationship[typeCode=DOC,RSON,PREV, DRIV, USE, COMP] {successor would be PREV
         w/ inversionInd=true; No support for citation}
      
    
    
      
      
      
      
      
      
        
        
      
      
      
      
      
        
        
      
    
    
      
      
      Notices and disclaimers regarding the use of the measure or related to intellectual property
       (such as code systems) referenced by the measure.
      Some organizations require that notices and disclosures be included when publishing measures
       that reference their intellecutal property.
      
      
      
        
      
      
      
      
      
        
        
      
    
    
      
      
      Indicates how the calculation is performed for the measure, including proportion, ratio,
       continuous-variable, and cohort. The value set is extensible, allowing additional measure
       scoring types to be represented.
      
      
      
        
      
      
      
      
      
        
          
        
        
        
        
      
      
        
        
      
    
    
      
      
      If this is a composite measure, the scoring method used to combine the component measures
       to determine the composite score.
      
      
      
        
      
      
      
      
      
        
          
        
        
        
        
      
      
        
        
      
    
    
      
      
      Indicates whether the measure is used to examine a process, an outcome over time, a patient-reported
       outcome, or a structure measure such as utilization.
      
      
      
        
      
      
      
      
      
        
          
        
        
        
        
      
      
        
        
      
    
    
      
      
      A description of the risk adjustment factors that may impact the resulting score for the
       measure and how they may be accounted for when computing and reporting measure results.
      Describes the method of adjusting for clinical severity and conditions present at the
       start of care that can influence patient outcomes for making valid comparisons of outcome
       measures across providers. Indicates whether a measure is subject to the statistical process
       for reducing, removing, or clarifying the influences of confounding factors to allow for
       more useful comparisons.
      
      
      
        
      
      
      
      
      
        
        
      
    
    
      
      
      Describes how to combine the information calculated, based on logic in each of several
       populations, into one summarized result.

       categorization grouping types of measures that can be useful for filtering and
       searching."/> 
      <comment value="DEPRECATION NOTE: For consistency, implementations are encouraged to migrate to

       using the new 'topic' code in the useContext element.  (I.e. useContext.code indicating
       http://terminology.hl7.org/CodeSystem/usage-context-type#topic and useContext.valueCodeableCo
      ncept indicating the topic)"/> 
      <requirements value="Repositories must be able to determine how to categorize the measure so that it

       can be found by topical searches."/> 
      <min value="0"/>       <max value="*"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="DefinitionTopic"/>         </extension>         <strength value="example"/>         <description value="High-level categorization of the definition, used for searching, sorting, and filtering."/>         <valueSet value="http://hl7.org/fhir/ValueSet/definition-topic"/>       </binding>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?)"/>       </mapping>     </element>     <element id="Measure.author">      <path value="Measure.author"/>       <short value="Who authored the content"/>       <definition value="An individiual or organization primarily involved in the creation and maintenance

       of the content."/> 
      <min value="0"/>       <max value="*"/>       <type>         <code value="ContactDetail"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value=".participation[typeCode=AUT]"/>       </mapping>     </element>     <element id="Measure.editor">      <path value="Measure.editor"/>       <short value="Who edited the content"/>       <definition value="An individual or organization primarily responsible for internal coherence of the

       content."/> 
      <min value="0"/>       <max value="*"/>       <type>         <code value="ContactDetail"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value=".participation[typeCode=AUT] { not a great match, but there does not appear to

         be an editor concept in V3 participation }"/> 
      </mapping>     </element>     <element id="Measure.reviewer">      <path value="Measure.reviewer"/>       <short value="Who reviewed the content"/>       <definition value="An individual or organization asserted by the publisher to be primarily responsible

       for review of some aspect of the content."/> 
      <comment value="See guidance around (not) making local changes to elements [here](canonicalresource.html#loca

      lization)."/> 
      <min value="0"/>       <max value="*"/>       <type>         <code value="ContactDetail"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value=".participation[typeCode=VRF] {not clear whether VRF best corresponds to reviewer

         or endorser}"/> 
      </mapping>     </element>     <element id="Measure.endorser">      <path value="Measure.endorser"/>       <short value="Who endorsed the content"/>       <definition value="An individual or organization asserted by the publisher to be responsible for officially

       endorsing the content for use in some setting."/> 
      <comment value="See guidance around (not) making local changes to elements [here](canonicalresource.html#loca

      lization)."/> 
      <min value="0"/>       <max value="*"/>       <type>         <code value="ContactDetail"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value=".participation[typeCode=VRF] {not clear whether VRF best corresponds to reviewer

         or endorser}"/> 
      </mapping>     </element>     <element id="Measure.relatedArtifact">      <path value="Measure.relatedArtifact"/>       <short value="Additional documentation, citations, etc"/>       <definition value="Related artifacts such as additional documentation, justification, or bibliographic

       references."/> 
      <comment value="Each related artifact is either an attachment, or a reference to another resource,

       but not both."/> 
      <requirements value="Measures must be able to provide enough information for consumers of the content

       (and/or interventions or results produced by the content) to be able to determine
       and understand the justification for and evidence in support of the content."/> 
      <min value="0"/>       <max value="*"/>       <type>         <code value="RelatedArtifact"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value=".outboundRelationship[typeCode=DOC,RSON,PREV, DRIV, USE, COMP] {successor would

         be PREV w/ inversionInd=true; No support for citation}"/> 
      </mapping>     </element>     <element id="Measure.library">      <path value="Measure.library"/>       <short value="Logic used by the measure"/>       <definition value="A reference to a Library resource containing the formal logic used by the measure."/>       <min value="0"/>       <max value="*"/>       <type>         <code value="canonical"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Library"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?)"/>       </mapping>     </element>     <element id="Measure.disclaimer">      <path value="Measure.disclaimer"/>       <short value="Disclaimer for use of the measure or its referenced content"/>       <definition value="Notices and disclaimers regarding the use of the measure or related to intellectual

       property (such as code systems) referenced by the measure."/> 
      <requirements value="Some organizations require that notices and disclosures be included when publishing

       measures that reference their intellecutal property."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="markdown"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?)"/>       </mapping>     </element>     <element id="Measure.scoring">      <path value="Measure.scoring"/>       <short value="proportion | ratio | continuous-variable | cohort"/>       <definition value="Indicates how the calculation is performed for the measure, including proportion,

       ratio, continuous-variable, and cohort. The value set is extensible, allowing additional
       measure scoring types to be represented."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="MeasureScoring"/>         </extension>         <strength value="extensible"/>         <description value="The scoring type of the measure."/>         <valueSet value="http://terminology.hl7.org/ValueSet/measure-scoring"/>       </binding>       <mapping>         <identity value="rim"/>         <map value=".methodCode { the aspect of how the calculation is performed }"/>       </mapping>     </element>     <element id="Measure.scoringUnit">      <path value="Measure.scoringUnit"/>       <short value="What units?"/>       <definition value="Defines the expected units of measure for the measure score. This element SHOULD

       be specified as a UCUM unit."/> 
      <comment value="When this element is specified, implementations are expected to report measure

       scores in the specified units. Note that this may involve unit conversion if the
       expected units are different than the units of the resulting score calculation.
       In this case, unit conversions SHALL be performed according to the unit conversion
       semantics specified by UCUM."/> 
      <requirements value="When the unit cannot be inferred directly from the calculation logic, this element

       allows the specification of the desired units of measure of the output."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="MeasureScoringUnit"/>         </extension>         <strength value="example"/>         <valueSet value="http://hl7.org/fhir/ValueSet/measure-scoring-unit"/>       </binding>       <mapping>         <identity value="rim"/>         <map value=".methodCode { the aspect of how the calculation is performed }"/>       </mapping>     </element>     <element id="Measure.compositeScoring">      <path value="Measure.compositeScoring"/>       <short value="opportunity | all-or-nothing | linear | weighted"/>       <definition value="If this is a composite measure, the scoring method used to combine the component

       measures to determine the composite score."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="CompositeMeasureScoring"/>         </extension>         <strength value="extensible"/>         <description value="The composite scoring method of the measure."/>         <valueSet value="http://hl7.org/fhir/ValueSet/composite-measure-scoring"/>       </binding>       <mapping>         <identity value="rim"/>         <map value=".methodCode { the aspect of how component measures are combined }"/>       </mapping>     </element>     <element id="Measure.type">      <path value="Measure.type"/>       <short value="process | outcome | structure | patient-reported-outcome | composite"/>       <definition value="Indicates whether the measure is used to examine a process, an outcome over time,

       a patient-reported outcome, or a structure measure such as utilization."/> 
      <min value="0"/>       <max value="*"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="MeasureType"/>         </extension>         <strength value="extensible"/>         <description value="The type of measure (includes codes from 2.16.840.1.113883.1.11.20368)."/>         <valueSet value="http://hl7.org/fhir/ValueSet/measure-type"/>       </binding>       <mapping>         <identity value="rim"/>         <map value=".methodCode { the aspect of what the measure applies to }"/>       </mapping>     </element>     <element id="Measure.riskAdjustment">      <path value="Measure.riskAdjustment"/>       <short value="How risk adjustment is applied for this measure"/>       <definition value="A description of the risk adjustment factors that may impact the resulting score

       for the measure and how they may be accounted for when computing and reporting
       measure results."/> 
      <comment value="Describes the method of adjusting for clinical severity and conditions present

       at the start of care that can influence patient outcomes for making valid comparisons
       of outcome measures across providers. Indicates whether a measure is subject to
       the statistical process for reducing, removing, or clarifying the influences of
       confounding factors to allow for more useful comparisons."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="markdown"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?)"/>       </mapping>     </element>     <element id="Measure.rateAggregation">      <path value="Measure.rateAggregation"/>       <short value="How is rate aggregation performed for this measure"/>       <definition value="Describes how to combine the information calculated, based on logic in each of

       several populations, into one summarized result."/> 

      <comment value="The measure rate for an organization or clinician is based upon the entities’ aggregate
       data and summarizes the performance of the entity over a given time period (e.g., monthly,
       quarterly, yearly). The aggregated data are derived from the results of a specific measure
       algorithm and, if appropriate, the application of specific risk adjustment models.  Can
       also be used to describe how to risk adjust the data based on supplemental data elements
       described in the eMeasure (e.g., pneumonia hospital measures antibiotic selection in the
       ICU versus non-ICU and then the roll-up of the two). This could be applied to aggregated
       cohort measure definitions (e.g., CDC's aggregate reporting for TB at the state level).
      
      
      
        
      
      
      
      
      
        
        
      
    
    
      
      

       data and summarizes the performance of the entity over a given time period (e.g.,
       monthly, quarterly, yearly). The aggregated data are derived from the results of
       a specific measure algorithm and, if appropriate, the application of specific risk
       adjustment models.  Can also be used to describe how to risk adjust the data based
       on supplemental data elements described in the eMeasure (e.g., pneumonia hospital
       measures antibiotic selection in the ICU versus non-ICU and then the roll-up of
       the two). This could be applied to aggregated cohort measure definitions (e.g.,
       CDC's aggregate reporting for TB at the state level)."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="markdown"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?)"/>       </mapping>     </element>     <element id="Measure.rationale">      <path value="Measure.rationale"/>       <short value="Detailed description of why the measure exists"/> 
      <definition value="Provides a succinct statement of the need for the measure. Usually includes statements
       pertaining to importance criterion: impact, gap in care, and evidence.
      Measure developers need to be able to provide a detailed description of the purpose of
       the measure. This element provides detailed rationale, where the purpose element provides
       a summary of the rationale.
      
      
      
        
      
      
      
      
      
        
        
      
    
    
      
      
      Provides a summary of relevant clinical guidelines or other clinical recommendations supporting
       the measure.
      
      
      
        
      
      
      
      
      
        
        
      
    
    
      
      
      Information on whether an increase or decrease in score is the preferred result (e.g.,
       a higher score indicates better quality OR a lower score indicates better quality OR quality
       is within a range).
      Measure consumers and implementers must be able to determine how to interpret a measure
       score.
      
      
      
        
      
      
      
      
      
        
          
        
        
        Observation values that indicate what change in a measurement value or score is indicative
         of an improvement in the measured item or scored issue.
        
      
      
        
        
      
    
    
      
      
      
      Measure developers must be able to provide precise definitions of terms used within measure
       descriptions and guidance to help communicate the intent of the measure.
      
      
      
        
      
      
      
      
      
        
        
      
    
    
      
      
      Additional guidance for the measure including how it can be used in a clinical context,
       and the intent of the measure.
      Measure developers must be able to provide additional guidance for implementers to understand
       the intent with greater specificity than that provided in the population criteria of the
       measure. This element provides detailed guidance, where the usage element provides a summary
       of the guidance.
      
      
      
        
      
      
      
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
      
      
      
        
        
      
    
    
      
      
      Indicates a meaning for the group. This can be as simple as a unique identifier, or it
       can establish meaning in a broader context by drawing from a terminology, allowing groups
       to be correlated across measures.
      
      
      
        
      
      
      
      
      
        
          
        
        
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
      
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
      
      
      
        
        
      
    
    
      

       pertaining to importance criterion: impact, gap in care, and evidence."/> 
      <requirements value="Measure developers need to be able to provide a detailed description of the purpose

       of the measure. This element provides detailed rationale, where the purpose element
       provides a summary of the rationale."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="markdown"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?)"/>       </mapping>     </element>     <element id="Measure.clinicalRecommendationStatement">      <path value="Measure.clinicalRecommendationStatement"/>       <short value="Summary of clinical guidelines"/>       <definition value="Provides a summary of relevant clinical guidelines or other clinical recommendations

       supporting the measure."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="markdown"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?)"/>       </mapping>     </element>     <element id="Measure.improvementNotation">      <path value="Measure.improvementNotation"/>       <short value="increase | decrease"/>       <definition value="Information on whether an increase or decrease in score is the preferred result

       (e.g., a higher score indicates better quality OR a lower score indicates better
       quality OR quality is within a range)."/> 
      <requirements value="Measure consumers and implementers must be able to determine how to interpret a

       measure score."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="MeasureImprovementNotation"/>         </extension>         <strength value="required"/>         <description value="Observation values that indicate what change in a measurement value or score is

         indicative of an improvement in the measured item or scored issue."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/measure-improvement-notation|5.0.0"/>       </binding>       <mapping>         <identity value="rim"/>         <map value=".interpretationCode"/>       </mapping>     </element>     <element id="Measure.term">      <path value="Measure.term"/>       <short value="Defined terms used in the measure documentation"/>       <definition value="Provides a description of an individual term used within the measure."/>       <requirements value="Measure developers must be able to provide precise definitions of terms used within

       measure descriptions and guidance to help communicate the intent of the measure."/> 
      <min value="0"/>       <max value="*"/>       <type>         <code value="BackboneElement"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="N/A"/>       </mapping>     </element>     <element id="Measure.term.code">      <path value="Measure.term.code"/>       <short value="What term?"/>       <definition value="A codeable representation of the defined term."/>       <min value="0"/>       <max value="1"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="DefinitionCode"/>         </extension>         <strength value="example"/>         <description value="Codeable representations of measure definition terms."/>         <valueSet value="http://hl7.org/fhir/ValueSet/measure-definition-example"/>       </binding>       <mapping>         <identity value="rim"/>         <map value="N/A"/>       </mapping>     </element>     <element id="Measure.term.definition">      <path value="Measure.term.definition"/>       <short value="Meaning of the term"/>       <definition value="Provides a definition for the term as used within the measure."/>       <min value="0"/>       <max value="1"/>       <type>         <code value="markdown"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?)"/>       </mapping>     </element>     <element id="Measure.guidance">      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">        <valueCode value="deprecated"/>       </extension>       <path value="Measure.guidance"/>       <short value="Additional guidance for implementers (deprecated)"/>       <definition value="Additional guidance for the measure including how it can be used in a clinical

       context, and the intent of the measure."/> 
      <comment value="NOTE: This element is deprecated in favor of the usage element"/>       <requirements value="Measure developers must be able to provide additional guidance for implementers

       to understand the intent with greater specificity than that provided in the population
       criteria of the measure. This element provides detailed guidance, where the usage
       element provides a summary of the guidance."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="markdown"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?)"/>       </mapping>     </element>     <element id="Measure.group">      <path value="Measure.group"/>       <short value="Population criteria group"/>       <definition value="A group of population criteria for the measure."/>       <min value="0"/>       <max value="*"/>       <type>         <code value="BackboneElement"/>       </type>       <condition value="mea-1"/>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value=".outboundRelationship[typeCode=COMP]"/>       </mapping>     </element>     <element id="Measure.group.linkId">      <path value="Measure.group.linkId"/>       <short value="Unique id for group in measure"/>       <definition value="An identifier that is unique within the Measure allowing linkage to the equivalent

       item in a MeasureReport resource."/> 
      <comment value="This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended

       to have any meaning.  GUIDs or sequential numbers are appropriate here.
LinkIds can have whitespaces and slashes by design. Tooling should not rely on
       linkIds being valid XHTML element IDs, and should not directly embed them as such"/> 
      <requirements value="[MeasureReport](measurereport.html#) does not require omitted groups to be included."/>       <min value="0"/>       <max value="1"/>       <type>         <code value="string"/>       </type>       <constraint>         <key value="mea-2"/>         <severity value="warning"/>         <human value="Link ids should be 255 characters or less"/>         <expression value="$this.length() &lt;= 255"/>         <source value="http://hl7.org/fhir/StructureDefinition/Measure"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value=".id"/>       </mapping>     </element>     <element id="Measure.group.code">      <path value="Measure.group.code"/>       <short value="Meaning of the group"/>       <definition value="Indicates a meaning for the group. This can be as simple as a unique identifier,

       or it can establish meaning in a broader context by drawing from a terminology,
       allowing groups to be correlated across measures."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="MeasureGroupExample"/>         </extension>         <strength value="example"/>         <description value="Example of measure groups."/>         <valueSet value="http://hl7.org/fhir/ValueSet/measure-group-example"/>       </binding>       <mapping>         <identity value="rim"/>         <map value=".code"/>       </mapping>     </element>     <element id="Measure.group.description">      <path value="Measure.group.description"/>       <short value="Summary description"/>       <definition value="The human readable description of this population group."/>       <min value="0"/>       <max value="1"/>       <type>         <code value="markdown"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value=".text"/>       </mapping>     </element>     <element id="Measure.group.type">      <path value="Measure.group.type"/>       <short value="process | outcome | structure | patient-reported-outcome | composite"/>       <definition value="Indicates whether the measure is used to examine a process, an outcome over time,

       a patient-reported outcome, or a structure measure such as utilization."/> 
      <comment value="When specified at the group level, defines the measure type for this specific group.

       If not specified, the measureType of the group is determined by the root type element"/> 
      <min value="0"/>       <max value="*"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="MeasureType"/>         </extension>         <strength value="extensible"/>         <valueSet value="http://hl7.org/fhir/ValueSet/measure-type"/>       </binding>       <mapping>         <identity value="rim"/>         <map value=".typeCode"/>       </mapping>     </element>     <element id="Measure.group.subject[x]">      <path value="Measure.group.subject[x]"/>       <short value="E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device"/>       <definition value="The intended subjects for the measure. If this element is not provided, a Patient

       subject is assumed, but the subject of the measure can be anything."/> 
      <comment value="The subject of the measure is critical in interpreting the criteria definitions,

       as the logic in the measures is evaluated with respect to a particular subject.
       This corresponds roughly to the notion of a Compartment in that it limits what
       content is available based on its relationship to the subject. In CQL, this corresponds
       to the context declaration."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="CodeableConcept"/>       </type>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/>       </type>       <meaningWhenMissing value="Patient"/>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="SubjectType"/>         </extension>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">          <valueBoolean value="true"/>         </extension>         <strength value="extensible"/>         <description value="The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization,

         Location, etc.)."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/participant-resource-types"/>       </binding>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?) { only applies for subject Patient? }"/>       </mapping>     </element>     <element id="Measure.group.basis">      <path value="Measure.group.basis"/>       <short value="Population basis"/>       <definition value="The population basis specifies the type of elements in the population. For a subject-based

       measure, this is boolean (because the subject and the population basis are the
       same, and the population criteria define yes/no values for each individual in the
       population). For measures that have a population basis that is different than the
       subject, this element specifies the type of the population basis. For example,
       an encounter-based measure has a subject of Patient and a population basis of Encounter,
       and the population criteria all return lists of Encounters."/> 
      <comment value="When specified at the group level, defines the population basis for this specific

       group. If not specified, the basis for the group is determined by the root basis
       element"/> 
      <requirements value="Allows non-subject-based measures to be specified"/>       <min value="0"/>       <max value="1"/>       <type>         <code value="code"/>       </type>       <meaningWhenMissing value="boolean"/>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="BasisType"/>         </extension>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">          <valueBoolean value="true"/>         </extension>         <strength value="required"/>         <valueSet value="http://hl7.org/fhir/ValueSet/fhir-types|5.0.0"/>       </binding>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?) { only applies for subject Patient? }"/>       </mapping>     </element>     <element id="Measure.group.scoring">      <path value="Measure.group.scoring"/>       <short value="proportion | ratio | continuous-variable | cohort"/>       <definition value="Indicates how the calculation is performed for the measure, including proportion,

       ratio, continuous-variable, and cohort. The value set is extensible, allowing additional
       measure scoring types to be represented."/> 
      <comment value="When specified at the group level, defines the scoring for this specific group.

       If not specified, scoring for this group is determined by the root scoring element"/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="MeasureScoring"/>         </extension>         <strength value="extensible"/>         <valueSet value="http://terminology.hl7.org/ValueSet/measure-scoring"/>       </binding>       <mapping>         <identity value="rim"/>         <map value=".methodCode { the aspect of how the calculation is performed }"/>       </mapping>     </element>     <element id="Measure.group.scoringUnit">      <path value="Measure.group.scoringUnit"/>       <short value="What units?"/>       <definition value="Defines the expected units of measure for the measure score. This element SHOULD

       be specified as a UCUM unit."/> 
      <comment value="When specified at the group level, this defines the scoringUnit for this specific

       group. If not specified, the scoringUnit for this group is determined by the root
       scoringUnit element. As with the root element, when this element is specified,
       implementations are expected to report measure scores in the specified units. Note
       that this may involve unit conversion if the expected units are different than
       the units of the resulting score calculation. In this case, unit conversions SHALL
       be performed according to the unit conversion semantics specified by UCUM."/> 
      <requirements value="When the unit cannot be inferred directly from the calculation logic, this element

       allows the specification of the desired units of measure of the output."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="MeasureScoringUnit"/>         </extension>         <strength value="example"/>         <valueSet value="http://hl7.org/fhir/ValueSet/measure-scoring-unit"/>       </binding>       <mapping>         <identity value="rim"/>         <map value=".methodCode { the aspect of how the calculation is performed }"/>       </mapping>     </element>     <element id="Measure.group.rateAggregation">      <path value="Measure.group.rateAggregation"/>       <short value="How is rate aggregation performed for this measure"/>       <definition value="Describes how to combine the information calculated, based on logic in each of

       several populations, into one summarized result."/> 
      <comment value="The measure rate for an organization or clinician is based upon the entities’ aggregate

       data and summarizes the performance of the entity over a given time period (e.g.,
       monthly, quarterly, yearly). The aggregated data are derived from the results of
       a specific measure algorithm and, if appropriate, the application of specific risk
       adjustment models.  Can also be used to describe how to risk adjust the data based
       on supplemental data elements described in the eMeasure (e.g., pneumonia hospital
       measures antibiotic selection in the ICU versus non-ICU and then the roll-up of
       the two). This could be applied to aggregated cohort measure definitions (e.g.,
       CDC's aggregate reporting for TB at the state level)."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="markdown"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?)"/>       </mapping>     </element>     <element id="Measure.group.improvementNotation">      <path value="Measure.group.improvementNotation"/>       <short value="increase | decrease"/>       <definition value="Information on whether an increase or decrease in score is the preferred result

       (e.g., a higher score indicates better quality OR a lower score indicates better
       quality OR quality is within a range)."/> 
      <comment value="When specified at the group level, this element defines the improvementNotation

       for this specific group. If not specified, improvementNotation for this group is
       determined by the root improvementNotation element"/> 
      <requirements value="Measure consumers and implementers must be able to determine how to interpret a

       measure score."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="true"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="MeasureImprovementNotation"/>         </extension>         <strength value="required"/>         <valueSet value="http://hl7.org/fhir/ValueSet/measure-improvement-notation|5.0.0"/>       </binding>       <mapping>         <identity value="rim"/>         <map value=".methodCode { the aspect of how the calculation is performed }"/>       </mapping>     </element>     <element id="Measure.group.library">      <path value="Measure.group.library"/>       <short value="Logic used by the measure group"/>       <definition value="A reference to a Library resource containing the formal logic used by the measure

       group."/> 
      <min value="0"/>       <max value="*"/>       <type>         <code value="canonical"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Library"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?)"/>       </mapping>     </element>     <element id="Measure.group.population">      <path value="Measure.group.population"/>       <short value="Population criteria"/>       <definition value="A population criteria for the measure."/>       <min value="0"/>       <max value="*"/>       <type>         <code value="BackboneElement"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value=".outboundRelationship[typeCode=COMP]"/>       </mapping>     </element>     <element id="Measure.group.population.linkId">      <path value="Measure.group.population.linkId"/>       <short value="Unique id for population in measure"/>       <definition value="An identifier that is unique within the Measure allowing linkage to the equivalent

       population in a MeasureReport resource."/> 
      <comment value="This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended

       to have any meaning.  GUIDs or sequential numbers are appropriate here.
LinkIds can have whitespaces and slashes by design. Tooling should not rely on
       linkIds being valid XHTML element IDs, and should not directly embed them as such"/> 
      <requirements value="[MeasureReport](measurereport.html#) does not require omitted populations to be

       included."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="string"/>       </type>       <constraint>         <key value="mea-3"/>         <severity value="warning"/>         <human value="Link ids should be 255 characters or less"/>         <expression value="$this.length() &lt;= 255"/>         <source value="http://hl7.org/fhir/StructureDefinition/Measure"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value=".id"/>       </mapping>     </element>     <element id="Measure.group.population.code">      <path value="Measure.group.population.code"/> 
      <short value="initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion
       | denominator-exception | measure-population | measure-population-exclusion | measure-observation
      
      
      
      
        
      
      
      
      
      
        
          
        
        
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
      
      
      
        
        
      
    
    
      
      
      An expression that specifies the criteria for the population, typically the name of an
       expression in a library.
      In the case of a continuous-variable or ratio measure, this may be the name of a function
       that calculates the value of the individual observation for each patient or event in the
       population. For these types of measures, individual observations are reported as observation
       resources included in the evaluatedResources bundle for each patient. See the MeasureReport
       resource or the Quality Reporting topic for more information.
      
      
      
        
      
      
      
      
      
        
        
      
    
    
      
      
      The stratifier criteria for the measure report, specified as either the name of a valid
       CQL expression defined within a referenced library or a valid FHIR Resource Path.
      
      
      
        
      
      
      
      
      
        
        
      
    
    
      
      

       | denominator-exception | measure-population | measure-population-exclusion | measure-observa
      tion"/> 
      <definition value="The type of population criteria."/>       <min value="0"/>       <max value="1"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="MeasurePopulationType"/>         </extension>         <strength value="extensible"/>         <description value="The type of population."/>         <valueSet value="http://hl7.org/fhir/ValueSet/measure-population"/>       </binding>       <mapping>         <identity value="rim"/>         <map value=".code"/>       </mapping>     </element>     <element id="Measure.group.population.description">      <path value="Measure.group.population.description"/>       <short value="The human readable description of this population criteria"/>       <definition value="The human readable description of this population criteria."/>       <min value="0"/>       <max value="1"/>       <type>         <code value="markdown"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value=".text"/>       </mapping>     </element>     <element id="Measure.group.population.criteria">      <path value="Measure.group.population.criteria"/>       <short value="The criteria that defines this population"/>       <definition value="An expression that specifies the criteria for the population, typically the name

       of an expression in a library."/> 
      <comment value="In the case of a continuous-variable or ratio measure, this may be the name of

       a function that calculates the value of the individual observation for each patient
       or event in the population. For these types of measures, individual observations
       are reported as observation resources included in the evaluatedResources bundle
       for each patient. See the MeasureReport resource or the Quality Reporting topic
       for more information."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="Expression"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?)"/>       </mapping>     </element>     <element id="Measure.group.population.groupDefinition">      <path value="Measure.group.population.groupDefinition"/>       <short value="A group resource that defines this population"/>       <definition value="A Group resource that defines this population as a set of characteristics."/>       <comment value="Note that this approach can only be used for measures where the basis is of the

       same type as the populations (e.g. a Patient-based measure, rather than an Encounter-based
       measure). In addition, the referenced Group resource SHALL be a definitional (as
       opposed to an actual) group."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?)"/>       </mapping>     </element>     <element id="Measure.group.population.inputPopulationId">      <path value="Measure.group.population.inputPopulationId"/>       <short value="Which population"/>       <definition value="The id of a population element in this measure that provides the input for this

       population criteria. In most cases, the scoring structure of the measure implies
       specific relationships (e.g. the Numerator uses the Denominator as the source in
       a proportion scoring). In some cases, however, multiple possible choices exist
       and must be resolved explicitly. For example in a ratio measure with multiple initial
       populations, the denominator must specify which population should be used as the
       starting point."/> 
      <requirements value="For ratio and continuous variable measures, the source populations must be specified

       explicitly when they cannot be unambiguously determined from the scoring structure."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="string"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?)"/>       </mapping>     </element>     <element id="Measure.group.population.aggregateMethod">      <path value="Measure.group.population.aggregateMethod"/>       <short value="Aggregation method for a measure score (e.g. sum, average, median, minimum, maximum,

       count)"/> 
      <definition value="Specifies which method should be used to aggregate measure observation values.

       For most scoring types, this is implied by scoring (e.g. a proportion measure counts
       members of the populations). For continuous variables, however, this information
       must be specified to ensure correct calculation."/> 
      <requirements value="For continuous variable measures, specifications must be able to indicate the aggregation

       method to be used for tallying results from individual observations."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="MeasureAggregateMethod"/>         </extension>         <strength value="extensible"/>         <valueSet value="http://hl7.org/fhir/ValueSet/measure-aggregate-method"/>       </binding>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?)"/>       </mapping>     </element>     <element id="Measure.group.stratifier">      <path value="Measure.group.stratifier"/>       <short value="Stratifier criteria for the measure"/>       <definition value="The stratifier criteria for the measure report, specified as either the name of

       a valid CQL expression defined within a referenced library or a valid FHIR Resource
       Path."/> 
      <min value="0"/>       <max value="*"/>       <type>         <code value="BackboneElement"/>       </type>       <condition value="mea-1"/>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value=".outboundRelationship[typeCode=COMP]"/>       </mapping>     </element>     <element id="Measure.group.stratifier.linkId">      <path value="Measure.group.stratifier.linkId"/>       <short value="Unique id for stratifier in measure"/>       <definition value="An identifier that is unique within the Measure allowing linkage to the equivalent

       item in a MeasureReport resource."/> 
      <comment value="This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended

       to have any meaning.  GUIDs or sequential numbers are appropriate here.
LinkIds can have whitespaces and slashes by design. Tooling should not rely on
       linkIds being valid XHTML element IDs, and should not directly embed them as such"/> 
      <requirements value="[MeasureReport](measurereport.html#) does not require omitted stratifiers to be

       included."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="string"/>       </type>       <constraint>         <key value="mea-4"/>         <severity value="warning"/>         <human value="Link ids should be 255 characters or less"/>         <expression value="$this.length() &lt;= 255"/>         <source value="http://hl7.org/fhir/StructureDefinition/Measure"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value=".id"/>       </mapping>     </element>     <element id="Measure.group.stratifier.code">      <path value="Measure.group.stratifier.code"/>       <short value="Meaning of the stratifier"/> 
      <definition value="Indicates a meaning for the stratifier. This can be as simple as a unique identifier,
       or it can establish meaning in a broader context by drawing from a terminology, allowing
       stratifiers to be correlated across measures.
      
      
      
        
      
      
      
      
      
        
          
        
        
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
      
      
      
        
        
      
    
    
      
      
      An expression that specifies the criteria for the stratifier. This is typically the name
       of an expression defined within a referenced library, but it may also be a path to a stratifier
       element.
      
      
      
        
      
      
      
      
      
        
        
      
    
    
      
      
      A component of the stratifier criteria for the measure report, specified as either the
       name of a valid CQL expression defined within a referenced library or a valid FHIR Resource
       Path.
      
      
      
      
        
      
      
      
      
      
        
        
      
    
    
      
      
      Indicates a meaning for the stratifier component. This can be as simple as a unique identifier,
       or it can establish meaning in a broader context by drawing from a terminology, allowing
       stratifiers to be correlated across measures.
      
      
      
        
      
      
      
      
      
        
          
        
        
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
      
      
      
        
        
      
    
    
      
      
      An expression that specifies the criteria for this component of the stratifier. This is
       typically the name of an expression defined within a referenced library, but it may also
       be a path to a stratifier element.
      
      
      
        
      
      
      
      
      
        
        
      
    
    
      
      
      The supplemental data criteria for the measure report, specified as either the name of
       a valid CQL expression within a referenced library, or a valid FHIR Resource Path.
      Note that supplemental data are reported as observations for each patient and included
       in the evaluatedResources bundle. See the MeasureReport resource or the Quality Reporting
       topic for more information.
      
      
      
        
      
      
      
      
      
        
        
      
    
    
      
      
      Indicates a meaning for the supplemental data. This can be as simple as a unique identifier,
       or it can establish meaning in a broader context by drawing from a terminology, allowing
       supplemental data to be correlated across measures.
      
      
      
        
      
      
      
      
      
        
          
        
        
        
        
      
      
        
        
      
    
    
      
      
      An indicator of the intended usage for the supplemental data element. Supplemental data
       indicates the data is additional information requested to augment the measure information.
       Risk adjustment factor indicates the data is additional information used to calculate
       risk adjustment factors when applying a risk model to the measure calculation.
      
      
      
        
      
      
      
      
      
        
          
        
        
        
        
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
      
      
      
        
        
      
    
    
      
      

       or it can establish meaning in a broader context by drawing from a terminology,
       allowing stratifiers to be correlated across measures."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="CodeableConcept"/>       </type>       <condition value="mea-1"/>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="MeasureStratifierExample"/>         </extension>         <strength value="example"/>         <description value="Meaning of the stratifier."/>         <valueSet value="http://hl7.org/fhir/ValueSet/measure-stratifier-example"/>       </binding>       <mapping>         <identity value="rim"/>         <map value=".code"/>       </mapping>     </element>     <element id="Measure.group.stratifier.description">      <path value="Measure.group.stratifier.description"/>       <short value="The human readable description of this stratifier"/>       <definition value="The human readable description of this stratifier criteria."/>       <min value="0"/>       <max value="1"/>       <type>         <code value="markdown"/>       </type>       <condition value="mea-1"/>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value=".text"/>       </mapping>     </element>     <element id="Measure.group.stratifier.criteria">      <path value="Measure.group.stratifier.criteria"/>       <short value="How the measure should be stratified"/>       <definition value="An expression that specifies the criteria for the stratifier. This is typically

       the name of an expression defined within a referenced library, but it may also
       be a path to a stratifier element."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="Expression"/>       </type>       <condition value="mea-1"/>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?)"/>       </mapping>     </element>     <element id="Measure.group.stratifier.groupDefinition">      <path value="Measure.group.stratifier.groupDefinition"/>       <short value="A group resource that defines this population"/>       <definition value="A Group resource that defines this population as a set of characteristics."/>       <comment value="Note that this approach can only be used for measures where the basis is of the

       same type as the populations (e.g. a Patient-based measure, rather than an Encounter-based
       measure). In addition, the referenced Group SHALL be a definitional (as opposed
       to an actual) group."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?)"/>       </mapping>     </element>     <element id="Measure.group.stratifier.component">      <path value="Measure.group.stratifier.component"/>       <short value="Stratifier criteria component for the measure"/>       <definition value="A component of the stratifier criteria for the measure report, specified as either

       the name of a valid CQL expression defined within a referenced library or a valid
       FHIR Resource Path."/> 
      <comment value="Stratifiers are defined either as a single criteria, or as a set of component criteria."/>       <min value="0"/>       <max value="*"/>       <type>         <code value="BackboneElement"/>       </type>       <condition value="mea-1"/>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value=".outboundRelationship[typeCode=COMP]"/>       </mapping>     </element>     <element id="Measure.group.stratifier.component.linkId">      <path value="Measure.group.stratifier.component.linkId"/>       <short value="Unique id for stratifier component in measure"/>       <definition value="An identifier that is unique within the Measure allowing linkage to the equivalent

       item in a MeasureReport resource."/> 
      <comment value="This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended

       to have any meaning.  GUIDs or sequential numbers are appropriate here.
LinkIds can have whitespaces and slashes by design. Tooling should not rely on
       linkIds being valid XHTML element IDs, and should not directly embed them as such"/> 
      <requirements value="[MeasureReport](measurereport.html#) does not require omitted stratifier components

       to be included."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="string"/>       </type>       <constraint>         <key value="mea-5"/>         <severity value="warning"/>         <human value="Link ids should be 255 characters or less"/>         <expression value="$this.length() &lt;= 255"/>         <source value="http://hl7.org/fhir/StructureDefinition/Measure"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value=".id"/>       </mapping>     </element>     <element id="Measure.group.stratifier.component.code">      <path value="Measure.group.stratifier.component.code"/>       <short value="Meaning of the stratifier component"/>       <definition value="Indicates a meaning for the stratifier component. This can be as simple as a unique

       identifier, or it can establish meaning in a broader context by drawing from a
       terminology, allowing stratifiers to be correlated across measures."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="MeasureStratifierExample"/>         </extension>         <strength value="example"/>         <description value="Meaning of the stratifier."/>         <valueSet value="http://hl7.org/fhir/ValueSet/measure-stratifier-example"/>       </binding>       <mapping>         <identity value="rim"/>         <map value=".code"/>       </mapping>     </element>     <element id="Measure.group.stratifier.component.description">      <path value="Measure.group.stratifier.component.description"/>       <short value="The human readable description of this stratifier component"/>       <definition value="The human readable description of this stratifier criteria component."/>       <min value="0"/>       <max value="1"/>       <type>         <code value="markdown"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value=".text"/>       </mapping>     </element>     <element id="Measure.group.stratifier.component.criteria">      <path value="Measure.group.stratifier.component.criteria"/>       <short value="Component of how the measure should be stratified"/>       <definition value="An expression that specifies the criteria for this component of the stratifier.

       This is typically the name of an expression defined within a referenced library,
       but it may also be a path to a stratifier element."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="Expression"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?)"/>       </mapping>     </element>     <element id="Measure.group.stratifier.component.groupDefinition">      <path value="Measure.group.stratifier.component.groupDefinition"/>       <short value="A group resource that defines this population"/>       <definition value="A Group resource that defines this population as a set of characteristics."/>       <comment value="Note that this approach can only be used for measures where the basis is of the

       same type as the populations (e.g. a Patient-based measure, rather than an Encounter-based
       measure). In addition, the referenced Group SHALL be a definitional (as opposed
       to an actual) group."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="Reference"/>         <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?)"/>       </mapping>     </element>     <element id="Measure.supplementalData">      <path value="Measure.supplementalData"/>       <short value="What other data should be reported with the measure"/>       <definition value="The supplemental data criteria for the measure report, specified as either the

       name of a valid CQL expression within a referenced library, or a valid FHIR Resource
       Path."/> 
      <comment value="Note that supplemental data are reported as resources for each patient and referenced

       in the supplementalData element of the MeasureReport. If the supplementalData expression
       results in a value other than a resource, it is reported using an Observation resource,
       typically contained in the resulting MeasureReport. See the MeasureReport resource
       and the Quality Reporting topic for more information."/> 
      <min value="0"/>       <max value="*"/>       <type>         <code value="BackboneElement"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value=".outboundRelationship[typeCode=COMP]"/>       </mapping>     </element>     <element id="Measure.supplementalData.linkId">      <path value="Measure.supplementalData.linkId"/>       <short value="Unique id for supplementalData in measure"/>       <definition value="An identifier that is unique within the Measure allowing linkage to the equivalent

       item in a MeasureReport resource."/> 
      <comment value="This ''can'' be a meaningful identifier (e.g. a LOINC code) but is not intended

       to have any meaning.  GUIDs or sequential numbers are appropriate here.
LinkIds can have whitespaces and slashes by design. Tooling should not rely on
       linkIds being valid XHTML element IDs, and should not directly embed them as such"/> 
      <requirements value="[MeasureReport](measurereport.html#) does not require omitted supplementalData

       to be included."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="string"/>       </type>       <constraint>         <key value="mea-6"/>         <severity value="warning"/>         <human value="Link ids should be 255 characters or less"/>         <expression value="$this.length() &lt;= 255"/>         <source value="http://hl7.org/fhir/StructureDefinition/Measure"/>       </constraint>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value=".id"/>       </mapping>     </element>     <element id="Measure.supplementalData.code">      <path value="Measure.supplementalData.code"/>       <short value="Meaning of the supplemental data"/>       <definition value="Indicates a meaning for the supplemental data. This can be as simple as a unique

       identifier, or it can establish meaning in a broader context by drawing from a
       terminology, allowing supplemental data to be correlated across measures."/> 
      <min value="0"/>       <max value="1"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="MeasureSupplementalDataExample"/>         </extension>         <strength value="example"/>         <description value="Meaning of the supplemental data."/>         <valueSet value="http://hl7.org/fhir/ValueSet/measure-supplemental-data-example"/>       </binding>       <mapping>         <identity value="rim"/>         <map value=".code"/>       </mapping>     </element>     <element id="Measure.supplementalData.usage">      <path value="Measure.supplementalData.usage"/>       <short value="supplemental-data | risk-adjustment-factor"/>       <definition value="An indicator of the intended usage for the supplemental data element. Supplemental

       data indicates the data is additional information requested to augment the measure
       information. Risk adjustment factor indicates the data is additional information
       used to calculate risk adjustment factors when applying a risk model to the measure
       calculation."/> 
      <min value="0"/>       <max value="*"/>       <type>         <code value="CodeableConcept"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <binding>         <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">          <valueString value="MeasureDataUsage"/>         </extension>         <strength value="extensible"/>         <description value="The intended usage for supplemental data elements in the measure."/>         <valueSet value="http://hl7.org/fhir/ValueSet/measure-data-usage"/>       </binding>       <mapping>         <identity value="rim"/>         <map value=".methodCode"/>       </mapping>     </element>     <element id="Measure.supplementalData.description">      <path value="Measure.supplementalData.description"/>       <short value="The human readable description of this supplemental data"/>       <definition value="The human readable description of this supplemental data."/>       <min value="0"/>       <max value="1"/>       <type>         <code value="markdown"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value=".text"/>       </mapping>     </element>     <element id="Measure.supplementalData.criteria">      <path value="Measure.supplementalData.criteria"/>       <short value="Expression describing additional data to be reported"/> 
      <definition value="The criteria for the supplemental data. This is typically the name of a valid expression
       defined within a referenced library, but it may also be a path to a specific data element.
       The criteria defines the data to be returned for this element.
      
      
      
        
      
      
      
      
      
        
        
      
    
  

       defined within a referenced library, but it may also be a path to a specific data
       element. The criteria defines the data to be returned for this element."/> 
      <min value="1"/>       <max value="1"/>       <type>         <code value="Expression"/>       </type>       <mustSupport value="false"/>       <isModifier value="false"/>       <isSummary value="false"/>       <mapping>         <identity value="rim"/>         <map value="N/A (to add?)"/>       </mapping>     </element>   </differential> 


</

StructureDefinition

>



Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.