This structure is derived from Measure .

Summary

Mandatory: 6 4 elements
Must-Support: 6 11 elements

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability
• http://hl7.org/fhir/StructureDefinition/cqf-knowledgeRepresentationLevel
• http://hl7.org/fhir/StructureDefinition/cqf-artifactComment

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

Name	Flags	Card.	Type	Description & Constraints
Measure		1..1	Measure	A quality measure definition
url knowledgeCapability	S	1..1 0..*	uri code	Canonical identifier for this measure, represented as a URI (globally unique) shareable | computable | publishable | executable URL: http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability Binding: Knowledge Capability ( required )
identifier knowledgeRepresentationLevel	S	0 .. * 0..*	Identifier code	Additional identifier for the measure narrative | semi-structured | structured | executable URL: http://hl7.org/fhir/StructureDefinition/cqf-knowledgeRepresentationLevel Binding: Knowledge Representation Level ( required )
version artifactComment	S	1..1 0..*	string (Complex)	Business version of the measure Additional documentation, review, or usage guidance URL: http://hl7.org/fhir/StructureDefinition/cqf-artifactComment
name url	S	1..1	string uri	Name Canonical identifier for this measure (computer friendly) measure, represented as a URI (globally unique)
title version	S	0..1 1..1	string	Name for this Business version of the measure (human friendly)
experimental versionAlgorithm[x]	S	1..1 0 .. 1	boolean string , Coding	For testing purposes, not real usage How to compare versions
date name	S	0..1 0 .. 1	dateTime string	Date last changed Name for this measure (computer friendly)
publisher title	S	1..1	string	Name of the publisher (organization or individual) for this measure (human friendly)
contact experimental	S	0 .. * 1	ContactDetail boolean	Contact details for the publisher For testing purposes, not real usage
description publisher 1..1 markdown	Natural language description of the measure useContext S	0 .. * 1	UsageContext string	The context that Name of the content is intended to support publisher/steward (organization or individual)
jurisdiction description	S	1..1	CodeableConcept markdown	Intended jurisdiction for Natural language description of the measure (if applicable)
Documentation for this format

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

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

<!-- Shareable Measure -->

<!-- ShareableMeasure -->


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

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

     Text summary of the resource, for human interpretation --></text>
 <</contained>
 <<a href="shareablemeasure-definitions.html#Measure.modifierExtension" title="May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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.

 <contained><!-- 0..* Resource Contained, inline Resources --></contained>
 <Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict"></modifierExtension>
 <
 <</identifier>
 <
 <
 <
 <
 <
 <
 <</subject[x]>
 <
 <
 <</contact>
 <
 <

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

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

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

     When the measure is expected to be used --></effectivePeriod>
 <</topic>
 <</author>
 <</editor>
 <</reviewer>
 <</endorser>
 <
     Additional documentation, citations, etc.</relatedArtifact>
 <
 <
 <</scoring>
 <</compositeScoring>
 <</type>
 <
 <
 <
 <
 <</improvementNotation>
 <
 <
 <
  <<a href="shareablemeasure-definitions.html#Measure.group.modifierExtension" title="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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.

 <topic><!-- I 0..* CodeableConcept The category of the measure, such as Education, Treatment, Assessment, etc   --></topic>
 <author><!-- I 0..* ContactDetail Who authored the content --></author>
 <editor><!-- I 0..* ContactDetail Who edited the content --></editor>
 <reviewer><!-- I 0..* ContactDetail Who reviewed the content --></reviewer>
 <endorser><!-- I 0..* ContactDetail Who endorsed the content --></endorser>
 <relatedArtifact><!-- I 0..* RelatedArtifact 
     Additional documentation, citations, etc --></relatedArtifact>
 <library value="[canonical]"/><!-- I 0..* Logic used by the measure -->
 <disclaimer value="[markdown]"/><!-- I 0..1 Disclaimer for use of the measure or its referenced content -->
 <scoring><!-- I 0..1 CodeableConcept proportion | ratio | continuous-variable | cohort    --></scoring>
 <scoringUnit><!-- I 0..1 CodeableConcept What units?   --></scoringUnit>
 <compositeScoring><!-- I 0..1 CodeableConcept opportunity | all-or-nothing | linear | weighted   --></compositeScoring>
 <type><!-- I 0..* CodeableConcept process | outcome | structure | patient-reported-outcome | composite   --></type>
 <riskAdjustment value="[markdown]"/><!-- I 0..1 How risk adjustment is applied for this measure -->
 <rateAggregation value="[markdown]"/><!-- I 0..1 How is rate aggregation performed for this measure -->
 <rationale value="[markdown]"/><!-- I 0..1 Detailed description of why the measure exists -->
 <clinicalRecommendationStatement value="[markdown]"/><!-- I 0..1 Summary of clinical guidelines -->
 <improvementNotation><!-- I 0..1 CodeableConcept increase | decrease   --></improvementNotation>
 <term> I 0..* BackboneElement  <!-- I 0..* Defined terms used in the measure documentation -->
  <Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict"></modifierExtension>
  <</code>
  <
  <
   <<a href="shareablemeasure-definitions.html#Measure.group.population.modifierExtension" title="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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) (this element modifies the meaning of other elements)" class="dict">modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
  <code><!-- I 0..1 CodeableConcept What term?   --></code>
  <definition value="[markdown]"/><!-- I 0..1 Meaning of the term -->
 </term>
 <guidance value="[markdown]"/><!-- I 0..1 Additional guidance for implementers (deprecated) -->
 <group> I 0..* BackboneElement  <!-- I 0..* Population criteria group -->
  <Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict"></modifierExtension>
   <</code>
   <
   <

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict">modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
  <linkId value="[string]"/><!-- I 0..1 Unique id for group in measure -->
  <code><!-- I 0..1 CodeableConcept Meaning of the group   --></code>
  <description value="[markdown]"/><!-- I 0..1 Summary description -->
  <type><!-- I 0..* CodeableConcept process | outcome | structure | patient-reported-outcome | composite   --></type>
  <subject[x]><!-- I 0..1 CodeableConcept|Reference(Group) E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device   --></subject[x]>
  <basis value="[code]"/><!-- I 0..1 Population basis   -->
  <scoring><!-- I 0..1 CodeableConcept proportion | ratio | continuous-variable | cohort    --></scoring>
  <scoringUnit><!-- I 0..1 CodeableConcept What units?   --></scoringUnit>
  <rateAggregation value="[markdown]"/><!-- I 0..1 How is rate aggregation performed for this measure -->
  <improvementNotation><!-- I 0..1 CodeableConcept increase | decrease   --></improvementNotation>
  <library value="[canonical]"/><!-- I 0..* Logic used by the measure group -->
  <population> I 0..* BackboneElement  <!-- I 0..* Population criteria -->
   <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
   <linkId value="[string]"/><!-- I 0..1 Unique id for population in measure -->
   <code><!-- I 0..1 CodeableConcept initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation   --></code>
   <description value="[markdown]"/><!-- I 0..1 The human readable description of this population criteria -->
   <criteria><!-- I 0..1 Expression 

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

  </population>
  <
   <<a href="shareablemeasure-definitions.html#Measure.group.stratifier.modifierExtension" title="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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.

  <stratifier> I 0..* BackboneElement  <!-- I 0..* Stratifier criteria for the measure -->
   <Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict"></modifierExtension>
   <</code>
   <
   <

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

       How the measure should be stratified --></criteria>
   <
    <<a href="shareablemeasure-definitions.html#Measure.group.stratifier.component.modifierExtension" title="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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.

   <groupDefinition><!-- I 0..1 Reference(Group) 
       A group resource that defines this population --></groupDefinition>
   <component> I 0..* BackboneElement  <!-- I 0..* Stratifier criteria component for the measure -->
    <Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict"></modifierExtension>
    <</code>
    <

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

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

    <criteria><!-- I 0..1 Expression 

        Component of how the measure should be stratified --></criteria>
    <groupDefinition><!-- I 0..1 Reference(Group) 
        A group resource that defines this population --></groupDefinition>

   </component>
  </stratifier>
 </group>
 <
  <<a href="shareablemeasure-definitions.html#Measure.supplementalData.modifierExtension" title="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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.

 <supplementalData> I 0..* BackboneElement  <!-- I 0..* What other data should be reported with the measure -->
  <Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict"></modifierExtension>
  <</code>
  <</usage>
  <
  <

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

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

{ // 

{ // ShareableMeasure

  // from Element: extension
    "
    "
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    "
    "
    "<a href="shareablemeasure-definitions.html#Measure.modifierExtension" title="May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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.

    "meta" : { Meta }, // IMetadata about the resource
    "implicitRules" : "<uri>", // IA set of rules under which this content was created
    "language" : "<code>", // ILanguage of the resource content
    "text" : { Narrative }, // IText summary of the resource, for human interpretation
    "contained" : [{ Resource }], //Contained, inline Resources
    "extension" : [ //  sliced by value:url  in the specified order, Open 
      { // shareable | computable | publishable | executable // I
        // from Element: extension
      },
      { // narrative | semi-structured | structured | executable // I
        // from Element: extension
      },
      { // Additional documentation, review, or usage guidance // I
        // from Element: extension
      }
    ],
    "Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict">
    "
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Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict">modifierExtension" : [{ Extension }], // IExtensions that cannot be ignored
    "url" : "<uri>", // I R! Canonical identifier for this measure, represented as a URI (globally unique)
    "identifier" : [{ Identifier }], // IAdditional identifier for the measure
    "version" : "<string>", // I R! Business version of the measure
  // value[x]: How to compare versions. One of these 2:

    "versionAlgorithmString" : "<string>", // IHow to compare versions
    "versionAlgorithmCoding" : { Coding }, // IHow to compare versions
    "name" : "<string>", // IName for this measure (computer friendly)
    "title" : "<string>", // I R! Name for this measure (human friendly)
    "subtitle" : "<string>", // ISubordinate title of the measure
    "status" : "<code>", // I R! draft | active | retired | unknown
    "experimental" : <boolean>, // IFor testing purposes, not real usage
  // value[x]: E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device. One of these 2:

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

  }

Summary

Mandatory: 6 4 elements
Must-Support: 6 11 elements

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability
• http://hl7.org/fhir/StructureDefinition/cqf-knowledgeRepresentationLevel
• http://hl7.org/fhir/StructureDefinition/cqf-artifactComment

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

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

<!-- Shareable Measure -->

<!-- ShareableMeasure -->


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

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

     Text summary of the resource, for human interpretation --></text>
 <</contained>
 <<a href="shareablemeasure-definitions.html#Measure.modifierExtension" title="May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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.

 <contained><!-- 0..* Resource Contained, inline Resources --></contained>
 <Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict"></modifierExtension>
 <
 <</identifier>
 <
 <
 <
 <
 <
 <
 <</subject[x]>
 <
 <
 <</contact>
 <
 <

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

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

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

     When the measure is expected to be used --></effectivePeriod>
 <</topic>
 <</author>
 <</editor>
 <</reviewer>
 <</endorser>
 <
     Additional documentation, citations, etc.</relatedArtifact>
 <
 <
 <</scoring>
 <</compositeScoring>
 <</type>
 <
 <
 <
 <
 <</improvementNotation>
 <
 <
 <
  <<a href="shareablemeasure-definitions.html#Measure.group.modifierExtension" title="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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.

 <topic><!-- I 0..* CodeableConcept The category of the measure, such as Education, Treatment, Assessment, etc   --></topic>
 <author><!-- I 0..* ContactDetail Who authored the content --></author>
 <editor><!-- I 0..* ContactDetail Who edited the content --></editor>
 <reviewer><!-- I 0..* ContactDetail Who reviewed the content --></reviewer>
 <endorser><!-- I 0..* ContactDetail Who endorsed the content --></endorser>
 <relatedArtifact><!-- I 0..* RelatedArtifact 
     Additional documentation, citations, etc --></relatedArtifact>
 <library value="[canonical]"/><!-- I 0..* Logic used by the measure -->
 <disclaimer value="[markdown]"/><!-- I 0..1 Disclaimer for use of the measure or its referenced content -->
 <scoring><!-- I 0..1 CodeableConcept proportion | ratio | continuous-variable | cohort    --></scoring>
 <scoringUnit><!-- I 0..1 CodeableConcept What units?   --></scoringUnit>
 <compositeScoring><!-- I 0..1 CodeableConcept opportunity | all-or-nothing | linear | weighted   --></compositeScoring>
 <type><!-- I 0..* CodeableConcept process | outcome | structure | patient-reported-outcome | composite   --></type>
 <riskAdjustment value="[markdown]"/><!-- I 0..1 How risk adjustment is applied for this measure -->
 <rateAggregation value="[markdown]"/><!-- I 0..1 How is rate aggregation performed for this measure -->
 <rationale value="[markdown]"/><!-- I 0..1 Detailed description of why the measure exists -->
 <clinicalRecommendationStatement value="[markdown]"/><!-- I 0..1 Summary of clinical guidelines -->
 <improvementNotation><!-- I 0..1 CodeableConcept increase | decrease   --></improvementNotation>
 <term> I 0..* BackboneElement  <!-- I 0..* Defined terms used in the measure documentation -->
  <Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict"></modifierExtension>
  <</code>
  <
  <
   <<a href="shareablemeasure-definitions.html#Measure.group.population.modifierExtension" title="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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) (this element modifies the meaning of other elements)" class="dict">modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
  <code><!-- I 0..1 CodeableConcept What term?   --></code>
  <definition value="[markdown]"/><!-- I 0..1 Meaning of the term -->
 </term>
 <guidance value="[markdown]"/><!-- I 0..1 Additional guidance for implementers (deprecated) -->
 <group> I 0..* BackboneElement  <!-- I 0..* Population criteria group -->
  <Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict"></modifierExtension>
   <</code>
   <
   <

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict">modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
  <linkId value="[string]"/><!-- I 0..1 Unique id for group in measure -->
  <code><!-- I 0..1 CodeableConcept Meaning of the group   --></code>
  <description value="[markdown]"/><!-- I 0..1 Summary description -->
  <type><!-- I 0..* CodeableConcept process | outcome | structure | patient-reported-outcome | composite   --></type>
  <subject[x]><!-- I 0..1 CodeableConcept|Reference(Group) E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device   --></subject[x]>
  <basis value="[code]"/><!-- I 0..1 Population basis   -->
  <scoring><!-- I 0..1 CodeableConcept proportion | ratio | continuous-variable | cohort    --></scoring>
  <scoringUnit><!-- I 0..1 CodeableConcept What units?   --></scoringUnit>
  <rateAggregation value="[markdown]"/><!-- I 0..1 How is rate aggregation performed for this measure -->
  <improvementNotation><!-- I 0..1 CodeableConcept increase | decrease   --></improvementNotation>
  <library value="[canonical]"/><!-- I 0..* Logic used by the measure group -->
  <population> I 0..* BackboneElement  <!-- I 0..* Population criteria -->
   <modifierExtension><!-- I 0..* Extension  Extensions that cannot be ignored even if unrecognized  --></modifierExtension>
   <linkId value="[string]"/><!-- I 0..1 Unique id for population in measure -->
   <code><!-- I 0..1 CodeableConcept initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation   --></code>
   <description value="[markdown]"/><!-- I 0..1 The human readable description of this population criteria -->
   <criteria><!-- I 0..1 Expression 

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

  </population>
  <
   <<a href="shareablemeasure-definitions.html#Measure.group.stratifier.modifierExtension" title="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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.

  <stratifier> I 0..* BackboneElement  <!-- I 0..* Stratifier criteria for the measure -->
   <Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict"></modifierExtension>
   <</code>
   <
   <

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

       How the measure should be stratified --></criteria>
   <
    <<a href="shareablemeasure-definitions.html#Measure.group.stratifier.component.modifierExtension" title="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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.

   <groupDefinition><!-- I 0..1 Reference(Group) 
       A group resource that defines this population --></groupDefinition>
   <component> I 0..* BackboneElement  <!-- I 0..* Stratifier criteria component for the measure -->
    <Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict"></modifierExtension>
    <</code>
    <

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

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

    <criteria><!-- I 0..1 Expression 

        Component of how the measure should be stratified --></criteria>
    <groupDefinition><!-- I 0..1 Reference(Group) 
        A group resource that defines this population --></groupDefinition>

   </component>
  </stratifier>
 </group>
 <
  <<a href="shareablemeasure-definitions.html#Measure.supplementalData.modifierExtension" title="May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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.

 <supplementalData> I 0..* BackboneElement  <!-- I 0..* What other data should be reported with the measure -->
  <Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict"></modifierExtension>
  <</code>
  <</usage>
  <
  <

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

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

{ // 

{ // ShareableMeasure

  // from Element: extension
    "
    "
    "
    "
    "
    "<a href="shareablemeasure-definitions.html#Measure.modifierExtension" title="May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and 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.

    "meta" : { Meta }, // IMetadata about the resource
    "implicitRules" : "<uri>", // IA set of rules under which this content was created
    "language" : "<code>", // ILanguage of the resource content
    "text" : { Narrative }, // IText summary of the resource, for human interpretation
    "contained" : [{ Resource }], //Contained, inline Resources
    "extension" : [ //  sliced by value:url  in the specified order, Open 
      { // shareable | computable | publishable | executable // I
        // from Element: extension
      },
      { // narrative | semi-structured | structured | executable // I
        // from Element: extension
      },
      { // Additional documentation, review, or usage guidance // I
        // from Element: extension
      }
    ],
    "Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict">
    "
    "
    "
    "
    "
    "
    "
    "

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

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself) (this element modifies the meaning of other elements)" class="dict">modifierExtension" : [{ Extension }], // IExtensions that cannot be ignored
    "url" : "<uri>", // I R! Canonical identifier for this measure, represented as a URI (globally unique)
    "identifier" : [{ Identifier }], // IAdditional identifier for the measure
    "version" : "<string>", // I R! Business version of the measure
  // value[x]: How to compare versions. One of these 2:

    "versionAlgorithmString" : "<string>", // IHow to compare versions
    "versionAlgorithmCoding" : { Coding }, // IHow to compare versions
    "name" : "<string>", // IName for this measure (computer friendly)
    "title" : "<string>", // I R! Name for this measure (human friendly)
    "subtitle" : "<string>", // ISubordinate title of the measure
    "status" : "<code>", // I R! draft | active | retired | unknown
    "experimental" : <boolean>, // IFor testing purposes, not real usage
  // value[x]: E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device. One of these 2:

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

  }