Clinical
Reasoning
This
page
is
part
of
the
FHIR
Specification
(v1.0.2:
DSTU
(v3.0.2:
STU
2).
3).
The
current
version
which
supercedes
this
version
is
5.0.0
.
For
a
full
list
of
available
versions,
see
the
Directory
of
published
versions
.
Page
versions:
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R4B
R4
R3
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R3
R2
|
|
Maturity Level : N/A | Ballot Status : Informative |
|
Raw
JSON
StructureDefinition:
MeasureReport
-
JSON
(
canonical
form
)
StructureDefinition
for
A
set
of
resources
composed
into
a
single
coherent
clinical
statement
with
clinical
attestation
Raw
JSON
measurereport
{
"resourceType": "StructureDefinition",
"id": "measurereport",
"id": "MeasureReport",
"meta": {
"lastUpdated": "2019-10-24T11:53:00+11:00"
},
"text": {
"status": "generated",
"div": "<div>!-- Snipped for Brevity --></div>"
},
"url": "http://hl7.org/fhir/StructureDefinition/measurereport",
"name": "Profile for Measure Reports",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger": 2
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode": "cqi"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/MeasureReport",
"name": "MeasureReport",
"status": "draft",
"publisher": "Health Level Seven, Inc. - Clinical Quality Information WG",
"date": "2019-10-24T11:53:00+11:00",
"publisher": "Health Level Seven International (Clinical Quality Information)",
"contact": [
{
"telecom": [
{
"system": "other",
"value": "http://wiki.hl7.org/index.php?title=MeasureReportProfile"
"system": "url",
"value": "http://hl7.org/fhir"
}
]
},
{
"telecom": [
{
"system": "url",
"value": "http://www.hl7.org/Special/committees/cqi/index.cfm"
}
]
}
],
"date": "2014-01-31",
"description": "A set of resources composed into a single coherent clinical statement with clinical attestation",
"fhirVersion": "1.0.2",
"description": "Base StructureDefinition for MeasureReport Resource",
"fhirVersion": "3.0.2",
"mapping": [
{
"identity": "workflow",
"uri": "http://hl7.org/fhir/workflow",
"name": "Workflow Mapping"
},
{
"identity": "w5",
"uri": "http://hl7.org/fhir/w5",
"name": "W5 Mapping"
},
{
"identity": "rim",
"uri": "http://hl7.org/v3",
"name": "RIM Mapping"
}
],
"kind": "resource",
"constrainedType": "Composition",
"abstract": false,
"base": "http://hl7.org/fhir/StructureDefinition/Composition",
"type": "MeasureReport",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/DomainResource",
"derivation": "specialization",
"snapshot": {
"element": [
{
"path": "Composition",
"name": "MeasureReport",
"short": "A set of resources composed into a single coherent clinical statement with clinical attestation",
"definition": "A set of healthcare-related information that is assembled together into a single logical document that provides a single coherent statement of meaning, establishes its own context and that has clinical attestation with regard to who is making the statement. While a Composition defines the structure, it does not actually contain the content: rather the full content of a document is contained in a Bundle, of which the Composition is the first resource contained.",
"comments": "While the focus of this specification is on patient-specific clinical statements, this resource can also apply to other healthcare-related statements such as study protocol designs, healthcare invoices and other activities that are not necessarily patient-specific or clinical.",
"id": "MeasureReport",
"path": "MeasureReport",
"short": "Results of a measure evaluation",
"definition": "The MeasureReport resource contains the results of evaluating a measure.",
"min": 0,
"max": "*",
"base": {
"path": "Composition",
"min": 0,
"max": "*"
},
"type": [
"constraint": [
{
"code": "Composition"
"key": "dom-2",
"severity": "error",
"human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
"expression": "contained.contained.empty()",
"xpath": "not(parent::f:contained and f:contained)",
"source": "DomainResource"
},
{
"key": "dom-1",
"severity": "error",
"human": "If the resource is contained in another resource, it SHALL NOT contain any narrative",
"expression": "contained.text.empty()",
"xpath": "not(parent::f:contained and f:text)",
"source": "DomainResource"
},
{
"key": "dom-4",
"severity": "error",
"human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
"expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
"xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
"source": "DomainResource"
},
{
"key": "dom-3",
"severity": "error",
"human": "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource",
"expression": "contained.where(('#'+id in %resource.descendants().reference).not()).empty()",
"xpath": "not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))",
"source": "DomainResource"
}
],
"mapping": [
{
"identity": "cda",
"map": "ClinicalDocument"
"identity": "rim",
"map": "Entity. Role, or Act"
},
{
"identity": "rim",
"map": "Document[classCode=\"DOC\" and moodCode=\"EVN\" and isNormalAct()]"
"identity": "workflow",
"map": "Event"
},
{
"identity": "w5",
"map": "infrastructure.documents"
"map": "clinical.general"
}
]
},
{
"path": "Composition.id",
"id": "MeasureReport.id",
"path": "MeasureReport.id",
"short": "Logical id of this artifact",
"definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
"comments": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation. Bundles always have an id, though it is usually a generated UUID.",
"comment": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
"min": 0,
"max": "1",
"base": {
"path": "Composition.id",
"path": "Resource.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "id"
}
],
"isSummary": true
},
{
"path": "Composition.meta",
"id": "MeasureReport.meta",
"path": "MeasureReport.meta",
"short": "Metadata about the resource",
"definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.",
"min": 0,
"max": "1",
"base": {
"path": "Composition.meta",
"path": "Resource.meta",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Meta"
}
],
"isSummary": true
},
{
"path": "Composition.implicitRules",
"id": "MeasureReport.implicitRules",
"path": "MeasureReport.implicitRules",
"short": "A set of rules under which this content was created",
"definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.",
"comments": "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 as much as possible.",
"comment": "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. \n\nThis element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.",
"min": 0,
"max": "1",
"base": {
"path": "Composition.implicitRules",
"path": "Resource.implicitRules",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"isModifier": true,
"isSummary": true
},
{
"path": "Composition.language",
"id": "MeasureReport.language",
"path": "MeasureReport.language",
"short": "Language of the resource content",
"definition": "The base language in which the resource is written.",
"comments": "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).",
"comment": "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": 0,
"max": "1",
"base": {
"path": "Composition.language",
"path": "Resource.language",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"binding": {
"strength": "required",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
"valueReference": {
"reference": "http://hl7.org/fhir/ValueSet/all-languages"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "Language"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
"valueBoolean": true
}
],
"strength": "extensible",
"description": "A human language.",
"valueSetUri": "http://tools.ietf.org/html/bcp47"
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/languages"
}
}
},
{
"path": "Composition.text",
"id": "MeasureReport.text",
"path": "MeasureReport.text",
"short": "Text summary of the resource, for human interpretation",
"definition": "A human-readable narrative that contains a summary of the resource, and may 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 \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
"comments": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative.",
"comment": "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 \"text blob\" or where text is additionally entered raw or narrated and encoded in formation is added later.",
"alias": [
"narrative",
"html",
"xhtml",
"display"
],
"min": 0,
"max": "1",
"base": {
"path": "Composition.text",
"path": "DomainResource.text",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Narrative"
}
],
"condition": [
"dom-1"
],
"mapping": [
{
"identity": "rim",
"map": "Act.text?"
}
]
},
{
"path": "Composition.contained",
"id": "MeasureReport.contained",
"path": "MeasureReport.contained",
"short": "Contained, inline Resources",
"definition": "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.",
"comments": "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.",
"comment": "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.",
"alias": [
"inline resources",
"anonymous resources",
"contained resources"
],
"min": 0,
"max": "*",
"base": {
"path": "Composition.contained",
"path": "DomainResource.contained",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Resource"
}
],
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"path": "Composition.extension",
"id": "MeasureReport.extension",
"path": "MeasureReport.extension",
"short": "Additional Content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the resource. In order 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.",
"comments": "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.",
"comment": "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": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Composition.extension",
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"path": "Composition.modifierExtension",
"id": "MeasureReport.modifierExtension",
"path": "MeasureReport.modifierExtension",
"short": "Extensions that cannot be ignored",
"definition": "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. Usually modifier elements provide negation or qualification. In order 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.",
"comments": "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.",
"comment": "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": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Composition.modifierExtension",
"path": "DomainResource.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"isModifier": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"path": "Composition.identifier",
"short": "Logical identifier of composition (version-independent)",
"definition": "Logical Identifier for the composition, assigned when created. This identifier stays constant as the composition is changed over time.",
"comments": "See discussion in resource definition for how these relate.",
"id": "MeasureReport.identifier",
"path": "MeasureReport.identifier",
"short": "Additional identifier for the Report",
"definition": "A formal identifier that is used to identify this report when it is represented in other formats, or referenced in a specification, model, design or an instance.",
"comment": "Typically, this is used for identifiers that can go in an HL7 v3 II data type - e.g. to identify this {{title}} outside of FHIR, where the logical URL is not possible to use.",
"requirements": "Allows externally provided and/or usable business identifiers to be easily associated with the module.",
"min": 0,
"max": "1",
"base": {
"path": "Composition.identifier",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Identifier"
}
],
"isSummary": true,
"mapping": [
{
"identity": "cda",
"map": ".setId"
},
{
"identity": "rim",
"map": "Document.id / Document.setId"
},
{
"identity": "w5",
"map": "id"
}
]
},
{
"path": "Composition.date",
"short": "Composition editing time",
"definition": "The composition editing time, when the composition was last logically changed by the author.",
"comments": "The Last Modified Date on the composition may be after the date of the document was attested without being changed.",
"requirements": "dateTime is used for tracking, organizing versions and searching.",
"id": "MeasureReport.status",
"path": "MeasureReport.status",
"short": "complete | pending | error",
"definition": "The report status. No data will be available until the report status is complete.",
"min": 1,
"max": "1",
"base": {
"path": "Composition.date",
"min": 1,
"max": "1"
},
"type": [
{
"code": "dateTime"
"code": "code"
}
],
"isModifier": true,
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "MeasureReportStatus"
}
],
"strength": "required",
"description": "The status of the measure report",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/measure-report-status"
}
},
"mapping": [
{
"identity": "cda",
"map": ".effectiveTime"
},
{
"identity": "rim",
"map": ".effectiveTime[type=\"TS\"]"
"identity": "workflow",
"map": "Event.status"
},
{
"identity": "w5",
"map": "when.done"
"map": "status"
}
]
},
{
"path": "Composition.type",
"short": "Kind of composition (LOINC if possible)",
"definition": "Specifies the particular kind of composition (e.g. History and Physical, Discharge Summary, Progress Note). This usually equates to the purpose of making the composition.",
"comments": "For Composition type, LOINC is ubiquitous and strongly endorsed by HL7. Most implementation guides will require a specific LOINC code, or use LOINC as an extensible binding.",
"requirements": "Key metadata element describing the composition, used in searching/filtering.",
"id": "MeasureReport.type",
"path": "MeasureReport.type",
"short": "individual | patient-list | summary",
"definition": "The type of measure report. This may be an individual report, which provides a single patient's score for the measure; a patient listing, which returns the list of patients that meet the various criteria in the measure; or a summary report, which returns a population count for each of the criteria in the measure.",
"comment": "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
"min": 1,
"max": "1",
"base": {
"path": "Composition.type",
"min": 1,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
"code": "code"
}
],
"isSummary": true,
"binding": {
"strength": "preferred",
"description": "Type of a composition.",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "MeasureReportType"
}
],
"strength": "required",
"description": "The type of the measure report",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/doc-typecodes"
"reference": "http://hl7.org/fhir/ValueSet/measure-report-type"
}
},
"mapping": [
{
"identity": "cda",
"map": ".code"
},
{
"identity": "rim",
"map": "./code"
"identity": "workflow",
"map": "Event.code"
},
{
"identity": "w5",
"map": "class"
}
]
},
{
"path": "Composition.class",
"short": "Categorization of Composition",
"definition": "A categorization for the type of the composition. This may be implied by or derived from the code specified in the Composition Type.",
"comments": "This is a metadata field from [XDS/MHD](http://wiki.ihe.net/index.php?title=Mobile_access_to_Health_Documents_(MHD)).",
"requirements": "Helps humans to assess whether the composition is of interest when viewing an index of compositions or documents.",
"min": 0,
"id": "MeasureReport.measure",
"path": "MeasureReport.measure",
"short": "What measure was evaluated",
"definition": "A reference to the Measure that was evaluated to produce this report.",
"min": 1,
"max": "1",
"base": {
"path": "Composition.class",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Measure"
}
],
"isSummary": true,
"binding": {
"strength": "example",
"description": "High-level kind of a clinical document at a macro level.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/doc-classcodes"
}
},
"mapping": [
{
"identity": "cda",
"map": "n/a"
},
{
"identity": "rim",
"map": ".outboundRelationship[typeCode=\"COMP].target[classCode=\"LIST\", moodCode=\"EVN\"].code"
"identity": "workflow",
"map": "Event.definition"
},
{
"identity": "w5",
"map": "class"
"map": "what"
}
]
},
{
"path": "Composition.title",
"short": "Human Readable name/title",
"definition": "Official human-readable label for the composition.",
"comments": "For many compositions, the title is the same as the text or a display name of Composition.type (e.g. a \"consultation\" or \"progress note\"). Note that CDA does not make title mandatory, but there are no known cases where it is useful for title to be omitted, so it is mandatory here. Feedback on this requirement is welcome during the trial use period.",
"min": 1,
"id": "MeasureReport.patient",
"path": "MeasureReport.patient",
"short": "What patient the report is for",
"definition": "Optional Patient if the report was requested for a single patient.",
"min": 0,
"max": "1",
"base": {
"path": "Composition.title",
"min": 1,
"max": "1"
},
"type": [
{
"code": "string"
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Patient"
}
],
"isSummary": true,
"mapping": [
{
"identity": "cda",
"map": ".title"
"identity": "workflow",
"map": "Event.subject"
},
{
"identity": "rim",
"map": "./title"
"identity": "w5",
"map": "who.focus"
}
]
},
{
"path": "Composition.status",
"short": "preliminary | final | appended | amended | entered-in-error",
"definition": "The workflow/clinical status of this composition. The status is a marker for the clinical standing of the document.",
"comments": "If a composition is marked as withdrawn, the compositions/documents in the series, or data from the composition or document series, should never be displayed to a user without being clearly marked as untrustworthy. The flag \"withdrawn\" is why this element is labeled as a modifier of other elements. \n\nSome reporting work flows require that the original narrative of a final document never be altered; instead, only new narrative can be added. The composition resource has no explicit status for explicitly noting whether this business rule is in effect. This would be handled by an extension if required.",
"requirements": "Need to be able to mark interim, amended, or withdrawn compositions or documents.",
"min": 1,
"id": "MeasureReport.date",
"path": "MeasureReport.date",
"short": "When the report was generated",
"definition": "The date this measure report was generated.",
"min": 0,
"max": "1",
"base": {
"path": "Composition.status",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
"code": "dateTime"
}
],
"isModifier": true,
"isSummary": true,
"binding": {
"strength": "required",
"description": "The workflow/clinical status of the composition.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/composition-status"
}
},
"mapping": [
{
"identity": "cda",
"map": "n/a"
},
{
"identity": "rim",
"map": "interim: .completionCode=\"IN\" & ./statusCode[isNormalDatatype()]=\"active\"; final: .completionCode=\"AU\" && ./statusCode[isNormalDatatype()]=\"complete\" and not(./inboundRelationship[typeCode=\"SUBJ\" and isNormalActRelationship()]/source[subsumesCode(\"ActClass#CACT\") and moodCode=\"EVN\" and domainMember(\"ReviseComposition\", code) and isNormalAct()]); amended: .completionCode=\"AU\" && ./statusCode[isNormalDatatype()]=\"complete\" and ./inboundRelationship[typeCode=\"SUBJ\" and isNormalActRelationship()]/source[subsumesCode(\"ActClass#CACT\") and moodCode=\"EVN\" and domainMember(\"ReviseComposition\", code) and isNormalAct() and statusCode=\"completed\"]; withdrawn : .completionCode=NI && ./statusCode[isNormalDatatype()]=\"obsolete\""
"identity": "workflow",
"map": "Event.occurrenceDateTime"
},
{
"identity": "w5",
"map": "status"
"map": "when.recorded"
}
]
},
{
"path": "Composition.confidentiality",
"short": "As defined by affinity domain",
"definition": "The code specifying the level of confidentiality of the Composition.",
"comments": "The exact use of this element, and enforcement and issues related to highly sensitive documents are out of scope for the base specification, and delegated to implementation profiles (see security section).",
"min": 1,
"id": "MeasureReport.reportingOrganization",
"path": "MeasureReport.reportingOrganization",
"short": "Who is reporting the data",
"definition": "Reporting Organization.",
"min": 0,
"max": "1",
"base": {
"path": "Composition.confidentiality",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Organization"
}
],
"isModifier": true,
"isSummary": true,
"binding": {
"strength": "required",
"description": "Codes specifying the level of confidentiality of the composition.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/v3-Confidentiality"
}
},
"mapping": [
{
"identity": "cda",
"map": ".confidentialityCode"
},
{
"identity": "rim",
"map": ".confidentialityCode"
"identity": "w5",
"map": "who.source"
}
]
},
{
"path": "Composition.subject",
"short": "Who and/or what the composition is about",
"definition": "Who or what the composition is about. The composition can be about a person, (patient or healthcare practitioner), a device (I.e. machine) or even a group of subjects (such as a document about a herd of livestock, or a set of patients that share a common exposure).",
"comments": "if a report contains the results of more than one measure, each measure should be measuring the same entity.",
"requirements": "For a mreasure report, the subject indicates who ior what is being measured? For example, the provider, hospital, or health plan that is being measured by the scores included in the report.",
"id": "MeasureReport.period",
"path": "MeasureReport.period",
"short": "What period the report covers",
"definition": "The reporting period for which the report was calculated.",
"min": 1,
"max": "1",
"base": {
"path": "Composition.subject",
"min": 1,
"max": "1"
},
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Patient"
]
},
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Practitioner"
]
},
"code": "Period"
}
],
"isSummary": true
},
{
"id": "MeasureReport.group",
"path": "MeasureReport.group",
"short": "Measure results for each group",
"definition": "The results of the calculation, one for each population group in the measure.",
"min": 0,
"max": "*",
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Group"
]
},
"code": "BackboneElement"
}
],
"constraint": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Device"
]
},
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "Element"
}
],
"isSummary": false
},
{
"id": "MeasureReport.group.id",
"path": "MeasureReport.group.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Location"
]
"code": "string"
}
],
"isSummary": true,
"mapping": [
{
"identity": "cda",
"map": ".recordTarget"
},
{
"identity": "rim",
"map": ".participation[typeCode=\"SBJ\"].role[typeCode=\"PAT\"]"
},
{
"identity": "w5",
"map": "who.focus"
"map": "n/a"
}
]
},
{
"path": "Composition.author",
"short": "Who and/or what authored the composition",
"definition": "Identifies who is responsible for the information in the composition. (Not necessarily who typed it in.).",
"requirements": "Identifies who is responsible for the content.",
"min": 1,
"id": "MeasureReport.group.extension",
"path": "MeasureReport.group.extension",
"short": "Additional Content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.",
"comment": "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": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Composition.author",
"min": 1,
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Practitioner"
]
},
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Device"
]
},
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Patient"
]
},
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/RelatedPerson"
]
"code": "Extension"
}
],
"isSummary": true,
"mapping": [
{
"identity": "cda",
"map": ".author.assignedAuthor"
},
{
"identity": "rim",
"map": ".participation[typeCode=\"AUT\"].role[classCode=\"ASSIGNED\"]"
},
{
"identity": "w5",
"map": "who.author"
"map": "n/a"
}
]
},
{
"path": "Composition.attester",
"short": "Attests to accuracy of composition",
"definition": "A participant who has attested to the accuracy of the composition/document.",
"comments": "Only list each attester once.",
"requirements": "Identifies responsibility for the accuracy of the composition content.",
"id": "MeasureReport.group.modifierExtension",
"path": "MeasureReport.group.modifierExtension",
"short": "Extensions that cannot be ignored",
"definition": "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 that contains it. Usually modifier elements provide negation or qualification. In order 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.",
"comment": "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": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "Composition.attester",
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "BackboneElement"
"code": "Extension"
}
],
"isModifier": true,
"isSummary": true,
"mapping": [
{
"identity": "cda",
"map": ".authenticator/.legalAuthenticator"
},
{
"identity": "rim",
"map": ".participation[typeCode=\"AUTHEN\"].role[classCode=\"ASSIGNED\"]"
"map": "N/A"
}
]
},
{
"path": "Composition.attester.id",
"id": "MeasureReport.group.identifier",
"path": "MeasureReport.group.identifier",
"short": "What group of the measure",
"definition": "The identifier of the population group as defined in the measure definition.",
"min": 1,
"max": "1",
"type": [
{
"code": "Identifier"
}
],
"isSummary": false
},
{
"id": "MeasureReport.group.population",
"path": "MeasureReport.group.population",
"short": "The populations in the group",
"definition": "The populations that make up the population group, one for each type of population appropriate for the measure.",
"min": 0,
"max": "*",
"type": [
{
"code": "BackboneElement"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "Element"
}
],
"isSummary": false
},
{
"id": "MeasureReport.group.population.id",
"path": "MeasureReport.group.population.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references).",
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Composition.attester.id",
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "id"
"code": "string"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"path": "Composition.attester.extension",
"id": "MeasureReport.group.population.extension",
"path": "MeasureReport.group.population.extension",
"short": "Additional Content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.",
"comments": "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.",
"comment": "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": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Composition.attester.extension",
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"path": "Composition.attester.modifierExtension",
"id": "MeasureReport.group.population.modifierExtension",
"path": "MeasureReport.group.population.modifierExtension",
"short": "Extensions that cannot be ignored",
"definition": "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 that contains it. Usually modifier elements provide negation or qualification. In order 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.",
"comments": "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.",
"comment": "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": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "Composition.attester.modifierExtension",
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"isModifier": true,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"path": "Composition.attester.mode",
"short": "personal | professional | legal | official",
"definition": "The type of attestation the authenticator offers.",
"comments": "Use more than one code where a single attester has more than one mode (professional and legal are often paired).",
"requirements": "Indicates the level of authority of the attestation.",
"min": 1,
"max": "*",
"base": {
"path": "Composition.attester.mode",
"min": 1,
"max": "*"
},
"id": "MeasureReport.group.population.identifier",
"path": "MeasureReport.group.population.identifier",
"short": "Population identifier as defined in the measure",
"definition": "The identifier of the population being reported, as defined by the population element of the measure.",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
"code": "Identifier"
}
],
"isSummary": true,
"binding": {
"strength": "required",
"description": "The way in which a person authenticated a composition.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/composition-attestation-mode"
}
},
"mapping": [
{
"identity": "cda",
"map": "implied by .authenticator/.legalAuthenticator"
},
{
"identity": "rim",
"map": "unique(./modeCode)"
}
]
"isSummary": true
},
{
"path": "Composition.attester.time",
"short": "When composition attested",
"definition": "When composition was attested by the party.",
"requirements": "Identifies when the information in the composition was deemed accurate. (Things may have changed since then.).",
"id": "MeasureReport.group.population.code",
"path": "MeasureReport.group.population.code",
"short": "initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-score",
"definition": "The type of the population.",
"min": 0,
"max": "1",
"base": {
"path": "Composition.attester.time",
"min": 0,
"max": "1"
},
"type": [
{
"code": "dateTime"
"code": "CodeableConcept"
}
],
"isSummary": true,
"mapping": [
{
"identity": "cda",
"map": ".authenticator.time"
},
{
"identity": "rim",
"map": "./time[type=\"TS\" and isNormalDatatype()]"
}
]
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "MeasurePopulation"
}
],
"strength": "extensible",
"description": "The type of population (e.g. initial, numerator, denominator, etc.)",
"valueSetUri": "http://hl7.org/fhir/ValueSet/measure-population"
}
},
{
"path": "Composition.attester.party",
"short": "Who attested the composition",
"definition": "Who attested the composition in the specified way.",
"requirements": "Identifies who has taken on the responsibility for accuracy of the composition content.",
"id": "MeasureReport.group.population.count",
"path": "MeasureReport.group.population.count",
"short": "Size of the population",
"definition": "The number of members of the population.",
"min": 0,
"max": "1",
"base": {
"path": "Composition.attester.party",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Patient"
]
},
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Practitioner"
]
},
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Organization"
]
"code": "integer"
}
],
"isSummary": true,
"mapping": [
{
"identity": "cda",
"map": ".authenticator.assignedEnttty"
},
{
"identity": "rim",
"map": "./role[classCode=\"ASSIGNED\" and isNormalRole]/player[determinerCode=\"INST\" and classCode=(\"DEV\", \"PSN\") and isNormalEntity()] or ./role[classCode=\"ASSIGNED\" and isNormalRole and not(player)]/scoper[determinerCode=\"INST\" and classCode=\"ORG\" and isNormalEntity()]"
},
{
"identity": "w5",
"map": "who.witness"
}
]
"isSummary": false
},
{
"path": "Composition.custodian",
"short": "Org which maintains the composition",
"definition": "Identifies the organization or group who is responsible for ongoing maintenance of and access to the composition/document information.",
"comments": "This is useful when documents are derived from a composition - provides guidance for how to get the latest version of the document. This is optional because this is sometimes not known by the authoring system, and can be inferred by context. However it is important that this information be known when working with a derived document, so providing a custodian is encouraged.",
"requirements": "Identifies where to go to find the current version, where to report issues, etc.",
"id": "MeasureReport.group.population.patients",
"path": "MeasureReport.group.population.patients",
"short": "For patient-list reports, the patients in this population",
"definition": "This element refers to a List of patient level MeasureReport resources, one for each patient in this population.",
"min": 0,
"max": "1",
"base": {
"path": "Composition.custodian",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Organization"
]
"targetProfile": "http://hl7.org/fhir/StructureDefinition/List"
}
],
"isSummary": true,
"mapping": [
{
"identity": "cda",
"map": ".custodian.assignedCustodian"
},
"isSummary": false
},
{
"id": "MeasureReport.group.measureScore",
"path": "MeasureReport.group.measureScore",
"short": "What score this group achieved",
"definition": "The measure score for this population group, calculated as appropriate for the measure type and scoring method, and based on the contents of the populations defined in the group.",
"min": 0,
"max": "1",
"type": [
{
"identity": "rim",
"map": ".participation[typeCode=\"RCV\"].role[classCode=\"CUST\"].scoper[classCode=\"ORG\" and determinerCode=\"INST\"]"
"code": "decimal"
}
]
],
"isSummary": true
},
{
"path": "Composition.event",
"short": "The clinical service(s) being documented",
"definition": "The clinical service, such as a colonoscopy or an appendectomy, being documented.",
"comments": "The event needs to be consistent with the type element, though can provide further information if desired.",
"requirements": "The report's results will typically span many cases that may each span many events.",
"id": "MeasureReport.group.stratifier",
"path": "MeasureReport.group.stratifier",
"short": "Stratification results",
"definition": "When a measure includes multiple stratifiers, there will be a stratifier group for each stratifier defined by the measure.",
"min": 0,
"max": "0",
"base": {
"path": "Composition.event",
"min": 0,
"max": "*"
},
"max": "*",
"type": [
{
"code": "BackboneElement"
}
],
"mustSupport": true,
"isSummary": true,
"mapping": [
{
"identity": "cda",
"map": ".documentationOf.serviceEvent"
},
"constraint": [
{
"identity": "rim",
"map": "outboundRelationship[typeCode=\"SUBJ\"].target[classCode<'ACT']"
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "Element"
}
]
],
"isSummary": false
},
{
"path": "Composition.event.id",
"id": "MeasureReport.group.stratifier.id",
"path": "MeasureReport.group.stratifier.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references).",
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Composition.event.id",
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "id"
"code": "string"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"path": "Composition.event.extension",
"id": "MeasureReport.group.stratifier.extension",
"path": "MeasureReport.group.stratifier.extension",
"short": "Additional Content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.",
"comments": "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.",
"comment": "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": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Composition.event.extension",
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"path": "Composition.event.modifierExtension",
"id": "MeasureReport.group.stratifier.modifierExtension",
"path": "MeasureReport.group.stratifier.modifierExtension",
"short": "Extensions that cannot be ignored",
"definition": "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 that contains it. Usually modifier elements provide negation or qualification. In order 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.",
"comments": "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.",
"comment": "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": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "Composition.event.modifierExtension",
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"isModifier": true,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"path": "Composition.event.code",
"short": "Code(s) that apply to the event being documented",
"definition": "This list of codes represents the main clinical acts, such as a colonoscopy or an appendectomy, being documented. In some cases, the event is inherent in the typeCode, such as a \"History and Physical Report\" in which the procedure being documented is necessarily a \"History and Physical\" act.",
"comments": "An event can further specialize the act inherent in the typeCode, such as where it is simply \"Procedure Report\" and the procedure was a \"colonoscopy\". If one or more eventCodes are included, they SHALL NOT conflict with the values inherent in the classCode, practiceSettingCode or typeCode, as such a conflict would create an ambiguous situation. This short list of codes is provided to be used as key words for certain types of queries.",
"id": "MeasureReport.group.stratifier.identifier",
"path": "MeasureReport.group.stratifier.identifier",
"short": "What stratifier of the group",
"definition": "The identifier of this stratifier, as defined in the measure definition.",
"min": 0,
"max": "0",
"base": {
"path": "Composition.event.code",
"min": 0,
"max": "*"
},
"max": "1",
"type": [
{
"code": "CodeableConcept"
"code": "Identifier"
}
],
"mustSupport": true,
"isSummary": true,
"binding": {
"strength": "example",
"description": "This list of codes represents the main clinical acts being documented.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/v3-ActCode"
"isSummary": false
},
{
"id": "MeasureReport.group.stratifier.stratum",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString": "StratifierGroup"
}
},
"mapping": [
],
"path": "MeasureReport.group.stratifier.stratum",
"short": "Stratum results, one for each unique value in the stratifier",
"definition": "This element contains the results for a single stratum within the stratifier. For example, when stratifying on administrative gender, there will be four strata, one for each possible gender value.",
"min": 0,
"max": "*",
"type": [
{
"identity": "cda",
"map": ".code"
},
"code": "BackboneElement"
}
],
"constraint": [
{
"identity": "rim",
"map": ".code"
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "Element"
}
]
],
"isSummary": false
},
{
"path": "Composition.event.period",
"short": "The period covered by the documentation",
"definition": "The period of time covered by the documentation. There is no assertion that the documentation is a complete representation for this period, only that it documents events during this time.",
"id": "MeasureReport.group.stratifier.stratum.id",
"path": "MeasureReport.group.stratifier.stratum.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "0",
"max": "1",
"base": {
"path": "Composition.event.period",
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Period"
"code": "string"
}
],
"mustSupport": true,
"isSummary": true,
"mapping": [
{
"identity": "cda",
"map": ".effectiveTime"
},
{
"identity": "rim",
"map": ".effectiveTime"
"map": "n/a"
}
]
},
{
"path": "Composition.event.detail",
"short": "Full details for the event(s) the composition consents",
"definition": "Full details for the event(s) the composition/documentation consents.",
"id": "MeasureReport.group.stratifier.stratum.extension",
"path": "MeasureReport.group.stratifier.stratum.extension",
"short": "Additional Content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.",
"comment": "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": [
"extensions",
"user content"
],
"min": 0,
"max": "0",
"max": "*",
"base": {
"path": "Composition.event.detail",
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Resource"
]
"code": "Extension"
}
],
"mustSupport": true,
"isSummary": true,
"mapping": [
{
"identity": "cda",
"map": "n/a"
},
{
"identity": "rim",
"map": ".outboundRelationship[typeCode=\"SUBJ\"].target"
"map": "n/a"
}
]
},
{
"path": "Composition.encounter",
"short": "Context of the composition",
"definition": "Describes the clinical encounter or type of care this documentation is associated with.",
"requirements": "Provides context for the composition and supports searching.",
"id": "MeasureReport.group.stratifier.stratum.modifierExtension",
"path": "MeasureReport.group.stratifier.stratum.modifierExtension",
"short": "Extensions that cannot be ignored",
"definition": "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 that contains it. Usually modifier elements provide negation or qualification. In order 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.",
"comment": "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": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "0",
"max": "*",
"base": {
"path": "Composition.encounter",
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "1"
"max": "*"
},
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Encounter"
]
"code": "Extension"
}
],
"mustSupport": true,
"isModifier": true,
"isSummary": true,
"mapping": [
{
"identity": "cda",
"map": ".componentOf.encompassingEncounter"
},
{
"identity": "rim",
"map": "unique(highest(./outboundRelationship[typeCode=\"SUBJ\" and isNormalActRelationship()], priorityNumber)/target[moodCode=\"EVN\" and classCode=(\"ENC\", \"PCPR\") and isNormalAct])"
},
{
"identity": "w5",
"map": "context"
"map": "N/A"
}
]
},
{
"id": "MeasureReport.group.stratifier.stratum.value",
"path": "MeasureReport.group.stratifier.stratum.value",
"short": "The stratum value, e.g. male",
"definition": "The value for this stratum, expressed as a string. When defining stratifiers on complex values, the value must be rendered such that the value for each stratum within the stratifier is unique.",
"min": 1,
"max": "1",
"type": [
{
"code": "string"
}
],
"isSummary": false
},
{
"id": "MeasureReport.group.stratifier.stratum.population",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString": "Section"
"valueString": "StratifierGroupPopulation"
}
],
"path": "Composition.section",
"short": "Composition is broken into sections",
"definition": "The root of the contents that make up the composition.",
"path": "MeasureReport.group.stratifier.stratum.population",
"short": "Population results in this stratum",
"definition": "The populations that make up the stratum, one for each type of population appropriate to the measure.",
"min": 0,
"max": "*",
"base": {
"path": "Composition.section",
"min": 0,
"max": "*"
},
"type": [
{
"code": "BackboneElement"
}
],
"constraint": [
{
"key": "cmp-2",
"severity": "error",
"human": "A section can only have an emptyReason if it is empty",
"xpath": "not(exists(f:emptyReason) and exists(f:entry))"
},
{
"key": "cmp-1",
"key": "ele-1",
"severity": "error",
"human": "A section must at least one of text, entries, or sub-sections",
"xpath": "exists(f:text) or exists(f:entry) or exists(f:section)"
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "Element"
}
],
"mapping": [
{
"identity": "cda",
"map": ".component.structuredBody.component.section"
},
{
"identity": "rim",
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
}
]
"isSummary": false
},
{
"path": "Composition.section.id",
"id": "MeasureReport.group.stratifier.stratum.population.id",
"path": "MeasureReport.group.stratifier.stratum.population.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references).",
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Composition.section.id",
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "id"
"code": "string"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"path": "Composition.section.extension",
"id": "MeasureReport.group.stratifier.stratum.population.extension",
"path": "MeasureReport.group.stratifier.stratum.population.extension",
"short": "Additional Content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.",
"comments": "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.",
"comment": "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": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Composition.section.extension",
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"path": "Composition.section.modifierExtension",
"id": "MeasureReport.group.stratifier.stratum.population.modifierExtension",
"path": "MeasureReport.group.stratifier.stratum.population.modifierExtension",
"short": "Extensions that cannot be ignored",
"definition": "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 that contains it. Usually modifier elements provide negation or qualification. In order 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.",
"comments": "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.",
"comment": "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": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "Composition.section.modifierExtension",
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"isModifier": true,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"path": "Composition.section.title",
"short": "Label for section",
"definition": "The heading for this particular section. This will be part of the rendered content for the document.",
"comments": "The title identifies the section for a human reader. The title must be consistent with the narrative of the resource that is the target of the section.content reference. Generally, sections SHOULD have titles, but in some documents it is unnecessary or inappropriate. Typically, this is where a section has subsections that have their own adequately distinguishing title, or documents that only have a single section. Most Implementation Guides will make section title to be a required element.",
"requirements": "Section headings are often standardized for different types of documents. They give guidance to humans on how the document is organized.",
"alias": [
"header",
"label",
"caption"
"id": "MeasureReport.group.stratifier.stratum.population.identifier",
"path": "MeasureReport.group.stratifier.stratum.population.identifier",
"short": "Population identifier as defined in the measure",
"definition": "The identifier of the population being reported, as defined by the population element of the measure.",
"min": 0,
"max": "1",
"type": [
{
"code": "Identifier"
}
],
"isSummary": true
},
{
"id": "MeasureReport.group.stratifier.stratum.population.code",
"path": "MeasureReport.group.stratifier.stratum.population.code",
"short": "initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-score",
"definition": "The type of the population.",
"min": 0,
"max": "1",
"base": {
"path": "Composition.section.title",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
"code": "CodeableConcept"
}
],
"mapping": [
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "MeasurePopulation"
}
],
"strength": "extensible",
"description": "The type of population (e.g. initial, numerator, denominator, etc.)",
"valueSetUri": "http://hl7.org/fhir/ValueSet/measure-population"
}
},
{
"id": "MeasureReport.group.stratifier.stratum.population.count",
"path": "MeasureReport.group.stratifier.stratum.population.count",
"short": "Size of the population",
"definition": "The number of members of the population in this stratum.",
"min": 0,
"max": "1",
"type": [
{
"identity": "cda",
"map": ".title"
},
"code": "integer"
}
],
"isSummary": false
},
{
"id": "MeasureReport.group.stratifier.stratum.population.patients",
"path": "MeasureReport.group.stratifier.stratum.population.patients",
"short": "For patient-list reports, the patients in this population",
"definition": "This element refers to a List of patient level MeasureReport resources, one for each patient in this population in this stratum.",
"min": 0,
"max": "1",
"type": [
{
"identity": "rim",
"map": "./title"
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/List"
}
]
],
"isSummary": false
},
{
"path": "Composition.section.code",
"short": "Classification of section (recommended)",
"definition": "A code identifying the kind of content contained within the section. This must be consistent with the section title.",
"comments": "The code identifies the section for an automated processor of the document. This is particularly relevant when using profiles to control the structure of the document. If the section has content (instead of sub-sections), the section.code does not change the meaning or interpretation of the resource that is the content of the section in the comments for the section.code.",
"requirements": "Provides computable standardized labels to topics within the document.",
"id": "MeasureReport.group.stratifier.stratum.measureScore",
"path": "MeasureReport.group.stratifier.stratum.measureScore",
"short": "What score this stratum achieved",
"definition": "The measure score for this stratum, calculated as appropriate for the measure type and scoring method, and based on only the members of this stratum.",
"min": 0,
"max": "1",
"base": {
"path": "Composition.section.code",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
"code": "decimal"
}
],
"binding": {
"strength": "example",
"description": "Classification of a section of a composition/document.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/doc-section-codes"
"isSummary": true
},
{
"id": "MeasureReport.evaluatedResources",
"path": "MeasureReport.evaluatedResources",
"short": "What data was evaluated to produce the measure score",
"definition": "A reference to a Bundle containing the Resources that were used in the evaluation of this report.",
"min": 0,
"max": "1",
"type": [
{
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Bundle"
}
},
],
"isSummary": false
}
]
},
"differential": {
"element": [
{
"id": "MeasureReport",
"path": "MeasureReport",
"short": "Results of a measure evaluation",
"definition": "The MeasureReport resource contains the results of evaluating a measure.",
"min": 0,
"max": "*",
"mapping": [
{
"identity": "cda",
"map": ".code"
"identity": "workflow",
"map": "Event"
},
{
"identity": "rim",
"map": "./code"
"identity": "w5",
"map": "clinical.general"
}
]
},
{
"path": "Composition.section.text",
"short": "Text summary of the section, for human interpretation",
"definition": "A human-readable narrative that contains the attested content of the section, 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 \"clinically safe\" for a human to just read the narrative.",
"comments": "Document profiles may define what content should be represented in the narrative to ensure clinical safety.",
"id": "MeasureReport.identifier",
"path": "MeasureReport.identifier",
"short": "Additional identifier for the Report",
"definition": "A formal identifier that is used to identify this report when it is represented in other formats, or referenced in a specification, model, design or an instance.",
"comment": "Typically, this is used for identifiers that can go in an HL7 v3 II data type - e.g. to identify this {{title}} outside of FHIR, where the logical URL is not possible to use.",
"requirements": "Allows externally provided and/or usable business identifiers to be easily associated with the module.",
"min": 0,
"max": "1",
"base": {
"path": "Composition.section.text",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Narrative"
"code": "Identifier"
}
],
"condition": [
"cmp-1"
],
"isSummary": true,
"mapping": [
{
"identity": "cda",
"map": ".text"
},
{
"identity": "rim",
"map": ".text"
"identity": "w5",
"map": "id"
}
]
},
{
"path": "Composition.section.mode",
"short": "working | snapshot | changes",
"definition": "How the entry list was prepared - whether it is a working list that is suitable for being maintained on an ongoing basis, or if it represents a snapshot of a list of items from another source, or whether it is a prepared list where items may be marked as added, modified or deleted.",
"requirements": "Sections are used in various ways, and it must be known in what way it is safe to use the entries in them.",
"min": 0,
"id": "MeasureReport.status",
"path": "MeasureReport.status",
"short": "complete | pending | error",
"definition": "The report status. No data will be available until the report status is complete.",
"min": 1,
"max": "1",
"base": {
"path": "Composition.section.mode",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"isModifier": true,
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "MeasureReportStatus"
}
],
"strength": "required",
"description": "The processing mode that applies to this section.",
"description": "The status of the measure report",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-mode"
"reference": "http://hl7.org/fhir/ValueSet/measure-report-status"
}
},
"mapping": [
{
"identity": "cda",
"map": "n/a"
},
{
"identity": "rim",
"map": ".outBoundRelationship[typeCode=COMP].target[classCode=OBS\"].value"
"identity": "workflow",
"map": "Event.status"
},
{
"identity": "w5",
"map": "class"
"map": "status"
}
]
},
{
"path": "Composition.section.orderedBy",
"short": "Order of section entries",
"definition": "Specifies the order applied to the items in the section entries.",
"comments": "Applications SHOULD render ordered lists in the order provided, but MAY allow users to re-order based on their own preferences as well. If there is no order specified, the order is unknown, though there may still be some order.",
"requirements": "Important for presentation and rendering. Lists may be sorted to place more important information first or to group related entries.",
"min": 0,
"id": "MeasureReport.type",
"path": "MeasureReport.type",
"short": "individual | patient-list | summary",
"definition": "The type of measure report. This may be an individual report, which provides a single patient's score for the measure; a patient listing, which returns the list of patients that meet the various criteria in the measure; or a summary report, which returns a population count for each of the criteria in the measure.",
"comment": "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
"min": 1,
"max": "1",
"base": {
"path": "Composition.section.orderedBy",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
"code": "code"
}
],
"isSummary": true,
"binding": {
"strength": "preferred",
"description": "What order applies to the items in the entry.",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "MeasureReportType"
}
],
"strength": "required",
"description": "The type of the measure report",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-order"
"reference": "http://hl7.org/fhir/ValueSet/measure-report-type"
}
},
"mapping": [
{
"identity": "cda",
"map": "n/a"
"identity": "workflow",
"map": "Event.code"
},
{
"identity": "rim",
"map": ".outboundRelationship[typeCode=COMP].sequenceNumber > 1"
"identity": "w5",
"map": "class"
}
]
},
{
"path": "Composition.section.entry",
"short": "The Content of the section",
"definition": "The content (narrative and data) associated with the section.",
"comments": "If there are no entries in the list, an emptyReason SHOULD be provided.",
"id": "MeasureReport.measure",
"path": "MeasureReport.measure",
"short": "What measure was evaluated",
"definition": "A reference to the Measure that was evaluated to produce this report.",
"min": 1,
"max": "1",
"base": {
"path": "Composition.section.entry",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Observation"
]
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Measure"
}
],
"condition": [
"cmp-2"
],
"isSummary": true,
"mapping": [
{
"identity": "cda",
"map": ".entry"
"identity": "workflow",
"map": "Event.definition"
},
{
"identity": "rim",
"map": ".outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]"
"identity": "w5",
"map": "what"
}
]
},
{
"path": "Composition.section.emptyReason",
"short": "Why the section is empty",
"definition": "If the section is empty, why the list is empty. An empty section typically has some text explaining the empty reason.",
"comments": "The various reasons for an empty section make a significant interpretation to its interpretation. Note that this code is for use when the entire section content has been suppressed, and not for when individual items are omitted - implementers may consider using a text note or a flag on an entry in these cases.",
"requirements": "Allows capturing things like \"none exist\" or \"not asked\" which can be important for most lists.",
"id": "MeasureReport.patient",
"path": "MeasureReport.patient",
"short": "What patient the report is for",
"definition": "Optional Patient if the report was requested for a single patient.",
"min": 0,
"max": "1",
"base": {
"path": "Composition.section.emptyReason",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Patient"
}
],
"condition": [
"cmp-2"
],
"binding": {
"strength": "preferred",
"description": "If a section is empty, why it is empty.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/list-empty-reason"
}
},
"isSummary": true,
"mapping": [
{
"identity": "cda",
"map": "n/a"
"identity": "workflow",
"map": "Event.subject"
},
{
"identity": "rim",
"map": ".inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD]"
"identity": "w5",
"map": "who.focus"
}
]
},
{
"path": "Composition.section.section",
"short": "Nested Section",
"definition": "A nested sub-section within this section.",
"comments": "Nested sections are primarily used to help human readers navigate to particular portions of the document.",
"id": "MeasureReport.date",
"path": "MeasureReport.date",
"short": "When the report was generated",
"definition": "The date this measure report was generated.",
"min": 0,
"max": "*",
"base": {
"path": "Composition.section.section",
"min": 0,
"max": "*"
},
"nameReference": "section",
"condition": [
"cmp-1"
"max": "1",
"type": [
{
"code": "dateTime"
}
],
"isSummary": true,
"mapping": [
{
"identity": "cda",
"map": ".component.section"
"identity": "workflow",
"map": "Event.occurrenceDateTime"
},
{
"identity": "rim",
"map": "./outboundRelationship[typeCode=\"COMP\" and isNormalActRelationship()]/target[moodCode=\"EVN\" and classCode=\"DOCSECT\" and isNormalAct]"
"identity": "w5",
"map": "when.recorded"
}
]
}
]
},
"differential": {
"element": [
},
{
"path": "Composition",
"name": "MeasureReport",
"short": "A set of resources composed into a single coherent clinical statement with clinical attestation",
"definition": "A set of healthcare-related information that is assembled together into a single logical document that provides a single coherent statement of meaning, establishes its own context and that has clinical attestation with regard to who is making the statement. While a Composition defines the structure, it does not actually contain the content: rather the full content of a document is contained in a Bundle, of which the Composition is the first resource contained.",
"id": "MeasureReport.reportingOrganization",
"path": "MeasureReport.reportingOrganization",
"short": "Who is reporting the data",
"definition": "Reporting Organization.",
"min": 0,
"max": "*",
"max": "1",
"type": [
{
"code": "Composition"
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Organization"
}
],
"isSummary": true,
"mapping": [
{
"identity": "w5",
"map": "who.source"
}
]
},
{
"path": "Composition.identifier",
"short": "Logical identifier of composition (version-independent)",
"definition": "Logical Identifier for the composition, assigned when created. This identifier stays constant as the composition is changed over time.",
"min": 0,
"id": "MeasureReport.period",
"path": "MeasureReport.period",
"short": "What period the report covers",
"definition": "The reporting period for which the report was calculated.",
"min": 1,
"max": "1",
"type": [
{
"code": "Identifier"
"code": "Period"
}
]
],
"isSummary": true
},
{
"path": "Composition.date",
"short": "Composition editing time",
"definition": "The composition editing time, when the composition was last logically changed by the author.",
"min": 1,
"max": "1",
"id": "MeasureReport.group",
"path": "MeasureReport.group",
"short": "Measure results for each group",
"definition": "The results of the calculation, one for each population group in the measure.",
"min": 0,
"max": "*",
"type": [
{
"code": "dateTime"
"code": "BackboneElement"
}
]
],
"isSummary": false
},
{
"path": "Composition.type",
"short": "Kind of composition (LOINC if possible)",
"definition": "Specifies the particular kind of composition (e.g. History and Physical, Discharge Summary, Progress Note). This usually equates to the purpose of making the composition.",
"id": "MeasureReport.group.identifier",
"path": "MeasureReport.group.identifier",
"short": "What group of the measure",
"definition": "The identifier of the population group as defined in the measure definition.",
"min": 1,
"max": "1",
"type": [
{
"code": "CodeableConcept"
"code": "Identifier"
}
]
],
"isSummary": false
},
{
"path": "Composition.class",
"short": "Categorization of Composition",
"definition": "A categorization for the type of the composition. This may be implied by or derived from the code specified in the Composition Type.",
"id": "MeasureReport.group.population",
"path": "MeasureReport.group.population",
"short": "The populations in the group",
"definition": "The populations that make up the population group, one for each type of population appropriate for the measure.",
"min": 0,
"max": "1",
"max": "*",
"type": [
{
"code": "CodeableConcept"
"code": "BackboneElement"
}
]
],
"isSummary": false
},
{
"path": "Composition.title",
"short": "Human Readable name/title",
"definition": "Official human-readable label for the composition.",
"min": 1,
"id": "MeasureReport.group.population.identifier",
"path": "MeasureReport.group.population.identifier",
"short": "Population identifier as defined in the measure",
"definition": "The identifier of the population being reported, as defined by the population element of the measure.",
"min": 0,
"max": "1",
"type": [
{
"code": "string"
"code": "Identifier"
}
]
],
"isSummary": true
},
{
"path": "Composition.status",
"short": "preliminary | final | appended | amended | entered-in-error",
"definition": "The workflow/clinical status of this composition. The status is a marker for the clinical standing of the document.",
"min": 1,
"id": "MeasureReport.group.population.code",
"path": "MeasureReport.group.population.code",
"short": "initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-score",
"definition": "The type of the population.",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
"code": "CodeableConcept"
}
]
],
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "MeasurePopulation"
}
],
"strength": "extensible",
"description": "The type of population (e.g. initial, numerator, denominator, etc.)",
"valueSetUri": "http://hl7.org/fhir/ValueSet/measure-population"
}
},
{
"path": "Composition.confidentiality",
"short": "As defined by affinity domain",
"definition": "The code specifying the level of confidentiality of the Composition.",
"min": 1,
"id": "MeasureReport.group.population.count",
"path": "MeasureReport.group.population.count",
"short": "Size of the population",
"definition": "The number of members of the population.",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
"code": "integer"
}
]
],
"isSummary": false
},
{
"path": "Composition.subject",
"short": "Who and/or what the composition is about",
"definition": "Who or what the composition is about. The composition can be about a person, (patient or healthcare practitioner), a device (I.e. machine) or even a group of subjects (such as a document about a herd of livestock, or a set of patients that share a common exposure).",
"comments": "if a report contains the results of more than one measure, each measure should be measuring the same entity.",
"requirements": "For a mreasure report, the subject indicates who ior what is being measured? For example, the provider, hospital, or health plan that is being measured by the scores included in the report.",
"min": 1,
"id": "MeasureReport.group.population.patients",
"path": "MeasureReport.group.population.patients",
"short": "For patient-list reports, the patients in this population",
"definition": "This element refers to a List of patient level MeasureReport resources, one for each patient in this population.",
"min": 0,
"max": "1",
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Patient"
]
},
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Practitioner"
]
},
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Group"
]
},
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Device"
]
},
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Location"
]
"targetProfile": "http://hl7.org/fhir/StructureDefinition/List"
}
]
],
"isSummary": false
},
{
"path": "Composition.author",
"short": "Who and/or what authored the composition",
"definition": "Identifies who is responsible for the information in the composition. (Not necessarily who typed it in.).",
"min": 1,
"max": "*",
"id": "MeasureReport.group.measureScore",
"path": "MeasureReport.group.measureScore",
"short": "What score this group achieved",
"definition": "The measure score for this population group, calculated as appropriate for the measure type and scoring method, and based on the contents of the populations defined in the group.",
"min": 0,
"max": "1",
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Practitioner"
]
},
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Device"
]
},
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Patient"
]
},
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/RelatedPerson"
]
"code": "decimal"
}
]
],
"isSummary": true
},
{
"path": "Composition.attester",
"short": "Attests to accuracy of composition",
"definition": "A participant who has attested to the accuracy of the composition/document.",
"id": "MeasureReport.group.stratifier",
"path": "MeasureReport.group.stratifier",
"short": "Stratification results",
"definition": "When a measure includes multiple stratifiers, there will be a stratifier group for each stratifier defined by the measure.",
"min": 0,
"max": "*"
},
{
"path": "Composition.attester.mode",
"short": "personal | professional | legal | official",
"definition": "The type of attestation the authenticator offers.",
"min": 1,
"max": "*",
"type": [
{
"code": "code"
"code": "BackboneElement"
}
]
],
"isSummary": false
},
{
"path": "Composition.attester.time",
"short": "When composition attested",
"definition": "When composition was attested by the party.",
"id": "MeasureReport.group.stratifier.identifier",
"path": "MeasureReport.group.stratifier.identifier",
"short": "What stratifier of the group",
"definition": "The identifier of this stratifier, as defined in the measure definition.",
"min": 0,
"max": "1",
"type": [
{
"code": "dateTime"
"code": "Identifier"
}
]
],
"isSummary": false
},
{
"path": "Composition.attester.party",
"short": "Who attested the composition",
"definition": "Who attested the composition in the specified way.",
"id": "MeasureReport.group.stratifier.stratum",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString": "StratifierGroup"
}
],
"path": "MeasureReport.group.stratifier.stratum",
"short": "Stratum results, one for each unique value in the stratifier",
"definition": "This element contains the results for a single stratum within the stratifier. For example, when stratifying on administrative gender, there will be four strata, one for each possible gender value.",
"min": 0,
"max": "1",
"max": "*",
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Patient"
]
},
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Practitioner"
]
},
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Organization"
]
"code": "BackboneElement"
}
]
],
"isSummary": false
},
{
"path": "Composition.custodian",
"short": "Org which maintains the composition",
"definition": "Identifies the organization or group who is responsible for ongoing maintenance of and access to the composition/document information.",
"min": 0,
"id": "MeasureReport.group.stratifier.stratum.value",
"path": "MeasureReport.group.stratifier.stratum.value",
"short": "The stratum value, e.g. male",
"definition": "The value for this stratum, expressed as a string. When defining stratifiers on complex values, the value must be rendered such that the value for each stratum within the stratifier is unique.",
"min": 1,
"max": "1",
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Organization"
]
"code": "string"
}
]
],
"isSummary": false
},
{
"path": "Composition.event",
"short": "The clinical service(s) being documented",
"definition": "The clinical service, such as a colonoscopy or an appendectomy, being documented.",
"requirements": "The report's results will typically span many cases that may each span many events.",
"id": "MeasureReport.group.stratifier.stratum.population",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString": "StratifierGroupPopulation"
}
],
"path": "MeasureReport.group.stratifier.stratum.population",
"short": "Population results in this stratum",
"definition": "The populations that make up the stratum, one for each type of population appropriate to the measure.",
"min": 0,
"max": "0",
"mustSupport": true
"max": "*",
"type": [
{
"code": "BackboneElement"
}
],
"isSummary": false
},
{
"path": "Composition.event.code",
"short": "Code(s) that apply to the event being documented",
"definition": "This list of codes represents the main clinical acts, such as a colonoscopy or an appendectomy, being documented. In some cases, the event is inherent in the typeCode, such as a \"History and Physical Report\" in which the procedure being documented is necessarily a \"History and Physical\" act.",
"id": "MeasureReport.group.stratifier.stratum.population.identifier",
"path": "MeasureReport.group.stratifier.stratum.population.identifier",
"short": "Population identifier as defined in the measure",
"definition": "The identifier of the population being reported, as defined by the population element of the measure.",
"min": 0,
"max": "0",
"max": "1",
"type": [
{
"code": "CodeableConcept"
"code": "Identifier"
}
],
"mustSupport": true
"isSummary": true
},
{
"path": "Composition.event.period",
"short": "The period covered by the documentation",
"definition": "The period of time covered by the documentation. There is no assertion that the documentation is a complete representation for this period, only that it documents events during this time.",
"id": "MeasureReport.group.stratifier.stratum.population.code",
"path": "MeasureReport.group.stratifier.stratum.population.code",
"short": "initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-score",
"definition": "The type of the population.",
"min": 0,
"max": "0",
"max": "1",
"type": [
{
"code": "Period"
"code": "CodeableConcept"
}
],
"mustSupport": true
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "MeasurePopulation"
}
],
"strength": "extensible",
"description": "The type of population (e.g. initial, numerator, denominator, etc.)",
"valueSetUri": "http://hl7.org/fhir/ValueSet/measure-population"
}
},
{
"path": "Composition.event.detail",
"short": "Full details for the event(s) the composition consents",
"definition": "Full details for the event(s) the composition/documentation consents.",
"id": "MeasureReport.group.stratifier.stratum.population.count",
"path": "MeasureReport.group.stratifier.stratum.population.count",
"short": "Size of the population",
"definition": "The number of members of the population in this stratum.",
"min": 0,
"max": "0",
"max": "1",
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Resource"
]
"code": "integer"
}
],
"mustSupport": true
"isSummary": false
},
{
"path": "Composition.encounter",
"short": "Context of the composition",
"definition": "Describes the clinical encounter or type of care this documentation is associated with.",
"id": "MeasureReport.group.stratifier.stratum.population.patients",
"path": "MeasureReport.group.stratifier.stratum.population.patients",
"short": "For patient-list reports, the patients in this population",
"definition": "This element refers to a List of patient level MeasureReport resources, one for each patient in this population in this stratum.",
"min": 0,
"max": "0",
"max": "1",
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Encounter"
]
"targetProfile": "http://hl7.org/fhir/StructureDefinition/List"
}
],
"mustSupport": true
},
{
"path": "Composition.section",
"short": "Composition is broken into sections",
"definition": "The root of the contents that make up the composition.",
"min": 0,
"max": "*"
"isSummary": false
},
{
"path": "Composition.section.title",
"short": "Label for section",
"definition": "The heading for this particular section. This will be part of the rendered content for the document.",
"id": "MeasureReport.group.stratifier.stratum.measureScore",
"path": "MeasureReport.group.stratifier.stratum.measureScore",
"short": "What score this stratum achieved",
"definition": "The measure score for this stratum, calculated as appropriate for the measure type and scoring method, and based on only the members of this stratum.",
"min": 0,
"max": "1",
"type": [
{
"code": "string"
"code": "decimal"
}
]
],
"isSummary": true
},
{
"path": "Composition.section.entry",
"short": "The Content of the section",
"definition": "The content (narrative and data) associated with the section.",
"min": 1,
"id": "MeasureReport.evaluatedResources",
"path": "MeasureReport.evaluatedResources",
"short": "What data was evaluated to produce the measure score",
"definition": "A reference to a Bundle containing the Resources that were used in the evaluation of this report.",
"min": 0,
"max": "1",
"type": [
{
"code": "Reference",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Observation"
]
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Bundle"
}
]
],
"isSummary": false
}
]
}
}
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.
©
®©
HL7.org
2011+.
FHIR
DSTU2
(v1.0.2-7202)
Release
3
(STU;
v3.0.2-11200)
generated
on
Sat,
Thurs,
Oct
24,
2015
07:43+1100.
2019
11:53+1100.
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