{
"description": "Base StructureDefinition for Measure Resource",
"_filename": "StructureDefinition-Measure.json",
"package_name": "hl7.fhir.r2b.examples",
"date": null,
"derivation": "specialization",
"meta": {
"lastUpdated": "2016-03-31T08:01:25.570+11:00"
},
"publisher": "Health Level Seven International (Clinical Quality Information)",
"fhirVersion": "1.6.0",
"name": "Measure",
"mapping": [ {
"uri": "http://hl7.org/fhir/w5",
"name": "W5 Mapping",
"identity": "w5"
}, {
"uri": "http://hl7.org/v3",
"name": "RIM",
"identity": "rim"
} ],
"baseType": "Measure",
"abstract": false,
"type": null,
"experimental": "false",
"resourceType": "StructureDefinition",
"title": null,
"package_version": "1.4.0",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger": 0
} ],
"snapshot": {
"element": [ {
"path": "Measure",
"min": 0,
"definition": "The Measure resource provides the definition of a quality measure.",
"isModifier": false,
"short": "A quality measure",
"mapping": [ {
"map": "clinical.general",
"identity": "w5"
} ],
"mustSupport": false,
"max": "*",
"maxLength": 0,
"base": {
"max": "*",
"min": 0,
"path": "Measure"
},
"isSummary": true
}, {
"path": "Measure.id",
"min": 0,
"definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
"isModifier": false,
"short": "Logical id of this artifact",
"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.",
"type": [ {
"code": "id"
} ],
"mustSupport": false,
"max": "1",
"maxLength": 0,
"base": {
"max": "*",
"min": 0,
"path": "Resource.id"
},
"isSummary": true
}, {
"path": "Measure.meta",
"min": 0,
"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.",
"isModifier": false,
"short": "Metadata about the resource",
"type": [ {
"code": "Meta"
} ],
"mustSupport": false,
"max": "1",
"maxLength": 0,
"base": {
"max": "*",
"min": 0,
"path": "Resource.meta"
},
"isSummary": true
}, {
"path": "Measure.implicitRules",
"min": 0,
"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.",
"isModifier": true,
"short": "A set of rules under which this content was created",
"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.",
"type": [ {
"code": "uri"
} ],
"mustSupport": false,
"max": "1",
"maxLength": 0,
"base": {
"max": "*",
"min": 0,
"path": "Resource.implicitRules"
},
"isSummary": true
}, {
"path": "Measure.language",
"min": 0,
"definition": "The base language in which the resource is written.",
"isModifier": false,
"short": "Language of the resource content",
"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).",
"type": [ {
"code": "code"
} ],
"mustSupport": false,
"binding": {
"strength": "required",
"description": "A human language.",
"valueSetUri": "http://tools.ietf.org/html/bcp47"
},
"max": "1",
"maxLength": 0,
"base": {
"max": "*",
"min": 0,
"path": "Resource.language"
},
"isSummary": false
}, {
"path": "Measure.text",
"min": 0,
"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.",
"isModifier": false,
"short": "Text summary of the resource, for human interpretation",
"comments": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative.",
"mapping": [ {
"map": "Act.text?",
"identity": "rim"
} ],
"type": [ {
"code": "Narrative"
} ],
"mustSupport": false,
"alias": [ "narrative", "html", "xhtml", "display" ],
"max": "1",
"condition": [ "dom-1" ],
"maxLength": 0,
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.text"
},
"isSummary": false
}, {
"path": "Measure.contained",
"min": 0,
"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.",
"isModifier": false,
"short": "Contained, inline Resources",
"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.",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Resource"
} ],
"mustSupport": false,
"alias": [ "inline resources", "anonymous resources", "contained resources" ],
"max": "*",
"maxLength": 0,
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.contained"
},
"isSummary": false
}, {
"path": "Measure.extension",
"min": 0,
"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.",
"isModifier": false,
"short": "Additional Content defined by implementations",
"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.",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"mustSupport": false,
"alias": [ "extensions", "user content" ],
"max": "*",
"maxLength": 0,
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.extension"
},
"isSummary": false
}, {
"path": "Measure.modifierExtension",
"min": 0,
"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.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"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.",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"mustSupport": false,
"alias": [ "extensions", "user content" ],
"max": "*",
"maxLength": 0,
"base": {
"max": "*",
"min": 0,
"path": "DomainResource.modifierExtension"
},
"isSummary": false
}, {
"path": "Measure.moduleMetadata",
"min": 0,
"definition": "The metadata for the measure, including publishing, life-cycle, version, documentation, and supporting evidence.",
"isModifier": false,
"short": "Metadata for the measure",
"type": [ {
"code": "ModuleMetadata"
} ],
"mustSupport": false,
"max": "1",
"maxLength": 0,
"base": {
"max": "1",
"min": 0,
"path": "Measure.moduleMetadata"
},
"isSummary": true
}, {
"path": "Measure.library",
"min": 0,
"definition": "A reference to a Library resource containing the formal logic used by the measure.",
"isModifier": false,
"short": "Logic used by the measure",
"type": [ {
"code": "Reference",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Library" ]
} ],
"mustSupport": false,
"max": "*",
"maxLength": 0,
"base": {
"max": "*",
"min": 0,
"path": "Measure.library"
},
"isSummary": true
}, {
"path": "Measure.disclaimer",
"min": 0,
"definition": "A disclaimer for the use of the measure.",
"isModifier": false,
"short": "Disclaimer for the measure",
"type": [ {
"code": "markdown"
} ],
"mustSupport": false,
"max": "1",
"maxLength": 0,
"base": {
"max": "1",
"min": 0,
"path": "Measure.disclaimer"
},
"isSummary": true
}, {
"path": "Measure.scoring",
"min": 0,
"definition": "The measure scoring type, e.g. proportion, CV.",
"isModifier": false,
"short": "proportion | ratio | continuous-variable | cohort",
"type": [ {
"code": "code"
} ],
"mustSupport": false,
"binding": {
"strength": "required",
"description": "The scoring type of the measure",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/measure-scoring"
}
},
"max": "1",
"maxLength": 0,
"base": {
"max": "1",
"min": 0,
"path": "Measure.scoring"
},
"isSummary": true
}, {
"path": "Measure.type",
"min": 0,
"definition": "The measure type, e.g. process, outcome.",
"isModifier": false,
"short": "process | outcome",
"type": [ {
"code": "code"
} ],
"mustSupport": false,
"binding": {
"strength": "required",
"description": "The type of measure",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/measure-type"
}
},
"max": "*",
"maxLength": 0,
"base": {
"max": "*",
"min": 0,
"path": "Measure.type"
},
"isSummary": true
}, {
"path": "Measure.riskAdjustment",
"min": 0,
"definition": "A description of the risk adjustment factors that may impact the resulting score for the measure and how they may be accounted for when computing and reporting measure results.",
"isModifier": false,
"short": "How is risk adjustment applied for this measure",
"type": [ {
"code": "string"
} ],
"mustSupport": false,
"max": "1",
"maxLength": 0,
"base": {
"max": "1",
"min": 0,
"path": "Measure.riskAdjustment"
},
"isSummary": true
}, {
"path": "Measure.rateAggregation",
"min": 0,
"definition": "A description of the rate aggregation for the measure.",
"isModifier": false,
"short": "How is rate aggregation performed for this measure",
"type": [ {
"code": "string"
} ],
"mustSupport": false,
"max": "1",
"maxLength": 0,
"base": {
"max": "1",
"min": 0,
"path": "Measure.rateAggregation"
},
"isSummary": true
}, {
"path": "Measure.rationale",
"min": 0,
"definition": "The rationale for the measure.",
"isModifier": false,
"short": "Why does this measure exist",
"type": [ {
"code": "markdown"
} ],
"mustSupport": false,
"max": "1",
"maxLength": 0,
"base": {
"max": "1",
"min": 0,
"path": "Measure.rationale"
},
"isSummary": true
}, {
"path": "Measure.clinicalRecommendationStatement",
"min": 0,
"definition": "The clinical recommendation statement for the measure.",
"isModifier": false,
"short": "Clinical recommendation",
"type": [ {
"code": "markdown"
} ],
"mustSupport": false,
"max": "1",
"maxLength": 0,
"base": {
"max": "1",
"min": 0,
"path": "Measure.clinicalRecommendationStatement"
},
"isSummary": true
}, {
"path": "Measure.improvementNotation",
"min": 0,
"definition": "Improvement notation for the measure, e.g. higher score indicates better quality.",
"isModifier": false,
"short": "Improvement notation for the measure, e.g. higher score indicates better quality",
"type": [ {
"code": "string"
} ],
"mustSupport": false,
"max": "1",
"maxLength": 0,
"base": {
"max": "1",
"min": 0,
"path": "Measure.improvementNotation"
},
"isSummary": true
}, {
"path": "Measure.definition",
"min": 0,
"definition": "A narrative description of the complete measure calculation.",
"isModifier": false,
"short": "A natural language definition of the measure",
"type": [ {
"code": "markdown"
} ],
"mustSupport": false,
"max": "1",
"maxLength": 0,
"base": {
"max": "1",
"min": 0,
"path": "Measure.definition"
},
"isSummary": true
}, {
"path": "Measure.guidance",
"min": 0,
"definition": "Additional guidance for the measure including how it can be used in a clinical context, and the intent of the measure.",
"isModifier": false,
"short": "The guidance for the measure",
"type": [ {
"code": "markdown"
} ],
"mustSupport": false,
"max": "1",
"maxLength": 0,
"base": {
"max": "1",
"min": 0,
"path": "Measure.guidance"
},
"isSummary": true
}, {
"path": "Measure.set",
"min": 0,
"definition": "The measure set, e.g. Preventive Care and Screening.",
"isModifier": false,
"short": "The measure set, e.g. Preventive Care and Screening",
"type": [ {
"code": "string"
} ],
"mustSupport": false,
"max": "1",
"maxLength": 0,
"base": {
"max": "1",
"min": 0,
"path": "Measure.set"
},
"isSummary": true
}, {
"path": "Measure.group",
"min": 0,
"definition": "A group of population criteria for the measure.",
"isModifier": false,
"short": "Population criteria group",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": false,
"max": "*",
"maxLength": 0,
"base": {
"max": "*",
"min": 0,
"path": "Measure.group"
},
"isSummary": true
}, {
"path": "Measure.group.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references).",
"isModifier": false,
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "id"
} ],
"mustSupport": false,
"representation": [ "xmlAttr" ],
"max": "1",
"maxLength": 0,
"base": {
"max": "*",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"path": "Measure.group.extension",
"min": 0,
"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.",
"isModifier": false,
"short": "Additional Content defined by implementations",
"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.",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"mustSupport": false,
"alias": [ "extensions", "user content" ],
"max": "*",
"maxLength": 0,
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"path": "Measure.group.modifierExtension",
"min": 0,
"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.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"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.",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"mustSupport": false,
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"maxLength": 0,
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isSummary": true
}, {
"path": "Measure.group.identifier",
"min": 1,
"definition": "A unique identifier for the group. This identifier will used to report data for the group in the measure report.",
"isModifier": false,
"short": "Unique identifier",
"type": [ {
"code": "Identifier"
} ],
"mustSupport": false,
"max": "1",
"maxLength": 0,
"base": {
"max": "1",
"min": 0,
"path": "Measure.group.identifier"
},
"isSummary": true
}, {
"path": "Measure.group.name",
"min": 0,
"definition": "Optional name or short description of this group.",
"isModifier": false,
"short": "Short name",
"type": [ {
"code": "string"
} ],
"mustSupport": false,
"max": "1",
"maxLength": 0,
"base": {
"max": "1",
"min": 0,
"path": "Measure.group.name"
},
"isSummary": true
}, {
"path": "Measure.group.description",
"min": 0,
"definition": "The human readable description of this population group.",
"isModifier": false,
"short": "Summary description",
"type": [ {
"code": "string"
} ],
"mustSupport": false,
"max": "1",
"maxLength": 0,
"base": {
"max": "1",
"min": 0,
"path": "Measure.group.description"
},
"isSummary": true
}, {
"path": "Measure.group.population",
"min": 0,
"definition": "A population criteria for the measure.",
"isModifier": false,
"short": "Population criteria",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": false,
"max": "*",
"maxLength": 0,
"base": {
"max": "*",
"min": 0,
"path": "Measure.group.population"
},
"isSummary": true
}, {
"path": "Measure.group.population.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references).",
"isModifier": false,
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "id"
} ],
"mustSupport": false,
"representation": [ "xmlAttr" ],
"max": "1",
"maxLength": 0,
"base": {
"max": "*",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"path": "Measure.group.population.extension",
"min": 0,
"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.",
"isModifier": false,
"short": "Additional Content defined by implementations",
"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.",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"mustSupport": false,
"alias": [ "extensions", "user content" ],
"max": "*",
"maxLength": 0,
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"path": "Measure.group.population.modifierExtension",
"min": 0,
"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.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"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.",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"mustSupport": false,
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"maxLength": 0,
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isSummary": true
}, {
"path": "Measure.group.population.type",
"min": 1,
"definition": "The type of population criteria.",
"isModifier": false,
"short": "initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-score",
"type": [ {
"code": "code"
} ],
"mustSupport": false,
"binding": {
"strength": "required",
"description": "The type of population",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/measure-population"
}
},
"max": "1",
"maxLength": 0,
"base": {
"max": "1",
"min": 0,
"path": "Measure.group.population.type"
},
"isSummary": true
}, {
"path": "Measure.group.population.identifier",
"min": 1,
"definition": "A unique identifier for the population criteria. This identifier is used to report data against this criteria within the measure report.",
"isModifier": false,
"short": "Unique identifier",
"type": [ {
"code": "Identifier"
} ],
"mustSupport": false,
"max": "1",
"maxLength": 0,
"base": {
"max": "1",
"min": 0,
"path": "Measure.group.population.identifier"
},
"isSummary": true
}, {
"path": "Measure.group.population.name",
"min": 0,
"definition": "Optional name or short description of this population.",
"isModifier": false,
"short": "Short name",
"type": [ {
"code": "string"
} ],
"mustSupport": false,
"max": "1",
"maxLength": 0,
"base": {
"max": "1",
"min": 0,
"path": "Measure.group.population.name"
},
"isSummary": true
}, {
"path": "Measure.group.population.description",
"min": 0,
"definition": "The human readable description of this population criteria.",
"isModifier": false,
"short": "The human readable description of this population criteria",
"type": [ {
"code": "string"
} ],
"mustSupport": false,
"max": "1",
"maxLength": 0,
"base": {
"max": "1",
"min": 0,
"path": "Measure.group.population.description"
},
"isSummary": true
}, {
"path": "Measure.group.population.criteria",
"min": 1,
"definition": "The name of a valid referenced CQL expression (may be namespaced) that defines this population criteria.",
"isModifier": false,
"short": "The name of a valid referenced CQL expression (may be namespaced) that defines this population criteria",
"type": [ {
"code": "string"
} ],
"mustSupport": false,
"max": "1",
"maxLength": 0,
"base": {
"max": "1",
"min": 0,
"path": "Measure.group.population.criteria"
},
"isSummary": true
}, {
"path": "Measure.group.stratifier",
"min": 0,
"definition": "The stratifier criteria for the measure report, specified as either the name of a valid CQL expression defined within a referenced library, or a valid FHIR Resource Path.",
"isModifier": false,
"short": "Stratifier criteria for the measure",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": false,
"max": "*",
"maxLength": 0,
"base": {
"max": "*",
"min": 0,
"path": "Measure.group.stratifier"
},
"isSummary": true
}, {
"path": "Measure.group.stratifier.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references).",
"isModifier": false,
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "id"
} ],
"mustSupport": false,
"representation": [ "xmlAttr" ],
"max": "1",
"maxLength": 0,
"base": {
"max": "*",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"path": "Measure.group.stratifier.extension",
"min": 0,
"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.",
"isModifier": false,
"short": "Additional Content defined by implementations",
"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.",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"mustSupport": false,
"alias": [ "extensions", "user content" ],
"max": "*",
"maxLength": 0,
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"path": "Measure.group.stratifier.modifierExtension",
"min": 0,
"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.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"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.",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"mustSupport": false,
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"maxLength": 0,
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isSummary": true
}, {
"path": "Measure.group.stratifier.identifier",
"min": 1,
"definition": "The identifier for the stratifier used to coordinate the reported data back to this stratifier.",
"isModifier": false,
"short": "The identifier for the stratifier used to coordinate the reported data back to this stratifier",
"type": [ {
"code": "Identifier"
} ],
"mustSupport": false,
"max": "1",
"maxLength": 0,
"base": {
"max": "1",
"min": 0,
"path": "Measure.group.stratifier.identifier"
},
"isSummary": true
}, {
"path": "Measure.group.stratifier.criteria",
"min": 0,
"definition": "The criteria for the stratifier. This must be the name of an expression defined within a referenced library.",
"isModifier": false,
"short": "Stratifier criteria",
"type": [ {
"code": "string"
} ],
"mustSupport": false,
"max": "1",
"maxLength": 0,
"base": {
"max": "1",
"min": 0,
"path": "Measure.group.stratifier.criteria"
},
"isSummary": true
}, {
"path": "Measure.group.stratifier.path",
"min": 0,
"definition": "The path to an element that defines the stratifier, specified as a valid FHIR resource path.",
"isModifier": false,
"short": "Path to the stratifier",
"type": [ {
"code": "string"
} ],
"mustSupport": false,
"max": "1",
"maxLength": 0,
"base": {
"max": "1",
"min": 0,
"path": "Measure.group.stratifier.path"
},
"isSummary": true
}, {
"path": "Measure.supplementalData",
"min": 0,
"definition": "The supplemental data criteria for the measure report, specified as either the name of a valid CQL expression within a referenced library, or a valid FHIR Resource Path.",
"isModifier": false,
"short": "Supplemental data",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": false,
"max": "*",
"maxLength": 0,
"base": {
"max": "*",
"min": 0,
"path": "Measure.supplementalData"
},
"isSummary": true
}, {
"path": "Measure.supplementalData.id",
"min": 0,
"definition": "unique id for the element within a resource (for internal references).",
"isModifier": false,
"short": "xml:id (or equivalent in JSON)",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "id"
} ],
"mustSupport": false,
"representation": [ "xmlAttr" ],
"max": "1",
"maxLength": 0,
"base": {
"max": "*",
"min": 0,
"path": "Element.id"
},
"isSummary": false
}, {
"path": "Measure.supplementalData.extension",
"min": 0,
"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.",
"isModifier": false,
"short": "Additional Content defined by implementations",
"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.",
"mapping": [ {
"map": "n/a",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"mustSupport": false,
"alias": [ "extensions", "user content" ],
"max": "*",
"maxLength": 0,
"base": {
"max": "*",
"min": 0,
"path": "Element.extension"
},
"isSummary": false
}, {
"path": "Measure.supplementalData.modifierExtension",
"min": 0,
"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.",
"isModifier": true,
"short": "Extensions that cannot be ignored",
"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.",
"mapping": [ {
"map": "N/A",
"identity": "rim"
} ],
"type": [ {
"code": "Extension"
} ],
"mustSupport": false,
"alias": [ "extensions", "user content", "modifiers" ],
"max": "*",
"maxLength": 0,
"base": {
"max": "*",
"min": 0,
"path": "BackboneElement.modifierExtension"
},
"isSummary": true
}, {
"path": "Measure.supplementalData.identifier",
"min": 1,
"definition": "An identifier for the supplemental data.",
"isModifier": false,
"short": "Identifier, unique within the measure",
"type": [ {
"code": "Identifier"
} ],
"mustSupport": false,
"max": "1",
"maxLength": 0,
"base": {
"max": "1",
"min": 0,
"path": "Measure.supplementalData.identifier"
},
"isSummary": true
}, {
"path": "Measure.supplementalData.usage",
"min": 0,
"definition": "An indicator of the intended usage for the supplemental data element. Supplemental data indicates the data is additional information requested to augment the measure information. Risk adjustment factor indicates the data is additional information used to calculate risk adjustment factors when applying a risk model to the measure calculation.",
"isModifier": false,
"short": "supplemental-data | risk-adjustment-factor",
"type": [ {
"code": "code"
} ],
"mustSupport": false,
"binding": {
"strength": "required",
"description": "The intended usage for supplemental data elements in the measure",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/measure-data-usage"
}
},
"max": "*",
"maxLength": 0,
"base": {
"max": "*",
"min": 0,
"path": "Measure.supplementalData.usage"
},
"isSummary": true
}, {
"path": "Measure.supplementalData.criteria",
"min": 0,
"definition": "The criteria for the supplemental data. This must be the name of a valid expression defined within a referenced library, and defines the data to be returned for this element.",
"isModifier": false,
"short": "Supplemental data criteria",
"type": [ {
"code": "string"
} ],
"mustSupport": false,
"max": "1",
"maxLength": 0,
"base": {
"max": "1",
"min": 0,
"path": "Measure.supplementalData.criteria"
},
"isSummary": true
}, {
"path": "Measure.supplementalData.path",
"min": 0,
"definition": "The supplemental data to be supplied as part of the measure response, specified as a valid FHIR Resource Path.",
"isModifier": false,
"short": "Path to the supplemental data element",
"type": [ {
"code": "string"
} ],
"mustSupport": false,
"max": "1",
"maxLength": 0,
"base": {
"max": "1",
"min": 0,
"path": "Measure.supplementalData.path"
},
"isSummary": true
} ]
},
"status": "draft",
"id": "6eb35d5a-a93f-4c9f-8c97-d9fbdd6b597c",
"kind": "resource",
"url": "http://hl7.org/fhir/StructureDefinition/Measure",
"version": null,
"differential": {
"element": [ {
"path": "Measure",
"min": 0,
"definition": "The Measure resource provides the definition of a quality measure.",
"isModifier": false,
"short": "A quality measure",
"mapping": [ {
"map": "clinical.general",
"identity": "w5"
} ],
"mustSupport": false,
"max": "*",
"maxLength": 0,
"base": {
"max": "*",
"min": 0,
"path": "Measure"
},
"isSummary": true
}, {
"path": "Measure.moduleMetadata",
"min": 0,
"definition": "The metadata for the measure, including publishing, life-cycle, version, documentation, and supporting evidence.",
"isModifier": false,
"short": "Metadata for the measure",
"type": [ {
"code": "ModuleMetadata"
} ],
"mustSupport": false,
"max": "1",
"maxLength": 0,
"base": {
"max": "1",
"min": 0,
"path": "Measure.moduleMetadata"
},
"isSummary": true
}, {
"path": "Measure.library",
"min": 0,
"definition": "A reference to a Library resource containing the formal logic used by the measure.",
"isModifier": false,
"short": "Logic used by the measure",
"type": [ {
"code": "Reference",
"profile": [ "http://hl7.org/fhir/StructureDefinition/Library" ]
} ],
"mustSupport": false,
"max": "*",
"maxLength": 0,
"base": {
"max": "*",
"min": 0,
"path": "Measure.library"
},
"isSummary": true
}, {
"path": "Measure.disclaimer",
"min": 0,
"definition": "A disclaimer for the use of the measure.",
"isModifier": false,
"short": "Disclaimer for the measure",
"type": [ {
"code": "markdown"
} ],
"mustSupport": false,
"max": "1",
"maxLength": 0,
"base": {
"max": "1",
"min": 0,
"path": "Measure.disclaimer"
},
"isSummary": true
}, {
"path": "Measure.scoring",
"min": 0,
"definition": "The measure scoring type, e.g. proportion, CV.",
"isModifier": false,
"short": "proportion | ratio | continuous-variable | cohort",
"type": [ {
"code": "code"
} ],
"mustSupport": false,
"binding": {
"strength": "required",
"description": "The scoring type of the measure",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/measure-scoring"
}
},
"max": "1",
"maxLength": 0,
"base": {
"max": "1",
"min": 0,
"path": "Measure.scoring"
},
"isSummary": true
}, {
"path": "Measure.type",
"min": 0,
"definition": "The measure type, e.g. process, outcome.",
"isModifier": false,
"short": "process | outcome",
"type": [ {
"code": "code"
} ],
"mustSupport": false,
"binding": {
"strength": "required",
"description": "The type of measure",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/measure-type"
}
},
"max": "*",
"maxLength": 0,
"base": {
"max": "*",
"min": 0,
"path": "Measure.type"
},
"isSummary": true
}, {
"path": "Measure.riskAdjustment",
"min": 0,
"definition": "A description of the risk adjustment factors that may impact the resulting score for the measure and how they may be accounted for when computing and reporting measure results.",
"isModifier": false,
"short": "How is risk adjustment applied for this measure",
"type": [ {
"code": "string"
} ],
"mustSupport": false,
"max": "1",
"maxLength": 0,
"base": {
"max": "1",
"min": 0,
"path": "Measure.riskAdjustment"
},
"isSummary": true
}, {
"path": "Measure.rateAggregation",
"min": 0,
"definition": "A description of the rate aggregation for the measure.",
"isModifier": false,
"short": "How is rate aggregation performed for this measure",
"type": [ {
"code": "string"
} ],
"mustSupport": false,
"max": "1",
"maxLength": 0,
"base": {
"max": "1",
"min": 0,
"path": "Measure.rateAggregation"
},
"isSummary": true
}, {
"path": "Measure.rationale",
"min": 0,
"definition": "The rationale for the measure.",
"isModifier": false,
"short": "Why does this measure exist",
"type": [ {
"code": "markdown"
} ],
"mustSupport": false,
"max": "1",
"maxLength": 0,
"base": {
"max": "1",
"min": 0,
"path": "Measure.rationale"
},
"isSummary": true
}, {
"path": "Measure.clinicalRecommendationStatement",
"min": 0,
"definition": "The clinical recommendation statement for the measure.",
"isModifier": false,
"short": "Clinical recommendation",
"type": [ {
"code": "markdown"
} ],
"mustSupport": false,
"max": "1",
"maxLength": 0,
"base": {
"max": "1",
"min": 0,
"path": "Measure.clinicalRecommendationStatement"
},
"isSummary": true
}, {
"path": "Measure.improvementNotation",
"min": 0,
"definition": "Improvement notation for the measure, e.g. higher score indicates better quality.",
"isModifier": false,
"short": "Improvement notation for the measure, e.g. higher score indicates better quality",
"type": [ {
"code": "string"
} ],
"mustSupport": false,
"max": "1",
"maxLength": 0,
"base": {
"max": "1",
"min": 0,
"path": "Measure.improvementNotation"
},
"isSummary": true
}, {
"path": "Measure.definition",
"min": 0,
"definition": "A narrative description of the complete measure calculation.",
"isModifier": false,
"short": "A natural language definition of the measure",
"type": [ {
"code": "markdown"
} ],
"mustSupport": false,
"max": "1",
"maxLength": 0,
"base": {
"max": "1",
"min": 0,
"path": "Measure.definition"
},
"isSummary": true
}, {
"path": "Measure.guidance",
"min": 0,
"definition": "Additional guidance for the measure including how it can be used in a clinical context, and the intent of the measure.",
"isModifier": false,
"short": "The guidance for the measure",
"type": [ {
"code": "markdown"
} ],
"mustSupport": false,
"max": "1",
"maxLength": 0,
"base": {
"max": "1",
"min": 0,
"path": "Measure.guidance"
},
"isSummary": true
}, {
"path": "Measure.set",
"min": 0,
"definition": "The measure set, e.g. Preventive Care and Screening.",
"isModifier": false,
"short": "The measure set, e.g. Preventive Care and Screening",
"type": [ {
"code": "string"
} ],
"mustSupport": false,
"max": "1",
"maxLength": 0,
"base": {
"max": "1",
"min": 0,
"path": "Measure.set"
},
"isSummary": true
}, {
"path": "Measure.group",
"min": 0,
"definition": "A group of population criteria for the measure.",
"isModifier": false,
"short": "Population criteria group",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": false,
"max": "*",
"maxLength": 0,
"base": {
"max": "*",
"min": 0,
"path": "Measure.group"
},
"isSummary": true
}, {
"path": "Measure.group.identifier",
"min": 1,
"definition": "A unique identifier for the group. This identifier will used to report data for the group in the measure report.",
"isModifier": false,
"short": "Unique identifier",
"type": [ {
"code": "Identifier"
} ],
"mustSupport": false,
"max": "1",
"maxLength": 0,
"base": {
"max": "1",
"min": 0,
"path": "Measure.group.identifier"
},
"isSummary": true
}, {
"path": "Measure.group.name",
"min": 0,
"definition": "Optional name or short description of this group.",
"isModifier": false,
"short": "Short name",
"type": [ {
"code": "string"
} ],
"mustSupport": false,
"max": "1",
"maxLength": 0,
"base": {
"max": "1",
"min": 0,
"path": "Measure.group.name"
},
"isSummary": true
}, {
"path": "Measure.group.description",
"min": 0,
"definition": "The human readable description of this population group.",
"isModifier": false,
"short": "Summary description",
"type": [ {
"code": "string"
} ],
"mustSupport": false,
"max": "1",
"maxLength": 0,
"base": {
"max": "1",
"min": 0,
"path": "Measure.group.description"
},
"isSummary": true
}, {
"path": "Measure.group.population",
"min": 0,
"definition": "A population criteria for the measure.",
"isModifier": false,
"short": "Population criteria",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": false,
"max": "*",
"maxLength": 0,
"base": {
"max": "*",
"min": 0,
"path": "Measure.group.population"
},
"isSummary": true
}, {
"path": "Measure.group.population.type",
"min": 1,
"definition": "The type of population criteria.",
"isModifier": false,
"short": "initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-score",
"type": [ {
"code": "code"
} ],
"mustSupport": false,
"binding": {
"strength": "required",
"description": "The type of population",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/measure-population"
}
},
"max": "1",
"maxLength": 0,
"base": {
"max": "1",
"min": 0,
"path": "Measure.group.population.type"
},
"isSummary": true
}, {
"path": "Measure.group.population.identifier",
"min": 1,
"definition": "A unique identifier for the population criteria. This identifier is used to report data against this criteria within the measure report.",
"isModifier": false,
"short": "Unique identifier",
"type": [ {
"code": "Identifier"
} ],
"mustSupport": false,
"max": "1",
"maxLength": 0,
"base": {
"max": "1",
"min": 0,
"path": "Measure.group.population.identifier"
},
"isSummary": true
}, {
"path": "Measure.group.population.name",
"min": 0,
"definition": "Optional name or short description of this population.",
"isModifier": false,
"short": "Short name",
"type": [ {
"code": "string"
} ],
"mustSupport": false,
"max": "1",
"maxLength": 0,
"base": {
"max": "1",
"min": 0,
"path": "Measure.group.population.name"
},
"isSummary": true
}, {
"path": "Measure.group.population.description",
"min": 0,
"definition": "The human readable description of this population criteria.",
"isModifier": false,
"short": "The human readable description of this population criteria",
"type": [ {
"code": "string"
} ],
"mustSupport": false,
"max": "1",
"maxLength": 0,
"base": {
"max": "1",
"min": 0,
"path": "Measure.group.population.description"
},
"isSummary": true
}, {
"path": "Measure.group.population.criteria",
"min": 1,
"definition": "The name of a valid referenced CQL expression (may be namespaced) that defines this population criteria.",
"isModifier": false,
"short": "The name of a valid referenced CQL expression (may be namespaced) that defines this population criteria",
"type": [ {
"code": "string"
} ],
"mustSupport": false,
"max": "1",
"maxLength": 0,
"base": {
"max": "1",
"min": 0,
"path": "Measure.group.population.criteria"
},
"isSummary": true
}, {
"path": "Measure.group.stratifier",
"min": 0,
"definition": "The stratifier criteria for the measure report, specified as either the name of a valid CQL expression defined within a referenced library, or a valid FHIR Resource Path.",
"isModifier": false,
"short": "Stratifier criteria for the measure",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": false,
"max": "*",
"maxLength": 0,
"base": {
"max": "*",
"min": 0,
"path": "Measure.group.stratifier"
},
"isSummary": true
}, {
"path": "Measure.group.stratifier.identifier",
"min": 1,
"definition": "The identifier for the stratifier used to coordinate the reported data back to this stratifier.",
"isModifier": false,
"short": "The identifier for the stratifier used to coordinate the reported data back to this stratifier",
"type": [ {
"code": "Identifier"
} ],
"mustSupport": false,
"max": "1",
"maxLength": 0,
"base": {
"max": "1",
"min": 0,
"path": "Measure.group.stratifier.identifier"
},
"isSummary": true
}, {
"path": "Measure.group.stratifier.criteria",
"min": 0,
"definition": "The criteria for the stratifier. This must be the name of an expression defined within a referenced library.",
"isModifier": false,
"short": "Stratifier criteria",
"type": [ {
"code": "string"
} ],
"mustSupport": false,
"max": "1",
"maxLength": 0,
"base": {
"max": "1",
"min": 0,
"path": "Measure.group.stratifier.criteria"
},
"isSummary": true
}, {
"path": "Measure.group.stratifier.path",
"min": 0,
"definition": "The path to an element that defines the stratifier, specified as a valid FHIR resource path.",
"isModifier": false,
"short": "Path to the stratifier",
"type": [ {
"code": "string"
} ],
"mustSupport": false,
"max": "1",
"maxLength": 0,
"base": {
"max": "1",
"min": 0,
"path": "Measure.group.stratifier.path"
},
"isSummary": true
}, {
"path": "Measure.supplementalData",
"min": 0,
"definition": "The supplemental data criteria for the measure report, specified as either the name of a valid CQL expression within a referenced library, or a valid FHIR Resource Path.",
"isModifier": false,
"short": "Supplemental data",
"type": [ {
"code": "BackboneElement"
} ],
"mustSupport": false,
"max": "*",
"maxLength": 0,
"base": {
"max": "*",
"min": 0,
"path": "Measure.supplementalData"
},
"isSummary": true
}, {
"path": "Measure.supplementalData.identifier",
"min": 1,
"definition": "An identifier for the supplemental data.",
"isModifier": false,
"short": "Identifier, unique within the measure",
"type": [ {
"code": "Identifier"
} ],
"mustSupport": false,
"max": "1",
"maxLength": 0,
"base": {
"max": "1",
"min": 0,
"path": "Measure.supplementalData.identifier"
},
"isSummary": true
}, {
"path": "Measure.supplementalData.usage",
"min": 0,
"definition": "An indicator of the intended usage for the supplemental data element. Supplemental data indicates the data is additional information requested to augment the measure information. Risk adjustment factor indicates the data is additional information used to calculate risk adjustment factors when applying a risk model to the measure calculation.",
"isModifier": false,
"short": "supplemental-data | risk-adjustment-factor",
"type": [ {
"code": "code"
} ],
"mustSupport": false,
"binding": {
"strength": "required",
"description": "The intended usage for supplemental data elements in the measure",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/measure-data-usage"
}
},
"max": "*",
"maxLength": 0,
"base": {
"max": "*",
"min": 0,
"path": "Measure.supplementalData.usage"
},
"isSummary": true
}, {
"path": "Measure.supplementalData.criteria",
"min": 0,
"definition": "The criteria for the supplemental data. This must be the name of a valid expression defined within a referenced library, and defines the data to be returned for this element.",
"isModifier": false,
"short": "Supplemental data criteria",
"type": [ {
"code": "string"
} ],
"mustSupport": false,
"max": "1",
"maxLength": 0,
"base": {
"max": "1",
"min": 0,
"path": "Measure.supplementalData.criteria"
},
"isSummary": true
}, {
"path": "Measure.supplementalData.path",
"min": 0,
"definition": "The supplemental data to be supplied as part of the measure response, specified as a valid FHIR Resource Path.",
"isModifier": false,
"short": "Path to the supplemental data element",
"type": [ {
"code": "string"
} ],
"mustSupport": false,
"max": "1",
"maxLength": 0,
"base": {
"max": "1",
"min": 0,
"path": "Measure.supplementalData.path"
},
"isSummary": true
} ]
},
"contact": [ {
"telecom": [ {
"rank": 1,
"value": "http://hl7.org/fhir",
"system": "other"
} ]
}, {
"telecom": [ {
"rank": 1,
"value": "http://www.hl7.org/Special/committees/cqi/index.cfm",
"system": "other"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/DomainResource"
}