description: The CQM Computable Measure Profile describes minimum expectations for a computable electronic Quality Measure (QM), including the use of a computable library. For more information on the usage of this profile, refer to the Profiles and Packaging pages in this implementation guide. Implementations SHOULD support using the `id` elements of group, population, stratifier, and supplementalData as a backwards-compatible mechanism for linking between Measure and MeasureReport
package_name: hl7.fhir.uv.cqm
derivation: constraint
name: CQMComputableMeasure
type: Measure
elements:
  group:
    constraint:
      comp-8: {human: Scoring unit may only be specified at the root if the scoring is also specified at the root, severity: error, expression: 'extension(''http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoringUnit'').exists() implies extension(''http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring'').exists()'}
      comp-9: {human: 'If scoring is specified on the group and the scoring type is ''proportion'', ''ratio'', or ''continuous-variable'' then the improvementNotation element is required.', severity: error, expression: 'extension(''http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring'').exists() and extension(''http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring'').value.coding.code in (''proportion'' | ''ratio'' | ''continuous-variable'') implies extension(''http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-improvementNotation'').exists()'}
    mustSupport: true
    index: 13
    extensions:
      linkId: {url: 'http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.linkId', min: 1, max: 1, type: Extension, mustSupport: true, index: 14}
      compositeScoring: {url: 'http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-compositeScoring', min: 0, max: 1, type: Extension, mustSupport: true, index: 19}
      scoringUnit: {url: 'http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoringUnit', min: 0, max: 1, type: Extension, mustSupport: true, index: 17}
      type: {url: 'http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-type', min: 0, type: Extension, mustSupport: false, index: 21}
      component: {url: 'http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-component', min: 0, type: Extension, mustSupport: true, index: 20}
      scoringPrecision: {url: 'http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoringPrecision', min: 0, max: 1, type: Extension, index: 18}
      populationBasis: {url: 'http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis', min: 0, max: 1, type: Extension, mustSupport: true, index: 15}
      riskAdjustment: {url: 'http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-riskAdjustment', min: 0, max: 1, type: Extension, mustSupport: false, index: 22}
      scoring: {url: 'http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring', min: 0, max: 1, type: Extension, mustSupport: true, index: 16}
      improvementNotation: {url: 'http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-improvementNotation', min: 0, max: 1, type: Extension, mustSupport: true, index: 24}
      rateAggregation: {url: 'http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-rateAggregation', min: 0, max: 1, type: Extension, mustSupport: false, index: 23}
    elements:
      extension:
        type: Extension
        mustSupport: true
        url: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.linkId
        index: 14
        slicing:
          slices:
            linkId:
              match: {}
              schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.linkId', index: 14}
              min: 1
              max: 1
            compositeScoring:
              match: {}
              schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-compositeScoring', index: 19}
              min: 0
              max: 1
            scoringUnit:
              match: {}
              schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoringUnit', index: 17}
              min: 0
              max: 1
            type:
              match: {}
              schema: {type: Extension, mustSupport: false, url: 'http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-type', index: 21}
              min: 0
            component:
              match: {}
              schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-component', index: 20}
              min: 0
            scoringPrecision:
              match: {}
              schema: {type: Extension, url: 'http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoringPrecision', index: 18}
              min: 0
              max: 1
            populationBasis:
              match: {}
              schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis', index: 15}
              min: 0
              max: 1
            riskAdjustment:
              match: {}
              schema: {type: Extension, mustSupport: false, url: 'http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-riskAdjustment', index: 22}
              min: 0
              max: 1
            scoring:
              match: {}
              schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring', index: 16}
              min: 0
              max: 1
            improvementNotation:
              match: {}
              schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-improvementNotation', index: 24}
              min: 0
              max: 1
            rateAggregation:
              match: {}
              schema: {type: Extension, mustSupport: false, url: 'http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-rateAggregation', index: 23}
              min: 0
              max: 1
      code: {mustSupport: true, index: 25}
      description: {mustSupport: true, index: 26}
      population:
        mustSupport: true
        index: 27
        extensions:
          linkId: {url: 'http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId', min: 1, max: 1, type: Extension, mustSupport: true, index: 28}
        elements:
          extension:
            type: Extension
            mustSupport: true
            url: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId
            index: 28
            slicing:
              slices:
                linkId:
                  match: {}
                  schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId', index: 28}
                  min: 1
                  max: 1
          code: {mustSupport: true, index: 29}
          description: {mustSupport: true, index: 30}
      stratifier:
        mustSupport: true
        index: 31
        extensions:
          appliesTo: {url: 'http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-appliesTo', min: 0, type: Extension, mustSupport: false, index: 32}
          linkId: {url: 'http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.stratifier.linkId', min: 1, max: 1, type: Extension, mustSupport: true, index: 33}
          valueSet: {url: 'http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-valueSet', min: 0, max: 1, type: Extension, mustSupport: false, index: 34}
        elements:
          extension:
            type: Extension
            mustSupport: false
            url: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-appliesTo
            index: 32
            slicing:
              slices:
                appliesTo:
                  match: {}
                  schema: {type: Extension, mustSupport: false, url: 'http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-appliesTo', index: 32}
                  min: 0
                linkId:
                  match: {}
                  schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.stratifier.linkId', index: 33}
                  min: 1
                  max: 1
                valueSet:
                  match: {}
                  schema: {type: Extension, mustSupport: false, url: 'http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-valueSet', index: 34}
                  min: 0
                  max: 1
          code:
            binding: {strength: preferred, valueSet: 'http://terminology.hl7.org/ValueSet/measure-stratifier-type'}
            mustSupport: true
            index: 35
          description: {mustSupport: true, index: 36}
          component:
            mustSupport: true
            index: 37
            extensions:
              linkId: {url: 'http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.stratifier.component.linkId', min: 1, max: 1, type: Extension, mustSupport: true, index: 38}
              valueSet: {url: 'http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-valueSet', min: 0, max: 1, type: Extension, mustSupport: false, index: 39}
            elements:
              extension:
                type: Extension
                mustSupport: true
                url: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.stratifier.component.linkId
                index: 38
                slicing:
                  slices:
                    linkId:
                      match: {}
                      schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.stratifier.component.linkId', index: 38}
                      min: 1
                      max: 1
                    valueSet:
                      match: {}
                      schema: {type: Extension, mustSupport: false, url: 'http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-valueSet', index: 39}
                      min: 0
                      max: 1
              code:
                binding: {strength: preferred, valueSet: 'http://terminology.hl7.org/ValueSet/measure-stratifier-type'}
                mustSupport: true
                index: 40
              description: {mustSupport: true, index: 41}
  type:
    isModifier: false
    short: Indicates whether the measure is used to examine a process, an outcome over time, a patient-reported outcome, or a structure measure such as utilization.
    index: 9
    type: CodeableConcept
    mustSupport: true
    array: true
    binding: {strength: extensible, valueSet: 'http://terminology.hl7.org/ValueSet/v3-ObservationMeasureType'}
    base: {max: '*', min: 0, path: Measure.type}
    isSummary: true
  supplementalData:
    mustSupport: true
    index: 42
    extensions:
      linkId: {url: 'http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.supplementalData.linkId', min: 1, max: 1, type: Extension, mustSupport: true, index: 43}
      valueSet: {url: 'http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-valueSet', min: 0, max: 1, type: Extension, mustSupport: false, index: 44}
    elements:
      extension:
        type: Extension
        mustSupport: true
        url: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.supplementalData.linkId
        index: 43
        slicing:
          slices:
            linkId:
              match: {}
              schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.supplementalData.linkId', index: 43}
              min: 1
              max: 1
            valueSet:
              match: {}
              schema: {type: Extension, mustSupport: false, url: 'http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-valueSet', index: 44}
              min: 0
              max: 1
      code: {mustSupport: true, index: 45}
      usage: {mustSupport: true, index: 46}
      description: {mustSupport: true, index: 47}
  library: {type: canonical, mustSupport: true, index: 7}
  extension:
    type: Extension
    mustSupport: true
    url: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis
    index: 0
    slicing:
      slices:
        populationBasis:
          match: {}
          schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis', index: 0}
          min: 0
        scoringUnit:
          match: {}
          schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoringUnit', index: 1}
          min: 0
          max: 1
        effectiveDataRequirements:
          match: {}
          schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements', index: 2}
          min: 0
          max: 1
        scoringPrecision:
          match: {}
          schema: {type: Extension, url: 'http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoringPrecision', index: 3}
          min: 0
          max: 1
  usage: {mustSupport: true, index: 6}
  riskAdjustment: {mustSupport: false, index: 10}
  scoring:
    binding: {strength: extensible, valueSet: 'http://terminology.hl7.org/ValueSet/measure-scoring'}
    mustSupport: true
    index: 8
  improvementNotation:
    binding: {strength: required, valueSet: 'http://terminology.hl7.org/ValueSet/measure-improvement-notation'}
    mustSupport: true
    index: 12
  subject:
    short: E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device
    mustSupport: true
    choices: []
    index: 5
  rateAggregation: {mustSupport: false, index: 11}
package_version: 1.0.0
extensions:
  populationBasis: {url: 'http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis', min: 0, type: Extension, mustSupport: true, index: 0}
  scoringUnit: {url: 'http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoringUnit', min: 0, max: 1, type: Extension, mustSupport: true, index: 1}
  effectiveDataRequirements: {url: 'http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements', min: 0, max: 1, type: Extension, mustSupport: true, index: 2}
  scoringPrecision: {url: 'http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoringPrecision', min: 0, max: 1, type: Extension, index: 3}
class: profile
kind: resource
url: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-computablemeasure
base: http://hl7.org/fhir/StructureDefinition/Measure
version: 1.0.0