description: identifies what issues might affect the interpretation of trending results, including changes in geographic coverage, data quality, coding standards and classification changes (for example, a new ICD standard) package_name: hl7.fhir.uv.cqm.r4 derivation: constraint name: CQMTrendingIssues type: Extension elements: url: type: uri pattern: {type: Uri, value: 'http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-trendingIssues'} index: 0 value: choices: [valueMarkdown] index: 2 valueMarkdown: {type: markdown, choiceOf: value, index: 3} package_version: 1.0.0 class: extension kind: complex-type url: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-trendingIssues base: http://hl7.org/fhir/StructureDefinition/Extension version: 1.0.0