Da Vinci Value-Based Performance Reporting Implementation Guide
1.0.0 - STU1

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## Resource Profile: Value-Based Performance Measure

Official URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/vbp-measure | Version: 1.0.0
Active as of 2024-06-17 | Computable Name: VbpMeasure
Other Identifiers: OID:2.16.840.1.113883.4.642.40.30.42.13

The measure definition that describes value-based contract level information for a value-based performance report.

The Value-Based Performance Measure is designed to derive from the CQFM Composite Measure profile because value-based contracts may include performance based on quality measures. Basing on the CQMF Composite Measure profile would allow the Value-Based Performance Measure profile to reuse the standardized representation of a composite measure as defined in the Quality Measure Implementation Guide to represent the list of quality measures and the weight of each measure in a value-based contract that tie to a payment stream using `Measure.relatedArtifact`.

The Formal Views below provides the formal summary, definitions, and terminology requirements.

Each Value-Based Performance Measure has the following mandatory elements:

1. A `url` - a canonical identifier for this measure (value-based contract)
2. A `version` - version of the measure (value-based contract)
3. A `name` - a computer friendly name for this measure (value-based contract)
4. A `status` - status of this measure
5. An `experimental` element - set to `true` if for testing
6. A `publisher` - name of the publisher for this measure (value-based contract)
7. A `description` - description of the measure (value-based contract)

Each Value-Based Performance Measure should have the following elements:

1. Zero to many `identifier` - business identifier of the measure (value-based contract)
2. Zero to one `title` - a human friendly title for this measure (value-based contract)
3. Zero to one `effectivePeriod` - effective period of the measure, which is the contract term period for a value-based contract
4. Zero to one `lineOfBusiness` - line of business for the measure (value-based contract)
5. Zero to many `paymentStream` - list of payment streams covered in the measure (value-based contract)
6. Zeor to one `programModel` - program model for the measure (value-based contract) based on the HPCLAN Framework
7. Zero to many `group.code` - list of performance metrics that could be reported on the measure (value-based contract)
8. zero to many `relatedArtifact` - list of quality measures specified in the value-based contract that ties to the payment stream based on quality measures
9. zero to one `relatedArtifact.weight` for each relatedArtifact - the weight of a quality measure that contributes to the scoring

Usage:

- Refer to this Resource Profile: Value-Based Performance MeasureReport
- Examples for this Resource Profile: VbprMeasureExample01 and VbprMeasureExample02

### Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

- Differential Table
- Key Elements Table
- Snapshot Table
- Statistics/References
- All

This structure is derived from CQFMCompositeMeasure

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Measure |  | 1..1 | CQFMCompositeMeasure | A quality measure definition
Slices for extension |  |  |  | Content/Rules for all slices
lineOfBusiness | S | 0..1 | CodeableConcept | Line of Business URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/lob Binding: Line of Business Value Set (extensible)
programModel | S | 0..* | (Complex) | Program Model URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/program-model
paymentStream | S | 0..* | (Complex) | Payment Stream URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream
url | S | 1..1 | uri | Canonical identifier for this measure, represented as a URI (globally unique)
identifier |  | 0..* | Identifier | Business identifier of this measure, e.g., value-based contract identifier
description | S | 1..1 | markdown | Natural language description of the measure
effectivePeriod | S | 0..1 | Period | Value-based contract term period
Slices for relatedArtifact |  |  |  | Content/Rules for all slices
relatedArtifact:component |  | 0..* | RelatedArtifact | Additional documentation, citations, etc.
extension |  | 1..* | Extension | Extension
Slices for extension |  |  |  | Content/Rules for all slices
contractualStatus | S | 1..1 | CodeableConcept | contractual | contractual-alternate | reporting-only URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/contractual-status Binding: Measure Contractual Status (extensible)
improvementNotation |  | 0..0 |  |
group |  |  |  |
code | S | 0..1 | CodeableConcept | Performance metric Binding: Performance Metric (extensible)
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
Measure.group.code | extensible | VbpPerformanceMetricsVS (a valid code from Performance Metric Codes) `http://hl7.org/fhir/us/davinci-vbpr/ValueSet/vbp-performance-metric` from this IG

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Measure | C | 1..1 | CQFMCompositeMeasure | A quality measure definition mea-0: Name should be usable as an identifier for the module by machine processing applications such as code generation mea-1: Stratifier SHALL be either a single criteria or a set of criteria components
meta | S Σ | 1..1 | Meta | Metadata about the resource
profile | S Σ | 1..* | canonical(StructureDefinition) | Profiles this resource claims to conform to
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  |  |  | Content/Rules for all slices
comment | S | 0..* | (Complex) | Additional documentation, review, or usage guidance URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-artifactComment
allocation | S | 0..1 | markdown | Allocation guidance URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-allocation
softwaresystem | S | 0..* | Reference(CQFM Device) | Extension URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem
scoringUnit | S | 0..1 | CodeableConcept | What units? URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringUnit
lineOfBusiness | S | 0..1 | CodeableConcept | Line of Business URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/lob Binding: Line of Business Value Set (extensible)
programModel | S | 0..* | (Complex) | Program Model URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/program-model
paymentStream | S | 0..* | (Complex) | Payment Stream URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
url | S Σ | 1..1 | uri | Canonical identifier for this measure, represented as a URI (globally unique)
identifier | S Σ | 0..* | Identifier | Business identifier of this measure, e.g., value-based contract identifier
version | Σ | 1..1 | string | Business version of the measure
name | Σ C | 1..1 | string | Name for this measure (computer friendly)
title | S Σ | 0..1 | string | Name for this measure (human friendly)
status | ?!Σ | 1..1 | code | draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact.
experimental | Σ | 1..1 | boolean | For testing purposes, not real usage
date | S Σ | 0..1 | dateTime | Date last changed
publisher | Σ | 1..1 | string | Name of the publisher (organization or individual)
contact | S Σ | 0..* | ContactDetail | Contact details for the publisher
description | S Σ | 1..1 | markdown | Natural language description of the measure
useContext | S Σ | 0..* | UsageContext | The context that the content is intended to support
jurisdiction | S Σ | 0..* | CodeableConcept | Intended jurisdiction for measure (if applicable) Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use.
effectivePeriod | S Σ | 0..1 | Period | Value-based contract term period
Slices for relatedArtifact | S | 0..* | RelatedArtifact | Additional documentation, citations, etc. Slice: Unordered, Open by value:type
relatedArtifact:component | S | 0..* | RelatedArtifact | Additional documentation, citations, etc.
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
groupId | S | 0..1 | string | What group URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-groupId
weight | S | 0..1 | decimal | Contribution? URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-weight
contractualStatus | S | 1..1 | CodeableConcept | contractual | contractual-alternate | reporting-only URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/contractual-status Binding: Measure Contractual Status (extensible)
type | S Σ | 1..1 | code | Component measure Binding: RelatedArtifactType (required): The type of relationship to the related artifact. Fixed Value: composed-of
display | S Σ | 0..1 | string | Brief description of the related artifact
resource | S Σ | 1..1 | canonical(Measure) | What resource is being referenced
library | S C | 0..1 | canonical(CQFM Library) | CQFMMeasures are not required to use a Library, but if they do, it SHALL be a CQFMLibrary. cqm-2: Measures utilizing CQL SHALL reference one and only one CQL library (and that referenced library MUST be the primary library for the measure)
compositeScoring | S Σ | 0..1 | CodeableConcept | opportunity | all-or-nothing | linear | weighted Binding: CompositeMeasureScoring (extensible)
type | S Σ | 0..* | CodeableConcept | process | outcome | structure | patient-reported-outcome | composite Binding: MeasureType (extensible)
group | S | 0..* | BackboneElement | Population criteria group
id | S C | 0..1 | string | Unique id for inter-element referencing cqm-3: Group identifiers SHOULD use the convention: "group-[group number]", where [group number] corresponds with the group naming convention for the criteria within the group
Slices for extension |  |  |  | Content/Rules for all slices
compositeScoring | S | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-compositeScoring Binding: CompositeMeasureScoring (extensible): How the composite measure calculation is performed
scoringUnit | S | 0..1 | CodeableConcept | What units? URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringUnit
component | S | 0..* | (Complex) | What artifact URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-component
Slices for extension |  |  |  | Content/Rules for all slices
groupId | S | 0..1 | string | What group URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-groupId
weight | S | 0..1 | decimal | Contribution? URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-weight
url |  | 1..1 | uri | "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-component"
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 0..1 | CodeableConcept | Performance metric Binding: Performance Metric (extensible)
population | S | 0..* | BackboneElement | Population criteria
id | S | 1..1 | string | Unique id for inter-element referencing
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible)
criteria | S C | 1..1 | Expression | The criteria that defines this population cqm-4: Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace.
stratifier | S | 0..* | BackboneElement | Stratifier criteria for the measure
id | S | 1..1 | string | Unique id for inter-element referencing
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
criteria | S C | 0..1 | Expression | How the measure should be stratified cqm-5: Group stratifier criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace.
supplementalData | S C | 0..* | BackboneElement | What other data should be reported with the measure cqm-6: Supplemental data SHALL use either criteria or path
id | S | 1..1 | string | Unique id for inter-element referencing
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 0..1 | CodeableConcept | Meaning of the supplemental data Binding: MeasureDataUsage (extensible)
criteria |  | 1..1 | Expression | Expression describing additional data to be reported
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
Measure.status | required | PublicationStatus `http://hl7.org/fhir/ValueSet/publication-status|4.0.1` from the FHIR Standard
Measure.jurisdiction | extensible | Jurisdiction ValueSet `http://hl7.org/fhir/ValueSet/jurisdiction` from the FHIR Standard
Measure.relatedArtifact:component.type | required | Fixed Value: composed-of `http://hl7.org/fhir/ValueSet/related-artifact-type|4.0.1` from the FHIR Standard
Measure.compositeScoring | extensible | CompositeMeasureScoring `http://terminology.hl7.org/ValueSet/composite-measure-scoring`
Measure.type | extensible | MeasureType `http://terminology.hl7.org/ValueSet/measure-type`
Measure.group.code | extensible | VbpPerformanceMetricsVS (a valid code from Performance Metric Codes) `http://hl7.org/fhir/us/davinci-vbpr/ValueSet/vbp-performance-metric` from this IG
Measure.group.population.code | extensible | MeasurePopulationType `http://terminology.hl7.org/ValueSet/measure-population`
Measure.supplementalData.code | extensible | MeasureDataUsage `http://terminology.hl7.org/ValueSet/measure-data-usage`

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Measure | C | 1..1 | CQFMCompositeMeasure | A quality measure definition mea-0: Name should be usable as an identifier for the module by machine processing applications such as code generation mea-1: Stratifier SHALL be either a single criteria or a set of criteria components
id | Σ | 0..1 | id | Logical id of this artifact
meta | S Σ | 1..1 | Meta | Metadata about the resource
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
versionId | Σ | 0..1 | id | Version specific identifier
lastUpdated | Σ | 0..1 | instant | When the resource version last changed
source | Σ | 0..1 | uri | Identifies where the resource comes from
profile | S Σ | 1..* | canonical(StructureDefinition) | Profiles this resource claims to conform to
security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
comment | S | 0..* | (Complex) | Additional documentation, review, or usage guidance URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-artifactComment
allocation | S | 0..1 | markdown | Allocation guidance URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-allocation
softwaresystem | S | 0..* | Reference(CQFM Device) | Extension URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem
scoringUnit | S | 0..1 | CodeableConcept | What units? URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringUnit
lineOfBusiness | S | 0..1 | CodeableConcept | Line of Business URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/lob Binding: Line of Business Value Set (extensible)
programModel | S | 0..* | (Complex) | Program Model URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/program-model
paymentStream | S | 0..* | (Complex) | Payment Stream URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
url | S Σ | 1..1 | uri | Canonical identifier for this measure, represented as a URI (globally unique)
identifier | S Σ | 0..* | Identifier | Business identifier of this measure, e.g., value-based contract identifier
version | Σ | 1..1 | string | Business version of the measure
name | Σ C | 1..1 | string | Name for this measure (computer friendly)
title | S Σ | 0..1 | string | Name for this measure (human friendly)
subtitle |  | 0..1 | string | Subordinate title of the measure
status | ?!Σ | 1..1 | code | draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact.
experimental | Σ | 1..1 | boolean | For testing purposes, not real usage
subject[x] |  | 0..1 |  | E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device Binding: SubjectType (extensible): The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization, Location, etc.).
subjectCodeableConcept |  |  | CodeableConcept |
subjectReference |  |  | Reference(Group) |
date | S Σ | 0..1 | dateTime | Date last changed
publisher | Σ | 1..1 | string | Name of the publisher (organization or individual)
contact | S Σ | 0..* | ContactDetail | Contact details for the publisher
description | S Σ | 1..1 | markdown | Natural language description of the measure
useContext | S Σ | 0..* | UsageContext | The context that the content is intended to support
jurisdiction | S Σ | 0..* | CodeableConcept | Intended jurisdiction for measure (if applicable) Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use.
purpose |  | 0..1 | markdown | Why this measure is defined
usage |  | 0..1 | string | Describes the clinical usage of the measure
copyright |  | 0..1 | markdown | Use and/or publishing restrictions
approvalDate |  | 0..1 | date | When the measure was approved by publisher
lastReviewDate |  | 0..1 | date | When the measure was last reviewed
effectivePeriod | S Σ | 0..1 | Period | Value-based contract term period
topic |  | 0..* | CodeableConcept | The category of the measure, such as Education, Treatment, Assessment, etc. Binding: DefinitionTopic (example): High-level categorization of the definition, used for searching, sorting, and filtering.
author |  | 0..* | ContactDetail | Who authored the content
editor |  | 0..* | ContactDetail | Who edited the content
reviewer |  | 0..* | ContactDetail | Who reviewed the content
endorser |  | 0..* | ContactDetail | Who endorsed the content
Slices for relatedArtifact | S | 0..* | RelatedArtifact | Additional documentation, citations, etc. Slice: Unordered, Open by value:type
relatedArtifact:component | S | 0..* | RelatedArtifact | Additional documentation, citations, etc.
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
groupId | S | 0..1 | string | What group URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-groupId
weight | S | 0..1 | decimal | Contribution? URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-weight
contractualStatus | S | 1..1 | CodeableConcept | contractual | contractual-alternate | reporting-only URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/contractual-status Binding: Measure Contractual Status (extensible)
type | S Σ | 1..1 | code | Component measure Binding: RelatedArtifactType (required): The type of relationship to the related artifact. Fixed Value: composed-of
label | Σ | 0..1 | string | Short label
display | S Σ | 0..1 | string | Brief description of the related artifact
citation | Σ | 0..1 | markdown | Bibliographic citation for the artifact
url | Σ | 0..1 | url | Where the artifact can be accessed
document | Σ | 0..1 | Attachment | What document is being referenced
resource | S Σ | 1..1 | canonical(Measure) | What resource is being referenced
library | S C | 0..1 | canonical(CQFM Library) | CQFMMeasures are not required to use a Library, but if they do, it SHALL be a CQFMLibrary. cqm-2: Measures utilizing CQL SHALL reference one and only one CQL library (and that referenced library MUST be the primary library for the measure)
disclaimer | Σ | 0..1 | markdown | Disclaimer for use of the measure or its referenced content
scoring | Σ | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort Binding: MeasureScoring (extensible): The scoring type of the measure.
compositeScoring | S Σ | 0..1 | CodeableConcept | opportunity | all-or-nothing | linear | weighted Binding: CompositeMeasureScoring (extensible)
type | S Σ | 0..* | CodeableConcept | process | outcome | structure | patient-reported-outcome | composite Binding: MeasureType (extensible)
riskAdjustment | Σ | 0..1 | string | How risk adjustment is applied for this measure
rateAggregation | Σ | 0..1 | string | How is rate aggregation performed for this measure
rationale | Σ | 0..1 | markdown | Detailed description of why the measure exists
clinicalRecommendationStatement | Σ | 0..1 | markdown | Summary of clinical guidelines
definition | Σ | 0..* | markdown | Defined terms used in the measure documentation
guidance | Σ | 0..1 | markdown | Additional guidance for implementers
group | S | 0..* | BackboneElement | Population criteria group
id | S C | 0..1 | string | Unique id for inter-element referencing cqm-3: Group identifiers SHOULD use the convention: "group-[group number]", where [group number] corresponds with the group naming convention for the criteria within the group
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
compositeScoring | S | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-compositeScoring Binding: CompositeMeasureScoring (extensible): How the composite measure calculation is performed
scoringUnit | S | 0..1 | CodeableConcept | What units? URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringUnit
component | S | 0..* | (Complex) | What artifact URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-component
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
groupId | S | 0..1 | string | What group URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-groupId
weight | S | 0..1 | decimal | Contribution? URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-weight
url |  | 1..1 | uri | "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-component"
value[x] |  | 0..1 | RelatedArtifact | Value of extension
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 0..1 | CodeableConcept | Performance metric Binding: Performance Metric (extensible)
description |  | 0..1 | string | Summary description
population | S | 0..* | BackboneElement | Population criteria
id | S | 1..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible)
description |  | 0..1 | string | The human readable description of this population criteria
criteria | S C | 1..1 | Expression | The criteria that defines this population cqm-4: Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace.
stratifier | S | 0..* | BackboneElement | Stratifier criteria for the measure
id | S | 1..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 0..1 | CodeableConcept | Meaning of the stratifier
description |  | 0..1 | string | The human readable description of this stratifier
criteria | S C | 0..1 | Expression | How the measure should be stratified cqm-5: Group stratifier criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace.
component |  | 0..* | BackboneElement | Stratifier criteria component for the measure
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 0..1 | CodeableConcept | Meaning of the stratifier component
description |  | 0..1 | string | The human readable description of this stratifier component
criteria |  | 1..1 | Expression | Component of how the measure should be stratified
supplementalData | S C | 0..* | BackboneElement | What other data should be reported with the measure cqm-6: Supplemental data SHALL use either criteria or path
id | S | 1..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 0..1 | CodeableConcept | Meaning of the supplemental data Binding: MeasureDataUsage (extensible)
usage |  | 0..* | CodeableConcept | supplemental-data | risk-adjustment-factor Binding: MeasureDataUsage (extensible): The intended usage for supplemental data elements in the measure.
description |  | 0..1 | string | The human readable description of this supplemental data
criteria |  | 1..1 | Expression | Expression describing additional data to be reported
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
Measure.meta.security | extensible | All Security Labels `http://hl7.org/fhir/ValueSet/security-labels` from the FHIR Standard
Measure.meta.tag | example | CommonTags `http://hl7.org/fhir/ValueSet/common-tags` from the FHIR Standard
Measure.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
`http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Measure.status | required | PublicationStatus `http://hl7.org/fhir/ValueSet/publication-status|4.0.1` from the FHIR Standard
Measure.subject[x] | extensible | SubjectType `http://hl7.org/fhir/ValueSet/subject-type` from the FHIR Standard
Measure.jurisdiction | extensible | Jurisdiction ValueSet `http://hl7.org/fhir/ValueSet/jurisdiction` from the FHIR Standard
Measure.topic | example | DefinitionTopic `http://hl7.org/fhir/ValueSet/definition-topic` from the FHIR Standard
Measure.relatedArtifact:component.type | required | Fixed Value: composed-of `http://hl7.org/fhir/ValueSet/related-artifact-type|4.0.1` from the FHIR Standard
Measure.scoring | extensible | MeasureScoring `http://hl7.org/fhir/ValueSet/measure-scoring` from the FHIR Standard
Measure.compositeScoring | extensible | CompositeMeasureScoring `http://terminology.hl7.org/ValueSet/composite-measure-scoring`
Measure.type | extensible | MeasureType `http://terminology.hl7.org/ValueSet/measure-type`
Measure.group.code | extensible | VbpPerformanceMetricsVS (a valid code from Performance Metric Codes) `http://hl7.org/fhir/us/davinci-vbpr/ValueSet/vbp-performance-metric` from this IG
Measure.group.population.code | extensible | MeasurePopulationType `http://terminology.hl7.org/ValueSet/measure-population`
Measure.supplementalData.code | extensible | MeasureDataUsage `http://terminology.hl7.org/ValueSet/measure-data-usage`
Measure.supplementalData.usage | extensible | MeasureDataUsage `http://hl7.org/fhir/ValueSet/measure-data-usage` from the FHIR Standard

This structure is derived from CQFMCompositeMeasure

Summary

Mandatory: 0 element(2 nested mandatory elements)
Must-Support: 8 elements
Prohibited: 1 element

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/lob
- http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/program-model
- http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream
- http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/contractual-status

Differential View

This structure is derived from CQFMCompositeMeasure

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Measure |  | 1..1 | CQFMCompositeMeasure | A quality measure definition
Slices for extension |  |  |  | Content/Rules for all slices
lineOfBusiness | S | 0..1 | CodeableConcept | Line of Business URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/lob Binding: Line of Business Value Set (extensible)
programModel | S | 0..* | (Complex) | Program Model URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/program-model
paymentStream | S | 0..* | (Complex) | Payment Stream URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream
url | S | 1..1 | uri | Canonical identifier for this measure, represented as a URI (globally unique)
identifier |  | 0..* | Identifier | Business identifier of this measure, e.g., value-based contract identifier
description | S | 1..1 | markdown | Natural language description of the measure
effectivePeriod | S | 0..1 | Period | Value-based contract term period
Slices for relatedArtifact |  |  |  | Content/Rules for all slices
relatedArtifact:component |  | 0..* | RelatedArtifact | Additional documentation, citations, etc.
extension |  | 1..* | Extension | Extension
Slices for extension |  |  |  | Content/Rules for all slices
contractualStatus | S | 1..1 | CodeableConcept | contractual | contractual-alternate | reporting-only URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/contractual-status Binding: Measure Contractual Status (extensible)
improvementNotation |  | 0..0 |  |
group |  |  |  |
code | S | 0..1 | CodeableConcept | Performance metric Binding: Performance Metric (extensible)
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
Measure.group.code | extensible | VbpPerformanceMetricsVS (a valid code from Performance Metric Codes) `http://hl7.org/fhir/us/davinci-vbpr/ValueSet/vbp-performance-metric` from this IG

Key Elements View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Measure | C | 1..1 | CQFMCompositeMeasure | A quality measure definition mea-0: Name should be usable as an identifier for the module by machine processing applications such as code generation mea-1: Stratifier SHALL be either a single criteria or a set of criteria components
meta | S Σ | 1..1 | Meta | Metadata about the resource
profile | S Σ | 1..* | canonical(StructureDefinition) | Profiles this resource claims to conform to
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  |  |  | Content/Rules for all slices
comment | S | 0..* | (Complex) | Additional documentation, review, or usage guidance URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-artifactComment
allocation | S | 0..1 | markdown | Allocation guidance URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-allocation
softwaresystem | S | 0..* | Reference(CQFM Device) | Extension URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem
scoringUnit | S | 0..1 | CodeableConcept | What units? URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringUnit
lineOfBusiness | S | 0..1 | CodeableConcept | Line of Business URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/lob Binding: Line of Business Value Set (extensible)
programModel | S | 0..* | (Complex) | Program Model URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/program-model
paymentStream | S | 0..* | (Complex) | Payment Stream URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
url | S Σ | 1..1 | uri | Canonical identifier for this measure, represented as a URI (globally unique)
identifier | S Σ | 0..* | Identifier | Business identifier of this measure, e.g., value-based contract identifier
version | Σ | 1..1 | string | Business version of the measure
name | Σ C | 1..1 | string | Name for this measure (computer friendly)
title | S Σ | 0..1 | string | Name for this measure (human friendly)
status | ?!Σ | 1..1 | code | draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact.
experimental | Σ | 1..1 | boolean | For testing purposes, not real usage
date | S Σ | 0..1 | dateTime | Date last changed
publisher | Σ | 1..1 | string | Name of the publisher (organization or individual)
contact | S Σ | 0..* | ContactDetail | Contact details for the publisher
description | S Σ | 1..1 | markdown | Natural language description of the measure
useContext | S Σ | 0..* | UsageContext | The context that the content is intended to support
jurisdiction | S Σ | 0..* | CodeableConcept | Intended jurisdiction for measure (if applicable) Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use.
effectivePeriod | S Σ | 0..1 | Period | Value-based contract term period
Slices for relatedArtifact | S | 0..* | RelatedArtifact | Additional documentation, citations, etc. Slice: Unordered, Open by value:type
relatedArtifact:component | S | 0..* | RelatedArtifact | Additional documentation, citations, etc.
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
groupId | S | 0..1 | string | What group URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-groupId
weight | S | 0..1 | decimal | Contribution? URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-weight
contractualStatus | S | 1..1 | CodeableConcept | contractual | contractual-alternate | reporting-only URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/contractual-status Binding: Measure Contractual Status (extensible)
type | S Σ | 1..1 | code | Component measure Binding: RelatedArtifactType (required): The type of relationship to the related artifact. Fixed Value: composed-of
display | S Σ | 0..1 | string | Brief description of the related artifact
resource | S Σ | 1..1 | canonical(Measure) | What resource is being referenced
library | S C | 0..1 | canonical(CQFM Library) | CQFMMeasures are not required to use a Library, but if they do, it SHALL be a CQFMLibrary. cqm-2: Measures utilizing CQL SHALL reference one and only one CQL library (and that referenced library MUST be the primary library for the measure)
compositeScoring | S Σ | 0..1 | CodeableConcept | opportunity | all-or-nothing | linear | weighted Binding: CompositeMeasureScoring (extensible)
type | S Σ | 0..* | CodeableConcept | process | outcome | structure | patient-reported-outcome | composite Binding: MeasureType (extensible)
group | S | 0..* | BackboneElement | Population criteria group
id | S C | 0..1 | string | Unique id for inter-element referencing cqm-3: Group identifiers SHOULD use the convention: "group-[group number]", where [group number] corresponds with the group naming convention for the criteria within the group
Slices for extension |  |  |  | Content/Rules for all slices
compositeScoring | S | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-compositeScoring Binding: CompositeMeasureScoring (extensible): How the composite measure calculation is performed
scoringUnit | S | 0..1 | CodeableConcept | What units? URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringUnit
component | S | 0..* | (Complex) | What artifact URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-component
Slices for extension |  |  |  | Content/Rules for all slices
groupId | S | 0..1 | string | What group URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-groupId
weight | S | 0..1 | decimal | Contribution? URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-weight
url |  | 1..1 | uri | "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-component"
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 0..1 | CodeableConcept | Performance metric Binding: Performance Metric (extensible)
population | S | 0..* | BackboneElement | Population criteria
id | S | 1..1 | string | Unique id for inter-element referencing
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible)
criteria | S C | 1..1 | Expression | The criteria that defines this population cqm-4: Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace.
stratifier | S | 0..* | BackboneElement | Stratifier criteria for the measure
id | S | 1..1 | string | Unique id for inter-element referencing
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
criteria | S C | 0..1 | Expression | How the measure should be stratified cqm-5: Group stratifier criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace.
supplementalData | S C | 0..* | BackboneElement | What other data should be reported with the measure cqm-6: Supplemental data SHALL use either criteria or path
id | S | 1..1 | string | Unique id for inter-element referencing
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 0..1 | CodeableConcept | Meaning of the supplemental data Binding: MeasureDataUsage (extensible)
criteria |  | 1..1 | Expression | Expression describing additional data to be reported
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
Measure.status | required | PublicationStatus `http://hl7.org/fhir/ValueSet/publication-status|4.0.1` from the FHIR Standard
Measure.jurisdiction | extensible | Jurisdiction ValueSet `http://hl7.org/fhir/ValueSet/jurisdiction` from the FHIR Standard
Measure.relatedArtifact:component.type | required | Fixed Value: composed-of `http://hl7.org/fhir/ValueSet/related-artifact-type|4.0.1` from the FHIR Standard
Measure.compositeScoring | extensible | CompositeMeasureScoring `http://terminology.hl7.org/ValueSet/composite-measure-scoring`
Measure.type | extensible | MeasureType `http://terminology.hl7.org/ValueSet/measure-type`
Measure.group.code | extensible | VbpPerformanceMetricsVS (a valid code from Performance Metric Codes) `http://hl7.org/fhir/us/davinci-vbpr/ValueSet/vbp-performance-metric` from this IG
Measure.group.population.code | extensible | MeasurePopulationType `http://terminology.hl7.org/ValueSet/measure-population`
Measure.supplementalData.code | extensible | MeasureDataUsage `http://terminology.hl7.org/ValueSet/measure-data-usage`

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Measure | C | 1..1 | CQFMCompositeMeasure | A quality measure definition mea-0: Name should be usable as an identifier for the module by machine processing applications such as code generation mea-1: Stratifier SHALL be either a single criteria or a set of criteria components
id | Σ | 0..1 | id | Logical id of this artifact
meta | S Σ | 1..1 | Meta | Metadata about the resource
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
versionId | Σ | 0..1 | id | Version specific identifier
lastUpdated | Σ | 0..1 | instant | When the resource version last changed
source | Σ | 0..1 | uri | Identifies where the resource comes from
profile | S Σ | 1..* | canonical(StructureDefinition) | Profiles this resource claims to conform to
security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
comment | S | 0..* | (Complex) | Additional documentation, review, or usage guidance URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-artifactComment
allocation | S | 0..1 | markdown | Allocation guidance URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-allocation
softwaresystem | S | 0..* | Reference(CQFM Device) | Extension URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem
scoringUnit | S | 0..1 | CodeableConcept | What units? URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringUnit
lineOfBusiness | S | 0..1 | CodeableConcept | Line of Business URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/lob Binding: Line of Business Value Set (extensible)
programModel | S | 0..* | (Complex) | Program Model URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/program-model
paymentStream | S | 0..* | (Complex) | Payment Stream URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
url | S Σ | 1..1 | uri | Canonical identifier for this measure, represented as a URI (globally unique)
identifier | S Σ | 0..* | Identifier | Business identifier of this measure, e.g., value-based contract identifier
version | Σ | 1..1 | string | Business version of the measure
name | Σ C | 1..1 | string | Name for this measure (computer friendly)
title | S Σ | 0..1 | string | Name for this measure (human friendly)
subtitle |  | 0..1 | string | Subordinate title of the measure
status | ?!Σ | 1..1 | code | draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact.
experimental | Σ | 1..1 | boolean | For testing purposes, not real usage
subject[x] |  | 0..1 |  | E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device Binding: SubjectType (extensible): The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization, Location, etc.).
subjectCodeableConcept |  |  | CodeableConcept |
subjectReference |  |  | Reference(Group) |
date | S Σ | 0..1 | dateTime | Date last changed
publisher | Σ | 1..1 | string | Name of the publisher (organization or individual)
contact | S Σ | 0..* | ContactDetail | Contact details for the publisher
description | S Σ | 1..1 | markdown | Natural language description of the measure
useContext | S Σ | 0..* | UsageContext | The context that the content is intended to support
jurisdiction | S Σ | 0..* | CodeableConcept | Intended jurisdiction for measure (if applicable) Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use.
purpose |  | 0..1 | markdown | Why this measure is defined
usage |  | 0..1 | string | Describes the clinical usage of the measure
copyright |  | 0..1 | markdown | Use and/or publishing restrictions
approvalDate |  | 0..1 | date | When the measure was approved by publisher
lastReviewDate |  | 0..1 | date | When the measure was last reviewed
effectivePeriod | S Σ | 0..1 | Period | Value-based contract term period
topic |  | 0..* | CodeableConcept | The category of the measure, such as Education, Treatment, Assessment, etc. Binding: DefinitionTopic (example): High-level categorization of the definition, used for searching, sorting, and filtering.
author |  | 0..* | ContactDetail | Who authored the content
editor |  | 0..* | ContactDetail | Who edited the content
reviewer |  | 0..* | ContactDetail | Who reviewed the content
endorser |  | 0..* | ContactDetail | Who endorsed the content
Slices for relatedArtifact | S | 0..* | RelatedArtifact | Additional documentation, citations, etc. Slice: Unordered, Open by value:type
relatedArtifact:component | S | 0..* | RelatedArtifact | Additional documentation, citations, etc.
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
groupId | S | 0..1 | string | What group URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-groupId
weight | S | 0..1 | decimal | Contribution? URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-weight
contractualStatus | S | 1..1 | CodeableConcept | contractual | contractual-alternate | reporting-only URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/contractual-status Binding: Measure Contractual Status (extensible)
type | S Σ | 1..1 | code | Component measure Binding: RelatedArtifactType (required): The type of relationship to the related artifact. Fixed Value: composed-of
label | Σ | 0..1 | string | Short label
display | S Σ | 0..1 | string | Brief description of the related artifact
citation | Σ | 0..1 | markdown | Bibliographic citation for the artifact
url | Σ | 0..1 | url | Where the artifact can be accessed
document | Σ | 0..1 | Attachment | What document is being referenced
resource | S Σ | 1..1 | canonical(Measure) | What resource is being referenced
library | S C | 0..1 | canonical(CQFM Library) | CQFMMeasures are not required to use a Library, but if they do, it SHALL be a CQFMLibrary. cqm-2: Measures utilizing CQL SHALL reference one and only one CQL library (and that referenced library MUST be the primary library for the measure)
disclaimer | Σ | 0..1 | markdown | Disclaimer for use of the measure or its referenced content
scoring | Σ | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort Binding: MeasureScoring (extensible): The scoring type of the measure.
compositeScoring | S Σ | 0..1 | CodeableConcept | opportunity | all-or-nothing | linear | weighted Binding: CompositeMeasureScoring (extensible)
type | S Σ | 0..* | CodeableConcept | process | outcome | structure | patient-reported-outcome | composite Binding: MeasureType (extensible)
riskAdjustment | Σ | 0..1 | string | How risk adjustment is applied for this measure
rateAggregation | Σ | 0..1 | string | How is rate aggregation performed for this measure
rationale | Σ | 0..1 | markdown | Detailed description of why the measure exists
clinicalRecommendationStatement | Σ | 0..1 | markdown | Summary of clinical guidelines
definition | Σ | 0..* | markdown | Defined terms used in the measure documentation
guidance | Σ | 0..1 | markdown | Additional guidance for implementers
group | S | 0..* | BackboneElement | Population criteria group
id | S C | 0..1 | string | Unique id for inter-element referencing cqm-3: Group identifiers SHOULD use the convention: "group-[group number]", where [group number] corresponds with the group naming convention for the criteria within the group
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
compositeScoring | S | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-compositeScoring Binding: CompositeMeasureScoring (extensible): How the composite measure calculation is performed
scoringUnit | S | 0..1 | CodeableConcept | What units? URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoringUnit
component | S | 0..* | (Complex) | What artifact URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-component
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
groupId | S | 0..1 | string | What group URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-groupId
weight | S | 0..1 | decimal | Contribution? URL: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-weight
url |  | 1..1 | uri | "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-component"
value[x] |  | 0..1 | RelatedArtifact | Value of extension
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 0..1 | CodeableConcept | Performance metric Binding: Performance Metric (extensible)
description |  | 0..1 | string | Summary description
population | S | 0..* | BackboneElement | Population criteria
id | S | 1..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible)
description |  | 0..1 | string | The human readable description of this population criteria
criteria | S C | 1..1 | Expression | The criteria that defines this population cqm-4: Group population criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace.
stratifier | S | 0..* | BackboneElement | Stratifier criteria for the measure
id | S | 1..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 0..1 | CodeableConcept | Meaning of the stratifier
description |  | 0..1 | string | The human readable description of this stratifier
criteria | S C | 0..1 | Expression | How the measure should be stratified cqm-5: Group stratifier criteria SHOULD be simple expression names found within the primary library for the measure. The criteria SHOULD NOT include a namespace.
component |  | 0..* | BackboneElement | Stratifier criteria component for the measure
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code |  | 0..1 | CodeableConcept | Meaning of the stratifier component
description |  | 0..1 | string | The human readable description of this stratifier component
criteria |  | 1..1 | Expression | Component of how the measure should be stratified
supplementalData | S C | 0..* | BackboneElement | What other data should be reported with the measure cqm-6: Supplemental data SHALL use either criteria or path
id | S | 1..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 0..1 | CodeableConcept | Meaning of the supplemental data Binding: MeasureDataUsage (extensible)
usage |  | 0..* | CodeableConcept | supplemental-data | risk-adjustment-factor Binding: MeasureDataUsage (extensible): The intended usage for supplemental data elements in the measure.
description |  | 0..1 | string | The human readable description of this supplemental data
criteria |  | 1..1 | Expression | Expression describing additional data to be reported
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
Measure.meta.security | extensible | All Security Labels `http://hl7.org/fhir/ValueSet/security-labels` from the FHIR Standard
Measure.meta.tag | example | CommonTags `http://hl7.org/fhir/ValueSet/common-tags` from the FHIR Standard
Measure.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
`http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
Measure.status | required | PublicationStatus `http://hl7.org/fhir/ValueSet/publication-status|4.0.1` from the FHIR Standard
Measure.subject[x] | extensible | SubjectType `http://hl7.org/fhir/ValueSet/subject-type` from the FHIR Standard
Measure.jurisdiction | extensible | Jurisdiction ValueSet `http://hl7.org/fhir/ValueSet/jurisdiction` from the FHIR Standard
Measure.topic | example | DefinitionTopic `http://hl7.org/fhir/ValueSet/definition-topic` from the FHIR Standard
Measure.relatedArtifact:component.type | required | Fixed Value: composed-of `http://hl7.org/fhir/ValueSet/related-artifact-type|4.0.1` from the FHIR Standard
Measure.scoring | extensible | MeasureScoring `http://hl7.org/fhir/ValueSet/measure-scoring` from the FHIR Standard
Measure.compositeScoring | extensible | CompositeMeasureScoring `http://terminology.hl7.org/ValueSet/composite-measure-scoring`
Measure.type | extensible | MeasureType `http://terminology.hl7.org/ValueSet/measure-type`
Measure.group.code | extensible | VbpPerformanceMetricsVS (a valid code from Performance Metric Codes) `http://hl7.org/fhir/us/davinci-vbpr/ValueSet/vbp-performance-metric` from this IG
Measure.group.population.code | extensible | MeasurePopulationType `http://terminology.hl7.org/ValueSet/measure-population`
Measure.supplementalData.code | extensible | MeasureDataUsage `http://terminology.hl7.org/ValueSet/measure-data-usage`
Measure.supplementalData.usage | extensible | MeasureDataUsage `http://hl7.org/fhir/ValueSet/measure-data-usage` from the FHIR Standard

This structure is derived from CQFMCompositeMeasure

Summary

Mandatory: 0 element(2 nested mandatory elements)
Must-Support: 8 elements
Prohibited: 1 element

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/lob
- http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/program-model
- http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream
- http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/contractual-status

Other representations of profile: CSV, Excel, Schematron