## Union of http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishablemeasure and http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishablemeasure

This is the set of resources that conform to either of the profiles CRMI Publishable Measure (http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishablemeasure) and CRMI Publishable Measure (http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishablemeasure). E.g. what you have to deal with if you get resources conforming to one of them

### Structure

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Measure | C | 1..1 |  | A quality measure definition dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management 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 | Σ | 0..1 | Meta | Metadata about the resource ele-1: All FHIR elements must have a @value or children
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
language |  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language. ele-1: All FHIR elements must have a @value or children
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation ele-1: All FHIR elements must have a @value or children
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url | Σ | 0..1 | uri | Canonical identifier for this measure, represented as a URI (globally unique) ele-1: All FHIR elements must have a @value or children
identifier | S Σ | 0..* | Identifier | Additional identifier for the measure ele-1: All FHIR elements must have a @value or children
version | Σ | 0..1 | string | Business version of the measure ele-1: All FHIR elements must have a @value or children
name | Σ | 0..1 | string | Name for this measure (computer friendly) ele-1: All FHIR elements must have a @value or children
title | Σ | 0..1 | string | Name for this measure (human friendly) ele-1: All FHIR elements must have a @value or children
subtitle |  | 0..1 | string | Subordinate title of the measure ele-1: All FHIR elements must have a @value or children
status | ?!Σ | 1..1 | code | draft | active | retired | unknown Binding: ?? (required): The lifecycle status of an artifact. ele-1: All FHIR elements must have a @value or children
experimental | Σ | 0..1 | boolean | For testing purposes, not real usage ele-1: All FHIR elements must have a @value or children
subject[x] |  | 0..1 |  | E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device Binding: ?? (extensible): The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization, Location, etc.). ele-1: All FHIR elements must have a @value or children
subjectCodeableConcept |  |  | CodeableConcept |
subjectReference |  |  | Reference(Group) |
date | S Σ | 1..1 | dateTime | Date last changed ele-1: All FHIR elements must have a @value or children
publisher | Σ | 0..1 | string | Name of the publisher (organization or individual) ele-1: All FHIR elements must have a @value or children
contact | S Σ | 0..* | ContactDetail | Contact details for the publisher ele-1: All FHIR elements must have a @value or children
description | Σ | 0..1 | markdown | Natural language description of the measure ele-1: All FHIR elements must have a @value or children
useContext | S Σ | 0..* | UsageContext | The context that the content is intended to support ele-1: All FHIR elements must have a @value or children
jurisdiction | S Σ | 0..* | CodeableConcept | Intended jurisdiction for measure (if applicable) Binding: ?? (extensible): Countries and regions within which this artifact is targeted for use. ele-1: All FHIR elements must have a @value or children
purpose | S | 0..1 | markdown | Why this measure is defined ele-1: All FHIR elements must have a @value or children
usage | S | 0..1 | string | Describes the clinical usage of the measure ele-1: All FHIR elements must have a @value or children
copyright | S | 0..1 | markdown | Use and/or publishing restrictions ele-1: All FHIR elements must have a @value or children
approvalDate | S | 0..1 | date | When the measure was approved by publisher ele-1: All FHIR elements must have a @value or children
lastReviewDate | S | 0..1 | date | When the measure was last reviewed ele-1: All FHIR elements must have a @value or children
effectivePeriod | S Σ | 0..1 | Period | When the measure is expected to be used ele-1: All FHIR elements must have a @value or children
topic | S | 0..* | CodeableConcept | The category of the measure, such as Education, Treatment, Assessment, etc. Binding: ?? (example): High-level categorization of the definition, used for searching, sorting, and filtering. ele-1: All FHIR elements must have a @value or children
author | S | 0..* | ContactDetail | Who authored the content ele-1: All FHIR elements must have a @value or children
editor | S | 0..* | ContactDetail | Who edited the content ele-1: All FHIR elements must have a @value or children
reviewer | S | 0..* | ContactDetail | Who reviewed the content ele-1: All FHIR elements must have a @value or children
endorser | S | 0..* | ContactDetail | Who endorsed the content ele-1: All FHIR elements must have a @value or children
relatedArtifact | S | 0..* | RelatedArtifact | Additional documentation, citations, etc. ele-1: All FHIR elements must have a @value or children
extension |  | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
type | Σ | 1..1 | code | documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of Binding: ?? (required): The type of relationship to the related artifact. ele-1: All FHIR elements must have a @value or children
label | Σ | 0..1 | string | Short label ele-1: All FHIR elements must have a @value or children
display | S Σ | 0..1 | string | Brief description of the related artifact ele-1: All FHIR elements must have a @value or children
citation | Σ | 0..1 | markdown | Bibliographic citation for the artifact ele-1: All FHIR elements must have a @value or children
url | Σ | 0..1 | url | Where the artifact can be accessed ele-1: All FHIR elements must have a @value or children
document | S Σ | 0..1 | Attachment | What document is being referenced ele-1: All FHIR elements must have a @value or children
resource | S Σ | 0..1 | canonical(Resource) | What resource is being referenced ele-1: All FHIR elements must have a @value or children
library |  | 0..* | canonical(Library) | Logic used by the measure ele-1: All FHIR elements must have a @value or children
disclaimer | Σ | 0..1 | markdown | Disclaimer for use of the measure or its referenced content ele-1: All FHIR elements must have a @value or children
scoring | Σ | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort Binding: ?? (extensible): The scoring type of the measure. ele-1: All FHIR elements must have a @value or children
compositeScoring | Σ | 0..1 | CodeableConcept | opportunity | all-or-nothing | linear | weighted Binding: ?? (extensible): The composite scoring method of the measure. ele-1: All FHIR elements must have a @value or children
type | Σ | 0..* | CodeableConcept | process | outcome | structure | patient-reported-outcome | composite Binding: ?? (extensible): The type of measure (includes codes from 2.16.840.1.113883.1.11.20368). ele-1: All FHIR elements must have a @value or children
riskAdjustment | Σ | 0..1 | string | How risk adjustment is applied for this measure ele-1: All FHIR elements must have a @value or children
rateAggregation | Σ | 0..1 | string | How is rate aggregation performed for this measure ele-1: All FHIR elements must have a @value or children
rationale | Σ | 0..1 | markdown | Detailed description of why the measure exists ele-1: All FHIR elements must have a @value or children
clinicalRecommendationStatement | Σ | 0..1 | markdown | Summary of clinical guidelines ele-1: All FHIR elements must have a @value or children
improvementNotation | Σ | 0..1 | CodeableConcept | increase | decrease Binding: ?? (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue. ele-1: All FHIR elements must have a @value or children
definition | Σ | 0..* | markdown | Defined terms used in the measure documentation ele-1: All FHIR elements must have a @value or children
guidance | Σ | 0..1 | markdown | Additional guidance for implementers ele-1: All FHIR elements must have a @value or children
group |  | 0..* | BackboneElement | Population criteria group ele-1: All FHIR elements must have a @value or children
extension |  | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code |  | 0..1 | CodeableConcept | Meaning of the group ele-1: All FHIR elements must have a @value or children
description |  | 0..1 | string | Summary description ele-1: All FHIR elements must have a @value or children
population |  | 0..* | BackboneElement | Population criteria ele-1: All FHIR elements must have a @value or children
extension |  | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code |  | 0..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: ?? (extensible): The type of population. ele-1: All FHIR elements must have a @value or children
description |  | 0..1 | string | The human readable description of this population criteria ele-1: All FHIR elements must have a @value or children
criteria |  | 1..1 | Expression | The criteria that defines this population ele-1: All FHIR elements must have a @value or children
stratifier |  | 0..* | BackboneElement | Stratifier criteria for the measure ele-1: All FHIR elements must have a @value or children
extension |  | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code |  | 0..1 | CodeableConcept | Meaning of the stratifier ele-1: All FHIR elements must have a @value or children
description |  | 0..1 | string | The human readable description of this stratifier ele-1: All FHIR elements must have a @value or children
criteria |  | 0..1 | Expression | How the measure should be stratified ele-1: All FHIR elements must have a @value or children
component |  | 0..* | BackboneElement | Stratifier criteria component for the measure ele-1: All FHIR elements must have a @value or children
extension |  | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code |  | 0..1 | CodeableConcept | Meaning of the stratifier component ele-1: All FHIR elements must have a @value or children
description |  | 0..1 | string | The human readable description of this stratifier component ele-1: All FHIR elements must have a @value or children
criteria |  | 1..1 | Expression | Component of how the measure should be stratified ele-1: All FHIR elements must have a @value or children
supplementalData |  | 0..* | BackboneElement | What other data should be reported with the measure ele-1: All FHIR elements must have a @value or children
extension |  | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code |  | 0..1 | CodeableConcept | Meaning of the supplemental data ele-1: All FHIR elements must have a @value or children
usage |  | 0..* | CodeableConcept | supplemental-data | risk-adjustment-factor Binding: ?? (extensible): The intended usage for supplemental data elements in the measure. ele-1: All FHIR elements must have a @value or children
description |  | 0..1 | string | The human readable description of this supplemental data ele-1: All FHIR elements must have a @value or children
criteria |  | 1..1 | Expression | Expression describing additional data to be reported ele-1: All FHIR elements must have a @value or children
Documentation for this format