### ----------------------------------------------------
### -- FHIR
### -- Licenses: Artistic-2.0
### -- Authors: Hugh Simpson
### -- File: t/resources/structureDefinition/Measure.json
### ----------------------------------------------------
### -- Chunk 15 of 15
/ValueSet/composite-measure-scoring"
      }
    },
    {
      "id" : "Measure.type",
      "path" : "Measure.type",
      "short" : "process | outcome | structure | patient-reported-outcome | composite",
      "definition" : "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.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "MeasureType"
        }],
        "strength" : "extensible",
        "description" : "The type of measure (includes codes from 2.16.840.1.113883.1.11.20368).",
        "valueSet" : "http://hl7.org/fhir/ValueSet/measure-type"
      }
    },
    {
      "id" : "Measure.riskAdjustment",
      "path" : "Measure.riskAdjustment",
      "short" : "How risk adjustment is applied for this measure",
      "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.",
      "comment" : "Describes the method of adjusting for clinical severity and conditions present at the start of care that can influence patient outcomes for making valid comparisons of outcome measures across providers. Indicates whether a measure is subject to the statistical process for reducing, removing, or clarifying the influences of confounding factors to allow for more useful comparisons.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }],
      "isSummary" : true
    },
    {
      "id" : "Measure.rateAggregation",
      "path" : "Measure.rateAggregation",
      "short" : "How is rate aggregation performed for this measure",
      "definition" : "Describes how to combine the information calculated, based on logic in each of several populations, into one summarized result.",
      "comment" : "The measure rate for an organization or clinician is based upon the entities’ aggregate data and summarizes the performance of the entity over a given time period (e.g., monthly, quarterly, yearly). The aggregated data are derived from the results of a specific measure algorithm and, if appropriate, the application of specific risk adjustment models.  Can also be used to describe how to risk adjust the data based on supplemental data elements described in the eMeasure (e.g., pneumonia hospital measures antibiotic selection in the ICU versus non-ICU and then the roll-up of the two). This could be applied to aggregated cohort measure definitions (e.g., CDC's aggregate reporting for TB at the state level).",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }],
      "isSummary" : true
    },
    {
      "id" : "Measure.rationale",
      "path" : "Measure.rationale",
      "short" : "Detailed description of why the measure exists",
      "definition" : "Provides a succinct statement of the need for the measure. Usually includes statements pertaining to importance criterion: impact, gap in care, and evidence.",
      "requirements" : "Measure developers need to be able to provide a detailed description of the purpose of the measure. This element provides detailed rationale, where the purpose element provides a summary of the rationale.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "markdown"
      }],
      "isSummary" : true
    },
    {
      "id" : "Measure.clinicalRecommendationStatement",
      "path" : "Measure.clinicalRecommendationStatement",
      "short" : "Summary of clinical guidelines",
      "definition" : "Provides a summary of relevant clinical guidelines or other clinical recommendations supporting the measure.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "markdown"
      }],
      "isSummary" : true
    },
    {
      "id" : "Measure.improvementNotation",
      "path" : "Measure.improvementNotation",
      "short" : "increase | decrease",
      "definition" : "Information on whether an increase or decrease in score is the preferred result (e.g., a higher score indicates better quality OR a lower score indicates better quality OR quality is within a range).",
      "requirements" : "Measure consumers and implementers must be able to determine how to interpret a measure score.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "isSummary" : true,
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "MeasureImprovementNotation"
        }],
        "strength" : "required",
        "description" : "Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/measure-improvement-notation|4.0.0"
      }
    },
    {
      "id" : "Measure.definition",
      "path" : "Measure.definition",
      "short" : "Defined terms used in the measure documentation",
      "definition" : "Provides a description of an individual term used within the measure.",
      "requirements" : "Measure developers must be able to provide precise definitions of terms used within measure descriptions and guidance to help communicate the intent of the measure.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "markdown"
      }],
      "isSummary" : true
    },
    {
      "id" : "Measure.guidance",
      "path" : "Measure.guidance",
      "short" : "Additional guidance for implementers",
      "definition" : "Additional guidance for the measure including how it can be used in a clinical context, and the intent of the measure.",
      "requirements" : "Measure developers must be able to provide additional guidance for implementers to understand the intent with greater specificity than that provided in the population criteria of the measure. This element provides detailed guidance, where the usage element provides a summary of the guidance.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "markdown"
      }],
      "isSummary" : true
    },
    {
      "id" : "Measure.group",
      "path" : "Measure.group",
      "short" : "Population criteria group",
      "definition" : "A group of population criteria for the measure.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "Measure.group.code",
      "path" : "Measure.group.code",
      "short" : "Meaning of the group",
      "definition" : "Indicates a meaning for the group. This can be as simple as a unique identifier, or it can establish meaning in a broader context by drawing from a terminology, allowing groups to be correlated across measures.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }]
    },
    {
      "id" : "Measure.group.description",
      "path" : "Measure.group.description",
      "short" : "Summary description",
      "definition" : "The human readable description of this population group.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }]
    },
    {
      "id" : "Measure.group.population",
      "path" : "Measure.group.population",
      "short" : "Population criteria",
      "definition" : "A population criteria for the measure.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "Measure.group.population.code",
      "path" : "Measure.group.population.code",
      "short" : "initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation",
      "definition" : "The type of population criteria.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "MeasurePopulationType"
        }],
        "strength" : "extensible",
        "description" : "The type of population.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/measure-population"
      }
    },
    {
      "id" : "Measure.group.population.description",
      "path" : "Measure.group.population.description",
      "short" : "The human readable description of this population criteria",
      "definition" : "The human readable description of this population criteria.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }]
    },
    {
      "id" : "Measure.group.population.criteria",
      "path" : "Measure.group.population.criteria",
      "short" : "The criteria that defines this population",
      "definition" : "An expression that specifies the criteria for the population, typically the name of an expression in a library.",
      "comment" : "In the case of a continuous-variable or ratio measure, this may be the name of a function that calculates the value of the individual observation for each patient or event in the population. For these types of measures, individual observations are reported as observation resources included in the evaluatedResources bundle for each patient. See the MeasureReport resource or the Quality Reporting topic for more information.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "Expression"
      }]
    },
    {
      "id" : "Measure.group.stratifier",
      "path" : "Measure.group.stratifier",
      "short" : "Stratifier criteria for the measure",
      "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.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "Measure.group.stratifier.code",
      "path" : "Measure.group.stratifier.code",
      "short" : "Meaning of the stratifier",
      "definition" : "Indicates a meaning for the stratifier. This can be as simple as a unique identifier, or it can establish meaning in a broader context by drawing from a terminology, allowing stratifiers to be correlated across measures.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }]
    },
    {
      "id" : "Measure.group.stratifier.description",
      "path" : "Measure.group.stratifier.description",
      "short" : "The human readable description of this stratifier",
      "definition" : "The human readable description of this stratifier criteria.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }]
    },
    {
      "id" : "Measure.group.stratifier.criteria",
      "path" : "Measure.group.stratifier.criteria",
      "short" : "How the measure should be stratified",
      "definition" : "An expression that specifies the criteria for the stratifier. This is typically the name of an expression defined within a referenced library, but it may also be a path to a stratifier element.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Expression"
      }]
    },
    {
      "id" : "Measure.group.stratifier.component",
      "path" : "Measure.group.stratifier.component",
      "short" : "Stratifier criteria component for the measure",
      "definition" : "A component of 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.",
      "comment" : "Stratifiers are defined either as a single criteria, or as a set of component criteria.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "Measure.group.stratifier.component.code",
      "path" : "Measure.group.stratifier.component.code",
      "short" : "Meaning of the stratifier component",
      "definition" : "Indicates a meaning for the stratifier component. This can be as simple as a unique identifier, or it can establish meaning in a broader context by drawing from a terminology, allowing stratifiers to be correlated across measures.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }]
    },
    {
      "id" : "Measure.group.stratifier.component.description",
      "path" : "Measure.group.stratifier.component.description",
      "short" : "The human readable description of this stratifier component",
      "definition" : "The human readable description of this stratifier criteria component.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }]
    },
    {
      "id" : "Measure.group.stratifier.component.criteria",
      "path" : "Measure.group.stratifier.component.criteria",
      "short" : "Component of how the measure should be stratified",
      "definition" : "An expression that specifies the criteria for this component of the stratifier. This is typically the name of an expression defined within a referenced library, but it may also be a path to a stratifier element.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "Expression"
      }]
    },
    {
      "id" : "Measure.supplementalData",
      "path" : "Measure.supplementalData",
      "short" : "What other data should be reported with the measure",
      "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.",
      "comment" : "Note that supplemental data are reported as observations for each patient and included in the evaluatedResources bundle. See the MeasureReport resource or the Quality Reporting topic for more information.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "BackboneElement"
      }]
    },
    {
      "id" : "Measure.supplementalData.code",
      "path" : "Measure.supplementalData.code",
      "short" : "Meaning of the supplemental data",
      "definition" : "Indicates a meaning for the supplemental data. This can be as simple as a unique identifier, or it can establish meaning in a broader context by drawing from a terminology, allowing supplemental data to be correlated across measures.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }]
    },
    {
      "id" : "Measure.supplementalData.usage",
      "path" : "Measure.supplementalData.usage",
      "short" : "supplemental-data | risk-adjustment-factor",
      "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.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "binding" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString" : "MeasureDataUsage"
        }],
        "strength" : "extensible",
        "description" : "The intended usage for supplemental data elements in the measure.",
        "valueSet" : "http://hl7.org/fhir/ValueSet/measure-data-usage"
      }
    },
    {
      "id" : "Measure.supplementalData.description",
      "path" : "Measure.supplementalData.description",
      "short" : "The human readable description of this supplemental data",
      "definition" : "The human readable description of this supplemental data.",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }]
    },
    {
      "id" : "Measure.supplementalData.criteria",
      "path" : "Measure.supplementalData.criteria",
      "short" : "Expression describing additional data to be reported",
      "definition" : "The criteria for the supplemental data. This is typically the name of a valid expression defined within a referenced library, but it may also be a path to a specific data element. The criteria defines the data to be returned for this element.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "Expression"
      }]
    }]
  }
}


