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FHIR IG Statistics: StructureDefinition/cqfm-supplementalDataGuidance

Packagehl7.fhir.us.cqfmeasures
Resource TypeStructureDefinition
Idcqfm-supplementalDataGuidance
FHIR VersionR4
Sourcehttp://hl7.org/fhir/us/cqfmeasures/http://hl7.org/fhir/us/cqfmeasures/STU5/StructureDefinition-cqfm-supplementalDataGuidance.html
URLhttp://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance
Version2.0.0
Statusactive
Date2024-11-04T20:11:26+00:00
NameCQFMSupplementalDataGuidance
TitleCQFM Supplemental Data Guidance
Realmus
Authorityhl7
DescriptionProvides additional guidance on the meaning and reporting of supplemental data elements included in the measure overall.
PurposeA measure specification must be able to provide additional guidance related to the collection and reporting of supplemental data elements defined in the measure.
TypeExtension
Kindcomplex-type

Resources that use this resource

StructureDefinition
publishable-measure-cqfmCQFM Publishable Measure

Resources that this resource uses

ValueSet
measure-data-usageMeasureDataUsage

Examples of Use for Extension

ResourceVersion
example.fhir.uv.mycontentig#current:Measure/DischargedonAntithromboticTherapyFHIRExampleR4
example.fhir.uv.mycontentig#current:Measure/HRExampleCohortMeasureR4
example.fhir.uv.mycontentig#current:Measure/HRExampleProportionMeasureR4
example.fhir.uv.mycontentig#current:Measure/HRExampleRatioMeasureR4
example.fhir.uv.mycontentig#current:Measure/HybridHospitalWideMortalityFHIRExampleR4
gov.healthit.ecqi.ecqms#current:Measure/CMS0334FHIRPCCesareanBirthR4
gov.healthit.ecqi.ecqms#current:Measure/CMS1017FHIRHHFIR4
gov.healthit.ecqi.ecqms#current:Measure/CMS1028FHIRPCSevereOBCompsR4
gov.healthit.ecqi.ecqms#current:Measure/CMS104FHIRSTKDCAntithromboticR4
gov.healthit.ecqi.ecqms#current:Measure/CMS1056CTClinicalFHIRR4
gov.healthit.ecqi.ecqms#current:Measure/CMS1074FHIRCTIQRR4
gov.healthit.ecqi.ecqms#current:Measure/CMS108FHIRVTEProphylaxisR4
gov.healthit.ecqi.ecqms#current:Measure/CMS117FHIRChildhoodImmunizationStatusR4
gov.healthit.ecqi.ecqms#current:Measure/CMS1206FHIRCTOQRR4
gov.healthit.ecqi.ecqms#current:Measure/CMS1218FHIRHHRFR4
gov.healthit.ecqi.ecqms#current:Measure/CMS122FHIRDiabetesAssessGreaterThan9PercentR4
gov.healthit.ecqi.ecqms#current:Measure/CMS1244FHIRECATHOQRR4
gov.healthit.ecqi.ecqms#current:Measure/CMS124FHIRCervicalCancerScreeningR4
gov.healthit.ecqi.ecqms#current:Measure/CMS125FHIRBreastCancerScreeningR4
gov.healthit.ecqi.ecqms#current:Measure/CMS1264FHIRECATREHQRR4
gov.healthit.ecqi.ecqms#current:Measure/CMS128FHIRAntidepressantMedManagementR4
gov.healthit.ecqi.ecqms#current:Measure/CMS130FHIRColorectalCancerScreeningR4
gov.healthit.ecqi.ecqms#current:Measure/CMS133FHIRCataracts2040BCVAwithin90DaysR4
gov.healthit.ecqi.ecqms#current:Measure/CMS135FHIRHFACEIorARBorARNIforLVSDR4
gov.healthit.ecqi.ecqms#current:Measure/CMS142FHIRDRCommunicationWithPhysicianManagingDiabetesR4
gov.healthit.ecqi.ecqms#current:Measure/CMS143FHIRPOAGOpticNerveEvaluationR4
gov.healthit.ecqi.ecqms#current:Measure/CMS144FHIRHFBetaBlockerTherapyforLVSDR4
gov.healthit.ecqi.ecqms#current:Measure/CMS145FHIRCADBetaBlockerTherapyPriorMIorLVSDR4
gov.healthit.ecqi.ecqms#current:Measure/CMS146FHIRAppropriateTestingforPharyngitisR4
gov.healthit.ecqi.ecqms#current:Measure/CMS149FHIRDementiaCognitiveAssessmentR4
gov.healthit.ecqi.ecqms#current:Measure/CMS155FHIRWeightAssessandCounselforKidsR4
gov.healthit.ecqi.ecqms#current:Measure/CMS159FHIRDepressionRemissionatTwelveMonthsR4
gov.healthit.ecqi.ecqms#current:Measure/CMS165FHIRControllingHighBloodPressureR4
gov.healthit.ecqi.ecqms#current:Measure/CMS190VTEProphylaxisICUFHIRR4
gov.healthit.ecqi.ecqms#current:Measure/CMS22FHIRPCSBPScreeningFollowUpR4
gov.healthit.ecqi.ecqms#current:Measure/CMS2FHIRPCSDepressionScreenAndFollowUpR4
gov.healthit.ecqi.ecqms#current:Measure/CMS349FHIRHIVScreeningR4
gov.healthit.ecqi.ecqms#current:Measure/CMS506FHIRSafeUseofOpioidsR4
gov.healthit.ecqi.ecqms#current:Measure/CMS50FHIRCRLReceiptofSpecialistReportR4
gov.healthit.ecqi.ecqms#current:Measure/CMS56FHIRFunctionalStatusAssessmentforTotalHipReplacementR4
gov.healthit.ecqi.ecqms#current:Measure/CMS645FHIRBoneDensityProstateCancerAndrogenDeprivationTherapyR4
gov.healthit.ecqi.ecqms#current:Measure/CMS646FHIRIntravesicalBacillusCalmetteGuerinForBladderCancerR4
gov.healthit.ecqi.ecqms#current:Measure/CMS68FHIRDocumentationofCurrentMedicationsR4
gov.healthit.ecqi.ecqms#current:Measure/CMS69FHIRPCSBMIScreenAndFollowUpR4
gov.healthit.ecqi.ecqms#current:Measure/CMS71FHIRSTKAnticoagAFFlutterR4
gov.healthit.ecqi.ecqms#current:Measure/CMS72FHIRSTKAntithromboticDay2R4
gov.healthit.ecqi.ecqms#current:Measure/CMS771FHIRUrinarySymptomScoreChangeBenignProstaticHyperplasiaR4
gov.healthit.ecqi.ecqms#current:Measure/CMS816FHIRHHHypoR4
gov.healthit.ecqi.ecqms#current:Measure/CMS819FHIRHHORAER4
gov.healthit.ecqi.ecqms#current:Measure/CMS826FHIRHHPIR4
gov.healthit.ecqi.ecqms#current:Measure/CMS832HHAKIFHIRR4
gov.healthit.ecqi.ecqms#current:Measure/CMS871HHHyperFHIRR4
gov.healthit.ecqi.ecqms#current:Measure/CMS986FHIRMalnutritionScoreR4
gov.healthit.ecqi.ecqms#current:Measure/CMS996FHIRAptTxforSTEMIR4
gov.healthit.ecqi.ecqms#current:Measure/CMSFHIR844HybridHospitalWideMortalityR4
gov.healthit.ecqi.ecqms.subset#current:Measure/DischargedonAntithromboticTherapyFHIRR4
gov.healthit.ecqi.ecqms.subset#current:Measure/HIVScreeningFHIRR4
gov.healthit.ecqi.ecqms.subset#current:Measure/HospitalHarmHyperglycemiainHospitalizedPatientsFHIRR4
gov.healthit.ecqi.ecqms.subset#current:Measure/HybridHospitalWideMortalityFHIRR4
gov.healthit.ecqi.ecqms.subset#current:Measure/SevereObstetricComplicationsFHIRR4
hl7.fhir.us.cqfmeasures#5.0.0:Measure/HBPComponentR4

Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: StructureDefinition cqfm-supplementalDataGuidance

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..*ExtensionSupplemental data guidance
... Slices for extension Content/Rules for all slices
.... extension:usage 1..1ExtensionKind of supplemental data
..... url 1..1uri"usage"
..... value[x] 0..1CodeableConceptValue of extension
Binding: MeasureDataUsage (extensible)
.... extension:guidance 1..1ExtensionAdditional guidance
..... url 1..1uri"guidance"
..... value[x] 0..1markdownValue of extension
... url 1..1uri"http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance"
... value[x] 0..0

doco Documentation for this format

Source

{
  "resourceType": "StructureDefinition",
  "id": "cqfm-supplementalDataGuidance",
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "cqi"
    }
  ],
  "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance",
  "version": "2.0.0",
  "name": "CQFMSupplementalDataGuidance",
  "title": "CQFM Supplemental Data Guidance",
  "status": "active",
  "experimental": false,
  "date": "2024-11-04T20:11:26+00:00",
  "publisher": "HL7 International / Clinical Quality Information",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/cqi"
        }
      ]
    }
  ],
  "description": "Provides additional guidance on the meaning and reporting of supplemental data elements included in the measure overall.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "US"
        }
      ]
    }
  ],
  "purpose": "A measure specification must be able to provide additional guidance related to the collection and reporting of supplemental data elements defined in the measure.",
  "fhirVersion": "4.0.1",
  "mapping": [
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    }
  ],
  "kind": "complex-type",
  "abstract": false,
  "context": [
    {
      "type": "element",
      "expression": "Measure"
    }
  ],
  "type": "Extension",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Extension",
  "derivation": "constraint",
  "snapshot": {
    "element": [
      {
        "id": "Extension",
        "path": "Extension",
        "short": "Supplemental data guidance",
        "definition": "Specifies additional guidance related to the collection and reporting of supplemental data elements defined in the measure.",
        "min": 0,
        "max": "*",
        "base": {
          "path": "Extension",
          "min": 0,
          "max": "*"
        },
        "condition": [
          "ele-1"
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false
      },
      {
        "id": "Extension.id",
        "path": "Extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension",
        "path": "Extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 2,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:usage",
        "path": "Extension.extension",
        "sliceName": "usage",
        "short": "Kind of supplemental data",
        "definition": "Specifies what kind of supplemental data elements this additional guidance is for (e.g. Supplemental Data Elements, Risk Adjustment Factors, etc.).",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:usage.id",
        "path": "Extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:usage.extension",
        "path": "Extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:usage.url",
        "path": "Extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "usage",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:usage.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "Value of extension",
        "definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "binding": {
          "strength": "extensible",
          "valueSet": "http://terminology.hl7.org/ValueSet/measure-data-usage"
        },
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:guidance",
        "path": "Extension.extension",
        "sliceName": "guidance",
        "short": "Additional guidance",
        "definition": "Additional guidance related to the collection and reporting of this type of supplemental data defined on the measure.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false
      },
      {
        "id": "Extension.extension:guidance.id",
        "path": "Extension.extension.id",
        "representation": [
          "xmlAttr"
        ],
        "short": "Unique id for inter-element referencing",
        "definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Element.id",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "string"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:guidance.extension",
        "path": "Extension.extension.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "description": "Extensions are always sliced by (at least) url",
          "rules": "open"
        },
        "short": "Additional content defined by implementations",
        "definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance  applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
        "comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions.  The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
        "alias": [
          "extensions",
          "user content"
        ],
        "min": 0,
        "max": "*",
        "base": {
          "path": "Element.extension",
          "min": 0,
          "max": "*"
        },
        "type": [
          {
            "code": "Extension"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          },
          {
            "key": "ext-1",
            "severity": "error",
            "human": "Must have either extensions or value[x], not both",
            "expression": "extension.exists() != value.exists()",
            "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
            "source": "http://hl7.org/fhir/StructureDefinition/Extension"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "n/a"
          }
        ]
      },
      {
        "id": "Extension.extension:guidance.url",
        "path": "Extension.extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
                "valueUrl": "uri"
              }
            ],
            "code": "http://hl7.org/fhirpath/System.String"
          }
        ],
        "fixedUri": "guidance",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.extension:guidance.value[x]",
        "path": "Extension.extension.value[x]",
        "short": "Value of extension",
        "definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).",
        "min": 0,
        "max": "1",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "markdown"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.url",
        "path": "Extension.url",
        "representation": [
          "xmlAttr"
        ],
        "short": "identifies the meaning of the extension",
        "definition": "Source of the definition for the extension code - a logical name or a URL.",
        "comment": "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.",
        "min": 1,
        "max": "1",
        "base": {
          "path": "Extension.url",
          "min": 1,
          "max": "1"
        },
        "type": [
          {
            "code": "uri"
          }
        ],
        "fixedUri": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance",
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      },
      {
        "id": "Extension.value[x]",
        "path": "Extension.value[x]",
        "short": "Value of extension",
        "definition": "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list).",
        "min": 0,
        "max": "0",
        "base": {
          "path": "Extension.value[x]",
          "min": 0,
          "max": "1"
        },
        "type": [
          {
            "code": "base64Binary"
          },
          {
            "code": "boolean"
          },
          {
            "code": "canonical"
          },
          {
            "code": "code"
          },
          {
            "code": "date"
          },
          {
            "code": "dateTime"
          },
          {
            "code": "decimal"
          },
          {
            "code": "id"
          },
          {
            "code": "instant"
          },
          {
            "code": "integer"
          },
          {
            "code": "markdown"
          },
          {
            "code": "oid"
          },
          {
            "code": "positiveInt"
          },
          {
            "code": "string"
          },
          {
            "code": "time"
          },
          {
            "code": "unsignedInt"
          },
          {
            "code": "uri"
          },
          {
            "code": "url"
          },
          {
            "code": "uuid"
          },
          {
            "code": "Address"
          },
          {
            "code": "Age"
          },
          {
            "code": "Annotation"
          },
          {
            "code": "Attachment"
          },
          {
            "code": "CodeableConcept"
          },
          {
            "code": "Coding"
          },
          {
            "code": "ContactPoint"
          },
          {
            "code": "Count"
          },
          {
            "code": "Distance"
          },
          {
            "code": "Duration"
          },
          {
            "code": "HumanName"
          },
          {
            "code": "Identifier"
          },
          {
            "code": "Money"
          },
          {
            "code": "Period"
          },
          {
            "code": "Quantity"
          },
          {
            "code": "Range"
          },
          {
            "code": "Ratio"
          },
          {
            "code": "Reference"
          },
          {
            "code": "SampledData"
          },
          {
            "code": "Signature"
          },
          {
            "code": "Timing"
          },
          {
            "code": "ContactDetail"
          },
          {
            "code": "Contributor"
          },
          {
            "code": "DataRequirement"
          },
          {
            "code": "Expression"
          },
          {
            "code": "ParameterDefinition"
          },
          {
            "code": "RelatedArtifact"
          },
          {
            "code": "TriggerDefinition"
          },
          {
            "code": "UsageContext"
          },
          {
            "code": "Dosage"
          },
          {
            "code": "Meta"
          }
        ],
        "constraint": [
          {
            "key": "ele-1",
            "severity": "error",
            "human": "All FHIR elements must have a @value or children",
            "expression": "hasValue() or (children().count() > id.count())",
            "xpath": "@value|f:*|h:div",
            "source": "http://hl7.org/fhir/StructureDefinition/Element"
          }
        ],
        "isModifier": false,
        "isSummary": false,
        "mapping": [
          {
            "identity": "rim",
            "map": "N/A"
          }
        ]
      }
    ]
  },
  "differential": {
    "element": [
      {
        "id": "Extension",
        "path": "Extension",
        "short": "Supplemental data guidance",
        "definition": "Specifies additional guidance related to the collection and reporting of supplemental data elements defined in the measure.",
        "min": 0,
        "max": "*"
      },
      {
        "id": "Extension.extension:usage",
        "path": "Extension.extension",
        "sliceName": "usage",
        "short": "Kind of supplemental data",
        "definition": "Specifies what kind of supplemental data elements this additional guidance is for (e.g. Supplemental Data Elements, Risk Adjustment Factors, etc.).",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Extension"
          }
        ]
      },
      {
        "id": "Extension.extension:usage.url",
        "path": "Extension.extension.url",
        "fixedUri": "usage"
      },
      {
        "id": "Extension.extension:usage.value[x]",
        "path": "Extension.extension.value[x]",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "extensible",
          "valueSet": "http://terminology.hl7.org/ValueSet/measure-data-usage"
        }
      },
      {
        "id": "Extension.extension:guidance",
        "path": "Extension.extension",
        "sliceName": "guidance",
        "short": "Additional guidance",
        "definition": "Additional guidance related to the collection and reporting of this type of supplemental data defined on the measure.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Extension"
          }
        ]
      },
      {
        "id": "Extension.extension:guidance.url",
        "path": "Extension.extension.url",
        "fixedUri": "guidance"
      },
      {
        "id": "Extension.extension:guidance.value[x]",
        "path": "Extension.extension.value[x]",
        "type": [
          {
            "code": "markdown"
          }
        ]
      },
      {
        "id": "Extension.url",
        "path": "Extension.url",
        "type": [
          {
            "code": "uri"
          }
        ],
        "fixedUri": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-supplementalDataGuidance"
      },
      {
        "id": "Extension.value[x]",
        "path": "Extension.value[x]",
        "max": "0"
      }
    ]
  }
}