Data Exchange For Quality Measures Implementation Guide
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Data Exchange For Quality Measures Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 5.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-deqm/ and changes regularly. See the Directory of published versions

Extension: DEQM Measure Scoring Extension

Official URL: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring Version: 5.0.0
Standards status: Trial-use Active as of 2025-12-19 Maturity Level: 4 Computable Name: DEQMMeasureScoringExtension
Other Identifiers: OID:2.16.840.1.113883.4.642.40.2.42.12

Indicates how the calculation is performed for the measure, including proportion, ratio, continuous-variable, and cohort. The value set is extensible, allowing additional measure scoring types to be represented. It is expected to be the same as the scoring element on the referenced Measure

Context of Use

Mandatory Data Elements and Terminology

The following data-elements are mandatory (i.e data MUST be present).

Each Extension Must Have:

  1. url: identifies the meaning of the extension
  2. value[x]: Value of extension

Example can be found in Indv Measurereport01

Usage info

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Extension Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Extension
... extension 0..0 Extension
... url 1..1 uri "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring"
... value[x] 1..1 CodeableConcept Value of extension
Slice: Unordered, Open by type:$this
... valueCodeableConcept 1..1 CodeableConcept Value of extension
Binding: MeasureScoring (2.0.0) (extensible)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Extension.valueCodeableConcept Base extensible Measure Scoring 📍2.0.0 THO v6.3
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Extension
... id 0..1 string Unique id for inter-element referencing
... extension 0..0 Extension
Slice: Unordered, Open by value:url
... url 1..1 uri "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring"
... Slices for value[x] 1..1 CodeableConcept Value of extension
Slice: Unordered, Closed by type:$this
.... value[x]:valueCodeableConcept 1..1 CodeableConcept Value of extension
Binding: MeasureScoring (2.0.0) (extensible)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Extension.value[x]:valueCodeableConcept Base extensible Measure Scoring 📍2.0.0 THO v6.3

Constraints

Id Grade Path(s) Description Expression
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Summary

Simple Extension with the type CodeableConcept: Indicates how the calculation is performed for the measure, including proportion, ratio, continuous-variable, and cohort. The value set is extensible, allowing additional measure scoring types to be represented. It is expected to be the same as the scoring element on the referenced Measure

Maturity: 4

Differential ViewDifferential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Extension
... extension 0..0 Extension
... url 1..1 uri "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring"
... value[x] 1..1 CodeableConcept Value of extension
Slice: Unordered, Open by type:$this
... valueCodeableConcept 1..1 CodeableConcept Value of extension
Binding: MeasureScoring (2.0.0) (extensible)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Extension.valueCodeableConcept Base extensible Measure Scoring 📍2.0.0 THO v6.3

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..* Extension Extension
... id 0..1 string Unique id for inter-element referencing
... extension 0..0 Extension
Slice: Unordered, Open by value:url
... url 1..1 uri "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring"
... Slices for value[x] 1..1 CodeableConcept Value of extension
Slice: Unordered, Closed by type:$this
.... value[x]:valueCodeableConcept 1..1 CodeableConcept Value of extension
Binding: MeasureScoring (2.0.0) (extensible)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Extension.value[x]:valueCodeableConcept Base extensible Measure Scoring 📍2.0.0 THO v6.3

Constraints

Id Grade Path(s) Description Expression
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Summary

Simple Extension with the type CodeableConcept: Indicates how the calculation is performed for the measure, including proportion, ratio, continuous-variable, and cohort. The value set is extensible, allowing additional measure scoring types to be represented. It is expected to be the same as the scoring element on the referenced Measure

Maturity: 4

 

Other representations of profile: CSV, Excel, Schematron