Quality Measure Implementation Guide
1.0.1-cibuild - CI Build International flag

Quality Measure Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 1.0.1-cibuild built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-cqm/ and changes regularly. See the Directory of published versions

Extension: CQM Risk Adjustment

Official URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-riskAdjustment Version: 1.0.0
Standards status: Trial-use Active as of 2026-03-03 Maturity Level: 4 Computable Name: CQMRiskAdjustment
Other Identifiers: OID:2.16.840.1.113883.4.642.40.61.42.26

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.

Context of Use

    This extension may be used on the following element(s)

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..1 Extension How risk adjustment is applied for this measure
... url 1..1 uri "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-riskAdjustment"
... value[x] 0..1 string Value of extension

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..1 Extension How risk adjustment is applied for this measure
... id 0..1 string Unique id for inter-element referencing
... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
... url 1..1 uri "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-riskAdjustment"

doco Documentation for this format

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 string: 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.

Maturity: 4

Differential ViewDifferential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..1 Extension How risk adjustment is applied for this measure
... url 1..1 uri "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-riskAdjustment"
... value[x] 0..1 string Value of extension

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension 0..1 Extension How risk adjustment is applied for this measure
... id 0..1 string Unique id for inter-element referencing
... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
... url 1..1 uri "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-riskAdjustment"

doco Documentation for this format

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 string: 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.

Maturity: 4

 

Other representations of profile: CSV, Excel, Schematron