Quality Measure Implementation Guide
1.0.1-cibuild - CI Build
Quality Measure Implementation Guide
1.0.1-cibuild - CI Build
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
| Official URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring | Version: 1.0.0 | ||||
| Standards status: Trial-use Active as of 2026-03-03 | Maturity Level: 4 | Computable Name: CQMScoring | |||
| Other Identifiers: OID:2.16.840.1.113883.4.642.40.61.42.27 | |||||
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. When present on a group, specifies the scoring to be used for this group, overriding the scoring specified for the overall measure.
Context of Use
This extension may be used on the following element(s)
Measure.group
Usage info
Usages:
You can also check for usages in the FHIR IG Statistics
Description Differentials, Snapshots, and other representations.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  Extension |
0..1 | Extension | proportion | ratio | continuous-variable | cohort | |
  url |
1..1 | uri | "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring" | |
  value[x] |
0..1 | CodeableConcept | Value of extension Binding: Measure Scoring (extensible): How the measure calculation is performed | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Extension.value[x] | Base | extensible | Measure Scoring | 📦2.0.0 | THO v6.5 |
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
 Extension |
0..1 | Extension | proportion | ratio | continuous-variable | cohort | |
| 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-scoring" | |
| value[x] |
0..1 | CodeableConcept | Value of extension Binding: Measure Scoring (extensible): How the measure calculation is performed | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Extension.value[x] | Base | extensible | Measure Scoring | 📦2.0.0 | THO v6.5 |
| 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. When present on a group, specifies the scoring to be used for this group, overriding the scoring specified for the overall measure.
Maturity: 4
Differential ViewDifferential View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Extension |
0..1 | Extension | proportion | ratio | continuous-variable | cohort | |
| url |
1..1 | uri | "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring" | |
| value[x] |
0..1 | CodeableConcept | Value of extension Binding: Measure Scoring (extensible): How the measure calculation is performed | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Extension.value[x] | Base | extensible | Measure Scoring | 📦2.0.0 | THO v6.5 |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Extension |
0..1 | Extension | proportion | ratio | continuous-variable | cohort | |
| 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-scoring" | |
| value[x] |
0..1 | CodeableConcept | Value of extension Binding: Measure Scoring (extensible): How the measure calculation is performed | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Extension.value[x] | Base | extensible | Measure Scoring | 📦2.0.0 | THO v6.5 |
| 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. When present on a group, specifies the scoring to be used for this group, overriding the scoring specified for the overall measure.
Maturity: 4
Other representations of profile: CSV, Excel, Schematron
IG © 2019+ HL7 International / Clinical Quality Information.
Package hl7.fhir.uv.cqm#1.0.1-cibuild based on FHIR 4.0.1.
Generated
2026-03-03
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