CMS FHIR Quality Measure Development IG, published by Centers for Medicare & Medicaid Services (CMS). This guide is not an authorized publication; it is the continuous build for version 1.0.0-cibuild built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cqframework/cms-qmd/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• XML
• JSON
• TTL

Resource Profile: CMS CQM Publishable Measure

The CMS CQM Publishable Measure profile defines expectations for publication of CMS quality program digital measures.

Usages:

• This Profile is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from CQMPublishableMeasure

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Measure		1..1	CQMPublishableMeasure	A quality measure definition
Slices for identifier				Content/Rules for all slices
identifier:publisherIdentifier	S	1..1	Identifier	CMS dQMs SHALL have a CMS ID for publication
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Measure	C	1..1	CQMPublishableMeasure	A quality measure definition Constraints: mea-0, mea-1
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
text	S	1..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Slices for extension				Content/Rules for all slices
extension:copyrightLabel	S	0..1	string	Copyright holder and year(s) URL: http://hl7.org/fhir/StructureDefinition/artifact-copyrightLabel
extension:limitations		0..1	markdown	Extension URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-limitations
extension:trendingIssues		0..1	markdown	Extension URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-trendingIssues
extension:supplementalDataGuidance	S	0..*	(Complex)	Supplemental data guidance URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-supplementalDataGuidance
extension:comment	S	0..*	(Complex)	Additional documentation, review, or usage guidance URL: http://hl7.org/fhir/StructureDefinition/cqf-artifactComment
extension:softwaresystem	S	0..*	Reference(CRMI Software System Device)	Extension URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem
extension:improvementNotationGuidance	S	0..1	markdown	Explanation of improvement notation URL: http://hl7.org/fhir/StructureDefinition/cqf-improvementNotationGuidance
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	4..*	Identifier	Additional identifier for the measure Slice: Unordered, Open by value:type
identifier:versionIndependentIdentifier	SΣ	1..1	Identifier	Measure guid
use	?!SΣ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: version-independent
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
value	SΣ	1..1	string	The value that is unique Example General: 123456
identifier:versionSpecificIdentifier	SΣ	1..1	Identifier	Measure version guid
use	?!SΣ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: version-specific
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
value	SΣ	1..1	string	The value that is unique Example General: 123456
identifier:shortName	SΣ	1..1	Identifier	Short name
use	?!SΣ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: usual
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: short-name
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value	SΣ	1..1	string	The value that is unique Example General: 123456
identifier:endorserIdentifier	SΣ	0..*	Identifier	Endorser identifier
use	?!SΣ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: endorser
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
assigner	SΣ	1..1	Reference(Organization)	Organization that issued id (may be just text)
display	SΣ	1..1	string	Text alternative for the resource
identifier:publisherIdentifier	SΣ	1..1	Identifier	CMS dQMs SHALL have a CMS ID for publication
use	?!SΣ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: publisher
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
assigner	SΣ	1..1	Reference(Organization)	Organization that issued id (may be just text)
display	SΣ	1..1	string	Text alternative for the resource
title	SΣ	1..1	string	Name for this measure (human friendly)
status	?!Σ	1..1	code	draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact.
date	SΣ	1..1	dateTime	Date last changed
publisher	Σ	1..1	string	Name of the publisher (organization or individual)
contact	SΣ	1..*	ContactDetail	Contact details for the publisher
Slices for useContext	SΣ	0..*	UsageContext	The context that the content is intended to support Slice: Unordered, Open by value:code
useContext:intendedVenue	SΣ	0..*	UsageContext	What venue?
code	SΣ	1..1	Coding	Type of context being specified Binding: UsageContextType (extensible): A code that specifies a type of context being specified by a usage context. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/usage-context-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: venue
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
value[x]	SΣ	1..1	CodeableConcept	Value that defines the context Binding: Intended Venue (extensible)
jurisdiction	SΣ	0..*	CodeableConcept	Intended jurisdiction for measure (if applicable) Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use.
purpose	S	0..1	markdown	Why this measure is defined
usage	S	0..1	string	Allows measure developers to provide additional guidance so that implementers can more easily interpret and implement components of the measure.
copyright	S	0..1	markdown	Use and/or publishing restrictions
approvalDate	S	0..1	date	When the measure was approved by publisher
lastReviewDate	S	0..1	date	When the measure was last reviewed
effectivePeriod	SΣ	0..1	Period	When the measure is expected to be used
Slices for extension				Content/Rules for all slices
extension:anchor	S	0..1	dateTime	Date of first effective use URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-effectivePeriodAnchor
extension:duration	S	0..1	Duration	What reporting period is used URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-effectivePeriodDuration
topic	S	0..*	CodeableConcept	The category of the measure, such as Education, Treatment, Assessment, etc. Binding: DefinitionTopic (example): High-level categorization of the definition, used for searching, sorting, and filtering.
author	S	0..*	ContactDetail	Who authored the content
editor	S	0..*	ContactDetail	Who edited the content
reviewer	S	0..*	ContactDetail	Who reviewed the content
endorser	S	0..*	ContactDetail	Who endorsed the content
Slices for relatedArtifact	S	0..*	RelatedArtifact	Additional documentation, citations, etc. Slice: Unordered, Open by value:type
relatedArtifact:All Slices				Content/Rules for all slices
type	Σ	1..1	code	documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of Binding: RelatedArtifactType (required): The type of relationship to the related artifact.
display	SΣ	0..1	string	Brief description of the related artifact
document	SΣ	0..1	Attachment	What document is being referenced
resource	SΣ	0..1	canonical(Resource)	What resource is being referenced
relatedArtifact:predecessor	S	0..1	RelatedArtifact	Previous measure?
type	SΣ	1..1	code	documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of Binding: RelatedArtifactType (required): The type of relationship to the related artifact. Fixed Value: predecessor
display	SΣ	0..1	string	Brief description of the related artifact
document	SΣ	0..1	Attachment	What document is being referenced
resource	SΣ	1..1	canonical(Measure)	What resource is being referenced
relatedArtifact:citation	S	0..*	RelatedArtifact	Reference/citation
Slices for extension				Content/Rules for all slices
extension:isPrimaryCitation		0..1	boolean	Primary reference URL: http://hl7.org/fhir/StructureDefinition/cqf-isPrimaryCitation
extension:publicationStatus		0..1	code	Publication status of referenced artifact URL: http://hl7.org/fhir/StructureDefinition/cqf-publicationStatus Binding: PublicationStatus (required): The lifecycle status of a reference artifact
extension:publicationDate		0..1	date	Publication date of referenced artifact URL: http://hl7.org/fhir/StructureDefinition/cqf-publicationDate
type	SΣ	1..1	code	documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of Binding: RelatedArtifactType (required): The type of relationship to the related artifact. Fixed Value: citation
display	SΣ	0..1	string	Brief description of the related artifact
document	SΣ	0..1	Attachment	What document is being referenced
resource	SΣ	0..1	canonical(Resource)	What resource is being referenced
relatedArtifact:derived-from	S	0..*	RelatedArtifact	URL or canonical reference to other resources that a measure is derived from
type	SΣ	1..1	code	documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of Binding: RelatedArtifactType (required): The type of relationship to the related artifact. Fixed Value: derived-from
display	SΣ	0..1	string	Brief description of the related artifact
document	SΣ	0..1	Attachment	What document is being referenced
resource	SΣ	0..1	canonical(Measure)	Should be permalink otherwise include an "accessed date"
disclaimer	SΣ	0..1	markdown	Disclaimer for use of the measure or its referenced content
type	SΣ	0..*	CodeableConcept	process | outcome | structure | patient-reported-outcome | composite Binding: MeasureType (extensible)
rationale	SΣ	0..1	markdown	Justification for the measure in terms of impact, gap in care, and evidence.
group		0..*	BackboneElement	Population criteria group
Slices for extension				Content/Rules for all slices
extension:improvementNotationGuidance	S	0..1	markdown	Explanation of improvement notation URL: http://hl7.org/fhir/StructureDefinition/cqf-improvementNotationGuidance
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
supplementalData	S	0..*	BackboneElement	What other data should be reported with the measure
Slices for extension				Content/Rules for all slices
extension:includeInReportType	S	0..*	code	The type of report the element should be included in URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-includeInReportType Binding: MeasureReportType (required): The type of report the element should be included in
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
criteria		1..1	Expression	Expression describing additional data to be reported
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Measure.identifier:versionIndependentIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Measure.identifier:versionIndependentIdentifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Measure.identifier:versionSpecificIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Measure.identifier:versionSpecificIdentifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Measure.identifier:shortName.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Measure.identifier:shortName.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Measure.identifier:endorserIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Measure.identifier:endorserIdentifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Measure.identifier:publisherIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Measure.identifier:publisherIdentifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Measure.status	Base	required	PublicationStatus	📍4.0.1	FHIR Std.
Measure.useContext:intendedVenue.​code	Base	extensible	UsageContextType	📍4.0.1	FHIR Std.
Measure.useContext:intendedVenue.​value[x]	Base	extensible	Intended Venue	📦4.0.0	Quality Measure Implementation Guide v1.0
Measure.jurisdiction	Base	extensible	Jurisdiction	📦4.0.1	FHIR Std.
Measure.topic	Base	example	DefinitionTopic	📦4.0.1	FHIR Std.
Measure.relatedArtifact.​type	Base	required	RelatedArtifactType	📍4.0.1	FHIR Std.
Measure.relatedArtifact:predecessor.​type	Base	required	RelatedArtifactType	📍4.0.1	FHIR Std.
Measure.relatedArtifact:citation.​type	Base	required	RelatedArtifactType	📍4.0.1	FHIR Std.
Measure.relatedArtifact:derived-from.​type	Base	required	RelatedArtifactType	📍4.0.1	FHIR Std.
Measure.type	Base	extensible	MeasureType	📦1.0.1	THO v7.0

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Measure	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Measure	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Measure	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Measure	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Measure	A resource should have narrative for robust management	text.`div`.exists()
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()
mea-0	warning	Measure	Name should be usable as an identifier for the module by machine processing applications such as code generation	name.matches('[A-Z]([A-Za-z0-9_]){0,254}')
mea-1	error	Measure	Stratifier SHALL be either a single criteria or a set of criteria components	group.stratifier.all((code | description | criteria).exists() xor component.exists())

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Measure	C	1..1	CQMPublishableMeasure	A quality measure definition Constraints: mea-0, mea-1
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text	S	1..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:copyrightLabel	S	0..1	string	Copyright holder and year(s) URL: http://hl7.org/fhir/StructureDefinition/artifact-copyrightLabel
extension:limitations		0..1	markdown	Extension URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-limitations
extension:trendingIssues		0..1	markdown	Extension URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-trendingIssues
extension:supplementalDataGuidance	S	0..*	(Complex)	Supplemental data guidance URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-supplementalDataGuidance
extension:comment	S	0..*	(Complex)	Additional documentation, review, or usage guidance URL: http://hl7.org/fhir/StructureDefinition/cqf-artifactComment
extension:softwaresystem	S	0..*	Reference(CRMI Software System Device)	Extension URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem
extension:improvementNotationGuidance	S	0..1	markdown	Explanation of improvement notation URL: http://hl7.org/fhir/StructureDefinition/cqf-improvementNotationGuidance
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
url	Σ	0..1	uri	Canonical identifier for this measure, represented as a URI (globally unique)
Slices for identifier	SΣ	4..*	Identifier	Additional identifier for the measure Slice: Unordered, Open by value:type
identifier:versionIndependentIdentifier	SΣ	1..1	Identifier	Measure guid
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!SΣ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: version-independent
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:versionSpecificIdentifier	SΣ	1..1	Identifier	Measure version guid
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!SΣ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: version-specific
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:shortName	SΣ	1..1	Identifier	Short name
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!SΣ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: usual
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: short-name
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:endorserIdentifier	SΣ	0..*	Identifier	Endorser identifier
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!SΣ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: endorser
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	SΣ	1..1	Reference(Organization)	Organization that issued id (may be just text)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	SΣ	1..1	string	Text alternative for the resource
identifier:publisherIdentifier	SΣ	1..1	Identifier	CMS dQMs SHALL have a CMS ID for publication
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!SΣ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: publisher
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	SΣ	1..1	Reference(Organization)	Organization that issued id (may be just text)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	SΣ	1..1	string	Text alternative for the resource
version	Σ	0..1	string	Business version of the measure
name	ΣC	0..1	string	Name for this measure (computer friendly)
title	SΣ	1..1	string	Name for this measure (human friendly)
subtitle		0..1	string	Subordinate title of the measure
status	?!Σ	1..1	code	draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact.
experimental	Σ	0..1	boolean	For testing purposes, not real usage
subject[x]		0..1		E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device Binding: SubjectType (extensible): The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization, Location, etc.).
subjectCodeableConcept			CodeableConcept
subjectReference			Reference(Group)
date	SΣ	1..1	dateTime	Date last changed
publisher	Σ	1..1	string	Name of the publisher (organization or individual)
contact	SΣ	1..*	ContactDetail	Contact details for the publisher
description	Σ	0..1	markdown	Natural language description of the measure
Slices for useContext	SΣ	0..*	UsageContext	The context that the content is intended to support Slice: Unordered, Open by value:code
useContext:intendedVenue	SΣ	0..*	UsageContext	What venue?
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
code	SΣ	1..1	Coding	Type of context being specified Binding: UsageContextType (extensible): A code that specifies a type of context being specified by a usage context. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/usage-context-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: venue
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
value[x]	SΣ	1..1	CodeableConcept	Value that defines the context Binding: Intended Venue (extensible)
jurisdiction	SΣ	0..*	CodeableConcept	Intended jurisdiction for measure (if applicable) Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use.
purpose	S	0..1	markdown	Why this measure is defined
usage	S	0..1	string	Allows measure developers to provide additional guidance so that implementers can more easily interpret and implement components of the measure.
copyright	S	0..1	markdown	Use and/or publishing restrictions
approvalDate	S	0..1	date	When the measure was approved by publisher
lastReviewDate	S	0..1	date	When the measure was last reviewed
effectivePeriod	SΣ	0..1	Period	When the measure is expected to be used
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:anchor	S	0..1	dateTime	Date of first effective use URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-effectivePeriodAnchor
extension:duration	S	0..1	Duration	What reporting period is used URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-effectivePeriodDuration
start	ΣC	0..1	dateTime	Starting time with inclusive boundary
end	ΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
topic	S	0..*	CodeableConcept	The category of the measure, such as Education, Treatment, Assessment, etc. Binding: DefinitionTopic (example): High-level categorization of the definition, used for searching, sorting, and filtering.
author	S	0..*	ContactDetail	Who authored the content
editor	S	0..*	ContactDetail	Who edited the content
reviewer	S	0..*	ContactDetail	Who reviewed the content
endorser	S	0..*	ContactDetail	Who endorsed the content
Slices for relatedArtifact	S	0..*	RelatedArtifact	Additional documentation, citations, etc. Slice: Unordered, Open by value:type
relatedArtifact:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	1..1	code	documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of Binding: RelatedArtifactType (required): The type of relationship to the related artifact.
label	Σ	0..1	string	Short label
display	SΣ	0..1	string	Brief description of the related artifact
citation	Σ	0..1	markdown	Bibliographic citation for the artifact
url	Σ	0..1	url	Where the artifact can be accessed
document	SΣ	0..1	Attachment	What document is being referenced
resource	SΣ	0..1	canonical(Resource)	What resource is being referenced
relatedArtifact:predecessor	S	0..1	RelatedArtifact	Previous 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
type	SΣ	1..1	code	documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of Binding: RelatedArtifactType (required): The type of relationship to the related artifact. Fixed Value: predecessor
label	Σ	0..1	string	Short label
display	SΣ	0..1	string	Brief description of the related artifact
citation	Σ	0..1	markdown	Bibliographic citation for the artifact
url	Σ	0..1	url	Where the artifact can be accessed
document	SΣ	0..1	Attachment	What document is being referenced
resource	SΣ	1..1	canonical(Measure)	What resource is being referenced
relatedArtifact:citation	S	0..*	RelatedArtifact	Reference/citation
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:isPrimaryCitation		0..1	boolean	Primary reference URL: http://hl7.org/fhir/StructureDefinition/cqf-isPrimaryCitation
extension:publicationStatus		0..1	code	Publication status of referenced artifact URL: http://hl7.org/fhir/StructureDefinition/cqf-publicationStatus Binding: PublicationStatus (required): The lifecycle status of a reference artifact
extension:publicationDate		0..1	date	Publication date of referenced artifact URL: http://hl7.org/fhir/StructureDefinition/cqf-publicationDate
type	SΣ	1..1	code	documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of Binding: RelatedArtifactType (required): The type of relationship to the related artifact. Fixed Value: citation
label	Σ	0..1	string	Short label
display	SΣ	0..1	string	Brief description of the related artifact
citation	Σ	0..1	markdown	Bibliographic citation for the artifact
url	Σ	0..1	url	Where the artifact can be accessed
document	SΣ	0..1	Attachment	What document is being referenced
resource	SΣ	0..1	canonical(Resource)	What resource is being referenced
relatedArtifact:derived-from	S	0..*	RelatedArtifact	URL or canonical reference to other resources that a measure is derived from
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	SΣ	1..1	code	documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of Binding: RelatedArtifactType (required): The type of relationship to the related artifact. Fixed Value: derived-from
label	Σ	0..1	string	Short label
display	SΣ	0..1	string	Brief description of the related artifact
citation	Σ	0..1	markdown	Bibliographic citation for the artifact
url	Σ	0..1	url	Should be permalink otherwise include an "accessed date"
document	SΣ	0..1	Attachment	What document is being referenced
resource	SΣ	0..1	canonical(Measure)	Should be permalink otherwise include an "accessed date"
library		0..*	canonical(Library)	Logic used by the measure
disclaimer	SΣ	0..1	markdown	Disclaimer for use of the measure or its referenced content
scoring	Σ	0..1	CodeableConcept	proportion | ratio | continuous-variable | cohort Binding: MeasureScoring (extensible): The scoring type of the measure.
compositeScoring	Σ	0..1	CodeableConcept	opportunity | all-or-nothing | linear | weighted Binding: CompositeMeasureScoring (extensible): The composite scoring method of the measure.
type	SΣ	0..*	CodeableConcept	process | outcome | structure | patient-reported-outcome | composite Binding: MeasureType (extensible)
riskAdjustment	Σ	0..1	string	How risk adjustment is applied for this measure
rateAggregation	Σ	0..1	string	How is rate aggregation performed for this measure
rationale	SΣ	0..1	markdown	Justification for the measure in terms of impact, gap in care, and evidence.
clinicalRecommendationStatement	Σ	0..1	markdown	Summary of clinical guidelines
improvementNotation	Σ	0..1	CodeableConcept	increase | decrease Binding: MeasureImprovementNotation (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.
definition	Σ	0..*	markdown	Defined terms used in the measure documentation
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:definitionTerm		1..1	(Complex)	Defined term URL: http://hl7.org/fhir/StructureDefinition/cqf-definitionTerm
value		0..1	string	Primitive value for markdown
group		0..*	BackboneElement	Population criteria group
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:improvementNotationGuidance	S	0..1	markdown	Explanation of improvement notation URL: http://hl7.org/fhir/StructureDefinition/cqf-improvementNotationGuidance
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	Meaning of the group
description		0..1	string	Summary description
population		0..*	BackboneElement	Population criteria
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population.
description		0..1	string	The human readable description of this population criteria
criteria		1..1	Expression	The criteria that defines this population
stratifier		0..*	BackboneElement	Stratifier criteria for the measure
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	Meaning of the stratifier
description		0..1	string	The human readable description of this stratifier
criteria		0..1	Expression	How the measure should be stratified
component		0..*	BackboneElement	Stratifier criteria component for the measure
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	Meaning of the stratifier component
description		0..1	string	The human readable description of this stratifier component
criteria		1..1	Expression	Component of how the measure should be stratified
supplementalData	S	0..*	BackboneElement	What other data should be reported with the measure
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:includeInReportType	S	0..*	code	The type of report the element should be included in URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-includeInReportType Binding: MeasureReportType (required): The type of report the element should be included in
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	Meaning of the supplemental data
usage		0..*	CodeableConcept	supplemental-data | risk-adjustment-factor Binding: MeasureDataUsage (extensible): The intended usage for supplemental data elements in the measure.
description		0..1	string	The human readable description of this supplemental data
criteria		1..1	Expression	Expression describing additional data to be reported
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Measure.language	Base	preferred	Common Languages	📦4.0.1	FHIR Std.
Measure.identifier:versionIndependentIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Measure.identifier:versionIndependentIdentifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Measure.identifier:versionSpecificIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Measure.identifier:versionSpecificIdentifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Measure.identifier:shortName.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Measure.identifier:shortName.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Measure.identifier:endorserIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Measure.identifier:endorserIdentifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Measure.identifier:endorserIdentifier.​assigner.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Measure.identifier:publisherIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Measure.identifier:publisherIdentifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Measure.identifier:publisherIdentifier.​assigner.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Measure.status	Base	required	PublicationStatus	📍4.0.1	FHIR Std.
Measure.subject[x]	Base	extensible	Subject type	📦4.0.1	FHIR Std.
Measure.useContext:intendedVenue.​code	Base	extensible	UsageContextType	📍4.0.1	FHIR Std.
Measure.useContext:intendedVenue.​value[x]	Base	extensible	Intended Venue	📦4.0.0	Quality Measure Implementation Guide v1.0
Measure.jurisdiction	Base	extensible	Jurisdiction	📦4.0.1	FHIR Std.
Measure.topic	Base	example	DefinitionTopic	📦4.0.1	FHIR Std.
Measure.relatedArtifact.​type	Base	required	RelatedArtifactType	📍4.0.1	FHIR Std.
Measure.relatedArtifact:predecessor.​type	Base	required	RelatedArtifactType	📍4.0.1	FHIR Std.
Measure.relatedArtifact:citation.​type	Base	required	RelatedArtifactType	📍4.0.1	FHIR Std.
Measure.relatedArtifact:derived-from.​type	Base	required	RelatedArtifactType	📍4.0.1	FHIR Std.
Measure.scoring	Base	extensible	MeasureScoring	📦4.0.1	FHIR Std.
Measure.compositeScoring	Base	extensible	CompositeMeasureScoring	📦4.0.1	FHIR Std.
Measure.type	Base	extensible	MeasureType	📦1.0.1	THO v7.0
Measure.improvementNotation	Base	required	MeasureImprovementNotation	📍4.0.1	FHIR Std.
Measure.group.population.​code	Base	extensible	MeasurePopulationType	📦4.0.1	FHIR Std.
Measure.supplementalData.​usage	Base	extensible	MeasureDataUsage	📦4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Measure	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Measure	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Measure	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Measure	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Measure	A resource should have narrative for robust management	text.`div`.exists()
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()
mea-0	warning	Measure	Name should be usable as an identifier for the module by machine processing applications such as code generation	name.matches('[A-Z]([A-Za-z0-9_]){0,254}')
mea-1	error	Measure	Stratifier SHALL be either a single criteria or a set of criteria components	group.stratifier.all((code | description | criteria).exists() xor component.exists())

This structure is derived from CQMPublishableMeasure

Summary

Mandatory: 1 element
Must-Support: 1 element

Differential View

This structure is derived from CQMPublishableMeasure

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Measure		1..1	CQMPublishableMeasure	A quality measure definition
Slices for identifier				Content/Rules for all slices
identifier:publisherIdentifier	S	1..1	Identifier	CMS dQMs SHALL have a CMS ID for publication
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Measure	C	1..1	CQMPublishableMeasure	A quality measure definition Constraints: mea-0, mea-1
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
text	S	1..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Slices for extension				Content/Rules for all slices
extension:copyrightLabel	S	0..1	string	Copyright holder and year(s) URL: http://hl7.org/fhir/StructureDefinition/artifact-copyrightLabel
extension:limitations		0..1	markdown	Extension URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-limitations
extension:trendingIssues		0..1	markdown	Extension URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-trendingIssues
extension:supplementalDataGuidance	S	0..*	(Complex)	Supplemental data guidance URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-supplementalDataGuidance
extension:comment	S	0..*	(Complex)	Additional documentation, review, or usage guidance URL: http://hl7.org/fhir/StructureDefinition/cqf-artifactComment
extension:softwaresystem	S	0..*	Reference(CRMI Software System Device)	Extension URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem
extension:improvementNotationGuidance	S	0..1	markdown	Explanation of improvement notation URL: http://hl7.org/fhir/StructureDefinition/cqf-improvementNotationGuidance
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	4..*	Identifier	Additional identifier for the measure Slice: Unordered, Open by value:type
identifier:versionIndependentIdentifier	SΣ	1..1	Identifier	Measure guid
use	?!SΣ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: version-independent
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
value	SΣ	1..1	string	The value that is unique Example General: 123456
identifier:versionSpecificIdentifier	SΣ	1..1	Identifier	Measure version guid
use	?!SΣ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: version-specific
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
value	SΣ	1..1	string	The value that is unique Example General: 123456
identifier:shortName	SΣ	1..1	Identifier	Short name
use	?!SΣ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: usual
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: short-name
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
value	SΣ	1..1	string	The value that is unique Example General: 123456
identifier:endorserIdentifier	SΣ	0..*	Identifier	Endorser identifier
use	?!SΣ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: endorser
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
assigner	SΣ	1..1	Reference(Organization)	Organization that issued id (may be just text)
display	SΣ	1..1	string	Text alternative for the resource
identifier:publisherIdentifier	SΣ	1..1	Identifier	CMS dQMs SHALL have a CMS ID for publication
use	?!SΣ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: publisher
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
assigner	SΣ	1..1	Reference(Organization)	Organization that issued id (may be just text)
display	SΣ	1..1	string	Text alternative for the resource
title	SΣ	1..1	string	Name for this measure (human friendly)
status	?!Σ	1..1	code	draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact.
date	SΣ	1..1	dateTime	Date last changed
publisher	Σ	1..1	string	Name of the publisher (organization or individual)
contact	SΣ	1..*	ContactDetail	Contact details for the publisher
Slices for useContext	SΣ	0..*	UsageContext	The context that the content is intended to support Slice: Unordered, Open by value:code
useContext:intendedVenue	SΣ	0..*	UsageContext	What venue?
code	SΣ	1..1	Coding	Type of context being specified Binding: UsageContextType (extensible): A code that specifies a type of context being specified by a usage context. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/usage-context-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: venue
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
value[x]	SΣ	1..1	CodeableConcept	Value that defines the context Binding: Intended Venue (extensible)
jurisdiction	SΣ	0..*	CodeableConcept	Intended jurisdiction for measure (if applicable) Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use.
purpose	S	0..1	markdown	Why this measure is defined
usage	S	0..1	string	Allows measure developers to provide additional guidance so that implementers can more easily interpret and implement components of the measure.
copyright	S	0..1	markdown	Use and/or publishing restrictions
approvalDate	S	0..1	date	When the measure was approved by publisher
lastReviewDate	S	0..1	date	When the measure was last reviewed
effectivePeriod	SΣ	0..1	Period	When the measure is expected to be used
Slices for extension				Content/Rules for all slices
extension:anchor	S	0..1	dateTime	Date of first effective use URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-effectivePeriodAnchor
extension:duration	S	0..1	Duration	What reporting period is used URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-effectivePeriodDuration
topic	S	0..*	CodeableConcept	The category of the measure, such as Education, Treatment, Assessment, etc. Binding: DefinitionTopic (example): High-level categorization of the definition, used for searching, sorting, and filtering.
author	S	0..*	ContactDetail	Who authored the content
editor	S	0..*	ContactDetail	Who edited the content
reviewer	S	0..*	ContactDetail	Who reviewed the content
endorser	S	0..*	ContactDetail	Who endorsed the content
Slices for relatedArtifact	S	0..*	RelatedArtifact	Additional documentation, citations, etc. Slice: Unordered, Open by value:type
relatedArtifact:All Slices				Content/Rules for all slices
type	Σ	1..1	code	documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of Binding: RelatedArtifactType (required): The type of relationship to the related artifact.
display	SΣ	0..1	string	Brief description of the related artifact
document	SΣ	0..1	Attachment	What document is being referenced
resource	SΣ	0..1	canonical(Resource)	What resource is being referenced
relatedArtifact:predecessor	S	0..1	RelatedArtifact	Previous measure?
type	SΣ	1..1	code	documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of Binding: RelatedArtifactType (required): The type of relationship to the related artifact. Fixed Value: predecessor
display	SΣ	0..1	string	Brief description of the related artifact
document	SΣ	0..1	Attachment	What document is being referenced
resource	SΣ	1..1	canonical(Measure)	What resource is being referenced
relatedArtifact:citation	S	0..*	RelatedArtifact	Reference/citation
Slices for extension				Content/Rules for all slices
extension:isPrimaryCitation		0..1	boolean	Primary reference URL: http://hl7.org/fhir/StructureDefinition/cqf-isPrimaryCitation
extension:publicationStatus		0..1	code	Publication status of referenced artifact URL: http://hl7.org/fhir/StructureDefinition/cqf-publicationStatus Binding: PublicationStatus (required): The lifecycle status of a reference artifact
extension:publicationDate		0..1	date	Publication date of referenced artifact URL: http://hl7.org/fhir/StructureDefinition/cqf-publicationDate
type	SΣ	1..1	code	documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of Binding: RelatedArtifactType (required): The type of relationship to the related artifact. Fixed Value: citation
display	SΣ	0..1	string	Brief description of the related artifact
document	SΣ	0..1	Attachment	What document is being referenced
resource	SΣ	0..1	canonical(Resource)	What resource is being referenced
relatedArtifact:derived-from	S	0..*	RelatedArtifact	URL or canonical reference to other resources that a measure is derived from
type	SΣ	1..1	code	documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of Binding: RelatedArtifactType (required): The type of relationship to the related artifact. Fixed Value: derived-from
display	SΣ	0..1	string	Brief description of the related artifact
document	SΣ	0..1	Attachment	What document is being referenced
resource	SΣ	0..1	canonical(Measure)	Should be permalink otherwise include an "accessed date"
disclaimer	SΣ	0..1	markdown	Disclaimer for use of the measure or its referenced content
type	SΣ	0..*	CodeableConcept	process | outcome | structure | patient-reported-outcome | composite Binding: MeasureType (extensible)
rationale	SΣ	0..1	markdown	Justification for the measure in terms of impact, gap in care, and evidence.
group		0..*	BackboneElement	Population criteria group
Slices for extension				Content/Rules for all slices
extension:improvementNotationGuidance	S	0..1	markdown	Explanation of improvement notation URL: http://hl7.org/fhir/StructureDefinition/cqf-improvementNotationGuidance
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
supplementalData	S	0..*	BackboneElement	What other data should be reported with the measure
Slices for extension				Content/Rules for all slices
extension:includeInReportType	S	0..*	code	The type of report the element should be included in URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-includeInReportType Binding: MeasureReportType (required): The type of report the element should be included in
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
criteria		1..1	Expression	Expression describing additional data to be reported
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Measure.identifier:versionIndependentIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Measure.identifier:versionIndependentIdentifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Measure.identifier:versionSpecificIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Measure.identifier:versionSpecificIdentifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Measure.identifier:shortName.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Measure.identifier:shortName.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Measure.identifier:endorserIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Measure.identifier:endorserIdentifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Measure.identifier:publisherIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Measure.identifier:publisherIdentifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Measure.status	Base	required	PublicationStatus	📍4.0.1	FHIR Std.
Measure.useContext:intendedVenue.​code	Base	extensible	UsageContextType	📍4.0.1	FHIR Std.
Measure.useContext:intendedVenue.​value[x]	Base	extensible	Intended Venue	📦4.0.0	Quality Measure Implementation Guide v1.0
Measure.jurisdiction	Base	extensible	Jurisdiction	📦4.0.1	FHIR Std.
Measure.topic	Base	example	DefinitionTopic	📦4.0.1	FHIR Std.
Measure.relatedArtifact.​type	Base	required	RelatedArtifactType	📍4.0.1	FHIR Std.
Measure.relatedArtifact:predecessor.​type	Base	required	RelatedArtifactType	📍4.0.1	FHIR Std.
Measure.relatedArtifact:citation.​type	Base	required	RelatedArtifactType	📍4.0.1	FHIR Std.
Measure.relatedArtifact:derived-from.​type	Base	required	RelatedArtifactType	📍4.0.1	FHIR Std.
Measure.type	Base	extensible	MeasureType	📦1.0.1	THO v7.0

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Measure	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Measure	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Measure	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Measure	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Measure	A resource should have narrative for robust management	text.`div`.exists()
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()
mea-0	warning	Measure	Name should be usable as an identifier for the module by machine processing applications such as code generation	name.matches('[A-Z]([A-Za-z0-9_]){0,254}')
mea-1	error	Measure	Stratifier SHALL be either a single criteria or a set of criteria components	group.stratifier.all((code | description | criteria).exists() xor component.exists())

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Measure	C	1..1	CQMPublishableMeasure	A quality measure definition Constraints: mea-0, mea-1
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text	S	1..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:copyrightLabel	S	0..1	string	Copyright holder and year(s) URL: http://hl7.org/fhir/StructureDefinition/artifact-copyrightLabel
extension:limitations		0..1	markdown	Extension URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-limitations
extension:trendingIssues		0..1	markdown	Extension URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-trendingIssues
extension:supplementalDataGuidance	S	0..*	(Complex)	Supplemental data guidance URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-supplementalDataGuidance
extension:comment	S	0..*	(Complex)	Additional documentation, review, or usage guidance URL: http://hl7.org/fhir/StructureDefinition/cqf-artifactComment
extension:softwaresystem	S	0..*	Reference(CRMI Software System Device)	Extension URL: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem
extension:improvementNotationGuidance	S	0..1	markdown	Explanation of improvement notation URL: http://hl7.org/fhir/StructureDefinition/cqf-improvementNotationGuidance
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
url	Σ	0..1	uri	Canonical identifier for this measure, represented as a URI (globally unique)
Slices for identifier	SΣ	4..*	Identifier	Additional identifier for the measure Slice: Unordered, Open by value:type
identifier:versionIndependentIdentifier	SΣ	1..1	Identifier	Measure guid
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!SΣ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: version-independent
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:versionSpecificIdentifier	SΣ	1..1	Identifier	Measure version guid
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!SΣ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: version-specific
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:shortName	SΣ	1..1	Identifier	Short name
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!SΣ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: usual
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: short-name
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:endorserIdentifier	SΣ	0..*	Identifier	Endorser identifier
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!SΣ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: endorser
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	SΣ	1..1	Reference(Organization)	Organization that issued id (may be just text)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	SΣ	1..1	string	Text alternative for the resource
identifier:publisherIdentifier	SΣ	1..1	Identifier	CMS dQMs SHALL have a CMS ID for publication
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!SΣ	1..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . Fixed Value: official
type	SΣ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/artifact-identifier-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: publisher
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	SΣ	1..1	Reference(Organization)	Organization that issued id (may be just text)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	SΣ	1..1	string	Text alternative for the resource
version	Σ	0..1	string	Business version of the measure
name	ΣC	0..1	string	Name for this measure (computer friendly)
title	SΣ	1..1	string	Name for this measure (human friendly)
subtitle		0..1	string	Subordinate title of the measure
status	?!Σ	1..1	code	draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact.
experimental	Σ	0..1	boolean	For testing purposes, not real usage
subject[x]		0..1		E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device Binding: SubjectType (extensible): The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization, Location, etc.).
subjectCodeableConcept			CodeableConcept
subjectReference			Reference(Group)
date	SΣ	1..1	dateTime	Date last changed
publisher	Σ	1..1	string	Name of the publisher (organization or individual)
contact	SΣ	1..*	ContactDetail	Contact details for the publisher
description	Σ	0..1	markdown	Natural language description of the measure
Slices for useContext	SΣ	0..*	UsageContext	The context that the content is intended to support Slice: Unordered, Open by value:code
useContext:intendedVenue	SΣ	0..*	UsageContext	What venue?
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
code	SΣ	1..1	Coding	Type of context being specified Binding: UsageContextType (extensible): A code that specifies a type of context being specified by a usage context. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/usage-context-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: venue
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
value[x]	SΣ	1..1	CodeableConcept	Value that defines the context Binding: Intended Venue (extensible)
jurisdiction	SΣ	0..*	CodeableConcept	Intended jurisdiction for measure (if applicable) Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use.
purpose	S	0..1	markdown	Why this measure is defined
usage	S	0..1	string	Allows measure developers to provide additional guidance so that implementers can more easily interpret and implement components of the measure.
copyright	S	0..1	markdown	Use and/or publishing restrictions
approvalDate	S	0..1	date	When the measure was approved by publisher
lastReviewDate	S	0..1	date	When the measure was last reviewed
effectivePeriod	SΣ	0..1	Period	When the measure is expected to be used
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:anchor	S	0..1	dateTime	Date of first effective use URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-effectivePeriodAnchor
extension:duration	S	0..1	Duration	What reporting period is used URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-effectivePeriodDuration
start	ΣC	0..1	dateTime	Starting time with inclusive boundary
end	ΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing
topic	S	0..*	CodeableConcept	The category of the measure, such as Education, Treatment, Assessment, etc. Binding: DefinitionTopic (example): High-level categorization of the definition, used for searching, sorting, and filtering.
author	S	0..*	ContactDetail	Who authored the content
editor	S	0..*	ContactDetail	Who edited the content
reviewer	S	0..*	ContactDetail	Who reviewed the content
endorser	S	0..*	ContactDetail	Who endorsed the content
Slices for relatedArtifact	S	0..*	RelatedArtifact	Additional documentation, citations, etc. Slice: Unordered, Open by value:type
relatedArtifact:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	1..1	code	documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of Binding: RelatedArtifactType (required): The type of relationship to the related artifact.
label	Σ	0..1	string	Short label
display	SΣ	0..1	string	Brief description of the related artifact
citation	Σ	0..1	markdown	Bibliographic citation for the artifact
url	Σ	0..1	url	Where the artifact can be accessed
document	SΣ	0..1	Attachment	What document is being referenced
resource	SΣ	0..1	canonical(Resource)	What resource is being referenced
relatedArtifact:predecessor	S	0..1	RelatedArtifact	Previous 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
type	SΣ	1..1	code	documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of Binding: RelatedArtifactType (required): The type of relationship to the related artifact. Fixed Value: predecessor
label	Σ	0..1	string	Short label
display	SΣ	0..1	string	Brief description of the related artifact
citation	Σ	0..1	markdown	Bibliographic citation for the artifact
url	Σ	0..1	url	Where the artifact can be accessed
document	SΣ	0..1	Attachment	What document is being referenced
resource	SΣ	1..1	canonical(Measure)	What resource is being referenced
relatedArtifact:citation	S	0..*	RelatedArtifact	Reference/citation
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:isPrimaryCitation		0..1	boolean	Primary reference URL: http://hl7.org/fhir/StructureDefinition/cqf-isPrimaryCitation
extension:publicationStatus		0..1	code	Publication status of referenced artifact URL: http://hl7.org/fhir/StructureDefinition/cqf-publicationStatus Binding: PublicationStatus (required): The lifecycle status of a reference artifact
extension:publicationDate		0..1	date	Publication date of referenced artifact URL: http://hl7.org/fhir/StructureDefinition/cqf-publicationDate
type	SΣ	1..1	code	documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of Binding: RelatedArtifactType (required): The type of relationship to the related artifact. Fixed Value: citation
label	Σ	0..1	string	Short label
display	SΣ	0..1	string	Brief description of the related artifact
citation	Σ	0..1	markdown	Bibliographic citation for the artifact
url	Σ	0..1	url	Where the artifact can be accessed
document	SΣ	0..1	Attachment	What document is being referenced
resource	SΣ	0..1	canonical(Resource)	What resource is being referenced
relatedArtifact:derived-from	S	0..*	RelatedArtifact	URL or canonical reference to other resources that a measure is derived from
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	SΣ	1..1	code	documentation | justification | citation | predecessor | successor | derived-from | depends-on | composed-of Binding: RelatedArtifactType (required): The type of relationship to the related artifact. Fixed Value: derived-from
label	Σ	0..1	string	Short label
display	SΣ	0..1	string	Brief description of the related artifact
citation	Σ	0..1	markdown	Bibliographic citation for the artifact
url	Σ	0..1	url	Should be permalink otherwise include an "accessed date"
document	SΣ	0..1	Attachment	What document is being referenced
resource	SΣ	0..1	canonical(Measure)	Should be permalink otherwise include an "accessed date"
library		0..*	canonical(Library)	Logic used by the measure
disclaimer	SΣ	0..1	markdown	Disclaimer for use of the measure or its referenced content
scoring	Σ	0..1	CodeableConcept	proportion | ratio | continuous-variable | cohort Binding: MeasureScoring (extensible): The scoring type of the measure.
compositeScoring	Σ	0..1	CodeableConcept	opportunity | all-or-nothing | linear | weighted Binding: CompositeMeasureScoring (extensible): The composite scoring method of the measure.
type	SΣ	0..*	CodeableConcept	process | outcome | structure | patient-reported-outcome | composite Binding: MeasureType (extensible)
riskAdjustment	Σ	0..1	string	How risk adjustment is applied for this measure
rateAggregation	Σ	0..1	string	How is rate aggregation performed for this measure
rationale	SΣ	0..1	markdown	Justification for the measure in terms of impact, gap in care, and evidence.
clinicalRecommendationStatement	Σ	0..1	markdown	Summary of clinical guidelines
improvementNotation	Σ	0..1	CodeableConcept	increase | decrease Binding: MeasureImprovementNotation (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.
definition	Σ	0..*	markdown	Defined terms used in the measure documentation
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:definitionTerm		1..1	(Complex)	Defined term URL: http://hl7.org/fhir/StructureDefinition/cqf-definitionTerm
value		0..1	string	Primitive value for markdown
group		0..*	BackboneElement	Population criteria group
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:improvementNotationGuidance	S	0..1	markdown	Explanation of improvement notation URL: http://hl7.org/fhir/StructureDefinition/cqf-improvementNotationGuidance
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	Meaning of the group
description		0..1	string	Summary description
population		0..*	BackboneElement	Population criteria
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population.
description		0..1	string	The human readable description of this population criteria
criteria		1..1	Expression	The criteria that defines this population
stratifier		0..*	BackboneElement	Stratifier criteria for the measure
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	Meaning of the stratifier
description		0..1	string	The human readable description of this stratifier
criteria		0..1	Expression	How the measure should be stratified
component		0..*	BackboneElement	Stratifier criteria component for the measure
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	Meaning of the stratifier component
description		0..1	string	The human readable description of this stratifier component
criteria		1..1	Expression	Component of how the measure should be stratified
supplementalData	S	0..*	BackboneElement	What other data should be reported with the measure
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:includeInReportType	S	0..*	code	The type of report the element should be included in URL: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-includeInReportType Binding: MeasureReportType (required): The type of report the element should be included in
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	Meaning of the supplemental data
usage		0..*	CodeableConcept	supplemental-data | risk-adjustment-factor Binding: MeasureDataUsage (extensible): The intended usage for supplemental data elements in the measure.
description		0..1	string	The human readable description of this supplemental data
criteria		1..1	Expression	Expression describing additional data to be reported
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Measure.language	Base	preferred	Common Languages	📦4.0.1	FHIR Std.
Measure.identifier:versionIndependentIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Measure.identifier:versionIndependentIdentifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Measure.identifier:versionSpecificIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Measure.identifier:versionSpecificIdentifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Measure.identifier:shortName.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Measure.identifier:shortName.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Measure.identifier:endorserIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Measure.identifier:endorserIdentifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Measure.identifier:endorserIdentifier.​assigner.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Measure.identifier:publisherIdentifier.​use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Measure.identifier:publisherIdentifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Measure.identifier:publisherIdentifier.​assigner.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Measure.status	Base	required	PublicationStatus	📍4.0.1	FHIR Std.
Measure.subject[x]	Base	extensible	Subject type	📦4.0.1	FHIR Std.
Measure.useContext:intendedVenue.​code	Base	extensible	UsageContextType	📍4.0.1	FHIR Std.
Measure.useContext:intendedVenue.​value[x]	Base	extensible	Intended Venue	📦4.0.0	Quality Measure Implementation Guide v1.0
Measure.jurisdiction	Base	extensible	Jurisdiction	📦4.0.1	FHIR Std.
Measure.topic	Base	example	DefinitionTopic	📦4.0.1	FHIR Std.
Measure.relatedArtifact.​type	Base	required	RelatedArtifactType	📍4.0.1	FHIR Std.
Measure.relatedArtifact:predecessor.​type	Base	required	RelatedArtifactType	📍4.0.1	FHIR Std.
Measure.relatedArtifact:citation.​type	Base	required	RelatedArtifactType	📍4.0.1	FHIR Std.
Measure.relatedArtifact:derived-from.​type	Base	required	RelatedArtifactType	📍4.0.1	FHIR Std.
Measure.scoring	Base	extensible	MeasureScoring	📦4.0.1	FHIR Std.
Measure.compositeScoring	Base	extensible	CompositeMeasureScoring	📦4.0.1	FHIR Std.
Measure.type	Base	extensible	MeasureType	📦1.0.1	THO v7.0
Measure.improvementNotation	Base	required	MeasureImprovementNotation	📍4.0.1	FHIR Std.
Measure.group.population.​code	Base	extensible	MeasurePopulationType	📦4.0.1	FHIR Std.
Measure.supplementalData.​usage	Base	extensible	MeasureDataUsage	📦4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
dom-2	error	Measure	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Measure	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Measure	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Measure	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Measure	A resource should have narrative for robust management	text.`div`.exists()
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()
mea-0	warning	Measure	Name should be usable as an identifier for the module by machine processing applications such as code generation	name.matches('[A-Z]([A-Za-z0-9_]){0,254}')
mea-1	error	Measure	Stratifier SHALL be either a single criteria or a set of criteria components	group.stratifier.all((code | description | criteria).exists() xor component.exists())

This structure is derived from CQMPublishableMeasure

Summary

Mandatory: 1 element
Must-Support: 1 element