CMS FHIR Quality Measure Development IG
0.8.0-cibuild - CI Build International flag

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 0.8.0-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

: CMS Measure Scoring - TTL Representation

Active as of 2026-08-07

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/ValueSet/cms-measure-scoring> a fhir:ValueSet ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "cms-measure-scoring"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablevalueset" ;
       fhir:index 0 ;
       fhir:link <http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablevalueset>
     ]
  ] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet cms-measure-scoring</b></p><a name=\"cms-measure-scoring\"> </a><a name=\"hccms-measure-scoring\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/uv/crmi/STU1/StructureDefinition-crmi-shareablevalueset.html\">CRMI Shareable ValueSet</a></p></div><ul><li>Include these codes as defined in <a href=\"http://terminology.hl7.org/7.3.0/CodeSystem-measure-scoring.html\"><code>http://terminology.hl7.org/CodeSystem/measure-scoring</code></a><span title=\"Version is explicitly stated to be 4.0.0\"> version ?4.0.0</span><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href=\"http://terminology.hl7.org/7.3.0/CodeSystem-measure-scoring.html#measure-scoring-proportion\">proportion</a></td><td style=\"color: #cccccc\">Proportion</td><td>The measure is a proportion scoring measure, defined as the result of a fraction (number of events in the numerator divided by the number of events in the denominator). Proportion measures typically define an initial population, then denominator and numerator inclusion and exclusion criteria.</td></tr><tr><td><a href=\"http://terminology.hl7.org/7.3.0/CodeSystem-measure-scoring.html#measure-scoring-ratio\">ratio</a></td><td style=\"color: #cccccc\">Ratio</td><td>The measure is a ratio scoring measure, defined as the result of a ratio calculation. This is similar to a proportion scoring, with the exception that the numerator and denominator may be drawn from different initial populations. Ratio measures typically define initial population(s) and then numerator and denominator inclusion and exclusion criteria.</td></tr><tr><td><a href=\"http://terminology.hl7.org/7.3.0/CodeSystem-measure-scoring.html#measure-scoring-continuous-variable\">continuous-variable</a></td><td style=\"color: #cccccc\">Continuous Variable</td><td>The measure is a continuous variable scoring measure, defined by a measure observation calculation performed for each member of the population. Continuous variable measures typically define an initial population, then measure population inclusion and exclusion criteria, as well as a measure observation.</td></tr><tr><td><a href=\"http://terminology.hl7.org/7.3.0/CodeSystem-measure-scoring.html#measure-scoring-composite\">composite</a></td><td style=\"color: #cccccc\">Composite</td><td>The measure score combines multiple component measures into a single measure score. Composite measures are typically defined by referencing other measures, and use the Composite Scoring code system to define possible composite scoring methods.</td></tr><tr><td><a href=\"http://terminology.hl7.org/7.3.0/CodeSystem-measure-scoring.html#measure-scoring-cohort\">cohort</a></td><td style=\"color: #cccccc\">Cohort</td><td>The measure is a cohort definition, meaning the measure is simply the definition of a population, and the score is a count of the members of that population. Cohort measures typically define only an initial population to determine membership.</td></tr></table></li></ul></div>"
  ] ;
  fhir:ValueSet.url [ fhir:value "http://ecqi.healthit.gov/fhir/uv/cqm/ValueSet/cms-measure-scoring"] ;
  fhir:ValueSet.version [ fhir:value "0.8.0-cibuild"] ;
  fhir:ValueSet.name [ fhir:value "CMSMeasureScoring"] ;
  fhir:ValueSet.title [ fhir:value "CMS Measure Scoring"] ;
  fhir:ValueSet.status [ fhir:value "active"] ;
  fhir:ValueSet.experimental [ fhir:value "false"^^xsd:boolean] ;
  fhir:ValueSet.date [ fhir:value "2026-08-07T19:55:47+00:00"^^xsd:dateTime] ;
  fhir:ValueSet.publisher [ fhir:value "Centers for Medicare & Medicaid Services (CMS)"] ;
  fhir:ValueSet.contact [
     fhir:index 0 ;
     fhir:ContactDetail.telecom [
       fhir:index 0 ;
       fhir:ContactPoint.system [ fhir:value "url" ] ;
       fhir:ContactPoint.value [ fhir:value "https://www.cms.gov" ]
     ]
  ] ;
  fhir:ValueSet.description [ fhir:value "The CMS measure scoring value set identifies codes currently supported in the CMS dQM authoring environment."] ;
  fhir:ValueSet.jurisdiction [
     fhir:index 0 ;
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "http://unstats.un.org/unsd/methods/m49/m49.htm" ] ;
       fhir:Coding.code [ fhir:value "001" ]
     ]
  ] ;
  fhir:ValueSet.immutable [ fhir:value "false"^^xsd:boolean] ;
  fhir:ValueSet.compose [
     fhir:ValueSet.compose.include [
       fhir:index 0 ;
       fhir:ValueSet.compose.include.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-scoring" ] ;
       fhir:ValueSet.compose.include.version [ fhir:value "4.0.0" ] ;
       fhir:ValueSet.compose.include.concept [
         fhir:index 0 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "proportion" ]
       ], [
         fhir:index 1 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "ratio" ]
       ], [
         fhir:index 2 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "continuous-variable" ]
       ], [
         fhir:index 3 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "composite" ]
       ], [
         fhir:index 4 ;
         fhir:ValueSet.compose.include.concept.code [ fhir:value "cohort" ]
       ]
     ]
  ] .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/ValueSet/cms-measure-scoring.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/ValueSet/cms-measure-scoring.ttl> .