CMS FHIR Quality Measure Development IG
0.8.0-cibuild - CI Build
CMS FHIR Quality Measure Development IG
0.8.0-cibuild - CI Build
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
| Active as of 2026-10-27 |
TTL representation of the cms-type extension.
@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/StructureDefinition/cms-type> a fhir:StructureDefinition ;
fhir:nodeRole fhir:treeRoot ;
fhir:Resource.id [ fhir:value "cms-type"] ;
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: StructureDefinition cms-type</b></p><a name=\"cms-type\"> </a><a name=\"hccms-type\"> </a><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" class=\"xhtTableBorder0\"><tr class=\"xhtRowBorder1\"><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"The logical name of the element\">Name</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Information about the use of the element\">Flags</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Minimum and Maximum # of times the element can appear in the instance\">Card.</a></th><th scope=\"col\" style=\"; width: 100px\" class=\"hierarchy xhtCellBorder0\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Reference to the type of the element\">Type</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Additional information about the element\">Description & Constraints</a><span style=\"float: right\"><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck1.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_element.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Element\" class=\"hierarchy\"/> <a href=\"StructureDefinition-cms-type-definitions.html#Extension\" title=\"Indicates the type of quality measure based on the observation value.\">Extension</a><a name=\"Extension\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\">0..*</td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/extensibility.html#Extension\">Extension</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceDeEmphasized\">Extension</span><br/></td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowOdd\"><td style=\"background-image: url(tbl_bck10.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_primitive.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Primitive Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">Extension.</span><a href=\"StructureDefinition-cms-type-definitions.html#Extension.url\">url</a><a name=\"Extension.url\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceDeEmphasized\">1</span><span class=\"xhtPieceDeEmphasized\">..</span><span class=\"xhtPieceDeEmphasized\">1</span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#uri\">uri</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceDarkGreen\">\"http://ecqi.healthit.gov/fhir/uv/cqm/StructureDefinition/cms-type\"</span></td></tr>#xD;\n<tr class=\"xhtRowBorder0 xhtRowEven\"><td style=\"background-image: url(tbl_bck00.png)\" class=\"hierarchy xhtCellBorder0 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_datatype.gif\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Data Type\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">Extension.</span><a href=\"StructureDefinition-cms-type-definitions.html#Extension.value[x]\">value[x]</a><a name=\"Extension.value_x_\"> </a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"/><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceDeEmphasized\">0</span><span class=\"xhtPieceDeEmphasized\">..</span><span class=\"xhtPieceDeEmphasized\">1</span></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><a href=\"http://hl7.org/fhir/R4/datatypes.html#CodeableConcept\">CodeableConcept</a></td><td style=\"\" class=\"hierarchy xhtCellBorder0\"><span class=\"xhtPieceDeEmphasized\">Value of extension</span><br class=\"binding\"/><span class=\"xhtPieceBold binding\">Binding: </span><a href=\"http://terminology.hl7.org/7.5.0/ValueSet-v3-ObservationMeasureType.html\" title=\"http://terminology.hl7.org/ValueSet/v3-ObservationMeasureType\" class=\"binding\">ObservationMeasureType</a><span class=\"binding\"> (</span><a href=\"http://hl7.org/fhir/R4/terminologies.html#extensible\" title=\"To be conformant, the concept in this element SHALL be from the specified value set if any of the codes within the value set can apply to the concept being communicated. If the value set does not cover the concept (based on human review), alternate codings (or, data type allowing, text) may be included instead.\" class=\"binding\">extensible</a><span class=\"binding\">)</span><span class=\"binding\">: </span><span class=\"binding\">Indicates the type of quality measure based on the observation value.</span></td></tr>#xD;\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
] ;
fhir:StructureDefinition.url [ fhir:value "http://ecqi.healthit.gov/fhir/uv/cqm/StructureDefinition/cms-type"] ;
fhir:StructureDefinition.version [ fhir:value "0.8.0-cibuild"] ;
fhir:StructureDefinition.name [ fhir:value "CMSType"] ;
fhir:StructureDefinition.title [ fhir:value "CMS Type"] ;
fhir:StructureDefinition.status [ fhir:value "active"] ;
fhir:StructureDefinition.experimental [ fhir:value "false"^^xsd:boolean] ;
fhir:StructureDefinition.date [ fhir:value "2026-10-27T19:54:07+00:00"^^xsd:dateTime] ;
fhir:StructureDefinition.publisher [ fhir:value "Centers for Medicare & Medicaid Services (CMS)"] ;
fhir:StructureDefinition.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:StructureDefinition.description [ fhir:value "Indicates the type of quality measure based on the observation value."] ;
fhir:StructureDefinition.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:StructureDefinition.fhirVersion [ fhir:value "4.0.1"] ;
fhir:StructureDefinition.mapping [
fhir:index 0 ;
fhir:StructureDefinition.mapping.identity [ fhir:value "rim" ] ;
fhir:StructureDefinition.mapping.uri [ fhir:value "http://hl7.org/v3" ] ;
fhir:StructureDefinition.mapping.name [ fhir:value "RIM Mapping" ]
] ;
fhir:StructureDefinition.kind [ fhir:value "complex-type"] ;
fhir:StructureDefinition.abstract [ fhir:value "false"^^xsd:boolean] ;
fhir:StructureDefinition.context [
fhir:index 0 ;
fhir:StructureDefinition.context.type [ fhir:value "element" ] ;
fhir:StructureDefinition.context.expression [ fhir:value "Measure.group" ]
] ;
fhir:StructureDefinition.type [ fhir:value "Extension"] ;
fhir:StructureDefinition.baseDefinition [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
] ;
fhir:StructureDefinition.derivation [ fhir:value "constraint"] ;
fhir:StructureDefinition.snapshot [
fhir:Element.extension [
fhir:index 0 ;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version" ] ;
fhir:Extension.valueString [ fhir:value "4.0.1" ]
] ;
fhir:StructureDefinition.snapshot.element [
fhir:index 0 ;
fhir:Element.id [ fhir:value "Extension" ] ;
fhir:ElementDefinition.path [ fhir:value "Extension" ] ;
fhir:ElementDefinition.short [ fhir:value "Extension" ] ;
fhir:ElementDefinition.definition [ fhir:value "Indicates the type of quality measure based on the observation value." ] ;
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
fhir:ElementDefinition.max [ fhir:value "*" ] ;
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Extension" ] ;
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
fhir:ElementDefinition.base.max [ fhir:value "*" ]
] ;
fhir:ElementDefinition.condition [
fhir:value "ele-1" ;
fhir:index 0
] ;
fhir:ElementDefinition.constraint [
fhir:index 0 ;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
]
], [
fhir:index 1 ;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" ] ;
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
]
] ;
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ]
], [
fhir:index 1 ;
fhir:Element.id [ fhir:value "Extension.id" ] ;
fhir:ElementDefinition.path [ fhir:value "Extension.id" ] ;
fhir:ElementDefinition.representation [
fhir:value "xmlAttr" ;
fhir:index 0
] ;
fhir:ElementDefinition.short [ fhir:value "Unique id for inter-element referencing" ] ;
fhir:ElementDefinition.definition [ fhir:value "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." ] ;
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
fhir:ElementDefinition.max [ fhir:value "1" ] ;
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.id" ] ;
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
fhir:ElementDefinition.base.max [ fhir:value "1" ]
] ;
fhir:ElementDefinition.type [
fhir:index 0 ;
fhir:Element.extension [
fhir:index 0 ;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type" ] ;
fhir:Extension.valueUrl [ fhir:value "string" ]
] ;
fhir:ElementDefinition.type.code [ fhir:value "http://hl7.org/fhirpath/System.String" ]
] ;
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
fhir:ElementDefinition.mapping [
fhir:index 0 ;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
]
], [
fhir:index 2 ;
fhir:Element.id [ fhir:value "Extension.extension" ] ;
fhir:ElementDefinition.path [ fhir:value "Extension.extension" ] ;
fhir:ElementDefinition.slicing [
fhir:ElementDefinition.slicing.discriminator [
fhir:index 0 ;
fhir:ElementDefinition.slicing.discriminator.type [ fhir:value "value" ] ;
fhir:ElementDefinition.slicing.discriminator.path [ fhir:value "url" ]
] ;
fhir:ElementDefinition.slicing.description [ fhir:value "Extensions are always sliced by (at least) url" ] ;
fhir:ElementDefinition.slicing.rules [ fhir:value "open" ]
] ;
fhir:ElementDefinition.short [ fhir:value "Additional content defined by implementations" ] ;
fhir:ElementDefinition.definition [ fhir:value "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." ] ;
fhir:ElementDefinition.comment [ fhir:value "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." ] ;
fhir:ElementDefinition.alias [
fhir:value "extensions" ;
fhir:index 0
], [
fhir:value "user content" ;
fhir:index 1
] ;
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
fhir:ElementDefinition.max [ fhir:value "*" ] ;
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Element.extension" ] ;
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
fhir:ElementDefinition.base.max [ fhir:value "*" ]
] ;
fhir:ElementDefinition.type [
fhir:index 0 ;
fhir:ElementDefinition.type.code [ fhir:value "Extension" ]
] ;
fhir:ElementDefinition.constraint [
fhir:index 0 ;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
]
], [
fhir:index 1 ;
fhir:ElementDefinition.constraint.key [ fhir:value "ext-1" ] ;
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
fhir:ElementDefinition.constraint.human [ fhir:value "Must have either extensions or value[x], not both" ] ;
fhir:ElementDefinition.constraint.expression [ fhir:value "extension.exists() != value.exists()" ] ;
fhir:ElementDefinition.constraint.xpath [ fhir:value "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])" ] ;
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Extension" ;
fhir:link <http://hl7.org/fhir/StructureDefinition/Extension>
]
] ;
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
fhir:ElementDefinition.mapping [
fhir:index 0 ;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
fhir:ElementDefinition.mapping.map [ fhir:value "n/a" ]
]
], [
fhir:index 3 ;
fhir:Element.id [ fhir:value "Extension.url" ] ;
fhir:ElementDefinition.path [ fhir:value "Extension.url" ] ;
fhir:ElementDefinition.representation [
fhir:value "xmlAttr" ;
fhir:index 0
] ;
fhir:ElementDefinition.short [ fhir:value "identifies the meaning of the extension" ] ;
fhir:ElementDefinition.definition [ fhir:value "Source of the definition for the extension code - a logical name or a URL." ] ;
fhir:ElementDefinition.comment [ fhir:value "The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension." ] ;
fhir:ElementDefinition.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
fhir:ElementDefinition.max [ fhir:value "1" ] ;
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Extension.url" ] ;
fhir:ElementDefinition.base.min [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
fhir:ElementDefinition.base.max [ fhir:value "1" ]
] ;
fhir:ElementDefinition.type [
fhir:index 0 ;
fhir:ElementDefinition.type.code [ fhir:value "uri" ]
] ;
fhir:ElementDefinition.fixedUri [ fhir:value "http://ecqi.healthit.gov/fhir/uv/cqm/StructureDefinition/cms-type" ] ;
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
fhir:ElementDefinition.mapping [
fhir:index 0 ;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
]
], [
fhir:index 4 ;
fhir:Element.id [ fhir:value "Extension.value[x]" ] ;
fhir:ElementDefinition.path [ fhir:value "Extension.value[x]" ] ;
fhir:ElementDefinition.short [ fhir:value "Value of extension" ] ;
fhir:ElementDefinition.definition [ fhir:value "Value of extension - must be one of a constrained set of the data types (see [Extensibility](http://hl7.org/fhir/R4/extensibility.html) for a list)." ] ;
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
fhir:ElementDefinition.max [ fhir:value "1" ] ;
fhir:ElementDefinition.base [
fhir:ElementDefinition.base.path [ fhir:value "Extension.value[x]" ] ;
fhir:ElementDefinition.base.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
fhir:ElementDefinition.base.max [ fhir:value "1" ]
] ;
fhir:ElementDefinition.type [
fhir:index 0 ;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]
] ;
fhir:ElementDefinition.constraint [
fhir:index 0 ;
fhir:ElementDefinition.constraint.key [ fhir:value "ele-1" ] ;
fhir:ElementDefinition.constraint.severity [ fhir:value "error" ] ;
fhir:ElementDefinition.constraint.human [ fhir:value "All FHIR elements must have a @value or children" ] ;
fhir:ElementDefinition.constraint.expression [ fhir:value "hasValue() or (children().count() > id.count())" ] ;
fhir:ElementDefinition.constraint.xpath [ fhir:value "@value|f:*|h:div" ] ;
fhir:ElementDefinition.constraint.source [
fhir:value "http://hl7.org/fhir/StructureDefinition/Element" ;
fhir:link <http://hl7.org/fhir/StructureDefinition/Element>
]
] ;
fhir:ElementDefinition.isModifier [ fhir:value "false"^^xsd:boolean ] ;
fhir:ElementDefinition.isSummary [ fhir:value "false"^^xsd:boolean ] ;
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ] ;
fhir:ElementDefinition.binding.description [ fhir:value "Indicates the type of quality measure based on the observation value." ] ;
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://terminology.hl7.org/ValueSet/v3-ObservationMeasureType" ;
fhir:link <http://terminology.hl7.org/ValueSet/v3-ObservationMeasureType>
]
] ;
fhir:ElementDefinition.mapping [
fhir:index 0 ;
fhir:ElementDefinition.mapping.identity [ fhir:value "rim" ] ;
fhir:ElementDefinition.mapping.map [ fhir:value "N/A" ]
]
]
] ;
fhir:StructureDefinition.differential [
fhir:StructureDefinition.differential.element [
fhir:index 0 ;
fhir:Element.id [ fhir:value "Extension" ] ;
fhir:ElementDefinition.path [ fhir:value "Extension" ] ;
fhir:ElementDefinition.definition [ fhir:value "Indicates the type of quality measure based on the observation value." ] ;
fhir:ElementDefinition.min [ fhir:value "0"^^xsd:nonNegativeInteger ] ;
fhir:ElementDefinition.max [ fhir:value "*" ]
], [
fhir:index 1 ;
fhir:Element.id [ fhir:value "Extension.url" ] ;
fhir:ElementDefinition.path [ fhir:value "Extension.url" ] ;
fhir:ElementDefinition.type [
fhir:index 0 ;
fhir:ElementDefinition.type.code [ fhir:value "uri" ]
] ;
fhir:ElementDefinition.fixedUri [ fhir:value "http://ecqi.healthit.gov/fhir/uv/cqm/StructureDefinition/cms-type" ]
], [
fhir:index 2 ;
fhir:Element.id [ fhir:value "Extension.value[x]" ] ;
fhir:ElementDefinition.path [ fhir:value "Extension.value[x]" ] ;
fhir:ElementDefinition.type [
fhir:index 0 ;
fhir:ElementDefinition.type.code [ fhir:value "CodeableConcept" ]
] ;
fhir:ElementDefinition.binding [
fhir:ElementDefinition.binding.strength [ fhir:value "extensible" ] ;
fhir:ElementDefinition.binding.description [ fhir:value "Indicates the type of quality measure based on the observation value." ] ;
fhir:ElementDefinition.binding.valueSet [
fhir:value "http://terminology.hl7.org/ValueSet/v3-ObservationMeasureType" ;
fhir:link <http://terminology.hl7.org/ValueSet/v3-ObservationMeasureType>
]
]
]
] .
# - ontology header ------------------------------------------------------------
<http://hl7.org/fhir/StructureDefinition/cms-type.ttl> a owl:Ontology ;
owl:imports fhir:fhir.ttl ;
owl:versionIRI <http://build.fhir.org/StructureDefinition/cms-type.ttl> .
IG © 2025 Centers for Medicare & Medicaid Services (CMS). Package cms.fhir.qmd#0.8.0-cibuild based on FHIR 4.0.1. Generated 2026-10-27
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