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

CMS FHIR Quality Measure Development IG Homepage

Official URL: http://ecqi.healthit.gov/fhir/qmd/ImplementationGuide/cms.fhir.qmd				Version: 1.0.0-cibuild
Draft as of 2026-06-04				Computable Name: CMSFHIRQMD

Summary

The Centers for Medicare & Medicaid Services (CMS) Fast Healthcare Interoperability Resources (FHIR) Quality Measure Development Implementation Guide (CMS QMD IG) is designed to support the standardization of CMS quality measure development.

This guide provides a comprehensive framework for representing CMS digital quality measures (dQMs) using FHIR-based standards. It is informed by and builds upon foundational work of Health Level 7 (HL7) such as the FHIR Clinical Reasoning Module and Quality Measure Implementation Guide. Best practices, patterns, and conventions developed through the CMS dQM community are defined here to enable efficient and consistent measure development to meet CMS-specific requirements.

This IG serves as the authoritative source of guidance and conformance requirements for the development of CMS dQMs.