# CQM Render Missing Elements - Quality Measure Implementation Guide v2.0.0-ballot

## Extension: CQM Render Missing Elements 

Indicates whether to render missing elements in measure narrative. True indicates that missing elements should be rendered with an appropriate indicator (such as None, or N/A) when elements that would be expected to be present are not specified in a measure. For example, the denominator exclusion criteria for a proportion measure will be rendered as None if it is not present in a proportion measure.

**Context of Use**

**Usage info**

**Usages:**

* Use this Extension: [CQM Publishable Measure](StructureDefinition-cqm-publishablemeasure.md)
* Examples for this Extension: [EXM125](Measure-EXM125-FHIR.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/hl7.fhir.uv.cqm|current/StructureDefinition/cqm-renderMissingElements)

### Formal Views of Extension Content

 [Description Differentials, Snapshots, and other representations](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](../StructureDefinition-cqm-renderMissingElements.csv), [Excel](../StructureDefinition-cqm-renderMissingElements.xlsx), [Schematron](../StructureDefinition-cqm-renderMissingElements.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "cqm-renderMissingElements",
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "cqi"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 4,
    "_valueInteger" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueCanonical" : "http://hl7.org/fhir/uv/cqm/ImplementationGuide/hl7.fhir.uv.cqm"
      }]
    }
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "trial-use",
    "_valueCode" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueCanonical" : "http://hl7.org/fhir/uv/cqm/ImplementationGuide/hl7.fhir.uv.cqm"
      }]
    }
  }],
  "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-renderMissingElements",
  "identifier" : [{
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:oid:2.16.840.1.113883.4.642.40.61.42.39"
  }],
  "version" : "1.0.0",
  "name" : "CQMRenderMissingElements",
  "title" : "CQM Render Missing Elements",
  "status" : "active",
  "experimental" : false,
  "date" : "2026-04-07T02:06:45+10:00",
  "publisher" : "HL7 International / Clinical Quality Information",
  "contact" : [{
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org/Special/committees/cqi"
    }]
  }],
  "description" : "Indicates whether to render missing elements in measure narrative. True indicates that missing elements should be rendered with an appropriate indicator (such as None, or N/A) when elements that would be expected to be present are not specified in a measure. For example, the denominator exclusion criteria for a proportion measure will be rendered as None if it is not present in a proportion measure.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "code" : "001"
    }]
  }],
  "fhirVersion" : "4.0.1",
  "mapping" : [{
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  }],
  "kind" : "complex-type",
  "abstract" : false,
  "context" : [{
    "type" : "element",
    "expression" : "Measure"
  }],
  "type" : "Extension",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Extension",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "id" : "Extension",
      "path" : "Extension",
      "short" : "Render missing elements?",
      "definition" : "Indicates whether to render missing elements (including population criteria, stratifiers, and supplemental data elements) in measure narrative. True indicates that missing elements should be rendered with an appropriate indicator (such as None, or N/A) when elements that would be expected to be present are not specified in a measure. For example, the denominator exclusion criteria for a proportion measure will be rendered as None if it is not present in a proportion measure.",
      "comment" : "If this extension is not present, measure narrative will render as though it is false (i.e. missing elements will not render in the measure narrative)",
      "min" : 0,
      "max" : "1"
    },
    {
      "id" : "Extension.url",
      "path" : "Extension.url",
      "type" : [{
        "code" : "uri"
      }],
      "fixedUri" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-renderMissingElements"
    },
    {
      "id" : "Extension.value[x]",
      "path" : "Extension.value[x]",
      "type" : [{
        "code" : "boolean"
      }]
    }]
  }
}

```
