# Resource Quality Measure Implementation Guide



## Resource Content

```json
{
  "resourceType" : "ImplementationGuide",
  "id" : "hl7.fhir.uv.cqm",
  "language" : "en",
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "cqi"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "trial-use"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 4
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm-support",
    "valueMarkdown" : "This implementation guide is the Universal Realm successor of the US-based [Quality Measure IG STU 5](http://hl7.org/fhir/us/cqfmeasures), and incorporates all the stakeholder feedback and implementation experience from that specification."
  }],
  "url" : "http://hl7.org/fhir/uv/cqm/ImplementationGuide/hl7.fhir.uv.cqm",
  "version" : "2.0.0-ballot",
  "name" : "CQMeasures",
  "title" : "Quality Measure Implementation Guide",
  "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" : "The Fast Healthcare Interoperability Resource (FHIR) Quality Measure Implementation Guide (this IG) describes an approach to representing Quality Measures (QMs) using the FHIR Clinical Reasoning Module and Clinical Quality Language (CQL) in the US Realm. However, this Implementation Guide can be usable for multiple use cases across domains, and much of the content is likely to be usable outside the US Realm.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "code" : "001"
    }]
  }],
  "packageId" : "hl7.fhir.uv.cqm",
  "license" : "CC0-1.0",
  "fhirVersion" : ["4.0.1"],
  "dependsOn" : [{
    "id" : "hl7tx",
    "extension" : [{
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/implementationguide-dependency-comment",
      "valueMarkdown" : "Automatically added as a dependency - all IGs depend on HL7 Terminology"
    }],
    "uri" : "http://terminology.hl7.org/ImplementationGuide/hl7.terminology",
    "packageId" : "hl7.terminology.r4",
    "version" : "7.1.0"
  },
  {
    "id" : "ext",
    "uri" : "http://hl7.org/fhir/extensions/ImplementationGuide/hl7.fhir.uv.extensions",
    "packageId" : "hl7.fhir.uv.extensions.r4",
    "version" : "5.3.0-ballot-tc1"
  },
  {
    "id" : "crmi",
    "uri" : "http://hl7.org/fhir/uv/crmi/ImplementationGuide/hl7.fhir.uv.crmi",
    "packageId" : "hl7.fhir.uv.crmi",
    "version" : "1.0.0"
  },
  {
    "id" : "cql",
    "uri" : "http://hl7.org/fhir/uv/cql/ImplementationGuide/hl7.fhir.uv.cql",
    "packageId" : "hl7.fhir.uv.cql",
    "version" : "2.0.0"
  }],
  "definition" : {
    "extension" : [{
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-internal-dependency",
      "valueCode" : "hl7.fhir.us.qicore#6.0.0"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueString" : "special-url"
      },
      {
        "url" : "value",
        "valueString" : "http://terminology.hl7.org/CodeSystem/measure-stratifier-type"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueString" : "special-url"
      },
      {
        "url" : "value",
        "valueString" : "http://terminology.hl7.org/ValueSet/measure-stratifier-type"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueString" : "releaselabel"
      },
      {
        "url" : "value",
        "valueString" : "STU 2 Ballot"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueString" : "copyrightyear"
      },
      {
        "url" : "value",
        "valueString" : "2019+"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueString" : "path-expansion-params"
      },
      {
        "url" : "value",
        "valueString" : "resources/parameters/Parameters-manifest.json"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueString" : "path-binary"
      },
      {
        "url" : "value",
        "valueString" : "input/cql"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueString" : "path-liquid-ig"
      },
      {
        "url" : "value",
        "valueString" : "templates/liquid"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueString" : "apply-jurisdiction"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueString" : "jira-code"
      },
      {
        "url" : "value",
        "valueString" : "qm"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueString" : "generate"
      },
      {
        "url" : "value",
        "valueString" : "xml"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueString" : "generate"
      },
      {
        "url" : "value",
        "valueString" : "JSON"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueString" : "default-version"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueString" : "apply-version"
      },
      {
        "url" : "value",
        "valueString" : "false"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueString" : "generate"
      },
      {
        "url" : "value",
        "valueString" : "xml"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueString" : "generate"
      },
      {
        "url" : "value",
        "valueString" : "JSON"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueString" : "pin-canonicals"
      },
      {
        "url" : "value",
        "valueString" : "pin-all"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueString" : "pin-manifest"
      },
      {
        "url" : "value",
        "valueString" : "manifest"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueString" : "auto-oid-root"
      },
      {
        "url" : "value",
        "valueString" : "2.16.840.1.113883.4.642.40.61"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueString" : "autoload-resources"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueString" : "path-liquid"
      },
      {
        "url" : "value",
        "valueString" : "template/liquid"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueString" : "path-liquid"
      },
      {
        "url" : "value",
        "valueString" : "input/liquid"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueString" : "path-qa"
      },
      {
        "url" : "value",
        "valueString" : "temp/qa"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueString" : "path-temp"
      },
      {
        "url" : "value",
        "valueString" : "temp/pages"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueString" : "path-output"
      },
      {
        "url" : "value",
        "valueString" : "output"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueString" : "path-suppressed-warnings"
      },
      {
        "url" : "value",
        "valueString" : "input/ignoreWarnings.txt"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueString" : "path-history"
      },
      {
        "url" : "value",
        "valueString" : "http://hl7.org/fhir/uv/cqm/history.html"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueString" : "template-html"
      },
      {
        "url" : "value",
        "valueString" : "template-page.html"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueString" : "template-md"
      },
      {
        "url" : "value",
        "valueString" : "template-page-md.html"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueString" : "apply-contact"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueString" : "apply-context"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueString" : "apply-copyright"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueString" : "apply-license"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueString" : "apply-publisher"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueString" : "apply-wg"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueString" : "active-tables"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueString" : "fmm-definition"
      },
      {
        "url" : "value",
        "valueString" : "http://hl7.org/fhir/versions.html#maturity"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueString" : "propagate-status"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueString" : "excludelogbinaryformat"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueString" : "tabbed-snapshots"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueString" : "i18n-default-lang"
      },
      {
        "url" : "value",
        "valueString" : "en"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/expansion-parameters",
      "valueReference" : {
        "reference" : "Parameters/expansion-parameters"
      }
    },
    {
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-internal-dependency",
      "valueCode" : "hl7.fhir.uv.tools.r4#1.1.2"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "special-url"
      },
      {
        "url" : "value",
        "valueString" : "http://terminology.hl7.org/CodeSystem/measure-stratifier-type"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "special-url"
      },
      {
        "url" : "value",
        "valueString" : "http://terminology.hl7.org/ValueSet/measure-stratifier-type"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "releaselabel"
      },
      {
        "url" : "value",
        "valueString" : "STU 2 Ballot"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "copyrightyear"
      },
      {
        "url" : "value",
        "valueString" : "2019+"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "path-expansion-params"
      },
      {
        "url" : "value",
        "valueString" : "resources/parameters/Parameters-manifest.json"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "path-binary"
      },
      {
        "url" : "value",
        "valueString" : "input/cql"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "path-liquid-ig"
      },
      {
        "url" : "value",
        "valueString" : "templates/liquid"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "apply-jurisdiction"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "jira-code"
      },
      {
        "url" : "value",
        "valueString" : "qm"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "generate"
      },
      {
        "url" : "value",
        "valueString" : "xml"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "generate"
      },
      {
        "url" : "value",
        "valueString" : "JSON"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "default-version"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "apply-version"
      },
      {
        "url" : "value",
        "valueString" : "false"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "generate"
      },
      {
        "url" : "value",
        "valueString" : "xml"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "generate"
      },
      {
        "url" : "value",
        "valueString" : "JSON"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "pin-canonicals"
      },
      {
        "url" : "value",
        "valueString" : "pin-all"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "pin-manifest"
      },
      {
        "url" : "value",
        "valueString" : "manifest"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "auto-oid-root"
      },
      {
        "url" : "value",
        "valueString" : "2.16.840.1.113883.4.642.40.61"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "autoload-resources"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "path-liquid"
      },
      {
        "url" : "value",
        "valueString" : "template/liquid"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "path-liquid"
      },
      {
        "url" : "value",
        "valueString" : "input/liquid"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "path-qa"
      },
      {
        "url" : "value",
        "valueString" : "temp/qa"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "path-temp"
      },
      {
        "url" : "value",
        "valueString" : "temp/pages"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "path-output"
      },
      {
        "url" : "value",
        "valueString" : "output"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "path-suppressed-warnings"
      },
      {
        "url" : "value",
        "valueString" : "input/ignoreWarnings.txt"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "path-history"
      },
      {
        "url" : "value",
        "valueString" : "http://hl7.org/fhir/uv/cqm/history.html"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "template-html"
      },
      {
        "url" : "value",
        "valueString" : "template-page.html"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "template-md"
      },
      {
        "url" : "value",
        "valueString" : "template-page-md.html"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "apply-contact"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "apply-context"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "apply-copyright"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "apply-license"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "apply-publisher"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "apply-wg"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "active-tables"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "fmm-definition"
      },
      {
        "url" : "value",
        "valueString" : "http://hl7.org/fhir/versions.html#maturity"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "propagate-status"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "excludelogbinaryformat"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "tabbed-snapshots"
      },
      {
        "url" : "value",
        "valueString" : "true"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    },
    {
      "extension" : [{
        "url" : "code",
        "valueCode" : "i18n-default-lang"
      },
      {
        "url" : "value",
        "valueString" : "en"
      }],
      "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
    }],
    "resource" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Measure"
      }],
      "reference" : {
        "reference" : "Measure/EXM55-FHIR"
      },
      "name" : "EXM55 - Median Emergency Department Visit Duration",
      "description" : "This example illustrates a continuous variable measure represented as a FHIR eCQM",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Measure"
      }],
      "reference" : {
        "reference" : "Measure/BCSComponent"
      },
      "name" : "Breast Cancer Screening",
      "description" : "This is an example only.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Measure"
      }],
      "reference" : {
        "reference" : "Measure/CCSComponent"
      },
      "name" : "Cervical Cancer Screening",
      "description" : "This is only an example.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Measure"
      }],
      "reference" : {
        "reference" : "Measure/EXMLogic-FHIR"
      },
      "name" : "EXM Measure",
      "description" : "An example FHIR-based measure.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Measure"
      }],
      "reference" : {
        "reference" : "Measure/measure-pi-exm"
      },
      "name" : "EXM Promoting Interoperability Measure",
      "description" : "An example FHIR-based attestation measure - Promoting Interoperability.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Measure"
      }],
      "reference" : {
        "reference" : "Measure/EXMRatio-FHIR"
      },
      "name" : "EXM Ratio Measure",
      "description" : "An example FHIR-based ratio measure.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Measure"
      }],
      "reference" : {
        "reference" : "Measure/EXM108-FHIR"
      },
      "name" : "EXM108 - Venous Thromboembolism Prophylaxis",
      "description" : "This measure assesses the number of patients who received VTE prophylaxis or have documentation why no VTE prophylaxis was given the day of or the day after hospital admission or surgery end date for surgeries that start the day of or the day after hospital admission.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Measure"
      }],
      "reference" : {
        "reference" : "Measure/EXM124-FHIR"
      },
      "name" : "EXM124 - Cervical Cancer Screening",
      "description" : "Percentage of women 21-64 years of age who were screened for cervical cancer.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Measure"
      }],
      "reference" : {
        "reference" : "Measure/EXM125-FHIR"
      },
      "name" : "EXM125 - Breast Cancer Screening",
      "description" : "Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Measure"
      }],
      "reference" : {
        "reference" : "Measure/EXM130-FHIR"
      },
      "name" : "EXM130 - Colorectal Cancer Screening Measure",
      "description" : "Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Measure"
      }],
      "reference" : {
        "reference" : "Measure/EXM146-FHIR"
      },
      "name" : "EXM146 - Appropriate Testing for Children with Pharyngitis",
      "description" : "Percentage of children 2-18 years of age who were diagnosed with pharyngitis, ordered an antibiotic and received a group A streptococcus (strep) test for the episode.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Measure"
      }],
      "reference" : {
        "reference" : "Measure/MultiRateExample-FHIR"
      },
      "name" : "Multi-Rate Example Measure",
      "description" : "This measure example illustrates the use of the group-level computation extensions to describe a multi-rate measure with mixed population bases.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Measure"
      }],
      "reference" : {
        "reference" : "Measure/PVSComponent"
      },
      "name" : "Pneumococcal Vaccination Status for Older Adults",
      "description" : "This is an example only.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Measure"
      }],
      "reference" : {
        "reference" : "Measure/HBPComponent"
      },
      "name" : "Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented",
      "description" : "This is an example only.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Measure"
      }],
      "reference" : {
        "reference" : "Measure/TSCComponent"
      },
      "name" : "Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention",
      "description" : "This is an example only.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Measure"
      }],
      "reference" : {
        "reference" : "Measure/PreventiveCareandWellnessAllOrNothingComposite"
      },
      "name" : "Preventive Care and Wellness All-Or-Nothing Composite",
      "description" : "This artifact is an example of an all-or-nothing composite measure that uses a mixture of single-rate or multi-rate component measures that have different measure bases.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Measure"
      }],
      "reference" : {
        "reference" : "Measure/PreventiveCareandWellnessOpportunityComposite"
      },
      "name" : "Preventive Care and Wellness Opportunity Composite",
      "description" : "This artifact is an example of an opportunity composite measure that uses a mixture of single-rate or multi-rate component measures that have different measure bases.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Measure"
      }],
      "reference" : {
        "reference" : "Measure/PreventiveCareandWellnessPatientLevelLinearComposite"
      },
      "name" : "Preventive Care and Wellness Patient-level Linear Composite",
      "description" : "This artifact is an example of a patient-level linear composite measure that uses a mixture of single-rate or multi-rate component measures that have different measure bases.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Measure"
      }],
      "reference" : {
        "reference" : "Measure/PreventiveCareandWellnessWeightedComposite"
      },
      "name" : "Preventive Care and Wellness Weighted Composite",
      "description" : "This artifact is an example of a weighted composite measure that uses a mixture of single-rate or multi-rate component measures that have different measure bases.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Measure"
      }],
      "reference" : {
        "reference" : "Measure/measure-cqm-publishable-example"
      },
      "name" : "MeasureCQMPublishableExample",
      "description" : "A measure to demonstrate limitations and trendingIssues extensions.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Measure"
      }],
      "reference" : {
        "reference" : "Measure/Terminology-FHIR"
      },
      "name" : "Terminology FHIR",
      "description" : "This example illustrates the use of terminology within a measure represented as a FHIR eCQM.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Measure"
      }],
      "reference" : {
        "reference" : "Measure/age-stratified-example"
      },
      "name" : "Age Stratified Example",
      "description" : "This example illustrates the use of codesystem and valueset measure-stratifier-ages-example, as well as value-based stratifiers.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Measure"
      }],
      "reference" : {
        "reference" : "Measure/SupportingEvidenceExample"
      },
      "name" : "Supporting Evidence Example Measure",
      "description" : "This example illustrates the use of supporting evidence to report additional information for specific populations within a measure.",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Device"
      }],
      "reference" : {
        "reference" : "Device/software-system-example"
      },
      "name" : "Device - Software System Example",
      "description" : "Example of a Software System Device used to illustrate tooling, testing, or authoring system",
      "exampleCanonical" : "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystemdevice"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "MeasureReport"
      }],
      "reference" : {
        "reference" : "MeasureReport/testcase-example"
      },
      "name" : "MeasureReport - Test Case Example",
      "description" : "Example of a MeasureReport illustrating a test case",
      "exampleCanonical" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-testcase"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Bundle"
      }],
      "reference" : {
        "reference" : "Bundle/sde-example-artifact-bundle"
      },
      "name" : "Measure Content Bundle - Additional Supplemental Data Example",
      "description" : "Example of a Measure illustrating the use of supplemental data elements to gather additional information about a population",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "SearchParameter"
      }],
      "reference" : {
        "reference" : "SearchParameter/Library-contained-parameter-name"
      },
      "name" : "Search Parameter - Library contained parameter name",
      "description" : "Example of a search parameter for a parameter name in a library",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "SearchParameter"
      }],
      "reference" : {
        "reference" : "SearchParameter/Library-expansion-identifier"
      },
      "name" : "Search Parameter - Library expansion identifier",
      "description" : "Example of a search paramter for an expansion identifier in a library",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "SearchParameter"
      }],
      "reference" : {
        "reference" : "SearchParameter/ValueSet-keyword"
      },
      "name" : "Search Parameter - Valuset Keyword",
      "description" : "Example of a search parameter for a keyword in a value set",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Bundle"
      }],
      "reference" : {
        "reference" : "Bundle/measurereport-bundle-example"
      },
      "name" : "Bundle example",
      "description" : "Example of a transaction bundle",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Parameters"
      }],
      "reference" : {
        "reference" : "Parameters/manifest"
      },
      "name" : "Input Expansion Parameters",
      "description" : "The input expansion parameters resource for this implementation guide, specifying SNOMED Edition and version. This resource will be contained within the published implementation guide with all pinned references.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/cqm-reportingTiming"
      },
      "name" : "CQM Reporting Timing",
      "description" : "Specifies the reporting period in order to support Subscription capabilities.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:complex-type"
      }],
      "reference" : {
        "reference" : "StructureDefinition/cqm-datatype-timing"
      },
      "name" : "CQM DataType Timing",
      "description" : "Quality Measure IG constraints on the Timing datatype used in reportingTiming.",
      "exampleBoolean" : false
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Measure"
      }],
      "reference" : {
        "reference" : "Measure/BedCapacityMeasure-daily"
      },
      "name" : "Bed Capacity Measure - Daily Reporting",
      "description" : "This example Measure represents CDC's bed capacity reporting measure during emergent circumstances (i.e. increased reporting frequency during emergent/surge scenarios)",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Measure"
      }],
      "reference" : {
        "reference" : "Measure/BedCapacityMeasure-monthly"
      },
      "name" : "Bed Capacity Measure - Monthly Reporting",
      "description" : "This example Measure represents CDC's typical bed capacity reporting measure during non-emergent circumstances",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Subscription"
      }],
      "reference" : {
        "reference" : "Subscription/covid-reporting-changes"
      },
      "name" : "Reporting Program Subscription listener",
      "description" : "Subscription for ACME hostital to listen for changes to the CDC Covid Reporting Program",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "SubscriptionTopic"
      }],
      "reference" : {
        "reference" : "SubscriptionTopic/covid-reporting-program-changes"
      },
      "name" : "Reporting Program Changes",
      "description" : "SubscriptionTopic conveying changes to the CDC Covid Reporting Program",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Bundle"
      }],
      "reference" : {
        "reference" : "Bundle/EmergencyCapacityReportingExample"
      },
      "name" : "Reporting Measure Change Scenario",
      "description" : "Example Bundle containing artifacts used to notify jurisdictions of increased reporting frequency during emergencies",
      "exampleBoolean" : true
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/cqm-aggregateMethod"
      },
      "name" : "CQM Aggregate Method",
      "description" : "Specifies which method to be used to aggregate the measure observation values."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/cqm-appliesTo"
      },
      "name" : "CQM Applies To",
      "description" : "Indicates the population that this stratifier should apply to. If no appliesTo extension is present, the stratifier is calculated based on the result of the population calculation (e.g. the calculated numerator for a proportion scoring)."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/cqm-attestationmeasure"
      },
      "name" : "CQM Attestation Measure",
      "description" : "The CQM Attestation Measure Profile describes an attestation scoring measure."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/cqm-cohortmeasure"
      },
      "name" : "CQM Cohort Measure",
      "description" : "The CQM Cohort Measure Profile describes a cohort scoring measure. For more information on the usage of this profile, refer to the Profiles and Packaging pages in this implementation guide."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/cqm-component"
      },
      "name" : "CQM Component",
      "description" : "Specifies an artifact this is a component of a composite artifact."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/cqm-compositeScoring"
      },
      "name" : "CQM Composite Scoring",
      "description" : "Indicates how the calculation is performed for the measure, including proportion, ratio, continuous-variable, and cohort. The value set is extensible, allowing additional measure scoring types to be represented. When present on a group, specifies the scoring to be used for this group, overriding the scoring specified for the overall measure."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/cqm-compositemeasure"
      },
      "name" : "CQM Composite Measure",
      "description" : "The CQM Composite Measure Profile describes minimum expectations for a composite electronic Quality Measure (QM). For more information on the usage of this profile, refer to the Profiles and Packaging pages in this implementation guide."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/cqm-computablemeasure"
      },
      "name" : "CQM Computable Measure",
      "description" : "The CQM Computable Measure Profile describes minimum expectations for a computable electronic Quality Measure (QM), including the use of a computable library. For more information on the usage of this profile, refer to the Profiles and Packaging pages in this implementation guide. Implementations SHOULD support using the `id` elements of group, population, stratifier, and supplementalData as a backwards-compatible mechanism for linking between Measure and MeasureReport"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/cqm-cqlmeasure"
      },
      "name" : "CQM CQL Measure",
      "description" : "The cqm CQL Measure Profile describes minimum expectations for a computable electronic Quality Measure (QM) that uses Clinical Quality Language to represent computable logic in the measure."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/cqm-cvmeasure"
      },
      "name" : "CQM Continuous Variable Measure",
      "description" : "The CQM Continuous Variable Measure Profile describes a continuous variable scoring measure. For more information on the usage of this profile, refer to the Profiles and Packaging pages in this implementation guide."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/cqm-effectivePeriodAnchor"
      },
      "name" : "CQM Effective Period Anchor",
      "description" : "Specifies the anchor date for the effective period as defined by a starting date and a range."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/cqm-effectivePeriodDuration"
      },
      "name" : "CQM Effective Period Duration",
      "description" : "Specifies the reporting period for the measure."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/cqm-elmmeasure"
      },
      "name" : "CQM ELM Measure",
      "description" : "The cqm ELM Measure Profile describes minimum expectations for an executable electronic Clinical Quality Measure (eCQM) that uses ELM (i.e. compiled CQL) to represent the logic of the measure."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/cqm-executablemeasure"
      },
      "name" : "CQM Executable Measure",
      "description" : "The CQM Executable Measure Profile describes minimum expectations for an executable electronic Quality Measure (QM), including a reference to an executable library. For more information on the usage of this profile, refer to the Profiles and Packaging pages in this implementation guide."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/cqm-groupId"
      },
      "name" : "CQM Group Id",
      "description" : "Specifies the id of a particular group within the measure referenced by the related artifact resource."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/cqm-improvementNotation"
      },
      "name" : "CQM Improvement Notation",
      "description" : "Information on whether an increase or decrease in score is the preferred result (e.g., a higher score indicates better quality OR a lower score indicates better quality OR quality is within a range).\n\n**Additional Guidance: improvementNotation**\n\n`Reference range` with definition of score within a defined interval (or a “passing score” over or under a certain threshold) indicates better quality to the improvement notation value set."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/cqm-includeInReportType"
      },
      "name" : "CQM Include In Report Type",
      "description" : "Indicates what types of report the element on which it appears should be included in. If no values are specified, the default behavior is that elements are included in all report types"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/cqm-isTestCase"
      },
      "name" : "CQM Is Test Case",
      "description" : "Indicates whether this instance represents the definition of a test case."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/cqm-limitations"
      },
      "name" : "CQM Limitations",
      "description" : "The CQM Limitations profile identifies what limitations should be noted, including potential selection biases and confounding factors when interpreting indicator results or comparing results across the country."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/cqm-operation"
      },
      "name" : "CQM Operation",
      "description" : "Specifies the operation definition"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/cqm-populationBasis"
      },
      "name" : "CQM Population Basis",
      "description" : "The population basis specifies the type of elements in the population. For a subject-based measure, this is boolean (because the subject and the population basis are the same, and the population criteria define yes/no values for each individual in the population). For measures that have a population basis that is different than the subject, this element specifies the type of the population basis. For example, an encounter-based measure has a subject of Patient and a population basis of Encounter, and the population criteria all return lists of Encounters. Note that the subject of a measure can be found in the element [subject[x].](https://hl7.org/fhir/uv/cqm/StructureDefinition-cqm-computablemeasure-definitions.html#Measure.subject[x])"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/cqm-proportionmeasure"
      },
      "name" : "CQM Proportion Measure",
      "description" : "The CQM Proportion Measure Profile describes a proportion scoring measure. For more information on the usage of this profile, refer to the Profiles and Packaging pages in this implementation guide."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/cqm-publishablemeasure"
      },
      "name" : "CQM Publishable Measure",
      "description" : "The CQM Publishable Measure profile defines the minimum expectations to enable appropriate content management, discovery, and utilization of published Quality Measures (QMs). For more information on the usage of this profile, refer to the Profiles and Packaging pages in this implementation guide."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/cqm-rateAggregation"
      },
      "name" : "CQM Rate Aggregation",
      "description" : "Describes how to combine the information calculated, based on logic in each of several populations, into one summarized result."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/cqm-ratiomeasure"
      },
      "name" : "CQM Ratio Measure",
      "description" : "The CQM Ratio Measure Profile describes a ratio scoring measure. For more information on the usage of this profile, refer to the Profiles and Packaging pages in this implementation guide."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/cqm-renderMissingElements"
      },
      "name" : "CQM Render Missing Elements",
      "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."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/cqm-riskAdjustment"
      },
      "name" : "CQM Risk Adjustment",
      "description" : "A description of the risk adjustment factors that may impact the resulting score for the measure and how they may be accounted for when computing and reporting measure results."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/cqm-scoring"
      },
      "name" : "CQM Scoring",
      "description" : "Indicates how the calculation is performed for the measure, including proportion, ratio, continuous-variable, and cohort. The value set is extensible, allowing additional measure scoring types to be represented. When present on a group, specifies the scoring to be used for this group, overriding the scoring specified for the overall measure."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/cqm-scoringPrecision"
      },
      "name" : "CQM Scoring Precision",
      "description" : "The number of decimal places to include in the score when the score is a decimal-valued result."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/cqm-scoringUnit"
      },
      "name" : "CQM Scoring Unit",
      "description" : "Defines the expected units of measure for the measure score."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/cqm-supplementalDataGuidance"
      },
      "name" : "CQM Supplemental Data Guidance",
      "description" : "Provides additional guidance on the meaning and reporting of supplemental data elements included in the measure overall."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/cqm-testCaseDescription"
      },
      "name" : "CQM Test Case Description",
      "description" : "Provides a clear description of the test case."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:resource"
      }],
      "reference" : {
        "reference" : "StructureDefinition/cqm-testcase"
      },
      "name" : "CQM Test Case",
      "description" : "The cqm Test Case Profile describes expectations for the definition and exchange of a measure test case, including input data and parameters, as well as expected outcome"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/cqm-trendingIssues"
      },
      "name" : "CQM Trending Issues",
      "description" : "identifies what issues might affect the interpretation of trending results, including changes in geographic coverage, data quality, coding standards and classification changes (for example, a new ICD standard)"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/cqm-type"
      },
      "name" : "CQM Type",
      "description" : "Indicates the type of quality measure based on the observation value."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/cqm-valueSet"
      },
      "name" : "CQM Value Set",
      "description" : "A value set defining the set of possible values that can be used to represent supplemental data or stratifier elements."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "StructureDefinition:extension"
      }],
      "reference" : {
        "reference" : "StructureDefinition/cqm-weight"
      },
      "name" : "CQM Weight",
      "description" : "What is the weight of the contribution of this measure to the overall score."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "CapabilityStatement"
      }],
      "reference" : {
        "reference" : "CapabilityStatement/authoring-measure-repository"
      },
      "name" : "CQF Measures Authoring Measure Repository Capability Statement",
      "description" : "Capability statement for a repository service supporting additional authoring and content workflow capabilities for FHIR-based measure specifications above the basic ShareableMeasureRepository."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "CapabilityStatement"
      }],
      "reference" : {
        "reference" : "CapabilityStatement/measure-calculation-service-example"
      },
      "name" : "Measure Calculation Service Capability Statement Example",
      "description" : "Basic conformance statement for a Measure Calculation Service. A server can support more functionality    than defined here, but this is the minimum amount"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "CapabilityStatement"
      }],
      "reference" : {
        "reference" : "CapabilityStatement/publishable-measure-repository"
      },
      "name" : "CQF Measures Publishable Measure Repository Capability Statement",
      "description" : "Capability statement for a repository service supporting additional publishing capabilities for FHIR-based measure specifications above the basic ShareableMeasureRepository."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "CapabilityStatement"
      }],
      "reference" : {
        "reference" : "CapabilityStatement/shareable-measure-repository"
      },
      "name" : "CQF Measures Shareable Measure Repository Capability Statement",
      "description" : "Capability statement for a repository service supporting minimum required capabilities to share FHIR-based measure specifications. See the Publishable and Authoring Measure Repository capability statements for more comprehensive support for publishing and authoring workflows."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/AdultOutpatientEncounters"
      },
      "name" : "Adult Outpatient Encounters Common Library",
      "description" : "This library is used as an example in the FHIR Quality Measure Implementation Guide"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/AdvancedIllnessandFrailtyExclusion"
      },
      "name" : "Advanced Illness and Frailty Exclusion Library",
      "description" : "Advanced Illness and Frailty Exclusion Example Library"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/AgeStratificationExample"
      },
      "name" : "Age Stratification Example",
      "description" : "This library provides an illustration of using the Time Period Ranges code system to construct computable age ranges as a stratification for measures."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/BCSComponent"
      },
      "name" : "BCS Component Library",
      "description" : "This library is the primary measure library for the Breast Cancer Screening component of the composite measure examples in this implementation guide."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/CAUTIElements"
      },
      "name" : "CAUTI Elements",
      "description" : "DRAFT Data elements used in the calculation of NHSN Catheter-associated Urinary Tract Infection measures."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/CAUTIParameters"
      },
      "name" : "CAUTI Parameters",
      "description" : "DRAFT model parameters used in the calculation of NHSN Catheter-associated Urinary Tract Infection measures."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/CAUTIRate"
      },
      "name" : "CAUTI Rate",
      "description" : "DRAFT population criteria and continuous-variable functions used in the calculation of NHSN Catheter-associated Urinary Tract Infection Rates measure."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/CAUTISIR"
      },
      "name" : "CAUTI Standardized Infection Ratio (SIR)",
      "description" : "DRAFT population criteria and continuous-variable functions used in the calculation of NHSN Catheter-associated Urinary Tract Infection Standardized Infection Ratio measure."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/CCSComponent"
      },
      "name" : "CCS Component Library",
      "description" : "This library is the primary measure library for the Cervical Cancer Screening component of the composite measure examples in this implementation guide."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/Common"
      },
      "name" : "Common Library",
      "description" : "This library is used as an example in the FHIR Quality Measure Implementation Guide"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/CommonTerminologies"
      },
      "name" : "Common Terminology Library",
      "description" : "This library is the common library for the terminology example measure"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/EXM108"
      },
      "name" : "EXM108 - Venous Thromboembolism Prophylaxis Library",
      "description" : "This library is used as an example in the FHIR Quality Measure Implementation Guide"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/EXM124"
      },
      "name" : "EXM124 - Cervical Cancer Screening Library",
      "description" : "This library is used as an example in the FHIR Quality Measure Implementation Guide"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/EXM125"
      },
      "name" : "EXM125 - Breast Cancer Screening Library",
      "description" : "This library is used as an example in the FHIR Quality Measure Implementation Guide"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/EXM130"
      },
      "name" : "EXM130 - Colorectal Cancer Screening Library",
      "description" : "This library is used as an example in the FHIR Quality Measure Implementation Guide"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/EXM146"
      },
      "name" : "EXM146 - Example Proportion Measure Library",
      "description" : "This library is used as an example in the FHIR Quality Measure Implementation Guide"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/EXM55"
      },
      "name" : "EXM55 - Median Emergency Department Visit Duration Library (Example Continuous Variable Measure Library)",
      "description" : "This library is used as an example in the FHIR Quality Measure Implementation Guide"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/EXMAggregate"
      },
      "name" : "EXM Aggregate",
      "description" : "This library provides an example of logic for computing aggregates based on the results of measure calculations (i.e. aggregate calculation using MeasureReport resources)."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/EXMComputableLibrary"
      },
      "name" : "Example Computable Library",
      "description" : "This library is used as an example in the FHIR Quality Measure Implementation Guide"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/EXMExecutableLibrary"
      },
      "name" : "Example Executable Library",
      "description" : "This library is used as an example in the FHIR Quality Measure Implementation Guide"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/EXMIA"
      },
      "name" : "EXM Improvement Activities",
      "description" : "This library provides an example of logic for an IA (Improvement Activities) measure."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/EXMLogic-ModuleDefinition"
      },
      "name" : "Example Logic Library - Module Definition",
      "description" : "This library is used as an example module definition in the FHIR Quality Measure Implementation Guide"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/EXMLogic-ModuleDefinitionDirectReference"
      },
      "name" : "Example Logic Library - Module Definition Direct Reference",
      "description" : "This library is used as an example module definition in the FHIR Quality Measure Implementation Guide"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/EXMLogic"
      },
      "name" : "Example Logic Library",
      "description" : "This library is used as an example in the FHIR Quality Measure Implementation Guide"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/EXMPublishableLibrary"
      },
      "name" : "Example Publishable Library",
      "description" : "This library is used as an example in the FHIR Quality Measure Implementation Guide"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/EXMRatio"
      },
      "name" : "EXMRatio - Example Ratio Measure Library",
      "description" : "This library is used as an example in the FHIR Quality Measure Implementation Guide"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/HBPComponent"
      },
      "name" : "HBP Component Library",
      "description" : "Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/Hospice"
      },
      "name" : "Hospice FHIR Library",
      "description" : "This library is used as an example in the FHIR Quality Measure Implementation Guide"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/MATGlobalCommonFunctions"
      },
      "name" : "MAT Global Common Functions FHIR Library",
      "description" : "This library is used as an example in the FHIR Quality Measure Implementation Guide"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/Manifest-Final-Draft"
      },
      "name" : "eCQM Update 2024 - Final Draft",
      "description" : "This library is an example final draft of a version manifest (also referred to as an expansion profile) that specifies expansion rules for a set of value sets used for an example set of quality measures."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/Manifest-Initial-Draft"
      },
      "name" : "eCQM Update 2024 - Initial Draft",
      "description" : "This library is an example initial draft of a version manifest (also referred to as an expansion profile) that specifies expansion rules for a set of value sets used for an example set of CMS measures."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/Manifest-Release"
      },
      "name" : "eCQM Update 2024 - Release",
      "description" : "This library is an example release of a version manifest (also referred to as an expansion profile) that specifies expansion rules for a set of value sets used for an example set of EP/EC measures."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/MultiRateExample"
      },
      "name" : "Multi Rate Example Logic Library",
      "description" : "This library is used as an example in the FHIR Quality Measure Implementation Guide"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/PVSComponent"
      },
      "name" : "PVS Component Library",
      "description" : "Pneumococcal Vaccination Status for Older Adults"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/Quality-Program-Example"
      },
      "name" : "Quality Program Example",
      "description" : "This library is an example quality program illustrating the use of a library to identify the set of measures that are specified for use in a quality program. The measures specified here are expected to be used with the version information specified in the eCQM Update 2024 content release manifest, as indicated by the dependency on that library."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/SupplementalDataElements"
      },
      "name" : "Supplemental Data Elements",
      "description" : "This example illustrates logic for sharing supplemental data element calculation between multiple measures."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/SupportingEvidenceExample"
      },
      "name" : "Supporting Evidence Example",
      "description" : "SupportingEvidenceExample logic."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/TJCOverall"
      },
      "name" : "TJC Overall Library",
      "description" : "This library is used as an example in the FHIR Quality Measure Implementation Guide"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/TSCComponent"
      },
      "name" : "TSC Component Library",
      "description" : "Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/Terminology"
      },
      "name" : "Terminology Library",
      "description" : "This library is the primary measure library for the terminology example measure"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/VTEICU"
      },
      "name" : "VTE ICU Library",
      "description" : "This library is used as an example in the FHIR Quality Measure Implementation Guide"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Library"
      }],
      "reference" : {
        "reference" : "Library/moduledefinition-example"
      },
      "name" : "Module Definition Example Logic Library",
      "description" : "This library is used as an example module definition in the FHIR Quality Measure Implementation Guide"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Measure"
      }],
      "reference" : {
        "reference" : "Measure/CAUTIRateExample"
      },
      "name" : "Example Catheter-Associated Urinary Tract Infection Rate",
      "description" : "Example measure illustrating an approach to representing the Catheter-Associated Urinary Tract Infection (CAUTI) Rate per 1000 indwelling urinary catheter (IUC) days. See https://github.com/cqframework/CQL-Formatting-and-Usage-Wiki/blob/master/Source/Cooking%20With%20CQL/93/CAUTI.md for more detailed discussion of the example."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Measure"
      }],
      "reference" : {
        "reference" : "Measure/CAUTISIRExample"
      },
      "name" : "Example Catheter-Associated Urinary Tract Infection Standardized Infection Ratio (SIR)",
      "description" : "Example measure illustrating an approach to representing the Catheter-Associated Urinary Tract Infection (CAUTI) Standardized Infection Ratio (SIR) measure. See https://github.com/cqframework/CQL-Formatting-and-Usage-Wiki/blob/master/Source/Cooking%20With%20CQL/93/CAUTI.md for more detailed discussion of the example."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "Measure"
      },
      {
        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-ImplementationGuide.definition.resource.profile",
        "valueCanonical" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-publishablemeasure"
      }],
      "reference" : {
        "reference" : "Measure/measure-publishable-exm"
      },
      "name" : "EXM Publishable Measure",
      "description" : "An example FHIR-based publishable measure",
      "exampleCanonical" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-computablemeasure"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "OperationDefinition"
      }],
      "reference" : {
        "reference" : "OperationDefinition/cqm-package"
      },
      "name" : "CQM Package",
      "description" : "Packages a specified canonical resource with dependencies."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "CodeSystem"
      }],
      "reference" : {
        "reference" : "CodeSystem/intended-venue-codes"
      },
      "name" : "Intended Venue Codes",
      "description" : "The Intended Venue code system defines codes used to distinguish measures that are developed with the intent to be used in a particular venue, establishing expectations for the types of data that will be available from systems in that environment."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "CodeSystem"
      }],
      "reference" : {
        "reference" : "CodeSystem/measure-stratifier-type"
      },
      "name" : "Measure Stratifier Type Codes",
      "description" : "This code system establishes types of stratification for use in identifying subgroups of populations. These stratifications are often, but not exclusively, used in quality measurement."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ConceptMap"
      }],
      "reference" : {
        "reference" : "ConceptMap/aggregate-method"
      },
      "name" : "Aggregate Method mapping",
      "description" : "The mapping of FHIR aggregate method codes to the corresponding HL7 V3 code used in HQMF for each type of aggregate method"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ConceptMap"
      }],
      "reference" : {
        "reference" : "ConceptMap/composite-measure-scoring"
      },
      "name" : "Composite Measure Scoring mapping",
      "description" : "The mapping of FHIR composite measure scoring codes to the corresponding HL7 V3 code used in HQMF for each type of composite measure scoring"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ConceptMap"
      }],
      "reference" : {
        "reference" : "ConceptMap/data-usages"
      },
      "name" : "Data Usage Mapping",
      "description" : "The mapping of FHIR measure data usage codes to the corresponding HL7 V3 code used in HQMF for each of the measure data usages"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ConceptMap"
      }],
      "reference" : {
        "reference" : "ConceptMap/improvement-notations"
      },
      "name" : "Improvement Notation Mapping",
      "description" : "The mapping of FHIR improvement notation codes to the corresponding HL7 V3 code used in HQMF for each of the improvement notations"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ConceptMap"
      }],
      "reference" : {
        "reference" : "ConceptMap/measure-populations"
      },
      "name" : "Measure Population criteria mapping",
      "description" : "The mapping of FHIR measure population criteria codes to the corresponding HL7 V3 code used in HQMF for each of the measure population criteria components"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ConceptMap"
      }],
      "reference" : {
        "reference" : "ConceptMap/measure-scoring"
      },
      "name" : "Measure Scoring mapping",
      "description" : "The mapping of FHIR measure scoring codes to the corresponding HL7 V3 code used in HQMF for each type of measure scoring"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ConceptMap"
      }],
      "reference" : {
        "reference" : "ConceptMap/measure-types"
      },
      "name" : "Measure Type mapping",
      "description" : "The mapping of FHIR measure type codes to the corresponding HL7 V3 code used in HQMF for each of the measure type"
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/age-stratified-example"
      },
      "name" : "Age Stratified Example Age Groups",
      "description" : "establishes types of stratification for use in identifying subgroups of populations. These stratifications are often, but not exclusively, used in quality measurement."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/chronic-liver-disease-legacy-example"
      },
      "name" : "Chronic Liver Disease Legacy Example",
      "description" : "This is an example value set consisting of a subset of codes selected from Chronic Liver Disease (2.16.840.1.113883.3.464.1003.199.11.1065) for the purposes of illustrating a value set containing Legacy Codes."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/intended-venue"
      },
      "name" : "Intended Venue",
      "description" : "The Intended Venue value set identifies codes used to distinguish measures that are developed with the intent to be used in a particular venue, establishing expectations for the types of data that will be available from systems in that environment."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/measure-stratifier-type"
      },
      "name" : "Measure Stratifier Type",
      "description" : "establishes types of stratification for use in identifying subgroups of populations. These stratifications are often, but not exclusively, used in quality measurement."
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString" : "ValueSet"
      }],
      "reference" : {
        "reference" : "ValueSet/subject-type"
      },
      "name" : "Subject Type Value Set",
      "description" : "This value set incorporates all codes from the FHIR value set subject-type in addition to PractitionerRole and RelatedPerson from the FHIR resource-types code system."
    }],
    "page" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
        "valueCode" : "informative"
      },
      {
        "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
        "valueUrl" : "index.html"
      }],
      "nameUrl" : "index.html",
      "title" : "Quality Measure Implementation Guide Homepage",
      "generation" : "markdown",
      "page" : [{
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "introduction.html"
        }],
        "nameUrl" : "introduction.html",
        "title" : "Introduction",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "measure-conformance.html"
        }],
        "nameUrl" : "measure-conformance.html",
        "title" : "QMs",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "using-cql.html"
        }],
        "nameUrl" : "using-cql.html",
        "title" : "Using CQL",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "composite-measures.html"
        }],
        "nameUrl" : "composite-measures.html",
        "title" : "Composites",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "packaging.html"
        }],
        "nameUrl" : "packaging.html",
        "title" : "Packaging",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "profiles.html"
        }],
        "nameUrl" : "profiles.html",
        "title" : "Profiles",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "terminology.html"
        }],
        "nameUrl" : "terminology.html",
        "title" : "Terminology",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "capabilities.html"
        }],
        "nameUrl" : "capabilities.html",
        "title" : "Capabilities",
        "generation" : "markdown",
        "page" : [{
          "extension" : [{
            "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
            "valueUrl" : "measure-repository-service.html"
          }],
          "nameUrl" : "measure-repository-service.html",
          "title" : "Measure Repository Service",
          "generation" : "markdown"
        }]
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "operations.html"
        }],
        "nameUrl" : "operations.html",
        "title" : "Operations",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "examples.html"
        }],
        "nameUrl" : "examples.html",
        "title" : "Examples",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "glossary.html"
        }],
        "nameUrl" : "glossary.html",
        "title" : "Glossary",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "downloads.html"
        }],
        "nameUrl" : "downloads.html",
        "title" : "Downloads",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "acknowledgements.html"
        }],
        "nameUrl" : "acknowledgements.html",
        "title" : "Acknowledgements",
        "generation" : "markdown"
      },
      {
        "extension" : [{
          "url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
          "valueUrl" : "changes.html"
        }],
        "nameUrl" : "changes.html",
        "title" : "Changes",
        "generation" : "markdown"
      }]
    },
    "parameter" : [{
      "code" : "path-resource",
      "value" : "input/resources/bundle"
    },
    {
      "code" : "path-resource",
      "value" : "input/resources/capabilitystatement"
    },
    {
      "code" : "path-resource",
      "value" : "input/resources/device"
    },
    {
      "code" : "path-resource",
      "value" : "input/resources/library"
    },
    {
      "code" : "path-resource",
      "value" : "input/resources/measure"
    },
    {
      "code" : "path-resource",
      "value" : "input/resources/measurereport"
    },
    {
      "code" : "path-resource",
      "value" : "input/resources/operationdefinition"
    },
    {
      "code" : "path-resource",
      "value" : "input/resources/parameters"
    },
    {
      "code" : "path-resource",
      "value" : "input/resources/searchparameter"
    },
    {
      "code" : "path-resource",
      "value" : "input/resources/subscription"
    },
    {
      "code" : "path-resource",
      "value" : "input/resources/subscriptiontopic"
    },
    {
      "code" : "path-resource",
      "value" : "input/vocabulary/codesystem"
    },
    {
      "code" : "path-resource",
      "value" : "input/vocabulary/conceptmap"
    },
    {
      "code" : "path-resource",
      "value" : "input/vocabulary/valueset"
    },
    {
      "code" : "path-pages",
      "value" : "input/pages"
    },
    {
      "code" : "path-resource",
      "value" : "input/capabilities"
    },
    {
      "code" : "path-resource",
      "value" : "input/examples"
    },
    {
      "code" : "path-resource",
      "value" : "input/extensions"
    },
    {
      "code" : "path-resource",
      "value" : "input/models"
    },
    {
      "code" : "path-resource",
      "value" : "input/operations"
    },
    {
      "code" : "path-resource",
      "value" : "input/profiles"
    },
    {
      "code" : "path-resource",
      "value" : "input/resources"
    },
    {
      "code" : "path-resource",
      "value" : "input/vocabulary"
    },
    {
      "code" : "path-resource",
      "value" : "input/testing"
    },
    {
      "code" : "path-resource",
      "value" : "input/history"
    },
    {
      "code" : "path-resource",
      "value" : "fsh-generated/resources"
    },
    {
      "code" : "path-pages",
      "value" : "template/config"
    },
    {
      "code" : "path-pages",
      "value" : "input/assets"
    },
    {
      "code" : "path-pages",
      "value" : "input/images"
    },
    {
      "code" : "path-tx-cache",
      "value" : "input-cache/txcache"
    }]
  }
}

```
