# CQM Publishable Measure - Quality Measure Implementation Guide v2.0.0-ballot

## Resource Profile: CQM Publishable Measure 

 
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. 

**Usages:**

* Examples for this Profile: [BCSComponent](Measure-BCSComponent.md), [CCSComponent](Measure-CCSComponent.md), [EXM124](Measure-EXM124-FHIR.md), [HBPComponent](Measure-HBPComponent.md)... Show 4 more, [PVSComponent](Measure-PVSComponent.md), [TSCComponent](Measure-TSCComponent.md), [MeasureCQMPublishableExample](Measure-measure-cqm-publishable-example.md) and [PublishableMeasureEXM](Measure-measure-publishable-exm.md)
* CapabilityStatements using this Profile: [CQF Measures Shareable Measure Repository Capability Statement](CapabilityStatement-shareable-measure-repository.md)

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

### Formal Views of Profile Content

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

 

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



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "cqm-publishablemeasure",
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "cqi"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 4,
    "_valueInteger" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueCanonical" : "http://hl7.org/fhir/uv/cqm/ImplementationGuide/hl7.fhir.uv.cqm"
      }]
    }
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "trial-use",
    "_valueCode" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueCanonical" : "http://hl7.org/fhir/uv/cqm/ImplementationGuide/hl7.fhir.uv.cqm"
      }]
    }
  }],
  "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-publishablemeasure",
  "identifier" : [{
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:oid:2.16.840.1.113883.4.642.40.61.42.23"
  }],
  "version" : "1.0.0",
  "name" : "CQMPublishableMeasure",
  "title" : "CQM Publishable Measure",
  "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 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.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "code" : "001"
    }]
  }],
  "fhirVersion" : "4.0.1",
  "mapping" : [{
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  },
  {
    "identity" : "workflow",
    "uri" : "http://hl7.org/fhir/workflow",
    "name" : "Workflow Pattern"
  },
  {
    "identity" : "w5",
    "uri" : "http://hl7.org/fhir/fivews",
    "name" : "FiveWs Pattern Mapping"
  },
  {
    "identity" : "objimpl",
    "uri" : "http://hl7.org/fhir/object-implementation",
    "name" : "Object Implementation Information"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "Measure",
  "baseDefinition" : "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-publishablemeasure",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "id" : "Measure",
      "path" : "Measure",
      "mustSupport" : false
    },
    {
      "id" : "Measure.text",
      "path" : "Measure.text",
      "requirements" : "A published measure must provide human-readable narrative description of the measure contents.",
      "min" : 1,
      "max" : "1",
      "mustSupport" : true
    },
    {
      "id" : "Measure.extension:renderMissingElements",
      "path" : "Measure.extension",
      "sliceName" : "renderMissingElements",
      "type" : [{
        "code" : "Extension",
        "profile" : ["http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-renderMissingElements"]
      }],
      "mustSupport" : false
    },
    {
      "id" : "Measure.extension:limitations",
      "path" : "Measure.extension",
      "sliceName" : "limitations",
      "definition" : "identifies what limitations should be noted, including potential selection biases and confounding factors when interpreting indicator results or comparing results across the country.",
      "type" : [{
        "code" : "Extension",
        "profile" : ["http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-limitations"]
      }],
      "mustSupport" : false
    },
    {
      "id" : "Measure.extension:trendingIssues",
      "path" : "Measure.extension",
      "sliceName" : "trendingIssues",
      "definition" : "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).",
      "type" : [{
        "code" : "Extension",
        "profile" : ["http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-trendingIssues"]
      }],
      "mustSupport" : false
    },
    {
      "id" : "Measure.extension:supplementalDataGuidance",
      "path" : "Measure.extension",
      "sliceName" : "supplementalDataGuidance",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Extension",
        "profile" : ["http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-supplementalDataGuidance"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "Measure.extension:comment",
      "path" : "Measure.extension",
      "sliceName" : "comment",
      "short" : "Additional documentation, review, or usage guidance",
      "definition" : "A comment containing additional documentation, a review comment, usage guidance, or other relevant information from a particular user.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "DomainResource.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension",
        "profile" : ["http://hl7.org/fhir/StructureDefinition/cqf-artifactComment"]
      }],
      "mustSupport" : true,
      "isModifier" : false
    },
    {
      "id" : "Measure.extension:softwaresystem",
      "path" : "Measure.extension",
      "sliceName" : "softwaresystem",
      "short" : "Extension",
      "definition" : "Specifies the software systems used in the packaging and testing of measure and library resources. Specifically to know which version of what software was used.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "DomainResource.extension",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "Extension",
        "profile" : ["http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem"]
      }],
      "mustSupport" : true,
      "isModifier" : false
    },
    {
      "id" : "Measure.extension:improvementNotationGuidance",
      "path" : "Measure.extension",
      "sliceName" : "improvementNotationGuidance",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Extension",
        "profile" : ["http://hl7.org/fhir/StructureDefinition/cqf-improvementNotationGuidance"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "Measure.identifier",
      "path" : "Measure.identifier",
      "slicing" : {
        "discriminator" : [{
          "type" : "value",
          "path" : "type"
        }],
        "rules" : "open"
      },
      "requirements" : "A published measure must be able to specify additional identifiers such as endorser and publisher identifiers for the measure.",
      "min" : 3,
      "max" : "*",
      "type" : [{
        "code" : "Identifier"
      }],
      "mustSupport" : true
    },
    {
      "id" : "Measure.identifier:versionIndependentIdentifier",
      "path" : "Measure.identifier",
      "sliceName" : "versionIndependentIdentifier",
      "short" : "Measure guid",
      "definition" : "The version-independent globally unique identifier for the measure (GUID).",
      "min" : 1,
      "max" : "1",
      "mustSupport" : true
    },
    {
      "id" : "Measure.identifier:versionIndependentIdentifier.use",
      "path" : "Measure.identifier.use",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "fixedCode" : "official",
      "mustSupport" : true
    },
    {
      "id" : "Measure.identifier:versionIndependentIdentifier.type",
      "path" : "Measure.identifier.type",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "patternCodeableConcept" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/artifact-identifier-type",
          "code" : "version-independent"
        }]
      },
      "mustSupport" : true
    },
    {
      "id" : "Measure.identifier:versionIndependentIdentifier.system",
      "path" : "Measure.identifier.system",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "uri"
      }],
      "fixedUri" : "urn:ietf:rfc:3986",
      "mustSupport" : true
    },
    {
      "id" : "Measure.identifier:versionIndependentIdentifier.value",
      "path" : "Measure.identifier.value",
      "min" : 1,
      "max" : "1",
      "mustSupport" : true
    },
    {
      "id" : "Measure.identifier:versionSpecificIdentifier",
      "path" : "Measure.identifier",
      "sliceName" : "versionSpecificIdentifier",
      "short" : "Measure version guid",
      "definition" : "The version-specific globally unique identifier for the measure (GUID).",
      "min" : 1,
      "max" : "1",
      "mustSupport" : true
    },
    {
      "id" : "Measure.identifier:versionSpecificIdentifier.use",
      "path" : "Measure.identifier.use",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "fixedCode" : "official",
      "mustSupport" : true
    },
    {
      "id" : "Measure.identifier:versionSpecificIdentifier.type",
      "path" : "Measure.identifier.type",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "patternCodeableConcept" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/artifact-identifier-type",
          "code" : "version-specific"
        }]
      },
      "mustSupport" : true
    },
    {
      "id" : "Measure.identifier:versionSpecificIdentifier.system",
      "path" : "Measure.identifier.system",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "uri"
      }],
      "fixedUri" : "urn:ietf:rfc:3986",
      "mustSupport" : true
    },
    {
      "id" : "Measure.identifier:versionSpecificIdentifier.value",
      "path" : "Measure.identifier.value",
      "min" : 1,
      "max" : "1",
      "mustSupport" : true
    },
    {
      "id" : "Measure.identifier:shortName",
      "path" : "Measure.identifier",
      "sliceName" : "shortName",
      "short" : "Short name",
      "definition" : "The short name for the measure (e.g. CMS104v4).",
      "min" : 1,
      "max" : "1",
      "mustSupport" : true
    },
    {
      "id" : "Measure.identifier:shortName.use",
      "path" : "Measure.identifier.use",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "fixedCode" : "usual",
      "mustSupport" : true
    },
    {
      "id" : "Measure.identifier:shortName.type",
      "path" : "Measure.identifier.type",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "patternCodeableConcept" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/artifact-identifier-type",
          "code" : "short-name"
        }]
      },
      "mustSupport" : true
    },
    {
      "id" : "Measure.identifier:shortName.value",
      "path" : "Measure.identifier.value",
      "min" : 1,
      "max" : "1",
      "mustSupport" : true
    },
    {
      "id" : "Measure.identifier:endorserIdentifier",
      "path" : "Measure.identifier",
      "sliceName" : "endorserIdentifier",
      "short" : "Endorser identifier",
      "definition" : "An identifier assigned by the measure endorser.",
      "min" : 0,
      "max" : "*",
      "mustSupport" : true
    },
    {
      "id" : "Measure.identifier:endorserIdentifier.use",
      "path" : "Measure.identifier.use",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "fixedCode" : "official",
      "mustSupport" : true
    },
    {
      "id" : "Measure.identifier:endorserIdentifier.type",
      "path" : "Measure.identifier.type",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "patternCodeableConcept" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/artifact-identifier-type",
          "code" : "endorser"
        }]
      },
      "mustSupport" : true
    },
    {
      "id" : "Measure.identifier:endorserIdentifier.system",
      "path" : "Measure.identifier.system",
      "min" : 0,
      "max" : "1",
      "mustSupport" : true
    },
    {
      "id" : "Measure.identifier:endorserIdentifier.value",
      "path" : "Measure.identifier.value",
      "min" : 1,
      "max" : "1",
      "mustSupport" : true
    },
    {
      "id" : "Measure.identifier:endorserIdentifier.assigner",
      "path" : "Measure.identifier.assigner",
      "min" : 1,
      "max" : "1",
      "mustSupport" : true
    },
    {
      "id" : "Measure.identifier:endorserIdentifier.assigner.display",
      "path" : "Measure.identifier.assigner.display",
      "min" : 1,
      "max" : "1",
      "mustSupport" : true
    },
    {
      "id" : "Measure.identifier:publisherIdentifier",
      "path" : "Measure.identifier",
      "sliceName" : "publisherIdentifier",
      "short" : "Publisher identifier",
      "definition" : "An identifier assigned by the measure publisher.",
      "min" : 0,
      "max" : "*",
      "mustSupport" : true
    },
    {
      "id" : "Measure.identifier:publisherIdentifier.use",
      "path" : "Measure.identifier.use",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "fixedCode" : "official",
      "mustSupport" : true
    },
    {
      "id" : "Measure.identifier:publisherIdentifier.type",
      "path" : "Measure.identifier.type",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "patternCodeableConcept" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/artifact-identifier-type",
          "code" : "publisher"
        }]
      },
      "mustSupport" : true
    },
    {
      "id" : "Measure.identifier:publisherIdentifier.system",
      "path" : "Measure.identifier.system",
      "min" : 0,
      "max" : "1",
      "mustSupport" : true
    },
    {
      "id" : "Measure.identifier:publisherIdentifier.value",
      "path" : "Measure.identifier.value",
      "min" : 1,
      "max" : "1",
      "mustSupport" : true
    },
    {
      "id" : "Measure.identifier:publisherIdentifier.assigner",
      "path" : "Measure.identifier.assigner",
      "min" : 1,
      "max" : "1",
      "mustSupport" : true
    },
    {
      "id" : "Measure.identifier:publisherIdentifier.assigner.display",
      "path" : "Measure.identifier.assigner.display",
      "min" : 1,
      "max" : "1",
      "mustSupport" : true
    },
    {
      "id" : "Measure.title",
      "path" : "Measure.title",
      "requirements" : "A published measure must specify a human-friendly title.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }],
      "mustSupport" : true
    },
    {
      "id" : "Measure.status",
      "path" : "Measure.status",
      "requirements" : "A published measure must have a status of active.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "mustSupport" : false
    },
    {
      "id" : "Measure.date",
      "path" : "Measure.date",
      "requirements" : "A published measure must specify the date the measure content was last changed.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "dateTime"
      }],
      "mustSupport" : true
    },
    {
      "id" : "Measure.publisher",
      "path" : "Measure.publisher",
      "requirements" : "A published measure must provide publisher information.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }],
      "mustSupport" : false
    },
    {
      "id" : "Measure.contact",
      "path" : "Measure.contact",
      "requirements" : "A published measure must provide contact information for the publisher.",
      "min" : 1,
      "max" : "*",
      "type" : [{
        "code" : "ContactDetail"
      }],
      "mustSupport" : true
    },
    {
      "id" : "Measure.useContext",
      "path" : "Measure.useContext",
      "slicing" : {
        "discriminator" : [{
          "type" : "value",
          "path" : "code"
        }],
        "rules" : "open"
      },
      "requirements" : "A published measure must be able to specify intended contexts of use such as intended venue.",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "UsageContext"
      }],
      "mustSupport" : true
    },
    {
      "id" : "Measure.useContext:intendedVenue",
      "path" : "Measure.useContext",
      "sliceName" : "intendedVenue",
      "short" : "What venue?",
      "definition" : "The intended venue for use for this measure.",
      "min" : 0,
      "max" : "*",
      "mustSupport" : true
    },
    {
      "id" : "Measure.useContext:intendedVenue.code",
      "path" : "Measure.useContext.code",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "Coding"
      }],
      "patternCoding" : {
        "system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
        "code" : "venue"
      },
      "mustSupport" : true
    },
    {
      "id" : "Measure.useContext:intendedVenue.value[x]",
      "path" : "Measure.useContext.value[x]",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "mustSupport" : true,
      "binding" : {
        "strength" : "extensible",
        "valueSet" : "http://hl7.org/fhir/uv/cqm/ValueSet/intended-venue"
      }
    },
    {
      "id" : "Measure.purpose",
      "path" : "Measure.purpose",
      "short" : "Why this measure is defined",
      "definition" : "Explanation of why this measure is needed and why it has been designed as it has.",
      "requirements" : "A published measure should provide a clear description of the purpose of the measure.",
      "min" : 0,
      "max" : "1",
      "mustSupport" : true
    },
    {
      "id" : "Measure.usage",
      "path" : "Measure.usage",
      "short" : "Allows measure developers to provide additional guidance so that implementers can more easily interpret and implement components of the measure.",
      "requirements" : "A published measure should provide clinical usage notes for the measure.",
      "mustSupport" : true
    },
    {
      "id" : "Measure.copyright",
      "path" : "Measure.copyright",
      "requirements" : "A published measure should provide copyright information for the measure content.",
      "mustSupport" : true
    },
    {
      "id" : "Measure.approvalDate",
      "path" : "Measure.approvalDate",
      "requirements" : "A published measure must indicate the date the measure content was approved by the publisher.",
      "mustSupport" : true
    },
    {
      "id" : "Measure.lastReviewDate",
      "path" : "Measure.lastReviewDate",
      "requirements" : "A published measure must indicate when the measure content was last reviewed.",
      "mustSupport" : true
    },
    {
      "id" : "Measure.effectivePeriod",
      "path" : "Measure.effectivePeriod",
      "requirements" : "A published measure should provide an indication of the period during which the measure content can be effectively applied.",
      "mustSupport" : true
    },
    {
      "id" : "Measure.effectivePeriod.extension:anchor",
      "path" : "Measure.effectivePeriod.extension",
      "sliceName" : "anchor",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Extension",
        "profile" : ["http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-effectivePeriodAnchor"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "Measure.effectivePeriod.extension:duration",
      "path" : "Measure.effectivePeriod.extension",
      "sliceName" : "duration",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Extension",
        "profile" : ["http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-effectivePeriodDuration"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "Measure.topic",
      "path" : "Measure.topic",
      "requirements" : "A published measure should provide relevant topics for the measure content.",
      "mustSupport" : true
    },
    {
      "id" : "Measure.author",
      "path" : "Measure.author",
      "mustSupport" : true
    },
    {
      "id" : "Measure.editor",
      "path" : "Measure.editor",
      "mustSupport" : true
    },
    {
      "id" : "Measure.reviewer",
      "path" : "Measure.reviewer",
      "mustSupport" : true
    },
    {
      "id" : "Measure.endorser",
      "path" : "Measure.endorser",
      "mustSupport" : true
    },
    {
      "id" : "Measure.relatedArtifact",
      "path" : "Measure.relatedArtifact",
      "slicing" : {
        "discriminator" : [{
          "type" : "value",
          "path" : "type"
        }],
        "rules" : "open"
      },
      "requirements" : "A published measure should provide related information such as supporting evidence, citations, and documentation.",
      "mustSupport" : true
    },
    {
      "id" : "Measure.relatedArtifact:predecessor",
      "path" : "Measure.relatedArtifact",
      "sliceName" : "predecessor",
      "short" : "Previous measure?",
      "definition" : "Reference to a predecessor measure that this measure is replacing.",
      "requirements" : "A published measure should indicate which measure it is replacing, if any.",
      "min" : 0,
      "max" : "1",
      "mustSupport" : true
    },
    {
      "id" : "Measure.relatedArtifact:predecessor.type",
      "path" : "Measure.relatedArtifact.type",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "fixedCode" : "predecessor",
      "mustSupport" : true
    },
    {
      "id" : "Measure.relatedArtifact:predecessor.resource",
      "path" : "Measure.relatedArtifact.resource",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "canonical",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Measure"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "Measure.relatedArtifact:citation",
      "path" : "Measure.relatedArtifact",
      "sliceName" : "citation",
      "short" : "Reference/citation",
      "min" : 0,
      "max" : "*",
      "mustSupport" : true
    },
    {
      "id" : "Measure.relatedArtifact:citation.extension:isPrimaryCitation",
      "path" : "Measure.relatedArtifact.extension",
      "sliceName" : "isPrimaryCitation",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Extension",
        "profile" : ["http://hl7.org/fhir/StructureDefinition/cqf-isPrimaryCitation"]
      }],
      "mustSupport" : false
    },
    {
      "id" : "Measure.relatedArtifact:citation.extension:publicationStatus",
      "path" : "Measure.relatedArtifact.extension",
      "sliceName" : "publicationStatus",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Extension",
        "profile" : ["http://hl7.org/fhir/StructureDefinition/cqf-publicationStatus"]
      }],
      "mustSupport" : false
    },
    {
      "id" : "Measure.relatedArtifact:citation.extension:publicationDate",
      "path" : "Measure.relatedArtifact.extension",
      "sliceName" : "publicationDate",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Extension",
        "profile" : ["http://hl7.org/fhir/StructureDefinition/cqf-publicationDate"]
      }],
      "mustSupport" : false
    },
    {
      "id" : "Measure.relatedArtifact:citation.type",
      "path" : "Measure.relatedArtifact.type",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "fixedCode" : "citation",
      "mustSupport" : true
    },
    {
      "id" : "Measure.relatedArtifact:derived-from",
      "path" : "Measure.relatedArtifact",
      "sliceName" : "derived-from",
      "short" : "URL or canonical reference to other resources that a measure is derived from",
      "min" : 0,
      "max" : "*",
      "mustSupport" : true
    },
    {
      "id" : "Measure.relatedArtifact:derived-from.type",
      "path" : "Measure.relatedArtifact.type",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "code"
      }],
      "fixedCode" : "derived-from",
      "mustSupport" : true
    },
    {
      "id" : "Measure.relatedArtifact:derived-from.label",
      "path" : "Measure.relatedArtifact.label",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }],
      "mustSupport" : false
    },
    {
      "id" : "Measure.relatedArtifact:derived-from.display",
      "path" : "Measure.relatedArtifact.display",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "string"
      }]
    },
    {
      "id" : "Measure.relatedArtifact:derived-from.url",
      "path" : "Measure.relatedArtifact.url",
      "short" : "Should be permalink otherwise include an \"accessed date\"",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "url"
      }],
      "mustSupport" : false
    },
    {
      "id" : "Measure.relatedArtifact:derived-from.resource",
      "path" : "Measure.relatedArtifact.resource",
      "short" : "Should be permalink otherwise include an \"accessed date\"",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "canonical",
        "targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Measure"]
      }]
    },
    {
      "id" : "Measure.disclaimer",
      "path" : "Measure.disclaimer",
      "requirements" : "A published measure should provide legal disclaimer relating to the use of the measure content.",
      "mustSupport" : true
    },
    {
      "id" : "Measure.type",
      "path" : "Measure.type",
      "short" : "process | outcome | structure | patient-reported-outcome | composite",
      "definition" : "Indicates whether the measure is used to examine a process, an outcome over time, a patient-reported outcome, or a structure measure such as utilization.",
      "requirements" : "A measure must indicate the type of the measure.",
      "min" : 0,
      "max" : "*",
      "base" : {
        "path" : "Measure.type",
        "min" : 0,
        "max" : "*"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }],
      "mustSupport" : true,
      "isModifier" : false,
      "isSummary" : true,
      "binding" : {
        "strength" : "extensible",
        "valueSet" : "http://terminology.hl7.org/ValueSet/measure-type"
      }
    },
    {
      "id" : "Measure.rationale",
      "path" : "Measure.rationale",
      "short" : "Justification for the measure in terms of impact, gap in care, and evidence.",
      "definition" : "Provides a detailed justification of the need for the measure, including statements pertaining to importance criterion: impact, gap in care, and evidence.",
      "min" : 0,
      "max" : "1",
      "mustSupport" : true
    },
    {
      "id" : "Measure.definition",
      "path" : "Measure.definition",
      "min" : 0,
      "max" : "*",
      "mustSupport" : false
    },
    {
      "id" : "Measure.definition.extension:definitionTerm",
      "path" : "Measure.definition.extension",
      "sliceName" : "definitionTerm",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "Extension",
        "profile" : ["http://hl7.org/fhir/StructureDefinition/cqf-definitionTerm"]
      }],
      "mustSupport" : false
    },
    {
      "id" : "Measure.guidance",
      "path" : "Measure.guidance",
      "min" : 0,
      "max" : "0",
      "mustSupport" : false
    },
    {
      "id" : "Measure.group.extension:improvementNotationGuidance",
      "path" : "Measure.group.extension",
      "sliceName" : "improvementNotationGuidance",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Extension",
        "profile" : ["http://hl7.org/fhir/StructureDefinition/cqf-improvementNotationGuidance"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "Measure.supplementalData",
      "path" : "Measure.supplementalData",
      "mustSupport" : true
    },
    {
      "id" : "Measure.supplementalData.extension:includeInReportType",
      "path" : "Measure.supplementalData.extension",
      "sliceName" : "includeInReportType",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Extension",
        "profile" : ["http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-includeInReportType"]
      }],
      "mustSupport" : true
    }]
  }
}

```
