Data Exchange For Quality Measures Implementation Guide
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## Extension: DEQM Measure Scoring Extension

Official URL: http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-measureScoring | Version: 1.0.0-ballot | Highlight text changes?
Standards status: Trial-use Active as of 2026-04-07 | Maturity Level: 4 | Computable Name: DEQMMeasureScoringExtension

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. It is expected to be the same as the scoring element on the referenced Measure

Context of Use

This extension may be used on the following element(s)

- Element ID: `MeasureReport`
- Element ID: `MeasureReport.group`

### Mandatory Data Elements and Terminology

The following data-elements are mandatory (i.e data MUST be present).

Each Extension Must Have:

1. url: identifies the meaning of the extension
2. value[x]: Value of extension

Example can be found in Indv Measurereport01

Usage info

Usages:

- Use this Extension: DEQM Individual MeasureReport Profile, DEQM Subject List MeasureReport and DEQM Summary MeasureReport Profile
- Examples for this Extension: Bundle/multiple-indv-mrp-obs-report, Bundle/multiple-indv-mrp-task-report, Bundle/multiple-summ-report, Bundle/non-document-gaps-in-care... Show 34 more, Bundle/single-gaps-closed-indv-report01, Bundle/single-gaps-closed-indv-report02, Bundle/single-gaps-open-indv-report01, Bundle/single-indv-col-obs-report, Bundle/single-indv-mrp-obs-report, Bundle/single-indv-mrp-task-report, Bundle/single-indv-vte-report-option1, Bundle/single-indv-vte-report-option7, MeasureReport/MeasureReport-PI-example, MeasureReport/SupportingEvidenceExample, MeasureReport/attestation-boolean-example, MeasureReport/date-of-last-power-outage, MeasureReport/gaps-indv-measurereport01, MeasureReport/gaps-indv-measurereport02, MeasureReport/gaps-indv-measurereport03, MeasureReport/gaps-indv-measurereport04, MeasureReport/indv-measurereport-patient-level-linear, MeasureReport/indv-measurereport-weighted-composite, MeasureReport/indv-measurereport01, MeasureReport/indv-measurereport02, MeasureReport/indv-measurereport03, MeasureReport/indv-measurreport-stratification-example, MeasureReport/subjectlist-measurereport01, MeasureReport/summ-contained-supplemental, MeasureReport/summ-measurereport01, MeasureReport/summ-measurereport02, MeasureReport/summ-medicare-stratification-example, MeasureReport/summary-measurereport-patient-level-linear, MeasureReport/summary-measurereport-weighted-composite, Parameters/multiple-gaps-indv-report01, Parameters/multiple-gaps-indv-report02, Parameters/single-gaps-closed-indv-report01, Parameters/single-gaps-closed-indv-report02 and Parameters/single-gaps-open-indv-report01

You can also check for usages in the FHIR IG Statistics

### Formal Views of Extension Content

Description Differentials, Snapshots, and other representations.

- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  |  | Extension |
extension |  | 0..0 |  | Extension
url |  | 1..1 | uri | "http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-measureScoring"
value[x] |  | 1..1 | CodeableConcept | Value of extension Slice: Unordered, Open by type:$this
valueCodeableConcept |  | 1..1 | CodeableConcept | Value of extension Binding: Measure Scoring (extensible)
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Extension.valueCodeableConcept | Base | extensible | Measure Scoring | 📦2.0.0 | THO v7.1

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | Optional Extensions Element
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-measureScoring"
Slices for value[x] |  | 1..1 | CodeableConcept | Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept |  | 1..1 | CodeableConcept | Value of extension Binding: Measure Scoring (extensible)
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Extension.value[x]:valueCodeableConcept | Base | extensible | Measure Scoring | 📦2.0.0 | THO v7.1

#### Constraints

Id | Grade | Path(s) | Description | Expression
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

Summary

Simple Extension with the type CodeableConcept: 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. It is expected to be the same as the scoring element on the referenced Measure

Maturity: 4

Differential ViewDifferential View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  |  | Extension |
extension |  | 0..0 |  | Extension
url |  | 1..1 | uri | "http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-measureScoring"
value[x] |  | 1..1 | CodeableConcept | Value of extension Slice: Unordered, Open by type:$this
valueCodeableConcept |  | 1..1 | CodeableConcept | Value of extension Binding: Measure Scoring (extensible)
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Extension.valueCodeableConcept | Base | extensible | Measure Scoring | 📦2.0.0 | THO v7.1

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | Optional Extensions Element
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-measureScoring"
Slices for value[x] |  | 1..1 | CodeableConcept | Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept |  | 1..1 | CodeableConcept | Value of extension Binding: Measure Scoring (extensible)
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Extension.value[x]:valueCodeableConcept | Base | extensible | Measure Scoring | 📦2.0.0 | THO v7.1

#### Constraints

Id | Grade | Path(s) | Description | Expression
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

Summary

Simple Extension with the type CodeableConcept: 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. It is expected to be the same as the scoring element on the referenced Measure

Maturity: 4

Other representations of profile: CSV, Excel, Schematron