# DEQM Measure Scoring Extension - Data Exchange For Quality Measures Implementation Guide v1.0.0-ballot

## Extension: DEQM Measure Scoring Extension 

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**

### 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
1. value[x]: Value of extension

Example can be found in [Indv Measurereport01](MeasureReport-indv-measurereport01.md)

**Usage info**

**Usages:**

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

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

### Formal Views of Extension Content

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

 

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



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "deqm-measureScoring",
  "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/deqm/ImplementationGuide/hl7.fhir.uv.deqm"
      }]
    }
  },
  {
    "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/deqm/ImplementationGuide/hl7.fhir.uv.deqm"
      }]
    }
  }],
  "url" : "http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-measureScoring",
  "version" : "1.0.0-ballot",
  "name" : "DEQMMeasureScoringExtension",
  "title" : "DEQM Measure Scoring Extension",
  "status" : "active",
  "date" : "2026-04-07T14:18:11+10:00",
  "publisher" : "HL7 International / Clinical Quality Information",
  "contact" : [{
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org/Special/committees/cqi"
    }]
  }],
  "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. It is expected to be the same as the scoring element on the referenced Measure",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "code" : "001",
      "display" : "World"
    }]
  }],
  "fhirVersion" : "4.0.1",
  "mapping" : [{
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  }],
  "kind" : "complex-type",
  "abstract" : false,
  "context" : [{
    "type" : "element",
    "expression" : "MeasureReport"
  },
  {
    "type" : "element",
    "expression" : "MeasureReport.group"
  }],
  "type" : "Extension",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Extension",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "id" : "Extension.extension",
      "path" : "Extension.extension",
      "max" : "0"
    },
    {
      "id" : "Extension.url",
      "path" : "Extension.url",
      "fixedUri" : "http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-measureScoring"
    },
    {
      "id" : "Extension.value[x]",
      "path" : "Extension.value[x]",
      "slicing" : {
        "discriminator" : [{
          "type" : "type",
          "path" : "$this"
        }],
        "ordered" : false,
        "rules" : "open"
      },
      "type" : [{
        "code" : "CodeableConcept"
      }]
    },
    {
      "id" : "Extension.valueCodeableConcept",
      "path" : "Extension.valueCodeableConcept",
      "min" : 1,
      "max" : "1",
      "binding" : {
        "strength" : "extensible",
        "valueSet" : "http://terminology.hl7.org/ValueSet/measure-scoring"
      }
    }]
  }
}

```
