{
  "description": "The Fast Healthcare Interoperability Resource (FHIR) Quality Measure Implementation Guide (this IG) describes an approach to representing electronic Clinical Quality Measures (eCQMs) 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.",
  "_filename": "ig-r4.json",
  "package_name": "hl7.fhir.us.cqfmeasures",
  "definition": {
    "grouping": [ {
      "id": "profile-library-cqfm-spreadsheet.xml",
      "name": "CQFMLibrary"
    }, {
      "id": "profile-measure-cqfm-spreadsheet.xml",
      "name": "CQFMMeasure"
    }, {
      "id": "profile-proportion-measure-cqfm-spreadsheet.xml",
      "name": "CQFMProportionMeasure"
    }, {
      "id": "profile-publishable-measure-cqfm-spreadsheet.xml",
      "name": "CQFMPublishableMeasure"
    }, {
      "id": "profile-ratio-measure-cqfm-spreadsheet.xml",
      "name": "CQFMRatioMeasure"
    }, {
      "id": "profile-continuous-variable-measure-cqfm-spreadsheet.xml",
      "name": "CQFMContinuousVariableMeasure"
    }, {
      "id": "profile-cohort-measure-cqfm-spreadsheet.xml",
      "name": "CQFMCohortMeasure"
    }, {
      "id": "profile-testcase-bundle-cqfm-spreadsheet.xml",
      "name": "CQFMTestCaseBundle"
    }, {
      "id": "profile-library-bundle-cqfm-spreadsheet.xml",
      "name": "CQFMLibraryBundle"
    }, {
      "id": "profile-publishable-library-cqfm-spreadsheet.xml",
      "name": "CQFMPublishableLibrary"
    }, {
      "id": "profile-computable-library-cqfm-spreadsheet.xml",
      "name": "CPFMComputableLibrary"
    }, {
      "id": "profile-executable-library-cqfm-spreadsheet.xml",
      "name": "CQFMExecutableLibrary"
    }, {
      "id": "profile-measure-bundle-cqfm-spreadsheet.xml",
      "name": "CQFMMeasureBundle"
    }, {
      "id": "profile-quality-program-cqfm-spreadsheet.xml",
      "name": "CQFMQualityProgram"
    }, {
      "id": "profile-device-softwaresystem-cqfm-spreadsheet.xml",
      "name": "CQFMDevice"
    } ],
    "resource": [ {
      "name": "Device - Software System",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Device"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Device-software-system-example.html"
      } ],
      "reference": {
        "reference": "Device/software-system-example"
      },
      "exampleBoolean": true
    }, {
      "name": "Bundle - EXM Measure Bundle",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Bundle"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Bundle-exm-measure-bundle.html"
      } ],
      "reference": {
        "reference": "Bundle/exm-measure-bundle"
      },
      "exampleBoolean": true
    }, {
      "name": "Bundle - EXM Library Bundle",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Bundle"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Bundle-exm-library-bundle.html"
      } ],
      "reference": {
        "reference": "Bundle/exm-library-bundle"
      },
      "exampleBoolean": true
    }, {
      "name": "Bundle - EXM Testcase Bundle",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Bundle"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Bundle-exm-testcase-bundle.html"
      } ],
      "reference": {
        "reference": "Bundle/exm-testcase-bundle"
      },
      "exampleBoolean": true
    }, {
      "name": "Library - Adult Outpatient Encounters",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Library"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Library-AdultOutpatientEncounters.html"
      } ],
      "reference": {
        "reference": "Library/AdultOutpatientEncounters"
      },
      "exampleBoolean": true
    }, {
      "name": "Library - Common Example",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Library"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Library-Common.html"
      } ],
      "reference": {
        "reference": "Library/Common"
      },
      "description": "Example Common Library",
      "exampleBoolean": true
    }, {
      "name": "Library - Example",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Library"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Library-EXMLogic.html"
      } ],
      "reference": {
        "reference": "Library/EXMLogic"
      },
      "description": "Example Library",
      "exampleBoolean": true
    }, {
      "name": "Library - EXM55",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Library"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Library-EXM55.html"
      } ],
      "reference": {
        "reference": "Library/EXM55"
      },
      "description": "Continuous Variable Measure Example Library",
      "exampleBoolean": true
    }, {
      "name": "Library - EXM Computable Library",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Library"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Library-EXMComputableLibrary.html"
      } ],
      "reference": {
        "reference": "Library/EXMComputableLibrary"
      },
      "description": "Example Computable Library",
      "exampleBoolean": true
    }, {
      "name": "Library - EXMExecutableLibrary",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Library"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Library-EXMExecutableLibrary.html"
      } ],
      "reference": {
        "reference": "Library/EXMExecutableLibrary"
      },
      "description": "Example Executable Library",
      "exampleBoolean": true
    }, {
      "name": "Library - EXM Publishable Library",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Library"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Library-EXMPublishableLibrary.html"
      } ],
      "reference": {
        "reference": "Library/EXMPublishableLibrary"
      },
      "description": "Example Publishable Library",
      "exampleBoolean": true
    }, {
      "name": "Library - EXM124",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Library"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Library-EXM124.html"
      } ],
      "reference": {
        "reference": "Library/EXM124"
      },
      "description": "Cervical Cancer Screening Example Library",
      "exampleBoolean": true
    }, {
      "name": "Library - EXM125",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Library"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Library-EXM125.html"
      } ],
      "reference": {
        "reference": "Library/EXM125"
      },
      "description": "Breast Cancer Screening Example Library",
      "exampleBoolean": true
    }, {
      "name": "Library - EXM130",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Library"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Library-EXM130.html"
      } ],
      "reference": {
        "reference": "Library/EXM130"
      },
      "description": "Colorectal Cancer Screening Example Library",
      "exampleBoolean": true
    }, {
      "name": "Library - EXM146",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Library"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Library-EXM146.html"
      } ],
      "reference": {
        "reference": "Library/EXM146"
      },
      "description": "Proportion Measure Example Library",
      "exampleBoolean": true
    }, {
      "name": "Library - FHIR Model Definition for R4 (v4.0.1)",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Library"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Library-FHIR-ModelInfo.html"
      } ],
      "reference": {
        "reference": "Library/FHIR-ModelInfo"
      },
      "exampleBoolean": true
    }, {
      "name": "Library - FHIR Helpers for R4 (v4.0.1)",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Library"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Library-FHIRHelpers.html"
      } ],
      "reference": {
        "reference": "Library/FHIRHelpers"
      },
      "exampleBoolean": true
    }, {
      "name": "Library - Hospice Example",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Library"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Library-Hospice.html"
      } ],
      "reference": {
        "reference": "Library/Hospice"
      },
      "exampleBoolean": true
    }, {
      "name": "Library - MAT Global Common Functions Example",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Library"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Library-MATGlobalCommonFunctions.html"
      } ],
      "reference": {
        "reference": "Library/MATGlobalCommonFunctions"
      },
      "exampleBoolean": true
    }, {
      "name": "Library - Supplemental Data Elements Example",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Library"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Library-SupplementalDataElements.html"
      } ],
      "reference": {
        "reference": "Library/SupplementalDataElements"
      },
      "exampleBoolean": true
    }, {
      "name": "Library - Terminology Example",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Library"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Library-Terminology.html"
      } ],
      "reference": {
        "reference": "Library/Terminology"
      },
      "exampleBoolean": true
    }, {
      "name": "Library - VTE ICU Example",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Library"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Library-VTEICU.html"
      } ],
      "reference": {
        "reference": "Library/VTEICU"
      },
      "exampleBoolean": true
    }, {
      "name": "Library - TJC Overall Example",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Library"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Library-TJCOverall.html"
      } ],
      "reference": {
        "reference": "Library/TJCOverall"
      },
      "exampleBoolean": true
    }, {
      "name": "Library - Venous Thromboembolism Prophylaxis Example",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Library"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Library-EXM108.html"
      } ],
      "reference": {
        "reference": "Library/EXM108"
      },
      "exampleBoolean": true
    }, {
      "name": "Library - Risk Adjustment Example (FHIR2)",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Library"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Library-library-risk-adjustment-FHIR2.html"
      } ],
      "reference": {
        "reference": "Library/risk-adjustment-FHIR2"
      },
      "exampleBoolean": true
    }, {
      "name": "Library - FHIR Helpers (FHIR2)",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Library"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Library-library-fhir-helpers-FHIR2.json"
      } ],
      "reference": {
        "reference": "Library/fhir-helpers-FHIR2"
      },
      "exampleBoolean": true
    }, {
      "name": "Library - FHIR Model Definition (FHIR2)",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Library"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Library-library-fhir-model-definition-FHIR2.json"
      } ],
      "reference": {
        "reference": "Library/fhir-model-definition-FHIR2"
      },
      "exampleBoolean": true
    }, {
      "name": "Measure - Example",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Measure"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Measure-measure-exm.html"
      } ],
      "reference": {
        "reference": "Measure/measure-exm"
      },
      "description": "Example Measure",
      "exampleBoolean": true
    }, {
      "name": "Publishable Measure - Example",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Measure"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Measure-measure-publishable-exm.html"
      } ],
      "reference": {
        "reference": "Measure/measure-publishable-exm"
      },
      "description": "Example Publishable Measure",
      "exampleBoolean": true
    }, {
      "name": "Ratio Measure - Example",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Measure"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Measure-measure-ratio-exm.html"
      } ],
      "reference": {
        "reference": "Measure/measure-ratio-exm"
      },
      "description": "Example Ratio Measure",
      "exampleBoolean": true
    }, {
      "name": "Measure - EXM55",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Measure"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Measure-measure-exm55-FHIR.html"
      } ],
      "reference": {
        "reference": "Measure/measure-exm55-FHIR"
      },
      "description": "Example Continuous-variable Measure",
      "exampleBoolean": true
    }, {
      "name": "Measure - EXM124",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Measure"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Measure-measure-exm124-FHIR.html"
      } ],
      "reference": {
        "reference": "Measure/measure-exm124-FHIR"
      },
      "description": "Cervical Cancer Screening",
      "exampleBoolean": true
    }, {
      "name": "Measure - EXM125",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Measure"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Measure-measure-exm125-FHIR.html"
      } ],
      "reference": {
        "reference": "Measure/measure-exm125-FHIR"
      },
      "description": "Breast Cancer Screening",
      "exampleBoolean": true
    }, {
      "name": "Measure - EXM130",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Measure"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Measure-measure-exm130-FHIR.html"
      } ],
      "reference": {
        "reference": "Measure/measure-exm130-FHIR"
      },
      "description": "Colorectal Cancer Screening",
      "exampleBoolean": true
    }, {
      "name": "Measure - EXM146",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Measure"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Measure-measure-exm146-FHIR.html"
      } ],
      "reference": {
        "reference": "Measure/measure-exm146-FHIR"
      },
      "description": "Example Proportion Measure",
      "exampleBoolean": true
    }, {
      "name": "Measure - Terminology Example",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Measure"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Measure-measure-terminology-FHIR.html"
      } ],
      "reference": {
        "reference": "Measure/measure-terminology-FHIR"
      },
      "description": "Example measure illustrating the use of terminology",
      "exampleBoolean": true
    }, {
      "name": "Measure - Venous Thromboembolism Prophylaxis",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Measure"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Measure-measure-vte-1-FHIR.html"
      } ],
      "reference": {
        "reference": "Measure/measure-vte-1-FHIR"
      },
      "description": "Example VTE-1 Measure",
      "exampleBoolean": true
    }, {
      "name": "Measure - Risk Adjustment (FHIR2)",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Measure"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Measure-measure-risk-adjustment-FHIR2.html"
      } ],
      "reference": {
        "reference": "Measure/measure-risk-adjustment-FHIR2"
      },
      "description": "Example Risk Adjustment Measure",
      "exampleBoolean": true
    }, {
      "name": "EP/EC Quality Program - Example",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "Library"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "Library-ep-ec-quality-program.html"
      } ],
      "reference": {
        "reference": "Library/ep-ec-quality-program"
      },
      "description": "Example EP/EC Quality Program",
      "exampleBoolean": true
    }, {
      "name": "StructureDefinition - Measure allocation extension",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:extension"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-cqfm-allocation.html"
      } ],
      "reference": {
        "reference": "StructureDefinition/cqfm-allocation"
      },
      "exampleBoolean": false
    }, {
      "name": "StructureDefinition - Measure definitionTerm extension",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:extension"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-cqfm-definitionTerm.html"
      } ],
      "reference": {
        "reference": "StructureDefinition/cqfm-definitionTerm"
      },
      "exampleBoolean": false
    }, {
      "name": "StructureDefinition - Measure isPrimaryCitation extension",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:extension"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-cqfm-isPrimaryCitation.html"
      } ],
      "reference": {
        "reference": "StructureDefinition/cqfm-isPrimaryCitation"
      },
      "exampleBoolean": false
    }, {
      "name": "StructureDefinition - Measure publicationStatus extension",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:extension"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-cqfm-publicationStatus.html"
      } ],
      "reference": {
        "reference": "StructureDefinition/cqfm-publicationStatus"
      },
      "exampleBoolean": false
    }, {
      "name": "StructureDefinition - Measure publicationDate extension",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:extension"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-cqfm-publicationDate.html"
      } ],
      "reference": {
        "reference": "StructureDefinition/cqfm-publicationDate"
      },
      "exampleBoolean": false
    }, {
      "name": "StructureDefinition - Measure populationBasis extension",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:extension"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-cqfm-populationBasis.html"
      } ],
      "reference": {
        "reference": "StructureDefinition/cqfm-populationBasis"
      },
      "exampleBoolean": false
    }, {
      "name": "StructureDefinition - Measure softwaresystem extension",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:extension"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-cqfm-softwaresystem.html"
      } ],
      "reference": {
        "reference": "StructureDefinition/cqfm-softwaresystem"
      },
      "exampleBoolean": false
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "CodeSystem"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "CodeSystem-aggregate-method.html"
      } ],
      "reference": {
        "reference": "CodeSystem/aggregate-method"
      },
      "exampleBoolean": false
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "CodeSystem"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "CodeSystem-quality-programs.html"
      } ],
      "reference": {
        "reference": "CodeSystem/quality-programs"
      },
      "exampleBoolean": false
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "CodeSystem"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "CodeSystem-artifact-comment-type.html"
      } ],
      "reference": {
        "reference": "CodeSystem/artifact-comment-type"
      },
      "exampleBoolean": false
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "CodeSystem"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "CodeSystem-software-system-type.html"
      } ],
      "reference": {
        "reference": "CodeSystem/software-system-type"
      },
      "exampleBoolean": false
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "ConceptMap"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "conceptmap-measure-populations.html"
      } ],
      "reference": {
        "reference": "ConceptMap/measure-populations"
      },
      "exampleBoolean": false
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "ValueSet"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "ValueSet-aggregate-method.html"
      } ],
      "reference": {
        "reference": "ValueSet/aggregate-method"
      },
      "exampleBoolean": false
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "ValueSet"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "ValueSet-quality-programs.html"
      } ],
      "reference": {
        "reference": "ValueSet/quality-programs"
      },
      "exampleBoolean": false
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "ValueSet"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "ValueSet-artifact-comment-type.html"
      } ],
      "reference": {
        "reference": "ValueSet/artifact-comment-type"
      },
      "exampleBoolean": false
    }, {
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "ValueSet"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "ValueSet-software-system-type.html"
      } ],
      "reference": {
        "reference": "ValueSet/software-system-type"
      },
      "exampleBoolean": false
    }, {
      "name": "ArtifactComment",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:extension"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-cqfm-artifactComment.html"
      } ],
      "reference": {
        "reference": "StructureDefinition/cqfm-artifactComment"
      },
      "groupingId": "profile-library-cqfm-spreadsheet.xml",
      "description": "A comment containing additional documentation, a review comment, usage guidance, or other relevant information from a particular user."
    }, {
      "name": "CQFMLibrary",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-library-cqfm.html"
      } ],
      "reference": {
        "reference": "StructureDefinition/library-cqfm"
      },
      "groupingId": "profile-library-cqfm-spreadsheet.xml",
      "description": "The CQFM Library profile defines the minimum expectations for a library used to distribute eCQM logic"
    }, {
      "name": "CQFMMeasure",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-measure-cqfm.html"
      } ],
      "reference": {
        "reference": "StructureDefinition/measure-cqfm"
      },
      "groupingId": "profile-measure-cqfm-spreadsheet.xml",
      "description": "The CQFM Measure Profile describes minimum expectations for defining an electronic Clinical Quality Measure (eCQM)"
    }, {
      "name": "CQFMProportionMeasure",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-proportion-measure-cqfm.html"
      } ],
      "reference": {
        "reference": "StructureDefinition/proportion-measure-cqfm"
      },
      "groupingId": "profile-proportion-measure-cqfm-spreadsheet.xml",
      "description": "The CQFM Proportion Measure Profile describes a proportion scoring measure"
    }, {
      "name": "EffectivePeriodAnchor",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:extension"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-cqfm-effectivePeriodAnchor.html"
      } ],
      "reference": {
        "reference": "StructureDefinition/cqfm-effectivePeriodAnchor"
      },
      "groupingId": "profile-publishable-measure-cqfm-spreadsheet.xml",
      "description": "Specifies the anchor date for the effective period as defined by a starting date and a range."
    }, {
      "name": "EffectivePeriodDuration",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:extension"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-cqfm-effectivePeriodDuration.html"
      } ],
      "reference": {
        "reference": "StructureDefinition/cqfm-effectivePeriodDuration"
      },
      "groupingId": "profile-publishable-measure-cqfm-spreadsheet.xml",
      "description": "Specifies the reporting period for the measure."
    }, {
      "name": "CQFMPublishableMeasure",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-publishable-measure-cqfm.html"
      } ],
      "reference": {
        "reference": "StructureDefinition/publishable-measure-cqfm"
      },
      "groupingId": "profile-publishable-measure-cqfm-spreadsheet.xml",
      "description": "The CQFM Publishable Measure profile defines the minimum expectations to enable appropriate content management, discovery, and utilization of published electronic Clinical Quality Measures (eCQMs)"
    }, {
      "name": "CQFMRatioMeasure",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-ratio-measure-cqfm.html"
      } ],
      "reference": {
        "reference": "StructureDefinition/ratio-measure-cqfm"
      },
      "groupingId": "profile-ratio-measure-cqfm-spreadsheet.xml",
      "description": "The CQFM Ratio Measure Profile describes a ratio scoring measure"
    }, {
      "name": "CriteriaReference",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:extension"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-cqfm-criteriaReference.html"
      } ],
      "reference": {
        "reference": "StructureDefinition/cqfm-criteriaReference"
      },
      "groupingId": "profile-continuous-variable-measure-cqfm-spreadsheet.xml",
      "description": "Specifies which population criteria is the input to an observation definition, or the initial population for a ratio numerator or denominator."
    }, {
      "name": "AggregateMethod",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:extension"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-cqfm-aggregateMethod.html"
      } ],
      "reference": {
        "reference": "StructureDefinition/cqfm-aggregateMethod"
      },
      "groupingId": "profile-continuous-variable-measure-cqfm-spreadsheet.xml",
      "description": "Specifies which method to be used to aggregate the measure observation values."
    }, {
      "name": "CQFMContinuousVariableMeasure",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-cv-measure-cqfm.html"
      } ],
      "reference": {
        "reference": "StructureDefinition/cv-measure-cqfm"
      },
      "groupingId": "profile-continuous-variable-measure-cqfm-spreadsheet.xml",
      "description": "The CQFM Continuous Variable Measure Profile describes a continuous variable scoring measure"
    }, {
      "name": "CQFMCohortMeasure",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-cohort-measure-cqfm.html"
      } ],
      "reference": {
        "reference": "StructureDefinition/cohort-measure-cqfm"
      },
      "groupingId": "profile-cohort-measure-cqfm-spreadsheet.xml",
      "description": "The CQFM Cohort Measure Profile describes a cohort scoring measure"
    }, {
      "name": "CQFMTestCaseBundle",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-testcase-bundle-cqfm.html"
      } ],
      "reference": {
        "reference": "StructureDefinition/testcase-bundle-cqfm"
      },
      "groupingId": "profile-testcase-bundle-cqfm-spreadsheet.xml",
      "description": "The CQFM Test Case Bundle Profile describes a shareable, published test case for a specific measure"
    }, {
      "name": "CQFMLibraryBundle",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-library-bundle-cqfm.html"
      } ],
      "reference": {
        "reference": "StructureDefinition/library-bundle-cqfm"
      },
      "groupingId": "profile-library-bundle-cqfm-spreadsheet.xml",
      "description": "The CQFM Library Bundle Profile describes a library packaging bundle"
    }, {
      "name": "CQFMPublishableLibrary",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-publishable-library-cqfm.html"
      } ],
      "reference": {
        "reference": "StructureDefinition/publishable-library-cqfm"
      },
      "groupingId": "profile-publishable-library-cqfm-spreadsheet.xml",
      "description": "The CQFM Publishable Library profile defines the must support elements in a library used to support eCQM logic"
    }, {
      "name": "CPFMComputableLibrary",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-computable-library-cqfm.html"
      } ],
      "reference": {
        "reference": "StructureDefinition/computable-library-cqfm"
      },
      "groupingId": "profile-computable-library-cqfm-spreadsheet.xml",
      "description": "The CQFM Computable Library profile defines the must support elements for a computable library used to support eCQM logic"
    }, {
      "name": "CQFMExecutableLibrary",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-executable-library-cqfm.html"
      } ],
      "reference": {
        "reference": "StructureDefinition/executable-library-cqfm"
      },
      "groupingId": "profile-executable-library-cqfm-spreadsheet.xml",
      "description": "The CQFM Execuable Library profile defines the must support elements for an executable library used to support eCQM logic"
    }, {
      "name": "CQFMMeasureBundle",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-measure-bundle-cqfm.html"
      } ],
      "reference": {
        "reference": "StructureDefinition/measure-bundle-cqfm"
      },
      "groupingId": "profile-measure-bundle-cqfm-spreadsheet.xml",
      "description": "The CQFM Measure Bundle Profile describes a measure packaging bundle"
    }, {
      "name": "CQFMQualityProgram",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-quality-program-cqfm.html"
      } ],
      "reference": {
        "reference": "StructureDefinition/quality-program-cqfm"
      },
      "groupingId": "profile-quality-program-cqfm-spreadsheet.xml",
      "description": "Defines a quality program"
    }, {
      "name": "CQFMDevice",
      "extension": [ {
        "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
        "valueString": "StructureDefinition:resource"
      }, {
        "url": "http://hl7.org/fhir/StructureDefinition/implementationguide-page",
        "valueUri": "StructureDefinition-device-softwaresystem-cqfm.html"
      } ],
      "reference": {
        "reference": "StructureDefinition/device-softwaresystem-cqfm"
      },
      "groupingId": "profile-device-softwaresystem-cqfm-spreadsheet.xml",
      "description": "The SoftwareSystem device profile is used to capture software details about the various systems used in authoring, testing, packaging, or evaluation of a knowledge artifact"
    } ],
    "parameter": [ {
      "code": "releaselabel",
      "value": "STU2"
    }, {
      "code": "copyrightyear",
      "value": "2019+"
    }, {
      "code": "path-resource",
      "value": "resources"
    }, {
      "code": "path-resource",
      "value": "resources\\capabilitystatement"
    }, {
      "code": "path-resource",
      "value": "resources\\codesystem"
    }, {
      "code": "path-resource",
      "value": "resources\\conceptmap"
    }, {
      "code": "path-resource",
      "value": "resources\\device"
    }, {
      "code": "path-resource",
      "value": "resources\\library"
    }, {
      "code": "path-resource",
      "value": "resources\\measure"
    }, {
      "code": "path-resource",
      "value": "resources\\measurereport"
    }, {
      "code": "path-resource",
      "value": "resources\\valueset"
    }, {
      "code": "path-pages",
      "value": "pages"
    }, {
      "code": "path-binary",
      "value": "cql"
    }, {
      "code": "path-liquid",
      "value": "templates\\liquid"
    }, {
      "code": "apply",
      "value": "jurisdiction"
    }, {
      "code": "generate",
      "value": "xml"
    }, {
      "code": "generate",
      "value": "JSON"
    } ]
  },
  "date": "2018-11-01T00:00:00-06:00",
  "publisher": "Clinical Quality Information WG",
  "fhirVersion": [ "4.0.1" ],
  "license": "CC0-1.0",
  "jurisdiction": [ {
    "coding": [ {
      "code": "US",
      "system": "urn:iso:std:iso:3166",
      "display": "United States of America"
    } ]
  } ],
  "dependsOn": [ {
    "id": "qicore",
    "uri": "http://hl7.org/fhir/us/qicore",
    "version": "4.0.0",
    "packageId": "hl7.fhir.us.qicore"
  } ],
  "name": "CQFMeasures",
  "type": null,
  "experimental": "false",
  "resourceType": "ImplementationGuide",
  "title": "Quality Measure Implementation Guide",
  "package_version": "2.0.0",
  "status": "draft",
  "id": "88f29b21-d42d-49b1-a54f-453e7efa2992",
  "kind": null,
  "url": "http://hl7.org/fhir/us/cqfmeasures/ImplementationGuide/hl7.fhir.us.cqfmeasures",
  "version": "2.0.0",
  "packageId": "hl7.fhir.us.cqfmeasures",
  "contact": [ {
    "telecom": [ {
      "value": "http://www.hl7.org/Special/committees/cqi/index.cfm",
      "system": "url"
    } ]
  } ]
}