diff --git a/input/fsh/measures/IMMZIND07MeaslesHighTx.fsh b/input/fsh/measures/IMMZIND07MeaslesHighTx.fsh
index 7a33e5bed5..c47f051c9e 100644
--- a/input/fsh/measures/IMMZIND07MeaslesHighTx.fsh
+++ b/input/fsh/measures/IMMZIND07MeaslesHighTx.fsh
@@ -1,6 +1,7 @@
 Instance: IMMZIND07MeaslesHighTx
 InstanceOf: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm
 Title: "IMMZIND07MeaslesHighTx"
+Usage: #definition
 
 * insert MeasureProportion( IMMZ.IND.07 Measles indicator for first dose in High Transmission area., IMMZIND07MeaslesHighTx, 
   0.1.0, 2024-01-06, IMMZ.IND.07.HTx)
\ No newline at end of file
diff --git a/input/fsh/measures/IMMZIND07MeaslesLowTx.fsh b/input/fsh/measures/IMMZIND07MeaslesLowTx.fsh
index 2aa7050a2d..81a9a986b5 100644
--- a/input/fsh/measures/IMMZIND07MeaslesLowTx.fsh
+++ b/input/fsh/measures/IMMZIND07MeaslesLowTx.fsh
@@ -1,6 +1,7 @@
 Instance: IMMZIND07MeaslesLowTx
 InstanceOf: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm
 Title: "IMMZIND07MeaslesLowTx"
+Usage: #definition
 
 * insert MeasureProportion( IMMZ.IND.07 Measles indicator for first dose in Low Transmission area., IMMZIND07MeaslesLowTx, 
   0.1.0, 2024-01-06, IMMZ.IND.07.LTx)
\ No newline at end of file
diff --git a/input/fsh/measures/IMMZIND08Measles.fsh b/input/fsh/measures/IMMZIND08Measles.fsh
index 65195f5019..e41bda8711 100644
--- a/input/fsh/measures/IMMZIND08Measles.fsh
+++ b/input/fsh/measures/IMMZIND08Measles.fsh
@@ -1,6 +1,7 @@
 Instance: IMMZIND08Measles
 InstanceOf: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm
 Title: "IMMZIND08Measles"
+Usage: #definition
 
 * insert MeasureProportion( IMMZ.IND.08 Measles indicator for second dose., IMMZIND08Measles, 
   0.1.0, 2024-01-06, IMMZ.IND.08)
\ No newline at end of file
diff --git a/input/fsh/measures/IMMZIND26YellowFever.fsh b/input/fsh/measures/IMMZIND26YellowFever.fsh
index aedcad52ef..be2551d977 100644
--- a/input/fsh/measures/IMMZIND26YellowFever.fsh
+++ b/input/fsh/measures/IMMZIND26YellowFever.fsh
@@ -1,6 +1,7 @@
 Instance: IMMZIND26YellowFever
 InstanceOf: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm
 Title: "IMMZIND26YellowFever"
+Usage: #definition
 
 * insert MeasureProportion( IMMZ.IND.26 Yellow Fever indicator for first dose., IMMZIND26YellowFever, 
   0.1.0, 2024-01-06, IMMZ.IND.26)
\ No newline at end of file
diff --git a/input/fsh/measures/IMMZIND40Measles.fsh b/input/fsh/measures/IMMZIND40Measles.fsh
index 564b3cbe91..4dfade29e3 100644
--- a/input/fsh/measures/IMMZIND40Measles.fsh
+++ b/input/fsh/measures/IMMZIND40Measles.fsh
@@ -1,6 +1,7 @@
 Instance: IMMZIND40Measles
 InstanceOf: http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/proportion-measure-cqfm
 Title: "IMMZIND08Measles"
+Usage: #definition
 
 * insert MeasureProportion( IMMZ.IND.40 Dropout rate of MCV1 to MCV2., IMMZIND40Measles, 
   0.1.0, 2024-01-06, IMMZ.IND.40)
\ No newline at end of file