Quality Measure Implementation Guide (STU4)
4.0.0-ballot - ballot US

This page is part of the Quality Measure STU2 for FHIR R4 Implementation Guide (v4.0.0-ballot: STU 4 Ballot 1) based on FHIR R4. The current version which supercedes this version is 3.0.0. For a full list of available versions, see the Directory of published versions

: Multi-Rate Example Measure - JSON Representation

Draft as of 2022-02-22

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{
  "resourceType" : "Measure",
  "id" : "multi-rate-example",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n    <table class=\"grid dict\">\n        \n        <tr>\n            <th scope=\"row\"><b>Id: </b></th>\n            <td style=\"padding-left: 4px;\">multi-rate-example</td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Url: </b></th>\n            <td style=\"padding-left: 4px;\"><a href=\"http://hl7.org/fhir/us/cqfmeasures/Measure/multi-rate-example\">http://hl7.org/fhir/us/cqfmeasures/Measure/multi-rate-example</a></td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Version: </b></th>\n            <td style=\"padding-left: 4px;\">0.1.0</td>\n        </tr>\n        \n        \n        \n        <tr>\n            <th scope=\"row\"><b>Name: </b></th>\n            <td style=\"padding-left: 4px;\">MultiRateExample</td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Title: </b></th>\n            <td style=\"padding-left: 4px;\">Multi-Rate Example Measure</td>\n        </tr>\n        \n        \n        \n        <tr>\n            <th scope=\"row\"><b>Status: </b></th>\n            <td style=\"padding-left: 4px;\">draft</td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Experimental: </b></th>\n            <td style=\"padding-left: 4px;\">true</td>\n        </tr>\n        \n        \n        \n        \n        <tr>\n            <th scope=\"row\"><b>Type: </b></th>\n            <td style=\"padding-left: 4px;\">\n                \n                    \n                        \n                        <p style=\"margin-bottom: 5px;\">\n                            <b>system: </b> <span><a href=\"http://terminology.hl7.org/CodeSystem/measure-type\">http://terminology.hl7.org/CodeSystem/measure-type</a></span>\n                        </p>\n                        \n                        \n                        <p style=\"margin-bottom: 5px;\">\n                            <b>code: </b> <span>structure</span>\n                        </p>\n                        \n                        \n                    \n                \n                \n            </td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Subject: </b></th>\n            \n            <td style=\"padding-left: 4px;\">\n                \n                    \n                        \n                        <p style=\"margin-bottom: 5px;\">\n                            <b>system: </b> <span><a href=\"http://hl7.org/fhir/resource-types\">http://hl7.org/fhir/resource-types</a></span>\n                        </p>\n                        \n                        \n                        <p style=\"margin-bottom: 5px;\">\n                            <b>code: </b> <span>Location</span>\n                        </p>\n                        \n                        \n                    \n                \n                \n            </td>\n            \n            \n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Date: </b></th>\n            <td style=\"padding-left: 4px;\">2022-02-22 10:37:03-0700</td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Publisher: </b></th>\n            <td style=\"padding-left: 4px;\">Clinical Quality Information WG</td>\n        </tr>\n        \n        \n        <tr>\n            <th scope=\"row\"><b>Description: </b></th>\n            <td style=\"padding-left: 4px;\"><div><p>This measure example illustrates the use of the group-level computation extensions to describe a multi-rate measure with mixed population bases</p>\n</div></td>\n        </tr>\n        \n        \n        \n        \n        \n        \n        \n        \n        \n        <tr>\n            <th scope=\"row\"><b>Jurisdiction: </b></th>\n            <td style=\"padding-left: 25px;\">US</td>\n        </tr>\n        \n        \n        \n        \n        \n        \n        \n        \n        \n        \n        \n        \n        \n        \n    </table>\n</div>"
  },
  "contained" : [
    {
      "resourceType" : "Library",
      "id" : "effective-data-requirements",
      "extension" : [
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "MultiRateExample"
            },
            {
              "url" : "name",
              "valueString" : "Practitioners"
            },
            {
              "url" : "statement",
              "valueString" : "// Number of practitioners\ndefine \"Practitioners\":\n  [PractitionerRole]"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 0
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "MultiRateExample"
            },
            {
              "url" : "name",
              "valueString" : "Patients"
            },
            {
              "url" : "statement",
              "valueString" : "// Number of patients\ndefine \"Patients\":\n  [Patient]"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 1
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "MultiRateExample"
            },
            {
              "url" : "name",
              "valueString" : "Screening Procedures"
            },
            {
              "url" : "statement",
              "valueString" : "// Number of screening procedures\ndefine \"Screening Procedures\":\n  [Procedure: \"Screening Procedure Types\"]"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 2
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "MultiRateExample"
            },
            {
              "url" : "name",
              "valueString" : "Numerator"
            },
            {
              "url" : "statement",
              "valueString" : "define \"Numerator\":\n  \"Patients\" P\n    with \"Screening Procedures\" SP\n      such that P.id = Last(Split(SP.subject.reference, '/'))"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 3
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "MultiRateExample"
            },
            {
              "url" : "name",
              "valueString" : "Denominator"
            },
            {
              "url" : "statement",
              "valueString" : "define \"Denominator\":\n  \"Patients\" P\n    where P.gender = 'female'"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 4
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "MultiRateExample"
            },
            {
              "url" : "name",
              "valueString" : "Initial Population"
            },
            {
              "url" : "statement",
              "valueString" : "// Percentage of patients who received screening\ndefine \"Initial Population\":\n  \"Patients\""
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 5
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        },
        {
          "extension" : [
            {
              "url" : "libraryName",
              "valueString" : "MultiRateExample"
            },
            {
              "url" : "name",
              "valueString" : "Beds"
            },
            {
              "url" : "statement",
              "valueString" : "// Number of beds\ndefine \"Beds\":\n  [Device: \"Bed Device Types\"]"
            },
            {
              "url" : "displaySequence",
              "valueInteger" : 6
            }
          ],
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-logicDefinition"
        }
      ],
      "name" : "EffectiveDataRequirements",
      "status" : "active",
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/library-type",
            "code" : "module-definition"
          }
        ]
      },
      "date" : "2022-02-22T10:37:03-07:00",
      "relatedArtifact" : [
        {
          "type" : "depends-on",
          "display" : "Library FHIRHelpers",
          "resource" : "http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"
        },
        {
          "type" : "depends-on",
          "display" : "Value set Screening Procedure Types",
          "resource" : "http://example.org/fhir/ValueSet/TBD"
        }
      ],
      "parameter" : [
        {
          "name" : "Practitioners",
          "use" : "out",
          "min" : 0,
          "max" : "*",
          "type" : "PractitionerRole"
        },
        {
          "name" : "Numerator",
          "use" : "out",
          "min" : 0,
          "max" : "*",
          "type" : "Patient"
        },
        {
          "name" : "Denominator",
          "use" : "out",
          "min" : 0,
          "max" : "*",
          "type" : "Patient"
        },
        {
          "name" : "Initial Population",
          "use" : "out",
          "min" : 0,
          "max" : "*",
          "type" : "Patient"
        },
        {
          "name" : "Patients",
          "use" : "out",
          "min" : 0,
          "max" : "*",
          "type" : "Patient"
        },
        {
          "name" : "Beds",
          "use" : "out",
          "min" : 0,
          "max" : "*",
          "type" : "Device"
        }
      ],
      "dataRequirement" : [
        {
          "type" : "Patient",
          "profile" : [
            "http://hl7.org/fhir/StructureDefinition/Patient"
          ],
          "mustSupport" : [
            "gender",
            "id"
          ]
        },
        {
          "type" : "Device",
          "profile" : [
            "http://hl7.org/fhir/StructureDefinition/Device"
          ],
          "mustSupport" : [
            "type"
          ],
          "codeFilter" : [
            {
              "path" : "type",
              "valueSet" : "http://example.org/fhir/ValueSet/TBD"
            }
          ]
        },
        {
          "type" : "Procedure",
          "profile" : [
            "http://hl7.org/fhir/StructureDefinition/Procedure"
          ],
          "mustSupport" : [
            "code",
            "subject",
            "subject.reference"
          ],
          "codeFilter" : [
            {
              "path" : "code",
              "valueSet" : "http://example.org/fhir/ValueSet/TBD"
            }
          ]
        },
        {
          "type" : "PractitionerRole",
          "profile" : [
            "http://hl7.org/fhir/StructureDefinition/PractitionerRole"
          ]
        }
      ]
    }
  ],
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-softwaresystem",
      "valueReference" : {
        "reference" : "Device/software-system-example"
      }
    },
    {
      "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis",
      "valueCode" : "Patient"
    },
    {
      "id" : "effective-data-requirements",
      "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-effectiveDataRequirements",
      "valueReference" : {
        "reference" : "#effective-data-requirements"
      }
    }
  ],
  "url" : "http://hl7.org/fhir/us/cqfmeasures/Measure/multi-rate-example",
  "version" : "0.1.0",
  "name" : "MultiRateExample",
  "title" : "Multi-Rate Example Measure",
  "status" : "draft",
  "experimental" : true,
  "subjectCodeableConcept" : {
    "coding" : [
      {
        "system" : "http://hl7.org/fhir/resource-types",
        "code" : "Location"
      }
    ]
  },
  "date" : "2022-02-22T10:37:03-07:00",
  "publisher" : "Clinical Quality Information WG",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/cqi"
        }
      ]
    }
  ],
  "description" : "This measure example illustrates the use of the group-level computation extensions to describe a multi-rate measure with mixed population bases",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US"
        }
      ]
    }
  ],
  "library" : [
    "http://hl7.org/fhir/us/cqfmeasures/Library/MultiRateExample"
  ],
  "type" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/measure-type",
          "code" : "structure"
        }
      ]
    }
  ],
  "group" : [
    {
      "id" : "group-1",
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis",
          "valueCode" : "Patient"
        },
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
                "code" : "continuous-variable"
              }
            ]
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-type",
                "code" : "structure"
              }
            ]
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-riskAdjustment",
          "valueString" : "N/A"
        },
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation",
          "valueString" : "N/A"
        },
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
                "code" : "increase"
              }
            ]
          }
        }
      ],
      "code" : {
        "text" : "Patients"
      },
      "population" : [
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                "code" : "initial-population"
              }
            ]
          },
          "description" : "Total number of patients",
          "criteria" : {
            "language" : "text/cql-identifier",
            "expression" : "Patients"
          }
        },
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                "code" : "measure-population"
              }
            ]
          },
          "description" : "Total number of patients",
          "criteria" : {
            "language" : "text/cql-identifier",
            "expression" : "Patients"
          }
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-aggregateMethod",
              "valueCode" : "sum"
            }
          ],
          "code" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                "code" : "measure-observation"
              }
            ]
          },
          "description" : "Total number of patients",
          "criteria" : {
            "language" : "text/cql-identifier",
            "expression" : "ToNumber"
          }
        }
      ]
    },
    {
      "id" : "group-2",
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis",
          "valueCode" : "PractitionerRole"
        },
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
                "code" : "continuous-variable"
              }
            ]
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-type",
                "code" : "structure"
              }
            ]
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-riskAdjustment",
          "valueString" : "N/A"
        },
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation",
          "valueString" : "N/A"
        },
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
                "code" : "increase"
              }
            ]
          }
        }
      ],
      "code" : {
        "text" : "Practitioners"
      },
      "population" : [
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                "code" : "initial-population"
              }
            ]
          },
          "description" : "Total number of practitioners",
          "criteria" : {
            "language" : "text/cql-identifier",
            "expression" : "Practitioners"
          }
        },
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                "code" : "measure-population"
              }
            ]
          },
          "description" : "Total number of practitioners",
          "criteria" : {
            "language" : "text/cql-identifier",
            "expression" : "Practitioners"
          }
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-aggregateMethod",
              "valueCode" : "sum"
            }
          ],
          "code" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                "code" : "measure-observation"
              }
            ]
          },
          "description" : "Total number of practitioners",
          "criteria" : {
            "language" : "text/cql-identifier",
            "expression" : "ToNumber"
          }
        }
      ]
    },
    {
      "id" : "group-3",
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis",
          "valueCode" : "Device"
        },
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
                "code" : "continuous-variable"
              }
            ]
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-type",
                "code" : "structure"
              }
            ]
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-riskAdjustment",
          "valueString" : "N/A"
        },
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation",
          "valueString" : "N/A"
        },
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
                "code" : "increase"
              }
            ]
          }
        }
      ],
      "code" : {
        "text" : "Beds"
      },
      "population" : [
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                "code" : "initial-population"
              }
            ]
          },
          "description" : "Total number of beds",
          "criteria" : {
            "language" : "text/cql-identifier",
            "expression" : "Beds"
          }
        },
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                "code" : "measure-population"
              }
            ]
          },
          "description" : "Total number of beds",
          "criteria" : {
            "language" : "text/cql-identifier",
            "expression" : "Beds"
          }
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-aggregateMethod",
              "valueCode" : "sum"
            }
          ],
          "code" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                "code" : "measure-observation"
              }
            ]
          },
          "description" : "Total number of beds",
          "criteria" : {
            "language" : "text/cql-identifier",
            "expression" : "ToNumber"
          }
        }
      ]
    },
    {
      "id" : "group-4",
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis",
          "valueCode" : "Procedure"
        },
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
                "code" : "continuous-variable"
              }
            ]
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-type",
                "code" : "structure"
              }
            ]
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-riskAdjustment",
          "valueString" : "N/A"
        },
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation",
          "valueString" : "N/A"
        },
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
                "code" : "increase"
              }
            ]
          }
        }
      ],
      "code" : {
        "text" : "Screening Procedures"
      },
      "population" : [
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                "code" : "initial-population"
              }
            ]
          },
          "description" : "Total number of screening procedures",
          "criteria" : {
            "language" : "text/cql-identifier",
            "expression" : "Procedures"
          }
        },
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                "code" : "measure-population"
              }
            ]
          },
          "description" : "Total number of screening procedures",
          "criteria" : {
            "language" : "text/cql-identifier",
            "expression" : "Procedures"
          }
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-aggregateMethod",
              "valueCode" : "sum"
            }
          ],
          "code" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                "code" : "measure-observation"
              }
            ]
          },
          "description" : "Total number of screening procedures",
          "criteria" : {
            "language" : "text/cql-identifier",
            "expression" : "ToNumber"
          }
        }
      ]
    },
    {
      "id" : "group-5",
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis",
          "valueCode" : "Patient"
        },
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
                "code" : "proportion"
              }
            ]
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-type",
                "code" : "process"
              }
            ]
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-riskAdjustment",
          "valueString" : "N/A"
        },
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation",
          "valueString" : "N/A"
        },
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
                "code" : "increase"
              }
            ]
          }
        }
      ],
      "code" : {
        "text" : "Patients that recevied screenings"
      },
      "population" : [
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                "code" : "initial-population"
              }
            ]
          },
          "description" : "Patients",
          "criteria" : {
            "language" : "text/cql-identifier",
            "expression" : "Initial Population"
          }
        },
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                "code" : "denominator"
              }
            ]
          },
          "description" : "Eligible patients",
          "criteria" : {
            "language" : "text/cql-identifier",
            "expression" : "Denominator"
          }
        },
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                "code" : "numerator"
              }
            ]
          },
          "description" : "Patients with screening",
          "criteria" : {
            "language" : "text/cql-identifier",
            "expression" : "Numerator"
          }
        }
      ]
    },
    {
      "id" : "group-6",
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-compositeScoring",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/composite-measure-scoring",
                "code" : "weighted"
              }
            ]
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
                "code" : "composite"
              }
            ]
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-type",
                "code" : "structure"
              }
            ]
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-riskAdjustment",
          "valueString" : "N/A"
        },
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation",
          "valueString" : "N/A"
        },
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
                "code" : "increase"
              }
            ]
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-component",
          "valueRelatedArtifact" : {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-groupId",
                "valueString" : "group-1"
              },
              {
                "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-weight",
                "valueDecimal" : 1.0
              }
            ],
            "type" : "composed-of",
            "resource" : "http://hl7.org/fhir/us/cqfmeasures/Measure/multi-rate-example"
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-component",
          "valueRelatedArtifact" : {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-groupId",
                "valueString" : "group-2"
              },
              {
                "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-weight",
                "valueDecimal" : 5.0
              }
            ],
            "type" : "composed-of",
            "resource" : "http://hl7.org/fhir/us/cqfmeasures/Measure/multi-rate-example"
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-component",
          "valueRelatedArtifact" : {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-groupId",
                "valueString" : "group-3"
              },
              {
                "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-weight",
                "valueDecimal" : 2.5
              }
            ],
            "type" : "composed-of",
            "resource" : "http://hl7.org/fhir/us/cqfmeasures/Measure/multi-rate-example"
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-component",
          "valueRelatedArtifact" : {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-groupId",
                "valueString" : "group-4"
              },
              {
                "url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-weight",
                "valueDecimal" : 1.0
              }
            ],
            "type" : "composed-of",
            "resource" : "http://hl7.org/fhir/us/cqfmeasures/Measure/multi-rate-example"
          }
        }
      ],
      "code" : {
        "text" : "Weighted Average capacity"
      }
    }
  ]
}