Quality Measure Implementation Guide (STU3 Ballot)
2.1.0 - ballot

This page is part of the Quality Measure STU2 for FHIR R4 Implementation Guide (v2.1.0: STU3 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 - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Measure;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "multi-rate-example"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ];
     fhir:Narrative.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;\">http://hl7.org/fhir/us/cqfmeasures/Measure/multi-rate-example</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        \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>http://hl7.org/fhir/resource-types</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;\">2021-04-13T15:56:57+00:00</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;\">This measure example illustrates the use of the group-level computation extensions to describe a multi-rate measure with mixed population bases</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>"
  ];
  fhir:Measure.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/Measure/multi-rate-example"];
  fhir:Measure.version [ fhir:value "0.1.0"];
  fhir:Measure.name [ fhir:value "MultiRateExample"];
  fhir:Measure.title [ fhir:value "Multi-Rate Example Measure"];
  fhir:Measure.status [ fhir:value "draft"];
  fhir:Measure.experimental [ fhir:value "true"^^xsd:boolean];
  fhir:Measure.subjectCodeableConcept [
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/resource-types" ];
       fhir:Coding.code [ fhir:value "Location" ]     ]
  ];
  fhir:Measure.date [ fhir:value "2021-04-13T15:56:57+00:00"^^xsd:dateTime];
  fhir:Measure.publisher [ fhir:value "Clinical Quality Information WG"];
  fhir:Measure.contact [
     fhir:index 0;
     fhir:ContactDetail.telecom [
       fhir:index 0;
       fhir:ContactPoint.system [ fhir:value "url" ];
       fhir:ContactPoint.value [ fhir:value "http://www.hl7.org/Special/committees/cqi/index.cfm" ]     ]
  ];
  fhir:Measure.description [ fhir:value "This measure example illustrates the use of the group-level computation extensions to describe a multi-rate measure with mixed population bases"];
  fhir:Measure.jurisdiction [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ];
       fhir:Coding.code [ fhir:value "US" ]     ]
  ];
  fhir:Measure.library [
     fhir:value "http://hl7.org/fhir/us/cqfmeasures/Library/MultiRateExample";
     fhir:index 0;
     fhir:link <http://hl7.org/fhir/us/cqfmeasures/Library/MultiRateExample>
  ];
  fhir:Measure.group [
     fhir:index 0;
     fhir:Element.id [ fhir:value "group-1" ];
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis" ];
       fhir:Extension.valueCode [ fhir:value "Patient" ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-scoring" ];
           fhir:Coding.code [ fhir:value "continuous-variable" ]         ]       ]     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-type" ];
           fhir:Coding.code [ fhir:value "structure" ]         ]       ]     ], [
       fhir:index 3;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-riskAdjustment" ];
       fhir:Extension.valueString [ fhir:value "N/A" ]     ], [
       fhir:index 4;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation" ];
       fhir:Extension.valueString [ fhir:value "N/A" ]     ], [
       fhir:index 5;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-improvement-notation" ];
           fhir:Coding.code [ fhir:value "increase" ]         ]       ]     ];
     fhir:Measure.group.code [
       fhir:CodeableConcept.text [ fhir:value "Patients" ]     ];
     fhir:Measure.group.population [
       fhir:index 0;
       fhir:Measure.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "initial-population" ]         ]       ];
       fhir:Measure.group.population.description [ fhir:value "Total number of patients" ];
       fhir:Measure.group.population.criteria [
         fhir:Expression.language [ fhir:value "text/cql-identifier" ];
         fhir:Expression.expression [ fhir:value "Patients" ]       ]     ], [
       fhir:index 1;
       fhir:Measure.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "measure-population" ]         ]       ];
       fhir:Measure.group.population.description [ fhir:value "Total number of patients" ];
       fhir:Measure.group.population.criteria [
         fhir:Expression.language [ fhir:value "text/cql-identifier" ];
         fhir:Expression.expression [ fhir:value "Patients" ]       ]     ], [
       fhir:index 2;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-aggregateMethod" ];
         fhir:Extension.valueCode [ fhir:value "sum" ]       ];
       fhir:Measure.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "measure-observation" ]         ]       ];
       fhir:Measure.group.population.description [ fhir:value "Total number of patients" ];
       fhir:Measure.group.population.criteria [
         fhir:Expression.language [ fhir:value "text/cql-identifier" ];
         fhir:Expression.expression [ fhir:value "ToNumber" ]       ]     ]
  ], [
     fhir:index 1;
     fhir:Element.id [ fhir:value "group-2" ];
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis" ];
       fhir:Extension.valueCode [ fhir:value "PractitionerRole" ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-scoring" ];
           fhir:Coding.code [ fhir:value "continuous-variable" ]         ]       ]     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-type" ];
           fhir:Coding.code [ fhir:value "structure" ]         ]       ]     ], [
       fhir:index 3;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-riskAdjustment" ];
       fhir:Extension.valueString [ fhir:value "N/A" ]     ], [
       fhir:index 4;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation" ];
       fhir:Extension.valueString [ fhir:value "N/A" ]     ], [
       fhir:index 5;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-improvement-notation" ];
           fhir:Coding.code [ fhir:value "increase" ]         ]       ]     ];
     fhir:Measure.group.code [
       fhir:CodeableConcept.text [ fhir:value "Practitioners" ]     ];
     fhir:Measure.group.population [
       fhir:index 0;
       fhir:Measure.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "initial-population" ]         ]       ];
       fhir:Measure.group.population.description [ fhir:value "Total number of practitioners" ];
       fhir:Measure.group.population.criteria [
         fhir:Expression.language [ fhir:value "text/cql-identifier" ];
         fhir:Expression.expression [ fhir:value "Practitioners" ]       ]     ], [
       fhir:index 1;
       fhir:Measure.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "measure-population" ]         ]       ];
       fhir:Measure.group.population.description [ fhir:value "Total number of practitioners" ];
       fhir:Measure.group.population.criteria [
         fhir:Expression.language [ fhir:value "text/cql-identifier" ];
         fhir:Expression.expression [ fhir:value "Practitioners" ]       ]     ], [
       fhir:index 2;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-aggregateMethod" ];
         fhir:Extension.valueCode [ fhir:value "sum" ]       ];
       fhir:Measure.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "measure-observation" ]         ]       ];
       fhir:Measure.group.population.description [ fhir:value "Total number of practitioners" ];
       fhir:Measure.group.population.criteria [
         fhir:Expression.language [ fhir:value "text/cql-identifier" ];
         fhir:Expression.expression [ fhir:value "ToNumber" ]       ]     ]
  ], [
     fhir:index 2;
     fhir:Element.id [ fhir:value "group-3" ];
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis" ];
       fhir:Extension.valueCode [ fhir:value "Device" ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-scoring" ];
           fhir:Coding.code [ fhir:value "continuous-variable" ]         ]       ]     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-type" ];
           fhir:Coding.code [ fhir:value "structure" ]         ]       ]     ], [
       fhir:index 3;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-riskAdjustment" ];
       fhir:Extension.valueString [ fhir:value "N/A" ]     ], [
       fhir:index 4;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation" ];
       fhir:Extension.valueString [ fhir:value "N/A" ]     ], [
       fhir:index 5;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-improvement-notation" ];
           fhir:Coding.code [ fhir:value "increase" ]         ]       ]     ];
     fhir:Measure.group.code [
       fhir:CodeableConcept.text [ fhir:value "Beds" ]     ];
     fhir:Measure.group.population [
       fhir:index 0;
       fhir:Measure.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "initial-population" ]         ]       ];
       fhir:Measure.group.population.description [ fhir:value "Total number of beds" ];
       fhir:Measure.group.population.criteria [
         fhir:Expression.language [ fhir:value "text/cql-identifier" ];
         fhir:Expression.expression [ fhir:value "Beds" ]       ]     ], [
       fhir:index 1;
       fhir:Measure.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "measure-population" ]         ]       ];
       fhir:Measure.group.population.description [ fhir:value "Total number of beds" ];
       fhir:Measure.group.population.criteria [
         fhir:Expression.language [ fhir:value "text/cql-identifier" ];
         fhir:Expression.expression [ fhir:value "Beds" ]       ]     ], [
       fhir:index 2;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-aggregateMethod" ];
         fhir:Extension.valueCode [ fhir:value "sum" ]       ];
       fhir:Measure.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "measure-observation" ]         ]       ];
       fhir:Measure.group.population.description [ fhir:value "Total number of beds" ];
       fhir:Measure.group.population.criteria [
         fhir:Expression.language [ fhir:value "text/cql-identifier" ];
         fhir:Expression.expression [ fhir:value "ToNumber" ]       ]     ]
  ], [
     fhir:index 3;
     fhir:Element.id [ fhir:value "group-4" ];
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis" ];
       fhir:Extension.valueCode [ fhir:value "Procedure" ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-scoring" ];
           fhir:Coding.code [ fhir:value "continuous-variable" ]         ]       ]     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-type" ];
           fhir:Coding.code [ fhir:value "structure" ]         ]       ]     ], [
       fhir:index 3;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-riskAdjustment" ];
       fhir:Extension.valueString [ fhir:value "N/A" ]     ], [
       fhir:index 4;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation" ];
       fhir:Extension.valueString [ fhir:value "N/A" ]     ], [
       fhir:index 5;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-improvement-notation" ];
           fhir:Coding.code [ fhir:value "increase" ]         ]       ]     ];
     fhir:Measure.group.code [
       fhir:CodeableConcept.text [ fhir:value "Screening Procedures" ]     ];
     fhir:Measure.group.population [
       fhir:index 0;
       fhir:Measure.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "initial-population" ]         ]       ];
       fhir:Measure.group.population.description [ fhir:value "Total number of screening procedures" ];
       fhir:Measure.group.population.criteria [
         fhir:Expression.language [ fhir:value "text/cql-identifier" ];
         fhir:Expression.expression [ fhir:value "Procedures" ]       ]     ], [
       fhir:index 1;
       fhir:Measure.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "measure-population" ]         ]       ];
       fhir:Measure.group.population.description [ fhir:value "Total number of screening procedures" ];
       fhir:Measure.group.population.criteria [
         fhir:Expression.language [ fhir:value "text/cql-identifier" ];
         fhir:Expression.expression [ fhir:value "Procedures" ]       ]     ], [
       fhir:index 2;
       fhir:Element.extension [
         fhir:index 0;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-aggregateMethod" ];
         fhir:Extension.valueCode [ fhir:value "sum" ]       ];
       fhir:Measure.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "measure-observation" ]         ]       ];
       fhir:Measure.group.population.description [ fhir:value "Total number of screening procedures" ];
       fhir:Measure.group.population.criteria [
         fhir:Expression.language [ fhir:value "text/cql-identifier" ];
         fhir:Expression.expression [ fhir:value "ToNumber" ]       ]     ]
  ], [
     fhir:index 4;
     fhir:Element.id [ fhir:value "group-5" ];
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis" ];
       fhir:Extension.valueCode [ fhir:value "Patient" ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-scoring" ];
           fhir:Coding.code [ fhir:value "proportion" ]         ]       ]     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-type" ];
           fhir:Coding.code [ fhir:value "process" ]         ]       ]     ], [
       fhir:index 3;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-riskAdjustment" ];
       fhir:Extension.valueString [ fhir:value "N/A" ]     ], [
       fhir:index 4;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation" ];
       fhir:Extension.valueString [ fhir:value "N/A" ]     ], [
       fhir:index 5;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-improvement-notation" ];
           fhir:Coding.code [ fhir:value "increase" ]         ]       ]     ];
     fhir:Measure.group.code [
       fhir:CodeableConcept.text [ fhir:value "Patients that recevied screenings" ]     ];
     fhir:Measure.group.population [
       fhir:index 0;
       fhir:Measure.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "initial-population" ]         ]       ];
       fhir:Measure.group.population.description [ fhir:value "Patients" ];
       fhir:Measure.group.population.criteria [
         fhir:Expression.language [ fhir:value "text/cql-identifier" ];
         fhir:Expression.expression [ fhir:value "Initial Population" ]       ]     ], [
       fhir:index 1;
       fhir:Measure.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "denominator" ]         ]       ];
       fhir:Measure.group.population.description [ fhir:value "Eligible patients" ];
       fhir:Measure.group.population.criteria [
         fhir:Expression.language [ fhir:value "text/cql-identifier" ];
         fhir:Expression.expression [ fhir:value "Denominator" ]       ]     ], [
       fhir:index 2;
       fhir:Measure.group.population.code [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-population" ];
           fhir:Coding.code [ fhir:value "numerator" ]         ]       ];
       fhir:Measure.group.population.description [ fhir:value "Patients with screening" ];
       fhir:Measure.group.population.criteria [
         fhir:Expression.language [ fhir:value "text/cql-identifier" ];
         fhir:Expression.expression [ fhir:value "Numerator" ]       ]     ]
  ], [
     fhir:index 5;
     fhir:Element.id [ fhir:value "group-6" ];
     fhir:Element.extension [
       fhir:index 0;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-compositeScoring" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/composite-measure-scoring" ];
           fhir:Coding.code [ fhir:value "weighted" ]         ]       ]     ], [
       fhir:index 1;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-scoring" ];
           fhir:Coding.code [ fhir:value "composite" ]         ]       ]     ], [
       fhir:index 2;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-type" ];
           fhir:Coding.code [ fhir:value "structure" ]         ]       ]     ], [
       fhir:index 3;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-riskAdjustment" ];
       fhir:Extension.valueString [ fhir:value "N/A" ]     ], [
       fhir:index 4;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation" ];
       fhir:Extension.valueString [ fhir:value "N/A" ]     ], [
       fhir:index 5;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation" ];
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index 0;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-improvement-notation" ];
           fhir:Coding.code [ fhir:value "increase" ]         ]       ]     ], [
       fhir:index 6;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-component" ];
       fhir:Extension.valueRelatedArtifact [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-groupId" ];
           fhir:Extension.valueString [ fhir:value "group-1" ]         ], [
           fhir:index 1;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-weight" ];
           fhir:Extension.valueDecimal [ fhir:value "1.0"^^xsd:decimal ]         ];
         fhir:RelatedArtifact.type [ fhir:value "composed-of" ];
         fhir:RelatedArtifact.resource [
           fhir:value "http://hl7.org/fhir/us/cqfmeasures/Measure/multi-rate-example";
           fhir:link <http://hl7.org/fhir/us/cqfmeasures/Measure/multi-rate-example>         ]       ]     ], [
       fhir:index 7;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-component" ];
       fhir:Extension.valueRelatedArtifact [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-groupId" ];
           fhir:Extension.valueString [ fhir:value "group-2" ]         ], [
           fhir:index 1;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-weight" ];
           fhir:Extension.valueDecimal [ fhir:value "5.0"^^xsd:decimal ]         ];
         fhir:RelatedArtifact.type [ fhir:value "composed-of" ];
         fhir:RelatedArtifact.resource [
           fhir:value "http://hl7.org/fhir/us/cqfmeasures/Measure/multi-rate-example";
           fhir:link <http://hl7.org/fhir/us/cqfmeasures/Measure/multi-rate-example>         ]       ]     ], [
       fhir:index 8;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-component" ];
       fhir:Extension.valueRelatedArtifact [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-groupId" ];
           fhir:Extension.valueString [ fhir:value "group-3" ]         ], [
           fhir:index 1;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-weight" ];
           fhir:Extension.valueDecimal [ fhir:value "2.5"^^xsd:decimal ]         ];
         fhir:RelatedArtifact.type [ fhir:value "composed-of" ];
         fhir:RelatedArtifact.resource [
           fhir:value "http://hl7.org/fhir/us/cqfmeasures/Measure/multi-rate-example";
           fhir:link <http://hl7.org/fhir/us/cqfmeasures/Measure/multi-rate-example>         ]       ]     ], [
       fhir:index 9;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-component" ];
       fhir:Extension.valueRelatedArtifact [
         fhir:Element.extension [
           fhir:index 0;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-groupId" ];
           fhir:Extension.valueString [ fhir:value "group-4" ]         ], [
           fhir:index 1;
           fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-weight" ];
           fhir:Extension.valueDecimal [ fhir:value "1.0"^^xsd:decimal ]         ];
         fhir:RelatedArtifact.type [ fhir:value "composed-of" ];
         fhir:RelatedArtifact.resource [
           fhir:value "http://hl7.org/fhir/us/cqfmeasures/Measure/multi-rate-example";
           fhir:link <http://hl7.org/fhir/us/cqfmeasures/Measure/multi-rate-example>         ]       ]     ];
     fhir:Measure.group.code [
       fhir:CodeableConcept.text [ fhir:value "Weighted Average capacity" ]     ]
  ].

# - ontology header ------------------------------------------------------------

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.