# Multi-Rate Example Measure - Quality Measure Implementation Guide v2.0.0-ballot

## Measure: Multi-Rate Example Measure (Experimental) 

 
This measure example illustrates the use of the group-level computation extensions to describe a multi-rate measure with mixed population bases 

* Metadata: Title
  * ?: Multi-Rate Example Measure
* Metadata: Version
  * ?: 0.1.0
* Metadata: Identifier
  * ?: urn:oid:2.16.840.1.113883.4.642.40.61.29.12
* Metadata: Experimental
  * ?: true
* Metadata: Subject Type
  * ?: Location from[http://hl7.org/fhir/resource-types](http://hl7.org/fhir/R4/codesystem-resource-types.html)
* Metadata: Use Context
  * ?: Clinical Venue = EC
* Metadata: Jurisdiction
  * ?: 001 from[http://unstats.un.org/unsd/methods/m49/m49.htm](http://unstats.un.org/unsd/methods/m49/m49.htm)
* Metadata: Steward (Publisher)
  * ?: HL7 International / Clinical Quality Information
* Metadata: Description
  * ?: This measure example illustrates the use of the group-level computation extensions to describe a multi-rate measure with mixed population bases
* Metadata: Measure Basis
  * ?: Patient
* Metadata: Measure Group (Rate) (ID: Patients)
* Metadata: Basis
  * ?: Patient
* Metadata: Scoring
  * ?: continuous-variable from[http://terminology.hl7.org/CodeSystem/measure-scoring](http://terminology.hl7.org/7.1.0/CodeSystem-measure-scoring.html)
* Metadata: Improvement Notation
  * ?: increase from[http://terminology.hl7.org/CodeSystem/measure-improvement-notation](http://terminology.hl7.org/7.1.0/CodeSystem-measure-improvement-notation.html)
* Metadata: Type
  * ?: structure from[http://terminology.hl7.org/CodeSystem/measure-type](http://terminology.hl7.org/7.1.0/CodeSystem-measure-type.html)
* Metadata: Risk Adjustment
  * ?: N/A
* Metadata: Rate Aggregation
  * ?: N/A
* Metadata: Initial Population
  * ?: **ID**: primary-multirateexample-initial-population**Description**:Total number of patients**Criteria**:[Patients](#Patients-primary-multirateexample-initial-population)
* Metadata: Measure Population
  * ?: **ID**: primary-multirateexample-patients**Description**:Total number of patients**Criteria**:[Patients](#Patients-primary-multirateexample-patients)
* Metadata: Measure Observation
  * ?: **ID**: primary-multirateexample-tonumber**Description**:Total number of patients**Criteria**:[ToNumber](#Patients-primary-multirateexample-tonumber)**AggregateMethod**: sum
* Metadata: Measure Group (Rate) (ID: Practitioners)
* Metadata: Basis
  * ?: PractitionerRole
* Metadata: Scoring
  * ?: continuous-variable from[http://terminology.hl7.org/CodeSystem/measure-scoring](http://terminology.hl7.org/7.1.0/CodeSystem-measure-scoring.html)
* Metadata: Improvement Notation
  * ?: increase from[http://terminology.hl7.org/CodeSystem/measure-improvement-notation](http://terminology.hl7.org/7.1.0/CodeSystem-measure-improvement-notation.html)
* Metadata: Type
  * ?: structure from[http://terminology.hl7.org/CodeSystem/measure-type](http://terminology.hl7.org/7.1.0/CodeSystem-measure-type.html)
* Metadata: Risk Adjustment
  * ?: N/A
* Metadata: Rate Aggregation
  * ?: N/A
* Metadata: Initial Population
  * ?: **ID**: primary-multirateexample-initial-population**Description**:Total number of practitioners**Criteria**:[Practitioners](#Practitioners-primary-multirateexample-initial-population)
* Metadata: Measure Population
  * ?: **ID**: primary-multirateexample-measure-population**Description**:Total number of practitioners**Criteria**:[Practitioners](#Practitioners-primary-multirateexample-measure-population)
* Metadata: Measure Observation
  * ?: **ID**: primary-multirateexample-measure-observation**Description**:Total number of practitioners**Criteria**:[ToNumber](#Practitioners-primary-multirateexample-measure-observation)**AggregateMethod**: sum
* Metadata: Measure Group (Rate) (ID: Beds)
* Metadata: Basis
  * ?: Device
* Metadata: Scoring
  * ?: continuous-variable from[http://terminology.hl7.org/CodeSystem/measure-scoring](http://terminology.hl7.org/7.1.0/CodeSystem-measure-scoring.html)
* Metadata: Improvement Notation
  * ?: increase from[http://terminology.hl7.org/CodeSystem/measure-improvement-notation](http://terminology.hl7.org/7.1.0/CodeSystem-measure-improvement-notation.html)
* Metadata: Type
  * ?: structure from[http://terminology.hl7.org/CodeSystem/measure-type](http://terminology.hl7.org/7.1.0/CodeSystem-measure-type.html)
* Metadata: Risk Adjustment
  * ?: N/A
* Metadata: Rate Aggregation
  * ?: N/A
* Metadata: Initial Population
  * ?: **ID**: primary-multirateexample-beds-initial-population**Description**:Total number of beds**Criteria**:[Beds](#Beds-primary-multirateexample-beds-initial-population)
* Metadata: Measure Population
  * ?: **ID**: primary-multirateexample-beds-measure-population**Description**:Total number of beds**Criteria**:[Beds](#Beds-primary-multirateexample-beds-measure-population)
* Metadata: Measure Observation
  * ?: **ID**: primary-multirateexample-beds-measure-observation-population**Description**:Total number of beds**Criteria**:[ToNumber](#Beds-primary-multirateexample-beds-measure-observation-population)**AggregateMethod**: sum
* Metadata: Measure Group (Rate) (ID: Screening-procedures)
* Metadata: Basis
  * ?: Procedure
* Metadata: Scoring
  * ?: continuous-variable from[http://terminology.hl7.org/CodeSystem/measure-scoring](http://terminology.hl7.org/7.1.0/CodeSystem-measure-scoring.html)
* Metadata: Improvement Notation
  * ?: increase from[http://terminology.hl7.org/CodeSystem/measure-improvement-notation](http://terminology.hl7.org/7.1.0/CodeSystem-measure-improvement-notation.html)
* Metadata: Type
  * ?: structure from[http://terminology.hl7.org/CodeSystem/measure-type](http://terminology.hl7.org/7.1.0/CodeSystem-measure-type.html)
* Metadata: Risk Adjustment
  * ?: N/A
* Metadata: Rate Aggregation
  * ?: N/A
* Metadata: Initial Population
  * ?: **ID**: primary-multirateexample-procedures-initial-population**Description**:Total number of screening procedures**Criteria**:[Screening Procedures](#Screening-procedures-primary-multirateexample-procedures-initial-population)
* Metadata: Measure Population
  * ?: **ID**: primary-multirateexample-procedures-measure-population**Description**:Total number of screening procedures**Criteria**:[Screening Procedures](#Screening-procedures-primary-multirateexample-procedures-measure-population)
* Metadata: Measure Observation
  * ?: **ID**: primary-multirateexample-procedures-measure-observation-population**Description**:Total number of screening procedures**Criteria**:[ToNumber](#Screening-procedures-primary-multirateexample-procedures-measure-observation-population)**AggregateMethod**: sum
* Metadata: Measure Group (Rate) (ID: patient-screenings)
* Metadata: Basis
  * ?: Patient
* Metadata: Scoring
  * ?: proportion from[http://terminology.hl7.org/CodeSystem/measure-scoring](http://terminology.hl7.org/7.1.0/CodeSystem-measure-scoring.html)
* Metadata: Improvement Notation
  * ?: increase from[http://terminology.hl7.org/CodeSystem/measure-improvement-notation](http://terminology.hl7.org/7.1.0/CodeSystem-measure-improvement-notation.html)
* Metadata: Type
  * ?: process from[http://terminology.hl7.org/CodeSystem/measure-type](http://terminology.hl7.org/7.1.0/CodeSystem-measure-type.html)
* Metadata: Risk Adjustment
  * ?: N/A
* Metadata: Rate Aggregation
  * ?: N/A
* Metadata: Initial Population
  * ?: **ID**: primary-multirateexample-patients-initial-population**Description**:Patients**Criteria**:[Initial Population](#patient-screenings-primary-multirateexample-patients-initial-population)
* Metadata: Denominator
  * ?: **ID**: primary-multirateexample-patients-denominator**Description**:Eligible patients**Criteria**:[Denominator](#patient-screenings-primary-multirateexample-patients-denominator)
* Metadata: Numerator
  * ?: **ID**: primary-multirateexample-patients-numerator**Description**:Patients with screening**Criteria**:[Numerator](#patient-screenings-primary-multirateexample-patients-numerator)
* Metadata: Measure Group (Rate) (ID: weighted-average-capacity)
* Metadata: Scoring
  * ?: composite from[http://terminology.hl7.org/CodeSystem/measure-scoring](http://terminology.hl7.org/7.1.0/CodeSystem-measure-scoring.html)
* Metadata: Improvement Notation
  * ?: increase from[http://terminology.hl7.org/CodeSystem/measure-improvement-notation](http://terminology.hl7.org/7.1.0/CodeSystem-measure-improvement-notation.html)
* Metadata: Composite Scoring
  * ?: weighted from[http://terminology.hl7.org/CodeSystem/composite-measure-scoring](http://terminology.hl7.org/7.1.0/CodeSystem-composite-measure-scoring.html)
* Metadata: Component
  * ?: **Resource**:[Multi-Rate Example Measure](Measure-MultiRateExample-FHIR.md)**Canonical URL**:http://hl7.org/fhir/uv/cqm/Measure/MultiRateExample-FHIR
* Metadata: Component
  * ?: **Resource**:[Multi-Rate Example Measure](Measure-MultiRateExample-FHIR.md)**Canonical URL**:http://hl7.org/fhir/uv/cqm/Measure/MultiRateExample-FHIR
* Metadata: Component
  * ?: **Resource**:[Multi-Rate Example Measure](Measure-MultiRateExample-FHIR.md)**Canonical URL**:http://hl7.org/fhir/uv/cqm/Measure/MultiRateExample-FHIR
* Metadata: Component
  * ?: **Resource**:[Multi-Rate Example Measure](Measure-MultiRateExample-FHIR.md)**Canonical URL**:http://hl7.org/fhir/uv/cqm/Measure/MultiRateExample-FHIR
* Metadata: Type
  * ?: structure from[http://terminology.hl7.org/CodeSystem/measure-type](http://terminology.hl7.org/7.1.0/CodeSystem-measure-type.html)
* Metadata: Risk Adjustment
  * ?: N/A
* Metadata: Rate Aggregation
  * ?: N/A
* Metadata: Measure Logic
* Metadata: Primary Library
  * ?: [Multi Rate Example Logic Library](Library-MultiRateExample.md)
* Metadata: Contents
  * ?: **[Population Criteria](#population-criteria)****[Logic Definitions](#definitions)****[Terminology](#terminology)****[Dependencies](#dependencies)****[Data Requirements](#data-requirements)****[Parameters](#parameters)**
* Metadata:  Population Criteria
* Metadata: Measure Group (Rate) (ID: Patients)
* Metadata: Initial Population
* Metadata:  ````// Number of patients define "Patients": [Patient]````[**Definition**](#multirateexample-patients)
* Metadata: Measure Population
* Metadata:  ````// Number of patients define "Patients": [Patient]````[**Definition**](#multirateexample-patients)
* Metadata: Measure Observation
* Metadata:  ````define function ToNumber(patient Patient): if patient is not null then 1 else 0````[**Definition**](#multirateexample-tonumber)
* Metadata: Measure Observation
* Metadata:  ````define function ToNumber(practitionerRole PractitionerRole): if practitionerRole is not null then 1 else 0````[**Definition**](#multirateexample-tonumber)
* Metadata: Measure Observation
* Metadata:  ````define function ToNumber(device Device): if device is not null then 1 else 0````[**Definition**](#multirateexample-tonumber)
* Metadata: Measure Group (Rate) (ID: Practitioners)
* Metadata: Initial Population
* Metadata:  ````// Number of practitioners define "Practitioners": [PractitionerRole]````[**Definition**](#multirateexample-practitioners)
* Metadata: Measure Population
* Metadata:  ````// Number of practitioners define "Practitioners": [PractitionerRole]````[**Definition**](#multirateexample-practitioners)
* Metadata: Measure Observation
* Metadata:  ````define function ToNumber(patient Patient): if patient is not null then 1 else 0````[**Definition**](#multirateexample-tonumber)
* Metadata: Measure Observation
* Metadata:  ````define function ToNumber(practitionerRole PractitionerRole): if practitionerRole is not null then 1 else 0````[**Definition**](#multirateexample-tonumber)
* Metadata: Measure Observation
* Metadata:  ````define function ToNumber(device Device): if device is not null then 1 else 0````[**Definition**](#multirateexample-tonumber)
* Metadata: Measure Group (Rate) (ID: Beds)
* Metadata: Initial Population
* Metadata:  ````// Number of beds define "Beds": [Device: "Bed Device Types"]````[**Definition**](#multirateexample-beds)
* Metadata: Measure Population
* Metadata:  ````// Number of beds define "Beds": [Device: "Bed Device Types"]````[**Definition**](#multirateexample-beds)
* Metadata: Measure Observation
* Metadata:  ````define function ToNumber(patient Patient): if patient is not null then 1 else 0````[**Definition**](#multirateexample-tonumber)
* Metadata: Measure Observation
* Metadata:  ````define function ToNumber(practitionerRole PractitionerRole): if practitionerRole is not null then 1 else 0````[**Definition**](#multirateexample-tonumber)
* Metadata: Measure Observation
* Metadata:  ````define function ToNumber(device Device): if device is not null then 1 else 0````[**Definition**](#multirateexample-tonumber)
* Metadata: Measure Group (Rate) (ID: Screening-procedures)
* Metadata: Initial Population
* Metadata:  ````// Number of screening procedures define "Screening Procedures": [Procedure: "Screening Procedure Types"]````[**Definition**](#multirateexample-screening-procedures)
* Metadata: Measure Population
* Metadata:  ````// Number of screening procedures define "Screening Procedures": [Procedure: "Screening Procedure Types"]````[**Definition**](#multirateexample-screening-procedures)
* Metadata: Measure Observation
* Metadata:  ````define function ToNumber(patient Patient): if patient is not null then 1 else 0````[**Definition**](#multirateexample-tonumber)
* Metadata: Measure Observation
* Metadata:  ````define function ToNumber(practitionerRole PractitionerRole): if practitionerRole is not null then 1 else 0````[**Definition**](#multirateexample-tonumber)
* Metadata: Measure Observation
* Metadata:  ````define function ToNumber(device Device): if device is not null then 1 else 0````[**Definition**](#multirateexample-tonumber)
* Metadata: Measure Group (Rate) (ID: patient-screenings)
* Metadata: Initial Population
* Metadata:  ````// Percentage of patients who received screening define "Initial Population": "Patients"````[**Definition**](#multirateexample-initial-population)
* Metadata: Denominator
* Metadata:  ````define "Denominator": "Patients" P where P.gender = 'female'````[**Definition**](#multirateexample-denominator)
* Metadata: Numerator
* Metadata:  ````define "Numerator": "Patients" P with "Screening Procedures" SP such that P.id = Last(Split(SP.subject.reference, '/'))````[**Definition**](#multirateexample-numerator)
* Metadata: Measure Group (Rate) (ID: weighted-average-capacity)
* Metadata:  Logic Definitions
* Metadata: Logic Definition
  * ?: **Library Name:**MultiRateExample
* Metadata:  ````// Number of practitioners define "Practitioners": [PractitionerRole]````
* Metadata: Logic Definition
  * ?: **Library Name:**MultiRateExample
* Metadata:  ````// Number of patients define "Patients": [Patient]````
* Metadata: Logic Definition
  * ?: **Library Name:**MultiRateExample
* Metadata:  ````// Number of screening procedures define "Screening Procedures": [Procedure: "Screening Procedure Types"]````
* Metadata: Logic Definition
  * ?: **Library Name:**MultiRateExample
* Metadata:  ````define "Numerator": "Patients" P with "Screening Procedures" SP such that P.id = Last(Split(SP.subject.reference, '/'))````
* Metadata: Logic Definition
  * ?: **Library Name:**MultiRateExample
* Metadata:  ````define "Denominator": "Patients" P where P.gender = 'female'````
* Metadata: Logic Definition
  * ?: **Library Name:**MultiRateExample
* Metadata:  ````// Percentage of patients who received screening define "Initial Population": "Patients"````
* Metadata: Logic Definition
  * ?: **Library Name:**MultiRateExample
* Metadata:  ````// Number of beds define "Beds": [Device: "Bed Device Types"]````
* Metadata: Logic Definition
  * ?: **Library Name:**MultiRateExample
* Metadata:  ````define function ToNumber(patient Patient): if patient is not null then 1 else 0````
* Metadata: Logic Definition
  * ?: **Library Name:**MultiRateExample
* Metadata:  ````define function ToNumber(practitionerRole PractitionerRole): if practitionerRole is not null then 1 else 0````
* Metadata: Logic Definition
  * ?: **Library Name:**MultiRateExample
* Metadata:  ````define function ToNumber(device Device): if device is not null then 1 else 0````
* Metadata: Logic Definition
  * ?: **Library Name:**FHIRHelpers
* Metadata:  ````define function ToString(value string): value.value````
* Metadata: Logic Definition
  * ?: **Library Name:**FHIRHelpers
* Metadata:  ````define function ToString(value AdministrativeGender): value.value````
* Metadata:  Terminology
* Metadata: Value Set
  * ?: **Description**: Value set Screening Procedure Types**Resource**:`http://example.org/fhir/ValueSet/TBD`**Canonical URL**:http://example.org/fhir/ValueSet/TBD
* Metadata:  Dependencies
* Metadata: Dependency
  * ?: **Description**: FHIR model information**Resource**:[http://hl7.org/fhir/uv/cql/Library/FHIR-ModelInfo|4.0.1](http://hl7.org/fhir/uv/cql/STU2/Library-FHIR-ModelInfo.html)**Canonical URL**:http://hl7.org/fhir/uv/cql/Library/FHIR-ModelInfo|4.0.1
* Metadata: Dependency
  * ?: **Description**: Library FHIRHelpers**Resource**:[http://hl7.org/fhir/uv/cql/Library/FHIRHelpers|4.0.1](http://hl7.org/fhir/uv/cql/STU2/Library-FHIRHelpers.html)**Canonical URL**:http://hl7.org/fhir/uv/cql/Library/FHIRHelpers|4.0.1
* Metadata:  Data Requirements
* Metadata: Data Requirement
  * ?: **Type**: PractitionerRole**Profile(s)**:[PractitionerRole](http://hl7.org/fhir/R4/practitionerrole.html)
* Metadata: Data Requirement
  * ?: **Type**: Patient**Profile(s)**:[Patient](http://hl7.org/fhir/R4/patient.html)**Must Support Elements**: id, gender
* Metadata: Data Requirement
  * ?: **Type**: Procedure**Profile(s)**:[Procedure](http://hl7.org/fhir/R4/procedure.html)**Must Support Elements**: code, subject, subject.reference**Code Filter(s)**:**Path**: code**ValueSet**:`http://example.org/fhir/ValueSet/TBD`
* Metadata: Data Requirement
  * ?: **Type**: Device**Profile(s)**:[Device](http://hl7.org/fhir/R4/device.html)**Must Support Elements**: type**Code Filter(s)**:**Path**: type**ValueSet**:`http://example.org/fhir/ValueSet/TBD`
* Metadata:  Parameters
* Metadata: 
  * ?: 
| | | | | |
| :--- | :--- | :--- | :--- | :--- |
| **Name** | **Use** | **Card.** | **Type** | **Documentation** |
| Practitioners | Out | 0..* | PractitionerRole |  |
| Numerator | Out | 0..* | Patient |  |
| Screening Procedures | Out | 0..* | Procedure |  |
| Denominator | Out | 0..* | Patient |  |
| Initial Population | Out | 0..* | Patient |  |
| Patients | Out | 0..* | Patient |  |
| Beds | Out | 0..* | Device |  |

* Metadata: Generated using version 0.5.4 of the sample-content-ig Liquid templates



## Resource Content

```json
{
  "resourceType" : "Measure",
  "id" : "MultiRateExample-FHIR",
  "meta" : {
    "profile" : ["http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-computablemeasure",
    "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-computablemeasure"]
  },
  "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/StructureDefinition/cqf-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/StructureDefinition/cqf-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/StructureDefinition/cqf-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/StructureDefinition/cqf-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/StructureDefinition/cqf-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/StructureDefinition/cqf-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/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [{
        "url" : "libraryName",
        "valueString" : "MultiRateExample"
      },
      {
        "url" : "name",
        "valueString" : "ToNumber"
      },
      {
        "url" : "statement",
        "valueString" : "define function ToNumber(patient Patient):\n  if patient is not null then 1 else 0"
      },
      {
        "url" : "displaySequence",
        "valueInteger" : 7
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [{
        "url" : "libraryName",
        "valueString" : "MultiRateExample"
      },
      {
        "url" : "name",
        "valueString" : "ToNumber"
      },
      {
        "url" : "statement",
        "valueString" : "define function ToNumber(practitionerRole PractitionerRole):\n  if practitionerRole is not null then 1 else 0"
      },
      {
        "url" : "displaySequence",
        "valueInteger" : 8
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [{
        "url" : "libraryName",
        "valueString" : "MultiRateExample"
      },
      {
        "url" : "name",
        "valueString" : "ToNumber"
      },
      {
        "url" : "statement",
        "valueString" : "define function ToNumber(device Device):\n  if device is not null then 1 else 0"
      },
      {
        "url" : "displaySequence",
        "valueInteger" : 9
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [{
        "url" : "libraryName",
        "valueString" : "FHIRHelpers"
      },
      {
        "url" : "name",
        "valueString" : "ToString"
      },
      {
        "url" : "statement",
        "valueString" : "define function ToString(value string): value.value"
      },
      {
        "url" : "displaySequence",
        "valueInteger" : 10
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    },
    {
      "extension" : [{
        "url" : "libraryName",
        "valueString" : "FHIRHelpers"
      },
      {
        "url" : "name",
        "valueString" : "ToString"
      },
      {
        "url" : "statement",
        "valueString" : "define function ToString(value AdministrativeGender): value.value"
      },
      {
        "url" : "displaySequence",
        "valueInteger" : 11
      }],
      "url" : "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
    }],
    "name" : "EffectiveDataRequirements",
    "status" : "active",
    "type" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/library-type",
        "code" : "module-definition"
      }]
    },
    "relatedArtifact" : [{
      "type" : "depends-on",
      "display" : "FHIR model information",
      "resource" : "http://hl7.org/fhir/uv/cql/Library/FHIR-ModelInfo|4.0.1"
    },
    {
      "type" : "depends-on",
      "display" : "Library FHIRHelpers",
      "resource" : "http://hl7.org/fhir/uv/cql/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" : "Screening Procedures",
      "use" : "out",
      "min" : 0,
      "max" : "*",
      "type" : "Procedure"
    },
    {
      "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" : "PractitionerRole",
      "profile" : ["http://hl7.org/fhir/StructureDefinition/PractitionerRole"]
    },
    {
      "type" : "Patient",
      "profile" : ["http://hl7.org/fhir/StructureDefinition/Patient"],
      "mustSupport" : ["id", "gender"]
    },
    {
      "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" : "Device",
      "profile" : ["http://hl7.org/fhir/StructureDefinition/Device"],
      "mustSupport" : ["type"],
      "codeFilter" : [{
        "path" : "type",
        "valueSet" : "http://example.org/fhir/ValueSet/TBD"
      }]
    }]
  }],
  "extension" : [{
    "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis",
    "valueCode" : "Patient"
  },
  {
    "url" : "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements",
    "valueCanonical" : "#effective-data-requirements"
  }],
  "url" : "http://hl7.org/fhir/uv/cqm/Measure/MultiRateExample-FHIR",
  "identifier" : [{
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:oid:2.16.840.1.113883.4.642.40.61.29.12"
  }],
  "version" : "0.1.0",
  "name" : "MultiRateExample",
  "title" : "Multi-Rate Example Measure",
  "status" : "active",
  "experimental" : true,
  "subjectCodeableConcept" : {
    "coding" : [{
      "system" : "http://hl7.org/fhir/resource-types",
      "code" : "Location"
    }]
  },
  "date" : "2025-08-13T16:14:51-07:00",
  "publisher" : "HL7 International / Clinical Quality Information",
  "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",
  "useContext" : [{
    "code" : {
      "system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
      "code" : "venue",
      "display" : "Clinical Venue"
    },
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "http://hl7.org/fhir/uv/cqm/CodeSystem/intended-venue-codes",
        "code" : "ec",
        "display" : "EC"
      }]
    }
  }],
  "jurisdiction" : [{
    "coding" : [{
      "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "code" : "001"
    }]
  }],
  "library" : ["http://hl7.org/fhir/uv/cqm/Library/MultiRateExample"],
  "group" : [{
    "id" : "group-1",
    "extension" : [{
      "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.linkId",
      "valueString" : "Patients"
    },
    {
      "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis",
      "valueCode" : "Patient"
    },
    {
      "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
          "code" : "continuous-variable"
        }]
      }
    },
    {
      "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-type",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/measure-type",
          "code" : "structure"
        }]
      }
    },
    {
      "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-riskAdjustment",
      "valueString" : "N/A"
    },
    {
      "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-rateAggregation",
      "valueString" : "N/A"
    },
    {
      "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-improvementNotation",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
          "code" : "increase"
        }]
      }
    }],
    "code" : {
      "text" : "Patients"
    },
    "population" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId",
        "valueString" : "primary-multirateexample-initial-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"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId",
        "valueString" : "primary-multirateexample-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/uv/cqm/StructureDefinition/cqm-aggregateMethod",
        "valueCode" : "sum"
      },
      {
        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId",
        "valueString" : "primary-multirateexample-tonumber"
      }],
      "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/5.0/StructureDefinition/extension-Measure.group.linkId",
      "valueString" : "Practitioners"
    },
    {
      "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis",
      "valueCode" : "PractitionerRole"
    },
    {
      "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
          "code" : "continuous-variable"
        }]
      }
    },
    {
      "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-type",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/measure-type",
          "code" : "structure"
        }]
      }
    },
    {
      "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-riskAdjustment",
      "valueString" : "N/A"
    },
    {
      "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-rateAggregation",
      "valueString" : "N/A"
    },
    {
      "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-improvementNotation",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
          "code" : "increase"
        }]
      }
    }],
    "code" : {
      "text" : "Practitioners"
    },
    "population" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId",
        "valueString" : "primary-multirateexample-initial-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"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId",
        "valueString" : "primary-multirateexample-measure-population"
      }],
      "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/uv/cqm/StructureDefinition/cqm-aggregateMethod",
        "valueCode" : "sum"
      },
      {
        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId",
        "valueString" : "primary-multirateexample-measure-observation"
      }],
      "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/5.0/StructureDefinition/extension-Measure.group.linkId",
      "valueString" : "Beds"
    },
    {
      "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis",
      "valueCode" : "Device"
    },
    {
      "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
          "code" : "continuous-variable"
        }]
      }
    },
    {
      "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-type",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/measure-type",
          "code" : "structure"
        }]
      }
    },
    {
      "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-riskAdjustment",
      "valueString" : "N/A"
    },
    {
      "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-rateAggregation",
      "valueString" : "N/A"
    },
    {
      "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-improvementNotation",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
          "code" : "increase"
        }]
      }
    }],
    "code" : {
      "text" : "Beds"
    },
    "population" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId",
        "valueString" : "primary-multirateexample-beds-initial-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"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId",
        "valueString" : "primary-multirateexample-beds-measure-population"
      }],
      "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/5.0/StructureDefinition/extension-Measure.group.population.linkId",
        "valueString" : "primary-multirateexample-beds-measure-observation-population"
      },
      {
        "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-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/5.0/StructureDefinition/extension-Measure.group.linkId",
      "valueString" : "Screening-procedures"
    },
    {
      "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis",
      "valueCode" : "Procedure"
    },
    {
      "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
          "code" : "continuous-variable"
        }]
      }
    },
    {
      "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-type",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/measure-type",
          "code" : "structure"
        }]
      }
    },
    {
      "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-riskAdjustment",
      "valueString" : "N/A"
    },
    {
      "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-rateAggregation",
      "valueString" : "N/A"
    },
    {
      "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-improvementNotation",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
          "code" : "increase"
        }]
      }
    }],
    "code" : {
      "text" : "Screening Procedures"
    },
    "population" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId",
        "valueString" : "primary-multirateexample-procedures-initial-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" : "Screening Procedures"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId",
        "valueString" : "primary-multirateexample-procedures-measure-population"
      }],
      "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" : "Screening Procedures"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId",
        "valueString" : "primary-multirateexample-procedures-measure-observation-population"
      },
      {
        "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-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/5.0/StructureDefinition/extension-Measure.group.linkId",
      "valueString" : "patient-screenings"
    },
    {
      "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis",
      "valueCode" : "Patient"
    },
    {
      "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
          "code" : "proportion"
        }]
      }
    },
    {
      "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-type",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/measure-type",
          "code" : "process"
        }]
      }
    },
    {
      "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-riskAdjustment",
      "valueString" : "N/A"
    },
    {
      "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-rateAggregation",
      "valueString" : "N/A"
    },
    {
      "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-improvementNotation",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
          "code" : "increase"
        }]
      }
    }],
    "code" : {
      "text" : "Patients that recevied screenings"
    },
    "population" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId",
        "valueString" : "primary-multirateexample-patients-initial-population"
      }],
      "code" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
          "code" : "initial-population"
        }]
      },
      "description" : "Patients",
      "criteria" : {
        "language" : "text/cql-identifier",
        "expression" : "Initial Population"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId",
        "valueString" : "primary-multirateexample-patients-denominator"
      }],
      "code" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
          "code" : "denominator"
        }]
      },
      "description" : "Eligible patients",
      "criteria" : {
        "language" : "text/cql-identifier",
        "expression" : "Denominator"
      }
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId",
        "valueString" : "primary-multirateexample-patients-numerator"
      }],
      "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/5.0/StructureDefinition/extension-Measure.group.linkId",
      "valueString" : "weighted-average-capacity"
    },
    {
      "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-compositeScoring",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/composite-measure-scoring",
          "code" : "weighted"
        }]
      }
    },
    {
      "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
          "code" : "composite"
        }]
      }
    },
    {
      "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-type",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/measure-type",
          "code" : "structure"
        }]
      }
    },
    {
      "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-riskAdjustment",
      "valueString" : "N/A"
    },
    {
      "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-rateAggregation",
      "valueString" : "N/A"
    },
    {
      "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-improvementNotation",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
          "code" : "increase"
        }]
      }
    },
    {
      "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-component",
      "valueRelatedArtifact" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-groupId",
          "valueString" : "group-1"
        },
        {
          "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-weight",
          "valueDecimal" : 1.0
        }],
        "type" : "composed-of",
        "resource" : "http://hl7.org/fhir/uv/cqm/Measure/MultiRateExample-FHIR"
      }
    },
    {
      "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-component",
      "valueRelatedArtifact" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-groupId",
          "valueString" : "group-2"
        },
        {
          "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-weight",
          "valueDecimal" : 5.0
        }],
        "type" : "composed-of",
        "resource" : "http://hl7.org/fhir/uv/cqm/Measure/MultiRateExample-FHIR"
      }
    },
    {
      "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-component",
      "valueRelatedArtifact" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-groupId",
          "valueString" : "group-3"
        },
        {
          "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-weight",
          "valueDecimal" : 2.5
        }],
        "type" : "composed-of",
        "resource" : "http://hl7.org/fhir/uv/cqm/Measure/MultiRateExample-FHIR"
      }
    },
    {
      "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-component",
      "valueRelatedArtifact" : {
        "extension" : [{
          "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-groupId",
          "valueString" : "group-4"
        },
        {
          "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-weight",
          "valueDecimal" : 1.0
        }],
        "type" : "composed-of",
        "resource" : "http://hl7.org/fhir/uv/cqm/Measure/MultiRateExample-FHIR"
      }
    }],
    "code" : {
      "text" : "Weighted Average capacity"
    }
  }]
}

```
