Quality Measure Implementation Guide
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Quality Measure Implementation Guide - Downloaded Version null See the Directory of published versions

## : Multi-Rate Example Measure

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    <Measure xmlns="http://hl7.org/fhir">
      <id value="MultiRateExample-FHIR"/>
      <meta>
        <profile
                 value="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-computablemeasure"/>
        <profile
                 value="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-computablemeasure"/>
      </meta>
      <language value="en"/>
      <text>
        <status value="extensions"/>
        <div xmlns="http://www.w3.org/1999/xhtml">
      <table class="narrative-table">
        <tbody>
    <tr>

    <th colspan="2" scope="row" class="row-header">Metadata</th>

    </tr>

    <tr>

    <th scope="row" class="row-header">Title</th>

    <td class="content-container">Multi-Rate Example Measure</td>

    </tr>

    <tr>

    <th scope="row" class="row-header">Version</th>

    <td class="content-container">0.1.0</td>

    </tr>

    <tr>

    <th scope="row" class="row-header">Identifier</th>

    <td class="content-container">urn:oid:2.16.840.1.113883.4.642.40.61.29.12</td>

    </tr>

    <tr>

    <th scope="row" class="row-header">Experimental</th>

    <td class="content-container">true</td>

    </tr>

    <tr>

    <th scope="row" class="row-header">Subject Type</th>

    <td class="content-container">
        Location from <a href="http://hl7.org/fhir/R4/codesystem-resource-types.html">http://hl7.org/fhir/resource-types</a>

    </td>

    </tr>

    <tr>

    <th scope="row" class="row-header">Use Context</th>

    <td class="content-container">
        Clinical Venue

     =
        EC

    </td>

    </tr>

    <tr>

    <th scope="row" class="row-header">Jurisdiction</th>

    <td class="content-container">
        001 from <a href="http://unstats.un.org/unsd/methods/m49/m49.htm">http://unstats.un.org/unsd/methods/m49/m49.htm</a>

    </td>

    </tr>

    <tr>

    <th scope="row" class="row-header">Steward (Publisher)</th>

    <td class="content-container">HL7 International / Clinical Quality Information</td>

    </tr>

    <tr>

    <th scope="row" class="row-header">Description</th>

    <td class="content-container"><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>
    </div></td>

    </tr>

    <tr>

    <th scope="row" class="row-header">Measure Basis</th>

    <td class="content-container">Patient</td>

    </tr>

        <tr>

    <th colspan="2" scope="row" class="row-header">Measure Group (Rate) (ID: Patients)</th>

    </tr>

    <tr>

    <th scope="row" class="row-header">Basis</th>

    <td class="content-container">Patient</td>

    </tr>

    <tr>

    <th scope="row" class="row-header">Scoring</th>

    <td class="content-container">
        continuous-variable from <a href="http://terminology.hl7.org/7.1.0/CodeSystem-measure-scoring.html">http://terminology.hl7.org/CodeSystem/measure-scoring</a>

    </td>

    </tr>

    <tr>

    <th scope="row" class="row-header">Improvement Notation</th>

    <td class="content-container">
        increase from <a href="http://terminology.hl7.org/7.1.0/CodeSystem-measure-improvement-notation.html">http://terminology.hl7.org/CodeSystem/measure-improvement-notation</a>

    </td>

    </tr>

    <tr>

    <th scope="row" class="row-header">Type</th>

    <td class="content-container">
        structure from <a href="http://terminology.hl7.org/7.1.0/CodeSystem-measure-type.html">http://terminology.hl7.org/CodeSystem/measure-type</a>

    </td>

    </tr>

    <tr>

    <th scope="row" class="row-header">Risk Adjustment</th>

    <td class="content-container">N/A</td>

    </tr>

    <tr>

    <th scope="row" class="row-header">Rate Aggregation</th>

    <td class="content-container">N/A</td>

    </tr>

        <tr>

    <th scope="row" class="row-header">Initial Population</th>

          <td class="content-container">

            <em>ID</em>: primary-multirateexample-initial-population
            <br/>

              <em>Description</em>:
              <p style="white-space: pre-line" class="tab-one">Total number of patients</p>

                  <em>Criteria</em>: <a href="#Patients-primary-multirateexample-initial-population">Patients</a>

          </td>
        </tr>

        <tr>

    <th scope="row" class="row-header">Measure Population</th>

          <td class="content-container">

            <em>ID</em>: primary-multirateexample-patients
            <br/>

              <em>Description</em>:
              <p style="white-space: pre-line" class="tab-one">Total number of patients</p>

                  <em>Criteria</em>: <a href="#Patients-primary-multirateexample-patients">Patients</a>

          </td>
        </tr>

        <tr>

    <th scope="row" class="row-header">Measure Observation</th>

          <td class="content-container">

            <em>ID</em>: primary-multirateexample-tonumber
            <br/>

              <em>Description</em>:
              <p style="white-space: pre-line" class="tab-one">Total number of patients</p>

                  <em>Criteria</em>: <a href="#Patients-primary-multirateexample-tonumber">ToNumber</a>

              <em>AggregateMethod</em>: sum

          </td>
        </tr>

        <tr>

    <th colspan="2" scope="row" class="row-header">Measure Group (Rate) (ID: Practitioners)</th>

    </tr>

    <tr>

    <th scope="row" class="row-header">Basis</th>

    <td class="content-container">PractitionerRole</td>

    </tr>

    <tr>

    <th scope="row" class="row-header">Scoring</th>

    <td class="content-container">
        continuous-variable from <a href="http://terminology.hl7.org/7.1.0/CodeSystem-measure-scoring.html">http://terminology.hl7.org/CodeSystem/measure-scoring</a>

    </td>

    </tr>

    <tr>

    <th scope="row" class="row-header">Improvement Notation</th>

    <td class="content-container">
        increase from <a href="http://terminology.hl7.org/7.1.0/CodeSystem-measure-improvement-notation.html">http://terminology.hl7.org/CodeSystem/measure-improvement-notation</a>

    </td>

    </tr>

    <tr>

    <th scope="row" class="row-header">Type</th>

    <td class="content-container">
        structure from <a href="http://terminology.hl7.org/7.1.0/CodeSystem-measure-type.html">http://terminology.hl7.org/CodeSystem/measure-type</a>

    </td>

    </tr>

    <tr>

    <th scope="row" class="row-header">Risk Adjustment</th>

    <td class="content-container">N/A</td>

    </tr>

    <tr>

    <th scope="row" class="row-header">Rate Aggregation</th>

    <td class="content-container">N/A</td>

    </tr>

        <tr>

    <th scope="row" class="row-header">Initial Population</th>

          <td class="content-container">

            <em>ID</em>: primary-multirateexample-initial-population
            <br/>

              <em>Description</em>:
              <p style="white-space: pre-line" class="tab-one">Total number of practitioners</p>

                  <em>Criteria</em>: <a href="#Practitioners-primary-multirateexample-initial-population">Practitioners</a>

          </td>
        </tr>

        <tr>

    <th scope="row" class="row-header">Measure Population</th>

          <td class="content-container">

            <em>ID</em>: primary-multirateexample-measure-population
            <br/>

              <em>Description</em>:
              <p style="white-space: pre-line" class="tab-one">Total number of practitioners</p>

                  <em>Criteria</em>: <a href="#Practitioners-primary-multirateexample-measure-population">Practitioners</a>

          </td>
        </tr>

        <tr>

    <th scope="row" class="row-header">Measure Observation</th>

          <td class="content-container">

            <em>ID</em>: primary-multirateexample-measure-observation
            <br/>

              <em>Description</em>:
              <p style="white-space: pre-line" class="tab-one">Total number of practitioners</p>

                  <em>Criteria</em>: <a href="#Practitioners-primary-multirateexample-measure-observation">ToNumber</a>

              <em>AggregateMethod</em>: sum

          </td>
        </tr>

        <tr>

    <th colspan="2" scope="row" class="row-header">Measure Group (Rate) (ID: Beds)</th>

    </tr>

    <tr>

    <th scope="row" class="row-header">Basis</th>

    <td class="content-container">Device</td>

    </tr>

    <tr>

    <th scope="row" class="row-header">Scoring</th>

    <td class="content-container">
        continuous-variable from <a href="http://terminology.hl7.org/7.1.0/CodeSystem-measure-scoring.html">http://terminology.hl7.org/CodeSystem/measure-scoring</a>

    </td>

    </tr>

    <tr>

    <th scope="row" class="row-header">Improvement Notation</th>

    <td class="content-container">
        increase from <a href="http://terminology.hl7.org/7.1.0/CodeSystem-measure-improvement-notation.html">http://terminology.hl7.org/CodeSystem/measure-improvement-notation</a>

    </td>

    </tr>

    <tr>

    <th scope="row" class="row-header">Type</th>

    <td class="content-container">
        structure from <a href="http://terminology.hl7.org/7.1.0/CodeSystem-measure-type.html">http://terminology.hl7.org/CodeSystem/measure-type</a>

    </td>

    </tr>

    <tr>

    <th scope="row" class="row-header">Risk Adjustment</th>

    <td class="content-container">N/A</td>

    </tr>

    <tr>

    <th scope="row" class="row-header">Rate Aggregation</th>

    <td class="content-container">N/A</td>

    </tr>

        <tr>

    <th scope="row" class="row-header">Initial Population</th>

          <td class="content-container">

            <em>ID</em>: primary-multirateexample-beds-initial-population
            <br/>

              <em>Description</em>:
              <p style="white-space: pre-line" class="tab-one">Total number of beds</p>

                  <em>Criteria</em>: <a href="#Beds-primary-multirateexample-beds-initial-population">Beds</a>

          </td>
        </tr>

        <tr>

    <th scope="row" class="row-header">Measure Population</th>

          <td class="content-container">

            <em>ID</em>: primary-multirateexample-beds-measure-population
            <br/>

              <em>Description</em>:
              <p style="white-space: pre-line" class="tab-one">Total number of beds</p>

                  <em>Criteria</em>: <a href="#Beds-primary-multirateexample-beds-measure-population">Beds</a>

          </td>
        </tr>

        <tr>

    <th scope="row" class="row-header">Measure Observation</th>

          <td class="content-container">

            <em>ID</em>: primary-multirateexample-beds-measure-observation-population
            <br/>

              <em>Description</em>:
              <p style="white-space: pre-line" class="tab-one">Total number of beds</p>

                  <em>Criteria</em>: <a href="#Beds-primary-multirateexample-beds-measure-observation-population">ToNumber</a>

              <em>AggregateMethod</em>: sum

          </td>
        </tr>

        <tr>

    <th colspan="2" scope="row" class="row-header">Measure Group (Rate) (ID: Screening-procedures)</th>

    </tr>

    <tr>

    <th scope="row" class="row-header">Basis</th>

    <td class="content-container">Procedure</td>

    </tr>

    <tr>

    <th scope="row" class="row-header">Scoring</th>

    <td class="content-container">
        continuous-variable from <a href="http://terminology.hl7.org/7.1.0/CodeSystem-measure-scoring.html">http://terminology.hl7.org/CodeSystem/measure-scoring</a>

    </td>

    </tr>

    <tr>

    <th scope="row" class="row-header">Improvement Notation</th>

    <td class="content-container">
        increase from <a href="http://terminology.hl7.org/7.1.0/CodeSystem-measure-improvement-notation.html">http://terminology.hl7.org/CodeSystem/measure-improvement-notation</a>

    </td>

    </tr>

    <tr>

    <th scope="row" class="row-header">Type</th>

    <td class="content-container">
        structure from <a href="http://terminology.hl7.org/7.1.0/CodeSystem-measure-type.html">http://terminology.hl7.org/CodeSystem/measure-type</a>

    </td>

    </tr>

    <tr>

    <th scope="row" class="row-header">Risk Adjustment</th>

    <td class="content-container">N/A</td>

    </tr>

    <tr>

    <th scope="row" class="row-header">Rate Aggregation</th>

    <td class="content-container">N/A</td>

    </tr>

        <tr>

    <th scope="row" class="row-header">Initial Population</th>

          <td class="content-container">

            <em>ID</em>: primary-multirateexample-procedures-initial-population
            <br/>

              <em>Description</em>:
              <p style="white-space: pre-line" class="tab-one">Total number of screening procedures</p>

                  <em>Criteria</em>: <a href="#Screening-procedures-primary-multirateexample-procedures-initial-population">Screening Procedures</a>

          </td>
        </tr>

        <tr>

    <th scope="row" class="row-header">Measure Population</th>

          <td class="content-container">

            <em>ID</em>: primary-multirateexample-procedures-measure-population
            <br/>

              <em>Description</em>:
              <p style="white-space: pre-line" class="tab-one">Total number of screening procedures</p>

                  <em>Criteria</em>: <a href="#Screening-procedures-primary-multirateexample-procedures-measure-population">Screening Procedures</a>

          </td>
        </tr>

        <tr>

    <th scope="row" class="row-header">Measure Observation</th>

          <td class="content-container">

            <em>ID</em>: primary-multirateexample-procedures-measure-observation-population
            <br/>

              <em>Description</em>:
              <p style="white-space: pre-line" class="tab-one">Total number of screening procedures</p>

                  <em>Criteria</em>: <a href="#Screening-procedures-primary-multirateexample-procedures-measure-observation-population">ToNumber</a>

              <em>AggregateMethod</em>: sum

          </td>
        </tr>

        <tr>

    <th colspan="2" scope="row" class="row-header">Measure Group (Rate) (ID: patient-screenings)</th>

    </tr>

    <tr>

    <th scope="row" class="row-header">Basis</th>

    <td class="content-container">Patient</td>

    </tr>

    <tr>

    <th scope="row" class="row-header">Scoring</th>

    <td class="content-container">
        proportion from <a href="http://terminology.hl7.org/7.1.0/CodeSystem-measure-scoring.html">http://terminology.hl7.org/CodeSystem/measure-scoring</a>

    </td>

    </tr>

    <tr>

    <th scope="row" class="row-header">Improvement Notation</th>

    <td class="content-container">
        increase from <a href="http://terminology.hl7.org/7.1.0/CodeSystem-measure-improvement-notation.html">http://terminology.hl7.org/CodeSystem/measure-improvement-notation</a>

    </td>

    </tr>

    <tr>

    <th scope="row" class="row-header">Type</th>

    <td class="content-container">
        process from <a href="http://terminology.hl7.org/7.1.0/CodeSystem-measure-type.html">http://terminology.hl7.org/CodeSystem/measure-type</a>

    </td>

    </tr>

    <tr>

    <th scope="row" class="row-header">Risk Adjustment</th>

    <td class="content-container">N/A</td>

    </tr>

    <tr>

    <th scope="row" class="row-header">Rate Aggregation</th>

    <td class="content-container">N/A</td>

    </tr>

        <tr>

    <th scope="row" class="row-header">Initial Population</th>

          <td class="content-container">

            <em>ID</em>: primary-multirateexample-patients-initial-population
            <br/>

              <em>Description</em>:
              <p style="white-space: pre-line" class="tab-one">Patients</p>

                  <em>Criteria</em>: <a href="#patient-screenings-primary-multirateexample-patients-initial-population">Initial Population</a>

          </td>
        </tr>

        <tr>

    <th scope="row" class="row-header">Denominator</th>

          <td class="content-container">

            <em>ID</em>: primary-multirateexample-patients-denominator
            <br/>

              <em>Description</em>:
              <p style="white-space: pre-line" class="tab-one">Eligible patients</p>

                  <em>Criteria</em>: <a href="#patient-screenings-primary-multirateexample-patients-denominator">Denominator</a>

          </td>
        </tr>

        <tr>

    <th scope="row" class="row-header">Numerator</th>

          <td class="content-container">

            <em>ID</em>: primary-multirateexample-patients-numerator
            <br/>

              <em>Description</em>:
              <p style="white-space: pre-line" class="tab-one">Patients with screening</p>

                  <em>Criteria</em>: <a href="#patient-screenings-primary-multirateexample-patients-numerator">Numerator</a>

          </td>
        </tr>

        <tr>

    <th colspan="2" scope="row" class="row-header">Measure Group (Rate) (ID: weighted-average-capacity)</th>

    </tr>

    <tr>

    <th scope="row" class="row-header">Scoring</th>

    <td class="content-container">
        composite from <a href="http://terminology.hl7.org/7.1.0/CodeSystem-measure-scoring.html">http://terminology.hl7.org/CodeSystem/measure-scoring</a>

    </td>

    </tr>

    <tr>

    <th scope="row" class="row-header">Improvement Notation</th>

    <td class="content-container">
        increase from <a href="http://terminology.hl7.org/7.1.0/CodeSystem-measure-improvement-notation.html">http://terminology.hl7.org/CodeSystem/measure-improvement-notation</a>

    </td>

    </tr>

    <tr>

    <th scope="row" class="row-header">Composite Scoring</th>

    <td class="content-container">
        weighted from <a href="http://terminology.hl7.org/7.1.0/CodeSystem-composite-measure-scoring.html">http://terminology.hl7.org/CodeSystem/composite-measure-scoring</a>

    </td>

    </tr>

    <tr>

    <th scope="row" class="row-header">Component</th>

      <td class="content-container">

        <em>Resource</em>: <a href="Measure-MultiRateExample-FHIR.html">Multi-Rate Example Measure</a>
        <br/>
        <em>Canonical URL</em>: <tt>http://hl7.org/fhir/uv/cqm/Measure/MultiRateExample-FHIR</tt>

      </td>
    </tr>

    <tr>

    <th scope="row" class="row-header">Component</th>

      <td class="content-container">

        <em>Resource</em>: <a href="Measure-MultiRateExample-FHIR.html">Multi-Rate Example Measure</a>
        <br/>
        <em>Canonical URL</em>: <tt>http://hl7.org/fhir/uv/cqm/Measure/MultiRateExample-FHIR</tt>

      </td>
    </tr>

    <tr>

    <th scope="row" class="row-header">Component</th>

      <td class="content-container">

        <em>Resource</em>: <a href="Measure-MultiRateExample-FHIR.html">Multi-Rate Example Measure</a>
        <br/>
        <em>Canonical URL</em>: <tt>http://hl7.org/fhir/uv/cqm/Measure/MultiRateExample-FHIR</tt>

      </td>
    </tr>

    <tr>

    <th scope="row" class="row-header">Component</th>

      <td class="content-container">

        <em>Resource</em>: <a href="Measure-MultiRateExample-FHIR.html">Multi-Rate Example Measure</a>
        <br/>
        <em>Canonical URL</em>: <tt>http://hl7.org/fhir/uv/cqm/Measure/MultiRateExample-FHIR</tt>

      </td>
    </tr>

    <tr>

    <th scope="row" class="row-header">Type</th>

    <td class="content-container">
        structure from <a href="http://terminology.hl7.org/7.1.0/CodeSystem-measure-type.html">http://terminology.hl7.org/CodeSystem/measure-type</a>

    </td>

    </tr>

    <tr>

    <th scope="row" class="row-header">Risk Adjustment</th>

    <td class="content-container">N/A</td>

    </tr>

    <tr>

    <th scope="row" class="row-header">Rate Aggregation</th>

    <td class="content-container">N/A</td>

    </tr>

    <tr>

    <th colspan="2" scope="row" class="row-header">Measure Logic</th>

    </tr>

    <tr>

    <th scope="row" class="row-header">Primary Library</th>

    <td class="content-container"><a href="Library-MultiRateExample.html">Multi Rate Example Logic Library</a></td>

    </tr>

    <tr>
      <th scope="row" class="row-header">Contents</th>
      <td class="content-container">
        <em><a href="#population-criteria">Population Criteria</a></em>
        <br/>
        <em><a href="#definitions">Logic Definitions</a></em>
        <br/>
        <em><a href="#terminology">Terminology</a></em>
        <br/>
        <em><a href="#dependencies">Dependencies</a></em>
        <br/>
        <em><a href="#data-requirements">Data Requirements</a></em>
        <br/>
        <em><a href="#parameters">Parameters</a></em>
        <br/>
      </td>
    </tr>

      <tr>

    <th colspan="2" scope="row" class="row-header"><a name="population-criteria"> </a>Population Criteria</th>

    </tr>

        <tr>

    <th colspan="2" scope="row" class="row-header">Measure Group (Rate) (ID: Patients)</th>

    </tr>

                <tr>
      <th scope="row" rowspan="2" class="row-header">

        Initial Population

      </th>
    </tr>
    <tr>

      <td>

          <a name="Patients-primary-multirateexample-initial-population"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">// Number of patients
    define &quot;Patients&quot;:
      [Patient]</code></pre>

          <a href="#multirateexample-patients"><em>Definition</em></a>

      </td>

    </tr>

                <tr>
      <th scope="row" rowspan="2" class="row-header">

        Measure Population

      </th>
    </tr>
    <tr>

      <td>

          <a name="Patients-primary-multirateexample-patients"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">// Number of patients
    define &quot;Patients&quot;:
      [Patient]</code></pre>

          <a href="#multirateexample-patients"><em>Definition</em></a>

      </td>

    </tr>

                <tr>
      <th scope="row" rowspan="2" class="row-header">

        Measure Observation

      </th>
    </tr>
    <tr>

      <td>

          <a name="Patients-primary-multirateexample-tonumber"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define function ToNumber(patient Patient):
      if patient is not null then 1 else 0</code></pre>

          <a href="#multirateexample-tonumber"><em>Definition</em></a>

      </td>

    </tr>

                <tr>
      <th scope="row" rowspan="2" class="row-header">

        Measure Observation

      </th>
    </tr>
    <tr>

      <td>

          <a name="Patients-primary-multirateexample-tonumber"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define function ToNumber(practitionerRole PractitionerRole):
      if practitionerRole is not null then 1 else 0</code></pre>

          <a href="#multirateexample-tonumber"><em>Definition</em></a>

      </td>

    </tr>

                <tr>
      <th scope="row" rowspan="2" class="row-header">

        Measure Observation

      </th>
    </tr>
    <tr>

      <td>

          <a name="Patients-primary-multirateexample-tonumber"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define function ToNumber(device Device):
      if device is not null then 1 else 0</code></pre>

          <a href="#multirateexample-tonumber"><em>Definition</em></a>

      </td>

    </tr>

        <tr>

    <th colspan="2" scope="row" class="row-header">Measure Group (Rate) (ID: Practitioners)</th>

    </tr>

                <tr>
      <th scope="row" rowspan="2" class="row-header">

        Initial Population

      </th>
    </tr>
    <tr>

      <td>

          <a name="Practitioners-primary-multirateexample-initial-population"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">// Number of practitioners
    define &quot;Practitioners&quot;:
      [PractitionerRole]</code></pre>

          <a href="#multirateexample-practitioners"><em>Definition</em></a>

      </td>

    </tr>

                <tr>
      <th scope="row" rowspan="2" class="row-header">

        Measure Population

      </th>
    </tr>
    <tr>

      <td>

          <a name="Practitioners-primary-multirateexample-measure-population"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">// Number of practitioners
    define &quot;Practitioners&quot;:
      [PractitionerRole]</code></pre>

          <a href="#multirateexample-practitioners"><em>Definition</em></a>

      </td>

    </tr>

                <tr>
      <th scope="row" rowspan="2" class="row-header">

        Measure Observation

      </th>
    </tr>
    <tr>

      <td>

          <a name="Practitioners-primary-multirateexample-measure-observation"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define function ToNumber(patient Patient):
      if patient is not null then 1 else 0</code></pre>

          <a href="#multirateexample-tonumber"><em>Definition</em></a>

      </td>

    </tr>

                <tr>
      <th scope="row" rowspan="2" class="row-header">

        Measure Observation

      </th>
    </tr>
    <tr>

      <td>

          <a name="Practitioners-primary-multirateexample-measure-observation"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define function ToNumber(practitionerRole PractitionerRole):
      if practitionerRole is not null then 1 else 0</code></pre>

          <a href="#multirateexample-tonumber"><em>Definition</em></a>

      </td>

    </tr>

                <tr>
      <th scope="row" rowspan="2" class="row-header">

        Measure Observation

      </th>
    </tr>
    <tr>

      <td>

          <a name="Practitioners-primary-multirateexample-measure-observation"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define function ToNumber(device Device):
      if device is not null then 1 else 0</code></pre>

          <a href="#multirateexample-tonumber"><em>Definition</em></a>

      </td>

    </tr>

        <tr>

    <th colspan="2" scope="row" class="row-header">Measure Group (Rate) (ID: Beds)</th>

    </tr>

                <tr>
      <th scope="row" rowspan="2" class="row-header">

        Initial Population

      </th>
    </tr>
    <tr>

      <td>

          <a name="Beds-primary-multirateexample-beds-initial-population"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">// Number of beds
    define &quot;Beds&quot;:
      [Device: &quot;Bed Device Types&quot;]</code></pre>

          <a href="#multirateexample-beds"><em>Definition</em></a>

      </td>

    </tr>

                <tr>
      <th scope="row" rowspan="2" class="row-header">

        Measure Population

      </th>
    </tr>
    <tr>

      <td>

          <a name="Beds-primary-multirateexample-beds-measure-population"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">// Number of beds
    define &quot;Beds&quot;:
      [Device: &quot;Bed Device Types&quot;]</code></pre>

          <a href="#multirateexample-beds"><em>Definition</em></a>

      </td>

    </tr>

                <tr>
      <th scope="row" rowspan="2" class="row-header">

        Measure Observation

      </th>
    </tr>
    <tr>

      <td>

          <a name="Beds-primary-multirateexample-beds-measure-observation-population"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define function ToNumber(patient Patient):
      if patient is not null then 1 else 0</code></pre>

          <a href="#multirateexample-tonumber"><em>Definition</em></a>

      </td>

    </tr>

                <tr>
      <th scope="row" rowspan="2" class="row-header">

        Measure Observation

      </th>
    </tr>
    <tr>

      <td>

          <a name="Beds-primary-multirateexample-beds-measure-observation-population"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define function ToNumber(practitionerRole PractitionerRole):
      if practitionerRole is not null then 1 else 0</code></pre>

          <a href="#multirateexample-tonumber"><em>Definition</em></a>

      </td>

    </tr>

                <tr>
      <th scope="row" rowspan="2" class="row-header">

        Measure Observation

      </th>
    </tr>
    <tr>

      <td>

          <a name="Beds-primary-multirateexample-beds-measure-observation-population"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define function ToNumber(device Device):
      if device is not null then 1 else 0</code></pre>

          <a href="#multirateexample-tonumber"><em>Definition</em></a>

      </td>

    </tr>

        <tr>

    <th colspan="2" scope="row" class="row-header">Measure Group (Rate) (ID: Screening-procedures)</th>

    </tr>

                <tr>
      <th scope="row" rowspan="2" class="row-header">

        Initial Population

      </th>
    </tr>
    <tr>

      <td>

          <a name="Screening-procedures-primary-multirateexample-procedures-initial-population"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">// Number of screening procedures
    define &quot;Screening Procedures&quot;:
      [Procedure: &quot;Screening Procedure Types&quot;]</code></pre>

          <a href="#multirateexample-screening-procedures"><em>Definition</em></a>

      </td>

    </tr>

                <tr>
      <th scope="row" rowspan="2" class="row-header">

        Measure Population

      </th>
    </tr>
    <tr>

      <td>

          <a name="Screening-procedures-primary-multirateexample-procedures-measure-population"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">// Number of screening procedures
    define &quot;Screening Procedures&quot;:
      [Procedure: &quot;Screening Procedure Types&quot;]</code></pre>

          <a href="#multirateexample-screening-procedures"><em>Definition</em></a>

      </td>

    </tr>

                <tr>
      <th scope="row" rowspan="2" class="row-header">

        Measure Observation

      </th>
    </tr>
    <tr>

      <td>

          <a name="Screening-procedures-primary-multirateexample-procedures-measure-observation-population"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define function ToNumber(patient Patient):
      if patient is not null then 1 else 0</code></pre>

          <a href="#multirateexample-tonumber"><em>Definition</em></a>

      </td>

    </tr>

                <tr>
      <th scope="row" rowspan="2" class="row-header">

        Measure Observation

      </th>
    </tr>
    <tr>

      <td>

          <a name="Screening-procedures-primary-multirateexample-procedures-measure-observation-population"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define function ToNumber(practitionerRole PractitionerRole):
      if practitionerRole is not null then 1 else 0</code></pre>

          <a href="#multirateexample-tonumber"><em>Definition</em></a>

      </td>

    </tr>

                <tr>
      <th scope="row" rowspan="2" class="row-header">

        Measure Observation

      </th>
    </tr>
    <tr>

      <td>

          <a name="Screening-procedures-primary-multirateexample-procedures-measure-observation-population"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define function ToNumber(device Device):
      if device is not null then 1 else 0</code></pre>

          <a href="#multirateexample-tonumber"><em>Definition</em></a>

      </td>

    </tr>

        <tr>

    <th colspan="2" scope="row" class="row-header">Measure Group (Rate) (ID: patient-screenings)</th>

    </tr>

                <tr>
      <th scope="row" rowspan="2" class="row-header">

        Initial Population

      </th>
    </tr>
    <tr>

      <td>

          <a name="patient-screenings-primary-multirateexample-patients-initial-population"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">// Percentage of patients who received screening
    define &quot;Initial Population&quot;:
      &quot;Patients&quot;</code></pre>

          <a href="#multirateexample-initial-population"><em>Definition</em></a>

      </td>

    </tr>

                <tr>
      <th scope="row" rowspan="2" class="row-header">

        Denominator

      </th>
    </tr>
    <tr>

      <td>

          <a name="patient-screenings-primary-multirateexample-patients-denominator"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;Denominator&quot;:
      &quot;Patients&quot; P
        where P.gender = 'female'</code></pre>

          <a href="#multirateexample-denominator"><em>Definition</em></a>

      </td>

    </tr>

                <tr>
      <th scope="row" rowspan="2" class="row-header">

        Numerator

      </th>
    </tr>
    <tr>

      <td>

          <a name="patient-screenings-primary-multirateexample-patients-numerator"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;Numerator&quot;:
      &quot;Patients&quot; P
        with &quot;Screening Procedures&quot; SP
          such that P.id = Last(Split(SP.subject.reference, '/'))</code></pre>

          <a href="#multirateexample-numerator"><em>Definition</em></a>

      </td>

    </tr>

        <tr>

    <th colspan="2" scope="row" class="row-header">Measure Group (Rate) (ID: weighted-average-capacity)</th>

    </tr>

      <tr>

    <th colspan="2" scope="row" class="row-header"><a name="definitions"> </a>Logic Definitions</th>

    </tr>

    <tr>
      <th scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> MultiRateExample</td>

    </tr>
    <tr>

      <td>

          <a name="multirateexample-practitioners"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">// Number of practitioners
    define &quot;Practitioners&quot;:
      [PractitionerRole]</code></pre>
      </td>

    </tr>

    <tr>
      <th scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> MultiRateExample</td>

    </tr>
    <tr>

      <td>

          <a name="multirateexample-patients"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">// Number of patients
    define &quot;Patients&quot;:
      [Patient]</code></pre>
      </td>

    </tr>

    <tr>
      <th scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> MultiRateExample</td>

    </tr>
    <tr>

      <td>

          <a name="multirateexample-screening-procedures"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">// Number of screening procedures
    define &quot;Screening Procedures&quot;:
      [Procedure: &quot;Screening Procedure Types&quot;]</code></pre>
      </td>

    </tr>

    <tr>
      <th scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> MultiRateExample</td>

    </tr>
    <tr>

      <td>

          <a name="multirateexample-numerator"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;Numerator&quot;:
      &quot;Patients&quot; P
        with &quot;Screening Procedures&quot; SP
          such that P.id = Last(Split(SP.subject.reference, '/'))</code></pre>
      </td>

    </tr>

    <tr>
      <th scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> MultiRateExample</td>

    </tr>
    <tr>

      <td>

          <a name="multirateexample-denominator"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define &quot;Denominator&quot;:
      &quot;Patients&quot; P
        where P.gender = 'female'</code></pre>
      </td>

    </tr>

    <tr>
      <th scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> MultiRateExample</td>

    </tr>
    <tr>

      <td>

          <a name="multirateexample-initial-population"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">// Percentage of patients who received screening
    define &quot;Initial Population&quot;:
      &quot;Patients&quot;</code></pre>
      </td>

    </tr>

    <tr>
      <th scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> MultiRateExample</td>

    </tr>
    <tr>

      <td>

          <a name="multirateexample-beds"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">// Number of beds
    define &quot;Beds&quot;:
      [Device: &quot;Bed Device Types&quot;]</code></pre>
      </td>

    </tr>

    <tr>
      <th scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> MultiRateExample</td>

    </tr>
    <tr>

      <td>

          <a name="multirateexample-tonumber"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define function ToNumber(patient Patient):
      if patient is not null then 1 else 0</code></pre>
      </td>

    </tr>

    <tr>
      <th scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> MultiRateExample</td>

    </tr>
    <tr>

      <td>

          <a name="multirateexample-tonumber"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define function ToNumber(practitionerRole PractitionerRole):
      if practitionerRole is not null then 1 else 0</code></pre>
      </td>

    </tr>

    <tr>
      <th scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> MultiRateExample</td>

    </tr>
    <tr>

      <td>

          <a name="multirateexample-tonumber"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define function ToNumber(device Device):
      if device is not null then 1 else 0</code></pre>
      </td>

    </tr>

    <tr>
      <th scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> FHIRHelpers</td>

    </tr>
    <tr>

      <td>

          <a name="fhirhelpers-tostring"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define function ToString(value string): value.value</code></pre>
      </td>

    </tr>

    <tr>
      <th scope="row" rowspan="2" class="row-header">
        Logic Definition
      </th>

      <td class="content-container"><em>Library Name:</em> FHIRHelpers</td>

    </tr>
    <tr>

      <td>

          <a name="fhirhelpers-tostring"> </a>

        <pre style="border: none;" class="content-container highlight language-cql"><code class="language-cql">define function ToString(value AdministrativeGender): value.value</code></pre>
      </td>

    </tr>

      <tr>

    <th colspan="2" scope="row" class="row-header"><a name="terminology"> </a>Terminology</th>

    </tr>

    <tr>

    <th scope="row" class="row-header">Value Set</th>

      <td class="content-container">

        <em>Description</em>: Value set Screening Procedure Types

        <br/>

        <em>Resource</em>: <code>http://example.org/fhir/ValueSet/TBD</code>
        <br/>
        <em>Canonical URL</em>: <tt>http://example.org/fhir/ValueSet/TBD</tt>

      </td>
    </tr>

      <tr>

    <th colspan="2" scope="row" class="row-header"><a name="dependencies"> </a>Dependencies</th>

    </tr>

    <tr>

    <th scope="row" class="row-header">Dependency</th>

      <td class="content-container">

        <em>Description</em>: FHIR model information

        <br/>

        <em>Resource</em>: <a href="http://hl7.org/fhir/uv/cql/STU2/Library-FHIR-ModelInfo.html">http://hl7.org/fhir/uv/cql/Library/FHIR-ModelInfo|4.0.1</a>
        <br/>
        <em>Canonical URL</em>: <tt>http://hl7.org/fhir/uv/cql/Library/FHIR-ModelInfo|4.0.1</tt>

      </td>
    </tr>

    <tr>

    <th scope="row" class="row-header">Dependency</th>

      <td class="content-container">

        <em>Description</em>: Library FHIRHelpers

        <br/>

        <em>Resource</em>: <a href="http://hl7.org/fhir/uv/cql/STU2/Library-FHIRHelpers.html">http://hl7.org/fhir/uv/cql/Library/FHIRHelpers|4.0.1</a>
        <br/>
        <em>Canonical URL</em>: <tt>http://hl7.org/fhir/uv/cql/Library/FHIRHelpers|4.0.1</tt>

      </td>
    </tr>

      <tr>

    <th colspan="2" scope="row" class="row-header"><a name="data-requirements"> </a>Data Requirements</th>

    </tr>

    <tr>
      <th scope="row" class="row-header">Data Requirement</th>
      <td class="content-container">
        <em>Type</em>: PractitionerRole
        <br/>

        <em>Profile(s)</em>:

        <a href="http://hl7.org/fhir/R4/practitionerrole.html">PractitionerRole</a>
        <br/>

      </td>
    </tr>

    <tr>
      <th scope="row" class="row-header">Data Requirement</th>
      <td class="content-container">
        <em>Type</em>: Patient
        <br/>

        <em>Profile(s)</em>:

        <a href="http://hl7.org/fhir/R4/patient.html">Patient</a>
        <br/>

        <em>Must Support Elements</em>: id, gender
        <br/>

      </td>
    </tr>

    <tr>
      <th scope="row" class="row-header">Data Requirement</th>
      <td class="content-container">
        <em>Type</em>: Procedure
        <br/>

        <em>Profile(s)</em>:

        <a href="http://hl7.org/fhir/R4/procedure.html">Procedure</a>
        <br/>

        <em>Must Support Elements</em>: code, subject, subject.reference
        <br/>

        <em>Code Filter(s)</em>:
        <br/>

        <span class="tab-one"><em>Path</em>: code</span>
        <br/>

        <span class="tab-one"><em>ValueSet</em>:</span> <code>http://example.org/fhir/ValueSet/TBD</code>
        <br/>

      </td>
    </tr>

    <tr>
      <th scope="row" class="row-header">Data Requirement</th>
      <td class="content-container">
        <em>Type</em>: Device
        <br/>

        <em>Profile(s)</em>:

        <a href="http://hl7.org/fhir/R4/device.html">Device</a>
        <br/>

        <em>Must Support Elements</em>: type
        <br/>

        <em>Code Filter(s)</em>:
        <br/>

        <span class="tab-one"><em>Path</em>: type</span>
        <br/>

        <span class="tab-one"><em>ValueSet</em>:</span> <code>http://example.org/fhir/ValueSet/TBD</code>
        <br/>

      </td>
    </tr>

      <tr>

    <th colspan="2" scope="row" class="row-header"><a name="parameters"> </a>Parameters</th>

    </tr>

      <tr>

    <th scope="row" class="row-header"/>

      <td class="content-container">
        <table>
          <thead>
            <tr>
              <td><em>Name</em></td>
              <td><em>Use</em></td>
              <td><em>Card.</em></td>
              <td><em>Type</em></td>
              <td><em>Documentation</em></td>
            </tr>
          </thead>
          <tbody>

            <tr>
              <td>Practitioners</td>
              <td>Out</td>
              <td>0..*</td>
              <td>PractitionerRole</td>
              <td/>
            </tr>

            <tr>
              <td>Numerator</td>
              <td>Out</td>
              <td>0..*</td>
              <td>Patient</td>
              <td/>
            </tr>

            <tr>
              <td>Screening Procedures</td>
              <td>Out</td>
              <td>0..*</td>
              <td>Procedure</td>
              <td/>
            </tr>

            <tr>
              <td>Denominator</td>
              <td>Out</td>
              <td>0..*</td>
              <td>Patient</td>
              <td/>
            </tr>

            <tr>
              <td>Initial Population</td>
              <td>Out</td>
              <td>0..*</td>
              <td>Patient</td>
              <td/>
            </tr>

            <tr>
              <td>Patients</td>
              <td>Out</td>
              <td>0..*</td>
              <td>Patient</td>
              <td/>
            </tr>

            <tr>
              <td>Beds</td>
              <td>Out</td>
              <td>0..*</td>
              <td>Device</td>
              <td/>
            </tr>

          </tbody>
        </table>
      </td>
    </tr>

    <tr>
      <th colspan="2" scope="row" class="row-header">Generated using version 0.5.4 of the sample-content-ig Liquid templates</th>
    </tr>

        </tbody>
      </table>
    </div>
      </text>
      <contained>
        <Library>
          <id value="effective-data-requirements"/>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="MultiRateExample"/>
            </extension>
            <extension url="name">
              <valueString value="Practitioners"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="// Number of practitioners
    define &quot;Practitioners&quot;:
      [PractitionerRole]"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="0"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="MultiRateExample"/>
            </extension>
            <extension url="name">
              <valueString value="Patients"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="// Number of patients
    define &quot;Patients&quot;:
      [Patient]"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="1"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="MultiRateExample"/>
            </extension>
            <extension url="name">
              <valueString value="Screening Procedures"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="// Number of screening procedures
    define &quot;Screening Procedures&quot;:
      [Procedure: &quot;Screening Procedure Types&quot;]"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="2"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="MultiRateExample"/>
            </extension>
            <extension url="name">
              <valueString value="Numerator"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="define &quot;Numerator&quot;:
      &quot;Patients&quot; P
        with &quot;Screening Procedures&quot; SP
          such that P.id = Last(Split(SP.subject.reference, '/'))"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="3"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="MultiRateExample"/>
            </extension>
            <extension url="name">
              <valueString value="Denominator"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="define &quot;Denominator&quot;:
      &quot;Patients&quot; P
        where P.gender = 'female'"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="4"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="MultiRateExample"/>
            </extension>
            <extension url="name">
              <valueString value="Initial Population"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="// Percentage of patients who received screening
    define &quot;Initial Population&quot;:
      &quot;Patients&quot;"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="5"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="MultiRateExample"/>
            </extension>
            <extension url="name">
              <valueString value="Beds"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="// Number of beds
    define &quot;Beds&quot;:
      [Device: &quot;Bed Device Types&quot;]"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="6"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="MultiRateExample"/>
            </extension>
            <extension url="name">
              <valueString value="ToNumber"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="define function ToNumber(patient Patient):
      if patient is not null then 1 else 0"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="7"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="MultiRateExample"/>
            </extension>
            <extension url="name">
              <valueString value="ToNumber"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="define function ToNumber(practitionerRole PractitionerRole):
      if practitionerRole is not null then 1 else 0"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="8"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="MultiRateExample"/>
            </extension>
            <extension url="name">
              <valueString value="ToNumber"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="define function ToNumber(device Device):
      if device is not null then 1 else 0"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="9"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="FHIRHelpers"/>
            </extension>
            <extension url="name">
              <valueString value="ToString"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="define function ToString(value string): value.value"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="10"/>
            </extension>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition">
            <extension url="libraryName">
              <valueString value="FHIRHelpers"/>
            </extension>
            <extension url="name">
              <valueString value="ToString"/>
            </extension>
            <extension url="statement">
              <valueString
                           value="define function ToString(value AdministrativeGender): value.value"/>
            </extension>
            <extension url="displaySequence">
              <valueInteger value="11"/>
            </extension>
          </extension>
          <name value="EffectiveDataRequirements"/>
          <status value="active"/>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/library-type"/>
              <code value="module-definition"/>
            </coding>
          </type>
          <relatedArtifact>
            <type value="depends-on"/>
            <display value="FHIR model information"/>
            <resource
                      value="http://hl7.org/fhir/uv/cql/Library/FHIR-ModelInfo|4.0.1"/>
          </relatedArtifact>
          <relatedArtifact>
            <type value="depends-on"/>
            <display value="Library FHIRHelpers"/>
            <resource
                      value="http://hl7.org/fhir/uv/cql/Library/FHIRHelpers|4.0.1"/>
          </relatedArtifact>
          <relatedArtifact>
            <type value="depends-on"/>
            <display value="Value set Screening Procedure Types"/>
            <resource value="http://example.org/fhir/ValueSet/TBD"/>
          </relatedArtifact>
          <parameter>
            <name value="Practitioners"/>
            <use value="out"/>
            <min value="0"/>
            <max value="*"/>
            <type value="PractitionerRole"/>
          </parameter>
          <parameter>
            <name value="Numerator"/>
            <use value="out"/>
            <min value="0"/>
            <max value="*"/>
            <type value="Patient"/>
          </parameter>
          <parameter>
            <name value="Screening Procedures"/>
            <use value="out"/>
            <min value="0"/>
            <max value="*"/>
            <type value="Procedure"/>
          </parameter>
          <parameter>
            <name value="Denominator"/>
            <use value="out"/>
            <min value="0"/>
            <max value="*"/>
            <type value="Patient"/>
          </parameter>
          <parameter>
            <name value="Initial Population"/>
            <use value="out"/>
            <min value="0"/>
            <max value="*"/>
            <type value="Patient"/>
          </parameter>
          <parameter>
            <name value="Patients"/>
            <use value="out"/>
            <min value="0"/>
            <max value="*"/>
            <type value="Patient"/>
          </parameter>
          <parameter>
            <name value="Beds"/>
            <use value="out"/>
            <min value="0"/>
            <max value="*"/>
            <type value="Device"/>
          </parameter>
          <dataRequirement>
            <type value="PractitionerRole"/>
            <profile
                     value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/>
          </dataRequirement>
          <dataRequirement>
            <type value="Patient"/>
            <profile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
            <mustSupport value="id"/>
            <mustSupport value="gender"/>
          </dataRequirement>
          <dataRequirement>
            <type value="Procedure"/>
            <profile value="http://hl7.org/fhir/StructureDefinition/Procedure"/>
            <mustSupport value="code"/>
            <mustSupport value="subject"/>
            <mustSupport value="subject.reference"/>
            <codeFilter>
              <path value="code"/>
              <valueSet value="http://example.org/fhir/ValueSet/TBD"/>
            </codeFilter>
          </dataRequirement>
          <dataRequirement>
            <type value="Device"/>
            <profile value="http://hl7.org/fhir/StructureDefinition/Device"/>
            <mustSupport value="type"/>
            <codeFilter>
              <path value="type"/>
              <valueSet value="http://example.org/fhir/ValueSet/TBD"/>
            </codeFilter>
          </dataRequirement>
        </Library>
      </contained>
      <extension
                 url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis">
        <valueCode value="Patient"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements">
        <valueCanonical value="#effective-data-requirements"/>
      </extension>
      <url value="http://hl7.org/fhir/uv/cqm/Measure/MultiRateExample-FHIR"/>
      <identifier>
        <system value="urn:ietf:rfc:3986"/>
        <value value="urn:oid:2.16.840.1.113883.4.642.40.61.29.12"/>
      </identifier>
      <version value="0.1.0"/>
      <name value="MultiRateExample"/>
      <title value="Multi-Rate Example Measure"/>
      <status value="active"/>
      <experimental value="true"/>
      <subjectCodeableConcept>
        <coding>
          <system value="http://hl7.org/fhir/resource-types"/>
          <code value="Location"/>
        </coding>
      </subjectCodeableConcept>
      <date value="2025-08-13T16:14:51-07:00"/>
      <publisher value="HL7 International / Clinical Quality Information"/>
      <contact>
        <telecom>
          <system value="url"/>
          <value value="http://www.hl7.org/Special/committees/cqi"/>
        </telecom>
      </contact>
      <description
                   value="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
                  value="http://terminology.hl7.org/CodeSystem/usage-context-type"/>
          <code value="venue"/>
          <display value="Clinical Venue"/>
        </code>
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://hl7.org/fhir/uv/cqm/CodeSystem/intended-venue-codes"/>
            <code value="ec"/>
            <display value="EC"/>
          </coding>
        </valueCodeableConcept>
      </useContext>
      <jurisdiction>
        <coding>
          <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
          <code value="001"/>
        </coding>
      </jurisdiction>
      <library value="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 value="Patients"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis">
          <valueCode value="Patient"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
              <code value="continuous-variable"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-type">
          <valueCodeableConcept>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/measure-type"/>
              <code value="structure"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension
                   url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-riskAdjustment">
          <valueString value="N/A"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-rateAggregation">
          <valueString value="N/A"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-improvementNotation">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
              <code value="increase"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <code>
          <text value="Patients"/>
        </code>
        <population>
          <extension
                     url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId">
            <valueString value="primary-multirateexample-initial-population"/>
          </extension>
          <code>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/measure-population"/>
              <code value="initial-population"/>
            </coding>
          </code>
          <description value="Total number of patients"/>
          <criteria>
            <language value="text/cql-identifier"/>
            <expression value="Patients"/>
          </criteria>
        </population>
        <population>
          <extension
                     url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId">
            <valueString value="primary-multirateexample-patients"/>
          </extension>
          <code>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/measure-population"/>
              <code value="measure-population"/>
            </coding>
          </code>
          <description value="Total number of patients"/>
          <criteria>
            <language value="text/cql-identifier"/>
            <expression value="Patients"/>
          </criteria>
        </population>
        <population>
          <extension
                     url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-aggregateMethod">
            <valueCode value="sum"/>
          </extension>
          <extension
                     url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId">
            <valueString value="primary-multirateexample-tonumber"/>
          </extension>
          <code>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/measure-population"/>
              <code value="measure-observation"/>
            </coding>
          </code>
          <description value="Total number of patients"/>
          <criteria>
            <language value="text/cql-identifier"/>
            <expression value="ToNumber"/>
          </criteria>
        </population>
      </group>
      <group id="group-2">
        <extension
                   url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.linkId">
          <valueString value="Practitioners"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis">
          <valueCode value="PractitionerRole"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
              <code value="continuous-variable"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-type">
          <valueCodeableConcept>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/measure-type"/>
              <code value="structure"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension
                   url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-riskAdjustment">
          <valueString value="N/A"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-rateAggregation">
          <valueString value="N/A"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-improvementNotation">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
              <code value="increase"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <code>
          <text value="Practitioners"/>
        </code>
        <population>
          <extension
                     url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId">
            <valueString value="primary-multirateexample-initial-population"/>
          </extension>
          <code>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/measure-population"/>
              <code value="initial-population"/>
            </coding>
          </code>
          <description value="Total number of practitioners"/>
          <criteria>
            <language value="text/cql-identifier"/>
            <expression value="Practitioners"/>
          </criteria>
        </population>
        <population>
          <extension
                     url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId">
            <valueString value="primary-multirateexample-measure-population"/>
          </extension>
          <code>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/measure-population"/>
              <code value="measure-population"/>
            </coding>
          </code>
          <description value="Total number of practitioners"/>
          <criteria>
            <language value="text/cql-identifier"/>
            <expression value="Practitioners"/>
          </criteria>
        </population>
        <population>
          <extension
                     url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-aggregateMethod">
            <valueCode value="sum"/>
          </extension>
          <extension
                     url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId">
            <valueString value="primary-multirateexample-measure-observation"/>
          </extension>
          <code>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/measure-population"/>
              <code value="measure-observation"/>
            </coding>
          </code>
          <description value="Total number of practitioners"/>
          <criteria>
            <language value="text/cql-identifier"/>
            <expression value="ToNumber"/>
          </criteria>
        </population>
      </group>
      <group id="group-3">
        <extension
                   url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.linkId">
          <valueString value="Beds"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis">
          <valueCode value="Device"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
              <code value="continuous-variable"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-type">
          <valueCodeableConcept>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/measure-type"/>
              <code value="structure"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension
                   url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-riskAdjustment">
          <valueString value="N/A"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-rateAggregation">
          <valueString value="N/A"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-improvementNotation">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
              <code value="increase"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <code>
          <text value="Beds"/>
        </code>
        <population>
          <extension
                     url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId">
            <valueString
                         value="primary-multirateexample-beds-initial-population"/>
          </extension>
          <code>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/measure-population"/>
              <code value="initial-population"/>
            </coding>
          </code>
          <description value="Total number of beds"/>
          <criteria>
            <language value="text/cql-identifier"/>
            <expression value="Beds"/>
          </criteria>
        </population>
        <population>
          <extension
                     url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId">
            <valueString
                         value="primary-multirateexample-beds-measure-population"/>
          </extension>
          <code>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/measure-population"/>
              <code value="measure-population"/>
            </coding>
          </code>
          <description value="Total number of beds"/>
          <criteria>
            <language value="text/cql-identifier"/>
            <expression value="Beds"/>
          </criteria>
        </population>
        <population>
          <extension
                     url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId">
            <valueString
                         value="primary-multirateexample-beds-measure-observation-population"/>
          </extension>
          <extension
                     url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-aggregateMethod">
            <valueCode value="sum"/>
          </extension>
          <code>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/measure-population"/>
              <code value="measure-observation"/>
            </coding>
          </code>
          <description value="Total number of beds"/>
          <criteria>
            <language value="text/cql-identifier"/>
            <expression value="ToNumber"/>
          </criteria>
        </population>
      </group>
      <group id="group-4">
        <extension
                   url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.linkId">
          <valueString value="Screening-procedures"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis">
          <valueCode value="Procedure"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
              <code value="continuous-variable"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-type">
          <valueCodeableConcept>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/measure-type"/>
              <code value="structure"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension
                   url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-riskAdjustment">
          <valueString value="N/A"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-rateAggregation">
          <valueString value="N/A"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-improvementNotation">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
              <code value="increase"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <code>
          <text value="Screening Procedures"/>
        </code>
        <population>
          <extension
                     url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId">
            <valueString
                         value="primary-multirateexample-procedures-initial-population"/>
          </extension>
          <code>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/measure-population"/>
              <code value="initial-population"/>
            </coding>
          </code>
          <description value="Total number of screening procedures"/>
          <criteria>
            <language value="text/cql-identifier"/>
            <expression value="Screening Procedures"/>
          </criteria>
        </population>
        <population>
          <extension
                     url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId">
            <valueString
                         value="primary-multirateexample-procedures-measure-population"/>
          </extension>
          <code>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/measure-population"/>
              <code value="measure-population"/>
            </coding>
          </code>
          <description value="Total number of screening procedures"/>
          <criteria>
            <language value="text/cql-identifier"/>
            <expression value="Screening Procedures"/>
          </criteria>
        </population>
        <population>
          <extension
                     url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId">
            <valueString
                         value="primary-multirateexample-procedures-measure-observation-population"/>
          </extension>
          <extension
                     url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-aggregateMethod">
            <valueCode value="sum"/>
          </extension>
          <code>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/measure-population"/>
              <code value="measure-observation"/>
            </coding>
          </code>
          <description value="Total number of screening procedures"/>
          <criteria>
            <language value="text/cql-identifier"/>
            <expression value="ToNumber"/>
          </criteria>
        </population>
      </group>
      <group id="group-5">
        <extension
                   url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.linkId">
          <valueString value="patient-screenings"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis">
          <valueCode value="Patient"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
              <code value="proportion"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-type">
          <valueCodeableConcept>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/measure-type"/>
              <code value="process"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension
                   url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-riskAdjustment">
          <valueString value="N/A"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-rateAggregation">
          <valueString value="N/A"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-improvementNotation">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
              <code value="increase"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <code>
          <text value="Patients that recevied screenings"/>
        </code>
        <population>
          <extension
                     url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId">
            <valueString
                         value="primary-multirateexample-patients-initial-population"/>
          </extension>
          <code>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/measure-population"/>
              <code value="initial-population"/>
            </coding>
          </code>
          <description value="Patients"/>
          <criteria>
            <language value="text/cql-identifier"/>
            <expression value="Initial Population"/>
          </criteria>
        </population>
        <population>
          <extension
                     url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId">
            <valueString value="primary-multirateexample-patients-denominator"/>
          </extension>
          <code>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/measure-population"/>
              <code value="denominator"/>
            </coding>
          </code>
          <description value="Eligible patients"/>
          <criteria>
            <language value="text/cql-identifier"/>
            <expression value="Denominator"/>
          </criteria>
        </population>
        <population>
          <extension
                     url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId">
            <valueString value="primary-multirateexample-patients-numerator"/>
          </extension>
          <code>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/measure-population"/>
              <code value="numerator"/>
            </coding>
          </code>
          <description value="Patients with screening"/>
          <criteria>
            <language value="text/cql-identifier"/>
            <expression value="Numerator"/>
          </criteria>
        </population>
      </group>
      <group id="group-6">
        <extension
                   url="http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.linkId">
          <valueString value="weighted-average-capacity"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-compositeScoring">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/composite-measure-scoring"/>
              <code value="weighted"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension
                   url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
              <code value="composite"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-type">
          <valueCodeableConcept>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/measure-type"/>
              <code value="structure"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension
                   url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-riskAdjustment">
          <valueString value="N/A"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-rateAggregation">
          <valueString value="N/A"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-improvementNotation">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
              <code value="increase"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension
                   url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-component">
          <valueRelatedArtifact>
            <extension
                       url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-groupId">
              <valueString value="group-1"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-weight">
              <valueDecimal value="1.0"/>
            </extension>
            <type value="composed-of"/>
            <resource
                      value="http://hl7.org/fhir/uv/cqm/Measure/MultiRateExample-FHIR"/>
          </valueRelatedArtifact>
        </extension>
        <extension
                   url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-component">
          <valueRelatedArtifact>
            <extension
                       url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-groupId">
              <valueString value="group-2"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-weight">
              <valueDecimal value="5.0"/>
            </extension>
            <type value="composed-of"/>
            <resource
                      value="http://hl7.org/fhir/uv/cqm/Measure/MultiRateExample-FHIR"/>
          </valueRelatedArtifact>
        </extension>
        <extension
                   url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-component">
          <valueRelatedArtifact>
            <extension
                       url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-groupId">
              <valueString value="group-3"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-weight">
              <valueDecimal value="2.5"/>
            </extension>
            <type value="composed-of"/>
            <resource
                      value="http://hl7.org/fhir/uv/cqm/Measure/MultiRateExample-FHIR"/>
          </valueRelatedArtifact>
        </extension>
        <extension
                   url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-component">
          <valueRelatedArtifact>
            <extension
                       url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-groupId">
              <valueString value="group-4"/>
            </extension>
            <extension
                       url="http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-weight">
              <valueDecimal value="1.0"/>
            </extension>
            <type value="composed-of"/>
            <resource
                      value="http://hl7.org/fhir/uv/cqm/Measure/MultiRateExample-FHIR"/>
          </valueRelatedArtifact>
        </extension>
        <code>
          <text value="Weighted Average capacity"/>
        </code>
      </group>
    </Measure>