{
  "description": "This artifact is an example of an opportunity composite measure that uses a mixture of single-rate or multi-rate component measures that have different measure bases.",
  "_filename": "example/Measure-PreventiveCareandWellnessOpportunityComposite.json",
  "package_name": "hl7.fhir.uv.cqm",
  "date": "2026-09-16T06:16:00+10:00",
  "meta": {
    "profile": [ "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-compositemeasure|2.0.0", "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablemeasure|2.0.0" ]
  },
  "publisher": "HL7 International / Clinical Quality Information",
  "compositeScoring": {
    "coding": [ {
      "code": "opportunity",
      "system": "http://terminology.hl7.org/CodeSystem/composite-measure-scoring",
      "display": "Opportunity"
    } ]
  },
  "jurisdiction": [ {
    "coding": [ {
      "code": "001",
      "system": "http://unstats.un.org/unsd/methods/m49/m49.htm"
    } ]
  } ],
  "name": "PreventiveCareandWellnessOpportunityComposite",
  "useContext": [ {
    "code": {
      "code": "venue",
      "system": "http://terminology.hl7.org/CodeSystem/usage-context-type",
      "display": "Clinical Venue"
    },
    "valueCodeableConcept": {
      "coding": [ {
        "code": "ec",
        "system": "http://hl7.org/fhir/uv/cqm/CodeSystem/intended-venue-codes",
        "display": "EC"
      } ]
    }
  } ],
  "guidance": "The composite score is calculated as the proportion of completed care opportunities across all applicable component measures. Each eligible component measure contributes one opportunity to the composite denominator, and each satisfied component numerator contributes one completed opportunity to the composite numerator. Denominator exclusions and exceptions are evaluated at the component measure level and remove the associated opportunity from the calculation. Risk adjustment variables X, Y, and Z are applied to the calculated composite performance rate.",
  "type": "[{:coding [{:system \\\"http://terminology.hl7.org/CodeSystem/measure-type\\\", :code \\\"process\\\", :display \\\"Process\\\"}]}]",
  "experimental": "true",
  "resourceType": "Measure",
  "title": "Preventive Care and Wellness Opportunity Composite",
  "package_version": "2.0.0",
  "usage": "The composite score is calculated as the proportion of completed care opportunities across all applicable component measures. Each eligible component measure contributes one opportunity to the composite denominator, and each satisfied component numerator contributes one completed opportunity to the composite numerator. Denominator exclusions and exceptions are evaluated at the component measure level and remove the associated opportunity from the calculation. Risk adjustment variables X, Y, and Z are applied to the calculated composite performance rate.",
  "status": "active",
  "language": "en",
  "id": "1bbe86c9-c3e8-41c3-b467-25b94fd8fadb",
  "kind": null,
  "url": "http://hl7.org/fhir/uv/cqm/Measure/PreventiveCareandWellnessOpportunityComposite",
  "identifier": [ {
    "value": "urn:oid:2.16.840.1.113883.4.642.40.61.29.15",
    "system": "urn:ietf:rfc:3986"
  } ],
  "scoring": {
    "coding": [ {
      "code": "composite",
      "system": "http://terminology.hl7.org/CodeSystem/measure-scoring",
      "display": "Composite"
    } ]
  },
  "version": "2.0.0",
  "relatedArtifact": [ {
    "type": "composed-of",
    "display": "Breast Cancer Screening",
    "resource": "http://hl7.org/fhir/uv/cqm/Measure/BCSComponent|2.0.0"
  }, {
    "type": "composed-of",
    "display": "High Blood Pressure Screening",
    "resource": "http://hl7.org/fhir/uv/cqm/Measure/HBPComponent|2.0.0"
  }, {
    "type": "composed-of",
    "display": "Colorectal Cancer Screening",
    "resource": "http://hl7.org/fhir/uv/cqm/Measure/CCSComponent|2.0.0"
  }, {
    "type": "composed-of",
    "display": "Pneumococcal Vaccination Status",
    "resource": "http://hl7.org/fhir/uv/cqm/Measure/PVSComponent|2.0.0"
  }, {
    "type": "composed-of",
    "display": "Tobacco Use Screening and Cessation, Group 1",
    "resource": "http://hl7.org/fhir/uv/cqm/Measure/TSCComponent",
    "extension": [ {
      "url": "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-groupId",
      "valueString": "group-1"
    } ]
  }, {
    "type": "composed-of",
    "display": "Tobacco Use Screening and Cessation, Group 2",
    "resource": "http://hl7.org/fhir/uv/cqm/Measure/TSCComponent",
    "extension": [ {
      "url": "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-groupId",
      "valueString": "group-2"
    } ]
  } ],
  "contact": [ {
    "telecom": [ {
      "value": "http://www.hl7.org/Special/committees/cqi",
      "system": "url"
    } ]
  } ],
  "improvementNotation": {
    "coding": [ {
      "code": "increase",
      "system": "http://terminology.hl7.org/CodeSystem/measure-improvement-notation"
    } ]
  },
  "effectivePeriod": {
    "end": "2022-12-31",
    "start": "2022-01-01"
  }
}