{
  "description": "This measure example illustrates the use of the group-level computation extensions to describe a multi-rate measure with mixed population bases",
  "_filename": "Measure-MultiRateExample-FHIR.json",
  "package_name": "hl7.fhir.us.cqfmeasures",
  "date": "2022-02-22T10:37:03-07:00",
  "group": [ {
    "id": "group-1",
    "code": {
      "text": "Patients"
    },
    "extension": [ {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis",
      "valueCode": "Patient"
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring",
      "valueCodeableConcept": {
        "coding": [ {
          "code": "continuous-variable",
          "system": "http://terminology.hl7.org/CodeSystem/measure-scoring"
        } ]
      }
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type",
      "valueCodeableConcept": {
        "coding": [ {
          "code": "structure",
          "system": "http://terminology.hl7.org/CodeSystem/measure-type"
        } ]
      }
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-riskAdjustment",
      "valueString": "N/A"
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation",
      "valueString": "N/A"
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation",
      "valueCodeableConcept": {
        "coding": [ {
          "code": "increase",
          "system": "http://terminology.hl7.org/CodeSystem/measure-improvement-notation"
        } ]
      }
    } ],
    "population": [ {
      "code": {
        "coding": [ {
          "code": "initial-population",
          "system": "http://terminology.hl7.org/CodeSystem/measure-population"
        } ]
      },
      "criteria": {
        "language": "text/cql-identifier",
        "expression": "Patients"
      },
      "description": "Total number of patients"
    }, {
      "code": {
        "coding": [ {
          "code": "measure-population",
          "system": "http://terminology.hl7.org/CodeSystem/measure-population"
        } ]
      },
      "criteria": {
        "language": "text/cql-identifier",
        "expression": "Patients"
      },
      "description": "Total number of patients"
    }, {
      "code": {
        "coding": [ {
          "code": "measure-observation",
          "system": "http://terminology.hl7.org/CodeSystem/measure-population"
        } ]
      },
      "criteria": {
        "language": "text/cql-identifier",
        "expression": "ToNumber"
      },
      "extension": [ {
        "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-aggregateMethod",
        "valueCode": "sum"
      } ],
      "description": "Total number of patients"
    } ]
  }, {
    "id": "group-2",
    "code": {
      "text": "Practitioners"
    },
    "extension": [ {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis",
      "valueCode": "PractitionerRole"
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring",
      "valueCodeableConcept": {
        "coding": [ {
          "code": "continuous-variable",
          "system": "http://terminology.hl7.org/CodeSystem/measure-scoring"
        } ]
      }
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type",
      "valueCodeableConcept": {
        "coding": [ {
          "code": "structure",
          "system": "http://terminology.hl7.org/CodeSystem/measure-type"
        } ]
      }
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-riskAdjustment",
      "valueString": "N/A"
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation",
      "valueString": "N/A"
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation",
      "valueCodeableConcept": {
        "coding": [ {
          "code": "increase",
          "system": "http://terminology.hl7.org/CodeSystem/measure-improvement-notation"
        } ]
      }
    } ],
    "population": [ {
      "code": {
        "coding": [ {
          "code": "initial-population",
          "system": "http://terminology.hl7.org/CodeSystem/measure-population"
        } ]
      },
      "criteria": {
        "language": "text/cql-identifier",
        "expression": "Practitioners"
      },
      "description": "Total number of practitioners"
    }, {
      "code": {
        "coding": [ {
          "code": "measure-population",
          "system": "http://terminology.hl7.org/CodeSystem/measure-population"
        } ]
      },
      "criteria": {
        "language": "text/cql-identifier",
        "expression": "Practitioners"
      },
      "description": "Total number of practitioners"
    }, {
      "code": {
        "coding": [ {
          "code": "measure-observation",
          "system": "http://terminology.hl7.org/CodeSystem/measure-population"
        } ]
      },
      "criteria": {
        "language": "text/cql-identifier",
        "expression": "ToNumber"
      },
      "extension": [ {
        "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-aggregateMethod",
        "valueCode": "sum"
      } ],
      "description": "Total number of practitioners"
    } ]
  }, {
    "id": "group-3",
    "code": {
      "text": "Beds"
    },
    "extension": [ {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis",
      "valueCode": "Device"
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring",
      "valueCodeableConcept": {
        "coding": [ {
          "code": "continuous-variable",
          "system": "http://terminology.hl7.org/CodeSystem/measure-scoring"
        } ]
      }
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type",
      "valueCodeableConcept": {
        "coding": [ {
          "code": "structure",
          "system": "http://terminology.hl7.org/CodeSystem/measure-type"
        } ]
      }
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-riskAdjustment",
      "valueString": "N/A"
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation",
      "valueString": "N/A"
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation",
      "valueCodeableConcept": {
        "coding": [ {
          "code": "increase",
          "system": "http://terminology.hl7.org/CodeSystem/measure-improvement-notation"
        } ]
      }
    } ],
    "population": [ {
      "code": {
        "coding": [ {
          "code": "initial-population",
          "system": "http://terminology.hl7.org/CodeSystem/measure-population"
        } ]
      },
      "criteria": {
        "language": "text/cql-identifier",
        "expression": "Beds"
      },
      "description": "Total number of beds"
    }, {
      "code": {
        "coding": [ {
          "code": "measure-population",
          "system": "http://terminology.hl7.org/CodeSystem/measure-population"
        } ]
      },
      "criteria": {
        "language": "text/cql-identifier",
        "expression": "Beds"
      },
      "description": "Total number of beds"
    }, {
      "code": {
        "coding": [ {
          "code": "measure-observation",
          "system": "http://terminology.hl7.org/CodeSystem/measure-population"
        } ]
      },
      "criteria": {
        "language": "text/cql-identifier",
        "expression": "ToNumber"
      },
      "extension": [ {
        "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-aggregateMethod",
        "valueCode": "sum"
      } ],
      "description": "Total number of beds"
    } ]
  }, {
    "id": "group-4",
    "code": {
      "text": "Screening Procedures"
    },
    "extension": [ {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis",
      "valueCode": "Procedure"
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring",
      "valueCodeableConcept": {
        "coding": [ {
          "code": "continuous-variable",
          "system": "http://terminology.hl7.org/CodeSystem/measure-scoring"
        } ]
      }
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type",
      "valueCodeableConcept": {
        "coding": [ {
          "code": "structure",
          "system": "http://terminology.hl7.org/CodeSystem/measure-type"
        } ]
      }
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-riskAdjustment",
      "valueString": "N/A"
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation",
      "valueString": "N/A"
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation",
      "valueCodeableConcept": {
        "coding": [ {
          "code": "increase",
          "system": "http://terminology.hl7.org/CodeSystem/measure-improvement-notation"
        } ]
      }
    } ],
    "population": [ {
      "code": {
        "coding": [ {
          "code": "initial-population",
          "system": "http://terminology.hl7.org/CodeSystem/measure-population"
        } ]
      },
      "criteria": {
        "language": "text/cql-identifier",
        "expression": "Procedures"
      },
      "description": "Total number of screening procedures"
    }, {
      "code": {
        "coding": [ {
          "code": "measure-population",
          "system": "http://terminology.hl7.org/CodeSystem/measure-population"
        } ]
      },
      "criteria": {
        "language": "text/cql-identifier",
        "expression": "Procedures"
      },
      "description": "Total number of screening procedures"
    }, {
      "code": {
        "coding": [ {
          "code": "measure-observation",
          "system": "http://terminology.hl7.org/CodeSystem/measure-population"
        } ]
      },
      "criteria": {
        "language": "text/cql-identifier",
        "expression": "ToNumber"
      },
      "extension": [ {
        "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-aggregateMethod",
        "valueCode": "sum"
      } ],
      "description": "Total number of screening procedures"
    } ]
  }, {
    "id": "group-5",
    "code": {
      "text": "Patients that recevied screenings"
    },
    "extension": [ {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis",
      "valueCode": "Patient"
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring",
      "valueCodeableConcept": {
        "coding": [ {
          "code": "proportion",
          "system": "http://terminology.hl7.org/CodeSystem/measure-scoring"
        } ]
      }
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type",
      "valueCodeableConcept": {
        "coding": [ {
          "code": "process",
          "system": "http://terminology.hl7.org/CodeSystem/measure-type"
        } ]
      }
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-riskAdjustment",
      "valueString": "N/A"
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation",
      "valueString": "N/A"
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation",
      "valueCodeableConcept": {
        "coding": [ {
          "code": "increase",
          "system": "http://terminology.hl7.org/CodeSystem/measure-improvement-notation"
        } ]
      }
    } ],
    "population": [ {
      "code": {
        "coding": [ {
          "code": "initial-population",
          "system": "http://terminology.hl7.org/CodeSystem/measure-population"
        } ]
      },
      "criteria": {
        "language": "text/cql-identifier",
        "expression": "Initial Population"
      },
      "description": "Patients"
    }, {
      "code": {
        "coding": [ {
          "code": "denominator",
          "system": "http://terminology.hl7.org/CodeSystem/measure-population"
        } ]
      },
      "criteria": {
        "language": "text/cql-identifier",
        "expression": "Denominator"
      },
      "description": "Eligible patients"
    }, {
      "code": {
        "coding": [ {
          "code": "numerator",
          "system": "http://terminology.hl7.org/CodeSystem/measure-population"
        } ]
      },
      "criteria": {
        "language": "text/cql-identifier",
        "expression": "Numerator"
      },
      "description": "Patients with screening"
    } ]
  }, {
    "id": "group-6",
    "code": {
      "text": "Weighted Average capacity"
    },
    "extension": [ {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-compositeScoring",
      "valueCodeableConcept": {
        "coding": [ {
          "code": "weighted",
          "system": "http://terminology.hl7.org/CodeSystem/composite-measure-scoring"
        } ]
      }
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring",
      "valueCodeableConcept": {
        "coding": [ {
          "code": "composite",
          "system": "http://terminology.hl7.org/CodeSystem/measure-scoring"
        } ]
      }
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type",
      "valueCodeableConcept": {
        "coding": [ {
          "code": "structure",
          "system": "http://terminology.hl7.org/CodeSystem/measure-type"
        } ]
      }
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-riskAdjustment",
      "valueString": "N/A"
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-rateAggregation",
      "valueString": "N/A"
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-improvementNotation",
      "valueCodeableConcept": {
        "coding": [ {
          "code": "increase",
          "system": "http://terminology.hl7.org/CodeSystem/measure-improvement-notation"
        } ]
      }
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-component",
      "valueRelatedArtifact": {
        "type": "composed-of",
        "resource": "http://hl7.org/fhir/us/cqfmeasures/Measure/MultiRateExample-FHIR",
        "extension": [ {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-groupId",
          "valueString": "group-1"
        }, {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-weight",
          "valueDecimal": 1.0
        } ]
      }
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-component",
      "valueRelatedArtifact": {
        "type": "composed-of",
        "resource": "http://hl7.org/fhir/us/cqfmeasures/Measure/MultiRateExample-FHIR",
        "extension": [ {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-groupId",
          "valueString": "group-2"
        }, {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-weight",
          "valueDecimal": 5.0
        } ]
      }
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-component",
      "valueRelatedArtifact": {
        "type": "composed-of",
        "resource": "http://hl7.org/fhir/us/cqfmeasures/Measure/MultiRateExample-FHIR",
        "extension": [ {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-groupId",
          "valueString": "group-3"
        }, {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-weight",
          "valueDecimal": 2.5
        } ]
      }
    }, {
      "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-component",
      "valueRelatedArtifact": {
        "type": "composed-of",
        "resource": "http://hl7.org/fhir/us/cqfmeasures/Measure/MultiRateExample-FHIR",
        "extension": [ {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-groupId",
          "valueString": "group-4"
        }, {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-weight",
          "valueDecimal": 1.0
        } ]
      }
    } ]
  } ],
  "meta": {
    "profile": [ "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm" ]
  },
  "publisher": "HL7 International / Clinical Quality Information",
  "jurisdiction": [ {
    "coding": [ {
      "code": "US",
      "system": "urn:iso:std:iso:3166"
    } ]
  } ],
  "subjectCodeableConcept": {
    "coding": [ {
      "code": "Location",
      "system": "http://hl7.org/fhir/resource-types"
    } ]
  },
  "name": "MultiRateExample",
  "type": null,
  "experimental": "true",
  "resourceType": "Measure",
  "title": "Multi-Rate Example Measure",
  "library": [ "http://hl7.org/fhir/us/cqfmeasures/Library/MultiRateExample-FHIR" ],
  "package_version": "5.0.0-ballot2",
  "extension": [ {
    "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis",
    "valueCode": "Patient"
  }, {
    "url": "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements",
    "valueCanonical": "http://hl7.org/fhir/us/cqfmeasures/Library/effective-data-requirements-mre"
  } ],
  "status": "draft",
  "id": "53c22de9-4051-4c0b-b096-151872b29fac",
  "kind": null,
  "url": "http://hl7.org/fhir/us/cqfmeasures/Measure/MultiRateExample-FHIR",
  "version": "0.1.0",
  "contact": [ {
    "telecom": [ {
      "value": "http://www.hl7.org/Special/committees/cqi",
      "system": "url"
    } ]
  } ]
}