{
  "description": "This artifact is an example of a patient-level linear composite measure that uses a mixture of single-rate or multi-rate component measures that have different measure bases.",
  "_filename": "example/Measure-PreventiveCareandWellnessPatientLevelLinearComposite.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": "linear",
      "system": "http://terminology.hl7.org/CodeSystem/composite-measure-scoring",
      "display": "Linear"
    } ]
  },
  "jurisdiction": [ {
    "coding": [ {
      "code": "001",
      "system": "http://unstats.un.org/unsd/methods/m49/m49.htm"
    } ]
  } ],
  "name": "PreventiveCareandWellnessPatientLevelLinearComposite",
  "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 by determining, for each subject, the proportion of applicable component measure numerators satisfied relative to the total number of applicable component measures. Each subject-level score is then aggregated across the population to determine the overall composite performance rate. Component measures for which the subject meets denominator exclusion or denominator exception criteria are excluded from the subject-level 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 Patient-level Linear Composite",
  "package_version": "2.0.0",
  "usage": "The composite score is calculated by determining, for each subject, the proportion of applicable component measure numerators satisfied relative to the total number of applicable component measures. Each subject-level score is then aggregated across the population to determine the overall composite performance rate. Component measures for which the subject meets denominator exclusion or denominator exception criteria are excluded from the subject-level calculation. Risk adjustment variables X, Y, and Z are applied to the calculated composite performance rate.",
  "status": "active",
  "language": "en",
  "id": "561f0a67-33ff-4505-b775-c3616f76f449",
  "kind": null,
  "url": "http://hl7.org/fhir/uv/cqm/Measure/PreventiveCareandWellnessPatientLevelLinearComposite",
  "identifier": [ {
    "value": "urn:oid:2.16.840.1.113883.4.642.40.61.29.16",
    "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"
  }
}