{
  "description": "This artifact is an example of a weighted composite measure that uses a mixture of single-rate or multi-rate component measures that have different measure bases.",
  "_filename": "example/Measure-PreventiveCareandWellnessWeightedComposite.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": "weighted",
      "system": "http://terminology.hl7.org/CodeSystem/composite-measure-scoring",
      "display": "Weighted"
    } ]
  },
  "jurisdiction": [ {
    "coding": [ {
      "code": "001",
      "system": "http://unstats.un.org/unsd/methods/m49/m49.htm"
    } ]
  } ],
  "name": "PreventiveCareandWellnessWeightedComposite",
  "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 a weighted aggregation of component measure performance rates. Each component measure score is multiplied by its assigned weight, and the weighted component scores are combined to determine the overall composite performance rate. Denominator exclusions, denominator exceptions, and numerator exclusions are applied within each component measure prior to weighted aggregation. 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 Weighted Composite",
  "package_version": "2.0.0",
  "usage": "The composite score is calculated as a weighted aggregation of component measure performance rates. Each component measure score is multiplied by its assigned weight, and the weighted component scores are combined to determine the overall composite performance rate. Denominator exclusions, denominator exceptions, and numerator exclusions are applied within each component measure prior to weighted aggregation. Risk adjustment variables X, Y, and Z are applied to the calculated composite performance rate.",
  "status": "active",
  "language": "en",
  "id": "a5cda40a-4468-41d2-8aaa-d02eb2400e15",
  "kind": null,
  "url": "http://hl7.org/fhir/uv/cqm/Measure/PreventiveCareandWellnessWeightedComposite",
  "identifier": [ {
    "value": "urn:oid:2.16.840.1.113883.4.642.40.61.29.17",
    "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",
    "extension": [ {
      "url": "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-weight",
      "valueDecimal": 0.2
    } ]
  }, {
    "type": "composed-of",
    "display": "High Blood Pressure Screening",
    "resource": "http://hl7.org/fhir/uv/cqm/Measure/HBPComponent|2.0.0",
    "extension": [ {
      "url": "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-weight",
      "valueDecimal": 0.2
    } ]
  }, {
    "type": "composed-of",
    "display": "Colorectal Cancer Screening",
    "resource": "http://hl7.org/fhir/uv/cqm/Measure/CCSComponent|2.0.0",
    "extension": [ {
      "url": "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-weight",
      "valueDecimal": 0.2
    } ]
  }, {
    "type": "composed-of",
    "display": "Pneumococcal Vaccination Status",
    "resource": "http://hl7.org/fhir/uv/cqm/Measure/PVSComponent|2.0.0",
    "extension": [ {
      "url": "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-weight",
      "valueDecimal": 0.2
    } ]
  }, {
    "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"
    }, {
      "url": "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-weight",
      "valueDecimal": 0.1
    } ]
  }, {
    "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"
    }, {
      "url": "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-weight",
      "valueDecimal": 0.1
    } ]
  } ],
  "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"
  }
}