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FHIR IG Statistics: Measure/MultiRateExample-FHIR

Packagehl7.fhir.us.cqfmeasures
Resource TypeMeasure
IdMultiRateExample-FHIR
FHIR VersionR4
Sourcehttp://hl7.org/fhir/us/cqfmeasures/http://hl7.org/fhir/us/cqfmeasures/STU5/Measure-MultiRateExample-FHIR.html
URLhttp://hl7.org/fhir/us/cqfmeasures/Measure/MultiRateExample-FHIR
Version0.1.0
Statusdraft
Date2022-02-22T10:37:03-07:00
NameMultiRateExample
TitleMulti-Rate Example Measure
Realmus
Authorityhl7
DescriptionThis measure example illustrates the use of the group-level computation extensions to describe a multi-rate measure with mixed population bases

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Title: Multi-Rate Example Measure
Id: MultiRateExample-FHIR
Version: 0.1.0
Url: Multi-Rate Example Measure
Status: draft
Experimental: true
Publisher: HL7 International / Clinical Quality Information
Description:

This measure example illustrates the use of the group-level computation extensions to describe a multi-rate measure with mixed population bases

Use Context:
code value
venue
Jurisdiction: US
Subject:

Location (http://hl7.org/fhir/resource-types)

Basis: Patient
Population Criteria:
group-1
: Total number of patients
: Total number of patients
: Total number of patients
group-2
: Total number of practitioners
: Total number of practitioners
: Total number of practitioners
group-3
: Total number of beds
: Total number of beds
: Total number of beds
group-4
: Total number of screening procedures
: Total number of screening procedures
: Total number of screening procedures
group-5
: Patients
: Eligible patients
: Patients with screening
group-6
Libraries:
Multi Rate Example Logic Library
Terminology and Other Dependencies:
  • http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1
  • http://example.org/fhir/ValueSet/TBD
  • Parameters:
    name use min max type
    Practitioners Out 0 * PractitionerRole
    Numerator Out 0 * Patient
    Denominator Out 0 * Patient
    Initial Population Out 0 * Patient
    Patients Out 0 * Patient
    Beds Out 0 * Device
    DataRequirements:
    Resource Type Resource Elements Valueset Name Valueset
    Patient(Patient) gender id
    Device(Device) type Screening Procedure Types http://example.org/fhir/ValueSet/TBD
    Procedure(Procedure) code subject subject.reference Screening Procedure Types http://example.org/fhir/ValueSet/TBD
    PractitionerRole(PractitionerRole)
    Logic Definitions:
    Group Scoring Population Criteria Expression
    group-1 Group scoring: continuous-variable
    Type:

    structure

    Risk Adjustment: N/A
    Rate Aggregation: N/A
    Improvement Notation:

    increase

    // Number of patients
    define "Patients":
      [Patient]
    // Number of patients
    define "Patients":
      [Patient]
    group-2 Group scoring: continuous-variable
    Type:

    structure

    Risk Adjustment: N/A
    Rate Aggregation: N/A
    Improvement Notation:

    increase

    // Number of practitioners
    define "Practitioners":
      [PractitionerRole]
    // Number of practitioners
    define "Practitioners":
      [PractitionerRole]
    group-3 Group scoring: continuous-variable
    Type:

    structure

    Risk Adjustment: N/A
    Rate Aggregation: N/A
    Improvement Notation:

    increase

    // Number of beds
    define "Beds":
      [Device: "Bed Device Types"]
    // Number of beds
    define "Beds":
      [Device: "Bed Device Types"]
    group-4 Group scoring: continuous-variable
    Type:

    structure

    Risk Adjustment: N/A
    Rate Aggregation: N/A
    Improvement Notation:

    increase

    group-5 Group scoring: proportion
    Type:

    process

    Risk Adjustment: N/A
    Rate Aggregation: N/A
    Improvement Notation:

    increase

    // Percentage of patients who received screening
    define "Initial Population":
      "Patients"
    define "Denominator":
      "Patients" P
        where P.gender = 'female'
    define "Numerator":
      "Patients" P
        with "Screening Procedures" SP
          such that P.id = Last(Split(SP.subject.reference, '/'))
    group-6 Group scoring: composite
    Type:

    structure

    Risk Adjustment: N/A
    Rate Aggregation: N/A
    Improvement Notation:

    increase

    Library Name Name
    MultiRateExample-FHIR Practitioners
    // Number of practitioners
    define "Practitioners":
      [PractitionerRole]
    Library Name Name
    MultiRateExample-FHIR Patients
    // Number of patients
    define "Patients":
      [Patient]
    Library Name Name
    MultiRateExample-FHIR Screening Procedures
    // Number of screening procedures
    define "Screening Procedures":
      [Procedure: "Screening Procedure Types"]
    Library Name Name
    MultiRateExample-FHIR Numerator
    define "Numerator":
      "Patients" P
        with "Screening Procedures" SP
          such that P.id = Last(Split(SP.subject.reference, '/'))
    Library Name Name
    MultiRateExample-FHIR Denominator
    define "Denominator":
      "Patients" P
        where P.gender = 'female'
    Library Name Name
    MultiRateExample-FHIR Initial Population
    // Percentage of patients who received screening
    define "Initial Population":
      "Patients"
    Library Name Name
    MultiRateExample-FHIR Beds
    // Number of beds
    define "Beds":
      [Device: "Bed Device Types"]

    Source

    {
      "resourceType": "Measure",
      "id": "MultiRateExample-FHIR",
      "meta": {
        "profile": [
          "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm"
        ]
      },
      "text": {
        "status": "extensions",
        "div": "<!-- snip (see above) -->"
      },
      "contained": [
        {
          "resourceType": "Library",
          "id": "effective-data-requirements-mre",
          "meta": {
            "profile": [
              "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-moduledefinitionlibrary"
            ]
          },
          "extension": [
            {
              "extension": [
                {
                  "url": "libraryName",
                  "valueString": "MultiRateExample-FHIR"
                },
                {
                  "url": "name",
                  "valueString": "Practitioners"
                },
                {
                  "url": "statement",
                  "valueString": "// Number of practitioners\ndefine \"Practitioners\":\n  [PractitionerRole]"
                },
                {
                  "url": "displaySequence",
                  "valueInteger": 0
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
            },
            {
              "extension": [
                {
                  "url": "libraryName",
                  "valueString": "MultiRateExample-FHIR"
                },
                {
                  "url": "name",
                  "valueString": "Patients"
                },
                {
                  "url": "statement",
                  "valueString": "// Number of patients\ndefine \"Patients\":\n  [Patient]"
                },
                {
                  "url": "displaySequence",
                  "valueInteger": 1
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
            },
            {
              "extension": [
                {
                  "url": "libraryName",
                  "valueString": "MultiRateExample-FHIR"
                },
                {
                  "url": "name",
                  "valueString": "Screening Procedures"
                },
                {
                  "url": "statement",
                  "valueString": "// Number of screening procedures\ndefine \"Screening Procedures\":\n  [Procedure: \"Screening Procedure Types\"]"
                },
                {
                  "url": "displaySequence",
                  "valueInteger": 2
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
            },
            {
              "extension": [
                {
                  "url": "libraryName",
                  "valueString": "MultiRateExample-FHIR"
                },
                {
                  "url": "name",
                  "valueString": "Numerator"
                },
                {
                  "url": "statement",
                  "valueString": "define \"Numerator\":\n  \"Patients\" P\n    with \"Screening Procedures\" SP\n      such that P.id = Last(Split(SP.subject.reference, '/'))"
                },
                {
                  "url": "displaySequence",
                  "valueInteger": 3
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
            },
            {
              "extension": [
                {
                  "url": "libraryName",
                  "valueString": "MultiRateExample-FHIR"
                },
                {
                  "url": "name",
                  "valueString": "Denominator"
                },
                {
                  "url": "statement",
                  "valueString": "define \"Denominator\":\n  \"Patients\" P\n    where P.gender = 'female'"
                },
                {
                  "url": "displaySequence",
                  "valueInteger": 4
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
            },
            {
              "extension": [
                {
                  "url": "libraryName",
                  "valueString": "MultiRateExample-FHIR"
                },
                {
                  "url": "name",
                  "valueString": "Initial Population"
                },
                {
                  "url": "statement",
                  "valueString": "// Percentage of patients who received screening\ndefine \"Initial Population\":\n  \"Patients\""
                },
                {
                  "url": "displaySequence",
                  "valueInteger": 5
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
            },
            {
              "extension": [
                {
                  "url": "libraryName",
                  "valueString": "MultiRateExample-FHIR"
                },
                {
                  "url": "name",
                  "valueString": "Beds"
                },
                {
                  "url": "statement",
                  "valueString": "// Number of beds\ndefine \"Beds\":\n  [Device: \"Bed Device Types\"]"
                },
                {
                  "url": "displaySequence",
                  "valueInteger": 6
                }
              ],
              "url": "http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition"
            }
          ],
          "url": "http://hl7.org/fhir/us/cqfmeasures/Library/effective-data-requirements-mre",
          "version": "1.0.0",
          "name": "EffectiveDataRequirements",
          "title": "Module Definition Library - MultiRateExample",
          "status": "active",
          "experimental": true,
          "type": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/library-type",
                "code": "module-definition"
              }
            ]
          },
          "date": "2022-02-22T10:37:03-07:00",
          "description": "This library is used as an example module definition in the FHIR Quality Measure Implementation Guide",
          "relatedArtifact": [
            {
              "type": "depends-on",
              "display": "Library FHIRHelpers",
              "resource": "http://fhir.org/guides/cqf/common/Library/FHIRHelpers|4.0.1"
            },
            {
              "type": "depends-on",
              "display": "Value set Screening Procedure Types",
              "resource": "http://example.org/fhir/ValueSet/TBD"
            }
          ],
          "parameter": [
            {
              "name": "Practitioners",
              "use": "out",
              "min": 0,
              "max": "*",
              "type": "PractitionerRole"
            },
            {
              "name": "Numerator",
              "use": "out",
              "min": 0,
              "max": "*",
              "type": "Patient"
            },
            {
              "name": "Denominator",
              "use": "out",
              "min": 0,
              "max": "*",
              "type": "Patient"
            },
            {
              "name": "Initial Population",
              "use": "out",
              "min": 0,
              "max": "*",
              "type": "Patient"
            },
            {
              "name": "Patients",
              "use": "out",
              "min": 0,
              "max": "*",
              "type": "Patient"
            },
            {
              "name": "Beds",
              "use": "out",
              "min": 0,
              "max": "*",
              "type": "Device"
            }
          ],
          "dataRequirement": [
            {
              "type": "Patient",
              "profile": [
                "http://hl7.org/fhir/StructureDefinition/Patient"
              ],
              "mustSupport": [
                "gender",
                "id"
              ]
            },
            {
              "type": "Device",
              "profile": [
                "http://hl7.org/fhir/StructureDefinition/Device"
              ],
              "mustSupport": [
                "type"
              ],
              "codeFilter": [
                {
                  "path": "type",
                  "valueSet": "http://example.org/fhir/ValueSet/TBD"
                }
              ]
            },
            {
              "type": "Procedure",
              "profile": [
                "http://hl7.org/fhir/StructureDefinition/Procedure"
              ],
              "mustSupport": [
                "code",
                "subject",
                "subject.reference"
              ],
              "codeFilter": [
                {
                  "path": "code",
                  "valueSet": "http://example.org/fhir/ValueSet/TBD"
                }
              ]
            },
            {
              "type": "PractitionerRole",
              "profile": [
                "http://hl7.org/fhir/StructureDefinition/PractitionerRole"
              ]
            }
          ]
        }
      ],
      "extension": [
        {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-populationBasis",
          "valueCode": "Patient"
        },
        {
          "url": "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements",
          "valueCanonical": "#effective-data-requirements-mre"
        }
      ],
      "url": "http://hl7.org/fhir/us/cqfmeasures/Measure/MultiRateExample-FHIR",
      "version": "0.1.0",
      "name": "MultiRateExample",
      "title": "Multi-Rate Example Measure",
      "status": "draft",
      "experimental": true,
      "subjectCodeableConcept": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/resource-types",
            "code": "Location"
          }
        ]
      },
      "date": "2022-02-22T10:37:03-07:00",
      "publisher": "HL7 International / Clinical Quality Information",
      "contact": [
        {
          "telecom": [
            {
              "system": "url",
              "value": "http://www.hl7.org/Special/committees/cqi"
            }
          ]
        }
      ],
      "description": "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": "http://terminology.hl7.org/CodeSystem/usage-context-type",
            "code": "venue",
            "display": "Venue"
          },
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/us/cqfmeasures/CodeSystem/intended-venue-codes",
                "code": "ec",
                "display": "EC"
              }
            ]
          }
        }
      ],
      "jurisdiction": [
        {
          "coding": [
            {
              "system": "urn:iso:std:iso:3166",
              "code": "US"
            }
          ]
        }
      ],
      "library": [
        "http://hl7.org/fhir/us/cqfmeasures/Library/MultiRateExample-FHIR"
      ],
      "group": [
        {
          "id": "group-1",
          "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": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/measure-scoring",
                    "code": "continuous-variable"
                  }
                ]
              }
            },
            {
              "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/measure-type",
                    "code": "structure"
                  }
                ]
              }
            },
            {
              "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": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
                    "code": "increase"
                  }
                ]
              }
            }
          ],
          "code": {
            "text": "Patients"
          },
          "population": [
            {
              "code": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                    "code": "initial-population"
                  }
                ]
              },
              "description": "Total number of patients",
              "criteria": {
                "language": "text/cql-identifier",
                "expression": "Patients"
              }
            },
            {
              "code": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                    "code": "measure-population"
                  }
                ]
              },
              "description": "Total number of patients",
              "criteria": {
                "language": "text/cql-identifier",
                "expression": "Patients"
              }
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-aggregateMethod",
                  "valueCode": "sum"
                }
              ],
              "code": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                    "code": "measure-observation"
                  }
                ]
              },
              "description": "Total number of patients",
              "criteria": {
                "language": "text/cql-identifier",
                "expression": "ToNumber"
              }
            }
          ]
        },
        {
          "id": "group-2",
          "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": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/measure-scoring",
                    "code": "continuous-variable"
                  }
                ]
              }
            },
            {
              "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/measure-type",
                    "code": "structure"
                  }
                ]
              }
            },
            {
              "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": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
                    "code": "increase"
                  }
                ]
              }
            }
          ],
          "code": {
            "text": "Practitioners"
          },
          "population": [
            {
              "code": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                    "code": "initial-population"
                  }
                ]
              },
              "description": "Total number of practitioners",
              "criteria": {
                "language": "text/cql-identifier",
                "expression": "Practitioners"
              }
            },
            {
              "code": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                    "code": "measure-population"
                  }
                ]
              },
              "description": "Total number of practitioners",
              "criteria": {
                "language": "text/cql-identifier",
                "expression": "Practitioners"
              }
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-aggregateMethod",
                  "valueCode": "sum"
                }
              ],
              "code": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                    "code": "measure-observation"
                  }
                ]
              },
              "description": "Total number of practitioners",
              "criteria": {
                "language": "text/cql-identifier",
                "expression": "ToNumber"
              }
            }
          ]
        },
        {
          "id": "group-3",
          "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": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/measure-scoring",
                    "code": "continuous-variable"
                  }
                ]
              }
            },
            {
              "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/measure-type",
                    "code": "structure"
                  }
                ]
              }
            },
            {
              "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": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
                    "code": "increase"
                  }
                ]
              }
            }
          ],
          "code": {
            "text": "Beds"
          },
          "population": [
            {
              "code": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                    "code": "initial-population"
                  }
                ]
              },
              "description": "Total number of beds",
              "criteria": {
                "language": "text/cql-identifier",
                "expression": "Beds"
              }
            },
            {
              "code": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                    "code": "measure-population"
                  }
                ]
              },
              "description": "Total number of beds",
              "criteria": {
                "language": "text/cql-identifier",
                "expression": "Beds"
              }
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-aggregateMethod",
                  "valueCode": "sum"
                }
              ],
              "code": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                    "code": "measure-observation"
                  }
                ]
              },
              "description": "Total number of beds",
              "criteria": {
                "language": "text/cql-identifier",
                "expression": "ToNumber"
              }
            }
          ]
        },
        {
          "id": "group-4",
          "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": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/measure-scoring",
                    "code": "continuous-variable"
                  }
                ]
              }
            },
            {
              "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/measure-type",
                    "code": "structure"
                  }
                ]
              }
            },
            {
              "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": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
                    "code": "increase"
                  }
                ]
              }
            }
          ],
          "code": {
            "text": "Screening Procedures"
          },
          "population": [
            {
              "code": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                    "code": "initial-population"
                  }
                ]
              },
              "description": "Total number of screening procedures",
              "criteria": {
                "language": "text/cql-identifier",
                "expression": "Procedures"
              }
            },
            {
              "code": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                    "code": "measure-population"
                  }
                ]
              },
              "description": "Total number of screening procedures",
              "criteria": {
                "language": "text/cql-identifier",
                "expression": "Procedures"
              }
            },
            {
              "extension": [
                {
                  "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-aggregateMethod",
                  "valueCode": "sum"
                }
              ],
              "code": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                    "code": "measure-observation"
                  }
                ]
              },
              "description": "Total number of screening procedures",
              "criteria": {
                "language": "text/cql-identifier",
                "expression": "ToNumber"
              }
            }
          ]
        },
        {
          "id": "group-5",
          "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": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/measure-scoring",
                    "code": "proportion"
                  }
                ]
              }
            },
            {
              "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/measure-type",
                    "code": "process"
                  }
                ]
              }
            },
            {
              "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": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
                    "code": "increase"
                  }
                ]
              }
            }
          ],
          "code": {
            "text": "Patients that recevied screenings"
          },
          "population": [
            {
              "code": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                    "code": "initial-population"
                  }
                ]
              },
              "description": "Patients",
              "criteria": {
                "language": "text/cql-identifier",
                "expression": "Initial Population"
              }
            },
            {
              "code": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                    "code": "denominator"
                  }
                ]
              },
              "description": "Eligible patients",
              "criteria": {
                "language": "text/cql-identifier",
                "expression": "Denominator"
              }
            },
            {
              "code": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                    "code": "numerator"
                  }
                ]
              },
              "description": "Patients with screening",
              "criteria": {
                "language": "text/cql-identifier",
                "expression": "Numerator"
              }
            }
          ]
        },
        {
          "id": "group-6",
          "extension": [
            {
              "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-compositeScoring",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/composite-measure-scoring",
                    "code": "weighted"
                  }
                ]
              }
            },
            {
              "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-scoring",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/measure-scoring",
                    "code": "composite"
                  }
                ]
              }
            },
            {
              "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-type",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/measure-type",
                    "code": "structure"
                  }
                ]
              }
            },
            {
              "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": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
                    "code": "increase"
                  }
                ]
              }
            },
            {
              "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-component",
              "valueRelatedArtifact": {
                "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
                  }
                ],
                "type": "composed-of",
                "resource": "http://hl7.org/fhir/us/cqfmeasures/Measure/MultiRateExample-FHIR"
              }
            },
            {
              "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-component",
              "valueRelatedArtifact": {
                "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
                  }
                ],
                "type": "composed-of",
                "resource": "http://hl7.org/fhir/us/cqfmeasures/Measure/MultiRateExample-FHIR"
              }
            },
            {
              "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-component",
              "valueRelatedArtifact": {
                "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
                  }
                ],
                "type": "composed-of",
                "resource": "http://hl7.org/fhir/us/cqfmeasures/Measure/MultiRateExample-FHIR"
              }
            },
            {
              "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-component",
              "valueRelatedArtifact": {
                "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
                  }
                ],
                "type": "composed-of",
                "resource": "http://hl7.org/fhir/us/cqfmeasures/Measure/MultiRateExample-FHIR"
              }
            }
          ],
          "code": {
            "text": "Weighted Average capacity"
          }
        }
      ]
    }