Quality Measure Implementation Guide (STU5)
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Quality Measure Implementation Guide (STU5), published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 5.0.0-ballot2 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/cqf-measures/ and changes regularly. See the Directory of published versions

: Multi-Rate Example Measure - JSON Representation

Draft as of 2022-02-22

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{
  "resourceType" : "Measure",
  "id" : "MultiRateExample-FHIR",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-measure-cqfm"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n    <table class=\"grid dict\">\n        \n            <tr>\n                <th scope=\"row\"><b>Title: </b></th>\n                <td style=\"padding-left: 4px;\">Multi-Rate Example Measure</td>\n            </tr>\n        \n\n        \n\n        \n            <tr>\n                <th scope=\"row\"><b>Id: </b></th>\n                <td style=\"padding-left: 4px;\"><a href=\"Measure-MultiRateExample-FHIR.html\">Multi-Rate Example Measure</a></td>\n            </tr>\n        \n\n        \n            <tr>\n                <th scope=\"row\"><b>Version: </b></th>\n                <td style=\"padding-left: 4px;\">0.1.0</td>\n            </tr>\n        \n\n        \n            <tr>\n                <th scope=\"row\"><b>Url: </b></th>\n                <td style=\"padding-left: 4px;\"><a href=\"Measure-MultiRateExample-FHIR.html\">Multi-Rate Example Measure</a></td>\n            </tr>\n        \n\n        \n\n        \n\n        \n            <tr>\n                <th scope=\"row\"><b>Status: </b></th>\n                <td style=\"padding-left: 4px;\">draft</td>\n            </tr>\n        \n\n        \n            <tr>\n                <th scope=\"row\"><b>Experimental: </b></th>\n                <td style=\"padding-left: 4px;\">true</td>\n            </tr>\n        \n\n        \n            <tr>\n                <th scope=\"row\"><b>Date: </b></th>\n                <td style=\"padding-left: 4px;\">2022-02-22 10:37:03-0700</td>\n            </tr>\n        \n\n        \n            <tr>\n                <th scope=\"row\"><b>Publisher: </b></th>\n                <td style=\"padding-left: 4px;\">HL7 International / Clinical Quality Information</td>\n            </tr>\n        \n\n        \n\n        \n\n        \n            <tr>\n                <th scope=\"row\"><b>Description: </b></th>\n                <td style=\"padding-left: 4px;\"><div><p>This measure example illustrates the use of the group-level computation extensions to describe a multi-rate measure with mixed population bases</p>\n</div></td>\n            </tr>\n        \n\n        \n\n        \n\n        \n\n        \n            <tr>\n                <th scope=\"row\"><b>Jurisdiction: </b></th>\n                <td style=\"padding-left: 4px;\">US</td>\n            </tr>\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n            <tr>\n                <th scope=\"row\"><b>Subject: </b></th>\n                \n                    <td style=\"padding-left: 4px;\">\n                        \n                            \n                                <p style=\"margin-bottom: 5px;\">\n                                    <span>Location (http://hl7.org/fhir/resource-types)</span>\n                                </p>\n                            \n                        \n                        \n                    </td>\n                \n                \n            </tr>\n        \n\n        \n            <tr>\n                <th scope=\"row\"><b>Basis: </b></th>\n                <td style=\"padding-left: 4px;\">\n                Patient\n                </td>\n            </tr>\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n\n        \n            \n                <tr>\n                    <th scope=\"row\"><b>Population Criteria: </b></th>\n                    <td style=\"padding-left: 4px;\">\n                        \n                            <table class=\"grid-dict\">\n                                \n                                    <tr>\n                                        <th><b>group-1</b></th>\n                                    </tr>\n                                \n                                \n                                    <tr>\n                                        <td>:</td>\n                                        \n                                            <td>Total number of patients</td>\n                                        \n                                    </tr>\n                                \n                                    <tr>\n                                        <td>:</td>\n                                        \n                                            <td>Total number of patients</td>\n                                        \n                                    </tr>\n                                \n                                    <tr>\n                                        <td>:</td>\n                                        \n                                            <td>Total number of patients</td>\n                                        \n                                    </tr>\n                                \n                                \n                            </table>\n                        \n                            <table class=\"grid-dict\">\n                                \n                                    <tr>\n                                        <th><b>group-2</b></th>\n                                    </tr>\n                                \n                                \n                                    <tr>\n                                        <td>:</td>\n                                        \n                                            <td>Total number of practitioners</td>\n                                        \n                                    </tr>\n                                \n                                    <tr>\n                                        <td>:</td>\n                                        \n                                            <td>Total number of practitioners</td>\n                                        \n                                    </tr>\n                                \n                                    <tr>\n                                        <td>:</td>\n                                        \n                                            <td>Total number of practitioners</td>\n                                        \n                                    </tr>\n                                \n                                \n                            </table>\n                        \n                            <table class=\"grid-dict\">\n                                \n                                    <tr>\n                                        <th><b>group-3</b></th>\n                                    </tr>\n                                \n                                \n                                    <tr>\n                                        <td>:</td>\n                                        \n                                            <td>Total number of beds</td>\n                                        \n                                    </tr>\n                                \n                                    <tr>\n                                        <td>:</td>\n                                        \n                                            <td>Total number of beds</td>\n                                        \n                                    </tr>\n                                \n                                    <tr>\n                                        <td>:</td>\n                                        \n                                            <td>Total number of beds</td>\n                                        \n                                    </tr>\n                                \n                                \n                            </table>\n                        \n                            <table class=\"grid-dict\">\n                                \n                                    <tr>\n                                        <th><b>group-4</b></th>\n                                    </tr>\n                                \n                                \n                                    <tr>\n                                        <td>:</td>\n                                        \n                                            <td>Total number of screening procedures</td>\n                                        \n                                    </tr>\n                                \n                                    <tr>\n                                        <td>:</td>\n                                        \n                                            <td>Total number of screening procedures</td>\n                                        \n                                    </tr>\n                                \n                                    <tr>\n                                        <td>:</td>\n                                        \n                                            <td>Total number of screening procedures</td>\n                                        \n                                    </tr>\n                                \n                                \n                            </table>\n                        \n                            <table class=\"grid-dict\">\n                                \n                                    <tr>\n                                        <th><b>group-5</b></th>\n                                    </tr>\n                                \n                                \n                                    <tr>\n                                        <td>:</td>\n                                        \n                                            <td>Patients</td>\n                                        \n                                    </tr>\n                                \n                                    <tr>\n                                        <td>:</td>\n                                        \n                                            <td>Eligible patients</td>\n                                        \n                                    </tr>\n                                \n                                    <tr>\n                                        <td>:</td>\n                                        \n                                            <td>Patients with screening</td>\n                                        \n                                    </tr>\n                                \n                                \n                            </table>\n                        \n                            <table class=\"grid-dict\">\n                                \n                                    <tr>\n                                        <th><b>group-6</b></th>\n                                    </tr>\n                                \n                                \n                                \n                            </table>\n                        \n                    </td>\n                </tr>\n            \n        \n\n        \n\n        \n\n        \n\n        \n            <tr>\n                <th scope=\"row\"><b>Libraries: </b></th>\n                <td style=\"padding-left: 4px;\">\n                    <table class=\"grid-dict\">\n                        \n                            <tr>\n                                <td><a href=\"Library-MultiRateExample-FHIR.html\">Multi Rate Example Logic Library</a></td>\n                            </tr>\n                        \n                    </table>\n                </td>\n            </tr>\n        \n\n        \n\n        \n        \n    \n\n    </table>\n</div>"
  },
  "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"
    }
  ],
  "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",
  "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" : 1.0
              }
            ],
            "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" : 5.0
              }
            ],
            "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" : 1.0
              }
            ],
            "type" : "composed-of",
            "resource" : "http://hl7.org/fhir/us/cqfmeasures/Measure/MultiRateExample-FHIR"
          }
        }
      ],
      "code" : {
        "text" : "Weighted Average capacity"
      }
    }
  ]
}