MultiRateExample-FHIR
type: Measure
node role: treeRoot
resource.id:
  value: MultiRateExample-FHIR
resource.meta:
  meta.profile:
    value: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-computablemeasure
    index: -1
    link: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-computablemeasure
  meta.profile:
    value: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-computablemeasure
    index: -1
    link: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-computablemeasure
resource.language:
  value: en
domain resource.text:
  narrative.status:
    value: extensions
  narrative.div: Metadata Title Multi-Rate Example Measure Version 0.1.0 Identifier urn:oid:2.16.840.1.113883.4.642.40.61.29.12 Experimental true Subject Type Location from http://hl7.org/fhir/resource-types Use Context Clinical Venue = EC Jurisdiction 001 from http://unstats.un.org/unsd/methods/m49/m49.htm Steward (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 Measure Basis Patient Measure Group (Rate) (ID: Patients) Basis Patient Scoring continuous-variable from http://terminology.hl7.org/CodeSystem/measure-scoring Improvement Notation increase from http://terminology.hl7.org/CodeSystem/measure-improvement-notation Type structure from http://terminology.hl7.org/CodeSystem/measure-type Risk Adjustment N/A Rate Aggregation N/A Initial Population ID: primary-multirateexample-initial-population Description: Total number of patients Criteria: Patients Measure Population ID: primary-multirateexample-patients Description: Total number of patients Criteria: Patients Measure Observation ID: primary-multirateexample-tonumber Description: Total number of patients Criteria: ToNumber AggregateMethod: sum Measure Group (Rate) (ID: Practitioners) Basis PractitionerRole Scoring continuous-variable from http://terminology.hl7.org/CodeSystem/measure-scoring Improvement Notation increase from http://terminology.hl7.org/CodeSystem/measure-improvement-notation Type structure from http://terminology.hl7.org/CodeSystem/measure-type Risk Adjustment N/A Rate Aggregation N/A Initial Population ID: primary-multirateexample-initial-population Description: Total number of practitioners Criteria: Practitioners Measure Population ID: primary-multirateexample-measure-population Description: Total number of practitioners Criteria: Practitioners Measure Observation ID: primary-multirateexample-measure-observation Description: Total number of pract…
domain resource.contained: Library
  index: -1
  resource.id:
    value: effective-data-requirements
  domain resource.extension:
    index: -1
    element.extension:
      index: -1
      extension.url:
        value: libraryName
      extension.value string:
        value: MultiRateExample
    element.extension:
      index: -1
      extension.url:
        value: name
      extension.value string:
        value: Practitioners
    element.extension:
      index: -1
      extension.url:
        value: statement
      extension.value string:
        value: // Number of practitioners define "Practitioners": [PractitionerRole]
    element.extension:
      index: -1
      extension.url:
        value: displaySequence
      extension.value integer:
        value: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  domain resource.extension:
    index: -1
    element.extension:
      index: -1
      extension.url:
        value: libraryName
      extension.value string:
        value: MultiRateExample
    element.extension:
      index: -1
      extension.url:
        value: name
      extension.value string:
        value: Patients
    element.extension:
      index: -1
      extension.url:
        value: statement
      extension.value string:
        value: // Number of patients define "Patients": [Patient]
    element.extension:
      index: -1
      extension.url:
        value: displaySequence
      extension.value integer:
        value: 1
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  domain resource.extension:
    index: -1
    element.extension:
      index: -1
      extension.url:
        value: libraryName
      extension.value string:
        value: MultiRateExample
    element.extension:
      index: -1
      extension.url:
        value: name
      extension.value string:
        value: Screening Procedures
    element.extension:
      index: -1
      extension.url:
        value: statement
      extension.value string:
        value: // Number of screening procedures define "Screening Procedures": [Procedure: "Screening Procedure Types"]
    element.extension:
      index: -1
      extension.url:
        value: displaySequence
      extension.value integer:
        value: 2
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  domain resource.extension:
    index: -1
    element.extension:
      index: -1
      extension.url:
        value: libraryName
      extension.value string:
        value: MultiRateExample
    element.extension:
      index: -1
      extension.url:
        value: name
      extension.value string:
        value: Numerator
    element.extension:
      index: -1
      extension.url:
        value: statement
      extension.value string:
        value: define "Numerator": "Patients" P with "Screening Procedures" SP such that P.id = Last(Split(SP.subject.reference, '/'))
    element.extension:
      index: -1
      extension.url:
        value: displaySequence
      extension.value integer:
        value: 3
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  domain resource.extension:
    index: -1
    element.extension:
      index: -1
      extension.url:
        value: libraryName
      extension.value string:
        value: MultiRateExample
    element.extension:
      index: -1
      extension.url:
        value: name
      extension.value string:
        value: Denominator
    element.extension:
      index: -1
      extension.url:
        value: statement
      extension.value string:
        value: define "Denominator": "Patients" P where P.gender = 'female'
    element.extension:
      index: -1
      extension.url:
        value: displaySequence
      extension.value integer:
        value: 4
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  domain resource.extension:
    index: -1
    element.extension:
      index: -1
      extension.url:
        value: libraryName
      extension.value string:
        value: MultiRateExample
    element.extension:
      index: -1
      extension.url:
        value: name
      extension.value string:
        value: Initial Population
    element.extension:
      index: -1
      extension.url:
        value: statement
      extension.value string:
        value: // Percentage of patients who received screening define "Initial Population": "Patients"
    element.extension:
      index: -1
      extension.url:
        value: displaySequence
      extension.value integer:
        value: 5
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition
  domain resource.extension:
    index: -1
    element.extension:
      index: -1
      extension.url:
        value: libraryName
      extension.value string:
        value: MultiRateExample
    element.extension:
      index: -1
      extension.url:
        value: name

value: Beds

index: -1
extension.url:
  value: statement
extension.value string:
  value: // Number of beds define "Beds": [Device: "Bed Device Types"]

index: -1
extension.url:
  value: displaySequence
extension.value integer:
  value: 6

index: -1
element.extension:
  index: -1
  extension.url:
    value: libraryName
  extension.value string:
    value: MultiRateExample
element.extension:
  index: -1
  extension.url:
    value: name
  extension.value string:
    value: ToNumber
element.extension:
  index: -1
  extension.url:
    value: statement
  extension.value string:
    value: define function ToNumber(patient Patient): if patient is not null then 1 else 0
element.extension:
  index: -1
  extension.url:
    value: displaySequence
  extension.value integer:
    value: 7
extension.url:
  value: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition

index: -1
element.extension:
  index: -1
  extension.url:
    value: libraryName
  extension.value string:
    value: MultiRateExample
element.extension:
  index: -1
  extension.url:
    value: name
  extension.value string:
    value: ToNumber
element.extension:
  index: -1
  extension.url:
    value: statement
  extension.value string:
    value: define function ToNumber(practitionerRole PractitionerRole): if practitionerRole is not null then 1 else 0
element.extension:
  index: -1
  extension.url:
    value: displaySequence
  extension.value integer:
    value: 8
extension.url:
  value: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition

index: -1
element.extension:
  index: -1
  extension.url:
    value: libraryName
  extension.value string:
    value: MultiRateExample
element.extension:
  index: -1
  extension.url:
    value: name
  extension.value string:
    value: ToNumber
element.extension:
  index: -1
  extension.url:
    value: statement
  extension.value string:
    value: define function ToNumber(device Device): if device is not null then 1 else 0
element.extension:
  index: -1
  extension.url:
    value: displaySequence
  extension.value integer:
    value: 9
extension.url:
  value: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition

index: -1
element.extension:
  index: -1
  extension.url:
    value: libraryName
  extension.value string:
    value: FHIRHelpers
element.extension:
  index: -1
  extension.url:
    value: name
  extension.value string:
    value: ToString
element.extension:
  index: -1
  extension.url:
    value: statement
  extension.value string:
    value: define function ToString(value string): value.value
element.extension:
  index: -1
  extension.url:
    value: displaySequence
  extension.value integer:
    value: 10
extension.url:
  value: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition

index: -1
element.extension:
  index: -1
  extension.url:
    value: libraryName
  extension.value string:
    value: FHIRHelpers
element.extension:
  index: -1
  extension.url:
    value: name
  extension.value string:
    value: ToString
element.extension:
  index: -1
  extension.url:
    value: statement
  extension.value string:
    value: define function ToString(value AdministrativeGender): value.value
element.extension:
  index: -1
  extension.url:
    value: displaySequence
  extension.value integer:
    value: 11
extension.url:
  value: http://hl7.org/fhir/StructureDefinition/cqf-logicDefinition

value: EffectiveDataRequirements

value: active

codeable concept.coding:
  index: -1
  coding.system:
    value: http://terminology.hl7.org/CodeSystem/library-type
  coding.code:
    value: module-definition

index: -1
related artifact.type:
  value: depends-on
related artifact.display:
  value: FHIR model information
related artifact.resource:
  value: http://hl7.org/fhir/uv/cql/Library/FHIR-ModelInfo|4.0.1
  link: 4.0
  link: .1

index: -1
related artifact.type:
  value: depends-on
related artifact.display:
  value: Library FHIRHelpers
related artifact.resource:
  value: http://hl7.org/fhir/uv/cql/Library/FHIRHelpers|4.0.1
  link: 4.0
  link: .1

index: -1
related artifact.type:
  value: depends-on
related artifact.display:
  value: Value set Screening Procedure Types
related artifact.resource:
  value: http://example.org/fhir/ValueSet/TBD
  link: http://example.org/fhir/ValueSet/TBD

index: -1
parameter definition.name:
  value: Practitioners
parameter definition.use:
  value: out
parameter definition.min:
  value: 0
parameter definition.max:
  value: *
parameter definition.type:
  value: PractitionerRole

index: -1
parameter definition.name:
  value: Numerator
parameter definition.use:
  value: out
parameter definition.min:
  value: 0
parameter definition.max:
  value: *
parameter definition.type:
  value: Patient

index: -1
parameter definition.name:
  value: Screening Procedures
parameter definition.use:
  value: out
parameter definition.min:
  value: 0
parameter definition.max:
  value: *
parameter definition.type:
  value: Procedure

index: -1
parameter definition.name:
  value: Denominator
parameter definition.use:
  value: out
parameter definition.min:
  value: 0
parameter definition.max:
  value: *
parameter definition.type:
  value: Patient

index: -1
parameter definition.name:
  value: Initial Population
parameter definition.use:
  value: out
parameter definition.min:
  value: 0
parameter definition.max:
  value: *
parameter definition.type:
  value: Patient

index: -1
parameter definition.name:
  value: Patients
parameter definition.use:
  value: out
parameter definition.min:
  value: 0
parameter definition.max:
  value: *
parameter definition.type:
  value: Patient

index: -1
parameter definition.name:
  value: Beds
parameter definition.use:
  value: out
parameter definition.min:
  value: 0
parameter definition.max:
  value: *
parameter definition.type:
  value: Device

index: -1
data requirement.type:
  value: PractitionerRole
data requirement.profile:
  value: http://hl7.org/fhir/StructureDefinition/PractitionerRole
  index: -1
  link: http://hl7.org/fhir/StructureDefinition/PractitionerRole

index: -1
data requirement.type:
  value: Patient
data requirement.profile:
  value: http://hl7.org/fhir/StructureDefinition/Patient
  index: -1
  link: http://hl7.org/fhir/StructureDefinition/Patient
data requirement.must support:
  value: id
  index: -1
data requirement.must support:
  value: gender
  index: -1

index: -1
data requirement.type:
  value: Procedure
data requirement.profile:
  value: http://hl7.org/fhir/StructureDefinition/Procedure
  index: -1
  link: http://hl7.org/fhir/StructureDefinition/Procedure
data requirement.must support:
  value: code
  index: -1
data requirement.must support:
  value: subject
  index: -1
data requirement.must support:
  value: subject.reference
  index: -1
data requirement.code filter:
  index: -1
  data requirement.code filter.path:
    value: code
  data requirement.code filter.value set:
    value: http://example.org/fhir/ValueSet/TBD
    link: http://example.org/fhir/ValueSet/TBD

index: -1
data requirement.type:
  value: Device
data requirement.profile:
  value: http://hl7.org/fhir/StructureDefinition/Device
  index: -1
  link: http://hl7.org/fhir/StructureDefinition/Device
data requirement.must support:
  value: type
  index: -1
data requirement.code filter:
  index: -1
  data requirement.code filter.path:
    value: type
  data requirement.code filter.value set:
    value: http://example.org/fhir/ValueSet/TBD
    link: http://example.org/fhir/ValueSet/TBD

index: -1
extension.url:
  value: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis
extension.value code:
  value: Patient

index: -1
extension.url:
  value: http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-effectiveDataRequirements
extension.value canonical:
  value: #effective-data-requirements

index: -1
identifier.system:
  value: urn:ietf:rfc:3986
identifier.value:
  value: urn:oid:2.16.840.1.113883.4.642.40.61.29.12

value: 0.1.0

value: MultiRateExample

value: Multi-Rate Example Measure

value: active

value: true

codeable concept.coding:
  index: -1
  coding.system:
    value: http://hl7.org/fhir/resource-types
  coding.code:
    value: Location

value: 2025-08-13T16:14:51-07:00

value: HL7 International / Clinical Quality Information

index: -1
contact detail.telecom:
  index: -1
  contact point.system:
    value: url
  contact point.value:
    value: http://www.hl7.org/Special/committees/cqi

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

index: -1
usage context.code:
  coding.system:
    value: http://terminology.hl7.org/CodeSystem/usage-context-type
  coding.code:
    value: venue
  coding.display:
    value: Clinical Venue
usage context.value codeable concept:
  codeable concept.coding:
    index: -1
    coding.system:
      value: http://hl7.org/fhir/uv/cqm/CodeSystem/intended-venue-codes
    coding.code:
      value: ec
    coding.display:
      value: EC

index: -1
codeable concept.coding:
  index: -1
  coding.system:
    value: http://unstats.un.org/unsd/methods/m49/m49.htm
  coding.code:
    value: 001

value: http://hl7.org/fhir/uv/cqm/Library/MultiRateExample
index: -1
link: http://hl7.org/fhir/uv/cqm/Library/MultiRateExample

index: -1
element.id:
  value: group-1
element.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.linkId
  extension.value string:
    value: Patients
element.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis
  extension.value code:
    value: Patient
element.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring
  extension.value codeable concept:
    codeable concept.coding:
      index: -1
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/measure-scoring
      coding.code:
        value: continuous-variable
element.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-type
  extension.value codeable concept:
    codeable concept.coding:
      index: -1
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/measure-type
      coding.code:
        value: structure
element.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-riskAdjustment
  extension.value string:
    value: N/A
element.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-rateAggregation
  extension.value string:
    value: N/A
element.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-improvementNotation
  extension.value codeable concept:
    codeable concept.coding:
      index: -1
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/measure-improvement-notation
      coding.code:
        value: increase
measure.group.code:
  codeable concept.text:
    value: Patients
measure.group.population:
  index: -1
  element.extension:
    index: -1
    extension.url:
      value: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId
    extension.value string:
      value: primary-multirateexample-initial-population
  measure.group.population.code:
    codeable concept.coding:
      index: -1
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/measure-population
      coding.code:
        value: initial-population
  measure.group.population.description:
    value: Total number of patients
  measure.group.population.criteria:
    expression.language:
      value: text/cql-identifier
    expression.expression:
      value: Patients
measure.group.population:
  index: -1
  element.extension:
    index: -1
    extension.url:
      value: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId
    extension.value string:
      value: primary-multirateexample-patients
  measure.group.population.code:
    codeable concept.coding:
      index: -1
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/measure-population
      coding.code:
        value: measure-population
  measure.group.population.description:
    value: Total number of patients
  measure.group.population.criteria:
    expression.language:
      value: text/cql-identifier
    expression.expression:
      value: Patients
measure.group.population:
  index: -1
  element.extension:
    index: -1
    extension.url:
      value: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-aggregateMethod
    extension.value code:
      value: sum
  element.extension:
    index: -1
    extension.url:
      value: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId
    extension.value string:
      value: primary-multirateexample-tonumber
  measure.group.population.code:
    codeable concept.coding:
      index: -1
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/measure-population
      coding.code:
        value: measure-observation
  measure.group.population.description:
    value: Total number of patients
  measure.group.population.criteria:
    expression.language:
      value: text/cql-identifier
    expression.expression:
      value: ToNumber

index: -1
element.id:
  value: group-2
element.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.linkId
  extension.value string:
    value: Practitioners
element.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis
  extension.value code:
    value: PractitionerRole
element.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring
  extension.value codeable concept:
    codeable concept.coding:
      index: -1
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/measure-scoring
      coding.code:
        value: continuous-variable
element.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-type
  extension.value codeable concept:
    codeable concept.coding:
      index: -1
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/measure-type
      coding.code:
        value: structure
element.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-riskAdjustment
  extension.value string:
    value: N/A
element.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-rateAggregation
  extension.value string:
    value: N/A
element.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-improvementNotation
  extension.value codeable concept:
    codeable concept.coding:
      index: -1
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/measure-improvement-notation
      coding.code:
        value: increase
measure.group.code:
  codeable concept.text:
    value: Practitioners
measure.group.population:
  index: -1
  element.extension:
    index: -1
    extension.url:
      value: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId
    extension.value string:
      value: primary-multirateexample-initial-population
  measure.group.population.code:
    codeable concept.coding:
      index: -1
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/measure-population
      coding.code:
        value: initial-population
  measure.group.population.description:
    value: Total number of practitioners
  measure.group.population.criteria:
    expression.language:
      value: text/cql-identifier
    expression.expression:
      value: Practitioners
measure.group.population:
  index: -1
  element.extension:
    index: -1
    extension.url:
      value: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId
    extension.value string:
      value: primary-multirateexample-measure-population
  measure.group.population.code:
    codeable concept.coding:
      index: -1
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/measure-population
      coding.code:
        value: measure-population
  measure.group.population.description:
    value: Total number of practitioners
  measure.group.population.criteria:
    expression.language:
      value: text/cql-identifier
    expression.expression:
      value: Practitioners
measure.group.population:
  index: -1
  element.extension:
    index: -1
    extension.url:
      value: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-aggregateMethod
    extension.value code:
      value: sum
  element.extension:
    index: -1
    extension.url:
      value: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId
    extension.value string:
      value: primary-multirateexample-measure-observation
  measure.group.population.code:
    codeable concept.coding:
      index: -1
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/measure-population
      coding.code:
        value: measure-observation
  measure.group.population.description:
    value: Total number of practitioners
  measure.group.population.criteria:
    expression.language:
      value: text/cql-identifier
    expression.expression:
      value: ToNumber

index: -1
element.id:
  value: group-3
element.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.linkId
  extension.value string:
    value: Beds
element.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis
  extension.value code:
    value: Device
element.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring
  extension.value codeable concept:
    codeable concept.coding:
      index: -1
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/measure-scoring
      coding.code:
        value: continuous-variable
element.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-type
  extension.value codeable concept:
    codeable concept.coding:
      index: -1
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/measure-type
      coding.code:
        value: structure
element.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-riskAdjustment
  extension.value string:
    value: N/A
element.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-rateAggregation
  extension.value string:
    value: N/A
element.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-improvementNotation
  extension.value codeable concept:
    codeable concept.coding:
      index: -1
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/measure-improvement-notation
      coding.code:
        value: increase
measure.group.code:
  codeable concept.text:
    value: Beds
measure.group.population:
  index: -1
  element.extension:
    index: -1
    extension.url:
      value: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId
    extension.value string:
      value: primary-multirateexample-beds-initial-population
  measure.group.population.code:
    codeable concept.coding:
      index: -1
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/measure-population
      coding.code:
        value: initial-population
  measure.group.population.description:
    value: Total number of beds
  measure.group.population.criteria:
    expression.language:
      value: text/cql-identifier
    expression.expression:
      value: Beds
measure.group.population:
  index: -1
  element.extension:
    index: -1
    extension.url:
      value: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId
    extension.value string:
      value: primary-multirateexample-beds-measure-population
  measure.group.population.code:
    codeable concept.coding:
      index: -1
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/measure-population
      coding.code:
        value: measure-population
  measure.group.population.description:
    value: Total number of beds
  measure.group.population.criteria:
    expression.language:
      value: text/cql-identifier
    expression.expression:
      value: Beds
measure.group.population:
  index: -1
  element.extension:
    index: -1
    extension.url:
      value: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId
    extension.value string:
      value: primary-multirateexample-beds-measure-observation-population
  element.extension:
    index: -1
    extension.url:
      value: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-aggregateMethod
    extension.value code:
      value: sum
  measure.group.population.code:
    codeable concept.coding:
      index: -1
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/measure-population
      coding.code:
        value: measure-observation
  measure.group.population.description:
    value: Total number of beds
  measure.group.population.criteria:
    expression.language:
      value: text/cql-identifier
    expression.expression:
      value: ToNumber

index: -1
element.id:
  value: group-4
element.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.linkId
  extension.value string:
    value: Screening-procedures
element.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis
  extension.value code:
    value: Procedure
element.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring
  extension.value codeable concept:
    codeable concept.coding:
      index: -1
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/measure-scoring
      coding.code:
        value: continuous-variable
element.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-type
  extension.value codeable concept:
    codeable concept.coding:
      index: -1
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/measure-type
      coding.code:
        value: structure
element.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-riskAdjustment
  extension.value string:
    value: N/A
element.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-rateAggregation
  extension.value string:
    value: N/A
element.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-improvementNotation
  extension.value codeable concept:
    codeable concept.coding:
      index: -1
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/measure-improvement-notation
      coding.code:
        value: increase
measure.group.code:
  codeable concept.text:
    value: Screening Procedures
measure.group.population:
  index: -1
  element.extension:
    index: -1
    extension.url:
      value: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId
    extension.value string:
      value: primary-multirateexample-procedures-initial-population
  measure.group.population.code:
    codeable concept.coding:
      index: -1
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/measure-population
      coding.code:
        value: initial-population
  measure.group.population.description:
    value: Total number of screening procedures
  measure.group.population.criteria:
    expression.language:
      value: text/cql-identifier
    expression.expression:
      value: Screening Procedures
measure.group.population:
  index: -1
  element.extension:
    index: -1
    extension.url:
      value: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId
    extension.value string:
      value: primary-multirateexample-procedures-measure-population
  measure.group.population.code:
    codeable concept.coding:
      index: -1
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/measure-population
      coding.code:
        value: measure-population
  measure.group.population.description:
    value: Total number of screening procedures
  measure.group.population.criteria:
    expression.language:
      value: text/cql-identifier
    expression.expression:
      value: Screening Procedures
measure.group.population:
  index: -1
  element.extension:
    index: -1
    extension.url:
      value: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId
    extension.value string:
      value: primary-multirateexample-procedures-measure-observation-population
  element.extension:
    index: -1
    extension.url:
      value: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-aggregateMethod
    extension.value code:
      value: sum
  measure.group.population.code:
    codeable concept.coding:
      index: -1
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/measure-population
      coding.code:
        value: measure-observation
  measure.group.population.description:
    value: Total number of screening procedures
  measure.group.population.criteria:
    expression.language:
      value: text/cql-identifier
    expression.expression:
      value: ToNumber

index: -1
element.id:
  value: group-5
element.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.linkId
  extension.value string:
    value: patient-screenings
element.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-populationBasis
  extension.value code:
    value: Patient
element.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring
  extension.value codeable concept:
    codeable concept.coding:
      index: -1
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/measure-scoring
      coding.code:
        value: proportion
element.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-type
  extension.value codeable concept:
    codeable concept.coding:
      index: -1
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/measure-type
      coding.code:
        value: process
element.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-riskAdjustment
  extension.value string:
    value: N/A
element.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-rateAggregation
  extension.value string:
    value: N/A
element.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-improvementNotation
  extension.value codeable concept:
    codeable concept.coding:
      index: -1
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/measure-improvement-notation
      coding.code:
        value: increase
measure.group.code:
  codeable concept.text:
    value: Patients that recevied screenings
measure.group.population:
  index: -1
  element.extension:
    index: -1
    extension.url:
      value: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId
    extension.value string:
      value: primary-multirateexample-patients-initial-population
  measure.group.population.code:
    codeable concept.coding:
      index: -1
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/measure-population
      coding.code:
        value: initial-population
  measure.group.population.description:
    value: Patients
  measure.group.population.criteria:
    expression.language:
      value: text/cql-identifier
    expression.expression:
      value: Initial Population
measure.group.population:
  index: -1
  element.extension:
    index: -1
    extension.url:
      value: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId
    extension.value string:
      value: primary-multirateexample-patients-denominator
  measure.group.population.code:
    codeable concept.coding:
      index: -1
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/measure-population
      coding.code:
        value: denominator
  measure.group.population.description:
    value: Eligible patients
  measure.group.population.criteria:
    expression.language:
      value: text/cql-identifier
    expression.expression:
      value: Denominator
measure.group.population:
  index: -1
  element.extension:
    index: -1
    extension.url:
      value: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.population.linkId
    extension.value string:
      value: primary-multirateexample-patients-numerator
  measure.group.population.code:
    codeable concept.coding:
      index: -1
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/measure-population
      coding.code:
        value: numerator
  measure.group.population.description:
    value: Patients with screening
  measure.group.population.criteria:
    expression.language:
      value: text/cql-identifier
    expression.expression:
      value: Numerator

index: -1
element.id:
  value: group-6
element.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/5.0/StructureDefinition/extension-Measure.group.linkId
  extension.value string:
    value: weighted-average-capacity
element.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-compositeScoring
  extension.value codeable concept:
    codeable concept.coding:
      index: -1
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/composite-measure-scoring
      coding.code:
        value: weighted
element.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-scoring
  extension.value codeable concept:
    codeable concept.coding:
      index: -1
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/measure-scoring
      coding.code:
        value: composite
element.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-type
  extension.value codeable concept:
    codeable concept.coding:
      index: -1
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/measure-type
      coding.code:
        value: structure
element.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-riskAdjustment
  extension.value string:
    value: N/A
element.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-rateAggregation
  extension.value string:
    value: N/A
element.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-improvementNotation
  extension.value codeable concept:
    codeable concept.coding:
      index: -1
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/measure-improvement-notation
      coding.code:
        value: increase
element.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-component
  extension.value related artifact:
    element.extension:
      index: -1
      extension.url:
        value: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-groupId
      extension.value string:
        value: group-1
    element.extension:
      index: -1
      extension.url:
        value: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-weight
      extension.value decimal:
        value: 1.0
    related artifact.type:
      value: composed-of
    related artifact.resource:
      value: http://hl7.org/fhir/uv/cqm/Measure/MultiRateExample-FHIR
      link: http://hl7.org/fhir/uv/cqm/Measure/MultiRateExample-FHIR
element.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-component
  extension.value related artifact:
    element.extension:
      index: -1
      extension.url:
        value: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-groupId
      extension.value string:
        value: group-2
    element.extension:
      index: -1
      extension.url:
        value: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-weight
      extension.value decimal:
        value: 5.0
    related artifact.type:
      value: composed-of
    related artifact.resource:
      value: http://hl7.org/fhir/uv/cqm/Measure/MultiRateExample-FHIR
      link: http://hl7.org/fhir/uv/cqm/Measure/MultiRateExample-FHIR
element.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-component
  extension.value related artifact:
    element.extension:
      index: -1
      extension.url:
        value: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-groupId
      extension.value string:
        value: group-3
    element.extension:
      index: -1
      extension.url:
        value: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-weight
      extension.value decimal:
        value: 2.5
    related artifact.type:
      value: composed-of
    related artifact.resource:
      value: http://hl7.org/fhir/uv/cqm/Measure/MultiRateExample-FHIR
      link: http://hl7.org/fhir/uv/cqm/Measure/MultiRateExample-FHIR
element.extension:
  index: -1
  extension.url:
    value: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-component
  extension.value related artifact:
    element.extension:
      index: -1
      extension.url:
        value: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-groupId
      extension.value string:
        value: group-4
    element.extension:
      index: -1
      extension.url:
        value: http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-weight
      extension.value decimal:
        value: 1.0
    related artifact.type:
      value: composed-of
    related artifact.resource:
      value: http://hl7.org/fhir/uv/cqm/Measure/MultiRateExample-FHIR
      link: http://hl7.org/fhir/uv/cqm/Measure/MultiRateExample-FHIR
measure.group.code:
  codeable concept.text:
    value: Weighted Average capacity