Quality Measure Implementation Guide
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Quality Measure Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-cqm/ and changes regularly. See the Directory of published versions

: Preventive Care and Wellness All-Or-Nothing Composite - JSON Representation

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{
  "resourceType" : "Measure",
  "id" : "PreventiveCareandWellnessAllOrNothingComposite",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-compositemeasure"🔗 ,
      "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablemeasure"
    ]
  },
  "language" : "en",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en\" lang=\"en\">\n  <table class=\"narrative-table\">\n    <tbody>\n<tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Metadata</th>\n\n\n</tr>\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Title</th>\n\n\n<td class=\"content-container\">Preventive Care and Wellness All-Or-Nothing Composite</td>\n</tr>\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Version</th>\n\n\n<td class=\"content-container\">0.0.001</td>\n</tr>\n\n\n\n\n\n\n\n  \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Identifier</th>\n\n\n<td class=\"content-container\">urn:oid:2.16.840.1.113883.4.642.40.61.29.14</td>\n</tr>\n\n\n\n  \n    \n    \n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Effective Period</th>\n\n\n<td class=\"content-container\">2022-01-01 through 2022-12-31</td>\n</tr>\n\n  \n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Experimental</th>\n\n\n<td class=\"content-container\">true</td>\n</tr>\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Use Context</th>\n\n\n<td class=\"content-container\"><span title=\"{http://terminology.hl7.org/CodeSystem/usage-context-type venue}\">Clinical Venue</span> = <span title=\"Codes:{http://hl7.org/fhir/uv/cqm/CodeSystem/intended-venue-codes ec}\">EC</span></td>\n</tr>\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Jurisdiction</th>\n\n\n<td class=\"content-container\"><span title=\"Codes:{http://unstats.un.org/unsd/methods/m49/m49.htm 001}\">Global (Whole world)</span></td>\n</tr>\n\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Steward (Publisher)</th>\n\n\n<td class=\"content-container\">HL7 International / Clinical Quality Information</td>\n</tr>\n\n\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Description</th>\n\n\n<td class=\"content-container\"><div><p>This artifact is an example of an all-or-nothing composite measure that uses a mixture of single-rate or multi-rate component measures that have different measure bases.</p>\n</div></td>\n</tr>\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Measure Scoring</th>\n\n\n<td class=\"content-container\"><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-scoring composite}\">Composite</span></td>\n</tr>\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Measure Composite Scoring</th>\n\n\n<td class=\"content-container\"><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/composite-measure-scoring all-or-nothing}\">All-or-nothing</span></td>\n</tr>\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Measure Type</th>\n\n\n<td class=\"content-container\"><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-type process}\">Process</span></td>\n</tr>\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Improvement Notation</th>\n\n\n<td class=\"content-container\"><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-improvement-notation increase}\">Increased score indicates improvement</span></td>\n</tr>\n\n\n\n<tr>\n  \n  \n  \n  \n  \n  \n\n<th scope=\"row\" class=\"row-header\">Component</th>\n\n\n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Breast Cancer Screening\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"Measure-BCSComponent.html\">Breast Cancer Screening</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://hl7.org/fhir/uv/cqm/Measure/BCSComponent</tt>\n    \n    \n    \n  </td>\n</tr>\n\n<tr>\n  \n  \n  \n  \n  \n  \n\n<th scope=\"row\" class=\"row-header\">Component</th>\n\n\n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: High Blood Pressure Screening\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"Measure-HBPComponent.html\">Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://hl7.org/fhir/uv/cqm/Measure/HBPComponent</tt>\n    \n    \n    \n  </td>\n</tr>\n\n<tr>\n  \n  \n  \n  \n  \n  \n\n<th scope=\"row\" class=\"row-header\">Component</th>\n\n\n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Colorectal Cancer Screening\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"Measure-CCSComponent.html\">Cervical Cancer Screening</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://hl7.org/fhir/uv/cqm/Measure/CCSComponent</tt>\n    \n    \n    \n  </td>\n</tr>\n\n<tr>\n  \n  \n  \n  \n  \n  \n\n<th scope=\"row\" class=\"row-header\">Component</th>\n\n\n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Pneumococcal Vaccination Status\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"Measure-PVSComponent.html\">Pneumococcal Vaccination Status for Older Adults</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://hl7.org/fhir/uv/cqm/Measure/PVSComponent</tt>\n    \n    \n    \n  </td>\n</tr>\n\n<tr>\n  \n  \n  \n  \n  \n  \n\n<th scope=\"row\" class=\"row-header\">Component</th>\n\n\n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Tobacco Use Screening and Cessation, Group 1\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"Measure-TSCComponent.html\">Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://hl7.org/fhir/uv/cqm/Measure/TSCComponent</tt>\n    \n    \n    \n  </td>\n</tr>\n\n<tr>\n  \n  \n  \n  \n  \n  \n\n<th scope=\"row\" class=\"row-header\">Component</th>\n\n\n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Tobacco Use Screening and Cessation, Group 2\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"Measure-TSCComponent.html\">Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://hl7.org/fhir/uv/cqm/Measure/TSCComponent</tt>\n    \n    \n    \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<tr>\n  <th colspan=\"2\" scope=\"row\" class=\"row-header\">Generated using version 0.4.9 of the sample-content-ig Liquid templates</th>\n</tr>\n\n    </tbody>\n  </table>\n</div>"
  },
  "url" : "http://hl7.org/fhir/uv/cqm/Measure/PreventiveCareandWellnessAllOrNothingComposite",
  "identifier" : [
    {
      "system" : "urn:ietf:rfc:3986",
      "value" : "urn:oid:2.16.840.1.113883.4.642.40.61.29.14"
    }
  ],
  "version" : "0.0.001",
  "name" : "PreventiveCareandWellnessAllOrNothingComposite",
  "title" : "Preventive Care and Wellness All-Or-Nothing Composite",
  "status" : "active",
  "experimental" : true,
  "date" : "2025-08-27T20:18:50+00:00",
  "publisher" : "HL7 International / Clinical Quality Information",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/cqi"
        }
      ]
    }
  ],
  "description" : "This artifact is an example of an all-or-nothing composite measure that uses a mixture of single-rate or multi-rate component measures that have different measure bases.",
  "useContext" : [
    {
      "code" : {
        "system" : "http://terminology.hl7.org/CodeSystem/usage-context-type",
        "code" : "venue",
        "display" : "Clinical Venue"
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/uv/cqm/CodeSystem/intended-venue-codes",
            "code" : "ec",
            "display" : "EC"
          }
        ]
      }
    }
  ],
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "001"
        }
      ]
    }
  ],
  "effectivePeriod" : {
    "start" : "2022-01-01",
    "end" : "2022-12-31"
  },
  "relatedArtifact" : [
    {
      "type" : "composed-of",
      "display" : "Breast Cancer Screening",
      "resource" : "http://hl7.org/fhir/uv/cqm/Measure/BCSComponent"
    },
    {
      "type" : "composed-of",
      "display" : "High Blood Pressure Screening",
      "resource" : "http://hl7.org/fhir/uv/cqm/Measure/HBPComponent"
    },
    {
      "type" : "composed-of",
      "display" : "Colorectal Cancer Screening",
      "resource" : "http://hl7.org/fhir/uv/cqm/Measure/CCSComponent"
    },
    {
      "type" : "composed-of",
      "display" : "Pneumococcal Vaccination Status",
      "resource" : "http://hl7.org/fhir/uv/cqm/Measure/PVSComponent"
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-groupId",
          "valueString" : "group-1"
        }
      ],
      "type" : "composed-of",
      "display" : "Tobacco Use Screening and Cessation, Group 1",
      "resource" : "http://hl7.org/fhir/uv/cqm/Measure/TSCComponent"
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-groupId",
          "valueString" : "group-2"
        }
      ],
      "type" : "composed-of",
      "display" : "Tobacco Use Screening and Cessation, Group 2",
      "resource" : "http://hl7.org/fhir/uv/cqm/Measure/TSCComponent"
    }
  ],
  "scoring" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
        "code" : "composite",
        "display" : "Composite"
      }
    ]
  },
  "compositeScoring" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/composite-measure-scoring",
        "code" : "all-or-nothing",
        "display" : "All-or-nothing"
      }
    ]
  },
  "type" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/measure-type",
          "code" : "process",
          "display" : "Process"
        }
      ]
    }
  ],
  "improvementNotation" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
        "code" : "increase"
      }
    ]
  }
}