Quality Measure Implementation Guide
2.0.0 - STU 2 International flag

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 2.0.0 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

Page standards status: Informative

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/Measure/PreventiveCareandWellnessAllOrNothingComposite> a fhir:Measure ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "PreventiveCareandWellnessAllOrNothingComposite"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-compositemeasure" ;
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-compositemeasure>
     ], [
       fhir:value "http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablemeasure" ;
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-shareablemeasure>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ] ;
     fhir:Narrative.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\"><a name=\"metadata\"> </a>Metadata</th>\n\n\n</tr>\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Title</th>\n\n\n\n<td class=\"content-container\">Preventive Care and Wellness All-Or-Nothing Composite</td>\n\n\n</tr>\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Version</th>\n\n\n\n<td class=\"content-container\">2.0.0</td>\n\n\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\n<td class=\"content-container\">urn:oid:2.16.840.1.113883.4.642.40.61.29.14</td>\n\n\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\n<td class=\"content-container\">2022-01-01 through 2022-12-31</td>\n\n\n</tr>\n\n  \n\n\n\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Experimental</th>\n\n\n\n<td class=\"content-container\">true</td>\n\n\n</tr>\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Use Context</th>\n\n\n\n<td class=\"content-container\">\n    Clinical Venue\n\n = \n    EC\n\n\n</td>\n\n\n</tr>\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Jurisdiction</th>\n\n\n\n<td class=\"content-container\">\n    <a href=\"http://unstats.un.org/unsd/methods/m49/m49.htm\">http://unstats.un.org/unsd/methods/m49/m49.htm</a>#001\n\n\n</td>\n\n\n</tr>\n\n\n\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\n<td class=\"content-container\">HL7 International / Clinical Quality Information</td>\n\n\n</tr>\n\n\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\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\n\n</tr>\n\n\n\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Measure Scoring</th>\n\n\n\n<td class=\"content-container\">\n    Composite\n\n\n</td>\n\n\n</tr>\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Improvement Notation</th>\n\n\n\n<td class=\"content-container\">\n    <a href=\"http://terminology.hl7.org/7.3.0/CodeSystem-measure-improvement-notation.html\">http://terminology.hl7.org/CodeSystem/measure-improvement-notation</a>#increase\n\n\n</td>\n\n\n</tr>\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Measure Composite Scoring</th>\n\n\n\n<td class=\"content-container\">\n    All-or-nothing\n\n\n</td>\n\n\n</tr>\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Measure Type</th>\n\n\n\n<td class=\"content-container\">\n    Process\n\n\n</td>\n\n\n</tr>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n<tr>\n\n\n<th scope=\"row\" class=\"row-header\">Guidance (Usage)</th>\n\n\n\n<td class=\"content-container\">For each eligible clinician, a patient is included in the Preventive Care and Wellness (All-Or-Nothing) composite numerator only if the patient received all preventive services for which they were eligible during the measurement period. A patient eligible for breast cancer screening, colorectal cancer screening, and pneumococcal vaccination must satisfy the numerator criteria for each of these component measures to count toward the composite numerator. If the patient does not qualify or is excluded from the denominator of any of these component measures, they do not count against composite numerator fulfillment. Risk adjustment variables such as patient age, comorbidity burden, and socioeconomic risk factors, are applied to the calculated composite performance rate when applicable.</td>\n\n\n</tr>\n\n\n\n\n\n\n\n<tr>\n  <th scope=\"row\" class=\"row-header\"><a name=\"contents\"> </a>Contents</th>\n  <td class=\"content-container\">\n    <em><a href=\"#metadata\">Metadata</a></em>\n    <br/>\n    <em><a href=\"#contents\">Contents</a></em>\n    <br/>\n    <em><a href=\"#measure-rates\">Measure Rates (Groups)</a></em>\n    <br/>\n    <em><a href=\"#supplemental-data\">Supplemental Data</a></em>\n    <br/>\n    \n    \n    \n    <em><a href=\"#related-artifacts\">Citations and References</a></em>\n    <br/>\n    \n  </td>\n</tr>\n\n<tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\"><a name=\"measure-rates\"> </a>Measure Rates (Groups)</th>\n\n\n</tr>\n\n<tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\"><a name=\"supplemental-data\"> </a>Supplemental Data Elements</th>\n\n\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\n\n\n\n<tr>\n\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\"><a name=\"related-artifacts\"> </a>Citations and References</th>\n\n\n</tr>\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<tr>\n  <th colspan=\"2\" scope=\"row\" class=\"row-header\">Generated using version 0.5.6 of the sample-content-ig Liquid templates</th>\n</tr>\n\n    </tbody>\n  </table>\n</div>"
  ] ;
  fhir:Measure.url [ fhir:value "http://hl7.org/fhir/uv/cqm/Measure/PreventiveCareandWellnessAllOrNothingComposite"] ;
  fhir:Measure.identifier [
     fhir:index -1 ;
     fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ] ;
     fhir:Identifier.value [ fhir:value "urn:oid:2.16.840.1.113883.4.642.40.61.29.14" ]
  ] ;
  fhir:Measure.version [ fhir:value "2.0.0"] ;
  fhir:Measure.name [ fhir:value "PreventiveCareandWellnessAllOrNothingComposite"] ;
  fhir:Measure.title [ fhir:value "Preventive Care and Wellness All-Or-Nothing Composite"] ;
  fhir:Measure.status [ fhir:value "active"] ;
  fhir:Measure.experimental [ fhir:value "true"^^xsd:boolean] ;
  fhir:Measure.date [ fhir:value "2026-09-02T15:25:48+00:00"^^xsd:dateTime] ;
  fhir:Measure.publisher [ fhir:value "HL7 International / Clinical Quality Information"] ;
  fhir:Measure.contact [
     fhir:index -1 ;
     fhir:ContactDetail.telecom [
       fhir:index -1 ;
       fhir:ContactPoint.system [ fhir:value "url" ] ;
       fhir:ContactPoint.value [ fhir:value "http://www.hl7.org/Special/committees/cqi" ]
     ]
  ] ;
  fhir:Measure.description [ fhir:value "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."] ;
  fhir:Measure.useContext [
     fhir:index -1 ;
     fhir:UsageContext.code [
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/usage-context-type" ] ;
       fhir:Coding.code [ fhir:value "venue" ] ;
       fhir:Coding.display [ fhir:value "Clinical Venue" ]
     ] ;
     fhir:UsageContext.valueCodeableConcept [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://hl7.org/fhir/uv/cqm/CodeSystem/intended-venue-codes" ] ;
         fhir:Coding.code [ fhir:value "ec" ] ;
         fhir:Coding.display [ fhir:value "EC" ]
       ]
     ]
  ] ;
  fhir:Measure.jurisdiction [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://unstats.un.org/unsd/methods/m49/m49.htm" ] ;
       fhir:Coding.code [ fhir:value "001" ]
     ]
  ] ;
  fhir:Measure.usage [ fhir:value "For each eligible clinician, a patient is included in the Preventive Care and Wellness (All-Or-Nothing) composite numerator only if the patient received all preventive services for which they were eligible during the measurement period. A patient eligible for breast cancer screening, colorectal cancer screening, and pneumococcal vaccination must satisfy the numerator criteria for each of these component measures to count toward the composite numerator. If the patient does not qualify or is excluded from the denominator of any of these component measures, they do not count against composite numerator fulfillment. Risk adjustment variables such as patient age, comorbidity burden, and socioeconomic risk factors, are applied to the calculated composite performance rate when applicable."] ;
  fhir:Measure.effectivePeriod [
     fhir:Period.start [ fhir:value "2022-01-01"^^xsd:date ] ;
     fhir:Period.end [ fhir:value "2022-12-31"^^xsd:date ]
  ] ;
  fhir:Measure.relatedArtifact [
     fhir:index -1 ;
     fhir:RelatedArtifact.type [ fhir:value "composed-of" ] ;
     fhir:RelatedArtifact.display [ fhir:value "Breast Cancer Screening" ] ;
     fhir:RelatedArtifact.resource [
       fhir:value "http://hl7.org/fhir/uv/cqm/Measure/BCSComponent" ;
       fhir:link <http://hl7.org/fhir/uv/cqm/Measure/BCSComponent>
     ]
  ], [
     fhir:index -1 ;
     fhir:RelatedArtifact.type [ fhir:value "composed-of" ] ;
     fhir:RelatedArtifact.display [ fhir:value "High Blood Pressure Screening" ] ;
     fhir:RelatedArtifact.resource [
       fhir:value "http://hl7.org/fhir/uv/cqm/Measure/HBPComponent" ;
       fhir:link <http://hl7.org/fhir/uv/cqm/Measure/HBPComponent>
     ]
  ], [
     fhir:index -1 ;
     fhir:RelatedArtifact.type [ fhir:value "composed-of" ] ;
     fhir:RelatedArtifact.display [ fhir:value "Colorectal Cancer Screening" ] ;
     fhir:RelatedArtifact.resource [
       fhir:value "http://hl7.org/fhir/uv/cqm/Measure/CCSComponent" ;
       fhir:link <http://hl7.org/fhir/uv/cqm/Measure/CCSComponent>
     ]
  ], [
     fhir:index -1 ;
     fhir:RelatedArtifact.type [ fhir:value "composed-of" ] ;
     fhir:RelatedArtifact.display [ fhir:value "Pneumococcal Vaccination Status" ] ;
     fhir:RelatedArtifact.resource [
       fhir:value "http://hl7.org/fhir/uv/cqm/Measure/PVSComponent" ;
       fhir:link <http://hl7.org/fhir/uv/cqm/Measure/PVSComponent>
     ]
  ], [
     fhir:index -1 ;
     fhir:Element.extension [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-groupId" ] ;
       fhir:Extension.valueString [ fhir:value "group-1" ]
     ] ;
     fhir:RelatedArtifact.type [ fhir:value "composed-of" ] ;
     fhir:RelatedArtifact.display [ fhir:value "Tobacco Use Screening and Cessation, Group 1" ] ;
     fhir:RelatedArtifact.resource [
       fhir:value "http://hl7.org/fhir/uv/cqm/Measure/TSCComponent" ;
       fhir:link <http://hl7.org/fhir/uv/cqm/Measure/TSCComponent>
     ]
  ], [
     fhir:index -1 ;
     fhir:Element.extension [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-groupId" ] ;
       fhir:Extension.valueString [ fhir:value "group-2" ]
     ] ;
     fhir:RelatedArtifact.type [ fhir:value "composed-of" ] ;
     fhir:RelatedArtifact.display [ fhir:value "Tobacco Use Screening and Cessation, Group 2" ] ;
     fhir:RelatedArtifact.resource [
       fhir:value "http://hl7.org/fhir/uv/cqm/Measure/TSCComponent" ;
       fhir:link <http://hl7.org/fhir/uv/cqm/Measure/TSCComponent>
     ]
  ] ;
  fhir:Measure.scoring [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-scoring" ] ;
       fhir:Coding.code [ fhir:value "composite" ] ;
       fhir:Coding.display [ fhir:value "Composite" ]
     ]
  ] ;
  fhir:Measure.compositeScoring [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/composite-measure-scoring" ] ;
       fhir:Coding.code [ fhir:value "all-or-nothing" ] ;
       fhir:Coding.display [ fhir:value "All-or-nothing" ]
     ]
  ] ;
  fhir:Measure.type [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-type" ] ;
       fhir:Coding.code [ fhir:value "process" ] ;
       fhir:Coding.display [ fhir:value "Process" ]
     ]
  ] ;
  fhir:Measure.improvementNotation [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/measure-improvement-notation" ] ;
       fhir:Coding.code [ fhir:value "increase" ]
     ]
  ] ;
  fhir:Measure.guidance [ fhir:value "For each eligible clinician, a patient is included in the Preventive Care and Wellness (All-Or-Nothing) composite numerator only if the patient received all preventive services for which they were eligible during the measurement period. A patient eligible for breast cancer screening, colorectal cancer screening, and pneumococcal vaccination must satisfy the numerator criteria for each of these component measures to count toward the composite numerator. If the patient does not qualify or is excluded from the denominator of any of these component measures, they do not count against composite numerator fulfillment. Risk adjustment variables, such as patient age, comorbidity burden, and socioeconomic risk factors, are applied to the calculated composite performance rate when applicable."] .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/Measure/PreventiveCareandWellnessAllOrNothingComposite.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/Measure/PreventiveCareandWellnessAllOrNothingComposite.ttl> .