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 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 Patient-level Linear Composite

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{
  "resourceType" : "Measure",
  "id" : "PreventiveCareandWellnessPatientLevelLinearComposite",
  "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\"><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 Patient-level Linear 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:2.16.840.1.113883.4.642.40.61.29.16</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 a patient-level linear 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    Linear\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\">The composite score is calculated by determining, for each subject, the proportion of applicable component measure numerators satisfied relative to the total number of applicable component measures. Each subject-level score is then aggregated across the population to determine the overall composite performance rate. Component measures for which the subject meets denominator exclusion or denominator exception criteria are excluded from the subject-level calculation. Risk adjustment variables X, Y, and Z are applied to the calculated composite performance rate.</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>"
  },
  "url" : "http://hl7.org/fhir/uv/cqm/Measure/PreventiveCareandWellnessPatientLevelLinearComposite",
  "identifier" : [
    {
      "system" : "urn:ietf:rfc:3986",
      "value" : "urn:oid:2.16.840.1.113883.4.642.40.61.29.16"
    }
  ],
  "version" : "2.0.0",
  "name" : "PreventiveCareandWellnessPatientLevelLinearComposite",
  "title" : "Preventive Care and Wellness Patient-level Linear Composite",
  "status" : "active",
  "experimental" : true,
  "date" : "2026-09-02T15:25:48+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 a patient-level linear 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"
        }
      ]
    }
  ],
  "usage" : "The composite score is calculated by determining, for each subject, the proportion of applicable component measure numerators satisfied relative to the total number of applicable component measures. Each subject-level score is then aggregated across the population to determine the overall composite performance rate. Component measures for which the subject meets denominator exclusion or denominator exception criteria are excluded from the subject-level calculation. Risk adjustment variables X, Y, and Z are applied to the calculated composite performance rate.",
  "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" : "linear",
        "display" : "Linear"
      }
    ]
  },
  "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"
      }
    ]
  },
  "guidance" : "The composite score is calculated by determining, for each subject, the proportion of applicable component measure numerators satisfied relative to the total number of applicable component measures. Each subject-level score is then aggregated across the population to determine the overall composite performance rate. Component measures for which the subject meets denominator exclusion or denominator exception criteria are excluded from the subject-level calculation. Risk adjustment variables X, Y, and Z are applied to the calculated composite performance rate."
}