Quality Measure Implementation Guide
2.0.0 - STU 2
Quality Measure Implementation Guide
2.0.0 - STU 2
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
| Page standards status: Informative |
@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/PreventiveCareandWellnessWeightedComposite> a fhir:Measure ;
fhir:nodeRole fhir:treeRoot ;
fhir:Resource.id [ fhir:value "PreventiveCareandWellnessWeightedComposite"] ;
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 Weighted 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:2.16.840.1.113883.4.642.40.61.29.17</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 weighted 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 Weighted\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 as a weighted aggregation of component measure performance rates. Each component measure score is multiplied by its assigned weight, and the weighted component scores are combined to determine the overall composite performance rate. Denominator exclusions, denominator exceptions, and numerator exclusions are applied within each component measure prior to weighted aggregation. 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>"
] ;
fhir:Measure.url [ fhir:value "http://hl7.org/fhir/uv/cqm/Measure/PreventiveCareandWellnessWeightedComposite"] ;
fhir:Measure.identifier [
fhir:index -1 ;
fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ] ;
fhir:Identifier.value [ fhir:value "urn:oid:2.16.840.1.113883.4.642.40.61.29.17" ]
] ;
fhir:Measure.version [ fhir:value "2.0.0"] ;
fhir:Measure.name [ fhir:value "PreventiveCareandWellnessWeightedComposite"] ;
fhir:Measure.title [ fhir:value "Preventive Care and Wellness Weighted 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 a weighted 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 "The composite score is calculated as a weighted aggregation of component measure performance rates. Each component measure score is multiplied by its assigned weight, and the weighted component scores are combined to determine the overall composite performance rate. Denominator exclusions, denominator exceptions, and numerator exclusions are applied within each component measure prior to weighted aggregation. Risk adjustment variables X, Y, and Z are applied to the calculated composite performance rate."] ;
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:Element.extension [
fhir:index -1 ;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-weight" ] ;
fhir:Extension.valueDecimal [ fhir:value "0.2"^^xsd:decimal ]
] ;
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:Element.extension [
fhir:index -1 ;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-weight" ] ;
fhir:Extension.valueDecimal [ fhir:value "0.2"^^xsd:decimal ]
] ;
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:Element.extension [
fhir:index -1 ;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-weight" ] ;
fhir:Extension.valueDecimal [ fhir:value "0.2"^^xsd:decimal ]
] ;
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:Element.extension [
fhir:index -1 ;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-weight" ] ;
fhir:Extension.valueDecimal [ fhir:value "0.2"^^xsd:decimal ]
] ;
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:index -1 ;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-weight" ] ;
fhir:Extension.valueDecimal [ fhir:value "0.1"^^xsd:decimal ]
] ;
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:index -1 ;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/cqm/StructureDefinition/cqm-weight" ] ;
fhir:Extension.valueDecimal [ fhir:value "0.1"^^xsd:decimal ]
] ;
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 "weighted" ] ;
fhir:Coding.display [ fhir:value "Weighted" ]
]
] ;
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 "The composite score is calculated as a weighted aggregation of component measure performance rates. Each component measure score is multiplied by its assigned weight, and the weighted component scores are combined to determine the overall composite performance rate. Denominator exclusions, denominator exceptions, and numerator exclusions are applied within each component measure prior to weighted aggregation. Risk adjustment variables X, Y, and Z are applied to the calculated composite performance rate."] .
# - ontology header ------------------------------------------------------------
<http://hl7.org/fhir/Measure/PreventiveCareandWellnessWeightedComposite.ttl> a owl:Ontology ;
owl:imports fhir:fhir.ttl ;
owl:versionIRI <http://build.fhir.org/Measure/PreventiveCareandWellnessWeightedComposite.ttl> .
IG © 2019+ HL7 International / Clinical Quality Information.
Package hl7.fhir.uv.cqm#2.0.0 based on FHIR 4.0.1.
Generated
2026-09-02
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