Data Exchange For Quality Measures Implementation Guide
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This page is part of the Da Vinci Data Exchange for Quality Measures (DEQM) FHIR IG (v5.0.0-ballot: STU5 (v5.0.0) Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 4.0.0. For a full list of available versions, see the Directory of published versions

: Indv Measurreport Stratification Example - JSON Representation

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{
  "resourceType" : "MeasureReport",
  "id" : "indv-measurreport-stratification-example",
  "meta" : {
    "source" : "http://example.org/fhir/server",
    "profile" : [
      🔗 "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: MeasureReport indv-measurreport-stratification-example</b></p><a name=\"indv-measurreport-stratification-example\"> </a><a name=\"hcindv-measurreport-stratification-example\"> </a><a name=\"indv-measurreport-stratification-example-en-US\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Information Source: <a href=\"http://example.org/fhir/server\">http://example.org/fhir/server</a></p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-indv-measurereport-deqm.html\">DEQM Individual MeasureReport Profile</a></p></div><p><b>status</b>: Complete</p><p><b>type</b>: Individual</p><p><b>measure</b>: <code>http://example.org/fhir/Measure/example-stratification-measure</code></p><p><b>subject</b>: <a href=\"Patient-patient01.html\">Jairo Webster (official) Male, DoB: 1946-12-16 ( Medical record number: 12345\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>date</b>: 2019-03-14</p><p><b>reporter</b>: <a href=\"Organization-organization01.html\">Organization DaVinciHospital01</a></p><p><b>period</b>: 2018-12-31 --&gt; 2019-01-01</p><p><b>improvementNotation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-improvement-notation increase}\">Increased score indicates improvement</span></p><blockquote><p><b>group</b></p><p><b>code</b>: <span title=\"Codes:{http://example.org/fhir/ group-1}\">group-1</span></p><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}\">Initial Population</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population numerator}\">Numerator</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population denominator}\">Denominator</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population denominator-exclusion}\">Denominator Exclusion</span></p><p><b>count</b>: 0</p></blockquote><p><b>measureScore</b>: 1</p><blockquote><p><b>stratifier</b></p><p><b>code</b>: <span title=\"Codes:{http://example.org/fhir/ sde-ethnicity}\">SDE Ethnicity</span></p><blockquote><p><b>stratum</b></p><p><b>value</b>: <span title=\"Codes:{urn:oid:2.16.840.1.113883.6.238 2135-2}\">Hispanic or Latino</span></p><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}\">Initial Population</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population numerator}\">Numerator</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population denominator}\">Denominator</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population denominator-exclusion}\">Denominator Exclusion</span></p><p><b>count</b>: 0</p></blockquote></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: <span title=\"Codes:{urn:oid:2.16.840.1.113883.6.238 2186-5}\">Not Hispanic or Latino</span></p><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}\">Initial Population</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population numerator}\">Numerator</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population denominator}\">Denominator</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population denominator-exclusion}\">Denominator Exclusion</span></p><p><b>count</b>: 0</p></blockquote></blockquote></blockquote><blockquote><p><b>stratifier</b></p><p><b>code</b>: <span title=\"Codes:{http://example.org/fhir/ sde-payer}\">SDE Payer</span></p><blockquote><p><b>stratum</b></p><p><b>value</b>: <span title=\"Codes:{http://example.org/fhir/ Payer123}\">King HMO</span></p><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}\">Initial Population</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population numerator}\">Numerator</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population denominator}\">Denominator</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population denominator-exclusion}\">Denominator Exclusion</span></p><p><b>count</b>: 0</p></blockquote></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: <span title=\"Codes:{http://example.org/fhir/ Payer456}\">Green Circle</span></p><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}\">Initial Population</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population numerator}\">Numerator</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population denominator}\">Denominator</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population denominator-exclusion}\">Denominator Exclusion</span></p><p><b>count</b>: 0</p></blockquote></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: <span title=\"Codes:{http://example.org/fhir/ Payer789}\">GoodHealth of California</span></p><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}\">Initial Population</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population numerator}\">Numerator</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population denominator}\">Denominator</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population denominator-exclusion}\">Denominator Exclusion</span></p><p><b>count</b>: 0</p></blockquote></blockquote></blockquote><blockquote><p><b>stratifier</b></p><p><b>code</b>: <span title=\"Codes:{http://example.org/fhir/ sde-race}\">SDE Race</span></p><blockquote><p><b>stratum</b></p><p><b>value</b>: <span title=\"Codes:{urn:oid:2.16.840.1.113883.6.238 2054-5}\">Black or African American</span></p><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}\">Initial Population</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population numerator}\">Numerator</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population denominator}\">Denominator</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population denominator-exclusion}\">Denominator Exclusion</span></p><p><b>count</b>: 0</p></blockquote></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: <span title=\"Codes:{urn:oid:2.16.840.1.113883.6.238 2106-3}\">White</span></p><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}\">Initial Population</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population numerator}\">Numerator</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population denominator}\">Denominator</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population denominator-exclusion}\">Denominator Exclusion</span></p><p><b>count</b>: 0</p></blockquote></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: <span title=\"Codes:{urn:oid:2.16.840.1.113883.6.238 2028-9}\">Asian</span></p><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}\">Initial Population</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population numerator}\">Numerator</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population denominator}\">Denominator</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population denominator-exclusion}\">Denominator Exclusion</span></p><p><b>count</b>: 0</p></blockquote></blockquote></blockquote><blockquote><p><b>stratifier</b></p><p><b>code</b>: <span title=\"Codes:{http://example.org/fhir/ sde-sex}\">SDE Sex</span></p><blockquote><p><b>stratum</b></p><p><b>value</b>: <span title=\"Codes:{http://hl7.org/fhir/administrative-gender male}\">Male</span></p><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}\">Initial Population</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population numerator}\">Numerator</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population denominator}\">Denominator</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population denominator-exclusion}\">Denominator Exclusion</span></p><p><b>count</b>: 0</p></blockquote></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: <span title=\"Codes:{http://hl7.org/fhir/administrative-gender female}\">Female</span></p><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}\">Initial Population</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population numerator}\">Numerator</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population denominator}\">Denominator</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population denominator-exclusion}\">Denominator Exclusion</span></p><p><b>count</b>: 0</p></blockquote></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: <span title=\"Codes:{http://hl7.org/fhir/administrative-gender other}\">Other</span></p><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}\">Initial Population</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population numerator}\">Numerator</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population denominator}\">Denominator</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population denominator-exclusion}\">Denominator Exclusion</span></p><p><b>count</b>: 0</p></blockquote></blockquote></blockquote></blockquote><p><b>evaluatedResource</b>: <a href=\"Task-task01.html\">Task Fulfill the focal request</a></p></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
            "code" : "proportion"
          }
        ]
      }
    }
  ],
  "status" : "complete",
  "type" : "individual",
  "measure" : "http://example.org/fhir/Measure/example-stratification-measure",
  "subject" : {
    🔗 "reference" : "Patient/patient01"
  },
  "date" : "2019-03-14",
  "reporter" : {
    🔗 "reference" : "Organization/organization01"
  },
  "period" : {
    "start" : "2018-12-31",
    "end" : "2019-01-01"
  },
  "improvementNotation" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
        "code" : "increase",
        "display" : "Increased score indicates improvement"
      }
    ]
  },
  "group" : [
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://example.org/fhir/",
            "code" : "group-1",
            "display" : "group-1"
          }
        ]
      },
      "population" : [
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                "code" : "initial-population",
                "display" : "Initial Population"
              }
            ]
          },
          "count" : 1
        },
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                "code" : "numerator",
                "display" : "Numerator"
              }
            ]
          },
          "count" : 1
        },
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                "code" : "denominator",
                "display" : "Denominator"
              }
            ]
          },
          "count" : 1
        },
        {
          "code" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                "code" : "denominator-exclusion",
                "display" : "Denominator Exclusion"
              }
            ]
          },
          "count" : 0
        }
      ],
      "measureScore" : {
        "value" : 1
      },
      "stratifier" : [
        {
          "code" : [
            {
              "coding" : [
                {
                  "system" : "http://example.org/fhir/",
                  "code" : "sde-ethnicity",
                  "display" : "SDE Ethnicity"
                }
              ]
            }
          ],
          "stratum" : [
            {
              "value" : {
                "coding" : [
                  {
                    "system" : "urn:oid:2.16.840.1.113883.6.238",
                    "code" : "2135-2",
                    "display" : "Hispanic or Latino"
                  }
                ]
              },
              "population" : [
                {
                  "code" : {
                    "coding" : [
                      {
                        "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code" : "initial-population",
                        "display" : "Initial Population"
                      }
                    ]
                  },
                  "count" : 1
                },
                {
                  "code" : {
                    "coding" : [
                      {
                        "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code" : "numerator",
                        "display" : "Numerator"
                      }
                    ]
                  },
                  "count" : 1
                },
                {
                  "code" : {
                    "coding" : [
                      {
                        "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code" : "denominator",
                        "display" : "Denominator"
                      }
                    ]
                  },
                  "count" : 1
                },
                {
                  "code" : {
                    "coding" : [
                      {
                        "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code" : "denominator-exclusion",
                        "display" : "Denominator Exclusion"
                      }
                    ]
                  },
                  "count" : 0
                }
              ]
            },
            {
              "value" : {
                "coding" : [
                  {
                    "system" : "urn:oid:2.16.840.1.113883.6.238",
                    "code" : "2186-5",
                    "display" : "Not Hispanic or Latino"
                  }
                ]
              },
              "population" : [
                {
                  "code" : {
                    "coding" : [
                      {
                        "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code" : "initial-population",
                        "display" : "Initial Population"
                      }
                    ]
                  },
                  "count" : 0
                },
                {
                  "code" : {
                    "coding" : [
                      {
                        "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code" : "numerator",
                        "display" : "Numerator"
                      }
                    ]
                  },
                  "count" : 0
                },
                {
                  "code" : {
                    "coding" : [
                      {
                        "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code" : "denominator",
                        "display" : "Denominator"
                      }
                    ]
                  },
                  "count" : 0
                },
                {
                  "code" : {
                    "coding" : [
                      {
                        "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code" : "denominator-exclusion",
                        "display" : "Denominator Exclusion"
                      }
                    ]
                  },
                  "count" : 0
                }
              ]
            }
          ]
        },
        {
          "code" : [
            {
              "coding" : [
                {
                  "system" : "http://example.org/fhir/",
                  "code" : "sde-payer",
                  "display" : "SDE Payer"
                }
              ]
            }
          ],
          "stratum" : [
            {
              "value" : {
                "coding" : [
                  {
                    "system" : "http://example.org/fhir/",
                    "code" : "Payer123",
                    "display" : "King HMO"
                  }
                ]
              },
              "population" : [
                {
                  "code" : {
                    "coding" : [
                      {
                        "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code" : "initial-population",
                        "display" : "Initial Population"
                      }
                    ]
                  },
                  "count" : 1
                },
                {
                  "code" : {
                    "coding" : [
                      {
                        "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code" : "numerator",
                        "display" : "Numerator"
                      }
                    ]
                  },
                  "count" : 1
                },
                {
                  "code" : {
                    "coding" : [
                      {
                        "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code" : "denominator",
                        "display" : "Denominator"
                      }
                    ]
                  },
                  "count" : 1
                },
                {
                  "code" : {
                    "coding" : [
                      {
                        "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code" : "denominator-exclusion",
                        "display" : "Denominator Exclusion"
                      }
                    ]
                  },
                  "count" : 0
                }
              ]
            },
            {
              "value" : {
                "coding" : [
                  {
                    "system" : "http://example.org/fhir/",
                    "code" : "Payer456",
                    "display" : "Green Circle"
                  }
                ]
              },
              "population" : [
                {
                  "code" : {
                    "coding" : [
                      {
                        "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code" : "initial-population",
                        "display" : "Initial Population"
                      }
                    ]
                  },
                  "count" : 0
                },
                {
                  "code" : {
                    "coding" : [
                      {
                        "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code" : "numerator",
                        "display" : "Numerator"
                      }
                    ]
                  },
                  "count" : 0
                },
                {
                  "code" : {
                    "coding" : [
                      {
                        "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
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  "evaluatedResource" : [
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      🔗 "reference" : "Task/task01"
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  ]
}