Data Exchange For Quality Measures Implementation Guide
4.0.0 - STU4 United States of America

This page is part of the Da Vinci Data Exchange for Quality Measures (DEQM) FHIR IG (v4.0.0: STU4 (v4.0.0)) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: Multiple Summ Report - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "multiple-summ-report",
  "meta" : {
    "source" : "http://example.org/fhir/server"
  },
  "type" : "transaction",
  "timestamp" : "2020-06-18T20:16:02.653993Z",
  "entry" : [
    {
      "fullUrl" : "urn:uuid:884bd27a-b1a0-11ea-b615-a4d18ccf5172",
      "resource" : {
        "resourceType" : "MeasureReport",
        "meta" : {
          "source" : "http://example.org/fhir/server"
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MeasureReport</b></p><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\">Information Source: http://example.org/fhir/server!</p></div><p><b>DEQM Measure Scoring Extension</b>: Proportion <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-measure-scoring.html\">MeasureScoring</a>#proportion)</span></p><p><b>status</b>: complete</p><p><b>type</b>: summary</p><p><b>measure</b>: <a href=\"http://example.org/fhir/Measure/measure-medicare-stratification-example\">http://example.org/fhir/Measure/measure-medicare-stratification-example</a></p><p><b>period</b>: 2018-01-01 --&gt; 2018-12-31</p><p><b>improvementNotation</b>: Increased score indicates improvement <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-measure-improvement-notation.html\">MeasureImprovementNotation</a>#increase)</span></p><blockquote><p><b>group</b></p><blockquote><p><b>population</b></p><p><b>code</b>: Initial Population <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#initial-population)</span></p><p><b>count</b>: 10000</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#denominator)</span></p><p><b>count</b>: 8000</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Numerator <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#numerator)</span></p><p><b>count</b>: 4000</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: numerator-administrative <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (measure-population-type#numerator-administrative)</span></p><p><b>count</b>: 2000</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: numerator-medical <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (measure-population-type#numerator-medical)</span></p><p><b>count</b>: 1000</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: numerator-supplemental <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (measure-population-type#numerator-supplemental)</span></p><p><b>count</b>: 1000</p></blockquote><p><b>measureScore</b>: 0.50</p><blockquote><p><b>stratifier</b></p><p><b>code</b>: Coverage Type <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (stratifier-classifications#CoverageType)</span></p><blockquote><p><b>stratum</b></p><p><b>value</b>: Medicare <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (SOP#MEDICARE)</span></p><blockquote><p><b>population</b></p><p><b>code</b>: Initial Population <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#initial-population)</span></p><p><b>count</b>: 1747</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#denominator)</span></p><p><b>count</b>: 392</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Numerator <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#numerator)</span></p><p><b>count</b>: 243</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: numerator-administrative <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (measure-population-type#numerator-administrative)</span></p><p><b>count</b>: 154</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: numerator-medical <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (measure-population-type#numerator-medical)</span></p><p><b>count</b>: 12</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: numerator-supplemental <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (measure-population-type#numerator-supplemental)</span></p><p><b>count</b>: 77</p></blockquote><p><b>measureScore</b>: 0.62</p></blockquote></blockquote><blockquote><p><b>stratifier</b></p><p><b>code</b>: Coverage Type and Class <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (stratifier-classifications#CoverageTypeAndClass)</span></p><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Coverage Type <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (stratifier-classifications#CoverageType)</span></p><p><b>value</b>: Medicare <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (SOP#MEDICARE)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Coverage Class <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (stratifier-classifications#CoverageClass)</span></p><p><b>value</b>: Non-LIS/DE,Nondisability <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (medicare-subgroup#Non-LIS/DE,Nondisability)</span></p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Initial Population <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#initial-population)</span></p><p><b>count</b>: 745</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#denominator)</span></p><p><b>count</b>: 150</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Numerator <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#numerator)</span></p><p><b>count</b>: 103</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: numerator-administrative <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (measure-population-type#numerator-administrative)</span></p><p><b>count</b>: 77</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: numerator-medical <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (measure-population-type#numerator-medical)</span></p><p><b>count</b>: 7</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: numerator-supplemental <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (measure-population-type#numerator-supplemental)</span></p><p><b>count</b>: 19</p></blockquote><p><b>measureScore</b>: 0.69</p></blockquote></blockquote></blockquote></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" : "summary",
        "measure" : "http://example.org/fhir/Measure/measure-medicare-stratification-example",
        "period" : {
          "start" : "2018-01-01",
          "end" : "2018-12-31"
        },
        "improvementNotation" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
              "code" : "increase",
              "display" : "Increased score indicates improvement"
            }
          ]
        },
        "group" : [
          {
            "population" : [
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                      "code" : "initial-population"
                    }
                  ]
                },
                "count" : 10000
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                      "code" : "denominator"
                    }
                  ]
                },
                "count" : 8000
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                      "code" : "numerator"
                    }
                  ]
                },
                "count" : 4000
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://example.org/CodeSystem/measure-population-type",
                      "code" : "numerator-administrative"
                    }
                  ]
                },
                "count" : 2000
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://example.org/CodeSystem/measure-population-type",
                      "code" : "numerator-medical"
                    }
                  ]
                },
                "count" : 1000
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://example.org/CodeSystem/measure-population-type",
                      "code" : "numerator-supplemental"
                    }
                  ]
                },
                "count" : 1000
              }
            ],
            "measureScore" : {
              "value" : 0.50
            },
            "stratifier" : [
              {
                "code" : [
                  {
                    "coding" : [
                      {
                        "system" : "http://example.org/CodeSystem/stratifier-classifications",
                        "code" : "CoverageType",
                        "display" : "Coverage Type"
                      }
                    ]
                  }
                ],
                "stratum" : [
                  {
                    "value" : {
                      "coding" : [
                        {
                          "system" : "http://example.org/CodeSystem/SOP",
                          "code" : "MEDICARE",
                          "display" : "Medicare"
                        }
                      ]
                    },
                    "population" : [
                      {
                        "code" : {
                          "coding" : [
                            {
                              "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code" : "initial-population"
                            }
                          ]
                        },
                        "count" : 1747
                      },
                      {
                        "code" : {
                          "coding" : [
                            {
                              "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code" : "denominator"
                            }
                          ]
                        },
                        "count" : 392
                      },
                      {
                        "code" : {
                          "coding" : [
                            {
                              "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code" : "numerator"
                            }
                          ]
                        },
                        "count" : 243
                      },
                      {
                        "code" : {
                          "coding" : [
                            {
                              "system" : "http://example.org/CodeSystem/measure-population-type",
                              "code" : "numerator-administrative"
                            }
                          ]
                        },
                        "count" : 154
                      },
                      {
                        "code" : {
                          "coding" : [
                            {
                              "system" : "http://example.org/CodeSystem/measure-population-type",
                              "code" : "numerator-medical"
                            }
                          ]
                        },
                        "count" : 12
                      },
                      {
                        "code" : {
                          "coding" : [
                            {
                              "system" : "http://example.org/CodeSystem/measure-population-type",
                              "code" : "numerator-supplemental"
                            }
                          ]
                        },
                        "count" : 77
                      }
                    ],
                    "measureScore" : {
                      "value" : 0.62
                    }
                  }
                ]
              },
              {
                "code" : [
                  {
                    "coding" : [
                      {
                        "system" : "http://example.org/CodeSystem/stratifier-classifications",
                        "code" : "CoverageTypeAndClass",
                        "display" : "Coverage Type and Class"
                      }
                    ]
                  }
                ],
                "stratum" : [
                  {
                    "component" : [
                      {
                        "code" : {
                          "coding" : [
                            {
                              "system" : "http://example.org/CodeSystem/stratifier-classifications",
                              "code" : "CoverageType",
                              "display" : "Coverage Type"
                            }
                          ]
                        },
                        "value" : {
                          "coding" : [
                            {
                              "system" : "http://example.org/CodeSystem/SOP",
                              "code" : "MEDICARE",
                              "display" : "Medicare"
                            }
                          ]
                        }
                      },
                      {
                        "code" : {
                          "coding" : [
                            {
                              "system" : "http://example.org/CodeSystem/stratifier-classifications",
                              "code" : "CoverageClass",
                              "display" : "Coverage Class"
                            }
                          ]
                        },
                        "value" : {
                          "coding" : [
                            {
                              "system" : "http://example.org/CodeSystem/medicare-subgroup",
                              "code" : "Non-LIS/DE,Nondisability",
                              "display" : "Non-LIS/DE,Nondisability"
                            }
                          ]
                        }
                      }
                    ],
                    "population" : [
                      {
                        "code" : {
                          "coding" : [
                            {
                              "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code" : "initial-population"
                            }
                          ]
                        },
                        "count" : 745
                      },
                      {
                        "code" : {
                          "coding" : [
                            {
                              "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code" : "denominator"
                            }
                          ]
                        },
                        "count" : 150
                      },
                      {
                        "code" : {
                          "coding" : [
                            {
                              "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code" : "numerator"
                            }
                          ]
                        },
                        "count" : 103
                      },
                      {
                        "code" : {
                          "coding" : [
                            {
                              "system" : "http://example.org/CodeSystem/measure-population-type",
                              "code" : "numerator-administrative"
                            }
                          ]
                        },
                        "count" : 77
                      },
                      {
                        "code" : {
                          "coding" : [
                            {
                              "system" : "http://example.org/CodeSystem/measure-population-type",
                              "code" : "numerator-medical"
                            }
                          ]
                        },
                        "count" : 7
                      },
                      {
                        "code" : {
                          "coding" : [
                            {
                              "system" : "http://example.org/CodeSystem/measure-population-type",
                              "code" : "numerator-supplemental"
                            }
                          ]
                        },
                        "count" : 19
                      }
                    ],
                    "measureScore" : {
                      "value" : 0.69
                    }
                  }
                ]
              }
            ]
          }
        ]
      },
      "request" : {
        "method" : "POST",
        "url" : "MeasureReport"
      }
    },
    {
      "fullUrl" : "urn:uuid:884cb1a4-b1a0-11ea-b615-a4d18ccf5172",
      "resource" : {
        "resourceType" : "Organization",
        "meta" : {
          "versionId" : "4",
          "lastUpdated" : "2019-02-21T01:47:54.000+00:00",
          "source" : "http://example.org/fhir/server",
          "profile" : [
            "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Organization</b></p><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\">Resource Organization Version &quot;4&quot; Updated &quot;2019-02-21 01:47:54+0000&quot; </p><p style=\"margin-bottom: 0px\">Information Source: http://example.org/fhir/server!</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-organization.html\">QICore Organization</a></p></div><p><b>identifier</b>: Tax ID number: 123456789\u00a0(use:\u00a0OFFICIAL)</p><p><b>active</b>: true</p><p><b>type</b>: Healthcare Provider <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-organization-type.html\">Organization type</a>#prov)</span></p><p><b>name</b>: DaVinciHospital01</p><p><b>telecom</b>: ph: (+1) 401-555-1212</p><p><b>address</b>: 73 Lakewood Street Warwick RI 02886 USA </p></div>"
        },
        "identifier" : [
          {
            "use" : "official",
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "TAX",
                  "display" : "Tax ID number"
                }
              ]
            },
            "system" : "urn:oid:2.16.840.1.113883.4.4",
            "value" : "123456789",
            "assigner" : {
              "display" : "www.irs.gov"
            }
          }
        ],
        "active" : true,
        "type" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/organization-type",
                "code" : "prov",
                "display" : "Healthcare Provider"
              }
            ]
          }
        ],
        "name" : "DaVinciHospital01",
        "telecom" : [
          {
            "system" : "phone",
            "value" : "(+1) 401-555-1212"
          }
        ],
        "address" : [
          {
            "line" : [
              "73 Lakewood Street"
            ],
            "city" : "Warwick",
            "state" : "RI",
            "postalCode" : "02886",
            "country" : "USA"
          }
        ]
      },
      "request" : {
        "method" : "POST",
        "url" : "Organization"
      }
    },
    {
      "fullUrl" : "urn:uuid:884cd4e0-b1a0-11ea-b615-a4d18ccf5172",
      "resource" : {
        "resourceType" : "MeasureReport",
        "meta" : {
          "source" : "http://example.org/fhir/server",
          "profile" : [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/summary-measurereport-deqm"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MeasureReport</b></p><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\">Information Source: http://example.org/fhir/server!</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-summary-measurereport-deqm.html\">DEQM Summary MeasureReport Profile</a></p></div><p><b>DEQM Measure Scoring Extension</b>: Proportion <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-measure-scoring.html\">MeasureScoring</a>#proportion)</span></p><p><b>status</b>: complete</p><p><b>type</b>: summary</p><p><b>measure</b>: <a href=\"Measure-measure-exm130-example.html\">Colorectal Cancer Screening Measure</a></p><p><b>date</b>: 2019-09-05 16:59:52+0000</p><p><b>reporter</b>: <a href=\"#urnuuid884cb1a4-b1a0-11ea-b615-a4d18ccf5172\">See above (urn:uuid:884cb1a4-b1a0-11ea-b615-a4d18ccf5172)</a></p><p><b>period</b>: 2019-08-01 --&gt; 2019-09-01</p><p><b>improvementNotation</b>: Increased score indicates improvement <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-measure-improvement-notation.html\">MeasureImprovementNotation</a>#increase)</span></p><blockquote><p><b>group</b></p><p><b>code</b>: group-1 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (#group-1)</span></p><blockquote><p><b>population</b></p><p><b>code</b>: Initial Population <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#initial-population)</span></p><p><b>count</b>: 100</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Numerator <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#numerator)</span></p><p><b>count</b>: 60</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#denominator)</span></p><p><b>count</b>: 100</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator Exclusion <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#denominator-exclusion)</span></p><p><b>count</b>: 10</p></blockquote><p><b>measureScore</b>: 0.66</p></blockquote></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" : "summary",
        "measure" : "http://hl7.org/fhir/us/davinci-deqm/Measure/measure-exm130-example",
        "date" : "2019-09-05T16:59:52.404Z",
        "reporter" : {
          "reference" : "urn:uuid:884cb1a4-b1a0-11ea-b615-a4d18ccf5172"
        },
        "period" : {
          "start" : "2019-08-01",
          "end" : "2019-09-01"
        },
        "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" : 100
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                      "code" : "numerator",
                      "display" : "Numerator"
                    }
                  ]
                },
                "count" : 60
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                      "code" : "denominator",
                      "display" : "Denominator"
                    }
                  ]
                },
                "count" : 100
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                      "code" : "denominator-exclusion",
                      "display" : "Denominator Exclusion"
                    }
                  ]
                },
                "count" : 10
              }
            ],
            "measureScore" : {
              "value" : 0.66
            }
          }
        ]
      },
      "request" : {
        "method" : "POST",
        "url" : "MeasureReport"
      }
    },
    {
      "fullUrl" : "urn:uuid:884ec872-b1a0-11ea-b615-a4d18ccf5172",
      "resource" : {
        "resourceType" : "MeasureReport",
        "meta" : {
          "source" : "http://example.org/fhir/server",
          "profile" : [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/summary-measurereport-deqm"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MeasureReport</b></p><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\">Information Source: http://example.org/fhir/server!</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-summary-measurereport-deqm.html\">DEQM Summary MeasureReport Profile</a></p></div><p><b>DEQM Measure Scoring Extension</b>: Proportion <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-measure-scoring.html\">MeasureScoring</a>#proportion)</span></p><p><b>status</b>: complete</p><p><b>type</b>: summary</p><p><b>measure</b>: <a href=\"Measure-measure-mrp-example.html\">MRP Measure</a></p><p><b>date</b>: 2018-09-05 16:59:52+0000</p><p><b>reporter</b>: <a href=\"#urnuuid884cb1a4-b1a0-11ea-b615-a4d18ccf5172\">See above (urn:uuid:884cb1a4-b1a0-11ea-b615-a4d18ccf5172)</a></p><p><b>period</b>: 2018-08-01 --&gt; 2018-09-01</p><p><b>improvementNotation</b>: Increased score indicates improvement <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-measure-improvement-notation.html\">MeasureImprovementNotation</a>#increase)</span></p><blockquote><p><b>group</b></p><p><b>code</b>: MRP Group <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (#mrp-group)</span></p><blockquote><p><b>population</b></p><p><b>code</b>: Initial Population <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#initial-population)</span></p><p><b>count</b>: 100</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Numerator <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#numerator)</span></p><p><b>count</b>: 80</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#denominator)</span></p><p><b>count</b>: 100</p></blockquote><p><b>measureScore</b>: 0.8</p></blockquote></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" : "summary",
        "measure" : "http://hl7.org/fhir/us/davinci-deqm/Measure/measure-mrp-example",
        "date" : "2018-09-05T16:59:52.404Z",
        "reporter" : {
          "reference" : "urn:uuid:884cb1a4-b1a0-11ea-b615-a4d18ccf5172"
        },
        "period" : {
          "start" : "2018-08-01",
          "end" : "2018-09-01"
        },
        "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" : "mrp-group",
                  "display" : "MRP Group"
                }
              ],
              "text" : "MRP Group"
            },
            "population" : [
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                      "code" : "initial-population",
                      "display" : "Initial Population"
                    }
                  ]
                },
                "count" : 100
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                      "code" : "numerator",
                      "display" : "Numerator"
                    }
                  ]
                },
                "count" : 80
              },
              {
                "code" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
                      "code" : "denominator",
                      "display" : "Denominator"
                    }
                  ]
                },
                "count" : 100
              }
            ],
            "measureScore" : {
              "value" : 0.8
            }
          }
        ]
      },
      "request" : {
        "method" : "POST",
        "url" : "MeasureReport"
      }
    }
  ]
}