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 in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

: Summ Medicare Stratification Example - JSON Representation

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{
  "resourceType" : "MeasureReport",
  "id" : "summ-medicare-stratification-example",
  "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><a name=\"summ-medicare-stratification-example\"> </a></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 MeasureReport &quot;summ-medicare-stratification-example&quot; </p><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=\"http://example.org/fhir/Measure/measure-medicare-stratification-example\">http://example.org/fhir/Measure/measure-medicare-stratification-example</a></p><p><b>date</b>: 2018-09-05 16:59:52+0000</p><p><b>reporter</b>: <a href=\"Organization-organization01.html\">Organization/organization01</a> &quot;DaVinciHospital01&quot;</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>: 0.699</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>: 0.6867</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",
  "date" : "2018-09-05T16:59:52.404Z",
  "reporter" : {
    "extension" : [
      {
        "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup",
        "valueReference" : {
          "reference" : "Group/group01"
        }
      }
    ],
    "reference" : "Organization/organization01"
  },
  "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" : 0.699
              }
            }
          ]
        },
        {
          "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" : 0.6867
              }
            }
          ]
        }
      ]
    }
  ]
}