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 - TTL Representation

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@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 -------------------------------------------------------------------

 a fhir:MeasureReport ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "summ-medicare-stratification-example"] ; # 
  fhir:meta [
fhir:source [ fhir:v "http://example.org/fhir/server"^^xsd:anyURI ] ;
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/summary-measurereport-deqm"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/summary-measurereport-deqm>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir: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>"
  ] ; # 
  fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-scoring"^^xsd:anyURI ] ;
fhir:code [ fhir:v "proportion" ]       ] )     ]
  ] ) ; # 
  fhir:status [ fhir:v "complete"] ; # 
  fhir:type [ fhir:v "summary"] ; # 
  fhir:measure [
fhir:v "http://example.org/fhir/Measure/measure-medicare-stratification-example"^^xsd:anyURI ;
fhir:link <http://example.org/fhir/Measure/measure-medicare-stratification-example>
  ] ; # 
  fhir:date [ fhir:v "2018-09-05T16:59:52.404Z"^^xsd:dateTime] ; # 
  fhir:reporter [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup"^^xsd:anyURI ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "Group/group01" ]       ]     ] ) ;
fhir:reference [ fhir:v "Organization/organization01" ]
  ] ; # 
  fhir:period [
fhir:start [ fhir:v "2018-01-01"^^xsd:date ] ;
fhir:end [ fhir:v "2018-12-31"^^xsd:date ]
  ] ; # 
  fhir:improvementNotation [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-improvement-notation"^^xsd:anyURI ] ;
fhir:code [ fhir:v "increase" ] ;
fhir:display [ fhir:v "Increased score indicates improvement" ]     ] )
  ] ; # 
  fhir:group ( [
    ( fhir:population [
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ;
fhir:code [ fhir:v "initial-population" ]         ] )       ] ;
fhir:count [ fhir:v "10000"^^xsd:integer ]     ] [
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ;
fhir:code [ fhir:v "denominator" ]         ] )       ] ;
fhir:count [ fhir:v "8000"^^xsd:integer ]     ] [
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ;
fhir:code [ fhir:v "numerator" ]         ] )       ] ;
fhir:count [ fhir:v "4000"^^xsd:integer ]     ] [
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "http://example.org/CodeSystem/measure-population-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "numerator-administrative" ]         ] )       ] ;
fhir:count [ fhir:v "2000"^^xsd:integer ]     ] [
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "http://example.org/CodeSystem/measure-population-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "numerator-medical" ]         ] )       ] ;
fhir:count [ fhir:v "1000"^^xsd:integer ]     ] [
fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "http://example.org/CodeSystem/measure-population-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "numerator-supplemental" ]         ] )       ] ;
fhir:count [ fhir:v "1000"^^xsd:integer ]     ] ) ;
fhir:measureScore [
fhir:value [ fhir:v "0.50"^^xsd:decimal ]     ] ;
    ( fhir:stratifier [
      ( fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "http://example.org/CodeSystem/stratifier-classifications"^^xsd:anyURI ] ;
fhir:code [ fhir:v "CoverageType" ] ;
fhir:display [ fhir:v "Coverage Type" ]         ] )       ] ) ;
      ( fhir:stratum [
fhir:value [
          ( fhir:coding [
fhir:system [ fhir:v "http://example.org/CodeSystem/SOP"^^xsd:anyURI ] ;
fhir:code [ fhir:v "MEDICARE" ] ;
fhir:display [ fhir:v "Medicare" ]           ] )         ] ;
        ( fhir:population [
fhir:code [
            ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ;
fhir:code [ fhir:v "initial-population" ]             ] )           ] ;
fhir:count [ fhir:v "1747"^^xsd:integer ]         ] [
fhir:code [
            ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ;
fhir:code [ fhir:v "denominator" ]             ] )           ] ;
fhir:count [ fhir:v "392"^^xsd:integer ]         ] [
fhir:code [
            ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ;
fhir:code [ fhir:v "numerator" ]             ] )           ] ;
fhir:count [ fhir:v "243"^^xsd:integer ]         ] [
fhir:code [
            ( fhir:coding [
fhir:system [ fhir:v "http://example.org/CodeSystem/measure-population-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "numerator-administrative" ]             ] )           ] ;
fhir:count [ fhir:v "154"^^xsd:integer ]         ] [
fhir:code [
            ( fhir:coding [
fhir:system [ fhir:v "http://example.org/CodeSystem/measure-population-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "numerator-medical" ]             ] )           ] ;
fhir:count [ fhir:v "12"^^xsd:integer ]         ] [
fhir:code [
            ( fhir:coding [
fhir:system [ fhir:v "http://example.org/CodeSystem/measure-population-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "numerator-supplemental" ]             ] )           ] ;
fhir:count [ fhir:v "77"^^xsd:integer ]         ] ) ;
fhir:measureScore [
fhir:value [ fhir:v "0.699"^^xsd:decimal ]         ]       ] )     ] [
      ( fhir:code [
        ( fhir:coding [
fhir:system [ fhir:v "http://example.org/CodeSystem/stratifier-classifications"^^xsd:anyURI ] ;
fhir:code [ fhir:v "CoverageTypeAndClass" ] ;
fhir:display [ fhir:v "Coverage Type and Class" ]         ] )       ] ) ;
      ( fhir:stratum [
        ( fhir:component [
fhir:code [
            ( fhir:coding [
fhir:system [ fhir:v "http://example.org/CodeSystem/stratifier-classifications"^^xsd:anyURI ] ;
fhir:code [ fhir:v "CoverageType" ] ;
fhir:display [ fhir:v "Coverage Type" ]             ] )           ] ;
fhir:value [
            ( fhir:coding [
fhir:system [ fhir:v "http://example.org/CodeSystem/SOP"^^xsd:anyURI ] ;
fhir:code [ fhir:v "MEDICARE" ] ;
fhir:display [ fhir:v "Medicare" ]             ] )           ]         ] [
fhir:code [
            ( fhir:coding [
fhir:system [ fhir:v "http://example.org/CodeSystem/stratifier-classifications"^^xsd:anyURI ] ;
fhir:code [ fhir:v "CoverageClass" ] ;
fhir:display [ fhir:v "Coverage Class" ]             ] )           ] ;
fhir:value [
            ( fhir:coding [
fhir:system [ fhir:v "http://example.org/CodeSystem/medicare-subgroup"^^xsd:anyURI ] ;
fhir:code [ fhir:v "Non-LIS/DE,Nondisability" ] ;
fhir:display [ fhir:v "Non-LIS/DE,Nondisability" ]             ] )           ]         ] ) ;
        ( fhir:population [
fhir:code [
            ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ;
fhir:code [ fhir:v "initial-population" ]             ] )           ] ;
fhir:count [ fhir:v "745"^^xsd:integer ]         ] [
fhir:code [
            ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ;
fhir:code [ fhir:v "denominator" ]             ] )           ] ;
fhir:count [ fhir:v "150"^^xsd:integer ]         ] [
fhir:code [
            ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ] ;
fhir:code [ fhir:v "numerator" ]             ] )           ] ;
fhir:count [ fhir:v "103"^^xsd:integer ]         ] [
fhir:code [
            ( fhir:coding [
fhir:system [ fhir:v "http://example.org/CodeSystem/measure-population-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "numerator-administrative" ]             ] )           ] ;
fhir:count [ fhir:v "77"^^xsd:integer ]         ] [
fhir:code [
            ( fhir:coding [
fhir:system [ fhir:v "http://example.org/CodeSystem/measure-population-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "numerator-medical" ]             ] )           ] ;
fhir:count [ fhir:v "7"^^xsd:integer ]         ] [
fhir:code [
            ( fhir:coding [
fhir:system [ fhir:v "http://example.org/CodeSystem/measure-population-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "numerator-supplemental" ]             ] )           ] ;
fhir:count [ fhir:v "19"^^xsd:integer ]         ] ) ;
fhir:measureScore [
fhir:value [ fhir:v "0.6867"^^xsd:decimal ]         ]       ] )     ] )
  ] ) . #