{ "resourceType" : "MeasureReport", "id" : "quality-measurereport05", "meta" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/instance-name", "valueString" : "VBP Quality MeasureReport Example" }, { "url" : "http://hl7.org/fhir/StructureDefinition/instance-description", "valueMarkdown" : "This is an example Medication Adherence for Cholesterol (Statins) MeasureReport for the *VBP Quality MeasureReport* profile." }], "source" : "http://example.org/fhir/server", "profile" : ["http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/vbp-quality-measurereport"] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: MeasureReport quality-measurereport05

Information Source: http://example.org/fhir/server

Profile: VBP Quality MeasureReport

DEQM Measure Scoring Extension: Proportion

Score: 0

Threshold

Threshold

Threshold

Threshold

status: Complete

type: Summary

measure: http://example.org/Measure/measure-med-adherence-cholesterol-statins-FHIR|1.0.000

date: 2023-01-15

reporter: Organization ABC Payer

period: 2022-01-01 --> 2022-11-30

improvementNotation: Increased score indicates improvement

group

population

id

pop1

code: Calculated Numerator

count: 120

population

id

pop2

code: Calculated Denominator

count: 500

measureScore: 0.24

stratifier

stratum

component

code: Coverage type

value: health maintenance organization policy

component

code: location

value: Region 1

population

id

strat-pop1

code: Calculated Numerator

count: 20

population

id

strat-pop2

code: Calculated Denominator

count: 150

measureScore: 0.13

stratum

component

code: Coverage type

value: health maintenance organization policy

component

code: location

value: Region 2

population

id

strat-pop3

code: Calculated Numerator

count: 40

population

id

strat-pop4

code: Calculated Denominator

count: 100

measureScore: 0.4

stratum

component

code: Coverage type

value: preferred provider organization policy

component

code: location

value: Region 1

population

id

strat-pop5

code: Calculated Numerator

count: 20

population

id

strat-pop6

code: Calculated Denominator

count: 150

measureScore: 0.13

stratum

component

code: Coverage type

value: preferred provider organization policy

component

code: location

value: Region 2

population

id

strat-pop7

code: Calculated Numerator

count: 40

population

id

strat-pop8

code: Calculated Denominator

count: 100

measureScore: 0.4

" }, "extension" : [{ "url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring", "valueCodeableConcept" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-scoring", "code" : "proportion" }] } }, { "url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/score", "valueDecimal" : 0 }, { "extension" : [{ "url" : "threshold", "valueQuantity" : { "value" : 80, "system" : "http://unitsofmeasure.org", "code" : "%" } }, { "url" : "type", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/threshold-type", "code" : "star-2" }] } }], "url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/threshold" }, { "extension" : [{ "url" : "threshold", "valueQuantity" : { "value" : 85, "system" : "http://unitsofmeasure.org", "code" : "%" } }, { "url" : "type", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/threshold-type", "code" : "star-3" }] } }], "url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/threshold" }, { "extension" : [{ "url" : "threshold", "valueQuantity" : { "value" : 90, "system" : "http://unitsofmeasure.org", "code" : "%" } }, { "url" : "type", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/threshold-type", "code" : "star-4" }] } }], "url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/threshold" }, { "extension" : [{ "url" : "threshold", "valueQuantity" : { "value" : 93, "system" : "http://unitsofmeasure.org", "code" : "%" } }, { "url" : "type", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/threshold-type", "code" : "star-5" }] } }], "url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/threshold" }], "status" : "complete", "type" : "summary", "measure" : "http://example.org/Measure/measure-med-adherence-cholesterol-statins-FHIR|1.0.000", "date" : "2023-01-15", "reporter" : { "reference" : "Organization/vbp-payer01" }, "period" : { "start" : "2022-01-01", "end" : "2022-11-30" }, "improvementNotation" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation", "code" : "increase", "display" : "Increased score indicates improvement" }] }, "group" : [{ "population" : [{ "id" : "pop1", "code" : { "coding" : [{ "system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-measure-population", "code" : "calculated-numerator" }] }, "count" : 120 }, { "id" : "pop2", "code" : { "coding" : [{ "system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-measure-population", "code" : "calculated-denominator" }] }, "count" : 500 }], "measureScore" : { "value" : 0.24 }, "stratifier" : [{ "stratum" : [{ "component" : [{ "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "87520-3" }] }, "value" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "HMO" }] } }, { "code" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "LOC" }] }, "value" : { "text" : "Region 1" } }], "population" : [{ "id" : "strat-pop1", "code" : { "coding" : [{ "system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-measure-population", "code" : "calculated-numerator" }] }, "count" : 20 }, { "id" : "strat-pop2", "code" : { "coding" : [{ "system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-measure-population", "code" : "calculated-denominator" }] }, "count" : 150 }], "measureScore" : { "value" : 0.13 } }, { "component" : [{ "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "87520-3" }] }, "value" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "HMO" }] } }, { "code" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "LOC" }] }, "value" : { "text" : "Region 2" } }], "population" : [{ "id" : "strat-pop3", "code" : { "coding" : [{ "system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-measure-population", "code" : "calculated-numerator" }] }, "count" : 40 }, { "id" : "strat-pop4", "code" : { "coding" : [{ "system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-measure-population", "code" : "calculated-denominator" }] }, "count" : 100 }], "measureScore" : { "value" : 0.4 } }, { "component" : [{ "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "87520-3" }] }, "value" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "PPO" }] } }, { "code" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "LOC" }] }, "value" : { "text" : "Region 1" } }], "population" : [{ "id" : "strat-pop5", "code" : { "coding" : [{ "system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-measure-population", "code" : "calculated-numerator" }] }, "count" : 20 }, { "id" : "strat-pop6", "code" : { "coding" : [{ "system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-measure-population", "code" : "calculated-denominator" }] }, "count" : 150 }], "measureScore" : { "value" : 0.13 } }, { "component" : [{ "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "87520-3" }] }, "value" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "PPO" }] } }, { "code" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code" : "LOC" }] }, "value" : { "text" : "Region 2" } }], "population" : [{ "id" : "strat-pop7", "code" : { "coding" : [{ "system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-measure-population", "code" : "calculated-numerator" }] }, "count" : 40 }, { "id" : "strat-pop8", "code" : { "coding" : [{ "system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-measure-population", "code" : "calculated-denominator" }] }, "count" : 100 }], "measureScore" : { "value" : 0.4 } }] }] }] }