{ "resourceType" : "Bundle", "id" : "multiple-summ-report", "meta" : { "source" : "http://example.org/fhir/server" }, "language" : "en", "type" : "transaction", "timestamp" : "2020-06-18T20:16:02.653993Z", "entry" : [{ "fullUrl" : "http://example.org/CodeSystem/stratifier", "resource" : { "resourceType" : "CodeSystem", "id" : "stratifier", "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: CodeSystem stratifier

url: http://example.org/CodeSystem/stratifier

version: 1.0.0

name: StratifierCodes

title: StratifierCodes

status: Active

experimental: true

description:

Example code system representing stratifiers of a measure

\n

caseSensitive: true

content: Complete

concept

code: S1

display: Stratifier 1

concept

code: S2

display: Stratifier 2

concept

code: S3

display: Stratifier 3

" }, "url" : "http://example.org/CodeSystem/stratifier", "version" : "1.0.0", "name" : "StratifierCodes", "title" : "StratifierCodes", "status" : "active", "experimental" : true, "description" : "Example code system representing stratifiers of a measure", "caseSensitive" : true, "content" : "complete", "concept" : [{ "code" : "S1", "display" : "Stratifier 1" }, { "code" : "S2", "display" : "Stratifier 2" }, { "code" : "S3", "display" : "Stratifier 3" }] }, "request" : { "method" : "POST", "url" : "CodeSystem" } }, { "fullUrl" : "urn:uuid:884bd27a-b1a0-11ea-b615-a4d18ccf5172", "resource" : { "resourceType" : "MeasureReport", "id" : "summ-medicare-stratification-example", "meta" : { "source" : "http://example.org/fhir/server", "profile" : ["http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-summarymeasurereport"] }, "language" : "en", "text" : { "status" : "extensions", "div" : "

Generated Narrative: MeasureReport summ-medicare-stratification-example

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

Profile: DEQM Summary MeasureReport Profile

DEQM Measure Scoring Extension: Proportion

status: Complete

type: Summary

measure: EXM55 - Median Emergency Department Visit Duration version: 5.0.0

date: 2018-09-05 16:59:52+0000

reporter: Organization DaVinciHospital01

period: 2018-01-01 --> 2018-12-31

improvementNotation: Increased score indicates improvement

group

Extension Definition for MeasureReport.group.linkId for Version 5.0: group-1

population

Extension Definition for MeasureReport.group.population.linkId for Version 5.0: initial-population

code: Initial Population

count: 10000

population

Extension Definition for MeasureReport.group.population.linkId for Version 5.0: measure-population

code: Measure Population

count: 8000

population

Extension Definition for MeasureReport.group.population.linkId for Version 5.0: measure-population-exclusion

code: Measure Population Exclusion

count: 4000

measureScore: 0.5

stratifier

Extension Definition for MeasureReport.group.stratifier.linkId for Version 5.0: Stratification 1

code: Stratification 1

stratum

value: true

population

Extension Definition for MeasureReport.group.stratifier.stratum.population.linkId for Version 5.0: initial-population

code: Initial Population

count: 1747

population

Extension Definition for MeasureReport.group.stratifier.stratum.population.linkId for Version 5.0: denominator

code: Denominator

count: 392

population

Extension Definition for MeasureReport.group.stratifier.stratum.population.linkId for Version 5.0: numerator

code: Numerator

count: 243

measureScore: 0.699

stratifier

id

Stratification 2

Extension Definition for MeasureReport.group.stratifier.linkId for Version 5.0: Stratification 2

code: Stratification 2

stratum

value: Medicare

population

Extension Definition for MeasureReport.group.stratifier.stratum.population.linkId for Version 5.0: initial-population

code: Initial Population

count: 745

population

Extension Definition for MeasureReport.group.stratifier.stratum.population.linkId for Version 5.0: denominator

code: Denominator

count: 150

population

Extension Definition for MeasureReport.group.stratifier.stratum.population.linkId for Version 5.0: numerator

code: Numerator

count: 103

measureScore: 0.6867

stratifier

id

Stratification 3

Extension Definition for MeasureReport.group.stratifier.linkId for Version 5.0: Stratification 3

code: Stratification 3

Strata

-Value
*Non-LIS/DE,Nondisability
" }, "extension" : [{ "url" : "http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-measureScoring", "valueCodeableConcept" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-scoring", "code" : "proportion" }] } }], "status" : "complete", "type" : "summary", "measure" : "http://hl7.org/fhir/uv/cqm/Measure/EXM55-FHIR|5.0.0", "date" : "2018-09-05T16:59:52.404Z", "reporter" : { "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" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.linkId", "valueString" : "group-1" }], "population" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId", "valueString" : "initial-population" }], "code" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-population", "code" : "initial-population" }] }, "count" : 10000 }, { "extension" : [{ "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId", "valueString" : "measure-population" }], "code" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-population", "code" : "measure-population" }] }, "count" : 8000 }, { "extension" : [{ "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId", "valueString" : "measure-population-exclusion" }], "code" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-population", "code" : "measure-population-exclusion" }] }, "count" : 4000 }], "measureScore" : { "value" : 0.5 }, "stratifier" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.stratifier.linkId", "valueString" : "Stratification 1" }], "code" : [{ "coding" : [{ "system" : "http://example.org/stratification", "code" : "Stratification 1", "display" : "Stratification 1" }] }], "stratum" : [{ "value" : { "coding" : [{ "system" : "http://example.org/stratification", "code" : "true" }] }, "population" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.stratifier.stratum.population.linkId", "valueString" : "initial-population" }], "code" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-population", "code" : "initial-population" }] }, "count" : 1747 }, { "extension" : [{ "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.stratifier.stratum.population.linkId", "valueString" : "denominator" }], "code" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-population", "code" : "denominator" }] }, "count" : 392 }, { "extension" : [{ "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.stratifier.stratum.population.linkId", "valueString" : "numerator" }], "code" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-population", "code" : "numerator" }] }, "count" : 243 }], "measureScore" : { "value" : 0.699 } }] }, { "id" : "Stratification 2", "extension" : [{ "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.stratifier.linkId", "valueString" : "Stratification 2" }], "code" : [{ "coding" : [{ "system" : "http://example.org/stratification", "code" : "Stratification 2", "display" : "Stratification 2" }] }], "stratum" : [{ "value" : { "coding" : [{ "system" : "http://example.org/CodeSystem/SOP", "code" : "MEDICARE", "display" : "Medicare" }] }, "population" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.stratifier.stratum.population.linkId", "valueString" : "initial-population" }], "code" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-population", "code" : "initial-population" }] }, "count" : 745 }, { "extension" : [{ "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.stratifier.stratum.population.linkId", "valueString" : "denominator" }], "code" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-population", "code" : "denominator" }] }, "count" : 150 }, { "extension" : [{ "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.stratifier.stratum.population.linkId", "valueString" : "numerator" }], "code" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-population", "code" : "numerator" }] }, "count" : 103 }], "measureScore" : { "value" : 0.6867 } }] }, { "id" : "Stratification 3", "extension" : [{ "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.stratifier.linkId", "valueString" : "Stratification 3" }], "code" : [{ "coding" : [{ "system" : "http://example.org/stratification", "code" : "Stratification 3", "display" : "Stratification 3" }] }], "stratum" : [{ "value" : { "coding" : [{ "system" : "http://example.org/CodeSystem/medicare-subgroup", "code" : "Non-LIS/DE,Nondisability", "display" : "Non-LIS/DE,Nondisability" }] } }] }] }] }, "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"] }, "language" : "en", "text" : { "status" : "generated", "div" : "

Generated Narrative: Organization

version: 4; Last updated: 2019-02-21 01:47:54+0000;

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

Profile: QICore Organization

identifier: Tax ID number/123456789\u00a0(use:\u00a0official,\u00a0)

active: true

type: Healthcare Provider

name: DaVinciHospital01

telecom: ph: (+1) 401-555-1212

address: 73 Lakewood Street Warwick RI 02886 USA

" }, "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/uv/deqm/StructureDefinition/deqm-summarymeasurereport"] }, "language" : "en", "text" : { "status" : "extensions", "div" : "

Generated Narrative: MeasureReport

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

Profile: DEQM Summary MeasureReport Profile

DEQM Measure Scoring Extension: Proportion

status: Complete

type: Summary

measure: EXM130 - Colorectal Cancer Screening Measure version: 8.0.000

date: 2019-09-05 16:59:52+0000

reporter: Organization DaVinciHospital01

period: 2019-08-01 --> 2019-09-01

improvementNotation: Increased score indicates improvement

group

Extension Definition for MeasureReport.group.linkId for Version 5.0: group-1

code: group-1

population

Extension Definition for MeasureReport.group.population.linkId for Version 5.0: initial-population

code: Initial Population

count: 100

population

Extension Definition for MeasureReport.group.population.linkId for Version 5.0: numerator

code: Numerator

count: 60

population

Extension Definition for MeasureReport.group.population.linkId for Version 5.0: denominator

code: Denominator

count: 100

population

Extension Definition for MeasureReport.group.population.linkId for Version 5.0: denominator-exclusion

code: Denominator Exclusion

count: 10

measureScore: 0.66

" }, "extension" : [{ "url" : "http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-measureScoring", "valueCodeableConcept" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-scoring", "code" : "proportion" }] } }], "status" : "complete", "type" : "summary", "measure" : "http://hl7.org/fhir/uv/cqm/Measure/EXM130-FHIR|8.0.000", "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" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.linkId", "valueString" : "group-1" }], "code" : { "coding" : [{ "system" : "http://example.org/fhir/", "code" : "group-1", "display" : "group-1" }] }, "population" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId", "valueString" : "initial-population" }], "code" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-population", "code" : "initial-population", "display" : "Initial Population" }] }, "count" : 100 }, { "extension" : [{ "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId", "valueString" : "numerator" }], "code" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-population", "code" : "numerator", "display" : "Numerator" }] }, "count" : 60 }, { "extension" : [{ "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId", "valueString" : "denominator" }], "code" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-population", "code" : "denominator", "display" : "Denominator" }] }, "count" : 100 }, { "extension" : [{ "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId", "valueString" : "denominator-exclusion" }], "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/uv/deqm/StructureDefinition/deqm-summarymeasurereport"] }, "language" : "en", "text" : { "status" : "extensions", "div" : "

Generated Narrative: MeasureReport

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

Profile: DEQM Summary MeasureReport Profile

DEQM Measure Scoring Extension: Proportion

status: Complete

type: Summary

measure: MRP Measure version: 1.0.0-ballot

date: 2018-09-05 16:59:52+0000

reporter: Organization DaVinciHospital01

period: 2018-08-01 --> 2018-09-01

improvementNotation: Increased score indicates improvement

group

Extension Definition for MeasureReport.group.linkId for Version 5.0: mpr-group

code: MRP Group

population

Extension Definition for MeasureReport.group.population.linkId for Version 5.0: initial-population

code: Initial Population

count: 100

population

Extension Definition for MeasureReport.group.population.linkId for Version 5.0: numerator

code: Numerator

count: 80

population

Extension Definition for MeasureReport.group.population.linkId for Version 5.0: denominator

code: Denominator

count: 100

measureScore: 0.8

" }, "extension" : [{ "url" : "http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-measureScoring", "valueCodeableConcept" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-scoring", "code" : "proportion" }] } }], "status" : "complete", "type" : "summary", "measure" : "http://hl7.org/fhir/uv/deqm/Measure/measure-mrp-example|1.0.0-ballot", "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" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.linkId", "valueString" : "mpr-group" }], "code" : { "coding" : [{ "system" : "http://example.org/fhir/", "code" : "mrp-group", "display" : "MRP Group" }], "text" : "MRP Group" }, "population" : [{ "extension" : [{ "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId", "valueString" : "initial-population" }], "code" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-population", "code" : "initial-population", "display" : "Initial Population" }] }, "count" : 100 }, { "extension" : [{ "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId", "valueString" : "numerator" }], "code" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/measure-population", "code" : "numerator", "display" : "Numerator" }] }, "count" : 80 }, { "extension" : [{ "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId", "valueString" : "denominator" }], "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" } }] }