Data Exchange For Quality Measures Implementation Guide
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## : Summ Medicare Stratification Example

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    @prefix fhir: <http://hl7.org/fhir/> .
    @prefix owl: <http://www.w3.org/2002/07/owl#> .
    @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
    @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:l <http://example.org/fhir/server>     ] ;
        ( fhir:profile [
    fhir:v "http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-summarymeasurereport"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-summarymeasurereport>     ] )
      ] ; #
      fhir:language [ fhir:v "en"] ; #
      fhir:text [
    fhir:status [ fhir:v "extensions" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en\" lang=\"en\"><p class=\"res-header-id\"><b>Generated Narrative: MeasureReport summ-medicare-stratification-example</b></p><a name=\"summ-medicare-stratification-example\"> </a><a name=\"hcsumm-medicare-stratification-example\"> </a><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\">Language: en; </p><p style=\"margin-bottom: 0px\">Information Source: <a href=\"http://example.org/fhir/server\">http://example.org/fhir/server</a></p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-deqm-summarymeasurereport.html\">DEQM Summary MeasureReport Profile</a></p></div><p><b>DEQM Measure Scoring Extension</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-scoring proportion}\">Proportion</span></p><p><b>status</b>: Complete</p><p><b>type</b>: Summary</p><p><b>measure</b>: <a href=\"http://hl7.org/fhir/uv/cqm/2026May/Measure-EXM55-FHIR.html\">EXM55 - Median Emergency Department Visit Duration</a> version: 5.0.0</p><p><b>date</b>: 2018-09-05 16:59:52+0000</p><p><b>reporter</b>: <a href=\"Organization-organization01.html\">Organization DaVinciHospital01</a></p><p><b>period</b>: 2018-01-01 --&gt; 2018-12-31</p><p><b>improvementNotation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-improvement-notation increase}\">Increased score indicates improvement</span></p><blockquote><p><b>group</b></p><p><b>Extension Definition for MeasureReport.group.linkId for Version 5.0</b>: group-1</p><blockquote><p><b>population</b></p><p><b>Extension Definition for MeasureReport.group.population.linkId for Version 5.0</b>: initial-population</p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}\">Initial Population</span></p><p><b>count</b>: 10000</p></blockquote><blockquote><p><b>population</b></p><p><b>Extension Definition for MeasureReport.group.population.linkId for Version 5.0</b>: measure-population</p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population measure-population}\">Measure Population</span></p><p><b>count</b>: 8000</p></blockquote><blockquote><p><b>population</b></p><p><b>Extension Definition for MeasureReport.group.population.linkId for Version 5.0</b>: measure-population-exclusion</p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population measure-population-exclusion}\">Measure Population Exclusion</span></p><p><b>count</b>: 4000</p></blockquote><p><b>measureScore</b>: 0.5</p><blockquote><p><b>stratifier</b></p><p><b>Extension Definition for MeasureReport.group.stratifier.linkId for Version 5.0</b>: Stratification 1</p><p><b>code</b>: <span title=\"Codes:{http://example.org/stratification Stratification 1}\">Stratification 1</span></p><blockquote><p><b>stratum</b></p><p><b>value</b>: <span title=\"Codes:{http://example.org/stratification true}\">true</span></p><blockquote><p><b>population</b></p><p><b>Extension Definition for MeasureReport.group.stratifier.stratum.population.linkId for Version 5.0</b>: initial-population</p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}\">Initial Population</span></p><p><b>count</b>: 1747</p></blockquote><blockquote><p><b>population</b></p><p><b>Extension Definition for MeasureReport.group.stratifier.stratum.population.linkId for Version 5.0</b>: denominator</p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population denominator}\">Denominator</span></p><p><b>count</b>: 392</p></blockquote><blockquote><p><b>population</b></p><p><b>Extension Definition for MeasureReport.group.stratifier.stratum.population.linkId for Version 5.0</b>: numerator</p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population numerator}\">Numerator</span></p><p><b>count</b>: 243</p></blockquote><p><b>measureScore</b>: 0.699</p></blockquote></blockquote><blockquote><p><b>stratifier</b></p><blockquote><p><b>id</b></p>Stratification 2</blockquote><p><b>Extension Definition for MeasureReport.group.stratifier.linkId for Version 5.0</b>: Stratification 2</p><p><b>code</b>: <span title=\"Codes:{http://example.org/stratification Stratification 2}\">Stratification 2</span></p><blockquote><p><b>stratum</b></p><p><b>value</b>: <span title=\"Codes:{http://example.org/CodeSystem/SOP MEDICARE}\">Medicare</span></p><blockquote><p><b>population</b></p><p><b>Extension Definition for MeasureReport.group.stratifier.stratum.population.linkId for Version 5.0</b>: initial-population</p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}\">Initial Population</span></p><p><b>count</b>: 745</p></blockquote><blockquote><p><b>population</b></p><p><b>Extension Definition for MeasureReport.group.stratifier.stratum.population.linkId for Version 5.0</b>: denominator</p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population denominator}\">Denominator</span></p><p><b>count</b>: 150</p></blockquote><blockquote><p><b>population</b></p><p><b>Extension Definition for MeasureReport.group.stratifier.stratum.population.linkId for Version 5.0</b>: numerator</p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population numerator}\">Numerator</span></p><p><b>count</b>: 103</p></blockquote><p><b>measureScore</b>: 0.6867</p></blockquote></blockquote><blockquote><p><b>stratifier</b></p><blockquote><p><b>id</b></p>Stratification 3</blockquote><p><b>Extension Definition for MeasureReport.group.stratifier.linkId for Version 5.0</b>: Stratification 3</p><p><b>code</b>: <span title=\"Codes:{http://example.org/stratification Stratification 3}\">Stratification 3</span></p><h3>Strata</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://example.org/CodeSystem/medicare-subgroup Non-LIS/DE,Nondisability}\">Non-LIS/DE,Nondisability</span></td></tr></table></blockquote></blockquote></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:extension ( [
    fhir:url [
    fhir:v "http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-measureScoring"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-measureScoring>     ] ;
    fhir:value [
    a fhir:CodeableConcept ;
          ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/measure-scoring"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/measure-scoring>         ] ;
    fhir:code [ fhir:v "proportion" ]       ] )     ]
      ] ) ; #
      fhir:status [ fhir:v "complete"] ; #
      fhir:type [ fhir:v "summary"] ; #
      fhir:measure [
    fhir:v "http://hl7.org/fhir/uv/cqm/Measure/EXM55-FHIR|5.0.0"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/uv/cqm/Measure/EXM55-FHIR?version=5.0.0>
      ] ; #
      fhir:date [ fhir:v "2018-09-05T16:59:52.404Z"^^xsd:dateTime] ; #
      fhir:reporter [
    fhir:l fhir:Organization/organization01 ;
    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:l <http://terminology.hl7.org/CodeSystem/measure-improvement-notation>       ] ;
    fhir:code [ fhir:v "increase" ] ;
    fhir:display [ fhir:v "Increased score indicates improvement" ]     ] )
      ] ; #
      fhir:group ( [
        ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.linkId"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.linkId>       ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "group-1"       ]     ] ) ;
        ( fhir:population [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId>         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "initial-population"         ]       ] ) ;
    fhir:code [
            ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/measure-population>           ] ;
    fhir:code [ fhir:v "initial-population" ]         ] )       ] ;
    fhir:count [ fhir:v 10000 ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId>         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "measure-population"         ]       ] ) ;
    fhir:code [
            ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/measure-population>           ] ;
    fhir:code [ fhir:v "measure-population" ]         ] )       ] ;
    fhir:count [ fhir:v 8000 ]     ] [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId>         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "measure-population-exclusion"         ]       ] ) ;
    fhir:code [
            ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/measure-population>           ] ;
    fhir:code [ fhir:v "measure-population-exclusion" ]         ] )       ] ;
    fhir:count [ fhir:v 4000 ]     ] ) ;
    fhir:measureScore [
    fhir:value [ fhir:v 0.5 ]     ] ;
        ( fhir:stratifier [
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.stratifier.linkId"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.stratifier.linkId>         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Stratification 1"         ]       ] ) ;
          ( fhir:code [
            ( fhir:coding [
    fhir:system [
    fhir:v "http://example.org/stratification"^^xsd:anyURI ;
    fhir:l <http://example.org/stratification>           ] ;
    fhir:code [ fhir:v "Stratification 1" ] ;
    fhir:display [ fhir:v "Stratification 1" ]         ] )       ] ) ;
          ( fhir:stratum [
    fhir:value [
              ( fhir:coding [
    fhir:system [
    fhir:v "http://example.org/stratification"^^xsd:anyURI ;
    fhir:l <http://example.org/stratification>             ] ;
    fhir:code [ fhir:v "true" ]           ] )         ] ;
            ( fhir:population [
              ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.stratifier.stratum.population.linkId"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.stratifier.stratum.population.linkId>             ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "initial-population"             ]           ] ) ;
    fhir:code [
                ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/measure-population>               ] ;
    fhir:code [ fhir:v "initial-population" ]             ] )           ] ;
    fhir:count [ fhir:v 1747 ]         ] [
              ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.stratifier.stratum.population.linkId"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.stratifier.stratum.population.linkId>             ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "denominator"             ]           ] ) ;
    fhir:code [
                ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/measure-population>               ] ;
    fhir:code [ fhir:v "denominator" ]             ] )           ] ;
    fhir:count [ fhir:v 392 ]         ] [
              ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.stratifier.stratum.population.linkId"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.stratifier.stratum.population.linkId>             ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "numerator"             ]           ] ) ;
    fhir:code [
                ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/measure-population>               ] ;
    fhir:code [ fhir:v "numerator" ]             ] )           ] ;
    fhir:count [ fhir:v 243 ]         ] ) ;
    fhir:measureScore [
    fhir:value [ fhir:v 0.699 ]         ]       ] )     ] [
    fhir:id [ fhir:v "Stratification 2" ] ;
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.stratifier.linkId"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.stratifier.linkId>         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Stratification 2"         ]       ] ) ;
          ( fhir:code [
            ( fhir:coding [
    fhir:system [
    fhir:v "http://example.org/stratification"^^xsd:anyURI ;
    fhir:l <http://example.org/stratification>           ] ;
    fhir:code [ fhir:v "Stratification 2" ] ;
    fhir:display [ fhir:v "Stratification 2" ]         ] )       ] ) ;
          ( fhir:stratum [
    fhir:value [
              ( fhir:coding [
    fhir:system [
    fhir:v "http://example.org/CodeSystem/SOP"^^xsd:anyURI ;
    fhir:l <http://example.org/CodeSystem/SOP>             ] ;
    fhir:code [ fhir:v "MEDICARE" ] ;
    fhir:display [ fhir:v "Medicare" ]           ] )         ] ;
            ( fhir:population [
              ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.stratifier.stratum.population.linkId"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.stratifier.stratum.population.linkId>             ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "initial-population"             ]           ] ) ;
    fhir:code [
                ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/measure-population>               ] ;
    fhir:code [ fhir:v "initial-population" ]             ] )           ] ;
    fhir:count [ fhir:v 745 ]         ] [
              ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.stratifier.stratum.population.linkId"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.stratifier.stratum.population.linkId>             ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "denominator"             ]           ] ) ;
    fhir:code [
                ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/measure-population>               ] ;
    fhir:code [ fhir:v "denominator" ]             ] )           ] ;
    fhir:count [ fhir:v 150 ]         ] [
              ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.stratifier.stratum.population.linkId"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.stratifier.stratum.population.linkId>             ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "numerator"             ]           ] ) ;
    fhir:code [
                ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/measure-population"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/measure-population>               ] ;
    fhir:code [ fhir:v "numerator" ]             ] )           ] ;
    fhir:count [ fhir:v 103 ]         ] ) ;
    fhir:measureScore [
    fhir:value [ fhir:v 0.6867 ]         ]       ] )     ] [
    fhir:id [ fhir:v "Stratification 3" ] ;
          ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.stratifier.linkId"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.stratifier.linkId>         ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "Stratification 3"         ]       ] ) ;
          ( fhir:code [
            ( fhir:coding [
    fhir:system [
    fhir:v "http://example.org/stratification"^^xsd:anyURI ;
    fhir:l <http://example.org/stratification>           ] ;
    fhir:code [ fhir:v "Stratification 3" ] ;
    fhir:display [ fhir:v "Stratification 3" ]         ] )       ] ) ;
          ( fhir:stratum [
    fhir:value [
              ( fhir:coding [
    fhir:system [
    fhir:v "http://example.org/CodeSystem/medicare-subgroup"^^xsd:anyURI ;
    fhir:l <http://example.org/CodeSystem/medicare-subgroup>             ] ;
    fhir:code [ fhir:v "Non-LIS/DE,Nondisability" ] ;
    fhir:display [ fhir:v "Non-LIS/DE,Nondisability" ]           ] )         ]       ] )     ] )
      ] ) . #