Data Exchange For Quality Measures Implementation Guide
1.0.0-ballot - STU 1 Ballot

Data Exchange For Quality Measures Implementation Guide - Downloaded Version 1.0.0-ballot See the Directory of published versions

## : Multiple Summ Report

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    {
      "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" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"CodeSystem_stratifier\"> </a><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem stratifier</b></p><a name=\"stratifier\"> </a><a name=\"hcstratifier\"> </a><p><b>url</b>: <a href=\"Bundle-multiple-summ-report.html\">http://example.org/CodeSystem/stratifier</a></p><p><b>version</b>: 1.0.0</p><p><b>name</b>: StratifierCodes</p><p><b>title</b>: StratifierCodes</p><p><b>status</b>: Active</p><p><b>experimental</b>: true</p><p><b>description</b>: </p><div><p>Example code system representing stratifiers of a measure</p>\n</div><p><b>caseSensitive</b>: true</p><p><b>content</b>: Complete</p><blockquote><p><b>concept</b></p><p><b>code</b>: S1</p><p><b>display</b>: Stratifier 1</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: S2</p><p><b>display</b>: Stratifier 2</p></blockquote><blockquote><p><b>concept</b></p><p><b>code</b>: S3</p><p><b>display</b>: Stratifier 3</p></blockquote></div>"
            },
            "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" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MeasureReport_summ-medicare-stratification-example\"> </a><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\"/><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>"
            },
            "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" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_null\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization </b></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\">version: 4; Last updated: 2019-02-21 01:47:54+0000; </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=\"http://hl7.org/fhir/us/qicore/STU7.0.1/StructureDefinition-qicore-organization.html\">QICore Organization</a></p></div><p><b>identifier</b>: Tax ID number/123456789\u00a0(use:\u00a0official,\u00a0)</p><p><b>active</b>: true</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span></p><p><b>name</b>: DaVinciHospital01</p><p><b>telecom</b>: ph: (+1) 401-555-1212</p><p><b>address</b>: 73 Lakewood Street Warwick RI 02886 USA </p></div>"
            },
            "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" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MeasureReport_null\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MeasureReport </b></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\"/><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-EXM130-FHIR.html\">EXM130 - Colorectal Cancer Screening Measure</a> version: 8.0.000</p><p><b>date</b>: 2019-09-05 16:59:52+0000</p><p><b>reporter</b>: <a href=\"Bundle-multiple-summ-report.html#urn-uuid-884cb1a4-b1a0-11ea-b615-a4d18ccf5172\">Organization DaVinciHospital01</a></p><p><b>period</b>: 2019-08-01 --&gt; 2019-09-01</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><p><b>code</b>: <span title=\"Codes:{http://example.org/fhir/ group-1}\">group-1</span></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>: 100</p></blockquote><blockquote><p><b>population</b></p><p><b>Extension Definition for MeasureReport.group.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>: 60</p></blockquote><blockquote><p><b>population</b></p><p><b>Extension Definition for MeasureReport.group.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>: 100</p></blockquote><blockquote><p><b>population</b></p><p><b>Extension Definition for MeasureReport.group.population.linkId for Version 5.0</b>: denominator-exclusion</p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population denominator-exclusion}\">Denominator Exclusion</span></p><p><b>count</b>: 10</p></blockquote><p><b>measureScore</b>: 0.66</p></blockquote></div>"
            },
            "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" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MeasureReport_null\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MeasureReport </b></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\"/><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=\"Measure-measure-mrp-example.html\">MRP Measure</a> version: 1.0.0-ballot</p><p><b>date</b>: 2018-09-05 16:59:52+0000</p><p><b>reporter</b>: <a href=\"Bundle-multiple-summ-report.html#urn-uuid-884cb1a4-b1a0-11ea-b615-a4d18ccf5172\">Organization DaVinciHospital01</a></p><p><b>period</b>: 2018-08-01 --&gt; 2018-09-01</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>: mpr-group</p><p><b>code</b>: <span title=\"Codes:{http://example.org/fhir/ mrp-group}\">MRP Group</span></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>: 100</p></blockquote><blockquote><p><b>population</b></p><p><b>Extension Definition for MeasureReport.group.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>: 80</p></blockquote><blockquote><p><b>population</b></p><p><b>Extension Definition for MeasureReport.group.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>: 100</p></blockquote><p><b>measureScore</b>: 0.8</p></blockquote></div>"
            },
            "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"
          }
        }
      ]
    }