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

Raw xml | Download

    <Bundle xmlns="http://hl7.org/fhir">
      <id value="multiple-summ-report"/>
      <meta>
        <source value="http://example.org/fhir/server"/>
      </meta>
      <language value="en"/>
      <type value="transaction"/>
      <timestamp value="2020-06-18T20:16:02.653993Z"/>
      <entry>
        <fullUrl value="http://example.org/CodeSystem/stratifier"/>
        <resource>
          <CodeSystem>
            <id value="stratifier"/>
            <language value="en"/>
            <text>
              <status value="generated"/>
              <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>
    </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>
            </text>
            <url value="http://example.org/CodeSystem/stratifier"/>
            <version value="1.0.0"/>
            <name value="StratifierCodes"/>
            <title value="StratifierCodes"/>
            <status value="active"/>
            <experimental value="true"/>
            <description
                         value="Example code system representing stratifiers of a measure"/>
            <caseSensitive value="true"/>
            <content value="complete"/>
            <concept>
              <code value="S1"/>
              <display value="Stratifier 1"/>
            </concept>
            <concept>
              <code value="S2"/>
              <display value="Stratifier 2"/>
            </concept>
            <concept>
              <code value="S3"/>
              <display value="Stratifier 3"/>
            </concept>
          </CodeSystem>
        </resource>
        <request>
          <method value="POST"/>
          <url value="CodeSystem"/>
        </request>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:884bd27a-b1a0-11ea-b615-a4d18ccf5172"/>
        <resource>
          <MeasureReport>
            <id value="summ-medicare-stratification-example"/>
            <meta>
              <source value="http://example.org/fhir/server"/>
              <profile
                       value="http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-summarymeasurereport"/>
            </meta>
            <language value="en"/>
            <text>
              <status value="extensions"/>
              <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>
            </text>
            <extension
                       url="http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-measureScoring">
              <valueCodeableConcept>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
                  <code value="proportion"/>
                </coding>
              </valueCodeableConcept>
            </extension>
            <status value="complete"/>
            <type value="summary"/>
            <measure value="http://hl7.org/fhir/uv/cqm/Measure/EXM55-FHIR|5.0.0"/>
            <date value="2018-09-05T16:59:52.404Z"/>
            <reporter>🔗
              <reference value="Organization/organization01"/>
            </reporter>
            <period>
              <start value="2018-01-01"/>
              <end value="2018-12-31"/>
            </period>
            <improvementNotation>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
                <code value="increase"/>
                <display value="Increased score indicates improvement"/>
              </coding>
            </improvementNotation>
            <group>
              <extension
                         url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.linkId">
                <valueString value="group-1"/>
              </extension>
              <population>
                <extension
                           url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId">
                  <valueString value="initial-population"/>
                </extension>
                <code>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                    <code value="initial-population"/>
                  </coding>
                </code>
                <count value="10000"/>
              </population>
              <population>
                <extension
                           url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId">
                  <valueString value="measure-population"/>
                </extension>
                <code>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                    <code value="measure-population"/>
                  </coding>
                </code>
                <count value="8000"/>
              </population>
              <population>
                <extension
                           url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId">
                  <valueString value="measure-population-exclusion"/>
                </extension>
                <code>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                    <code value="measure-population-exclusion"/>
                  </coding>
                </code>
                <count value="4000"/>
              </population>
              <measureScore>
                <value value="0.5"/>
              </measureScore>
              <stratifier>
                <extension
                           url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.stratifier.linkId">
                  <valueString value="Stratification 1"/>
                </extension>
                <code>
                  <coding>
                    <system value="http://example.org/stratification"/>
                    <code value="Stratification 1"/>
                    <display value="Stratification 1"/>
                  </coding>
                </code>
                <stratum>
                  <value>
                    <coding>
                      <system value="http://example.org/stratification"/>
                      <code value="true"/>
                    </coding>
                  </value>
                  <population>
                    <extension
                               url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.stratifier.stratum.population.linkId">
                      <valueString value="initial-population"/>
                    </extension>
                    <code>
                      <coding>
                        <system
                                value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                        <code value="initial-population"/>
                      </coding>
                    </code>
                    <count value="1747"/>
                  </population>
                  <population>
                    <extension
                               url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.stratifier.stratum.population.linkId">
                      <valueString value="denominator"/>
                    </extension>
                    <code>
                      <coding>
                        <system
                                value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                        <code value="denominator"/>
                      </coding>
                    </code>
                    <count value="392"/>
                  </population>
                  <population>
                    <extension
                               url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.stratifier.stratum.population.linkId">
                      <valueString value="numerator"/>
                    </extension>
                    <code>
                      <coding>
                        <system
                                value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                        <code value="numerator"/>
                      </coding>
                    </code>
                    <count value="243"/>
                  </population>
                  <measureScore>
                    <value value="0.699"/>
                  </measureScore>
                </stratum>
              </stratifier>
              <stratifier id="Stratification 2">
                <extension
                           url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.stratifier.linkId">
                  <valueString value="Stratification 2"/>
                </extension>
                <code>
                  <coding>
                    <system value="http://example.org/stratification"/>
                    <code value="Stratification 2"/>
                    <display value="Stratification 2"/>
                  </coding>
                </code>
                <stratum>
                  <value>
                    <coding>
                      <system value="http://example.org/CodeSystem/SOP"/>
                      <code value="MEDICARE"/>
                      <display value="Medicare"/>
                    </coding>
                  </value>
                  <population>
                    <extension
                               url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.stratifier.stratum.population.linkId">
                      <valueString value="initial-population"/>
                    </extension>
                    <code>
                      <coding>
                        <system
                                value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                        <code value="initial-population"/>
                      </coding>
                    </code>
                    <count value="745"/>
                  </population>
                  <population>
                    <extension
                               url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.stratifier.stratum.population.linkId">
                      <valueString value="denominator"/>
                    </extension>
                    <code>
                      <coding>
                        <system
                                value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                        <code value="denominator"/>
                      </coding>
                    </code>
                    <count value="150"/>
                  </population>
                  <population>
                    <extension
                               url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.stratifier.stratum.population.linkId">
                      <valueString value="numerator"/>
                    </extension>
                    <code>
                      <coding>
                        <system
                                value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                        <code value="numerator"/>
                      </coding>
                    </code>
                    <count value="103"/>
                  </population>
                  <measureScore>
                    <value value="0.6867"/>
                  </measureScore>
                </stratum>
              </stratifier>
              <stratifier id="Stratification 3">
                <extension
                           url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.stratifier.linkId">
                  <valueString value="Stratification 3"/>
                </extension>
                <code>
                  <coding>
                    <system value="http://example.org/stratification"/>
                    <code value="Stratification 3"/>
                    <display value="Stratification 3"/>
                  </coding>
                </code>
                <stratum>
                  <value>
                    <coding>
                      <system
                              value="http://example.org/CodeSystem/medicare-subgroup"/>
                      <code value="Non-LIS/DE,Nondisability"/>
                      <display value="Non-LIS/DE,Nondisability"/>
                    </coding>
                  </value>
                </stratum>
              </stratifier>
            </group>
          </MeasureReport>
        </resource>
        <request>
          <method value="POST"/>
          <url value="MeasureReport"/>
        </request>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:884cb1a4-b1a0-11ea-b615-a4d18ccf5172"/>
        <resource>
          <Organization>
            <meta>
              <versionId value="4"/>
              <lastUpdated value="2019-02-21T01:47:54.000+00:00"/>
              <source value="http://example.org/fhir/server"/>
              <profile
                       value="http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization"/>
            </meta>
            <language value="en"/>
            <text>
              <status value="generated"/>
              <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 (use: official, )</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>
            </text>
            <identifier>
              <use value="official"/>
              <type>
                <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                  <code value="TAX"/>
                  <display value="Tax ID number"/>
                </coding>
              </type>
              <system value="urn:oid:2.16.840.1.113883.4.4"/>
              <value value="123456789"/>
              <assigner>
                <display value="www.irs.gov"/>
              </assigner>
            </identifier>
            <active value="true"/>
            <type>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/organization-type"/>
                <code value="prov"/>
                <display value="Healthcare Provider"/>
              </coding>
            </type>
            <name value="DaVinciHospital01"/>
            <telecom>
              <system value="phone"/>
              <value value="(+1) 401-555-1212"/>
            </telecom>
            <address>
              <line value="73 Lakewood Street"/>
              <city value="Warwick"/>
              <state value="RI"/>
              <postalCode value="02886"/>
              <country value="USA"/>
            </address>
          </Organization>
        </resource>
        <request>
          <method value="POST"/>
          <url value="Organization"/>
        </request>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:884cd4e0-b1a0-11ea-b615-a4d18ccf5172"/>
        <resource>
          <MeasureReport>
            <meta>
              <source value="http://example.org/fhir/server"/>
              <profile
                       value="http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-summarymeasurereport"/>
            </meta>
            <language value="en"/>
            <text>
              <status value="extensions"/>
              <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>
            </text>
            <extension
                       url="http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-measureScoring">
              <valueCodeableConcept>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
                  <code value="proportion"/>
                </coding>
              </valueCodeableConcept>
            </extension>
            <status value="complete"/>
            <type value="summary"/>
            <measure
                     value="http://hl7.org/fhir/uv/cqm/Measure/EXM130-FHIR|8.0.000"/>
            <date value="2019-09-05T16:59:52.404Z"/>
            <reporter>
              <reference value="urn:uuid:884cb1a4-b1a0-11ea-b615-a4d18ccf5172"/>
            </reporter>
            <period>
              <start value="2019-08-01"/>
              <end value="2019-09-01"/>
            </period>
            <improvementNotation>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
                <code value="increase"/>
                <display value="Increased score indicates improvement"/>
              </coding>
            </improvementNotation>
            <group>
              <extension
                         url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.linkId">
                <valueString value="group-1"/>
              </extension>
              <code>
                <coding>
                  <system value="http://example.org/fhir/"/>
                  <code value="group-1"/>
                  <display value="group-1"/>
                </coding>
              </code>
              <population>
                <extension
                           url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId">
                  <valueString value="initial-population"/>
                </extension>
                <code>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                    <code value="initial-population"/>
                    <display value="Initial Population"/>
                  </coding>
                </code>
                <count value="100"/>
              </population>
              <population>
                <extension
                           url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId">
                  <valueString value="numerator"/>
                </extension>
                <code>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                    <code value="numerator"/>
                    <display value="Numerator"/>
                  </coding>
                </code>
                <count value="60"/>
              </population>
              <population>
                <extension
                           url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId">
                  <valueString value="denominator"/>
                </extension>
                <code>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                    <code value="denominator"/>
                    <display value="Denominator"/>
                  </coding>
                </code>
                <count value="100"/>
              </population>
              <population>
                <extension
                           url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId">
                  <valueString value="denominator-exclusion"/>
                </extension>
                <code>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                    <code value="denominator-exclusion"/>
                    <display value="Denominator Exclusion"/>
                  </coding>
                </code>
                <count value="10"/>
              </population>
              <measureScore>
                <value value="0.66"/>
              </measureScore>
            </group>
          </MeasureReport>
        </resource>
        <request>
          <method value="POST"/>
          <url value="MeasureReport"/>
        </request>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:884ec872-b1a0-11ea-b615-a4d18ccf5172"/>
        <resource>
          <MeasureReport>
            <meta>
              <source value="http://example.org/fhir/server"/>
              <profile
                       value="http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-summarymeasurereport"/>
            </meta>
            <language value="en"/>
            <text>
              <status value="extensions"/>
              <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>
            </text>
            <extension
                       url="http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-measureScoring">
              <valueCodeableConcept>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
                  <code value="proportion"/>
                </coding>
              </valueCodeableConcept>
            </extension>
            <status value="complete"/>
            <type value="summary"/>
            <measure
                     value="http://hl7.org/fhir/uv/deqm/Measure/measure-mrp-example|1.0.0-ballot"/>
            <date value="2018-09-05T16:59:52.404Z"/>
            <reporter>
              <reference value="urn:uuid:884cb1a4-b1a0-11ea-b615-a4d18ccf5172"/>
            </reporter>
            <period>
              <start value="2018-08-01"/>
              <end value="2018-09-01"/>
            </period>
            <improvementNotation>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
                <code value="increase"/>
                <display value="Increased score indicates improvement"/>
              </coding>
            </improvementNotation>
            <group>
              <extension
                         url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.linkId">
                <valueString value="mpr-group"/>
              </extension>
              <code>
                <coding>
                  <system value="http://example.org/fhir/"/>
                  <code value="mrp-group"/>
                  <display value="MRP Group"/>
                </coding>
                <text value="MRP Group"/>
              </code>
              <population>
                <extension
                           url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId">
                  <valueString value="initial-population"/>
                </extension>
                <code>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                    <code value="initial-population"/>
                    <display value="Initial Population"/>
                  </coding>
                </code>
                <count value="100"/>
              </population>
              <population>
                <extension
                           url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId">
                  <valueString value="numerator"/>
                </extension>
                <code>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                    <code value="numerator"/>
                    <display value="Numerator"/>
                  </coding>
                </code>
                <count value="80"/>
              </population>
              <population>
                <extension
                           url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId">
                  <valueString value="denominator"/>
                </extension>
                <code>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                    <code value="denominator"/>
                    <display value="Denominator"/>
                  </coding>
                </code>
                <count value="100"/>
              </population>
              <measureScore>
                <value value="0.8"/>
              </measureScore>
            </group>
          </MeasureReport>
        </resource>
        <request>
          <method value="POST"/>
          <url value="MeasureReport"/>
        </request>
      </entry>
    </Bundle>