# Summ Medicare Stratification Example - Data Exchange For Quality Measures Implementation Guide v1.0.0-ballot

## Example MeasureReport: Summ Medicare Stratification Example

Language: en; 

Information Source: [http://example.org/fhir/server](http://example.org/fhir/server)

Profile: [DEQM Summary MeasureReport Profile](StructureDefinition-deqm-summarymeasurereport.md)

**DEQM Measure Scoring Extension**: Proportion

**status**: Complete

**type**: Summary

**measure**: [EXM55 - Median Emergency Department Visit Duration](http://hl7.org/fhir/uv/cqm/2026May/Measure-EXM55-FHIR.html) version: 5.0.0

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

**reporter**: [Organization DaVinciHospital01](Organization-organization01.md)

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

**improvementNotation**: Increased score indicates improvement

> **group****Extension Definition for MeasureReport.group.linkId for Version 5.0**: group-1
> **population****Extension Definition for MeasureReport.group.population.linkId for Version 5.0**: initial-population**code**: Initial Population**count**: 10000

> **population****Extension Definition for MeasureReport.group.population.linkId for Version 5.0**: measure-population**code**: Measure Population**count**: 8000

> **population****Extension Definition for MeasureReport.group.population.linkId for Version 5.0**: measure-population-exclusion**code**: Measure Population Exclusion**count**: 4000
**measureScore**: 0.5
> **stratifier****Extension Definition for MeasureReport.group.stratifier.linkId for Version 5.0**: Stratification 1**code**: Stratification 1
> **stratum****value**: true
> **population****Extension Definition for MeasureReport.group.stratifier.stratum.population.linkId for Version 5.0**: initial-population**code**: Initial Population**count**: 1747

> **population****Extension Definition for MeasureReport.group.stratifier.stratum.population.linkId for Version 5.0**: denominator**code**: Denominator**count**: 392

> **population****Extension Definition for MeasureReport.group.stratifier.stratum.population.linkId for Version 5.0**: numerator**code**: Numerator**count**: 243
**measureScore**: 0.699

> **stratifier**
> **id**Stratification 2
**Extension Definition for MeasureReport.group.stratifier.linkId for Version 5.0**: Stratification 2**code**: Stratification 2
> **stratum****value**: Medicare
> **population****Extension Definition for MeasureReport.group.stratifier.stratum.population.linkId for Version 5.0**: initial-population**code**: Initial Population**count**: 745

> **population****Extension Definition for MeasureReport.group.stratifier.stratum.population.linkId for Version 5.0**: denominator**code**: Denominator**count**: 150

> **population****Extension Definition for MeasureReport.group.stratifier.stratum.population.linkId for Version 5.0**: numerator**code**: Numerator**count**: 103
**measureScore**: 0.6867

> **stratifier**
> **id**Stratification 3
**Extension Definition for MeasureReport.group.stratifier.linkId for Version 5.0**: Stratification 3**code**: Stratification 3

### Strata

| | |
| :--- | :--- |
| - | **Value** |
| * | Non-LIS/DE,Nondisability |





## Resource Content

```json
{
  "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",
  "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"
          }]
        }
      }]
    }]
  }]
}

```
