Data Exchange For Quality Measures Implementation Guide
4.0.0 - STU4 United States of America flag

Data Exchange For Quality Measures Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 4.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-deqm/ and changes regularly. See the Directory of published versions

: Multiple Summ Report - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="multiple-summ-report"/>
  <meta>
    <source value="http://example.org/fhir/server"/>
  </meta>
  <type value="transaction"/>
  <timestamp value="2020-06-18T20:16:02.653993Z"/>
  <entry>
    <fullUrl value="urn:uuid:884bd27a-b1a0-11ea-b615-a4d18ccf5172"/>
    <resource>
      <MeasureReport>
        <meta>
          <source value="http://example.org/fhir/server"/>
        </meta>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><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">Information Source: http://example.org/fhir/server!</p></div><p><b>DEQM Measure Scoring Extension</b>: Proportion <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-measure-scoring.html">MeasureScoring</a>#proportion)</span></p><p><b>status</b>: complete</p><p><b>type</b>: summary</p><p><b>measure</b>: <a href="http://example.org/fhir/Measure/measure-medicare-stratification-example">http://example.org/fhir/Measure/measure-medicare-stratification-example</a></p><p><b>period</b>: 2018-01-01 --&gt; 2018-12-31</p><p><b>improvementNotation</b>: Increased score indicates improvement <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-measure-improvement-notation.html">MeasureImprovementNotation</a>#increase)</span></p><blockquote><p><b>group</b></p><blockquote><p><b>population</b></p><p><b>code</b>: Initial Population <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#initial-population)</span></p><p><b>count</b>: 10000</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#denominator)</span></p><p><b>count</b>: 8000</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Numerator <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#numerator)</span></p><p><b>count</b>: 4000</p></blockquote><p><b>measureScore</b>: 0.50</p><blockquote><p><b>stratifier</b></p><p><b>code</b>: Coverage Type <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (stratifier-classifications#CoverageType)</span></p><blockquote><p><b>stratum</b></p><p><b>value</b>: Medicare <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (SOP#MEDICARE)</span></p><blockquote><p><b>population</b></p><p><b>code</b>: Initial Population <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#initial-population)</span></p><p><b>count</b>: 1747</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#denominator)</span></p><p><b>count</b>: 392</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Numerator <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#numerator)</span></p><p><b>count</b>: 243</p></blockquote><p><b>measureScore</b>: 0.62</p></blockquote></blockquote><blockquote><p><b>stratifier</b></p><p><b>code</b>: Coverage Type and Class <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (stratifier-classifications#CoverageTypeAndClass)</span></p><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Coverage Type <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (stratifier-classifications#CoverageType)</span></p><p><b>value</b>: Medicare <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (SOP#MEDICARE)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Coverage Class <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (stratifier-classifications#CoverageClass)</span></p><p><b>value</b>: Non-LIS/DE,Nondisability <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (medicare-subgroup#Non-LIS/DE,Nondisability)</span></p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Initial Population <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#initial-population)</span></p><p><b>count</b>: 745</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#denominator)</span></p><p><b>count</b>: 150</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Numerator <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#numerator)</span></p><p><b>count</b>: 103</p></blockquote><p><b>measureScore</b>: 0.69</p></blockquote></blockquote></blockquote></div>
        </text>
        <extension
                   url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-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://example.org/fhir/Measure/measure-medicare-stratification-example"/>
        <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>
          <population>
            <code>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                <code value="initial-population"/>
              </coding>
            </code>
            <count value="10000"/>
          </population>
          <population>
            <code>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                <code value="denominator"/>
              </coding>
            </code>
            <count value="8000"/>
          </population>
          <population>
            <code>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                <code value="numerator"/>
              </coding>
            </code>
            <count value="4000"/>
          </population>
          <measureScore>
            <value value="0.50"/>
          </measureScore>
          <stratifier>
            <code>
              <coding>
                <system
                        value="http://example.org/CodeSystem/stratifier-classifications"/>
                <code value="CoverageType"/>
                <display value="Coverage Type"/>
              </coding>
            </code>
            <stratum>
              <value>
                <coding>
                  <system value="http://example.org/CodeSystem/SOP"/>
                  <code value="MEDICARE"/>
                  <display value="Medicare"/>
                </coding>
              </value>
              <population>
                <code>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                    <code value="initial-population"/>
                  </coding>
                </code>
                <count value="1747"/>
              </population>
              <population>
                <code>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                    <code value="denominator"/>
                  </coding>
                </code>
                <count value="392"/>
              </population>
              <population>
                <code>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                    <code value="numerator"/>
                  </coding>
                </code>
                <count value="243"/>
              </population>
              <measureScore>
                <value value="0.62"/>
              </measureScore>
            </stratum>
          </stratifier>
          <stratifier>
            <code>
              <coding>
                <system
                        value="http://example.org/CodeSystem/stratifier-classifications"/>
                <code value="CoverageTypeAndClass"/>
                <display value="Coverage Type and Class"/>
              </coding>
            </code>
            <stratum>
              <component>
                <code>
                  <coding>
                    <system
                            value="http://example.org/CodeSystem/stratifier-classifications"/>
                    <code value="CoverageType"/>
                    <display value="Coverage Type"/>
                  </coding>
                </code>
                <value>
                  <coding>
                    <system value="http://example.org/CodeSystem/SOP"/>
                    <code value="MEDICARE"/>
                    <display value="Medicare"/>
                  </coding>
                </value>
              </component>
              <component>
                <code>
                  <coding>
                    <system
                            value="http://example.org/CodeSystem/stratifier-classifications"/>
                    <code value="CoverageClass"/>
                    <display value="Coverage Class"/>
                  </coding>
                </code>
                <value>
                  <coding>
                    <system
                            value="http://example.org/CodeSystem/medicare-subgroup"/>
                    <code value="Non-LIS/DE,Nondisability"/>
                    <display value="Non-LIS/DE,Nondisability"/>
                  </coding>
                </value>
              </component>
              <population>
                <code>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                    <code value="initial-population"/>
                  </coding>
                </code>
                <count value="745"/>
              </population>
              <population>
                <code>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                    <code value="denominator"/>
                  </coding>
                </code>
                <count value="150"/>
              </population>
              <population>
                <code>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                    <code value="numerator"/>
                  </coding>
                </code>
                <count value="103"/>
              </population>
              <measureScore>
                <value value="0.69"/>
              </measureScore>
            </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>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><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">Resource Organization Version &quot;4&quot; Updated &quot;2019-02-21 01:47:54+0000&quot; </p><p style="margin-bottom: 0px">Information Source: http://example.org/fhir/server!</p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/qicore/STU5/StructureDefinition-qicore-organization.html">QICore Organization</a></p></div><p><b>identifier</b>: Tax ID number: <a href="http://terminology.hl7.org/5.2.0/NamingSystem-USEIN.html">#</a>123456789 (use: OFFICIAL)</p><p><b>active</b>: true</p><p><b>type</b>: Healthcare Provider <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-organization-type.html">Organization type</a>#prov)</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/us/davinci-deqm/StructureDefinition/summary-measurereport-deqm"/>
        </meta>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><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">Information Source: http://example.org/fhir/server!</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-summary-measurereport-deqm.html">DEQM Summary MeasureReport Profile</a></p></div><p><b>DEQM Measure Scoring Extension</b>: Proportion <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-measure-scoring.html">MeasureScoring</a>#proportion)</span></p><p><b>status</b>: complete</p><p><b>type</b>: summary</p><p><b>measure</b>: <a href="Measure-measure-exm130-example.html">Colorectal Cancer Screening Measure</a></p><p><b>date</b>: 2019-09-05 16:59:52+0000</p><p><b>reporter</b>: <a href="#urnuuid884cb1a4-b1a0-11ea-b615-a4d18ccf5172">See above (urn:uuid:884cb1a4-b1a0-11ea-b615-a4d18ccf5172)</a></p><p><b>period</b>: 2019-08-01 --&gt; 2019-09-01</p><p><b>improvementNotation</b>: Increased score indicates improvement <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-measure-improvement-notation.html">MeasureImprovementNotation</a>#increase)</span></p><blockquote><p><b>group</b></p><p><b>code</b>: group-1 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (#group-1)</span></p><blockquote><p><b>population</b></p><p><b>code</b>: Initial Population <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#initial-population)</span></p><p><b>count</b>: 100</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Numerator <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#numerator)</span></p><p><b>count</b>: 60</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#denominator)</span></p><p><b>count</b>: 100</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator Exclusion <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#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/us/davinci-deqm/StructureDefinition/extension-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/us/davinci-deqm/Measure/measure-exm130-example"/>
        <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>
          <code>
            <coding>
              <system value="http://example.org/fhir/"/>
              <code value="group-1"/>
              <display value="group-1"/>
            </coding>
          </code>
          <population>
            <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>
            <code>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                <code value="numerator"/>
                <display value="Numerator"/>
              </coding>
            </code>
            <count value="60"/>
          </population>
          <population>
            <code>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                <code value="denominator"/>
                <display value="Denominator"/>
              </coding>
            </code>
            <count value="100"/>
          </population>
          <population>
            <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/us/davinci-deqm/StructureDefinition/summary-measurereport-deqm"/>
        </meta>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><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">Information Source: http://example.org/fhir/server!</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-summary-measurereport-deqm.html">DEQM Summary MeasureReport Profile</a></p></div><p><b>DEQM Measure Scoring Extension</b>: Proportion <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-measure-scoring.html">MeasureScoring</a>#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></p><p><b>date</b>: 2018-09-05 16:59:52+0000</p><p><b>reporter</b>: <a href="#urnuuid884cb1a4-b1a0-11ea-b615-a4d18ccf5172">See above (urn:uuid:884cb1a4-b1a0-11ea-b615-a4d18ccf5172)</a></p><p><b>period</b>: 2018-08-01 --&gt; 2018-09-01</p><p><b>improvementNotation</b>: Increased score indicates improvement <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-measure-improvement-notation.html">MeasureImprovementNotation</a>#increase)</span></p><blockquote><p><b>group</b></p><p><b>code</b>: MRP Group <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (#mrp-group)</span></p><blockquote><p><b>population</b></p><p><b>code</b>: Initial Population <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#initial-population)</span></p><p><b>count</b>: 100</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Numerator <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#numerator)</span></p><p><b>count</b>: 80</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.2.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#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/us/davinci-deqm/StructureDefinition/extension-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/us/davinci-deqm/Measure/measure-mrp-example"/>
        <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>
          <code>
            <coding>
              <system value="http://example.org/fhir/"/>
              <code value="mrp-group"/>
              <display value="MRP Group"/>
            </coding>
            <text value="MRP Group"/>
          </code>
          <population>
            <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>
            <code>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/measure-population"/>
                <code value="numerator"/>
                <display value="Numerator"/>
              </coding>
            </code>
            <count value="80"/>
          </population>
          <population>
            <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>