Data Exchange For Quality Measures STU2 for FHIR R4 Implementation Guide CI Build

Data Exchange For Quality Measures STU2 for FHIR R4, published by HL7 International - Clinical Quality Information Work Group. This is not an authorized publication; it is the continuous build for version 1.1.1). This version is based on the current content of https://github.com/HL7/davinci-deqm/ and changes regularly. See the Directory of published versions

Colorectal Cancer Screening Use Case

Introduction

The colonoscopy measure such as HEDIS Colorectal Cancer Screening/CMS1301 is an example of a process measure evaluating screenings for preventive health services. Screening measures assess the number of eligible persons receiving clinical guideline recommended screening for all patients in the population receiving care during the measurement period.

COL Use Case Background

In the case of colorectal cancer screening, two types of data are reported: 1) testing to detect colorectal cancer and polyps and 2) information that would exclude the patient from needing testing. For background on the clinical guideline that the measure was built off of see the Colorectal Cancer Screening Recommendation Statement published by the Electronic Clinical Quality Improvement (eCQI) Resource Center.

FHIR Resource Overview

Resources Supported for this Use Case

Resource Type Profile Name Link to Profile
Condition QI Core Condition Profile QI Core Condition
Coverage QI Core Coverage Profile QI Core Coverage
DiagnosticReport QI Core DiagnosticReport Profile QI Core DiagnosticReport
Encounter QI Core Encounter Profile QI Core Encounter
Library CQFM Library Profile CQFM Library
Location QI Core Location Profile QI Core Location
Measure CQFM Measure Profile CQFM Measure
MeasureReport DEQM Data Exchange MeasureReport Profile DEQM Data Exchange MeasureReport Profile
MeasureReport DEQM Individual MeasureReport Profile DEQM Individual MeasureReport Profile
MeasureReport DEQM Summary MeasureReport Profile DEQM Summary MeasureReport Profile
Observation QI Core Observation Profile QI Core Observation
Organization DEQM Organization Profile DEQM Organization
Patient QI Core Patient Profile QI Core Patient
Practitioner QI Core Practitioner Profile QI Core Practitioner
Procedure QI Core Procedure Profile QI Core Procedure

Graph of COL Resources

For COL either an Observation, DiagnosticReport, Condition, or Procedure is the primary resource used to evaluate the measure. Below are listed the resource diagrams that meet each situation in the COL screening measure. Note that overlapping boxes in the diagrams represents a choice of one or the resources.

Option 1: MeasureReport Using Observation

When certain laboratory results such as fecal occult blood (FOBT) and FIT-DNA are done in a specified time period, the patient has been screened for colorectal cancer. The valueset binding (i.e., list of codes) in the measure will inform you as to which laboratory results qualify for meeting this measure. The following resource graph diagram shows how a laboratory test to meet the screen measure would be represented using a DEQM Individual MeasureReport and its associated resources.

Figure 3-5 Measure Report Using Observation
DEQM Resource Diagram - COL1.jpg

Option 2: MeasureReport Using DiagnosticReport

Another way a COL screening measure is met is when certain procedures such as flexible sigmoidoscopy and colonoscopy are performed and a report generated. In FHIR, the report is represented by a DiagnosticReport. The measure indicates what ValueSets/Codes can be used to report this measure. The following diagram shows how a procedure report to meet a screening measure would be represented in a DEQM Individual MeasureReport and its associated resources.

Figure 3-6 Measure Report Using DiagnosticReport
DEQM Resource Diagram - COL2.jpg

Option 3: MeasureReport Using Procedure

There are often times exclusions in a screening measure. An exclusion is something that removes the requirement for a screening measure. For example, a total colectomy removes the requirement for Colorectal Cancer Screening. As with the other options, the measure defines the valueset/codes that constitute a qualifying procedure. The following diagram shows how you would use a DEQM Individual MeasureReport and its associated resources to report a procedure that represents an exclusion to the measure.

Figure 3-7 Measure Report Using Procedure
DEQM Resource Diagram - COL3.jpg

Option 4: MeasureReport Using Condition

An additional way exclusions are met in the Colorectal Cancer Screening measure is with certain conditions such as colorectal cancer. The valuesets/codes that allow for the patient not to be screened for colorectal cancer are specified in the measure. The following MeasureReport diagram shows how you would use a DEQM Individual MeasureReport and its associated resources to represent a condition that represents an exclusion to the measure.

Figure 3-8 Measure Report Using Condition
DEQM Resource Diagram - COL4.jpg

COL Data Exchange Interactions

In the following interactions, the Provider is acting in the role of the Producer and the Payer (“Aggregator”) is acting in the role of the Consumer.

Gather Data Requirements from Payer

In this optional step, the Provider queries the Payer (“Aggregator”) for which resources are needed for COL measure reporting. Note that instead of using this API, the measure definition can be reviewed manually to determine what data needs to be submitted.

Example

Scenario

Provider X acting in the role of the Producer requests data requirements for the Colorectal Cancer Screening measure from Payer Z which is acting in the role of Consumer. A Library resource containing the required resources for Colorectal Cancer Screening reporting are returned on successful evaluation.

Request using GET

GET [base]/Measure/measure-exm130-FHIR/$data-requirements?periodStart=2018&periodEnd=2018

Request using POST

POST [base]/Measure/measure-exm130-FHIR/$data-requirements

Request body

{
   "resourceType":"Parameters",
   "parameter":[
      {
         "name":"periodStart",
         "valueDate":"2018"
      },
      {
         "name":"periodEnd",
         "valueDate":"2018"
      }
    ]
 }

Response

HTTP/1.1 200 OK
[other headers]

Response body

{
  "resourceType": "Library",
  "id": "exm130-fhir-r4",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: exm130-fhir-r4</p><p><b>url</b>: <a href=\"http://hl7.org/fhir/us/cqfmeasures/Library/exm130-fhir\">http://hl7.org/fhir/us/cqfmeasures/Library/exm130-fhir</a></p><p><b>identifier</b>: EXM130 (OFFICIAL)</p><p><b>version</b>: 1.1.1</p><p><b>name</b>: EXM130_FHIR</p><p><b>title</b>: Colorectal Cancer Screening</p><p><b>status</b>: active</p><p><b>experimental</b>: true</p><p><b>type</b>: Logic Library <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/library-type code 'logic-library' = 'Logic Library)</span></p><p><b>date</b>: Sep 3, 2019, 4:00:00 AM</p><p><b>publisher</b>: Health Level 7 International - Clinical Quality Information Work Group</p><p><b>contact</b>: </p><p><b>description</b>: This library is used as an example in the FHIR Quality Measure Implementation Guide</p><p><b>jurisdiction</b>: United States of America <span style=\"background: LightGoldenRodYellow\">(Details : {urn:iso:std:iso:3166 code 'US' = 'United States of America', given as 'United States of America'})</span></p><p><b>approvalDate</b>: 2019-08-03</p><p><b>lastReviewDate</b>: 2019-08-03</p><p><b>relatedArtifact</b>: , , , , </p><p><b>dataRequirement</b>: , , , , , , , , , , , , , , , , , , , , , , , , , </p><p><b>content</b>: , </p></div>"
  },
  "url": "http://hl7.org/fhir/us/cqfmeasures/Library/exm130-fhir",
  "identifier": [
    {
      "use": "official",
      "system": "http://example.org/fhir/cqi/ecqm/Library/Identifier",
      "value": "EXM130"
    }
  ],
  "version": "1.1.1",
  "name": "EXM130_FHIR",
  "title": "Colorectal Cancer Screening",
  "status": "active",
  "experimental": true,
  "type": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/library-type",
        "code": "logic-library"
      }
    ]
  },
  "date": "2019-09-03T04:00:00+00:00",
  "publisher": "Health Level 7 International - Clinical Quality Information Work Group",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/cqi/index.cfm"
        }
      ]
    }
  ],
  "description": "This library is used as an example in the FHIR Quality Measure Implementation Guide",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "US",
          "display": "United States of America"
        }
      ]
    }
  ],
  "approvalDate": "2019-08-03",
  "lastReviewDate": "2019-08-03",
  "relatedArtifact": [
    {
      "type": "depends-on",
      "resource": "http://hl7.org/fhir/us/cqfmeasures/Library/adultoutpatientencounters-fhir"
    },
    {
      "type": "depends-on",
      "resource": "http://hl7.org/fhir/us/cqfmeasures/Library/matglobalcommonfunctions-fhir"
    },
    {
      "type": "depends-on",
      "resource": "http://hl7.org/fhir/us/cqfmeasures/Library/hospice-fhir"
    },
    {
      "type": "depends-on",
      "resource": "http://hl7.org/fhir/us/cqfmeasures/Library/fhirhelpers"
    },
    {
      "type": "depends-on",
      "resource": "http://hl7.org/fhir/us/cqfmeasures/Library/supplementaldataelements-fhir"
    }
  ],
  "dataRequirement": [
    {
      "type": "Encounter",
      "codeFilter": [
        {
          "path": "type",
          "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.100"
        }
      ]
    },
    {
      "type": "Encounter",
      "codeFilter": [
        {
          "path": "type",
          "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.526.3.124"
        }
      ]
    },
    {
      "type": "Encounter",
      "codeFilter": [
        {
          "path": "type",
          "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.102"
        }
      ]
    },
    {
      "type": "Encounter",
      "codeFilter": [
        {
          "path": "type",
          "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.102"
        }
      ]
    },
    {
      "type": "Encounter",
      "codeFilter": [
        {
          "path": "type",
          "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.101.12.101"
        }
      ]
    },
    {
      "type": "Encounter",
      "codeFilter": [
        {
          "path": "type",
          "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.30"
        }
      ]
    },
    {
      "type": "Encounter",
      "codeFilter": [
        {
          "path": "type",
          "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.29"
        }
      ]
    },
    {
      "type": "Condition",
      "codeFilter": [
        {
          "path": "id"
        }
      ]
    },
    {
      "type": "Condition",
      "codeFilter": [
        {
          "path": "id"
        }
      ]
    },
    {
      "type": "Location",
      "codeFilter": [
        {
          "path": "id"
        }
      ]
    },
    {
      "type": "Encounter",
      "codeFilter": [
        {
          "path": "type",
          "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.30"
        }
      ]
    },
    {
      "type": "Encounter",
      "codeFilter": [
        {
          "path": "type",
          "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.29"
        }
      ]
    },
    {
      "type": "Condition",
      "codeFilter": [
        {
          "path": "id"
        }
      ]
    },
    {
      "type": "Condition",
      "codeFilter": [
        {
          "path": "id"
        }
      ]
    },
    {
      "type": "Location",
      "codeFilter": [
        {
          "path": "id"
        }
      ]
    },
    {
      "type": "Encounter",
      "codeFilter": [
        {
          "path": "type",
          "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.666.5.30"
        }
      ]
    },
    {
      "type": "ServiceRequest",
      "codeFilter": [
        {
          "path": "code",
          "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.1"
        }
      ]
    },
    {
      "type": "Procedure",
      "codeFilter": [
        {
          "path": "code",
          "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1108.1"
        }
      ]
    },
    {
      "type": "Coverage",
      "codeFilter": [
        {
          "path": "type",
          "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.359"
        }
      ]
    },
    {
      "type": "Procedure",
      "codeFilter": [
        {
          "path": "code",
          "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.101"
        }
      ]
    },
    {
      "type": "Procedure",
      "codeFilter": [
        {
          "path": "code",
          "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.103"
        }
      ]
    },
    {
      "type": "Procedure",
      "codeFilter": [
        {
          "path": "code",
          "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.101"
        }
      ]
    },
    {
      "type": "Condition",
      "codeFilter": [
        {
          "path": "code",
          "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.100"
        }
      ]
    },
    {
      "type": "Observation",
      "codeFilter": [
        {
          "path": "code",
          "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.101"
        }
      ]
    },
    {
      "type": "Observation",
      "codeFilter": [
        {
          "path": "code",
          "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.103"
        }
      ]
    },
    {
      "type": "Procedure",
      "codeFilter": [
        {
          "path": "code",
          "valueSet": "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.102"
        }
      ]
    }
  ],
  "content": [
    {
      "contentType": "application/elm+xml",
      "data": "<?xml version="1.0" encoding="UTF-8"?>
<library xmlns="urn:hl7-org:elm:r1" xmlns:t="urn:hl7-org:elm-types:r1" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:xsd="http://www.w3.org/2001/XMLSchema" xmlns:fhir="http://hl7.org/fhir" xmlns:qdm43="urn:healthit-gov:qdm:v4_3" xmlns:qdm53="urn:healthit-gov:qdm:v5_3" xmlns:a="urn:hl7-org:cql-annotations:r1">
   <identifier id="EXM130_FHIR" version="7.2.000"/>
   <schemaIdentifier id="urn:hl7-org:elm" version="r1"/>
   <usings>
      <def localIdentifier="System" uri="urn:hl7-org:elm-types:r1"/>
      <def localIdentifier="FHIR" uri="http://hl7.org/fhir" version="3.0.0"/>
   </usings>
   <includes>
      <def localIdentifier="AdultOutpatientEncounters" path="AdultOutpatientEncounters_FHIR" version="1.1.000"/>
      <def localIdentifier="Global" path="MATGlobalCommonFunctions_FHIR" version="2.0.000"/>
      <def localIdentifier="Hospice" path="Hospice_FHIR" version="1.0.000"/>
      <def localIdentifier="FHIRHelpers" path="FHIRHelpers" version="3.0.0"/>
      <def localIdentifier="SDE" path="SupplementalDataElements_FHIR" version="1.0.0"/>
   </includes>
   <parameters>
      <def name="Measurement Period" accessLevel="Public">
         <parameterTypeSpecifier xsi:type="IntervalTypeSpecifier">
            <pointType name="t:DateTime" xsi:type="NamedTypeSpecifier"/>
         </parameterTypeSpecifier>
      </def>
   </parameters>
   <valueSets>
      <def name="ONC Administrative Sex" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1" accessLevel="Public"/>
      <def name="Race" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.836" accessLevel="Public"/>
      <def name="Ethnicity" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.837" accessLevel="Public"/>
      <def name="Payer" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.114222.4.11.3591" accessLevel="Public"/>
      <def name="Colonoscopy" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1020" accessLevel="Public"/>
      <def name="Fecal Occult Blood Test (FOBT)" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1011" accessLevel="Public"/>
      <def name="Flexible Sigmoidoscopy" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1010" accessLevel="Public"/>
      <def name="Malignant Neoplasm of Colon" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1001" accessLevel="Public"/>
      <def name="Total Colectomy" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.198.12.1019" accessLevel="Public"/>
      <def name="FIT DNA" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1039" accessLevel="Public"/>
      <def name="CT Colonography" id="http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.464.1003.108.12.1038" accessLevel="Public"/>
   </valueSets>
   <statements>
      <def name="Patient" context="Patient">
         <expression xsi:type="SingletonFrom">
            <operand dataType="fhir:Patient" xsi:type="Retrieve"/>
         </expression>
      </def>
      <def name="SDE Ethnicity" context="Patient" accessLevel="Public">
         <expression name="SDE Ethnicity" libraryName="SDE" xsi:type="ExpressionRef"/>
      </def>
      <def name="SDE Payer" context="Patient" accessLevel="Public">
         <expression name="SDE Payer" libraryName="SDE" xsi:type="ExpressionRef"/>
      </def>
      <def name="SDE Race" context="Patient" accessLevel="Public">
         <expression name="SDE Race" libraryName="SDE" xsi:type="ExpressionRef"/>
      </def>
      <def name="SDE Sex" context="Patient" accessLevel="Public">
         <expression name="SDE Sex" libraryName="SDE" xsi:type="ExpressionRef"/>
      </def>
      <def name="Denominator" context="Patient" accessLevel="Public">
         <expression valueType="t:Boolean" value="true" xsi:type="Literal"/>
      </def>
      <def name="Flexible Sigmoidoscopy Performed" context="Patient" accessLevel="Public">
         <expression xsi:type="Query">
            <source alias="FlexibleSigmoidoscopy">
               <expression dataType="fhir:Procedure" codeProperty="code" xsi:type="Retrieve">
                  <codes name="Flexible Sigmoidoscopy" xsi:type="ValueSetRef"/>
               </expression>
            </source>
            <where xsi:type="And">
               <operand xsi:type="Equal">
                  <operand name="ToString" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                     <operand path="status" scope="FlexibleSigmoidoscopy" xsi:type="Property"/>
                  </operand>
                  <operand valueType="t:String" value="completed" xsi:type="Literal"/>
               </operand>
               <operand xsi:type="In">
                  <operand xsi:type="End">
                     <operand name="ToInterval" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                        <operand asType="fhir:Period" xsi:type="As">
                           <operand path="performed" scope="FlexibleSigmoidoscopy" xsi:type="Property"/>
                        </operand>
                     </operand>
                  </operand>
                  <operand lowClosed="true" highClosed="true" xsi:type="Interval">
                     <low xsi:type="Subtract">
                        <operand xsi:type="End">
                           <operand name="Measurement Period" xsi:type="ParameterRef"/>
                        </operand>
                        <operand value="5" unit="years" xsi:type="Quantity"/>
                     </low>
                     <high xsi:type="End">
                        <operand name="Measurement Period" xsi:type="ParameterRef"/>
                     </high>
                  </operand>
               </operand>
            </where>
         </expression>
      </def>
      <def name="CT Colonography Performed" context="Patient" accessLevel="Public">
         <expression xsi:type="Query">
            <source alias="Colonography">
               <expression dataType="fhir:Procedure" codeProperty="code" xsi:type="Retrieve">
                  <codes name="CT Colonography" xsi:type="ValueSetRef"/>
               </expression>
            </source>
            <where xsi:type="And">
               <operand xsi:type="Equal">
                  <operand name="ToString" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                     <operand path="status" scope="Colonography" xsi:type="Property"/>
                  </operand>
                  <operand valueType="t:String" value="completed" xsi:type="Literal"/>
               </operand>
               <operand xsi:type="In">
                  <operand xsi:type="End">
                     <operand name="ToInterval" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                        <operand asType="fhir:Period" xsi:type="As">
                           <operand path="performed" scope="Colonography" xsi:type="Property"/>
                        </operand>
                     </operand>
                  </operand>
                  <operand lowClosed="true" highClosed="true" xsi:type="Interval">
                     <low xsi:type="Subtract">
                        <operand xsi:type="End">
                           <operand name="Measurement Period" xsi:type="ParameterRef"/>
                        </operand>
                        <operand value="5" unit="years" xsi:type="Quantity"/>
                     </low>
                     <high xsi:type="End">
                        <operand name="Measurement Period" xsi:type="ParameterRef"/>
                     </high>
                  </operand>
               </operand>
            </where>
         </expression>
      </def>
      <def name="Total Colectomy Performed" context="Patient" accessLevel="Public">
         <expression xsi:type="Query">
            <source alias="Colectomy">
               <expression dataType="fhir:Procedure" codeProperty="code" xsi:type="Retrieve">
                  <codes name="Total Colectomy" xsi:type="ValueSetRef"/>
               </expression>
            </source>
            <where xsi:type="And">
               <operand xsi:type="Equal">
                  <operand name="ToString" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                     <operand path="status" scope="Colectomy" xsi:type="Property"/>
                  </operand>
                  <operand valueType="t:String" value="completed" xsi:type="Literal"/>
               </operand>
               <operand xsi:type="SameOrBefore">
                  <operand xsi:type="Start">
                     <operand name="Get Choice Interval - dateTime or Period" libraryName="Global" xsi:type="FunctionRef">
                        <operand path="performed" scope="Colectomy" xsi:type="Property"/>
                     </operand>
                  </operand>
                  <operand xsi:type="End">
                     <operand name="Measurement Period" xsi:type="ParameterRef"/>
                  </operand>
               </operand>
            </where>
         </expression>
      </def>
      <def name="Malignant Neoplasm" context="Patient" accessLevel="Public">
         <expression xsi:type="Query">
            <source alias="ColorectalCancer">
               <expression dataType="fhir:Condition" codeProperty="code" xsi:type="Retrieve">
                  <codes name="Malignant Neoplasm of Colon" xsi:type="ValueSetRef"/>
               </expression>
            </source>
            <where xsi:type="SameOrBefore">
               <operand asType="t:DateTime" xsi:type="As">
                  <operand xsi:type="Start">
                     <operand name="Normalize Onset" libraryName="Global" xsi:type="FunctionRef">
                        <operand path="onset" scope="ColorectalCancer" xsi:type="Property"/>
                     </operand>
                  </operand>
               </operand>
               <operand xsi:type="End">
                  <operand name="Measurement Period" xsi:type="ParameterRef"/>
               </operand>
            </where>
         </expression>
      </def>
      <def name="Fecal Occult Blood Test Performed" context="Patient" accessLevel="Public">
         <expression xsi:type="Query">
            <source alias="FecalOccultResult">
               <expression dataType="fhir:Observation" codeProperty="code" xsi:type="Retrieve">
                  <codes name="Fecal Occult Blood Test (FOBT)" xsi:type="ValueSetRef"/>
               </expression>
            </source>
            <where xsi:type="And">
               <operand xsi:type="And">
                  <operand xsi:type="In">
                     <operand name="ToString" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                        <operand path="status" scope="FecalOccultResult" xsi:type="Property"/>
                     </operand>
                     <operand xsi:type="List">
                        <element valueType="t:String" value="final" xsi:type="Literal"/>
                        <element valueType="t:String" value="amended" xsi:type="Literal"/>
                        <element valueType="t:String" value="corrected" xsi:type="Literal"/>
                        <element valueType="t:String" value="preliminary" xsi:type="Literal"/>
                     </operand>
                  </operand>
                  <operand xsi:type="Not">
                     <operand xsi:type="IsNull">
                        <operand path="value" scope="FecalOccultResult" xsi:type="Property"/>
                     </operand>
                  </operand>
               </operand>
               <operand precision="Day" xsi:type="IncludedIn">
                  <operand name="ToInterval" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                     <operand asType="fhir:Period" xsi:type="As">
                        <operand path="effective" scope="FecalOccultResult" xsi:type="Property"/>
                     </operand>
                  </operand>
                  <operand name="Measurement Period" xsi:type="ParameterRef"/>
               </operand>
            </where>
         </expression>
      </def>
      <def name="Fecal Immunochemical Test DNA" context="Patient" accessLevel="Public">
         <expression xsi:type="Query">
            <source alias="FitDNA">
               <expression dataType="fhir:Observation" codeProperty="code" xsi:type="Retrieve">
                  <codes name="FIT DNA" xsi:type="ValueSetRef"/>
               </expression>
            </source>
            <where xsi:type="And">
               <operand xsi:type="Not">
                  <operand xsi:type="IsNull">
                     <operand path="value" scope="FitDNA" xsi:type="Property"/>
                  </operand>
               </operand>
               <operand precision="Day" xsi:type="In">
                  <operand name="ToDateTime" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                     <operand asType="fhir:dateTime" xsi:type="As">
                        <operand path="effective" scope="FitDNA" xsi:type="Property"/>
                     </operand>
                  </operand>
                  <operand lowClosed="true" highClosed="true" xsi:type="Interval">
                     <low xsi:type="Subtract">
                        <operand xsi:type="End">
                           <operand name="Measurement Period" xsi:type="ParameterRef"/>
                        </operand>
                        <operand value="3" unit="years" xsi:type="Quantity"/>
                     </low>
                     <high xsi:type="End">
                        <operand name="Measurement Period" xsi:type="ParameterRef"/>
                     </high>
                  </operand>
               </operand>
            </where>
         </expression>
      </def>
      <def name="Colonoscopy Performed" context="Patient" accessLevel="Public">
         <expression xsi:type="Query">
            <source alias="Colonoscopy">
               <expression dataType="fhir:Procedure" codeProperty="code" xsi:type="Retrieve">
                  <codes name="Colonoscopy" xsi:type="ValueSetRef"/>
               </expression>
            </source>
            <where xsi:type="And">
               <operand xsi:type="Equal">
                  <operand name="ToString" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                     <operand path="status" scope="Colonoscopy" xsi:type="Property"/>
                  </operand>
                  <operand valueType="t:String" value="completed" xsi:type="Literal"/>
               </operand>
               <operand xsi:type="In">
                  <operand xsi:type="End">
                     <operand name="ToInterval" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                        <operand asType="fhir:Period" xsi:type="As">
                           <operand path="performed" scope="Colonoscopy" xsi:type="Property"/>
                        </operand>
                     </operand>
                  </operand>
                  <operand lowClosed="true" highClosed="true" xsi:type="Interval">
                     <low xsi:type="Subtract">
                        <operand xsi:type="End">
                           <operand name="Measurement Period" xsi:type="ParameterRef"/>
                        </operand>
                        <operand value="10" unit="years" xsi:type="Quantity"/>
                     </low>
                     <high xsi:type="End">
                        <operand name="Measurement Period" xsi:type="ParameterRef"/>
                     </high>
                  </operand>
               </operand>
            </where>
         </expression>
      </def>
      <def name="Numerator" context="Patient" accessLevel="Public">
         <expression xsi:type="Or">
            <operand xsi:type="Or">
               <operand xsi:type="Or">
                  <operand xsi:type="Or">
                     <operand xsi:type="Exists">
                        <operand name="Colonoscopy Performed" xsi:type="ExpressionRef"/>
                     </operand>
                     <operand xsi:type="Exists">
                        <operand name="Fecal Occult Blood Test Performed" xsi:type="ExpressionRef"/>
                     </operand>
                  </operand>
                  <operand xsi:type="Exists">
                     <operand name="Flexible Sigmoidoscopy Performed" xsi:type="ExpressionRef"/>
                  </operand>
               </operand>
               <operand xsi:type="Exists">
                  <operand name="Fecal Immunochemical Test DNA" xsi:type="ExpressionRef"/>
               </operand>
            </operand>
            <operand xsi:type="Exists">
               <operand name="CT Colonography Performed" xsi:type="ExpressionRef"/>
            </operand>
         </expression>
      </def>
      <def name="Denominator Exclusion" context="Patient" accessLevel="Public">
         <expression xsi:type="Or">
            <operand xsi:type="Or">
               <operand name="Has Hospice" libraryName="Hospice" xsi:type="FunctionRef">
                  <operand name="Measurement Period" xsi:type="ParameterRef"/>
               </operand>
               <operand xsi:type="Exists">
                  <operand name="Malignant Neoplasm" xsi:type="ExpressionRef"/>
               </operand>
            </operand>
            <operand xsi:type="Exists">
               <operand name="Total Colectomy Performed" xsi:type="ExpressionRef"/>
            </operand>
         </expression>
      </def>
      <def name="Initial Population" context="Patient" accessLevel="Public">
         <expression xsi:type="And">
            <operand xsi:type="In">
               <operand name="CalendarAgeInYearsAt" libraryName="Global" xsi:type="FunctionRef">
                  <operand xsi:type="ToDateTime">
                     <operand name="ToDate" libraryName="FHIRHelpers" xsi:type="FunctionRef">
                        <operand path="birthDate" xsi:type="Property">
                           <source name="Patient" xsi:type="ExpressionRef"/>
                        </operand>
                     </operand>
                  </operand>
                  <operand xsi:type="Start">
                     <operand name="Measurement Period" xsi:type="ParameterRef"/>
                  </operand>
               </operand>
               <operand lowClosed="true" highClosed="true" xsi:type="Interval">
                  <low valueType="t:Integer" value="50" xsi:type="Literal"/>
                  <high valueType="t:Integer" value="75" xsi:type="Literal"/>
               </operand>
            </operand>
            <operand xsi:type="Exists">
               <operand name="Qualifying Encounters" libraryName="AdultOutpatientEncounters" xsi:type="FunctionRef">
                  <operand name="Measurement Period" xsi:type="ParameterRef"/>
               </operand>
            </operand>
         </expression>
      </def>
   </statements>
</library>
"
    },
    {
      "contentType": "text/cql",
      "data": "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"
    }
  ]
}

Exchange of Quality Measure Data Options

We are seeking input on the feasibility and interest in using CDS Hooks to report on Screening data.

Data Exchange Using the Submit Data Operation

The Provider will use the Submit Data operation to submit a MeasureReport and the referenced resources required by the payers as supporting evidence for Colorectal Cancer Screening to the payer.

Figure 3-9 Submit Data Technical Workflow
COL Worklow Diagram - Data Exchange Indiv submit-data.jpg

Examples

Scenario:

Provider X acting in the role of Producer submits COL data for Patient Y to Payer Z who is acting in the role of Consumer. The body of the request is a Parameters resource containing the required profiles for COL attestation. An HTTP Status success code is returned on successful submission.

Request using POST

POST [base]/Measure/measure-col/$submit-data

Request body

{
  "resourceType": "Parameters",
  "id": "col-submit-collect-obs",
  "parameter": [
    {
      "name": "measure-report",
      "resource": {
        "resourceType": "MeasureReport",
        "id": "datax-measurereport03",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/datax-measurereport-deqm"
          ]
        },
        "status": "complete",
        "type": "data-collection",
        "measure": "http://hl7.org/fhir/us/cqfmeasures/Measure/measure-exm130-FHIR",
        "subject": {
          "reference": "Patient/patient03"
        },
        "date": "2019-01-01T16:59:52.404Z",
        "reporter": {
          "reference": "Organization/organization03"
        },
        "period": {
          "start": "2018-01-01",
          "end": "2018-12-31"
        },
        "evaluatedResource": [
          {
            "reference": "Observation/observation03"
          }
        ]
      }
    },
    {
      "name": "resource",
      "resource": {
        "resourceType": "Patient",
        "id": "patient03",
        "meta": {
          "versionId": "4",
          "lastUpdated": "2019-02-07T18:47:34.000+00:00",
          "profile": [
            "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div class=\"hapiHeaderText\">Virginia <b>HARTMAN </b></div><table class=\"hapiPropertyTable\"><tbody><tr><td>Identifier</td><td>34567</td></tr><tr><td>Address</td><td><span>213 Lilac Ave. </span><br/><span>Freehold </span><span>MI </span><span>USA </span></td></tr><tr><td>Date of birth</td><td><span>12 September 1983</span></td></tr></tbody></table></div>"
        },
        "extension": [
          {
            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
            "valueCode": "F"
          },
          {
            "extension": [
              {
                "url": "ombCategory",
                "valueCoding": {
                  "system": "urn:oid:2.16.840.1.113883.6.238",
                  "code": "2054-5",
                  "display": "Black or African American"
                }
              },
              {
                "url": "text",
                "valueString": "Black or African American"
              }
            ],
            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
          },
          {
            "extension": [
              {
                "url": "ombCategory",
                "valueCoding": {
                  "system": "urn:oid:2.16.840.1.113883.6.238",
                  "code": "2186-5",
                  "display": "Not Hispanic or Latino"
                }
              },
              {
                "url": "text",
                "valueString": "Not Hispanic or Latino"
              }
            ],
            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
          }
        ],
        "identifier": [
          {
            "use": "usual",
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "MR",
                  "display": "Medical record number"
                }
              ]
            },
            "system": "http://hospital.davinci.org",
            "value": "34567"
          }
        ],
        "active": true,
        "name": [
          {
            "use": "official",
            "family": "Hartman",
            "given": [
              "Virginia"
            ]
          }
        ],
        "gender": "female",
        "birthDate": "1983-09-12",
        "deceasedBoolean": false,
        "address": [
          {
            "use": "home",
            "line": [
              "213 Lilac Ave."
            ],
            "city": "Freehold",
            "state": "MI",
            "postalCode": "48099",
            "country": "USA"
          }
        ],
        "maritalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
              "code": "U",
              "display": "unmarried"
            }
          ]
        },
        "communication": [
          {
            "language": {
              "coding": [
                {
                  "system": "urn:ietf:bcp:47",
                  "code": "en-US",
                  "display": "English (Region=United States)"
                }
              ]
            },
            "preferred": true
          }
        ],
        "managingOrganization": {
          "reference": "Organization/organization03"
        }
      }
    },
    {
      "name": "resource",
      "resource": {
        "resourceType": "Observation",
        "id": "observation03",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation"
          ]
        },
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory",
                "display": "Laboratory"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "77353-1",
              "display": "Noninvasive colorectal cancer DNA and occult blood screening [Interpretation] in Stool Narrative"
            }
          ]
        },
        "subject": {
          "reference": "Patient/patient03"
        },
        "effectiveDateTime": "2018-06-22",
        "performer": [
          {
            "reference": "Practitioner/practitioner01"
          }
        ]
      }
    },
    {
      "name": "resource",
      "resource": {
        "resourceType": "Practitioner",
        "id": "practitioner01",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner"
          ]
        },
        "identifier": [
          {
            "use": "official",
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "PRN",
                  "display": "Provider number"
                }
              ]
            },
            "system": "http://hl7.org/fhir/sid/us-npi",
            "value": "456789123"
          }
        ],
        "active": true,
        "name": [
          {
            "family": "Hale",
            "given": [
              "Cody"
            ],
            "suffix": [
              "MD"
            ]
          }
        ],
        "gender": "male"
      }
    },
    {
      "name": "resource",
      "resource": {
        "resourceType": "Organization",
        "id": "organization03",
        "meta": {
          "versionId": "3",
          "lastUpdated": "2019-02-21T01:47:53.000+00:00",
          "profile": [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/organization-deqm"
          ]
        },
        "identifier": [
          {
            "use": "official",
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "PRN",
                  "display": "Provider number"
                }
              ]
            },
            "system": "http://hl7.org/fhir/sid/us-npi",
            "value": "345678912",
            "assigner": {
              "display": "www.cms.gov"
            }
          }
        ],
        "active": true,
        "type": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/organization-type",
                "code": "prov",
                "display": "Healthcare Provider"
              }
            ]
          }
        ],
        "name": "DaVinciHospital03",
        "telecom": [
          {
            "system": "phone",
            "value": "(+1) 201-555-1212"
          }
        ],
        "address": [
          {
            "line": [
              "94 Olive Ave."
            ],
            "city": "Union City",
            "state": "NJ",
            "postalCode": "07087",
            "country": "USA"
          }
        ]
      }
    }
  ]
}

Response

HTTP/1.1 200 OK
[other headers]

Data Exchange Using the Collect Data Operation

Payer/Aggregator retrieves Colorectal Cancer Screening Data from Provider using the Collect Data operation. The Provider returns the MeasureReport and referenced resources as supporting evidence for Colorectal Cancer Screening.

Figure 3-10 collect Data Technical Workflow
COL Worklow Diagram - Data Exchange Indiv collect-data.jpg

Examples

Scenario:

Payer X acting in the role of Consumer collect Patient Y’s COL data from Provider Z, which is acting in the role of Producer. The body of the request is a Parameters resource containing the desired input parameters. An HTTP Status success code is returned on successful submission.

Request using POST

POST [base]/Measure/measure-col/$collect-data

Request body

{
  "resourceType": "Parameters",
  "parameter": [
    {
      "name": "periodStart",
      "valueDate": "2018-01-01"
    },
    {
      "name": "periodEnd",
      "valueDate": "2018-12-31"
    },
    {
      "name": "subject",
      "valueUri": "Patient/patient03"
    }
  ]
}

Response

HTTP/1.1 200
Date: Wed, 14 Mar 2019 01:02:06 GMT
Content-Type: application/fhir+json;charset=UTF-8
...Other Headers...

{
  "resourceType": "Parameters",
  "id": "col-submit-collect-obs",
  "parameter": [
    {
      "name": "measure-report",
      "resource": {
        "resourceType": "MeasureReport",
        "id": "datax-measurereport03",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/datax-measurereport-deqm"
          ]
        },
        "status": "complete",
        "type": "data-collection",
        "measure": "http://hl7.org/fhir/us/cqfmeasures/Measure/measure-exm130-FHIR",
        "subject": {
          "reference": "Patient/patient03"
        },
        "date": "2019-01-01T16:59:52.404Z",
        "reporter": {
          "reference": "Organization/organization03"
        },
        "period": {
          "start": "2018-01-01",
          "end": "2018-12-31"
        },
        "evaluatedResource": [
          {
            "reference": "Observation/observation03"
          }
        ]
      }
    },
    {
      "name": "resource",
      "resource": {
        "resourceType": "Patient",
        "id": "patient03",
        "meta": {
          "versionId": "4",
          "lastUpdated": "2019-02-07T18:47:34.000+00:00",
          "profile": [
            "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div class=\"hapiHeaderText\">Virginia <b>HARTMAN </b></div><table class=\"hapiPropertyTable\"><tbody><tr><td>Identifier</td><td>34567</td></tr><tr><td>Address</td><td><span>213 Lilac Ave. </span><br/><span>Freehold </span><span>MI </span><span>USA </span></td></tr><tr><td>Date of birth</td><td><span>12 September 1983</span></td></tr></tbody></table></div>"
        },
        "extension": [
          {
            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
            "valueCode": "F"
          },
          {
            "extension": [
              {
                "url": "ombCategory",
                "valueCoding": {
                  "system": "urn:oid:2.16.840.1.113883.6.238",
                  "code": "2054-5",
                  "display": "Black or African American"
                }
              },
              {
                "url": "text",
                "valueString": "Black or African American"
              }
            ],
            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
          },
          {
            "extension": [
              {
                "url": "ombCategory",
                "valueCoding": {
                  "system": "urn:oid:2.16.840.1.113883.6.238",
                  "code": "2186-5",
                  "display": "Not Hispanic or Latino"
                }
              },
              {
                "url": "text",
                "valueString": "Not Hispanic or Latino"
              }
            ],
            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
          }
        ],
        "identifier": [
          {
            "use": "usual",
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "MR",
                  "display": "Medical record number"
                }
              ]
            },
            "system": "http://hospital.davinci.org",
            "value": "34567"
          }
        ],
        "active": true,
        "name": [
          {
            "use": "official",
            "family": "Hartman",
            "given": [
              "Virginia"
            ]
          }
        ],
        "gender": "female",
        "birthDate": "1983-09-12",
        "deceasedBoolean": false,
        "address": [
          {
            "use": "home",
            "line": [
              "213 Lilac Ave."
            ],
            "city": "Freehold",
            "state": "MI",
            "postalCode": "48099",
            "country": "USA"
          }
        ],
        "maritalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
              "code": "U",
              "display": "unmarried"
            }
          ]
        },
        "communication": [
          {
            "language": {
              "coding": [
                {
                  "system": "urn:ietf:bcp:47",
                  "code": "en-US",
                  "display": "English (Region=United States)"
                }
              ]
            },
            "preferred": true
          }
        ],
        "managingOrganization": {
          "reference": "Organization/organization03"
        }
      }
    },
    {
      "name": "resource",
      "resource": {
        "resourceType": "Observation",
        "id": "observation03",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation"
          ]
        },
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory",
                "display": "Laboratory"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "77353-1",
              "display": "Noninvasive colorectal cancer DNA and occult blood screening [Interpretation] in Stool Narrative"
            }
          ]
        },
        "subject": {
          "reference": "Patient/patient03"
        },
        "effectiveDateTime": "2018-06-22",
        "performer": [
          {
            "reference": "Practitioner/practitioner01"
          }
        ]
      }
    },
    {
      "name": "resource",
      "resource": {
        "resourceType": "Practitioner",
        "id": "practitioner01",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner"
          ]
        },
        "identifier": [
          {
            "use": "official",
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "PRN",
                  "display": "Provider number"
                }
              ]
            },
            "system": "http://hl7.org/fhir/sid/us-npi",
            "value": "456789123"
          }
        ],
        "active": true,
        "name": [
          {
            "family": "Hale",
            "given": [
              "Cody"
            ],
            "suffix": [
              "MD"
            ]
          }
        ],
        "gender": "male"
      }
    },
    {
      "name": "resource",
      "resource": {
        "resourceType": "Organization",
        "id": "organization03",
        "meta": {
          "versionId": "3",
          "lastUpdated": "2019-02-21T01:47:53.000+00:00",
          "profile": [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/organization-deqm"
          ]
        },
        "identifier": [
          {
            "use": "official",
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "PRN",
                  "display": "Provider number"
                }
              ]
            },
            "system": "http://hl7.org/fhir/sid/us-npi",
            "value": "345678912",
            "assigner": {
              "display": "www.cms.gov"
            }
          }
        ],
        "active": true,
        "type": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/organization-type",
                "code": "prov",
                "display": "Healthcare Provider"
              }
            ]
          }
        ],
        "name": "DaVinciHospital03",
        "telecom": [
          {
            "system": "phone",
            "value": "(+1) 201-555-1212"
          }
        ],
        "address": [
          {
            "line": [
              "94 Olive Ave."
            ],
            "city": "Union City",
            "state": "NJ",
            "postalCode": "07087",
            "country": "USA"
          }
        ]
      }
    }
  ]
}

COL Measure Reporting Interactions

In the following interactions, The Payer (“Aggregator”) is acting in the role of the Reporter.

Individual MeasureReport

Payer in the role of the Reporter pushes the Bundle of supporting resource with COL Individual MeasureReport resource to the end user.

Figure 3-12 Individual Reporting Technical Workflow
col_indv_report.jpg

Examples

Scenario:

Payer X who is acting in the role of a Reporter submits a COL Individual Report for Patient P to Receiver Z. The body of the request is a transaction bundle including the Individual MeasureReport and all the related resources containing the relevant data used to compute the CQM criteria. An HTTP Status success code and a transaction-response Bundle is returned on successful submission.

POST Summary Report

POST [base]

Request body

{
  "resourceType": "Bundle",
  "id": "single-indv-col-obs-report",
  "type": "transaction",
  "entry": [
    {
      "fullUrl": "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57904",
      "resource": {
        "resourceType": "MeasureReport",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/indv-measurereport-deqm"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>status</b>: complete</p><p><b>type</b>: individual</p><p><b>measure</b>: <a href=\"http://hl7.org/fhir/us/cqfmeasures/Measure/measure-exm130-FHIR\">http://hl7.org/fhir/us/cqfmeasures/Measure/measure-exm130-FHIR</a></p><p><b>subject</b>: <a href=\"urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57906\">urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57906</a></p><p><b>date</b>: Mar 14, 2019, 12:00:00 AM</p><p><b>reporter</b>: <a href=\"urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57905\">urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57905</a></p><p><b>period</b>: Dec 31, 2018, 12:00:00 AM --&gt; Jan 1, 2019, 12:00:00 AM</p><blockquote><p><b>group</b></p><p><b>code</b>: group-1 <span style=\"background: LightGoldenRodYellow\">(Details : {http://fhir/example.org code 'group-1' = 'group-1', given as 'group-1'})</span></p><blockquote><p><b>population</b></p><p><b>code</b>: Initial Population <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'initial-population' = 'Initial Population', given as 'Initial Population'})</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Numerator <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'numerator' = 'Numerator', given as 'Numerator'})</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator' = 'Denominator', given as 'Denominator'})</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator Exclusion <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator-exclusion' = 'Denominator Exclusion', given as 'Denominator Exclusion'})</span></p><p><b>count</b>: 0</p></blockquote><p><b>measureScore</b>: 1</p><blockquote><p><b>stratifier</b></p><p><b>code</b>: SDE Ethnicity <span style=\"background: LightGoldenRodYellow\">(Details : {http://fhir/example.org code 'sde-ethnicity' = 'sde-ethnicity', given as 'SDE Ethnicity'})</span></p><blockquote><p><b>stratum</b></p><p><b>value</b>: Hispanic or Latino <span style=\"background: LightGoldenRodYellow\">(Details : {urn:oid:2.16.840.1.113883.6.238 code '2135-2' = 'Hispanic or Latino', given as 'Hispanic or Latino'})</span></p><blockquote><p><b>population</b></p><p><b>code</b>: Initial Population <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'initial-population' = 'Initial Population', given as 'Initial Population'})</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Numerator <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'numerator' = 'Numerator', given as 'Numerator'})</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator' = 'Denominator', given as 'Denominator'})</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator Exclusion <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator-exclusion' = 'Denominator Exclusion', given as 'Denominator Exclusion'})</span></p><p><b>count</b>: 0</p></blockquote></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: Not Hispanic or Latino <span style=\"background: LightGoldenRodYellow\">(Details : {urn:oid:2.16.840.1.113883.6.238 code '2186-5' = 'Not Hispanic or Latino', given as 'Not Hispanic or Latino'})</span></p><blockquote><p><b>population</b></p><p><b>code</b>: Initial Population <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'initial-population' = 'Initial Population', given as 'Initial Population'})</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Numerator <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'numerator' = 'Numerator', given as 'Numerator'})</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator' = 'Denominator', given as 'Denominator'})</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator Exclusion <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator-exclusion' = 'Denominator Exclusion', given as 'Denominator Exclusion'})</span></p><p><b>count</b>: 0</p></blockquote></blockquote></blockquote><blockquote><p><b>stratifier</b></p><p><b>code</b>: SDE Payer <span style=\"background: LightGoldenRodYellow\">(Details : {http://fhir/example.org code 'sde-payer' = 'sde-payer', given as 'SDE Payer'})</span></p><blockquote><p><b>stratum</b></p><p><b>value</b>: King HMO <span style=\"background: LightGoldenRodYellow\">(Details : {http://fhir/example.org code 'Payer123' = 'Payer123', given as 'King HMO'})</span></p><blockquote><p><b>population</b></p><p><b>code</b>: Initial Population <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'initial-population' = 'Initial Population', given as 'Initial Population'})</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Numerator <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'numerator' = 'Numerator', given as 'Numerator'})</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator' = 'Denominator', given as 'Denominator'})</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator Exclusion <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator-exclusion' = 'Denominator Exclusion', given as 'Denominator Exclusion'})</span></p><p><b>count</b>: 0</p></blockquote></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: Green Circle <span style=\"background: LightGoldenRodYellow\">(Details : {http://fhir/example.org code 'Payer456' = 'Payer456', given as 'Green Circle'})</span></p><blockquote><p><b>population</b></p><p><b>code</b>: Initial Population <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'initial-population' = 'Initial Population', given as 'Initial Population'})</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Numerator <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'numerator' = 'Numerator', given as 'Numerator'})</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator' = 'Denominator', given as 'Denominator'})</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator Exclusion <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator-exclusion' = 'Denominator Exclusion', given as 'Denominator Exclusion'})</span></p><p><b>count</b>: 0</p></blockquote></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: GoodHealth of California <span style=\"background: LightGoldenRodYellow\">(Details : {http://fhir/example.org code 'Payer789' = 'Payer789', given as 'GoodHealth of California'})</span></p><blockquote><p><b>population</b></p><p><b>code</b>: Initial Population <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'initial-population' = 'Initial Population', given as 'Initial Population'})</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Numerator <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'numerator' = 'Numerator', given as 'Numerator'})</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator' = 'Denominator', given as 'Denominator'})</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator Exclusion <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator-exclusion' = 'Denominator Exclusion', given as 'Denominator Exclusion'})</span></p><p><b>count</b>: 0</p></blockquote></blockquote></blockquote><blockquote><p><b>stratifier</b></p><p><b>code</b>: SDE Race <span style=\"background: LightGoldenRodYellow\">(Details : {http://fhir/example.org code 'sde-race' = 'sde-race', given as 'SDE Race'})</span></p><blockquote><p><b>stratum</b></p><p><b>value</b>: Black or African American <span style=\"background: LightGoldenRodYellow\">(Details : {urn:oid:2.16.840.1.113883.6.238 code '2054-5' = 'Black or African American', given as 'Black or African American'})</span></p><blockquote><p><b>population</b></p><p><b>code</b>: Initial Population <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'initial-population' = 'Initial Population', given as 'Initial Population'})</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Numerator <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'numerator' = 'Numerator', given as 'Numerator'})</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator' = 'Denominator', given as 'Denominator'})</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator Exclusion <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator-exclusion' = 'Denominator Exclusion', given as 'Denominator Exclusion'})</span></p><p><b>count</b>: 0</p></blockquote></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: White <span style=\"background: LightGoldenRodYellow\">(Details : {urn:oid:2.16.840.1.113883.6.238 code '2106-3' = 'White', given as 'White'})</span></p><blockquote><p><b>population</b></p><p><b>code</b>: Initial Population <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'initial-population' = 'Initial Population', given as 'Initial Population'})</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Numerator <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'numerator' = 'Numerator', given as 'Numerator'})</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator' = 'Denominator', given as 'Denominator'})</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator Exclusion <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator-exclusion' = 'Denominator Exclusion', given as 'Denominator Exclusion'})</span></p><p><b>count</b>: 0</p></blockquote></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: Asian <span style=\"background: LightGoldenRodYellow\">(Details : {urn:oid:2.16.840.1.113883.6.238 code '2028-9' = 'Asian', given as 'Asian'})</span></p><blockquote><p><b>population</b></p><p><b>code</b>: Initial Population <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'initial-population' = 'Initial Population', given as 'Initial Population'})</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Numerator <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'numerator' = 'Numerator', given as 'Numerator'})</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator' = 'Denominator', given as 'Denominator'})</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator Exclusion <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator-exclusion' = 'Denominator Exclusion', given as 'Denominator Exclusion'})</span></p><p><b>count</b>: 0</p></blockquote></blockquote></blockquote><blockquote><p><b>stratifier</b></p><p><b>code</b>: SDE Sex <span style=\"background: LightGoldenRodYellow\">(Details : {http://fhir/example.org code 'sde-sex' = 'sde-sex', given as 'SDE Sex'})</span></p><blockquote><p><b>stratum</b></p><p><b>value</b>: Male <span style=\"background: LightGoldenRodYellow\">(Details : {http://hl7.org/fhir/administrative-gender code 'male' = 'Male', given as 'Male'})</span></p><blockquote><p><b>population</b></p><p><b>code</b>: Initial Population <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'initial-population' = 'Initial Population', given as 'Initial Population'})</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Numerator <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'numerator' = 'Numerator', given as 'Numerator'})</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator' = 'Denominator', given as 'Denominator'})</span></p><p><b>count</b>: 1</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator Exclusion <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator-exclusion' = 'Denominator Exclusion', given as 'Denominator Exclusion'})</span></p><p><b>count</b>: 0</p></blockquote></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: Female <span style=\"background: LightGoldenRodYellow\">(Details : {http://hl7.org/fhir/administrative-gender code 'female' = 'Female', given as 'Female'})</span></p><blockquote><p><b>population</b></p><p><b>code</b>: Initial Population <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'initial-population' = 'Initial Population', given as 'Initial Population'})</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Numerator <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'numerator' = 'Numerator', given as 'Numerator'})</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator' = 'Denominator', given as 'Denominator'})</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator Exclusion <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator-exclusion' = 'Denominator Exclusion', given as 'Denominator Exclusion'})</span></p><p><b>count</b>: 0</p></blockquote></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: Other <span style=\"background: LightGoldenRodYellow\">(Details : {http://hl7.org/fhir/administrative-gender code 'other' = 'Other', given as 'Other'})</span></p><blockquote><p><b>population</b></p><p><b>code</b>: Initial Population <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'initial-population' = 'Initial Population', given as 'Initial Population'})</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Numerator <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'numerator' = 'Numerator', given as 'Numerator'})</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator' = 'Denominator', given as 'Denominator'})</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator Exclusion <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator-exclusion' = 'Denominator Exclusion', given as 'Denominator Exclusion'})</span></p><p><b>count</b>: 0</p></blockquote></blockquote></blockquote></blockquote></div>"
        },
        "status": "complete",
        "type": "individual",
        "measure": "http://hl7.org/fhir/us/cqfmeasures/Measure/measure-exm130-FHIR",
        "subject": {
          "reference": "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57906"
        },
        "date": "2019-03-14",
        "reporter": {
          "reference": "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57905"
        },
        "period": {
          "start": "2018-12-31",
          "end": "2019-01-01"
        },
        "group": [
          {
            "code": {
              "coding": [
                {
                  "system": "http://fhir/example.org",
                  "code": "group-1",
                  "display": "group-1"
                }
              ]
            },
            "population": [
              {
                "code": {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                      "code": "initial-population",
                      "display": "Initial Population"
                    }
                  ]
                },
                "count": 1
              },
              {
                "code": {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                      "code": "numerator",
                      "display": "Numerator"
                    }
                  ]
                },
                "count": 1
              },
              {
                "code": {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                      "code": "denominator",
                      "display": "Denominator"
                    }
                  ]
                },
                "count": 1
              },
              {
                "code": {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                      "code": "denominator-exclusion",
                      "display": "Denominator Exclusion"
                    }
                  ]
                },
                "count": 0
              }
            ],
            "measureScore": {
              "value": 1
            },
            "stratifier": [
              {
                "code": [
                  {
                    "coding": [
                      {
                        "system": "http://fhir/example.org",
                        "code": "sde-ethnicity",
                        "display": "SDE Ethnicity"
                      }
                    ]
                  }
                ],
                "stratum": [
                  {
                    "value": {
                      "coding": [
                        {
                          "system": "urn:oid:2.16.840.1.113883.6.238",
                          "code": "2135-2",
                          "display": "Hispanic or Latino"
                        }
                      ]
                    },
                    "population": [
                      {
                        "code": {
                          "coding": [
                            {
                              "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code": "initial-population",
                              "display": "Initial Population"
                            }
                          ]
                        },
                        "count": 1
                      },
                      {
                        "code": {
                          "coding": [
                            {
                              "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code": "numerator",
                              "display": "Numerator"
                            }
                          ]
                        },
                        "count": 1
                      },
                      {
                        "code": {
                          "coding": [
                            {
                              "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code": "denominator",
                              "display": "Denominator"
                            }
                          ]
                        },
                        "count": 1
                      },
                      {
                        "code": {
                          "coding": [
                            {
                              "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code": "denominator-exclusion",
                              "display": "Denominator Exclusion"
                            }
                          ]
                        },
                        "count": 0
                      }
                    ]
                  },
                  {
                    "value": {
                      "coding": [
                        {
                          "system": "urn:oid:2.16.840.1.113883.6.238",
                          "code": "2186-5",
                          "display": "Not Hispanic or Latino"
                        }
                      ]
                    },
                    "population": [
                      {
                        "code": {
                          "coding": [
                            {
                              "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code": "initial-population",
                              "display": "Initial Population"
                            }
                          ]
                        },
                        "count": 0
                      },
                      {
                        "code": {
                          "coding": [
                            {
                              "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code": "numerator",
                              "display": "Numerator"
                            }
                          ]
                        },
                        "count": 0
                      },
                      {
                        "code": {
                          "coding": [
                            {
                              "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code": "denominator",
                              "display": "Denominator"
                            }
                          ]
                        },
                        "count": 0
                      },
                      {
                        "code": {
                          "coding": [
                            {
                              "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code": "denominator-exclusion",
                              "display": "Denominator Exclusion"
                            }
                          ]
                        },
                        "count": 0
                      }
                    ]
                  }
                ]
              },
              {
                "code": [
                  {
                    "coding": [
                      {
                        "system": "http://fhir/example.org",
                        "code": "sde-payer",
                        "display": "SDE Payer"
                      }
                    ]
                  }
                ],
                "stratum": [
                  {
                    "value": {
                      "coding": [
                        {
                          "system": "http://fhir/example.org",
                          "code": "Payer123",
                          "display": "King HMO"
                        }
                      ]
                    },
                    "population": [
                      {
                        "code": {
                          "coding": [
                            {
                              "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code": "initial-population",
                              "display": "Initial Population"
                            }
                          ]
                        },
                        "count": 1
                      },
                      {
                        "code": {
                          "coding": [
                            {
                              "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code": "numerator",
                              "display": "Numerator"
                            }
                          ]
                        },
                        "count": 1
                      },
                      {
                        "code": {
                          "coding": [
                            {
                              "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code": "denominator",
                              "display": "Denominator"
                            }
                          ]
                        },
                        "count": 1
                      },
                      {
                        "code": {
                          "coding": [
                            {
                              "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code": "denominator-exclusion",
                              "display": "Denominator Exclusion"
                            }
                          ]
                        },
                        "count": 0
                      }
                    ]
                  },
                  {
                    "value": {
                      "coding": [
                        {
                          "system": "http://fhir/example.org",
                          "code": "Payer456",
                          "display": "Green Circle"
                        }
                      ]
                    },
                    "population": [
                      {
                        "code": {
                          "coding": [
                            {
                              "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code": "initial-population",
                              "display": "Initial Population"
                            }
                          ]
                        },
                        "count": 0
                      },
                      {
                        "code": {
                          "coding": [
                            {
                              "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code": "numerator",
                              "display": "Numerator"
                            }
                          ]
                        },
                        "count": 0
                      },
                      {
                        "code": {
                          "coding": [
                            {
                              "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code": "denominator",
                              "display": "Denominator"
                            }
                          ]
                        },
                        "count": 0
                      },
                      {
                        "code": {
                          "coding": [
                            {
                              "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code": "denominator-exclusion",
                              "display": "Denominator Exclusion"
                            }
                          ]
                        },
                        "count": 0
                      }
                    ]
                  },
                  {
                    "value": {
                      "coding": [
                        {
                          "system": "http://fhir/example.org",
                          "code": "Payer789",
                          "display": "GoodHealth of California"
                        }
                      ]
                    },
                    "population": [
                      {
                        "code": {
                          "coding": [
                            {
                              "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code": "initial-population",
                              "display": "Initial Population"
                            }
                          ]
                        },
                        "count": 0
                      },
                      {
                        "code": {
                          "coding": [
                            {
                              "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code": "numerator",
                              "display": "Numerator"
                            }
                          ]
                        },
                        "count": 0
                      },
                      {
                        "code": {
                          "coding": [
                            {
                              "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code": "denominator",
                              "display": "Denominator"
                            }
                          ]
                        },
                        "count": 0
                      },
                      {
                        "code": {
                          "coding": [
                            {
                              "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code": "denominator-exclusion",
                              "display": "Denominator Exclusion"
                            }
                          ]
                        },
                        "count": 0
                      }
                    ]
                  }
                ]
              },
              {
                "code": [
                  {
                    "coding": [
                      {
                        "system": "http://fhir/example.org",
                        "code": "sde-race",
                        "display": "SDE Race"
                      }
                    ]
                  }
                ],
                "stratum": [
                  {
                    "value": {
                      "coding": [
                        {
                          "system": "urn:oid:2.16.840.1.113883.6.238",
                          "code": "2054-5",
                          "display": "Black or African American"
                        }
                      ]
                    },
                    "population": [
                      {
                        "code": {
                          "coding": [
                            {
                              "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code": "initial-population",
                              "display": "Initial Population"
                            }
                          ]
                        },
                        "count": 0
                      },
                      {
                        "code": {
                          "coding": [
                            {
                              "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code": "numerator",
                              "display": "Numerator"
                            }
                          ]
                        },
                        "count": 0
                      },
                      {
                        "code": {
                          "coding": [
                            {
                              "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code": "denominator",
                              "display": "Denominator"
                            }
                          ]
                        },
                        "count": 0
                      },
                      {
                        "code": {
                          "coding": [
                            {
                              "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code": "denominator-exclusion",
                              "display": "Denominator Exclusion"
                            }
                          ]
                        },
                        "count": 0
                      }
                    ]
                  },
                  {
                    "value": {
                      "coding": [
                        {
                          "system": "urn:oid:2.16.840.1.113883.6.238",
                          "code": "2106-3",
                          "display": "White"
                        }
                      ]
                    },
                    "population": [
                      {
                        "code": {
                          "coding": [
                            {
                              "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code": "initial-population",
                              "display": "Initial Population"
                            }
                          ]
                        },
                        "count": 1
                      },
                      {
                        "code": {
                          "coding": [
                            {
                              "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code": "numerator",
                              "display": "Numerator"
                            }
                          ]
                        },
                        "count": 1
                      },
                      {
                        "code": {
                          "coding": [
                            {
                              "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code": "denominator",
                              "display": "Denominator"
                            }
                          ]
                        },
                        "count": 1
                      },
                      {
                        "code": {
                          "coding": [
                            {
                              "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code": "denominator-exclusion",
                              "display": "Denominator Exclusion"
                            }
                          ]
                        },
                        "count": 0
                      }
                    ]
                  },
                  {
                    "value": {
                      "coding": [
                        {
                          "system": "urn:oid:2.16.840.1.113883.6.238",
                          "code": "2028-9",
                          "display": "Asian"
                        }
                      ]
                    },
                    "population": [
                      {
                        "code": {
                          "coding": [
                            {
                              "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code": "initial-population",
                              "display": "Initial Population"
                            }
                          ]
                        },
                        "count": 0
                      },
                      {
                        "code": {
                          "coding": [
                            {
                              "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code": "numerator",
                              "display": "Numerator"
                            }
                          ]
                        },
                        "count": 0
                      },
                      {
                        "code": {
                          "coding": [
                            {
                              "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code": "denominator",
                              "display": "Denominator"
                            }
                          ]
                        },
                        "count": 0
                      },
                      {
                        "code": {
                          "coding": [
                            {
                              "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code": "denominator-exclusion",
                              "display": "Denominator Exclusion"
                            }
                          ]
                        },
                        "count": 0
                      }
                    ]
                  }
                ]
              },
              {
                "code": [
                  {
                    "coding": [
                      {
                        "system": "http://fhir/example.org",
                        "code": "sde-sex",
                        "display": "SDE Sex"
                      }
                    ]
                  }
                ],
                "stratum": [
                  {
                    "value": {
                      "coding": [
                        {
                          "system": "http://hl7.org/fhir/administrative-gender",
                          "code": "male",
                          "display": "Male"
                        }
                      ]
                    },
                    "population": [
                      {
                        "code": {
                          "coding": [
                            {
                              "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code": "initial-population",
                              "display": "Initial Population"
                            }
                          ]
                        },
                        "count": 1
                      },
                      {
                        "code": {
                          "coding": [
                            {
                              "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code": "numerator",
                              "display": "Numerator"
                            }
                          ]
                        },
                        "count": 1
                      },
                      {
                        "code": {
                          "coding": [
                            {
                              "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code": "denominator",
                              "display": "Denominator"
                            }
                          ]
                        },
                        "count": 1
                      },
                      {
                        "code": {
                          "coding": [
                            {
                              "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code": "denominator-exclusion",
                              "display": "Denominator Exclusion"
                            }
                          ]
                        },
                        "count": 0
                      }
                    ]
                  },
                  {
                    "value": {
                      "coding": [
                        {
                          "system": "http://hl7.org/fhir/administrative-gender",
                          "code": "female",
                          "display": "Female"
                        }
                      ]
                    },
                    "population": [
                      {
                        "code": {
                          "coding": [
                            {
                              "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code": "initial-population",
                              "display": "Initial Population"
                            }
                          ]
                        },
                        "count": 0
                      },
                      {
                        "code": {
                          "coding": [
                            {
                              "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code": "numerator",
                              "display": "Numerator"
                            }
                          ]
                        },
                        "count": 0
                      },
                      {
                        "code": {
                          "coding": [
                            {
                              "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code": "denominator",
                              "display": "Denominator"
                            }
                          ]
                        },
                        "count": 0
                      },
                      {
                        "code": {
                          "coding": [
                            {
                              "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code": "denominator-exclusion",
                              "display": "Denominator Exclusion"
                            }
                          ]
                        },
                        "count": 0
                      }
                    ]
                  },
                  {
                    "value": {
                      "coding": [
                        {
                          "system": "http://hl7.org/fhir/administrative-gender",
                          "code": "other",
                          "display": "Other"
                        }
                      ]
                    },
                    "population": [
                      {
                        "code": {
                          "coding": [
                            {
                              "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code": "initial-population",
                              "display": "Initial Population"
                            }
                          ]
                        },
                        "count": 0
                      },
                      {
                        "code": {
                          "coding": [
                            {
                              "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code": "numerator",
                              "display": "Numerator"
                            }
                          ]
                        },
                        "count": 0
                      },
                      {
                        "code": {
                          "coding": [
                            {
                              "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code": "denominator",
                              "display": "Denominator"
                            }
                          ]
                        },
                        "count": 0
                      },
                      {
                        "code": {
                          "coding": [
                            {
                              "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                              "code": "denominator-exclusion",
                              "display": "Denominator Exclusion"
                            }
                          ]
                        },
                        "count": 0
                      }
                    ]
                  }
                ]
              }
            ]
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "MeasureReport"
      }
    },
    {
      "fullUrl": "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57905",
      "resource": {
        "resourceType": "Organization",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/organization-deqm"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>identifier</b>: Tax ID number = 123456789 (OFFICIAL)</p><p><b>active</b>: true</p><p><b>type</b>: Healthcare Provider <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/organization-type code 'prov' = 'Healthcare Provider', given as '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:2.16.840.1.113883.4.2",
            "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:47709cc7-b3ec-4abc-9d26-3df3d3d57906",
      "resource": {
        "resourceType": "Patient",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>identifier</b>: Medical record number = 67890 (USUAL)</p><p><b>active</b>: true</p><p><b>name</b>: Thelma Webster (OFFICIAL)</p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1948-04-28</p><p><b>deceased</b>: false</p><p><b>address</b>: 7496 Beaver Ridge Ave Thornton NJ 07003 USA (HOME)</p><p><b>maritalStatus</b>: Married <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/v3-MaritalStatus code 'M' = 'Married', given as 'Married'})</span></p><h3>Communications</h3><table class=\"grid\"><tr><td>-</td><td><b>Language</b></td><td><b>Preferred</b></td></tr><tr><td>*</td><td>English (Region=United States) <span style=\"background: LightGoldenRodYellow\">(Details : {urn:ietf:bcp:47 code 'en-US' = 'English (Region=United States)', given as 'English (Region=United States)'})</span></td><td>true</td></tr></table></div>"
        },
        "extension": [
          {
            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
            "valueCode": "F"
          },
          {
            "extension": [
              {
                "url": "ombCategory",
                "valueCoding": {
                  "system": "urn:oid:2.16.840.1.113883.6.238",
                  "code": "2106-3",
                  "display": "White"
                }
              },
              {
                "url": "text",
                "valueString": "White"
              }
            ],
            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
          },
          {
            "extension": [
              {
                "url": "ombCategory",
                "valueCoding": {
                  "system": "urn:oid:2.16.840.1.113883.6.238",
                  "code": "2186-5",
                  "display": "Not Hispanic or Latino"
                }
              },
              {
                "url": "text",
                "valueString": "Not Hispanic or Latino"
              }
            ],
            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
          }
        ],
        "identifier": [
          {
            "use": "usual",
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "MR",
                  "display": "Medical record number"
                }
              ]
            },
            "system": "http://hospital.davinci.org",
            "value": "67890"
          }
        ],
        "active": true,
        "name": [
          {
            "use": "official",
            "family": "Webster",
            "given": [
              "Thelma"
            ]
          }
        ],
        "gender": "female",
        "birthDate": "1948-04-28",
        "deceasedBoolean": false,
        "address": [
          {
            "use": "home",
            "line": [
              "7496 Beaver Ridge Ave"
            ],
            "city": "Thornton",
            "state": "NJ",
            "postalCode": "07003",
            "country": "USA"
          }
        ],
        "maritalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
              "code": "M",
              "display": "Married"
            }
          ]
        },
        "communication": [
          {
            "language": {
              "coding": [
                {
                  "system": "urn:ietf:bcp:47",
                  "code": "en-US",
                  "display": "English (Region=United States)"
                }
              ]
            },
            "preferred": true
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "Patient"
      }
    },
    {
      "fullUrl": "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57907",
      "resource": {
        "resourceType": "Practitioner",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>identifier</b>: Provider number = 123456789 (OFFICIAL)</p><p><b>active</b>: true</p><p><b>name</b>: Nia Akers </p><p><b>gender</b>: female</p></div>"
        },
        "identifier": [
          {
            "use": "official",
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "PRN",
                  "display": "Provider number"
                }
              ]
            },
            "system": "http://hl7.org/fhir/sid/us-npi",
            "value": "123456789"
          }
        ],
        "active": true,
        "name": [
          {
            "family": "Akers",
            "given": [
              "Nia"
            ],
            "suffix": [
              "MD"
            ]
          }
        ],
        "gender": "female"
      },
      "request": {
        "method": "POST",
        "url": "Practitioner"
      }
    },
    {
      "fullUrl": "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57908",
      "resource": {
        "resourceType": "Observation",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-observation"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>meta</b>: </p><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/observation-category code 'laboratory' = 'Laboratory', given as 'Laboratory'})</span></p><p><b>code</b>: Noninvasive colorectal cancer DNA and occult blood screening [Interpretation] in Stool Narrative <span style=\"background: LightGoldenRodYellow\">(Details : {LOINC code '77353-1' = 'Noninvasive colorectal cancer DNA and occult blood screening [Interpretation] in Stool Narrative', given as 'Noninvasive colorectal cancer DNA and occult blood screening [Interpretation] in Stool Narrative'})</span></p><p><b>subject</b>: <a href=\"urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57906\">urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57906</a></p><p><b>effective</b>: Jun 22, 2018, 12:00:00 AM</p><p><b>performer</b>: <a href=\"urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57907\">urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57907</a></p></div>"
        },
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory",
                "display": "Laboratory"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "77353-1",
              "display": "Noninvasive colorectal cancer DNA and occult blood screening [Interpretation] in Stool Narrative"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57906"
        },
        "effectiveDateTime": "2018-06-22",
        "performer": [
          {
            "reference": "urn:uuid:47709cc7-b3ec-4abc-9d26-3df3d3d57907"
          }
        ]
      },
      "request": {
        "method": "POST",
        "url": "Observation"
      }
    }
  ]
}

Response

HTTP/1.1 200 OK
[other headers]

{
"resourceType": "Bundle",
"id": "acb38f7f-2fcc-4b74-b46b-2af1c20854dc",
"type": "transaction-response",
"link": [
{
"relation": "self",
"url": "http://hapi.fhir.org/baseR4"
}
],
"entry": [
{
"response": {
"status": "201 Created",
"location": "MeasureReport/224761/_history/1",
"etag": "1",
"lastModified": "2019-12-07T01:30:03.058+00:00"
}
},
{
"response": {
"status": "201 Created",
"location": "Organization/224762/_history/1",
"etag": "1",
"lastModified": "2019-12-07T01:30:03.058+00:00"
}
},
{
"response": {
"status": "201 Created",
"location": "Patient/224763/_history/1",
"etag": "1",
"lastModified": "2019-12-07T01:30:03.058+00:00"
}
},
{
"response": {
"status": "201 Created",
"location": "Practitioner/224764/_history/1",
"etag": "1",
"lastModified": "2019-12-07T01:30:03.058+00:00"
}
},
{
"response": {
"status": "201 Created",
"location": "Observation/224765/_history/1",
"etag": "1",
"lastModified": "2019-12-07T01:30:03.058+00:00"
}
}
]
}

Summary MeasureReport

Payer in the role of the Reporter posts the COL Summary MeasureReport to the Receiver

Figure 3-13 Summary Reporting Technical Workflow
col_summ_report.jpg

Examples

Scenario:

Payer X who is acting in the role of a Reporter submits a COL Summary Report for COL for period P to Receiver Z. The body of the request is MeasureReport resource containing the required summary data for COL attestation for the period. An HTTP Status success code is returned on successful submission.

POST Summary Report

POST [base]/MeasureReport

Request body

{
  "resourceType": "MeasureReport",
  "id": "summ-measurereport02",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/summary-measurereport-deqm"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: summ-measurereport02</p><p><b>meta</b>: </p><p><b>status</b>: complete</p><p><b>type</b>: summary</p><p><b>measure</b>: <a href=\"http://hl7.org/fhir/us/cqfmeasures/Measure/measure-exm130-FHIR\">http://hl7.org/fhir/us/cqfmeasures/Measure/measure-exm130-FHIR</a></p><p><b>date</b>: Sep 5, 2019, 4:59:52 PM</p><p><b>reporter</b>: <a href=\"Organization-organization01.html\">Generated Summary: id: organization01; Tax ID number = 123456789 (OFFICIAL); active; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span>; name: DaVinciHospital01; ph: (+1) 401-555-1212</a></p><p><b>period</b>: Aug 1, 2019, 12:00:00 AM --&gt; Sep 1, 2019, 12:00:00 AM</p><blockquote><p><b>group</b></p><p><b>code</b>: group-1 <span style=\"background: LightGoldenRodYellow\">(Details : {http://fhir/example.org code 'group-1' = 'group-1', given as 'group-1'})</span></p><blockquote><p><b>population</b></p><p><b>code</b>: Initial Population <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'initial-population' = 'Initial Population', given as '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\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'numerator' = 'Numerator', given as '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\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator' = 'Denominator', given as '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\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator-exclusion' = 'Denominator Exclusion', given as 'Denominator Exclusion'})</span></p><p><b>count</b>: 10</p></blockquote><p><b>measureScore</b>: 66</p><blockquote><p><b>stratifier</b></p><p><b>code</b>: SDE Ethnicity <span style=\"background: LightGoldenRodYellow\">(Details : {http://fhir/example.org code 'sde-ethnicity' = 'sde-ethnicity', given as 'SDE Ethnicity'})</span></p><blockquote><p><b>stratum</b></p><p><b>value</b>: Hispanic or Latino <span style=\"background: LightGoldenRodYellow\">(Details : {urn:oid:2.16.840.1.113883.6.238 code '2135-2' = 'Hispanic or Latino', given as 'Hispanic or Latino'})</span></p><blockquote><p><b>population</b></p><p><b>code</b>: Initial Population <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'initial-population' = 'Initial Population', given as 'Initial Population'})</span></p><p><b>count</b>: 30</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Numerator <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'numerator' = 'Numerator', given as 'Numerator'})</span></p><p><b>count</b>: 10</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator' = 'Denominator', given as 'Denominator'})</span></p><p><b>count</b>: 30</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator Exclusion <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator-exclusion' = 'Denominator Exclusion', given as 'Denominator Exclusion'})</span></p><p><b>count</b>: 10</p></blockquote><p><b>measureScore</b>: 50</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: Not Hispanic or Latino <span style=\"background: LightGoldenRodYellow\">(Details : {urn:oid:2.16.840.1.113883.6.238 code '2186-5' = 'Not Hispanic or Latino', given as 'Not Hispanic or Latino'})</span></p><blockquote><p><b>population</b></p><p><b>code</b>: Initial Population <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'initial-population' = 'Initial Population', given as 'Initial Population'})</span></p><p><b>count</b>: 70</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Numerator <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'numerator' = 'Numerator', given as 'Numerator'})</span></p><p><b>count</b>: 50</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator' = 'Denominator', given as 'Denominator'})</span></p><p><b>count</b>: 70</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator Exclusion <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator-exclusion' = 'Denominator Exclusion', given as 'Denominator Exclusion'})</span></p><p><b>count</b>: 0</p></blockquote><p><b>measureScore</b>: 71</p></blockquote></blockquote><blockquote><p><b>stratifier</b></p><p><b>code</b>: SDE Payer <span style=\"background: LightGoldenRodYellow\">(Details : {http://fhir/example.org code 'sde-payer' = 'sde-payer', given as 'SDE Payer'})</span></p><blockquote><p><b>stratum</b></p><p><b>value</b>: King HMO <span style=\"background: LightGoldenRodYellow\">(Details : {http://fhir/example.org code 'Payer123' = 'Payer123', given as 'King HMO'})</span></p><blockquote><p><b>population</b></p><p><b>code</b>: Initial Population <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'initial-population' = 'Initial Population', given as 'Initial Population'})</span></p><p><b>count</b>: 30</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Numerator <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'numerator' = 'Numerator', given as 'Numerator'})</span></p><p><b>count</b>: 10</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator' = 'Denominator', given as 'Denominator'})</span></p><p><b>count</b>: 30</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator Exclusion <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator-exclusion' = 'Denominator Exclusion', given as 'Denominator Exclusion'})</span></p><p><b>count</b>: 10</p></blockquote><p><b>measureScore</b>: 50</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: Green Circle <span style=\"background: LightGoldenRodYellow\">(Details : {http://fhir/example.org code 'Payer456' = 'Payer456', given as 'Green Circle'})</span></p><blockquote><p><b>population</b></p><p><b>code</b>: Initial Population <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'initial-population' = 'Initial Population', given as 'Initial Population'})</span></p><p><b>count</b>: 30</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Numerator <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'numerator' = 'Numerator', given as 'Numerator'})</span></p><p><b>count</b>: 10</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator' = 'Denominator', given as 'Denominator'})</span></p><p><b>count</b>: 30</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator Exclusion <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator-exclusion' = 'Denominator Exclusion', given as 'Denominator Exclusion'})</span></p><p><b>count</b>: 0</p></blockquote><p><b>measureScore</b>: 33</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: GoodHealth of California <span style=\"background: LightGoldenRodYellow\">(Details : {http://fhir/example.org code 'Payer789' = 'Payer789', given as 'GoodHealth of California'})</span></p><blockquote><p><b>population</b></p><p><b>code</b>: Initial Population <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'initial-population' = 'Initial Population', given as 'Initial Population'})</span></p><p><b>count</b>: 40</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Numerator <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'numerator' = 'Numerator', given as 'Numerator'})</span></p><p><b>count</b>: 40</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator' = 'Denominator', given as 'Denominator'})</span></p><p><b>count</b>: 40</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator Exclusion <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator-exclusion' = 'Denominator Exclusion', given as 'Denominator Exclusion'})</span></p><p><b>count</b>: 0</p></blockquote><p><b>measureScore</b>: 100</p></blockquote></blockquote><blockquote><p><b>stratifier</b></p><p><b>code</b>: SDE Race <span style=\"background: LightGoldenRodYellow\">(Details : {http://fhir/example.org code 'sde-race' = 'sde-race', given as 'SDE Race'})</span></p><blockquote><p><b>stratum</b></p><p><b>value</b>: Black or African American <span style=\"background: LightGoldenRodYellow\">(Details : {urn:oid:2.16.840.1.113883.6.238 code '2054-5' = 'Black or African American', given as 'Black or African American'})</span></p><blockquote><p><b>population</b></p><p><b>code</b>: Initial Population <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'initial-population' = 'Initial Population', given as 'Initial Population'})</span></p><p><b>count</b>: 30</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Numerator <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'numerator' = 'Numerator', given as 'Numerator'})</span></p><p><b>count</b>: 10</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator' = 'Denominator', given as 'Denominator'})</span></p><p><b>count</b>: 30</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator Exclusion <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator-exclusion' = 'Denominator Exclusion', given as 'Denominator Exclusion'})</span></p><p><b>count</b>: 10</p></blockquote><p><b>measureScore</b>: 50</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: White <span style=\"background: LightGoldenRodYellow\">(Details : {urn:oid:2.16.840.1.113883.6.238 code '2106-3' = 'White', given as 'White'})</span></p><blockquote><p><b>population</b></p><p><b>code</b>: Initial Population <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'initial-population' = 'Initial Population', given as 'Initial Population'})</span></p><p><b>count</b>: 30</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Numerator <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'numerator' = 'Numerator', given as 'Numerator'})</span></p><p><b>count</b>: 10</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator' = 'Denominator', given as 'Denominator'})</span></p><p><b>count</b>: 30</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator Exclusion <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator-exclusion' = 'Denominator Exclusion', given as 'Denominator Exclusion'})</span></p><p><b>count</b>: 0</p></blockquote><p><b>measureScore</b>: 33</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: Asian <span style=\"background: LightGoldenRodYellow\">(Details : {urn:oid:2.16.840.1.113883.6.238 code '2028-9' = 'Asian', given as 'Asian'})</span></p><blockquote><p><b>population</b></p><p><b>code</b>: Initial Population <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'initial-population' = 'Initial Population', given as 'Initial Population'})</span></p><p><b>count</b>: 40</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Numerator <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'numerator' = 'Numerator', given as 'Numerator'})</span></p><p><b>count</b>: 40</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator' = 'Denominator', given as 'Denominator'})</span></p><p><b>count</b>: 40</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator Exclusion <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator-exclusion' = 'Denominator Exclusion', given as 'Denominator Exclusion'})</span></p><p><b>count</b>: 0</p></blockquote><p><b>measureScore</b>: 100</p></blockquote></blockquote><blockquote><p><b>stratifier</b></p><p><b>code</b>: SDE Sex <span style=\"background: LightGoldenRodYellow\">(Details : {http://fhir/example.org code 'sde-sex' = 'sde-sex', given as 'SDE Sex'})</span></p><blockquote><p><b>stratum</b></p><p><b>value</b>: Male <span style=\"background: LightGoldenRodYellow\">(Details : {http://hl7.org/fhir/administrative-gender code 'male' = 'Male', given as 'Male'})</span></p><blockquote><p><b>population</b></p><p><b>code</b>: Initial Population <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'initial-population' = 'Initial Population', given as 'Initial Population'})</span></p><p><b>count</b>: 40</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Numerator <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'numerator' = 'Numerator', given as 'Numerator'})</span></p><p><b>count</b>: 20</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator' = 'Denominator', given as 'Denominator'})</span></p><p><b>count</b>: 40</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator Exclusion <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator-exclusion' = 'Denominator Exclusion', given as 'Denominator Exclusion'})</span></p><p><b>count</b>: 5</p></blockquote><p><b>measureScore</b>: 57</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: Female <span style=\"background: LightGoldenRodYellow\">(Details : {http://hl7.org/fhir/administrative-gender code 'female' = 'Female', given as 'Female'})</span></p><blockquote><p><b>population</b></p><p><b>code</b>: Initial Population <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'initial-population' = 'Initial Population', given as 'Initial Population'})</span></p><p><b>count</b>: 60</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Numerator <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'numerator' = 'Numerator', given as 'Numerator'})</span></p><p><b>count</b>: 40</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator' = 'Denominator', given as 'Denominator'})</span></p><p><b>count</b>: 60</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator Exclusion <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator-exclusion' = 'Denominator Exclusion', given as 'Denominator Exclusion'})</span></p><p><b>count</b>: 4</p></blockquote><p><b>measureScore</b>: 72</p></blockquote><blockquote><p><b>stratum</b></p><p><b>value</b>: Other <span style=\"background: LightGoldenRodYellow\">(Details : {http://hl7.org/fhir/administrative-gender code 'other' = 'Other', given as 'Other'})</span></p><blockquote><p><b>population</b></p><p><b>code</b>: Initial Population <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'initial-population' = 'Initial Population', given as 'Initial Population'})</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Numerator <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'numerator' = 'Numerator', given as 'Numerator'})</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator' = 'Denominator', given as 'Denominator'})</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><p><b>code</b>: Denominator Exclusion <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/measure-population code 'denominator-exclusion' = 'Denominator Exclusion', given as 'Denominator Exclusion'})</span></p><p><b>count</b>: 0</p></blockquote><p><b>measureScore</b>: 0</p></blockquote></blockquote></blockquote></div>"
  },
  "status": "complete",
  "type": "summary",
  "measure": "http://hl7.org/fhir/us/cqfmeasures/Measure/measure-exm130-FHIR",
  "date": "2019-09-05T16:59:52.404Z",
  "reporter": {
    "reference": "Organization/organization01"
  },
  "period": {
    "start": "2019-08-01",
    "end": "2019-09-01"
  },
  "group": [
    {
      "code": {
        "coding": [
          {
            "system": "http://fhir/example.org",
            "code": "group-1",
            "display": "group-1"
          }
        ]
      },
      "population": [
        {
          "code": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                "code": "initial-population",
                "display": "Initial Population"
              }
            ]
          },
          "count": 100
        },
        {
          "code": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                "code": "numerator",
                "display": "Numerator"
              }
            ]
          },
          "count": 60
        },
        {
          "code": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                "code": "denominator",
                "display": "Denominator"
              }
            ]
          },
          "count": 100
        },
        {
          "code": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                "code": "denominator-exclusion",
                "display": "Denominator Exclusion"
              }
            ]
          },
          "count": 10
        }
      ],
      "measureScore": {
        "value": 66
      },
      "stratifier": [
        {
          "code": [
            {
              "coding": [
                {
                  "system": "http://fhir/example.org",
                  "code": "sde-ethnicity",
                  "display": "SDE Ethnicity"
                }
              ]
            }
          ],
          "stratum": [
            {
              "value": {
                "coding": [
                  {
                    "system": "urn:oid:2.16.840.1.113883.6.238",
                    "code": "2135-2",
                    "display": "Hispanic or Latino"
                  }
                ]
              },
              "population": [
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code": "initial-population",
                        "display": "Initial Population"
                      }
                    ]
                  },
                  "count": 30
                },
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code": "numerator",
                        "display": "Numerator"
                      }
                    ]
                  },
                  "count": 10
                },
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code": "denominator",
                        "display": "Denominator"
                      }
                    ]
                  },
                  "count": 30
                },
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code": "denominator-exclusion",
                        "display": "Denominator Exclusion"
                      }
                    ]
                  },
                  "count": 10
                }
              ],
              "measureScore": {
                "value": 50
              }
            },
            {
              "value": {
                "coding": [
                  {
                    "system": "urn:oid:2.16.840.1.113883.6.238",
                    "code": "2186-5",
                    "display": "Not Hispanic or Latino"
                  }
                ]
              },
              "population": [
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code": "initial-population",
                        "display": "Initial Population"
                      }
                    ]
                  },
                  "count": 70
                },
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code": "numerator",
                        "display": "Numerator"
                      }
                    ]
                  },
                  "count": 50
                },
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code": "denominator",
                        "display": "Denominator"
                      }
                    ]
                  },
                  "count": 70
                },
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code": "denominator-exclusion",
                        "display": "Denominator Exclusion"
                      }
                    ]
                  },
                  "count": 0
                }
              ],
              "measureScore": {
                "value": 71
              }
            }
          ]
        },
        {
          "code": [
            {
              "coding": [
                {
                  "system": "http://fhir/example.org",
                  "code": "sde-payer",
                  "display": "SDE Payer"
                }
              ]
            }
          ],
          "stratum": [
            {
              "value": {
                "coding": [
                  {
                    "system": "http://fhir/example.org",
                    "code": "Payer123",
                    "display": "King HMO"
                  }
                ]
              },
              "population": [
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code": "initial-population",
                        "display": "Initial Population"
                      }
                    ]
                  },
                  "count": 30
                },
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code": "numerator",
                        "display": "Numerator"
                      }
                    ]
                  },
                  "count": 10
                },
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code": "denominator",
                        "display": "Denominator"
                      }
                    ]
                  },
                  "count": 30
                },
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code": "denominator-exclusion",
                        "display": "Denominator Exclusion"
                      }
                    ]
                  },
                  "count": 10
                }
              ],
              "measureScore": {
                "value": 50
              }
            },
            {
              "value": {
                "coding": [
                  {
                    "system": "http://fhir/example.org",
                    "code": "Payer456",
                    "display": "Green Circle"
                  }
                ]
              },
              "population": [
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code": "initial-population",
                        "display": "Initial Population"
                      }
                    ]
                  },
                  "count": 30
                },
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code": "numerator",
                        "display": "Numerator"
                      }
                    ]
                  },
                  "count": 10
                },
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code": "denominator",
                        "display": "Denominator"
                      }
                    ]
                  },
                  "count": 30
                },
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code": "denominator-exclusion",
                        "display": "Denominator Exclusion"
                      }
                    ]
                  },
                  "count": 0
                }
              ],
              "measureScore": {
                "value": 33
              }
            },
            {
              "value": {
                "coding": [
                  {
                    "system": "http://fhir/example.org",
                    "code": "Payer789",
                    "display": "GoodHealth of California"
                  }
                ]
              },
              "population": [
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code": "initial-population",
                        "display": "Initial Population"
                      }
                    ]
                  },
                  "count": 40
                },
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code": "numerator",
                        "display": "Numerator"
                      }
                    ]
                  },
                  "count": 40
                },
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code": "denominator",
                        "display": "Denominator"
                      }
                    ]
                  },
                  "count": 40
                },
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code": "denominator-exclusion",
                        "display": "Denominator Exclusion"
                      }
                    ]
                  },
                  "count": 0
                }
              ],
              "measureScore": {
                "value": 100
              }
            }
          ]
        },
        {
          "code": [
            {
              "coding": [
                {
                  "system": "http://fhir/example.org",
                  "code": "sde-race",
                  "display": "SDE Race"
                }
              ]
            }
          ],
          "stratum": [
            {
              "value": {
                "coding": [
                  {
                    "system": "urn:oid:2.16.840.1.113883.6.238",
                    "code": "2054-5",
                    "display": "Black or African American"
                  }
                ]
              },
              "population": [
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code": "initial-population",
                        "display": "Initial Population"
                      }
                    ]
                  },
                  "count": 30
                },
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code": "numerator",
                        "display": "Numerator"
                      }
                    ]
                  },
                  "count": 10
                },
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code": "denominator",
                        "display": "Denominator"
                      }
                    ]
                  },
                  "count": 30
                },
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code": "denominator-exclusion",
                        "display": "Denominator Exclusion"
                      }
                    ]
                  },
                  "count": 10
                }
              ],
              "measureScore": {
                "value": 50
              }
            },
            {
              "value": {
                "coding": [
                  {
                    "system": "urn:oid:2.16.840.1.113883.6.238",
                    "code": "2106-3",
                    "display": "White"
                  }
                ]
              },
              "population": [
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code": "initial-population",
                        "display": "Initial Population"
                      }
                    ]
                  },
                  "count": 30
                },
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code": "numerator",
                        "display": "Numerator"
                      }
                    ]
                  },
                  "count": 10
                },
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code": "denominator",
                        "display": "Denominator"
                      }
                    ]
                  },
                  "count": 30
                },
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code": "denominator-exclusion",
                        "display": "Denominator Exclusion"
                      }
                    ]
                  },
                  "count": 0
                }
              ],
              "measureScore": {
                "value": 33
              }
            },
            {
              "value": {
                "coding": [
                  {
                    "system": "urn:oid:2.16.840.1.113883.6.238",
                    "code": "2028-9",
                    "display": "Asian"
                  }
                ]
              },
              "population": [
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code": "initial-population",
                        "display": "Initial Population"
                      }
                    ]
                  },
                  "count": 40
                },
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code": "numerator",
                        "display": "Numerator"
                      }
                    ]
                  },
                  "count": 40
                },
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code": "denominator",
                        "display": "Denominator"
                      }
                    ]
                  },
                  "count": 40
                },
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code": "denominator-exclusion",
                        "display": "Denominator Exclusion"
                      }
                    ]
                  },
                  "count": 0
                }
              ],
              "measureScore": {
                "value": 100
              }
            }
          ]
        },
        {
          "code": [
            {
              "coding": [
                {
                  "system": "http://fhir/example.org",
                  "code": "sde-sex",
                  "display": "SDE Sex"
                }
              ]
            }
          ],
          "stratum": [
            {
              "value": {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/administrative-gender",
                    "code": "male",
                    "display": "Male"
                  }
                ]
              },
              "population": [
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code": "initial-population",
                        "display": "Initial Population"
                      }
                    ]
                  },
                  "count": 40
                },
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code": "numerator",
                        "display": "Numerator"
                      }
                    ]
                  },
                  "count": 20
                },
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code": "denominator",
                        "display": "Denominator"
                      }
                    ]
                  },
                  "count": 40
                },
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code": "denominator-exclusion",
                        "display": "Denominator Exclusion"
                      }
                    ]
                  },
                  "count": 5
                }
              ],
              "measureScore": {
                "value": 57
              }
            },
            {
              "value": {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/administrative-gender",
                    "code": "female",
                    "display": "Female"
                  }
                ]
              },
              "population": [
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code": "initial-population",
                        "display": "Initial Population"
                      }
                    ]
                  },
                  "count": 60
                },
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code": "numerator",
                        "display": "Numerator"
                      }
                    ]
                  },
                  "count": 40
                },
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code": "denominator",
                        "display": "Denominator"
                      }
                    ]
                  },
                  "count": 60
                },
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code": "denominator-exclusion",
                        "display": "Denominator Exclusion"
                      }
                    ]
                  },
                  "count": 4
                }
              ],
              "measureScore": {
                "value": 72
              }
            },
            {
              "value": {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/administrative-gender",
                    "code": "other",
                    "display": "Other"
                  }
                ]
              },
              "population": [
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code": "initial-population",
                        "display": "Initial Population"
                      }
                    ]
                  },
                  "count": 0
                },
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code": "numerator",
                        "display": "Numerator"
                      }
                    ]
                  },
                  "count": 0
                },
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code": "denominator",
                        "display": "Denominator"
                      }
                    ]
                  },
                  "count": 0
                },
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/measure-population",
                        "code": "denominator-exclusion",
                        "display": "Denominator Exclusion"
                      }
                    ]
                  },
                  "count": 0
                }
              ],
              "measureScore": {
                "value": 0
              }
            }
          ]
        }
      ]
    }
  ]
}

Response

HTTP/1.1 200 OK
[other headers]

  1. HEDIS measures referenced are example content only for the purposes of working through standards. Organizations should not be using the HEDIS specified measures for the actual measurement.