{
  "resourceType" : "MeasureReport",
  "id" : "summ-medicare-stratification-example",
  "meta" : {
    "source" : "http://example.org/fhir/server",
    "profile" : ["http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-summarymeasurereport"]
  },
  "language" : "en",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en\" lang=\"en\"><p class=\"res-header-id\"><b>Generated Narrative: MeasureReport summ-medicare-stratification-example</b></p><a name=\"summ-medicare-stratification-example\"> </a><a name=\"hcsumm-medicare-stratification-example\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Language: en; </p><p style=\"margin-bottom: 0px\">Information Source: <a href=\"http://example.org/fhir/server\">http://example.org/fhir/server</a></p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-deqm-summarymeasurereport.html\">DEQM Summary MeasureReport Profile</a></p></div><p><b>DEQM Measure Scoring Extension</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-scoring proportion}\">Proportion</span></p><p><b>status</b>: Complete</p><p><b>type</b>: Summary</p><p><b>measure</b>: <a href=\"http://hl7.org/fhir/uv/cqm/2026May/Measure-EXM55-FHIR.html\">EXM55 - Median Emergency Department Visit Duration</a> version: 5.0.0</p><p><b>date</b>: 2018-09-05 16:59:52+0000</p><p><b>reporter</b>: <a href=\"Organization-organization01.html\">Organization DaVinciHospital01</a></p><p><b>period</b>: 2018-01-01 --&gt; 2018-12-31</p><p><b>improvementNotation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-improvement-notation increase}\">Increased score indicates improvement</span></p><blockquote><p><b>group</b></p><p><b>Extension Definition for MeasureReport.group.linkId for Version 5.0</b>: group-1</p><blockquote><p><b>population</b></p><p><b>Extension Definition for MeasureReport.group.population.linkId for Version 5.0</b>: initial-population</p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}\">Initial Population</span></p><p><b>count</b>: 10000</p></blockquote><blockquote><p><b>population</b></p><p><b>Extension Definition for MeasureReport.group.population.linkId for Version 5.0</b>: measure-population</p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population measure-population}\">Measure Population</span></p><p><b>count</b>: 8000</p></blockquote><blockquote><p><b>population</b></p><p><b>Extension Definition for MeasureReport.group.population.linkId for Version 5.0</b>: measure-population-exclusion</p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population measure-population-exclusion}\">Measure Population Exclusion</span></p><p><b>count</b>: 4000</p></blockquote><p><b>measureScore</b>: 0.5</p><blockquote><p><b>stratifier</b></p><p><b>Extension Definition for MeasureReport.group.stratifier.linkId for Version 5.0</b>: Stratification 1</p><p><b>code</b>: <span title=\"Codes:{http://example.org/stratification Stratification 1}\">Stratification 1</span></p><blockquote><p><b>stratum</b></p><p><b>value</b>: <span title=\"Codes:{http://example.org/stratification true}\">true</span></p><blockquote><p><b>population</b></p><p><b>Extension Definition for MeasureReport.group.stratifier.stratum.population.linkId for Version 5.0</b>: initial-population</p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}\">Initial Population</span></p><p><b>count</b>: 1747</p></blockquote><blockquote><p><b>population</b></p><p><b>Extension Definition for MeasureReport.group.stratifier.stratum.population.linkId for Version 5.0</b>: denominator</p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population denominator}\">Denominator</span></p><p><b>count</b>: 392</p></blockquote><blockquote><p><b>population</b></p><p><b>Extension Definition for MeasureReport.group.stratifier.stratum.population.linkId for Version 5.0</b>: numerator</p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population numerator}\">Numerator</span></p><p><b>count</b>: 243</p></blockquote><p><b>measureScore</b>: 0.699</p></blockquote></blockquote><blockquote><p><b>stratifier</b></p><blockquote><p><b>id</b></p>Stratification 2</blockquote><p><b>Extension Definition for MeasureReport.group.stratifier.linkId for Version 5.0</b>: Stratification 2</p><p><b>code</b>: <span title=\"Codes:{http://example.org/stratification Stratification 2}\">Stratification 2</span></p><blockquote><p><b>stratum</b></p><p><b>value</b>: <span title=\"Codes:{http://example.org/CodeSystem/SOP MEDICARE}\">Medicare</span></p><blockquote><p><b>population</b></p><p><b>Extension Definition for MeasureReport.group.stratifier.stratum.population.linkId for Version 5.0</b>: initial-population</p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}\">Initial Population</span></p><p><b>count</b>: 745</p></blockquote><blockquote><p><b>population</b></p><p><b>Extension Definition for MeasureReport.group.stratifier.stratum.population.linkId for Version 5.0</b>: denominator</p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population denominator}\">Denominator</span></p><p><b>count</b>: 150</p></blockquote><blockquote><p><b>population</b></p><p><b>Extension Definition for MeasureReport.group.stratifier.stratum.population.linkId for Version 5.0</b>: numerator</p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-population numerator}\">Numerator</span></p><p><b>count</b>: 103</p></blockquote><p><b>measureScore</b>: 0.6867</p></blockquote></blockquote><blockquote><p><b>stratifier</b></p><blockquote><p><b>id</b></p>Stratification 3</blockquote><p><b>Extension Definition for MeasureReport.group.stratifier.linkId for Version 5.0</b>: Stratification 3</p><p><b>code</b>: <span title=\"Codes:{http://example.org/stratification Stratification 3}\">Stratification 3</span></p><h3>Strata</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://example.org/CodeSystem/medicare-subgroup Non-LIS/DE,Nondisability}\">Non-LIS/DE,Nondisability</span></td></tr></table></blockquote></blockquote></div>"
  },
  "extension" : [{
    "url" : "http://hl7.org/fhir/uv/deqm/StructureDefinition/deqm-measureScoring",
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
        "code" : "proportion"
      }]
    }
  }],
  "status" : "complete",
  "type" : "summary",
  "measure" : "http://hl7.org/fhir/uv/cqm/Measure/EXM55-FHIR|5.0.0",
  "date" : "2018-09-05T16:59:52.404Z",
  "reporter" : {
    "reference" : "Organization/organization01"
  },
  "period" : {
    "start" : "2018-01-01",
    "end" : "2018-12-31"
  },
  "improvementNotation" : {
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
      "code" : "increase",
      "display" : "Increased score indicates improvement"
    }]
  },
  "group" : [{
    "extension" : [{
      "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.linkId",
      "valueString" : "group-1"
    }],
    "population" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId",
        "valueString" : "initial-population"
      }],
      "code" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
          "code" : "initial-population"
        }]
      },
      "count" : 10000
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId",
        "valueString" : "measure-population"
      }],
      "code" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
          "code" : "measure-population"
        }]
      },
      "count" : 8000
    },
    {
      "extension" : [{
        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.population.linkId",
        "valueString" : "measure-population-exclusion"
      }],
      "code" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
          "code" : "measure-population-exclusion"
        }]
      },
      "count" : 4000
    }],
    "measureScore" : {
      "value" : 0.5
    },
    "stratifier" : [{
      "extension" : [{
        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.stratifier.linkId",
        "valueString" : "Stratification 1"
      }],
      "code" : [{
        "coding" : [{
          "system" : "http://example.org/stratification",
          "code" : "Stratification 1",
          "display" : "Stratification 1"
        }]
      }],
      "stratum" : [{
        "value" : {
          "coding" : [{
            "system" : "http://example.org/stratification",
            "code" : "true"
          }]
        },
        "population" : [{
          "extension" : [{
            "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.stratifier.stratum.population.linkId",
            "valueString" : "initial-population"
          }],
          "code" : {
            "coding" : [{
              "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
              "code" : "initial-population"
            }]
          },
          "count" : 1747
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.stratifier.stratum.population.linkId",
            "valueString" : "denominator"
          }],
          "code" : {
            "coding" : [{
              "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
              "code" : "denominator"
            }]
          },
          "count" : 392
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.stratifier.stratum.population.linkId",
            "valueString" : "numerator"
          }],
          "code" : {
            "coding" : [{
              "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
              "code" : "numerator"
            }]
          },
          "count" : 243
        }],
        "measureScore" : {
          "value" : 0.699
        }
      }]
    },
    {
      "id" : "Stratification 2",
      "extension" : [{
        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.stratifier.linkId",
        "valueString" : "Stratification 2"
      }],
      "code" : [{
        "coding" : [{
          "system" : "http://example.org/stratification",
          "code" : "Stratification 2",
          "display" : "Stratification 2"
        }]
      }],
      "stratum" : [{
        "value" : {
          "coding" : [{
            "system" : "http://example.org/CodeSystem/SOP",
            "code" : "MEDICARE",
            "display" : "Medicare"
          }]
        },
        "population" : [{
          "extension" : [{
            "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.stratifier.stratum.population.linkId",
            "valueString" : "initial-population"
          }],
          "code" : {
            "coding" : [{
              "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
              "code" : "initial-population"
            }]
          },
          "count" : 745
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.stratifier.stratum.population.linkId",
            "valueString" : "denominator"
          }],
          "code" : {
            "coding" : [{
              "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
              "code" : "denominator"
            }]
          },
          "count" : 150
        },
        {
          "extension" : [{
            "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.stratifier.stratum.population.linkId",
            "valueString" : "numerator"
          }],
          "code" : {
            "coding" : [{
              "system" : "http://terminology.hl7.org/CodeSystem/measure-population",
              "code" : "numerator"
            }]
          },
          "count" : 103
        }],
        "measureScore" : {
          "value" : 0.6867
        }
      }]
    },
    {
      "id" : "Stratification 3",
      "extension" : [{
        "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MeasureReport.group.stratifier.linkId",
        "valueString" : "Stratification 3"
      }],
      "code" : [{
        "coding" : [{
          "system" : "http://example.org/stratification",
          "code" : "Stratification 3",
          "display" : "Stratification 3"
        }]
      }],
      "stratum" : [{
        "value" : {
          "coding" : [{
            "system" : "http://example.org/CodeSystem/medicare-subgroup",
            "code" : "Non-LIS/DE,Nondisability",
            "display" : "Non-LIS/DE,Nondisability"
          }]
        }
      }]
    }]
  }]
}