Data Exchange For Quality Measures Implementation Guide
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Data Exchange For Quality Measures Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 1.0.0-cibuild built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-deqm/ and changes regularly. See the Directory of published versions

: Summ Medicare Stratification Example

Page standards status: Informative

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

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

<http://hl7.org/fhir/Organization/organization01> a fhir:Organization .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/MeasureReport/summ-medicare-stratification-example.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/MeasureReport/summ-medicare-stratification-example.ttl> .