Da Vinci Value-Based Performance Reporting Implementation Guide
1.0.0-ballot - ballot
Da Vinci Value-Based Performance Reporting Implementation Guide
1.0.0-ballot - ballot
This page is part of the Da Vinci Value-Based Performance Reporting Implementation Guide (v1.0.0-ballot: STU1 Ballot 1) based on FHIR R4. . For a full list of available versions, see the Directory of published versions 
@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 ------------------------------------------------------------------- a fhir:MeasureReport ; fhir:nodeRole fhir:treeRoot ; fhir:id [ fhir:v "vbp-measurereport102"] ; # fhir:meta [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/instance-name"^^xsd:anyURI ] ; fhir:value [ fhir:v "VBP MeasureReport Example 102" ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/instance-description"^^xsd:anyURI ] ; fhir:value [ fhir:v "This is an example Value-Based Performance MeasureReport for the *VBP MeasureReport* profile., which includes utilization and quality." ] ] ) ; ( fhir:profile [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/vbp-performance-measurereport"^^xsd:anyURI ; fhir:link <http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/vbp-performance-measurereport> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "extensions" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MeasureReport</b><a name=\"vbp-measurereport102\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource MeasureReport "vbp-measurereport102" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vbp-performance-measurereport.html\">Value-Based Performance MeasureReport</a></p></div><p><b>status</b>: complete</p><p><b>type</b>: summary</p><p><b>measure</b>: <a href=\"Measure-vbp-measure02.html\">Example Value-Based Contract - ABC Payer and EveryHospital</a></p><p><b>subject</b>: <span>: Every Hospital</span></p><p><b>date</b>: 2022-12-31</p><p><b>reporter</b>: <a href=\"Organization-vbp-payer01.html\">Organization/vbp-payer01</a> "ABC Payer"</p><p><b>period</b>: 2022-10-01 --> 2022-12-31</p><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>ubip-group-01</blockquote><blockquote><p><b>Payment Stream</b></p><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: Utilization incentive payment <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-payment-stream.html\">Payment Stream Codes</a>#ubip)</span></p></blockquote><blockquote><p><b>Baseline</b></p><blockquote><p><b>url</b></p><a href=\"StructureDefinition-baseline.html\">Baseline</a></blockquote><p><b>value</b>: 250 {/1000}<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code {/1000} = '{/1000}')</span></p><blockquote><p><b>url</b></p><code>period</code></blockquote><p><b>value</b>: 2021-01-01 --> 2021-12-31</p></blockquote><p><b>code</b>: In patient admission <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-performance-metric.html\">Performance Metric Codes</a>#inpatient-admission)</span></p><p><b>measureScore</b>: 400 {/1000}<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code {/1000} = '{/1000}')</span></p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>ubip-group-02</blockquote><blockquote><p><b>Payment Stream</b></p><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: Utilization incentive payment <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-payment-stream.html\">Payment Stream Codes</a>#ubip)</span></p></blockquote><blockquote><p><b>Baseline</b></p><blockquote><p><b>url</b></p><a href=\"StructureDefinition-baseline.html\">Baseline</a></blockquote><p><b>value</b>: 180 {/1000}<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code {/1000} = '{/1000}')</span></p><blockquote><p><b>url</b></p><code>period</code></blockquote><p><b>value</b>: 2021-01-01 --> 2021-12-31</p></blockquote><p><b>code</b>: In patient acute <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-performance-metric.html\">Performance Metric Codes</a>#inpatient-acute)</span></p><p><b>measureScore</b>: 350 {/1000}<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code {/1000} = '{/1000}')</span></p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>ubip-group-03</blockquote><blockquote><p><b>Payment Stream</b></p><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: Utilization incentive payment <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-payment-stream.html\">Payment Stream Codes</a>#ubip)</span></p></blockquote><blockquote><p><b>Baseline</b></p><blockquote><p><b>url</b></p><a href=\"StructureDefinition-baseline.html\">Baseline</a></blockquote><p><b>value</b>: 51 {/1000}<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code {/1000} = '{/1000}')</span></p><blockquote><p><b>url</b></p><code>period</code></blockquote><p><b>value</b>: 2021-01-01 --> 2021-12-31</p></blockquote><p><b>code</b>: Readmission <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-performance-metric.html\">Performance Metric Codes</a>#readmission)</span></p><p><b>measureScore</b>: 120 {/1000}<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code {/1000} = '{/1000}')</span></p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>ubip-group-04</blockquote><blockquote><p><b>Payment Stream</b></p><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: Utilization incentive payment <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-payment-stream.html\">Payment Stream Codes</a>#ubip)</span></p></blockquote><blockquote><p><b>Baseline</b></p><blockquote><p><b>url</b></p><a href=\"StructureDefinition-baseline.html\">Baseline</a></blockquote><p><b>value</b>: 500 {/100}<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code {/100} = '{/100}')</span></p><blockquote><p><b>url</b></p><code>period</code></blockquote><p><b>value</b>: 2021-01-01 --> 2021-12-31</p></blockquote><p><b>code</b>: ED visit <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-performance-metric.html\">Performance Metric Codes</a>#ed-visit)</span></p><p><b>measureScore</b>: 300 {/100}<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code {/100} = '{/100}')</span></p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>ubip-group-05</blockquote><blockquote><p><b>Payment Stream</b></p><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: Utilization incentive payment <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-payment-stream.html\">Payment Stream Codes</a>#ubip)</span></p></blockquote><blockquote><p><b>Baseline</b></p><blockquote><p><b>url</b></p><a href=\"StructureDefinition-baseline.html\">Baseline</a></blockquote><p><b>value</b>: 51 {/1000}<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code {/1000} = '{/1000}')</span></p><blockquote><p><b>url</b></p><code>period</code></blockquote><p><b>value</b>: 2021-01-01 --> 2021-12-31</p></blockquote><p><b>code</b>: Skilled Nursing Facility admission <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-performance-metric.html\">Performance Metric Codes</a>#snf-admission)</span></p><p><b>measureScore</b>: 50 {/1000}<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code {/1000} = '{/1000}')</span></p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>ubip-group-06</blockquote><blockquote><p><b>Payment Stream</b></p><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: Utilization incentive payment <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-payment-stream.html\">Payment Stream Codes</a>#ubip)</span></p></blockquote><blockquote><p><b>Baseline</b></p><blockquote><p><b>url</b></p><a href=\"StructureDefinition-baseline.html\">Baseline</a></blockquote><p><b>value</b>: 15 d<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code d = 'd')</span></p><blockquote><p><b>url</b></p><code>period</code></blockquote><p><b>value</b>: 2021-01-01 --> 2021-12-31</p></blockquote><p><b>code</b>: Skilled Nursing Facility average length of stay <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-performance-metric.html\">Performance Metric Codes</a>#snf-avg-los)</span></p><p><b>measureScore</b>: 22 d<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code d = 'd')</span></p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>ssq-group-starscore</blockquote><blockquote><p><b>Payment Stream</b></p><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: Shared savings gated on quality <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-payment-stream.html\">Payment Stream Codes</a>#ssq)</span></p></blockquote><p><b>code</b>: Weighted average star <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-performance-metric.html\">Performance Metric Codes</a>#weighted-avg-star)</span></p><p><b>measureScore</b>: 2.5</p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>financial-group-01</blockquote><blockquote><p><b>Payment Stream</b></p><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: Utilization incentive payment <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-payment-stream.html\">Payment Stream Codes</a>#ubip)</span></p></blockquote><blockquote><p><b>Baseline</b></p><blockquote><p><b>url</b></p><a href=\"StructureDefinition-baseline.html\">Baseline</a></blockquote><p><b>value</b>: <span title=\"US Dollar\">US$800.00</span> (USD)</p><blockquote><p><b>url</b></p><code>period</code></blockquote><p><b>value</b>: 2021-01-01 --> 2021-12-31</p></blockquote><p><b>code</b>: Total medical expense PMPM <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-performance-metric.html\">Performance Metric Codes</a>#med-cost-pmpm)</span></p><p><b>measureScore</b>: </p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>financial-group-02</blockquote><blockquote><p><b>Payment Stream</b></p><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: Utilization incentive payment <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-payment-stream.html\">Payment Stream Codes</a>#ubip)</span></p></blockquote><blockquote><p><b>Baseline</b></p><blockquote><p><b>url</b></p><a href=\"StructureDefinition-baseline.html\">Baseline</a></blockquote><p><b>value</b>: <span title=\"US Dollar\">US$800.00</span> (USD)</p><blockquote><p><b>url</b></p><code>period</code></blockquote><p><b>value</b>: 2021-01-01 --> 2021-12-31</p></blockquote><p><b>code</b>: Total medical expense PMPM <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-performance-metric.html\">Performance Metric Codes</a>#ibnr-pmpm)</span></p><p><b>measureScore</b>: </p></blockquote><p><b>evaluatedResource</b>: </p><ul><li><a href=\"MeasureReport-quality-measurereport11.html\">MeasureReport/quality-measurereport11</a></li><li><a href=\"MeasureReport-quality-measurereport12.html\">MeasureReport/quality-measurereport12</a></li><li><a href=\"MeasureReport-quality-measurereport13.html\">MeasureReport/quality-measurereport13</a></li><li><a href=\"MeasureReport-quality-measurereport14.html\">MeasureReport/quality-measurereport14</a></li><li><a href=\"MeasureReport-quality-measurereport15.html\">MeasureReport/quality-measurereport15</a></li></ul></div>" ] ; # fhir:status [ fhir:v "complete"] ; # fhir:type [ fhir:v "summary"] ; # fhir:measure [ fhir:v "https://build.fhir.org/ig/HL7/davinci-vbpr/Measure-vbp-measure02"^^xsd:anyURI ; fhir:link <https://build.fhir.org/ig/HL7/davinci-vbpr/Measure-vbp-measure02> ] ; # fhir:subject [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/organization-subject"^^xsd:anyURI ] ; fhir:value [ a fhir:Reference ; fhir:reference [ fhir:v "Organization/vbp-provider02" ] ] ] ) ; fhir:display [ fhir:v "Every Hospital" ] ] ; # fhir:date [ fhir:v "2022-12-31"^^xsd:date] ; # fhir:reporter [ fhir:reference [ fhir:v "Organization/vbp-payer01" ] ] ; # fhir:period [ fhir:start [ fhir:v "2022-10-01"^^xsd:date ] ; fhir:end [ fhir:v "2022-12-31"^^xsd:date ] ] ; # fhir:group ( [ fhir:id [ fhir:v "ubip-group-01" ] ; ( fhir:extension [ ( fhir:extension [ fhir:url [ fhir:v "type"^^xsd:anyURI ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"^^xsd:anyURI ] ; fhir:code [ fhir:v "ubip" ] ] ) ; fhir:text [ fhir:v "Utilization incentive payment" ] ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"^^xsd:anyURI ] ] [ ( fhir:extension [ fhir:url [ fhir:v "baseline"^^xsd:anyURI ] ; fhir:value [ a fhir:Quantity ; fhir:value [ fhir:v "250"^^xsd:decimal ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "{/1000}" ] ] ] [ fhir:url [ fhir:v "period"^^xsd:anyURI ] ; fhir:value [ a fhir:Period ; fhir:start [ fhir:v "2021-01-01"^^xsd:date ] ; fhir:end [ fhir:v "2021-12-31"^^xsd:date ] ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline"^^xsd:anyURI ] ] ) ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"^^xsd:anyURI ] ; fhir:code [ fhir:v "inpatient-admission" ] ] ) ; fhir:text [ fhir:v "In patient admission" ] ] ; fhir:measureScore [ fhir:value [ fhir:v "400"^^xsd:decimal ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "{/1000}" ] ] ] [ fhir:id [ fhir:v "ubip-group-02" ] ; ( fhir:extension [ ( fhir:extension [ fhir:url [ fhir:v "type"^^xsd:anyURI ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"^^xsd:anyURI ] ; fhir:code [ fhir:v "ubip" ] ] ) ; fhir:text [ fhir:v "Utilization incentive payment" ] ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"^^xsd:anyURI ] ] [ ( fhir:extension [ fhir:url [ fhir:v "baseline"^^xsd:anyURI ] ; fhir:value [ a fhir:Quantity ; fhir:value [ fhir:v "180"^^xsd:decimal ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "{/1000}" ] ] ] [ fhir:url [ fhir:v "period"^^xsd:anyURI ] ; fhir:value [ a fhir:Period ; fhir:start [ fhir:v "2021-01-01"^^xsd:date ] ; fhir:end [ fhir:v "2021-12-31"^^xsd:date ] ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline"^^xsd:anyURI ] ] ) ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"^^xsd:anyURI ] ; fhir:code [ fhir:v "inpatient-acute" ] ] ) ; fhir:text [ fhir:v "In patient acute" ] ] ; fhir:measureScore [ fhir:value [ fhir:v "350"^^xsd:decimal ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "{/1000}" ] ] ] [ fhir:id [ fhir:v "ubip-group-03" ] ; ( fhir:extension [ ( fhir:extension [ fhir:url [ fhir:v "type"^^xsd:anyURI ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"^^xsd:anyURI ] ; fhir:code [ fhir:v "ubip" ] ] ) ; fhir:text [ fhir:v "Utilization incentive payment" ] ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"^^xsd:anyURI ] ] [ ( fhir:extension [ fhir:url [ fhir:v "baseline"^^xsd:anyURI ] ; fhir:value [ a fhir:Quantity ; fhir:value [ fhir:v "51"^^xsd:decimal ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "{/1000}" ] ] ] [ fhir:url [ fhir:v "period"^^xsd:anyURI ] ; fhir:value [ a fhir:Period ; fhir:start [ fhir:v "2021-01-01"^^xsd:date ] ; fhir:end [ fhir:v "2021-12-31"^^xsd:date ] ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline"^^xsd:anyURI ] ] ) ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"^^xsd:anyURI ] ; fhir:code [ fhir:v "readmission" ] ] ) ; fhir:text [ fhir:v "Readmission" ] ] ; fhir:measureScore [ fhir:value [ fhir:v "120"^^xsd:decimal ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "{/1000}" ] ] ] [ fhir:id [ fhir:v "ubip-group-04" ] ; ( fhir:extension [ ( fhir:extension [ fhir:url [ fhir:v "type"^^xsd:anyURI ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"^^xsd:anyURI ] ; fhir:code [ fhir:v "ubip" ] ] ) ; fhir:text [ fhir:v "Utilization incentive payment" ] ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"^^xsd:anyURI ] ] [ ( fhir:extension [ fhir:url [ fhir:v "baseline"^^xsd:anyURI ] ; fhir:value [ a fhir:Quantity ; fhir:value [ fhir:v "500"^^xsd:decimal ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "{/100}" ] ] ] [ fhir:url [ fhir:v "period"^^xsd:anyURI ] ; fhir:value [ a fhir:Period ; fhir:start [ fhir:v "2021-01-01"^^xsd:date ] ; fhir:end [ fhir:v "2021-12-31"^^xsd:date ] ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline"^^xsd:anyURI ] ] ) ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"^^xsd:anyURI ] ; fhir:code [ fhir:v "ed-visit" ] ] ) ; fhir:text [ fhir:v "ED visit" ] ] ; fhir:measureScore [ fhir:value [ fhir:v "300"^^xsd:decimal ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "{/100}" ] ] ] [ fhir:id [ fhir:v "ubip-group-05" ] ; ( fhir:extension [ ( fhir:extension [ fhir:url [ fhir:v "type"^^xsd:anyURI ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"^^xsd:anyURI ] ; fhir:code [ fhir:v "ubip" ] ] ) ; fhir:text [ fhir:v "Utilization incentive payment" ] ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"^^xsd:anyURI ] ] [ ( fhir:extension [ fhir:url [ fhir:v "baseline"^^xsd:anyURI ] ; fhir:value [ a fhir:Quantity ; fhir:value [ fhir:v "51"^^xsd:decimal ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "{/1000}" ] ] ] [ fhir:url [ fhir:v "period"^^xsd:anyURI ] ; fhir:value [ a fhir:Period ; fhir:start [ fhir:v "2021-01-01"^^xsd:date ] ; fhir:end [ fhir:v "2021-12-31"^^xsd:date ] ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline"^^xsd:anyURI ] ] ) ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"^^xsd:anyURI ] ; fhir:code [ fhir:v "snf-admission" ] ] ) ; fhir:text [ fhir:v "Skilled Nursing Facility admission" ] ] ; fhir:measureScore [ fhir:value [ fhir:v "50"^^xsd:decimal ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "{/1000}" ] ] ] [ fhir:id [ fhir:v "ubip-group-06" ] ; ( fhir:extension [ ( fhir:extension [ fhir:url [ fhir:v "type"^^xsd:anyURI ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"^^xsd:anyURI ] ; fhir:code [ fhir:v "ubip" ] ] ) ; fhir:text [ fhir:v "Utilization incentive payment" ] ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"^^xsd:anyURI ] ] [ ( fhir:extension [ fhir:url [ fhir:v "baseline"^^xsd:anyURI ] ; fhir:value [ a fhir:Quantity ; fhir:value [ fhir:v "15"^^xsd:decimal ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "d" ] ] ] [ fhir:url [ fhir:v "period"^^xsd:anyURI ] ; fhir:value [ a fhir:Period ; fhir:start [ fhir:v "2021-01-01"^^xsd:date ] ; fhir:end [ fhir:v "2021-12-31"^^xsd:date ] ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline"^^xsd:anyURI ] ] ) ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"^^xsd:anyURI ] ; fhir:code [ fhir:v "snf-avg-los" ] ] ) ; fhir:text [ fhir:v "Skilled Nursing Facility average length of stay" ] ] ; fhir:measureScore [ fhir:value [ fhir:v "22"^^xsd:decimal ] ; fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ; fhir:code [ fhir:v "d" ] ] ] [ fhir:id [ fhir:v "ssq-group-starscore" ] ; ( fhir:extension [ ( fhir:extension [ fhir:url [ fhir:v "type"^^xsd:anyURI ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"^^xsd:anyURI ] ; fhir:code [ fhir:v "ssq" ] ] ) ; fhir:text [ fhir:v "Shared savings gated on quality" ] ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"^^xsd:anyURI ] ] ) ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"^^xsd:anyURI ] ; fhir:code [ fhir:v "weighted-avg-star" ] ] ) ; fhir:text [ fhir:v "Weighted average star" ] ] ; fhir:measureScore [ fhir:value [ fhir:v "2.5"^^xsd:decimal ] ] ] [ fhir:id [ fhir:v "financial-group-01" ] ; ( fhir:extension [ ( fhir:extension [ fhir:url [ fhir:v "type"^^xsd:anyURI ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"^^xsd:anyURI ] ; fhir:code [ fhir:v "ubip" ] ] ) ; fhir:text [ fhir:v "Utilization incentive payment" ] ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"^^xsd:anyURI ] ] [ ( fhir:extension [ fhir:url [ fhir:v "baseline"^^xsd:anyURI ] ; fhir:value [ a fhir:Money ; fhir:value [ fhir:v "800"^^xsd:decimal ] ; fhir:currency [ fhir:v "USD" ] ] ] [ fhir:url [ fhir:v "period"^^xsd:anyURI ] ; fhir:value [ a fhir:Period ; fhir:start [ fhir:v "2021-01-01"^^xsd:date ] ; fhir:end [ fhir:v "2021-12-31"^^xsd:date ] ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline"^^xsd:anyURI ] ] ) ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"^^xsd:anyURI ] ; fhir:code [ fhir:v "med-cost-pmpm" ] ] ) ; fhir:text [ fhir:v "Total medical expense PMPM" ] ] ; fhir:measureScore [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore"^^xsd:anyURI ] ; fhir:value [ a fhir:Money ; fhir:value [ fhir:v "800"^^xsd:decimal ] ; fhir:currency [ fhir:v "USD" ] ] ] ) ] ] [ fhir:id [ fhir:v "financial-group-02" ] ; ( fhir:extension [ ( fhir:extension [ fhir:url [ fhir:v "type"^^xsd:anyURI ] ; fhir:value [ a fhir:CodeableConcept ; ( fhir:coding [ fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"^^xsd:anyURI ] ; fhir:code [ fhir:v "ubip" ] ] ) ; fhir:text [ fhir:v "Utilization incentive payment" ] ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"^^xsd:anyURI ] ] [ ( fhir:extension [ fhir:url [ fhir:v "baseline"^^xsd:anyURI ] ; fhir:value [ a fhir:Money ; fhir:value [ fhir:v "800"^^xsd:decimal ] ; fhir:currency [ fhir:v "USD" ] ] ] [ fhir:url [ fhir:v "period"^^xsd:anyURI ] ; fhir:value [ a fhir:Period ; fhir:start [ fhir:v "2021-01-01"^^xsd:date ] ; fhir:end [ fhir:v "2021-12-31"^^xsd:date ] ] ] ) ; fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline"^^xsd:anyURI ] ] ) ; fhir:code [ ( fhir:coding [ fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"^^xsd:anyURI ] ; fhir:code [ fhir:v "ibnr-pmpm" ] ] ) ; fhir:text [ fhir:v "Total medical expense PMPM" ] ] ; fhir:measureScore [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore"^^xsd:anyURI ] ; fhir:value [ a fhir:Money ; fhir:value [ fhir:v "800"^^xsd:decimal ] ; fhir:currency [ fhir:v "USD" ] ] ] ) ] ] ) ; # fhir:evaluatedResource ( [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference"^^xsd:anyURI ] ; fhir:value [ fhir:v "ssq-group-starscore" ] ] ) ; fhir:reference [ fhir:v "MeasureReport/quality-measurereport11" ] ] [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference"^^xsd:anyURI ] ; fhir:value [ fhir:v "ssq-group-starscore" ] ] ) ; fhir:reference [ fhir:v "MeasureReport/quality-measurereport12" ] ] [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference"^^xsd:anyURI ] ; fhir:value [ fhir:v "ssq-group-starscore" ] ] ) ; fhir:reference [ fhir:v "MeasureReport/quality-measurereport13" ] ] [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference"^^xsd:anyURI ] ; fhir:value [ fhir:v "ssq-group-starscore" ] ] ) ; fhir:reference [ fhir:v "MeasureReport/quality-measurereport14" ] ] [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference"^^xsd:anyURI ] ; fhir:value [ fhir:v "ssq-group-starscore" ] ] ) ; fhir:reference [ fhir:v "MeasureReport/quality-measurereport15" ] ] ) . #
IG © 2023+ HL7 Clinical Quality Information Work Group. Package hl7.fhir.us.davinci-vbpr#1.0.0-ballot based on FHIR 4.0.1. Generated 2023-07-31
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