Da Vinci Value-Based Performance Reporting Implementation Guide
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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

: vbp-measurereport104 - JSON Representation

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{
  "resourceType" : "MeasureReport",
  "id" : "vbp-measurereport104",
  "meta" : {
    "extension" : [
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/instance-name",
        "valueString" : "VBP MeasureReport Example 104"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/instance-description",
        "valueMarkdown" : "This is an example Value-Based Performance MeasureReport for the *VBP MeasureReport* profile."
      }
    ],
    "profile" : [
      "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/vbp-performance-measurereport"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MeasureReport</b><a name=\"vbp-measurereport104\"> </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 &quot;vbp-measurereport104&quot; </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>: 2023-05-31</p><p><b>reporter</b>: <a href=\"Organization-vbp-payer01.html\">Organization/vbp-payer01</a> &quot;ABC Payer&quot;</p><p><b>period</b>: 2022-01-01 --&gt; 2022-08-31</p><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-01</blockquote><p><b>code</b>: Eligible member <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-performance-metric.html\">Performance Metric Codes</a>#eligible-member)</span></p><p><b>measureScore</b>: 2914</p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-02</blockquote><p><b>code</b>: Hierarchical Condition Category <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>measureScore</b>: </p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-03</blockquote><p><b>code</b>: Preventive Care Visits <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>measureScore</b>: </p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-04</blockquote><p><b>code</b>: Star Performance <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>measureScore</b>: </p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-05</blockquote><p><b>code</b>: Advance Care Planning <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>measureScore</b>: </p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-06</blockquote><p><b>code</b>: Encounter Palliative Care <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>measureScore</b>: </p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-07</blockquote><p><b>code</b>: Supplemental Data <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>measureScore</b>: </p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-08</blockquote><p><b>code</b>: Estimated YTD Grand Total <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>measureScore</b>: </p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-09</blockquote><p><b>code</b>: Total gaps <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>measureScore</b>: 2</p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-10</blockquote><p><b>code</b>: Cloosed gaps <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>measureScore</b>: 2</p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-11</blockquote><p><b>code</b>: Minimum Base Incentive Target Percentage <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>measureScore</b>: 80 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code % = '%')</span></p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-12</blockquote><p><b>code</b>: Base Incentive Per Member <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>measureScore</b>: </p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-13</blockquote><p><b>code</b>: Early Performance Bonus Met <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>measureScore</b>: </p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-14</blockquote><p><b>code</b>: Estimated Bonus Incentive Per Member <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>measureScore</b>: </p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-15</blockquote><p><b>code</b>: Estimate Incentive <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>measureScore</b>: </p></blockquote><p><b>evaluatedResource</b>: </p><ul><li><a href=\"MeasureReport-quality-measurereport30.html\">MeasureReport/quality-measurereport30</a></li><li><a href=\"MeasureReport-quality-measurereport31.html\">MeasureReport/quality-measurereport31</a></li><li><a href=\"MeasureReport-quality-measurereport32.html\">MeasureReport/quality-measurereport32</a></li><li><a href=\"MeasureReport-quality-measurereport33.html\">MeasureReport/quality-measurereport33</a></li></ul></div>"
  },
  "status" : "complete",
  "type" : "summary",
  "measure" : "https://build.fhir.org/ig/HL7/davinci-vbpr/Measure-vbp-measure02",
  "subject" : {
    "extension" : [
      {
        "url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/organization-subject",
        "valueReference" : {
          "reference" : "Organization/vbp-provider02"
        }
      }
    ],
    "display" : "Every Hospital"
  },
  "date" : "2023-05-31",
  "reporter" : {
    "reference" : "Organization/vbp-payer01"
  },
  "period" : {
    "start" : "2022-01-01",
    "end" : "2022-08-31"
  },
  "group" : [
    {
      "id" : "group-01",
      "code" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
            "code" : "eligible-member"
          }
        ],
        "text" : "Eligible member"
      },
      "measureScore" : {
        "value" : 2914
      }
    },
    {
      "id" : "group-02",
      "code" : {
        "text" : "Hierarchical Condition Category"
      },
      "measureScore" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore",
            "valueMoney" : {
              "value" : 500,
              "currency" : "USD"
            }
          }
        ]
      }
    },
    {
      "id" : "group-03",
      "code" : {
        "text" : "Preventive Care Visits"
      },
      "measureScore" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore",
            "valueMoney" : {
              "value" : 180,
              "currency" : "USD"
            }
          }
        ]
      }
    },
    {
      "id" : "group-04",
      "code" : {
        "text" : "Star Performance"
      },
      "measureScore" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore",
            "valueMoney" : {
              "value" : 132884,
              "currency" : "USD"
            }
          }
        ]
      }
    },
    {
      "id" : "group-05",
      "code" : {
        "text" : "Advance Care Planning"
      },
      "measureScore" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore",
            "valueMoney" : {
              "value" : 100,
              "currency" : "USD"
            }
          }
        ]
      }
    },
    {
      "id" : "group-06",
      "code" : {
        "text" : "Encounter Palliative Care"
      },
      "measureScore" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore",
            "valueMoney" : {
              "value" : 1200,
              "currency" : "USD"
            }
          }
        ]
      }
    },
    {
      "id" : "group-07",
      "code" : {
        "text" : "Supplemental Data"
      },
      "measureScore" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore",
            "valueMoney" : {
              "value" : 0,
              "currency" : "USD"
            }
          }
        ]
      }
    },
    {
      "id" : "group-08",
      "code" : {
        "text" : "Estimated YTD Grand Total"
      },
      "measureScore" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore",
            "valueMoney" : {
              "value" : 134864,
              "currency" : "USD"
            }
          }
        ]
      }
    },
    {
      "id" : "group-09",
      "code" : {
        "text" : "Total gaps"
      },
      "measureScore" : {
        "value" : 2
      }
    },
    {
      "id" : "group-10",
      "code" : {
        "text" : "Cloosed gaps"
      },
      "measureScore" : {
        "value" : 2
      }
    },
    {
      "id" : "group-11",
      "code" : {
        "text" : "Minimum Base Incentive Target Percentage"
      },
      "measureScore" : {
        "value" : 80,
        "system" : "http://unitsofmeasure.org",
        "code" : "%"
      }
    },
    {
      "id" : "group-12",
      "code" : {
        "text" : "Base Incentive Per Member"
      },
      "measureScore" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore",
            "valueMoney" : {
              "value" : 125,
              "currency" : "USD"
            }
          }
        ]
      }
    },
    {
      "id" : "group-13",
      "code" : {
        "text" : "Early Performance Bonus Met"
      },
      "measureScore" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore",
            "valueBoolean" : false
          }
        ]
      }
    },
    {
      "id" : "group-14",
      "code" : {
        "text" : "Estimated Bonus Incentive Per Member"
      },
      "measureScore" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore",
            "valueMoney" : {
              "value" : 0,
              "currency" : "USD"
            }
          }
        ]
      }
    },
    {
      "id" : "group-15",
      "code" : {
        "text" : "Estimate Incentive"
      },
      "measureScore" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore",
            "valueMoney" : {
              "value" : 500,
              "currency" : "USD"
            }
          }
        ]
      }
    }
  ],
  "evaluatedResource" : [
    {
      "reference" : "MeasureReport/quality-measurereport30"
    },
    {
      "reference" : "MeasureReport/quality-measurereport31"
    },
    {
      "reference" : "MeasureReport/quality-measurereport32"
    },
    {
      "reference" : "MeasureReport/quality-measurereport33"
    }
  ]
}