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: STU1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

: vbp-measurereport102 - JSON Representation

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{
  "resourceType" : "MeasureReport",
  "id" : "vbp-measurereport102",
  "meta" : {
    "extension" : [
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/instance-name",
        "valueString" : "VBP MeasureReport Example 102"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/instance-description",
        "valueMarkdown" : "This is an example Value-Based Performance MeasureReport for the *VBP MeasureReport* profile., which includes utilization and quality."
      }
    ],
    "profile" : [
      🔗 "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/vbp-performance-measurereport"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MeasureReport </b><a name=\"vbp-measurereport102\"> </a><a name=\"hcvbp-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\">ResourceMeasureReport &quot;vbp-measurereport102&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vbp-performance-measurereport.html\">Value-Based Performance MeasureReport</a></p></div><p><b>Measure Report Category</b>: Value-Based Performance <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-measurereport-category.html\">Measure Report Category</a>#vbp)</span></p><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> &quot;ABC Payer&quot;</p><p><b>period</b>: 2022-10-01 --&gt; 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 /10*3<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code/10*3 = '/10*3')</span></p><blockquote><p><b>url</b></p><code>period</code></blockquote><p><b>value</b>: 2021-01-01 --&gt; 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 /10*3<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code/10*3 = '/10*3')</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 /10*3<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code/10*3 = '/10*3')</span></p><blockquote><p><b>url</b></p><code>period</code></blockquote><p><b>value</b>: 2021-01-01 --&gt; 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 /10*3<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code/10*3 = '/10*3')</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 /10*3<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code/10*3 = '/10*3')</span></p><blockquote><p><b>url</b></p><code>period</code></blockquote><p><b>value</b>: 2021-01-01 --&gt; 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 /10*3<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code/10*3 = '/10*3')</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>: 350 per 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 --&gt; 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 /10*3<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code/10*3 = '/10*3')</span></p><blockquote><p><b>url</b></p><code>period</code></blockquote><p><b>value</b>: 2021-01-01 --&gt; 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 /10*3<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code/10*3 = '/10*3')</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>: 22 d<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  coded = 'd')</span></p><blockquote><p><b>url</b></p><code>period</code></blockquote><p><b>value</b>: 2021-01-01 --&gt; 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>: 15 d<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  coded = '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\">$800.00</span> (USD)</p><blockquote><p><b>url</b></p><code>period</code></blockquote><p><b>value</b>: 2021-01-01 --&gt; 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\">$800.00</span> (USD)</p><blockquote><p><b>url</b></p><code>period</code></blockquote><p><b>value</b>: 2021-01-01 --&gt; 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>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/measurereport-category",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/CodeSystem/measurereport-category",
            "code" : "vbp"
          }
        ]
      }
    }
  ],
  "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" : "2022-12-31",
  "reporter" : {
    🔗 "reference" : "Organization/vbp-payer01"
  },
  "period" : {
    "start" : "2022-10-01",
    "end" : "2022-12-31"
  },
  "group" : [
    {
      "id" : "ubip-group-01",
      "extension" : [
        {
          "extension" : [
            {
              "url" : "type",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream",
                    "code" : "ubip"
                  }
                ],
                "text" : "Utilization incentive payment"
              }
            }
          ],
          "url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
        },
        {
          "extension" : [
            {
              "url" : "baseline",
              "valueQuantity" : {
                "value" : 250,
                "system" : "http://unitsofmeasure.org",
                "code" : "/10*3"
              }
            },
            {
              "url" : "period",
              "valuePeriod" : {
                "start" : "2021-01-01",
                "end" : "2021-12-31"
              }
            }
          ],
          "url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline"
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
            "code" : "inpatient-admission"
          }
        ],
        "text" : "In patient admission"
      },
      "measureScore" : {
        "value" : 400,
        "system" : "http://unitsofmeasure.org",
        "code" : "/10*3"
      }
    },
    {
      "id" : "ubip-group-02",
      "extension" : [
        {
          "extension" : [
            {
              "url" : "type",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream",
                    "code" : "ubip"
                  }
                ],
                "text" : "Utilization incentive payment"
              }
            }
          ],
          "url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
        },
        {
          "extension" : [
            {
              "url" : "baseline",
              "valueQuantity" : {
                "value" : 180,
                "system" : "http://unitsofmeasure.org",
                "code" : "/10*3"
              }
            },
            {
              "url" : "period",
              "valuePeriod" : {
                "start" : "2021-01-01",
                "end" : "2021-12-31"
              }
            }
          ],
          "url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline"
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
            "code" : "inpatient-acute"
          }
        ],
        "text" : "In patient acute"
      },
      "measureScore" : {
        "value" : 350,
        "system" : "http://unitsofmeasure.org",
        "code" : "/10*3"
      }
    },
    {
      "id" : "ubip-group-03",
      "extension" : [
        {
          "extension" : [
            {
              "url" : "type",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream",
                    "code" : "ubip"
                  }
                ],
                "text" : "Utilization incentive payment"
              }
            }
          ],
          "url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
        },
        {
          "extension" : [
            {
              "url" : "baseline",
              "valueQuantity" : {
                "value" : 51,
                "system" : "http://unitsofmeasure.org",
                "code" : "/10*3"
              }
            },
            {
              "url" : "period",
              "valuePeriod" : {
                "start" : "2021-01-01",
                "end" : "2021-12-31"
              }
            }
          ],
          "url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline"
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
            "code" : "readmission"
          }
        ],
        "text" : "Readmission"
      },
      "measureScore" : {
        "value" : 120,
        "system" : "http://unitsofmeasure.org",
        "code" : "/10*3"
      }
    },
    {
      "id" : "ubip-group-04",
      "extension" : [
        {
          "extension" : [
            {
              "url" : "type",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream",
                    "code" : "ubip"
                  }
                ],
                "text" : "Utilization incentive payment"
              }
            }
          ],
          "url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
        },
        {
          "extension" : [
            {
              "url" : "baseline",
              "valueQuantity" : {
                "value" : 350,
                "unit" : "per 100",
                "system" : "http://unitsofmeasure.org",
                "code" : "/100"
              }
            },
            {
              "url" : "period",
              "valuePeriod" : {
                "start" : "2021-01-01",
                "end" : "2021-12-31"
              }
            }
          ],
          "url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline"
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
            "code" : "ed-visit"
          }
        ],
        "text" : "ED visit"
      },
      "measureScore" : {
        "value" : 300,
        "system" : "http://unitsofmeasure.org",
        "code" : "/100"
      }
    },
    {
      "id" : "ubip-group-05",
      "extension" : [
        {
          "extension" : [
            {
              "url" : "type",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream",
                    "code" : "ubip"
                  }
                ],
                "text" : "Utilization incentive payment"
              }
            }
          ],
          "url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
        },
        {
          "extension" : [
            {
              "url" : "baseline",
              "valueQuantity" : {
                "value" : 51,
                "system" : "http://unitsofmeasure.org",
                "code" : "/10*3"
              }
            },
            {
              "url" : "period",
              "valuePeriod" : {
                "start" : "2021-01-01",
                "end" : "2021-12-31"
              }
            }
          ],
          "url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline"
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
            "code" : "snf-admission"
          }
        ],
        "text" : "Skilled Nursing Facility admission"
      },
      "measureScore" : {
        "value" : 50,
        "system" : "http://unitsofmeasure.org",
        "code" : "/10*3"
      }
    },
    {
      "id" : "ubip-group-06",
      "extension" : [
        {
          "extension" : [
            {
              "url" : "type",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream",
                    "code" : "ubip"
                  }
                ],
                "text" : "Utilization incentive payment"
              }
            }
          ],
          "url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
        },
        {
          "extension" : [
            {
              "url" : "baseline",
              "valueQuantity" : {
                "value" : 22,
                "system" : "http://unitsofmeasure.org",
                "code" : "d"
              }
            },
            {
              "url" : "period",
              "valuePeriod" : {
                "start" : "2021-01-01",
                "end" : "2021-12-31"
              }
            }
          ],
          "url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline"
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
            "code" : "snf-avg-los"
          }
        ],
        "text" : "Skilled Nursing Facility average length of stay"
      },
      "measureScore" : {
        "value" : 15,
        "system" : "http://unitsofmeasure.org",
        "code" : "d"
      }
    },
    {
      "id" : "ssq-group-starscore",
      "extension" : [
        {
          "extension" : [
            {
              "url" : "type",
              "valueCodeableConcept" : {
                "coding" : [
                  {
                    "system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream",
                    "code" : "ssq"
                  }
                ],
                "text" : "Shared savings gated on quality"
              }
            }
          ],
          "url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
            "code" : "weighted-avg-star"
          }
        ],
        "text" : "Weighted average star"
      },
      "measureScore" : {
        "value" : 2.5
      }
    },
    {
      "id" : "financial-group-01",
      "extension" : [
        {
          "extension" : [
            {
              "url" : "type",
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                  {
                    "system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream",
                    "code" : "ubip"
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                ],
                "text" : "Utilization incentive payment"
              }
            }
          ],
          "url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
        },
        {
          "extension" : [
            {
              "url" : "baseline",
              "valueMoney" : {
                "value" : 800,
                "currency" : "USD"
              }
            },
            {
              "url" : "period",
              "valuePeriod" : {
                "start" : "2021-01-01",
                "end" : "2021-12-31"
              }
            }
          ],
          "url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline"
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
            "code" : "med-cost-pmpm"
          }
        ],
        "text" : "Total medical expense PMPM"
      },
      "measureScore" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore",
            "valueMoney" : {
              "value" : 800,
              "currency" : "USD"
            }
          }
        ]
      }
    },
    {
      "id" : "financial-group-02",
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        {
          "extension" : [
            {
              "url" : "type",
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                  {
                    "system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream",
                    "code" : "ubip"
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                ],
                "text" : "Utilization incentive payment"
              }
            }
          ],
          "url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
        },
        {
          "extension" : [
            {
              "url" : "baseline",
              "valueMoney" : {
                "value" : 800,
                "currency" : "USD"
              }
            },
            {
              "url" : "period",
              "valuePeriod" : {
                "start" : "2021-01-01",
                "end" : "2021-12-31"
              }
            }
          ],
          "url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline"
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
            "code" : "ibnr-pmpm"
          }
        ],
        "text" : "Total medical expense PMPM"
      },
      "measureScore" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore",
            "valueMoney" : {
              "value" : 800,
              "currency" : "USD"
            }
          }
        ]
      }
    }
  ],
  "evaluatedResource" : [
    {
      🔗 "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference",
          "valueString" : "ssq-group-starscore"
        }
      ],
      "reference" : "MeasureReport/quality-measurereport11"
    },
    {
      🔗 "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference",
          "valueString" : "ssq-group-starscore"
        }
      ],
      "reference" : "MeasureReport/quality-measurereport12"
    },
    {
      🔗 "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference",
          "valueString" : "ssq-group-starscore"
        }
      ],
      "reference" : "MeasureReport/quality-measurereport13"
    },
    {
      🔗 "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference",
          "valueString" : "ssq-group-starscore"
        }
      ],
      "reference" : "MeasureReport/quality-measurereport14"
    },
    {
      🔗 "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference",
          "valueString" : "ssq-group-starscore"
        }
      ],
      "reference" : "MeasureReport/quality-measurereport15"
    }
  ]
}