Da Vinci Value-Based Performance Reporting Implementation Guide
1.0.0 - STU1

Publication Build: This will be filled in by the publication tooling

## : vbp-measurereport102 - XML Representation

Raw xml | Download

    <MeasureReport xmlns="http://hl7.org/fhir">
      <id value="vbp-measurereport102"/>
      <meta>
        <extension url="http://hl7.org/fhir/StructureDefinition/instance-name">
          <valueString value="VBP MeasureReport Example 102"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/instance-description">
          <valueMarkdown
                         value="This is an example Value-Based Performance MeasureReport for the *VBP MeasureReport* profile., which includes utilization and quality."/>
        </extension>
        <profile
                 value="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/vbp-performance-measurereport"/>
      </meta>
      <text>
        <status value="extensions"/>
        <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>
      </text>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/measurereport-category">
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://hl7.org/fhir/CodeSystem/measurereport-category"/>
            <code value="vbp"/>
          </coding>
        </valueCodeableConcept>
      </extension>
      <status value="complete"/>
      <type value="summary"/>
      <measure
               value="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 value="Organization/vbp-provider02"/>
          </valueReference>
        </extension>
        <display value="Every Hospital"/>
      </subject>
      <date value="2022-12-31"/>
      <reporter>🔗
        <reference value="Organization/vbp-payer01"/>
      </reporter>
      <period>
        <start value="2022-10-01"/>
        <end value="2022-12-31"/>
      </period>
      <group id="ubip-group-01">
        <extension
                   url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream">
          <extension url="type">
            <valueCodeableConcept>
              <coding>
                <system
                        value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"/>
                <code value="ubip"/>
              </coding>
              <text value="Utilization incentive payment"/>
            </valueCodeableConcept>
          </extension>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline">
          <extension url="baseline">
            <valueQuantity>
              <value value="250"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="/10*3"/>
            </valueQuantity>
          </extension>
          <extension url="period">
            <valuePeriod>
              <start value="2021-01-01"/>
              <end value="2021-12-31"/>
            </valuePeriod>
          </extension>
        </extension>
        <code>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"/>
            <code value="inpatient-admission"/>
          </coding>
          <text value="In patient admission"/>
        </code>
        <measureScore>
          <value value="400"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="/10*3"/>
        </measureScore>
      </group>
      <group id="ubip-group-02">
        <extension
                   url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream">
          <extension url="type">
            <valueCodeableConcept>
              <coding>
                <system
                        value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"/>
                <code value="ubip"/>
              </coding>
              <text value="Utilization incentive payment"/>
            </valueCodeableConcept>
          </extension>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline">
          <extension url="baseline">
            <valueQuantity>
              <value value="180"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="/10*3"/>
            </valueQuantity>
          </extension>
          <extension url="period">
            <valuePeriod>
              <start value="2021-01-01"/>
              <end value="2021-12-31"/>
            </valuePeriod>
          </extension>
        </extension>
        <code>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"/>
            <code value="inpatient-acute"/>
          </coding>
          <text value="In patient acute"/>
        </code>
        <measureScore>
          <value value="350"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="/10*3"/>
        </measureScore>
      </group>
      <group id="ubip-group-03">
        <extension
                   url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream">
          <extension url="type">
            <valueCodeableConcept>
              <coding>
                <system
                        value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"/>
                <code value="ubip"/>
              </coding>
              <text value="Utilization incentive payment"/>
            </valueCodeableConcept>
          </extension>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline">
          <extension url="baseline">
            <valueQuantity>
              <value value="51"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="/10*3"/>
            </valueQuantity>
          </extension>
          <extension url="period">
            <valuePeriod>
              <start value="2021-01-01"/>
              <end value="2021-12-31"/>
            </valuePeriod>
          </extension>
        </extension>
        <code>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"/>
            <code value="readmission"/>
          </coding>
          <text value="Readmission"/>
        </code>
        <measureScore>
          <value value="120"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="/10*3"/>
        </measureScore>
      </group>
      <group id="ubip-group-04">
        <extension
                   url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream">
          <extension url="type">
            <valueCodeableConcept>
              <coding>
                <system
                        value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"/>
                <code value="ubip"/>
              </coding>
              <text value="Utilization incentive payment"/>
            </valueCodeableConcept>
          </extension>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline">
          <extension url="baseline">
            <valueQuantity>
              <value value="350"/>
              <unit value="per 100"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="/100"/>
            </valueQuantity>
          </extension>
          <extension url="period">
            <valuePeriod>
              <start value="2021-01-01"/>
              <end value="2021-12-31"/>
            </valuePeriod>
          </extension>
        </extension>
        <code>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"/>
            <code value="ed-visit"/>
          </coding>
          <text value="ED visit"/>
        </code>
        <measureScore>
          <value value="300"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="/100"/>
        </measureScore>
      </group>
      <group id="ubip-group-05">
        <extension
                   url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream">
          <extension url="type">
            <valueCodeableConcept>
              <coding>
                <system
                        value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"/>
                <code value="ubip"/>
              </coding>
              <text value="Utilization incentive payment"/>
            </valueCodeableConcept>
          </extension>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline">
          <extension url="baseline">
            <valueQuantity>
              <value value="51"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="/10*3"/>
            </valueQuantity>
          </extension>
          <extension url="period">
            <valuePeriod>
              <start value="2021-01-01"/>
              <end value="2021-12-31"/>
            </valuePeriod>
          </extension>
        </extension>
        <code>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"/>
            <code value="snf-admission"/>
          </coding>
          <text value="Skilled Nursing Facility admission"/>
        </code>
        <measureScore>
          <value value="50"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="/10*3"/>
        </measureScore>
      </group>
      <group id="ubip-group-06">
        <extension
                   url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream">
          <extension url="type">
            <valueCodeableConcept>
              <coding>
                <system
                        value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"/>
                <code value="ubip"/>
              </coding>
              <text value="Utilization incentive payment"/>
            </valueCodeableConcept>
          </extension>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline">
          <extension url="baseline">
            <valueQuantity>
              <value value="22"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="d"/>
            </valueQuantity>
          </extension>
          <extension url="period">
            <valuePeriod>
              <start value="2021-01-01"/>
              <end value="2021-12-31"/>
            </valuePeriod>
          </extension>
        </extension>
        <code>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"/>
            <code value="snf-avg-los"/>
          </coding>
          <text value="Skilled Nursing Facility average length of stay"/>
        </code>
        <measureScore>
          <value value="15"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="d"/>
        </measureScore>
      </group>
      <group id="ssq-group-starscore">
        <extension
                   url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream">
          <extension url="type">
            <valueCodeableConcept>
              <coding>
                <system
                        value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"/>
                <code value="ssq"/>
              </coding>
              <text value="Shared savings gated on quality"/>
            </valueCodeableConcept>
          </extension>
        </extension>
        <code>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"/>
            <code value="weighted-avg-star"/>
          </coding>
          <text value="Weighted average star"/>
        </code>
        <measureScore>
          <value value="2.5"/>
        </measureScore>
      </group>
      <group id="financial-group-01">
        <extension
                   url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream">
          <extension url="type">
            <valueCodeableConcept>
              <coding>
                <system
                        value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"/>
                <code value="ubip"/>
              </coding>
              <text value="Utilization incentive payment"/>
            </valueCodeableConcept>
          </extension>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline">
          <extension url="baseline">
            <valueMoney>
              <value value="800"/>
              <currency value="USD"/>
            </valueMoney>
          </extension>
          <extension url="period">
            <valuePeriod>
              <start value="2021-01-01"/>
              <end value="2021-12-31"/>
            </valuePeriod>
          </extension>
        </extension>
        <code>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"/>
            <code value="med-cost-pmpm"/>
          </coding>
          <text value="Total medical expense PMPM"/>
        </code>
        <measureScore>
          <extension
                     url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore">
            <valueMoney>
              <value value="800"/>
              <currency value="USD"/>
            </valueMoney>
          </extension>
        </measureScore>
      </group>
      <group id="financial-group-02">
        <extension
                   url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream">
          <extension url="type">
            <valueCodeableConcept>
              <coding>
                <system
                        value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"/>
                <code value="ubip"/>
              </coding>
              <text value="Utilization incentive payment"/>
            </valueCodeableConcept>
          </extension>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline">
          <extension url="baseline">
            <valueMoney>
              <value value="800"/>
              <currency value="USD"/>
            </valueMoney>
          </extension>
          <extension url="period">
            <valuePeriod>
              <start value="2021-01-01"/>
              <end value="2021-12-31"/>
            </valuePeriod>
          </extension>
        </extension>
        <code>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"/>
            <code value="ibnr-pmpm"/>
          </coding>
          <text value="Total medical expense PMPM"/>
        </code>
        <measureScore>
          <extension
                     url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore">
            <valueMoney>
              <value value="800"/>
              <currency value="USD"/>
            </valueMoney>
          </extension>
        </measureScore>
      </group>
      <evaluatedResource>🔗
        <extension
                   url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference">
          <valueString value="ssq-group-starscore"/>
        </extension>
        <reference value="MeasureReport/quality-measurereport11"/>
      </evaluatedResource>
      <evaluatedResource>🔗
        <extension
                   url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference">
          <valueString value="ssq-group-starscore"/>
        </extension>
        <reference value="MeasureReport/quality-measurereport12"/>
      </evaluatedResource>
      <evaluatedResource>🔗
        <extension
                   url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference">
          <valueString value="ssq-group-starscore"/>
        </extension>
        <reference value="MeasureReport/quality-measurereport13"/>
      </evaluatedResource>
      <evaluatedResource>🔗
        <extension
                   url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference">
          <valueString value="ssq-group-starscore"/>
        </extension>
        <reference value="MeasureReport/quality-measurereport14"/>
      </evaluatedResource>
      <evaluatedResource>🔗
        <extension
                   url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference">
          <valueString value="ssq-group-starscore"/>
        </extension>
        <reference value="MeasureReport/quality-measurereport15"/>
      </evaluatedResource>
    </MeasureReport>