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

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## : 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",
                  "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",
                  "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",
          "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",
                  "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"
        }
      ]
    }