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

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## : vbp-measurereport102 - TTL Representation

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    @prefix fhir: <http://hl7.org/fhir/> .
    @prefix owl: <http://www.w3.org/2002/07/owl#> .
    @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
    @prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

    # - resource -------------------------------------------------------------------

     a fhir:MeasureReport ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:id [ fhir:v "vbp-measurereport102"] ; #
      fhir:meta [
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/instance-name"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "VBP MeasureReport Example 102" ]     ] [
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/instance-description"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "This is an example Value-Based Performance MeasureReport for the *VBP MeasureReport* profile., which includes utilization and quality." ]     ] ) ;
        ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/vbp-performance-measurereport"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/vbp-performance-measurereport>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "extensions" ] ;
    fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MeasureReport </b><a name=\"vbp-measurereport102\"> </a><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>"
      ] ; #
      fhir:extension ( [
    fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/measurereport-category"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:CodeableConcept ;
          ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/CodeSystem/measurereport-category"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "vbp" ]       ] )     ]
      ] ) ; #
      fhir:status [ fhir:v "complete"] ; #
      fhir:type [ fhir:v "summary"] ; #
      fhir:measure [
    fhir:v "https://build.fhir.org/ig/HL7/davinci-vbpr/Measure-vbp-measure02"^^xsd:anyURI ;
    fhir:link <https://build.fhir.org/ig/HL7/davinci-vbpr/Measure-vbp-measure02>
      ] ; #
      fhir:subject [
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/organization-subject"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:Reference ;
    fhir:reference [ fhir:v "Organization/vbp-provider02" ]       ]     ] ) ;
    fhir:display [ fhir:v "Every Hospital" ]
      ] ; #
      fhir:date [ fhir:v "2022-12-31"^^xsd:date] ; #
      fhir:reporter [
    fhir:reference [ fhir:v "Organization/vbp-payer01" ]
      ] ; #
      fhir:period [
    fhir:start [ fhir:v "2022-10-01"^^xsd:date ] ;
    fhir:end [ fhir:v "2022-12-31"^^xsd:date ]
      ] ; #
      fhir:group ( [
    fhir:id [ fhir:v "ubip-group-01" ] ;
        ( fhir:extension [
          ( fhir:extension [
    fhir:url [ fhir:v "type"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:CodeableConcept ;
              ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "ubip" ]           ] ) ;
    fhir:text [ fhir:v "Utilization incentive payment" ]         ]       ] ) ;
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"^^xsd:anyURI ]     ] [
          ( fhir:extension [
    fhir:url [ fhir:v "baseline"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:Quantity ;
    fhir:value [ fhir:v "250"^^xsd:decimal ] ;
    fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "/10*3" ]         ]       ] [
    fhir:url [ fhir:v "period"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:Period ;
    fhir:start [ fhir:v "2021-01-01"^^xsd:date ] ;
    fhir:end [ fhir:v "2021-12-31"^^xsd:date ]         ]       ] ) ;
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline"^^xsd:anyURI ]     ] ) ;
    fhir:code [
          ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "inpatient-admission" ]       ] ) ;
    fhir:text [ fhir:v "In patient admission" ]     ] ;
    fhir:measureScore [
    fhir:value [ fhir:v "400"^^xsd:decimal ] ;
    fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "/10*3" ]     ]
      ] [
    fhir:id [ fhir:v "ubip-group-02" ] ;
        ( fhir:extension [
          ( fhir:extension [
    fhir:url [ fhir:v "type"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:CodeableConcept ;
              ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "ubip" ]           ] ) ;
    fhir:text [ fhir:v "Utilization incentive payment" ]         ]       ] ) ;
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"^^xsd:anyURI ]     ] [
          ( fhir:extension [
    fhir:url [ fhir:v "baseline"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:Quantity ;
    fhir:value [ fhir:v "180"^^xsd:decimal ] ;
    fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "/10*3" ]         ]       ] [
    fhir:url [ fhir:v "period"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:Period ;
    fhir:start [ fhir:v "2021-01-01"^^xsd:date ] ;
    fhir:end [ fhir:v "2021-12-31"^^xsd:date ]         ]       ] ) ;
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline"^^xsd:anyURI ]     ] ) ;
    fhir:code [
          ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "inpatient-acute" ]       ] ) ;
    fhir:text [ fhir:v "In patient acute" ]     ] ;
    fhir:measureScore [
    fhir:value [ fhir:v "350"^^xsd:decimal ] ;
    fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "/10*3" ]     ]
      ] [
    fhir:id [ fhir:v "ubip-group-03" ] ;
        ( fhir:extension [
          ( fhir:extension [
    fhir:url [ fhir:v "type"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:CodeableConcept ;
              ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "ubip" ]           ] ) ;
    fhir:text [ fhir:v "Utilization incentive payment" ]         ]       ] ) ;
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"^^xsd:anyURI ]     ] [
          ( fhir:extension [
    fhir:url [ fhir:v "baseline"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:Quantity ;
    fhir:value [ fhir:v "51"^^xsd:decimal ] ;
    fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "/10*3" ]         ]       ] [
    fhir:url [ fhir:v "period"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:Period ;
    fhir:start [ fhir:v "2021-01-01"^^xsd:date ] ;
    fhir:end [ fhir:v "2021-12-31"^^xsd:date ]         ]       ] ) ;
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline"^^xsd:anyURI ]     ] ) ;
    fhir:code [
          ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "readmission" ]       ] ) ;
    fhir:text [ fhir:v "Readmission" ]     ] ;
    fhir:measureScore [
    fhir:value [ fhir:v "120"^^xsd:decimal ] ;
    fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "/10*3" ]     ]
      ] [
    fhir:id [ fhir:v "ubip-group-04" ] ;
        ( fhir:extension [
          ( fhir:extension [
    fhir:url [ fhir:v "type"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:CodeableConcept ;
              ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "ubip" ]           ] ) ;
    fhir:text [ fhir:v "Utilization incentive payment" ]         ]       ] ) ;
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"^^xsd:anyURI ]     ] [
          ( fhir:extension [
    fhir:url [ fhir:v "baseline"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:Quantity ;
    fhir:value [ fhir:v "350"^^xsd:decimal ] ;
    fhir:unit [ fhir:v "per 100" ] ;
    fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "/100" ]         ]       ] [
    fhir:url [ fhir:v "period"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:Period ;
    fhir:start [ fhir:v "2021-01-01"^^xsd:date ] ;
    fhir:end [ fhir:v "2021-12-31"^^xsd:date ]         ]       ] ) ;
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline"^^xsd:anyURI ]     ] ) ;
    fhir:code [
          ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "ed-visit" ]       ] ) ;
    fhir:text [ fhir:v "ED visit" ]     ] ;
    fhir:measureScore [
    fhir:value [ fhir:v "300"^^xsd:decimal ] ;
    fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "/100" ]     ]
      ] [
    fhir:id [ fhir:v "ubip-group-05" ] ;
        ( fhir:extension [
          ( fhir:extension [
    fhir:url [ fhir:v "type"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:CodeableConcept ;
              ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "ubip" ]           ] ) ;
    fhir:text [ fhir:v "Utilization incentive payment" ]         ]       ] ) ;
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"^^xsd:anyURI ]     ] [
          ( fhir:extension [
    fhir:url [ fhir:v "baseline"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:Quantity ;
    fhir:value [ fhir:v "51"^^xsd:decimal ] ;
    fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "/10*3" ]         ]       ] [
    fhir:url [ fhir:v "period"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:Period ;
    fhir:start [ fhir:v "2021-01-01"^^xsd:date ] ;
    fhir:end [ fhir:v "2021-12-31"^^xsd:date ]         ]       ] ) ;
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline"^^xsd:anyURI ]     ] ) ;
    fhir:code [
          ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "snf-admission" ]       ] ) ;
    fhir:text [ fhir:v "Skilled Nursing Facility admission" ]     ] ;
    fhir:measureScore [
    fhir:value [ fhir:v "50"^^xsd:decimal ] ;
    fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "/10*3" ]     ]
      ] [
    fhir:id [ fhir:v "ubip-group-06" ] ;
        ( fhir:extension [
          ( fhir:extension [
    fhir:url [ fhir:v "type"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:CodeableConcept ;
              ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "ubip" ]           ] ) ;
    fhir:text [ fhir:v "Utilization incentive payment" ]         ]       ] ) ;
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"^^xsd:anyURI ]     ] [
          ( fhir:extension [
    fhir:url [ fhir:v "baseline"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:Quantity ;
    fhir:value [ fhir:v "22"^^xsd:decimal ] ;
    fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "d" ]         ]       ] [
    fhir:url [ fhir:v "period"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:Period ;
    fhir:start [ fhir:v "2021-01-01"^^xsd:date ] ;
    fhir:end [ fhir:v "2021-12-31"^^xsd:date ]         ]       ] ) ;
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline"^^xsd:anyURI ]     ] ) ;
    fhir:code [
          ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "snf-avg-los" ]       ] ) ;
    fhir:text [ fhir:v "Skilled Nursing Facility average length of stay" ]     ] ;
    fhir:measureScore [
    fhir:value [ fhir:v "15"^^xsd:decimal ] ;
    fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "d" ]     ]
      ] [
    fhir:id [ fhir:v "ssq-group-starscore" ] ;
        ( fhir:extension [
          ( fhir:extension [
    fhir:url [ fhir:v "type"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:CodeableConcept ;
              ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "ssq" ]           ] ) ;
    fhir:text [ fhir:v "Shared savings gated on quality" ]         ]       ] ) ;
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"^^xsd:anyURI ]     ] ) ;
    fhir:code [
          ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "weighted-avg-star" ]       ] ) ;
    fhir:text [ fhir:v "Weighted average star" ]     ] ;
    fhir:measureScore [
    fhir:value [ fhir:v "2.5"^^xsd:decimal ]     ]
      ] [
    fhir:id [ fhir:v "financial-group-01" ] ;
        ( fhir:extension [
          ( fhir:extension [
    fhir:url [ fhir:v "type"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:CodeableConcept ;
              ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "ubip" ]           ] ) ;
    fhir:text [ fhir:v "Utilization incentive payment" ]         ]       ] ) ;
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"^^xsd:anyURI ]     ] [
          ( fhir:extension [
    fhir:url [ fhir:v "baseline"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:Money ;
    fhir:value [ fhir:v "800"^^xsd:decimal ] ;
    fhir:currency [ fhir:v "USD" ]         ]       ] [
    fhir:url [ fhir:v "period"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:Period ;
    fhir:start [ fhir:v "2021-01-01"^^xsd:date ] ;
    fhir:end [ fhir:v "2021-12-31"^^xsd:date ]         ]       ] ) ;
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline"^^xsd:anyURI ]     ] ) ;
    fhir:code [
          ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "med-cost-pmpm" ]       ] ) ;
    fhir:text [ fhir:v "Total medical expense PMPM" ]     ] ;
    fhir:measureScore [
          ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:Money ;
    fhir:value [ fhir:v "800"^^xsd:decimal ] ;
    fhir:currency [ fhir:v "USD" ]         ]       ] )     ]
      ] [
    fhir:id [ fhir:v "financial-group-02" ] ;
        ( fhir:extension [
          ( fhir:extension [
    fhir:url [ fhir:v "type"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:CodeableConcept ;
              ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "ubip" ]           ] ) ;
    fhir:text [ fhir:v "Utilization incentive payment" ]         ]       ] ) ;
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"^^xsd:anyURI ]     ] [
          ( fhir:extension [
    fhir:url [ fhir:v "baseline"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:Money ;
    fhir:value [ fhir:v "800"^^xsd:decimal ] ;
    fhir:currency [ fhir:v "USD" ]         ]       ] [
    fhir:url [ fhir:v "period"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:Period ;
    fhir:start [ fhir:v "2021-01-01"^^xsd:date ] ;
    fhir:end [ fhir:v "2021-12-31"^^xsd:date ]         ]       ] ) ;
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline"^^xsd:anyURI ]     ] ) ;
    fhir:code [
          ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "ibnr-pmpm" ]       ] ) ;
    fhir:text [ fhir:v "Total medical expense PMPM" ]     ] ;
    fhir:measureScore [
          ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:Money ;
    fhir:value [ fhir:v "800"^^xsd:decimal ] ;
    fhir:currency [ fhir:v "USD" ]         ]       ] )     ]
      ] ) ; #
      fhir:evaluatedResource ( [
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "ssq-group-starscore" ]     ] ) ;
    fhir:reference [ fhir:v "MeasureReport/quality-measurereport11" ]
      ] [
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "ssq-group-starscore" ]     ] ) ;
    fhir:reference [ fhir:v "MeasureReport/quality-measurereport12" ]
      ] [
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "ssq-group-starscore" ]     ] ) ;
    fhir:reference [ fhir:v "MeasureReport/quality-measurereport13" ]
      ] [
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "ssq-group-starscore" ]     ] ) ;
    fhir:reference [ fhir:v "MeasureReport/quality-measurereport14" ]
      ] [
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "ssq-group-starscore" ]     ] ) ;
    fhir:reference [ fhir:v "MeasureReport/quality-measurereport15" ]
      ] ) . #