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

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## : vbp-measurereport104 - XML Representation

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    <MeasureReport xmlns="http://hl7.org/fhir">
      <id value="vbp-measurereport104"/>
      <meta>
        <extension url="http://hl7.org/fhir/StructureDefinition/instance-name">
          <valueString value="VBP MeasureReport Example 104"/>
        </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."/>
        </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-measurereport104"> </a><a name="hcvbp-measurereport104"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">ResourceMeasureReport &quot;vbp-measurereport104&quot; </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-vbp-performance-measurereport.html">Value-Based Performance MeasureReport</a></p></div><p><b>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>: 2023-05-31</p><p><b>reporter</b>: <a href="Organization-vbp-payer01.html">Organization/vbp-payer01</a> &quot;ABC Payer&quot;</p><p><b>period</b>: 2022-01-01 --&gt; 2022-08-31</p><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-01</blockquote><p><b>code</b>: Eligible member <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-vbp-performance-metric.html">Performance Metric Codes</a>#eligible-member)</span></p><p><b>measureScore</b>: 2914</p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-02</blockquote><p><b>code</b>: Hierarchical Condition Category <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (vbp-performance-metric#hcc)</span></p><p><b>measureScore</b>: </p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-03</blockquote><p><b>code</b>: Preventive Care Visits <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-vbp-performance-metric.html">Performance Metric Codes</a>#quality-pmt-office-visit &quot;Quality payment annual office visit&quot;)</span></p><p><b>measureScore</b>: </p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-04</blockquote><p><b>code</b>: Star Performance <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (vbp-performance-metric#star-performance)</span></p><p><b>measureScore</b>: </p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-05</blockquote><p><b>code</b>: Advance Care Planning <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (vbp-performance-metric#advance-care-planning)</span></p><p><b>measureScore</b>: </p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-06</blockquote><p><b>code</b>: Encounter Palliative Care <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (vbp-performance-metric#encounter-palliative-care)</span></p><p><b>measureScore</b>: </p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-07</blockquote><p><b>code</b>: Supplemental Data <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (vbp-performance-metric#supplemental-data)</span></p><p><b>measureScore</b>: </p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-08</blockquote><p><b>code</b>: Estimated YTD Grand Total <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (vbp-performance-metric#closed-gaps)</span></p><p><b>measureScore</b>: </p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-09</blockquote><p><b>code</b>: Total gaps <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (vbp-performance-metric#total-gaps)</span></p><p><b>measureScore</b>: 2</p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-10</blockquote><p><b>code</b>: Closed gaps <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (vbp-performance-metric#closed-gaps)</span></p><p><b>measureScore</b>: 2</p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-11</blockquote><p><b>code</b>: Minimum Base Incentive Target Percentage <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (vbp-performance-metric#min-base-incentive-target)</span></p><p><b>measureScore</b>: 80 %<span style="background: LightGoldenRodYellow"> (Details: UCUM  code% = '%')</span></p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-12</blockquote><p><b>code</b>: Base Incentive Per Member <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (vbp-performance-metric#base-incentive-pm)</span></p><p><b>measureScore</b>: </p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-13</blockquote><p><b>code</b>: Early Performance Bonus Met <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (vbp-performance-metric#early-performance-bonus-met)</span></p><p><b>measureScore</b>: </p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-14</blockquote><p><b>code</b>: Estimated Bonus Incentive Per Member <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (vbp-performance-metric#estimated-bonus-incentive-pm)</span></p><p><b>measureScore</b>: </p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-15</blockquote><p><b>code</b>: Estimate Incentive <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-vbp-performance-metric.html">Performance Metric Codes</a>#earned-incentive &quot;Earned incentive&quot;)</span></p><p><b>measureScore</b>: </p></blockquote><p><b>evaluatedResource</b>: </p><ul><li><a href="MeasureReport-quality-measurereport30.html">MeasureReport/quality-measurereport30</a></li><li><a href="MeasureReport-quality-measurereport31.html">MeasureReport/quality-measurereport31</a></li><li><a href="MeasureReport-quality-measurereport32.html">MeasureReport/quality-measurereport32</a></li><li><a href="MeasureReport-quality-measurereport33.html">MeasureReport/quality-measurereport33</a></li></ul></div>
      </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="2023-05-31"/>
      <reporter>🔗
        <reference value="Organization/vbp-payer01"/>
      </reporter>
      <period>
        <start value="2022-01-01"/>
        <end value="2022-08-31"/>
      </period>
      <group id="group-01">
        <code>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"/>
            <code value="eligible-member"/>
          </coding>
          <text value="Eligible member"/>
        </code>
        <measureScore>
          <value value="2914"/>
        </measureScore>
      </group>
      <group id="group-02">
        <code>
          <coding>
            <system
                    value="http://my-local-organization/CodeSystem/vbp-performance-metric"/>
            <code value="hcc"/>
          </coding>
          <text value="Hierarchical Condition Category"/>
        </code>
        <measureScore>
          <extension
                     url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore">
            <valueMoney>
              <value value="500"/>
              <currency value="USD"/>
            </valueMoney>
          </extension>
        </measureScore>
      </group>
      <group id="group-03">
        <code>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"/>
            <code value="quality-pmt-office-visit"/>
            <display value="Quality payment annual office visit"/>
          </coding>
          <text value="Preventive Care Visits"/>
        </code>
        <measureScore>
          <extension
                     url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore">
            <valueMoney>
              <value value="180"/>
              <currency value="USD"/>
            </valueMoney>
          </extension>
        </measureScore>
      </group>
      <group id="group-04">
        <code>
          <coding>
            <system
                    value="http://my-local-organization/CodeSystem/vbp-performance-metric"/>
            <code value="star-performance"/>
          </coding>
          <text value="Star Performance"/>
        </code>
        <measureScore>
          <extension
                     url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore">
            <valueMoney>
              <value value="132884"/>
              <currency value="USD"/>
            </valueMoney>
          </extension>
        </measureScore>
      </group>
      <group id="group-05">
        <code>
          <coding>
            <system
                    value="http://my-local-organization/CodeSystem/vbp-performance-metric"/>
            <code value="advance-care-planning"/>
          </coding>
          <text value="Advance Care Planning"/>
        </code>
        <measureScore>
          <extension
                     url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore">
            <valueMoney>
              <value value="100"/>
              <currency value="USD"/>
            </valueMoney>
          </extension>
        </measureScore>
      </group>
      <group id="group-06">
        <code>
          <coding>
            <system
                    value="http://my-local-organization/CodeSystem/vbp-performance-metric"/>
            <code value="encounter-palliative-care"/>
          </coding>
          <text value="Encounter Palliative Care"/>
        </code>
        <measureScore>
          <extension
                     url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore">
            <valueMoney>
              <value value="1200"/>
              <currency value="USD"/>
            </valueMoney>
          </extension>
        </measureScore>
      </group>
      <group id="group-07">
        <code>
          <coding>
            <system
                    value="http://my-local-organization/CodeSystem/vbp-performance-metric"/>
            <code value="supplemental-data"/>
          </coding>
          <text value="Supplemental Data"/>
        </code>
        <measureScore>
          <extension
                     url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore">
            <valueMoney>
              <value value="0"/>
              <currency value="USD"/>
            </valueMoney>
          </extension>
        </measureScore>
      </group>
      <group id="group-08">
        <code>
          <coding>
            <system
                    value="http://my-local-organization/CodeSystem/vbp-performance-metric"/>
            <code value="closed-gaps"/>
          </coding>
          <text value="Estimated YTD Grand Total"/>
        </code>
        <measureScore>
          <extension
                     url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore">
            <valueMoney>
              <value value="134864"/>
              <currency value="USD"/>
            </valueMoney>
          </extension>
        </measureScore>
      </group>
      <group id="group-09">
        <code>
          <coding>
            <system
                    value="http://my-local-organization/CodeSystem/vbp-performance-metric"/>
            <code value="total-gaps"/>
          </coding>
          <text value="Total gaps"/>
        </code>
        <measureScore>
          <value value="2"/>
        </measureScore>
      </group>
      <group id="group-10">
        <code>
          <coding>
            <system
                    value="http://my-local-organization/CodeSystem/vbp-performance-metric"/>
            <code value="closed-gaps"/>
          </coding>
          <text value="Closed gaps"/>
        </code>
        <measureScore>
          <value value="2"/>
        </measureScore>
      </group>
      <group id="group-11">
        <code>
          <coding>
            <system
                    value="http://my-local-organization/CodeSystem/vbp-performance-metric"/>
            <code value="min-base-incentive-target"/>
          </coding>
          <text value="Minimum Base Incentive Target Percentage"/>
        </code>
        <measureScore>
          <value value="80"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="%"/>
        </measureScore>
      </group>
      <group id="group-12">
        <code>
          <coding>
            <system
                    value="http://my-local-organization/CodeSystem/vbp-performance-metric"/>
            <code value="base-incentive-pm"/>
          </coding>
          <text value="Base Incentive Per Member"/>
        </code>
        <measureScore>
          <extension
                     url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore">
            <valueMoney>
              <value value="125"/>
              <currency value="USD"/>
            </valueMoney>
          </extension>
        </measureScore>
      </group>
      <group id="group-13">
        <code>
          <coding>
            <system
                    value="http://my-local-organization/CodeSystem/vbp-performance-metric"/>
            <code value="early-performance-bonus-met"/>
          </coding>
          <text value="Early Performance Bonus Met"/>
        </code>
        <measureScore>
          <extension
                     url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore">
            <valueBoolean value="false"/>
          </extension>
        </measureScore>
      </group>
      <group id="group-14">
        <code>
          <coding>
            <system
                    value="http://my-local-organization/CodeSystem/vbp-performance-metric"/>
            <code value="estimated-bonus-incentive-pm"/>
          </coding>
          <text value="Estimated Bonus Incentive Per Member"/>
        </code>
        <measureScore>
          <extension
                     url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore">
            <valueMoney>
              <value value="0"/>
              <currency value="USD"/>
            </valueMoney>
          </extension>
        </measureScore>
      </group>
      <group id="group-15">
        <code>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"/>
            <code value="earned-incentive"/>
            <display value="Earned incentive"/>
          </coding>
          <text value="Estimate Incentive"/>
        </code>
        <measureScore>
          <extension
                     url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore">
            <valueMoney>
              <value value="500"/>
              <currency value="USD"/>
            </valueMoney>
          </extension>
        </measureScore>
      </group>
      <evaluatedResource>🔗
        <reference value="MeasureReport/quality-measurereport30"/>
      </evaluatedResource>
      <evaluatedResource>🔗
        <reference value="MeasureReport/quality-measurereport31"/>
      </evaluatedResource>
      <evaluatedResource>🔗
        <reference value="MeasureReport/quality-measurereport32"/>
      </evaluatedResource>
      <evaluatedResource>🔗
        <reference value="MeasureReport/quality-measurereport33"/>
      </evaluatedResource>
    </MeasureReport>