Da Vinci Value-Based Performance Reporting Implementation Guide
1.1.0 - STU 1.1
Da Vinci Value-Based Performance Reporting Implementation Guide
1.1.0 - STU 1.1
Da Vinci Value-Based Performance Reporting Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 1.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-vbpr/ and changes regularly. See the Directory of published versions
| Page standards status: Informative |
{
"resourceType" : "MeasureReport",
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🔗 "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/vbp-performance-measurereport"
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: MeasureReport vbp-measurereport102</b></p><a name=\"vbp-measurereport102\"> </a><a name=\"hcvbp-measurereport102\"> </a><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\"/><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>: <span title=\"Codes:{http://hl7.org/fhir/CodeSystem/measurereport-category vbp}\">Value-Based Performance</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>: Every Hospital</p><p><b>date</b>: 2022-12-31</p><p><b>reporter</b>: <a href=\"Organization-vbp-payer01.html\">Organization ABC Payer</a></p><p><b>period</b>: 2022-10-01 --> 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><ul><li>type: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream ubip}\">Utilization incentive payment</span></li></ul></blockquote><blockquote><p><b>Baseline</b></p><ul><li>baseline: 250 /10*3<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code/10*3 = '/10*3')</span></li><li>period: 2021-01-01 --> 2021-12-31</li></ul></blockquote><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric inpatient-admission}\">In patient 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><ul><li>type: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream ubip}\">Utilization incentive payment</span></li></ul></blockquote><blockquote><p><b>Baseline</b></p><ul><li>baseline: 180 /10*3<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code/10*3 = '/10*3')</span></li><li>period: 2021-01-01 --> 2021-12-31</li></ul></blockquote><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric inpatient-acute}\">In patient 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><ul><li>type: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream ubip}\">Utilization incentive payment</span></li></ul></blockquote><blockquote><p><b>Baseline</b></p><ul><li>baseline: 51 /10*3<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code/10*3 = '/10*3')</span></li><li>period: 2021-01-01 --> 2021-12-31</li></ul></blockquote><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric readmission}\">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><ul><li>type: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream ubip}\">Utilization incentive payment</span></li></ul></blockquote><blockquote><p><b>Baseline</b></p><ul><li>baseline: 350 per 100<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code/100 = '/100')</span></li><li>period: 2021-01-01 --> 2021-12-31</li></ul></blockquote><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric ed-visit}\">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><ul><li>type: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream ubip}\">Utilization incentive payment</span></li></ul></blockquote><blockquote><p><b>Baseline</b></p><ul><li>baseline: 51 /10*3<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code/10*3 = '/10*3')</span></li><li>period: 2021-01-01 --> 2021-12-31</li></ul></blockquote><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric snf-admission}\">Skilled Nursing Facility 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><ul><li>type: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream ubip}\">Utilization incentive payment</span></li></ul></blockquote><blockquote><p><b>Baseline</b></p><ul><li>baseline: 22 d<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM coded = 'd')</span></li><li>period: 2021-01-01 --> 2021-12-31</li></ul></blockquote><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric snf-avg-los}\">Skilled Nursing Facility average length of stay</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><ul><li>type: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream ssq}\">Shared savings gated on quality</span></li></ul></blockquote><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric weighted-avg-star}\">Weighted average 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><ul><li>type: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream ubip}\">Utilization incentive payment</span></li></ul></blockquote><blockquote><p><b>Baseline</b></p><ul><li>baseline: <span title=\"US Dollar\">$800.00</span> (USD)</li><li>period: 2021-01-01 --> 2021-12-31</li></ul></blockquote><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric med-cost-pmpm}\">Total medical expense 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><ul><li>type: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream ubip}\">Utilization incentive payment</span></li></ul></blockquote><blockquote><p><b>Baseline</b></p><ul><li>baseline: <span title=\"US Dollar\">$800.00</span> (USD)</li><li>period: 2021-01-01 --> 2021-12-31</li></ul></blockquote><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric ibnr-pmpm}\">Total medical expense PMPM</span></p><p><b>measureScore</b>: </p></blockquote><p><b>evaluatedResource</b>: </p><ul><li><a href=\"MeasureReport-quality-measurereport11.html\">MeasureReport: extension = Proportion,; status = complete; type = summary; measure = http://hl7.org/fhir/us/cqfmeasures/Measure/EXM125-FHIR|8.0.000; date = 2022-12-31; period = 2022-10-01 --> 2022-12-31; improvementNotation = Increased score indicates improvement</a></li><li><a href=\"MeasureReport-quality-measurereport12.html\">MeasureReport: extension = Proportion,; status = complete; type = summary; measure = http://hl7.org/fhir/us/cqfmeasures/Measure/EXM130-FHIR|8.0.000; date = 2022-12-31; period = 2022-10-01 --> 2022-12-31; improvementNotation = Increased score indicates improvement</a></li><li><a href=\"MeasureReport-quality-measurereport13.html\">MeasureReport: extension = Proportion,; status = complete; type = summary; measure = http://example.org/Measure/measure-diabetes-retinopathy-FHIR|1.0.000; date = 2022-12-31; period = 2022-10-01 --> 2022-12-31; improvementNotation = Increased score indicates improvement</a></li><li><a href=\"MeasureReport-quality-measurereport14.html\">MeasureReport: extension = Proportion,; status = complete; type = summary; measure = http://example.org/Measure/measure-diabetes-A1c-FHIR|1.0.000; date = 2022-12-31; period = 2022-10-01 --> 2022-12-31; improvementNotation = Increased score indicates improvement</a></li><li><a href=\"MeasureReport-quality-measurereport15.html\">MeasureReport: extension = Proportion,; status = complete; type = summary; measure = http://example.org/Measure/measure-diabetes-nephropathy-FHIR|1.0.000; date = 2022-12-31; period = 2022-10-01 --> 2022-12-31; improvementNotation = Increased score indicates improvement</a></li></ul></div>"
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"status" : "complete",
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"measure" : "https://build.fhir.org/ig/HL7/davinci-vbpr/Measure-vbp-measure02",
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🔗 "reference" : "Organization/vbp-provider02"
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"display" : "Every Hospital"
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"date" : "2022-12-31",
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🔗 "reference" : "Organization/vbp-payer01"
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"period" : {
"start" : "2022-10-01",
"end" : "2022-12-31"
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"group" : [
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"extension" : [
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"text" : "Utilization incentive payment"
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"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
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"code" : "inpatient-admission"
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"text" : "In patient admission"
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"measureScore" : {
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"system" : "http://unitsofmeasure.org",
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{
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{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
"code" : "inpatient-acute"
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],
"text" : "In patient acute"
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"measureScore" : {
"value" : 350,
"system" : "http://unitsofmeasure.org",
"code" : "/10*3"
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{
"id" : "ubip-group-03",
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"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
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"valueQuantity" : {
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"code" : "readmission"
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"measureScore" : {
"value" : 120,
"system" : "http://unitsofmeasure.org",
"code" : "/10*3"
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{
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"extension" : [
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{
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"valueQuantity" : {
"value" : 350,
"unit" : "per 100",
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"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" : [
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"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream",
"code" : "ubip"
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"text" : "Utilization incentive payment"
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"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
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{
"extension" : [
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"valueQuantity" : {
"value" : 51,
"system" : "http://unitsofmeasure.org",
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{
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"start" : "2021-01-01",
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"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline"
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"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" : [
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"valueCodeableConcept" : {
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"code" : "ubip"
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"text" : "Utilization incentive payment"
}
}
],
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
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{
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"valueQuantity" : {
"value" : 22,
"system" : "http://unitsofmeasure.org",
"code" : "d"
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{
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"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline"
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"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"
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],
"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" : [
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"valueCodeableConcept" : {
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"text" : "Utilization incentive payment"
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"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
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{
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"valueMoney" : {
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"currency" : "USD"
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{
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"end" : "2021-12-31"
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],
"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"
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"measureScore" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore",
"valueMoney" : {
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{
"id" : "financial-group-02",
"extension" : [
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"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
},
{
"extension" : [
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"valueMoney" : {
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"currency" : "USD"
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{
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"end" : "2021-12-31"
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"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
"code" : "ibnr-pmpm"
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],
"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"
}
]
}
IG © 2023+ HL7 International / Clinical Quality Information. Package hl7.fhir.us.davinci-vbpr#1.1.0 based on FHIR 4.0.1. Generated 2025-09-07
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