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 |
@prefix fhir: <http://hl7.org/fhir/> . @prefix owl: <http://www.w3.org/2002/07/owl#> . @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> . @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 [ a fhir:string ; fhir:v "VBP MeasureReport Example 102" ] ] [ fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/instance-description"^^xsd:anyURI ] ; fhir:value [ a fhir:markdown ; 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 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>"^^rdf:XMLLiteral ] ; # 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 ] ] ] [ 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 [ a fhir:string ; 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 [ a fhir:string ; 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 [ a fhir:string ; 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 [ a fhir:string ; 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 [ a fhir:string ; fhir:v "ssq-group-starscore" ] ] ) ; fhir:reference [ fhir:v "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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