Da Vinci Value-Based Performance Reporting Implementation Guide
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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

: vbp-measurereport102 - XML Representation

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<MeasureReport xmlns="http://hl7.org/fhir">
  <id value="vbp-measurereport102"/>
  <meta>
    <extension url="http://hl7.org/fhir/StructureDefinition/instance-name">
      <valueString value="VBP MeasureReport Example 102"/>
    </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., which includes utilization and quality."/>
    </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 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 --&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><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 --&gt; 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 --&gt; 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 --&gt; 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 --&gt; 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 --&gt; 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 --&gt; 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 --&gt; 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 --&gt; 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 --&gt; 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 --&gt; 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 --&gt; 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 --&gt; 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 --&gt; 2022-12-31; improvementNotation = Increased score indicates improvement</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="2022-12-31"/>
  <reporter>🔗 
    <reference value="Organization/vbp-payer01"/>
  </reporter>
  <period>
    <start value="2022-10-01"/>
    <end value="2022-12-31"/>
  </period>
  <group id="ubip-group-01">
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream">
      <extension url="type">
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"/>
            <code value="ubip"/>
          </coding>
          <text value="Utilization incentive payment"/>
        </valueCodeableConcept>
      </extension>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline">
      <extension url="baseline">
        <valueQuantity>
          <value value="250"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="/10*3"/>
        </valueQuantity>
      </extension>
      <extension url="period">
        <valuePeriod>
          <start value="2021-01-01"/>
          <end value="2021-12-31"/>
        </valuePeriod>
      </extension>
    </extension>
    <code>
      <coding>
        <system
                value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"/>
        <code value="inpatient-admission"/>
      </coding>
      <text value="In patient admission"/>
    </code>
    <measureScore>
      <value value="400"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="/10*3"/>
    </measureScore>
  </group>
  <group id="ubip-group-02">
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream">
      <extension url="type">
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"/>
            <code value="ubip"/>
          </coding>
          <text value="Utilization incentive payment"/>
        </valueCodeableConcept>
      </extension>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline">
      <extension url="baseline">
        <valueQuantity>
          <value value="180"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="/10*3"/>
        </valueQuantity>
      </extension>
      <extension url="period">
        <valuePeriod>
          <start value="2021-01-01"/>
          <end value="2021-12-31"/>
        </valuePeriod>
      </extension>
    </extension>
    <code>
      <coding>
        <system
                value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"/>
        <code value="inpatient-acute"/>
      </coding>
      <text value="In patient acute"/>
    </code>
    <measureScore>
      <value value="350"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="/10*3"/>
    </measureScore>
  </group>
  <group id="ubip-group-03">
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream">
      <extension url="type">
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"/>
            <code value="ubip"/>
          </coding>
          <text value="Utilization incentive payment"/>
        </valueCodeableConcept>
      </extension>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline">
      <extension url="baseline">
        <valueQuantity>
          <value value="51"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="/10*3"/>
        </valueQuantity>
      </extension>
      <extension url="period">
        <valuePeriod>
          <start value="2021-01-01"/>
          <end value="2021-12-31"/>
        </valuePeriod>
      </extension>
    </extension>
    <code>
      <coding>
        <system
                value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"/>
        <code value="readmission"/>
      </coding>
      <text value="Readmission"/>
    </code>
    <measureScore>
      <value value="120"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="/10*3"/>
    </measureScore>
  </group>
  <group id="ubip-group-04">
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream">
      <extension url="type">
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"/>
            <code value="ubip"/>
          </coding>
          <text value="Utilization incentive payment"/>
        </valueCodeableConcept>
      </extension>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline">
      <extension url="baseline">
        <valueQuantity>
          <value value="350"/>
          <unit value="per 100"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="/100"/>
        </valueQuantity>
      </extension>
      <extension url="period">
        <valuePeriod>
          <start value="2021-01-01"/>
          <end value="2021-12-31"/>
        </valuePeriod>
      </extension>
    </extension>
    <code>
      <coding>
        <system
                value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"/>
        <code value="ed-visit"/>
      </coding>
      <text value="ED visit"/>
    </code>
    <measureScore>
      <value value="300"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="/100"/>
    </measureScore>
  </group>
  <group id="ubip-group-05">
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream">
      <extension url="type">
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"/>
            <code value="ubip"/>
          </coding>
          <text value="Utilization incentive payment"/>
        </valueCodeableConcept>
      </extension>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline">
      <extension url="baseline">
        <valueQuantity>
          <value value="51"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="/10*3"/>
        </valueQuantity>
      </extension>
      <extension url="period">
        <valuePeriod>
          <start value="2021-01-01"/>
          <end value="2021-12-31"/>
        </valuePeriod>
      </extension>
    </extension>
    <code>
      <coding>
        <system
                value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"/>
        <code value="snf-admission"/>
      </coding>
      <text value="Skilled Nursing Facility admission"/>
    </code>
    <measureScore>
      <value value="50"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="/10*3"/>
    </measureScore>
  </group>
  <group id="ubip-group-06">
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream">
      <extension url="type">
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"/>
            <code value="ubip"/>
          </coding>
          <text value="Utilization incentive payment"/>
        </valueCodeableConcept>
      </extension>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline">
      <extension url="baseline">
        <valueQuantity>
          <value value="22"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="d"/>
        </valueQuantity>
      </extension>
      <extension url="period">
        <valuePeriod>
          <start value="2021-01-01"/>
          <end value="2021-12-31"/>
        </valuePeriod>
      </extension>
    </extension>
    <code>
      <coding>
        <system
                value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"/>
        <code value="snf-avg-los"/>
      </coding>
      <text value="Skilled Nursing Facility average length of stay"/>
    </code>
    <measureScore>
      <value value="15"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="d"/>
    </measureScore>
  </group>
  <group id="ssq-group-starscore">
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream">
      <extension url="type">
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"/>
            <code value="ssq"/>
          </coding>
          <text value="Shared savings gated on quality"/>
        </valueCodeableConcept>
      </extension>
    </extension>
    <code>
      <coding>
        <system
                value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"/>
        <code value="weighted-avg-star"/>
      </coding>
      <text value="Weighted average star"/>
    </code>
    <measureScore>
      <value value="2.5"/>
    </measureScore>
  </group>
  <group id="financial-group-01">
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream">
      <extension url="type">
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"/>
            <code value="ubip"/>
          </coding>
          <text value="Utilization incentive payment"/>
        </valueCodeableConcept>
      </extension>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline">
      <extension url="baseline">
        <valueMoney>
          <value value="800"/>
          <currency value="USD"/>
        </valueMoney>
      </extension>
      <extension url="period">
        <valuePeriod>
          <start value="2021-01-01"/>
          <end value="2021-12-31"/>
        </valuePeriod>
      </extension>
    </extension>
    <code>
      <coding>
        <system
                value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"/>
        <code value="med-cost-pmpm"/>
      </coding>
      <text value="Total medical expense PMPM"/>
    </code>
    <measureScore>
      <extension
                 url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore">
        <valueMoney>
          <value value="800"/>
          <currency value="USD"/>
        </valueMoney>
      </extension>
    </measureScore>
  </group>
  <group id="financial-group-02">
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream">
      <extension url="type">
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"/>
            <code value="ubip"/>
          </coding>
          <text value="Utilization incentive payment"/>
        </valueCodeableConcept>
      </extension>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline">
      <extension url="baseline">
        <valueMoney>
          <value value="800"/>
          <currency value="USD"/>
        </valueMoney>
      </extension>
      <extension url="period">
        <valuePeriod>
          <start value="2021-01-01"/>
          <end value="2021-12-31"/>
        </valuePeriod>
      </extension>
    </extension>
    <code>
      <coding>
        <system
                value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"/>
        <code value="ibnr-pmpm"/>
      </coding>
      <text value="Total medical expense PMPM"/>
    </code>
    <measureScore>
      <extension
                 url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore">
        <valueMoney>
          <value value="800"/>
          <currency value="USD"/>
        </valueMoney>
      </extension>
    </measureScore>
  </group>
  <evaluatedResource>🔗 
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference">
      <valueString value="ssq-group-starscore"/>
    </extension>
    <reference value="MeasureReport/quality-measurereport11"/>
  </evaluatedResource>
  <evaluatedResource>🔗 
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference">
      <valueString value="ssq-group-starscore"/>
    </extension>
    <reference value="MeasureReport/quality-measurereport12"/>
  </evaluatedResource>
  <evaluatedResource>🔗 
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference">
      <valueString value="ssq-group-starscore"/>
    </extension>
    <reference value="MeasureReport/quality-measurereport13"/>
  </evaluatedResource>
  <evaluatedResource>🔗 
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference">
      <valueString value="ssq-group-starscore"/>
    </extension>
    <reference value="MeasureReport/quality-measurereport14"/>
  </evaluatedResource>
  <evaluatedResource>🔗 
    <extension
               url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference">
      <valueString value="ssq-group-starscore"/>
    </extension>
    <reference value="MeasureReport/quality-measurereport15"/>
  </evaluatedResource>
</MeasureReport>