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-measurereport104 - JSON Representation

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{
  "resourceType" : "MeasureReport",
  "id" : "vbp-measurereport104",
  "meta" : {
    "extension" : [
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/instance-name",
        "valueString" : "VBP MeasureReport Example 104"
      },
      {
        "url" : "http://hl7.org/fhir/StructureDefinition/instance-description",
        "valueMarkdown" : "This is an example Value-Based Performance MeasureReport for the *VBP MeasureReport* profile."
      }
    ],
    "profile" : [
      🔗 "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/vbp-performance-measurereport"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: MeasureReport vbp-measurereport104</b></p><a name=\"vbp-measurereport104\"> </a><a name=\"hcvbp-measurereport104\"> </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>: 2023-05-31</p><p><b>reporter</b>: <a href=\"Organization-vbp-payer01.html\">Organization ABC Payer</a></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>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric eligible-member}\">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>: <span title=\"Codes:{http://my-local-organization/CodeSystem/vbp-performance-metric hcc}\">Hierarchical Condition Category</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>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric quality-pmt-office-visit}\">Preventive Care Visits</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>: <span title=\"Codes:{http://my-local-organization/CodeSystem/vbp-performance-metric star-performance}\">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>: <span title=\"Codes:{http://my-local-organization/CodeSystem/vbp-performance-metric advance-care-planning}\">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>: <span title=\"Codes:{http://my-local-organization/CodeSystem/vbp-performance-metric encounter-palliative-care}\">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>: <span title=\"Codes:{http://my-local-organization/CodeSystem/vbp-performance-metric supplemental-data}\">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>: <span title=\"Codes:{http://my-local-organization/CodeSystem/vbp-performance-metric closed-gaps}\">Estimated YTD Grand Total</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>: <span title=\"Codes:{http://my-local-organization/CodeSystem/vbp-performance-metric total-gaps}\">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>: <span title=\"Codes:{http://my-local-organization/CodeSystem/vbp-performance-metric closed-gaps}\">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>: <span title=\"Codes:{http://my-local-organization/CodeSystem/vbp-performance-metric min-base-incentive-target}\">Minimum Base Incentive Target Percentage</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>: <span title=\"Codes:{http://my-local-organization/CodeSystem/vbp-performance-metric base-incentive-pm}\">Base Incentive Per Member</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>: <span title=\"Codes:{http://my-local-organization/CodeSystem/vbp-performance-metric early-performance-bonus-met}\">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>: <span title=\"Codes:{http://my-local-organization/CodeSystem/vbp-performance-metric estimated-bonus-incentive-pm}\">Estimated Bonus Incentive Per Member</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>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric earned-incentive}\">Estimate Incentive</span></p><p><b>measureScore</b>: </p></blockquote><p><b>evaluatedResource</b>: </p><ul><li><a href=\"MeasureReport-quality-measurereport30.html\">MeasureReport: extension = Proportion,3,,; status = complete; type = summary; measure = http://hl7.org/fhir/us/cqfmeasures/Measure/EXM125-FHIR|8.0.000; date = 2023-01-15; period = 2022-01-01 --&gt; 2022-11-30; improvementNotation = Increased score indicates improvement</a></li><li><a href=\"MeasureReport-quality-measurereport31.html\">MeasureReport: extension = Proportion,5,,; status = complete; type = summary; measure = http://hl7.org/fhir/us/cqfmeasures/Measure/EXM130-FHIR|8.0.000; date = 2023-01-15; period = 2022-01-01 --&gt; 2022-11-30; improvementNotation = Increased score indicates improvement</a></li><li><a href=\"MeasureReport-quality-measurereport32.html\">MeasureReport: extension = Proportion,0,,; status = complete; type = summary; measure = http://example.org/Measure/measure-diabetes-care-blood-sugar-controlled-FHIR|1.0.000; date = 2023-05-30; period = 2022-01-01 --&gt; 2022-08-31; improvementNotation = Increased score indicates improvement</a></li><li><a href=\"MeasureReport-quality-measurereport33.html\">MeasureReport: extension = Proportion,0,,; status = complete; type = summary; measure = http://example.org/Measure/measure-diabetes-care-eye-exam-FHIR|1.0.000; date = 2023-01-15; period = 2022-01-01 --&gt; 2022-11-30; improvementNotation = Increased score indicates improvement</a></li></ul></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/measurereport-category",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/CodeSystem/measurereport-category",
            "code" : "vbp"
          }
        ]
      }
    }
  ],
  "status" : "complete",
  "type" : "summary",
  "measure" : "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" : "Organization/vbp-provider02"
        }
      }
    ],
    "display" : "Every Hospital"
  },
  "date" : "2023-05-31",
  "reporter" : {
    🔗 "reference" : "Organization/vbp-payer01"
  },
  "period" : {
    "start" : "2022-01-01",
    "end" : "2022-08-31"
  },
  "group" : [
    {
      "id" : "group-01",
      "code" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
            "code" : "eligible-member"
          }
        ],
        "text" : "Eligible member"
      },
      "measureScore" : {
        "value" : 2914
      }
    },
    {
      "id" : "group-02",
      "code" : {
        "coding" : [
          {
            "system" : "http://my-local-organization/CodeSystem/vbp-performance-metric",
            "code" : "hcc"
          }
        ],
        "text" : "Hierarchical Condition Category"
      },
      "measureScore" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore",
            "valueMoney" : {
              "value" : 500,
              "currency" : "USD"
            }
          }
        ]
      }
    },
    {
      "id" : "group-03",
      "code" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
            "code" : "quality-pmt-office-visit",
            "display" : "Quality payment annual office visit"
          }
        ],
        "text" : "Preventive Care Visits"
      },
      "measureScore" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore",
            "valueMoney" : {
              "value" : 180,
              "currency" : "USD"
            }
          }
        ]
      }
    },
    {
      "id" : "group-04",
      "code" : {
        "coding" : [
          {
            "system" : "http://my-local-organization/CodeSystem/vbp-performance-metric",
            "code" : "star-performance"
          }
        ],
        "text" : "Star Performance"
      },
      "measureScore" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore",
            "valueMoney" : {
              "value" : 132884,
              "currency" : "USD"
            }
          }
        ]
      }
    },
    {
      "id" : "group-05",
      "code" : {
        "coding" : [
          {
            "system" : "http://my-local-organization/CodeSystem/vbp-performance-metric",
            "code" : "advance-care-planning"
          }
        ],
        "text" : "Advance Care Planning"
      },
      "measureScore" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore",
            "valueMoney" : {
              "value" : 100,
              "currency" : "USD"
            }
          }
        ]
      }
    },
    {
      "id" : "group-06",
      "code" : {
        "coding" : [
          {
            "system" : "http://my-local-organization/CodeSystem/vbp-performance-metric",
            "code" : "encounter-palliative-care"
          }
        ],
        "text" : "Encounter Palliative Care"
      },
      "measureScore" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore",
            "valueMoney" : {
              "value" : 1200,
              "currency" : "USD"
            }
          }
        ]
      }
    },
    {
      "id" : "group-07",
      "code" : {
        "coding" : [
          {
            "system" : "http://my-local-organization/CodeSystem/vbp-performance-metric",
            "code" : "supplemental-data"
          }
        ],
        "text" : "Supplemental Data"
      },
      "measureScore" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore",
            "valueMoney" : {
              "value" : 0,
              "currency" : "USD"
            }
          }
        ]
      }
    },
    {
      "id" : "group-08",
      "code" : {
        "coding" : [
          {
            "system" : "http://my-local-organization/CodeSystem/vbp-performance-metric",
            "code" : "closed-gaps"
          }
        ],
        "text" : "Estimated YTD Grand Total"
      },
      "measureScore" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore",
            "valueMoney" : {
              "value" : 134864,
              "currency" : "USD"
            }
          }
        ]
      }
    },
    {
      "id" : "group-09",
      "code" : {
        "coding" : [
          {
            "system" : "http://my-local-organization/CodeSystem/vbp-performance-metric",
            "code" : "total-gaps"
          }
        ],
        "text" : "Total gaps"
      },
      "measureScore" : {
        "value" : 2
      }
    },
    {
      "id" : "group-10",
      "code" : {
        "coding" : [
          {
            "system" : "http://my-local-organization/CodeSystem/vbp-performance-metric",
            "code" : "closed-gaps"
          }
        ],
        "text" : "Closed gaps"
      },
      "measureScore" : {
        "value" : 2
      }
    },
    {
      "id" : "group-11",
      "code" : {
        "coding" : [
          {
            "system" : "http://my-local-organization/CodeSystem/vbp-performance-metric",
            "code" : "min-base-incentive-target"
          }
        ],
        "text" : "Minimum Base Incentive Target Percentage"
      },
      "measureScore" : {
        "value" : 80,
        "system" : "http://unitsofmeasure.org",
        "code" : "%"
      }
    },
    {
      "id" : "group-12",
      "code" : {
        "coding" : [
          {
            "system" : "http://my-local-organization/CodeSystem/vbp-performance-metric",
            "code" : "base-incentive-pm"
          }
        ],
        "text" : "Base Incentive Per Member"
      },
      "measureScore" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore",
            "valueMoney" : {
              "value" : 125,
              "currency" : "USD"
            }
          }
        ]
      }
    },
    {
      "id" : "group-13",
      "code" : {
        "coding" : [
          {
            "system" : "http://my-local-organization/CodeSystem/vbp-performance-metric",
            "code" : "early-performance-bonus-met"
          }
        ],
        "text" : "Early Performance Bonus Met"
      },
      "measureScore" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore",
            "valueBoolean" : false
          }
        ]
      }
    },
    {
      "id" : "group-14",
      "code" : {
        "coding" : [
          {
            "system" : "http://my-local-organization/CodeSystem/vbp-performance-metric",
            "code" : "estimated-bonus-incentive-pm"
          }
        ],
        "text" : "Estimated Bonus Incentive Per Member"
      },
      "measureScore" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore",
            "valueMoney" : {
              "value" : 0,
              "currency" : "USD"
            }
          }
        ]
      }
    },
    {
      "id" : "group-15",
      "code" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
            "code" : "earned-incentive",
            "display" : "Earned incentive"
          }
        ],
        "text" : "Estimate Incentive"
      },
      "measureScore" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore",
            "valueMoney" : {
              "value" : 500,
              "currency" : "USD"
            }
          }
        ]
      }
    }
  ],
  "evaluatedResource" : [
    {
      🔗 "reference" : "MeasureReport/quality-measurereport30"
    },
    {
      🔗 "reference" : "MeasureReport/quality-measurereport31"
    },
    {
      🔗 "reference" : "MeasureReport/quality-measurereport32"
    },
    {
      🔗 "reference" : "MeasureReport/quality-measurereport33"
    }
  ]
}