vbp-measurereport101
type: MeasureReport
node role: treeRoot
id:
  v: vbp-measurereport101
meta:
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/instance-name
      l: instance-name
    value: String
      v: VBP MeasureReport Example 101
  extension:
    url:
      v: http://hl7.org/fhir/StructureDefinition/instance-description
      l: instance-description
    value: Markdown
      v: This is an example Value-Based Performance MeasureReport for the *VBP MeasureReport* profile., which includes examples for payment streams shared savings - gated on quality, care coordination fee, quality incentive payment for the chronic care management incentive program, quality incentive payment for the annual office visits, and quality measure performance.
  profile:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/vbp-performance-measurereport
    l: vbp-performance-measurereport
text:
  status:
    v: extensions
  div:
    v: Generated Narrative: MeasureReport vbp-measurereport101 Profile: Value-Based Performance MeasureReport Measure Report Category: Value-Based Performance status: Complete type: Summary measure: Example Value-Based Contract - ABC Payer and GoodHealth subject: Good Health Clinic date: 2023-01-15 reporter: Organization ABC Payer period: 2022-01-01 --> 2022-12-31 group id ccf-group-01 Payment Stream type: Care coordination fee Service Period: 2022-01-01 --> 2022-11-30 Paid Through Date: 2022-12-31 code: Care coordination fee measureScore: stratifier stratum component code: Cohort value: HMO cohort component code: Facility value: Region 1 stratum component code: Cohort value: HMO cohort component code: Facility value: Region 2 stratum component code: Cohort value: PPO cohort component code: Facility value: Region 1 stratum component code: Cohort value: PPO cohort component code: Facility value: Region 2 group id ssq-group-starscore Payment Stream type: Shared savings gated on quality Service Period: 2022-01-01 --> 2022-11-30 Paid Through Date: 2022-12-31 code: Weighted average star measureScore: 3.8 group id ssq-group-01 Payment Stream type: Shared savings gated on quality Service Period: 2022-01-01 --> 2022-11-30 Paid Through Date: 2022-12-31 code: Member months measureScore: 300 stratifier stratum value: HMO cohort measureScore: 100 stratum component code: Cohort value: HMO cohort component code: Facility value: Region 1 measureScore: 50 stratum component code: Cohort value: HMO cohort component code: Facility value: Region 2 measureScore: 50 stratum value: PPO cohort measureScore: 200 stratum component code: Cohort value: PPO cohort component code: Facility value: Region 1 measureScore: 150 stratum component code: Cohort value: PPO cohort component code: Facility value: Region 2 measureScore: 50 group id ssq-group-02 Payment Stream type: Shared savings gated on quality Service Period: 2022-01-01 --> 2022-11-30 Paid Through Date: 2022-12-31 code: Average risk score measu…
extension:
  url:
    v: http://hl7.org/fhir/StructureDefinition/measurereport-category
    l: measurereport-category
  value: CodeableConcept
    coding:
      system:
        v: http://hl7.org/fhir/CodeSystem/measurereport-category
        l: measurereport-category
      code:
        v: vbp
status:
  v: complete
type:
  v: summary
measure:
  v: https://build.fhir.org/ig/HL7/davinci-vbpr/Measure-vbp-measure01
  l: Measure-vbp-measure01
subject:
  l: goodhealth-group
  reference:
    v: Group/goodhealth-group
  display:
    v: Good Health Clinic
date:
  v: 2023-01-15
reporter:
  l: vbp-payer01
  reference:
    v: Organization/vbp-payer01
period:
  start:
    v: 2022-01-01
  end:
    v: 2022-12-31
group:
  id:
    v: ccf-group-01
  extension:
    extension:
      url:
        v: type
        l: type
      value: CodeableConcept
    url:
      v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream
      l: payment-stream
  extension:
    url:
      v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period
      l: service-period
    value: Period
      start:
        v: 2022-01-01
      end:
        v: 2022-11-30
  extension:
    url:
      v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date
      l: paid-through-date
    value: Date
      v: 2022-12-31
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric
        l: vbp-performance-metric
      code:
        v: ccf
    text:
      v: Care coordination fee
  measure score:
    extension:
      url:
        v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore
        l: alternate-measurescore
      value: Money
group:
  id:
    v: ssq-group-starscore
  extension:
    extension:
      url:
        v: type
        l: type
      value: CodeableConcept
    url:
      v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream
      l: payment-stream
  extension:
    url:
      v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period
      l: service-period
    value: Period
      start:
        v: 2022-01-01
      end:
        v: 2022-11-30
  extension:
    url:
      v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date
      l: paid-through-date
    value: Date
      v: 2022-12-31
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric
        l: vbp-performance-metric
      code:
        v: weighted-avg-star
    text:
      v: Weighted average star
  measure score:
    value:
      v: 3.8
group:
  id:
    v: ssq-group-01
  extension:
    extension:
      url:
        v: type
        l: type
      value: CodeableConcept
    url:
      v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream
      l: payment-stream
  extension:
    url:
      v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period
      l: service-period
    value: Period
      start:
        v: 2022-01-01
      end:
        v: 2022-11-30
  extension:
    url:
      v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date
      l: paid-through-date
    value: Date
      v: 2022-12-31
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric
        l: vbp-performance-metric
      code:
        v: member-months
    text:
      v: Member months
  measure score:
    value:
      v: 300
group:
  id:
    v: ssq-group-02
  extension:
    extension:
      url:
        v: type
        l: type
      value: CodeableConcept
    url:
      v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream
      l: payment-stream
  extension:
    url:
      v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period
      l: service-period
    value: Period
      start:
        v: 2022-01-01
      end:
        v: 2022-11-30

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream
  l: payment-stream
code:
  v: ccf

v: Care coordination fee

v: 500

v: USD

coding:
  system:
    v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
    l: measure-stratifier-example
  code:
    v: cohort

coding:
  system:
    v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
    l: vbp-cohort
  code:
    v: hmo

coding:
  system:
    v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
    l: measure-stratifier-example
  code:
    v: facility

text:
  v: Region 1

coding:
  system:
    v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
    l: measure-stratifier-example
  code:
    v: cohort

coding:
  system:
    v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
    l: vbp-cohort
  code:
    v: hmo

coding:
  system:
    v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
    l: measure-stratifier-example
  code:
    v: facility

text:
  v: Region 2

coding:
  system:
    v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
    l: measure-stratifier-example
  code:
    v: cohort

coding:
  system:
    v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
    l: vbp-cohort
  code:
    v: ppo

coding:
  system:
    v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
    l: measure-stratifier-example
  code:
    v: facility

text:
  v: Region 1

coding:
  system:
    v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
    l: measure-stratifier-example
  code:
    v: cohort

coding:
  system:
    v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
    l: vbp-cohort
  code:
    v: ppo

coding:
  system:
    v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
    l: measure-stratifier-example
  code:
    v: facility

text:
  v: Region 2

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream
  l: payment-stream
code:
  v: ssq

v: Shared savings gated on quality

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream
  l: payment-stream
code:
  v: ssq

v: Shared savings gated on quality

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
  l: vbp-cohort
code:
  v: hmo

v: 100

coding:
  system:
    v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
    l: measure-stratifier-example
  code:
    v: cohort

coding:
  system:
    v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
    l: vbp-cohort
  code:
    v: hmo

coding:
  system:
    v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
    l: measure-stratifier-example
  code:
    v: facility

text:
  v: Region 1

v: 50

coding:
  system:
    v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
    l: measure-stratifier-example
  code:
    v: cohort

coding:
  system:
    v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
    l: vbp-cohort
  code:
    v: hmo

coding:
  system:
    v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
    l: measure-stratifier-example
  code:
    v: facility

text:
  v: Region 2

v: 50

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
  l: vbp-cohort
code:
  v: ppo

v: 200

coding:
  system:
    v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
    l: measure-stratifier-example
  code:
    v: cohort

coding:
  system:
    v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
    l: vbp-cohort
  code:
    v: ppo

coding:
  system:
    v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
    l: measure-stratifier-example
  code:
    v: facility

text:
  v: Region 1

v: 150

coding:
  system:
    v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
    l: measure-stratifier-example
  code:
    v: cohort

coding:
  system:
    v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
    l: vbp-cohort
  code:
    v: ppo

coding:
  system:
    v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
    l: measure-stratifier-example
  code:
    v: facility

text:
  v: Region 2

v: 50

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream
  l: payment-stream
code:
  v: ssq

v: Shared savings gated on quality

url:
  v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date
  l: paid-through-date
value: Date
  v: 2022-12-31

coding:
  system:
    v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric
    l: vbp-performance-metric
  code:
    v: avg-risk-score
text:
  v: Average risk score

value:
  v: 0.7

stratum:
  value:
    coding:
      system:
        v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
        l: vbp-cohort
      code:
        v: hmo
  measure score:
    value:
      v: 0.8
stratum:
  component:
    value:
      text:
        v: Region 1
  measure score:
    value:
      v: 0.9
stratum:
  component:
    value:
      text:
        v: Region 2
  measure score:
    value:
      v: 1
stratum:
  value:
    coding:
      system:
        v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
        l: vbp-cohort
      code:
        v: ppo
  measure score:
    value:
      v: 1.1
stratum:
  component:
    value:
      text:
        v: Region 1
  measure score:
    value:
      v: 1.2
stratum:
  component:
    value:
      text:
        v: Region 2
  measure score:
    value:
      v: 1.3

v: cohort

v: hmo

v: facility

v: cohort

v: hmo

v: facility

v: cohort

v: ppo

v: facility

v: cohort

v: ppo

v: facility

id:
  v: ssq-group-03
extension:
  extension:
    url:
      v: type
      l: type
    value: CodeableConcept
      text:
        v: Shared savings gated on quality
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream
    l: payment-stream
extension:
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period
    l: service-period
  value: Period
    start:
      v: 2022-01-01
    end:
      v: 2022-11-30
extension:
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date
    l: paid-through-date
  value: Date
    v: 2022-12-31
code:
  coding:
    system:
      v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric
      l: vbp-performance-metric
    code:
      v: revenue
  text:
    v: Total revenue
measure score:
  value:
    v: 10000
stratifier:
  stratum:
    measure score:
      value:
        v: 6000
  stratum:
    measure score:
      value:
        v: 3000
  stratum:
    measure score:
      value:
        v: 3000
  stratum:
    measure score:
      value:
        v: 4000
  stratum:
    measure score:
      value:
        v: 2000
  stratum:
    measure score:
      value:
        v: 2000

v: ssq

v: hmo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: cohort

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
  l: vbp-cohort
code:
  v: hmo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: facility

v: Region 1

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: cohort

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
  l: vbp-cohort
code:
  v: hmo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: facility

v: Region 2

v: ppo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: cohort

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
  l: vbp-cohort
code:
  v: ppo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: facility

v: Region 1

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: cohort

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
  l: vbp-cohort
code:
  v: ppo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: facility

v: Region 2

id:
  v: ssq-group-04
extension:
  extension:
    url:
      v: type
      l: type
    value: CodeableConcept
      text:
        v: Shared savings gated on quality
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream
    l: payment-stream
extension:
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period
    l: service-period
  value: Period
    start:
      v: 2022-01-01
    end:
      v: 2022-11-30
extension:
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date
    l: paid-through-date
  value: Date
    v: 2022-12-31
code:
  coding:
    system:
      v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric
      l: vbp-performance-metric
    code:
      v: revenue-pmpm
  text:
    v: Revenue PMPM
measure score:
  value:
    v: 33
stratifier:
  stratum:
    measure score:
      value:
        v: 60
  stratum:
    measure score:
      value:
        v: 60
  stratum:
    measure score:
      value:
        v: 60
  stratum:
    measure score:
      value:
        v: 20
  stratum:
    measure score:
      value:
        v: 13
  stratum:
    measure score:
      value:
        v: 40

v: ssq

v: hmo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: cohort

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
  l: vbp-cohort
code:
  v: hmo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: facility

v: Region 1

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: cohort

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
  l: vbp-cohort
code:
  v: hmo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: facility

v: Region 2

v: ppo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: cohort

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
  l: vbp-cohort
code:
  v: ppo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: facility

v: Region 1

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: cohort

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
  l: vbp-cohort
code:
  v: ppo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: facility

v: Region 2

id:
  v: ssq-group-05
extension:
  extension:
    url:
      v: type
      l: type
    value: CodeableConcept
      text:
        v: Shared savings gated on quality
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream
    l: payment-stream
extension:
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period
    l: service-period
  value: Period
    start:
      v: 2022-01-01
    end:
      v: 2022-11-30
extension:
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date
    l: paid-through-date
  value: Date
    v: 2022-12-31
code:
  coding:
    system:
      v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric
      l: vbp-performance-metric
    code:
      v: med-rx-cost
  text:
    v: Medical pharmacy cost
measure score:
  value:
    v: 9000
stratifier:
  stratum:
    measure score:
      value:
        v: 5000
  stratum:
    measure score:
      value:
        v: 3000
  stratum:
    measure score:
      value:
        v: 2000
  stratum:
    measure score:
      value:
        v: 4000
  stratum:
    measure score:
      value:
        v: 2000
  stratum:
    measure score:
      value:
        v: 3000

v: ssq

v: hmo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: cohort

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
  l: vbp-cohort
code:
  v: hmo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: facility

v: Region 1

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: cohort

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
  l: vbp-cohort
code:
  v: hmo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: facility

v: Region 2

v: ppo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: cohort

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
  l: vbp-cohort
code:
  v: ppo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: facility

v: Region 1

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: cohort

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
  l: vbp-cohort
code:
  v: ppo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: facility

v: Region 2

id:
  v: ssq-group-06
extension:
  extension:
    url:
      v: type
      l: type
    value: CodeableConcept
      text:
        v: Shared savings gated on quality
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream
    l: payment-stream
extension:
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period
    l: service-period
  value: Period
    start:
      v: 2022-01-01
    end:
      v: 2022-11-30
extension:
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date
    l: paid-through-date
  value: Date
    v: 2022-12-31
code:
  coding:
    system:
      v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric
      l: vbp-performance-metric
    code:
      v: med-rx-cost-pmpm
  text:
    v: Medical pharmacy cost PMPM
measure score:
  value:
    v: 30
stratifier:
  stratum:
    measure score:
      value:
        v: 50
  stratum:
    measure score:
      value:
        v: 60
  stratum:
    measure score:
      value:
        v: 40
  stratum:
    measure score:
      value:
        v: 20
  stratum:
    measure score:
      value:
        v: 13
  stratum:
    measure score:
      value:
        v: 60

v: ssq

v: hmo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: cohort

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
  l: vbp-cohort
code:
  v: hmo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: facility

v: Region 1

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: cohort

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
  l: vbp-cohort
code:
  v: hmo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: facility

v: Region 2

v: ppo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: cohort

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
  l: vbp-cohort
code:
  v: ppo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: facility

v: Region 1

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: cohort

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
  l: vbp-cohort
code:
  v: ppo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: facility

v: Region 2

id:
  v: ssq-group-07
extension:
  extension:
    url:
      v: type
      l: type
    value: CodeableConcept
      text:
        v: Shared savings gated on quality
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream
    l: payment-stream
extension:
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period
    l: service-period
  value: Period
    start:
      v: 2022-01-01
    end:
      v: 2022-11-30
extension:
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date
    l: paid-through-date
  value: Date
    v: 2022-12-31
code:
  coding:
    system:
      v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric
      l: vbp-performance-metric
    code:
      v: med-cost-fund
  text:
    v: Medical cost fund
measure score:
  value:
    v: 90
  system:
    v: http://unitsofmeasure.org
    l: unitsofmeasure.org
  code:
    v: %
stratifier:
  stratum:
    measure score:
      value:
        v: 83.3
      system:
        v: http://unitsofmeasure.org
        l: unitsofmeasure.org
      code:
        v: %
  stratum:
    measure score:
      value:
        v: 100
      system:
        v: http://unitsofmeasure.org
        l: unitsofmeasure.org
      code:
        v: %
  stratum:
    measure score:
      value:
        v: 66.7
      system:
        v: http://unitsofmeasure.org
        l: unitsofmeasure.org
      code:
        v: %
  stratum:
    measure score:
      value:
        v: 100
      system:
        v: http://unitsofmeasure.org
        l: unitsofmeasure.org
      code:
        v: %
  stratum:
    measure score:
      value:
        v: 100
      system:
        v: http://unitsofmeasure.org
        l: unitsofmeasure.org
      code:
        v: %
  stratum:
    measure score:
      value:
        v: 150
      system:
        v: http://unitsofmeasure.org
        l: unitsofmeasure.org
      code:
        v: %

v: ssq

v: hmo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: cohort

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
  l: vbp-cohort
code:
  v: hmo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: facility

v: Region 1

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: cohort

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
  l: vbp-cohort
code:
  v: hmo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: facility

v: Region 2

v: ppo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: cohort

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
  l: vbp-cohort
code:
  v: ppo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: facility

v: Region 1

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: cohort

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
  l: vbp-cohort
code:
  v: ppo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: facility

v: Region 2

id:
  v: ssq-group-08
extension:
  extension:
    url:
      v: type
      l: type
    value: CodeableConcept
      text:
        v: Shared savings gated on quality
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream
    l: payment-stream
extension:
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period
    l: service-period
  value: Period
    start:
      v: 2022-01-01
    end:
      v: 2022-11-30
extension:
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date
    l: paid-through-date
  value: Date
    v: 2022-12-31
code:
  coding:
    system:
      v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric
      l: vbp-performance-metric
    code:
      v: med-cost-target
  text:
    v: Medical cost target
measure score:
  value:
    v: 85
  system:
    v: http://unitsofmeasure.org
    l: unitsofmeasure.org
  code:
    v: %
stratifier:
  stratum:
    measure score:
      value:
        v: 85
      system:
        v: http://unitsofmeasure.org
        l: unitsofmeasure.org
      code:
        v: %
  stratum:
    measure score:
      value:
        v: 85
      system:
        v: http://unitsofmeasure.org
        l: unitsofmeasure.org
      code:
        v: %
  stratum:
    measure score:
      value:
        v: 85
      system:
        v: http://unitsofmeasure.org
        l: unitsofmeasure.org
      code:
        v: %
  stratum:
    measure score:
      value:
        v: 85
      system:
        v: http://unitsofmeasure.org
        l: unitsofmeasure.org
      code:
        v: %
  stratum:
    measure score:
      value:
        v: 85
      system:
        v: http://unitsofmeasure.org
        l: unitsofmeasure.org
      code:
        v: %
  stratum:
    measure score:
      value:
        v: 85
      system:
        v: http://unitsofmeasure.org
        l: unitsofmeasure.org
      code:
        v: %

v: ssq

v: hmo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: cohort

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
  l: vbp-cohort
code:
  v: hmo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: facility

v: Region 1

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: cohort

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
  l: vbp-cohort
code:
  v: hmo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: facility

v: Region 2

v: ppo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: cohort

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
  l: vbp-cohort
code:
  v: ppo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: facility

v: Region 1

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: cohort

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
  l: vbp-cohort
code:
  v: ppo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: facility

v: Region 2

id:
  v: ssq-group-09
extension:
  extension:
    url:
      v: type
      l: type
    value: CodeableConcept
      text:
        v: Shared savings gated on quality
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream
    l: payment-stream
extension:
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period
    l: service-period
  value: Period
    start:
      v: 2022-01-01
    end:
      v: 2022-11-30
extension:
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date
    l: paid-through-date
  value: Date
    v: 2022-12-31
code:
  coding:
    system:
      v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric
      l: vbp-performance-metric
    code:
      v: med-rx-cost-target
  text:
    v: Medical pharmacy cost target
measure score:
  value:
    v: 8500
stratifier:
  stratum:
    measure score:
      value:
        v: 5100
  stratum:
    measure score:
      value:
        v: 2550
  stratum:
    measure score:
      value:
        v: 2550
  stratum:
    measure score:
      value:
        v: 3400
  stratum:
    measure score:
      value:
        v: 1700
  stratum:
    measure score:
      value:
        v: 1700

v: ssq

v: hmo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: cohort

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
  l: vbp-cohort
code:
  v: hmo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: facility

v: Region 1

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: cohort

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
  l: vbp-cohort
code:
  v: hmo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: facility

v: Region 2

v: ppo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: cohort

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
  l: vbp-cohort
code:
  v: ppo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: facility

v: Region 1

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: cohort

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
  l: vbp-cohort
code:
  v: ppo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: facility

v: Region 2

id:
  v: ssq-group-10
extension:
  extension:
    url:
      v: type
      l: type
    value: CodeableConcept
      text:
        v: Shared savings gated on quality
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream
    l: payment-stream
extension:
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period
    l: service-period
  value: Period
    start:
      v: 2022-01-01
    end:
      v: 2022-11-30
extension:
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date
    l: paid-through-date
  value: Date
    v: 2022-12-31
code:
  coding:
    system:
      v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric
      l: vbp-performance-metric
    code:
      v: variance-cost
  text:
    v: Variance cost
measure score:
  value:
    v: -500
stratifier:
  stratum:
    measure score:
      value:
        v: 100
  stratum:
    measure score:
      value:
        v: 450
  stratum:
    measure score:
      value:
        v: 550
  stratum:
    measure score:
      value:
        v: -600
  stratum:
    measure score:
      value:
        v: -300
  stratum:
    measure score:
      value:
        v: -1300

v: ssq

v: hmo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: cohort

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
  l: vbp-cohort
code:
  v: hmo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: facility

v: Region 1

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: cohort

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
  l: vbp-cohort
code:
  v: hmo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: facility

v: Region 2

v: ppo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: cohort

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
  l: vbp-cohort
code:
  v: ppo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: facility

v: Region 1

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: cohort

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
  l: vbp-cohort
code:
  v: ppo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: facility

v: Region 2

id:
  v: ssq-group-11
extension:
  extension:
    url:
      v: type
      l: type
    value: CodeableConcept
      text:
        v: Shared savings gated on quality
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream
    l: payment-stream
extension:
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period
    l: service-period
  value: Period
    start:
      v: 2022-01-01
    end:
      v: 2022-11-30
extension:
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date
    l: paid-through-date
  value: Date
    v: 2022-12-31
code:
  coding:
    system:
      v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric
      l: vbp-performance-metric
    code:
      v: avg-risk-score-market
  text:
    v: Average risk score market
measure score:
  value:
    v: 0.7
stratifier:
  stratum:
    measure score:
      value:
        v: 0.71
  stratum:
    measure score:
      value:
        v: 0.72
  stratum:
    measure score:
      value:
        v: 0.72
  stratum:
    measure score:
      value:
        v: 0.71
  stratum:
    measure score:
      value:
        v: 0.7
  stratum:
    measure score:
      value:
        v: 0.69

v: ssq

v: hmo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: cohort

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
  l: vbp-cohort
code:
  v: hmo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: facility

v: Region 1

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: cohort

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
  l: vbp-cohort
code:
  v: hmo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: facility

v: Region 2

v: ppo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: cohort

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
  l: vbp-cohort
code:
  v: ppo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: facility

v: Region 1

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: cohort

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
  l: vbp-cohort
code:
  v: ppo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: facility

v: Region 2

id:
  v: ssq-group-12
extension:
  extension:
    url:
      v: type
      l: type
    value: CodeableConcept
      text:
        v: Shared savings gated on quality
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream
    l: payment-stream
extension:
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period
    l: service-period
  value: Period
    start:
      v: 2022-01-01
    end:
      v: 2022-11-30
extension:
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date
    l: paid-through-date
  value: Date
    v: 2022-12-31
code:
  coding:
    system:
      v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric
      l: vbp-performance-metric
    code:
      v: avg-revenue-pmpm-market
measure score:
  value:
    v: 35
stratifier:
  stratum:
    measure score:
      value:
        v: 40
  stratum:
    measure score:
      value:
        v: 32
  stratum:
    measure score:
      value:
        v: 36
  stratum:
    measure score:
      value:
        v: 50
  stratum:
    measure score:
      value:
        v: 29
  stratum:
    measure score:
      value:
        v: 30

v: ssq

v: hmo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: cohort

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
  l: vbp-cohort
code:
  v: hmo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: facility

v: Region 1

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: cohort

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
  l: vbp-cohort
code:
  v: hmo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: facility

v: Region 2

v: ppo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: cohort

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
  l: vbp-cohort
code:
  v: ppo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: facility

v: Region 1

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: cohort

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
  l: vbp-cohort
code:
  v: ppo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: facility

v: Region 2

id:
  v: ssq-group-13
extension:
  extension:
    url:
      v: type
      l: type
    value: CodeableConcept
      text:
        v: Shared savings gated on quality
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream
    l: payment-stream
extension:
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period
    l: service-period
  value: Period
    start:
      v: 2022-01-01
    end:
      v: 2022-11-30
extension:
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date
    l: paid-through-date
  value: Date
    v: 2022-12-31
code:
  coding:
    system:
      v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric
      l: vbp-performance-metric
    code:
      v: avg-med-rx-cost-pmpm-market
measure score:
  value:
    v: 94.3
  system:
    v: http://unitsofmeasure.org
    l: unitsofmeasure.org
  code:
    v: %
stratifier:
  stratum:
    measure score:
      value:
        v: 102.5
      system:
        v: http://unitsofmeasure.org
        l: unitsofmeasure.org
      code:
        v: %
  stratum:
    measure score:
      value:
        v: 109.4
      system:
        v: http://unitsofmeasure.org
        l: unitsofmeasure.org
      code:
        v: %
  stratum:
    measure score:
      value:
        v: 83.3
      system:
        v: http://unitsofmeasure.org
        l: unitsofmeasure.org
      code:
        v: %
  stratum:
    measure score:
      value:
        v: 70
      system:
        v: http://unitsofmeasure.org
        l: unitsofmeasure.org
      code:
        v: %
  stratum:
    measure score:
      value:
        v: 103.4
      system:
        v: http://unitsofmeasure.org
        l: unitsofmeasure.org
      code:
        v: %
  stratum:
    measure score:
      value:
        v: 110
      system:
        v: http://unitsofmeasure.org
        l: unitsofmeasure.org
      code:
        v: %

v: ssq

v: hmo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: cohort

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
  l: vbp-cohort
code:
  v: hmo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: facility

v: Region 1

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: cohort

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
  l: vbp-cohort
code:
  v: hmo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: facility

v: Region 2

v: ppo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: cohort

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
  l: vbp-cohort
code:
  v: ppo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: facility

v: Region 1

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: cohort

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
  l: vbp-cohort
code:
  v: ppo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: facility

v: Region 2

id:
  v: ssq-group-14
extension:
  extension:
    url:
      v: type
      l: type
    value: CodeableConcept
      text:
        v: Shared savings gated on quality
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream
    l: payment-stream
extension:
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period
    l: service-period
  value: Period
    start:
      v: 2022-01-01
    end:
      v: 2022-11-30
extension:
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date
    l: paid-through-date
  value: Date
    v: 2022-12-31
code:
  coding:
    system:
      v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric
      l: vbp-performance-metric
    code:
      v: ccf
  text:
    v: Care coordination fee
measure score:
  value:
    v: 1500
stratifier:
  stratum:
    measure score:
      value:
        v: 500
  stratum:
    measure score:
      value:
        v: 250
  stratum:
    measure score:
      value:
        v: 250
  stratum:
    measure score:
      value:
        v: 1000
  stratum:
    measure score:
      value:
        v: 750
  stratum:
    measure score:
      value:
        v: 250

v: ssq

v: hmo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: cohort

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
  l: vbp-cohort
code:
  v: hmo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: facility

v: Region 1

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: cohort

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
  l: vbp-cohort
code:
  v: hmo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: facility

v: Region 2

v: ppo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: cohort

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
  l: vbp-cohort
code:
  v: ppo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: facility

v: Region 1

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: cohort

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
  l: vbp-cohort
code:
  v: ppo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: facility

v: Region 2

id:
  v: ssq-group-15
extension:
  extension:
    url:
      v: type
      l: type
    value: CodeableConcept
      text:
        v: Shared savings gated on quality
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream
    l: payment-stream
extension:
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period
    l: service-period
  value: Period
    start:
      v: 2022-01-01
    end:
      v: 2022-11-30
extension:
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date
    l: paid-through-date
  value: Date
    v: 2022-12-31
code:
  coding:
    system:
      v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric
      l: vbp-performance-metric
    code:
      v: quality-pmt-chronic
  text:
    v: Qulaity payment chronic
measure score:
  value:
    v: 11900
stratifier:
  stratum:
    measure score:
      value:
        v: 3966.67
  stratum:
    measure score:
      value:
        v: 1983.33
  stratum:
    measure score:
      value:
        v: 1983.33
  stratum:
    measure score:
      value:
        v: 7933.33
  stratum:
    measure score:
      value:
        v: 5950
  stratum:
    measure score:
      value:
        v: 1983.33

v: ssq

v: hmo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: cohort

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
  l: vbp-cohort
code:
  v: hmo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: facility

v: Region 1

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: cohort

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
  l: vbp-cohort
code:
  v: hmo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: facility

v: Region 2

v: ppo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: cohort

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
  l: vbp-cohort
code:
  v: ppo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: facility

v: Region 1

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: cohort

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
  l: vbp-cohort
code:
  v: ppo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: facility

v: Region 2

id:
  v: ssq-group-16
extension:
  extension:
    url:
      v: type
      l: type
    value: CodeableConcept
      text:
        v: Shared savings gated on quality
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream
    l: payment-stream
extension:
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period
    l: service-period
  value: Period
    start:
      v: 2022-01-01
    end:
      v: 2022-11-30
extension:
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date
    l: paid-through-date
  value: Date
    v: 2022-12-31
code:
  coding:
    system:
      v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric
      l: vbp-performance-metric
    code:
      v: quality-pmt-office-visit
  text:
    v: Qulaity payment office visit
measure score:
  value:
    v: 300
stratifier:
  stratum:
    measure score:
      value:
        v: 100
  stratum:
    measure score:
      value:
        v: 50
  stratum:
    measure score:
      value:
        v: 50
  stratum:
    measure score:
      value:
        v: 200
  stratum:
    measure score:
      value:
        v: 150
  stratum:
    measure score:
      value:
        v: 50

v: ssq

v: hmo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: cohort

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
  l: vbp-cohort
code:
  v: hmo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: facility

v: Region 1

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: cohort

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
  l: vbp-cohort
code:
  v: hmo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: facility

v: Region 2

v: ppo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: cohort

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
  l: vbp-cohort
code:
  v: ppo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: facility

v: Region 1

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: cohort

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
  l: vbp-cohort
code:
  v: ppo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: facility

v: Region 2

id:
  v: ssq-group-17
extension:
  extension:
    url:
      v: type
      l: type
    value: CodeableConcept
      text:
        v: Shared savings gated on quality
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream
    l: payment-stream
extension:
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period
    l: service-period
  value: Period
    start:
      v: 2022-01-01
    end:
      v: 2022-11-30
extension:
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date
    l: paid-through-date
  value: Date
    v: 2022-12-31
code:
  coding:
    system:
      v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric
      l: vbp-performance-metric
    code:
      v: shared-saving-deficit
  text:
    v: Shared saving deficit
measure score:
  value:
    v: -400
stratifier:
  stratum:
    measure score:
      value:
        v: 50
  stratum:
    measure score:
      value:
        v: -360
  stratum:
    measure score:
      value:
        v: 275
  stratum:
    measure score:
      value:
        v: -480
  stratum:
    measure score:
      value:
        v: -240
  stratum:
    measure score:
      value:
        v: -1040

v: ssq

v: hmo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: cohort

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
  l: vbp-cohort
code:
  v: hmo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: facility

v: Region 1

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: cohort

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
  l: vbp-cohort
code:
  v: hmo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: facility

v: Region 2

v: ppo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: cohort

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
  l: vbp-cohort
code:
  v: ppo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: facility

v: Region 1

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: cohort

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort
  l: vbp-cohort
code:
  v: ppo

system:
  v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example
  l: measure-stratifier-example
code:
  v: facility

v: Region 2

id:
  v: qip-group-01
extension:
  extension:
    url:
      v: type
      l: type
    value: CodeableConcept
      text:
        v: Quality incentive payment
  extension:
    url:
      v: incentive
      l: incentive
    value: CodeableConcept
      text:
        v: Annual office visit
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream
    l: payment-stream
extension:
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period
    l: service-period
  value: Period
    start:
      v: 2022-01-01
    end:
      v: 2022-11-30
extension:
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date
    l: paid-through-date
  value: Date
    v: 2022-12-31
code:
  coding:
    system:
      v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric
      l: vbp-performance-metric
    code:
      v: avg-member-office-visit
  text:
    v: Average members with office visit
measure score:
  value:
    v: 87
  system:
    v: http://unitsofmeasure.org
    l: unitsofmeasure.org
  code:
    v: %

v: qip

v: annual-visit

id:
  v: qip-group-02
extension:
  extension:
    url:
      v: type
      l: type
    value: CodeableConcept
      text:
        v: Quality incentive payment
  extension:
    url:
      v: incentive
      l: incentive
    value: CodeableConcept
      text:
        v: Chronic care management incentive program
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream
    l: payment-stream
extension:
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period
    l: service-period
  value: Period
    start:
      v: 2022-01-01
    end:
      v: 2022-09-30
extension:
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date
    l: paid-through-date
  value: Date
    v: 2022-09-30
code:
  coding:
    system:
      v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric
      l: vbp-performance-metric
    code:
      v: eligible-member
  text:
    v: Eligible member
measure score:
  value:
    v: 500
stratifier:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric
        l: vbp-performance-metric
      code:
        v: condition-count
  stratum:
    value:
      coding: LA6112-2
      text:
        v: 1
    measure score:
      value:
        v: 100
  stratum:
    value:
      coding: LA6113-0
      text:
        v: 2
    measure score:
      value:
        v: 200
  stratum:
    value:
      coding: LA6114-8
      text:
        v: 3
    measure score:
      value:
        v: 50
  stratum:
    value:
      coding: LA6115-5
      text:
        v: 4
    measure score:
      value:
        v: 50
  stratum:
    value:
      coding: LA10137-0
      text:
        v: 5+
    measure score:
      value:
        v: 100

v: qip

v: chronic-care-mgmt

v: LA6112-2

v: LA6113-0

v: LA6114-8

v: LA6115-5

v: LA10137-0

id:
  v: qip-group-03
extension:
  extension:
    url:
      v: type
      l: type
    value: CodeableConcept
      text:
        v: Quality incentive payment
  extension:
    url:
      v: incentive
      l: incentive
    value: CodeableConcept
      text:
        v: Chronic care management incentive program
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream
    l: payment-stream
extension:
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period
    l: service-period
  value: Period
    start:
      v: 2022-01-01
    end:
      v: 2022-09-30
extension:
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date
    l: paid-through-date
  value: Date
    v: 2022-09-30
code:
  coding:
    system:
      v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric
      l: vbp-performance-metric
    code:
      v: 1-gap-closed
  text:
    v: 1 gap closed
measure score:
  value:
    v: 100
stratifier:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric
        l: vbp-performance-metric
      code:
        v: condition-count
  stratum:
    value:
      coding: LA6112-2
      text:
        v: 1
    measure score:
      value:
        v: 20
  stratum:
    value:
      coding: LA6113-0
      text:
        v: 2
    measure score:
      value:
        v: 30
  stratum:
    value:
      coding: LA6114-8
      text:
        v: 3
    measure score:
      value:
        v: 20
  stratum:
    value:
      coding: LA6115-5
      text:
        v: 4
    measure score:
      value:
        v: 10
  stratum:
    value:
      coding: LA10137-0
      text:
        v: 5+
    measure score:
      value:
        v: 20

v: qip

v: chronic-care-mgmt

v: LA6112-2

v: LA6113-0

v: LA6114-8

v: LA6115-5

v: LA10137-0

id:
  v: qip-group-04
extension:
  extension:
    url:
      v: type
      l: type
    value: CodeableConcept
      text:
        v: Quality incentive payment
  extension:
    url:
      v: incentive
      l: incentive
    value: CodeableConcept
      text:
        v: Chronic care management incentive program
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream
    l: payment-stream
extension:
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period
    l: service-period
  value: Period
    start:
      v: 2022-01-01
    end:
      v: 2022-09-30
extension:
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date
    l: paid-through-date
  value: Date
    v: 2022-09-30
code:
  coding:
    system:
      v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric
      l: vbp-performance-metric
    code:
      v: 2-gap-closed
  text:
    v: 2 gap closed
measure score:
  value:
    v: 0
stratifier:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric
        l: vbp-performance-metric
      code:
        v: condition-count
  stratum:
    value:
      coding: LA6112-2
      text:
        v: 1
    measure score:
      value:
        v: 0
  stratum:
    value:
      coding: LA6113-0
      text:
        v: 2
    measure score:
      value:
        v: 0
  stratum:
    value:
      coding: LA6114-8
      text:
        v: 3
    measure score:
      value:
        v: 0
  stratum:
    value:
      coding: LA6115-5
      text:
        v: 4
    measure score:
      value:
        v: 0
  stratum:
    value:
      coding: LA10137-0
      text:
        v: 5+
    measure score:
      value:
        v: 0

v: qip

v: chronic-care-mgmt

v: LA6112-2

v: LA6113-0

v: LA6114-8

v: LA6115-5

v: LA10137-0

id:
  v: qip-group-05
extension:
  extension:
    url:
      v: type
      l: type
    value: CodeableConcept
      text:
        v: Quality incentive payment
  extension:
    url:
      v: incentive
      l: incentive
    value: CodeableConcept
      text:
        v: Chronic care management incentive program
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream
    l: payment-stream
extension:
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period
    l: service-period
  value: Period
    start:
      v: 2022-01-01
    end:
      v: 2022-09-30
extension:
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date
    l: paid-through-date
  value: Date
    v: 2022-09-30
code:
  coding:
    system:
      v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric
      l: vbp-performance-metric
    code:
      v: interim-pmt-rate
  text:
    v: Interim payment rate
stratifier:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric
        l: vbp-performance-metric
      code:
        v: condition-count
  stratum:
    value:
      coding: LA6112-2
      text:
        v: 1
    measure score:
      value:
        v: 20
  stratum:
    value:
      coding: LA6113-0
      text:
        v: 2
    measure score:
      value:
        v: 50
  stratum:
    value:
      coding: LA6114-8
      text:
        v: 3
    measure score:
      value:
        v: 100
  stratum:
    value:
      coding: LA6115-5
      text:
        v: 4
    measure score:
      value:
        v: 200
  stratum:
    value:
      coding: LA10137-0
      text:
        v: 5+
    measure score:
      value:
        v: 300

v: qip

v: chronic-care-mgmt

v: LA6112-2

v: LA6113-0

v: LA6114-8

v: LA6115-5

v: LA10137-0

id:
  v: qip-group-06
extension:
  extension:
    url:
      v: type
      l: type
    value: CodeableConcept
      text:
        v: Quality incentive payment
  extension:
    url:
      v: incentive
      l: incentive
    value: CodeableConcept
      text:
        v: Chronic care management incentive program
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream
    l: payment-stream
extension:
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period
    l: service-period
  value: Period
    start:
      v: 2022-01-01
    end:
      v: 2022-09-30
extension:
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date
    l: paid-through-date
  value: Date
    v: 2022-09-30
code:
  coding:
    system:
      v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric
      l: vbp-performance-metric
    code:
      v: earned-incentive
  text:
    v: Earned incentive
measure score:
  value:
    v: 11900
stratifier:
  code:
    coding:
      system:
        v: http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric
        l: vbp-performance-metric
      code:
        v: condition-count
  stratum:
    value:
      coding: LA6112-2
      text:
        v: 1
    measure score:
      value:
        v: 400
  stratum:
    value:
      coding: LA6113-0
      text:
        v: 2
    measure score:
      value:
        v: 1500
  stratum:
    value:
      coding: LA6114-8
      text:
        v: 3
    measure score:
      value:
        v: 2000
  stratum:
    value:
      coding: LA6115-5
      text:
        v: 4
    measure score:
      value:
        v: 2000
  stratum:
    value:
      coding: LA10137-0
      text:
        v: 5+
    measure score:
      value:
        v: 6000

v: qip

v: chronic-care-mgmt

v: LA6112-2

v: LA6113-0

v: LA6114-8

v: LA6115-5

v: LA10137-0

l: quality-measurereport01
extension:
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference
    l: group-reference
  value: String
    v: ssq-group-starscore
reference:
  v: MeasureReport/quality-measurereport01

l: quality-measurereport02
extension:
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference
    l: group-reference
  value: String
    v: ssq-group-starscore
reference:
  v: MeasureReport/quality-measurereport02

l: quality-measurereport03
extension:
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference
    l: group-reference
  value: String
    v: ssq-group-starscore
reference:
  v: MeasureReport/quality-measurereport03

l: quality-measurereport04
extension:
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference
    l: group-reference
  value: String
    v: ssq-group-starscore
reference:
  v: MeasureReport/quality-measurereport04

l: quality-measurereport05
extension:
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference
    l: group-reference
  value: String
    v: ssq-group-starscore
reference:
  v: MeasureReport/quality-measurereport05

l: quality-measurereport06
extension:
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference
    l: group-reference
  value: String
    v: ssq-group-starscore
reference:
  v: MeasureReport/quality-measurereport06

l: quality-measurereport07
extension:
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference
    l: group-reference
  value: String
    v: ssq-group-starscore
reference:
  v: MeasureReport/quality-measurereport07

l: quality-measurereport08
extension:
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference
    l: group-reference
  value: String
    v: ssq-group-starscore
reference:
  v: MeasureReport/quality-measurereport08

l: quality-measurereport09
extension:
  url:
    v: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference
    l: group-reference
  value: String
    v: ssq-group-starscore
reference:
  v: MeasureReport/quality-measurereport09