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Packagehl7.fhir.us.davinci-vbpr
Resource TypeMeasureReport
IdMeasureReport-vbp-measurereport102.json
FHIR VersionR4

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Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: MeasureReport vbp-measurereport102

Measure Report Category: Value-Based Performance

status: Complete

type: Summary

measure: Example Value-Based Contract - ABC Payer and EveryHospital

subject: Every Hospital

date: 2022-12-31

reporter: Organization ABC Payer

period: 2022-10-01 --> 2022-12-31

group

id

ubip-group-01

Payment Stream

  • type: Utilization incentive payment

Baseline

  • baseline: 250 /10*3 (Details: UCUM code/10*3 = '/10*3')
  • period: 2021-01-01 --> 2021-12-31

code: In patient admission

measureScore: 400 /10*3 (Details: UCUM code/10*3 = '/10*3')

group

id

ubip-group-02

Payment Stream

  • type: Utilization incentive payment

Baseline

  • baseline: 180 /10*3 (Details: UCUM code/10*3 = '/10*3')
  • period: 2021-01-01 --> 2021-12-31

code: In patient acute

measureScore: 350 /10*3 (Details: UCUM code/10*3 = '/10*3')

group

id

ubip-group-03

Payment Stream

  • type: Utilization incentive payment

Baseline

  • baseline: 51 /10*3 (Details: UCUM code/10*3 = '/10*3')
  • period: 2021-01-01 --> 2021-12-31

code: Readmission

measureScore: 120 /10*3 (Details: UCUM code/10*3 = '/10*3')

group

id

ubip-group-04

Payment Stream

  • type: Utilization incentive payment

Baseline

  • baseline: 350 per 100 (Details: UCUM code/100 = '/100')
  • period: 2021-01-01 --> 2021-12-31

code: ED visit

measureScore: 300 /100 (Details: UCUM code/100 = '/100')

group

id

ubip-group-05

Payment Stream

  • type: Utilization incentive payment

Baseline

  • baseline: 51 /10*3 (Details: UCUM code/10*3 = '/10*3')
  • period: 2021-01-01 --> 2021-12-31

code: Skilled Nursing Facility admission

measureScore: 50 /10*3 (Details: UCUM code/10*3 = '/10*3')

group

id

ubip-group-06

Payment Stream

  • type: Utilization incentive payment

Baseline

  • baseline: 22 d (Details: UCUM coded = 'd')
  • period: 2021-01-01 --> 2021-12-31

code: Skilled Nursing Facility average length of stay

measureScore: 15 d (Details: UCUM coded = 'd')

group

id

ssq-group-starscore

Payment Stream

  • type: Shared savings gated on quality

code: Weighted average star

measureScore: 2.5

group

id

financial-group-01

Payment Stream

  • type: Utilization incentive payment

Baseline

  • baseline: $800.00 (USD)
  • period: 2021-01-01 --> 2021-12-31

code: Total medical expense PMPM

measureScore:

group

id

financial-group-02

Payment Stream

  • type: Utilization incentive payment

Baseline

  • baseline: $800.00 (USD)
  • period: 2021-01-01 --> 2021-12-31

code: Total medical expense PMPM

measureScore:

evaluatedResource:


Source1

{
  "resourceType": "MeasureReport",
  "id": "vbp-measurereport102",
  "meta": {
    "extension": [
      {
        "url": "http://hl7.org/fhir/StructureDefinition/instance-name",
        "valueString": "VBP MeasureReport Example 102"
      },
      {
        "url": "http://hl7.org/fhir/StructureDefinition/instance-description",
        "valueMarkdown": "This is an example Value-Based Performance MeasureReport for the *VBP MeasureReport* profile., which includes utilization and quality."
      }
    ],
    "profile": [
      "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/vbp-performance-measurereport"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "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": {
    "reference": "Group/everyhospital-group",
    "display": "Every Hospital"
  },
  "date": "2022-12-31",
  "reporter": {
    "reference": "Organization/vbp-payer01"
  },
  "period": {
    "start": "2022-10-01",
    "end": "2022-12-31"
  },
  "group": [
    {
      "id": "ubip-group-01",
      "extension": [
        {
          "extension": [
            {
              "url": "type",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream",
                    "code": "ubip"
                  }
                ],
                "text": "Utilization incentive payment"
              }
            }
          ],
          "url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
        },
        {
          "extension": [
            {
              "url": "baseline",
              "valueQuantity": {
                "value": 250,
                "system": "http://unitsofmeasure.org",
                "code": "/10*3"
              }
            },
            {
              "url": "period",
              "valuePeriod": {
                "start": "2021-01-01",
                "end": "2021-12-31"
              }
            }
          ],
          "url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline"
        }
      ],
      "code": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
            "code": "inpatient-admission"
          }
        ],
        "text": "In patient admission"
      },
      "measureScore": {
        "value": 400,
        "system": "http://unitsofmeasure.org",
        "code": "/10*3"
      }
    },
    {
      "id": "ubip-group-02",
      "extension": [
        {
          "extension": [
            {
              "url": "type",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream",
                    "code": "ubip"
                  }
                ],
                "text": "Utilization incentive payment"
              }
            }
          ],
          "url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
        },
        {
          "extension": [
            {
              "url": "baseline",
              "valueQuantity": {
                "value": 180,
                "system": "http://unitsofmeasure.org",
                "code": "/10*3"
              }
            },
            {
              "url": "period",
              "valuePeriod": {
                "start": "2021-01-01",
                "end": "2021-12-31"
              }
            }
          ],
          "url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline"
        }
      ],
      "code": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
            "code": "inpatient-acute"
          }
        ],
        "text": "In patient acute"
      },
      "measureScore": {
        "value": 350,
        "system": "http://unitsofmeasure.org",
        "code": "/10*3"
      }
    },
    {
      "id": "ubip-group-03",
      "extension": [
        {
          "extension": [
            {
              "url": "type",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream",
                    "code": "ubip"
                  }
                ],
                "text": "Utilization incentive payment"
              }
            }
          ],
          "url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
        },
        {
          "extension": [
            {
              "url": "baseline",
              "valueQuantity": {
                "value": 51,
                "system": "http://unitsofmeasure.org",
                "code": "/10*3"
              }
            },
            {
              "url": "period",
              "valuePeriod": {
                "start": "2021-01-01",
                "end": "2021-12-31"
              }
            }
          ],
          "url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline"
        }
      ],
      "code": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
            "code": "readmission"
          }
        ],
        "text": "Readmission"
      },
      "measureScore": {
        "value": 120,
        "system": "http://unitsofmeasure.org",
        "code": "/10*3"
      }
    },
    {
      "id": "ubip-group-04",
      "extension": [
        {
          "extension": [
            {
              "url": "type",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream",
                    "code": "ubip"
                  }
                ],
                "text": "Utilization incentive payment"
              }
            }
          ],
          "url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
        },
        {
          "extension": [
            {
              "url": "baseline",
              "valueQuantity": {
                "value": 350,
                "unit": "per 100",
                "system": "http://unitsofmeasure.org",
                "code": "/100"
              }
            },
            {
              "url": "period",
              "valuePeriod": {
                "start": "2021-01-01",
                "end": "2021-12-31"
              }
            }
          ],
          "url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline"
        }
      ],
      "code": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
            "code": "ed-visit"
          }
        ],
        "text": "ED visit"
      },
      "measureScore": {
        "value": 300,
        "system": "http://unitsofmeasure.org",
        "code": "/100"
      }
    },
    {
      "id": "ubip-group-05",
      "extension": [
        {
          "extension": [
            {
              "url": "type",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream",
                    "code": "ubip"
                  }
                ],
                "text": "Utilization incentive payment"
              }
            }
          ],
          "url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
        },
        {
          "extension": [
            {
              "url": "baseline",
              "valueQuantity": {
                "value": 51,
                "system": "http://unitsofmeasure.org",
                "code": "/10*3"
              }
            },
            {
              "url": "period",
              "valuePeriod": {
                "start": "2021-01-01",
                "end": "2021-12-31"
              }
            }
          ],
          "url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline"
        }
      ],
      "code": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
            "code": "snf-admission"
          }
        ],
        "text": "Skilled Nursing Facility admission"
      },
      "measureScore": {
        "value": 50,
        "system": "http://unitsofmeasure.org",
        "code": "/10*3"
      }
    },
    {
      "id": "ubip-group-06",
      "extension": [
        {
          "extension": [
            {
              "url": "type",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream",
                    "code": "ubip"
                  }
                ],
                "text": "Utilization incentive payment"
              }
            }
          ],
          "url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
        },
        {
          "extension": [
            {
              "url": "baseline",
              "valueQuantity": {
                "value": 22,
                "system": "http://unitsofmeasure.org",
                "code": "d"
              }
            },
            {
              "url": "period",
              "valuePeriod": {
                "start": "2021-01-01",
                "end": "2021-12-31"
              }
            }
          ],
          "url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline"
        }
      ],
      "code": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
            "code": "snf-avg-los"
          }
        ],
        "text": "Skilled Nursing Facility average length of stay"
      },
      "measureScore": {
        "value": 15,
        "system": "http://unitsofmeasure.org",
        "code": "d"
      }
    },
    {
      "id": "ssq-group-starscore",
      "extension": [
        {
          "extension": [
            {
              "url": "type",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream",
                    "code": "ssq"
                  }
                ],
                "text": "Shared savings gated on quality"
              }
            }
          ],
          "url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
        }
      ],
      "code": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
            "code": "weighted-avg-star"
          }
        ],
        "text": "Weighted average star"
      },
      "measureScore": {
        "value": 2.5
      }
    },
    {
      "id": "financial-group-01",
      "extension": [
        {
          "extension": [
            {
              "url": "type",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream",
                    "code": "ubip"
                  }
                ],
                "text": "Utilization incentive payment"
              }
            }
          ],
          "url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
        },
        {
          "extension": [
            {
              "url": "baseline",
              "valueMoney": {
                "value": 800,
                "currency": "USD"
              }
            },
            {
              "url": "period",
              "valuePeriod": {
                "start": "2021-01-01",
                "end": "2021-12-31"
              }
            }
          ],
          "url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline"
        }
      ],
      "code": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
            "code": "med-cost-pmpm"
          }
        ],
        "text": "Total medical expense PMPM"
      },
      "measureScore": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore",
            "valueMoney": {
              "value": 800,
              "currency": "USD"
            }
          }
        ]
      }
    },
    {
      "id": "financial-group-02",
      "extension": [
        {
          "extension": [
            {
              "url": "type",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream",
                    "code": "ubip"
                  }
                ],
                "text": "Utilization incentive payment"
              }
            }
          ],
          "url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
        },
        {
          "extension": [
            {
              "url": "baseline",
              "valueMoney": {
                "value": 800,
                "currency": "USD"
              }
            },
            {
              "url": "period",
              "valuePeriod": {
                "start": "2021-01-01",
                "end": "2021-12-31"
              }
            }
          ],
          "url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline"
        }
      ],
      "code": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
            "code": "ibnr-pmpm"
          }
        ],
        "text": "Total medical expense PMPM"
      },
      "measureScore": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore",
            "valueMoney": {
              "value": 800,
              "currency": "USD"
            }
          }
        ]
      }
    }
  ],
  "evaluatedResource": [
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference",
          "valueString": "ssq-group-starscore"
        }
      ],
      "reference": "MeasureReport/quality-measurereport11"
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference",
          "valueString": "ssq-group-starscore"
        }
      ],
      "reference": "MeasureReport/quality-measurereport12"
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference",
          "valueString": "ssq-group-starscore"
        }
      ],
      "reference": "MeasureReport/quality-measurereport13"
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference",
          "valueString": "ssq-group-starscore"
        }
      ],
      "reference": "MeasureReport/quality-measurereport14"
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference",
          "valueString": "ssq-group-starscore"
        }
      ],
      "reference": "MeasureReport/quality-measurereport15"
    }
  ]
}