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Source1

{
  "resourceType": "Measure",
  "id": "vbp-measure02",
  "meta": {
    "extension": [
      {
        "url": "http://hl7.org/fhir/StructureDefinition/instance-name",
        "valueString": "Payer"
      },
      {
        "url": "http://hl7.org/fhir/StructureDefinition/instance-description",
        "valueMarkdown": "This is an example measure for the *VBP Measure* profile."
      }
    ],
    "profile": [
      "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/vbp-measure"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "extension": [
        {
          "url": "type",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream",
                "code": "ubip",
                "display": "Utilization incentive payment"
              }
            ]
          }
        }
      ],
      "url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
    },
    {
      "extension": [
        {
          "url": "type",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream",
                "code": "p4p",
                "display": "Pay for performance"
              }
            ]
          }
        }
      ],
      "url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
    }
  ],
  "url": "https://build.fhir.org/ig/HL7/davinci-vbpr/Measure-vbp-measure02",
  "identifier": [
    {
      "use": "temp",
      "system": "http://example.org/fhir/server",
      "value": "ex-vbp-measure02"
    },
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:oid:2.16.840.1.113883.4.642.40.30.29.2"
    }
  ],
  "version": "1.0.0",
  "name": "VbprMeasureExample02",
  "title": "Example Value-Based Contract - ABC Payer and EveryHospital",
  "status": "active",
  "experimental": true,
  "date": "2024-06-17T14:02:59+00:00",
  "publisher": "HL7 International / Clinical Quality Information",
  "contact": [
    {
      "name": "HL7 International / Clinical Quality Information",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/cqi"
        }
      ]
    }
  ],
  "description": "Example Value-Based Contract between ABC Payer and EveryHospital",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "US",
          "display": "United States of America"
        }
      ]
    }
  ],
  "effectivePeriod": {
    "start": "2022-10-01",
    "end": "2023-09-30"
  },
  "relatedArtifact": [
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-weight",
          "valueDecimal": 1
        },
        {
          "url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/contractual-status",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-contractual-status",
                "code": "contractual",
                "display": "Contractual"
              }
            ]
          }
        }
      ],
      "type": "composed-of",
      "display": "Breast Cancer Screening",
      "resource": "http://hl7.org/fhir/us/cqfmeasures/Measure/measure-exm125-FHIR"
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-weight",
          "valueDecimal": 3
        },
        {
          "url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/contractual-status",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-contractual-status",
                "code": "contractual"
              }
            ]
          }
        }
      ],
      "type": "composed-of",
      "display": "Colorectal Cancer Screening",
      "resource": "http://hl7.org/fhir/us/cqfmeasures/Measure/measure-exm130-FHIR"
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/contractual-status",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-contractual-status",
                "code": "contractual-alternate"
              }
            ]
          }
        }
      ],
      "type": "composed-of",
      "display": "Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care",
      "resource": "http://example.org/Measure/measure-diabetes-retinopathy-FHIR"
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/contractual-status",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-contractual-status",
                "code": "contractual-alternate"
              }
            ]
          }
        }
      ],
      "type": "composed-of",
      "display": "Diabetes: Hemoglobin A1c (HbA1c) Poor Control (> 9%)",
      "resource": "http://example.org/Measure/measure-diabetes-A1c-FHIR"
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/contractual-status",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-contractual-status",
                "code": "reporting-only"
              }
            ]
          }
        }
      ],
      "type": "composed-of",
      "display": "Diabetes: Medical Attention for Nephropathy",
      "resource": "http://example.org/Measure/measure-diabetes-nephropathy-FHIR"
    }
  ]
}