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Source1

{
  "resourceType": "MeasureReport",
  "id": "vbp-measurereport101",
  "meta": {
    "extension": [
      {
        "url": "http://hl7.org/fhir/StructureDefinition/instance-name",
        "valueString": "VBP MeasureReport Example 101"
      },
      {
        "url": "http://hl7.org/fhir/StructureDefinition/instance-description",
        "valueMarkdown": "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": [
      "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-measure01",
  "subject": {
    "extension": [
      {
        "url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/organization-subject",
        "valueReference": {
          "reference": "Organization/vbp-provider01"
        }
      }
    ],
    "display": "Good Health Clinic"
  },
  "date": "2023-01-15",
  "reporter": {
    "reference": "Organization/vbp-payer01"
  },
  "period": {
    "start": "2022-01-01",
    "end": "2022-12-31"
  },
  "group": [
    {
      "id": "ccf-group-01",
      "extension": [
        {
          "extension": [
            {
              "url": "type",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream",
                    "code": "ccf"
                  }
                ],
                "text": "Care coordination fee"
              }
            }
          ],
          "url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
        },
        {
          "url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period",
          "valuePeriod": {
            "start": "2022-01-01",
            "end": "2022-11-30"
          }
        },
        {
          "url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date",
          "valueDate": "2022-12-31"
        }
      ],
      "code": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
            "code": "ccf"
          }
        ],
        "text": "Care coordination fee"
      },
      "measureScore": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore",
            "valueMoney": {
              "value": 500,
              "currency": "USD"
            }
          }
        ]
      },
      "stratifier": [
        {
          "stratum": [
            {
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                      }
                    ]
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                },
                {
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                        "code": "facility"
                      }
                    ]
                  },
                  "value": {
                    "text": "Region 1"
                  }
                }
              ]
            },
            {
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                      }
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                },
                {
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                        "code": "facility"
                      }
                    ]
                  },
                  "value": {
                    "text": "Region 2"
                  }
                }
              ]
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            {
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                    ]
                  },
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                      }
                    ]
                  }
                },
                {
                  "code": {
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                        "code": "facility"
                      }
                    ]
                  },
                  "value": {
                    "text": "Region 1"
                  }
                }
              ]
            },
            {
              "component": [
                {
                  "code": {
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                      {
                        "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
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                      }
                    ]
                  },
                  "value": {
                    "coding": [
                      {
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                        "code": "ppo"
                      }
                    ]
                  }
                },
                {
                  "code": {
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                        "code": "facility"
                      }
                    ]
                  },
                  "value": {
                    "text": "Region 2"
                  }
                }
              ]
            }
          ]
        }
      ]
    },
    {
      "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"
        },
        {
          "url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period",
          "valuePeriod": {
            "start": "2022-01-01",
            "end": "2022-11-30"
          }
        },
        {
          "url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date",
          "valueDate": "2022-12-31"
        }
      ],
      "code": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
            "code": "weighted-avg-star"
          }
        ],
        "text": "Weighted average star"
      },
      "measureScore": {
        "value": 3.8
      }
    },
    {
      "id": "ssq-group-01",
      "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"
        },
        {
          "url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period",
          "valuePeriod": {
            "start": "2022-01-01",
            "end": "2022-11-30"
          }
        },
        {
          "url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date",
          "valueDate": "2022-12-31"
        }
      ],
      "code": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
            "code": "member-months"
          }
        ],
        "text": "Member months"
      },
      "measureScore": {
        "value": 300
      },
      "stratifier": [
        {
          "stratum": [
            {
              "value": {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
                    "code": "hmo"
                  }
                ]
              },
              "measureScore": {
                "value": 100
              }
            },
            {
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                    ]
                  },
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                        "code": "facility"
                      }
                    ]
                  },
                  "value": {
                    "text": "Region 1"
                  }
                }
              ],
              "measureScore": {
                "value": 50
              }
            },
            {
              "component": [
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
                        "code": "cohort"
                      }
                    ]
                  },
                  "value": {
                    "coding": [
                      {
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                        "code": "hmo"
                      }
                    ]
                  }
                },
                {
                  "code": {
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                      {
                        "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
                        "code": "facility"
                      }
                    ]
                  },
                  "value": {
                    "text": "Region 2"
                  }
                }
              ],
              "measureScore": {
                "value": 50
              }
            },
            {
              "value": {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
                    "code": "ppo"
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                "value": 200
              }
            },
            {
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                  }
                },
                {
                  "code": {
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                        "code": "facility"
                      }
                    ]
                  },
                  "value": {
                    "text": "Region 1"
                  }
                }
              ],
              "measureScore": {
                "value": 150
              }
            },
            {
              "component": [
                {
                  "code": {
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                      {
                        "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
                        "code": "cohort"
                      }
                    ]
                  },
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                      {
                        "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
                        "code": "ppo"
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                  }
                },
                {
                  "code": {
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                      {
                        "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
                        "code": "facility"
                      }
                    ]
                  },
                  "value": {
                    "text": "Region 2"
                  }
                }
              ],
              "measureScore": {
                "value": 50
              }
            }
          ]
        }
      ]
    },
    {
      "id": "ssq-group-02",
      "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"
        },
        {
          "url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period",
          "valuePeriod": {
            "start": "2022-01-01",
            "end": "2022-11-30"
          }
        },
        {
          "url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date",
          "valueDate": "2022-12-31"
        }
      ],
      "code": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
            "code": "avg-risk-score"
          }
        ],
        "text": "Average risk score"
      },
      "measureScore": {
        "value": 0.7
      },
      "stratifier": [
        {
          "stratum": [
            {
              "value": {
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                    "code": "hmo"
                  }
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              "measureScore": {
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              }
            },
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                      {
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                },
                {
                  "code": {
                    "coding": [
                      {
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                        "code": "facility"
                      }
                    ]
                  },
                  "value": {
                    "text": "Region 1"
                  }
                }
              ],
              "measureScore": {
                "value": 0.9
              }
            },
            {
              "component": [
                {
                  "code": {
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                      {
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                    ]
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                    "coding": [
                      {
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                },
                {
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                        "code": "facility"
                      }
                    ]
                  },
                  "value": {
                    "text": "Region 2"
                  }
                }
              ],
              "measureScore": {
                "value": 1
              }
            },
            {
              "value": {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
                    "code": "ppo"
                  }
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              },
              "measureScore": {
                "value": 1.1
              }
            },
            {
              "component": [
                {
                  "code": {
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                        "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
                        "code": "cohort"
                      }
                    ]
                  },
                  "value": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
                        "code": "ppo"
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                    ]
                  }
                },
                {
                  "code": {
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                        "code": "facility"
                      }
                    ]
                  },
                  "value": {
                    "text": "Region 1"
                  }
                }
              ],
              "measureScore": {
                "value": 1.2
              }
            },
            {
              "component": [
                {
                  "code": {
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                        "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
                        "code": "cohort"
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                    ]
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                  "value": {
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                        "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
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                },
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
                        "code": "facility"
                      }
                    ]
                  },
                  "value": {
                    "text": "Region 2"
                  }
                }
              ],
              "measureScore": {
                "value": 1.3
              }
            }
          ]
        }
      ]
    },
    {
      "id": "ssq-group-03",
      "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"
        },
        {
          "url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period",
          "valuePeriod": {
            "start": "2022-01-01",
            "end": "2022-11-30"
          }
        },
        {
          "url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date",
          "valueDate": "2022-12-31"
        }
      ],
      "code": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric",
            "code": "revenue"
          }
        ],
        "text": "Total revenue"
      },
      "measureScore": {
        "value": 10000
      },
      "stratifier": [
        {
          "stratum": [
            {
              "value": {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
                    "code": "hmo"
                  }
                ]
              },
              "measureScore": {
                "value": 6000
              }
            },
            {
              "component": [
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
                        "code": "cohort"
                      }
                    ]
                  },
                  "value": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
                        "code": "hmo"
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                    ]
                  }
                },
                {
                  "code": {
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                        "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
                        "code": "facility"
                      }
                    ]
                  },
                  "value": {
                    "text": "Region 1"
                  }
                }
              ],
              "measureScore": {
                "value": 3000
              }
            },
            {
              "component": [
                {
                  "code": {
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                    ]
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                  "value": {
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                        "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
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                      }
                    ]
                  }
                },
                {
                  "code": {
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                        "code": "facility"
                      }
                    ]
                  },
                  "value": {
                    "text": "Region 2"
                  }
                }
              ],
              "measureScore": {
                "value": 3000
              }
            },
            {
              "value": {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
                    "code": "ppo"
                  }
                ]
              },
              "measureScore": {
                "value": 4000
              }
            },
            {
              "component": [
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
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                      }
                    ]
                  },
                  "value": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
                        "code": "ppo"
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                    ]
                  }
                },
                {
                  "code": {
                    "coding": [
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                        "code": "facility"
                      }
                    ]
                  },
                  "value": {
                    "text": "Region 1"
                  }
                }
              ],
              "measureScore": {
                "value": 2000
              }
            },
            {
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}