Da Vinci Value-Based Performance Reporting Implementation Guide
1.0.0-ballot - ballot
Da Vinci Value-Based Performance Reporting Implementation Guide
1.0.0-ballot - ballot
This page is part of the Da Vinci Value-Based Performance Reporting Implementation Guide (v1.0.0-ballot: STU1 Ballot 1) based on FHIR R4. . For a full list of available versions, see the Directory of published versions 
| Active as of 2023-07-31 |
{
"resourceType" : "Measure",
"id" : "vbp-measure01",
"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" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Measure</b><a name=\"vbp-measure01\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Measure "vbp-measure01" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vbp-measure.html\">Value-Based Performance Measure</a></p></div><p><b>Line of Business</b>: MEDICARE <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-SOPT.html\">Source of Payment Typology</a>#1)</span></p><blockquote><p><b>Program Model</b></p><blockquote><p><b>url</b></p><code>hcplan</code></blockquote><p><b>value</b>: Category 3A <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-hcplan-framework.html\">HCPLAN Framework Categories Codes</a>#3A)</span></p><blockquote><p><b>url</b></p><code>cohort</code></blockquote><p><b>value</b>: HMO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#hmo)</span></p></blockquote><blockquote><p><b>Program Model</b></p><blockquote><p><b>url</b></p><code>hcplan</code></blockquote><p><b>value</b>: Category 3B <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-hcplan-framework.html\">HCPLAN Framework Categories Codes</a>#3B)</span></p><blockquote><p><b>url</b></p><code>cohort</code></blockquote><p><b>value</b>: PPO cohort <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-vbp-cohort.html\">Cohort Codes</a>#ppo)</span></p></blockquote><blockquote><p><b>Payment Stream</b></p><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: Shared savings gated on quality <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-payment-stream.html\">Payment Stream Codes</a>#ssq)</span></p></blockquote><blockquote><p><b>Payment Stream</b></p><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: Care coordination fee <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-payment-stream.html\">Payment Stream Codes</a>#ccf)</span></p></blockquote><blockquote><p><b>Payment Stream</b></p><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: Quality incentive payment <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-payment-stream.html\">Payment Stream Codes</a>#qip)</span></p></blockquote><p><b>url</b>: <code>https://build.fhir.org/ig/HL7/davinci-vbpr/Measure-vbp-measure01</code></p><p><b>identifier</b>: id:\u00a0ex-vbp-measure01\u00a0(use:\u00a0TEMP)</p><p><b>version</b>: 1.0.0-ballot</p><p><b>name</b>: VbprMeasureExample01</p><p><b>title</b>: Example Value-Based Contract - ABC Payer and GoodHealth</p><p><b>status</b>: active</p><p><b>experimental</b>: true</p><p><b>date</b>: 2023-07-31 14:33:02+0000</p><p><b>publisher</b>: HL7 Clinical Quality Information Work Group</p><p><b>contact</b>: HL7 Clinical Quality Information Work Group: <a href=\"http://www.hl7.org/Special/committees/cqi\">http://www.hl7.org/Special/committees/cqi</a></p><p><b>description</b>: Example Value-Based Contract between ABC Payer and GoodHealth</p><p><b>jurisdiction</b>: United States of America <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-ISO3166Part1.html\">ISO 3166-1 Codes for the representation of names of countries and their subdivisions — Part 1: Country code</a>#US)</span></p><p><b>effectivePeriod</b>: 2022-01-01 --> 2024-12-31</p><h3>RelatedArtifacts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Extension</b></td><td><b>Type</b></td><td><b>Display</b></td><td><b>Resource</b></td></tr><tr><td style=\"display: none\">*</td><td/><td>composed-of</td><td>Breast Cancer Screening</td><td><a href=\"http://hl7.org/fhir/us/cqfmeasures/STU3/Measure-measure-exm125-FHIR.html\">EXM125 - Breast Cancer Screening Measure</a></td></tr><tr><td style=\"display: none\">*</td><td/><td>composed-of</td><td>Colorectal Cancer Screening</td><td><a href=\"http://hl7.org/fhir/us/cqfmeasures/STU3/Measure-measure-exm130-FHIR.html\">EXM130 - Colorectal Cancer Screening Measure</a></td></tr><tr><td style=\"display: none\">*</td><td/><td>composed-of</td><td>Diabetes Care - Blood Sugar Controlled</td><td><a href=\"http://example.org/Measure/measure-diabetes-care-blood-sugar-controlled-FHIR\">http://example.org/Measure/measure-diabetes-care-blood-sugar-controlled-FHIR</a></td></tr><tr><td style=\"display: none\">*</td><td/><td>composed-of</td><td>Diabetes Care - Eye Exam</td><td><a href=\"http://example.org/Measure/measure-diabetes-care-eye-exam-FHIR\">http://example.org/Measure/measure-diabetes-care-eye-exam-FHIR</a></td></tr><tr><td style=\"display: none\">*</td><td/><td>composed-of</td><td>Medication Adherence for Cholesterol (Statins)</td><td><a href=\"http://example.org/Measure/measure-med-adherence-cholesterol-statins-FHIR\">http://example.org/Measure/measure-med-adherence-cholesterol-statins-FHIR</a></td></tr><tr><td style=\"display: none\">*</td><td/><td>composed-of</td><td>Medication Adherence for Hypertension (RAS antagonists)</td><td><a href=\"http://example.org/Measure/measure-med-adherence-hypertension-FHIR\">http://example.org/Measure/measure-med-adherence-hypertension-FHIR</a></td></tr><tr><td style=\"display: none\">*</td><td/><td>composed-of</td><td>Medication Adherence for Diabetes Medications</td><td><a href=\"http://example.org/Measure/measure-med-adherence-diabetes-meds-FHIR\">http://example.org/Measure/measure-med-adherence-diabetes-meds-FHIR</a></td></tr><tr><td style=\"display: none\">*</td><td/><td>composed-of</td><td>Statin Therapy for Patients with Cardiovascular Disease</td><td><a href=\"http://example.org/Measure/measure-statin-therapy-cardiovascular-disease-FHIR\">http://example.org/Measure/measure-statin-therapy-cardiovascular-disease-FHIR</a></td></tr><tr><td style=\"display: none\">*</td><td/><td>composed-of</td><td>Statin Use in Persons with Diabetes (SUPD)</td><td><a href=\"http://example.org/Measure/measure-statin-use-diabetes-supd-FHIR\">http://example.org/Measure/measure-statin-use-diabetes-supd-FHIR</a></td></tr></table></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/lob",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://nahdo.org/sopt",
"code" : "1",
"display" : "MEDICARE"
}
],
"text" : "MEDICARE"
}
},
{
"extension" : [
{
"url" : "hcplan",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/hcplan-framework",
"code" : "3A",
"display" : "Category 3A"
}
]
}
},
{
"url" : "cohort",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "hmo",
"display" : "HMO cohort"
}
]
}
}
],
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/program-model"
},
{
"extension" : [
{
"url" : "hcplan",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/hcplan-framework",
"code" : "3B",
"display" : "Category 3B"
}
]
}
},
{
"url" : "cohort",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "ppo",
"display" : "PPO cohort"
}
]
}
}
],
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/program-model"
},
{
"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"
},
{
"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"
},
{
"extension" : [
{
"url" : "type",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream",
"code" : "qip"
}
],
"text" : "Quality incentive payment"
}
}
],
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
}
],
"url" : "https://build.fhir.org/ig/HL7/davinci-vbpr/Measure-vbp-measure01",
"identifier" : [
{
"use" : "temp",
"system" : "http://example.org/fhir/server",
"value" : "ex-vbp-measure01"
}
],
"version" : "1.0.0-ballot",
"name" : "VbprMeasureExample01",
"title" : "Example Value-Based Contract - ABC Payer and GoodHealth",
"status" : "active",
"experimental" : true,
"date" : "2023-07-31T14:33:02+00:00",
"publisher" : "HL7 Clinical Quality Information Work Group",
"contact" : [
{
"name" : "HL7 Clinical Quality Information Work Group",
"telecom" : [
{
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/cqi"
}
]
}
],
"description" : "Example Value-Based Contract between ABC Payer and GoodHealth",
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "US",
"display" : "United States of America"
}
]
}
],
"effectivePeriod" : {
"start" : "2022-01-01",
"end" : "2024-12-31"
},
"relatedArtifact" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-weight",
"valueDecimal" : 1
}
],
"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
}
],
"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/cqfmeasures/StructureDefinition/cqfm-weight",
"valueDecimal" : 3
}
],
"type" : "composed-of",
"display" : "Diabetes Care - Blood Sugar Controlled",
"resource" : "http://example.org/Measure/measure-diabetes-care-blood-sugar-controlled-FHIR"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-weight",
"valueDecimal" : 3
}
],
"type" : "composed-of",
"display" : "Diabetes Care - Eye Exam",
"resource" : "http://example.org/Measure/measure-diabetes-care-eye-exam-FHIR"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-weight",
"valueDecimal" : 3
}
],
"type" : "composed-of",
"display" : "Medication Adherence for Cholesterol (Statins)",
"resource" : "http://example.org/Measure/measure-med-adherence-cholesterol-statins-FHIR"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-weight",
"valueDecimal" : 3
}
],
"type" : "composed-of",
"display" : "Medication Adherence for Hypertension (RAS antagonists)",
"resource" : "http://example.org/Measure/measure-med-adherence-hypertension-FHIR"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-weight",
"valueDecimal" : 3
}
],
"type" : "composed-of",
"display" : "Medication Adherence for Diabetes Medications",
"resource" : "http://example.org/Measure/measure-med-adherence-diabetes-meds-FHIR"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-weight",
"valueDecimal" : 1
}
],
"type" : "composed-of",
"display" : "Statin Therapy for Patients with Cardiovascular Disease",
"resource" : "http://example.org/Measure/measure-statin-therapy-cardiovascular-disease-FHIR"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-weight",
"valueDecimal" : 1
}
],
"type" : "composed-of",
"display" : "Statin Use in Persons with Diabetes (SUPD)",
"resource" : "http://example.org/Measure/measure-statin-use-diabetes-supd-FHIR"
}
]
}
IG © 2023+ HL7 Clinical Quality Information Work Group. Package hl7.fhir.us.davinci-vbpr#1.0.0-ballot based on FHIR 4.0.1. Generated 2023-07-31
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