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 |
@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
a fhir:Measure ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "vbp-measure01"] ; #
fhir:meta [
( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/instance-name"^^xsd:anyURI ] ;
fhir:value [ fhir:v "Payer" ] ] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/instance-description"^^xsd:anyURI ] ;
fhir:value [ fhir:v "This is an example measure for the *VBP Measure* profile." ] ] ) ;
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/vbp-measure"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/vbp-measure> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir: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: ex-vbp-measure01 (use: TEMP)</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>"
] ; #
fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/lob"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
fhir:system [ fhir:v "https://nahdo.org/sopt"^^xsd:anyURI ] ;
fhir:code [ fhir:v "1" ] ;
fhir:display [ fhir:v "MEDICARE" ] ] ) ;
fhir:text [ fhir:v "MEDICARE" ] ]
] [
( fhir:extension [
fhir:url [ fhir:v "hcplan"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/hcplan-framework"^^xsd:anyURI ] ;
fhir:code [ fhir:v "3A" ] ;
fhir:display [ fhir:v "Category 3A" ] ] ) ] ] [
fhir:url [ fhir:v "cohort"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"^^xsd:anyURI ] ;
fhir:code [ fhir:v "hmo" ] ;
fhir:display [ fhir:v "HMO cohort" ] ] ) ] ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/program-model"^^xsd:anyURI ]
] [
( fhir:extension [
fhir:url [ fhir:v "hcplan"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/hcplan-framework"^^xsd:anyURI ] ;
fhir:code [ fhir:v "3B" ] ;
fhir:display [ fhir:v "Category 3B" ] ] ) ] ] [
fhir:url [ fhir:v "cohort"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"^^xsd:anyURI ] ;
fhir:code [ fhir:v "ppo" ] ;
fhir:display [ fhir:v "PPO cohort" ] ] ) ] ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/program-model"^^xsd:anyURI ]
] [
( fhir:extension [
fhir:url [ fhir:v "type"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"^^xsd:anyURI ] ;
fhir:code [ fhir:v "ssq" ] ] ) ;
fhir:text [ fhir:v "Shared savings gated on quality" ] ] ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"^^xsd:anyURI ]
] [
( fhir:extension [
fhir:url [ fhir:v "type"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"^^xsd:anyURI ] ;
fhir:code [ fhir:v "ccf" ] ] ) ;
fhir:text [ fhir:v "Care coordination fee" ] ] ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"^^xsd:anyURI ]
] [
( fhir:extension [
fhir:url [ fhir:v "type"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"^^xsd:anyURI ] ;
fhir:code [ fhir:v "qip" ] ] ) ;
fhir:text [ fhir:v "Quality incentive payment" ] ] ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"^^xsd:anyURI ]
] ) ; #
fhir:url [ fhir:v "https://build.fhir.org/ig/HL7/davinci-vbpr/Measure-vbp-measure01"^^xsd:anyURI] ; #
fhir:identifier ( [
fhir:use [ fhir:v "temp" ] ;
fhir:system [ fhir:v "http://example.org/fhir/server"^^xsd:anyURI ] ;
fhir:value [ fhir:v "ex-vbp-measure01" ]
] ) ; #
fhir:version [ fhir:v "1.0.0-ballot"] ; #
fhir:name [ fhir:v "VbprMeasureExample01"] ; #
fhir:title [ fhir:v "Example Value-Based Contract - ABC Payer and GoodHealth"] ; #
fhir:status [ fhir:v "active"] ; #
fhir:experimental [ fhir:v "true"^^xsd:boolean] ; #
fhir:date [ fhir:v "2023-07-31T14:33:02+00:00"^^xsd:dateTime] ; #
fhir:publisher [ fhir:v "HL7 Clinical Quality Information Work Group"] ; #
fhir:contact ( [
fhir:name [ fhir:v "HL7 Clinical Quality Information Work Group" ] ;
( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://www.hl7.org/Special/committees/cqi" ] ] )
] ) ; #
fhir:description [ fhir:v "Example Value-Based Contract between ABC Payer and GoodHealth"] ; #
fhir:jurisdiction ( [
( fhir:coding [
fhir:system [ fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ] ;
fhir:code [ fhir:v "US" ] ;
fhir:display [ fhir:v "United States of America" ] ] )
] ) ; #
fhir:effectivePeriod [
fhir:start [ fhir:v "2022-01-01"^^xsd:date ] ;
fhir:end [ fhir:v "2024-12-31"^^xsd:date ]
] ; #
fhir:relatedArtifact ( [
( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-weight"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1"^^xsd:decimal ] ] ) ;
fhir:type [ fhir:v "composed-of" ] ;
fhir:display [ fhir:v "Breast Cancer Screening" ] ;
fhir:resource [
fhir:v "http://hl7.org/fhir/us/cqfmeasures/Measure/measure-exm125-FHIR"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/cqfmeasures/Measure/measure-exm125-FHIR> ]
] [
( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-weight"^^xsd:anyURI ] ;
fhir:value [ fhir:v "3"^^xsd:decimal ] ] ) ;
fhir:type [ fhir:v "composed-of" ] ;
fhir:display [ fhir:v "Colorectal Cancer Screening" ] ;
fhir:resource [
fhir:v "http://hl7.org/fhir/us/cqfmeasures/Measure/measure-exm130-FHIR"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/cqfmeasures/Measure/measure-exm130-FHIR> ]
] [
( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-weight"^^xsd:anyURI ] ;
fhir:value [ fhir:v "3"^^xsd:decimal ] ] ) ;
fhir:type [ fhir:v "composed-of" ] ;
fhir:display [ fhir:v "Diabetes Care - Blood Sugar Controlled" ] ;
fhir:resource [
fhir:v "http://example.org/Measure/measure-diabetes-care-blood-sugar-controlled-FHIR"^^xsd:anyURI ;
fhir:link <http://example.org/Measure/measure-diabetes-care-blood-sugar-controlled-FHIR> ]
] [
( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-weight"^^xsd:anyURI ] ;
fhir:value [ fhir:v "3"^^xsd:decimal ] ] ) ;
fhir:type [ fhir:v "composed-of" ] ;
fhir:display [ fhir:v "Diabetes Care - Eye Exam" ] ;
fhir:resource [
fhir:v "http://example.org/Measure/measure-diabetes-care-eye-exam-FHIR"^^xsd:anyURI ;
fhir:link <http://example.org/Measure/measure-diabetes-care-eye-exam-FHIR> ]
] [
( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-weight"^^xsd:anyURI ] ;
fhir:value [ fhir:v "3"^^xsd:decimal ] ] ) ;
fhir:type [ fhir:v "composed-of" ] ;
fhir:display [ fhir:v "Medication Adherence for Cholesterol (Statins)" ] ;
fhir:resource [
fhir:v "http://example.org/Measure/measure-med-adherence-cholesterol-statins-FHIR"^^xsd:anyURI ;
fhir:link <http://example.org/Measure/measure-med-adherence-cholesterol-statins-FHIR> ]
] [
( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-weight"^^xsd:anyURI ] ;
fhir:value [ fhir:v "3"^^xsd:decimal ] ] ) ;
fhir:type [ fhir:v "composed-of" ] ;
fhir:display [ fhir:v "Medication Adherence for Hypertension (RAS antagonists)" ] ;
fhir:resource [
fhir:v "http://example.org/Measure/measure-med-adherence-hypertension-FHIR"^^xsd:anyURI ;
fhir:link <http://example.org/Measure/measure-med-adherence-hypertension-FHIR> ]
] [
( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-weight"^^xsd:anyURI ] ;
fhir:value [ fhir:v "3"^^xsd:decimal ] ] ) ;
fhir:type [ fhir:v "composed-of" ] ;
fhir:display [ fhir:v "Medication Adherence for Diabetes Medications" ] ;
fhir:resource [
fhir:v "http://example.org/Measure/measure-med-adherence-diabetes-meds-FHIR"^^xsd:anyURI ;
fhir:link <http://example.org/Measure/measure-med-adherence-diabetes-meds-FHIR> ]
] [
( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-weight"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1"^^xsd:decimal ] ] ) ;
fhir:type [ fhir:v "composed-of" ] ;
fhir:display [ fhir:v "Statin Therapy for Patients with Cardiovascular Disease" ] ;
fhir:resource [
fhir:v "http://example.org/Measure/measure-statin-therapy-cardiovascular-disease-FHIR"^^xsd:anyURI ;
fhir:link <http://example.org/Measure/measure-statin-therapy-cardiovascular-disease-FHIR> ]
] [
( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-weight"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1"^^xsd:decimal ] ] ) ;
fhir:type [ fhir:v "composed-of" ] ;
fhir:display [ fhir:v "Statin Use in Persons with Diabetes (SUPD)" ] ;
fhir:resource [
fhir:v "http://example.org/Measure/measure-statin-use-diabetes-supd-FHIR"^^xsd:anyURI ;
fhir:link <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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