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