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 
<MeasureReport xmlns="http://hl7.org/fhir">
<id value="quality-measurereport01"/>
<meta>
<extension url="http://hl7.org/fhir/StructureDefinition/instance-name">
<valueString value="VBP Quality MeasureReport Example"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/instance-description">
<valueMarkdown
value="This is an example Breast Cancer Screening MeasureReport for the *VBP Quality MeasureReport* profile."/>
</extension>
<source value="http://example.org/fhir/server"/>
<profile
value="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/vbp-quality-measurereport"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: MeasureReport</b><a name="quality-measurereport01"> </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 MeasureReport "quality-measurereport01" </p><p style="margin-bottom: 0px">Information Source: http://example.org/fhir/server!</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-vbp-quality-measurereport.html">VBP Quality MeasureReport</a></p></div><p><b>DEQM Measure Scoring Extension</b>: Proportion <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-measure-scoring.html">MeasureScoring</a>#proportion)</span></p><p><b>Score</b>: 0</p><blockquote><p><b>Threshold</b></p><blockquote><p><b>url</b></p><a href="StructureDefinition-threshold.html">Threshold</a></blockquote><p><b>value</b>: 85 %<span style="background: LightGoldenRodYellow"> (Details: UCUM code % = '%')</span></p><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: Star 2 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-threshold-type.html">Threshold Type Codes</a>#star-2)</span></p></blockquote><blockquote><p><b>Threshold</b></p><blockquote><p><b>url</b></p><a href="StructureDefinition-threshold.html">Threshold</a></blockquote><p><b>value</b>: 88 %<span style="background: LightGoldenRodYellow"> (Details: UCUM code % = '%')</span></p><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: Star 3 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-threshold-type.html">Threshold Type Codes</a>#star-3)</span></p></blockquote><blockquote><p><b>Threshold</b></p><blockquote><p><b>url</b></p><a href="StructureDefinition-threshold.html">Threshold</a></blockquote><p><b>value</b>: 91 %<span style="background: LightGoldenRodYellow"> (Details: UCUM code % = '%')</span></p><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: Star 4 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-threshold-type.html">Threshold Type Codes</a>#star-4)</span></p></blockquote><blockquote><p><b>Threshold</b></p><blockquote><p><b>url</b></p><a href="StructureDefinition-threshold.html">Threshold</a></blockquote><p><b>value</b>: 95 %<span style="background: LightGoldenRodYellow"> (Details: UCUM code % = '%')</span></p><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: Star 5 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-threshold-type.html">Threshold Type Codes</a>#star-5)</span></p></blockquote><p><b>status</b>: complete</p><p><b>type</b>: summary</p><p><b>measure</b>: <a href="http://example.org/Measure/measure-breast-cancer-screening-FHIR">http://example.org/Measure/measure-breast-cancer-screening-FHIR</a></p><p><b>date</b>: 2023-01-15</p><p><b>reporter</b>: <a href="Organization-vbp-payer01.html">Organization/vbp-payer01</a> "ABC Payer"</p><p><b>period</b>: 2022-01-01 --> 2022-11-30</p><p><b>improvementNotation</b>: Increased score indicates improvement <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-measure-improvement-notation.html">MeasureImprovementNotation</a>#increase)</span></p><blockquote><p><b>group</b></p><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>pop1</blockquote><p><b>code</b>: Initial Population <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#initial-population)</span></p><p><b>count</b>: 580</p></blockquote><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>pop2</blockquote><p><b>code</b>: Denominator <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#denominator)</span></p><p><b>count</b>: 580</p></blockquote><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>pop3</blockquote><p><b>code</b>: Denominator Exclusion <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#denominator-exclusion)</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>pop4</blockquote><p><b>code</b>: Numerator <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#numerator)</span></p><p><b>count</b>: 200</p></blockquote><p><b>measureScore</b>: 0.345</p><blockquote><p><b>stratifier</b></p><p><b>code</b>: region and cohort <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-measure-stratifier-example.html">Measure Stratifier Example Codes</a>#region-cohort)</span></p><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Coverage type <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#87520-3)</span></p><p><b>value</b>: health maintenance organization policy <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-v3-ActCode.html">ActCode</a>#HMO)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: location <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-v3-ActCode.html">ActCode</a>#LOC)</span></p><p><b>value</b>: Region 1 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span></p></blockquote><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>strat-pop3</blockquote><p><b>code</b>: Denominator Exclusion <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#denominator-exclusion)</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>strat-pop4</blockquote><p><b>code</b>: Numerator <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#numerator)</span></p><p><b>count</b>: 50</p></blockquote><p><b>measureScore</b>: 0.25</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Coverage type <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#87520-3)</span></p><p><b>value</b>: health maintenance organization policy <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-v3-ActCode.html">ActCode</a>#HMO)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: location <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-v3-ActCode.html">ActCode</a>#LOC)</span></p><p><b>value</b>: Region 2 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span></p></blockquote><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>strat-pop7</blockquote><p><b>code</b>: Denominator Exclusion <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#denominator-exclusion)</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>strat-pop8</blockquote><p><b>code</b>: Numerator <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#numerator)</span></p><p><b>count</b>: 50</p></blockquote><p><b>measureScore</b>: 0.56</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Coverage type <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#87520-3)</span></p><p><b>value</b>: preferred provider organization policy <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-v3-ActCode.html">ActCode</a>#PPO)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: location <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-v3-ActCode.html">ActCode</a>#LOC)</span></p><p><b>value</b>: Region 1 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span></p></blockquote><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>strat-pop11</blockquote><p><b>code</b>: Denominator Exclusion <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#denominator-exclusion)</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>strat-pop12</blockquote><p><b>code</b>: Numerator <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#numerator)</span></p><p><b>count</b>: 50</p></blockquote><p><b>measureScore</b>: 0.25</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Coverage type <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#87520-3)</span></p><p><b>value</b>: preferred provider organization policy <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-v3-ActCode.html">ActCode</a>#PPO)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: location <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-v3-ActCode.html">ActCode</a>#LOC)</span></p><p><b>value</b>: Region 2 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span></p></blockquote><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>strat-pop15</blockquote><p><b>code</b>: Denominator Exclusion <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#denominator-exclusion)</span></p><p><b>count</b>: 0</p></blockquote><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>strat-pop16</blockquote><p><b>code</b>: Numerator <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-measure-population.html">MeasurePopulationType</a>#numerator)</span></p><p><b>count</b>: 50</p></blockquote><p><b>measureScore</b>: 0.56</p></blockquote></blockquote></blockquote></div>
</text>
<extension
url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
<code value="proportion"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/score">
<valueDecimal value="0"/>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/threshold">
<extension url="threshold">
<valueQuantity>
<value value="85"/>
<system value="http://unitsofmeasure.org"/>
<code value="%"/>
</valueQuantity>
</extension>
<extension url="type">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/threshold-type"/>
<code value="star-2"/>
</coding>
</valueCodeableConcept>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/threshold">
<extension url="threshold">
<valueQuantity>
<value value="88"/>
<system value="http://unitsofmeasure.org"/>
<code value="%"/>
</valueQuantity>
</extension>
<extension url="type">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/threshold-type"/>
<code value="star-3"/>
</coding>
</valueCodeableConcept>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/threshold">
<extension url="threshold">
<valueQuantity>
<value value="91"/>
<system value="http://unitsofmeasure.org"/>
<code value="%"/>
</valueQuantity>
</extension>
<extension url="type">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/threshold-type"/>
<code value="star-4"/>
</coding>
</valueCodeableConcept>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/threshold">
<extension url="threshold">
<valueQuantity>
<value value="95"/>
<system value="http://unitsofmeasure.org"/>
<code value="%"/>
</valueQuantity>
</extension>
<extension url="type">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/threshold-type"/>
<code value="star-5"/>
</coding>
</valueCodeableConcept>
</extension>
</extension>
<status value="complete"/>
<type value="summary"/>
<measure
value="http://example.org/Measure/measure-breast-cancer-screening-FHIR"/>
<date value="2023-01-15"/>
<reporter>
<reference value="Organization/vbp-payer01"/>
</reporter>
<period>
<start value="2022-01-01"/>
<end value="2022-11-30"/>
</period>
<improvementNotation>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
<code value="increase"/>
<display value="Increased score indicates improvement"/>
</coding>
</improvementNotation>
<group>
<population id="pop1">
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="initial-population"/>
</coding>
</code>
<count value="580"/>
</population>
<population id="pop2">
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="denominator"/>
</coding>
</code>
<count value="580"/>
</population>
<population id="pop3">
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="denominator-exclusion"/>
</coding>
</code>
<count value="0"/>
</population>
<population id="pop4">
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="numerator"/>
</coding>
</code>
<count value="200"/>
</population>
<measureScore>
<value value="0.345"/>
</measureScore>
<stratifier>
<code>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
<code value="region-cohort"/>
</coding>
</code>
<stratum>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="87520-3"/>
</coding>
</code>
<value>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="HMO"/>
</coding>
</value>
</component>
<component>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="LOC"/>
</coding>
</code>
<value>
<text value="Region 1"/>
</value>
</component>
<population id="strat-pop3">
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="denominator-exclusion"/>
</coding>
</code>
<count value="0"/>
</population>
<population id="strat-pop4">
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="numerator"/>
</coding>
</code>
<count value="50"/>
</population>
<measureScore>
<value value="0.25"/>
</measureScore>
</stratum>
<stratum>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="87520-3"/>
</coding>
</code>
<value>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="HMO"/>
</coding>
</value>
</component>
<component>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="LOC"/>
</coding>
</code>
<value>
<text value="Region 2"/>
</value>
</component>
<population id="strat-pop7">
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="denominator-exclusion"/>
</coding>
</code>
<count value="0"/>
</population>
<population id="strat-pop8">
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="numerator"/>
</coding>
</code>
<count value="50"/>
</population>
<measureScore>
<value value="0.56"/>
</measureScore>
</stratum>
<stratum>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="87520-3"/>
</coding>
</code>
<value>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="PPO"/>
</coding>
</value>
</component>
<component>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="LOC"/>
</coding>
</code>
<value>
<text value="Region 1"/>
</value>
</component>
<population id="strat-pop11">
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="denominator-exclusion"/>
</coding>
</code>
<count value="0"/>
</population>
<population id="strat-pop12">
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="numerator"/>
</coding>
</code>
<count value="50"/>
</population>
<measureScore>
<value value="0.25"/>
</measureScore>
</stratum>
<stratum>
<component>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="87520-3"/>
</coding>
</code>
<value>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="PPO"/>
</coding>
</value>
</component>
<component>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="LOC"/>
</coding>
</code>
<value>
<text value="Region 2"/>
</value>
</component>
<population id="strat-pop15">
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="denominator-exclusion"/>
</coding>
</code>
<count value="0"/>
</population>
<population id="strat-pop16">
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/measure-population"/>
<code value="numerator"/>
</coding>
</code>
<count value="50"/>
</population>
<measureScore>
<value value="0.56"/>
</measureScore>
</stratum>
</stratifier>
</group>
</MeasureReport>
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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