Da Vinci Value-Based Performance Reporting Implementation Guide
1.0.0 - STU1
Da Vinci Value-Based Performance Reporting Implementation Guide
1.0.0 - STU1
Da Vinci Value-Based Performance Reporting Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-vbpr/ and changes regularly. See the Directory of published versions
{
"resourceType" : "MeasureReport",
"id" : "quality-measurereport02",
"meta" : {
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"url" : "http://hl7.org/fhir/StructureDefinition/instance-name",
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"valueMarkdown" : "This is an example Colorectal Cancer Screening MeasureReport for the *VBP Quality MeasureReport* profile."
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"source" : "http://example.org/fhir/server",
"profile" : [
🔗 "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/vbp-quality-measurereport"
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"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MeasureReport </b><a name=\"quality-measurereport02\"> </a><a name=\"hcquality-measurereport02\"> </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\">ResourceMeasureReport "quality-measurereport02" </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/5.5.0/CodeSystem-measure-scoring.html\">MeasureScoring</a>#proportion)</span></p><p><b>Score</b>: 5</p><p><b>Measure Report Category</b>: Value-Based Performance <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-measurereport-category.html\">Measure Report Category</a>#vbp)</span></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>: 40 %<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>: 50 %<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>: 60 %<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>: 70 %<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://hl7.org/fhir/us/cqfmeasures/STU3/Measure-measure-exm130-FHIR.html\">EXM130 - Colorectal Cancer Screening Measure</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/5.5.0/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/5.5.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#initial-population)</span></p><p><b>count</b>: 520</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/5.5.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#denominator)</span></p><p><b>count</b>: 520</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/5.5.0/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/5.5.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#numerator)</span></p><p><b>count</b>: 180</p></blockquote><p><b>measureScore</b>: 0.356</p><blockquote><p><b>stratifier</b></p><p><b>code</b>: Facility <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-measure-stratifier-example.html\">Measure Stratifier Example Codes</a>#facility)</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/5.5.0/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/5.5.0/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/5.5.0/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/5.5.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#numerator)</span></p><p><b>count</b>: 70</p></blockquote><p><b>measureScore</b>: 0.7</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/5.5.0/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/5.5.0/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/5.5.0/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/5.5.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#numerator)</span></p><p><b>count</b>: 20</p></blockquote><p><b>measureScore</b>: 0.13</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/5.5.0/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/5.5.0/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/5.5.0/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/5.5.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#numerator)</span></p><p><b>count</b>: 70</p></blockquote><p><b>measureScore</b>: 0.7</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/5.5.0/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/5.5.0/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/5.5.0/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/5.5.0/CodeSystem-measure-population.html\">MeasurePopulationType</a>#numerator)</span></p><p><b>count</b>: 20</p></blockquote><p><b>measureScore</b>: 0.13</p></blockquote></blockquote></blockquote></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring",
"valueCodeableConcept" : {
"coding" : [
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"system" : "http://terminology.hl7.org/CodeSystem/measure-scoring",
"code" : "proportion"
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},
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/score",
"valueDecimal" : 5
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{
"url" : "http://hl7.org/fhir/StructureDefinition/measurereport-category",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/CodeSystem/measurereport-category",
"code" : "vbp"
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{
"extension" : [
{
"url" : "threshold",
"valueQuantity" : {
"value" : 40,
"system" : "http://unitsofmeasure.org",
"code" : "%"
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{
"url" : "type",
"valueCodeableConcept" : {
"coding" : [
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"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/threshold-type",
"code" : "star-2"
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"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/threshold"
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{
"extension" : [
{
"url" : "threshold",
"valueQuantity" : {
"value" : 50,
"system" : "http://unitsofmeasure.org",
"code" : "%"
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{
"url" : "type",
"valueCodeableConcept" : {
"coding" : [
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"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/threshold-type",
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"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/threshold"
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{
"extension" : [
{
"url" : "threshold",
"valueQuantity" : {
"value" : 60,
"system" : "http://unitsofmeasure.org",
"code" : "%"
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{
"url" : "type",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/threshold-type",
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"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/threshold"
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{
"extension" : [
{
"url" : "threshold",
"valueQuantity" : {
"value" : 70,
"system" : "http://unitsofmeasure.org",
"code" : "%"
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{
"url" : "type",
"valueCodeableConcept" : {
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],
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/threshold"
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],
"status" : "complete",
"type" : "summary",
"measure" : "http://hl7.org/fhir/us/cqfmeasures/Measure/measure-exm130-FHIR",
"date" : "2023-01-15",
"reporter" : {
🔗 "reference" : "Organization/vbp-payer01"
},
"period" : {
"start" : "2022-01-01",
"end" : "2022-11-30"
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"improvementNotation" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-improvement-notation",
"code" : "increase",
"display" : "Increased score indicates improvement"
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"group" : [
{
"population" : [
{
"id" : "pop1",
"code" : {
"coding" : [
{
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"count" : 520
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{
"id" : "pop2",
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "denominator"
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"count" : 520
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{
"id" : "pop3",
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "denominator-exclusion"
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"count" : 0
},
{
"id" : "pop4",
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "numerator"
}
]
},
"count" : 180
}
],
"measureScore" : {
"value" : 0.356
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"stratifier" : [
{
"code" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example",
"code" : "facility"
}
]
}
],
"stratum" : [
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "87520-3"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "HMO"
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{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "LOC"
}
]
},
"value" : {
"text" : "Region 1"
}
}
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"population" : [
{
"id" : "strat-pop3",
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "denominator-exclusion"
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"count" : 0
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{
"id" : "strat-pop4",
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "numerator"
}
]
},
"count" : 70
}
],
"measureScore" : {
"value" : 0.7
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "87520-3"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "HMO"
}
]
}
},
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "LOC"
}
]
},
"value" : {
"text" : "Region 2"
}
}
],
"population" : [
{
"id" : "strat-pop7",
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "denominator-exclusion"
}
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},
"count" : 0
},
{
"id" : "strat-pop8",
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "numerator"
}
]
},
"count" : 20
}
],
"measureScore" : {
"value" : 0.13
}
},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "87520-3"
}
]
},
"value" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "PPO"
}
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}
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{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "LOC"
}
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},
"value" : {
"text" : "Region 1"
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"population" : [
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"id" : "strat-pop11",
"code" : {
"coding" : [
{
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"code" : "denominator-exclusion"
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{
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{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "numerator"
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"count" : 70
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],
"measureScore" : {
"value" : 0.7
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},
{
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "87520-3"
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"value" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "PPO"
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},
{
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "LOC"
}
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},
"value" : {
"text" : "Region 2"
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}
],
"population" : [
{
"id" : "strat-pop15",
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "denominator-exclusion"
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},
"count" : 0
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{
"id" : "strat-pop16",
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/measure-population",
"code" : "numerator"
}
]
},
"count" : 20
}
],
"measureScore" : {
"value" : 0.13
}
}
]
}
]
}
]
}
IG © 2023+ HL7 International / Clinical Quality Information. Package hl7.fhir.us.davinci-vbpr#1.0.0 based on FHIR 4.0.1. Generated 2024-06-12
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