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
<MeasureReport xmlns="http://hl7.org/fhir">
<id value="quality-measurereport07"/>
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<valueString value="VBP Quality MeasureReport Example"/>
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<valueMarkdown
value="This is an example Medication Adherence for Diabetes Medications MeasureReport for the *VBP Quality MeasureReport* profile."/>
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<source value="http://example.org/fhir/server"/>
<profile
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<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: MeasureReport </b><a name="quality-measurereport07"> </a><a name="hcquality-measurereport07"> </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-measurereport07" </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>: 0</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>: 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-med-adherence-diabetes-meds-FHIR">http://example.org/Measure/measure-med-adherence-diabetes-meds-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/5.5.0/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>: Calculated Numerator <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-vbp-measure-population.html">Value-Based Performance Measure Population Type Codes</a>#calculated-numerator)</span></p><p><b>count</b>: 240</p></blockquote><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>pop2</blockquote><p><b>code</b>: Calculated Denominator <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-vbp-measure-population.html">Value-Based Performance Measure Population Type Codes</a>#calculated-denominator)</span></p><p><b>count</b>: 380</p></blockquote><p><b>measureScore</b>: 0.632</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-pop1</blockquote><p><b>code</b>: Calculated Numerator <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-vbp-measure-population.html">Value-Based Performance Measure Population Type Codes</a>#calculated-numerator)</span></p><p><b>count</b>: 90</p></blockquote><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>strat-pop2</blockquote><p><b>code</b>: Calculated Denominator <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-vbp-measure-population.html">Value-Based Performance Measure Population Type Codes</a>#calculated-denominator)</span></p><p><b>count</b>: 100</p></blockquote><p><b>measureScore</b>: 0.9</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-pop3</blockquote><p><b>code</b>: Calculated Numerator <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-vbp-measure-population.html">Value-Based Performance Measure Population Type Codes</a>#calculated-numerator)</span></p><p><b>count</b>: 30</p></blockquote><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>strat-pop4</blockquote><p><b>code</b>: Calculated Denominator <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-vbp-measure-population.html">Value-Based Performance Measure Population Type Codes</a>#calculated-denominator)</span></p><p><b>count</b>: 90</p></blockquote><p><b>measureScore</b>: 0.33</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-pop5</blockquote><p><b>code</b>: Calculated Numerator <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-vbp-measure-population.html">Value-Based Performance Measure Population Type Codes</a>#calculated-numerator)</span></p><p><b>count</b>: 90</p></blockquote><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>strat-pop6</blockquote><p><b>code</b>: Calculated Denominator <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-vbp-measure-population.html">Value-Based Performance Measure Population Type Codes</a>#calculated-denominator)</span></p><p><b>count</b>: 100</p></blockquote><p><b>measureScore</b>: 0.9</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-pop7</blockquote><p><b>code</b>: Calculated Numerator <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-vbp-measure-population.html">Value-Based Performance Measure Population Type Codes</a>#calculated-numerator)</span></p><p><b>count</b>: 30</p></blockquote><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>strat-pop8</blockquote><p><b>code</b>: Calculated Denominator <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-vbp-measure-population.html">Value-Based Performance Measure Population Type Codes</a>#calculated-denominator)</span></p><p><b>count</b>: 90</p></blockquote><p><b>measureScore</b>: 0.33</p></blockquote></blockquote></blockquote></div>
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<status value="complete"/>
<type value="summary"/>
<measure
value="http://example.org/Measure/measure-med-adherence-diabetes-meds-FHIR"/>
<date value="2023-01-15"/>
<reporter>🔗
<reference value="Organization/vbp-payer01"/>
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<period>
<start value="2022-01-01"/>
<end value="2022-11-30"/>
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<improvementNotation>
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<system
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<coding>
<system value="http://loinc.org"/>
<code value="87520-3"/>
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<value>
<coding>
<system
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<code value="HMO"/>
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<component>
<code>
<coding>
<system
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<code value="LOC"/>
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<value>
<text value="Region 1"/>
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<count value="90"/>
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<count value="100"/>
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<measureScore>
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<system value="http://loinc.org"/>
<code value="87520-3"/>
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<count value="30"/>
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<code value="calculated-denominator"/>
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<count value="90"/>
</population>
<measureScore>
<value value="0.33"/>
</measureScore>
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<stratum>
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<coding>
<system value="http://loinc.org"/>
<code value="87520-3"/>
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<code value="PPO"/>
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<count value="90"/>
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<count value="100"/>
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<measureScore>
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<system value="http://loinc.org"/>
<code value="87520-3"/>
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<code value="PPO"/>
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<system
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<system
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<count value="30"/>
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<code>
<coding>
<system
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<code value="calculated-denominator"/>
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<count value="90"/>
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<measureScore>
<value value="0.33"/>
</measureScore>
</stratum>
</stratifier>
</group>
</MeasureReport>
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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