Da Vinci Value-Based Performance Reporting Implementation Guide
1.0.0 - STU1 United States of America flag

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

Resource Profile: Value-Based Performance MeasureReport

Official URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/vbp-performance-measurereport Version: 1.0.0
Active as of 2024-06-12 Computable Name: VbpMeasureReport
Other Identifiers: OID:2.16.840.1.113883.4.642.40.30.42.14

Value-Based Performance MeasureReport is a payer-generated performance report against the specific details (metrics) of a value-based contract (VBC) or a value-based purchasing (VBP) which may include financial, quality, utilization, etc. over a time period.

The Formal Views below provides the formal summary, definitions, and terminology requirements.

Each Value-Based Performance MeasureReport has the following mandatory elements

  1. A measurereport-category - with a fixed code vbp
  2. A status - status of this report
  3. A type - with a fixed value summary
  4. A measure - that references the Value-Based Performance Measure
  5. An orgSubject extention on subject - that references the organization the report is for
  6. A date
  7. A reporter - references the organization who is reporting the data
  8. A period - the performance period the report covers

Each Value-Based Performance MeasureReport should have the following elements

  1. Zero to many group - each group corresponds to a performance metric
    • If group is present, each group must have a group.code that represents the performance metric
  2. Zero to many evaluatedResource - references the VBP Quality MeasureReport profile

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from MeasureReport

NameFlagsCard.TypeDescription & Constraintsdoco
.. MeasureReport 0..* MeasureReport A value-based performance report
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... measurereport-category S 1..1 (Complex) What category is this measure report
URL: http://hl7.org/fhir/StructureDefinition/measurereport-category
..... value[x]
...... coding 1..1 Coding Code defined by a terminology system
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: vbp
... status S 1..1 code complete | pending | error
... type S 1..1 code individual | subject-list | summary | data-collection
Fixed Value: summary
... subject S 1..1 Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | Group) What individual(s) the report is for
.... extension 1..* Extension Extension
.... Slices for extension Content/Rules for all slices
..... orgSubject S 1..1 Reference(US Core Organization Profile) What organization the report is for
URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/organization-subject
... date S 1..1 dateTime When the report was generated
... reporter S 1..1 Reference(US Core Organization Profile) Who is reporting the data
... period S 1..1 Period What performance period the report covers
... improvementNotation 0..0
... group S 0..* BackboneElement Performance metrics in the report. Each group contains data for a performance metric.
.... id S 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... paymentStream S 0..* (Complex) The payment stream the performance metric is part of
URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream
..... servicePeriod S 0..1 Period The service period for the performance metric
URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period
..... paidThroughDate S 0..1 date Ending date of the pay cycle
URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date
..... baseline S 0..1 (Complex) The baseline for the performance metric
URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline
.... code S 1..1 CodeableConcept Performance metric
Binding: Performance Metric (extensible)
.... measureScore 0..1 Quantity The performance metric value
..... Slices for extension Content/Rules for all slices
...... altMeasureScore S 0..1 boolean, decimal, integer, CodeableConcept, Money Additional data type choices for the value of the performance metric
URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore
.... stratifier S 0..* BackboneElement Stratification results
..... code S 0..* CodeableConcept What stratifier of the group
Binding: Measure Stratifier Example (example)
..... stratum S 0..* BackboneElement Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
...... value S 0..1 CodeableConcept The stratum value, e.g. male
...... component
....... code S 1..1 CodeableConcept What stratifier component of the group
Binding: Measure Stratifier Example (example)
....... value S 1..1 CodeableConcept The stratum component value, e.g. male
...... measureScore S 0..1 Quantity Stratified performance metric value
....... Slices for extension Content/Rules for all slices
........ altMeasureScore S 0..1 boolean, decimal, integer, CodeableConcept, Money Additional data type choices for the stratified performance metric value
URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore
... Slices for evaluatedResource S 0..* Reference(Resource) What data was used to calculate the performance metric(s)
Slice: Unordered, Open by type:reference
.... evaluatedResource:qualityReport 0..* Reference(VBP Quality MeasureReport) quality measure MeasureReport
..... Slices for extension Content/Rules for all slices
...... groupRef S 0..* string Reference a performance metric (MeasureReport.group.id) on this value-based performance report
URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
MeasureReport.group.codeextensibleVbpPerformanceMetricsVS (a valid code from Performance Metric Codes)
http://hl7.org/fhir/us/davinci-vbpr/ValueSet/vbp-performance-metric
from this IG
MeasureReport.group.stratifier.codeexampleMeasureStratifierExampleVS (a valid code from Measure Stratifier Example Codes)
http://hl7.org/fhir/us/davinci-vbpr/ValueSet/measure-stratifier-example
from this IG
MeasureReport.group.stratifier.stratum.component.codeexampleMeasureStratifierExampleVS (a valid code from Measure Stratifier Example Codes)
http://hl7.org/fhir/us/davinci-vbpr/ValueSet/measure-stratifier-example
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. MeasureReport C 0..* MeasureReport A value-based performance report
mrp-1: Measure Reports used for data collection SHALL NOT communicate group and score information
mrp-2: Stratifiers SHALL be either a single criteria or a set of criteria components
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... measurereport-category S 1..1 (Complex) What category is this measure report
URL: http://hl7.org/fhir/StructureDefinition/measurereport-category
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/measurereport-category"
..... value[x] 1..1 CodeableConcept Value of extension
Binding: MeasureReportCategory (extensible)
...... coding Σ 1..1 Coding Code defined by a terminology system
....... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: vbp
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... type SΣC 1..1 code individual | subject-list | summary | data-collection
Binding: MeasureReportType (required): The type of the measure report.


Fixed Value: summary
... measure SΣ 1..1 canonical(Value-Based Performance Measure) A Measure definition with contract level data for a value-based contract the report is for
... subject SΣ 1..1 Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | Group) What individual(s) the report is for
.... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
..... orgSubject S 1..1 Reference(US Core Organization Profile) What organization the report is for
URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/organization-subject
... date SΣ 1..1 dateTime When the report was generated
... reporter SΣ 1..1 Reference(US Core Organization Profile) Who is reporting the data
... period SΣ 1..1 Period What performance period the report covers
... group SC 0..* BackboneElement Performance metrics in the report. Each group contains data for a performance metric.
.... id S 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... paymentStream S 0..* (Complex) The payment stream the performance metric is part of
URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream
..... servicePeriod S 0..1 Period The service period for the performance metric
URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period
..... paidThroughDate S 0..1 date Ending date of the pay cycle
URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date
..... baseline S 0..1 (Complex) The baseline for the performance metric
URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code SΣ 1..1 CodeableConcept Performance metric
Binding: Performance Metric (extensible)
.... measureScore Σ 0..1 Quantity The performance metric value
..... Slices for extension Content/Rules for all slices
...... altMeasureScore S 0..1 boolean, decimal, integer, CodeableConcept, Money Additional data type choices for the value of the performance metric
URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

.... stratifier S 0..* BackboneElement Stratification results
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code S 0..* CodeableConcept What stratifier of the group
Binding: Measure Stratifier Example (example)
..... stratum S 0..* BackboneElement Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... value S 0..1 CodeableConcept The stratum value, e.g. male
...... component 0..* BackboneElement Stratifier component values
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... code S 1..1 CodeableConcept What stratifier component of the group
Binding: Measure Stratifier Example (example)
....... value S 1..1 CodeableConcept The stratum component value, e.g. male
...... measureScore S 0..1 Quantity Stratified performance metric value
....... Slices for extension Content/Rules for all slices
........ altMeasureScore S 0..1 boolean, decimal, integer, CodeableConcept, Money Additional data type choices for the stratified performance metric value
URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore
....... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

... Slices for evaluatedResource S 0..* Reference(Resource) What data was used to calculate the performance metric(s)
Slice: Unordered, Open by type:reference
.... evaluatedResource:qualityReport 0..* Reference(VBP Quality MeasureReport) quality measure MeasureReport
..... Slices for extension Content/Rules for all slices
...... groupRef S 0..* string Reference a performance metric (MeasureReport.group.id) on this value-based performance report
URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
MeasureReport.extension:measurereport-category.value[x]extensibleMeasureReportCategory
http://hl7.org/fhir/ValueSet/measurereport-category
MeasureReport.statusrequiredMeasureReportStatus
http://hl7.org/fhir/ValueSet/measure-report-status|4.0.1
from the FHIR Standard
MeasureReport.typerequiredFixed Value: summary
http://hl7.org/fhir/ValueSet/measure-report-type|4.0.1
from the FHIR Standard
MeasureReport.group.codeextensibleVbpPerformanceMetricsVS (a valid code from Performance Metric Codes)
http://hl7.org/fhir/us/davinci-vbpr/ValueSet/vbp-performance-metric
from this IG
MeasureReport.group.measureScore.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
from the FHIR Standard
MeasureReport.group.stratifier.codeexampleMeasureStratifierExampleVS (a valid code from Measure Stratifier Example Codes)
http://hl7.org/fhir/us/davinci-vbpr/ValueSet/measure-stratifier-example
from this IG
MeasureReport.group.stratifier.stratum.component.codeexampleMeasureStratifierExampleVS (a valid code from Measure Stratifier Example Codes)
http://hl7.org/fhir/us/davinci-vbpr/ValueSet/measure-stratifier-example
from this IG
MeasureReport.group.stratifier.stratum.measureScore.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
from the FHIR Standard
NameFlagsCard.TypeDescription & Constraintsdoco
.. MeasureReport C 0..* MeasureReport A value-based performance report
mrp-1: Measure Reports used for data collection SHALL NOT communicate group and score information
mrp-2: Stratifiers SHALL be either a single criteria or a set of criteria components
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... measurereport-category S 1..1 (Complex) What category is this measure report
URL: http://hl7.org/fhir/StructureDefinition/measurereport-category
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/measurereport-category"
..... value[x] 1..1 CodeableConcept Value of extension
Binding: MeasureReportCategory (extensible)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 1..1 Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 0..1 uri Identity of the terminology system
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: vbp
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Additional identifier for the MeasureReport
... status ?!SΣ 1..1 code complete | pending | error
Binding: MeasureReportStatus (required): The status of the measure report.

... type SΣC 1..1 code individual | subject-list | summary | data-collection
Binding: MeasureReportType (required): The type of the measure report.


Fixed Value: summary
... measure SΣ 1..1 canonical(Value-Based Performance Measure) A Measure definition with contract level data for a value-based contract the report is for
... subject SΣ 1..1 Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | Group) What individual(s) the report is for
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
..... orgSubject S 1..1 Reference(US Core Organization Profile) What organization the report is for
URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/organization-subject
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... date SΣ 1..1 dateTime When the report was generated
... reporter SΣ 1..1 Reference(US Core Organization Profile) Who is reporting the data
... period SΣ 1..1 Period What performance period the report covers
... group SC 0..* BackboneElement Performance metrics in the report. Each group contains data for a performance metric.
.... id S 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... paymentStream S 0..* (Complex) The payment stream the performance metric is part of
URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream
..... servicePeriod S 0..1 Period The service period for the performance metric
URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period
..... paidThroughDate S 0..1 date Ending date of the pay cycle
URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date
..... baseline S 0..1 (Complex) The baseline for the performance metric
URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code SΣ 1..1 CodeableConcept Performance metric
Binding: Performance Metric (extensible)
.... population 0..* BackboneElement The populations in the group
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 0..1 CodeableConcept initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
Binding: MeasurePopulationType (extensible): The type of population (e.g. initial, numerator, denominator, etc.).

..... count 0..1 integer Size of the population
..... subjectResults 0..1 Reference(List) For subject-list reports, the subject results in this population
.... measureScore Σ 0..1 Quantity The performance metric value
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... altMeasureScore S 0..1 boolean, decimal, integer, CodeableConcept, Money Additional data type choices for the value of the performance metric
URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore
..... value Σ 0..1 decimal Numerical value (with implicit precision)
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

..... unit Σ 0..1 string Unit representation
..... system ΣC 0..1 uri System that defines coded unit form
..... code Σ 0..1 code Coded form of the unit
.... stratifier S 0..* BackboneElement Stratification results
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code S 0..* CodeableConcept What stratifier of the group
Binding: Measure Stratifier Example (example)
..... stratum S 0..* BackboneElement Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... value S 0..1 CodeableConcept The stratum value, e.g. male
...... component 0..* BackboneElement Stratifier component values
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... code S 1..1 CodeableConcept What stratifier component of the group
Binding: Measure Stratifier Example (example)
....... value S 1..1 CodeableConcept The stratum component value, e.g. male
...... population 0..* BackboneElement Population results in this stratum
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... code 0..1 CodeableConcept initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
Binding: MeasurePopulationType (extensible): The type of population (e.g. initial, numerator, denominator, etc.).

....... count 0..1 integer Size of the population
....... subjectResults 0..1 Reference(List) For subject-list reports, the subject results in this population
...... measureScore S 0..1 Quantity Stratified performance metric value
....... id 0..1 string Unique id for inter-element referencing
....... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ altMeasureScore S 0..1 boolean, decimal, integer, CodeableConcept, Money Additional data type choices for the stratified performance metric value
URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore
....... value Σ 0..1 decimal Numerical value (with implicit precision)
....... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

....... unit Σ 0..1 string Unit representation
....... system ΣC 0..1 uri System that defines coded unit form
....... code Σ 0..1 code Coded form of the unit
... Slices for evaluatedResource S 0..* Reference(Resource) What data was used to calculate the performance metric(s)
Slice: Unordered, Open by type:reference
.... evaluatedResource:qualityReport 0..* Reference(VBP Quality MeasureReport) quality measure MeasureReport
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... groupRef S 0..* string Reference a performance metric (MeasureReport.group.id) on this value-based performance report
URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference
..... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
..... display Σ 0..1 string Text alternative for the resource

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
MeasureReport.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
MeasureReport.extension:measurereport-category.value[x]extensibleMeasureReportCategory
http://hl7.org/fhir/ValueSet/measurereport-category
MeasureReport.statusrequiredMeasureReportStatus
http://hl7.org/fhir/ValueSet/measure-report-status|4.0.1
from the FHIR Standard
MeasureReport.typerequiredFixed Value: summary
http://hl7.org/fhir/ValueSet/measure-report-type|4.0.1
from the FHIR Standard
MeasureReport.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MeasureReport.group.codeextensibleVbpPerformanceMetricsVS (a valid code from Performance Metric Codes)
http://hl7.org/fhir/us/davinci-vbpr/ValueSet/vbp-performance-metric
from this IG
MeasureReport.group.population.codeextensibleMeasurePopulationType
http://hl7.org/fhir/ValueSet/measure-population
from the FHIR Standard
MeasureReport.group.measureScore.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
from the FHIR Standard
MeasureReport.group.stratifier.codeexampleMeasureStratifierExampleVS (a valid code from Measure Stratifier Example Codes)
http://hl7.org/fhir/us/davinci-vbpr/ValueSet/measure-stratifier-example
from this IG
MeasureReport.group.stratifier.stratum.component.codeexampleMeasureStratifierExampleVS (a valid code from Measure Stratifier Example Codes)
http://hl7.org/fhir/us/davinci-vbpr/ValueSet/measure-stratifier-example
from this IG
MeasureReport.group.stratifier.stratum.population.codeextensibleMeasurePopulationType
http://hl7.org/fhir/ValueSet/measure-population
from the FHIR Standard
MeasureReport.group.stratifier.stratum.measureScore.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
from the FHIR Standard
MeasureReport.evaluatedResource:qualityReport.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard

This structure is derived from MeasureReport

Differential View

This structure is derived from MeasureReport

NameFlagsCard.TypeDescription & Constraintsdoco
.. MeasureReport 0..* MeasureReport A value-based performance report
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... measurereport-category S 1..1 (Complex) What category is this measure report
URL: http://hl7.org/fhir/StructureDefinition/measurereport-category
..... value[x]
...... coding 1..1 Coding Code defined by a terminology system
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: vbp
... status S 1..1 code complete | pending | error
... type S 1..1 code individual | subject-list | summary | data-collection
Fixed Value: summary
... subject S 1..1 Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | Group) What individual(s) the report is for
.... extension 1..* Extension Extension
.... Slices for extension Content/Rules for all slices
..... orgSubject S 1..1 Reference(US Core Organization Profile) What organization the report is for
URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/organization-subject
... date S 1..1 dateTime When the report was generated
... reporter S 1..1 Reference(US Core Organization Profile) Who is reporting the data
... period S 1..1 Period What performance period the report covers
... improvementNotation 0..0
... group S 0..* BackboneElement Performance metrics in the report. Each group contains data for a performance metric.
.... id S 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... paymentStream S 0..* (Complex) The payment stream the performance metric is part of
URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream
..... servicePeriod S 0..1 Period The service period for the performance metric
URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period
..... paidThroughDate S 0..1 date Ending date of the pay cycle
URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date
..... baseline S 0..1 (Complex) The baseline for the performance metric
URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline
.... code S 1..1 CodeableConcept Performance metric
Binding: Performance Metric (extensible)
.... measureScore 0..1 Quantity The performance metric value
..... Slices for extension Content/Rules for all slices
...... altMeasureScore S 0..1 boolean, decimal, integer, CodeableConcept, Money Additional data type choices for the value of the performance metric
URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore
.... stratifier S 0..* BackboneElement Stratification results
..... code S 0..* CodeableConcept What stratifier of the group
Binding: Measure Stratifier Example (example)
..... stratum S 0..* BackboneElement Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
...... value S 0..1 CodeableConcept The stratum value, e.g. male
...... component
....... code S 1..1 CodeableConcept What stratifier component of the group
Binding: Measure Stratifier Example (example)
....... value S 1..1 CodeableConcept The stratum component value, e.g. male
...... measureScore S 0..1 Quantity Stratified performance metric value
....... Slices for extension Content/Rules for all slices
........ altMeasureScore S 0..1 boolean, decimal, integer, CodeableConcept, Money Additional data type choices for the stratified performance metric value
URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore
... Slices for evaluatedResource S 0..* Reference(Resource) What data was used to calculate the performance metric(s)
Slice: Unordered, Open by type:reference
.... evaluatedResource:qualityReport 0..* Reference(VBP Quality MeasureReport) quality measure MeasureReport
..... Slices for extension Content/Rules for all slices
...... groupRef S 0..* string Reference a performance metric (MeasureReport.group.id) on this value-based performance report
URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
MeasureReport.group.codeextensibleVbpPerformanceMetricsVS (a valid code from Performance Metric Codes)
http://hl7.org/fhir/us/davinci-vbpr/ValueSet/vbp-performance-metric
from this IG
MeasureReport.group.stratifier.codeexampleMeasureStratifierExampleVS (a valid code from Measure Stratifier Example Codes)
http://hl7.org/fhir/us/davinci-vbpr/ValueSet/measure-stratifier-example
from this IG
MeasureReport.group.stratifier.stratum.component.codeexampleMeasureStratifierExampleVS (a valid code from Measure Stratifier Example Codes)
http://hl7.org/fhir/us/davinci-vbpr/ValueSet/measure-stratifier-example
from this IG

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MeasureReport C 0..* MeasureReport A value-based performance report
mrp-1: Measure Reports used for data collection SHALL NOT communicate group and score information
mrp-2: Stratifiers SHALL be either a single criteria or a set of criteria components
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... measurereport-category S 1..1 (Complex) What category is this measure report
URL: http://hl7.org/fhir/StructureDefinition/measurereport-category
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/measurereport-category"
..... value[x] 1..1 CodeableConcept Value of extension
Binding: MeasureReportCategory (extensible)
...... coding Σ 1..1 Coding Code defined by a terminology system
....... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: vbp
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... type SΣC 1..1 code individual | subject-list | summary | data-collection
Binding: MeasureReportType (required): The type of the measure report.


Fixed Value: summary
... measure SΣ 1..1 canonical(Value-Based Performance Measure) A Measure definition with contract level data for a value-based contract the report is for
... subject SΣ 1..1 Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | Group) What individual(s) the report is for
.... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
..... orgSubject S 1..1 Reference(US Core Organization Profile) What organization the report is for
URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/organization-subject
... date SΣ 1..1 dateTime When the report was generated
... reporter SΣ 1..1 Reference(US Core Organization Profile) Who is reporting the data
... period SΣ 1..1 Period What performance period the report covers
... group SC 0..* BackboneElement Performance metrics in the report. Each group contains data for a performance metric.
.... id S 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... paymentStream S 0..* (Complex) The payment stream the performance metric is part of
URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream
..... servicePeriod S 0..1 Period The service period for the performance metric
URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period
..... paidThroughDate S 0..1 date Ending date of the pay cycle
URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date
..... baseline S 0..1 (Complex) The baseline for the performance metric
URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code SΣ 1..1 CodeableConcept Performance metric
Binding: Performance Metric (extensible)
.... measureScore Σ 0..1 Quantity The performance metric value
..... Slices for extension Content/Rules for all slices
...... altMeasureScore S 0..1 boolean, decimal, integer, CodeableConcept, Money Additional data type choices for the value of the performance metric
URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

.... stratifier S 0..* BackboneElement Stratification results
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code S 0..* CodeableConcept What stratifier of the group
Binding: Measure Stratifier Example (example)
..... stratum S 0..* BackboneElement Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... value S 0..1 CodeableConcept The stratum value, e.g. male
...... component 0..* BackboneElement Stratifier component values
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... code S 1..1 CodeableConcept What stratifier component of the group
Binding: Measure Stratifier Example (example)
....... value S 1..1 CodeableConcept The stratum component value, e.g. male
...... measureScore S 0..1 Quantity Stratified performance metric value
....... Slices for extension Content/Rules for all slices
........ altMeasureScore S 0..1 boolean, decimal, integer, CodeableConcept, Money Additional data type choices for the stratified performance metric value
URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore
....... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

... Slices for evaluatedResource S 0..* Reference(Resource) What data was used to calculate the performance metric(s)
Slice: Unordered, Open by type:reference
.... evaluatedResource:qualityReport 0..* Reference(VBP Quality MeasureReport) quality measure MeasureReport
..... Slices for extension Content/Rules for all slices
...... groupRef S 0..* string Reference a performance metric (MeasureReport.group.id) on this value-based performance report
URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
MeasureReport.extension:measurereport-category.value[x]extensibleMeasureReportCategory
http://hl7.org/fhir/ValueSet/measurereport-category
MeasureReport.statusrequiredMeasureReportStatus
http://hl7.org/fhir/ValueSet/measure-report-status|4.0.1
from the FHIR Standard
MeasureReport.typerequiredFixed Value: summary
http://hl7.org/fhir/ValueSet/measure-report-type|4.0.1
from the FHIR Standard
MeasureReport.group.codeextensibleVbpPerformanceMetricsVS (a valid code from Performance Metric Codes)
http://hl7.org/fhir/us/davinci-vbpr/ValueSet/vbp-performance-metric
from this IG
MeasureReport.group.measureScore.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
from the FHIR Standard
MeasureReport.group.stratifier.codeexampleMeasureStratifierExampleVS (a valid code from Measure Stratifier Example Codes)
http://hl7.org/fhir/us/davinci-vbpr/ValueSet/measure-stratifier-example
from this IG
MeasureReport.group.stratifier.stratum.component.codeexampleMeasureStratifierExampleVS (a valid code from Measure Stratifier Example Codes)
http://hl7.org/fhir/us/davinci-vbpr/ValueSet/measure-stratifier-example
from this IG
MeasureReport.group.stratifier.stratum.measureScore.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
from the FHIR Standard

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MeasureReport C 0..* MeasureReport A value-based performance report
mrp-1: Measure Reports used for data collection SHALL NOT communicate group and score information
mrp-2: Stratifiers SHALL be either a single criteria or a set of criteria components
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
.... measurereport-category S 1..1 (Complex) What category is this measure report
URL: http://hl7.org/fhir/StructureDefinition/measurereport-category
..... id 0..1 id Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... url 1..1 uri "http://hl7.org/fhir/StructureDefinition/measurereport-category"
..... value[x] 1..1 CodeableConcept Value of extension
Binding: MeasureReportCategory (extensible)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 1..1 Coding Code defined by a terminology system
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system Σ 0..1 uri Identity of the terminology system
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 1..1 code Symbol in syntax defined by the system
Fixed Value: vbp
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... text Σ 0..1 string Plain text representation of the concept
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Additional identifier for the MeasureReport
... status ?!SΣ 1..1 code complete | pending | error
Binding: MeasureReportStatus (required): The status of the measure report.

... type SΣC 1..1 code individual | subject-list | summary | data-collection
Binding: MeasureReportType (required): The type of the measure report.


Fixed Value: summary
... measure SΣ 1..1 canonical(Value-Based Performance Measure) A Measure definition with contract level data for a value-based contract the report is for
... subject SΣ 1..1 Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | Group) What individual(s) the report is for
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
..... orgSubject S 1..1 Reference(US Core Organization Profile) What organization the report is for
URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/organization-subject
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... date SΣ 1..1 dateTime When the report was generated
... reporter SΣ 1..1 Reference(US Core Organization Profile) Who is reporting the data
... period SΣ 1..1 Period What performance period the report covers
... group SC 0..* BackboneElement Performance metrics in the report. Each group contains data for a performance metric.
.... id S 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... paymentStream S 0..* (Complex) The payment stream the performance metric is part of
URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream
..... servicePeriod S 0..1 Period The service period for the performance metric
URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period
..... paidThroughDate S 0..1 date Ending date of the pay cycle
URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date
..... baseline S 0..1 (Complex) The baseline for the performance metric
URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code SΣ 1..1 CodeableConcept Performance metric
Binding: Performance Metric (extensible)
.... population 0..* BackboneElement The populations in the group
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code Σ 0..1 CodeableConcept initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
Binding: MeasurePopulationType (extensible): The type of population (e.g. initial, numerator, denominator, etc.).

..... count 0..1 integer Size of the population
..... subjectResults 0..1 Reference(List) For subject-list reports, the subject results in this population
.... measureScore Σ 0..1 Quantity The performance metric value
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... altMeasureScore S 0..1 boolean, decimal, integer, CodeableConcept, Money Additional data type choices for the value of the performance metric
URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore
..... value Σ 0..1 decimal Numerical value (with implicit precision)
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

..... unit Σ 0..1 string Unit representation
..... system ΣC 0..1 uri System that defines coded unit form
..... code Σ 0..1 code Coded form of the unit
.... stratifier S 0..* BackboneElement Stratification results
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... code S 0..* CodeableConcept What stratifier of the group
Binding: Measure Stratifier Example (example)
..... stratum S 0..* BackboneElement Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... value S 0..1 CodeableConcept The stratum value, e.g. male
...... component 0..* BackboneElement Stratifier component values
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... code S 1..1 CodeableConcept What stratifier component of the group
Binding: Measure Stratifier Example (example)
....... value S 1..1 CodeableConcept The stratum component value, e.g. male
...... population 0..* BackboneElement Population results in this stratum
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... code 0..1 CodeableConcept initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation
Binding: MeasurePopulationType (extensible): The type of population (e.g. initial, numerator, denominator, etc.).

....... count 0..1 integer Size of the population
....... subjectResults 0..1 Reference(List) For subject-list reports, the subject results in this population
...... measureScore S 0..1 Quantity Stratified performance metric value
....... id 0..1 string Unique id for inter-element referencing
....... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ altMeasureScore S 0..1 boolean, decimal, integer, CodeableConcept, Money Additional data type choices for the stratified performance metric value
URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore
....... value Σ 0..1 decimal Numerical value (with implicit precision)
....... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

....... unit Σ 0..1 string Unit representation
....... system ΣC 0..1 uri System that defines coded unit form
....... code Σ 0..1 code Coded form of the unit
... Slices for evaluatedResource S 0..* Reference(Resource) What data was used to calculate the performance metric(s)
Slice: Unordered, Open by type:reference
.... evaluatedResource:qualityReport 0..* Reference(VBP Quality MeasureReport) quality measure MeasureReport
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... groupRef S 0..* string Reference a performance metric (MeasureReport.group.id) on this value-based performance report
URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference
..... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
..... display Σ 0..1 string Text alternative for the resource

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
MeasureReport.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
MeasureReport.extension:measurereport-category.value[x]extensibleMeasureReportCategory
http://hl7.org/fhir/ValueSet/measurereport-category
MeasureReport.statusrequiredMeasureReportStatus
http://hl7.org/fhir/ValueSet/measure-report-status|4.0.1
from the FHIR Standard
MeasureReport.typerequiredFixed Value: summary
http://hl7.org/fhir/ValueSet/measure-report-type|4.0.1
from the FHIR Standard
MeasureReport.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MeasureReport.group.codeextensibleVbpPerformanceMetricsVS (a valid code from Performance Metric Codes)
http://hl7.org/fhir/us/davinci-vbpr/ValueSet/vbp-performance-metric
from this IG
MeasureReport.group.population.codeextensibleMeasurePopulationType
http://hl7.org/fhir/ValueSet/measure-population
from the FHIR Standard
MeasureReport.group.measureScore.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
from the FHIR Standard
MeasureReport.group.stratifier.codeexampleMeasureStratifierExampleVS (a valid code from Measure Stratifier Example Codes)
http://hl7.org/fhir/us/davinci-vbpr/ValueSet/measure-stratifier-example
from this IG
MeasureReport.group.stratifier.stratum.component.codeexampleMeasureStratifierExampleVS (a valid code from Measure Stratifier Example Codes)
http://hl7.org/fhir/us/davinci-vbpr/ValueSet/measure-stratifier-example
from this IG
MeasureReport.group.stratifier.stratum.population.codeextensibleMeasurePopulationType
http://hl7.org/fhir/ValueSet/measure-population
from the FHIR Standard
MeasureReport.group.stratifier.stratum.measureScore.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
from the FHIR Standard
MeasureReport.evaluatedResource:qualityReport.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard

This structure is derived from MeasureReport

 

Other representations of profile: CSV, Excel, Schematron