Da Vinci Value-Based Performance Reporting Implementation Guide
1.1.0 - STU 1.1
Da Vinci Value-Based Performance Reporting Implementation Guide
1.1.0 - STU 1.1
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 1.1.0 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
| Page standards status: Informative |
{
"resourceType" : "Measure",
"id" : "vbp-measure01",
"meta" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/instance-name",
"valueString" : "Payer"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/instance-description",
"valueMarkdown" : "This is an example measure for the *VBP Measure* profile."
}
],
"profile" : [
🔗 "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/vbp-measure"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Measure vbp-measure01</b></p><a name=\"vbp-measure01\"> </a><a name=\"hcvbp-measure01\"> </a><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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-vbp-measure.html\">Value-Based Performance Measure</a></p></div><p><b>Line of Business</b>: <span title=\"Codes:{https://nahdo.org/sopt 1}\">MEDICARE</span></p><blockquote><p><b>Program Model</b></p><ul><li>hcplan: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/hcp-lan-apm-framework 3A}\">Category 3A</span></li><li>cohort: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort hmo}\">HMO cohort</span></li></ul></blockquote><blockquote><p><b>Program Model</b></p><ul><li>hcplan: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/hcp-lan-apm-framework 3B}\">Category 3B</span></li><li>cohort: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort ppo}\">PPO cohort</span></li></ul></blockquote><blockquote><p><b>Payment Stream</b></p><ul><li>type: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream ssq}\">Shared savings gated on quality</span></li></ul></blockquote><blockquote><p><b>Payment Stream</b></p><ul><li>type: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream ccf}\">Care coordination fee</span></li></ul></blockquote><blockquote><p><b>Payment Stream</b></p><ul><li>type: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream qip}\">Quality incentive payment</span></li></ul></blockquote><p><b>url</b>: <a href=\"Measure-vbp-measure01.html\">Measure Example Value-Based Contract - ABC Payer and GoodHealth</a></p><p><b>identifier</b>: <code>http://example.org/fhir/server</code>/ex-vbp-measure01\u00a0(use:\u00a0temp,\u00a0), <a href=\"http://terminology.hl7.org/6.5.0/NamingSystem-uri.html\" title=\"As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt \r\n\r\nThis oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: \r\n\r\nNote that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.\r\n\r\nThis OID may also be used in CD.codeSystem.\">Uniform Resource Identifier (URI)</a>/urn:oid:2.16.840.1.113883.4.642.40.30.29.1</p><p><b>version</b>: 1.1.0</p><p><b>name</b>: VbprMeasureExample01</p><p><b>title</b>: Example Value-Based Contract - ABC Payer and GoodHealth</p><p><b>status</b>: Active</p><p><b>experimental</b>: true</p><p><b>date</b>: 2025-07-21 02:13:33+0000</p><p><b>publisher</b>: HL7 International / Clinical Quality Information</p><p><b>contact</b>: HL7 International / Clinical Quality Information: <a href=\"http://www.hl7.org/Special/committees/cqi\">http://www.hl7.org/Special/committees/cqi</a></p><p><b>description</b>: </p><div><p>Example Value-Based Contract between ABC Payer and GoodHealth</p>\n</div><p><b>jurisdiction</b>: <span title=\"Codes:{urn:iso:std:iso:3166 US}\">United States of America</span></p><p><b>effectivePeriod</b>: 2022-01-01 --> 2024-12-31</p><h3>RelatedArtifacts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Extension</b></td><td><b>Type</b></td><td><b>Display</b></td><td><b>Resource</b></td></tr><tr><td style=\"display: none\">*</td><td>, </td><td>Composed Of</td><td>Breast Cancer Screening</td><td><a href=\"http://hl7.org/fhir/us/cqfmeasures/STU5/Measure-EXM125-FHIR.html\">EXM125 - Breast Cancer Screeningversion: null8.0.000)</a></td></tr><tr><td style=\"display: none\">*</td><td>, </td><td>Composed Of</td><td>Colorectal Cancer Screening</td><td><a href=\"http://hl7.org/fhir/us/cqfmeasures/STU5/Measure-EXM130-FHIR.html\">EXM130 - Colorectal Cancer Screening Measureversion: null8.0.000)</a></td></tr><tr><td style=\"display: none\">*</td><td>, </td><td>Composed Of</td><td>Diabetes Care - Blood Sugar Controlled</td><td><code>http://example.org/Measure/measure-diabetes-care-blood-sugar-controlled-FHIR|1.0.000</code></td></tr><tr><td style=\"display: none\">*</td><td>, </td><td>Composed Of</td><td>Diabetes Care - Eye Exam</td><td><code>http://example.org/Measure/measure-diabetes-care-eye-exam-FHIR|1.0.000</code></td></tr><tr><td style=\"display: none\">*</td><td>, </td><td>Composed Of</td><td>Medication Adherence for Cholesterol (Statins)</td><td><code>http://example.org/Measure/measure-med-adherence-cholesterol-statins-FHIR|1.0.000</code></td></tr><tr><td style=\"display: none\">*</td><td>, </td><td>Composed Of</td><td>Medication Adherence for Hypertension (RAS antagonists)</td><td><code>http://example.org/Measure/measure-med-adherence-hypertension-FHIR|1.0.000</code></td></tr><tr><td style=\"display: none\">*</td><td>, </td><td>Composed Of</td><td>Medication Adherence for Diabetes Medications</td><td><code>http://example.org/Measure/measure-med-adherence-diabetes-meds-FHIR|1.0.000</code></td></tr><tr><td style=\"display: none\">*</td><td>, </td><td>Composed Of</td><td>Statin Therapy for Patients with Cardiovascular Disease</td><td><code>http://example.org/Measure/measure-statin-therapy-cardiovascular-disease-FHIR|1.0.000</code></td></tr><tr><td style=\"display: none\">*</td><td>, </td><td>Composed Of</td><td>Statin Use in Persons with Diabetes (SUPD)</td><td><code>http://example.org/Measure/measure-statin-use-diabetes-supd-FHIR|1.0.000</code></td></tr></table></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/lob",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://nahdo.org/sopt",
"code" : "1",
"display" : "MEDICARE"
}
],
"text" : "MEDICARE"
}
},
{
"extension" : [
{
"url" : "hcplan",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/hcp-lan-apm-framework",
"code" : "3A",
"display" : "Category 3A"
}
]
}
},
{
"url" : "cohort",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "hmo",
"display" : "HMO cohort"
}
]
}
}
],
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/program-model"
},
{
"extension" : [
{
"url" : "hcplan",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/hcp-lan-apm-framework",
"code" : "3B",
"display" : "Category 3B"
}
]
}
},
{
"url" : "cohort",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code" : "ppo",
"display" : "PPO cohort"
}
]
}
}
],
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/program-model"
},
{
"extension" : [
{
"url" : "type",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream",
"code" : "ssq"
}
],
"text" : "Shared savings gated on quality"
}
}
],
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
},
{
"extension" : [
{
"url" : "type",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream",
"code" : "ccf"
}
],
"text" : "Care coordination fee"
}
}
],
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
},
{
"extension" : [
{
"url" : "type",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream",
"code" : "qip"
}
],
"text" : "Quality incentive payment"
}
}
],
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
}
],
"url" : "https://build.fhir.org/ig/HL7/davinci-vbpr/Measure-vbp-measure01",
"identifier" : [
{
"use" : "temp",
"system" : "http://example.org/fhir/server",
"value" : "ex-vbp-measure01"
},
{
"system" : "urn:ietf:rfc:3986",
"value" : "urn:oid:2.16.840.1.113883.4.642.40.30.29.1"
}
],
"version" : "1.1.0",
"name" : "VbprMeasureExample01",
"title" : "Example Value-Based Contract - ABC Payer and GoodHealth",
"status" : "active",
"experimental" : true,
"date" : "2025-07-21T02:13:33+00:00",
"publisher" : "HL7 International / Clinical Quality Information",
"contact" : [
{
"name" : "HL7 International / Clinical Quality Information",
"telecom" : [
{
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/cqi"
}
]
}
],
"description" : "Example Value-Based Contract between ABC Payer and GoodHealth",
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "US",
"display" : "United States of America"
}
]
}
],
"effectivePeriod" : {
"start" : "2022-01-01",
"end" : "2024-12-31"
},
"relatedArtifact" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/weight",
"valueDecimal" : 1
},
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/contractual-status",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-contractual-status",
"code" : "contractual",
"display" : "Contractual"
}
]
}
}
],
"type" : "composed-of",
"display" : "Breast Cancer Screening",
"resource" : "http://hl7.org/fhir/us/cqfmeasures/Measure/EXM125-FHIR|8.0.000"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/weight",
"valueDecimal" : 3
},
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/contractual-status",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-contractual-status",
"code" : "contractual",
"display" : "Contractual"
}
]
}
}
],
"type" : "composed-of",
"display" : "Colorectal Cancer Screening",
"resource" : "http://hl7.org/fhir/us/cqfmeasures/Measure/EXM130-FHIR|8.0.000"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/weight",
"valueDecimal" : 3
},
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/contractual-status",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-contractual-status",
"code" : "contractual",
"display" : "Contractual"
}
]
}
}
],
"type" : "composed-of",
"display" : "Diabetes Care - Blood Sugar Controlled",
"resource" : "http://example.org/Measure/measure-diabetes-care-blood-sugar-controlled-FHIR|1.0.000"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/weight",
"valueDecimal" : 3
},
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/contractual-status",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-contractual-status",
"code" : "contractual",
"display" : "Contractual"
}
]
}
}
],
"type" : "composed-of",
"display" : "Diabetes Care - Eye Exam",
"resource" : "http://example.org/Measure/measure-diabetes-care-eye-exam-FHIR|1.0.000"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/weight",
"valueDecimal" : 3
},
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/contractual-status",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-contractual-status",
"code" : "reporting-only",
"display" : "Reporting Only"
}
]
}
}
],
"type" : "composed-of",
"display" : "Medication Adherence for Cholesterol (Statins)",
"resource" : "http://example.org/Measure/measure-med-adherence-cholesterol-statins-FHIR|1.0.000"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/weight",
"valueDecimal" : 3
},
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/contractual-status",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-contractual-status",
"code" : "contractual",
"display" : "Contractual"
}
]
}
}
],
"type" : "composed-of",
"display" : "Medication Adherence for Hypertension (RAS antagonists)",
"resource" : "http://example.org/Measure/measure-med-adherence-hypertension-FHIR|1.0.000"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/weight",
"valueDecimal" : 3
},
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/contractual-status",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-contractual-status",
"code" : "contractual",
"display" : "Contractual"
}
]
}
}
],
"type" : "composed-of",
"display" : "Medication Adherence for Diabetes Medications",
"resource" : "http://example.org/Measure/measure-med-adherence-diabetes-meds-FHIR|1.0.000"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/weight",
"valueDecimal" : 1
},
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/contractual-status",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-contractual-status",
"code" : "contractual",
"display" : "Contractual"
}
]
}
}
],
"type" : "composed-of",
"display" : "Statin Therapy for Patients with Cardiovascular Disease",
"resource" : "http://example.org/Measure/measure-statin-therapy-cardiovascular-disease-FHIR|1.0.000"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/weight",
"valueDecimal" : 1
},
{
"url" : "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/contractual-status",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-contractual-status",
"code" : "contractual",
"display" : "Contractual"
}
]
}
}
],
"type" : "composed-of",
"display" : "Statin Use in Persons with Diabetes (SUPD)",
"resource" : "http://example.org/Measure/measure-statin-use-diabetes-supd-FHIR|1.0.000"
}
]
}
IG © 2023+ HL7 International / Clinical Quality Information. Package hl7.fhir.us.davinci-vbpr#1.1.0 based on FHIR 4.0.1. Generated 2025-07-21
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