Da Vinci Value-Based Performance Reporting Implementation Guide
1.1.0 - STU 1.1 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 1.1.0 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

: Example Value-Based Contract - ABC Payer and GoodHealth - JSON Representation

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{
  "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\">\n  <table class=\"narrative-table\">\n    <tbody>\n<tr>\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Knowledge Artifact Metadata</th>\n\n</tr>\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Name (machine-readable)</th>\n\n<td class=\"content-container\">VbprMeasureExample01</td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Title (human-readable)</th>\n\n<td class=\"content-container\">Example Value-Based Contract - ABC Payer and GoodHealth</td>\n</tr>\n\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Status</th>\n\n<td class=\"content-container\">Active</td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Experimental</th>\n\n<td class=\"content-container\">true</td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Description</th>\n\n<td class=\"content-container\"><div><p>Example Value-Based Contract between ABC Payer and GoodHealth</p>\n</div></td>\n</tr>\n\n\n\n\n\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Effective Period</th>\n\n<td class=\"content-container\">2022-01-01..2024-12-31</td>\n</tr>\n\n\n\n\n\n\n\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Measure Steward</th>\n\n<td class=\"content-container\">HL7 International / Clinical Quality Information</td>\n</tr>\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Steward Contact Details</th>\n\n<td class=\"content-container\">HL7 International / Clinical Quality Information: <a href=\"http://www.hl7.org/Special/committees/cqi\">http://www.hl7.org/Special/committees/cqi</a></td>\n</tr>\n\n\n\n\n<tr>\n  \n  \n  \n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Breast Cancer Screening\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"http://hl7.org/fhir/us/cqfmeasures/STU5/Measure-EXM125-FHIR.html\">EXM125 - Breast Cancer Screeningversion: null8.0.000)</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://hl7.org/fhir/us/cqfmeasures/Measure/EXM125-FHIR|8.0.000</tt>\n    \n  </td>\n</tr>\n\n<tr>\n  \n  \n  \n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Colorectal Cancer Screening\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <a href=\"http://hl7.org/fhir/us/cqfmeasures/STU5/Measure-EXM130-FHIR.html\">EXM130 - Colorectal Cancer Screening Measureversion: null8.0.000)</a>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://hl7.org/fhir/us/cqfmeasures/Measure/EXM130-FHIR|8.0.000</tt>\n    \n  </td>\n</tr>\n\n<tr>\n  \n  \n  \n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Diabetes Care - Blood Sugar Controlled\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <code>http://example.org/Measure/measure-diabetes-care-blood-sugar-controlled-FHIR|1.0.000</code>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://example.org/Measure/measure-diabetes-care-blood-sugar-controlled-FHIR|1.0.000</tt>\n    \n  </td>\n</tr>\n\n<tr>\n  \n  \n  \n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Diabetes Care - Eye Exam\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <code>http://example.org/Measure/measure-diabetes-care-eye-exam-FHIR|1.0.000</code>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://example.org/Measure/measure-diabetes-care-eye-exam-FHIR|1.0.000</tt>\n    \n  </td>\n</tr>\n\n<tr>\n  \n  \n  \n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Medication Adherence for Cholesterol (Statins)\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <code>http://example.org/Measure/measure-med-adherence-cholesterol-statins-FHIR|1.0.000</code>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://example.org/Measure/measure-med-adherence-cholesterol-statins-FHIR|1.0.000</tt>\n    \n  </td>\n</tr>\n\n<tr>\n  \n  \n  \n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Medication Adherence for Hypertension (RAS antagonists)\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <code>http://example.org/Measure/measure-med-adherence-hypertension-FHIR|1.0.000</code>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://example.org/Measure/measure-med-adherence-hypertension-FHIR|1.0.000</tt>\n    \n  </td>\n</tr>\n\n<tr>\n  \n  \n  \n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Medication Adherence for Diabetes Medications\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <code>http://example.org/Measure/measure-med-adherence-diabetes-meds-FHIR|1.0.000</code>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://example.org/Measure/measure-med-adherence-diabetes-meds-FHIR|1.0.000</tt>\n    \n  </td>\n</tr>\n\n<tr>\n  \n  \n  \n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Statin Therapy for Patients with Cardiovascular Disease\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <code>http://example.org/Measure/measure-statin-therapy-cardiovascular-disease-FHIR|1.0.000</code>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://example.org/Measure/measure-statin-therapy-cardiovascular-disease-FHIR|1.0.000</tt>\n    \n  </td>\n</tr>\n\n<tr>\n  \n  \n  \n  \n  <td class=\"content-container\">\n    \n    <em>Description</em>: Statin Use in Persons with Diabetes (SUPD)\n    \n    <br/>\n    \n    \n    \n    \n    \n    \n    <em>Resource</em>: <code>http://example.org/Measure/measure-statin-use-diabetes-supd-FHIR|1.0.000</code>\n    <br/>\n    <em>Canonical URL</em>: <tt>http://example.org/Measure/measure-statin-use-diabetes-supd-FHIR|1.0.000</tt>\n    \n  </td>\n</tr>\n\n\n\n\n\n\n\n\n\n\n<tr>\n\n<th colspan=\"2\" scope=\"row\" class=\"row-header\">Measure Metadata</th>\n\n</tr>\n\n\n\n\n\n\n<tr>\n\n<th scope=\"row\" class=\"row-header\">Version Number</th>\n\n<td class=\"content-container\">1.1.0</td>\n</tr>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n<tr>\n  <th colspan=\"2\" scope=\"row\" class=\"row-header\">Generated using version 0.4.6 of the sample-content-ig Liquid templates</th>\n</tr>\n    </tbody>\n  </table>\n</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" : "2025-09-07T00:01:56+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"
    }
  ]
}