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 |
<Measure xmlns="http://hl7.org/fhir">
<id value="vbp-measure01"/>
<meta>
<extension url="http://hl7.org/fhir/StructureDefinition/instance-name">
<valueString value="Payer"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/instance-description">
<valueMarkdown
value="This is an example measure for the *VBP Measure* profile."/>
</extension>
<profile
value="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/vbp-measure"/>
</meta>
<text>
<status value="extensions"/>
<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 (use: temp, ), <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
This 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:
Note 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.
This 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>
</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>
</text>
<extension
url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/lob">
<valueCodeableConcept>
<coding>
<system value="https://nahdo.org/sopt"/>
<code value="1"/>
<display value="MEDICARE"/>
</coding>
<text value="MEDICARE"/>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/program-model">
<extension url="hcplan">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/hcp-lan-apm-framework"/>
<code value="3A"/>
<display value="Category 3A"/>
</coding>
</valueCodeableConcept>
</extension>
<extension url="cohort">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
<code value="hmo"/>
<display value="HMO cohort"/>
</coding>
</valueCodeableConcept>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/program-model">
<extension url="hcplan">
<valueCodeableConcept>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/hcp-lan-apm-framework"/>
<code value="3B"/>
<display value="Category 3B"/>
</coding>
</valueCodeableConcept>
</extension>
<extension url="cohort">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort"/>
<code value="ppo"/>
<display value="PPO cohort"/>
</coding>
</valueCodeableConcept>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream">
<extension url="type">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"/>
<code value="ssq"/>
</coding>
<text value="Shared savings gated on quality"/>
</valueCodeableConcept>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream">
<extension url="type">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"/>
<code value="ccf"/>
</coding>
<text value="Care coordination fee"/>
</valueCodeableConcept>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream">
<extension url="type">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"/>
<code value="qip"/>
</coding>
<text value="Quality incentive payment"/>
</valueCodeableConcept>
</extension>
</extension>
<url
value="https://build.fhir.org/ig/HL7/davinci-vbpr/Measure-vbp-measure01"/>
<identifier>
<use value="temp"/>
<system value="http://example.org/fhir/server"/>
<value value="ex-vbp-measure01"/>
</identifier>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:oid:2.16.840.1.113883.4.642.40.30.29.1"/>
</identifier>
<version value="1.1.0"/>
<name value="VbprMeasureExample01"/>
<title value="Example Value-Based Contract - ABC Payer and GoodHealth"/>
<status value="active"/>
<experimental value="true"/>
<date value="2025-07-21T02:13:33+00:00"/>
<publisher value="HL7 International / Clinical Quality Information"/>
<contact>
<name value="HL7 International / Clinical Quality Information"/>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/cqi"/>
</telecom>
</contact>
<description
value="Example Value-Based Contract between ABC Payer and GoodHealth"/>
<jurisdiction>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="US"/>
<display value="United States of America"/>
</coding>
</jurisdiction>
<effectivePeriod>
<start value="2022-01-01"/>
<end value="2024-12-31"/>
</effectivePeriod>
<relatedArtifact>
<extension
url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/weight">
<valueDecimal value="1"/>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/contractual-status">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-contractual-status"/>
<code value="contractual"/>
<display value="Contractual"/>
</coding>
</valueCodeableConcept>
</extension>
<type value="composed-of"/>
<display value="Breast Cancer Screening"/>
<resource
value="http://hl7.org/fhir/us/cqfmeasures/Measure/EXM125-FHIR|8.0.000"/>
</relatedArtifact>
<relatedArtifact>
<extension
url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/weight">
<valueDecimal value="3"/>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/contractual-status">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-contractual-status"/>
<code value="contractual"/>
<display value="Contractual"/>
</coding>
</valueCodeableConcept>
</extension>
<type value="composed-of"/>
<display value="Colorectal Cancer Screening"/>
<resource
value="http://hl7.org/fhir/us/cqfmeasures/Measure/EXM130-FHIR|8.0.000"/>
</relatedArtifact>
<relatedArtifact>
<extension
url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/weight">
<valueDecimal value="3"/>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/contractual-status">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-contractual-status"/>
<code value="contractual"/>
<display value="Contractual"/>
</coding>
</valueCodeableConcept>
</extension>
<type value="composed-of"/>
<display value="Diabetes Care - Blood Sugar Controlled"/>
<resource
value="http://example.org/Measure/measure-diabetes-care-blood-sugar-controlled-FHIR|1.0.000"/>
</relatedArtifact>
<relatedArtifact>
<extension
url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/weight">
<valueDecimal value="3"/>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/contractual-status">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-contractual-status"/>
<code value="contractual"/>
<display value="Contractual"/>
</coding>
</valueCodeableConcept>
</extension>
<type value="composed-of"/>
<display value="Diabetes Care - Eye Exam"/>
<resource
value="http://example.org/Measure/measure-diabetes-care-eye-exam-FHIR|1.0.000"/>
</relatedArtifact>
<relatedArtifact>
<extension
url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/weight">
<valueDecimal value="3"/>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/contractual-status">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-contractual-status"/>
<code value="reporting-only"/>
<display value="Reporting Only"/>
</coding>
</valueCodeableConcept>
</extension>
<type value="composed-of"/>
<display value="Medication Adherence for Cholesterol (Statins)"/>
<resource
value="http://example.org/Measure/measure-med-adherence-cholesterol-statins-FHIR|1.0.000"/>
</relatedArtifact>
<relatedArtifact>
<extension
url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/weight">
<valueDecimal value="3"/>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/contractual-status">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-contractual-status"/>
<code value="contractual"/>
<display value="Contractual"/>
</coding>
</valueCodeableConcept>
</extension>
<type value="composed-of"/>
<display value="Medication Adherence for Hypertension (RAS antagonists)"/>
<resource
value="http://example.org/Measure/measure-med-adherence-hypertension-FHIR|1.0.000"/>
</relatedArtifact>
<relatedArtifact>
<extension
url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/weight">
<valueDecimal value="3"/>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/contractual-status">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-contractual-status"/>
<code value="contractual"/>
<display value="Contractual"/>
</coding>
</valueCodeableConcept>
</extension>
<type value="composed-of"/>
<display value="Medication Adherence for Diabetes Medications"/>
<resource
value="http://example.org/Measure/measure-med-adherence-diabetes-meds-FHIR|1.0.000"/>
</relatedArtifact>
<relatedArtifact>
<extension
url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/weight">
<valueDecimal value="1"/>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/contractual-status">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-contractual-status"/>
<code value="contractual"/>
<display value="Contractual"/>
</coding>
</valueCodeableConcept>
</extension>
<type value="composed-of"/>
<display value="Statin Therapy for Patients with Cardiovascular Disease"/>
<resource
value="http://example.org/Measure/measure-statin-therapy-cardiovascular-disease-FHIR|1.0.000"/>
</relatedArtifact>
<relatedArtifact>
<extension
url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/weight">
<valueDecimal value="1"/>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/contractual-status">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-contractual-status"/>
<code value="contractual"/>
<display value="Contractual"/>
</coding>
</valueCodeableConcept>
</extension>
<type value="composed-of"/>
<display value="Statin Use in Persons with Diabetes (SUPD)"/>
<resource
value="http://example.org/Measure/measure-statin-use-diabetes-supd-FHIR|1.0.000"/>
</relatedArtifact>
</Measure>