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 - XML Representation

Page standards status: Informative

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<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">
  <table class="narrative-table">
    <tbody>
<tr>

<th colspan="2" scope="row" class="row-header">Knowledge Artifact Metadata</th>

</tr>

<tr>

<th scope="row" class="row-header">Name (machine-readable)</th>

<td class="content-container">VbprMeasureExample01</td>
</tr>


<tr>

<th scope="row" class="row-header">Title (human-readable)</th>

<td class="content-container">Example Value-Based Contract - ABC Payer and GoodHealth</td>
</tr>



<tr>

<th scope="row" class="row-header">Status</th>

<td class="content-container">Active</td>
</tr>


<tr>

<th scope="row" class="row-header">Experimental</th>

<td class="content-container">true</td>
</tr>


<tr>

<th scope="row" class="row-header">Description</th>

<td class="content-container"><div><p>Example Value-Based Contract between ABC Payer and GoodHealth</p>
</div></td>
</tr>







<tr>

<th scope="row" class="row-header">Effective Period</th>

<td class="content-container">2022-01-01..2024-12-31</td>
</tr>









<tr>

<th scope="row" class="row-header">Measure Steward</th>

<td class="content-container">HL7 International / Clinical Quality Information</td>
</tr>


<tr>

<th scope="row" class="row-header">Steward Contact Details</th>

<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>
</tr>




<tr>
  
  
  
  
  <td class="content-container">
    
    <em>Description</em>: Breast Cancer Screening
    
    <br/>
    
    
    
    
    
    
    <em>Resource</em>: <a href="http://hl7.org/fhir/us/cqfmeasures/STU5/Measure-EXM125-FHIR.html">EXM125 - Breast Cancer Screeningversion: null8.0.000)</a>
    <br/>
    <em>Canonical URL</em>: <tt>http://hl7.org/fhir/us/cqfmeasures/Measure/EXM125-FHIR|8.0.000</tt>
    
  </td>
</tr>

<tr>
  
  
  
  
  <td class="content-container">
    
    <em>Description</em>: Colorectal Cancer Screening
    
    <br/>
    
    
    
    
    
    
    <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>
    <br/>
    <em>Canonical URL</em>: <tt>http://hl7.org/fhir/us/cqfmeasures/Measure/EXM130-FHIR|8.0.000</tt>
    
  </td>
</tr>

<tr>
  
  
  
  
  <td class="content-container">
    
    <em>Description</em>: Diabetes Care - Blood Sugar Controlled
    
    <br/>
    
    
    
    
    
    
    <em>Resource</em>: <code>http://example.org/Measure/measure-diabetes-care-blood-sugar-controlled-FHIR|1.0.000</code>
    <br/>
    <em>Canonical URL</em>: <tt>http://example.org/Measure/measure-diabetes-care-blood-sugar-controlled-FHIR|1.0.000</tt>
    
  </td>
</tr>

<tr>
  
  
  
  
  <td class="content-container">
    
    <em>Description</em>: Diabetes Care - Eye Exam
    
    <br/>
    
    
    
    
    
    
    <em>Resource</em>: <code>http://example.org/Measure/measure-diabetes-care-eye-exam-FHIR|1.0.000</code>
    <br/>
    <em>Canonical URL</em>: <tt>http://example.org/Measure/measure-diabetes-care-eye-exam-FHIR|1.0.000</tt>
    
  </td>
</tr>

<tr>
  
  
  
  
  <td class="content-container">
    
    <em>Description</em>: Medication Adherence for Cholesterol (Statins)
    
    <br/>
    
    
    
    
    
    
    <em>Resource</em>: <code>http://example.org/Measure/measure-med-adherence-cholesterol-statins-FHIR|1.0.000</code>
    <br/>
    <em>Canonical URL</em>: <tt>http://example.org/Measure/measure-med-adherence-cholesterol-statins-FHIR|1.0.000</tt>
    
  </td>
</tr>

<tr>
  
  
  
  
  <td class="content-container">
    
    <em>Description</em>: Medication Adherence for Hypertension (RAS antagonists)
    
    <br/>
    
    
    
    
    
    
    <em>Resource</em>: <code>http://example.org/Measure/measure-med-adherence-hypertension-FHIR|1.0.000</code>
    <br/>
    <em>Canonical URL</em>: <tt>http://example.org/Measure/measure-med-adherence-hypertension-FHIR|1.0.000</tt>
    
  </td>
</tr>

<tr>
  
  
  
  
  <td class="content-container">
    
    <em>Description</em>: Medication Adherence for Diabetes Medications
    
    <br/>
    
    
    
    
    
    
    <em>Resource</em>: <code>http://example.org/Measure/measure-med-adherence-diabetes-meds-FHIR|1.0.000</code>
    <br/>
    <em>Canonical URL</em>: <tt>http://example.org/Measure/measure-med-adherence-diabetes-meds-FHIR|1.0.000</tt>
    
  </td>
</tr>

<tr>
  
  
  
  
  <td class="content-container">
    
    <em>Description</em>: Statin Therapy for Patients with Cardiovascular Disease
    
    <br/>
    
    
    
    
    
    
    <em>Resource</em>: <code>http://example.org/Measure/measure-statin-therapy-cardiovascular-disease-FHIR|1.0.000</code>
    <br/>
    <em>Canonical URL</em>: <tt>http://example.org/Measure/measure-statin-therapy-cardiovascular-disease-FHIR|1.0.000</tt>
    
  </td>
</tr>

<tr>
  
  
  
  
  <td class="content-container">
    
    <em>Description</em>: Statin Use in Persons with Diabetes (SUPD)
    
    <br/>
    
    
    
    
    
    
    <em>Resource</em>: <code>http://example.org/Measure/measure-statin-use-diabetes-supd-FHIR|1.0.000</code>
    <br/>
    <em>Canonical URL</em>: <tt>http://example.org/Measure/measure-statin-use-diabetes-supd-FHIR|1.0.000</tt>
    
  </td>
</tr>










<tr>

<th colspan="2" scope="row" class="row-header">Measure Metadata</th>

</tr>






<tr>

<th scope="row" class="row-header">Version Number</th>

<td class="content-container">1.1.0</td>
</tr>





















<tr>
  <th colspan="2" scope="row" class="row-header">Generated using version 0.4.6 of the sample-content-ig Liquid templates</th>
</tr>
    </tbody>
  </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="2025-09-07T00:01:56+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
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          <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>