Da Vinci Value-Based Performance Reporting Implementation Guide
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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

: quality-measurereport04 - XML Representation

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<MeasureReport xmlns="http://hl7.org/fhir">
  <id value="quality-measurereport04"/>
  <meta>
    <extension url="http://hl7.org/fhir/StructureDefinition/instance-name">
      <valueString value="VBP Quality MeasureReport Example"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/StructureDefinition/instance-description">
      <valueMarkdown
                     value="This is an example Diabetes Care - Eye Exam MeasureReport for the *VBP Quality MeasureReport* profile."/>
    </extension>
    <source value="http://example.org/fhir/server"/>
    <profile
             value="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/vbp-quality-measurereport"/>
  </meta>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: MeasureReport</b><a name="quality-measurereport04"> </a><a name="hcquality-measurereport04"> </a></p><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">Resource MeasureReport &quot;quality-measurereport04&quot; </p><p style="margin-bottom: 0px">Information Source: http://example.org/fhir/server!</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-vbp-quality-measurereport.html">VBP Quality MeasureReport</a></p></div><p><b>DEQM Measure Scoring Extension</b>: Proportion <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-measure-scoring.html">MeasureScoring</a>#proportion)</span></p><p><b>Score</b>: 0</p><p><b>Measure Report Category</b>: Value-Based Performance <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-measurereport-category.html">Measure Report Category</a>#vbp)</span></p><blockquote><p><b>Threshold</b></p><blockquote><p><b>url</b></p><a href="StructureDefinition-threshold.html">Threshold</a></blockquote><p><b>value</b>: 60 %<span style="background: LightGoldenRodYellow"> (Details: UCUM code % = '%')</span></p><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: Star 2 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-threshold-type.html">Threshold Type Codes</a>#star-2)</span></p></blockquote><blockquote><p><b>Threshold</b></p><blockquote><p><b>url</b></p><a href="StructureDefinition-threshold.html">Threshold</a></blockquote><p><b>value</b>: 85 %<span style="background: LightGoldenRodYellow"> (Details: UCUM code % = '%')</span></p><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: Star 3 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-threshold-type.html">Threshold Type Codes</a>#star-3)</span></p></blockquote><blockquote><p><b>Threshold</b></p><blockquote><p><b>url</b></p><a href="StructureDefinition-threshold.html">Threshold</a></blockquote><p><b>value</b>: 90 %<span style="background: LightGoldenRodYellow"> (Details: UCUM code % = '%')</span></p><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: Star 4 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-threshold-type.html">Threshold Type Codes</a>#star-4)</span></p></blockquote><blockquote><p><b>Threshold</b></p><blockquote><p><b>url</b></p><a href="StructureDefinition-threshold.html">Threshold</a></blockquote><p><b>value</b>: 93 %<span style="background: LightGoldenRodYellow"> (Details: UCUM code % = '%')</span></p><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: Star 5 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-threshold-type.html">Threshold Type Codes</a>#star-5)</span></p></blockquote><p><b>status</b>: complete</p><p><b>type</b>: summary</p><p><b>measure</b>: <a href="http://example.org/Measure/measure-diabetes-care-eye-exam-FHIR">http://example.org/Measure/measure-diabetes-care-eye-exam-FHIR</a></p><p><b>date</b>: 2023-01-15</p><p><b>reporter</b>: <a href="Organization-vbp-payer01.html">Organization/vbp-payer01</a> &quot;ABC Payer&quot;</p><p><b>period</b>: 2022-01-01 --&gt; 2022-11-30</p><p><b>improvementNotation</b>: Increased score indicates improvement <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-measure-improvement-notation.html">MeasureImprovementNotation</a>#increase)</span></p><blockquote><p><b>group</b></p><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>pop1</blockquote><p><b>code</b>: Calculated Numerator <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-vbp-measure-population.html">Value-Based Performance Measure Population Type Codes</a>#calculated-numerator)</span></p><p><b>count</b>: 200</p></blockquote><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>pop2</blockquote><p><b>code</b>: Calculated Denominator <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-vbp-measure-population.html">Value-Based Performance Measure Population Type Codes</a>#calculated-denominator)</span></p><p><b>count</b>: 420</p></blockquote><p><b>measureScore</b>: 0.476</p><blockquote><p><b>stratifier</b></p><p><b>code</b>: Facility <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-measure-stratifier-example.html">Measure Stratifier Example Codes</a>#facility)</span></p><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Coverage type <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#87520-3)</span></p><p><b>value</b>: health maintenance organization policy <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-ActCode.html">ActCode</a>#HMO)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: location <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-ActCode.html">ActCode</a>#LOC)</span></p><p><b>value</b>: Region 1 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span></p></blockquote><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>strat-pop1</blockquote><p><b>code</b>: Calculated Numerator <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-vbp-measure-population.html">Value-Based Performance Measure Population Type Codes</a>#calculated-numerator)</span></p><p><b>count</b>: 50</p></blockquote><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>strat-pop2</blockquote><p><b>code</b>: Calculated Denominator <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-vbp-measure-population.html">Value-Based Performance Measure Population Type Codes</a>#calculated-denominator)</span></p><p><b>count</b>: 80</p></blockquote><p><b>measureScore</b>: 0.63</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Coverage type <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#87520-3)</span></p><p><b>value</b>: health maintenance organization policy <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-ActCode.html">ActCode</a>#HMO)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: location <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-ActCode.html">ActCode</a>#LOC)</span></p><p><b>value</b>: Region 2 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span></p></blockquote><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>strat-pop3</blockquote><p><b>code</b>: Calculated Numerator <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-vbp-measure-population.html">Value-Based Performance Measure Population Type Codes</a>#calculated-numerator)</span></p><p><b>count</b>: 50</p></blockquote><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>strat-pop4</blockquote><p><b>code</b>: Calculated Denominator <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-vbp-measure-population.html">Value-Based Performance Measure Population Type Codes</a>#calculated-denominator)</span></p><p><b>count</b>: 80</p></blockquote><p><b>measureScore</b>: 0.38</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Coverage type <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#87520-3)</span></p><p><b>value</b>: preferred provider organization policy <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-ActCode.html">ActCode</a>#PPO)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: location <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-ActCode.html">ActCode</a>#LOC)</span></p><p><b>value</b>: Region 1 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span></p></blockquote><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>strat-pop5</blockquote><p><b>code</b>: Calculated Numerator <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-vbp-measure-population.html">Value-Based Performance Measure Population Type Codes</a>#calculated-numerator)</span></p><p><b>count</b>: 50</p></blockquote><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>strat-pop6</blockquote><p><b>code</b>: Calculated Denominator <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-vbp-measure-population.html">Value-Based Performance Measure Population Type Codes</a>#calculated-denominator)</span></p><p><b>count</b>: 80</p></blockquote><p><b>measureScore</b>: 0.63</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: Coverage type <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#87520-3)</span></p><p><b>value</b>: preferred provider organization policy <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-ActCode.html">ActCode</a>#PPO)</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: location <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-ActCode.html">ActCode</a>#LOC)</span></p><p><b>value</b>: Region 2 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span></p></blockquote><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>strat-pop7</blockquote><p><b>code</b>: Calculated Numerator <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-vbp-measure-population.html">Value-Based Performance Measure Population Type Codes</a>#calculated-numerator)</span></p><p><b>count</b>: 50</p></blockquote><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>strat-pop8</blockquote><p><b>code</b>: Calculated Denominator <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-vbp-measure-population.html">Value-Based Performance Measure Population Type Codes</a>#calculated-denominator)</span></p><p><b>count</b>: 130</p></blockquote><p><b>measureScore</b>: 0.38</p></blockquote></blockquote></blockquote></div>
  </text>
  <extension
             url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring">
    <valueCodeableConcept>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
        <code value="proportion"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/score">
    <valueDecimal value="0"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/measurereport-category">
    <valueCodeableConcept>
      <coding>
        <system
                value="http://hl7.org/fhir/CodeSystem/measurereport-category"/>
        <code value="vbp"/>
      </coding>
    </valueCodeableConcept>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/threshold">
    <extension url="threshold">
      <valueQuantity>
        <value value="60"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="%"/>
      </valueQuantity>
    </extension>
    <extension url="type">
      <valueCodeableConcept>
        <coding>
          <system
                  value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/threshold-type"/>
          <code value="star-2"/>
        </coding>
      </valueCodeableConcept>
    </extension>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/threshold">
    <extension url="threshold">
      <valueQuantity>
        <value value="85"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="%"/>
      </valueQuantity>
    </extension>
    <extension url="type">
      <valueCodeableConcept>
        <coding>
          <system
                  value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/threshold-type"/>
          <code value="star-3"/>
        </coding>
      </valueCodeableConcept>
    </extension>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/threshold">
    <extension url="threshold">
      <valueQuantity>
        <value value="90"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="%"/>
      </valueQuantity>
    </extension>
    <extension url="type">
      <valueCodeableConcept>
        <coding>
          <system
                  value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/threshold-type"/>
          <code value="star-4"/>
        </coding>
      </valueCodeableConcept>
    </extension>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/threshold">
    <extension url="threshold">
      <valueQuantity>
        <value value="93"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="%"/>
      </valueQuantity>
    </extension>
    <extension url="type">
      <valueCodeableConcept>
        <coding>
          <system
                  value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/threshold-type"/>
          <code value="star-5"/>
        </coding>
      </valueCodeableConcept>
    </extension>
  </extension>
  <status value="complete"/>
  <type value="summary"/>
  <measure
           value="http://example.org/Measure/measure-diabetes-care-eye-exam-FHIR"/>
  <date value="2023-01-15"/>
  <reporter>🔗 
    <reference value="Organization/vbp-payer01"/>
  </reporter>
  <period>
    <start value="2022-01-01"/>
    <end value="2022-11-30"/>
  </period>
  <improvementNotation>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
      <code value="increase"/>
      <display value="Increased score indicates improvement"/>
    </coding>
  </improvementNotation>
  <group>
    <population id="pop1">
      <code>
        <coding>
          <system
                  value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-measure-population"/>
          <code value="calculated-numerator"/>
        </coding>
      </code>
      <count value="200"/>
    </population>
    <population id="pop2">
      <code>
        <coding>
          <system
                  value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-measure-population"/>
          <code value="calculated-denominator"/>
        </coding>
      </code>
      <count value="420"/>
    </population>
    <measureScore>
      <value value="0.476"/>
    </measureScore>
    <stratifier>
      <code>
        <coding>
          <system
                  value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-stratifier-example"/>
          <code value="facility"/>
        </coding>
      </code>
      <stratum>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="87520-3"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
              <code value="HMO"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
              <code value="LOC"/>
            </coding>
          </code>
          <value>
            <text value="Region 1"/>
          </value>
        </component>
        <population id="strat-pop1">
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-measure-population"/>
              <code value="calculated-numerator"/>
            </coding>
          </code>
          <count value="50"/>
        </population>
        <population id="strat-pop2">
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-measure-population"/>
              <code value="calculated-denominator"/>
            </coding>
          </code>
          <count value="80"/>
        </population>
        <measureScore>
          <value value="0.63"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="87520-3"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
              <code value="HMO"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
              <code value="LOC"/>
            </coding>
          </code>
          <value>
            <text value="Region 2"/>
          </value>
        </component>
        <population id="strat-pop3">
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-measure-population"/>
              <code value="calculated-numerator"/>
            </coding>
          </code>
          <count value="50"/>
        </population>
        <population id="strat-pop4">
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-measure-population"/>
              <code value="calculated-denominator"/>
            </coding>
          </code>
          <count value="80"/>
        </population>
        <measureScore>
          <value value="0.38"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="87520-3"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
              <code value="PPO"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
              <code value="LOC"/>
            </coding>
          </code>
          <value>
            <text value="Region 1"/>
          </value>
        </component>
        <population id="strat-pop5">
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-measure-population"/>
              <code value="calculated-numerator"/>
            </coding>
          </code>
          <count value="50"/>
        </population>
        <population id="strat-pop6">
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-measure-population"/>
              <code value="calculated-denominator"/>
            </coding>
          </code>
          <count value="80"/>
        </population>
        <measureScore>
          <value value="0.63"/>
        </measureScore>
      </stratum>
      <stratum>
        <component>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="87520-3"/>
            </coding>
          </code>
          <value>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
              <code value="PPO"/>
            </coding>
          </value>
        </component>
        <component>
          <code>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
              <code value="LOC"/>
            </coding>
          </code>
          <value>
            <text value="Region 2"/>
          </value>
        </component>
        <population id="strat-pop7">
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-measure-population"/>
              <code value="calculated-numerator"/>
            </coding>
          </code>
          <count value="50"/>
        </population>
        <population id="strat-pop8">
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-measure-population"/>
              <code value="calculated-denominator"/>
            </coding>
          </code>
          <count value="130"/>
        </population>
        <measureScore>
          <value value="0.38"/>
        </measureScore>
      </stratum>
    </stratifier>
  </group>
</MeasureReport>