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 |
@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <https://loinc.org/rdf/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
a fhir:MeasureReport ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "quality-measurereport06"] ; #
fhir:meta [
( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/instance-name"^^xsd:anyURI ] ;
fhir:value [
a fhir:string ;
fhir:v "VBP Quality MeasureReport Example" ] ] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/instance-description"^^xsd:anyURI ] ;
fhir:value [
a fhir:markdown ;
fhir:v "This is an example Medication Adherence for Hypertension (RAS antagonists) MeasureReport for the *VBP Quality MeasureReport* profile." ] ] ) ;
fhir:source [ fhir:v "http://example.org/fhir/server"^^xsd:anyURI ] ;
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/vbp-quality-measurereport"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/vbp-quality-measurereport> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: MeasureReport quality-measurereport06</b></p><a name=\"quality-measurereport06\"> </a><a name=\"hcquality-measurereport06\"> </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\">Information Source: <a href=\"http://example.org/fhir/server\">http://example.org/fhir/server</a></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>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-scoring proportion}\">Proportion</span></p><p><b>Score</b>: 0</p><blockquote><p><b>Threshold</b></p><ul><li>threshold: 80 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code% = '%')</span></li><li>type: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/threshold-type star-2}\">Star 2</span></li></ul></blockquote><blockquote><p><b>Threshold</b></p><ul><li>threshold: 85 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code% = '%')</span></li><li>type: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/threshold-type star-3}\">Star 3</span></li></ul></blockquote><blockquote><p><b>Threshold</b></p><ul><li>threshold: 90 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code% = '%')</span></li><li>type: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/threshold-type star-4}\">Star 4</span></li></ul></blockquote><blockquote><p><b>Threshold</b></p><ul><li>threshold: 93 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code% = '%')</span></li><li>type: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/threshold-type star-5}\">Star 5</span></li></ul></blockquote><p><b>status</b>: Complete</p><p><b>type</b>: Summary</p><p><b>measure</b>: <code>http://example.org/Measure/measure-med-adherence-hypertension-FHIR|1.0.000</code></p><p><b>date</b>: 2023-01-15</p><p><b>reporter</b>: <a href=\"Organization-vbp-payer01.html\">Organization ABC Payer</a></p><p><b>period</b>: 2022-01-01 --> 2022-11-30</p><p><b>improvementNotation</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/measure-improvement-notation increase}\">Increased score indicates improvement</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>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-measure-population calculated-numerator}\">Calculated Numerator</span></p><p><b>count</b>: 100</p></blockquote><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>pop2</blockquote><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-measure-population calculated-denominator}\">Calculated Denominator</span></p><p><b>count</b>: 380</p></blockquote><p><b>measureScore</b>: 0.263</p><blockquote><p><b>stratifier</b></p><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 87520-3}\">Coverage type</span></p><p><b>value</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode HMO}\">health maintenance organization policy</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode LOC}\">location</span></p><p><b>value</b>: <span title=\"Codes:\">Region 1</span></p></blockquote><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>strat-pop1</blockquote><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-measure-population calculated-numerator}\">Calculated Numerator</span></p><p><b>count</b>: 30</p></blockquote><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>strat-pop2</blockquote><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-measure-population calculated-denominator}\">Calculated Denominator</span></p><p><b>count</b>: 50</p></blockquote><p><b>measureScore</b>: 0.6</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 87520-3}\">Coverage type</span></p><p><b>value</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode HMO}\">health maintenance organization policy</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode LOC}\">location</span></p><p><b>value</b>: <span title=\"Codes:\">Region 2</span></p></blockquote><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>strat-pop3</blockquote><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-measure-population calculated-numerator}\">Calculated Numerator</span></p><p><b>count</b>: 20</p></blockquote><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>strat-pop4</blockquote><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-measure-population calculated-denominator}\">Calculated Denominator</span></p><p><b>count</b>: 140</p></blockquote><p><b>measureScore</b>: 0.14</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 87520-3}\">Coverage type</span></p><p><b>value</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode PPO}\">preferred provider organization policy</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode LOC}\">location</span></p><p><b>value</b>: <span title=\"Codes:\">Region 1</span></p></blockquote><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>strat-pop5</blockquote><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-measure-population calculated-numerator}\">Calculated Numerator</span></p><p><b>count</b>: 30</p></blockquote><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>strat-pop6</blockquote><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-measure-population calculated-denominator}\">Calculated Denominator</span></p><p><b>count</b>: 50</p></blockquote><p><b>measureScore</b>: 0.6</p></blockquote><blockquote><p><b>stratum</b></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 87520-3}\">Coverage type</span></p><p><b>value</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode PPO}\">preferred provider organization policy</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode LOC}\">location</span></p><p><b>value</b>: <span title=\"Codes:\">Region 2</span></p></blockquote><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>strat-pop7</blockquote><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-measure-population calculated-numerator}\">Calculated Numerator</span></p><p><b>count</b>: 20</p></blockquote><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>strat-pop8</blockquote><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-measure-population calculated-denominator}\">Calculated Denominator</span></p><p><b>count</b>: 140</p></blockquote><p><b>measureScore</b>: 0.14</p></blockquote></blockquote></blockquote></div>"^^rdf:XMLLiteral
] ; #
fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-scoring"^^xsd:anyURI ] ;
fhir:code [ fhir:v "proportion" ] ] ) ]
] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/score"^^xsd:anyURI ] ;
fhir:value [
a fhir:decimal ;
fhir:v "0"^^xsd:decimal ]
] [
( fhir:extension [
fhir:url [ fhir:v "threshold"^^xsd:anyURI ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "80"^^xsd:decimal ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "%" ] ] ] [
fhir:url [ fhir:v "type"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/threshold-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "star-2" ] ] ) ] ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/threshold"^^xsd:anyURI ]
] [
( fhir:extension [
fhir:url [ fhir:v "threshold"^^xsd:anyURI ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "85"^^xsd:decimal ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "%" ] ] ] [
fhir:url [ fhir:v "type"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/threshold-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "star-3" ] ] ) ] ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/threshold"^^xsd:anyURI ]
] [
( fhir:extension [
fhir:url [ fhir:v "threshold"^^xsd:anyURI ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "90"^^xsd:decimal ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "%" ] ] ] [
fhir:url [ fhir:v "type"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/threshold-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "star-4" ] ] ) ] ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/threshold"^^xsd:anyURI ]
] [
( fhir:extension [
fhir:url [ fhir:v "threshold"^^xsd:anyURI ] ;
fhir:value [
a fhir:Quantity ;
fhir:value [ fhir:v "93"^^xsd:decimal ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "%" ] ] ] [
fhir:url [ fhir:v "type"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/threshold-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "star-5" ] ] ) ] ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/threshold"^^xsd:anyURI ]
] ) ; #
fhir:status [ fhir:v "complete"] ; #
fhir:type [ fhir:v "summary"] ; #
fhir:measure [
fhir:v "http://example.org/Measure/measure-med-adherence-hypertension-FHIR|1.0.000"^^xsd:anyURI ;
fhir:link <http://example.org/Measure/measure-med-adherence-hypertension-FHIR|1.0.000>
] ; #
fhir:date [ fhir:v "2023-01-15"^^xsd:date] ; #
fhir:reporter [
fhir:reference [ fhir:v "Organization/vbp-payer01" ]
] ; #
fhir:period [
fhir:start [ fhir:v "2022-01-01"^^xsd:date ] ;
fhir:end [ fhir:v "2022-11-30"^^xsd:date ]
] ; #
fhir:improvementNotation [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/measure-improvement-notation"^^xsd:anyURI ] ;
fhir:code [ fhir:v "increase" ] ;
fhir:display [ fhir:v "Increased score indicates improvement" ] ] )
] ; #
fhir:group ( [
( fhir:population [
fhir:id [ fhir:v "pop1" ] ;
fhir:code [
( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-measure-population"^^xsd:anyURI ] ;
fhir:code [ fhir:v "calculated-numerator" ] ] ) ] ;
fhir:count [ fhir:v 100 ] ] [
fhir:id [ fhir:v "pop2" ] ;
fhir:code [
( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-measure-population"^^xsd:anyURI ] ;
fhir:code [ fhir:v "calculated-denominator" ] ] ) ] ;
fhir:count [ fhir:v 380 ] ] ) ;
fhir:measureScore [
fhir:value [ fhir:v 0.263 ] ] ;
( fhir:stratifier [
( fhir:stratum [
( fhir:component [
fhir:code [
( fhir:coding [
a loinc:87520-3 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "87520-3" ] ] ) ] ;
fhir:value [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ] ;
fhir:code [ fhir:v "HMO" ] ] ) ] ] [
fhir:code [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ] ;
fhir:code [ fhir:v "LOC" ] ] ) ] ;
fhir:value [
fhir:text [ fhir:v "Region 1" ] ] ] ) ;
( fhir:population [
fhir:id [ fhir:v "strat-pop1" ] ;
fhir:code [
( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-measure-population"^^xsd:anyURI ] ;
fhir:code [ fhir:v "calculated-numerator" ] ] ) ] ;
fhir:count [ fhir:v 30 ] ] [
fhir:id [ fhir:v "strat-pop2" ] ;
fhir:code [
( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-measure-population"^^xsd:anyURI ] ;
fhir:code [ fhir:v "calculated-denominator" ] ] ) ] ;
fhir:count [ fhir:v 50 ] ] ) ;
fhir:measureScore [
fhir:value [ fhir:v 0.6 ] ] ] [
( fhir:component [
fhir:code [
( fhir:coding [
a loinc:87520-3 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "87520-3" ] ] ) ] ;
fhir:value [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ] ;
fhir:code [ fhir:v "HMO" ] ] ) ] ] [
fhir:code [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ] ;
fhir:code [ fhir:v "LOC" ] ] ) ] ;
fhir:value [
fhir:text [ fhir:v "Region 2" ] ] ] ) ;
( fhir:population [
fhir:id [ fhir:v "strat-pop3" ] ;
fhir:code [
( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-measure-population"^^xsd:anyURI ] ;
fhir:code [ fhir:v "calculated-numerator" ] ] ) ] ;
fhir:count [ fhir:v 20 ] ] [
fhir:id [ fhir:v "strat-pop4" ] ;
fhir:code [
( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-measure-population"^^xsd:anyURI ] ;
fhir:code [ fhir:v "calculated-denominator" ] ] ) ] ;
fhir:count [ fhir:v 140 ] ] ) ;
fhir:measureScore [
fhir:value [ fhir:v 0.14 ] ] ] [
( fhir:component [
fhir:code [
( fhir:coding [
a loinc:87520-3 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "87520-3" ] ] ) ] ;
fhir:value [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ] ;
fhir:code [ fhir:v "PPO" ] ] ) ] ] [
fhir:code [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ] ;
fhir:code [ fhir:v "LOC" ] ] ) ] ;
fhir:value [
fhir:text [ fhir:v "Region 1" ] ] ] ) ;
( fhir:population [
fhir:id [ fhir:v "strat-pop5" ] ;
fhir:code [
( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-measure-population"^^xsd:anyURI ] ;
fhir:code [ fhir:v "calculated-numerator" ] ] ) ] ;
fhir:count [ fhir:v 30 ] ] [
fhir:id [ fhir:v "strat-pop6" ] ;
fhir:code [
( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-measure-population"^^xsd:anyURI ] ;
fhir:code [ fhir:v "calculated-denominator" ] ] ) ] ;
fhir:count [ fhir:v 50 ] ] ) ;
fhir:measureScore [
fhir:value [ fhir:v 0.6 ] ] ] [
( fhir:component [
fhir:code [
( fhir:coding [
a loinc:87520-3 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "87520-3" ] ] ) ] ;
fhir:value [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ] ;
fhir:code [ fhir:v "PPO" ] ] ) ] ] [
fhir:code [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ] ;
fhir:code [ fhir:v "LOC" ] ] ) ] ;
fhir:value [
fhir:text [ fhir:v "Region 2" ] ] ] ) ;
( fhir:population [
fhir:id [ fhir:v "strat-pop7" ] ;
fhir:code [
( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-measure-population"^^xsd:anyURI ] ;
fhir:code [ fhir:v "calculated-numerator" ] ] ) ] ;
fhir:count [ fhir:v 20 ] ] [
fhir:id [ fhir:v "strat-pop8" ] ;
fhir:code [
( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-measure-population"^^xsd:anyURI ] ;
fhir:code [ fhir:v "calculated-denominator" ] ] ) ] ;
fhir:count [ fhir:v 140 ] ] ) ;
fhir:measureScore [
fhir:value [ fhir:v 0.14 ] ] ] ) ] )
] ) . #
IG © 2023+ HL7 International / Clinical Quality Information. Package hl7.fhir.us.davinci-vbpr#1.1.0 based on FHIR 4.0.1. Generated 2025-09-07
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