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 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 "vbp-measurereport104"] ; #
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 MeasureReport Example 104" ] ] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/instance-description"^^xsd:anyURI ] ;
fhir:value [
a fhir:markdown ;
fhir:v "This is an example Value-Based Performance MeasureReport for the *VBP MeasureReport* profile." ] ] ) ;
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/vbp-performance-measurereport"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/vbp-performance-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 vbp-measurereport104</b></p><a name=\"vbp-measurereport104\"> </a><a name=\"hcvbp-measurereport104\"> </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-performance-measurereport.html\">Value-Based Performance MeasureReport</a></p></div><p><b>Measure Report Category</b>: <span title=\"Codes:{http://hl7.org/fhir/CodeSystem/measurereport-category vbp}\">Value-Based Performance</span></p><p><b>status</b>: Complete</p><p><b>type</b>: Summary</p><p><b>measure</b>: <a href=\"Measure-vbp-measure02.html\">Example Value-Based Contract - ABC Payer and EveryHospital</a></p><p><b>subject</b>: Every Hospital</p><p><b>date</b>: 2023-05-31</p><p><b>reporter</b>: <a href=\"Organization-vbp-payer01.html\">Organization ABC Payer</a></p><p><b>period</b>: 2022-01-01 --> 2022-08-31</p><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-01</blockquote><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric eligible-member}\">Eligible member</span></p><p><b>measureScore</b>: 2914</p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-02</blockquote><p><b>code</b>: <span title=\"Codes:{http://my-local-organization/CodeSystem/vbp-performance-metric hcc}\">Hierarchical Condition Category</span></p><p><b>measureScore</b>: </p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-03</blockquote><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric quality-pmt-office-visit}\">Preventive Care Visits</span></p><p><b>measureScore</b>: </p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-04</blockquote><p><b>code</b>: <span title=\"Codes:{http://my-local-organization/CodeSystem/vbp-performance-metric star-performance}\">Star Performance</span></p><p><b>measureScore</b>: </p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-05</blockquote><p><b>code</b>: <span title=\"Codes:{http://my-local-organization/CodeSystem/vbp-performance-metric advance-care-planning}\">Advance Care Planning</span></p><p><b>measureScore</b>: </p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-06</blockquote><p><b>code</b>: <span title=\"Codes:{http://my-local-organization/CodeSystem/vbp-performance-metric encounter-palliative-care}\">Encounter Palliative Care</span></p><p><b>measureScore</b>: </p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-07</blockquote><p><b>code</b>: <span title=\"Codes:{http://my-local-organization/CodeSystem/vbp-performance-metric supplemental-data}\">Supplemental Data</span></p><p><b>measureScore</b>: </p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-08</blockquote><p><b>code</b>: <span title=\"Codes:{http://my-local-organization/CodeSystem/vbp-performance-metric closed-gaps}\">Estimated YTD Grand Total</span></p><p><b>measureScore</b>: </p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-09</blockquote><p><b>code</b>: <span title=\"Codes:{http://my-local-organization/CodeSystem/vbp-performance-metric total-gaps}\">Total gaps</span></p><p><b>measureScore</b>: 2</p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-10</blockquote><p><b>code</b>: <span title=\"Codes:{http://my-local-organization/CodeSystem/vbp-performance-metric closed-gaps}\">Closed gaps</span></p><p><b>measureScore</b>: 2</p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-11</blockquote><p><b>code</b>: <span title=\"Codes:{http://my-local-organization/CodeSystem/vbp-performance-metric min-base-incentive-target}\">Minimum Base Incentive Target Percentage</span></p><p><b>measureScore</b>: 80 %<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code% = '%')</span></p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-12</blockquote><p><b>code</b>: <span title=\"Codes:{http://my-local-organization/CodeSystem/vbp-performance-metric base-incentive-pm}\">Base Incentive Per Member</span></p><p><b>measureScore</b>: </p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-13</blockquote><p><b>code</b>: <span title=\"Codes:{http://my-local-organization/CodeSystem/vbp-performance-metric early-performance-bonus-met}\">Early Performance Bonus Met</span></p><p><b>measureScore</b>: </p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-14</blockquote><p><b>code</b>: <span title=\"Codes:{http://my-local-organization/CodeSystem/vbp-performance-metric estimated-bonus-incentive-pm}\">Estimated Bonus Incentive Per Member</span></p><p><b>measureScore</b>: </p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-15</blockquote><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric earned-incentive}\">Estimate Incentive</span></p><p><b>measureScore</b>: </p></blockquote><p><b>evaluatedResource</b>: </p><ul><li><a href=\"MeasureReport-quality-measurereport30.html\">MeasureReport: extension = Proportion,3,,; status = complete; type = summary; measure = http://hl7.org/fhir/us/cqfmeasures/Measure/EXM125-FHIR|8.0.000; date = 2023-01-15; period = 2022-01-01 --> 2022-11-30; improvementNotation = Increased score indicates improvement</a></li><li><a href=\"MeasureReport-quality-measurereport31.html\">MeasureReport: extension = Proportion,5,,; status = complete; type = summary; measure = http://hl7.org/fhir/us/cqfmeasures/Measure/EXM130-FHIR|8.0.000; date = 2023-01-15; period = 2022-01-01 --> 2022-11-30; improvementNotation = Increased score indicates improvement</a></li><li><a href=\"MeasureReport-quality-measurereport32.html\">MeasureReport: extension = Proportion,0,,; status = complete; type = summary; measure = http://example.org/Measure/measure-diabetes-care-blood-sugar-controlled-FHIR|1.0.000; date = 2023-05-30; period = 2022-01-01 --> 2022-08-31; improvementNotation = Increased score indicates improvement</a></li><li><a href=\"MeasureReport-quality-measurereport33.html\">MeasureReport: extension = Proportion,0,,; status = complete; type = summary; measure = http://example.org/Measure/measure-diabetes-care-eye-exam-FHIR|1.0.000; date = 2023-01-15; period = 2022-01-01 --> 2022-11-30; improvementNotation = Increased score indicates improvement</a></li></ul></div>"^^rdf:XMLLiteral
] ; #
fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/measurereport-category"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/CodeSystem/measurereport-category"^^xsd:anyURI ] ;
fhir:code [ fhir:v "vbp" ] ] ) ]
] ) ; #
fhir:status [ fhir:v "complete"] ; #
fhir:type [ fhir:v "summary"] ; #
fhir:measure [
fhir:v "https://build.fhir.org/ig/HL7/davinci-vbpr/Measure-vbp-measure02"^^xsd:anyURI ;
fhir:link <https://build.fhir.org/ig/HL7/davinci-vbpr/Measure-vbp-measure02>
] ; #
fhir:subject [
( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/organization-subject"^^xsd:anyURI ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "Organization/vbp-provider02" ] ] ] ) ;
fhir:display [ fhir:v "Every Hospital" ]
] ; #
fhir:date [ fhir:v "2023-05-31"^^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 "2022-08-31"^^xsd:date ]
] ; #
fhir:group ( [
fhir:id [ fhir:v "group-01" ] ;
fhir:code [
( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"^^xsd:anyURI ] ;
fhir:code [ fhir:v "eligible-member" ] ] ) ;
fhir:text [ fhir:v "Eligible member" ] ] ;
fhir:measureScore [
fhir:value [ fhir:v "2914"^^xsd:decimal ] ]
] [
fhir:id [ fhir:v "group-02" ] ;
fhir:code [
( fhir:coding [
fhir:system [ fhir:v "http://my-local-organization/CodeSystem/vbp-performance-metric"^^xsd:anyURI ] ;
fhir:code [ fhir:v "hcc" ] ] ) ;
fhir:text [ fhir:v "Hierarchical Condition Category" ] ] ;
fhir:measureScore [
( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore"^^xsd:anyURI ] ;
fhir:value [
a fhir:Money ;
fhir:value [ fhir:v "500"^^xsd:decimal ] ;
fhir:currency [ fhir:v "USD" ] ] ] ) ]
] [
fhir:id [ fhir:v "group-03" ] ;
fhir:code [
( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"^^xsd:anyURI ] ;
fhir:code [ fhir:v "quality-pmt-office-visit" ] ;
fhir:display [ fhir:v "Quality payment annual office visit" ] ] ) ;
fhir:text [ fhir:v "Preventive Care Visits" ] ] ;
fhir:measureScore [
( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore"^^xsd:anyURI ] ;
fhir:value [
a fhir:Money ;
fhir:value [ fhir:v "180"^^xsd:decimal ] ;
fhir:currency [ fhir:v "USD" ] ] ] ) ]
] [
fhir:id [ fhir:v "group-04" ] ;
fhir:code [
( fhir:coding [
fhir:system [ fhir:v "http://my-local-organization/CodeSystem/vbp-performance-metric"^^xsd:anyURI ] ;
fhir:code [ fhir:v "star-performance" ] ] ) ;
fhir:text [ fhir:v "Star Performance" ] ] ;
fhir:measureScore [
( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore"^^xsd:anyURI ] ;
fhir:value [
a fhir:Money ;
fhir:value [ fhir:v "132884"^^xsd:decimal ] ;
fhir:currency [ fhir:v "USD" ] ] ] ) ]
] [
fhir:id [ fhir:v "group-05" ] ;
fhir:code [
( fhir:coding [
fhir:system [ fhir:v "http://my-local-organization/CodeSystem/vbp-performance-metric"^^xsd:anyURI ] ;
fhir:code [ fhir:v "advance-care-planning" ] ] ) ;
fhir:text [ fhir:v "Advance Care Planning" ] ] ;
fhir:measureScore [
( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore"^^xsd:anyURI ] ;
fhir:value [
a fhir:Money ;
fhir:value [ fhir:v "100"^^xsd:decimal ] ;
fhir:currency [ fhir:v "USD" ] ] ] ) ]
] [
fhir:id [ fhir:v "group-06" ] ;
fhir:code [
( fhir:coding [
fhir:system [ fhir:v "http://my-local-organization/CodeSystem/vbp-performance-metric"^^xsd:anyURI ] ;
fhir:code [ fhir:v "encounter-palliative-care" ] ] ) ;
fhir:text [ fhir:v "Encounter Palliative Care" ] ] ;
fhir:measureScore [
( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore"^^xsd:anyURI ] ;
fhir:value [
a fhir:Money ;
fhir:value [ fhir:v "1200"^^xsd:decimal ] ;
fhir:currency [ fhir:v "USD" ] ] ] ) ]
] [
fhir:id [ fhir:v "group-07" ] ;
fhir:code [
( fhir:coding [
fhir:system [ fhir:v "http://my-local-organization/CodeSystem/vbp-performance-metric"^^xsd:anyURI ] ;
fhir:code [ fhir:v "supplemental-data" ] ] ) ;
fhir:text [ fhir:v "Supplemental Data" ] ] ;
fhir:measureScore [
( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore"^^xsd:anyURI ] ;
fhir:value [
a fhir:Money ;
fhir:value [ fhir:v "0"^^xsd:decimal ] ;
fhir:currency [ fhir:v "USD" ] ] ] ) ]
] [
fhir:id [ fhir:v "group-08" ] ;
fhir:code [
( fhir:coding [
fhir:system [ fhir:v "http://my-local-organization/CodeSystem/vbp-performance-metric"^^xsd:anyURI ] ;
fhir:code [ fhir:v "closed-gaps" ] ] ) ;
fhir:text [ fhir:v "Estimated YTD Grand Total" ] ] ;
fhir:measureScore [
( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore"^^xsd:anyURI ] ;
fhir:value [
a fhir:Money ;
fhir:value [ fhir:v "134864"^^xsd:decimal ] ;
fhir:currency [ fhir:v "USD" ] ] ] ) ]
] [
fhir:id [ fhir:v "group-09" ] ;
fhir:code [
( fhir:coding [
fhir:system [ fhir:v "http://my-local-organization/CodeSystem/vbp-performance-metric"^^xsd:anyURI ] ;
fhir:code [ fhir:v "total-gaps" ] ] ) ;
fhir:text [ fhir:v "Total gaps" ] ] ;
fhir:measureScore [
fhir:value [ fhir:v "2"^^xsd:decimal ] ]
] [
fhir:id [ fhir:v "group-10" ] ;
fhir:code [
( fhir:coding [
fhir:system [ fhir:v "http://my-local-organization/CodeSystem/vbp-performance-metric"^^xsd:anyURI ] ;
fhir:code [ fhir:v "closed-gaps" ] ] ) ;
fhir:text [ fhir:v "Closed gaps" ] ] ;
fhir:measureScore [
fhir:value [ fhir:v "2"^^xsd:decimal ] ]
] [
fhir:id [ fhir:v "group-11" ] ;
fhir:code [
( fhir:coding [
fhir:system [ fhir:v "http://my-local-organization/CodeSystem/vbp-performance-metric"^^xsd:anyURI ] ;
fhir:code [ fhir:v "min-base-incentive-target" ] ] ) ;
fhir:text [ fhir:v "Minimum Base Incentive Target Percentage" ] ] ;
fhir:measureScore [
fhir:value [ fhir:v "80"^^xsd:decimal ] ;
fhir:system [ fhir:v "http://unitsofmeasure.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "%" ] ]
] [
fhir:id [ fhir:v "group-12" ] ;
fhir:code [
( fhir:coding [
fhir:system [ fhir:v "http://my-local-organization/CodeSystem/vbp-performance-metric"^^xsd:anyURI ] ;
fhir:code [ fhir:v "base-incentive-pm" ] ] ) ;
fhir:text [ fhir:v "Base Incentive Per Member" ] ] ;
fhir:measureScore [
( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore"^^xsd:anyURI ] ;
fhir:value [
a fhir:Money ;
fhir:value [ fhir:v "125"^^xsd:decimal ] ;
fhir:currency [ fhir:v "USD" ] ] ] ) ]
] [
fhir:id [ fhir:v "group-13" ] ;
fhir:code [
( fhir:coding [
fhir:system [ fhir:v "http://my-local-organization/CodeSystem/vbp-performance-metric"^^xsd:anyURI ] ;
fhir:code [ fhir:v "early-performance-bonus-met" ] ] ) ;
fhir:text [ fhir:v "Early Performance Bonus Met" ] ] ;
fhir:measureScore [
( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore"^^xsd:anyURI ] ;
fhir:value [
a fhir:boolean ;
fhir:v false ] ] ) ]
] [
fhir:id [ fhir:v "group-14" ] ;
fhir:code [
( fhir:coding [
fhir:system [ fhir:v "http://my-local-organization/CodeSystem/vbp-performance-metric"^^xsd:anyURI ] ;
fhir:code [ fhir:v "estimated-bonus-incentive-pm" ] ] ) ;
fhir:text [ fhir:v "Estimated Bonus Incentive Per Member" ] ] ;
fhir:measureScore [
( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore"^^xsd:anyURI ] ;
fhir:value [
a fhir:Money ;
fhir:value [ fhir:v "0"^^xsd:decimal ] ;
fhir:currency [ fhir:v "USD" ] ] ] ) ]
] [
fhir:id [ fhir:v "group-15" ] ;
fhir:code [
( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-performance-metric"^^xsd:anyURI ] ;
fhir:code [ fhir:v "earned-incentive" ] ;
fhir:display [ fhir:v "Earned incentive" ] ] ) ;
fhir:text [ fhir:v "Estimate Incentive" ] ] ;
fhir:measureScore [
( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore"^^xsd:anyURI ] ;
fhir:value [
a fhir:Money ;
fhir:value [ fhir:v "500"^^xsd:decimal ] ;
fhir:currency [ fhir:v "USD" ] ] ] ) ]
] ) ; #
fhir:evaluatedResource ( [
fhir:reference [ fhir:v "MeasureReport/quality-measurereport30" ]
] [
fhir:reference [ fhir:v "MeasureReport/quality-measurereport31" ]
] [
fhir:reference [ fhir:v "MeasureReport/quality-measurereport32" ]
] [
fhir:reference [ fhir:v "MeasureReport/quality-measurereport33" ]
] ) . #
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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