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
| Official URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream | Version: 1.1.0 | |||
| Standards status: Trial-use | Maturity Level: 1 | Computable Name: PaymentStream | ||
| Other Identifiers: OID:2.16.840.1.113883.4.642.40.30.42.8 | ||||
The Payment Stream Extension is a complex extension that defines the type of payment stream. A value-based contract may contain different types of payment streams, such as quality incentive payment and care coordination fee.
Context of Use
This extension may be used on the following element(s)
MeasureReport
MeasureReport.group
Measure
Usage info
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.
This structure is derived from Extension
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  Extension |
0..* | Extension | Payment Stream | |
  extension |
1..* | Extension | Extension | |
  Slices for extension |
Content/Rules for all slices | |||
   extension:type |
S | 1..1 | Extension | The type of payment stream |
  extension |
0..0 | |||
| url |
1..1 | uri | "type" | |
  value[x] |
1..1 | CodeableConcept | Value of extension Binding: Payment Stream Value Set (extensible) | |
 extension:incentive |
S | 0..1 | Extension | For quality incentive payment, what type of incentive |
 extension |
0..0 | |||
| url |
1..1 | uri | "incentive" | |
| value[x] |
0..1 | CodeableConcept | Value of extension Binding: Incentive (extensible) | |
| url |
1..1 | uri | "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream" | |
 value[x] |
0..0 | |||
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Extension |
0..* | Extension | Payment Stream | |
 id |
0..1 | string | Unique id for inter-element referencing | |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:type |
S | 1..1 | Extension | The type of payment stream |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "type" | |
| value[x] |
1..1 | CodeableConcept | Value of extension Binding: Payment Stream Value Set (extensible) | |
| extension:incentive |
S | 0..1 | Extension | For quality incentive payment, what type of incentive |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "incentive" | |
| value[x] |
0..1 | CodeableConcept | Value of extension Binding: Incentive (extensible) | |
| url |
1..1 | uri | "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream" | |
| Documentation for this format | ||||
This structure is derived from Extension
Summary
Complex Extension: The Payment Stream Extension is a complex extension that defines the type of payment stream. A value-based contract may contain different types of payment streams, such as quality incentive payment and care coordination fee.
Maturity: 1
Differential View
This structure is derived from Extension
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Extension |
0..* | Extension | Payment Stream | |
| extension |
1..* | Extension | Extension | |
| Slices for extension |
Content/Rules for all slices | |||
| extension:type |
S | 1..1 | Extension | The type of payment stream |
| extension |
0..0 | |||
| url |
1..1 | uri | "type" | |
| value[x] |
1..1 | CodeableConcept | Value of extension Binding: Payment Stream Value Set (extensible) | |
| extension:incentive |
S | 0..1 | Extension | For quality incentive payment, what type of incentive |
| extension |
0..0 | |||
| url |
1..1 | uri | "incentive" | |
| value[x] |
0..1 | CodeableConcept | Value of extension Binding: Incentive (extensible) | |
| url |
1..1 | uri | "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream" | |
| value[x] |
0..0 | |||
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Extension |
0..* | Extension | Payment Stream | |
| id |
0..1 | string | Unique id for inter-element referencing | |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:type |
S | 1..1 | Extension | The type of payment stream |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "type" | |
| value[x] |
1..1 | CodeableConcept | Value of extension Binding: Payment Stream Value Set (extensible) | |
| extension:incentive |
S | 0..1 | Extension | For quality incentive payment, what type of incentive |
| id |
0..1 | string | Unique id for inter-element referencing | |
| extension |
0..0 | |||
| url |
1..1 | uri | "incentive" | |
| value[x] |
0..1 | CodeableConcept | Value of extension Binding: Incentive (extensible) | |
| url |
1..1 | uri | "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream" | |
| Documentation for this format | ||||
This structure is derived from Extension
Summary
Complex Extension: The Payment Stream Extension is a complex extension that defines the type of payment stream. A value-based contract may contain different types of payment streams, such as quality incentive payment and care coordination fee.
Maturity: 1
Other representations of profile: CSV, Excel, Schematron
| Path | Conformance | ValueSet | URI |
| Extension.extension:type.value[x] | extensible | PaymentStreamVS(a valid code from Payment Stream Codes)http://hl7.org/fhir/us/davinci-vbpr/ValueSet/vbp-payment-streamFrom this IG | |
| Extension.extension:incentive.value[x] | extensible | VBPIncentiveVS(a valid code from Incentive Payment Codes)http://hl7.org/fhir/us/davinci-vbpr/ValueSet/vbp-incentiveFrom this IG |
| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
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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QA Report
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