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):
Usage info
Usages:
Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.
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
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 | ||||
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 2025-07-21
Links: Table of Contents |
QA Report
| Version History |
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