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/vbp-measure | Version: 1.1.0 | |||
| Standards status: Trial-use | Maturity Level: 1 | Computable Name: VbpMeasure | ||
| Other Identifiers: OID:2.16.840.1.113883.4.642.40.30.42.13 | ||||
The measure definition that describes value-based contract level information for a value-based performance report.
The Formal Views below provides the formal summary, definitions, and terminology requirements.
Each Value-Based Performance Measure has the following mandatory elements:
url - a canonical identifier for this measure (value-based contract)version - version of the measure (value-based contract)name - a computer friendly name for this measure (value-based contract)status - status of this measureexperimental element - set to true if for testingpublisher - name of the publisher for this measure (value-based contract)description - description of the measure (value-based contract)Each Value-Based Performance Measure should have the following elements:
identifier - business identifier of the measure (value-based contract)title - a human friendly title for this measure (value-based contract)effectivePeriod - effective period of the measure, which is the contract term period for a value-based contractlineOfBusiness - line of business for the measure (value-based contract)paymentStream - list of payment streams covered in the measure (value-based contract)programModel - program model for the measure (value-based contract) based on the HPCLAN Frameworkgroup.code - list of performance metrics that could be reported on the measure (value-based contract)relatedArtifact - list of quality measures specified in the value-based contract that ties to the payment stream based on quality measuresrelatedArtifact.weight for each relatedArtifact - the weight of a quality measure that contributes to the scoringUsages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  Measure |
C | 1..1 | CRMIShareableMeasure | A quality measure definition Constraints: mea-0, mea-1 |
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
  Slices for extension |
Content/Rules for all slices | |||
   extension:knowledgeCapability |
S | 0..* | code | shareable | computable | publishable | executable URL: http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability Binding: KnowledgeCapability (required) |
| extension:artifactComment |
S | 0..* | (Complex) | Additional documentation, review, or usage guidance URL: http://hl7.org/fhir/StructureDefinition/cqf-artifactComment |
| extension:versionAlgorithm |
S | 0..1 | Coding | How to compare versions URL: http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm Binding: version-algorithm (??) (extensible) |
| extension:versionPolicy |
S | 0..1 | CodeableConcept | metadata | strict URL: http://hl7.org/fhir/StructureDefinition/artifact-versionPolicy Binding: ValueSet Artifact Version Policy (extensible): The versioning policy of the artifact |
| extension:lineOfBusiness |
S | 0..1 | CodeableConcept | Line of Business URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/lob Binding: Line of Business Value Set (extensible) |
| extension:programModel |
S | 0..* | (Complex) | Program Model URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/program-model |
 extension:paymentStream |
S | 0..* | (Complex) | Payment Stream URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| url |
SΣ | 1..1 | uri | Canonical identifier for this measure, represented as a URI (globally unique) |
 identifier |
SΣ | 0..* | Identifier | Business identifier of this measure, e.g., value-based contract identifier |
| version |
SΣ | 1..1 | string | Business version of the measure |
| name |
SΣC | 0..1 | string | Name for this measure (computer friendly) |
| title |
SΣ | 1..1 | string | Name for this measure (human friendly) |
| status |
?!SΣ | 1..1 | code | draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact. |
| experimental |
SΣ | 0..1 | boolean | For testing purposes, not real usage |
| publisher |
SΣ | 0..1 | string | Name of the publisher (organization or individual) |
| description |
SΣ | 1..1 | markdown | Natural language description of the measure |
| effectivePeriod |
SΣ | 0..1 | Period | Value-based contract term period |
| Slices for relatedArtifact |
S | 0..* | RelatedArtifact | Additional documentation, citations, etc. Slice: Unordered, Open by value:type |
 relatedArtifact:component |
S | 0..* | RelatedArtifact | Additional documentation, citations, etc. |
   Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
 extension:weight |
S | 0..1 | decimal | Weight URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/weight |
| extension:contractualStatus |
S | 1..1 | CodeableConcept | contractual | contractual-alternate | reporting-only URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/contractual-status Binding: Measure Contractual Status (extensible) |
 type |
SΣ | 1..1 | code | Component measure Binding: RelatedArtifactType (required): The type of relationship to the related artifact. Fixed Value: composed-of |
| display |
SΣ | 0..1 | string | Brief description of the related artifact |
 resource |
SΣ | 1..1 | canonical(Measure) | What resource is being referenced |
 group |
S | 0..* | BackboneElement | Population criteria group |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
 code |
S | 0..1 | CodeableConcept | Performance metric Binding: Performance Metric (extensible) |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| Measure.status | required | PublicationStatushttp://hl7.org/fhir/ValueSet/publication-status|4.0.1From the FHIR Standard | |
| Measure.relatedArtifact:component.type | required | Fixed Value: composed-ofhttp://hl7.org/fhir/ValueSet/related-artifact-type|4.0.1From the FHIR Standard | |
| Measure.group.code | extensible | VbpPerformanceMetricsVS(a valid code from Performance Metric Codes)http://hl7.org/fhir/us/davinci-vbpr/ValueSet/vbp-performance-metricFrom this IG |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Measure | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Measure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Measure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Measure | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Measure | A resource should have narrative for robust management : text.`div`.exists() | |
| 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() | |
| mea-0 | warning | Measure | Name should be usable as an identifier for the module by machine processing applications such as code generation : name.matches('[A-Z]([A-Za-z0-9_]){0,254}') | |
| mea-1 | error | Measure | Stratifier SHALL be either a single criteria or a set of criteria components : group.stratifier.all((code | description | criteria).exists() xor component.exists()) |
This structure is derived from CRMIShareableMeasure
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Measure |
1..1 | CRMIShareableMeasure | A quality measure definition | |
| Slices for extension |
Content/Rules for all slices | |||
| extension:lineOfBusiness |
S | 0..1 | CodeableConcept | Line of Business URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/lob Binding: Line of Business Value Set (extensible) |
| extension:programModel |
S | 0..* | (Complex) | Program Model URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/program-model |
| extension:paymentStream |
S | 0..* | (Complex) | Payment Stream URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream |
 identifier |
S | 0..* | Identifier | Business identifier of this measure, e.g., value-based contract identifier |
| effectivePeriod |
S | 0..1 | Period | Value-based contract term period |
| Slices for relatedArtifact |
S | 0..* | RelatedArtifact | Additional documentation, citations, etc. Slice: Unordered, Open by value:type |
| relatedArtifact:component |
S | 0..* | RelatedArtifact | Additional documentation, citations, etc. |
| extension |
1..* | Extension | Extension | |
| Slices for extension |
Content/Rules for all slices | |||
| extension:weight |
S | 0..1 | decimal | Weight URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/weight |
| extension:contractualStatus |
S | 1..1 | CodeableConcept | contractual | contractual-alternate | reporting-only URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/contractual-status Binding: Measure Contractual Status (extensible) |
| type |
S | 1..1 | code | Component measure Fixed Value: composed-of |
| display |
S | 0..1 | string | Brief description of the related artifact |
| resource |
S | 1..1 | canonical(Measure) | What resource is being referenced |
| scoring |
0..0 | |||
| compositeScoring |
0..0 | |||
| improvementNotation |
0..0 | |||
| group |
S | 0..* | BackboneElement | Population criteria group |
| code |
S | 0..1 | CodeableConcept | Performance metric Binding: Performance Metric (extensible) |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Measure.group.code | extensible | VbpPerformanceMetricsVS(a valid code from Performance Metric Codes)http://hl7.org/fhir/us/davinci-vbpr/ValueSet/vbp-performance-metricFrom this IG |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Measure |
C | 1..1 | CRMIShareableMeasure | A quality measure definition Constraints: mea-0, mea-1 | ||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:knowledgeCapability |
S | 0..* | code | shareable | computable | publishable | executable URL: http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability Binding: KnowledgeCapability (required) | ||||
| extension:artifactComment |
S | 0..* | (Complex) | Additional documentation, review, or usage guidance URL: http://hl7.org/fhir/StructureDefinition/cqf-artifactComment | ||||
| extension:versionAlgorithm |
S | 0..1 | Coding | How to compare versions URL: http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm Binding: version-algorithm (??) (extensible) | ||||
| extension:versionPolicy |
S | 0..1 | CodeableConcept | metadata | strict URL: http://hl7.org/fhir/StructureDefinition/artifact-versionPolicy Binding: ValueSet Artifact Version Policy (extensible): The versioning policy of the artifact | ||||
| extension:lineOfBusiness |
S | 0..1 | CodeableConcept | Line of Business URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/lob Binding: Line of Business Value Set (extensible) | ||||
| extension:programModel |
S | 0..* | (Complex) | Program Model URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/program-model | ||||
| extension:paymentStream |
S | 0..* | (Complex) | Payment Stream URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream | ||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| url |
SΣ | 1..1 | uri | Canonical identifier for this measure, represented as a URI (globally unique) | ||||
| identifier |
SΣ | 0..* | Identifier | Business identifier of this measure, e.g., value-based contract identifier | ||||
| version |
SΣ | 1..1 | string | Business version of the measure | ||||
| name |
SΣC | 0..1 | string | Name for this measure (computer friendly) | ||||
| title |
SΣ | 1..1 | string | Name for this measure (human friendly) | ||||
| subtitle |
0..1 | string | Subordinate title of the measure | |||||
| status |
?!SΣ | 1..1 | code | draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact. | ||||
| experimental |
SΣ | 0..1 | boolean | For testing purposes, not real usage | ||||
 subject[x] |
0..1 | E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device Binding: SubjectType (extensible): The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization, Location, etc.). | ||||||
| subjectCodeableConcept |
CodeableConcept | |||||||
 subjectReference |
Reference(Group) | |||||||
| date |
Σ | 0..1 | dateTime | Date last changed | ||||
| publisher |
SΣ | 0..1 | string | Name of the publisher (organization or individual) | ||||
| contact |
Σ | 0..* | ContactDetail | Contact details for the publisher | ||||
| description |
SΣ | 1..1 | markdown | Natural language description of the measure | ||||
| useContext |
Σ | 0..* | UsageContext | The context that the content is intended to support | ||||
| jurisdiction |
Σ | 0..* | CodeableConcept | Intended jurisdiction for measure (if applicable) Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use. | ||||
| purpose |
0..1 | markdown | Why this measure is defined | |||||
| usage |
0..1 | string | Describes the clinical usage of the measure | |||||
| copyright |
0..1 | markdown | Use and/or publishing restrictions | |||||
| approvalDate |
0..1 | date | When the measure was approved by publisher | |||||
| lastReviewDate |
0..1 | date | When the measure was last reviewed | |||||
| effectivePeriod |
SΣ | 0..1 | Period | Value-based contract term period | ||||
| topic |
0..* | CodeableConcept | The category of the measure, such as Education, Treatment, Assessment, etc. Binding: DefinitionTopic (example): High-level categorization of the definition, used for searching, sorting, and filtering. | |||||
| author |
0..* | ContactDetail | Who authored the content | |||||
| editor |
0..* | ContactDetail | Who edited the content | |||||
| reviewer |
0..* | ContactDetail | Who reviewed the content | |||||
| endorser |
0..* | ContactDetail | Who endorsed the content | |||||
| Slices for relatedArtifact |
S | 0..* | RelatedArtifact | Additional documentation, citations, etc. Slice: Unordered, Open by value:type | ||||
| relatedArtifact:component |
S | 0..* | RelatedArtifact | Additional documentation, citations, etc. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:weight |
S | 0..1 | decimal | Weight URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/weight | ||||
| extension:contractualStatus |
S | 1..1 | CodeableConcept | contractual | contractual-alternate | reporting-only URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/contractual-status Binding: Measure Contractual Status (extensible) | ||||
| type |
SΣ | 1..1 | code | Component measure Binding: RelatedArtifactType (required): The type of relationship to the related artifact. Fixed Value: composed-of | ||||
| label |
Σ | 0..1 | string | Short label | ||||
| display |
SΣ | 0..1 | string | Brief description of the related artifact | ||||
| citation |
Σ | 0..1 | markdown | Bibliographic citation for the artifact | ||||
| url |
Σ | 0..1 | url | Where the artifact can be accessed | ||||
| document |
Σ | 0..1 | Attachment | What document is being referenced | ||||
| resource |
SΣ | 1..1 | canonical(Measure) | What resource is being referenced | ||||
| library |
0..* | canonical(Library) | Logic used by the measure | |||||
| disclaimer |
Σ | 0..1 | markdown | Disclaimer for use of the measure or its referenced content | ||||
| type |
Σ | 0..* | CodeableConcept | process | outcome | structure | patient-reported-outcome | composite Binding: MeasureType (extensible): The type of measure (includes codes from 2.16.840.1.113883.1.11.20368). | ||||
| riskAdjustment |
Σ | 0..1 | string | How risk adjustment is applied for this measure | ||||
| rateAggregation |
Σ | 0..1 | string | How is rate aggregation performed for this measure | ||||
| rationale |
Σ | 0..1 | markdown | Detailed description of why the measure exists | ||||
| clinicalRecommendationStatement |
Σ | 0..1 | markdown | Summary of clinical guidelines | ||||
| definition |
Σ | 0..* | markdown | Defined terms used in the measure documentation | ||||
| guidance |
Σ | 0..1 | markdown | Additional guidance for implementers | ||||
| group |
S | 0..* | BackboneElement | Population criteria group | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
S | 0..1 | CodeableConcept | Performance metric Binding: Performance Metric (extensible) | ||||
| description |
0..1 | string | Summary description | |||||
| population |
0..* | BackboneElement | Population criteria | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
0..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population. | |||||
| description |
0..1 | string | The human readable description of this population criteria | |||||
| criteria |
1..1 | Expression | The criteria that defines this population | |||||
| stratifier |
0..* | BackboneElement | Stratifier criteria for the measure | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
0..1 | CodeableConcept | Meaning of the stratifier | |||||
| description |
0..1 | string | The human readable description of this stratifier | |||||
| criteria |
0..1 | Expression | How the measure should be stratified | |||||
| component |
0..* | BackboneElement | Stratifier criteria component for the measure | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
0..1 | CodeableConcept | Meaning of the stratifier component | |||||
| description |
0..1 | string | The human readable description of this stratifier component | |||||
| criteria |
1..1 | Expression | Component of how the measure should be stratified | |||||
| supplementalData |
0..* | BackboneElement | What other data should be reported with the measure | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
0..1 | CodeableConcept | Meaning of the supplemental data | |||||
| usage |
0..* | CodeableConcept | supplemental-data | risk-adjustment-factor Binding: MeasureDataUsage (extensible): The intended usage for supplemental data elements in the measure. | |||||
| description |
0..1 | string | The human readable description of this supplemental data | |||||
| criteria |
1..1 | Expression | Expression describing additional data to be reported | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| Measure.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesFrom the FHIR Standard
| ||||
| Measure.status | required | PublicationStatushttp://hl7.org/fhir/ValueSet/publication-status|4.0.1From the FHIR Standard | ||||
| Measure.subject[x] | extensible | SubjectTypehttp://hl7.org/fhir/ValueSet/subject-typeFrom the FHIR Standard | ||||
| Measure.jurisdiction | extensible | Jurisdiction ValueSethttp://hl7.org/fhir/ValueSet/jurisdictionFrom the FHIR Standard | ||||
| Measure.topic | example | DefinitionTopichttp://hl7.org/fhir/ValueSet/definition-topicFrom the FHIR Standard | ||||
| Measure.relatedArtifact:component.type | required | Fixed Value: composed-ofhttp://hl7.org/fhir/ValueSet/related-artifact-type|4.0.1From the FHIR Standard | ||||
| Measure.type | extensible | MeasureTypehttp://hl7.org/fhir/ValueSet/measure-typeFrom the FHIR Standard | ||||
| Measure.group.code | extensible | VbpPerformanceMetricsVS(a valid code from Performance Metric Codes)http://hl7.org/fhir/us/davinci-vbpr/ValueSet/vbp-performance-metricFrom this IG | ||||
| Measure.group.population.code | extensible | MeasurePopulationTypehttp://hl7.org/fhir/ValueSet/measure-populationFrom the FHIR Standard | ||||
| Measure.supplementalData.usage | extensible | MeasureDataUsagehttp://hl7.org/fhir/ValueSet/measure-data-usageFrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Measure | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Measure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Measure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Measure | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Measure | A resource should have narrative for robust management : text.`div`.exists() | |
| 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() | |
| mea-0 | warning | Measure | Name should be usable as an identifier for the module by machine processing applications such as code generation : name.matches('[A-Z]([A-Za-z0-9_]){0,254}') | |
| mea-1 | error | Measure | Stratifier SHALL be either a single criteria or a set of criteria components : group.stratifier.all((code | description | criteria).exists() xor component.exists()) |
This structure is derived from CRMIShareableMeasure
Summary
Mandatory: 0 element(3 nested mandatory elements)
Must-Support: 14 elements
Fixed: 1 element
Prohibited: 3 elements
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Maturity: 1
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Measure |
C | 1..1 | CRMIShareableMeasure | A quality measure definition Constraints: mea-0, mea-1 |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| Slices for extension |
Content/Rules for all slices | |||
| extension:knowledgeCapability |
S | 0..* | code | shareable | computable | publishable | executable URL: http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability Binding: KnowledgeCapability (required) |
| extension:artifactComment |
S | 0..* | (Complex) | Additional documentation, review, or usage guidance URL: http://hl7.org/fhir/StructureDefinition/cqf-artifactComment |
| extension:versionAlgorithm |
S | 0..1 | Coding | How to compare versions URL: http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm Binding: version-algorithm (??) (extensible) |
| extension:versionPolicy |
S | 0..1 | CodeableConcept | metadata | strict URL: http://hl7.org/fhir/StructureDefinition/artifact-versionPolicy Binding: ValueSet Artifact Version Policy (extensible): The versioning policy of the artifact |
| extension:lineOfBusiness |
S | 0..1 | CodeableConcept | Line of Business URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/lob Binding: Line of Business Value Set (extensible) |
| extension:programModel |
S | 0..* | (Complex) | Program Model URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/program-model |
| extension:paymentStream |
S | 0..* | (Complex) | Payment Stream URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| url |
SΣ | 1..1 | uri | Canonical identifier for this measure, represented as a URI (globally unique) |
| identifier |
SΣ | 0..* | Identifier | Business identifier of this measure, e.g., value-based contract identifier |
| version |
SΣ | 1..1 | string | Business version of the measure |
| name |
SΣC | 0..1 | string | Name for this measure (computer friendly) |
| title |
SΣ | 1..1 | string | Name for this measure (human friendly) |
| status |
?!SΣ | 1..1 | code | draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact. |
| experimental |
SΣ | 0..1 | boolean | For testing purposes, not real usage |
| publisher |
SΣ | 0..1 | string | Name of the publisher (organization or individual) |
| description |
SΣ | 1..1 | markdown | Natural language description of the measure |
| effectivePeriod |
SΣ | 0..1 | Period | Value-based contract term period |
| Slices for relatedArtifact |
S | 0..* | RelatedArtifact | Additional documentation, citations, etc. Slice: Unordered, Open by value:type |
| relatedArtifact:component |
S | 0..* | RelatedArtifact | Additional documentation, citations, etc. |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:weight |
S | 0..1 | decimal | Weight URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/weight |
| extension:contractualStatus |
S | 1..1 | CodeableConcept | contractual | contractual-alternate | reporting-only URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/contractual-status Binding: Measure Contractual Status (extensible) |
| type |
SΣ | 1..1 | code | Component measure Binding: RelatedArtifactType (required): The type of relationship to the related artifact. Fixed Value: composed-of |
| display |
SΣ | 0..1 | string | Brief description of the related artifact |
| resource |
SΣ | 1..1 | canonical(Measure) | What resource is being referenced |
| group |
S | 0..* | BackboneElement | Population criteria group |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| code |
S | 0..1 | CodeableConcept | Performance metric Binding: Performance Metric (extensible) |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| Measure.status | required | PublicationStatushttp://hl7.org/fhir/ValueSet/publication-status|4.0.1From the FHIR Standard | |
| Measure.relatedArtifact:component.type | required | Fixed Value: composed-ofhttp://hl7.org/fhir/ValueSet/related-artifact-type|4.0.1From the FHIR Standard | |
| Measure.group.code | extensible | VbpPerformanceMetricsVS(a valid code from Performance Metric Codes)http://hl7.org/fhir/us/davinci-vbpr/ValueSet/vbp-performance-metricFrom this IG |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Measure | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Measure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Measure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Measure | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Measure | A resource should have narrative for robust management : text.`div`.exists() | |
| 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() | |
| mea-0 | warning | Measure | Name should be usable as an identifier for the module by machine processing applications such as code generation : name.matches('[A-Z]([A-Za-z0-9_]){0,254}') | |
| mea-1 | error | Measure | Stratifier SHALL be either a single criteria or a set of criteria components : group.stratifier.all((code | description | criteria).exists() xor component.exists()) |
Differential View
This structure is derived from CRMIShareableMeasure
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Measure |
1..1 | CRMIShareableMeasure | A quality measure definition | |
| Slices for extension |
Content/Rules for all slices | |||
| extension:lineOfBusiness |
S | 0..1 | CodeableConcept | Line of Business URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/lob Binding: Line of Business Value Set (extensible) |
| extension:programModel |
S | 0..* | (Complex) | Program Model URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/program-model |
| extension:paymentStream |
S | 0..* | (Complex) | Payment Stream URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream |
| identifier |
S | 0..* | Identifier | Business identifier of this measure, e.g., value-based contract identifier |
| effectivePeriod |
S | 0..1 | Period | Value-based contract term period |
| Slices for relatedArtifact |
S | 0..* | RelatedArtifact | Additional documentation, citations, etc. Slice: Unordered, Open by value:type |
| relatedArtifact:component |
S | 0..* | RelatedArtifact | Additional documentation, citations, etc. |
| extension |
1..* | Extension | Extension | |
| Slices for extension |
Content/Rules for all slices | |||
| extension:weight |
S | 0..1 | decimal | Weight URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/weight |
| extension:contractualStatus |
S | 1..1 | CodeableConcept | contractual | contractual-alternate | reporting-only URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/contractual-status Binding: Measure Contractual Status (extensible) |
| type |
S | 1..1 | code | Component measure Fixed Value: composed-of |
| display |
S | 0..1 | string | Brief description of the related artifact |
| resource |
S | 1..1 | canonical(Measure) | What resource is being referenced |
| scoring |
0..0 | |||
| compositeScoring |
0..0 | |||
| improvementNotation |
0..0 | |||
| group |
S | 0..* | BackboneElement | Population criteria group |
| code |
S | 0..1 | CodeableConcept | Performance metric Binding: Performance Metric (extensible) |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Measure.group.code | extensible | VbpPerformanceMetricsVS(a valid code from Performance Metric Codes)http://hl7.org/fhir/us/davinci-vbpr/ValueSet/vbp-performance-metricFrom this IG |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Measure |
C | 1..1 | CRMIShareableMeasure | A quality measure definition Constraints: mea-0, mea-1 | ||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:knowledgeCapability |
S | 0..* | code | shareable | computable | publishable | executable URL: http://hl7.org/fhir/StructureDefinition/cqf-knowledgeCapability Binding: KnowledgeCapability (required) | ||||
| extension:artifactComment |
S | 0..* | (Complex) | Additional documentation, review, or usage guidance URL: http://hl7.org/fhir/StructureDefinition/cqf-artifactComment | ||||
| extension:versionAlgorithm |
S | 0..1 | Coding | How to compare versions URL: http://hl7.org/fhir/StructureDefinition/artifact-versionAlgorithm Binding: version-algorithm (??) (extensible) | ||||
| extension:versionPolicy |
S | 0..1 | CodeableConcept | metadata | strict URL: http://hl7.org/fhir/StructureDefinition/artifact-versionPolicy Binding: ValueSet Artifact Version Policy (extensible): The versioning policy of the artifact | ||||
| extension:lineOfBusiness |
S | 0..1 | CodeableConcept | Line of Business URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/lob Binding: Line of Business Value Set (extensible) | ||||
| extension:programModel |
S | 0..* | (Complex) | Program Model URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/program-model | ||||
| extension:paymentStream |
S | 0..* | (Complex) | Payment Stream URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream | ||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| url |
SΣ | 1..1 | uri | Canonical identifier for this measure, represented as a URI (globally unique) | ||||
| identifier |
SΣ | 0..* | Identifier | Business identifier of this measure, e.g., value-based contract identifier | ||||
| version |
SΣ | 1..1 | string | Business version of the measure | ||||
| name |
SΣC | 0..1 | string | Name for this measure (computer friendly) | ||||
| title |
SΣ | 1..1 | string | Name for this measure (human friendly) | ||||
| subtitle |
0..1 | string | Subordinate title of the measure | |||||
| status |
?!SΣ | 1..1 | code | draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact. | ||||
| experimental |
SΣ | 0..1 | boolean | For testing purposes, not real usage | ||||
| subject[x] |
0..1 | E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device Binding: SubjectType (extensible): The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization, Location, etc.). | ||||||
| subjectCodeableConcept |
CodeableConcept | |||||||
| subjectReference |
Reference(Group) | |||||||
| date |
Σ | 0..1 | dateTime | Date last changed | ||||
| publisher |
SΣ | 0..1 | string | Name of the publisher (organization or individual) | ||||
| contact |
Σ | 0..* | ContactDetail | Contact details for the publisher | ||||
| description |
SΣ | 1..1 | markdown | Natural language description of the measure | ||||
| useContext |
Σ | 0..* | UsageContext | The context that the content is intended to support | ||||
| jurisdiction |
Σ | 0..* | CodeableConcept | Intended jurisdiction for measure (if applicable) Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use. | ||||
| purpose |
0..1 | markdown | Why this measure is defined | |||||
| usage |
0..1 | string | Describes the clinical usage of the measure | |||||
| copyright |
0..1 | markdown | Use and/or publishing restrictions | |||||
| approvalDate |
0..1 | date | When the measure was approved by publisher | |||||
| lastReviewDate |
0..1 | date | When the measure was last reviewed | |||||
| effectivePeriod |
SΣ | 0..1 | Period | Value-based contract term period | ||||
| topic |
0..* | CodeableConcept | The category of the measure, such as Education, Treatment, Assessment, etc. Binding: DefinitionTopic (example): High-level categorization of the definition, used for searching, sorting, and filtering. | |||||
| author |
0..* | ContactDetail | Who authored the content | |||||
| editor |
0..* | ContactDetail | Who edited the content | |||||
| reviewer |
0..* | ContactDetail | Who reviewed the content | |||||
| endorser |
0..* | ContactDetail | Who endorsed the content | |||||
| Slices for relatedArtifact |
S | 0..* | RelatedArtifact | Additional documentation, citations, etc. Slice: Unordered, Open by value:type | ||||
| relatedArtifact:component |
S | 0..* | RelatedArtifact | Additional documentation, citations, etc. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:weight |
S | 0..1 | decimal | Weight URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/weight | ||||
| extension:contractualStatus |
S | 1..1 | CodeableConcept | contractual | contractual-alternate | reporting-only URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/contractual-status Binding: Measure Contractual Status (extensible) | ||||
| type |
SΣ | 1..1 | code | Component measure Binding: RelatedArtifactType (required): The type of relationship to the related artifact. Fixed Value: composed-of | ||||
| label |
Σ | 0..1 | string | Short label | ||||
| display |
SΣ | 0..1 | string | Brief description of the related artifact | ||||
| citation |
Σ | 0..1 | markdown | Bibliographic citation for the artifact | ||||
| url |
Σ | 0..1 | url | Where the artifact can be accessed | ||||
| document |
Σ | 0..1 | Attachment | What document is being referenced | ||||
| resource |
SΣ | 1..1 | canonical(Measure) | What resource is being referenced | ||||
| library |
0..* | canonical(Library) | Logic used by the measure | |||||
| disclaimer |
Σ | 0..1 | markdown | Disclaimer for use of the measure or its referenced content | ||||
| type |
Σ | 0..* | CodeableConcept | process | outcome | structure | patient-reported-outcome | composite Binding: MeasureType (extensible): The type of measure (includes codes from 2.16.840.1.113883.1.11.20368). | ||||
| riskAdjustment |
Σ | 0..1 | string | How risk adjustment is applied for this measure | ||||
| rateAggregation |
Σ | 0..1 | string | How is rate aggregation performed for this measure | ||||
| rationale |
Σ | 0..1 | markdown | Detailed description of why the measure exists | ||||
| clinicalRecommendationStatement |
Σ | 0..1 | markdown | Summary of clinical guidelines | ||||
| definition |
Σ | 0..* | markdown | Defined terms used in the measure documentation | ||||
| guidance |
Σ | 0..1 | markdown | Additional guidance for implementers | ||||
| group |
S | 0..* | BackboneElement | Population criteria group | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
S | 0..1 | CodeableConcept | Performance metric Binding: Performance Metric (extensible) | ||||
| description |
0..1 | string | Summary description | |||||
| population |
0..* | BackboneElement | Population criteria | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
0..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: MeasurePopulationType (extensible): The type of population. | |||||
| description |
0..1 | string | The human readable description of this population criteria | |||||
| criteria |
1..1 | Expression | The criteria that defines this population | |||||
| stratifier |
0..* | BackboneElement | Stratifier criteria for the measure | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
0..1 | CodeableConcept | Meaning of the stratifier | |||||
| description |
0..1 | string | The human readable description of this stratifier | |||||
| criteria |
0..1 | Expression | How the measure should be stratified | |||||
| component |
0..* | BackboneElement | Stratifier criteria component for the measure | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
0..1 | CodeableConcept | Meaning of the stratifier component | |||||
| description |
0..1 | string | The human readable description of this stratifier component | |||||
| criteria |
1..1 | Expression | Component of how the measure should be stratified | |||||
| supplementalData |
0..* | BackboneElement | What other data should be reported with the measure | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| code |
0..1 | CodeableConcept | Meaning of the supplemental data | |||||
| usage |
0..* | CodeableConcept | supplemental-data | risk-adjustment-factor Binding: MeasureDataUsage (extensible): The intended usage for supplemental data elements in the measure. | |||||
| description |
0..1 | string | The human readable description of this supplemental data | |||||
| criteria |
1..1 | Expression | Expression describing additional data to be reported | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| Measure.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesFrom the FHIR Standard
| ||||
| Measure.status | required | PublicationStatushttp://hl7.org/fhir/ValueSet/publication-status|4.0.1From the FHIR Standard | ||||
| Measure.subject[x] | extensible | SubjectTypehttp://hl7.org/fhir/ValueSet/subject-typeFrom the FHIR Standard | ||||
| Measure.jurisdiction | extensible | Jurisdiction ValueSethttp://hl7.org/fhir/ValueSet/jurisdictionFrom the FHIR Standard | ||||
| Measure.topic | example | DefinitionTopichttp://hl7.org/fhir/ValueSet/definition-topicFrom the FHIR Standard | ||||
| Measure.relatedArtifact:component.type | required | Fixed Value: composed-ofhttp://hl7.org/fhir/ValueSet/related-artifact-type|4.0.1From the FHIR Standard | ||||
| Measure.type | extensible | MeasureTypehttp://hl7.org/fhir/ValueSet/measure-typeFrom the FHIR Standard | ||||
| Measure.group.code | extensible | VbpPerformanceMetricsVS(a valid code from Performance Metric Codes)http://hl7.org/fhir/us/davinci-vbpr/ValueSet/vbp-performance-metricFrom this IG | ||||
| Measure.group.population.code | extensible | MeasurePopulationTypehttp://hl7.org/fhir/ValueSet/measure-populationFrom the FHIR Standard | ||||
| Measure.supplementalData.usage | extensible | MeasureDataUsagehttp://hl7.org/fhir/ValueSet/measure-data-usageFrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Measure | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Measure | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | Measure | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | Measure | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Measure | A resource should have narrative for robust management : text.`div`.exists() | |
| 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() | |
| mea-0 | warning | Measure | Name should be usable as an identifier for the module by machine processing applications such as code generation : name.matches('[A-Z]([A-Za-z0-9_]){0,254}') | |
| mea-1 | error | Measure | Stratifier SHALL be either a single criteria or a set of criteria components : group.stratifier.all((code | description | criteria).exists() xor component.exists()) |
This structure is derived from CRMIShareableMeasure
Summary
Mandatory: 0 element(3 nested mandatory elements)
Must-Support: 14 elements
Fixed: 1 element
Prohibited: 3 elements
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Maturity: 1
Other representations of profile: CSV, Excel, Schematron
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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