Da Vinci Value-Based Performance Reporting Implementation Guide
1.1.0 - STU 1.1 United States of America flag

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

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Page standards status: Informative

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Package File

The following package file includes a Node Package Manager (NPM) package file used by many of the FHIR tools. It contains all the value sets, profiles, extensions, list of pages and URLs, etc., that are defined as part of this version of the implementation guide (IG). This file should be the first choice whenever generating any implementation artifacts since it contains all of the rules about what makes the profiles valid. Implementers will still need to be familiar with the content of the specification and profiles that apply in order to make a conformant implementation. See the Validating Resources documentation in FHIR.

Examples

All the examples that are used in this IG are available for download:

Schematrons

Schematrons are available for download:

Cross Version Analysis

This is an R4 IG. None of the features it uses are changed in R4B, so it can be used as is with R4B} systems. Packages for both R4 (hl7.fhir.us.davinci-vbpr.r4) and R4B (hl7.fhir.us.davinci-vbpr.r4b) are available.

Dependency Table

IGPackageFHIRComment
.. Da Vinci Value-Based Performance Reporting Implementation Guidehl7.fhir.us.davinci-vbpr#1.1.0R4
... US Core Implementation Guidehl7.fhir.us.core#6.1.0R4Needed for systems supporting USCDI v3
.... HL7 Terminology (THO)hl7.terminology.r4#5.0.0R4
.... FHIR Extensions Packhl7.fhir.uv.extensions.r4#1.0.0R4
.... Bulk Data Access IGhl7.fhir.uv.bulkdata#2.0.0R4
.... SMART App Launchhl7.fhir.uv.smart-app-launch#2.1.0R4
.... VSACus.nlm.vsac#0.11.0R4
.... Structured Data Capturehl7.fhir.uv.sdc#3.0.0R4
.... PHINVadsus.cdc.phinvads#0.12.0R4
.... IHE FormatCode Vocabularyihe.formatcode.fhir#1.1.0R4
... FHIR Extensions Packhl7.fhir.uv.extensions.r4#5.2.0R4Needed for the measurereport-category extension.
... Data Exchange For Quality Measures Implementation Guidehl7.fhir.us.davinci-deqm#5.0.0R4Needed the USCore 6.1.0 based DEQM Summary MeasureReport profile
.... HL7 Terminology (THO)hl7.terminology.r4#6.3.0R4
.... VSACus.nlm.vsac#0.22.0R4
.... QI-Core Implementation Guidehl7.fhir.us.qicore#6.0.0R4
..... fhir.dicomfhir.dicom#2024.1.20240120R4
..... HL7 Terminology (THO)hl7.terminology#5.4.0R4
.... Quality Measure Implementation Guidehl7.fhir.us.cqfmeasures#5.0.0R4
..... HL7 Terminology (THO)hl7.terminology.r4#6.0.2R4
..... FHIR Extensions Packhl7.fhir.uv.extensions.r4#5.1.0R4
..... Canonical Resource Management Infrastructure Implementation Guidehl7.fhir.uv.crmi#1.0.0R4
...... HL7 Terminology (THO)hl7.terminology#5.5.0R4
..... Using CQL with FHIRhl7.fhir.uv.cql#1.0.0R4
.... Clinical Quality Framework Common FHIR Assetsfhir.cqf.common#4.0.1R4
..... Clinical Practice Guidelineshl7.fhir.uv.cpg#1.0.0R4
.... US Core (Reuse Wrapper)hl7.fhir.us.core.3.1.1#3.1.1R4
..... US Corehl7.fhir.us.core#3.1.1R4
.... US Core (Reuse Wrapper)hl7.fhir.us.core.v610#6.1.0R4
.... US Core Implementation Guidehl7.fhir.us.core#7.0.0R4
..... HL7 Terminology (THO)hl7.terminology.r4#5.5.0R4
..... SMART App Launchhl7.fhir.uv.smart-app-launch#2.0.0R4
..... VSACus.nlm.vsac#0.18.0R4
.... Da Vinci PDex Plan Nethl7.fhir.us.davinci-pdex-plan-net#1.2.0R4
..... HL7 Terminology (THO)hl7.terminology.r4#6.2.0R4
..... US Core (Reuse Wrapper)hl7.fhir.us.core.v311#3.1.1R4
..... Da Vinci Health Record Exchange (HRex)hl7.fhir.us.davinci-hrex#1.1.0R4
...... HL7 Terminology (THO)hl7.terminology.r4#6.1.0R4
...... VSACus.nlm.vsac#0.19.0R4
.... Subscriptions R5 Backporthl7.fhir.uv.subscriptions-backport.r4#1.1.0R4
.... Da Vinci Clinical Data Exchange (CDex)hl7.fhir.us.davinci-cdex#2.1.0R4
..... Da Vinci Prior Authorization Support (PAS) FHIR IGhl7.fhir.us.davinci-pas#2.1.0R4
...... Da Vinci - Coverage Requirements Discoveryhl7.fhir.us.davinci-crd#2.0.0R4
....... HL7 Terminology (THO)hl7.terminology.r4#5.3.0R4
....... Da Vinci Health Record Exchange (HRex)hl7.fhir.us.davinci-hrex#1.0.0R4
........ Security for Scalable Registration, Authentication, and Authorizationhl7.fhir.us.udap-security#0.1.0R4
...... CARIN Consumer Directed Payer Data Exchange (CARIN IG for Blue Button®)hl7.fhir.us.carin-bb#2.0.0R4
....... VSACus.nlm.vsac#0.7.0R4
..... Da Vinci - Documentation Templates and Ruleshl7.fhir.us.davinci-dtr#2.1.0R4
...... Da Vinci - Coverage Requirements Discoveryhl7.fhir.us.davinci-crd#2.1.0R4
... VSACus.nlm.vsac#0.23.0R4
... HL7 Terminology (THO)hl7.terminology.r4#6.5.0R4
... FHIR Tooling Extensions IGhl7.fhir.uv.tools.r4#0.8.0R4for example references

Package hl7.fhir.uv.extensions.r4#1.0.0

This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Sun, Mar 26, 2023 08:46+1100+11:00)

Package hl7.fhir.uv.bulkdata#2.0.0

FHIR based approach for exporting large data sets from a FHIR server to a client application (built Fri, Nov 26, 2021 05:56+1100+11:00)

Package hl7.fhir.uv.sdc#3.0.0

The SDC specification provides an infrastructure to standardize the capture and expanded use of patient-level data collected within an EHR.
This includes two components:
* Support more sophisticated questionnaire/form use-cases such as those needed for research, oncology, pathology and other clinical domains.
*Support pre-population and auto-population of EHR data into forms/questionnaires for uses outside direct clinical care (patient safety, adverse event reporting, public health reporting, etc.). (built Tue, Mar 8, 2022 18:36+0000+00:00)

Package ihe.formatcode.fhir#1.1.0

Implementation Guide for IHE defined FormatCode vocabulary. (built Thu, Feb 24, 2022 16:55-0600-06:00)

Package hl7.fhir.us.core#6.1.0

The US Core Implementation Guide is based on FHIR Version R4 and defines the minimum conformance requirements for accessing patient data. The Argonaut pilot implementations, ONC 2015 Edition Common Clinical Data Set (CCDS), and ONC U.S. Core Data for Interoperability (USCDI) v1 provided the requirements for this guide. The prior Argonaut search and vocabulary requirements, based on FHIR DSTU2, are updated in this guide to support FHIR Version R4. This guide was used as the basis for further testing and guidance by the Argonaut Project Team to provide additional content and guidance specific to Data Query Access for purpose of ONC Certification testing. These profiles are the foundation for future US Realm FHIR implementation guides. In addition to Argonaut, they are used by DAF-Research, QI-Core, and CIMI. Under the guidance of HL7 and the HL7 US Realm Steering Committee, the content will expand in future versions to meet the needs specific to the US Realm. These requirements were originally developed, balloted, and published in FHIR DSTU2 as part of the Office of the National Coordinator for Health Information Technology (ONC) sponsored Data Access Framework (DAF) project. For more information on how DAF became US Core see the US Core change notes. (built Fri, Jun 30, 2023 14:02+0000+00:00)

Package hl7.fhir.uv.extensions.r4#5.2.0

This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Mon, Feb 10, 2025 21:45+1100+11:00)

Package hl7.fhir.us.qicore#6.0.0

The QICore Implementation Guide defines a set of FHIR profiles with extensions and bindings needed to create interoperable, quality-focused applications. The profiles in this implementation guide derive from and extend the US Core profiles to provide a common foundation for building, sharing, and evaluating knowledge artifacts across quality improvement efforts in the US Realm. (built Fri, Mar 1, 2024 18:46+0000+00:00)

Package hl7.fhir.uv.extensions.r4#5.1.0

This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Sat, Apr 27, 2024 18:39+1000+10:00)

Package hl7.fhir.uv.crmi#1.0.0

This implementation guide defines profiles, operations, capability statements and guidance to facilitate the content management lifecycle for authoring, publishing, distribution, and implementation of FHIR knowledge artifacts such as value sets, profiles, libraries, rules, and measures. The guide is intended to be used by specification and content implementation guide authors as both a dependency for validation of published artifacts, and a guide for construction and publication of content. (built Fri, May 31, 2024 16:38+0000+00:00)

Package hl7.fhir.uv.cql#1.0.0

This implementation guide defines profiles, operations and guidance for the use of CQL with FHIR, both as a mechanism for querying, as well as inline and integrated usage as part of knowledge artifacts. (built Fri, May 31, 2024 14:18+0000+00:00)

Package hl7.fhir.us.cqfmeasures#5.0.0

The Fast Healthcare Interoperability Resource (FHIR) Quality Measure Implementation Guide (this IG) describes an approach to representing Quality Measures (QMs) using the FHIR Clinical Reasoning Module and Clinical Quality Language (CQL) in the US Realm. However, this Implementation Guide can be usable for multiple use cases across domains, and much of the content is likely to be usable outside the US Realm. (built Mon, Nov 4, 2024 20:07+0000+00:00)

Package hl7.fhir.uv.cpg#1.0.0

Implementation guidance for creating Clinical Practice Guidelines with formal artifacts to facilitate sharing and implementation of the guideline (built Thu, Feb 11, 2021 20:29+0000+00:00)

Package fhir.cqf.common#4.0.1

This implementation guide contains common FHIR assets for use in CQFramework content IGs, including FHIRHelpers and the FHIR-ModelInfo libraries. (built Fri, Nov 12, 2021 16:25+1100+11:00)

Package hl7.fhir.us.core#7.0.0

The US Core Implementation Guide is based on FHIR Version R4 and defines the minimum conformance requirements for accessing patient data. The Argonaut pilot implementations, ONC 2015 Edition Common Clinical Data Set (CCDS), and ONC U.S. Core Data for Interoperability (USCDI) v1 provided the requirements for this guide. The prior Argonaut search and vocabulary requirements, based on FHIR DSTU2, are updated in this guide to support FHIR Version R4. This guide was used as the basis for further testing and guidance by the Argonaut Project Team to provide additional content and guidance specific to Data Query Access for purpose of ONC Certification testing. These profiles are the foundation for future US Realm FHIR implementation guides. In addition to Argonaut, they are used by DAF-Research, QI-Core, and CIMI. Under the guidance of HL7 and the HL7 US Realm Steering Committee, the content will expand in future versions to meet the needs specific to the US Realm. These requirements were originally developed, balloted, and published in FHIR DSTU2 as part of the Office of the National Coordinator for Health Information Technology (ONC) sponsored Data Access Framework (DAF) project. For more information on how DAF became US Core see the US Core change notes. (built Wed, May 8, 2024 15:33+0000+00:00)

Package hl7.fhir.us.davinci-hrex#1.1.0

The Da Vinci Payer Health Record exchange (HRex) Framework/library specifies the FHIR elements used in multiple Da Vinci implementation guides. This includes FHIR profiles, functions, operations, and constraints on other specifications such as CDS-Hooks and other aspects of Da Vinci Use Cases that are common across more than a single use case.\n\nDa Vinci HRex Implementation Guide (IG) will make use of US Core profiles that are based on the FHIR R4 specification wherever practical. The HRex IG will use the HL7 FHIR Release 4/US Core STU3 specification as its base but will provide additional guidance and documentation to support implementations that follow the HL7 FHIR STU3/US Core STU2 and HL7 FHIR DSTU2/Argonaut specifications.\n\nThe HRex profiles documented in this IG will be used to exchange data between providers systems (e.g. EHRs) and other providers, payers, and third-party applications where appropriate. In addition, exchanges from payer systems to providers, other payers, and third-party applications are supported by the HRex profiles and operations.\n\nHRex may define new extensions, profiles, value sets, constraints/extension to other specification (e.g. specific CDS-Hooks) that are specific Da Vinci requirements. Where appropriate these Da Vinci specific artifacts will be promoted for incorporation into the future versions of existing standards (e.g. R4 US Core profiles) and deprecated in this guide on publication in the updated standard. (built Tue, Dec 10, 2024 16:43+0000+00:00)

Package hl7.fhir.us.davinci-pdex-plan-net#1.2.0

Da Vinci PDex Plan Net (built Tue, Feb 25, 2025 19:12+0000+00:00)

Package hl7.fhir.uv.subscriptions-backport.r4#1.1.0

The Subscription R5 Backport Implementation Guide enables servers running versions of FHIR earlier than R5 to implement a subset of R5 Subscriptions in a standardized way. (built Wed, Jan 11, 2023 15:34+1100+11:00)

Package hl7.fhir.us.udap-security#0.1.0

This implementation guide describes how to extend OAuth 2.0 to support secure and scalable workflows for business-to-business (B2B) apps that implement the client credentials flow or authorization code flow. (built Fri, Aug 6, 2021 15:57+0000+00:00)

Package hl7.fhir.us.davinci-hrex#1.0.0

The Da Vinci Payer Health Record exchange (HRex) Framework/library specifies the FHIR elements used in multiple Da Vinci implementation guides. This includes FHIR profiles, functions, operations, and constraints on other specifications such as CDS-Hooks and other aspects of Da Vinci Use Cases that are common across more than a single use case.

Da Vinci HRex Implementation Guide (IG) will make use of US Core profiles that are based on the FHIR R4 specification wherever practical. The HRex IG will use the HL7 FHIR Release 4/US Core STU3 specification as its base but will provide additional guidance and documentation to support implementations that follow the HL7 FHIR STU3/US Core STU2 and HL7 FHIR DSTU2/Argonaut specifications.

The HRex profiles documented in this IG will be used to exchange data between providers systems (e.g. EHRs) and other providers, payers, and third-party applications where appropriate. In addition, exchanges from payer systems to providers, other payers, and third-party applications are supported by the HRex profiles and operations.

HRex may define new extensions, profiles, value sets, constraints/extension to other specification (e.g. specific CDS-Hooks) that are specific Da Vinci requirements. Where appropriate these Da Vinci specific artifacts will be promoted for incorporation into the future versions of existing standards (e.g. R4 US Core profiles) and deprecated in this guide on publication in the updated standard. (built Wed, Mar 23, 2022 18:55+0000+00:00)

Package hl7.fhir.us.davinci-crd#2.0.0

Guidelines for conveying coverage requirements to clinicians when planning treatment (built Fri, Oct 20, 2023 14:17+0000+00:00)

Package hl7.fhir.us.carin-bb#2.0.0

CARIN Consumer Directed Payer Data Exchange (CARIN IG for Blue Button®) (built Mon, Nov 28, 2022 15:15+0000+00:00)

Package hl7.fhir.us.davinci-pas#2.1.0

Guidelines for conveying coverage requirements to clinicians when planning treatment. (built Fri, Dec 20, 2024 21:03+0000+00:00)

Package hl7.fhir.us.davinci-crd#2.1.0

Guidelines for conveying coverage requirements to clinicians when planning treatment (built Wed, Dec 11, 2024 18:43+0000+00:00)

Package hl7.fhir.us.davinci-dtr#2.1.0

The Documentation Templates and Rules (DTR) Implementation Guide (IG) specifies how payer rules can be executed in a provider context to ensure that documentation requirements are met. The IG is a companion to the Coverage Requirements Discovery (CRD) IG, which uses CDS Hooks to query payers to determine if there are documentation requirements for a proposed medication, procedure or other service. (built Sat, Dec 21, 2024 15:48+0000+00:00)

Package hl7.fhir.us.davinci-cdex#2.1.0

This IG provides detailed guidance that helps implementers use FHIR-based interactions to support specific exchanges of clinical data between providers and payers (or other providers). (built Tue, Feb 11, 2025 03:51+1100+11:00)

Package hl7.fhir.us.davinci-atr#2.1.0

Exchange of member attribution list between payers and providers (built Fri, May 16, 2025 16:00+0000+00:00)

Package hl7.fhir.uv.tools.r4#0.8.0

This IG defines the extensions that the tools use internally. Some of these extensions are content that are being evaluated for elevation into the main spec, and others are tooling concerns (built Tue, Aug 5, 2025 20:09+1000+10:00)

Globals Table

Global Profiles:

TypeSourceProfile
Encounterhl7.fhir.us.qicore#6.0.0QICore Encounter
Immunizationhl7.fhir.us.qicore#6.0.0QICore Immunization
Observationhl7.fhir.us.qicore#6.0.0QICore Simple Observation
Organizationhl7.fhir.us.qicore#6.0.0QICore Organization
Patienthl7.fhir.us.qicore#6.0.0QICore Patient
Practitionerhl7.fhir.us.qicore#6.0.0QICore Practitioner
PractitionerRolehl7.fhir.us.qicore#6.0.0QICore PractitionerRole

All resources of these types must conform to these profiles.

IP Statements

This publication includes IP covered under the following statements.