Da Vinci Value-Based Performance Reporting Implementation Guide
1.0.0 - STU1

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## : Example Value-Based Contract - ABC Payer and EveryHospital - XML Representation

Active as of 2024-06-17

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    <Measure xmlns="http://hl7.org/fhir">
      <id value="vbp-measure02"/>
      <meta>
        <extension url="http://hl7.org/fhir/StructureDefinition/instance-name">
          <valueString value="Payer"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/instance-description">
          <valueMarkdown
                         value="This is an example measure for the *VBP Measure* profile."/>
        </extension>
        <profile
                 value="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/vbp-measure"/>
      </meta>
      <text>
        <status value="extensions"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Measure </b><a name="vbp-measure02"> </a><a name="hcvbp-measure02"> </a></p><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">ResourceMeasure &quot;vbp-measure02&quot; </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-vbp-measure.html">Value-Based Performance Measure</a></p></div><blockquote><p><b>Payment Stream</b></p><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: Utilization incentive payment <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-payment-stream.html">Payment Stream Codes</a>#ubip)</span></p></blockquote><blockquote><p><b>Payment Stream</b></p><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: Pay for performance <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-payment-stream.html">Payment Stream Codes</a>#p4p)</span></p></blockquote><p><b>url</b>: <code>https://build.fhir.org/ig/HL7/davinci-vbpr/Measure-vbp-measure02</code></p><p><b>identifier</b>: <code>http://example.org/fhir/server</code>/ex-vbp-measure02 (use: temp), <a href="http://terminology.hl7.org/5.5.0/NamingSystem-uri.html" title="As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt

    This oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid:

    Note that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.

    This OID may also be used in CD.codeSystem.">Uniform Resource Identifier (URI)</a>/urn:oid:2.16.840.1.113883.4.642.40.30.29.2</p><p><b>version</b>: 1.0.0</p><p><b>name</b>: VbprMeasureExample02</p><p><b>title</b>: Example Value-Based Contract - ABC Payer and EveryHospital</p><p><b>status</b>: active</p><p><b>experimental</b>: true</p><p><b>date</b>: 2024-06-17 13:51:52+0000</p><p><b>publisher</b>: HL7 International / Clinical Quality Information</p><p><b>contact</b>: HL7 International / Clinical Quality Information: <a href="http://www.hl7.org/Special/committees/cqi">http://www.hl7.org/Special/committees/cqi</a></p><p><b>description</b>: Example Value-Based Contract between ABC Payer and EveryHospital</p><p><b>jurisdiction</b>: United States of America <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-ISO3166Part1.html">ISO 3166-1 Codes for the representation of names of countries and their subdivisions — Part 1: Country code</a>#US)</span></p><p><b>effectivePeriod</b>: 2022-10-01 --&gt; 2023-09-30</p><h3>RelatedArtifacts</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Extension</b></td><td><b>Type</b></td><td><b>Display</b></td><td><b>Resource</b></td></tr><tr><td style="display: none">*</td><td>, </td><td>composed-of</td><td>Breast Cancer Screening</td><td><a href="http://hl7.org/fhir/us/cqfmeasures/STU3/Measure-measure-exm125-FHIR.html">EXM125 - Breast Cancer Screening Measure</a></td></tr><tr><td style="display: none">*</td><td>, </td><td>composed-of</td><td>Colorectal Cancer Screening</td><td><a href="http://hl7.org/fhir/us/cqfmeasures/STU3/Measure-measure-exm130-FHIR.html">EXM130 - Colorectal Cancer Screening Measure</a></td></tr><tr><td style="display: none">*</td><td/><td>composed-of</td><td>Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care</td><td><a href="http://example.org/Measure/measure-diabetes-retinopathy-FHIR">http://example.org/Measure/measure-diabetes-retinopathy-FHIR</a></td></tr><tr><td style="display: none">*</td><td/><td>composed-of</td><td>Diabetes: Hemoglobin A1c (HbA1c) Poor Control (&gt; 9%)</td><td><a href="http://example.org/Measure/measure-diabetes-A1c-FHIR">http://example.org/Measure/measure-diabetes-A1c-FHIR</a></td></tr><tr><td style="display: none">*</td><td/><td>composed-of</td><td>Diabetes: Medical Attention for Nephropathy</td><td><a href="http://example.org/Measure/measure-diabetes-nephropathy-FHIR">http://example.org/Measure/measure-diabetes-nephropathy-FHIR</a></td></tr></table></div>
      </text>
      <extension
                 url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream">
        <extension url="type">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"/>
              <code value="ubip"/>
              <display value="Utilization incentive payment"/>
            </coding>
          </valueCodeableConcept>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream">
        <extension url="type">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"/>
              <code value="p4p"/>
              <display value="Pay for performance"/>
            </coding>
          </valueCodeableConcept>
        </extension>
      </extension>
      <url
           value="https://build.fhir.org/ig/HL7/davinci-vbpr/Measure-vbp-measure02"/>
      <identifier>
        <use value="temp"/>
        <system value="http://example.org/fhir/server"/>
        <value value="ex-vbp-measure02"/>
      </identifier>
      <identifier>
        <system value="urn:ietf:rfc:3986"/>
        <value value="urn:oid:2.16.840.1.113883.4.642.40.30.29.2"/>
      </identifier>
      <version value="1.0.0"/>
      <name value="VbprMeasureExample02"/>
      <title value="Example Value-Based Contract - ABC Payer and EveryHospital"/>
      <status value="active"/>
      <experimental value="true"/>
      <date value="2024-06-17T13:51:52+00:00"/>
      <publisher value="HL7 International / Clinical Quality Information"/>
      <contact>
        <name value="HL7 International / Clinical Quality Information"/>
        <telecom>
          <system value="url"/>
          <value value="http://www.hl7.org/Special/committees/cqi"/>
        </telecom>
      </contact>
      <description
                   value="Example Value-Based Contract between ABC Payer and EveryHospital"/>
      <jurisdiction>
        <coding>
          <system value="urn:iso:std:iso:3166"/>
          <code value="US"/>
          <display value="United States of America"/>
        </coding>
      </jurisdiction>
      <effectivePeriod>
        <start value="2022-10-01"/>
        <end value="2023-09-30"/>
      </effectivePeriod>
      <relatedArtifact>
        <extension
                   url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-weight">
          <valueDecimal value="1"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/contractual-status">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-contractual-status"/>
              <code value="contractual"/>
              <display value="Contractual"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <type value="composed-of"/>
        <display value="Breast Cancer Screening"/>
        <resource
                  value="http://hl7.org/fhir/us/cqfmeasures/Measure/measure-exm125-FHIR"/>
      </relatedArtifact>
      <relatedArtifact>
        <extension
                   url="http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-weight">
          <valueDecimal value="3"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/contractual-status">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-contractual-status"/>
              <code value="contractual"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <type value="composed-of"/>
        <display value="Colorectal Cancer Screening"/>
        <resource
                  value="http://hl7.org/fhir/us/cqfmeasures/Measure/measure-exm130-FHIR"/>
      </relatedArtifact>
      <relatedArtifact>
        <extension
                   url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/contractual-status">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-contractual-status"/>
              <code value="contractual-alternate"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <type value="composed-of"/>
        <display
                 value="Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care"/>
        <resource
                  value="http://example.org/Measure/measure-diabetes-retinopathy-FHIR"/>
      </relatedArtifact>
      <relatedArtifact>
        <extension
                   url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/contractual-status">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-contractual-status"/>
              <code value="contractual-alternate"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <type value="composed-of"/>
        <display value="Diabetes: Hemoglobin A1c (HbA1c) Poor Control (&gt; 9%)"/>
        <resource value="http://example.org/Measure/measure-diabetes-A1c-FHIR"/>
      </relatedArtifact>
      <relatedArtifact>
        <extension
                   url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/contractual-status">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-contractual-status"/>
              <code value="reporting-only"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <type value="composed-of"/>
        <display value="Diabetes: Medical Attention for Nephropathy"/>
        <resource
                  value="http://example.org/Measure/measure-diabetes-nephropathy-FHIR"/>
      </relatedArtifact>
    </Measure>