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

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## Resource Profile: Value-Based Performance MeasureReport

Official URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/vbp-performance-measurereport | Version: 1.0.0
Active as of 2024-06-17 | Computable Name: VbpMeasureReport
Other Identifiers: OID:2.16.840.1.113883.4.642.40.30.42.14

Value-Based Performance MeasureReport is a payer-generated performance report against the specific details (metrics) of a value-based contract (VBC) or a value-based purchasing (VBP) which may include financial, quality, utilization, etc. over a time period.

The Formal Views below provides the formal summary, definitions, and terminology requirements.

Each Value-Based Performance MeasureReport has the following mandatory elements

1. A `measurereport-category` - with a fixed code `vbp`
2. A `status` - status of this report
3. A `type` - with a fixed value `summary`
4. A `measure` - that references the Value-Based Performance Measure
5. An `orgSubject` extention on `subject` - that references the organization the report is for
6. A `date`
7. A `reporter` - references the organization who is reporting the data
8. A `period` - the performance period the report covers

Each Value-Based Performance MeasureReport should have the following elements

1. Zero to many `group` - each group corresponds to a performance metric
   - If `group` is present, each group must have a `group.code` that represents the performance metric
2. Zero to many `evaluatedResource` - references the VBP Quality MeasureReport profile

Usage:

- Examples for this Resource Profile: MeasureReport/vbp-measurereport101, MeasureReport/vbp-measurereport102, MeasureReport/vbp-measurereport103 and MeasureReport/vbp-measurereport104

### Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

- Differential Table
- Key Elements Table
- Snapshot Table
- Statistics/References
- All

This structure is derived from MeasureReport

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
MeasureReport |  | 0..* | MeasureReport | A value-based performance report
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
measurereport-category | S | 1..1 | (Complex) | What category is this measure report URL: http://hl7.org/fhir/StructureDefinition/measurereport-category
value[x] |  |  |  |
coding |  | 1..1 | Coding | Code defined by a terminology system
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: vbp
status | S | 1..1 | code | complete | pending | error
type | S | 1..1 | code | individual | subject-list | summary | data-collection Fixed Value: summary
measure | S | 1..1 | canonical(Value-Based Performance Measure) | A Measure definition with contract level data for a value-based contract the report is for
subject | S | 1..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | Group) | What individual(s) the report is for
extension |  | 1..* | Extension | Extension
Slices for extension |  |  |  | Content/Rules for all slices
orgSubject | S | 1..1 | Reference(US Core Organization Profile) | What organization the report is for URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/organization-subject
date | S | 1..1 | dateTime | When the report was generated
reporter | S | 1..1 | Reference(US Core Organization Profile) | Who is reporting the data
period | S | 1..1 | Period | What performance period the report covers
improvementNotation |  | 0..0 |  |
group | S | 0..* | BackboneElement | Performance metrics in the report. Each group contains data for a performance metric.
id | S | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
paymentStream | S | 0..* | (Complex) | The payment stream the performance metric is part of URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream
servicePeriod | S | 0..1 | Period | The service period for the performance metric URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period
paidThroughDate | S | 0..1 | date | Ending date of the pay cycle URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date
baseline | S | 0..1 | (Complex) | The baseline for the performance metric URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline
code | S | 1..1 | CodeableConcept | Performance metric Binding: Performance Metric (extensible)
measureScore |  | 0..1 | Quantity | The performance metric value
Slices for extension |  |  |  | Content/Rules for all slices
altMeasureScore | S | 0..1 | boolean, decimal, integer, CodeableConcept, Money | Additional data type choices for the value of the performance metric URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore
stratifier | S | 0..* | BackboneElement | Stratification results
code | S | 0..* | CodeableConcept | What stratifier of the group Binding: Measure Stratifier Example (example)
stratum | S | 0..* | BackboneElement | Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
value | S | 0..1 | CodeableConcept | The stratum value, e.g. male
component |  |  |  |
code | S | 1..1 | CodeableConcept | What stratifier component of the group Binding: Measure Stratifier Example (example)
value | S | 1..1 | CodeableConcept | The stratum component value, e.g. male
measureScore | S | 0..1 | Quantity | Stratified performance metric value
Slices for extension |  |  |  | Content/Rules for all slices
altMeasureScore | S | 0..1 | boolean, decimal, integer, CodeableConcept, Money | Additional data type choices for the stratified performance metric value URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore
Slices for evaluatedResource | S | 0..* | Reference(Resource) | What data was used to calculate the performance metric(s) Slice: Unordered, Open by type:reference
evaluatedResource:qualityReport |  | 0..* | Reference(VBP Quality MeasureReport) | quality measure MeasureReport
Slices for extension |  |  |  | Content/Rules for all slices
groupRef | S | 0..* | string | Reference a performance metric (MeasureReport.group.id) on this value-based performance report URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
MeasureReport.group.code | extensible | VbpPerformanceMetricsVS (a valid code from Performance Metric Codes) `http://hl7.org/fhir/us/davinci-vbpr/ValueSet/vbp-performance-metric` from this IG
MeasureReport.group.stratifier.code | example | MeasureStratifierExampleVS (a valid code from Measure Stratifier Example Codes) `http://hl7.org/fhir/us/davinci-vbpr/ValueSet/measure-stratifier-example` from this IG
MeasureReport.group.stratifier.stratum.component.code | example | MeasureStratifierExampleVS (a valid code from Measure Stratifier Example Codes) `http://hl7.org/fhir/us/davinci-vbpr/ValueSet/measure-stratifier-example` from this IG

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
MeasureReport | C | 0..* | MeasureReport | A value-based performance report mrp-1: Measure Reports used for data collection SHALL NOT communicate group and score information mrp-2: Stratifiers SHALL be either a single criteria or a set of criteria components
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
measurereport-category | S | 1..1 | (Complex) | What category is this measure report URL: http://hl7.org/fhir/StructureDefinition/measurereport-category
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/measurereport-category"
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: MeasureReportCategory (extensible)
coding | Σ | 1..1 | Coding | Code defined by a terminology system
code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: vbp
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!S Σ | 1..1 | code | complete | pending | error Binding: MeasureReportStatus (required): The status of the measure report.
type | S Σ C | 1..1 | code | individual | subject-list | summary | data-collection Binding: MeasureReportType (required): The type of the measure report. Fixed Value: summary
measure | S Σ | 1..1 | canonical(Value-Based Performance Measure) | A Measure definition with contract level data for a value-based contract the report is for
subject | S Σ | 1..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | Group) | What individual(s) the report is for
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
orgSubject | S | 1..1 | Reference(US Core Organization Profile) | What organization the report is for URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/organization-subject
date | S Σ | 1..1 | dateTime | When the report was generated
reporter | S Σ | 1..1 | Reference(US Core Organization Profile) | Who is reporting the data
period | S Σ | 1..1 | Period | What performance period the report covers
group | S C | 0..* | BackboneElement | Performance metrics in the report. Each group contains data for a performance metric.
id | S | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
paymentStream | S | 0..* | (Complex) | The payment stream the performance metric is part of URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream
servicePeriod | S | 0..1 | Period | The service period for the performance metric URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period
paidThroughDate | S | 0..1 | date | Ending date of the pay cycle URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date
baseline | S | 0..1 | (Complex) | The baseline for the performance metric URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S Σ | 1..1 | CodeableConcept | Performance metric Binding: Performance Metric (extensible)
measureScore | Σ | 0..1 | Quantity | The performance metric value
Slices for extension |  |  |  | Content/Rules for all slices
altMeasureScore | S | 0..1 | boolean, decimal, integer, CodeableConcept, Money | Additional data type choices for the value of the performance metric URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
stratifier | S | 0..* | BackboneElement | Stratification results
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 0..* | CodeableConcept | What stratifier of the group Binding: Measure Stratifier Example (example)
stratum | S | 0..* | BackboneElement | Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
value | S | 0..1 | CodeableConcept | The stratum value, e.g. male
component |  | 0..* | BackboneElement | Stratifier component values
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | What stratifier component of the group Binding: Measure Stratifier Example (example)
value | S | 1..1 | CodeableConcept | The stratum component value, e.g. male
measureScore | S | 0..1 | Quantity | Stratified performance metric value
Slices for extension |  |  |  | Content/Rules for all slices
altMeasureScore | S | 0..1 | boolean, decimal, integer, CodeableConcept, Money | Additional data type choices for the stratified performance metric value URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Slices for evaluatedResource | S | 0..* | Reference(Resource) | What data was used to calculate the performance metric(s) Slice: Unordered, Open by type:reference
evaluatedResource:qualityReport |  | 0..* | Reference(VBP Quality MeasureReport) | quality measure MeasureReport
Slices for extension |  |  |  | Content/Rules for all slices
groupRef | S | 0..* | string | Reference a performance metric (MeasureReport.group.id) on this value-based performance report URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
MeasureReport.extension:measurereport-category.value[x] | extensible | MeasureReportCategory `http://hl7.org/fhir/ValueSet/measurereport-category`
MeasureReport.status | required | MeasureReportStatus `http://hl7.org/fhir/ValueSet/measure-report-status|4.0.1` from the FHIR Standard
MeasureReport.type | required | Fixed Value: summary `http://hl7.org/fhir/ValueSet/measure-report-type|4.0.1` from the FHIR Standard
MeasureReport.group.code | extensible | VbpPerformanceMetricsVS (a valid code from Performance Metric Codes) `http://hl7.org/fhir/us/davinci-vbpr/ValueSet/vbp-performance-metric` from this IG
MeasureReport.group.measureScore.comparator | required | QuantityComparator `http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1` from the FHIR Standard
MeasureReport.group.stratifier.code | example | MeasureStratifierExampleVS (a valid code from Measure Stratifier Example Codes) `http://hl7.org/fhir/us/davinci-vbpr/ValueSet/measure-stratifier-example` from this IG
MeasureReport.group.stratifier.stratum.component.code | example | MeasureStratifierExampleVS (a valid code from Measure Stratifier Example Codes) `http://hl7.org/fhir/us/davinci-vbpr/ValueSet/measure-stratifier-example` from this IG
MeasureReport.group.stratifier.stratum.measureScore.comparator | required | QuantityComparator `http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1` from the FHIR Standard

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
MeasureReport | C | 0..* | MeasureReport | A value-based performance report mrp-1: Measure Reports used for data collection SHALL NOT communicate group and score information mrp-2: Stratifiers SHALL be either a single criteria or a set of criteria components
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.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
measurereport-category | S | 1..1 | (Complex) | What category is this measure report URL: http://hl7.org/fhir/StructureDefinition/measurereport-category
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/measurereport-category"
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: MeasureReportCategory (extensible)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | Σ | 1..1 | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 0..1 | uri | Identity of the terminology system
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: vbp
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Additional identifier for the MeasureReport
status | ?!S Σ | 1..1 | code | complete | pending | error Binding: MeasureReportStatus (required): The status of the measure report.
type | S Σ C | 1..1 | code | individual | subject-list | summary | data-collection Binding: MeasureReportType (required): The type of the measure report. Fixed Value: summary
measure | S Σ | 1..1 | canonical(Value-Based Performance Measure) | A Measure definition with contract level data for a value-based contract the report is for
subject | S Σ | 1..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | Group) | What individual(s) the report is for
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
orgSubject | S | 1..1 | Reference(US Core Organization Profile) | What organization the report is for URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/organization-subject
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
date | S Σ | 1..1 | dateTime | When the report was generated
reporter | S Σ | 1..1 | Reference(US Core Organization Profile) | Who is reporting the data
period | S Σ | 1..1 | Period | What performance period the report covers
group | S C | 0..* | BackboneElement | Performance metrics in the report. Each group contains data for a performance metric.
id | S | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
paymentStream | S | 0..* | (Complex) | The payment stream the performance metric is part of URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream
servicePeriod | S | 0..1 | Period | The service period for the performance metric URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period
paidThroughDate | S | 0..1 | date | Ending date of the pay cycle URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date
baseline | S | 0..1 | (Complex) | The baseline for the performance metric URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S Σ | 1..1 | CodeableConcept | Performance metric Binding: Performance Metric (extensible)
population |  | 0..* | BackboneElement | The populations in the 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 | Σ | 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 (e.g. initial, numerator, denominator, etc.).
count |  | 0..1 | integer | Size of the population
subjectResults |  | 0..1 | Reference(List) | For subject-list reports, the subject results in this population
measureScore | Σ | 0..1 | Quantity | The performance metric value
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
altMeasureScore | S | 0..1 | boolean, decimal, integer, CodeableConcept, Money | Additional data type choices for the value of the performance metric URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore
value | Σ | 0..1 | decimal | Numerical value (with implicit precision)
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit | Σ | 0..1 | string | Unit representation
system | Σ C | 0..1 | uri | System that defines coded unit form
code | Σ | 0..1 | code | Coded form of the unit
stratifier | S | 0..* | BackboneElement | Stratification results
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..* | CodeableConcept | What stratifier of the group Binding: Measure Stratifier Example (example)
stratum | S | 0..* | BackboneElement | Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
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
value | S | 0..1 | CodeableConcept | The stratum value, e.g. male
component |  | 0..* | BackboneElement | Stratifier component values
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 | 1..1 | CodeableConcept | What stratifier component of the group Binding: Measure Stratifier Example (example)
value | S | 1..1 | CodeableConcept | The stratum component value, e.g. male
population |  | 0..* | BackboneElement | Population results in this stratum
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 (e.g. initial, numerator, denominator, etc.).
count |  | 0..1 | integer | Size of the population
subjectResults |  | 0..1 | Reference(List) | For subject-list reports, the subject results in this population
measureScore | S | 0..1 | Quantity | Stratified performance metric value
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
altMeasureScore | S | 0..1 | boolean, decimal, integer, CodeableConcept, Money | Additional data type choices for the stratified performance metric value URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore
value | Σ | 0..1 | decimal | Numerical value (with implicit precision)
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit | Σ | 0..1 | string | Unit representation
system | Σ C | 0..1 | uri | System that defines coded unit form
code | Σ | 0..1 | code | Coded form of the unit
Slices for evaluatedResource | S | 0..* | Reference(Resource) | What data was used to calculate the performance metric(s) Slice: Unordered, Open by type:reference
evaluatedResource:qualityReport |  | 0..* | Reference(VBP Quality MeasureReport) | quality measure MeasureReport
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
groupRef | S | 0..* | string | Reference a performance metric (MeasureReport.group.id) on this value-based performance report URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
MeasureReport.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
`http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
MeasureReport.extension:measurereport-category.value[x] | extensible | MeasureReportCategory `http://hl7.org/fhir/ValueSet/measurereport-category`
MeasureReport.status | required | MeasureReportStatus `http://hl7.org/fhir/ValueSet/measure-report-status|4.0.1` from the FHIR Standard
MeasureReport.type | required | Fixed Value: summary `http://hl7.org/fhir/ValueSet/measure-report-type|4.0.1` from the FHIR Standard
MeasureReport.subject.type | extensible | ResourceType `http://hl7.org/fhir/ValueSet/resource-types` from the FHIR Standard
MeasureReport.group.code | extensible | VbpPerformanceMetricsVS (a valid code from Performance Metric Codes) `http://hl7.org/fhir/us/davinci-vbpr/ValueSet/vbp-performance-metric` from this IG
MeasureReport.group.population.code | extensible | MeasurePopulationType `http://hl7.org/fhir/ValueSet/measure-population` from the FHIR Standard
MeasureReport.group.measureScore.comparator | required | QuantityComparator `http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1` from the FHIR Standard
MeasureReport.group.stratifier.code | example | MeasureStratifierExampleVS (a valid code from Measure Stratifier Example Codes) `http://hl7.org/fhir/us/davinci-vbpr/ValueSet/measure-stratifier-example` from this IG
MeasureReport.group.stratifier.stratum.component.code | example | MeasureStratifierExampleVS (a valid code from Measure Stratifier Example Codes) `http://hl7.org/fhir/us/davinci-vbpr/ValueSet/measure-stratifier-example` from this IG
MeasureReport.group.stratifier.stratum.population.code | extensible | MeasurePopulationType `http://hl7.org/fhir/ValueSet/measure-population` from the FHIR Standard
MeasureReport.group.stratifier.stratum.measureScore.comparator | required | QuantityComparator `http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1` from the FHIR Standard
MeasureReport.evaluatedResource:qualityReport.type | extensible | ResourceType `http://hl7.org/fhir/ValueSet/resource-types` from the FHIR Standard

This structure is derived from MeasureReport

Summary

Mandatory: 9 elements(1 nested mandatory element)
Must-Support: 27 elements
Fixed: 2 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

- Value-Based Performance Measure (http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/vbp-measure)
- US Core Practitioner Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner)
- US Core PractitionerRole Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole)
- US Core Organization Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization)
- VBP Quality MeasureReport (http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/vbp-quality-measurereport)

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/StructureDefinition/measurereport-category
- http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/organization-subject
- http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream
- http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period
- http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date
- http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline
- http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore
- http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of MeasureReport.evaluatedResource

Differential View

This structure is derived from MeasureReport

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
MeasureReport |  | 0..* | MeasureReport | A value-based performance report
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
measurereport-category | S | 1..1 | (Complex) | What category is this measure report URL: http://hl7.org/fhir/StructureDefinition/measurereport-category
value[x] |  |  |  |
coding |  | 1..1 | Coding | Code defined by a terminology system
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: vbp
status | S | 1..1 | code | complete | pending | error
type | S | 1..1 | code | individual | subject-list | summary | data-collection Fixed Value: summary
measure | S | 1..1 | canonical(Value-Based Performance Measure) | A Measure definition with contract level data for a value-based contract the report is for
subject | S | 1..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | Group) | What individual(s) the report is for
extension |  | 1..* | Extension | Extension
Slices for extension |  |  |  | Content/Rules for all slices
orgSubject | S | 1..1 | Reference(US Core Organization Profile) | What organization the report is for URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/organization-subject
date | S | 1..1 | dateTime | When the report was generated
reporter | S | 1..1 | Reference(US Core Organization Profile) | Who is reporting the data
period | S | 1..1 | Period | What performance period the report covers
improvementNotation |  | 0..0 |  |
group | S | 0..* | BackboneElement | Performance metrics in the report. Each group contains data for a performance metric.
id | S | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
paymentStream | S | 0..* | (Complex) | The payment stream the performance metric is part of URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream
servicePeriod | S | 0..1 | Period | The service period for the performance metric URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period
paidThroughDate | S | 0..1 | date | Ending date of the pay cycle URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date
baseline | S | 0..1 | (Complex) | The baseline for the performance metric URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline
code | S | 1..1 | CodeableConcept | Performance metric Binding: Performance Metric (extensible)
measureScore |  | 0..1 | Quantity | The performance metric value
Slices for extension |  |  |  | Content/Rules for all slices
altMeasureScore | S | 0..1 | boolean, decimal, integer, CodeableConcept, Money | Additional data type choices for the value of the performance metric URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore
stratifier | S | 0..* | BackboneElement | Stratification results
code | S | 0..* | CodeableConcept | What stratifier of the group Binding: Measure Stratifier Example (example)
stratum | S | 0..* | BackboneElement | Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
value | S | 0..1 | CodeableConcept | The stratum value, e.g. male
component |  |  |  |
code | S | 1..1 | CodeableConcept | What stratifier component of the group Binding: Measure Stratifier Example (example)
value | S | 1..1 | CodeableConcept | The stratum component value, e.g. male
measureScore | S | 0..1 | Quantity | Stratified performance metric value
Slices for extension |  |  |  | Content/Rules for all slices
altMeasureScore | S | 0..1 | boolean, decimal, integer, CodeableConcept, Money | Additional data type choices for the stratified performance metric value URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore
Slices for evaluatedResource | S | 0..* | Reference(Resource) | What data was used to calculate the performance metric(s) Slice: Unordered, Open by type:reference
evaluatedResource:qualityReport |  | 0..* | Reference(VBP Quality MeasureReport) | quality measure MeasureReport
Slices for extension |  |  |  | Content/Rules for all slices
groupRef | S | 0..* | string | Reference a performance metric (MeasureReport.group.id) on this value-based performance report URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
MeasureReport.group.code | extensible | VbpPerformanceMetricsVS (a valid code from Performance Metric Codes) `http://hl7.org/fhir/us/davinci-vbpr/ValueSet/vbp-performance-metric` from this IG
MeasureReport.group.stratifier.code | example | MeasureStratifierExampleVS (a valid code from Measure Stratifier Example Codes) `http://hl7.org/fhir/us/davinci-vbpr/ValueSet/measure-stratifier-example` from this IG
MeasureReport.group.stratifier.stratum.component.code | example | MeasureStratifierExampleVS (a valid code from Measure Stratifier Example Codes) `http://hl7.org/fhir/us/davinci-vbpr/ValueSet/measure-stratifier-example` from this IG

Key Elements View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
MeasureReport | C | 0..* | MeasureReport | A value-based performance report mrp-1: Measure Reports used for data collection SHALL NOT communicate group and score information mrp-2: Stratifiers SHALL be either a single criteria or a set of criteria components
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
measurereport-category | S | 1..1 | (Complex) | What category is this measure report URL: http://hl7.org/fhir/StructureDefinition/measurereport-category
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/measurereport-category"
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: MeasureReportCategory (extensible)
coding | Σ | 1..1 | Coding | Code defined by a terminology system
code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: vbp
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!S Σ | 1..1 | code | complete | pending | error Binding: MeasureReportStatus (required): The status of the measure report.
type | S Σ C | 1..1 | code | individual | subject-list | summary | data-collection Binding: MeasureReportType (required): The type of the measure report. Fixed Value: summary
measure | S Σ | 1..1 | canonical(Value-Based Performance Measure) | A Measure definition with contract level data for a value-based contract the report is for
subject | S Σ | 1..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | Group) | What individual(s) the report is for
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
orgSubject | S | 1..1 | Reference(US Core Organization Profile) | What organization the report is for URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/organization-subject
date | S Σ | 1..1 | dateTime | When the report was generated
reporter | S Σ | 1..1 | Reference(US Core Organization Profile) | Who is reporting the data
period | S Σ | 1..1 | Period | What performance period the report covers
group | S C | 0..* | BackboneElement | Performance metrics in the report. Each group contains data for a performance metric.
id | S | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
paymentStream | S | 0..* | (Complex) | The payment stream the performance metric is part of URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream
servicePeriod | S | 0..1 | Period | The service period for the performance metric URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period
paidThroughDate | S | 0..1 | date | Ending date of the pay cycle URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date
baseline | S | 0..1 | (Complex) | The baseline for the performance metric URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S Σ | 1..1 | CodeableConcept | Performance metric Binding: Performance Metric (extensible)
measureScore | Σ | 0..1 | Quantity | The performance metric value
Slices for extension |  |  |  | Content/Rules for all slices
altMeasureScore | S | 0..1 | boolean, decimal, integer, CodeableConcept, Money | Additional data type choices for the value of the performance metric URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
stratifier | S | 0..* | BackboneElement | Stratification results
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 0..* | CodeableConcept | What stratifier of the group Binding: Measure Stratifier Example (example)
stratum | S | 0..* | BackboneElement | Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
value | S | 0..1 | CodeableConcept | The stratum value, e.g. male
component |  | 0..* | BackboneElement | Stratifier component values
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | What stratifier component of the group Binding: Measure Stratifier Example (example)
value | S | 1..1 | CodeableConcept | The stratum component value, e.g. male
measureScore | S | 0..1 | Quantity | Stratified performance metric value
Slices for extension |  |  |  | Content/Rules for all slices
altMeasureScore | S | 0..1 | boolean, decimal, integer, CodeableConcept, Money | Additional data type choices for the stratified performance metric value URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
Slices for evaluatedResource | S | 0..* | Reference(Resource) | What data was used to calculate the performance metric(s) Slice: Unordered, Open by type:reference
evaluatedResource:qualityReport |  | 0..* | Reference(VBP Quality MeasureReport) | quality measure MeasureReport
Slices for extension |  |  |  | Content/Rules for all slices
groupRef | S | 0..* | string | Reference a performance metric (MeasureReport.group.id) on this value-based performance report URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
MeasureReport.extension:measurereport-category.value[x] | extensible | MeasureReportCategory `http://hl7.org/fhir/ValueSet/measurereport-category`
MeasureReport.status | required | MeasureReportStatus `http://hl7.org/fhir/ValueSet/measure-report-status|4.0.1` from the FHIR Standard
MeasureReport.type | required | Fixed Value: summary `http://hl7.org/fhir/ValueSet/measure-report-type|4.0.1` from the FHIR Standard
MeasureReport.group.code | extensible | VbpPerformanceMetricsVS (a valid code from Performance Metric Codes) `http://hl7.org/fhir/us/davinci-vbpr/ValueSet/vbp-performance-metric` from this IG
MeasureReport.group.measureScore.comparator | required | QuantityComparator `http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1` from the FHIR Standard
MeasureReport.group.stratifier.code | example | MeasureStratifierExampleVS (a valid code from Measure Stratifier Example Codes) `http://hl7.org/fhir/us/davinci-vbpr/ValueSet/measure-stratifier-example` from this IG
MeasureReport.group.stratifier.stratum.component.code | example | MeasureStratifierExampleVS (a valid code from Measure Stratifier Example Codes) `http://hl7.org/fhir/us/davinci-vbpr/ValueSet/measure-stratifier-example` from this IG
MeasureReport.group.stratifier.stratum.measureScore.comparator | required | QuantityComparator `http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1` from the FHIR Standard

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
MeasureReport | C | 0..* | MeasureReport | A value-based performance report mrp-1: Measure Reports used for data collection SHALL NOT communicate group and score information mrp-2: Stratifiers SHALL be either a single criteria or a set of criteria components
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.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
measurereport-category | S | 1..1 | (Complex) | What category is this measure report URL: http://hl7.org/fhir/StructureDefinition/measurereport-category
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/StructureDefinition/measurereport-category"
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: MeasureReportCategory (extensible)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | Σ | 1..1 | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 0..1 | uri | Identity of the terminology system
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 1..1 | code | Symbol in syntax defined by the system Fixed Value: vbp
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Additional identifier for the MeasureReport
status | ?!S Σ | 1..1 | code | complete | pending | error Binding: MeasureReportStatus (required): The status of the measure report.
type | S Σ C | 1..1 | code | individual | subject-list | summary | data-collection Binding: MeasureReportType (required): The type of the measure report. Fixed Value: summary
measure | S Σ | 1..1 | canonical(Value-Based Performance Measure) | A Measure definition with contract level data for a value-based contract the report is for
subject | S Σ | 1..1 | Reference(US Core Practitioner Profile | US Core PractitionerRole Profile | Group) | What individual(s) the report is for
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
orgSubject | S | 1..1 | Reference(US Core Organization Profile) | What organization the report is for URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/organization-subject
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
date | S Σ | 1..1 | dateTime | When the report was generated
reporter | S Σ | 1..1 | Reference(US Core Organization Profile) | Who is reporting the data
period | S Σ | 1..1 | Period | What performance period the report covers
group | S C | 0..* | BackboneElement | Performance metrics in the report. Each group contains data for a performance metric.
id | S | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
paymentStream | S | 0..* | (Complex) | The payment stream the performance metric is part of URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream
servicePeriod | S | 0..1 | Period | The service period for the performance metric URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period
paidThroughDate | S | 0..1 | date | Ending date of the pay cycle URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date
baseline | S | 0..1 | (Complex) | The baseline for the performance metric URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S Σ | 1..1 | CodeableConcept | Performance metric Binding: Performance Metric (extensible)
population |  | 0..* | BackboneElement | The populations in the 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 | Σ | 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 (e.g. initial, numerator, denominator, etc.).
count |  | 0..1 | integer | Size of the population
subjectResults |  | 0..1 | Reference(List) | For subject-list reports, the subject results in this population
measureScore | Σ | 0..1 | Quantity | The performance metric value
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
altMeasureScore | S | 0..1 | boolean, decimal, integer, CodeableConcept, Money | Additional data type choices for the value of the performance metric URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore
value | Σ | 0..1 | decimal | Numerical value (with implicit precision)
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit | Σ | 0..1 | string | Unit representation
system | Σ C | 0..1 | uri | System that defines coded unit form
code | Σ | 0..1 | code | Coded form of the unit
stratifier | S | 0..* | BackboneElement | Stratification results
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..* | CodeableConcept | What stratifier of the group Binding: Measure Stratifier Example (example)
stratum | S | 0..* | BackboneElement | Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
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
value | S | 0..1 | CodeableConcept | The stratum value, e.g. male
component |  | 0..* | BackboneElement | Stratifier component values
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 | 1..1 | CodeableConcept | What stratifier component of the group Binding: Measure Stratifier Example (example)
value | S | 1..1 | CodeableConcept | The stratum component value, e.g. male
population |  | 0..* | BackboneElement | Population results in this stratum
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 (e.g. initial, numerator, denominator, etc.).
count |  | 0..1 | integer | Size of the population
subjectResults |  | 0..1 | Reference(List) | For subject-list reports, the subject results in this population
measureScore | S | 0..1 | Quantity | Stratified performance metric value
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
altMeasureScore | S | 0..1 | boolean, decimal, integer, CodeableConcept, Money | Additional data type choices for the stratified performance metric value URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore
value | Σ | 0..1 | decimal | Numerical value (with implicit precision)
comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented.
unit | Σ | 0..1 | string | Unit representation
system | Σ C | 0..1 | uri | System that defines coded unit form
code | Σ | 0..1 | code | Coded form of the unit
Slices for evaluatedResource | S | 0..* | Reference(Resource) | What data was used to calculate the performance metric(s) Slice: Unordered, Open by type:reference
evaluatedResource:qualityReport |  | 0..* | Reference(VBP Quality MeasureReport) | quality measure MeasureReport
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
groupRef | S | 0..* | string | Reference a performance metric (MeasureReport.group.id) on this value-based performance report URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
MeasureReport.language | preferred | CommonLanguages
Additional Bindings | Purpose
AllLanguages | Max Binding
`http://hl7.org/fhir/ValueSet/languages` from the FHIR Standard
MeasureReport.extension:measurereport-category.value[x] | extensible | MeasureReportCategory `http://hl7.org/fhir/ValueSet/measurereport-category`
MeasureReport.status | required | MeasureReportStatus `http://hl7.org/fhir/ValueSet/measure-report-status|4.0.1` from the FHIR Standard
MeasureReport.type | required | Fixed Value: summary `http://hl7.org/fhir/ValueSet/measure-report-type|4.0.1` from the FHIR Standard
MeasureReport.subject.type | extensible | ResourceType `http://hl7.org/fhir/ValueSet/resource-types` from the FHIR Standard
MeasureReport.group.code | extensible | VbpPerformanceMetricsVS (a valid code from Performance Metric Codes) `http://hl7.org/fhir/us/davinci-vbpr/ValueSet/vbp-performance-metric` from this IG
MeasureReport.group.population.code | extensible | MeasurePopulationType `http://hl7.org/fhir/ValueSet/measure-population` from the FHIR Standard
MeasureReport.group.measureScore.comparator | required | QuantityComparator `http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1` from the FHIR Standard
MeasureReport.group.stratifier.code | example | MeasureStratifierExampleVS (a valid code from Measure Stratifier Example Codes) `http://hl7.org/fhir/us/davinci-vbpr/ValueSet/measure-stratifier-example` from this IG
MeasureReport.group.stratifier.stratum.component.code | example | MeasureStratifierExampleVS (a valid code from Measure Stratifier Example Codes) `http://hl7.org/fhir/us/davinci-vbpr/ValueSet/measure-stratifier-example` from this IG
MeasureReport.group.stratifier.stratum.population.code | extensible | MeasurePopulationType `http://hl7.org/fhir/ValueSet/measure-population` from the FHIR Standard
MeasureReport.group.stratifier.stratum.measureScore.comparator | required | QuantityComparator `http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1` from the FHIR Standard
MeasureReport.evaluatedResource:qualityReport.type | extensible | ResourceType `http://hl7.org/fhir/ValueSet/resource-types` from the FHIR Standard

This structure is derived from MeasureReport

Summary

Mandatory: 9 elements(1 nested mandatory element)
Must-Support: 27 elements
Fixed: 2 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

- Value-Based Performance Measure (http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/vbp-measure)
- US Core Practitioner Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner)
- US Core PractitionerRole Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole)
- US Core Organization Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization)
- VBP Quality MeasureReport (http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/vbp-quality-measurereport)

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/StructureDefinition/measurereport-category
- http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/organization-subject
- http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream
- http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period
- http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date
- http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline
- http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore
- http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of MeasureReport.evaluatedResource

Other representations of profile: CSV, Excel, Schematron