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

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## : quality-measurereport22 - XML Representation

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    <MeasureReport xmlns="http://hl7.org/fhir">
      <id value="quality-measurereport22"/>
      <meta>
        <extension url="http://hl7.org/fhir/StructureDefinition/instance-name">
          <valueString value="VBP Quality MeasureReport Example"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/instance-description">
          <valueMarkdown
                         value="This is an example Comprehensive Diabetes Care: Hemoglobin A1c (HbA1c) Control (&lt;8.0%) MeasureReport for the *VBP Quality MeasureReport* profile."/>
        </extension>
        <source value="http://example.org/fhir/server"/>
        <profile
                 value="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/vbp-quality-measurereport"/>
      </meta>
      <text>
        <status value="extensions"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: MeasureReport </b><a name="quality-measurereport22"> </a><a name="hcquality-measurereport22"> </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">ResourceMeasureReport &quot;quality-measurereport22&quot; </p><p style="margin-bottom: 0px">Information Source: http://example.org/fhir/server!</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-vbp-quality-measurereport.html">VBP Quality MeasureReport</a></p></div><p><b>DEQM Measure Scoring Extension</b>: Proportion <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-measure-scoring.html">MeasureScoring</a>#proportion)</span></p><p><b>Measure Report Category</b>: Value-Based Performance <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-measurereport-category.html">Measure Report Category</a>#vbp)</span></p><p><b>Score</b>: 2</p><blockquote><p><b>Threshold</b></p><blockquote><p><b>url</b></p><a href="StructureDefinition-threshold.html">Threshold</a></blockquote><p><b>value</b>: 71.7 %<span style="background: LightGoldenRodYellow"> (Details: UCUM  code% = '%')</span></p><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: HEDIS 50 Percentile <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-threshold-type.html">Threshold Type Codes</a>#hedis-50-percentile)</span></p></blockquote><blockquote><p><b>Threshold</b></p><blockquote><p><b>url</b></p><a href="StructureDefinition-threshold.html">Threshold</a></blockquote><p><b>value</b>: 74.3 %<span style="background: LightGoldenRodYellow"> (Details: UCUM  code% = '%')</span></p><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: HEDIS 75 Percentile <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-threshold-type.html">Threshold Type Codes</a>#hedis-75-percentile)</span></p></blockquote><blockquote><p><b>Threshold</b></p><blockquote><p><b>url</b></p><a href="StructureDefinition-threshold.html">Threshold</a></blockquote><p><b>value</b>: 77.3 %<span style="background: LightGoldenRodYellow"> (Details: UCUM  code% = '%')</span></p><blockquote><p><b>url</b></p><code>type</code></blockquote><p><b>value</b>: HEDIS 90 Percentile <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-threshold-type.html">Threshold Type Codes</a>#hedis-90-percentile)</span></p></blockquote><p><b>status</b>: complete</p><p><b>type</b>: summary</p><p><b>measure</b>: <a href="http://example.org/Measure/measure-diabetes-HbA1c">http://example.org/Measure/measure-diabetes-HbA1c</a></p><p><b>date</b>: 2021-04-02</p><p><b>reporter</b>: <a href="Organization-vbp-payer01.html">Organization/vbp-payer01</a> &quot;ABC Payer&quot;</p><p><b>period</b>: 2020-01-01 --&gt; 2021-03-31</p><p><b>improvementNotation</b>: Increased score indicates improvement <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-measure-improvement-notation.html">MeasureImprovementNotation</a>#increase)</span></p><blockquote><p><b>group</b></p><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>pop1-num</blockquote><p><b>code</b>: Calculated Numerator <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-vbp-measure-population.html">Value-Based Performance Measure Population Type Codes</a>#calculated-numerator)</span></p><p><b>count</b>: 11</p></blockquote><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>pop2-denom</blockquote><p><b>code</b>: Calculated Denominator <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-vbp-measure-population.html">Value-Based Performance Measure Population Type Codes</a>#calculated-denominator)</span></p><p><b>count</b>: 24</p></blockquote><p><b>measureScore</b>: 0.458</p></blockquote></div>
      </text>
      <extension
                 url="http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-measureScoring">
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/measure-scoring"/>
            <code value="proportion"/>
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/measurereport-category">
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://hl7.org/fhir/CodeSystem/measurereport-category"/>
            <code value="vbp"/>
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/score">
        <valueDecimal value="2"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/threshold">
        <extension url="threshold">
          <valueQuantity>
            <value value="71.7"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="%"/>
          </valueQuantity>
        </extension>
        <extension url="type">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/threshold-type"/>
              <code value="hedis-50-percentile"/>
            </coding>
          </valueCodeableConcept>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/threshold">
        <extension url="threshold">
          <valueQuantity>
            <value value="74.3"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="%"/>
          </valueQuantity>
        </extension>
        <extension url="type">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/threshold-type"/>
              <code value="hedis-75-percentile"/>
            </coding>
          </valueCodeableConcept>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/threshold">
        <extension url="threshold">
          <valueQuantity>
            <value value="77.3"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="%"/>
          </valueQuantity>
        </extension>
        <extension url="type">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/threshold-type"/>
              <code value="hedis-90-percentile"/>
            </coding>
          </valueCodeableConcept>
        </extension>
      </extension>
      <status value="complete"/>
      <type value="summary"/>
      <measure value="http://example.org/Measure/measure-diabetes-HbA1c"/>
      <date value="2021-04-02"/>
      <reporter>🔗
        <reference value="Organization/vbp-payer01"/>
      </reporter>
      <period>
        <start value="2020-01-01"/>
        <end value="2021-03-31"/>
      </period>
      <improvementNotation>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-improvement-notation"/>
          <code value="increase"/>
          <display value="Increased score indicates improvement"/>
        </coding>
      </improvementNotation>
      <group>
        <population id="pop1-num">
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-measure-population"/>
              <code value="calculated-numerator"/>
            </coding>
          </code>
          <count value="11"/>
        </population>
        <population id="pop2-denom">
          <code>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-measure-population"/>
              <code value="calculated-denominator"/>
            </coding>
          </code>
          <count value="24"/>
        </population>
        <measureScore>
          <value value="0.458"/>
        </measureScore>
      </group>
    </MeasureReport>