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

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## Extension: Payment Stream

Official URL: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream | Version: 1.0.0
Active as of 2024-06-17 | Computable Name: PaymentStream
Other Identifiers: OID:2.16.840.1.113883.4.642.40.30.42.8

The Payment Stream Extension is a complex extension that defines the type of payment stream. A value-based contract may contain different types of payment streams, such as quality incentive payment and care coordination fee.

Context of Use

This extension may be used on the following element(s):

- Element ID MeasureReport
- Element ID MeasureReport.group
- Element ID Measure

Usage info

Usage:

- Use this Extension: Value-Based Performance Measure and Value-Based Performance MeasureReport
- Examples for this Extension: VbprMeasureExample01, VbprMeasureExample02, MeasureReport/vbp-measurereport101 and MeasureReport/vbp-measurereport102

### Formal Views of Extension Content

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

- Text Summary
- Differential Table
- Snapshot Table
- All

This structure is derived from Extension

Summary

Complex Extension: The Payment Stream Extension is a complex extension that defines the type of payment stream. A value-based contract may contain different types of payment streams, such as quality incentive payment and care coordination fee.

- type: CodeableConcept: The type of payment stream, such as quality incentive payment and care coordination fee.
- incentive: CodeableConcept: For quality incentive payment, what type of incentive

This structure is derived from Extension

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | Payment Stream
extension |  | 1..* | Extension | Extension
Slices for extension |  |  |  | Content/Rules for all slices
extension:type | S | 1..1 | Extension | The type of payment stream
extension |  | 0..0 |  |
url |  | 1..1 | uri | "type"
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: Payment Stream Value Set (extensible)
extension:incentive | S | 0..1 | Extension | For quality incentive payment, what type of incentive
extension |  | 0..0 |  |
url |  | 1..1 | uri | "incentive"
value[x] |  | 0..1 | CodeableConcept | Value of extension Binding: Incentive (extensible)
url |  | 1..1 | uri | "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
value[x] |  | 0..0 |  |
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | Payment Stream
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:type | S | 1..1 | Extension | The type of payment stream
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  |
url |  | 1..1 | uri | "type"
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: Payment Stream Value Set (extensible)
extension:incentive | S | 0..1 | Extension | For quality incentive payment, what type of incentive
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  |
url |  | 1..1 | uri | "incentive"
value[x] |  | 0..1 | CodeableConcept | Value of extension Binding: Incentive (extensible)
url |  | 1..1 | uri | "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
Documentation for this format

This structure is derived from Extension

Summary

Complex Extension: The Payment Stream Extension is a complex extension that defines the type of payment stream. A value-based contract may contain different types of payment streams, such as quality incentive payment and care coordination fee.

- type: CodeableConcept: The type of payment stream, such as quality incentive payment and care coordination fee.
- incentive: CodeableConcept: For quality incentive payment, what type of incentive

Differential View

This structure is derived from Extension

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | Payment Stream
extension |  | 1..* | Extension | Extension
Slices for extension |  |  |  | Content/Rules for all slices
extension:type | S | 1..1 | Extension | The type of payment stream
extension |  | 0..0 |  |
url |  | 1..1 | uri | "type"
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: Payment Stream Value Set (extensible)
extension:incentive | S | 0..1 | Extension | For quality incentive payment, what type of incentive
extension |  | 0..0 |  |
url |  | 1..1 | uri | "incentive"
value[x] |  | 0..1 | CodeableConcept | Value of extension Binding: Incentive (extensible)
url |  | 1..1 | uri | "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
value[x] |  | 0..0 |  |
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | Payment Stream
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:type | S | 1..1 | Extension | The type of payment stream
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  |
url |  | 1..1 | uri | "type"
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: Payment Stream Value Set (extensible)
extension:incentive | S | 0..1 | Extension | For quality incentive payment, what type of incentive
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  |
url |  | 1..1 | uri | "incentive"
value[x] |  | 0..1 | CodeableConcept | Value of extension Binding: Incentive (extensible)
url |  | 1..1 | uri | "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
Documentation for this format

Other representations of profile: CSV, Excel, Schematron

#### Terminology Bindings

Path | Conformance | ValueSet | URI
Extension.extension:type.value[x] | extensible | PaymentStreamVS (a valid code from Payment Stream Codes) `http://hl7.org/fhir/us/davinci-vbpr/ValueSet/vbp-payment-stream` from this IG
Extension.extension:incentive.value[x] | extensible | VBPIncentiveVS (a valid code from Incentive Payment Codes) `http://hl7.org/fhir/us/davinci-vbpr/ValueSet/vbp-incentive` from this IG