| Package | hl7.fhir.us.davinci-vbpr |
| Resource Type | Measure |
| Id | vbp-measure01 |
| FHIR Version | R4 |
| Source | http://hl7.org/fhir/us/davinci-vbpr/https://build.fhir.org/ig/HL7/davinci-vbpr/Measure-vbp-measure01.html |
| URL | https://build.fhir.org/ig/HL7/davinci-vbpr/Measure-vbp-measure01 |
| Version | 1.1.0 |
| Status | active |
| Date | 2025-07-21T02:13:33+00:00 |
| Name | VbprMeasureExample01 |
| Title | Example Value-Based Contract - ABC Payer and GoodHealth |
| Realm | us |
| Authority | hl7 |
| Description | Example Value-Based Contract between ABC Payer and GoodHealth |
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Note: links and images are rebased to the (stated) source
Generated Narrative: Measure vbp-measure01
Profile: Value-Based Performance Measure
Line of Business: MEDICARE
Program Model
- hcplan: Category 3A
- cohort: HMO cohort
Program Model
- hcplan: Category 3B
- cohort: PPO cohort
Payment Stream
- type: Shared savings gated on quality
Payment Stream
- type: Care coordination fee
Payment Stream
- type: Quality incentive payment
url: Measure Example Value-Based Contract - ABC Payer and GoodHealth
identifier: http://example.org/fhir/server/ex-vbp-measure01 (use: temp, ), Uniform Resource Identifier (URI)/urn:oid:2.16.840.1.113883.4.642.40.30.29.1
version: 1.1.0
name: VbprMeasureExample01
title: Example Value-Based Contract - ABC Payer and GoodHealth
status: Active
experimental: true
date: 2025-07-21 02:13:33+0000
publisher: HL7 International / Clinical Quality Information
contact: HL7 International / Clinical Quality Information: http://www.hl7.org/Special/committees/cqi
description:
Example Value-Based Contract between ABC Payer and GoodHealth
jurisdiction: United States of America
effectivePeriod: 2022-01-01 --> 2024-12-31
| Extension | Type | Display | Resource |
| , | Composed Of | Breast Cancer Screening | EXM125 - Breast Cancer Screeningversion: null8.0.000) |
| , | Composed Of | Colorectal Cancer Screening | EXM130 - Colorectal Cancer Screening Measureversion: null8.0.000) |
| , | Composed Of | Diabetes Care - Blood Sugar Controlled | http://example.org/Measure/measure-diabetes-care-blood-sugar-controlled-FHIR|1.0.000 |
| , | Composed Of | Diabetes Care - Eye Exam | http://example.org/Measure/measure-diabetes-care-eye-exam-FHIR|1.0.000 |
| , | Composed Of | Medication Adherence for Cholesterol (Statins) | http://example.org/Measure/measure-med-adherence-cholesterol-statins-FHIR|1.0.000 |
| , | Composed Of | Medication Adherence for Hypertension (RAS antagonists) | http://example.org/Measure/measure-med-adherence-hypertension-FHIR|1.0.000 |
| , | Composed Of | Medication Adherence for Diabetes Medications | http://example.org/Measure/measure-med-adherence-diabetes-meds-FHIR|1.0.000 |
| , | Composed Of | Statin Therapy for Patients with Cardiovascular Disease | http://example.org/Measure/measure-statin-therapy-cardiovascular-disease-FHIR|1.0.000 |
| , | Composed Of | Statin Use in Persons with Diabetes (SUPD) | http://example.org/Measure/measure-statin-use-diabetes-supd-FHIR|1.0.000 |
FHIR{
"resourceType": "Measure",
"id": "vbp-measure01",
"meta": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/instance-name",
"valueString": "Payer"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/instance-description",
"valueMarkdown": "This is an example measure for the *VBP Measure* profile."
}
],
"profile": [
"http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/vbp-measure"
]
},
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/lob",
"valueCodeableConcept": {
"coding": [
{
"system": "https://nahdo.org/sopt",
"code": "1",
"display": "MEDICARE"
}
],
"text": "MEDICARE"
}
},
{
"extension": [
{
"url": "hcplan",
"valueCodeableConcept": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/hcp-lan-apm-framework",
"code": "3A",
"display": "Category 3A"
}
]
}
},
{
"url": "cohort",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code": "hmo",
"display": "HMO cohort"
}
]
}
}
],
"url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/program-model"
},
{
"extension": [
{
"url": "hcplan",
"valueCodeableConcept": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/hcp-lan-apm-framework",
"code": "3B",
"display": "Category 3B"
}
]
}
},
{
"url": "cohort",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
"code": "ppo",
"display": "PPO cohort"
}
]
}
}
],
"url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/program-model"
},
{
"extension": [
{
"url": "type",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream",
"code": "ssq"
}
],
"text": "Shared savings gated on quality"
}
}
],
"url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
},
{
"extension": [
{
"url": "type",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream",
"code": "ccf"
}
],
"text": "Care coordination fee"
}
}
],
"url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
},
{
"extension": [
{
"url": "type",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream",
"code": "qip"
}
],
"text": "Quality incentive payment"
}
}
],
"url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream"
}
],
"url": "https://build.fhir.org/ig/HL7/davinci-vbpr/Measure-vbp-measure01",
"identifier": [
{
"use": "temp",
"system": "http://example.org/fhir/server",
"value": "ex-vbp-measure01"
},
{
"system": "urn:ietf:rfc:3986",
"value": "urn:oid:2.16.840.1.113883.4.642.40.30.29.1"
}
],
"version": "1.1.0",
"name": "VbprMeasureExample01",
"title": "Example Value-Based Contract - ABC Payer and GoodHealth",
"status": "active",
"experimental": true,
"date": "2025-07-21T02:13:33+00:00",
"publisher": "HL7 International / Clinical Quality Information",
"contact": [
{
"name": "HL7 International / Clinical Quality Information",
"telecom": [
{
"system": "url",
"value": "http://www.hl7.org/Special/committees/cqi"
}
]
}
],
"description": "Example Value-Based Contract between ABC Payer and GoodHealth",
"jurisdiction": [
{
"coding": [
{
"system": "urn:iso:std:iso:3166",
"code": "US",
"display": "United States of America"
}
]
}
],
"effectivePeriod": {
"start": "2022-01-01",
"end": "2024-12-31"
},
"relatedArtifact": [
{
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/weight",
"valueDecimal": 1
},
{
"url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/contractual-status",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-contractual-status",
"code": "contractual",
"display": "Contractual"
}
]
}
}
],
"type": "composed-of",
"display": "Breast Cancer Screening",
"resource": "http://hl7.org/fhir/us/cqfmeasures/Measure/EXM125-FHIR|8.0.000"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/weight",
"valueDecimal": 3
},
{
"url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/contractual-status",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-contractual-status",
"code": "contractual",
"display": "Contractual"
}
]
}
}
],
"type": "composed-of",
"display": "Colorectal Cancer Screening",
"resource": "http://hl7.org/fhir/us/cqfmeasures/Measure/EXM130-FHIR|8.0.000"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/weight",
"valueDecimal": 3
},
{
"url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/contractual-status",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-contractual-status",
"code": "contractual",
"display": "Contractual"
}
]
}
}
],
"type": "composed-of",
"display": "Diabetes Care - Blood Sugar Controlled",
"resource": "http://example.org/Measure/measure-diabetes-care-blood-sugar-controlled-FHIR|1.0.000"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/weight",
"valueDecimal": 3
},
{
"url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/contractual-status",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-contractual-status",
"code": "contractual",
"display": "Contractual"
}
]
}
}
],
"type": "composed-of",
"display": "Diabetes Care - Eye Exam",
"resource": "http://example.org/Measure/measure-diabetes-care-eye-exam-FHIR|1.0.000"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/weight",
"valueDecimal": 3
},
{
"url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/contractual-status",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-contractual-status",
"code": "reporting-only",
"display": "Reporting Only"
}
]
}
}
],
"type": "composed-of",
"display": "Medication Adherence for Cholesterol (Statins)",
"resource": "http://example.org/Measure/measure-med-adherence-cholesterol-statins-FHIR|1.0.000"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/weight",
"valueDecimal": 3
},
{
"url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/contractual-status",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-contractual-status",
"code": "contractual",
"display": "Contractual"
}
]
}
}
],
"type": "composed-of",
"display": "Medication Adherence for Hypertension (RAS antagonists)",
"resource": "http://example.org/Measure/measure-med-adherence-hypertension-FHIR|1.0.000"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/weight",
"valueDecimal": 3
},
{
"url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/contractual-status",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-contractual-status",
"code": "contractual",
"display": "Contractual"
}
]
}
}
],
"type": "composed-of",
"display": "Medication Adherence for Diabetes Medications",
"resource": "http://example.org/Measure/measure-med-adherence-diabetes-meds-FHIR|1.0.000"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/weight",
"valueDecimal": 1
},
{
"url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/contractual-status",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-contractual-status",
"code": "contractual",
"display": "Contractual"
}
]
}
}
],
"type": "composed-of",
"display": "Statin Therapy for Patients with Cardiovascular Disease",
"resource": "http://example.org/Measure/measure-statin-therapy-cardiovascular-disease-FHIR|1.0.000"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/weight",
"valueDecimal": 1
},
{
"url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/contractual-status",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-contractual-status",
"code": "contractual",
"display": "Contractual"
}
]
}
}
],
"type": "composed-of",
"display": "Statin Use in Persons with Diabetes (SUPD)",
"resource": "http://example.org/Measure/measure-statin-use-diabetes-supd-FHIR|1.0.000"
}
]
}