FHIRsmith: Measure/Measure-vbp-measure01.json

FHIR IG analytics

Package	hl7.fhir.us.davinci-vbpr.r4b
Resource Type	Measure
Id	Measure-vbp-measure01.json
FHIR Version	R4B

Resources that use this resource

No resources found

Resources that this resource uses

No resources found

Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: Measure

ResourceMeasure "vbp-measure01"

Profile: Value-Based Performance Measure

Line of Business: MEDICARE (Source of Payment Typology#1)

Program Model
url
hcplan
value: Category 3A (HCPLAN Framework Categories Codes#3A)
url
cohort
value: HMO cohort (Cohort Codes#hmo)

Program Model
url
hcplan
value: Category 3B (HCPLAN Framework Categories Codes#3B)
url
cohort
value: PPO cohort (Cohort Codes#ppo)

Payment Stream
url
type
value: Shared savings gated on quality (Payment Stream Codes#ssq)

Payment Stream
url
type
value: Care coordination fee (Payment Stream Codes#ccf)

Payment Stream
url
type
value: Quality incentive payment (Payment Stream Codes#qip)

url: https://build.fhir.org/ig/HL7/davinci-vbpr/Measure-vbp-measure01

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: 1.0.0

name: VbprMeasureExample01

title: Example Value-Based Contract - ABC Payer and GoodHealth

status: active

experimental: true

date: 2024-06-17 14:02:59+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 (ISO 3166-1 Codes for the representation of names of countries and their subdivisions — Part 1: Country code#US)

effectivePeriod: 2022-01-01 --> 2024-12-31

RelatedArtifacts

Extension

Type

Display

Resource

composed-of

Breast Cancer Screening

EXM125 - Breast Cancer Screening Measure

composed-of

Colorectal Cancer Screening

EXM130 - Colorectal Cancer Screening Measure

composed-of

Diabetes Care - Blood Sugar Controlled

http://example.org/Measure/measure-diabetes-care-blood-sugar-controlled-FHIR

composed-of

Diabetes Care - Eye Exam

http://example.org/Measure/measure-diabetes-care-eye-exam-FHIR

composed-of

Medication Adherence for Cholesterol (Statins)

http://example.org/Measure/measure-med-adherence-cholesterol-statins-FHIR

composed-of

Medication Adherence for Hypertension (RAS antagonists)

http://example.org/Measure/measure-med-adherence-hypertension-FHIR

composed-of

Medication Adherence for Diabetes Medications

http://example.org/Measure/measure-med-adherence-diabetes-meds-FHIR

composed-of

Statin Therapy for Patients with Cardiovascular Disease

http://example.org/Measure/measure-statin-therapy-cardiovascular-disease-FHIR

composed-of

Statin Use in Persons with Diabetes (SUPD)

http://example.org/Measure/measure-statin-use-diabetes-supd-FHIR

Source1

{
  "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": "1.0.0",
  "name": "VbprMeasureExample01",
  "title": "Example Value-Based Contract - ABC Payer and GoodHealth",
  "status": "active",
  "experimental": true,
  "date": "2024-06-17T14:02:59+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/cqfmeasures/StructureDefinition/cqfm-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/measure-exm125-FHIR"
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-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/measure-exm130-FHIR"
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-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"
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-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"
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-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"
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-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"
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-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"
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-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"
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/cqfm-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"
    }
  ]
}