description: 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.
package_name: hl7.fhir.us.davinci-vbpr.r4b
derivation: constraint
name: VbpMeasureReport
type: MeasureReport
elements:
  evaluatedResource:
    short: What data was used to calculate the performance metric(s)
    mustSupport: true
    index: 32
    slicing:
      rules: open
      ordered: false
      description: quality measure MeasureReport(s) for quality measure performance
      discriminator:
      - {path: reference, type: type}
      min: null
      slices:
        qualityReport:
          match: {}
          schema:
            type: Reference
            short: quality measure MeasureReport
            refers: ['http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/vbp-quality-measurereport']
            array: true
            index: 33
            extensions:
              groupRef: {url: 'http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference', min: 0, type: Extension, short: Reference a performance metric (MeasureReport.group.id) on this value-based performance report, mustSupport: true, index: 34}
            elements:
              extension:
                type: Extension
                short: Reference a performance metric (MeasureReport.group.id) on this value-based performance report
                mustSupport: true
                url: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference
                index: 34
                slicing:
                  slices:
                    groupRef:
                      match: {}
                      schema: {type: Extension, short: Reference a performance metric (MeasureReport.group.id) on this value-based performance report, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/group-reference', index: 34}
                      min: 0
  date: {mustSupport: true, index: 10}
  group:
    short: Performance metrics in the report. Each group contains data for a performance metric.
    mustSupport: true
    index: 14
    elements:
      id: {mustSupport: true, index: 15}
      extension:
        index: 16
        slicing:
          rules: open
          ordered: false
          discriminator:
          - {path: url, type: value}
          min: null
          slices:
            paymentStream:
              match: {url: null}
              schema: {type: Extension, short: The payment stream the performance metric is part of, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream', index: 17}
              min: 0
            servicePeriod:
              match: {url: null}
              schema: {short: The service period for the performance metric, type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period', index: 18}
              min: 0
              max: 1
            paidThroughDate:
              match: {url: null}
              schema: {type: Extension, short: Ending date of the pay cycle, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date', index: 19}
              min: 0
              max: 1
            baseline:
              match: {url: null}
              schema: {type: Extension, short: The baseline for the performance metric, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline', index: 20}
              min: 0
              max: 1
      code:
        short: Performance metric
        binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/us/davinci-vbpr/ValueSet/vbp-performance-metric'}
        mustSupport: true
        index: 21
      measureScore:
        short: The performance metric value
        index: 22
        extensions:
          altMeasureScore: {url: 'http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore', min: 0, max: 1, type: Extension, short: Additional data type choices for the value of the performance metric, mustSupport: true, index: 23}
        elements:
          extension:
            type: Extension
            short: Additional data type choices for the value of the performance metric
            mustSupport: true
            url: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore
            index: 23
            slicing:
              slices:
                altMeasureScore:
                  match: {}
                  schema: {type: Extension, short: Additional data type choices for the value of the performance metric, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore', index: 23}
                  min: 0
                  max: 1
      stratifier:
        mustSupport: true
        index: 24
        elements:
          code:
            binding: {strength: example, valueSet: 'http://hl7.org/fhir/us/davinci-vbpr/ValueSet/measure-stratifier-example'}
            mustSupport: true
            index: 25
          stratum:
            mustSupport: true
            index: 26
            elements:
              value: {mustSupport: true, index: 27}
              component:
                elements:
                  code:
                    binding: {strength: example, valueSet: 'http://hl7.org/fhir/us/davinci-vbpr/ValueSet/measure-stratifier-example'}
                    mustSupport: true
                    index: 28
                  value: {mustSupport: true, index: 29}
              measureScore:
                short: Stratified performance metric value
                mustSupport: true
                index: 30
                extensions:
                  altMeasureScore: {url: 'http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore', min: 0, max: 1, type: Extension, short: Additional data type choices for the stratified performance metric value, mustSupport: true, index: 31}
                elements:
                  extension:
                    type: Extension
                    short: Additional data type choices for the stratified performance metric value
                    mustSupport: true
                    url: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore
                    index: 31
                    slicing:
                      slices:
                        altMeasureScore:
                          match: {}
                          schema: {type: Extension, short: Additional data type choices for the stratified performance metric value, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/alternate-measurescore', index: 31}
                          min: 0
                          max: 1
    extensions:
      paymentStream: {url: 'http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream', min: 0, type: Extension, short: The payment stream the performance metric is part of, mustSupport: true, index: 17}
      servicePeriod: {url: 'http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/service-period', min: 0, max: 1, short: The service period for the performance metric, type: Extension, mustSupport: true, index: 18}
      paidThroughDate: {url: 'http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/paid-through-date', min: 0, max: 1, type: Extension, short: Ending date of the pay cycle, mustSupport: true, index: 19}
      baseline: {url: 'http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/baseline', min: 0, max: 1, type: Extension, short: The baseline for the performance metric, mustSupport: true, index: 20}
    required: [code]
  type:
    pattern: {type: Code, value: summary}
    mustSupport: true
    index: 5
  measure: {type: canonical, short: A Measure definition with contract level data for a value-based contract the report is for, mustSupport: true, index: 6}
  extension:
    index: 0
    slicing:
      rules: open
      ordered: false
      discriminator:
      - {path: url, type: value}
      min: 1
      slices:
        measurereport-category:
          match: {url: null}
          schema:
            type: Extension
            mustSupport: true
            url: http://hl7.org/fhir/StructureDefinition/measurereport-category
            index: 1
            elements:
              value[x]:
                elements:
                  coding:
                    index: 2
                    elements:
                      code:
                        pattern: {type: Code, value: vbp}
                        index: 3
                    required: [code]
                required: [coding]
  reporter:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization']
    index: 11
  status: {mustSupport: true, index: 4}
  period: {short: What performance period the report covers, mustSupport: true, index: 12}
  improvementNotation: {index: 13}
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/StructureDefinition/Group', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole']
    index: 7
    extensions:
      orgSubject: {url: 'http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/organization-subject', min: 1, max: 1, type: Extension, short: What organization the report is for, mustSupport: true, index: 9}
    elements:
      extension:
        index: 8
        slicing:
          slices:
            orgSubject:
              match: {}
              schema: {type: Extension, short: What organization the report is for, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/organization-subject', index: 9}
              min: 1
              max: 1
    required: [extension]
package_version: 1.0.0
extensions:
  measurereport-category:
    url: http://hl7.org/fhir/StructureDefinition/measurereport-category
    type: Extension
    mustSupport: true
    index: 1
    elements:
      value[x]:
        elements:
          coding:
            index: 2
            elements:
              code:
                pattern: {type: Code, value: vbp}
                index: 3
            required: [code]
        required: [coding]
class: profile
kind: resource
url: http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/vbp-performance-measurereport
base: http://hl7.org/fhir/StructureDefinition/MeasureReport
version: 1.0.0
required: [reporter, extension, subject, date]