{
  "description": "Example Value-Based Contract between ABC Payer and GoodHealth",
  "_filename": "example/Measure-vbp-measure01.json",
  "package_name": "hl7.fhir.us.davinci",
  "date": "2024-06-17T13:51:52+00:00",
  "meta": {
    "profile": [ "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/vbp-measure" ],
    "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."
    } ]
  },
  "publisher": "HL7 International / Clinical Quality Information",
  "jurisdiction": [ {
    "coding": [ {
      "code": "US",
      "system": "urn:iso:std:iso:3166",
      "display": "United States of America"
    } ]
  } ],
  "name": "VbprMeasureExample01",
  "type": null,
  "experimental": "true",
  "resourceType": "Measure",
  "title": "Example Value-Based Contract - ABC Payer and GoodHealth",
  "package_version": "vbpr-1.0.0",
  "extension": [ {
    "url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/lob",
    "valueCodeableConcept": {
      "text": "MEDICARE",
      "coding": [ {
        "code": "1",
        "system": "https://nahdo.org/sopt",
        "display": "MEDICARE"
      } ]
    }
  }, {
    "url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/program-model",
    "extension": [ {
      "url": "hcplan",
      "valueCodeableConcept": {
        "coding": [ {
          "code": "3A",
          "system": "http://terminology.hl7.org/CodeSystem/hcp-lan-apm-framework",
          "display": "Category 3A"
        } ]
      }
    }, {
      "url": "cohort",
      "valueCodeableConcept": {
        "coding": [ {
          "code": "hmo",
          "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
          "display": "HMO cohort"
        } ]
      }
    } ]
  }, {
    "url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/program-model",
    "extension": [ {
      "url": "hcplan",
      "valueCodeableConcept": {
        "coding": [ {
          "code": "3B",
          "system": "http://terminology.hl7.org/CodeSystem/hcp-lan-apm-framework",
          "display": "Category 3B"
        } ]
      }
    }, {
      "url": "cohort",
      "valueCodeableConcept": {
        "coding": [ {
          "code": "ppo",
          "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/vbp-cohort",
          "display": "PPO cohort"
        } ]
      }
    } ]
  }, {
    "url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream",
    "extension": [ {
      "url": "type",
      "valueCodeableConcept": {
        "text": "Shared savings gated on quality",
        "coding": [ {
          "code": "ssq",
          "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"
        } ]
      }
    } ]
  }, {
    "url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream",
    "extension": [ {
      "url": "type",
      "valueCodeableConcept": {
        "text": "Care coordination fee",
        "coding": [ {
          "code": "ccf",
          "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"
        } ]
      }
    } ]
  }, {
    "url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/payment-stream",
    "extension": [ {
      "url": "type",
      "valueCodeableConcept": {
        "text": "Quality incentive payment",
        "coding": [ {
          "code": "qip",
          "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/payment-stream"
        } ]
      }
    } ]
  } ],
  "status": "active",
  "id": "b19716b4-7d93-4b28-8ae5-0d2180b616bd",
  "kind": null,
  "url": "https://build.fhir.org/ig/HL7/davinci-vbpr/Measure-vbp-measure01",
  "identifier": [ {
    "use": "temp",
    "value": "ex-vbp-measure01",
    "system": "http://example.org/fhir/server"
  }, {
    "value": "urn:oid:2.16.840.1.113883.4.642.40.30.29.1",
    "system": "urn:ietf:rfc:3986"
  } ],
  "version": "1.0.0",
  "relatedArtifact": [ {
    "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": 1
    }, {
      "url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/contractual-status",
      "valueCodeableConcept": {
        "coding": [ {
          "code": "contractual",
          "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-contractual-status",
          "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": [ {
          "code": "contractual",
          "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-contractual-status",
          "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": [ {
          "code": "contractual",
          "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-contractual-status",
          "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": [ {
          "code": "contractual",
          "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-contractual-status",
          "display": "Contractual"
        } ]
      }
    } ]
  }, {
    "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": [ {
          "code": "reporting-only",
          "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-contractual-status",
          "display": "Reporting Only"
        } ]
      }
    } ]
  }, {
    "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": [ {
          "code": "contractual",
          "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-contractual-status",
          "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": 3
    }, {
      "url": "http://hl7.org/fhir/us/davinci-vbpr/StructureDefinition/contractual-status",
      "valueCodeableConcept": {
        "coding": [ {
          "code": "contractual",
          "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-contractual-status",
          "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": [ {
          "code": "contractual",
          "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-contractual-status",
          "display": "Contractual"
        } ]
      }
    } ]
  }, {
    "type": "composed-of",
    "display": "Statin Use in Persons with Diabetes (SUPD)",
    "resource": "http://example.org/Measure/measure-statin-use-diabetes-supd-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": [ {
          "code": "contractual",
          "system": "http://hl7.org/fhir/us/davinci-vbpr/CodeSystem/measure-contractual-status",
          "display": "Contractual"
        } ]
      }
    } ]
  } ],
  "contact": [ {
    "name": "HL7 International / Clinical Quality Information",
    "telecom": [ {
      "value": "http://www.hl7.org/Special/committees/cqi",
      "system": "url"
    } ]
  } ],
  "effectivePeriod": {
    "end": "2024-12-31",
    "start": "2022-01-01"
  }
}