{ "description": "Example Value-Based Contract between ABC Payer and GoodHealth", "_filename": "example/Measure-vbp-measure01.json", "package_name": "hl7.fhir.us.davinci-vbpr", "date": "2023-07-31T14:33:02+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 Clinical Quality Information Work Group", "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": "1.0.0-ballot", "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://hl7.org/fhir/us/davinci-vbpr/CodeSystem/hcplan-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://hl7.org/fhir/us/davinci-vbpr/CodeSystem/hcplan-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": "e6f04321-8327-4980-81e5-c4484ddfc97b", "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" } ], "version": "1.0.0-ballot", "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 } ] }, { "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 } ] }, { "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 } ] }, { "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 } ] }, { "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 } ] }, { "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 } ] }, { "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 } ] }, { "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 } ] }, { "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 } ] } ], "contact": [ { "name": "HL7 Clinical Quality Information Work Group", "telecom": [ { "value": "http://www.hl7.org/Special/committees/cqi", "system": "url" } ] } ], "effectivePeriod": { "end": "2024-12-31", "start": "2022-01-01" } }