{
  "resourceType" : "MeasureReport",
  "id" : "ra-measurereport03",
  "meta" : {
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/instance-name",
      "valueString" : "RA Coding Gap MeasureReport Example03 with RA Model CMS-HCC V24 for Patient02 Adam Everyman"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/instance-description",
      "valueMarkdown" : "This is an example for the Risk Adjustment Coding Gap MeasureReport profile. This example report uses the CMS-HCC version 24 as the Risk Adjustment Model and the example patient used is Eve Everywoman."
    }],
    "profile" : ["http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-measurereport"]
  },
  "language" : "en",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en\" lang=\"en\"><p class=\"res-header-id\"><b>Generated Narrative: MeasureReport ra-measurereport03</b></p><a name=\"ra-measurereport03\"> </a><a name=\"hcra-measurereport03\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Language: en</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ra-measurereport.html\">Risk Adjustment Coding Gap MeasureReport</a></p></div><p><b>Measure Report Category</b>: <span title=\"Codes:{http://hl7.org/fhir/CodeSystem/measurereport-category ra}\">Risk Adjustment</span></p><p><b>Clinical Data Collection Deadline Extension</b>: 2022-03-31</p><p><b>status</b>: Complete</p><p><b>type</b>: Individual</p><p><b>measure</b>: <a href=\"Measure-RAModelExample01.html\">Risk Adjustment Model Version 24 - CMS Hierarchical Category Condition (CMS-HCC)</a></p><p><b>subject</b>: <a href=\"Patient-ra-patient02.html\">Adam Everyman (official) Female, DoB: 1950-12-16 ( Medical record number: 23456\u00a0(use:\u00a0usual,\u00a0))</a></p><p><b>date</b>: 2021-10-18</p><p><b>reporter</b>: <a href=\"Organization-ra-payer01.html\">Organization ABC Payer</a></p><p><b>period</b>: 2021-01-01 --&gt; 2021-09-30</p><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-001</blockquote><p><b>Condition Category Type Extension</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type historic}\">Historic Condition Category Gap</span></p><p><b>Evidence Status Extension</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status closed-gap}\">Closed Condition Category Gap</span></p><p><b>Hierarchical Status Extension</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status applied-not-superseded}\">Hierarchies applied and Condition Category is not superseded</span></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cmshcc 96}\">CMS HCC: 96, Specified Heart.Arrhythmias</span></p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-002</blockquote><p><b>Condition Category Type Extension</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type suspected}\">Suspected Condition Category Gap</span></p><p><b>Evidence Status Extension</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status open-gap}\">Open Condition Category Gap</span></p><p><b>Evidence Status Date Extension</b>: 2020-07-15</p><p><b>Hierarchical Status Extension</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status applied-not-superseded}\">Hierarchies applied and Condition Category is not superseded</span></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cmshcc 110}\">HCC 110: Cystic Fibrosis</span></p></blockquote><p><b>evaluatedResource</b>: </p><ul><li><a href=\"Condition-ra-condition31pat02.html\">Condition Typical atrial flutter</a></li><li><a href=\"Encounter-ra-encounter31pat02.html\">Encounter: status = finished; class = ambulatory (ActCode#AMB); type = Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 40-54 minutes of total time is spent on the date of the encounter.; period = 2021-08-06 --&gt; 2021-08-06</a></li><li><a href=\"Observation-ra-obs01pat02.html\">Observation Trypsin [Mass/volume] in Serum or Plasma</a></li><li><a href=\"Patient-ra-patient02.html\">Adam Everyman (official) Female, DoB: 1950-12-16 ( Medical record number: 23456\u00a0(use:\u00a0usual,\u00a0))</a></li></ul></div>"
  },
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/measurereport-category",
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "http://hl7.org/fhir/CodeSystem/measurereport-category",
        "code" : "ra"
      }]
    }
  },
  {
    "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-clinicalDataCollectionDeadline",
    "valueDate" : "2022-03-31"
  }],
  "status" : "complete",
  "type" : "individual",
  "measure" : "http://hl7.org/fhir/us/davinci-ra/Measure/RAModelExample01",
  "subject" : {
    "reference" : "Patient/ra-patient02"
  },
  "date" : "2021-10-18",
  "reporter" : {
    "reference" : "Organization/ra-payer01"
  },
  "period" : {
    "start" : "2021-01-01",
    "end" : "2021-09-30"
  },
  "group" : [{
    "id" : "group-001",
    "extension" : [{
      "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccType",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type",
          "code" : "historic"
        }]
      }
    },
    {
      "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status",
          "code" : "closed-gap"
        }]
      }
    },
    {
      "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status",
          "code" : "applied-not-superseded"
        }]
      }
    }],
    "code" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/cmshcc",
        "version" : "24",
        "code" : "96",
        "display" : "Specified Heart.Arrhythmias"
      }],
      "text" : "CMS HCC: 96, Specified Heart.Arrhythmias"
    }
  },
  {
    "id" : "group-002",
    "extension" : [{
      "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccType",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type",
          "code" : "suspected"
        }]
      }
    },
    {
      "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status",
          "code" : "open-gap"
        }]
      }
    },
    {
      "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate",
      "valueDate" : "2020-07-15"
    },
    {
      "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status",
          "code" : "applied-not-superseded"
        }]
      }
    }],
    "code" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/cmshcc",
        "version" : "24",
        "code" : "110",
        "display" : "Cystic Fibrosis"
      }],
      "text" : "HCC 110: Cystic Fibrosis"
    }
  }],
  "evaluatedResource" : [{
    "extension" : [{
      "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
      "valueString" : "group-001"
    }],
    "reference" : "Condition/ra-condition31pat02"
  },
  {
    "extension" : [{
      "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
      "valueString" : "group-001"
    }],
    "reference" : "Encounter/ra-encounter31pat02"
  },
  {
    "extension" : [{
      "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
      "valueString" : "group-002"
    }],
    "reference" : "Observation/ra-obs01pat02"
  },
  {
    "extension" : [{
      "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
      "valueString" : "group-001"
    },
    {
      "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
      "valueString" : "group-002"
    }],
    "reference" : "Patient/ra-patient02"
  }]
}