Da Vinci Risk Adjustment Implementation Guide
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Da Vinci Risk Adjustment Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 2.0.0-preview built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-ra/ and changes regularly. See the Directory of published versions

: ra-measurereport03: Risk Adjustment Measure Report for HCC V24 for Patient 02 - JSON Representation

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{
  "resourceType" : "MeasureReport",
  "id" : "ra-measurereport03",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-measurereport"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MeasureReport</b><a name=\"ra-measurereport03\"> </a><a name=\"hcra-measurereport03\"> </a></p><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\">Resource MeasureReport &quot;ra-measurereport03&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ra-measurereport.html\">Risk Adjustment Coding Gap MeasureReport</a></p></div><p><b>Risk Adjustment Clinical Data Collection Deadline</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\">Patient/ra-patient02</a> &quot; EVERYMAN&quot;</p><p><b>date</b>: 2021-10-18</p><p><b>reporter</b>: <a href=\"Organization-ra-payer01.html\">Organization/ra-payer01</a> &quot;ABC Payer&quot;</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>Risk Adjustment Condition Category Type</b>: Historic Condition Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-cc-type.html\">Risk Adjustment Condition Categoryy Type CodeSystem</a>#historic)</span></p><p><b>Evidence Status</b>: Closed Condition Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-evidence-status.html\">Risk Adjustment Evidence Status CodeSystem</a>#closed-gap)</span></p><p><b>Hierarchical Status</b>: Hierarchies applied and Condition Category is not superseded <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-hierarchical-status.html\">Risk Adjustment Hierarchical Status CodeSystem</a>#applied-not-superseded)</span></p><p><b>code</b>: CMS HCC: 96, Specified Heart.Arrhythmias <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (CMS Hierarchical Condition Categories[24]#96 &quot;Specified Heart.Arrhythmias&quot;)</span></p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-002</blockquote><p><b>Risk Adjustment Condition Category Type</b>: Suspected Condition Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-cc-type.html\">Risk Adjustment Condition Categoryy Type CodeSystem</a>#suspected)</span></p><p><b>Evidence Status</b>: Open Condition Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-evidence-status.html\">Risk Adjustment Evidence Status CodeSystem</a>#open-gap)</span></p><p><b>Risk Adjustment Evidence Status Date</b>: 2020-07-15</p><p><b>Hierarchical Status</b>: Hierarchies applied and Condition Category is not superseded <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-hierarchical-status.html\">Risk Adjustment Hierarchical Status CodeSystem</a>#applied-not-superseded)</span></p><p><b>code</b>: HCC 110: Cystic Fibrosis <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (CMS Hierarchical Condition Categories[24]#110 &quot;Cystic Fibrosis&quot;)</span></p></blockquote><p><b>evaluatedResource</b>: </p><ul><li><a href=\"Condition-ra-condition31pat02.html\">Condition/ra-condition31pat02</a></li><li><a href=\"Encounter-ra-encounter31pat02.html\">Encounter/ra-encounter31pat02</a></li><li><a href=\"Observation-ra-obs01pat02.html\">Observation/ra-obs01pat02</a></li><li><a href=\"Patient-ra-patient02.html\">Patient/ra-patient02</a> &quot; EVERYMAN&quot;</li></ul></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-clinicalDataCollectionDeadline",
      "valueDate" : "2022-03-31"
    }
  ],
  "status" : "complete",
  "type" : "individual",
  "measure" : "https://build.fhir.org/ig/HL7/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"
    }
  ]
}