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
{
"resourceType" : "Parameters",
"id" : "ra-submit-data",
"parameter" : [
{
"name" : "MeasureReport",
"resource" : {
"resourceType" : "MeasureReport",
"id" : "ra-datax-measurereport01",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-datax-measurereport"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MeasureReport</b><a name=\"ra-datax-measurereport01\"> </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 "ra-datax-measurereport01" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ra-datax-measurereport.html\">Risk Adjustment Data Exchange MeasureReport</a></p></div><p><b>Payer Coding Gap Report Id</b>: ra-measurereport01</p><p><b>status</b>: complete</p><p><b>type</b>: data-collection</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-patient01.html\">Patient/ra-patient01</a> " EVERYWOMAN"</p><p><b>date</b>: 2021-11-10</p><p><b>reporter</b>: <a href=\"Organization-ra-org02pat02.html\">Organization/ra-org02pat02</a> "GHH Outpatient Clinic"</p><p><b>period</b>: 2021-01-01 --> 2021-09-30</p><p><b>evaluatedResource</b>: <a href=\"DocumentReference-ra-documentreference01pat01.html\">DocumentReference/ra-documentreference01pat01</a></p></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-payerCodingGapReportId",
"valueId" : "ra-measurereport01"
}
],
"status" : "complete",
"type" : "data-collection",
"measure" : "https://build.fhir.org/ig/HL7/davinci-ra/Measure-RAModelExample01",
"subject" : {
🔗 "reference" : "Patient/ra-patient01"
},
"date" : "2021-11-10",
"reporter" : {
🔗 "reference" : "Organization/ra-org02pat02"
},
"period" : {
"start" : "2021-01-01",
"end" : "2021-09-30"
},
"evaluatedResource" : [
{
🔗 "reference" : "DocumentReference/ra-documentreference01pat01"
}
]
}
},
{
"name" : "resource",
"resource" : {
"resourceType" : "DocumentReference",
"id" : "ra-documentreference01pat01",
"meta" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/instance-name",
"valueString" : "Episode Summary Example"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/instance-description",
"valueMarkdown" : "This is a episode summary example for the *US Core DocumentReference Profile*."
}
],
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MeasureReport</b><a name=\"ra-datax-measurereport01\"> </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 "ra-datax-measurereport01" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ra-datax-measurereport.html\">Risk Adjustment Data Exchange MeasureReport</a></p></div><p><b>Payer Coding Gap Report Id</b>: ra-measurereport01</p><p><b>status</b>: complete</p><p><b>type</b>: data-collection</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-patient01.html\">Patient/ra-patient01</a> " EVERYWOMAN"</p><p><b>date</b>: 2021-11-10</p><p><b>reporter</b>: <a href=\"Organization-ra-org02pat02.html\">Organization/ra-org02pat02</a> "GHH Outpatient Clinic"</p><p><b>period</b>: 2021-01-01 --> 2021-09-30</p><p><b>evaluatedResource</b>: <a href=\"DocumentReference-ra-documentreference01pat01.html\">DocumentReference/ra-documentreference01pat01</a></p></div>"
},
"identifier" : [
{
"system" : "urn:ietf:rfc:3986",
"value" : "urn:oid:2.16.840.1.113883.19.5.99999.1"
}
],
"status" : "current",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "34108-1",
"display" : "Outpatient Note"
}
],
"text" : "CCD Document"
},
"category" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category",
"code" : "clinical-note",
"display" : "Clinical Note"
}
],
"text" : "Clinical Note"
}
],
"subject" : {
🔗 "reference" : "Patient/ra-patient01",
"display" : "Eve Everywoman"
},
"date" : "2021-03-27T15:29:46Z",
"author" : [
{
🔗 "reference" : "Practitioner/ra-prac01pat01",
"display" : "Harold Hippocrates, MD"
}
],
"description" : "Clinical Note",
"content" : [
{
"attachment" : {
"contentType" : "text/plain",
"data" : "DQpQYXRpZW50OiBFdmUgRXZlcnl3b21lbg0KRE9COiAgMS8xNi8xOTc1DQpNUiM6ICAxMjM0NQ0KDQpEYXRlIG9mIFZpc2l0OiAzLzI3LzIwMjENClBhdGllbnQgcmVwb3J0cyB0aGUgaW5hYmlsaXR5IHRvIGRpZ2VzdCBmb29kIHByb3Blcmx5IGR1ZSB0byBhbiBpbnN1ZmZpY2llbmN5IGluIGV4b2NyaW5lIHBhbmNyZWF0aWMgZGlnZXN0aXZlIGVuenltZXMuIFBhdGllbnQgZXhwZXJpZW5jaW5nIGFiZG9taW5hbCBwYWluLCBkaWFycmhlYSwgZ2FzLCBhbmQgd2VpZ2h0IGxvc3MuIE9yZGVyZWQgUEVSVCB0cmVhdG1lbnQuDQoNCg0KDQpIYXJvbGQgSGlwcG9jcmF0ZXMsIE1EDQo="
}
}
]
}
},
{
"name" : "resource",
"resource" : {
"resourceType" : "Patient",
"id" : "ra-patient01",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\"><b>Eve Everywoman (OFFICIAL)</b> female, DoB: 1975-01-16 ( Medical record number/12345\u00a0(use:\u00a0USUAL))</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Record is active\">Active:</td><td>true</td><td style=\"background-color: #f3f5da\" title=\"Known status of Patient\">Deceased:</td><td>false</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Known Marital status of Patient\">Marital Status:</td><td colspan=\"3\"><span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-MaritalStatus M}\">Married</span></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail:</td><td colspan=\"3\">2222 Home Street Ann Arbor MI 99999 USA (HOME)</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Languages spoken\">Language:</td><td colspan=\"3\"><span title=\"Codes: {urn:ietf:bcp:47 en-US}\">English (United States)</span> (preferred)</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The ethnicity codes used to represent these concepts are based upon the [CDC ethnicity and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity. The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.\">US Core Ethnicity Extension:</td><td colspan=\"3\"><ul><li>ombCategory: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/CodeSystem-cdcrec.html#cdcrec-2186-5\">Race & Ethnicity - CDC</a> 2186-5: Not Hispanic or Latino</li><li>text: Not Hispanic or Latino</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"A code classifying the person's sex assigned at birth as specified by the [Office of the National Coordinator for Health IT (ONC)](https://www.healthit.gov/newsroom/about-onc). This extension aligns with the C-CDA Birth Sex Observation (LOINC 76689-9).\"><a href=\"http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-birthsex.html\">US Core Birth Sex Extension:</a></td><td colspan=\"3\"><ul><li>F</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 921 reference race. The race concepts are grouped by and pre-mapped to the 5 OMB race categories:\n\n - American Indian or Alaska Native\n - Asian\n - Black or African American\n - Native Hawaiian or Other Pacific Islander\n - White.\">US Core Race Extension:</td><td colspan=\"3\"><ul><li>ombCategory: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/CodeSystem-cdcrec.html#cdcrec-2106-3\">Race & Ethnicity - CDC</a> 2106-3: White</li><li>text: White</li></ul></td></tr></table></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
"valueCode" : "F"
},
{
"extension" : [
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2106-3",
"display" : "White"
}
},
{
"url" : "text",
"valueString" : "White"
}
],
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
},
{
"extension" : [
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2186-5",
"display" : "Not Hispanic or Latino"
}
},
{
"url" : "text",
"valueString" : "Not Hispanic or Latino"
}
],
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
}
],
"identifier" : [
{
"use" : "usual",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MR",
"display" : "Medical record number"
}
]
},
"system" : "http://hospital.davinci.org",
"value" : "12345"
}
],
"active" : true,
"name" : [
{
"use" : "official",
"family" : "Everywoman",
"given" : [
"Eve"
]
}
],
"gender" : "female",
"birthDate" : "1975-01-16",
"deceasedBoolean" : false,
"address" : [
{
"use" : "home",
"line" : [
"2222 Home Street"
],
"city" : "Ann Arbor",
"state" : "MI",
"postalCode" : "99999",
"country" : "USA"
}
],
"maritalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
"code" : "M",
"display" : "Married"
}
]
},
"communication" : [
{
"language" : {
"coding" : [
{
"system" : "urn:ietf:bcp:47",
"code" : "en-US",
"display" : "English (United States)"
}
]
},
"preferred" : true
}
]
}
}
]
}