Da Vinci Risk Adjustment Implementation Guide
2.0.0-preview - STU2 United States of America flag

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

: Submit Data for Risk Adjustement Data Exchange MeasureReport - JSON Representation

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{
  "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 &quot;ra-datax-measurereport01&quot; </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> &quot; EVERYWOMAN&quot;</p><p><b>date</b>: 2021-11-10</p><p><b>reporter</b>: <a href=\"Organization-ra-org02pat02.html\">Organization/ra-org02pat02</a> &quot;GHH Outpatient Clinic&quot;</p><p><b>period</b>: 2021-01-01 --&gt; 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 &quot;ra-datax-measurereport01&quot; </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> &quot; EVERYWOMAN&quot;</p><p><b>date</b>: 2021-11-10</p><p><b>reporter</b>: <a href=\"Organization-ra-org02pat02.html\">Organization/ra-org02pat02</a> &quot;GHH Outpatient Clinic&quot;</p><p><b>period</b>: 2021-01-01 --&gt; 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 &amp; 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 &amp; 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
          }
        ]
      }
    }
  ]
}