Profile Comparison between http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-measurereport vs http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-measurereport

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/MeasureReport
copyright	Used by permission of HL7 International - Clinical Quality Information Work Group, all rights reserved Creative Commons License
date	2023-03-28T02:02:49+00:00	2024-05-16T08:34:40+00:00	Values Differ
description	This profile is based on the [MeasureReport](http://hl7.org/fhir/R4/measurereport.html) to represent a risk adjustment coding gap report.	This profile is based on the [MeasureReport](http://hl7.org/fhir/R4/measurereport.html) to represent a risk adjustment coding gap report. Payer runs risk adjustment engine and uses this profile to represent the risk adjustment Condition Category (CC) coding gaps and their detailed information for a patient.	Values Differ
experimental	false
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	urn:iso:std:iso:3166#US
kind	resource
name	RiskAdjustmentCodingGapMeasureReport
publisher	HL7 Clinical Quality Information Work Group	HL7 International / Clinical Quality Information	Values Differ
purpose
status	active
title	Risk Adjustment Coding Gap MeasureReport
type	MeasureReport
url	http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-measurereport
version	2.0.0-ballot	2.0.0-preview	Values Differ

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	R Type	R Description & Constraints	Comments
MeasureReport	C	0..*	MeasureReport	This is a risk adjustment coding gap report. mrp-1: Measure Reports used for data collection SHALL NOT communicate group and score information mrp-2: Stratifiers SHALL be either a single criteria or a set of criteria components	C	0..*	MeasureReport	This is a risk adjustment coding gap report. mrp-1: Measure Reports used for data collection SHALL NOT communicate group and score information mrp-2: Stratifiers SHALL be either a single criteria or a set of criteria components
id	Σ	0..1	id	Logical id of this artifact	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url		0..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Additional identifier for the MeasureReport	Σ	0..*	Identifier	Additional identifier for the MeasureReport
status	?!SΣ	1..1	code	complete | pending | error Binding: ?? (required): The status of the measure report.	?!SΣ	1..1	code	complete | pending | error Binding: ?? (required): The status of the measure report.
type	SΣC	1..1	code	The type code is fixed to 'individual' for a risk adjustment coding gap report Binding: ?? (required): The type of the measure report. Fixed Value: individual	SΣC	1..1	code	The type code is fixed to 'individual' for a risk adjustment coding gap report Binding: ?? (required): The type of the measure report. Fixed Value: individual
measure	SΣ	1..1	canonical(Risk Adjustment Model Measure)	This references a measure that represents a risk adjustment model, such as CMS-HCC V24.	SΣ	1..1	canonical(Risk Adjustment Model Measure)	This references a measure that represents a risk adjustment model, such as CMS-HCC V24.
subject	SΣ	1..1	Reference(US Core Patient Profile)	What individual(s) the report is for	SΣ	1..1	Reference(US Core Patient Profile)	What individual(s) the report is for
date	SΣ	1..1	dateTime	When the report was generated	SΣ	1..1	dateTime	When the report was generated
reporter	SΣ	1..1	Reference(US Core Organization Profile)	Organization that generated the MeasureReport	SΣ	1..1	Reference(US Core Organization Profile)	Organization that generated the MeasureReport
period	SΣC	1..1	Period	Clinical evaluation period during which risk adjusting encounters could be conducted and documented with expectations of submission for risk adjustment purposes. ra-1: Date precision SHALL be at least to day ( YYYY-MM-DD )	SΣC	1..1	Period	Clinical evaluation period during which risk adjusting encounters could be conducted and documented with expectations of submission for risk adjustment purposes. ra-1: Date precision SHALL be at least to day ( YYYY-MM-DD )
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	SΣC	1..1	dateTime	Starting time with inclusive boundary	SΣC	1..1	dateTime	Starting time with inclusive boundary
end	SΣC	1..1	dateTime	End time with inclusive boundary, if not ongoing	SΣC	1..1	dateTime	End time with inclusive boundary, if not ongoing
improvementNotation	?!Σ	0..1	CodeableConcept	increase | decrease Binding: ?? (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.	?!Σ	0..1	CodeableConcept	increase | decrease Binding: ?? (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.
group	SC	0..*	BackboneElement	A group contains information for a Condition Category. If a patient/member has multiple Condition Categories, there will be multiple group(s) and each group represents a Condition Category.	SC	0..*	BackboneElement	A group contains information for a Condition Category. If a patient/member has multiple Condition Categories, there will be multiple group(s) and each group represents a Condition Category.
id	S	1..1	string	Unique id for inter-element referencing	S	1..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url		1..*	Extension	Extension Slice: Unordered, Open by value:url	Element minimum cardinalities differ: '0' vs '1'
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	SΣ	0..1	CodeableConcept	Condition Category (CC) code for a Risk Adjustment Model Binding: ?? (example)	SΣ	0..1	CodeableConcept	Condition Category (CC) code for a Risk Adjustment Model Binding: ?? (example)
population		0..*	BackboneElement	The populations in the group		0..*	BackboneElement	The populations in the group
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	Σ	0..1	CodeableConcept	initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: ?? (extensible): The type of population (e.g. initial, numerator, denominator, etc.).	Σ	0..1	CodeableConcept	initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: ?? (extensible): The type of population (e.g. initial, numerator, denominator, etc.).
count		0..1	integer	Size of the population		0..1	integer	Size of the population
subjectResults		0..1	Reference(List)	For subject-list reports, the subject results in this population		0..1	Reference(List)	For subject-list reports, the subject results in this population
measureScore	Σ	0..1	Quantity	What score this group achieved	Σ	0..1	Quantity	What score this group achieved
stratifier		0..*	BackboneElement	Stratification results		0..*	BackboneElement	Stratification results
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	What stratifier of the group		0..1	CodeableConcept	What stratifier of the group
stratum		0..*	BackboneElement	Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components		0..*	BackboneElement	Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
value		0..1	CodeableConcept	The stratum value, e.g. male		0..1	CodeableConcept	The stratum value, e.g. male
component		0..*	BackboneElement	Stratifier component values		0..*	BackboneElement	Stratifier component values
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	What stratifier component of the group		1..1	CodeableConcept	What stratifier component of the group
value		1..1	CodeableConcept	The stratum component value, e.g. male		1..1	CodeableConcept	The stratum component value, e.g. male
population		0..*	BackboneElement	Population results in this stratum		0..*	BackboneElement	Population results in this stratum
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..1	CodeableConcept	initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: ?? (extensible): The type of population (e.g. initial, numerator, denominator, etc.).		0..1	CodeableConcept	initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: ?? (extensible): The type of population (e.g. initial, numerator, denominator, etc.).
count		0..1	integer	Size of the population		0..1	integer	Size of the population
subjectResults		0..1	Reference(List)	For subject-list reports, the subject results in this population		0..1	Reference(List)	For subject-list reports, the subject results in this population
measureScore		0..1	Quantity	What score this stratum achieved		0..1	Quantity	What score this stratum achieved
evaluatedResource	S	0..*	Reference(Resource)	An evaluated resource is any data a clinician would need to independently arrive at the clinical inference that a Condition Category (CC) listed on a Risk Adjustment Coding Gap Report could be present for a patient. Risk adjusted evaluated resources may include practitioners, encounters, diagnoses, medications, labs, or any other clinical evidence that the suspecting algorithm may have used as supporting evidence to infer the presence of a Condition Category (CC) gap.	S	0..*	Reference(Resource)	An evaluated resource is any data a clinician would need to independently arrive at the clinical inference that a Condition Category (CC) listed on a Risk Adjustment Coding Gap Report could be present for a patient. Risk adjusted evaluated resources may include practitioners, encounters, diagnoses, medications, labs, or any other clinical evidence that the suspecting algorithm may have used as supporting evidence to infer the presence of a Condition Category (CC) gap.
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource	Σ	0..1	string	Text alternative for the resource
Documentation for this format