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
Examples
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Bundle01: Risk Adjustment Bundle, (MeasureReport01: Patient01)
- Condition01Pat03: Other artificial openings of gastrointestinal tract status
- Condition02pat01: Diabetes mellitus due to underlying condition with other diabetic kidney complication
- Condition03pat01: Chronic obstructive pulmonary disease with (acute) exacerbation
- Condition04Pat03: Chronic obstructive pulmonary disease with (acute) exacerbation
- Condition05Pat03: Unspecified protein-calorie malnutrition
- Condition06Pat03: Crohn’s disease of large intestine with unspecified complications
- Condition07Pat03: Other persistent atrial fibrillation
- Condition08pat01: Bipolar disorder, current episode mixed, mild
- Condition09Pat01: Allergic bronchopulmonary aspergillosis
- Condition10Pat01: Long term (current) use of insulin
- Condition11Pat01: Acute pulmonary edema
- Condition12Pat01: Manic episode, unspecified (clinical evaluation evidence for Task01)
- Condition15Pat03: Diabetes mellitus due to underlying condition with diabetic chronic kidney disease
- Condition16Pat03: Dependence on renal dialysis
- Condition17Pat01: Body mass index (BMI) 45.0-49.9, adult
- Condition18Pat01: Longstanding persistent atrial fibrillation
- Condition21Pat03: Type 2 diabetes mellitus without complications
- Condition22Pat03: Other acute kidney failure
- Condition23Pat03: Chronic kidney disease, stage 5
- Condition31Pat02: Typical atrial flutter
- Condition32Pat03: Chronic pulmonary embolism
- Condition33Pat01: Respiratory arrest
- Condition35Pat03: Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene
- Condition42Pat03: Other artificial openings of gastrointestinal tract status
- Condition43pat01: Diabetes mellitus due to underlying condition with other diabetic kidney complication
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Condition44Pat01: Allergic bronchopulmonary aspergillosis
- Encounter01Pat03: Pat03 Encounter on 2021-07-14
- Encounter02Pat01: Pat01 Encounter on 2021-01-31
- Encounter03Pat01: Pat01 Encounter on 2021-09-26
- Encounter04Pat03: Pat03 Encounter on 2020-12-18
- Encounter05Pat03: Pat03 Encounter on 2020-03-03
- encounter06Pat03: Pat03 Encounter on 2020-09-17
- Encounter07Pat03: Pat03 Encounter on 2019-02-07
- Encounter08Pat01: Pat01 Encounter on 2017-02-03
- Encounter09Pat01: Pat01 Encounter on 2021-03-27
- Encounter11Pat01: Pat01 Encounter on 2020-11-02
- Encounter15Pat03: Pat03 Encounter on 2021-08-08
- Encounter16Pat03: Pat03 Encounter on 2021-07-27
- Encounter19Pat03: Pat03 Encounter on 2019-08-23
- Encounter21Pat03: Pat03 Encounter on 2021-01-30
- Encounter22Pat03: Pat03 Encounter on 2021-07-01
- Encounter31Pat02: Pat02 Encounter on 2021-08-06
- Encounter35Pat03: Pat03 Encounter on 2021-02-12
- Encounter42Pat03: Pat03 Encounter on 2020-02-10
- Encounter43Pat01: Pat01 Encounter on 2019-02-10
- Encounter44Pat01: Pat01 Encounter on 2017-01-18
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Encounter45Pat01: Pat01 Encounter on 2018-07-21
- Group01: Risk Adjustment Patient Group, (Patient01: Eve Everywoman)
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Group02: Risk Adjustment Patient Group, (Patient02: Adam Everyman, Patient03: Nelda Nuclear)
- Measure01: Risk Adjustment Model CMS-HCC V24
- Measure02: Risk Adjustment Model CMS-HCC V21
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Measure03: Risk Adjustment Model CMS-RxHCC V05
- MeasureReport01: Risk Adjustment Coding Gap Report, RA Model CMS-HCC V24 (Patient01: Eve Everywoman)
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MeasureReport01WithRemarks: Risk Adjustment Coding Report with Condition Category Remarks Added, RA Model CMS-HCC V24 (Patient01: Eve Everywoman)
- MeasureReport02: Risk Adjustment Coding Gap Report, RA Model CMS-RxHCC V5 (Patient01: Eve Everywoman)
- MeasureReport03: Risk Adjustment Coding Gap Report, RA Model CMS-HCC V24 (Patient02: Adam Everyman)
- MeasureReport04: Risk Adjustment Coding Gap Report, RA Model CMS-HCC V21 (Patient03: Nelda Nuclear)
- MeasureReport05: Risk Adjustment Coding Gap Report, RA Model CMS-RxHCC V5 (Patient03: Nelda Nuclear)
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MeasureReport06: Risk Adjustment Coding Gap Report, RA Model CMS-RxHCC V5 (Patient02: Adam Everyman)
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Data Exchange MeasureReport01: RA Model CMS-HCC V24 (Patient01: Eve Everywoman)
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DocumentReference: Outpatient Note (Patient01: Eve Everywoman)
- Observation01Pat03: Pat03 Creatinine on 20210728
- Observation02Pat03: Pat03 PHQ9 on 20190823
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Observation21Pat01: Pat01 Trypsin (Mass/volume) in Serum or Plasma from 20170617
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Organization01: Payer Organization ABC Payer
- Organization01Pat01: Community Urgent Care
- Organization02Pat02: GHH Outpatient Clinic
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Organization01Pat03: Community HealthCenter
- Patient01: Eve Everywoman
- Patient02: Adam Everyman
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Patient03: Nelda Nuclear
- Practitioner01: Harold Hippocrates
- Practitioner02: Patrick Pump
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Practitioner03: Otto Osler
- Parameters: PATCH example for sending Condition Category Remark
- Parameters: PATCH example for sending Condition Category Remark with multiple value
- Parameters: Submit Data example for sending a C-CDA document