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 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-measurereport01-with-remark: Risk Adjustment Measure Report with Condition Category Remark - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:MeasureReport ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "ra-measurereport01-with-remark"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-measurereport"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-measurereport>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: MeasureReport ra-measurereport01-with-remark</b></p><a name=\"ra-measurereport01-with-remark\"> </a><a name=\"hcra-measurereport01-with-remark\"> </a><a name=\"ra-measurereport01-with-remark-en-US\"> </a><p><b>Measure Report Category</b>: <span title=\"Codes:{http://hl7.org/fhir/CodeSystem/measurereport-category ra}\">Risk Adjustment</span></p><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-patient01.html\">Eve Everywoman (official) Female, DoB: 1975-01-16 ( Medical record number: 12345 (use: usual, ))</a></p><p><b>date</b>: 2021-10-18</p><p><b>reporter</b>: <a href=\"Organization-ra-payer01.html\">Organization ABC Payer</a></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>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type historic}\">Historic Condition Category Gap</span></p><p><b>Evidence Status</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status closed-gap}\">Closed Condition Category Gap</span></p><p><b>Risk Adjustment Evidence Status Date</b>: 2021-04-01</p><p><b>Hierarchical Status</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status applied-not-superseded}\">Hierarchies applied and Condition Category is not superseded</span></p><blockquote><p><b>Condition Category Remark</b></p><ul><li>author: <a href=\"http://terminology.hl7.org/6.0.2/NamingSystem-npi.html\" title=\"National Provider Identifier\">United States National Provider Identifier</a>/1234567890</li><li>qualifyingDxCode: <span title=\"Codes:{http://snomed.info/sct 422099009}\">Disorder of eye due to type 2 diabetes mellitus (disorder)</span></li></ul></blockquote><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cmshcc 18}\">HCC 18: Diabetes with Chronic Complications</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>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type historic}\">Historic Condition Category Gap</span></p><p><b>Evidence Status</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status pending}\">Pending Condition Category Gap</span></p><p><b>Risk Adjustment Evidence Status Date</b>: 2021-09-29</p><p><b>Hierarchical Status</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status applied-not-superseded}\">Hierarchies applied and Condition Category is not superseded</span></p><p><b>Diagnosis Code</b>: <span title=\"Codes:{http://snomed.info/sct 832007}\">Moderate major depression</span></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cmshcc 111}\">HCC 111: Chronic Obstructive Pulmonary Disease</span></p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-003</blockquote><p><b>Risk Adjustment Condition Category Type</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type historic}\">Historic Condition Category Gap</span></p><p><b>Evidence Status</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status open-gap}\">Open Condition Category Gap</span></p><p><b>Risk Adjustment Evidence Status Date</b>: 2020-07-15</p><p><b>Hierarchical Status</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status applied-not-superseded}\">Hierarchies applied and Condition Category is not superseded</span></p><blockquote><p><b>Condition Category Remark</b></p><ul><li>author: <a href=\"http://terminology.hl7.org/6.0.2/NamingSystem-npi.html\" title=\"National Provider Identifier\">United States National Provider Identifier</a>/1234567890</li><li>text: Diagnosis added</li><li>code: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/coding-gap-remark assessed-present}\">Assessed and present</span></li><li>relatedDataIdentifier: <code>http://example.org/fhir/myclaimno</code>/CLM23333</li></ul></blockquote><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cmshcc 59}\">HCC 59: Major Depressive, Bipolar, and Paranoid Disorders</span></p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-004</blockquote><p><b>Risk Adjustment Condition Category Type</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type historic}\">Historic Condition Category Gap</span></p><p><b>Evidence Status</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status closed-gap}\">Closed Condition Category Gap</span></p><p><b>Risk Adjustment Evidence Status Date</b>: 2021-04-27</p><p><b>Hierarchical Status</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status applied-superseded}\">Hierarchies applied and Condition Category is superseded</span></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cmshcc 112}\">HCC 112: Fibrosis of lung and other chronic lung disorders</span></p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-005</blockquote><p><b>Risk Adjustment Condition Category Type</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type historic}\">Historic Condition Category Gap</span></p><p><b>Evidence Status</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status pending}\">Pending Condition Category Gap</span></p><p><b>Risk Adjustment Evidence Status Date</b>: 2021-09-27</p><p><b>Hierarchical Status</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status applied-superseded}\">Hierarchies applied and Condition Category is superseded</span></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cmshcc 19}\">HCC 19: Diabetes without Complications</span></p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-006</blockquote><p><b>Risk Adjustment Condition Category Type</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type historic}\">Historic Condition Category Gap</span></p><p><b>Evidence Status</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status open-gap}\">Open Condition Category Gap</span></p><p><b>Risk Adjustment Evidence Status Date</b>: 2020-12-15</p><p><b>Hierarchical Status</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status applied-superseded}\">Hierarchies applied and Condition Category is superseded</span></p><blockquote><p><b>Condition Category Remark</b></p><ul><li>author: <a href=\"http://terminology.hl7.org/6.0.2/NamingSystem-npi.html\" title=\"National Provider Identifier\">United States National Provider Identifier</a>/1234567890</li><li>authorDatetime: 2021-11-01</li><li>text: Continue evaluation</li><li>code: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/coding-gap-remark deferred}\">Deferred</span></li></ul></blockquote><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cmshcc 84}\">HCC 84: Cardio-Respiratory Failure and Shock</span></p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-007</blockquote><p><b>Risk Adjustment Condition Category Type</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type suspected}\">Suspected Condition Category Gap</span></p><p><b>Evidence Status</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status closed-gap}\">Closed Condition Category Gap</span></p><p><b>Risk Adjustment Evidence Status Date</b>: 2021-03-15</p><p><b>Hierarchical Status</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status applied-not-superseded}\">Hierarchies applied and Condition Category is not superseded</span></p><blockquote><p><b>Condition Category Remark</b></p><ul><li>author: <a href=\"http://terminology.hl7.org/6.0.2/NamingSystem-npi.html\" title=\"National Provider Identifier\">United States National Provider Identifier</a>/1234567890</li><li>authorDatetime: 2021-11-01</li><li>qualifyingDxList: E66.01, E66.2, E66.813</li></ul></blockquote><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cmshcc 22}\">HCC 22: Morbid Obesity</span></p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-008</blockquote><p><b>Risk Adjustment Condition Category Type</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type suspected}\">Suspected Condition Category Gap</span></p><p><b>Evidence Status</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status pending}\">Pending Condition Category Gap</span></p><p><b>Risk Adjustment Evidence Status Date</b>: 2021-09-27</p><p><b>Hierarchical Status</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status applied-not-superseded}\">Hierarchies applied and Condition Category is not superseded</span></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cmshcc 96}\">HCC 96: Specified Heart Arrhythmias</span></p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-009</blockquote><p><b>Risk Adjustment Condition Category Type</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type suspected}\">Suspected Condition Category Gap</span></p><p><b>Evidence Status</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status open-gap}\">Open Condition Category Gap</span></p><p><b>Risk Adjustment Evidence Status Date</b>: 2020-07-15</p><p><b>Hierarchical Status</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status applied-not-superseded}\">Hierarchies applied and Condition Category is not superseded</span></p><p><b>Confidence Scale</b>: <span title=\"Codes:{http://snomed.info/sct 255508009}\">Medium</span></p><blockquote><p><b>Condition Category Remark</b></p><ul><li>author: <a href=\"http://terminology.hl7.org/6.0.2/NamingSystem-npi.html\" title=\"National Provider Identifier\">United States National Provider Identifier</a>/1234567890</li><li>authorDatetime: 2021-11-01</li><li>text: Not diagnosed</li><li>code: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/coding-gap-remark assessed-not-present}\">Assessed and not present</span></li><li>relatedDataIdentifier: <code>http://example.org/fhir/mychart</code>/432203939</li></ul></blockquote><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cmshcc 110}\">HCC 110: Cystic Fibrosis</span></p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-010</blockquote><p><b>Risk Adjustment Condition Category Type</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type net-new}\">Net-New Condition Category</span></p><p><b>Evidence Status</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status pending}\">Pending Condition Category Gap</span></p><p><b>Risk Adjustment Evidence Status Date</b>: 2021-09-28</p><p><b>Hierarchical Status</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status applied-not-superseded}\">Hierarchies applied and Condition Category is not superseded</span></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cmshcc 83}\">HCC 83: Respiratory Arrest</span></p></blockquote><p><b>evaluatedResource</b>: </p><ul><li><a href=\"Condition-ra-condition02pat01.html\">Condition Diabetes mellitus due to underlying condition with other diabetic kidney complication</a></li><li><a href=\"Condition-ra-condition03pat01.html\">Condition Chronic obstructive pulmonary disease with (acute) exacerbation</a></li><li><a href=\"Condition-ra-condition08pat01.html\">Condition Bipolar disorder, current episode mixed, mild</a></li><li><a href=\"Condition-ra-condition09pat01.html\">Condition Allergic bronchopulmonary aspergillosis</a></li><li><a href=\"Condition-ra-condition10pat01.html\">Condition Long term (current) use of insulin</a></li><li><a href=\"Condition-ra-condition11pat01.html\">Condition Acute pulmonary edema</a></li><li><a href=\"Condition-ra-condition17pat01.html\">Condition Body mass index [BMI] 45.0-49.9, adult</a></li><li><a href=\"Condition-ra-condition18pat01.html\">Condition Longstanding persistent atrial fibrillation</a></li><li><a href=\"Condition-ra-condition33pat01.html\">Condition Respiratory arrest</a></li><li><a href=\"Condition-ra-condition43pat01.html\">Condition Diabetes mellitus due to underlying condition with other diabetic kidney complication</a></li><li><a href=\"Condition-ra-condition44pat01.html\">Condition Allergic bronchopulmonary aspergillosis</a></li><li><a href=\"Encounter-ra-encounter02pat01.html\">Encounter: status = finished; class = ambulatory (ActCode#AMB); type = Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 40-54 minutes of total time is spent on the date of the encounter.; period = 2021-01-31 --&gt; 2021-01-31</a></li><li><a href=\"Encounter-ra-encounter03pat01.html\">Encounter: status = finished; class = ambulatory (ActCode#AMB); type = Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 40-54 minutes of total time is spent on the date of the encounter.; period = 2021-09-26 --&gt; 2021-09-26</a></li><li><a href=\"Encounter-ra-encounter08pat01.html\">Encounter: status = finished; class = ambulatory (ActCode#AMB); type = Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 40-54 minutes of total time is spent on the date of the encounter.; period = 2017-02-03 --&gt; 2017-02-03</a></li><li><a href=\"Encounter-ra-encounter09pat01.html\">Encounter: status = finished; class = ambulatory (ActCode#AMB); type = Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 40-54 minutes of total time is spent on the date of the encounter.; period = 2021-03-27 --&gt; 2021-03-27</a></li><li><a href=\"Encounter-ra-encounter11pat01.html\">Encounter: status = finished; class = ambulatory (ActCode#AMB); type = Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 40-54 minutes of total time is spent on the date of the encounter.; period = 2020-11-02 --&gt; 2020-11-02</a></li><li><a href=\"Encounter-ra-encounter43pat01.html\">Encounter: status = finished; class = ambulatory (ActCode#AMB); type = Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 40-54 minutes of total time is spent on the date of the encounter.; period = 2019-02-10 --&gt; 2019-02-10</a></li><li><a href=\"Encounter-ra-encounter44pat01.html\">Encounter: status = finished; class = ambulatory (ActCode#AMB); type = Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 40-54 minutes of total time is spent on the date of the encounter.; period = 2017-01-18 --&gt; 2017-01-18</a></li><li><a href=\"Observation-ra-obs21pat01.html\">Observation Trypsin [Mass/volume] in Serum or Plasma</a></li></ul></div>"
  ] ; # 
  fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/measurereport-category"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
      ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/CodeSystem/measurereport-category"^^xsd:anyURI ] ;
fhir:code [ fhir:v "ra" ]       ] )     ]
  ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-clinicalDataCollectionDeadline"^^xsd:anyURI ] ;
fhir:value [ fhir:v "2022-03-31"^^xsd:date ]
  ] ) ; # 
  fhir:status [ fhir:v "complete"] ; # 
  fhir:type [ fhir:v "individual"] ; # 
  fhir:measure [
fhir:v "https://build.fhir.org/ig/HL7/davinci-ra/Measure-RAModelExample01"^^xsd:anyURI ;
fhir:link <https://build.fhir.org/ig/HL7/davinci-ra/Measure-RAModelExample01>
  ] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/ra-patient01" ]
  ] ; # 
  fhir:date [ fhir:v "2021-10-18"^^xsd:date] ; # 
  fhir:reporter [
fhir:reference [ fhir:v "Organization/ra-payer01" ]
  ] ; # 
  fhir:period [
fhir:start [ fhir:v "2021-01-01"^^xsd:date ] ;
fhir:end [ fhir:v "2021-09-30"^^xsd:date ]
  ] ; # 
  fhir:group ( [
fhir:id [ fhir:v "group-001" ] ;
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccType"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "historic" ]         ] )       ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status"^^xsd:anyURI ] ;
fhir:code [ fhir:v "closed-gap" ]         ] )       ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate"^^xsd:anyURI ] ;
fhir:value [ fhir:v "2021-04-01"^^xsd:date ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"^^xsd:anyURI ] ;
fhir:code [ fhir:v "applied-not-superseded" ]         ] )       ]     ] [
      ( fhir:extension [
fhir:url [ fhir:v "author"^^xsd:anyURI ] ;
fhir:value [
a fhir:Identifier ;
fhir:system [ fhir:v "http://hl7.org/fhir/sid/us-npi"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1234567890" ]         ]       ] [
fhir:url [ fhir:v "qualifyingDxCode"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
          ( fhir:coding [
a sct:422099009 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "422099009" ] ;
fhir:display [ fhir:v "Disorder of eye due to type 2 diabetes mellitus (disorder)" ]           ] )         ]       ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccRemark"^^xsd:anyURI ]     ] ) ;
fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/cmshcc"^^xsd:anyURI ] ;
fhir:version [ fhir:v "24" ] ;
fhir:code [ fhir:v "18" ] ;
fhir:display [ fhir:v "Diabetes with Chronic Complications" ]       ] ) ;
fhir:text [ fhir:v "HCC 18: Diabetes with Chronic Complications" ]     ]
  ] [
fhir:id [ fhir:v "group-002" ] ;
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccType"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "historic" ]         ] )       ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status"^^xsd:anyURI ] ;
fhir:code [ fhir:v "pending" ]         ] )       ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate"^^xsd:anyURI ] ;
fhir:value [ fhir:v "2021-09-29"^^xsd:date ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"^^xsd:anyURI ] ;
fhir:code [ fhir:v "applied-not-superseded" ]         ] )       ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-dxCode"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
a sct:832007 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "832007" ] ;
fhir:display [ fhir:v "Moderate major depression" ]         ] )       ]     ] ) ;
fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/cmshcc"^^xsd:anyURI ] ;
fhir:version [ fhir:v "24" ] ;
fhir:code [ fhir:v "111" ] ;
fhir:display [ fhir:v "Chronic Obstructive Pulmonary Disease" ]       ] ) ;
fhir:text [ fhir:v "HCC 111: Chronic Obstructive Pulmonary Disease" ]     ]
  ] [
fhir:id [ fhir:v "group-003" ] ;
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccType"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "historic" ]         ] )       ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status"^^xsd:anyURI ] ;
fhir:code [ fhir:v "open-gap" ]         ] )       ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate"^^xsd:anyURI ] ;
fhir:value [ fhir:v "2020-07-15"^^xsd:date ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"^^xsd:anyURI ] ;
fhir:code [ fhir:v "applied-not-superseded" ]         ] )       ]     ] [
      ( fhir:extension [
fhir:url [ fhir:v "author"^^xsd:anyURI ] ;
fhir:value [
a fhir:Identifier ;
fhir:system [ fhir:v "http://hl7.org/fhir/sid/us-npi"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1234567890" ]         ]       ] [
fhir:url [ fhir:v "text"^^xsd:anyURI ] ;
fhir:value [ fhir:v "Diagnosis added" ]       ] [
fhir:url [ fhir:v "code"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
          ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/coding-gap-remark"^^xsd:anyURI ] ;
fhir:code [ fhir:v "assessed-present" ] ;
fhir:display [ fhir:v "Assessed and present" ]           ] )         ]       ] [
fhir:url [ fhir:v "relatedDataIdentifier"^^xsd:anyURI ] ;
fhir:value [
a fhir:Identifier ;
fhir:system [ fhir:v "http://example.org/fhir/myclaimno"^^xsd:anyURI ] ;
fhir:value [ fhir:v "CLM23333" ]         ]       ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccRemark"^^xsd:anyURI ]     ] ) ;
fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/cmshcc"^^xsd:anyURI ] ;
fhir:version [ fhir:v "24" ] ;
fhir:code [ fhir:v "59" ] ;
fhir:display [ fhir:v "Major Depressive, Bipolar, and Paranoid Disorders" ]       ] ) ;
fhir:text [ fhir:v "HCC 59: Major Depressive, Bipolar, and Paranoid Disorders" ]     ]
  ] [
fhir:id [ fhir:v "group-004" ] ;
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccType"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "historic" ]         ] )       ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status"^^xsd:anyURI ] ;
fhir:code [ fhir:v "closed-gap" ]         ] )       ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate"^^xsd:anyURI ] ;
fhir:value [ fhir:v "2021-04-27"^^xsd:date ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"^^xsd:anyURI ] ;
fhir:code [ fhir:v "applied-superseded" ]         ] )       ]     ] ) ;
fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/cmshcc"^^xsd:anyURI ] ;
fhir:version [ fhir:v "24" ] ;
fhir:code [ fhir:v "112" ] ;
fhir:display [ fhir:v "Fibrosis of lung and other chronic lung disorders" ]       ] ) ;
fhir:text [ fhir:v "HCC 112: Fibrosis of lung and other chronic lung disorders" ]     ]
  ] [
fhir:id [ fhir:v "group-005" ] ;
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccType"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "historic" ]         ] )       ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status"^^xsd:anyURI ] ;
fhir:code [ fhir:v "pending" ]         ] )       ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate"^^xsd:anyURI ] ;
fhir:value [ fhir:v "2021-09-27"^^xsd:date ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"^^xsd:anyURI ] ;
fhir:code [ fhir:v "applied-superseded" ]         ] )       ]     ] ) ;
fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/cmshcc"^^xsd:anyURI ] ;
fhir:version [ fhir:v "24" ] ;
fhir:code [ fhir:v "19" ] ;
fhir:display [ fhir:v "Diabetes without Complications" ]       ] ) ;
fhir:text [ fhir:v "HCC 19: Diabetes without Complications" ]     ]
  ] [
fhir:id [ fhir:v "group-006" ] ;
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccType"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "historic" ]         ] )       ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status"^^xsd:anyURI ] ;
fhir:code [ fhir:v "open-gap" ]         ] )       ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate"^^xsd:anyURI ] ;
fhir:value [ fhir:v "2020-12-15"^^xsd:date ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"^^xsd:anyURI ] ;
fhir:code [ fhir:v "applied-superseded" ]         ] )       ]     ] [
      ( fhir:extension [
fhir:url [ fhir:v "author"^^xsd:anyURI ] ;
fhir:value [
a fhir:Identifier ;
fhir:system [ fhir:v "http://hl7.org/fhir/sid/us-npi"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1234567890" ]         ]       ] [
fhir:url [ fhir:v "authorDatetime"^^xsd:anyURI ] ;
fhir:value [ fhir:v "2021-11-01"^^xsd:date ]       ] [
fhir:url [ fhir:v "text"^^xsd:anyURI ] ;
fhir:value [ fhir:v "Continue evaluation" ]       ] [
fhir:url [ fhir:v "code"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
          ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/coding-gap-remark"^^xsd:anyURI ] ;
fhir:code [ fhir:v "deferred" ] ;
fhir:display [ fhir:v "Deferred" ]           ] )         ]       ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccRemark"^^xsd:anyURI ]     ] ) ;
fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/cmshcc"^^xsd:anyURI ] ;
fhir:version [ fhir:v "24" ] ;
fhir:code [ fhir:v "84" ] ;
fhir:display [ fhir:v "Cardio-Respiratory Failure and Shock" ]       ] ) ;
fhir:text [ fhir:v "HCC 84: Cardio-Respiratory Failure and Shock" ]     ]
  ] [
fhir:id [ fhir:v "group-007" ] ;
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccType"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "suspected" ]         ] )       ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status"^^xsd:anyURI ] ;
fhir:code [ fhir:v "closed-gap" ]         ] )       ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate"^^xsd:anyURI ] ;
fhir:value [ fhir:v "2021-03-15"^^xsd:date ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"^^xsd:anyURI ] ;
fhir:code [ fhir:v "applied-not-superseded" ]         ] )       ]     ] [
      ( fhir:extension [
fhir:url [ fhir:v "author"^^xsd:anyURI ] ;
fhir:value [
a fhir:Identifier ;
fhir:system [ fhir:v "http://hl7.org/fhir/sid/us-npi"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1234567890" ]         ]       ] [
fhir:url [ fhir:v "authorDatetime"^^xsd:anyURI ] ;
fhir:value [ fhir:v "2021-11-01"^^xsd:date ]       ] [
fhir:url [ fhir:v "qualifyingDxList"^^xsd:anyURI ] ;
fhir:value [ fhir:v "E66.01, E66.2, E66.813" ]       ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccRemark"^^xsd:anyURI ]     ] ) ;
fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/cmshcc"^^xsd:anyURI ] ;
fhir:version [ fhir:v "24" ] ;
fhir:code [ fhir:v "22" ] ;
fhir:display [ fhir:v "Morbid Obesity" ]       ] ) ;
fhir:text [ fhir:v "HCC 22: Morbid Obesity" ]     ]
  ] [
fhir:id [ fhir:v "group-008" ] ;
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccType"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "suspected" ]         ] )       ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status"^^xsd:anyURI ] ;
fhir:code [ fhir:v "pending" ]         ] )       ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate"^^xsd:anyURI ] ;
fhir:value [ fhir:v "2021-09-27"^^xsd:date ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"^^xsd:anyURI ] ;
fhir:code [ fhir:v "applied-not-superseded" ]         ] )       ]     ] ) ;
fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/cmshcc"^^xsd:anyURI ] ;
fhir:version [ fhir:v "24" ] ;
fhir:code [ fhir:v "96" ] ;
fhir:display [ fhir:v "Specified Heart Arrhythmias" ]       ] ) ;
fhir:text [ fhir:v "HCC 96: Specified Heart Arrhythmias" ]     ]
  ] [
fhir:id [ fhir:v "group-009" ] ;
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccType"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "suspected" ]         ] )       ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status"^^xsd:anyURI ] ;
fhir:code [ fhir:v "open-gap" ]         ] )       ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate"^^xsd:anyURI ] ;
fhir:value [ fhir:v "2020-07-15"^^xsd:date ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"^^xsd:anyURI ] ;
fhir:code [ fhir:v "applied-not-superseded" ]         ] )       ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-confidenceScale"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
a sct:255508009 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "255508009" ] ;
fhir:display [ fhir:v "Medium" ]         ] )       ]     ] [
      ( fhir:extension [
fhir:url [ fhir:v "author"^^xsd:anyURI ] ;
fhir:value [
a fhir:Identifier ;
fhir:system [ fhir:v "http://hl7.org/fhir/sid/us-npi"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1234567890" ]         ]       ] [
fhir:url [ fhir:v "authorDatetime"^^xsd:anyURI ] ;
fhir:value [ fhir:v "2021-11-01"^^xsd:date ]       ] [
fhir:url [ fhir:v "text"^^xsd:anyURI ] ;
fhir:value [ fhir:v "Not diagnosed" ]       ] [
fhir:url [ fhir:v "code"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
          ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/coding-gap-remark"^^xsd:anyURI ] ;
fhir:code [ fhir:v "assessed-not-present" ]           ] )         ]       ] [
fhir:url [ fhir:v "relatedDataIdentifier"^^xsd:anyURI ] ;
fhir:value [
a fhir:Identifier ;
fhir:system [ fhir:v "http://example.org/fhir/mychart"^^xsd:anyURI ] ;
fhir:value [ fhir:v "432203939" ]         ]       ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccRemark"^^xsd:anyURI ]     ] ) ;
fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/cmshcc"^^xsd:anyURI ] ;
fhir:version [ fhir:v "24" ] ;
fhir:code [ fhir:v "110" ] ;
fhir:display [ fhir:v "Cystic Fibrosis" ]       ] ) ;
fhir:text [ fhir:v "HCC 110: Cystic Fibrosis" ]     ]
  ] [
fhir:id [ fhir:v "group-010" ] ;
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccType"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "net-new" ]         ] )       ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status"^^xsd:anyURI ] ;
fhir:code [ fhir:v "pending" ]         ] )       ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate"^^xsd:anyURI ] ;
fhir:value [ fhir:v "2021-09-28"^^xsd:date ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"^^xsd:anyURI ] ;
fhir:code [ fhir:v "applied-not-superseded" ]         ] )       ]     ] ) ;
fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/cmshcc"^^xsd:anyURI ] ;
fhir:version [ fhir:v "24" ] ;
fhir:code [ fhir:v "83" ] ;
fhir:display [ fhir:v "Respiratory Arrest" ]       ] ) ;
fhir:text [ fhir:v "HCC 83: Respiratory Arrest" ]     ]
  ] ) ; # 
  fhir:evaluatedResource ( [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "group-001" ]     ] ) ;
fhir:reference [ fhir:v "Condition/ra-condition02pat01" ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "group-002" ]     ] ) ;
fhir:reference [ fhir:v "Condition/ra-condition03pat01" ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "group-003" ]     ] ) ;
fhir:reference [ fhir:v "Condition/ra-condition08pat01" ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "group-004" ]     ] ) ;
fhir:reference [ fhir:v "Condition/ra-condition09pat01" ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "group-005" ]     ] ) ;
fhir:reference [ fhir:v "Condition/ra-condition10pat01" ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "group-006" ]     ] ) ;
fhir:reference [ fhir:v "Condition/ra-condition11pat01" ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "group-007" ]     ] ) ;
fhir:reference [ fhir:v "Condition/ra-condition17pat01" ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "group-008" ]     ] ) ;
fhir:reference [ fhir:v "Condition/ra-condition18pat01" ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "group-010" ]     ] ) ;
fhir:reference [ fhir:v "Condition/ra-condition33pat01" ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "group-001" ]     ] ) ;
fhir:reference [ fhir:v "Condition/ra-condition43pat01" ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "group-004" ]     ] ) ;
fhir:reference [ fhir:v "Condition/ra-condition44pat01" ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "group-001" ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "group-007" ]     ] ) ;
fhir:reference [ fhir:v "Encounter/ra-encounter02pat01" ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "group-002" ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "group-005" ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "group-008" ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "group-010" ]     ] ) ;
fhir:reference [ fhir:v "Encounter/ra-encounter03pat01" ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "group-003" ]     ] ) ;
fhir:reference [ fhir:v "Encounter/ra-encounter08pat01" ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "group-004" ]     ] ) ;
fhir:reference [ fhir:v "Encounter/ra-encounter09pat01" ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "group-006" ]     ] ) ;
fhir:reference [ fhir:v "Encounter/ra-encounter11pat01" ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "group-001" ]     ] ) ;
fhir:reference [ fhir:v "Encounter/ra-encounter43pat01" ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "group-004" ]     ] ) ;
fhir:reference [ fhir:v "Encounter/ra-encounter44pat01" ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "group-009" ]     ] ) ;
fhir:reference [ fhir:v "Observation/ra-obs21pat01" ]
  ] ) . #