Da Vinci Risk Adjustment Implementation Guide
2.0.0 - STU2
Da Vinci Risk Adjustment Implementation Guide
2.0.0 - STU2
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
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<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 --> 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span title="Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status applied-not-superseded}"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Hierarchies applied and Condition Category is not superseded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 --> 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 --> 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 --> 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 --> 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 --> 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 --> 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 --> 2017-01-18</a></li><li><a href="Observation-ra-obs21pat01.html">Observation Trypsin [Mass/volume] in Serum or Plasma</a></li></ul></div>
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</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"/>
<code value="applied-superseded"/>
</coding>
</valueCodeableConcept>
</extension>
<code>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/cmshcc"/>
<version value="24"/>
<code value="112"/>
<display value="Fibrosis of lung and other chronic lung disorders"/>
</coding>
<text
value="HCC 112: Fibrosis of lung and other chronic lung disorders"/>
</code>
</group>
<group id="group-005">
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccType">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type"/>
<code value="historic"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status"/>
<code value="pending"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate">
<valueDate value="2021-09-27"/>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"/>
<code value="applied-superseded"/>
</coding>
</valueCodeableConcept>
</extension>
<code>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/cmshcc"/>
<version value="24"/>
<code value="19"/>
<display value="Diabetes without Complications"/>
</coding>
<text value="HCC 19: Diabetes without Complications"/>
</code>
</group>
<group id="group-006">
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccType">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type"/>
<code value="historic"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status"/>
<code value="open-gap"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate">
<valueDate value="2020-12-15"/>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"/>
<code value="applied-superseded"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccRemark">
<extension url="author">
<valueIdentifier>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="1234567890"/>
</valueIdentifier>
</extension>
<extension url="authorDatetime">
<valueDateTime value="2021-11-01"/>
</extension>
<extension url="text">
<valueString value="Continue evaluation"/>
</extension>
<extension url="code">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/coding-gap-remark"/>
<code value="deferred"/>
<display value="Deferred"/>
</coding>
</valueCodeableConcept>
</extension>
</extension>
<code>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/cmshcc"/>
<version value="24"/>
<code value="84"/>
<display value="Cardio-Respiratory Failure and Shock"/>
</coding>
<text value="HCC 84: Cardio-Respiratory Failure and Shock"/>
</code>
</group>
<group id="group-007">
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccType">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type"/>
<code value="suspected"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status"/>
<code value="closed-gap"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate">
<valueDate value="2021-03-15"/>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"/>
<code value="applied-not-superseded"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccRemark">
<extension url="author">
<valueIdentifier>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="1234567890"/>
</valueIdentifier>
</extension>
<extension url="authorDatetime">
<valueDateTime value="2021-11-01"/>
</extension>
<extension url="qualifyingDxList">
<valueString value="E66.01, E66.2, E66.813"/>
</extension>
</extension>
<code>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/cmshcc"/>
<version value="24"/>
<code value="22"/>
<display value="Morbid Obesity"/>
</coding>
<text value="HCC 22: Morbid Obesity"/>
</code>
</group>
<group id="group-008">
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccType">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type"/>
<code value="suspected"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status"/>
<code value="pending"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate">
<valueDate value="2021-09-27"/>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"/>
<code value="applied-not-superseded"/>
</coding>
</valueCodeableConcept>
</extension>
<code>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/cmshcc"/>
<version value="24"/>
<code value="96"/>
<display value="Specified Heart Arrhythmias"/>
</coding>
<text value="HCC 96: Specified Heart Arrhythmias"/>
</code>
</group>
<group id="group-009">
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccType">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type"/>
<code value="suspected"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status"/>
<code value="open-gap"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate">
<valueDate value="2020-07-15"/>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"/>
<code value="applied-not-superseded"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-confidenceScale">
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="255508009"/>
<display value="Medium"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccRemark">
<extension url="author">
<valueIdentifier>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="1234567890"/>
</valueIdentifier>
</extension>
<extension url="authorDatetime">
<valueDateTime value="2021-11-01"/>
</extension>
<extension url="text">
<valueString value="Not diagnosed"/>
</extension>
<extension url="code">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/coding-gap-remark"/>
<code value="assessed-not-present"/>
</coding>
</valueCodeableConcept>
</extension>
<extension url="relatedDataIdentifier">
<valueIdentifier>
<system value="http://example.org/fhir/mychart"/>
<value value="432203939"/>
</valueIdentifier>
</extension>
</extension>
<code>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/cmshcc"/>
<version value="24"/>
<code value="110"/>
<display value="Cystic Fibrosis"/>
</coding>
<text value="HCC 110: Cystic Fibrosis"/>
</code>
</group>
<group id="group-010">
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccType">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type"/>
<code value="net-new"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status"/>
<code value="pending"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate">
<valueDate value="2021-09-28"/>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"/>
<code value="applied-not-superseded"/>
</coding>
</valueCodeableConcept>
</extension>
<code>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/cmshcc"/>
<version value="24"/>
<code value="83"/>
<display value="Respiratory Arrest"/>
</coding>
<text value="HCC 83: Respiratory Arrest"/>
</code>
</group>
<evaluatedResource>🔗
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-001"/>
</extension>
<reference value="Condition/ra-condition02pat01"/>
</evaluatedResource>
<evaluatedResource>🔗
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-002"/>
</extension>
<reference value="Condition/ra-condition03pat01"/>
</evaluatedResource>
<evaluatedResource>🔗
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-003"/>
</extension>
<reference value="Condition/ra-condition08pat01"/>
</evaluatedResource>
<evaluatedResource>🔗
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-004"/>
</extension>
<reference value="Condition/ra-condition09pat01"/>
</evaluatedResource>
<evaluatedResource>🔗
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-005"/>
</extension>
<reference value="Condition/ra-condition10pat01"/>
</evaluatedResource>
<evaluatedResource>🔗
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-006"/>
</extension>
<reference value="Condition/ra-condition11pat01"/>
</evaluatedResource>
<evaluatedResource>🔗
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-007"/>
</extension>
<reference value="Condition/ra-condition17pat01"/>
</evaluatedResource>
<evaluatedResource>🔗
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-008"/>
</extension>
<reference value="Condition/ra-condition18pat01"/>
</evaluatedResource>
<evaluatedResource>🔗
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-010"/>
</extension>
<reference value="Condition/ra-condition33pat01"/>
</evaluatedResource>
<evaluatedResource>🔗
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-001"/>
</extension>
<reference value="Condition/ra-condition43pat01"/>
</evaluatedResource>
<evaluatedResource>🔗
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-004"/>
</extension>
<reference value="Condition/ra-condition44pat01"/>
</evaluatedResource>
<evaluatedResource>🔗
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-001"/>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-007"/>
</extension>
<reference value="Encounter/ra-encounter02pat01"/>
</evaluatedResource>
<evaluatedResource>🔗
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-002"/>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-005"/>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-008"/>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-010"/>
</extension>
<reference value="Encounter/ra-encounter03pat01"/>
</evaluatedResource>
<evaluatedResource>🔗
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-003"/>
</extension>
<reference value="Encounter/ra-encounter08pat01"/>
</evaluatedResource>
<evaluatedResource>🔗
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-004"/>
</extension>
<reference value="Encounter/ra-encounter09pat01"/>
</evaluatedResource>
<evaluatedResource>🔗
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-006"/>
</extension>
<reference value="Encounter/ra-encounter11pat01"/>
</evaluatedResource>
<evaluatedResource>🔗
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-001"/>
</extension>
<reference value="Encounter/ra-encounter43pat01"/>
</evaluatedResource>
<evaluatedResource>🔗
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-004"/>
</extension>
<reference value="Encounter/ra-encounter44pat01"/>
</evaluatedResource>
<evaluatedResource>🔗
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-009"/>
</extension>
<reference value="Observation/ra-obs21pat01"/>
</evaluatedResource>
</MeasureReport>
IG © 2021+ HL7 International / Clinical Quality Information. Package hl7.fhir.us.davinci-ra#2.0.0 based on FHIR 4.0.1. Generated 2024-11-18
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