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-measurereport02: Risk Adjustment Measure Report - 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 xsd: <http://www.w3.org/2001/XMLSchema#> .

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

 a fhir:MeasureReport ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "ra-measurereport02"] ; # 
  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-measurereport02</b></p><a name=\"ra-measurereport02\"> </a><a name=\"hcra-measurereport02\"> </a><a name=\"ra-measurereport02-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-RAModelExample03.html\">Risk Adjustment Model Version 5 - CMS Prescribing Drug 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 not-applied}\">Hierarchies not applied</span></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cmsrxhcc 227}\">CMS-RxHCC 227: Pulmonary Fibrosis and Other Chronic Lung Disorders</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 open-gap}\">Open Condition Category Gap</span></p><p><b>Risk Adjustment Evidence Status Date</b>: 2020-07-01</p><p><b>Hierarchical Status</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status not-applied}\">Hierarchies not applied</span></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cmsrxhcc 131}\">CMS-RxHCC 131: Bipolar Disorders</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 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>: 2021-02-15</p><p><b>Hierarchical Status</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status not-applied}\">Hierarchies not applied</span></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cmsrxhcc 30}\">CMS-RxHCC 30: Diabetes with Chronic Complications</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 suspected}\">Suspected Condition Category Gap</span></p><p><b>Risk Adjustment Evidence Status Date</b>: 2021-04-01</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>Hierarchical Status</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status not-applied}\">Hierarchies not applied</span></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cmsrxhcc 43}\">CMS-RxHCC 43: Morbid Obesity</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 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>: 2021-09-29</p><p><b>Hierarchical Status</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status not-applied}\">Hierarchies not applied</span></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cmsrxhcc 31}\">CMS-RxHCC 31: 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 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>: 2021-09-29</p><p><b>Hierarchical Status</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status not-applied}\">Hierarchies not applied</span></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cmsrxhcc 226}\">CMS-RxHCC 226: Chronic Obstructive Pulmonary Disease and Asthma</span></p></blockquote><p><b>evaluatedResource</b>: </p><ul><li><a href=\"Condition-ra-condition09pat01.html\">Condition Allergic bronchopulmonary aspergillosis</a></li><li><a href=\"Condition-ra-condition08pat01.html\">Condition Bipolar disorder, current episode mixed, mild</a></li><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-condition17pat01.html\">Condition Body mass index [BMI] 45.0-49.9, adult</a></li><li><a href=\"Condition-ra-condition10pat01.html\">Condition Long term (current) use of insulin</a></li><li><a href=\"Condition-ra-condition03pat01.html\">Condition Chronic obstructive pulmonary disease with (acute) exacerbation</a></li><li><a href=\"Condition-ra-condition44pat01.html\">Condition Allergic bronchopulmonary aspergillosis</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-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-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-encounter45pat01.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 = 2018-07-21 --&gt; 2018-07-21</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-RAModelExample03"^^xsd:anyURI ;
fhir:link <https://build.fhir.org/ig/HL7/davinci-ra/Measure-RAModelExample03>
  ] ; # 
  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 "not-applied" ]         ] )       ]     ] ) ;
fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/cmsrxhcc"^^xsd:anyURI ] ;
fhir:version [ fhir:v "5" ] ;
fhir:code [ fhir:v "227" ] ;
fhir:display [ fhir:v "Pulmonary Fibrosis and Other Chronic Lung Disorders" ]       ] ) ;
fhir:text [ fhir:v "CMS-RxHCC 227: Pulmonary Fibrosis and Other Chronic Lung Disorders" ]     ]
  ] [
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 "open-gap" ]         ] )       ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate"^^xsd:anyURI ] ;
fhir:value [ fhir:v "2020-07-01"^^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 "not-applied" ]         ] )       ]     ] ) ;
fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/cmsrxhcc"^^xsd:anyURI ] ;
fhir:version [ fhir:v "5" ] ;
fhir:code [ fhir:v "131" ] ;
fhir:display [ fhir:v "Bipolar Disorders" ]       ] ) ;
fhir:text [ fhir:v "CMS-RxHCC 131: Bipolar Disorders" ]     ]
  ] [
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 "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 "2021-02-15"^^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 "not-applied" ]         ] )       ]     ] ) ;
fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/cmsrxhcc"^^xsd:anyURI ] ;
fhir:version [ fhir:v "5" ] ;
fhir:code [ fhir:v "30" ] ;
fhir:display [ fhir:v "Diabetes with Chronic Complications" ]       ] ) ;
fhir:text [ fhir:v "CMS-RxHCC 30: Diabetes with Chronic Complications" ]     ]
  ] [
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 "suspected" ]         ] )       ]     ] [
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-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-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 "not-applied" ]         ] )       ]     ] ) ;
fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/cmsrxhcc"^^xsd:anyURI ] ;
fhir:version [ fhir:v "5" ] ;
fhir:code [ fhir:v "43" ] ;
fhir:display [ fhir:v "Morbid Obesity" ]       ] ) ;
fhir:text [ fhir:v "CMS-RxHCC 43: Morbid Obesity" ]     ]
  ] [
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 "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 "2021-09-29"^^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 "not-applied" ]         ] )       ]     ] ) ;
fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/cmsrxhcc"^^xsd:anyURI ] ;
fhir:version [ fhir:v "5" ] ;
fhir:code [ fhir:v "31" ] ;
fhir:display [ fhir:v "Diabetes without Complications" ]       ] ) ;
fhir:text [ fhir:v "CMS-RxHCC 31: 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 "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 "2021-09-29"^^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 "not-applied" ]         ] )       ]     ] ) ;
fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/cmsrxhcc"^^xsd:anyURI ] ;
fhir:version [ fhir:v "5" ] ;
fhir:code [ fhir:v "226" ] ;
fhir:display [ fhir:v "Chronic Obstructive Pulmonary Disease and Asthma" ]       ] ) ;
fhir:text [ fhir:v "CMS-RxHCC 226: Chronic Obstructive Pulmonary Disease and Asthma" ]     ]
  ] ) ; # 
  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-condition09pat01" ]
  ] [
    ( 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-condition08pat01" ]
  ] [
    ( 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-condition02pat01" ]
  ] [
    ( 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-condition17pat01" ]
  ] [
    ( 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-condition03pat01" ]
  ] [
    ( 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-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: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-002" ]     ] ) ;
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-003" ]     ] [
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-encounter02pat01" ]
  ] [
    ( 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: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-encounter03pat01" ]
  ] [
    ( 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-encounter45pat01" ]
  ] ) . #