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-preview built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-ra/ and changes regularly. See the Directory of published versions

: ra-measurereport02: Risk Adjustment Measure Report - XML Representation

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<MeasureReport xmlns="http://hl7.org/fhir">
  <id value="ra-measurereport02"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-measurereport"/>
  </meta>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: MeasureReport</b><a name="ra-measurereport02"> </a><a name="hcra-measurereport02"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">ResourceMeasureReport &quot;ra-measurereport02&quot; </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ra-measurereport.html">Risk Adjustment Coding Gap MeasureReport</a></p></div><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">Patient/ra-patient01</a> &quot; EVERYWOMAN&quot;</p><p><b>date</b>: 2021-10-18</p><p><b>reporter</b>: <a href="Organization-ra-payer01.html">Organization/ra-payer01</a> &quot;ABC Payer&quot;</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>: Historic Condition Category Gap <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-cc-type.html">Risk Adjustment Condition Categoryy Type CodeSystem</a>#historic)</span></p><p><b>Evidence Status</b>: Closed Condition Category Gap <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-evidence-status.html">Risk Adjustment Evidence Status CodeSystem</a>#closed-gap)</span></p><p><b>Risk Adjustment Evidence Status Date</b>: 2021-04-01</p><p><b>Hierarchical Status</b>: Hierarchies not applied <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-hierarchical-status.html">Risk Adjustment Hierarchical Status CodeSystem</a>#not-applied)</span></p><p><b>code</b>: CMS-RxHCC 227: Pulmonary Fibrosis and Other Chronic Lung Disorders <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (CMS Prescription Drug Hierarchical Condition Categories[5]#227 &quot;Pulmonary Fibrosis and Other Chronic Lung Disorders&quot;)</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>: Historic Condition Category Gap <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-cc-type.html">Risk Adjustment Condition Categoryy Type CodeSystem</a>#historic)</span></p><p><b>Evidence Status</b>: Open Condition Category Gap <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-evidence-status.html">Risk Adjustment Evidence Status CodeSystem</a>#open-gap)</span></p><p><b>Risk Adjustment Evidence Status Date</b>: 2020-07-01</p><p><b>Hierarchical Status</b>: Hierarchies not applied <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-hierarchical-status.html">Risk Adjustment Hierarchical Status CodeSystem</a>#not-applied)</span></p><p><b>code</b>: CMS-RxHCC 131: Bipolar Disorders <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (CMS Prescription Drug Hierarchical Condition Categories[5]#131 &quot;Bipolar Disorders&quot;)</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>: Suspected Condition Category Gap <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-cc-type.html">Risk Adjustment Condition Categoryy Type CodeSystem</a>#suspected)</span></p><p><b>Evidence Status</b>: Closed Condition Category Gap <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-evidence-status.html">Risk Adjustment Evidence Status CodeSystem</a>#closed-gap)</span></p><p><b>Risk Adjustment Evidence Status Date</b>: 2021-02-15</p><p><b>Hierarchical Status</b>: Hierarchies not applied <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-hierarchical-status.html">Risk Adjustment Hierarchical Status CodeSystem</a>#not-applied)</span></p><p><b>code</b>: CMS-RxHCC 30: Diabetes with Chronic Complications <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (CMS Prescription Drug Hierarchical Condition Categories[5]#30 &quot;Diabetes with Chronic Complications&quot;)</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>: Suspected Condition Category Gap <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-cc-type.html">Risk Adjustment Condition Categoryy Type CodeSystem</a>#suspected)</span></p><p><b>Risk Adjustment Evidence Status Date</b>: 2021-04-01</p><p><b>Evidence Status</b>: Closed Condition Category Gap <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-evidence-status.html">Risk Adjustment Evidence Status CodeSystem</a>#closed-gap)</span></p><p><b>Hierarchical Status</b>: Hierarchies not applied <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-hierarchical-status.html">Risk Adjustment Hierarchical Status CodeSystem</a>#not-applied)</span></p><p><b>code</b>: CMS-RxHCC 43: Morbid Obesity <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (CMS Prescription Drug Hierarchical Condition Categories[5]#43 &quot;Morbid Obesity&quot;)</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>: Suspected Condition Category Gap <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-cc-type.html">Risk Adjustment Condition Categoryy Type CodeSystem</a>#suspected)</span></p><p><b>Evidence Status</b>: Pending Condition Category Gap <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-evidence-status.html">Risk Adjustment Evidence Status CodeSystem</a>#pending)</span></p><p><b>Risk Adjustment Evidence Status Date</b>: 2021-09-29</p><p><b>Hierarchical Status</b>: Hierarchies not applied <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-hierarchical-status.html">Risk Adjustment Hierarchical Status CodeSystem</a>#not-applied)</span></p><p><b>code</b>: CMS-RxHCC 31: Diabetes without Complications <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (CMS Prescription Drug Hierarchical Condition Categories[5]#31 &quot;Diabetes without Complications&quot;)</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>: Net-New Condition Category <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-cc-type.html">Risk Adjustment Condition Categoryy Type CodeSystem</a>#net-new)</span></p><p><b>Evidence Status</b>: Pending Condition Category Gap <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-evidence-status.html">Risk Adjustment Evidence Status CodeSystem</a>#pending)</span></p><p><b>Risk Adjustment Evidence Status Date</b>: 2021-09-29</p><p><b>Hierarchical Status</b>: Hierarchies not applied <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-hierarchical-status.html">Risk Adjustment Hierarchical Status CodeSystem</a>#not-applied)</span></p><p><b>code</b>: CMS-RxHCC 226: Chronic Obstructive Pulmonary Disease and Asthma <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (CMS Prescription Drug Hierarchical Condition Categories[5]#226 &quot;Chronic Obstructive Pulmonary Disease and Asthma&quot;)</span></p></blockquote><p><b>evaluatedResource</b>: </p><ul><li><a href="Condition-ra-condition09pat01.html">Condition/ra-condition09pat01</a></li><li><a href="Condition-ra-condition08pat01.html">Condition/ra-condition08pat01</a></li><li><a href="Condition-ra-condition02pat01.html">Condition/ra-condition02pat01</a></li><li><a href="Condition-ra-condition17pat01.html">Condition/ra-condition17pat01</a></li><li><a href="Condition-ra-condition10pat01.html">Condition/ra-condition10pat01</a></li><li><a href="Condition-ra-condition03pat01.html">Condition/ra-condition03pat01</a></li><li><a href="Condition-ra-condition44pat01.html">Condition/ra-condition44pat01</a></li><li><a href="Encounter-ra-encounter09pat01.html">Encounter/ra-encounter09pat01</a></li><li><a href="Encounter-ra-encounter08pat01.html">Encounter/ra-encounter08pat01</a></li><li><a href="Encounter-ra-encounter02pat01.html">Encounter/ra-encounter02pat01</a></li><li><a href="Encounter-ra-encounter03pat01.html">Encounter/ra-encounter03pat01</a></li><li><a href="Encounter-ra-encounter45pat01.html">Encounter/ra-encounter45pat01</a></li></ul></div>
  </text>
  <extension
             url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-clinicalDataCollectionDeadline">
    <valueDate value="2022-03-31"/>
  </extension>
  <status value="complete"/>
  <type value="individual"/>
  <measure
           value="https://build.fhir.org/ig/HL7/davinci-ra/Measure-RAModelExample03"/>
  <subject>🔗 
    <reference value="Patient/ra-patient01"/>
  </subject>
  <date value="2021-10-18"/>
  <reporter>🔗 
    <reference value="Organization/ra-payer01"/>
  </reporter>
  <period>
    <start value="2021-01-01"/>
    <end value="2021-09-30"/>
  </period>
  <group id="group-001">
    <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="closed-gap"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate">
      <valueDate value="2021-04-01"/>
    </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="not-applied"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <code>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/cmsrxhcc"/>
        <version value="5"/>
        <code value="227"/>
        <display value="Pulmonary Fibrosis and Other Chronic Lung Disorders"/>
      </coding>
      <text
            value="CMS-RxHCC 227: Pulmonary Fibrosis and Other Chronic Lung Disorders"/>
    </code>
  </group>
  <group id="group-002">
    <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="2020-07-01"/>
    </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="not-applied"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <code>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/cmsrxhcc"/>
        <version value="5"/>
        <code value="131"/>
        <display value="Bipolar Disorders"/>
      </coding>
      <text value="CMS-RxHCC 131: Bipolar Disorders"/>
    </code>
  </group>
  <group id="group-003">
    <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="2021-02-15"/>
    </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="not-applied"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <code>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/cmsrxhcc"/>
        <version value="5"/>
        <code value="30"/>
        <display value="Diabetes with Chronic Complications"/>
      </coding>
      <text value="CMS-RxHCC 30: Diabetes with Chronic Complications"/>
    </code>
  </group>
  <group id="group-004">
    <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-evidenceStatusDate">
      <valueDate value="2021-04-01"/>
    </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-hierarchicalStatus">
      <valueCodeableConcept>
        <coding>
          <system
                  value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"/>
          <code value="not-applied"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <code>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/cmsrxhcc"/>
        <version value="5"/>
        <code value="43"/>
        <display value="Morbid Obesity"/>
      </coding>
      <text value="CMS-RxHCC 43: Morbid Obesity"/>
    </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="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="2021-09-29"/>
    </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="not-applied"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <code>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/cmsrxhcc"/>
        <version value="5"/>
        <code value="31"/>
        <display value="Diabetes without Complications"/>
      </coding>
      <text value="CMS-RxHCC 31: 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="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="2021-09-29"/>
    </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="not-applied"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <code>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/cmsrxhcc"/>
        <version value="5"/>
        <code value="226"/>
        <display value="Chronic Obstructive Pulmonary Disease and Asthma"/>
      </coding>
      <text
            value="CMS-RxHCC 226: Chronic Obstructive Pulmonary Disease and Asthma"/>
    </code>
  </group>
  <evaluatedResource>🔗 
    <extension
               url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
      <valueString value="group-001"/>
    </extension>
    <reference value="Condition/ra-condition09pat01"/>
  </evaluatedResource>
  <evaluatedResource>🔗 
    <extension
               url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
      <valueString value="group-002"/>
    </extension>
    <reference value="Condition/ra-condition08pat01"/>
  </evaluatedResource>
  <evaluatedResource>🔗 
    <extension
               url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
      <valueString value="group-003"/>
    </extension>
    <reference value="Condition/ra-condition02pat01"/>
  </evaluatedResource>
  <evaluatedResource>🔗 
    <extension
               url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
      <valueString value="group-004"/>
    </extension>
    <reference value="Condition/ra-condition17pat01"/>
  </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-condition03pat01"/>
  </evaluatedResource>
  <evaluatedResource>🔗 
    <extension
               url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
      <valueString value="group-001"/>
    </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>
    <reference value="Encounter/ra-encounter09pat01"/>
  </evaluatedResource>
  <evaluatedResource>🔗 
    <extension
               url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
      <valueString value="group-002"/>
    </extension>
    <reference value="Encounter/ra-encounter08pat01"/>
  </evaluatedResource>
  <evaluatedResource>🔗 
    <extension
               url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
      <valueString value="group-003"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
      <valueString value="group-004"/>
    </extension>
    <reference value="Encounter/ra-encounter02pat01"/>
  </evaluatedResource>
  <evaluatedResource>🔗 
    <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-006"/>
    </extension>
    <reference value="Encounter/ra-encounter03pat01"/>
  </evaluatedResource>
  <evaluatedResource>🔗 
    <extension
               url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
      <valueString value="group-001"/>
    </extension>
    <reference value="Encounter/ra-encounter45pat01"/>
  </evaluatedResource>
</MeasureReport>