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
<MeasureReport xmlns="http://hl7.org/fhir">
<id value="ra-measurereport04"/>
<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 class="res-header-id"><b>Generated Narrative: MeasureReport ra-measurereport04</b></p><a name="ra-measurereport04"> </a><a name="hcra-measurereport04"> </a><a name="ra-measurereport04-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-RAModelExample02.html">Risk Adjustment Model Version 21 - CMS Hierarchical Category Condition (CMS-HCC)</a></p><p><b>subject</b>: <a href="Patient-ra-patient03.html">Nelda Nuclear (official) Female, DoB: 1965-07-26 ( Medical record number: 34567 (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>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span title="Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status applied-not-superseded}"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Hierarchies applied and Condition Category is not superseded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 188}">CMS-HCC 188: Artificial Openings for Feeding or Elimination</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>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 111}">CMS-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>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 21}">CMS-HCC 21: Protein-Calorie Malnutrition</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 open-gap}">Open Condition Category Gap</span></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 35}">CMS-HCC 35: Inflammatory Bowel Disease</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 open-gap}">Open Condition Category Gap</span></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}">CMS-HCC 96: Specified Heart Arrhythmia</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 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>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 18}">CMS-HCC 18: Diabetes with Chronic Complications</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>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 134}">CMS-HCC 134: Dialysis Status</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 open-gap}">Open Condition Category Gap</span></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 58}">CMS-HCC 58: Major Depressive, Bipolar, and Paranoid Disorders</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 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 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}">CMS-HCC 19: Diabetes without Complication</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 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>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 135}">CMS-HCC 135: Acute Renal Failure</span></p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-011</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>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 136}">CMS-HCC 136: Chronic Kidney Disease, Stage 5</span></p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-012</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>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 107}">CMS-HCC 107: Vascular Disease with Complications</span></p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-013</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 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 applied-superseded}">Hierarchies applied and Condition Category is superseded</span></p><p><b>code</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/cmshcc 108}">CMS-HCC 108: Vascular Disease</span></p></blockquote><p><b>evaluatedResource</b>: </p><ul><li><a href="Condition-ra-condition01pat03.html">Condition Other artificial openings of gastrointestinal tract status</a></li><li><a href="Condition-ra-condition04pat03.html">Condition Chronic obstructive pulmonary disease with (acute) exacerbation</a></li><li><a href="Condition-ra-condition05pat03.html">Condition Unspecified protein-calorie malnutrition</a></li><li><a href="Condition-ra-condition06pat03.html">Condition Crohn's disease of large intestine with unspecified complications</a></li><li><a href="Condition-ra-condition07pat03.html">Condition Other persistent atrial fibrillation</a></li><li><a href="Condition-ra-condition15pat03.html">Condition Diabetes mellitus due to underlying condition with diabetic chronic kidney disease</a></li><li><a href="Condition-ra-condition16pat03.html">Condition Dependence on renal dialysis</a></li><li><a href="Condition-ra-condition21pat03.html">Condition Type 2 diabetes mellitus without complications</a></li><li><a href="Condition-ra-condition22pat03.html">Condition Other acute kidney failure</a></li><li><a href="Condition-ra-condition32pat03.html">Condition Chronic pulmonary embolism</a></li><li><a href="Condition-ra-condition35pat03.html">Condition Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene</a></li><li><a href="Condition-ra-condition42pat03.html">Condition Other artificial openings of gastrointestinal tract status</a></li><li><a href="Encounter-ra-encounter01pat03.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 = 2021-07-14 --> 2021-07-14</a></li><li><a href="Encounter-ra-encounter04pat03.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 = 2020-12-18 --> 2020-12-18</a></li><li><a href="Encounter-ra-encounter05pat03.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 = 2020-03-03 --> 2020-03-03</a></li><li><a href="Encounter-ra-encounter06pat03.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 = 2020-09-17 --> 2020-09-17</a></li><li><a href="Encounter-ra-encounter07pat03.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 = 2019-02-07 --> 2019-02-07</a></li><li><a href="Encounter-ra-encounter15pat03.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 = 2021-08-08 --> 2021-08-08</a></li><li><a href="Encounter-ra-encounter16pat03.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 = 2021-07-27 --> 2021-07-27</a></li><li><a href="Encounter-ra-encounter19pat03.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 = 2019-08-23 --> 2019-08-23</a></li><li><a href="Encounter-ra-encounter21pat03.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 = 2021-01-30 --> 2021-01-30</a></li><li><a href="Encounter-ra-encounter22pat03.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 = 2021-07-01 --> 2021-07-01</a></li><li><a href="Encounter-ra-encounter01pat03.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 = 2021-07-14 --> 2021-07-14</a></li><li><a href="Encounter-ra-encounter35pat03.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 = 2021-02-12 --> 2021-02-12</a></li><li><a href="Encounter-ra-encounter42pat03.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 = 2020-02-10 --> 2020-02-11</a></li><li><a href="Observation-ra-obs01pat03.html">Observation Creat SerPl-mCnc</a></li><li><a href="Observation-ra-obs02pat03.html">Observation Patient Health Questionnaire 9 item (PHQ-9) total score [Reported]</a></li></ul></div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/measurereport-category">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/CodeSystem/measurereport-category"/>
<code value="ra"/>
</coding>
</valueCodeableConcept>
</extension>
<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-RAModelExample02"/>
<subject>🔗
<reference value="Patient/ra-patient03"/>
</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-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="21"/>
<code value="188"/>
<display value="Artificial Openings for Feeding or Elimination"/>
</coding>
<text
value="CMS-HCC 188: Artificial Openings for Feeding or Elimination"/>
</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-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="21"/>
<code value="111"/>
<display value="Chronic Obstructive Pulmonary Disease"/>
</coding>
<text value="CMS-HCC 111: Chronic Obstructive Pulmonary Disease"/>
</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="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-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="21"/>
<code value="21"/>
<display value="Protein-Calorie Malnutrition"/>
</coding>
<text value="CMS-HCC 21: Protein-Calorie Malnutrition"/>
</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="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-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="21"/>
<code value="35"/>
<display value="Inflammatory Bowel Disease"/>
</coding>
<text value="CMS-HCC 35: Inflammatory Bowel Disease"/>
</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="open-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="applied-not-superseded"/>
</coding>
</valueCodeableConcept>
</extension>
<code>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/cmshcc"/>
<version value="21"/>
<code value="96"/>
<display value="Specified Heart Arrhythmias"/>
</coding>
<text value="CMS-HCC 96: Specified Heart Arrhythmia"/>
</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="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-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="21"/>
<code value="18"/>
<display value="Diabetes with Chronic Complications"/>
</coding>
<text value="CMS-HCC 18: Diabetes with Chronic Complications"/>
</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-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="21"/>
<code value="134"/>
<display value="Dialysis Status"/>
</coding>
<text value="CMS-HCC 134: Dialysis Status"/>
</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="open-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="applied-not-superseded"/>
</coding>
</valueCodeableConcept>
</extension>
<code>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/cmshcc"/>
<version value="21"/>
<code value="58"/>
<display value="Major Depressive, Bipolar, and Paranoid Disorders"/>
</coding>
<text
value="CMS-HCC 58: Major Depressive, Bipolar, and Paranoid Disorders"/>
</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="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="applied-superseded"/>
</coding>
</valueCodeableConcept>
</extension>
<code>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/cmshcc"/>
<version value="21"/>
<code value="19"/>
<display value="Diabetes without Complication"/>
</coding>
<text value="CMS-HCC 19: Diabetes without Complication"/>
</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="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-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="21"/>
<code value="135"/>
<display value="Acute Renal Failure"/>
</coding>
<text value="CMS-HCC 135: Acute Renal Failure"/>
</code>
</group>
<group id="group-011">
<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-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="21"/>
<code value="136"/>
<display value="Chronic Kidney Disease, Stage 5"/>
</coding>
<text value="CMS-HCC 136: Chronic Kidney Disease, Stage 5"/>
</code>
</group>
<group id="group-012">
<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-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="21"/>
<code value="107"/>
<display value="Vascular Disease with Complications"/>
</coding>
<text value="CMS-HCC 107: Vascular Disease with Complications"/>
</code>
</group>
<group id="group-013">
<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="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="applied-superseded"/>
</coding>
</valueCodeableConcept>
</extension>
<code>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/cmshcc"/>
<version value="21"/>
<code value="108"/>
<display value="Vascular Disease"/>
</coding>
<text value="CMS-HCC 108: Vascular Disease"/>
</code>
</group>
<evaluatedResource>🔗
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-001"/>
</extension>
<reference value="Condition/ra-condition01pat03"/>
</evaluatedResource>
<evaluatedResource>🔗
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-002"/>
</extension>
<reference value="Condition/ra-condition04pat03"/>
</evaluatedResource>
<evaluatedResource>🔗
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-003"/>
</extension>
<reference value="Condition/ra-condition05pat03"/>
</evaluatedResource>
<evaluatedResource>🔗
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-004"/>
</extension>
<reference value="Condition/ra-condition06pat03"/>
</evaluatedResource>
<evaluatedResource>🔗
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-005"/>
</extension>
<reference value="Condition/ra-condition07pat03"/>
</evaluatedResource>
<evaluatedResource>🔗
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-006"/>
</extension>
<reference value="Condition/ra-condition15pat03"/>
</evaluatedResource>
<evaluatedResource>🔗
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-007"/>
</extension>
<reference value="Condition/ra-condition16pat03"/>
</evaluatedResource>
<evaluatedResource>🔗
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-009"/>
</extension>
<reference value="Condition/ra-condition21pat03"/>
</evaluatedResource>
<evaluatedResource>🔗
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-010"/>
</extension>
<reference value="Condition/ra-condition22pat03"/>
</evaluatedResource>
<evaluatedResource>🔗
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-012"/>
</extension>
<reference value="Condition/ra-condition32pat03"/>
</evaluatedResource>
<evaluatedResource>🔗
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-013"/>
</extension>
<reference value="Condition/ra-condition35pat03"/>
</evaluatedResource>
<evaluatedResource>🔗
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-001"/>
</extension>
<reference value="Condition/ra-condition42pat03"/>
</evaluatedResource>
<evaluatedResource>🔗
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-001"/>
</extension>
<reference value="Encounter/ra-encounter01pat03"/>
</evaluatedResource>
<evaluatedResource>🔗
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-002"/>
</extension>
<reference value="Encounter/ra-encounter04pat03"/>
</evaluatedResource>
<evaluatedResource>🔗
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-003"/>
</extension>
<reference value="Encounter/ra-encounter05pat03"/>
</evaluatedResource>
<evaluatedResource>🔗
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-004"/>
</extension>
<reference value="Encounter/ra-encounter06pat03"/>
</evaluatedResource>
<evaluatedResource>🔗
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-005"/>
</extension>
<reference value="Encounter/ra-encounter07pat03"/>
</evaluatedResource>
<evaluatedResource>🔗
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-006"/>
</extension>
<reference value="Encounter/ra-encounter15pat03"/>
</evaluatedResource>
<evaluatedResource>🔗
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-007"/>
</extension>
<reference value="Encounter/ra-encounter16pat03"/>
</evaluatedResource>
<evaluatedResource>🔗
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-008"/>
</extension>
<reference value="Encounter/ra-encounter19pat03"/>
</evaluatedResource>
<evaluatedResource>🔗
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-009"/>
</extension>
<reference value="Encounter/ra-encounter21pat03"/>
</evaluatedResource>
<evaluatedResource>🔗
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-010"/>
</extension>
<reference value="Encounter/ra-encounter22pat03"/>
</evaluatedResource>
<evaluatedResource>🔗
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-012"/>
</extension>
<reference value="Encounter/ra-encounter01pat03"/>
</evaluatedResource>
<evaluatedResource>🔗
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-013"/>
</extension>
<reference value="Encounter/ra-encounter35pat03"/>
</evaluatedResource>
<evaluatedResource>🔗
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-001"/>
</extension>
<reference value="Encounter/ra-encounter42pat03"/>
</evaluatedResource>
<evaluatedResource>🔗
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-011"/>
</extension>
<reference value="Observation/ra-obs01pat03"/>
</evaluatedResource>
<evaluatedResource>🔗
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-008"/>
</extension>
<reference value="Observation/ra-obs02pat03"/>
</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
Links: Table of Contents |
QA Report
| Version History |
|
Propose a change