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
| Page standards status: Informative |
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<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: MeasureReport ra-measurereport05</b></p><a name="ra-measurereport05"> </a><a name="hcra-measurereport05"> </a><a name="ra-measurereport05-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-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 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 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><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 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 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 Complication</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>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 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>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 261}">CMS-RxHCC 261: Dialysis Status</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 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 not-applied}">Hierarchies not applied</span></p><p><b>code</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/cmsrxhcc 262}">CMS-RxHCC 262: Chronic Kidney Disease Stage 5</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 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 216}">CMS-RxHCC 216: Peripheral Vascular Disease</span></p></blockquote><p><b>evaluatedResource</b>: </p><ul><li><a href="Condition-ra-condition04pat03.html">Condition Chronic obstructive pulmonary disease with (acute) exacerbation</a></li><li><a href="Condition-ra-condition21pat03.html">Condition Type 2 diabetes mellitus without complications</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-condition35pat03.html">Condition Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene</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-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-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-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="Observation-ra-obs01pat03.html">Observation Creat SerPl-mCnc</a></li></ul></div>
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IG © 2021+ HL7 International / Clinical Quality Information. Package hl7.fhir.us.davinci-ra#2.0.0 based on FHIR 4.0.1. Generated 2024-12-10
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