Da Vinci Risk Adjustment Implementation Guide
2.0.0-preview - STU2 United States of America flag

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

: Submit Data for Risk Adjustement Data Exchange MeasureReport - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <https://loinc.org/rdf/> .
@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:Parameters ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "ra-submit-data"] ; # 
  fhir:parameter ( [
fhir:name [ fhir:v "MeasureReport" ] ;
    ( fhir:Parameters.parameter.resource [
a fhir:MeasureReport ;
fhir:id [ fhir:v "ra-datax-measurereport01" ] ;
fhir:meta [
        ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-datax-measurereport"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-datax-measurereport>         ] )       ] ;
fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MeasureReport</b><a name=\"ra-datax-measurereport01\"> </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\">Resource MeasureReport &quot;ra-datax-measurereport01&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ra-datax-measurereport.html\">Risk Adjustment Data Exchange MeasureReport</a></p></div><p><b>Payer Coding Gap Report Id</b>: ra-measurereport01</p><p><b>status</b>: complete</p><p><b>type</b>: data-collection</p><p><b>measure</b>: <a href=\"Measure-RAModelExample01.html\">Risk Adjustment Model Version 24 - CMS Hierarchical Category Condition (CMS-HCC)</a></p><p><b>subject</b>: <a href=\"Patient-ra-patient01.html\">Patient/ra-patient01</a> &quot; EVERYWOMAN&quot;</p><p><b>date</b>: 2021-11-10</p><p><b>reporter</b>: <a href=\"Organization-ra-org02pat02.html\">Organization/ra-org02pat02</a> &quot;GHH Outpatient Clinic&quot;</p><p><b>period</b>: 2021-01-01 --&gt; 2021-09-30</p><p><b>evaluatedResource</b>: <a href=\"DocumentReference-ra-documentreference01pat01.html\">DocumentReference/ra-documentreference01pat01</a></p></div>"       ] ;
      ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-payerCodingGapReportId"^^xsd:anyURI ] ;
fhir:value [ fhir:v "ra-measurereport01" ]       ] ) ;
fhir:status [ fhir:v "complete" ] ;
fhir:type [ fhir:v "data-collection" ] ;
fhir:measure [
fhir:v "https://build.fhir.org/ig/HL7/davinci-ra/Measure-RAModelExample01"^^xsd:anyURI ;
fhir:link <https://build.fhir.org/ig/HL7/davinci-ra/Measure-RAModelExample01>       ] ;
fhir:subject [
fhir:reference [ fhir:v "Patient/ra-patient01" ]       ] ;
fhir:date [ fhir:v "2021-11-10"^^xsd:date ] ;
fhir:reporter [
fhir:reference [ fhir:v "Organization/ra-org02pat02" ]       ] ;
fhir:period [
fhir:start [ fhir:v "2021-01-01"^^xsd:date ] ;
fhir:end [ fhir:v "2021-09-30"^^xsd:date ]       ] ;
      ( fhir:evaluatedResource [
fhir:reference [ fhir:v "DocumentReference/ra-documentreference01pat01" ]       ] )     ] )
  ] [
fhir:name [ fhir:v "resource" ] ;
    ( fhir:Parameters.parameter.resource [
a fhir:DocumentReference ;
fhir:id [ fhir:v "ra-documentreference01pat01" ] ;
fhir:meta [
        ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/instance-name"^^xsd:anyURI ] ;
fhir:value [ fhir:v "Episode Summary Example" ]         ] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/instance-description"^^xsd:anyURI ] ;
fhir:value [ fhir:v "This is a episode summary example for the *US Core DocumentReference Profile*." ]         ] ) ;
        ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference>         ] )       ] ;
fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MeasureReport</b><a name=\"ra-datax-measurereport01\"> </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\">Resource MeasureReport &quot;ra-datax-measurereport01&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ra-datax-measurereport.html\">Risk Adjustment Data Exchange MeasureReport</a></p></div><p><b>Payer Coding Gap Report Id</b>: ra-measurereport01</p><p><b>status</b>: complete</p><p><b>type</b>: data-collection</p><p><b>measure</b>: <a href=\"Measure-RAModelExample01.html\">Risk Adjustment Model Version 24 - CMS Hierarchical Category Condition (CMS-HCC)</a></p><p><b>subject</b>: <a href=\"Patient-ra-patient01.html\">Patient/ra-patient01</a> &quot; EVERYWOMAN&quot;</p><p><b>date</b>: 2021-11-10</p><p><b>reporter</b>: <a href=\"Organization-ra-org02pat02.html\">Organization/ra-org02pat02</a> &quot;GHH Outpatient Clinic&quot;</p><p><b>period</b>: 2021-01-01 --&gt; 2021-09-30</p><p><b>evaluatedResource</b>: <a href=\"DocumentReference-ra-documentreference01pat01.html\">DocumentReference/ra-documentreference01pat01</a></p></div>"       ] ;
      ( fhir:identifier [
fhir:system [ fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ] ;
fhir:value [ fhir:v "urn:oid:2.16.840.1.113883.19.5.99999.1" ]       ] ) ;
fhir:status [ fhir:v "current" ] ;
fhir:type [
        ( fhir:coding [
a loinc:34108-1 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "34108-1" ] ;
fhir:display [ fhir:v "Outpatient Note" ]         ] ) ;
fhir:text [ fhir:v "CCD Document" ]       ] ;
      ( fhir:category [
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category"^^xsd:anyURI ] ;
fhir:code [ fhir:v "clinical-note" ] ;
fhir:display [ fhir:v "Clinical Note" ]         ] ) ;
fhir:text [ fhir:v "Clinical Note" ]       ] ) ;
fhir:subject [
fhir:reference [ fhir:v "Patient/ra-patient01" ] ;
fhir:display [ fhir:v "Eve Everywoman" ]       ] ;
fhir:date [ fhir:v "2021-03-27T15:29:46Z"^^xsd:dateTime ] ;
      ( fhir:author [
fhir:reference [ fhir:v "Practitioner/ra-prac01pat01" ] ;
fhir:display [ fhir:v "Harold Hippocrates, MD" ]       ] ) ;
fhir:description [ fhir:v "Clinical Note" ] ;
      ( fhir:content [
fhir:attachment [
fhir:contentType [ fhir:v "text/plain" ] ;
fhir:data [ fhir:v "DQpQYXRpZW50OiBFdmUgRXZlcnl3b21lbg0KRE9COiAgMS8xNi8xOTc1DQpNUiM6ICAxMjM0NQ0KDQpEYXRlIG9mIFZpc2l0OiAzLzI3LzIwMjENClBhdGllbnQgcmVwb3J0cyB0aGUgaW5hYmlsaXR5IHRvIGRpZ2VzdCBmb29kIHByb3Blcmx5IGR1ZSB0byBhbiBpbnN1ZmZpY2llbmN5IGluIGV4b2NyaW5lIHBhbmNyZWF0aWMgZGlnZXN0aXZlIGVuenltZXMuIFBhdGllbnQgZXhwZXJpZW5jaW5nIGFiZG9taW5hbCBwYWluLCBkaWFycmhlYSwgZ2FzLCBhbmQgd2VpZ2h0IGxvc3MuIE9yZGVyZWQgUEVSVCB0cmVhdG1lbnQuDQoNCg0KDQpIYXJvbGQgSGlwcG9jcmF0ZXMsIE1EDQo="^^xsd:base64Binary ]         ]       ] )     ] )
  ] [
fhir:name [ fhir:v "resource" ] ;
    ( fhir:Parameters.parameter.resource [
a fhir:Patient ;
fhir:id [ fhir:v "ra-patient01" ] ;
fhir:meta [
        ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient>         ] )       ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\"><b>Eve Everywoman (OFFICIAL)</b> female, DoB: 1975-01-16 ( Medical record number/12345 (use: USUAL))</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Record is active\">Active:</td><td>true</td><td style=\"background-color: #f3f5da\" title=\"Known status of Patient\">Deceased:</td><td>false</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Known Marital status of Patient\">Marital Status:</td><td colspan=\"3\"><span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-MaritalStatus M}\">Married</span></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail:</td><td colspan=\"3\">2222 Home Street Ann Arbor MI 99999 USA (HOME)</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Languages spoken\">Language:</td><td colspan=\"3\"><span title=\"Codes: {urn:ietf:bcp:47 en-US}\">English (United States)</span> (preferred)</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The ethnicity codes used to represent these concepts are based upon the [CDC ethnicity and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity.  The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.\">US Core Ethnicity Extension:</td><td colspan=\"3\"><ul><li>ombCategory: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/CodeSystem-cdcrec.html#cdcrec-2186-5\">Race &amp; Ethnicity - CDC</a> 2186-5: Not Hispanic or Latino</li><li>text: Not Hispanic or Latino</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"A code classifying the person's sex assigned at birth  as specified by the [Office of the National Coordinator for Health IT (ONC)](https://www.healthit.gov/newsroom/about-onc). This extension aligns with the C-CDA Birth Sex Observation (LOINC 76689-9).\"><a href=\"http://hl7.org/fhir/us/core/STU5.0.1/StructureDefinition-us-core-birthsex.html\">US Core Birth Sex Extension:</a></td><td colspan=\"3\"><ul><li>F</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 921 reference race.  The race concepts are grouped by and pre-mapped to the 5 OMB race categories:\n\n - American Indian or Alaska Native\n - Asian\n - Black or African American\n - Native Hawaiian or Other Pacific Islander\n - White.\">US Core Race Extension:</td><td colspan=\"3\"><ul><li>ombCategory: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/CodeSystem-cdcrec.html#cdcrec-2106-3\">Race &amp; Ethnicity - CDC</a> 2106-3: White</li><li>text: White</li></ul></td></tr></table></div>"       ] ;
      ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex"^^xsd:anyURI ] ;
fhir:value [ fhir:v "F" ]       ] [
        ( fhir:extension [
fhir:url [ fhir:v "ombCategory"^^xsd:anyURI ] ;
fhir:value [
a fhir:Coding ;
fhir:system [ fhir:v "urn:oid:2.16.840.1.113883.6.238"^^xsd:anyURI ] ;
fhir:code [ fhir:v "2106-3" ] ;
fhir:display [ fhir:v "White" ]           ]         ] [
fhir:url [ fhir:v "text"^^xsd:anyURI ] ;
fhir:value [ fhir:v "White" ]         ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"^^xsd:anyURI ]       ] [
        ( fhir:extension [
fhir:url [ fhir:v "ombCategory"^^xsd:anyURI ] ;
fhir:value [
a fhir:Coding ;
fhir:system [ fhir:v "urn:oid:2.16.840.1.113883.6.238"^^xsd:anyURI ] ;
fhir:code [ fhir:v "2186-5" ] ;
fhir:display [ fhir:v "Not Hispanic or Latino" ]           ]         ] [
fhir:url [ fhir:v "text"^^xsd:anyURI ] ;
fhir:value [ fhir:v "Not Hispanic or Latino" ]         ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"^^xsd:anyURI ]       ] ) ;
      ( fhir:identifier [
fhir:use [ fhir:v "usual" ] ;
fhir:type [
          ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "MR" ] ;
fhir:display [ fhir:v "Medical record number" ]           ] )         ] ;
fhir:system [ fhir:v "http://hospital.davinci.org"^^xsd:anyURI ] ;
fhir:value [ fhir:v "12345" ]       ] ) ;
fhir:active [ fhir:v "true"^^xsd:boolean ] ;
      ( fhir:name [
fhir:use [ fhir:v "official" ] ;
fhir:family [ fhir:v "Everywoman" ] ;
        ( fhir:given [ fhir:v "Eve" ] )       ] ) ;
fhir:gender [ fhir:v "female" ] ;
fhir:birthDate [ fhir:v "1975-01-16"^^xsd:date ] ;
fhir:deceased [ fhir:v "false"^^xsd:boolean ] ;
      ( fhir:address [
fhir:use [ fhir:v "home" ] ;
        ( fhir:line [ fhir:v "2222 Home Street" ] ) ;
fhir:city [ fhir:v "Ann Arbor" ] ;
fhir:state [ fhir:v "MI" ] ;
fhir:postalCode [ fhir:v "99999" ] ;
fhir:country [ fhir:v "USA" ]       ] ) ;
fhir:maritalStatus [
        ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus"^^xsd:anyURI ] ;
fhir:code [ fhir:v "M" ] ;
fhir:display [ fhir:v "Married" ]         ] )       ] ;
      ( fhir:communication [
fhir:language [
          ( fhir:coding [
fhir:system [ fhir:v "urn:ietf:bcp:47"^^xsd:anyURI ] ;
fhir:code [ fhir:v "en-US" ] ;
fhir:display [ fhir:v "English (United States)" ]           ] )         ] ;
fhir:preferred [ fhir:v "true"^^xsd:boolean ]       ] )     ] )
  ] ) . #