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 - XML Representation

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<Parameters xmlns="http://hl7.org/fhir">
  <id value="ra-submit-data"/>
  <parameter>
    <name value="MeasureReport"/>
    <resource>
      <MeasureReport>
        <id value="ra-datax-measurereport01"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-datax-measurereport"/>
        </meta>
        <text>
          <status value="extensions"/>
          <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>
        </text>
        <extension
                   url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-payerCodingGapReportId">
          <valueId value="ra-measurereport01"/>
        </extension>
        <status value="complete"/>
        <type value="data-collection"/>
        <measure
                 value="https://build.fhir.org/ig/HL7/davinci-ra/Measure-RAModelExample01"/>
        <subject>🔗 
          <reference value="Patient/ra-patient01"/>
        </subject>
        <date value="2021-11-10"/>
        <reporter>🔗 
          <reference value="Organization/ra-org02pat02"/>
        </reporter>
        <period>
          <start value="2021-01-01"/>
          <end value="2021-09-30"/>
        </period>
        <evaluatedResource>🔗 
          <reference value="DocumentReference/ra-documentreference01pat01"/>
        </evaluatedResource>
      </MeasureReport>
    </resource>
  </parameter>
  <parameter>
    <name value="resource"/>
    <resource>
      <DocumentReference>
        <id value="ra-documentreference01pat01"/>
        <meta>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/instance-name">
            <valueString value="Episode Summary Example"/>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/instance-description">
            <valueMarkdown
                           value="This is a episode summary example for the *US Core DocumentReference Profile*."/>
          </extension>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference"/>
        </meta>
        <text>
          <status value="extensions"/>
          <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>
        </text>
        <identifier>
          <system value="urn:ietf:rfc:3986"/>
          <value value="urn:oid:2.16.840.1.113883.19.5.99999.1"/>
        </identifier>
        <status value="current"/>
        <type>
          <coding>
            <system value="http://loinc.org"/>
            <code value="34108-1"/>
            <display value="Outpatient Note"/>
          </coding>
          <text value="CCD Document"/>
        </type>
        <category>
          <coding>
            <system
                    value="http://hl7.org/fhir/us/core/CodeSystem/us-core-documentreference-category"/>
            <code value="clinical-note"/>
            <display value="Clinical Note"/>
          </coding>
          <text value="Clinical Note"/>
        </category>
        <subject>🔗 
          <reference value="Patient/ra-patient01"/>
          <display value="Eve Everywoman"/>
        </subject>
        <date value="2021-03-27T15:29:46Z"/>
        <author>🔗 
          <reference value="Practitioner/ra-prac01pat01"/>
          <display value="Harold Hippocrates, MD"/>
        </author>
        <description value="Clinical Note"/>
        <content>
          <attachment>
            <contentType value="text/plain"/>
            <data
                  value="DQpQYXRpZW50OiBFdmUgRXZlcnl3b21lbg0KRE9COiAgMS8xNi8xOTc1DQpNUiM6ICAxMjM0NQ0KDQpEYXRlIG9mIFZpc2l0OiAzLzI3LzIwMjENClBhdGllbnQgcmVwb3J0cyB0aGUgaW5hYmlsaXR5IHRvIGRpZ2VzdCBmb29kIHByb3Blcmx5IGR1ZSB0byBhbiBpbnN1ZmZpY2llbmN5IGluIGV4b2NyaW5lIHBhbmNyZWF0aWMgZGlnZXN0aXZlIGVuenltZXMuIFBhdGllbnQgZXhwZXJpZW5jaW5nIGFiZG9taW5hbCBwYWluLCBkaWFycmhlYSwgZ2FzLCBhbmQgd2VpZ2h0IGxvc3MuIE9yZGVyZWQgUEVSVCB0cmVhdG1lbnQuDQoNCg0KDQpIYXJvbGQgSGlwcG9jcmF0ZXMsIE1EDQo="/>
          </attachment>
        </content>
      </DocumentReference>
    </resource>
  </parameter>
  <parameter>
    <name value="resource"/>
    <resource>
      <Patient>
        <id value="ra-patient01"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"/>
        </meta>
        <text>
          <status value="generated"/>
          <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:

 - American Indian or Alaska Native
 - Asian
 - Black or African American
 - Native Hawaiian or Other Pacific Islander
 - 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>
        </text>
        <extension
                   url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex">
          <valueCode value="F"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
          <extension url="ombCategory">
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.6.238"/>
              <code value="2106-3"/>
              <display value="White"/>
            </valueCoding>
          </extension>
          <extension url="text">
            <valueString value="White"/>
          </extension>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity">
          <extension url="ombCategory">
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.6.238"/>
              <code value="2186-5"/>
              <display value="Not Hispanic or Latino"/>
            </valueCoding>
          </extension>
          <extension url="text">
            <valueString value="Not Hispanic or Latino"/>
          </extension>
        </extension>
        <identifier>
          <use value="usual"/>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="MR"/>
              <display value="Medical record number"/>
            </coding>
          </type>
          <system value="http://hospital.davinci.org"/>
          <value value="12345"/>
        </identifier>
        <active value="true"/>
        <name>
          <use value="official"/>
          <family value="Everywoman"/>
          <given value="Eve"/>
        </name>
        <gender value="female"/>
        <birthDate value="1975-01-16"/>
        <deceasedBoolean value="false"/>
        <address>
          <use value="home"/>
          <line value="2222 Home Street"/>
          <city value="Ann Arbor"/>
          <state value="MI"/>
          <postalCode value="99999"/>
          <country value="USA"/>
        </address>
        <maritalStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/v3-MaritalStatus"/>
            <code value="M"/>
            <display value="Married"/>
          </coding>
        </maritalStatus>
        <communication>
          <language>
            <coding>
              <system value="urn:ietf:bcp:47"/>
              <code value="en-US"/>
              <display value="English (United States)"/>
            </coding>
          </language>
          <preferred value="true"/>
        </communication>
      </Patient>
    </resource>
  </parameter>
</Parameters>