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
<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 "ra-datax-measurereport01" </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> " EVERYWOMAN"</p><p><b>date</b>: 2021-11-10</p><p><b>reporter</b>: <a href="Organization-ra-org02pat02.html">Organization/ra-org02pat02</a> "GHH Outpatient Clinic"</p><p><b>period</b>: 2021-01-01 --> 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 "ra-datax-measurereport01" </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> " EVERYWOMAN"</p><p><b>date</b>: 2021-11-10</p><p><b>reporter</b>: <a href="Organization-ra-org02pat02.html">Organization/ra-org02pat02</a> "GHH Outpatient Clinic"</p><p><b>period</b>: 2021-01-01 --> 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 & 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 & 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>