Da Vinci Risk Adjustment Implementation Guide
2.1.0 - STU 2.1

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 2.1.0 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

## : RA Coding Gap MeasureReport Example05 with RA Model CMS-RxHCC V5 for Patient03 Nelda Nuclear - TTL Representation

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    @prefix fhir: <http://hl7.org/fhir/> .
    @prefix owl: <http://www.w3.org/2002/07/owl#> .
    @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
    @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
    @prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

    # - resource -------------------------------------------------------------------

     a fhir:MeasureReport ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:id [ fhir:v "ra-measurereport05"] ; #
      fhir:meta [
        ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/instance-name"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/instance-name>       ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "RA Coding Gap MeasureReport Example05 with RA Model CMS-RxHCC V5 for Patient03 Nelda Nuclear"       ]     ] [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/instance-description"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/instance-description>       ] ;
    fhir:value [
    a fhir:Markdown ;
    fhir:v "This is an example for the Risk Adjustment Coding Gap MeasureReport profile. This example report uses the CMS-RxHCC version 5 as the Risk Adjustment Model and the example patient used is Eve Everywoman."       ]     ] ) ;
        ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-measurereport"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-measurereport>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "extensions" ] ;
    fhir:div [ fhir:v "<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><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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ra-measurereport.html\">Risk Adjustment Coding Gap MeasureReport</a></p></div><p><b>Measure Report Category</b>: <span title=\"Codes:{http://hl7.org/fhir/CodeSystem/measurereport-category ra}\">Risk Adjustment</span></p><p><b>Clinical Data Collection Deadline Extension</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-RxHCC)</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 --&gt; 2021-09-30</p><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-001</blockquote><p><b>Condition Category Type Extension</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 Extension</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 Extension</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>Condition Category Type Extension</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 Extension</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 Extension</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>Condition Category Type Extension</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 Extension</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 Extension</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>Condition Category Type Extension</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 Extension</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 Extension</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>Condition Category Type Extension</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 Extension</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 Extension</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>Condition Category Type Extension</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 Extension</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 Extension</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 --&gt; 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 --&gt; 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 --&gt; 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 --&gt; 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 --&gt; 2021-02-12</a></li><li><a href=\"Observation-ra-obs01pat03.html\">Observation Creat SerPl-mCnc</a></li></ul></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:extension ( [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/measurereport-category"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/measurereport-category>     ] ;
    fhir:value [
    a fhir:CodeableConcept ;
          ( fhir:coding [
    fhir:system [
    fhir:v "http://hl7.org/fhir/CodeSystem/measurereport-category"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/CodeSystem/measurereport-category>         ] ;
    fhir:code [ fhir:v "ra" ]       ] )     ]
      ] [
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-clinicalDataCollectionDeadline"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-clinicalDataCollectionDeadline>     ] ;
    fhir:value [
    a fhir:Date ;
    fhir:v "2022-03-31"^^xsd:date     ]
      ] ) ; #
      fhir:status [ fhir:v "complete"] ; #
      fhir:type [ fhir:v "individual"] ; #
      fhir:measure [
    fhir:v "http://hl7.org/fhir/us/davinci-ra/Measure/RAModelExample03"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-ra/Measure/RAModelExample03>
      ] ; #
      fhir:subject [
    fhir:l fhir:Patient/ra-patient03 ;
    fhir:reference [ fhir:v "Patient/ra-patient03" ]
      ] ; #
      fhir:date [ fhir:v "2021-10-18"^^xsd:date] ; #
      fhir:reporter [
    fhir:l fhir:Organization/ra-payer01 ;
    fhir:reference [ fhir:v "Organization/ra-payer01" ]
      ] ; #
      fhir:period [
    fhir:start [ fhir:v "2021-01-01"^^xsd:date ] ;
    fhir:end [ fhir:v "2021-09-30"^^xsd:date ]
      ] ; #
      fhir:group ( [
    fhir:id [ fhir:v "group-001" ] ;
        ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccType"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccType>       ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [
    fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type>           ] ;
    fhir:code [ fhir:v "historic" ]         ] )       ]     ] [
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus>       ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [
    fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status>           ] ;
    fhir:code [ fhir:v "pending" ]         ] )       ]     ] [
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus>       ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [
    fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status>           ] ;
    fhir:code [ fhir:v "not-applied" ]         ] )       ]     ] ) ;
    fhir:code [
          ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/cmsrxhcc"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/cmsrxhcc>         ] ;
    fhir:version [ fhir:v "5" ] ;
    fhir:code [ fhir:v "226" ] ;
    fhir:display [ fhir:v "Chronic Obstructive Pulmonary Disease and Asthma" ]       ] ) ;
    fhir:text [ fhir:v "CMS-RxHCC 226: Chronic Obstructive Pulmonary Disease and Asthma" ]     ]
      ] [
    fhir:id [ fhir:v "group-002" ] ;
        ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccType"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccType>       ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [
    fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type>           ] ;
    fhir:code [ fhir:v "suspected" ]         ] )       ]     ] [
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus>       ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [
    fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status>           ] ;
    fhir:code [ fhir:v "closed-gap" ]         ] )       ]     ] [
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus>       ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [
    fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status>           ] ;
    fhir:code [ fhir:v "not-applied" ]         ] )       ]     ] ) ;
    fhir:code [
          ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/cmsrxhcc"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/cmsrxhcc>         ] ;
    fhir:version [ fhir:v "5" ] ;
    fhir:code [ fhir:v "31" ] ;
    fhir:display [ fhir:v "Diabetes without Complication" ]       ] ) ;
    fhir:text [ fhir:v "CMS-RxHCC 31: Diabetes without Complication" ]     ]
      ] [
    fhir:id [ fhir:v "group-003" ] ;
        ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccType"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccType>       ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [
    fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type>           ] ;
    fhir:code [ fhir:v "suspected" ]         ] )       ]     ] [
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus>       ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [
    fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status>           ] ;
    fhir:code [ fhir:v "closed-gap" ]         ] )       ]     ] [
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus>       ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [
    fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status>           ] ;
    fhir:code [ fhir:v "not-applied" ]         ] )       ]     ] ) ;
    fhir:code [
          ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/cmsrxhcc"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/cmsrxhcc>         ] ;
    fhir:version [ fhir:v "5" ] ;
    fhir:code [ fhir:v "30" ] ;
    fhir:display [ fhir:v "Diabetes with Complications" ]       ] ) ;
    fhir:text [ fhir:v "CMS-RxHCC 30: Diabetes with Complications" ]     ]
      ] [
    fhir:id [ fhir:v "group-004" ] ;
        ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccType"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccType>       ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [
    fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type>           ] ;
    fhir:code [ fhir:v "suspected" ]         ] )       ]     ] [
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus>       ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [
    fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status>           ] ;
    fhir:code [ fhir:v "closed-gap" ]         ] )       ]     ] [
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus>       ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [
    fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status>           ] ;
    fhir:code [ fhir:v "not-applied" ]         ] )       ]     ] ) ;
    fhir:code [
          ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/cmsrxhcc"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/cmsrxhcc>         ] ;
    fhir:version [ fhir:v "5" ] ;
    fhir:code [ fhir:v "261" ] ;
    fhir:display [ fhir:v "Dialysis Status" ]       ] ) ;
    fhir:text [ fhir:v "CMS-RxHCC 261: Dialysis Status" ]     ]
      ] [
    fhir:id [ fhir:v "group-005" ] ;
        ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccType"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccType>       ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [
    fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type>           ] ;
    fhir:code [ fhir:v "suspected" ]         ] )       ]     ] [
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus>       ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [
    fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status>           ] ;
    fhir:code [ fhir:v "open-gap" ]         ] )       ]     ] [
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus>       ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [
    fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status>           ] ;
    fhir:code [ fhir:v "not-applied" ]         ] )       ]     ] ) ;
    fhir:code [
          ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/cmsrxhcc"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/cmsrxhcc>         ] ;
    fhir:version [ fhir:v "5" ] ;
    fhir:code [ fhir:v "262" ] ;
    fhir:display [ fhir:v "Chronic Kidney Disease Stage 5" ]       ] ) ;
    fhir:text [ fhir:v "CMS-RxHCC 262: Chronic Kidney Disease Stage 5" ]     ]
      ] [
    fhir:id [ fhir:v "group-006" ] ;
        ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccType"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccType>       ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [
    fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type>           ] ;
    fhir:code [ fhir:v "net-new" ]         ] )       ]     ] [
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus>       ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [
    fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status>           ] ;
    fhir:code [ fhir:v "closed-gap" ]         ] )       ]     ] [
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus>       ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [
    fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status>           ] ;
    fhir:code [ fhir:v "not-applied" ]         ] )       ]     ] ) ;
    fhir:code [
          ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/cmsrxhcc"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/cmsrxhcc>         ] ;
    fhir:version [ fhir:v "5" ] ;
    fhir:code [ fhir:v "216" ] ;
    fhir:display [ fhir:v "Peripheral Vascular Disease" ]       ] ) ;
    fhir:text [ fhir:v "CMS-RxHCC 216: Peripheral Vascular Disease" ]     ]
      ] ) ; #
      fhir:evaluatedResource ( [
    fhir:l fhir:Condition/ra-condition04pat03 ;
        ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference>       ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "group-001"       ]     ] ) ;
    fhir:reference [ fhir:v "Condition/ra-condition04pat03" ]
      ] [
    fhir:l fhir:Condition/ra-condition21pat03 ;
        ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference>       ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "group-002"       ]     ] ) ;
    fhir:reference [ fhir:v "Condition/ra-condition21pat03" ]
      ] [
    fhir:l fhir:Condition/ra-condition15pat03 ;
        ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference>       ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "group-003"       ]     ] ) ;
    fhir:reference [ fhir:v "Condition/ra-condition15pat03" ]
      ] [
    fhir:l fhir:Condition/ra-condition16pat03 ;
        ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference>       ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "group-004"       ]     ] ) ;
    fhir:reference [ fhir:v "Condition/ra-condition16pat03" ]
      ] [
    fhir:l fhir:Condition/ra-condition35pat03 ;
        ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference>       ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "group-006"       ]     ] ) ;
    fhir:reference [ fhir:v "Condition/ra-condition35pat03" ]
      ] [
    fhir:l fhir:Encounter/ra-encounter04pat03 ;
        ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference>       ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "group-001"       ]     ] ) ;
    fhir:reference [ fhir:v "Encounter/ra-encounter04pat03" ]
      ] [
    fhir:l fhir:Encounter/ra-encounter21pat03 ;
        ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference>       ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "group-002"       ]     ] ) ;
    fhir:reference [ fhir:v "Encounter/ra-encounter21pat03" ]
      ] [
    fhir:l fhir:Encounter/ra-encounter15pat03 ;
        ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference>       ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "group-003"       ]     ] ) ;
    fhir:reference [ fhir:v "Encounter/ra-encounter15pat03" ]
      ] [
    fhir:l fhir:Encounter/ra-encounter16pat03 ;
        ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference>       ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "group-004"       ]     ] ) ;
    fhir:reference [ fhir:v "Encounter/ra-encounter16pat03" ]
      ] [
    fhir:l fhir:Encounter/ra-encounter35pat03 ;
        ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference>       ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "group-006"       ]     ] ) ;
    fhir:reference [ fhir:v "Encounter/ra-encounter35pat03" ]
      ] [
    fhir:l fhir:Observation/ra-obs01pat03 ;
        ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference>       ] ;
    fhir:value [
    a fhir:String ;
    fhir:v "group-005"       ]     ] ) ;
    fhir:reference [ fhir:v "Observation/ra-obs01pat03" ]
      ] ) . #