## Profile Comparison between http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-model-measure vs http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-model-measure

Left: | Risk Adjustment Model Measure (http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-model-measure)
Right: | Risk Adjustment Model Measure (http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-model-measure)

### Messages

Error | StructureDefinition.version | Values for version differ: '1.0.0' vs '2.1.0'
Information | StructureDefinition.date | Values for date differ: '2022-06-16T14:23:36+00:00' vs '2025-11-20T19:49:53+00:00'
Information | StructureDefinition.publisher | Values for publisher differ: 'HL7 Clinical Quality Information Work Group' vs 'HL7 International / Clinical Quality Information'
Information | StructureDefinition.copyright | Values for copyright differ: 'Used by permission of HL7 International - Clinical Quality Information Work Group, all rights reserved Creative Commons License' vs 'Used by permission of HL7 International, all rights reserved Creative Commons License'
Information | Measure.language | Example/preferred bindings differ at Measure.language using binding from RiskAdjustmentModelMeasure
Information | StructureDefinition.short | Values for short differ: 'Risk Adjustment Model version, e.g., 24' vs 'Risk Adjustment Model version, e.g., 24, 28'
Information | StructureDefinition.short | Values for short differ: 'e.g., CMS-HCCv24' vs 'e.g., CMS-HCCv24, CMS-HCCv28'
Information | StructureDefinition.short | Values for short differ: 'Logic used by the measure' vs 'Risk Adjustment Model library'
Warning | Measure.library | Elements differ in definition for mustSupport: 'false' vs 'true'

### Metadata

Name | Value | Comments
--- | --- | ---
abstract | false |
baseDefinition | http://hl7.org/fhir/StructureDefinition/Measure |
copyright | Used by permission of HL7 International - Clinical Quality Information Work Group, all rights reserved Creative Commons License | Used by permission of HL7 International, all rights reserved Creative Commons License | Values Differ
date | 2022-06-16T14:23:36+00:00 | 2025-11-20T19:49:53+00:00 | Values Differ
description | This risk adjustment model measure profile is based on the [Measure](http://hl7.org/fhir/R4/measure.html) resoure to represent a risk adjustment model and its version such as CMS-HCC version 24. | This risk adjustment model measure profile is based on the [Measure](http://hl7.org/fhir/R4/measure.html) resource to represent a risk adjustment model and its version, such as CMS-HCC version 24, CMS-HCC version 28. | Values Differ
experimental | false |
fhirVersion | 4.0.1 |
jurisdiction |  |
jurisdiction[0] | urn:iso:std:iso:3166#US |
kind | resource |
name | RiskAdjustmentModelMeasure |
publisher | HL7 Clinical Quality Information Work Group | HL7 International / Clinical Quality Information | Values Differ
purpose |  |
status | active |
title | Risk Adjustment Model Measure |
type | Measure |
url | http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-model-measure |
version | 1.0.0 | 2.1.0 | Values Differ

### Structure

Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments
--- | --- | --- | --- | --- | --- | --- | --- | --- | ---
Measure | C | 0..* | Measure | A Risk Adjustment Model | C | 0..* | Measure | A Risk Adjustment Model |
id | Σ | 0..1 | string | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact |
meta | S Σ | 1..1 | Meta | Metadata about the resource | S Σ | 1..1 | Meta | Metadata about the resource |
id |  | 0..1 | string | Unique id for inter-element referencing |  |  |  |  | Removed this element
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |  |  |  |  | Removed this element
versionId | Σ | 0..1 | id | Version specific identifier |  |  |  |  | Removed this element
lastUpdated | Σ | 0..1 | instant | When the resource version last changed |  |  |  |  | Removed this element
source | Σ | 0..1 | uri | Identifies where the resource comes from |  |  |  |  | Removed this element
profile | S Σ | 1..* | canonical(StructureDefinition) | Profiles this resource claims to conform to |  |  |  |  | Removed this element
security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System. |  |  |  |  | Removed this element
tag | Σ | 0..* | Coding | Tags applied to this resource Binding: ?? (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". |  |  |  |  | Removed this element
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
language |  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
|  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
| Example/preferred bindings differ at Measure.language using binding from RiskAdjustmentModelMeasure
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
contained |  | 0..* | Resource | Contained, inline Resources |  | 0..* | Resource | Contained, inline Resources |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored |
url | Σ | 0..1 | uri | Canonical identifier for this measure, represented as a URI (globally unique) | Σ | 0..1 | uri | Canonical identifier for this measure, represented as a URI (globally unique) |
identifier | S Σ | 1..* | Identifier | Risk Adjustment Model ID, e.g., CMS-HCC | S Σ | 1..* | Identifier | Risk Adjustment Model ID, e.g., CMS-HCC |
version | S Σ | 1..1 | string | Risk Adjustment Model version, e.g., 24 | S Σ | 1..1 | string | Risk Adjustment Model version, e.g., 24, 28 |
name | S Σ C | 0..1 | string | e.g., CMS-HCCv24 | S Σ C | 0..1 | string | e.g., CMS-HCCv24, CMS-HCCv28 |
title | S Σ | 0..1 | string | E.g., CMS Hierarchical Category Condition (CMS-HCC) Risk Adjustment Model Version 24 | S Σ | 0..1 | string | E.g., CMS Hierarchical Category Condition (CMS-HCC) Risk Adjustment Model Version 24 |
subtitle |  | 0..1 | string | Subordinate title of the measure |  | 0..1 | string | Subordinate title of the measure |
status | ?!S Σ | 1..1 | code | draft | active | retired | unknown Binding: ?? (required): The lifecycle status of an artifact. | ?!S Σ | 1..1 | code | draft | active | retired | unknown Binding: ?? (required): The lifecycle status of an artifact. |
experimental | Σ | 0..1 | boolean | For testing purposes, not real usage | Σ | 0..1 | boolean | For testing purposes, not real usage |
subject[x] |  | 0..1 | CodeableConcept, Reference(Group) | E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device Binding: ?? (extensible): The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization, Location, etc.). |  | 0..1 | CodeableConcept, Reference(Group) | E.g. Patient, Practitioner, RelatedPerson, Organization, Location, Device Binding: ?? (extensible): The possible types of subjects for a measure (E.g. Patient, Practitioner, Organization, Location, etc.). |
date | Σ | 0..1 | dateTime | Date last changed | Σ | 0..1 | dateTime | Date last changed |
publisher | Σ | 0..1 | string | Name of the publisher (organization or individual) | Σ | 0..1 | string | Name of the publisher (organization or individual) |
contact | Σ | 0..* | ContactDetail | Contact details for the publisher | Σ | 0..* | ContactDetail | Contact details for the publisher |
description | Σ | 0..1 | markdown | Natural language description of the measure | Σ | 0..1 | markdown | Natural language description of the measure |
useContext | Σ | 0..* | UsageContext | The context that the content is intended to support | Σ | 0..* | UsageContext | The context that the content is intended to support |
jurisdiction | Σ | 0..* | CodeableConcept | Intended jurisdiction for measure (if applicable) Binding: ?? (extensible): Countries and regions within which this artifact is targeted for use. | Σ | 0..* | CodeableConcept | Intended jurisdiction for measure (if applicable) Binding: ?? (extensible): Countries and regions within which this artifact is targeted for use. |
purpose |  | 0..1 | markdown | Why this measure is defined |  | 0..1 | markdown | Why this measure is defined |
usage |  | 0..1 | string | Describes the clinical usage of the measure |  | 0..1 | string | Describes the clinical usage of the measure |
copyright |  | 0..1 | markdown | Use and/or publishing restrictions |  | 0..1 | markdown | Use and/or publishing restrictions |
approvalDate |  | 0..1 | date | When the measure was approved by publisher |  | 0..1 | date | When the measure was approved by publisher |
lastReviewDate |  | 0..1 | date | When the measure was last reviewed |  | 0..1 | date | When the measure was last reviewed |
effectivePeriod | Σ | 0..1 | Period | When the measure is expected to be used | Σ | 0..1 | Period | When the measure is expected to be used |
topic |  | 0..* | CodeableConcept | The category of the measure, such as Education, Treatment, Assessment, etc. Binding: ?? (example): High-level categorization of the definition, used for searching, sorting, and filtering. |  | 0..* | CodeableConcept | The category of the measure, such as Education, Treatment, Assessment, etc. Binding: ?? (example): High-level categorization of the definition, used for searching, sorting, and filtering. |
author |  | 0..* | ContactDetail | Who authored the content |  | 0..* | ContactDetail | Who authored the content |
editor |  | 0..* | ContactDetail | Who edited the content |  | 0..* | ContactDetail | Who edited the content |
reviewer |  | 0..* | ContactDetail | Who reviewed the content |  | 0..* | ContactDetail | Who reviewed the content |
endorser |  | 0..* | ContactDetail | Who endorsed the content |  | 0..* | ContactDetail | Who endorsed the content |
relatedArtifact |  | 0..* | RelatedArtifact | Additional documentation, citations, etc. |  | 0..* | RelatedArtifact | Additional documentation, citations, etc. |
library |  | 0..* | canonical(Library) | Logic used by the measure | S | 0..* | canonical(Library) | Risk Adjustment Model library | Elements differ in definition for mustSupport: 'false' vs 'true'
disclaimer | Σ | 0..1 | markdown | Disclaimer for use of the measure or its referenced content | Σ | 0..1 | markdown | Disclaimer for use of the measure or its referenced content |
scoring | Σ | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort Binding: ?? (extensible): The scoring type of the measure. | Σ | 0..1 | CodeableConcept | proportion | ratio | continuous-variable | cohort Binding: ?? (extensible): The scoring type of the measure. |
compositeScoring | Σ | 0..1 | CodeableConcept | opportunity | all-or-nothing | linear | weighted Binding: ?? (extensible): The composite scoring method of the measure. | Σ | 0..1 | CodeableConcept | opportunity | all-or-nothing | linear | weighted Binding: ?? (extensible): The composite scoring method of the measure. |
type | Σ | 0..* | CodeableConcept | process | outcome | structure | patient-reported-outcome | composite Binding: ?? (extensible): The type of measure (includes codes from 2.16.840.1.113883.1.11.20368). | Σ | 0..* | CodeableConcept | process | outcome | structure | patient-reported-outcome | composite Binding: ?? (extensible): The type of measure (includes codes from 2.16.840.1.113883.1.11.20368). |
riskAdjustment | Σ | 0..1 | string | How risk adjustment is applied for this measure | Σ | 0..1 | string | How risk adjustment is applied for this measure |
rateAggregation | Σ | 0..1 | string | How is rate aggregation performed for this measure | Σ | 0..1 | string | How is rate aggregation performed for this measure |
rationale | Σ | 0..1 | markdown | Detailed description of why the measure exists | Σ | 0..1 | markdown | Detailed description of why the measure exists |
clinicalRecommendationStatement | Σ | 0..1 | markdown | Summary of clinical guidelines | Σ | 0..1 | markdown | Summary of clinical guidelines |
improvementNotation | Σ | 0..1 | CodeableConcept | increase | decrease Binding: ?? (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue. | Σ | 0..1 | CodeableConcept | increase | decrease Binding: ?? (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue. |
definition | Σ | 0..* | markdown | Defined terms used in the measure documentation | Σ | 0..* | markdown | Defined terms used in the measure documentation |
guidance | Σ | 0..1 | markdown | Additional guidance for implementers | Σ | 0..1 | markdown | Additional guidance for implementers |
group |  | 0..* | BackboneElement | Population criteria group |  | 0..* | BackboneElement | Population criteria group |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code |  | 0..1 | CodeableConcept | Meaning of the group |  | 0..1 | CodeableConcept | Meaning of the group |
description |  | 0..1 | string | Summary description |  | 0..1 | string | Summary description |
population |  | 0..* | BackboneElement | Population criteria |  | 0..* | BackboneElement | Population criteria |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code |  | 0..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: ?? (extensible): The type of population. |  | 0..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: ?? (extensible): The type of population. |
description |  | 0..1 | string | The human readable description of this population criteria |  | 0..1 | string | The human readable description of this population criteria |
criteria |  | 1..1 | Expression | The criteria that defines this population |  | 1..1 | Expression | The criteria that defines this population |
stratifier |  | 0..* | BackboneElement | Stratifier criteria for the measure |  | 0..* | BackboneElement | Stratifier criteria for the measure |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code |  | 0..1 | CodeableConcept | Meaning of the stratifier |  | 0..1 | CodeableConcept | Meaning of the stratifier |
description |  | 0..1 | string | The human readable description of this stratifier |  | 0..1 | string | The human readable description of this stratifier |
criteria |  | 0..1 | Expression | How the measure should be stratified |  | 0..1 | Expression | How the measure should be stratified |
component |  | 0..* | BackboneElement | Stratifier criteria component for the measure |  | 0..* | BackboneElement | Stratifier criteria component for the measure |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code |  | 0..1 | CodeableConcept | Meaning of the stratifier component |  | 0..1 | CodeableConcept | Meaning of the stratifier component |
description |  | 0..1 | string | The human readable description of this stratifier component |  | 0..1 | string | The human readable description of this stratifier component |
criteria |  | 1..1 | Expression | Component of how the measure should be stratified |  | 1..1 | Expression | Component of how the measure should be stratified |
supplementalData |  | 0..* | BackboneElement | What other data should be reported with the measure |  | 0..* | BackboneElement | What other data should be reported with the measure |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code |  | 0..1 | CodeableConcept | Meaning of the supplemental data |  | 0..1 | CodeableConcept | Meaning of the supplemental data |
usage |  | 0..* | CodeableConcept | supplemental-data | risk-adjustment-factor Binding: ?? (extensible): The intended usage for supplemental data elements in the measure. |  | 0..* | CodeableConcept | supplemental-data | risk-adjustment-factor Binding: ?? (extensible): The intended usage for supplemental data elements in the measure. |
description |  | 0..1 | string | The human readable description of this supplemental data |  | 0..1 | string | The human readable description of this supplemental data |
criteria |  | 1..1 | Expression | Expression describing additional data to be reported |  | 1..1 | Expression | Expression describing additional data to be reported |
Documentation for this format