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

## Example MeasureReport: RA Coding Gap MeasureReport Example03 with RA Model CMS-HCC V24 for Patient02 Adam Everyman

Page standards status: Informative

Profile: Risk Adjustment Coding Gap MeasureReport

Measure Report Category: Risk Adjustment

Clinical Data Collection Deadline Extension: 2022-03-31

status: Complete

type: Individual

measure: Risk Adjustment Model Version 24 - CMS Hierarchical Category Condition (CMS-HCC)

subject: Adam Everyman (official) Female, DoB: 1950-12-16 ( Medical record number: 23456 (use: usual, ))

date: 2021-10-18

reporter: Organization ABC Payer

period: 2021-01-01 --> 2021-09-30

> group

> > id

> > group-001

> Condition Category Type Extension: Historic Condition Category Gap

> Evidence Status Extension: Closed Condition Category Gap

> Hierarchical Status Extension: Hierarchies applied and Condition Category is not superseded

> code: CMS HCC: 96, Specified Heart.Arrhythmias

> group

> > id

> > group-002

> Condition Category Type Extension: Suspected Condition Category Gap

> Evidence Status Extension: Open Condition Category Gap

> Evidence Status Date Extension: 2020-07-15

> Hierarchical Status Extension: Hierarchies applied and Condition Category is not superseded

> code: HCC 110: Cystic Fibrosis

evaluatedResource:

- Condition Typical atrial flutter
- 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 = 2021-08-06 --> 2021-08-06
- Observation Trypsin [Mass/volume] in Serum or Plasma
- Adam Everyman (official) Female, DoB: 1950-12-16 ( Medical record number: 23456 (use: usual, ))