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

## : Evaluate Measure - TTL Representation

Page standards status: Draft | Maturity Level: 1

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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:OperationDefinition ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:id [ fhir:v "ra.evaluate-measure"] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: OperationDefinition ra.evaluate-measure</b></p><a name=\"ra.evaluate-measure\"> </a><a name=\"hcra.evaluate-measure\"> </a><p>URL: [base]/Measure/$ra.evaluate-measure</p><p>URL: [base]/Measure/[id]/$ra.evaluate-measure</p><h3>Parameters</h3><table class=\"grid\"><tr><td><b>Use</b></td><td><b>Name</b></td><td><b>Scope</b></td><td><b>Cardinality</b></td><td><b>Type</b></td><td><b>Binding</b></td><td><b>Documentation</b></td></tr><tr><td>IN</td><td>periodStart</td><td/><td>1..1</td><td><a href=\"http://hl7.org/fhir/R4/datatypes.html#date\">date</a></td><td/><td><div><p>The start of a clinical evaluation period. The periodStart and periodEnd parameters will be compared with the clinical evaluation period (<code>MeasureReport.period.start</code> and <code>MeasureReport.period.end</code>)           of a <a href=\"StructureDefinition-ra-measurereport.html\">Risk Adjustment Coding Gap MeasureReport</a> available on the Server. The MeasureReport will be returned if there is an overlap of the two periods.</p>\n</div></td></tr><tr><td>IN</td><td>periodEnd</td><td/><td>1..1</td><td><a href=\"http://hl7.org/fhir/R4/datatypes.html#date\">date</a></td><td/><td><div><p>The end of a clinical evaluation period.</p>\n</div></td></tr><tr><td>IN</td><td>subject</td><td/><td>1..1</td><td><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a><br/>(<a href=\"https://hl7.org/fhir/R4/search.html#reference\">reference</a>)</td><td/><td><div><p>Subject will be a reference to either Patient (<a href=\"http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-patient.html\">US Core Patient</a>) or Group (<a href=\"StructureDefinition-ra-patient-group.html\">Patient Group</a>). Must provide either Patient/123 or Group/123, cannot simply provide 123. If only 123 is provided, then the operation would not know if it is a Patient reference or a Group reference.</p>\n</div></td></tr><tr><td>IN</td><td>measureId</td><td/><td>0..*</td><td><a href=\"http://hl7.org/fhir/R4/datatypes.html#id\">id</a></td><td/><td><div><p>The id of a Measure resource for risk adjustment model, e.g., CMS HCC v24</p>\n</div></td></tr><tr><td>IN</td><td>measureIdentifier</td><td/><td>0..*</td><td><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a><br/>(<a href=\"https://hl7.org/fhir/R4/search.html#token\">token</a>)</td><td/><td><div><p>The business identifier of a Measure resource for risk adjustment model, e.g., CMS HCC v24.</p>\n</div></td></tr><tr><td>IN</td><td>measureUrl</td><td/><td>0..*</td><td><a href=\"http://hl7.org/fhir/R4/datatypes.html#canonical\">canonical</a></td><td/><td><div><p>This the URL of a Measure resource for risk adjustment model, e.g., CMS HCC v24</p>\n</div></td></tr><tr><td>OUT</td><td>return</td><td/><td>0..1</td><td><a href=\"http://hl7.org/fhir/R4/bundle.html\">Bundle</a></td><td/><td><div><p>The $ra.evaluate-measure operation will always return one <a href=\"https://www.hl7.org/fhir/parameters.html\">Parameters</a> whether the subject is a single patient or a group of patients. <a href=\"StructureDefinition-ra-measurereport-bundle.html\">Risk Adjustment Coding Gap Report Bundle</a> for a patient is in a <code>Parameters.parameter</code> element. A Risk Adjustment Coding Gap Report Bundle contains the Risk Adjustment Coding Gap Reports for the same patient. For example, if a Group has 10 valid patients, then a <a href=\"https://www.hl7.org/fhir/parameters.html\">Parameters</a> will contain 10 <code>Parameters.parameter</code>elements, with each <code>Parameters.parameter</code> for a unique patient.</p>\n</div></td></tr></table></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:extension ( [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm>     ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 1     ]
      ] [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-wg>     ] ;
    fhir:value [
    a fhir:Code ;
    fhir:v "cqi"     ]
      ] [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status>     ] ;
    fhir:value [
    a fhir:Code ;
    fhir:v "draft"     ]
      ] ) ; #
      fhir:url [
    fhir:v "http://hl7.org/fhir/us/davinci-ra/OperationDefinition/ra.evaluate-measure"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-ra/OperationDefinition/ra.evaluate-measure>
      ] ; #
      fhir:version [ fhir:v "2.1.0"] ; #
      fhir:name [ fhir:v "RAEvaluateMeasure"] ; #
      fhir:title [ fhir:v "Evaluate Measure"] ; #
      fhir:status [ fhir:v "draft"] ; #
      fhir:kind [ fhir:v "operation"] ; #
      fhir:date [ fhir:v "2025-11-20T19:49:53+00:00"^^xsd:dateTime] ; #
      fhir:publisher [ fhir:v "HL7 International / Clinical Quality Information"] ; #
      fhir:contact ( [
        ( fhir:telecom [
    fhir:system [ fhir:v "url" ] ;
    fhir:value [ fhir:v "http://www.hl7.org/Special/committees/cqi" ]     ] )
      ] ) ; #
      fhir:description [ fhir:v "The ra.evaluate-measure operation is used to evaluate Digital Condition Category and obtain the results."] ; #
      fhir:jurisdiction ( [
        ( fhir:coding [
    fhir:system [
    fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ;
    fhir:l <urn:iso:std:iso:3166>       ] ;
    fhir:code [ fhir:v "US" ] ;
    fhir:display [ fhir:v "United States of America" ]     ] )
      ] ) ; #
      fhir:code [ fhir:v "ra.evaluate-measure"] ; #
      fhir:base [
    fhir:v "http://hl7.org/fhir/OperationDefinition/Measure-evaluate-measure"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/OperationDefinition/Measure-evaluate-measure>
      ] ; #
      fhir:resource ( [ fhir:v "Measure"] ) ; #
      fhir:system [ fhir:v false] ; #
      fhir:type [ fhir:v true] ; #
      fhir:instance [ fhir:v true] ; #
      fhir:parameter ( [
    fhir:name [ fhir:v "periodStart" ] ;
    fhir:use [ fhir:v "in" ] ;
    fhir:min [ fhir:v 1 ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:documentation [ fhir:v "The start of a clinical evaluation period. The periodStart and periodEnd parameters will be compared with the clinical evaluation period (`MeasureReport.period.start` and `MeasureReport.period.end`)           of a [Risk Adjustment Coding Gap MeasureReport](StructureDefinition-ra-measurereport.html) available on the Server. The MeasureReport will be returned if there is an overlap of the two periods." ] ;
    fhir:type [ fhir:v "date" ]
      ] [
    fhir:name [ fhir:v "periodEnd" ] ;
    fhir:use [ fhir:v "in" ] ;
    fhir:min [ fhir:v 1 ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:documentation [ fhir:v "The end of a clinical evaluation period." ] ;
    fhir:type [ fhir:v "date" ]
      ] [
    fhir:name [ fhir:v "subject" ] ;
    fhir:use [ fhir:v "in" ] ;
    fhir:min [ fhir:v 1 ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:documentation [ fhir:v "Subject will be a reference to either Patient ([US Core Patient](http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-patient.html)) or Group ([Patient Group](StructureDefinition-ra-patient-group.html)). Must provide either Patient/123 or Group/123, cannot simply provide 123. If only 123 is provided, then the operation would not know if it is a Patient reference or a Group reference." ] ;
    fhir:type [ fhir:v "string" ] ;
    fhir:searchType [ fhir:v "reference" ]
      ] [
    fhir:name [ fhir:v "measureId" ] ;
    fhir:use [ fhir:v "in" ] ;
    fhir:min [ fhir:v 0 ] ;
    fhir:max [ fhir:v "*" ] ;
    fhir:documentation [ fhir:v "The id of a Measure resource for risk adjustment model, e.g., CMS HCC v24" ] ;
    fhir:type [ fhir:v "id" ]
      ] [
    fhir:name [ fhir:v "measureIdentifier" ] ;
    fhir:use [ fhir:v "in" ] ;
    fhir:min [ fhir:v 0 ] ;
    fhir:max [ fhir:v "*" ] ;
    fhir:documentation [ fhir:v "The business identifier of a Measure resource for risk adjustment model, e.g., CMS HCC v24." ] ;
    fhir:type [ fhir:v "string" ] ;
    fhir:searchType [ fhir:v "token" ]
      ] [
    fhir:name [ fhir:v "measureUrl" ] ;
    fhir:use [ fhir:v "in" ] ;
    fhir:min [ fhir:v 0 ] ;
    fhir:max [ fhir:v "*" ] ;
    fhir:documentation [ fhir:v "This the URL of a Measure resource for risk adjustment model, e.g., CMS HCC v24" ] ;
    fhir:type [ fhir:v "canonical" ]
      ] [
    fhir:name [ fhir:v "return" ] ;
    fhir:use [ fhir:v "out" ] ;
    fhir:min [ fhir:v 0 ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:documentation [ fhir:v "The $ra.evaluate-measure operation will always return one [Parameters](https://www.hl7.org/fhir/parameters.html) whether the subject is a single patient or a group of patients. [Risk Adjustment Coding Gap Report Bundle](StructureDefinition-ra-measurereport-bundle.html) for a patient is in a `Parameters.parameter` element. A Risk Adjustment Coding Gap Report Bundle contains the Risk Adjustment Coding Gap Reports for the same patient. For example, if a Group has 10 valid patients, then a [Parameters](https://www.hl7.org/fhir/parameters.html) will contain 10 `Parameters.parameter`elements, with each `Parameters.parameter` for a unique patient." ] ;
    fhir:type [ fhir:v "Bundle" ]
      ] ) . #