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 Example02 with RA Model CMS-RxHCC V5 for Patient01 Eve Everywoman - XML Representation

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    <MeasureReport xmlns="http://hl7.org/fhir">
      <id value="ra-measurereport02"/>
      <meta>
        <extension url="http://hl7.org/fhir/StructureDefinition/instance-name">
          <valueString
                       value="RA Coding Gap MeasureReport Example02 with RA Model CMS-RxHCC V5 for Patient01 Eve Everywoman"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/StructureDefinition/instance-description">
          <valueMarkdown
                         value="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."/>
        </extension>
        <profile
                 value="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-measurereport"/>
      </meta>
      <text>
        <status value="extensions"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: MeasureReport ra-measurereport02</b></p><a name="ra-measurereport02"> </a><a name="hcra-measurereport02"> </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-patient01.html">Eve Everywoman (official) Female, DoB: 1975-01-16 ( Medical record number: 12345 (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 closed-gap}">Closed Condition Category Gap</span></p><p><b>Evidence Status Date Extension</b>: 2021-04-01</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 227}">CMS-RxHCC 227: Pulmonary Fibrosis and Other Chronic Lung Disorders</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 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 open-gap}">Open Condition Category Gap</span></p><p><b>Evidence Status Date Extension</b>: 2020-07-01</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 131}">CMS-RxHCC 131: Bipolar Disorders</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>Evidence Status Date Extension</b>: 2021-02-15</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 Chronic 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 Date Extension</b>: 2021-04-01</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 43}">CMS-RxHCC 43: Morbid Obesity</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 pending}">Pending Condition Category Gap</span></p><p><b>Evidence Status Date Extension</b>: 2021-09-29</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 Complications</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 pending}">Pending Condition Category Gap</span></p><p><b>Evidence Status Date Extension</b>: 2021-09-29</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><p><b>evaluatedResource</b>: </p><ul><li><a href="Condition-ra-condition09pat01.html">Condition Allergic bronchopulmonary aspergillosis</a></li><li><a href="Condition-ra-condition08pat01.html">Condition Bipolar disorder, current episode mixed, mild</a></li><li><a href="Condition-ra-condition02pat01.html">Condition Diabetes mellitus due to underlying condition with other diabetic kidney complication</a></li><li><a href="Condition-ra-condition17pat01.html">Condition Body mass index [BMI] 45.0-49.9, adult</a></li><li><a href="Condition-ra-condition10pat01.html">Condition Long term (current) use of insulin</a></li><li><a href="Condition-ra-condition03pat01.html">Condition Chronic obstructive pulmonary disease with (acute) exacerbation</a></li><li><a href="Condition-ra-condition44pat01.html">Condition Allergic bronchopulmonary aspergillosis</a></li><li><a href="Encounter-ra-encounter09pat01.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 = 2021-03-27 --&gt; 2021-03-27</a></li><li><a href="Encounter-ra-encounter08pat01.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 = 2017-02-03 --&gt; 2017-02-03</a></li><li><a href="Encounter-ra-encounter02pat01.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 = 2021-01-31 --&gt; 2021-01-31</a></li><li><a href="Encounter-ra-encounter03pat01.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 = 2021-09-26 --&gt; 2021-09-26</a></li><li><a href="Encounter-ra-encounter45pat01.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 = 2018-07-21 --&gt; 2018-07-21</a></li></ul></div>
      </text>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/measurereport-category">
        <valueCodeableConcept>
          <coding>
            <system
                    value="http://hl7.org/fhir/CodeSystem/measurereport-category"/>
            <code value="ra"/>
          </coding>
        </valueCodeableConcept>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-clinicalDataCollectionDeadline">
        <valueDate value="2022-03-31"/>
      </extension>
      <status value="complete"/>
      <type value="individual"/>
      <measure
               value="http://hl7.org/fhir/us/davinci-ra/Measure/RAModelExample03"/>
      <subject>🔗
        <reference value="Patient/ra-patient01"/>
      </subject>
      <date value="2021-10-18"/>
      <reporter>🔗
        <reference value="Organization/ra-payer01"/>
      </reporter>
      <period>
        <start value="2021-01-01"/>
        <end value="2021-09-30"/>
      </period>
      <group id="group-001">
        <extension
                   url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccType">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type"/>
              <code value="historic"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status"/>
              <code value="closed-gap"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate">
          <valueDate value="2021-04-01"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"/>
              <code value="not-applied"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <code>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/cmsrxhcc"/>
            <version value="5"/>
            <code value="227"/>
            <display value="Pulmonary Fibrosis and Other Chronic Lung Disorders"/>
          </coding>
          <text
                value="CMS-RxHCC 227: Pulmonary Fibrosis and Other Chronic Lung Disorders"/>
        </code>
      </group>
      <group id="group-002">
        <extension
                   url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccType">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type"/>
              <code value="historic"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status"/>
              <code value="open-gap"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate">
          <valueDate value="2020-07-01"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"/>
              <code value="not-applied"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <code>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/cmsrxhcc"/>
            <version value="5"/>
            <code value="131"/>
            <display value="Bipolar Disorders"/>
          </coding>
          <text value="CMS-RxHCC 131: Bipolar Disorders"/>
        </code>
      </group>
      <group id="group-003">
        <extension
                   url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccType">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type"/>
              <code value="suspected"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status"/>
              <code value="closed-gap"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate">
          <valueDate value="2021-02-15"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"/>
              <code value="not-applied"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <code>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/cmsrxhcc"/>
            <version value="5"/>
            <code value="30"/>
            <display value="Diabetes with Chronic Complications"/>
          </coding>
          <text value="CMS-RxHCC 30: Diabetes with Chronic Complications"/>
        </code>
      </group>
      <group id="group-004">
        <extension
                   url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccType">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type"/>
              <code value="suspected"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate">
          <valueDate value="2021-04-01"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status"/>
              <code value="closed-gap"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"/>
              <code value="not-applied"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <code>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/cmsrxhcc"/>
            <version value="5"/>
            <code value="43"/>
            <display value="Morbid Obesity"/>
          </coding>
          <text value="CMS-RxHCC 43: Morbid Obesity"/>
        </code>
      </group>
      <group id="group-005">
        <extension
                   url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccType">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type"/>
              <code value="suspected"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status"/>
              <code value="pending"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate">
          <valueDate value="2021-09-29"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"/>
              <code value="not-applied"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <code>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/cmsrxhcc"/>
            <version value="5"/>
            <code value="31"/>
            <display value="Diabetes without Complications"/>
          </coding>
          <text value="CMS-RxHCC 31: Diabetes without Complications"/>
        </code>
      </group>
      <group id="group-006">
        <extension
                   url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccType">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type"/>
              <code value="net-new"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status"/>
              <code value="pending"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate">
          <valueDate value="2021-09-29"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus">
          <valueCodeableConcept>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"/>
              <code value="not-applied"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <code>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/cmsrxhcc"/>
            <version value="5"/>
            <code value="226"/>
            <display value="Chronic Obstructive Pulmonary Disease and Asthma"/>
          </coding>
          <text
                value="CMS-RxHCC 226: Chronic Obstructive Pulmonary Disease and Asthma"/>
        </code>
      </group>
      <evaluatedResource>🔗
        <extension
                   url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
          <valueString value="group-001"/>
        </extension>
        <reference value="Condition/ra-condition09pat01"/>
      </evaluatedResource>
      <evaluatedResource>🔗
        <extension
                   url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
          <valueString value="group-002"/>
        </extension>
        <reference value="Condition/ra-condition08pat01"/>
      </evaluatedResource>
      <evaluatedResource>🔗
        <extension
                   url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
          <valueString value="group-003"/>
        </extension>
        <reference value="Condition/ra-condition02pat01"/>
      </evaluatedResource>
      <evaluatedResource>🔗
        <extension
                   url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
          <valueString value="group-004"/>
        </extension>
        <reference value="Condition/ra-condition17pat01"/>
      </evaluatedResource>
      <evaluatedResource>🔗
        <extension
                   url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
          <valueString value="group-005"/>
        </extension>
        <reference value="Condition/ra-condition10pat01"/>
      </evaluatedResource>
      <evaluatedResource>🔗
        <extension
                   url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
          <valueString value="group-006"/>
        </extension>
        <reference value="Condition/ra-condition03pat01"/>
      </evaluatedResource>
      <evaluatedResource>🔗
        <extension
                   url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
          <valueString value="group-001"/>
        </extension>
        <reference value="Condition/ra-condition44pat01"/>
      </evaluatedResource>
      <evaluatedResource>🔗
        <extension
                   url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
          <valueString value="group-001"/>
        </extension>
        <reference value="Encounter/ra-encounter09pat01"/>
      </evaluatedResource>
      <evaluatedResource>🔗
        <extension
                   url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
          <valueString value="group-002"/>
        </extension>
        <reference value="Encounter/ra-encounter08pat01"/>
      </evaluatedResource>
      <evaluatedResource>🔗
        <extension
                   url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
          <valueString value="group-003"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
          <valueString value="group-004"/>
        </extension>
        <reference value="Encounter/ra-encounter02pat01"/>
      </evaluatedResource>
      <evaluatedResource>🔗
        <extension
                   url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
          <valueString value="group-005"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
          <valueString value="group-006"/>
        </extension>
        <reference value="Encounter/ra-encounter03pat01"/>
      </evaluatedResource>
      <evaluatedResource>🔗
        <extension
                   url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
          <valueString value="group-001"/>
        </extension>
        <reference value="Encounter/ra-encounter45pat01"/>
      </evaluatedResource>
    </MeasureReport>