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

Left: | Risk Adjustment Coding Gap MeasureReport (http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-measurereport)
Right: | Risk Adjustment Coding Gap MeasureReport (http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-measurereport)

### Messages

Error | StructureDefinition.version | Values for version differ: '2.0.0' vs '2.1.0'
Information | StructureDefinition.date | Values for date differ: '2025-02-19T15:09:54+00:00' vs '2025-11-20T19:49:53+00:00'
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 | MeasureReport.language | Example/preferred bindings differ at MeasureReport.language using binding from RiskAdjustmentCodingGapMeasureReport

### Metadata

Name | Value | Comments
--- | --- | ---
abstract | false |
baseDefinition | http://hl7.org/fhir/StructureDefinition/MeasureReport |
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 | 2025-02-19T15:09:54+00:00 | 2025-11-20T19:49:53+00:00 | Values Differ
description | This profile is based on the [MeasureReport](http://hl7.org/fhir/R4/measurereport.html) to represent a risk adjustment coding gap report. Payer runs risk adjustment engine and uses this profile to represent the risk adjustment Condition Category (CC) coding gaps and their detailed information for a patient. |
experimental | false |
fhirVersion | 4.0.1 |
jurisdiction |  |
jurisdiction[0] | urn:iso:std:iso:3166#US |
kind | resource |
name | RiskAdjustmentCodingGapMeasureReport |
publisher | HL7 International / Clinical Quality Information |
purpose |  |
status | active |
title | Risk Adjustment Coding Gap MeasureReport |
type | MeasureReport |
url | http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-measurereport |
version | 2.0.0 | 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
--- | --- | --- | --- | --- | --- | --- | --- | --- | ---
MeasureReport | C | 0..* | MeasureReport | This is a risk adjustment coding gap report. | C | 0..* | MeasureReport | This is a risk adjustment coding gap report. |
id | Σ | 0..1 | id | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact |
meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource |
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 MeasureReport.language using binding from RiskAdjustmentCodingGapMeasureReport
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 |
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier | Σ | 0..* | Identifier | Additional identifier for the MeasureReport | Σ | 0..* | Identifier | Additional identifier for the MeasureReport |
status | ?!S Σ | 1..1 | code | complete | pending | error Binding: ?? (required): The status of the measure report. | ?!S Σ | 1..1 | code | complete | pending | error Binding: ?? (required): The status of the measure report. |
type | S Σ C | 1..1 | code | The type code is fixed to 'individual' for a risk adjustment coding gap report Binding: ?? (required): The type of the measure report. Fixed Value: individual | S Σ C | 1..1 | code | The type code is fixed to 'individual' for a risk adjustment coding gap report Binding: ?? (required): The type of the measure report. Fixed Value: individual |
measure | S Σ | 1..1 | canonical(Risk Adjustment Model Measure) | This references a measure that represents a risk adjustment model, such as CMS-HCC V24, CMS-HCC V28. | S Σ | 1..1 | canonical(Risk Adjustment Model Measure) | This references a measure that represents a risk adjustment model, such as CMS-HCC V24, CMS-HCC V28. |
subject | S Σ | 1..1 | Reference(US Core Patient Profile) | What individual(s) the report is for | S Σ | 1..1 | Reference(US Core Patient Profile(7.0.0)) | What individual(s) the report is for |
date | S Σ | 1..1 | dateTime | When the report was generated | S Σ | 1..1 | dateTime | When the report was generated |
reporter | S Σ | 1..1 | Reference(US Core Organization Profile) | Organization that generated the MeasureReport | S Σ | 1..1 | Reference(US Core Organization Profile(7.0.0)) | Organization that generated the MeasureReport |
period | S Σ C | 1..1 | Period | Clinical evaluation period during which risk adjusting encounters could be conducted and documented with expectations of submission for risk adjustment purposes. Constraints: ra-1 | S Σ C | 1..1 | Period | Clinical evaluation period during which risk adjusting encounters could be conducted and documented with expectations of submission for risk adjustment purposes. Constraints: ra-1 |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
start | S Σ C | 1..1 | dateTime | Starting time with inclusive boundary | S Σ C | 1..1 | dateTime | Starting time with inclusive boundary |
end | S Σ C | 1..1 | dateTime | End time with inclusive boundary, if not ongoing | S Σ C | 1..1 | dateTime | End time with inclusive boundary, if not ongoing |
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. |
group | S C | 0..* | BackboneElement | A group contains information for a Condition Category. If a patient/member has multiple Condition Categories, there will be multiple group(s) and each group represents a Condition Category. | S C | 0..* | BackboneElement | A group contains information for a Condition Category. If a patient/member has multiple Condition Categories, there will be multiple group(s) and each group represents a Condition Category. |
id | S | 1..1 | string | Unique id for inter-element referencing | S | 1..1 | string | Unique id for inter-element referencing |
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
code | S Σ | 0..1 | CodeableConcept | Condition Category (CC) code for a Risk Adjustment Model Binding: ?? (example) | S Σ | 0..1 | CodeableConcept | Condition Category (CC) code for a Risk Adjustment Model Binding: ?? (example) |
population |  | 0..* | BackboneElement | The populations in the group |  | 0..* | BackboneElement | The populations in the 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 | Σ | 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 (e.g. initial, numerator, denominator, etc.). | Σ | 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 (e.g. initial, numerator, denominator, etc.). |
count |  | 0..1 | integer | Size of the population |  | 0..1 | integer | Size of the population |
subjectResults |  | 0..1 | Reference(List) | For subject-list reports, the subject results in this population |  | 0..1 | Reference(List) | For subject-list reports, the subject results in this population |
measureScore | Σ | 0..1 | Quantity | What score this group achieved | Σ | 0..1 | Quantity | What score this group achieved |
stratifier |  | 0..* | BackboneElement | Stratification results |  | 0..* | BackboneElement | Stratification results |
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 | What stratifier of the group |  | 0..1 | CodeableConcept | What stratifier of the group |
stratum |  | 0..* | BackboneElement | Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components |  | 0..* | BackboneElement | Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components |
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 |
value |  | 0..1 | CodeableConcept | The stratum value, e.g. male |  | 0..1 | CodeableConcept | The stratum value, e.g. male |
component |  | 0..* | BackboneElement | Stratifier component values |  | 0..* | BackboneElement | Stratifier component values |
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 |  | 1..1 | CodeableConcept | What stratifier component of the group |  | 1..1 | CodeableConcept | What stratifier component of the group |
value |  | 1..1 | CodeableConcept | The stratum component value, e.g. male |  | 1..1 | CodeableConcept | The stratum component value, e.g. male |
population |  | 0..* | BackboneElement | Population results in this stratum |  | 0..* | BackboneElement | Population results in this stratum |
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 (e.g. initial, numerator, denominator, etc.). |  | 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 (e.g. initial, numerator, denominator, etc.). |
count |  | 0..1 | integer | Size of the population |  | 0..1 | integer | Size of the population |
subjectResults |  | 0..1 | Reference(List) | For subject-list reports, the subject results in this population |  | 0..1 | Reference(List) | For subject-list reports, the subject results in this population |
measureScore |  | 0..1 | Quantity | What score this stratum achieved |  | 0..1 | Quantity | What score this stratum achieved |
evaluatedResource | S | 0..* | Reference(Resource) | An evaluated resource is any data a clinician would need to independently arrive at the clinical inference that a Condition Category (CC) listed on a Risk Adjustment Coding Gap Report could be present for a patient. Risk adjusted evaluated resources may include practitioners, encounters, diagnoses, medications, labs, or any other clinical evidence that the suspecting algorithm may have used as supporting evidence to infer the presence of a Condition Category (CC) gap. | S | 0..* | Reference(Resource) | An evaluated resource is any data a clinician would need to independently arrive at the clinical inference that a Condition Category (CC) listed on a Risk Adjustment Coding Gap Report could be present for a patient. Risk adjusted evaluated resources may include practitioners, encounters, diagnoses, medications, labs, or any other clinical evidence that the suspecting algorithm may have used as supporting evidence to infer the presence of a Condition Category (CC) gap. |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL |
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model). | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model). |
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known |
display | Σ | 0..1 | string | Text alternative for the resource | Σ | 0..1 | string | Text alternative for the resource |
Documentation for this format