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 - XML Representation

Page standards status: Draft | Maturity Level: 1

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    <OperationDefinition xmlns="http://hl7.org/fhir">
      <id value="ra.evaluate-measure"/>
      <text>
        <status value="generated"/>
        <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>
    </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>
    </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>
    </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>
    </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>
    </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>
    </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>
    </div></td></tr></table></div>
      </text>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
        <valueInteger value="1"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
        <valueCode value="cqi"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="draft"/>
      </extension>
      <url
           value="http://hl7.org/fhir/us/davinci-ra/OperationDefinition/ra.evaluate-measure"/>
      <version value="2.1.0"/>
      <name value="RAEvaluateMeasure"/>
      <title value="Evaluate Measure"/>
      <status value="draft"/>
      <kind value="operation"/>
      <date value="2025-11-20T19:49:53+00:00"/>
      <publisher value="HL7 International / Clinical Quality Information"/>
      <contact>
        <telecom>
          <system value="url"/>
          <value value="http://www.hl7.org/Special/committees/cqi"/>
        </telecom>
      </contact>
      <description
                   value="The ra.evaluate-measure operation is used to evaluate Digital Condition Category and obtain the results."/>
      <jurisdiction>
        <coding>
          <system value="urn:iso:std:iso:3166"/>
          <code value="US"/>
          <display value="United States of America"/>
        </coding>
      </jurisdiction>
      <code value="ra.evaluate-measure"/>
      <base
            value="http://hl7.org/fhir/OperationDefinition/Measure-evaluate-measure"/>
      <resource value="Measure"/>
      <system value="false"/>
      <type value="true"/>
      <instance value="true"/>
      <parameter>
        <name value="periodStart"/>
        <use value="in"/>
        <min value="1"/>
        <max value="1"/>
        <documentation
                       value="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."/>
        <type value="date"/>
      </parameter>
      <parameter>
        <name value="periodEnd"/>
        <use value="in"/>
        <min value="1"/>
        <max value="1"/>
        <documentation value="The end of a clinical evaluation period."/>
        <type value="date"/>
      </parameter>
      <parameter>
        <name value="subject"/>
        <use value="in"/>
        <min value="1"/>
        <max value="1"/>
        <documentation
                       value="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."/>
        <type value="string"/>
        <searchType value="reference"/>
      </parameter>
      <parameter>
        <name value="measureId"/>
        <use value="in"/>
        <min value="0"/>
        <max value="*"/>
        <documentation
                       value="The id of a Measure resource for risk adjustment model, e.g., CMS HCC v24"/>
        <type value="id"/>
      </parameter>
      <parameter>
        <name value="measureIdentifier"/>
        <use value="in"/>
        <min value="0"/>
        <max value="*"/>
        <documentation
                       value="The business identifier of a Measure resource for risk adjustment model, e.g., CMS HCC v24."/>
        <type value="string"/>
        <searchType value="token"/>
      </parameter>
      <parameter>
        <name value="measureUrl"/>
        <use value="in"/>
        <min value="0"/>
        <max value="*"/>
        <documentation
                       value="This the URL of a Measure resource for risk adjustment model, e.g., CMS HCC v24"/>
        <type value="canonical"/>
      </parameter>
      <parameter>
        <name value="return"/>
        <use value="out"/>
        <min value="0"/>
        <max value="1"/>
        <documentation
                       value="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."/>
        <type value="Bundle"/>
      </parameter>
    </OperationDefinition>