Da Vinci Risk Adjustment Implementation Guide (STU1 Ballot)
0.1.0 - STU 1 Ballot

This page is part of the Da Vinci Risk Adjustment FHIR Implementation Guide (v0.1.0: STU 1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions

: ra-measurereport01: Risk Adjustment Measure Report - JSON Representation

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{
  "resourceType" : "MeasureReport",
  "id" : "ra-measurereport01",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-measurereport"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><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\">Resource \"ra-measurereport01\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ra-measurereport.html\">Risk Adjustment Coding Gap Report Profile</a></p></div><p><b>Risk Adjustment 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=\"https://build.fhir.org/ig/HL7/davinci-ra/Measure-RAModelExample01\">https://build.fhir.org/ig/HL7/davinci-ra/Measure-RAModelExample01</a></p><p><b>subject</b>: <a href=\"Patient-ra-patient01.html\">Patient/ra-patient01</a> \" EVERYWOMAN\"</p><p><b>date</b>: 2021-10-18</p><p><b>reporter</b>: <a href=\"Organization-ra-payer01.html\">Organization/ra-payer01</a> \"ABC Payer\"</p><p><b>period</b>: 2021-01-01 --&gt; 2021-09-30</p><blockquote><p><b>group</b></p><p><b>Risk Adjustment Suspect Type Extension</b>: Historic Condition Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-suspect-type.html\">Risk Adjustment Suspect Type Code System</a>#historic)</span></p><p><b>Evidence Status Extension</b>: Closed Condition Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-evidence-status.html\">Risk Adjustment Evidence Status Code System</a>#closed-gap)</span></p><p><b>Risk Adjustment Evidence Status Date Extension</b>: 2021-04-01</p><p><b>Hierarchical Status Extension</b>: Hierarchies applied and Condition Category is not superseded <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-hierarchical-status.html\">Risk Adjustment Hierarchical Status Code System</a>#applied-not-superseded)</span></p><p><b>code</b>: HCC 18: Diabetes with Chronic Complications <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (cmshcc[24]#18 \"Diabetes with Chronic Complications\")</span></p></blockquote><blockquote><p><b>group</b></p><p><b>Risk Adjustment Suspect Type Extension</b>: Historic Condition Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-suspect-type.html\">Risk Adjustment Suspect Type Code System</a>#historic)</span></p><p><b>Evidence Status Extension</b>: Pending Condition Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-evidence-status.html\">Risk Adjustment Evidence Status Code System</a>#pending)</span></p><p><b>Risk Adjustment Evidence Status Date Extension</b>: 2021-09-29</p><p><b>Hierarchical Status Extension</b>: Hierarchies applied and Condition Category is not superseded <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-hierarchical-status.html\">Risk Adjustment Hierarchical Status Code System</a>#applied-not-superseded)</span></p><p><b>code</b>: HCC 111: Chronic Obstructive Pulmonary Disease <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (cmshcc[24]#111 \"Chronic Obstructive Pulmonary Disease\")</span></p></blockquote><blockquote><p><b>group</b></p><p><b>Risk Adjustment Suspect Type Extension</b>: Historic Condition Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-suspect-type.html\">Risk Adjustment Suspect Type Code System</a>#historic)</span></p><p><b>Evidence Status Extension</b>: Open Condition Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-evidence-status.html\">Risk Adjustment Evidence Status Code System</a>#open-gap)</span></p><p><b>Risk Adjustment Evidence Status Date Extension</b>: 2020-07-15</p><p><b>Hierarchical Status Extension</b>: Hierarchies applied and Condition Category is not superseded <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-hierarchical-status.html\">Risk Adjustment Hierarchical Status Code System</a>#applied-not-superseded)</span></p><p><b>code</b>: HCC 59: Major Depressive, Bipolar, and Paranoid Disorders <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (cmshcc[24]#53 \"Major Depressive, Bipolar, and Paranoid Disorders\")</span></p></blockquote><blockquote><p><b>group</b></p><p><b>Risk Adjustment Suspect Type Extension</b>: Historic Condition Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-suspect-type.html\">Risk Adjustment Suspect Type Code System</a>#historic)</span></p><p><b>Evidence Status Extension</b>: Closed Condition Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-evidence-status.html\">Risk Adjustment Evidence Status Code System</a>#closed-gap)</span></p><p><b>Risk Adjustment Evidence Status Date Extension</b>: 2021-04-27</p><p><b>Hierarchical Status Extension</b>: Hierarchies applied and Condition Category is superseded <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-hierarchical-status.html\">Risk Adjustment Hierarchical Status Code System</a>#applied-superseded)</span></p><p><b>code</b>: HCC 112: Fibrosis of lung and other chronic lung disorders <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (cmshcc[24]#112 \"Fibrosis of lung and other chronic lung disorders\")</span></p></blockquote><blockquote><p><b>group</b></p><p><b>Risk Adjustment Suspect Type Extension</b>: Historic Condition Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-suspect-type.html\">Risk Adjustment Suspect Type Code System</a>#historic)</span></p><p><b>Evidence Status Extension</b>: Pending Condition Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-evidence-status.html\">Risk Adjustment Evidence Status Code System</a>#pending)</span></p><p><b>Risk Adjustment Evidence Status Date Extension</b>: 2021-09-27</p><p><b>Hierarchical Status Extension</b>: Hierarchies applied and Condition Category is superseded <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-hierarchical-status.html\">Risk Adjustment Hierarchical Status Code System</a>#applied-superseded)</span></p><p><b>code</b>: HCC 19: Diabetes without Complications <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (cmshcc[24]#19 \"Diabetes without Complications\")</span></p></blockquote><blockquote><p><b>group</b></p><p><b>Risk Adjustment Suspect Type Extension</b>: Historic Condition Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-suspect-type.html\">Risk Adjustment Suspect Type Code System</a>#historic)</span></p><p><b>Evidence Status Extension</b>: Open Condition Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-evidence-status.html\">Risk Adjustment Evidence Status Code System</a>#open-gap)</span></p><p><b>Risk Adjustment Evidence Status Date Extension</b>: 2020-12-15</p><p><b>Hierarchical Status Extension</b>: Hierarchies applied and Condition Category is superseded <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-hierarchical-status.html\">Risk Adjustment Hierarchical Status Code System</a>#applied-superseded)</span></p><p><b>code</b>: HCC 84: Cardio-Respiratory Failure and Shock <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (cmshcc[24]#84 \"Cardio-Respiratory Failure and Shock\")</span></p></blockquote><blockquote><p><b>group</b></p><p><b>Risk Adjustment Suspect Type Extension</b>: Suspected Condtion Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-suspect-type.html\">Risk Adjustment Suspect Type Code System</a>#suspected)</span></p><p><b>Evidence Status Extension</b>: Closed Condition Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-evidence-status.html\">Risk Adjustment Evidence Status Code System</a>#closed-gap)</span></p><p><b>Risk Adjustment Evidence Status Date Extension</b>: 2021-03-15</p><p><b>Hierarchical Status Extension</b>: Hierarchies applied and Condition Category is not superseded <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-hierarchical-status.html\">Risk Adjustment Hierarchical Status Code System</a>#applied-not-superseded)</span></p><p><b>code</b>: HCC 22: Morbid Obesity <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (cmshcc[24]#22 \"Morbid Obesity\")</span></p></blockquote><blockquote><p><b>group</b></p><p><b>Risk Adjustment Suspect Type Extension</b>: Suspected Condtion Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-suspect-type.html\">Risk Adjustment Suspect Type Code System</a>#suspected)</span></p><p><b>Evidence Status Extension</b>: Pending Condition Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-evidence-status.html\">Risk Adjustment Evidence Status Code System</a>#pending)</span></p><p><b>Risk Adjustment Evidence Status Date Extension</b>: 2021-09-27</p><p><b>Hierarchical Status Extension</b>: Hierarchies applied and Condition Category is not superseded <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-hierarchical-status.html\">Risk Adjustment Hierarchical Status Code System</a>#applied-not-superseded)</span></p><p><b>code</b>: HCC 96: Specified Heart Arrhythmias <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (cmshcc[24]#96 \"Specified Heart Arrhythmias\")</span></p></blockquote><blockquote><p><b>group</b></p><p><b>Risk Adjustment Suspect Type Extension</b>: Suspected Condtion Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-suspect-type.html\">Risk Adjustment Suspect Type Code System</a>#suspected)</span></p><p><b>Evidence Status Extension</b>: Open Condition Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-evidence-status.html\">Risk Adjustment Evidence Status Code System</a>#open-gap)</span></p><p><b>Risk Adjustment Evidence Status Date Extension</b>: 2020-07-15</p><p><b>Hierarchical Status Extension</b>: Hierarchies applied and Condition Category is not superseded <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-hierarchical-status.html\">Risk Adjustment Hierarchical Status Code System</a>#applied-not-superseded)</span></p><p><b>code</b>: HCC 110: Cystic Fibrosis <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (cmshcc[24]#110 \"Cystic Fibrosis\")</span></p></blockquote><blockquote><p><b>group</b></p><p><b>Risk Adjustment Suspect Type Extension</b>: Net-New Condition Category <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-suspect-type.html\">Risk Adjustment Suspect Type Code System</a>#net-new)</span></p><p><b>Evidence Status Extension</b>: Pending Condition Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-evidence-status.html\">Risk Adjustment Evidence Status Code System</a>#pending)</span></p><p><b>Risk Adjustment Evidence Status Date Extension</b>: 2021-09-28</p><p><b>Hierarchical Status Extension</b>: Hierarchies applied and Condition Category is not superseded <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-hierarchical-status.html\">Risk Adjustment Hierarchical Status Code System</a>#applied-not-superseded)</span></p><p><b>code</b>: HCC 110: Cystic Fibrosis <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (cmshcc[24]#83 \"Respiratory Arrest\")</span></p></blockquote><p><b>evaluatedResource</b>: </p><ul><li><a href=\"Condition-ra-condition02pat01.html\">Condition/ra-condition02pat01</a></li><li><a href=\"Condition-ra-condition03pat01.html\">Condition/ra-condition03pat01</a></li><li><a href=\"Condition-ra-condition08pat01.html\">Condition/ra-condition08pat01</a></li><li><a href=\"Condition-ra-condition09pat01.html\">Condition/ra-condition09pat01</a></li><li><a href=\"Condition-ra-condition10pat01.html\">Condition/ra-condition10pat01</a></li><li><a href=\"Condition-ra-condition11pat01.html\">Condition/ra-condition11pat01</a></li><li><a href=\"Condition-ra-condition17pat01.html\">Condition/ra-condition17pat01</a></li><li><a href=\"Condition-ra-condition18pat01.html\">Condition/ra-condition18pat01</a></li><li><a href=\"Condition-ra-condition33pat01.html\">Condition/ra-condition33pat01</a></li><li><a href=\"Condition-ra-condition43pat01.html\">Condition/ra-condition43pat01</a></li><li><a href=\"Condition-ra-condition44pat01.html\">Condition/ra-condition44pat01</a></li><li><a href=\"Encounter-ra-encounter02pat01.html\">Encounter/ra-encounter02pat01</a></li><li><a href=\"Encounter-ra-encounter03pat01.html\">Encounter/ra-encounter03pat01</a></li><li><a href=\"Encounter-ra-encounter08pat01.html\">Encounter/ra-encounter08pat01</a></li><li><a href=\"Encounter-ra-encounter09pat01.html\">Encounter/ra-encounter09pat01</a></li><li><a href=\"Encounter-ra-encounter11pat01.html\">Encounter/ra-encounter11pat01</a></li><li><a href=\"Encounter-ra-encounter43pat01.html\">Encounter/ra-encounter43pat01</a></li><li><a href=\"Encounter-ra-encounter44pat01.html\">Encounter/ra-encounter44pat01</a></li><li><a href=\"Observation-ra-obs21pat01.html\">Observation/ra-obs21pat01</a></li></ul></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-clinicalDataCollectionDeadline",
      "valueDate" : "2022-03-31"
    }
  ],
  "status" : "complete",
  "type" : "individual",
  "measure" : "https://build.fhir.org/ig/HL7/davinci-ra/Measure-RAModelExample01",
  "subject" : {
    "reference" : "Patient/ra-patient01"
  },
  "date" : "2021-10-18",
  "reporter" : {
    "reference" : "Organization/ra-payer01"
  },
  "period" : {
    "start" : "2021-01-01",
    "end" : "2021-09-30"
  },
  "group" : [
    {
      "id" : "group-001",
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type",
                "code" : "historic"
              }
            ]
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status",
                "code" : "closed-gap"
              }
            ]
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate",
          "valueDate" : "2021-04-01"
        },
        {
          "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status",
                "code" : "applied-not-superseded"
              }
            ]
          }
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/cmshcc",
            "version" : "24",
            "code" : "18",
            "display" : "Diabetes with Chronic Complications"
          }
        ],
        "text" : "HCC 18: Diabetes with Chronic Complications"
      }
    },
    {
      "id" : "group-002",
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type",
                "code" : "historic"
              }
            ]
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status",
                "code" : "pending"
              }
            ]
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate",
          "valueDate" : "2021-09-29"
        },
        {
          "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status",
                "code" : "applied-not-superseded"
              }
            ]
          }
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/cmshcc",
            "version" : "24",
            "code" : "111",
            "display" : "Chronic Obstructive Pulmonary Disease"
          }
        ],
        "text" : "HCC 111: Chronic Obstructive Pulmonary Disease"
      }
    },
    {
      "id" : "group-003",
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type",
                "code" : "historic"
              }
            ]
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status",
                "code" : "open-gap"
              }
            ]
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate",
          "valueDate" : "2020-07-15"
        },
        {
          "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status",
                "code" : "applied-not-superseded"
              }
            ]
          }
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/cmshcc",
            "version" : "24",
            "code" : "53",
            "display" : "Major Depressive, Bipolar, and Paranoid Disorders"
          }
        ],
        "text" : "HCC 59: Major Depressive, Bipolar, and Paranoid Disorders"
      }
    },
    {
      "id" : "group-004",
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type",
                "code" : "historic"
              }
            ]
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status",
                "code" : "closed-gap"
              }
            ]
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate",
          "valueDate" : "2021-04-27"
        },
        {
          "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status",
                "code" : "applied-superseded"
              }
            ]
          }
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/cmshcc",
            "version" : "24",
            "code" : "112",
            "display" : "Fibrosis of lung and other chronic lung disorders"
          }
        ],
        "text" : "HCC 112: Fibrosis of lung and other chronic lung disorders"
      }
    },
    {
      "id" : "group-005",
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type",
                "code" : "historic"
              }
            ]
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status",
                "code" : "pending"
              }
            ]
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate",
          "valueDate" : "2021-09-27"
        },
        {
          "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status",
                "code" : "applied-superseded"
              }
            ]
          }
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/cmshcc",
            "version" : "24",
            "code" : "19",
            "display" : "Diabetes without Complications"
          }
        ],
        "text" : "HCC 19: Diabetes without Complications"
      }
    },
    {
      "id" : "group-006",
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type",
                "code" : "historic"
              }
            ]
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status",
                "code" : "open-gap"
              }
            ]
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate",
          "valueDate" : "2020-12-15"
        },
        {
          "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status",
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              }
            ]
          }
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/cmshcc",
            "version" : "24",
            "code" : "84",
            "display" : "Cardio-Respiratory Failure and Shock"
          }
        ],
        "text" : "HCC 84: Cardio-Respiratory Failure and Shock"
      }
    },
    {
      "id" : "group-007",
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type",
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            ]
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status",
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            ]
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate",
          "valueDate" : "2021-03-15"
        },
        {
          "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status",
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            ]
          }
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/cmshcc",
            "version" : "24",
            "code" : "22",
            "display" : "Morbid Obesity"
          }
        ],
        "text" : "HCC 22: Morbid Obesity"
      }
    },
    {
      "id" : "group-008",
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType",
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            "coding" : [
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                "system" : "http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type",
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            ]
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status",
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            ]
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate",
          "valueDate" : "2021-09-27"
        },
        {
          "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status",
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        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/cmshcc",
            "version" : "24",
            "code" : "96",
            "display" : "Specified Heart Arrhythmias"
          }
        ],
        "text" : "HCC 96: Specified Heart Arrhythmias"
      }
    },
    {
      "id" : "group-009",
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        {
          "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType",
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                "system" : "http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type",
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        },
        {
          "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus",
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            "coding" : [
              {
                "system" : "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status",
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          }
        },
        {
          "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate",
          "valueDate" : "2020-07-15"
        },
        {
          "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status",
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        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/cmshcc",
            "version" : "24",
            "code" : "110",
            "display" : "Cystic Fibrosis"
          }
        ],
        "text" : "HCC 110: Cystic Fibrosis"
      }
    },
    {
      "id" : "group-010",
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType",
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            "coding" : [
              {
                "system" : "http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type",
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          }
        },
        {
          "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status",
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            ]
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate",
          "valueDate" : "2021-09-28"
        },
        {
          "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status",
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          {
            "system" : "http://terminology.hl7.org/CodeSystem/cmshcc",
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        ],
        "text" : "HCC 110: Cystic Fibrosis"
      }
    }
  ],
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    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
          "valueString" : "group-001"
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      ],
      "reference" : "Condition/ra-condition02pat01"
    },
    {
      "extension" : [
        {
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      "reference" : "Condition/ra-condition03pat01"
    },
    {
      "extension" : [
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          "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
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      "reference" : "Condition/ra-condition08pat01"
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          "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
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      "reference" : "Condition/ra-condition09pat01"
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      "reference" : "Condition/ra-condition10pat01"
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      "extension" : [
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      "reference" : "Condition/ra-condition11pat01"
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      "reference" : "Condition/ra-condition17pat01"
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      "extension" : [
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      "reference" : "Condition/ra-condition18pat01"
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    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
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      "reference" : "Condition/ra-condition33pat01"
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
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      "reference" : "Condition/ra-condition43pat01"
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      "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
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          "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
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      ],
      "reference" : "Encounter/ra-encounter02pat01"
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    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
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        {
          "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
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          "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
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      "reference" : "Encounter/ra-encounter03pat01"
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    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
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      "reference" : "Encounter/ra-encounter08pat01"
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    {
      "extension" : [
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          "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
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      "reference" : "Encounter/ra-encounter09pat01"
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    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
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      "reference" : "Encounter/ra-encounter11pat01"
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    {
      "extension" : [
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          "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
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      "reference" : "Encounter/ra-encounter43pat01"
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    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
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      ],
      "reference" : "Encounter/ra-encounter44pat01"
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    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
          "valueString" : "group-009"
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      ],
      "reference" : "Observation/ra-obs21pat01"
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  ]
}