Da Vinci Risk Adjustment Implementation Guide
2.0.0-ballot - STU2 Ballot
Da Vinci Risk Adjustment Implementation Guide
2.0.0-ballot - STU2 Ballot
This page is part of the Da Vinci Risk Adjustment FHIR Implementation Guide (v2.0.0-ballot: STU2 (v2.0.0) 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 
<MeasureReport xmlns="http://hl7.org/fhir">
<id value="ra-measurereport01-with-annotation"/>
<meta>
<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><b>Generated Narrative: MeasureReport</b><a name="ra-measurereport01-with-annotation"> </a></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 MeasureReport "ra-measurereport01-with-annotation" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ra-measurereport.html">Risk Adjustment Coding Gap MeasureReport</a></p></div><p><b>Risk Adjustment Clinical Data Collection Deadline</b>: 2022-03-31</p><p><b>status</b>: complete</p><p><b>type</b>: individual</p><p><b>measure</b>: <a href="Measure-RAModelExample01.html">Risk Adjustment Model Version 24 - CMS Hierarchical Category Condition (CMS-HCC)</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 --> 2021-09-30</p><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-001</blockquote><p><b>Risk Adjustment Suspect Type</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 CodeSystem</a>#historic)</span></p><p><b>Evidence Status</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 CodeSystem</a>#closed-gap)</span></p><p><b>Risk Adjustment Evidence Status Date</b>: 2021-04-01</p><p><b>Hierarchical Status</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: Hierarchies applied and Condition Category is not superseded 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 CodeSystem</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"> (CMS Hierarchical Condition Categories[24]#18 "Diabetes with Chronic Complications")</span></p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-002</blockquote><p><b>Risk Adjustment Suspect Type</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 CodeSystem</a>#historic)</span></p><p><b>Evidence Status</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 CodeSystem</a>#pending)</span></p><p><b>Risk Adjustment Evidence Status Date</b>: 2021-09-29</p><p><b>Hierarchical Status</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 CodeSystem</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"> (CMS Hierarchical Condition Categories[24]#111 "Chronic Obstructive Pulmonary Disease")</span></p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-003</blockquote><p><b>Risk Adjustment Suspect Type</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 CodeSystem</a>#historic)</span></p><p><b>Evidence Status</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 CodeSystem</a>#open-gap)</span></p><p><b>Risk Adjustment Evidence Status Date</b>: 2020-07-15</p><p><b>Hierarchical Status</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 CodeSystem</a>#applied-not-superseded)</span></p><blockquote><p><b>Annotation</b></p><blockquote><p><b>url</b></p><code>annotator</code></blockquote><p><b>value</b>: <a href="Practitioner-ra-prac01pat01.html">Practitioner/ra-prac01pat01</a> " HIPPOCRATES"</p><blockquote><p><b>url</b></p><code>annotated</code></blockquote><p><b>value</b>: 2021-11-01</p><blockquote><p><b>url</b></p><code>text</code></blockquote><p><b>value</b>: Diagnosis added</p><blockquote><p><b>url</b></p><a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></blockquote><p><b>value</b>: Assessed and present <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-coding-gap-annotation.html">Coding Gap Annotation CodeSystem</a>#assessed-present)</span></p><blockquote><p><b>url</b></p><code>relatedData</code></blockquote><p><b>value</b>: id: CLM23333</p></blockquote><p><b>code</b>: HCC 59: Major Depressive, Bipolar, and Paranoid Disorders <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (CMS Hierarchical Condition Categories[24]#59 "Major Depressive, Bipolar, and Paranoid Disorders")</span></p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-004</blockquote><p><b>Risk Adjustment Suspect Type</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 CodeSystem</a>#historic)</span></p><p><b>Evidence Status</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 CodeSystem</a>#closed-gap)</span></p><p><b>Risk Adjustment Evidence Status Date</b>: 2021-04-27</p><p><b>Hierarchical Status</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 CodeSystem</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"> (CMS Hierarchical Condition Categories[24]#112 "Fibrosis of lung and other chronic lung disorders")</span></p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-005</blockquote><p><b>Risk Adjustment Suspect Type</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 CodeSystem</a>#historic)</span></p><p><b>Evidence Status</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 CodeSystem</a>#pending)</span></p><p><b>Risk Adjustment Evidence Status Date</b>: 2021-09-27</p><p><b>Hierarchical Status</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 CodeSystem</a>#applied-superseded)</span></p><p><b>code</b>: HCC 19: Diabetes without Complications <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (CMS Hierarchical Condition Categories[24]#19 "Diabetes without Complications")</span></p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-006</blockquote><p><b>Risk Adjustment Suspect Type</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 CodeSystem</a>#historic)</span></p><p><b>Evidence Status</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 CodeSystem</a>#open-gap)</span></p><p><b>Risk Adjustment Evidence Status Date</b>: 2020-12-15</p><p><b>Hierarchical Status</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 CodeSystem</a>#applied-superseded)</span></p><blockquote><p><b>Annotation</b></p><blockquote><p><b>url</b></p><code>annotator</code></blockquote><p><b>value</b>: <a href="Practitioner-ra-prac01pat01.html">Practitioner/ra-prac01pat01</a> " HIPPOCRATES"</p><blockquote><p><b>url</b></p><code>annotated</code></blockquote><p><b>value</b>: 2021-11-01</p><blockquote><p><b>url</b></p><code>text</code></blockquote><p><b>value</b>: Continue evaluation</p><blockquote><p><b>url</b></p><a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></blockquote><p><b>value</b>: Deferred <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-coding-gap-annotation.html">Coding Gap Annotation CodeSystem</a>#deferred)</span></p></blockquote><p><b>code</b>: HCC 84: Cardio-Respiratory Failure and Shock <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (CMS Hierarchical Condition Categories[24]#84 "Cardio-Respiratory Failure and Shock")</span></p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-007</blockquote><p><b>Risk Adjustment Suspect Type</b>: Suspected Condition Category Gap <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-suspect-type.html">Risk Adjustment Suspect Type CodeSystem</a>#suspected)</span></p><p><b>Evidence Status</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 CodeSystem</a>#closed-gap)</span></p><p><b>Risk Adjustment Evidence Status Date</b>: 2021-03-15</p><p><b>Hierarchical Status</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 CodeSystem</a>#applied-not-superseded)</span></p><p><b>code</b>: HCC 22: Morbid Obesity <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (CMS Hierarchical Condition Categories[24]#22 "Morbid Obesity")</span></p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-008</blockquote><p><b>Risk Adjustment Suspect Type</b>: Suspected Condition Category Gap <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-suspect-type.html">Risk Adjustment Suspect Type CodeSystem</a>#suspected)</span></p><p><b>Evidence Status</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 CodeSystem</a>#pending)</span></p><p><b>Risk Adjustment Evidence Status Date</b>: 2021-09-27</p><p><b>Hierarchical Status</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 CodeSystem</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"> (CMS Hierarchical Condition Categories[24]#96 "Specified Heart Arrhythmias")</span></p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-009</blockquote><p><b>Risk Adjustment Suspect Type</b>: Suspected Condition Category Gap <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-suspect-type.html">Risk Adjustment Suspect Type CodeSystem</a>#suspected)</span></p><p><b>Evidence Status</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 CodeSystem</a>#open-gap)</span></p><p><b>Risk Adjustment Evidence Status Date</b>: 2020-07-15</p><p><b>Hierarchical Status</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 CodeSystem</a>#applied-not-superseded)</span></p><p><b>Confidence Scale</b>: Medium <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#255508009)</span></p><blockquote><p><b>Annotation</b></p><blockquote><p><b>url</b></p><code>annotator</code></blockquote><p><b>value</b>: <a href="Practitioner-ra-prac01pat01.html">Practitioner/ra-prac01pat01</a> " HIPPOCRATES"</p><blockquote><p><b>url</b></p><code>annotated</code></blockquote><p><b>value</b>: 2021-11-01</p><blockquote><p><b>url</b></p><code>text</code></blockquote><p><b>value</b>: Not diagnosed</p><blockquote><p><b>url</b></p><a href="http://hl7.org/fhir/R4/datatypes.html#code">code</a></blockquote><p><b>value</b>: Assessed and not present <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-coding-gap-annotation.html">Coding Gap Annotation CodeSystem</a>#assessed-not-present)</span></p><blockquote><p><b>url</b></p><code>relatedData</code></blockquote><p><b>value</b>: id: 432203939</p></blockquote><p><b>code</b>: HCC 110: Cystic Fibrosis <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (CMS Hierarchical Condition Categories[24]#110 "Cystic Fibrosis")</span></p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-010</blockquote><p><b>Risk Adjustment Suspect Type</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 CodeSystem</a>#net-new)</span></p><p><b>Evidence Status</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 CodeSystem</a>#pending)</span></p><p><b>Risk Adjustment Evidence Status Date</b>: 2021-09-28</p><p><b>Hierarchical Status</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 CodeSystem</a>#applied-not-superseded)</span></p><p><b>code</b>: HCC 83: Respiratory Arrest <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (CMS Hierarchical Condition Categories[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>
</text>
<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="https://build.fhir.org/ig/HL7/davinci-ra/Measure-RAModelExample01"/>
<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-suspectType">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-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="applied-not-superseded"/>
</coding>
</valueCodeableConcept>
</extension>
<code>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/cmshcc"/>
<version value="24"/>
<code value="18"/>
<display value="Diabetes with Chronic Complications"/>
</coding>
<text value="HCC 18: Diabetes with Chronic Complications"/>
</code>
</group>
<group id="group-002">
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-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="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="applied-not-superseded"/>
</coding>
</valueCodeableConcept>
</extension>
<code>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/cmshcc"/>
<version value="24"/>
<code value="111"/>
<display value="Chronic Obstructive Pulmonary Disease"/>
</coding>
<text value="HCC 111: Chronic Obstructive Pulmonary Disease"/>
</code>
</group>
<group id="group-003">
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType">
<valueCodeableConcept>
<coding>
<system
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<code value="historic"/>
</coding>
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<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="2020-07-15"/>
</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="applied-not-superseded"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-annotation">
<extension url="annotator">
<valueReference>
<reference value="Practitioner/ra-prac01pat01"/>
</valueReference>
</extension>
<extension url="annotated">
<valueDateTime value="2021-11-01"/>
</extension>
<extension url="text">
<valueString value="Diagnosis added"/>
</extension>
<extension url="code">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/coding-gap-annotation"/>
<code value="assessed-present"/>
<display value="Assessed and present"/>
</coding>
</valueCodeableConcept>
</extension>
<extension url="relatedData">
<valueIdentifier>
<system value="http://example.org/fhir/myclaimno"/>
<value value="CLM23333"/>
</valueIdentifier>
</extension>
</extension>
<code>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/cmshcc"/>
<version value="24"/>
<code value="59"/>
<display value="Major Depressive, Bipolar, and Paranoid Disorders"/>
</coding>
<text
value="HCC 59: Major Depressive, Bipolar, and Paranoid Disorders"/>
</code>
</group>
<group id="group-004">
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-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="2021-04-27"/>
</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="applied-superseded"/>
</coding>
</valueCodeableConcept>
</extension>
<code>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/cmshcc"/>
<version value="24"/>
<code value="112"/>
<display value="Fibrosis of lung and other chronic lung disorders"/>
</coding>
<text
value="HCC 112: Fibrosis of lung and other chronic lung disorders"/>
</code>
</group>
<group id="group-005">
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-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="pending"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate">
<valueDate value="2021-09-27"/>
</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="applied-superseded"/>
</coding>
</valueCodeableConcept>
</extension>
<code>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/cmshcc"/>
<version value="24"/>
<code value="19"/>
<display value="Diabetes without Complications"/>
</coding>
<text value="HCC 19: Diabetes without Complications"/>
</code>
</group>
<group id="group-006">
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-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="2020-12-15"/>
</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="applied-superseded"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-annotation">
<extension url="annotator">
<valueReference>
<reference value="Practitioner/ra-prac01pat01"/>
</valueReference>
</extension>
<extension url="annotated">
<valueDateTime value="2021-11-01"/>
</extension>
<extension url="text">
<valueString value="Continue evaluation"/>
</extension>
<extension url="code">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/coding-gap-annotation"/>
<code value="deferred"/>
<display value="Deferred"/>
</coding>
</valueCodeableConcept>
</extension>
</extension>
<code>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/cmshcc"/>
<version value="24"/>
<code value="84"/>
<display value="Cardio-Respiratory Failure and Shock"/>
</coding>
<text value="HCC 84: Cardio-Respiratory Failure and Shock"/>
</code>
</group>
<group id="group-007">
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-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="2021-03-15"/>
</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="applied-not-superseded"/>
</coding>
</valueCodeableConcept>
</extension>
<code>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/cmshcc"/>
<version value="24"/>
<code value="22"/>
<display value="Morbid Obesity"/>
</coding>
<text value="HCC 22: Morbid Obesity"/>
</code>
</group>
<group id="group-008">
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-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="2021-09-27"/>
</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="applied-not-superseded"/>
</coding>
</valueCodeableConcept>
</extension>
<code>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/cmshcc"/>
<version value="24"/>
<code value="96"/>
<display value="Specified Heart Arrhythmias"/>
</coding>
<text value="HCC 96: Specified Heart Arrhythmias"/>
</code>
</group>
<group id="group-009">
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-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="open-gap"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate">
<valueDate value="2020-07-15"/>
</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="applied-not-superseded"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-confidenceScale">
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="255508009"/>
<display value="Medium"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-annotation">
<extension url="annotator">
<valueReference>
<reference value="Practitioner/ra-prac01pat01"/>
</valueReference>
</extension>
<extension url="annotated">
<valueDateTime value="2021-11-01"/>
</extension>
<extension url="text">
<valueString value="Not diagnosed"/>
</extension>
<extension url="code">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/coding-gap-annotation"/>
<code value="assessed-not-present"/>
</coding>
</valueCodeableConcept>
</extension>
<extension url="relatedData">
<valueIdentifier>
<system value="http://example.org/fhir/mychart"/>
<value value="432203939"/>
</valueIdentifier>
</extension>
</extension>
<code>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/cmshcc"/>
<version value="24"/>
<code value="110"/>
<display value="Cystic Fibrosis"/>
</coding>
<text value="HCC 110: Cystic Fibrosis"/>
</code>
</group>
<group id="group-010">
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-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="2021-09-28"/>
</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="applied-not-superseded"/>
</coding>
</valueCodeableConcept>
</extension>
<code>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/cmshcc"/>
<version value="24"/>
<code value="83"/>
<display value="Respiratory Arrest"/>
</coding>
<text value="HCC 83: Respiratory Arrest"/>
</code>
</group>
<evaluatedResource>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-001"/>
</extension>
<reference value="Condition/ra-condition02pat01"/>
</evaluatedResource>
<evaluatedResource>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-002"/>
</extension>
<reference value="Condition/ra-condition03pat01"/>
</evaluatedResource>
<evaluatedResource>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-003"/>
</extension>
<reference value="Condition/ra-condition08pat01"/>
</evaluatedResource>
<evaluatedResource>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-004"/>
</extension>
<reference value="Condition/ra-condition09pat01"/>
</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-condition11pat01"/>
</evaluatedResource>
<evaluatedResource>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-007"/>
</extension>
<reference value="Condition/ra-condition17pat01"/>
</evaluatedResource>
<evaluatedResource>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-008"/>
</extension>
<reference value="Condition/ra-condition18pat01"/>
</evaluatedResource>
<evaluatedResource>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-010"/>
</extension>
<reference value="Condition/ra-condition33pat01"/>
</evaluatedResource>
<evaluatedResource>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-001"/>
</extension>
<reference value="Condition/ra-condition43pat01"/>
</evaluatedResource>
<evaluatedResource>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-004"/>
</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>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-007"/>
</extension>
<reference value="Encounter/ra-encounter02pat01"/>
</evaluatedResource>
<evaluatedResource>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-002"/>
</extension>
<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-008"/>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-010"/>
</extension>
<reference value="Encounter/ra-encounter03pat01"/>
</evaluatedResource>
<evaluatedResource>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-003"/>
</extension>
<reference value="Encounter/ra-encounter08pat01"/>
</evaluatedResource>
<evaluatedResource>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-004"/>
</extension>
<reference value="Encounter/ra-encounter09pat01"/>
</evaluatedResource>
<evaluatedResource>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-006"/>
</extension>
<reference value="Encounter/ra-encounter11pat01"/>
</evaluatedResource>
<evaluatedResource>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-001"/>
</extension>
<reference value="Encounter/ra-encounter43pat01"/>
</evaluatedResource>
<evaluatedResource>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-004"/>
</extension>
<reference value="Encounter/ra-encounter44pat01"/>
</evaluatedResource>
<evaluatedResource>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-009"/>
</extension>
<reference value="Observation/ra-obs21pat01"/>
</evaluatedResource>
</MeasureReport>
IG © 2021+ HL7 Clinical Quality Information Work Group. Package hl7.fhir.us.davinci-ra#2.0.0-ballot based on FHIR 4.0.1. Generated 2023-03-28
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