Da Vinci Risk Adjustment Implementation Guide
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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

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

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:MeasureReport ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "ra-measurereport01"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-measurereport"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-measurereport>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MeasureReport</b><a name=\"ra-measurereport01\"> </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 &quot;ra-measurereport01&quot; </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> &quot; EVERYWOMAN&quot;</p><p><b>date</b>: 2021-10-18</p><p><b>reporter</b>: <a href=\"Organization-ra-payer01.html\">Organization/ra-payer01</a> &quot;ABC Payer&quot;</p><p><b>period</b>: 2021-01-01 --&gt; 2021-09-30</p><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-001</blockquote><p><b>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 &quot;Diabetes with Chronic Complications&quot;)</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 &quot;Chronic Obstructive Pulmonary Disease&quot;)</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><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 &quot;Major Depressive, Bipolar, and Paranoid Disorders&quot;)</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 &quot;Fibrosis of lung and other chronic lung disorders&quot;)</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 &quot;Diabetes without Complications&quot;)</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><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 &quot;Cardio-Respiratory Failure and Shock&quot;)</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 &quot;Morbid Obesity&quot;)</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 &quot;Specified Heart Arrhythmias&quot;)</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><p><b>code</b>: HCC 110: Cystic Fibrosis <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (CMS Hierarchical Condition Categories[24]#110 &quot;Cystic Fibrosis&quot;)</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 &quot;Respiratory Arrest&quot;)</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>"
  ] ; # 
  fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-clinicalDataCollectionDeadline"^^xsd:anyURI ] ;
fhir:value [ fhir:v "2022-03-31"^^xsd:date ]
  ] ) ; # 
  fhir:status [ fhir:v "complete"] ; # 
  fhir:type [ fhir:v "individual"] ; # 
  fhir:measure [
fhir:v "https://build.fhir.org/ig/HL7/davinci-ra/Measure-RAModelExample01"^^xsd:anyURI ;
fhir:link <https://build.fhir.org/ig/HL7/davinci-ra/Measure-RAModelExample01>
  ] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/ra-patient01" ]
  ] ; # 
  fhir:date [ fhir:v "2021-10-18"^^xsd:date] ; # 
  fhir:reporter [
fhir:reference [ fhir:v "Organization/ra-payer01" ]
  ] ; # 
  fhir:period [
fhir:start [ fhir:v "2021-01-01"^^xsd:date ] ;
fhir:end [ fhir:v "2021-09-30"^^xsd:date ]
  ] ; # 
  fhir:group ( [
fhir:id [ fhir:v "group-001" ] ;
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "historic" ]         ] )       ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status"^^xsd:anyURI ] ;
fhir:code [ fhir:v "closed-gap" ]         ] )       ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate"^^xsd:anyURI ] ;
fhir:value [ fhir:v "2021-04-01"^^xsd:date ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"^^xsd:anyURI ] ;
fhir:code [ fhir:v "applied-not-superseded" ]         ] )       ]     ] ) ;
fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/cmshcc"^^xsd:anyURI ] ;
fhir:version [ fhir:v "24" ] ;
fhir:code [ fhir:v "18" ] ;
fhir:display [ fhir:v "Diabetes with Chronic Complications" ]       ] ) ;
fhir:text [ fhir:v "HCC 18: Diabetes with Chronic Complications" ]     ]
  ] [
fhir:id [ fhir:v "group-002" ] ;
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "historic" ]         ] )       ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status"^^xsd:anyURI ] ;
fhir:code [ fhir:v "pending" ]         ] )       ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate"^^xsd:anyURI ] ;
fhir:value [ fhir:v "2021-09-29"^^xsd:date ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"^^xsd:anyURI ] ;
fhir:code [ fhir:v "applied-not-superseded" ]         ] )       ]     ] ) ;
fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/cmshcc"^^xsd:anyURI ] ;
fhir:version [ fhir:v "24" ] ;
fhir:code [ fhir:v "111" ] ;
fhir:display [ fhir:v "Chronic Obstructive Pulmonary Disease" ]       ] ) ;
fhir:text [ fhir:v "HCC 111: Chronic Obstructive Pulmonary Disease" ]     ]
  ] [
fhir:id [ fhir:v "group-003" ] ;
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "historic" ]         ] )       ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status"^^xsd:anyURI ] ;
fhir:code [ fhir:v "open-gap" ]         ] )       ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate"^^xsd:anyURI ] ;
fhir:value [ fhir:v "2020-07-15"^^xsd:date ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"^^xsd:anyURI ] ;
fhir:code [ fhir:v "applied-not-superseded" ]         ] )       ]     ] ) ;
fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/cmshcc"^^xsd:anyURI ] ;
fhir:version [ fhir:v "24" ] ;
fhir:code [ fhir:v "59" ] ;
fhir:display [ fhir:v "Major Depressive, Bipolar, and Paranoid Disorders" ]       ] ) ;
fhir:text [ fhir:v "HCC 59: Major Depressive, Bipolar, and Paranoid Disorders" ]     ]
  ] [
fhir:id [ fhir:v "group-004" ] ;
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "historic" ]         ] )       ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status"^^xsd:anyURI ] ;
fhir:code [ fhir:v "closed-gap" ]         ] )       ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate"^^xsd:anyURI ] ;
fhir:value [ fhir:v "2021-04-27"^^xsd:date ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"^^xsd:anyURI ] ;
fhir:code [ fhir:v "applied-superseded" ]         ] )       ]     ] ) ;
fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/cmshcc"^^xsd:anyURI ] ;
fhir:version [ fhir:v "24" ] ;
fhir:code [ fhir:v "112" ] ;
fhir:display [ fhir:v "Fibrosis of lung and other chronic lung disorders" ]       ] ) ;
fhir:text [ fhir:v "HCC 112: Fibrosis of lung and other chronic lung disorders" ]     ]
  ] [
fhir:id [ fhir:v "group-005" ] ;
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "historic" ]         ] )       ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status"^^xsd:anyURI ] ;
fhir:code [ fhir:v "pending" ]         ] )       ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate"^^xsd:anyURI ] ;
fhir:value [ fhir:v "2021-09-27"^^xsd:date ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"^^xsd:anyURI ] ;
fhir:code [ fhir:v "applied-superseded" ]         ] )       ]     ] ) ;
fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/cmshcc"^^xsd:anyURI ] ;
fhir:version [ fhir:v "24" ] ;
fhir:code [ fhir:v "19" ] ;
fhir:display [ fhir:v "Diabetes without Complications" ]       ] ) ;
fhir:text [ fhir:v "HCC 19: Diabetes without Complications" ]     ]
  ] [
fhir:id [ fhir:v "group-006" ] ;
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "historic" ]         ] )       ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status"^^xsd:anyURI ] ;
fhir:code [ fhir:v "open-gap" ]         ] )       ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate"^^xsd:anyURI ] ;
fhir:value [ fhir:v "2020-12-15"^^xsd:date ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"^^xsd:anyURI ] ;
fhir:code [ fhir:v "applied-superseded" ]         ] )       ]     ] ) ;
fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/cmshcc"^^xsd:anyURI ] ;
fhir:version [ fhir:v "24" ] ;
fhir:code [ fhir:v "84" ] ;
fhir:display [ fhir:v "Cardio-Respiratory Failure and Shock" ]       ] ) ;
fhir:text [ fhir:v "HCC 84: Cardio-Respiratory Failure and Shock" ]     ]
  ] [
fhir:id [ fhir:v "group-007" ] ;
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "suspected" ]         ] )       ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status"^^xsd:anyURI ] ;
fhir:code [ fhir:v "closed-gap" ]         ] )       ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate"^^xsd:anyURI ] ;
fhir:value [ fhir:v "2021-03-15"^^xsd:date ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"^^xsd:anyURI ] ;
fhir:code [ fhir:v "applied-not-superseded" ]         ] )       ]     ] ) ;
fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/cmshcc"^^xsd:anyURI ] ;
fhir:version [ fhir:v "24" ] ;
fhir:code [ fhir:v "22" ] ;
fhir:display [ fhir:v "Morbid Obesity" ]       ] ) ;
fhir:text [ fhir:v "HCC 22: Morbid Obesity" ]     ]
  ] [
fhir:id [ fhir:v "group-008" ] ;
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "suspected" ]         ] )       ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status"^^xsd:anyURI ] ;
fhir:code [ fhir:v "pending" ]         ] )       ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate"^^xsd:anyURI ] ;
fhir:value [ fhir:v "2021-09-27"^^xsd:date ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"^^xsd:anyURI ] ;
fhir:code [ fhir:v "applied-not-superseded" ]         ] )       ]     ] ) ;
fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/cmshcc"^^xsd:anyURI ] ;
fhir:version [ fhir:v "24" ] ;
fhir:code [ fhir:v "96" ] ;
fhir:display [ fhir:v "Specified Heart Arrhythmias" ]       ] ) ;
fhir:text [ fhir:v "HCC 96: Specified Heart Arrhythmias" ]     ]
  ] [
fhir:id [ fhir:v "group-009" ] ;
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "suspected" ]         ] )       ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status"^^xsd:anyURI ] ;
fhir:code [ fhir:v "open-gap" ]         ] )       ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate"^^xsd:anyURI ] ;
fhir:value [ fhir:v "2020-07-15"^^xsd:date ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"^^xsd:anyURI ] ;
fhir:code [ fhir:v "applied-not-superseded" ]         ] )       ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-confidenceScale"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
a sct:255508009 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "255508009" ] ;
fhir:display [ fhir:v "Medium" ]         ] )       ]     ] ) ;
fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/cmshcc"^^xsd:anyURI ] ;
fhir:version [ fhir:v "24" ] ;
fhir:code [ fhir:v "110" ] ;
fhir:display [ fhir:v "Cystic Fibrosis" ]       ] ) ;
fhir:text [ fhir:v "HCC 110: Cystic Fibrosis" ]     ]
  ] [
fhir:id [ fhir:v "group-010" ] ;
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "net-new" ]         ] )       ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status"^^xsd:anyURI ] ;
fhir:code [ fhir:v "pending" ]         ] )       ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate"^^xsd:anyURI ] ;
fhir:value [ fhir:v "2021-09-28"^^xsd:date ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"^^xsd:anyURI ] ;
fhir:code [ fhir:v "applied-not-superseded" ]         ] )       ]     ] ) ;
fhir:code [
      ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/cmshcc"^^xsd:anyURI ] ;
fhir:version [ fhir:v "24" ] ;
fhir:code [ fhir:v "83" ] ;
fhir:display [ fhir:v "Respiratory Arrest" ]       ] ) ;
fhir:text [ fhir:v "HCC 83: Respiratory Arrest" ]     ]
  ] ) ; # 
  fhir:evaluatedResource ( [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "group-001" ]     ] ) ;
fhir:reference [ fhir:v "Condition/ra-condition02pat01" ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "group-002" ]     ] ) ;
fhir:reference [ fhir:v "Condition/ra-condition03pat01" ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "group-003" ]     ] ) ;
fhir:reference [ fhir:v "Condition/ra-condition08pat01" ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "group-004" ]     ] ) ;
fhir:reference [ fhir:v "Condition/ra-condition09pat01" ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "group-005" ]     ] ) ;
fhir:reference [ fhir:v "Condition/ra-condition10pat01" ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "group-006" ]     ] ) ;
fhir:reference [ fhir:v "Condition/ra-condition11pat01" ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "group-007" ]     ] ) ;
fhir:reference [ fhir:v "Condition/ra-condition17pat01" ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "group-008" ]     ] ) ;
fhir:reference [ fhir:v "Condition/ra-condition18pat01" ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "group-010" ]     ] ) ;
fhir:reference [ fhir:v "Condition/ra-condition33pat01" ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "group-001" ]     ] ) ;
fhir:reference [ fhir:v "Condition/ra-condition43pat01" ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "group-004" ]     ] ) ;
fhir:reference [ fhir:v "Condition/ra-condition44pat01" ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "group-001" ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "group-007" ]     ] ) ;
fhir:reference [ fhir:v "Encounter/ra-encounter02pat01" ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "group-002" ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "group-005" ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "group-008" ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "group-010" ]     ] ) ;
fhir:reference [ fhir:v "Encounter/ra-encounter03pat01" ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "group-003" ]     ] ) ;
fhir:reference [ fhir:v "Encounter/ra-encounter08pat01" ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "group-004" ]     ] ) ;
fhir:reference [ fhir:v "Encounter/ra-encounter09pat01" ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "group-006" ]     ] ) ;
fhir:reference [ fhir:v "Encounter/ra-encounter11pat01" ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "group-001" ]     ] ) ;
fhir:reference [ fhir:v "Encounter/ra-encounter43pat01" ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "group-004" ]     ] ) ;
fhir:reference [ fhir:v "Encounter/ra-encounter44pat01" ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
fhir:value [ fhir:v "group-009" ]     ] ) ;
fhir:reference [ fhir:v "Observation/ra-obs21pat01" ]
  ] ) . #