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-measurereport03: Risk Adjustment Measure Report for HCC V24 for Patient 02 - 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 xsd: <http://www.w3.org/2001/XMLSchema#> .

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

 a fhir:MeasureReport ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "ra-measurereport03"] ; # 
  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-measurereport03\"> </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-measurereport03&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-patient02.html\">Patient/ra-patient02</a> &quot; EVERYMAN&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>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>: CMS 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-002</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>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><p><b>evaluatedResource</b>: </p><ul><li><a href=\"Condition-ra-condition31pat02.html\">Condition/ra-condition31pat02</a></li><li><a href=\"Encounter-ra-encounter31pat02.html\">Encounter/ra-encounter31pat02</a></li><li><a href=\"Observation-ra-obs01pat02.html\">Observation/ra-obs01pat02</a></li><li><a href=\"Patient-ra-patient02.html\">Patient/ra-patient02</a> &quot; EVERYMAN&quot;</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-patient02" ]
  ] ; # 
  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-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 "CMS HCC: 96, Specified Heart.Arrhythmias" ]     ]
  ] [
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 "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: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: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-condition31pat02" ]
  ] [
    ( 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-encounter31pat02" ]
  ] [
    ( 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 "Observation/ra-obs01pat02" ]
  ] [
    ( 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-002" ]     ] ) ;
fhir:reference [ fhir:v "Patient/ra-patient02" ]
  ] ) . #