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-measurereport04"/>
<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-measurereport04"> </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-measurereport04" </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-RAModelExample02.html">Risk Adjustment Model Version 21 - CMS Hierarchical Category Condition (CMS-HCC)</a></p><p><b>subject</b>: <a href="Patient-ra-patient03.html">Patient/ra-patient03</a> " NUCLEAR"</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>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: Hierarchies applied and Condition Category is not superseded 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 188: Artificial Openings for Feeding or Elimination <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (CMS Hierarchical Condition Categories[21]#188 "Artificial Openings for Feeding or Elimination")</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>: 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>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 111: Chronic Obstructive Pulmonary Disease <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (CMS Hierarchical Condition Categories[21]#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>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 21: Protein-Calorie Malnutrition <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (CMS Hierarchical Condition Categories[21]#21 "Protein-Calorie Malnutrition")</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>: 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>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 35: Inflammatory Bowel Disease <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (CMS Hierarchical Condition Categories[21]#35 "Inflammatory Bowel Disease")</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>: 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>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 Arrhythmia <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (CMS Hierarchical Condition Categories[21]#96 "Specified Heart Arrhythmias")</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>: 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>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 18: Diabetes with Chronic Complications <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (CMS Hierarchical Condition Categories[21]#18 "Diabetes with Chronic Complications")</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>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 134: Dialysis Status <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (CMS Hierarchical Condition Categories[21]#134 "Dialysis Status")</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>: 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>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 58: Major Depressive, Bipolar, and Paranoid Disorders <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (CMS Hierarchical Condition Categories[21]#58 "Major Depressive, Bipolar, and Paranoid Disorders")</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>: 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 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>: CMS-HCC 19: Diabetes without Complication <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (CMS Hierarchical Condition Categories[21]#19 "Diabetes without Complication")</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>: 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>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>: CMS-HCC 135: Acute Renal Failure <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (CMS Hierarchical Condition Categories[21]#135 "Acute Renal Failure")</span></p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-011</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>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>: CMS-HCC 136: Chronic Kidney Disease, Stage 5 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (CMS Hierarchical Condition Categories[21]#136 "Chronic Kidney Disease, Stage 5")</span></p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-012</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>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 107: Vascular Disease with Complications <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (CMS Hierarchical Condition Categories[21]#107 "Vascular Disease with Complications")</span></p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-013</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>: 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 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>: CMS-HCC 108: Vascular Disease <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (CMS Hierarchical Condition Categories[21]#108 "Vascular Disease")</span></p></blockquote><p><b>evaluatedResource</b>: </p><ul><li><a href="Condition-ra-condition01pat03.html">Condition/ra-condition01pat03</a></li><li><a href="Condition-ra-condition04pat03.html">Condition/ra-condition04pat03</a></li><li><a href="Condition-ra-condition05pat03.html">Condition/ra-condition05pat03</a></li><li><a href="Condition-ra-condition06pat03.html">Condition/ra-condition06pat03</a></li><li><a href="Condition-ra-condition07pat03.html">Condition/ra-condition07pat03</a></li><li><a href="Condition-ra-condition15pat03.html">Condition/ra-condition15pat03</a></li><li><a href="Condition-ra-condition16pat03.html">Condition/ra-condition16pat03</a></li><li><a href="Condition-ra-condition21pat03.html">Condition/ra-condition21pat03</a></li><li><a href="Condition-ra-condition22pat03.html">Condition/ra-condition22pat03</a></li><li><a href="Condition-ra-condition32pat03.html">Condition/ra-condition32pat03</a></li><li><a href="Condition-ra-condition35pat03.html">Condition/ra-condition35pat03</a></li><li><a href="Condition-ra-condition42pat03.html">Condition/ra-condition42pat03</a></li><li><a href="Encounter-ra-encounter01pat03.html">Encounter/ra-encounter01pat03</a></li><li><a href="Encounter-ra-encounter04pat03.html">Encounter/ra-encounter04pat03</a></li><li><a href="Encounter-ra-encounter05pat03.html">Encounter/ra-encounter05pat03</a></li><li><a href="Encounter-ra-encounter06pat03.html">Encounter/ra-encounter06pat03</a></li><li><a href="Encounter-ra-encounter07pat03.html">Encounter/ra-encounter07pat03</a></li><li><a href="Encounter-ra-encounter15pat03.html">Encounter/ra-encounter15pat03</a></li><li><a href="Encounter-ra-encounter16pat03.html">Encounter/ra-encounter16pat03</a></li><li><a href="Encounter-ra-encounter19pat03.html">Encounter/ra-encounter19pat03</a></li><li><a href="Encounter-ra-encounter21pat03.html">Encounter/ra-encounter21pat03</a></li><li><a href="Encounter-ra-encounter22pat03.html">Encounter/ra-encounter22pat03</a></li><li><a href="Encounter-ra-encounter01pat03.html">Encounter/ra-encounter01pat03</a></li><li><a href="Encounter-ra-encounter35pat03.html">Encounter/ra-encounter35pat03</a></li><li><a href="Encounter-ra-encounter42pat03.html">Encounter/ra-encounter42pat03</a></li><li><a href="Observation-ra-obs01pat03.html">Observation/ra-obs01pat03</a></li><li><a href="Observation-ra-obs02pat03.html">Observation/ra-obs02pat03</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-RAModelExample02"/>
<subject>
<reference value="Patient/ra-patient03"/>
</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-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="21"/>
<code value="188"/>
<display value="Artificial Openings for Feeding or Elimination"/>
</coding>
<text
value="CMS-HCC 188: Artificial Openings for Feeding or Elimination"/>
</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="open-gap"/>
</coding>
</valueCodeableConcept>
</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="21"/>
<code value="111"/>
<display value="Chronic Obstructive Pulmonary Disease"/>
</coding>
<text value="CMS-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
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-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="21"/>
<code value="21"/>
<display value="Protein-Calorie Malnutrition"/>
</coding>
<text value="CMS-HCC 21: Protein-Calorie Malnutrition"/>
</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="open-gap"/>
</coding>
</valueCodeableConcept>
</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="21"/>
<code value="35"/>
<display value="Inflammatory Bowel Disease"/>
</coding>
<text value="CMS-HCC 35: Inflammatory Bowel Disease"/>
</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="open-gap"/>
</coding>
</valueCodeableConcept>
</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="21"/>
<code value="96"/>
<display value="Specified Heart Arrhythmias"/>
</coding>
<text value="CMS-HCC 96: Specified Heart Arrhythmia"/>
</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="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-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="21"/>
<code value="18"/>
<display value="Diabetes with Chronic Complications"/>
</coding>
<text value="CMS-HCC 18: Diabetes with Chronic Complications"/>
</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-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="21"/>
<code value="134"/>
<display value="Dialysis Status"/>
</coding>
<text value="CMS-HCC 134: Dialysis Status"/>
</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="open-gap"/>
</coding>
</valueCodeableConcept>
</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="21"/>
<code value="58"/>
<display value="Major Depressive, Bipolar, and Paranoid Disorders"/>
</coding>
<text
value="CMS-HCC 58: Major Depressive, Bipolar, and Paranoid Disorders"/>
</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="closed-gap"/>
</coding>
</valueCodeableConcept>
</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="21"/>
<code value="19"/>
<display value="Diabetes without Complication"/>
</coding>
<text value="CMS-HCC 19: Diabetes without Complication"/>
</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="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-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="21"/>
<code value="135"/>
<display value="Acute Renal Failure"/>
</coding>
<text value="CMS-HCC 135: Acute Renal Failure"/>
</code>
</group>
<group id="group-011">
<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-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="21"/>
<code value="136"/>
<display value="Chronic Kidney Disease, Stage 5"/>
</coding>
<text value="CMS-HCC 136: Chronic Kidney Disease, Stage 5"/>
</code>
</group>
<group id="group-012">
<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-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="21"/>
<code value="107"/>
<display value="Vascular Disease with Complications"/>
</coding>
<text value="CMS-HCC 107: Vascular Disease with Complications"/>
</code>
</group>
<group id="group-013">
<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="closed-gap"/>
</coding>
</valueCodeableConcept>
</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="21"/>
<code value="108"/>
<display value="Vascular Disease"/>
</coding>
<text value="CMS-HCC 108: Vascular Disease"/>
</code>
</group>
<evaluatedResource>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-001"/>
</extension>
<reference value="Condition/ra-condition01pat03"/>
</evaluatedResource>
<evaluatedResource>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-002"/>
</extension>
<reference value="Condition/ra-condition04pat03"/>
</evaluatedResource>
<evaluatedResource>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-003"/>
</extension>
<reference value="Condition/ra-condition05pat03"/>
</evaluatedResource>
<evaluatedResource>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-004"/>
</extension>
<reference value="Condition/ra-condition06pat03"/>
</evaluatedResource>
<evaluatedResource>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-005"/>
</extension>
<reference value="Condition/ra-condition07pat03"/>
</evaluatedResource>
<evaluatedResource>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-006"/>
</extension>
<reference value="Condition/ra-condition15pat03"/>
</evaluatedResource>
<evaluatedResource>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-007"/>
</extension>
<reference value="Condition/ra-condition16pat03"/>
</evaluatedResource>
<evaluatedResource>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-009"/>
</extension>
<reference value="Condition/ra-condition21pat03"/>
</evaluatedResource>
<evaluatedResource>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-010"/>
</extension>
<reference value="Condition/ra-condition22pat03"/>
</evaluatedResource>
<evaluatedResource>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-012"/>
</extension>
<reference value="Condition/ra-condition32pat03"/>
</evaluatedResource>
<evaluatedResource>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-013"/>
</extension>
<reference value="Condition/ra-condition35pat03"/>
</evaluatedResource>
<evaluatedResource>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-001"/>
</extension>
<reference value="Condition/ra-condition42pat03"/>
</evaluatedResource>
<evaluatedResource>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-001"/>
</extension>
<reference value="Encounter/ra-encounter01pat03"/>
</evaluatedResource>
<evaluatedResource>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-002"/>
</extension>
<reference value="Encounter/ra-encounter04pat03"/>
</evaluatedResource>
<evaluatedResource>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-003"/>
</extension>
<reference value="Encounter/ra-encounter05pat03"/>
</evaluatedResource>
<evaluatedResource>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-004"/>
</extension>
<reference value="Encounter/ra-encounter06pat03"/>
</evaluatedResource>
<evaluatedResource>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-005"/>
</extension>
<reference value="Encounter/ra-encounter07pat03"/>
</evaluatedResource>
<evaluatedResource>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-006"/>
</extension>
<reference value="Encounter/ra-encounter15pat03"/>
</evaluatedResource>
<evaluatedResource>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-007"/>
</extension>
<reference value="Encounter/ra-encounter16pat03"/>
</evaluatedResource>
<evaluatedResource>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-008"/>
</extension>
<reference value="Encounter/ra-encounter19pat03"/>
</evaluatedResource>
<evaluatedResource>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-009"/>
</extension>
<reference value="Encounter/ra-encounter21pat03"/>
</evaluatedResource>
<evaluatedResource>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-010"/>
</extension>
<reference value="Encounter/ra-encounter22pat03"/>
</evaluatedResource>
<evaluatedResource>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-012"/>
</extension>
<reference value="Encounter/ra-encounter01pat03"/>
</evaluatedResource>
<evaluatedResource>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-013"/>
</extension>
<reference value="Encounter/ra-encounter35pat03"/>
</evaluatedResource>
<evaluatedResource>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-001"/>
</extension>
<reference value="Encounter/ra-encounter42pat03"/>
</evaluatedResource>
<evaluatedResource>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-011"/>
</extension>
<reference value="Observation/ra-obs01pat03"/>
</evaluatedResource>
<evaluatedResource>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-008"/>
</extension>
<reference value="Observation/ra-obs02pat03"/>
</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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