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

: Task: Clinical Evaluation Task - JSON Representation

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{
  "resourceType" : "Task",
  "id" : "ra-task01measurereport01group003",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-clinical-evaluation-evidence-task"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Task</b><a name=\"ra-task01measurereport01group003\"> </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 Task &quot;ra-task01measurereport01group003&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ra-clinical-evaluation-evidence-task.html\">Risk Adjustment Clinical Evaluation Evidence Task</a></p></div><p><b>status</b>: requested</p><p><b>intent</b>: order</p><p><b>focus</b>: <a href=\"MeasureReport-ra-measurereport01.html\">MeasureReport/ra-measurereport01</a></p><p><b>authoredOn</b>: 2021-10-24 16:16:06+0000</p><p><b>lastModified</b>: 2022-10-24 16:16:06+0000</p><p><b>reasonCode</b>: Closure <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-coding-gap-task-reason.html\">Coding Gap Task Reason CodeSystem</a>#closure &quot;Close coding gap&quot;)</span></p><blockquote><p><b>input</b></p><p><b>type</b>: Group id <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-task-label.html\">Task Label CodeSystem</a>#group-id)</span></p><p><b>value</b>: group-003</p></blockquote><blockquote><p><b>input</b></p><p><b>type</b>: Clinical evaluation evidence <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-task-label.html\">Task Label CodeSystem</a>#clinical-evaluation-evidence)</span></p><p><b>value</b>: <a name=\"ra-searchsetbundle01pat01\"> </a></p><blockquote><p/><p><a name=\"ra-searchsetbundle01pat01\"> </a></p><p><b>identifier</b>: id:\u00a0urn:uuid:8f5d56d2-8342-4c58-8e27-79ccee491172</p><p><b>type</b>: searchset</p><p><b>timestamp</b>: Oct 24, 2021, 6:17:58 AM</p><h3>Links</h3><table class=\"grid\"><tr><td>-</td><td><b>Relation</b></td><td><b>Url</b></td></tr><tr><td>*</td><td>self</td><td><a href=\"https://cloud.alphora.com/sandbox/r4/?id=ra-patient01\">https://cloud.alphora.com/sandbox/r4/?id=ra-patient01</a></td></tr></table><blockquote><p><b>entry</b></p><p><b>fullUrl</b>: <a href=\"http://example.org/fhir/Condition/ra-condition12pat01\">http://example.org/fhir/Condition/ra-condition12pat01</a></p><blockquote><p><b>resource</b></p><p><b>clinicalStatus</b>: Active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-condition-clinical.html\">Condition Clinical Status Codes</a>#active)</span></p><p><b>verificationStatus</b>: Confirmed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-condition-ver-status.html\">ConditionVerificationStatus</a>#confirmed)</span></p><p><b>category</b>: Encounter Diagnosis <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-condition-category.html\">Condition Category Codes</a>#encounter-diagnosis)</span></p><p><b>code</b>: F30.9: Manic episode, unspecified <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-icd10CM.html\">International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)</a>#F30.9 &quot;Manic episode, unspecified&quot;)</span></p><p><b>subject</b>: <a href=\"Patient-ra-patient01.html\">Patient/ra-patient01</a> &quot; EVERYWOMAN&quot;</p><p><b>onset</b>: 2021-10-11</p></blockquote><h3>Searches</h3><table class=\"grid\"><tr><td>-</td><td><b>Mode</b></td></tr><tr><td>*</td><td>match</td></tr></table></blockquote><blockquote><p><b>entry</b></p><p><b>fullUrl</b>: <a href=\"http://example.org/fhir/Encounter/ra-encounter46pat01\">http://example.org/fhir/Encounter/ra-encounter46pat01</a></p><blockquote><p><b>resource</b></p><p><b>status</b>: finished</p><p><b>class</b>: ambulatory (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code AMB = 'ambulatory', stated as 'ambulatory')</p><p><b>type</b>: 99396: Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 40-64 years <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-CPT.html\">Current Procedural Terminology (CPT®)</a>#99396 &quot;Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 40-64 years&quot;)</span></p><p><b>subject</b>: <a href=\"Patient-ra-patient01.html\">Patient/ra-patient01</a> &quot; EVERYWOMAN&quot;</p><blockquote><p><b>participant</b></p></blockquote><p><b>period</b>: 2021-10-15 --&gt; 2021-10-15</p><blockquote><p><b>diagnosis</b></p></blockquote><p><b>serviceProvider</b>: <a href=\"Organization-ra-org02pat02.html\">Organization/ra-org02pat02</a> &quot;GHH Outpatient Clinic&quot;</p></blockquote><h3>Searches</h3><table class=\"grid\"><tr><td>-</td><td><b>Mode</b></td></tr><tr><td>*</td><td>match</td></tr></table></blockquote></blockquote></blockquote><hr/><blockquote/></div>"
  },
  "contained" : [
    {
      "resourceType" : "Bundle",
      "id" : "ra-searchsetbundle01pat01",
      "meta" : {
        "profile" : [
          "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-searchset-bundle"
        ]
      },
      "identifier" : {
        "system" : "urn:ietf:rfc:3986",
        "value" : "urn:uuid:8f5d56d2-8342-4c58-8e27-79ccee491172"
      },
      "type" : "searchset",
      "timestamp" : "2021-10-24T06:17:58.172+00:00",
      "link" : [
        {
          "relation" : "self",
          "url" : "https://cloud.alphora.com/sandbox/r4/?id=ra-patient01"
        }
      ],
      "entry" : [
        {
          "fullUrl" : "http://example.org/fhir/Condition/ra-condition12pat01",
          "resource" : {
            "resourceType" : "Condition",
            "id" : "ra-condition12pat01",
            "meta" : {
              "profile" : [
                "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Condition #ra-condition12pat01</b><a name=\"ra-condition12pat01\"> </a></p><p><b>clinicalStatus</b>: Active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-condition-clinical.html\">Condition Clinical Status Codes</a>#active)</span></p><p><b>verificationStatus</b>: Confirmed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-condition-ver-status.html\">ConditionVerificationStatus</a>#confirmed)</span></p><p><b>category</b>: Encounter Diagnosis <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-condition-category.html\">Condition Category Codes</a>#encounter-diagnosis)</span></p><p><b>code</b>: F30.9: Manic episode, unspecified <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-icd10CM.html\">International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)</a>#F30.9 &quot;Manic episode, unspecified&quot;)</span></p><p><b>subject</b>: <a href=\"Patient-ra-patient01.html\">Patient/ra-patient01</a> &quot; EVERYWOMAN&quot;</p><p><b>onset</b>: 2021-10-11</p></div>"
            },
            "clinicalStatus" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
                  "code" : "active",
                  "display" : "Active"
                }
              ],
              "text" : "Active"
            },
            "verificationStatus" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
                  "code" : "confirmed",
                  "display" : "Confirmed"
                }
              ],
              "text" : "Confirmed"
            },
            "category" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/condition-category",
                    "code" : "encounter-diagnosis",
                    "display" : "Encounter Diagnosis"
                  }
                ],
                "text" : "Encounter Diagnosis"
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://hl7.org/fhir/sid/icd-10-cm",
                  "code" : "F30.9",
                  "display" : "Manic episode, unspecified"
                }
              ],
              "text" : "F30.9: Manic episode, unspecified"
            },
            "subject" : {
              "reference" : "Patient/ra-patient01"
            },
            "onsetDateTime" : "2021-10-11"
          },
          "search" : {
            "mode" : "match"
          }
        },
        {
          "fullUrl" : "http://example.org/fhir/Encounter/ra-encounter46pat01",
          "resource" : {
            "resourceType" : "Encounter",
            "id" : "ra-encounter46pat01",
            "meta" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/instance-name",
                  "valueString" : "Encounter with Dr Howell on 2021-10-15 for Patient 01"
                },
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/instance-description",
                  "valueMarkdown" : "This is Encounter with Dr Howell on 2021-10-15 for Patient 01."
                }
              ],
              "lastUpdated" : "2021-10-15T09:56:57.250-04:00",
              "profile" : [
                "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Encounter #ra-encounter46pat01</b><a name=\"ra-encounter46pat01\"> </a></p><p><b>status</b>: finished</p><p><b>class</b>: ambulatory (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code AMB = 'ambulatory', stated as 'ambulatory')</p><p><b>type</b>: 99396: Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 40-64 years <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-CPT.html\">Current Procedural Terminology (CPT®)</a>#99396 &quot;Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 40-64 years&quot;)</span></p><p><b>subject</b>: <a href=\"Patient-ra-patient01.html\">Patient/ra-patient01</a> &quot; EVERYWOMAN&quot;</p><h3>Participants</h3><table class=\"grid\"><tr><td>-</td><td><b>Individual</b></td></tr><tr><td>*</td><td><a href=\"Practitioner-ra-prac01pat01.html\">Practitioner/ra-prac01pat01</a> &quot; HIPPOCRATES&quot;</td></tr></table><p><b>period</b>: 2021-10-15 --&gt; 2021-10-15</p><h3>Diagnoses</h3><table class=\"grid\"><tr><td>-</td><td><b>Condition</b></td></tr><tr><td>*</td><td><a href=\"Condition-ra-condition12pat01.html\">Condition/ra-condition12pat01</a></td></tr></table><p><b>serviceProvider</b>: <a href=\"Organization-ra-org02pat02.html\">Organization/ra-org02pat02</a> &quot;GHH Outpatient Clinic&quot;</p></div>"
            },
            "status" : "finished",
            "class" : {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
              "code" : "AMB",
              "display" : "ambulatory"
            },
            "type" : [
              {
                "coding" : [
                  {
                    "system" : "http://www.ama-assn.org/go/cpt",
                    "code" : "99396",
                    "display" : "Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 40-64 years"
                  }
                ],
                "text" : "99396: Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 40-64 years"
              }
            ],
            "subject" : {
              "reference" : "Patient/ra-patient01"
            },
            "participant" : [
              {
                "individual" : {
                  "reference" : "Practitioner/ra-prac01pat01"
                }
              }
            ],
            "period" : {
              "start" : "2021-10-15",
              "end" : "2021-10-15"
            },
            "diagnosis" : [
              {
                "condition" : {
                  "reference" : "Condition/ra-condition12pat01"
                }
              }
            ],
            "serviceProvider" : {
              "reference" : "Organization/ra-org02pat02"
            }
          },
          "search" : {
            "mode" : "match"
          }
        }
      ]
    }
  ],
  "status" : "requested",
  "intent" : "order",
  "focus" : {
    "reference" : "MeasureReport/ra-measurereport01"
  },
  "authoredOn" : "2021-10-24T16:16:06Z",
  "lastModified" : "2022-10-24T16:16:06Z",
  "reasonCode" : {
    "coding" : [
      {
        "system" : "http://hl7.org/fhir/us/davinci-ra/CodeSystem/coding-gap-task-reason",
        "code" : "closure",
        "display" : "Close coding gap"
      }
    ],
    "text" : "Closure"
  },
  "input" : [
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/davinci-ra/CodeSystem/task-label",
            "code" : "group-id"
          }
        ]
      },
      "valueString" : "group-003"
    },
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/davinci-ra/CodeSystem/task-label",
            "code" : "clinical-evaluation-evidence"
          }
        ]
      },
      "valueReference" : {
        "reference" : "#ra-searchsetbundle01pat01"
      }
    }
  ]
}