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 - 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:Task ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "ra-task01measurereport01group003"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-clinical-evaluation-evidence-task"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-clinical-evaluation-evidence-task>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir: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: urn: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>"
  ] ; # 
  fhir:contained ( [
a fhir:Bundle ;
fhir:id [ fhir:v "ra-searchsetbundle01pat01" ] ;
fhir:meta [
      ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-searchset-bundle"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-searchset-bundle>       ] )     ] ;
fhir:identifier [
fhir:system [ fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ] ;
fhir:value [ fhir:v "urn:uuid:8f5d56d2-8342-4c58-8e27-79ccee491172" ]     ] ;
fhir:type [ fhir:v "searchset" ] ;
fhir:timestamp [ fhir:v "2021-10-24T06:17:58.172+00:00"^^xsd:dateTime ] ;
    ( fhir:link [
fhir:relation [ fhir:v "self" ] ;
fhir:url [ fhir:v "https://cloud.alphora.com/sandbox/r4/?id=ra-patient01"^^xsd:anyURI ]     ] ) ;
    ( fhir:entry [
fhir:fullUrl [ fhir:v "http://example.org/fhir/Condition/ra-condition12pat01"^^xsd:anyURI ] ;
      ( fhir:resource <http://example.org/fhir/Condition/ra-condition12pat01> ) ;
fhir:search [
fhir:mode [ fhir:v "match" ]       ]     ] [
fhir:fullUrl [ fhir:v "http://example.org/fhir/Encounter/ra-encounter46pat01"^^xsd:anyURI ] ;
      ( fhir:resource <http://example.org/fhir/Encounter/ra-encounter46pat01> ) ;
fhir:search [
fhir:mode [ fhir:v "match" ]       ]     ] )
  ] ) ; # 
  fhir:status [ fhir:v "requested"] ; # 
  fhir:intent [ fhir:v "order"] ; # 
  fhir:focus [
fhir:reference [ fhir:v "MeasureReport/ra-measurereport01" ]
  ] ; # 
  fhir:authoredOn [ fhir:v "2021-10-24T16:16:06Z"^^xsd:dateTime] ; # 
  fhir:lastModified [ fhir:v "2022-10-24T16:16:06Z"^^xsd:dateTime] ; # 
  fhir:reasonCode [
    ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/coding-gap-task-reason"^^xsd:anyURI ] ;
fhir:code [ fhir:v "closure" ] ;
fhir:display [ fhir:v "Close coding gap" ]     ] ) ;
fhir:text [ fhir:v "Closure" ]
  ] ; # 
  fhir:input ( [
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/task-label"^^xsd:anyURI ] ;
fhir:code [ fhir:v "group-id" ]       ] )     ] ;
fhir:value [ fhir:v "group-003" ]
  ] [
fhir:type [
      ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/task-label"^^xsd:anyURI ] ;
fhir:code [ fhir:v "clinical-evaluation-evidence" ]       ] )     ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "#ra-searchsetbundle01pat01" ]     ]
  ] ) . # 

<http://example.org/fhir/Condition/ra-condition12pat01> a fhir:Condition ;
  fhir:id [ fhir:v "ra-condition12pat01"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir: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>"
  ] ; # 
  fhir:clinicalStatus [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/condition-clinical"^^xsd:anyURI ] ;
fhir:code [ fhir:v "active" ] ;
fhir:display [ fhir:v "Active" ]     ] ) ;
fhir:text [ fhir:v "Active" ]
  ] ; # 
  fhir:verificationStatus [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/condition-ver-status"^^xsd:anyURI ] ;
fhir:code [ fhir:v "confirmed" ] ;
fhir:display [ fhir:v "Confirmed" ]     ] ) ;
fhir:text [ fhir:v "Confirmed" ]
  ] ; # 
  fhir:category ( [
    ( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/condition-category"^^xsd:anyURI ] ;
fhir:code [ fhir:v "encounter-diagnosis" ] ;
fhir:display [ fhir:v "Encounter Diagnosis" ]     ] ) ;
fhir:text [ fhir:v "Encounter Diagnosis" ]
  ] ) ; # 
  fhir:code [
    ( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/sid/icd-10-cm"^^xsd:anyURI ] ;
fhir:code [ fhir:v "F30.9" ] ;
fhir:display [ fhir:v "Manic episode, unspecified" ]     ] ) ;
fhir:text [ fhir:v "F30.9: Manic episode, unspecified" ]
  ] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/ra-patient01" ]
  ] ; # 
  fhir:onset [ fhir:v "2021-10-11"^^xsd:date] . # 

<http://example.org/fhir/Encounter/ra-encounter46pat01> a fhir:Encounter ;
  fhir:id [ fhir:v "ra-encounter46pat01"] ; # 
  fhir:meta [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/instance-name"^^xsd:anyURI ] ;
fhir:value [ fhir:v "Encounter with Dr Howell on 2021-10-15 for Patient 01" ]     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/instance-description"^^xsd:anyURI ] ;
fhir:value [ fhir:v "This is Encounter with Dr Howell on 2021-10-15 for Patient 01." ]     ] ) ;
fhir:lastUpdated [ fhir:v "2021-10-15T09:56:57.250-04:00"^^xsd:dateTime ] ;
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir: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>"
  ] ; # 
  fhir:status [ fhir:v "finished"] ; # 
  fhir:class [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ] ;
fhir:code [ fhir:v "AMB" ] ;
fhir:display [ fhir:v "ambulatory" ]
  ] ; # 
  fhir:type ( [
    ( fhir:coding [
fhir:system [ fhir:v "http://www.ama-assn.org/go/cpt"^^xsd:anyURI ] ;
fhir:code [ fhir:v "99396" ] ;
fhir:display [ fhir:v "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" ]     ] ) ;
fhir:text [ fhir:v "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" ]
  ] ) ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/ra-patient01" ]
  ] ; # 
  fhir:participant ( [
fhir:individual [
fhir:reference [ fhir:v "Practitioner/ra-prac01pat01" ]     ]
  ] ) ; # 
  fhir:period [
fhir:start [ fhir:v "2021-10-15"^^xsd:date ] ;
fhir:end [ fhir:v "2021-10-15"^^xsd:date ]
  ] ; # 
  fhir:diagnosis ( [
fhir:condition [
fhir:reference [ fhir:v "Condition/ra-condition12pat01" ]     ]
  ] ) ; # 
  fhir:serviceProvider [
fhir:reference [ fhir:v "Organization/ra-org02pat02" ]
  ] . #