Da Vinci Risk Adjustment Implementation Guide
1.0.0 - STU 1 US

This page is part of the Da Vinci Risk Adjustment FHIR Implementation Guide (v1.0.0: STU 1) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: ra-bundle01: Risk Adjustment Bundle - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="ra-bundle01"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-measurereport-bundle"/>
  </meta>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:uuid:8d3e72d9-9d74-4cbb-b797-a1cab0d13492"/>
  </identifier>
  <type value="collection"/>
  <timestamp value="2021-11-16T06:17:58.172+00:00"/>
  <entry>
    <fullUrl
             value="https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/MeasureReport/ra-measurereport01"/>
    <resource>
      <MeasureReport>
        <id value="ra-measurereport01"/>
        <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</b></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 "ra-measurereport01" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ra-measurereport.html">Risk Adjustment Coding Gap Report Profile</a></p></div><p><b>Risk Adjustment Clinical Data Collection Deadline Extension</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">See above (Patient/ra-patient01)</a></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 --&gt; 2021-09-30</p><blockquote><p><b>group</b></p><p><b>Risk Adjustment Suspect Type Extension</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 Code System</a>#historic)</span></p><p><b>Evidence Status Extension</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 Code System</a>#closed-gap)</span></p><p><b>Risk Adjustment Evidence Status Date Extension</b>: 2021-04-01</p><p><b>Hierarchical Status Extension</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 Code System</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 "Diabetes with Chronic Complications")</span></p></blockquote><blockquote><p><b>group</b></p><p><b>Risk Adjustment Suspect Type Extension</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 Code System</a>#historic)</span></p><p><b>Evidence Status Extension</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 Code System</a>#pending)</span></p><p><b>Risk Adjustment Evidence Status Date Extension</b>: 2021-09-29</p><p><b>Hierarchical Status Extension</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 Code System</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 "Chronic Obstructive Pulmonary Disease")</span></p></blockquote><blockquote><p><b>group</b></p><p><b>Risk Adjustment Suspect Type Extension</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 Code System</a>#historic)</span></p><p><b>Evidence Status Extension</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 Code System</a>#open-gap)</span></p><p><b>Risk Adjustment Evidence Status Date Extension</b>: 2020-07-15</p><p><b>Hierarchical Status Extension</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 Code System</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 "Major Depressive, Bipolar, and Paranoid Disorders")</span></p></blockquote><blockquote><p><b>group</b></p><p><b>Risk Adjustment Suspect Type Extension</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 Code System</a>#historic)</span></p><p><b>Evidence Status Extension</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 Code System</a>#closed-gap)</span></p><p><b>Risk Adjustment Evidence Status Date Extension</b>: 2021-04-27</p><p><b>Hierarchical Status Extension</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 Code System</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 "Fibrosis of lung and other chronic lung disorders")</span></p></blockquote><blockquote><p><b>group</b></p><p><b>Risk Adjustment Suspect Type Extension</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 Code System</a>#historic)</span></p><p><b>Evidence Status Extension</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 Code System</a>#pending)</span></p><p><b>Risk Adjustment Evidence Status Date Extension</b>: 2021-09-27</p><p><b>Hierarchical Status Extension</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 Code System</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 "Diabetes without Complications")</span></p></blockquote><blockquote><p><b>group</b></p><p><b>Risk Adjustment Suspect Type Extension</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 Code System</a>#historic)</span></p><p><b>Evidence Status Extension</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 Code System</a>#open-gap)</span></p><p><b>Risk Adjustment Evidence Status Date Extension</b>: 2020-12-15</p><p><b>Hierarchical Status Extension</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 Code System</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 "Cardio-Respiratory Failure and Shock")</span></p></blockquote><blockquote><p><b>group</b></p><p><b>Risk Adjustment Suspect Type Extension</b>: Suspected Condtion Category Gap <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-suspect-type.html">Risk Adjustment Suspect Type Code System</a>#suspected)</span></p><p><b>Evidence Status Extension</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 Code System</a>#closed-gap)</span></p><p><b>Risk Adjustment Evidence Status Date Extension</b>: 2021-03-15</p><p><b>Hierarchical Status Extension</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 Code System</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 "Morbid Obesity")</span></p></blockquote><blockquote><p><b>group</b></p><p><b>Risk Adjustment Suspect Type Extension</b>: Suspected Condtion Category Gap <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-suspect-type.html">Risk Adjustment Suspect Type Code System</a>#suspected)</span></p><p><b>Evidence Status Extension</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 Code System</a>#pending)</span></p><p><b>Risk Adjustment Evidence Status Date Extension</b>: 2021-09-27</p><p><b>Hierarchical Status Extension</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 Code System</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 "Specified Heart Arrhythmias")</span></p></blockquote><blockquote><p><b>group</b></p><p><b>Risk Adjustment Suspect Type Extension</b>: Suspected Condtion Category Gap <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="CodeSystem-suspect-type.html">Risk Adjustment Suspect Type Code System</a>#suspected)</span></p><p><b>Evidence Status Extension</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 Code System</a>#open-gap)</span></p><p><b>Risk Adjustment Evidence Status Date Extension</b>: 2020-07-15</p><p><b>Hierarchical Status Extension</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 Code System</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 "Cystic Fibrosis")</span></p></blockquote><blockquote><p><b>group</b></p><p><b>Risk Adjustment Suspect Type Extension</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 Code System</a>#net-new)</span></p><p><b>Evidence Status Extension</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 Code System</a>#pending)</span></p><p><b>Risk Adjustment Evidence Status Date Extension</b>: 2021-09-28</p><p><b>Hierarchical Status Extension</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 Code System</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]#83 "Respiratory Arrest")</span></p></blockquote><p><b>evaluatedResource</b>: </p><ul><li><a href="#Condition_ra-condition02pat01">See above (Condition/ra-condition02pat01)</a></li><li><a href="#Condition_ra-condition03pat01">See above (Condition/ra-condition03pat01)</a></li><li><a href="#Condition_ra-condition08pat01">See above (Condition/ra-condition08pat01)</a></li><li><a href="#Condition_ra-condition09pat01">See above (Condition/ra-condition09pat01)</a></li><li><a href="#Condition_ra-condition10pat01">See above (Condition/ra-condition10pat01)</a></li><li><a href="#Condition_ra-condition11pat01">See above (Condition/ra-condition11pat01)</a></li><li><a href="#Condition_ra-condition17pat01">See above (Condition/ra-condition17pat01)</a></li><li><a href="#Condition_ra-condition18pat01">See above (Condition/ra-condition18pat01)</a></li><li><a href="#Condition_ra-condition33pat01">See above (Condition/ra-condition33pat01)</a></li><li><a href="#Condition_ra-condition43pat01">See above (Condition/ra-condition43pat01)</a></li><li><a href="#Condition_ra-condition44pat01">See above (Condition/ra-condition44pat01)</a></li><li><a href="#Encounter_ra-encounter02pat01">See above (Encounter/ra-encounter02pat01)</a></li><li><a href="#Encounter_ra-encounter03pat01">See above (Encounter/ra-encounter03pat01)</a></li><li><a href="#Encounter_ra-encounter08pat01">See above (Encounter/ra-encounter08pat01)</a></li><li><a href="#Encounter_ra-encounter09pat01">See above (Encounter/ra-encounter09pat01)</a></li><li><a href="#Encounter_ra-encounter11pat01">See above (Encounter/ra-encounter11pat01)</a></li><li><a href="#Encounter_ra-encounter43pat01">See above (Encounter/ra-encounter43pat01)</a></li><li><a href="#Encounter_ra-encounter44pat01">See above (Encounter/ra-encounter44pat01)</a></li><li><a href="#Observation_ra-obs21pat01">See above (Observation/ra-obs21pat01)</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-RAModelExample01"/>
        <subject>
          <reference value="Patient/ra-patient01"/>
        </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-evidenceStatusDate">
            <valueDate value="2021-04-01"/>
          </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="24"/>
              <code value="18"/>
              <display value="Diabetes with Chronic Complications"/>
            </coding>
            <text value="HCC 18: Diabetes with Chronic Complications"/>
          </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="pending"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <extension
                     url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate">
            <valueDate value="2021-09-29"/>
          </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="24"/>
              <code value="111"/>
              <display value="Chronic Obstructive Pulmonary Disease"/>
            </coding>
            <text value="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-evidenceStatusDate">
            <valueDate value="2020-07-15"/>
          </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="24"/>
              <code value="59"/>
              <display value="Major Depressive, Bipolar, and Paranoid Disorders"/>
            </coding>
            <text
                  value="HCC 59: Major Depressive, Bipolar, and Paranoid Disorders"/>
          </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="closed-gap"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <extension
                     url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate">
            <valueDate value="2021-04-27"/>
          </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="24"/>
              <code value="112"/>
              <display value="Fibrosis of lung and other chronic lung disorders"/>
            </coding>
            <text
                  value="HCC 112: Fibrosis of lung and other chronic lung disorders"/>
          </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="pending"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <extension
                     url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate">
            <valueDate value="2021-09-27"/>
          </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="24"/>
              <code value="19"/>
              <display value="Diabetes without Complications"/>
            </coding>
            <text value="HCC 19: Diabetes without Complications"/>
          </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="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-evidenceStatusDate">
            <valueDate value="2020-12-15"/>
          </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="24"/>
              <code value="84"/>
              <display value="Cardio-Respiratory Failure and Shock"/>
            </coding>
            <text value="HCC 84: Cardio-Respiratory Failure and Shock"/>
          </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-evidenceStatusDate">
            <valueDate value="2021-03-15"/>
          </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="24"/>
              <code value="22"/>
              <display value="Morbid Obesity"/>
            </coding>
            <text value="HCC 22: Morbid Obesity"/>
          </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="pending"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <extension
                     url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate">
            <valueDate value="2021-09-27"/>
          </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="24"/>
              <code value="96"/>
              <display value="Specified Heart Arrhythmias"/>
            </coding>
            <text value="HCC 96: Specified Heart Arrhythmias"/>
          </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="open-gap"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <extension
                     url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate">
            <valueDate value="2020-07-15"/>
          </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="24"/>
              <code value="110"/>
              <display value="Cystic Fibrosis"/>
            </coding>
            <text value="HCC 110: Cystic Fibrosis"/>
          </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="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-evidenceStatusDate">
            <valueDate value="2021-09-28"/>
          </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="24"/>
              <code value="83"/>
              <display value="Respiratory Arrest"/>
            </coding>
            <text value="HCC 110: Cystic Fibrosis"/>
          </code>
        </group>
        <evaluatedResource>
          <extension
                     url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
            <valueString value="group-001"/>
          </extension>
          <reference value="Condition/ra-condition02pat01"/>
        </evaluatedResource>
        <evaluatedResource>
          <extension
                     url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
            <valueString value="group-002"/>
          </extension>
          <reference value="Condition/ra-condition03pat01"/>
        </evaluatedResource>
        <evaluatedResource>
          <extension
                     url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
            <valueString value="group-003"/>
          </extension>
          <reference value="Condition/ra-condition08pat01"/>
        </evaluatedResource>
        <evaluatedResource>
          <extension
                     url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
            <valueString value="group-004"/>
          </extension>
          <reference value="Condition/ra-condition09pat01"/>
        </evaluatedResource>
        <evaluatedResource>
          <extension
                     url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
            <valueString value="group-005"/>
          </extension>
          <reference value="Condition/ra-condition10pat01"/>
        </evaluatedResource>
        <evaluatedResource>
          <extension
                     url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
            <valueString value="group-006"/>
          </extension>
          <reference value="Condition/ra-condition11pat01"/>
        </evaluatedResource>
        <evaluatedResource>
          <extension
                     url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
            <valueString value="group-007"/>
          </extension>
          <reference value="Condition/ra-condition17pat01"/>
        </evaluatedResource>
        <evaluatedResource>
          <extension
                     url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
            <valueString value="group-008"/>
          </extension>
          <reference value="Condition/ra-condition18pat01"/>
        </evaluatedResource>
        <evaluatedResource>
          <extension
                     url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
            <valueString value="group-010"/>
          </extension>
          <reference value="Condition/ra-condition33pat01"/>
        </evaluatedResource>
        <evaluatedResource>
          <extension
                     url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
            <valueString value="group-001"/>
          </extension>
          <reference value="Condition/ra-condition43pat01"/>
        </evaluatedResource>
        <evaluatedResource>
          <extension
                     url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
            <valueString value="group-004"/>
          </extension>
          <reference value="Condition/ra-condition44pat01"/>
        </evaluatedResource>
        <evaluatedResource>
          <extension
                     url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
            <valueString value="group-001"/>
          </extension>
          <extension
                     url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
            <valueString value="group-007"/>
          </extension>
          <reference value="Encounter/ra-encounter02pat01"/>
        </evaluatedResource>
        <evaluatedResource>
          <extension
                     url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
            <valueString value="group-002"/>
          </extension>
          <extension
                     url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
            <valueString value="group-005"/>
          </extension>
          <extension
                     url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
            <valueString value="group-008"/>
          </extension>
          <extension
                     url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
            <valueString value="group-010"/>
          </extension>
          <reference value="Encounter/ra-encounter03pat01"/>
        </evaluatedResource>
        <evaluatedResource>
          <extension
                     url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
            <valueString value="group-003"/>
          </extension>
          <reference value="Encounter/ra-encounter08pat01"/>
        </evaluatedResource>
        <evaluatedResource>
          <extension
                     url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
            <valueString value="group-004"/>
          </extension>
          <reference value="Encounter/ra-encounter09pat01"/>
        </evaluatedResource>
        <evaluatedResource>
          <extension
                     url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
            <valueString value="group-006"/>
          </extension>
          <reference value="Encounter/ra-encounter11pat01"/>
        </evaluatedResource>
        <evaluatedResource>
          <extension
                     url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
            <valueString value="group-001"/>
          </extension>
          <reference value="Encounter/ra-encounter43pat01"/>
        </evaluatedResource>
        <evaluatedResource>
          <extension
                     url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
            <valueString value="group-004"/>
          </extension>
          <reference value="Encounter/ra-encounter44pat01"/>
        </evaluatedResource>
        <evaluatedResource>
          <extension
                     url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
            <valueString value="group-009"/>
          </extension>
          <reference value="Observation/ra-obs21pat01"/>
        </evaluatedResource>
      </MeasureReport>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Condition/ra-condition33pat01"/>
    <resource>
      <Condition>
        <id value="ra-condition33pat01"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></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 "ra-condition33pat01" </p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-condition.html">US Core Condition Profile</a></p></div><p><b>clinicalStatus</b>: Active <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/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/3.1.0/CodeSystem-condition-ver-status.html">ConditionVerificationStatus</a>#confirmed)</span></p><p><b>category</b>: Problem <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-condition-category.html">Condition Category Codes</a>#encounter-diagnosis "Encounter Diagnosis")</span></p><p><b>code</b>: R09.2: Respiratory arrest <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-icd10CM.html">International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)</a>#R09.2 "Respiratory arrest")</span></p><p><b>subject</b>: <a href="#Patient_ra-patient01">See above (Patient/ra-patient01)</a></p><p><b>onset</b>: 2021-09-26</p></div>
        </text>
        <clinicalStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
            <code value="active"/>
            <display value="Active"/>
          </coding>
          <text value="Active"/>
        </clinicalStatus>
        <verificationStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
            <code value="confirmed"/>
            <display value="Confirmed"/>
          </coding>
          <text value="Confirmed"/>
        </verificationStatus>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-category"/>
            <code value="encounter-diagnosis"/>
            <display value="Encounter Diagnosis"/>
          </coding>
          <text value="Problem"/>
        </category>
        <code>
          <coding>
            <system value="http://hl7.org/fhir/sid/icd-10-cm"/>
            <code value="R09.2"/>
            <display value="Respiratory arrest"/>
          </coding>
          <text value="R09.2: Respiratory arrest"/>
        </code>
        <subject>
          <reference value="Patient/ra-patient01"/>
        </subject>
        <onsetDateTime value="2021-09-26"/>
      </Condition>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Patient/ra-patient01"/>
    <resource>
      <Patient>
        <id value="ra-patient01"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><div class="hapiHeaderText">Eve <b>EVERYWOMAN </b></div><table class="hapiPropertyTable"><tbody><tr><td>Identifier</td><td>12345</td></tr><tr><td>Address</td><td><span>2222 Home Street </span><br/><span>Ann Arbor </span><span>MI </span><span>USA </span></td></tr><tr><td>Date of birth</td><td><span>16 January 1975</span></td></tr></tbody></table></div>
        </text>
        <extension
                   url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex">
          <valueCode value="F"/>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
          <extension url="ombCategory">
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.6.238"/>
              <code value="2106-3"/>
              <display value="White"/>
            </valueCoding>
          </extension>
          <extension url="text">
            <valueString value="White"/>
          </extension>
        </extension>
        <extension
                   url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity">
          <extension url="ombCategory">
            <valueCoding>
              <system value="urn:oid:2.16.840.1.113883.6.238"/>
              <code value="2186-5"/>
              <display value="Not Hispanic or Latino"/>
            </valueCoding>
          </extension>
          <extension url="text">
            <valueString value="Not Hispanic or Latino"/>
          </extension>
        </extension>
        <identifier>
          <use value="usual"/>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="MR"/>
              <display value="Medical record number"/>
            </coding>
          </type>
          <system value="http://hospital.davinci.org"/>
          <value value="12345"/>
        </identifier>
        <active value="true"/>
        <name>
          <use value="official"/>
          <family value="Everywoman"/>
          <given value="Eve"/>
        </name>
        <gender value="female"/>
        <birthDate value="1975-01-16"/>
        <deceasedBoolean value="false"/>
        <address>
          <use value="home"/>
          <line value="2222 Home Street"/>
          <city value="Ann Arbor"/>
          <state value="MI"/>
          <postalCode value="99999"/>
          <country value="USA"/>
        </address>
        <maritalStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/v3-MaritalStatus"/>
            <code value="M"/>
            <display value="Married"/>
          </coding>
        </maritalStatus>
        <communication>
          <language>
            <coding>
              <system value="urn:ietf:bcp:47"/>
              <code value="en-US"/>
              <display value="English (Region=United States)"/>
            </coding>
          </language>
          <preferred value="true"/>
        </communication>
      </Patient>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Condition/ra-condition10pat01"/>
    <resource>
      <Condition>
        <id value="ra-condition10pat01"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></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 "ra-condition10pat01" </p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-condition.html">US Core Condition Profile</a></p></div><p><b>clinicalStatus</b>: Active <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/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/3.1.0/CodeSystem-condition-ver-status.html">ConditionVerificationStatus</a>#confirmed)</span></p><p><b>category</b>: Problem <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-condition-category.html">Condition Category Codes</a>#encounter-diagnosis "Encounter Diagnosis")</span></p><p><b>code</b>: J44.1: Chronic obstructive pulmonary disease with (acute) exacerbation <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-icd10CM.html">International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)</a>#J44.1 "Chronic obstructive pulmonary disease with (acute) exacerbation")</span></p><p><b>subject</b>: <a href="#Patient_ra-patient01">See above (Patient/ra-patient01)</a></p><p><b>onset</b>: 2021-09-26</p></div>
        </text>
        <clinicalStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
            <code value="active"/>
            <display value="Active"/>
          </coding>
          <text value="Active"/>
        </clinicalStatus>
        <verificationStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
            <code value="confirmed"/>
            <display value="Confirmed"/>
          </coding>
          <text value="Confirmed"/>
        </verificationStatus>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-category"/>
            <code value="encounter-diagnosis"/>
            <display value="Encounter Diagnosis"/>
          </coding>
          <text value="Problem"/>
        </category>
        <code>
          <coding>
            <system value="http://hl7.org/fhir/sid/icd-10-cm"/>
            <code value="J44.1"/>
            <display
                     value="Chronic obstructive pulmonary disease with (acute) exacerbation"/>
          </coding>
          <text
                value="J44.1: Chronic obstructive pulmonary disease with (acute) exacerbation"/>
        </code>
        <subject>
          <reference value="Patient/ra-patient01"/>
        </subject>
        <onsetDateTime value="2021-09-26"/>
      </Condition>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Encounter/ra-encounter03pat01"/>
    <resource>
      <Encounter>
        <id value="ra-encounter03pat01"/>
        <meta>
          <extension url="http://hl7.org/fhir/StructureDefinition/instance-name">
            <valueString
                         value="Encounter with Dr Howell on 20210714 for Patient 03"/>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/instance-description">
            <valueMarkdown
                           value="This is Encounter with Dr Howell on 20210714 for Patient 03."/>
          </extension>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></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 "ra-encounter03pat01" </p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-encounter.html">US Core Encounter Profile</a></p></div><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>: Office Visit, High Complexity <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-CPT.html">Current Procedural Terminology (CPT&reg;)</a>#99215)</span></p><p><b>subject</b>: <a href="#Patient_ra-patient01">See above (Patient/ra-patient01)</a></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> " HIPPOCRATES"</td></tr></table><p><b>period</b>: 2021-09-26 --&gt; 2021-09-26</p><blockquote><p><b>diagnosis</b></p><p><b>condition</b>: <a href="#Condition_ra-condition03pat01">See above (Condition/ra-condition03pat01)</a></p></blockquote><blockquote><p><b>diagnosis</b></p><p><b>condition</b>: <a href="#Condition_ra-condition10pat01">See above (Condition/ra-condition10pat01)</a></p></blockquote><blockquote><p><b>diagnosis</b></p><p><b>condition</b>: <a href="#Condition_ra-condition18pat01">See above (Condition/ra-condition18pat01)</a></p></blockquote><blockquote><p><b>diagnosis</b></p><p><b>condition</b>: <a href="#Condition_ra-condition33pat01">See above (Condition/ra-condition33pat01)</a></p></blockquote><p><b>serviceProvider</b>: <a href="Organization-ra-org01pat01.html">Organization/ra-org01pat01</a> "Community Urgent Care"</p></div>
        </text>
        <status value="finished"/>
        <class>
          <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
          <code value="AMB"/>
          <display value="ambulatory"/>
        </class>
        <type>
          <coding>
            <system value="http://www.ama-assn.org/go/cpt"/>
            <code value="99215"/>
          </coding>
          <text value="Office Visit, High Complexity"/>
        </type>
        <subject>
          <reference value="Patient/ra-patient01"/>
        </subject>
        <participant>
          <individual>
            <reference value="Practitioner/ra-prac01pat01"/>
          </individual>
        </participant>
        <period>
          <start value="2021-09-26"/>
          <end value="2021-09-26"/>
        </period>
        <diagnosis>
          <condition>
            <reference value="Condition/ra-condition03pat01"/>
          </condition>
        </diagnosis>
        <diagnosis>
          <condition>
            <reference value="Condition/ra-condition10pat01"/>
          </condition>
        </diagnosis>
        <diagnosis>
          <condition>
            <reference value="Condition/ra-condition18pat01"/>
          </condition>
        </diagnosis>
        <diagnosis>
          <condition>
            <reference value="Condition/ra-condition33pat01"/>
          </condition>
        </diagnosis>
        <serviceProvider>
          <reference value="Organization/ra-org01pat01"/>
        </serviceProvider>
      </Encounter>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Condition/ra-condition09pat01"/>
    <resource>
      <Condition>
        <id value="ra-condition09pat01"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></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 "ra-condition09pat01" </p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-condition.html">US Core Condition Profile</a></p></div><p><b>clinicalStatus</b>: Active <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/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/3.1.0/CodeSystem-condition-ver-status.html">ConditionVerificationStatus</a>#confirmed)</span></p><p><b>category</b>: Problem <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-condition-category.html">Condition Category Codes</a>#encounter-diagnosis "Encounter Diagnosis")</span></p><p><b>code</b>: B44.81: Allergic bronchopulmonary aspergillosis <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-icd10CM.html">International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)</a>#B44.81 "Allergic bronchopulmonary aspergillosis")</span></p><p><b>subject</b>: <a href="#Patient_ra-patient01">See above (Patient/ra-patient01)</a></p><p><b>onset</b>: 2021-03-27</p></div>
        </text>
        <clinicalStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
            <code value="active"/>
            <display value="Active"/>
          </coding>
          <text value="Active"/>
        </clinicalStatus>
        <verificationStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
            <code value="confirmed"/>
            <display value="Confirmed"/>
          </coding>
          <text value="Confirmed"/>
        </verificationStatus>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-category"/>
            <code value="encounter-diagnosis"/>
            <display value="Encounter Diagnosis"/>
          </coding>
          <text value="Problem"/>
        </category>
        <code>
          <coding>
            <system value="http://hl7.org/fhir/sid/icd-10-cm"/>
            <code value="B44.81"/>
            <display value="Allergic bronchopulmonary aspergillosis"/>
          </coding>
          <text value="B44.81: Allergic bronchopulmonary aspergillosis"/>
        </code>
        <subject>
          <reference value="Patient/ra-patient01"/>
        </subject>
        <onsetDateTime value="2021-03-27"/>
      </Condition>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Condition/ra-condition02pat01"/>
    <resource>
      <Condition>
        <id value="ra-condition02pat01"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></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 "ra-condition02pat01" </p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-condition.html">US Core Condition Profile</a></p></div><p><b>clinicalStatus</b>: Active <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/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/3.1.0/CodeSystem-condition-ver-status.html">ConditionVerificationStatus</a>#confirmed)</span></p><p><b>category</b>: Problem <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-condition-category.html">Condition Category Codes</a>#encounter-diagnosis "Encounter Diagnosis")</span></p><p><b>code</b>: E08.29: Diabetes mellitus due to underlying condition with other diabetic kidney complication <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-icd10CM.html">International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)</a>#E08.29 "Diabetes mellitus due to underlying condition with other diabetic kidney complication")</span></p><p><b>subject</b>: <a href="#Patient_ra-patient01">See above (Patient/ra-patient01)</a></p><p><b>onset</b>: 2021-01-31</p></div>
        </text>
        <clinicalStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
            <code value="active"/>
            <display value="Active"/>
          </coding>
          <text value="Active"/>
        </clinicalStatus>
        <verificationStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
            <code value="confirmed"/>
            <display value="Confirmed"/>
          </coding>
          <text value="Confirmed"/>
        </verificationStatus>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-category"/>
            <code value="encounter-diagnosis"/>
            <display value="Encounter Diagnosis"/>
          </coding>
          <text value="Problem"/>
        </category>
        <code>
          <coding>
            <system value="http://hl7.org/fhir/sid/icd-10-cm"/>
            <code value="E08.29"/>
            <display
                     value="Diabetes mellitus due to underlying condition with other diabetic kidney complication"/>
          </coding>
          <text
                value="E08.29: Diabetes mellitus due to underlying condition with other diabetic kidney complication"/>
        </code>
        <subject>
          <reference value="Patient/ra-patient01"/>
        </subject>
        <onsetDateTime value="2021-01-31"/>
      </Condition>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Encounter/ra-encounter11pat01"/>
    <resource>
      <Encounter>
        <id value="ra-encounter11pat01"/>
        <meta>
          <extension url="http://hl7.org/fhir/StructureDefinition/instance-name">
            <valueString
                         value="Encounter with Dr Howell on 20210714 for Patient 03"/>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/instance-description">
            <valueMarkdown
                           value="This is Encounter with Dr Howell on 20210714 for Patient 03."/>
          </extension>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></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 "ra-encounter11pat01" </p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-encounter.html">US Core Encounter Profile</a></p></div><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>: Office Visit, High Complexity <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-CPT.html">Current Procedural Terminology (CPT&reg;)</a>#99215)</span></p><p><b>subject</b>: <a href="#Patient_ra-patient01">See above (Patient/ra-patient01)</a></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> " HIPPOCRATES"</td></tr></table><p><b>period</b>: 2020-11-02 --&gt; 2020-11-02</p><h3>Diagnoses</h3><table class="grid"><tr><td>-</td><td><b>Condition</b></td></tr><tr><td>*</td><td><a href="#Condition_ra-condition11pat01">See above (Condition/ra-condition11pat01)</a></td></tr></table><p><b>serviceProvider</b>: <a href="Organization-ra-org01pat01.html">Organization/ra-org01pat01</a> "Community Urgent Care"</p></div>
        </text>
        <status value="finished"/>
        <class>
          <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
          <code value="AMB"/>
          <display value="ambulatory"/>
        </class>
        <type>
          <coding>
            <system value="http://www.ama-assn.org/go/cpt"/>
            <code value="99215"/>
          </coding>
          <text value="Office Visit, High Complexity"/>
        </type>
        <subject>
          <reference value="Patient/ra-patient01"/>
        </subject>
        <participant>
          <individual>
            <reference value="Practitioner/ra-prac01pat01"/>
          </individual>
        </participant>
        <period>
          <start value="2020-11-02"/>
          <end value="2020-11-02"/>
        </period>
        <diagnosis>
          <condition>
            <reference value="Condition/ra-condition11pat01"/>
          </condition>
        </diagnosis>
        <serviceProvider>
          <reference value="Organization/ra-org01pat01"/>
        </serviceProvider>
      </Encounter>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Observation/ra-obs21pat01"/>
    <resource>
      <Observation>
        <id value="ra-obs21pat01"/>
        <meta>
          <extension url="http://hl7.org/fhir/StructureDefinition/instance-name">
            <valueString
                         value="Trypsin [Mass/volume] in Serum or Plasma for Pat01"/>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/instance-description">
            <valueMarkdown
                           value="Trypsin [Mass/volume] in Serum or Plasma for Pat01*."/>
          </extension>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></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 "ra-obs21pat01" </p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-observation-lab.html">US Core Laboratory Result Observation Profile</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-observation-category.html">Observation Category Codes</a>#laboratory)</span></p><p><b>code</b>: Trypsin [Mass/volume] in Serum or Plasma <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#33325-2)</span></p><p><b>subject</b>: <a href="#Patient_ra-patient01">See above (Patient/ra-patient01: Eve Everywoman)</a></p><p><b>effective</b>: 2019-06-17</p><p><b>value</b>: 770 ng/mL</p><h3>ReferenceRanges</h3><table class="grid"><tr><td>-</td><td><b>Low</b></td><td><b>High</b></td><td><b>Type</b></td></tr><tr><td>*</td><td>169 ng/mL<span style="background: LightGoldenRodYellow"> (Details: UCUM code ng/mL = 'ng/mL')</span></td><td>773 ng/mL<span style="background: LightGoldenRodYellow"> (Details: UCUM code mg/dL = 'mg/dL')</span></td><td>Normal Range <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-referencerange-meaning.html">Observation Reference Range Meaning Codes</a>#normal)</span></td></tr></table></div>
        </text>
        <status value="final"/>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/observation-category"/>
            <code value="laboratory"/>
            <display value="Laboratory"/>
          </coding>
          <text value="Laboratory"/>
        </category>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="33325-2"/>
            <display value="Trypsin [Mass/volume] in Serum or Plasma"/>
          </coding>
          <text value="Trypsin [Mass/volume] in Serum or Plasma"/>
        </code>
        <subject>
          <reference value="Patient/ra-patient01"/>
          <display value="Eve Everywoman"/>
        </subject>
        <effectiveDateTime value="2019-06-17"/>
        <valueQuantity>
          <value value="770"/>
          <unit value="ng/mL"/>
          <system value="http://unitsofmeasure.org"/>
        </valueQuantity>
        <referenceRange>
          <low>
            <value value="169"/>
            <unit value="ng/mL"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="ng/mL"/>
          </low>
          <high>
            <value value="773"/>
            <unit value="ng/mL"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="mg/dL"/>
          </high>
          <type>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/referencerange-meaning"/>
              <code value="normal"/>
              <display value="Normal Range"/>
            </coding>
            <text value="Normal Range"/>
          </type>
        </referenceRange>
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Condition/ra-condition18pat01"/>
    <resource>
      <Condition>
        <id value="ra-condition18pat01"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></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 "ra-condition18pat01" </p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-condition.html">US Core Condition Profile</a></p></div><p><b>clinicalStatus</b>: Active <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/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/3.1.0/CodeSystem-condition-ver-status.html">ConditionVerificationStatus</a>#confirmed)</span></p><p><b>category</b>: Problem <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-condition-category.html">Condition Category Codes</a>#encounter-diagnosis "Encounter Diagnosis")</span></p><p><b>code</b>: I48.11: Longstanding persistent atrial fibrillation <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-icd10CM.html">International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)</a>#I48.11 "Longstanding persistent atrial fibrillation")</span></p><p><b>subject</b>: <a href="#Patient_ra-patient01">See above (Patient/ra-patient01)</a></p><p><b>onset</b>: 2021-09-26</p></div>
        </text>
        <clinicalStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
            <code value="active"/>
            <display value="Active"/>
          </coding>
          <text value="Active"/>
        </clinicalStatus>
        <verificationStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
            <code value="confirmed"/>
            <display value="Confirmed"/>
          </coding>
          <text value="Confirmed"/>
        </verificationStatus>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-category"/>
            <code value="encounter-diagnosis"/>
            <display value="Encounter Diagnosis"/>
          </coding>
          <text value="Problem"/>
        </category>
        <code>
          <coding>
            <system value="http://hl7.org/fhir/sid/icd-10-cm"/>
            <code value="I48.11"/>
            <display value="Longstanding persistent atrial fibrillation"/>
          </coding>
          <text value="I48.11: Longstanding persistent atrial fibrillation"/>
        </code>
        <subject>
          <reference value="Patient/ra-patient01"/>
        </subject>
        <onsetDateTime value="2021-09-26"/>
      </Condition>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Encounter/ra-encounter08pat01"/>
    <resource>
      <Encounter>
        <id value="ra-encounter08pat01"/>
        <meta>
          <extension url="http://hl7.org/fhir/StructureDefinition/instance-name">
            <valueString
                         value="Encounter with Dr Howell on 20210714 for Patient 03"/>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/instance-description">
            <valueMarkdown
                           value="This is Encounter with Dr Howell on 20210714 for Patient 03."/>
          </extension>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></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 "ra-encounter08pat01" </p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-encounter.html">US Core Encounter Profile</a></p></div><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>: Office Visit, High Complexity <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-CPT.html">Current Procedural Terminology (CPT&reg;)</a>#99215)</span></p><p><b>subject</b>: <a href="#Patient_ra-patient01">See above (Patient/ra-patient01)</a></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> " HIPPOCRATES"</td></tr></table><p><b>period</b>: 2017-02-03 --&gt; 2017-02-03</p><h3>Diagnoses</h3><table class="grid"><tr><td>-</td><td><b>Condition</b></td></tr><tr><td>*</td><td><a href="#Condition_ra-condition08pat01">See above (Condition/ra-condition08pat01)</a></td></tr></table><p><b>serviceProvider</b>: <a href="Organization-ra-org01pat01.html">Organization/ra-org01pat01</a> "Community Urgent Care"</p></div>
        </text>
        <status value="finished"/>
        <class>
          <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
          <code value="AMB"/>
          <display value="ambulatory"/>
        </class>
        <type>
          <coding>
            <system value="http://www.ama-assn.org/go/cpt"/>
            <code value="99215"/>
          </coding>
          <text value="Office Visit, High Complexity"/>
        </type>
        <subject>
          <reference value="Patient/ra-patient01"/>
        </subject>
        <participant>
          <individual>
            <reference value="Practitioner/ra-prac01pat01"/>
          </individual>
        </participant>
        <period>
          <start value="2017-02-03"/>
          <end value="2017-02-03"/>
        </period>
        <diagnosis>
          <condition>
            <reference value="Condition/ra-condition08pat01"/>
          </condition>
        </diagnosis>
        <serviceProvider>
          <reference value="Organization/ra-org01pat01"/>
        </serviceProvider>
      </Encounter>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Condition/ra-condition44pat01"/>
    <resource>
      <Condition>
        <id value="ra-condition44pat01"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></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 "ra-condition44pat01" </p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-condition.html">US Core Condition Profile</a></p></div><p><b>clinicalStatus</b>: Active <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/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/3.1.0/CodeSystem-condition-ver-status.html">ConditionVerificationStatus</a>#confirmed)</span></p><p><b>category</b>: Problem <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-condition-category.html">Condition Category Codes</a>#encounter-diagnosis "Encounter Diagnosis")</span></p><p><b>code</b>: B44.81: Allergic bronchopulmonary aspergillosis <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-icd10CM.html">International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)</a>#B44.81 "Allergic bronchopulmonary aspergillosis")</span></p><p><b>subject</b>: <a href="#Patient_ra-patient01">See above (Patient/ra-patient01)</a></p><p><b>onset</b>: 2017-01-18</p></div>
        </text>
        <clinicalStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
            <code value="active"/>
            <display value="Active"/>
          </coding>
          <text value="Active"/>
        </clinicalStatus>
        <verificationStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
            <code value="confirmed"/>
            <display value="Confirmed"/>
          </coding>
          <text value="Confirmed"/>
        </verificationStatus>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-category"/>
            <code value="encounter-diagnosis"/>
            <display value="Encounter Diagnosis"/>
          </coding>
          <text value="Problem"/>
        </category>
        <code>
          <coding>
            <system value="http://hl7.org/fhir/sid/icd-10-cm"/>
            <code value="B44.81"/>
            <display value="Allergic bronchopulmonary aspergillosis"/>
          </coding>
          <text value="B44.81: Allergic bronchopulmonary aspergillosis"/>
        </code>
        <subject>
          <reference value="Patient/ra-patient01"/>
        </subject>
        <onsetDateTime value="2017-01-18"/>
      </Condition>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Encounter/ra-encounter02pat01"/>
    <resource>
      <Encounter>
        <id value="ra-encounter02pat01"/>
        <meta>
          <extension url="http://hl7.org/fhir/StructureDefinition/instance-name">
            <valueString
                         value="Encounter with Dr Howell on 20210714 for Patient 03"/>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/instance-description">
            <valueMarkdown
                           value="This is Encounter with Dr Howell on 20210714 for Patient 03."/>
          </extension>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></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 "ra-encounter02pat01" </p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-encounter.html">US Core Encounter Profile</a></p></div><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>: Office Visit, High Complexity <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-CPT.html">Current Procedural Terminology (CPT&reg;)</a>#99215)</span></p><p><b>subject</b>: <a href="#Patient_ra-patient01">See above (Patient/ra-patient01)</a></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> " HIPPOCRATES"</td></tr></table><p><b>period</b>: 2021-01-31 --&gt; 2021-01-31</p><blockquote><p><b>diagnosis</b></p><p><b>condition</b>: <a href="#Condition_ra-condition02pat01">See above (Condition/ra-condition02pat01)</a></p></blockquote><blockquote><p><b>diagnosis</b></p><p><b>condition</b>: <a href="#Condition_ra-condition17pat01">See above (Condition/ra-condition17pat01)</a></p></blockquote><p><b>serviceProvider</b>: <a href="Organization-ra-org01pat01.html">Organization/ra-org01pat01</a> "Community Urgent Care"</p></div>
        </text>
        <status value="finished"/>
        <class>
          <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
          <code value="AMB"/>
          <display value="ambulatory"/>
        </class>
        <type>
          <coding>
            <system value="http://www.ama-assn.org/go/cpt"/>
            <code value="99215"/>
          </coding>
          <text value="Office Visit, High Complexity"/>
        </type>
        <subject>
          <reference value="Patient/ra-patient01"/>
        </subject>
        <participant>
          <individual>
            <reference value="Practitioner/ra-prac01pat01"/>
          </individual>
        </participant>
        <period>
          <start value="2021-01-31"/>
          <end value="2021-01-31"/>
        </period>
        <diagnosis>
          <condition>
            <reference value="Condition/ra-condition02pat01"/>
          </condition>
        </diagnosis>
        <diagnosis>
          <condition>
            <reference value="Condition/ra-condition17pat01"/>
          </condition>
        </diagnosis>
        <serviceProvider>
          <reference value="Organization/ra-org01pat01"/>
        </serviceProvider>
      </Encounter>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Encounter/ra-encounter44pat01"/>
    <resource>
      <Encounter>
        <id value="ra-encounter44pat01"/>
        <meta>
          <extension url="http://hl7.org/fhir/StructureDefinition/instance-name">
            <valueString
                         value="Encounter with Dr Howell on 20210714 for Patient 03"/>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/instance-description">
            <valueMarkdown
                           value="This is Encounter with Dr Howell on 20210714 for Patient 03."/>
          </extension>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></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 "ra-encounter44pat01" </p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-encounter.html">US Core Encounter Profile</a></p></div><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>: Office Visit, High Complexity <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-CPT.html">Current Procedural Terminology (CPT&reg;)</a>#99215)</span></p><p><b>subject</b>: <a href="#Patient_ra-patient01">See above (Patient/ra-patient01)</a></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> " HIPPOCRATES"</td></tr></table><p><b>period</b>: 2017-01-18 --&gt; 2017-01-18</p><h3>Diagnoses</h3><table class="grid"><tr><td>-</td><td><b>Condition</b></td></tr><tr><td>*</td><td><a href="#Condition_ra-condition44pat01">See above (Condition/ra-condition44pat01)</a></td></tr></table><p><b>serviceProvider</b>: <a href="Organization-ra-org01pat01.html">Organization/ra-org01pat01</a> "Community Urgent Care"</p></div>
        </text>
        <status value="finished"/>
        <class>
          <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
          <code value="AMB"/>
          <display value="ambulatory"/>
        </class>
        <type>
          <coding>
            <system value="http://www.ama-assn.org/go/cpt"/>
            <code value="99215"/>
          </coding>
          <text value="Office Visit, High Complexity"/>
        </type>
        <subject>
          <reference value="Patient/ra-patient01"/>
        </subject>
        <participant>
          <individual>
            <reference value="Practitioner/ra-prac01pat01"/>
          </individual>
        </participant>
        <period>
          <start value="2017-01-18"/>
          <end value="2017-01-18"/>
        </period>
        <diagnosis>
          <condition>
            <reference value="Condition/ra-condition44pat01"/>
          </condition>
        </diagnosis>
        <serviceProvider>
          <reference value="Organization/ra-org01pat01"/>
        </serviceProvider>
      </Encounter>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Condition/ra-condition08pat01"/>
    <resource>
      <Condition>
        <id value="ra-condition08pat01"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></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 "ra-condition08pat01" </p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-condition.html">US Core Condition Profile</a></p></div><p><b>clinicalStatus</b>: Active <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/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/3.1.0/CodeSystem-condition-ver-status.html">ConditionVerificationStatus</a>#confirmed)</span></p><p><b>category</b>: Problem <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-condition-category.html">Condition Category Codes</a>#encounter-diagnosis "Encounter Diagnosis")</span></p><p><b>code</b>: Bipolar disorder, current episode mixed, mild <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-icd10CM.html">International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)</a>#F31.61)</span></p><p><b>subject</b>: <a href="#Patient_ra-patient01">See above (Patient/ra-patient01)</a></p><p><b>onset</b>: 2017-02-03</p></div>
        </text>
        <clinicalStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
            <code value="active"/>
            <display value="Active"/>
          </coding>
          <text value="Active"/>
        </clinicalStatus>
        <verificationStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
            <code value="confirmed"/>
            <display value="Confirmed"/>
          </coding>
          <text value="Confirmed"/>
        </verificationStatus>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-category"/>
            <code value="encounter-diagnosis"/>
            <display value="Encounter Diagnosis"/>
          </coding>
          <text value="Problem"/>
        </category>
        <code>
          <coding>
            <system value="http://hl7.org/fhir/sid/icd-10-cm"/>
            <code value="F31.61"/>
            <display value="Bipolar disorder, current episode mixed, mild"/>
          </coding>
          <text value="Bipolar disorder, current episode mixed, mild"/>
        </code>
        <subject>
          <reference value="Patient/ra-patient01"/>
        </subject>
        <onsetDateTime value="2017-02-03"/>
      </Condition>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Condition/ra-condition43pat01"/>
    <resource>
      <Condition>
        <id value="ra-condition43pat01"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></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 "ra-condition43pat01" </p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-condition.html">US Core Condition Profile</a></p></div><p><b>clinicalStatus</b>: Active <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/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/3.1.0/CodeSystem-condition-ver-status.html">ConditionVerificationStatus</a>#confirmed)</span></p><p><b>category</b>: Problem <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-condition-category.html">Condition Category Codes</a>#encounter-diagnosis "Encounter Diagnosis")</span></p><p><b>code</b>: E08.29: Diabetes mellitus due to underlying condition with other diabetic kidney complication <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-icd10CM.html">International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)</a>#E08.29 "Diabetes mellitus due to underlying condition with other diabetic kidney complication")</span></p><p><b>subject</b>: <a href="#Patient_ra-patient01">See above (Patient/ra-patient01)</a></p><p><b>onset</b>: 2019-02-10</p></div>
        </text>
        <clinicalStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
            <code value="active"/>
            <display value="Active"/>
          </coding>
          <text value="Active"/>
        </clinicalStatus>
        <verificationStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
            <code value="confirmed"/>
            <display value="Confirmed"/>
          </coding>
          <text value="Confirmed"/>
        </verificationStatus>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-category"/>
            <code value="encounter-diagnosis"/>
            <display value="Encounter Diagnosis"/>
          </coding>
          <text value="Problem"/>
        </category>
        <code>
          <coding>
            <system value="http://hl7.org/fhir/sid/icd-10-cm"/>
            <code value="E08.29"/>
            <display
                     value="Diabetes mellitus due to underlying condition with other diabetic kidney complication"/>
          </coding>
          <text
                value="E08.29: Diabetes mellitus due to underlying condition with other diabetic kidney complication"/>
        </code>
        <subject>
          <reference value="Patient/ra-patient01"/>
        </subject>
        <onsetDateTime value="2019-02-10"/>
      </Condition>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Condition/ra-condition03pat01"/>
    <resource>
      <Condition>
        <id value="ra-condition03pat01"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></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 "ra-condition03pat01" </p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-condition.html">US Core Condition Profile</a></p></div><p><b>clinicalStatus</b>: Active <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/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/3.1.0/CodeSystem-condition-ver-status.html">ConditionVerificationStatus</a>#confirmed)</span></p><p><b>category</b>: Problem <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-condition-category.html">Condition Category Codes</a>#encounter-diagnosis "Encounter Diagnosis")</span></p><p><b>code</b>: J44.1: Chronic obstructive pulmonary disease with (acute) exacerbation <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-icd10CM.html">International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)</a>#J44.1 "Chronic obstructive pulmonary disease with (acute) exacerbation")</span></p><p><b>subject</b>: <a href="#Patient_ra-patient01">See above (Patient/ra-patient01)</a></p><p><b>onset</b>: 2021-09-26</p></div>
        </text>
        <clinicalStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
            <code value="active"/>
            <display value="Active"/>
          </coding>
          <text value="Active"/>
        </clinicalStatus>
        <verificationStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
            <code value="confirmed"/>
            <display value="Confirmed"/>
          </coding>
          <text value="Confirmed"/>
        </verificationStatus>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-category"/>
            <code value="encounter-diagnosis"/>
            <display value="Encounter Diagnosis"/>
          </coding>
          <text value="Problem"/>
        </category>
        <code>
          <coding>
            <system value="http://hl7.org/fhir/sid/icd-10-cm"/>
            <code value="J44.1"/>
            <display
                     value="Chronic obstructive pulmonary disease with (acute) exacerbation"/>
          </coding>
          <text
                value="J44.1: Chronic obstructive pulmonary disease with (acute) exacerbation"/>
        </code>
        <subject>
          <reference value="Patient/ra-patient01"/>
        </subject>
        <onsetDateTime value="2021-09-26"/>
      </Condition>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Condition/ra-condition11pat01"/>
    <resource>
      <Condition>
        <id value="ra-condition11pat01"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></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 "ra-condition11pat01" </p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-condition.html">US Core Condition Profile</a></p></div><p><b>clinicalStatus</b>: Active <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/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/3.1.0/CodeSystem-condition-ver-status.html">ConditionVerificationStatus</a>#confirmed)</span></p><p><b>category</b>: Problem <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-condition-category.html">Condition Category Codes</a>#encounter-diagnosis "Encounter Diagnosis")</span></p><p><b>code</b>: J81.0: Acute pulmonary edema <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-icd10CM.html">International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)</a>#J81.0 "Acute pulmonary edema")</span></p><p><b>subject</b>: <a href="#Patient_ra-patient01">See above (Patient/ra-patient01)</a></p><p><b>onset</b>: 2020-11-02</p></div>
        </text>
        <clinicalStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
            <code value="active"/>
            <display value="Active"/>
          </coding>
          <text value="Active"/>
        </clinicalStatus>
        <verificationStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
            <code value="confirmed"/>
            <display value="Confirmed"/>
          </coding>
          <text value="Confirmed"/>
        </verificationStatus>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-category"/>
            <code value="encounter-diagnosis"/>
            <display value="Encounter Diagnosis"/>
          </coding>
          <text value="Problem"/>
        </category>
        <code>
          <coding>
            <system value="http://hl7.org/fhir/sid/icd-10-cm"/>
            <code value="J81.0"/>
            <display value="Acute pulmonary edema"/>
          </coding>
          <text value="J81.0: Acute pulmonary edema"/>
        </code>
        <subject>
          <reference value="Patient/ra-patient01"/>
        </subject>
        <onsetDateTime value="2020-11-02"/>
      </Condition>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Encounter/ra-encounter43pat01"/>
    <resource>
      <Encounter>
        <id value="ra-encounter43pat01"/>
        <meta>
          <extension url="http://hl7.org/fhir/StructureDefinition/instance-name">
            <valueString
                         value="Encounter with Dr Howell on 20210714 for Patient 03"/>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/instance-description">
            <valueMarkdown
                           value="This is Encounter with Dr Howell on 20210714 for Patient 03."/>
          </extension>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></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 "ra-encounter43pat01" </p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-encounter.html">US Core Encounter Profile</a></p></div><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>: Office Visit, High Complexity <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-CPT.html">Current Procedural Terminology (CPT&reg;)</a>#99215)</span></p><p><b>subject</b>: <a href="#Patient_ra-patient01">See above (Patient/ra-patient01)</a></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> " HIPPOCRATES"</td></tr></table><p><b>period</b>: 2019-02-10 --&gt; 2019-02-10</p><h3>Diagnoses</h3><table class="grid"><tr><td>-</td><td><b>Condition</b></td></tr><tr><td>*</td><td><a href="#Condition_ra-condition43pat01">See above (Condition/ra-condition43pat01)</a></td></tr></table><p><b>serviceProvider</b>: <a href="Organization-ra-org01pat01.html">Organization/ra-org01pat01</a> "Community Urgent Care"</p></div>
        </text>
        <status value="finished"/>
        <class>
          <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
          <code value="AMB"/>
          <display value="ambulatory"/>
        </class>
        <type>
          <coding>
            <system value="http://www.ama-assn.org/go/cpt"/>
            <code value="99215"/>
          </coding>
          <text value="Office Visit, High Complexity"/>
        </type>
        <subject>
          <reference value="Patient/ra-patient01"/>
        </subject>
        <participant>
          <individual>
            <reference value="Practitioner/ra-prac01pat01"/>
          </individual>
        </participant>
        <period>
          <start value="2019-02-10"/>
          <end value="2019-02-10"/>
        </period>
        <diagnosis>
          <condition>
            <reference value="Condition/ra-condition43pat01"/>
          </condition>
        </diagnosis>
        <serviceProvider>
          <reference value="Organization/ra-org01pat01"/>
        </serviceProvider>
      </Encounter>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Encounter/ra-encounter09pat01"/>
    <resource>
      <Encounter>
        <id value="ra-encounter09pat01"/>
        <meta>
          <extension url="http://hl7.org/fhir/StructureDefinition/instance-name">
            <valueString
                         value="Encounter with Dr Howell on 20210714 for Patient 03"/>
          </extension>
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/instance-description">
            <valueMarkdown
                           value="This is Encounter with Dr Howell on 20210714 for Patient 03."/>
          </extension>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></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 "ra-encounter09pat01" </p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-encounter.html">US Core Encounter Profile</a></p></div><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>: Office Visit, High Complexity <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-CPT.html">Current Procedural Terminology (CPT&reg;)</a>#99215)</span></p><p><b>subject</b>: <a href="#Patient_ra-patient01">See above (Patient/ra-patient01)</a></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> " HIPPOCRATES"</td></tr></table><p><b>period</b>: 2021-03-27 --&gt; 2021-03-27</p><h3>Diagnoses</h3><table class="grid"><tr><td>-</td><td><b>Condition</b></td></tr><tr><td>*</td><td><a href="#Condition_ra-condition09pat01">See above (Condition/ra-condition09pat01)</a></td></tr></table><p><b>serviceProvider</b>: <a href="Organization-ra-org01pat01.html">Organization/ra-org01pat01</a> "Community Urgent Care"</p></div>
        </text>
        <status value="finished"/>
        <class>
          <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
          <code value="AMB"/>
          <display value="ambulatory"/>
        </class>
        <type>
          <coding>
            <system value="http://www.ama-assn.org/go/cpt"/>
            <code value="99215"/>
          </coding>
          <text value="Office Visit, High Complexity"/>
        </type>
        <subject>
          <reference value="Patient/ra-patient01"/>
        </subject>
        <participant>
          <individual>
            <reference value="Practitioner/ra-prac01pat01"/>
          </individual>
        </participant>
        <period>
          <start value="2021-03-27"/>
          <end value="2021-03-27"/>
        </period>
        <diagnosis>
          <condition>
            <reference value="Condition/ra-condition09pat01"/>
          </condition>
        </diagnosis>
        <serviceProvider>
          <reference value="Organization/ra-org01pat01"/>
        </serviceProvider>
      </Encounter>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Condition/ra-condition17pat01"/>
    <resource>
      <Condition>
        <id value="ra-condition17pat01"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></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 "ra-condition17pat01" </p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-condition.html">US Core Condition Profile</a></p></div><p><b>clinicalStatus</b>: Active <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/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/3.1.0/CodeSystem-condition-ver-status.html">ConditionVerificationStatus</a>#confirmed)</span></p><p><b>category</b>: Problem <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-condition-category.html">Condition Category Codes</a>#encounter-diagnosis "Encounter Diagnosis")</span></p><p><b>code</b>: Z68.42: Body mass index [BMI] 45.0-49.9, adult <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-icd10CM.html">International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)</a>#Z68.42 "Body mass index [BMI] 45.0-49.9, adult")</span></p><p><b>subject</b>: <a href="#Patient_ra-patient01">See above (Patient/ra-patient01)</a></p><p><b>onset</b>: 2021-01-31</p></div>
        </text>
        <clinicalStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
            <code value="active"/>
            <display value="Active"/>
          </coding>
          <text value="Active"/>
        </clinicalStatus>
        <verificationStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
            <code value="confirmed"/>
            <display value="Confirmed"/>
          </coding>
          <text value="Confirmed"/>
        </verificationStatus>
        <category>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-category"/>
            <code value="encounter-diagnosis"/>
            <display value="Encounter Diagnosis"/>
          </coding>
          <text value="Problem"/>
        </category>
        <code>
          <coding>
            <system value="http://hl7.org/fhir/sid/icd-10-cm"/>
            <code value="Z68.42"/>
            <display value="Body mass index [BMI] 45.0-49.9, adult"/>
          </coding>
          <text value="Z68.42: Body mass index [BMI] 45.0-49.9, adult"/>
        </code>
        <subject>
          <reference value="Patient/ra-patient01"/>
        </subject>
        <onsetDateTime value="2021-01-31"/>
      </Condition>
    </resource>
  </entry>
</Bundle>