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-measurereport03: Risk Adjustment Measure Report for HCC V24 for Patient 02 - JSON Representation

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{
  "resourceType" : "MeasureReport",
  "id" : "ra-measurereport03",
  "meta" : {
    "profile" : [
      "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-measurereport"
    ]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<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-measurereport03\" </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-patient02.html\">Patient/ra-patient02</a> \" EVERYMAN\"</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>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: Hierarchies applied and Condition Category is not superseded 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>: CMS 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><p><b>evaluatedResource</b>: </p><ul><li><a href=\"Condition-ra-condition31pat02.html\">Condition/ra-condition31pat02</a></li><li><a href=\"Encounter-ra-encounter31pat02.html\">Encounter/ra-encounter31pat02</a></li></ul></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-clinicalDataCollectionDeadline",
      "valueDate" : "2022-03-31"
    }
  ],
  "status" : "complete",
  "type" : "individual",
  "measure" : "https://build.fhir.org/ig/HL7/davinci-ra/Measure-RAModelExample01",
  "subject" : {
    "reference" : "Patient/ra-patient02"
  },
  "date" : "2021-10-18",
  "reporter" : {
    "reference" : "Organization/ra-payer01"
  },
  "period" : {
    "start" : "2021-01-01",
    "end" : "2021-09-30"
  },
  "group" : [
    {
      "id" : "group-001",
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type",
                "code" : "historic"
              }
            ]
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status",
                "code" : "closed-gap"
              }
            ]
          }
        },
        {
          "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status",
                "code" : "applied-not-superseded"
              }
            ]
          }
        }
      ],
      "code" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/cmshcc",
            "version" : "24",
            "code" : "96",
            "display" : "Specified Heart.Arrhythmias"
          }
        ],
        "text" : "CMS HCC: 96, Specified Heart.Arrhythmias"
      }
    }
  ],
  "evaluatedResource" : [
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
          "valueString" : "group-001"
        }
      ],
      "reference" : "Condition/ra-condition31pat02"
    },
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
          "valueString" : "group-001"
        }
      ],
      "reference" : "Encounter/ra-encounter31pat02"
    }
  ]
}