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 - XML Representation

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<MeasureReport xmlns="http://hl7.org/fhir">
  <id value="ra-measurereport03"/>
  <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-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: Hierarchies applied and Condition Category is not superseded 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>
  </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-patient02"/>
  </subject>
  <date value="2021-10-18"/>
  <reporter>
    <reference value="Organization/ra-payer01"/>
  </reporter>
  <period>
    <start value="2021-01-01"/>
    <end value="2021-09-30"/>
  </period>
  <group id="group-001">
    <extension
               url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType">
      <valueCodeableConcept>
        <coding>
          <system
                  value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type"/>
          <code value="historic"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus">
      <valueCodeableConcept>
        <coding>
          <system
                  value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status"/>
          <code value="closed-gap"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus">
      <valueCodeableConcept>
        <coding>
          <system
                  value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"/>
          <code value="applied-not-superseded"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <code>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/cmshcc"/>
        <version value="24"/>
        <code value="96"/>
        <display value="Specified Heart.Arrhythmias"/>
      </coding>
      <text value="CMS HCC: 96, Specified Heart.Arrhythmias"/>
    </code>
  </group>
  <evaluatedResource>
    <extension
               url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
      <valueString value="group-001"/>
    </extension>
    <reference value="Condition/ra-condition31pat02"/>
  </evaluatedResource>
  <evaluatedResource>
    <extension
               url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
      <valueString value="group-001"/>
    </extension>
    <reference value="Encounter/ra-encounter31pat02"/>
  </evaluatedResource>
</MeasureReport>