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

Example MeasureReport: ra-measurereport04: Risk Adjustment Measure Report for HCC V21 for Patient 03

Generated Narrative

Resource "ra-measurereport04"

Profile: Risk Adjustment Coding Gap Report Profile

Risk Adjustment Clinical Data Collection Deadline Extension: 2022-03-31

status: complete

type: individual

measure: Risk Adjustment Model Version 21 - CMS Hierarchical Category Condition (CMS-HCC)

subject: Patient/ra-patient03 " NUCLEAR"

date: 2021-10-18

reporter: Organization/ra-payer01 "ABC Payer"

period: 2021-01-01 --> 2021-09-30

group

Risk Adjustment Suspect Type Extension: Historic Condition Category Gap (Risk Adjustment Suspect Type Code System#historic)

Evidence Status Extension: Closed Condition Category Gap (Risk Adjustment Evidence Status Code System#closed-gap)

Hierarchical Status Extension: Hierarchies applied and Condition Category is not superseded (Risk Adjustment Hierarchical Status Code System#applied-not-superseded)

code: CMS-HCC 188: Artificial Openings for Feeding or Elimination (CMS Hierarchical Condition Categories[21]#188 "Artificial Openings for Feeding or Elimination")

group

Risk Adjustment Suspect Type Extension: Historic Condition Category Gap (Risk Adjustment Suspect Type Code System#historic)

Evidence Status Extension: Open Condition Category Gap (Risk Adjustment Evidence Status Code System#open-gap)

Hierarchical Status Extension: Hierarchies applied and Condition Category is not superseded (Risk Adjustment Hierarchical Status Code System#applied-not-superseded)

code: CMS-HCC 111: Chronic Obstructive Pulmonary Disease (CMS Hierarchical Condition Categories[21]#111 "Chronic Obstructive Pulmonary Disease")

group

Risk Adjustment Suspect Type Extension: Historic Condition Category Gap (Risk Adjustment Suspect Type Code System#historic)

Evidence Status Extension: Open Condition Category Gap (Risk Adjustment Evidence Status Code System#open-gap)

Hierarchical Status Extension: Hierarchies applied and Condition Category is not superseded (Risk Adjustment Hierarchical Status Code System#applied-not-superseded)

code: CMS-HCC 21: Protein-Calorie Malnutrition (CMS Hierarchical Condition Categories[21]#21 "Protein-Calorie Malnutrition")

group

Risk Adjustment Suspect Type Extension: Historic Condition Category Gap (Risk Adjustment Suspect Type Code System#historic)

Evidence Status Extension: Open Condition Category Gap (Risk Adjustment Evidence Status Code System#open-gap)

Hierarchical Status Extension: Hierarchies applied and Condition Category is not superseded (Risk Adjustment Hierarchical Status Code System#applied-not-superseded)

code: CMS-HCC 35: Inflammatory Bowel Disease (CMS Hierarchical Condition Categories[21]#35 "Inflammatory Bowel Disease")

group

Risk Adjustment Suspect Type Extension: Historic Condition Category Gap (Risk Adjustment Suspect Type Code System#historic)

Evidence Status Extension: Open Condition Category Gap (Risk Adjustment Evidence Status Code System#open-gap)

Hierarchical Status Extension: Hierarchies applied and Condition Category is not superseded (Risk Adjustment Hierarchical Status Code System#applied-not-superseded)

code: CMS-HCC 96: Specified Heart Arrhythmia (CMS Hierarchical Condition Categories[21]#96 "Specified Heart Arrhythmias")

group

Risk Adjustment Suspect Type Extension: Suspected Condtion Category Gap (Risk Adjustment Suspect Type Code System#suspected)

Evidence Status Extension: Closed Condition Category Gap (Risk Adjustment Evidence Status Code System#closed-gap)

Hierarchical Status Extension: Hierarchies applied and Condition Category is not superseded (Risk Adjustment Hierarchical Status Code System#applied-not-superseded)

code: CMS-HCC 18: Diabetes with Chronic Complications (CMS Hierarchical Condition Categories[21]#18 "Diabetes with Chronic Complications")

group

Risk Adjustment Suspect Type Extension: Suspected Condtion Category Gap (Risk Adjustment Suspect Type Code System#suspected)

Evidence Status Extension: Closed Condition Category Gap (Risk Adjustment Evidence Status Code System#closed-gap)

Hierarchical Status Extension: Hierarchies applied and Condition Category is not superseded (Risk Adjustment Hierarchical Status Code System#applied-not-superseded)

code: CMS-HCC 134: Dialysis Status (CMS Hierarchical Condition Categories[21]#134 "Dialysis Status")

group

Risk Adjustment Suspect Type Extension: Suspected Condtion Category Gap (Risk Adjustment Suspect Type Code System#suspected)

Evidence Status Extension: Open Condition Category Gap (Risk Adjustment Evidence Status Code System#open-gap)

Hierarchical Status Extension: Hierarchies applied and Condition Category is not superseded (Risk Adjustment Hierarchical Status Code System#applied-not-superseded)

code: CMS-HCC 58: Major Depressive, Bipolar, and Paranoid Disorders (CMS Hierarchical Condition Categories[21]#58 "Major Depressive, Bipolar, and Paranoid Disorders")

group

Risk Adjustment Suspect Type Extension: Suspected Condtion Category Gap (Risk Adjustment Suspect Type Code System#suspected)

Evidence Status Extension: Closed Condition Category Gap (Risk Adjustment Evidence Status Code System#closed-gap)

Hierarchical Status Extension: Hierarchies applied and Condition Category is superseded (Risk Adjustment Hierarchical Status Code System#applied-superseded)

code: CMS-HCC 19: Diabetes without Complication (CMS Hierarchical Condition Categories[21]#19 "Diabetes without Complication")

group

Risk Adjustment Suspect Type Extension: Suspected Condtion Category Gap (Risk Adjustment Suspect Type Code System#suspected)

Evidence Status Extension: Pending Condition Category Gap (Risk Adjustment Evidence Status Code System#pending)

Hierarchical Status Extension: Hierarchies applied and Condition Category is superseded (Risk Adjustment Hierarchical Status Code System#applied-superseded)

code: CMS-HCC 135: Acute Renal Failure (CMS Hierarchical Condition Categories[21]#135 "Acute Renal Failure")

group

Risk Adjustment Suspect Type Extension: Suspected Condtion Category Gap (Risk Adjustment Suspect Type Code System#suspected)

Evidence Status Extension: Open Condition Category Gap (Risk Adjustment Evidence Status Code System#open-gap)

Hierarchical Status Extension: Hierarchies applied and Condition Category is superseded (Risk Adjustment Hierarchical Status Code System#applied-superseded)

code: CMS-HCC 136: Chronic Kidney Disease, Stage 5 (CMS Hierarchical Condition Categories[21]#136 "Chronic Kidney Disease, Stage 5")

group

Risk Adjustment Suspect Type Extension: Net-New Condition Category (Risk Adjustment Suspect Type Code System#net-new)

Evidence Status Extension: Pending Condition Category Gap (Risk Adjustment Evidence Status Code System#pending)

Hierarchical Status Extension: Hierarchies applied and Condition Category is not superseded (Risk Adjustment Hierarchical Status Code System#applied-not-superseded)

code: CMS-HCC 107: Vascular Disease with Complications (CMS Hierarchical Condition Categories[21]#107 "Vascular Disease with Complications")

group

Risk Adjustment Suspect Type Extension: Net-New Condition Category (Risk Adjustment Suspect Type Code System#net-new)

Evidence Status Extension: Closed Condition Category Gap (Risk Adjustment Evidence Status Code System#closed-gap)

Hierarchical Status Extension: Hierarchies applied and Condition Category is superseded (Risk Adjustment Hierarchical Status Code System#applied-superseded)

code: CMS-HCC 108: Vascular Disease (CMS Hierarchical Condition Categories[21]#108 "Vascular Disease")

evaluatedResource: