Da Vinci Risk Adjustment Implementation Guide
1.0.0 - STU 1
US
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 
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"id" : "ra-condition43pat01",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition"
]
},
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active",
"display" : "Active"
}
],
"text" : "Active"
},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code" : "confirmed",
"display" : "Confirmed"
}
],
"text" : "Confirmed"
},
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-category",
"code" : "encounter-diagnosis",
"display" : "Encounter Diagnosis"
}
],
"text" : "Problem"
}
],
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/sid/icd-10-cm",
"code" : "E08.29",
"display" : "Diabetes mellitus due to underlying condition with other diabetic kidney complication"
}
],
"text" : "E08.29: Diabetes mellitus due to underlying condition with other diabetic kidney complication"
},
"subject" : {
"reference" : "Patient/ra-patient01"
},
"onsetDateTime" : "2019-02-10"
}
},
{
"fullUrl" : "https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Condition/ra-condition03pat01",
"resource" : {
"resourceType" : "Condition",
"id" : "ra-condition03pat01",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition"
]
},
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active",
"display" : "Active"
}
],
"text" : "Active"
},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code" : "confirmed",
"display" : "Confirmed"
}
],
"text" : "Confirmed"
},
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-category",
"code" : "encounter-diagnosis",
"display" : "Encounter Diagnosis"
}
],
"text" : "Problem"
}
],
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/sid/icd-10-cm",
"code" : "J44.1",
"display" : "Chronic obstructive pulmonary disease with (acute) exacerbation"
}
],
"text" : "J44.1: Chronic obstructive pulmonary disease with (acute) exacerbation"
},
"subject" : {
"reference" : "Patient/ra-patient01"
},
"onsetDateTime" : "2021-09-26"
}
},
{
"fullUrl" : "https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Condition/ra-condition11pat01",
"resource" : {
"resourceType" : "Condition",
"id" : "ra-condition11pat01",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition"
]
},
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active",
"display" : "Active"
}
],
"text" : "Active"
},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code" : "confirmed",
"display" : "Confirmed"
}
],
"text" : "Confirmed"
},
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-category",
"code" : "encounter-diagnosis",
"display" : "Encounter Diagnosis"
}
],
"text" : "Problem"
}
],
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/sid/icd-10-cm",
"code" : "J81.0",
"display" : "Acute pulmonary edema"
}
],
"text" : "J81.0: Acute pulmonary edema"
},
"subject" : {
"reference" : "Patient/ra-patient01"
},
"onsetDateTime" : "2020-11-02"
}
},
{
"fullUrl" : "https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Encounter/ra-encounter43pat01",
"resource" : {
"resourceType" : "Encounter",
"id" : "ra-encounter43pat01",
"meta" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/instance-name",
"valueString" : "Encounter with Dr Howell on 20210714 for Patient 03"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/instance-description",
"valueMarkdown" : "This is Encounter with Dr Howell on 20210714 for Patient 03."
}
],
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"
]
},
"status" : "finished",
"class" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "AMB",
"display" : "ambulatory"
},
"type" : [
{
"coding" : [
{
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "99215"
}
],
"text" : "Office Visit, High Complexity"
}
],
"subject" : {
"reference" : "Patient/ra-patient01"
},
"participant" : [
{
"individual" : {
"reference" : "Practitioner/ra-prac01pat01"
}
}
],
"period" : {
"start" : "2019-02-10",
"end" : "2019-02-10"
},
"diagnosis" : [
{
"condition" : {
"reference" : "Condition/ra-condition43pat01"
}
}
],
"serviceProvider" : {
"reference" : "Organization/ra-org01pat01"
}
}
},
{
"fullUrl" : "https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Encounter/ra-encounter09pat01",
"resource" : {
"resourceType" : "Encounter",
"id" : "ra-encounter09pat01",
"meta" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/instance-name",
"valueString" : "Encounter with Dr Howell on 20210714 for Patient 03"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/instance-description",
"valueMarkdown" : "This is Encounter with Dr Howell on 20210714 for Patient 03."
}
],
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"
]
},
"status" : "finished",
"class" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "AMB",
"display" : "ambulatory"
},
"type" : [
{
"coding" : [
{
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "99215"
}
],
"text" : "Office Visit, High Complexity"
}
],
"subject" : {
"reference" : "Patient/ra-patient01"
},
"participant" : [
{
"individual" : {
"reference" : "Practitioner/ra-prac01pat01"
}
}
],
"period" : {
"start" : "2021-03-27",
"end" : "2021-03-27"
},
"diagnosis" : [
{
"condition" : {
"reference" : "Condition/ra-condition09pat01"
}
}
],
"serviceProvider" : {
"reference" : "Organization/ra-org01pat01"
}
}
},
{
"fullUrl" : "https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Condition/ra-condition17pat01",
"resource" : {
"resourceType" : "Condition",
"id" : "ra-condition17pat01",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition"
]
},
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active",
"display" : "Active"
}
],
"text" : "Active"
},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code" : "confirmed",
"display" : "Confirmed"
}
],
"text" : "Confirmed"
},
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-category",
"code" : "encounter-diagnosis",
"display" : "Encounter Diagnosis"
}
],
"text" : "Problem"
}
],
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/sid/icd-10-cm",
"code" : "Z68.42",
"display" : "Body mass index [BMI] 45.0-49.9, adult"
}
],
"text" : "Z68.42: Body mass index [BMI] 45.0-49.9, adult"
},
"subject" : {
"reference" : "Patient/ra-patient01"
},
"onsetDateTime" : "2021-01-31"
}
}
]
}
}
]
}
IG © 2021+ HL7 Clinical Quality Information Work Group. Package hl7.fhir.us.davinci-ra#1.0.0 based on FHIR 4.0.1. Generated 2022-06-16
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