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

: Patient01: Report - XML Representation

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<Parameters xmlns="http://hl7.org/fhir">
  <id value="Patient-ra-patient01-report"/>
  <parameter id="Patient-ra-patient01-report">
    <name value="return"/>
    <resource>
      <Bundle>
        <id value="Patient-ra-patient01-report"/>
        <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>
              <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-20210714"/>
                </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"/>
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                   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>
              <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>
              <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>
              <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>
              <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>
              <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>
              <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>
              <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>
    </resource>
  </parameter>
</Parameters>