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 in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions 
{
"resourceType" : "Bundle",
"id" : "ra-bundle01",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-measurereport-bundle"
]
},
"identifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:8d3e72d9-9d74-4cbb-b797-a1cab0d13492"
},
"type" : "collection",
"timestamp" : "2021-11-16T06:17:58.172+00:00",
"entry" : [
{
"fullUrl" : "https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/MeasureReport/ra-measurereport01",
"resource" : {
"resourceType" : "MeasureReport",
"id" : "ra-measurereport01",
"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-measurereport01\" </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-patient01\">See above (Patient/ra-patient01)</a></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 --> 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>Risk Adjustment Evidence Status Date Extension</b>: 2021-04-01</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>: HCC 18: Diabetes with Chronic Complications <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (CMS Hierarchical Condition Categories[24]#18 \"Diabetes with Chronic Complications\")</span></p></blockquote><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>: Pending 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>#pending)</span></p><p><b>Risk Adjustment Evidence Status Date Extension</b>: 2021-09-29</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>: HCC 111: Chronic Obstructive Pulmonary Disease <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (CMS Hierarchical Condition Categories[24]#111 \"Chronic Obstructive Pulmonary Disease\")</span></p></blockquote><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>: Open 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>#open-gap)</span></p><p><b>Risk Adjustment Evidence Status Date Extension</b>: 2020-07-15</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>: HCC 59: Major Depressive, Bipolar, and Paranoid Disorders <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (CMS Hierarchical Condition Categories[24]#59 \"Major Depressive, Bipolar, and Paranoid Disorders\")</span></p></blockquote><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>Risk Adjustment Evidence Status Date Extension</b>: 2021-04-27</p><p><b>Hierarchical Status Extension</b>: Hierarchies applied and Condition Category is 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-superseded)</span></p><p><b>code</b>: HCC 112: Fibrosis of lung and other chronic lung disorders <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (CMS Hierarchical Condition Categories[24]#112 \"Fibrosis of lung and other chronic lung disorders\")</span></p></blockquote><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>: Pending 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>#pending)</span></p><p><b>Risk Adjustment Evidence Status Date Extension</b>: 2021-09-27</p><p><b>Hierarchical Status Extension</b>: Hierarchies applied and Condition Category is 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-superseded)</span></p><p><b>code</b>: HCC 19: Diabetes without Complications <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (CMS Hierarchical Condition Categories[24]#19 \"Diabetes without Complications\")</span></p></blockquote><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>: Open 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>#open-gap)</span></p><p><b>Risk Adjustment Evidence Status Date Extension</b>: 2020-12-15</p><p><b>Hierarchical Status Extension</b>: Hierarchies applied and Condition Category is 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-superseded)</span></p><p><b>code</b>: HCC 84: Cardio-Respiratory Failure and Shock <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (CMS Hierarchical Condition Categories[24]#84 \"Cardio-Respiratory Failure and Shock\")</span></p></blockquote><blockquote><p><b>group</b></p><p><b>Risk Adjustment Suspect Type Extension</b>: Suspected Condtion 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>#suspected)</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>Risk Adjustment Evidence Status Date Extension</b>: 2021-03-15</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>: HCC 22: Morbid Obesity <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (CMS Hierarchical Condition Categories[24]#22 \"Morbid Obesity\")</span></p></blockquote><blockquote><p><b>group</b></p><p><b>Risk Adjustment Suspect Type Extension</b>: Suspected Condtion 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>#suspected)</span></p><p><b>Evidence Status Extension</b>: Pending 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>#pending)</span></p><p><b>Risk Adjustment Evidence Status Date Extension</b>: 2021-09-27</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>: 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><blockquote><p><b>group</b></p><p><b>Risk Adjustment Suspect Type Extension</b>: Suspected Condtion 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>#suspected)</span></p><p><b>Evidence Status Extension</b>: Open 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>#open-gap)</span></p><p><b>Risk Adjustment Evidence Status Date Extension</b>: 2020-07-15</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>: HCC 110: Cystic Fibrosis <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (CMS Hierarchical Condition Categories[24]#110 \"Cystic Fibrosis\")</span></p></blockquote><blockquote><p><b>group</b></p><p><b>Risk Adjustment Suspect Type Extension</b>: Net-New Condition Category <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-suspect-type.html\">Risk Adjustment Suspect Type Code System</a>#net-new)</span></p><p><b>Evidence Status Extension</b>: Pending 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>#pending)</span></p><p><b>Risk Adjustment Evidence Status Date Extension</b>: 2021-09-28</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>: HCC 110: Cystic Fibrosis <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (CMS Hierarchical Condition Categories[24]#83 \"Respiratory Arrest\")</span></p></blockquote><p><b>evaluatedResource</b>: </p><ul><li><a href=\"#Condition_ra-condition02pat01\">See above (Condition/ra-condition02pat01)</a></li><li><a href=\"#Condition_ra-condition03pat01\">See above (Condition/ra-condition03pat01)</a></li><li><a href=\"#Condition_ra-condition08pat01\">See above (Condition/ra-condition08pat01)</a></li><li><a href=\"#Condition_ra-condition09pat01\">See above (Condition/ra-condition09pat01)</a></li><li><a href=\"#Condition_ra-condition10pat01\">See above (Condition/ra-condition10pat01)</a></li><li><a href=\"#Condition_ra-condition11pat01\">See above (Condition/ra-condition11pat01)</a></li><li><a href=\"#Condition_ra-condition17pat01\">See above (Condition/ra-condition17pat01)</a></li><li><a href=\"#Condition_ra-condition18pat01\">See above (Condition/ra-condition18pat01)</a></li><li><a href=\"#Condition_ra-condition33pat01\">See above (Condition/ra-condition33pat01)</a></li><li><a href=\"#Condition_ra-condition43pat01\">See above (Condition/ra-condition43pat01)</a></li><li><a href=\"#Condition_ra-condition44pat01\">See above (Condition/ra-condition44pat01)</a></li><li><a href=\"#Encounter_ra-encounter02pat01\">See above (Encounter/ra-encounter02pat01)</a></li><li><a href=\"#Encounter_ra-encounter03pat01\">See above (Encounter/ra-encounter03pat01)</a></li><li><a href=\"#Encounter_ra-encounter08pat01\">See above (Encounter/ra-encounter08pat01)</a></li><li><a href=\"#Encounter_ra-encounter09pat01\">See above (Encounter/ra-encounter09pat01)</a></li><li><a href=\"#Encounter_ra-encounter11pat01\">See above (Encounter/ra-encounter11pat01)</a></li><li><a href=\"#Encounter_ra-encounter43pat01\">See above (Encounter/ra-encounter43pat01)</a></li><li><a href=\"#Encounter_ra-encounter44pat01\">See above (Encounter/ra-encounter44pat01)</a></li><li><a href=\"#Observation_ra-obs21pat01\">See above (Observation/ra-obs21pat01)</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-patient01"
},
"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-evidenceStatusDate",
"valueDate" : "2021-04-01"
},
{
"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" : "18",
"display" : "Diabetes with Chronic Complications"
}
],
"text" : "HCC 18: Diabetes with Chronic Complications"
}
},
{
"id" : "group-002",
"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" : "pending"
}
]
}
},
{
"url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate",
"valueDate" : "2021-09-29"
},
{
"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" : "111",
"display" : "Chronic Obstructive Pulmonary Disease"
}
],
"text" : "HCC 111: Chronic Obstructive Pulmonary Disease"
}
},
{
"id" : "group-003",
"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" : "open-gap"
}
]
}
},
{
"url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate",
"valueDate" : "2020-07-15"
},
{
"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" : "59",
"display" : "Major Depressive, Bipolar, and Paranoid Disorders"
}
],
"text" : "HCC 59: Major Depressive, Bipolar, and Paranoid Disorders"
}
},
{
"id" : "group-004",
"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-evidenceStatusDate",
"valueDate" : "2021-04-27"
},
{
"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-superseded"
}
]
}
}
],
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/cmshcc",
"version" : "24",
"code" : "112",
"display" : "Fibrosis of lung and other chronic lung disorders"
}
],
"text" : "HCC 112: Fibrosis of lung and other chronic lung disorders"
}
},
{
"id" : "group-005",
"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" : "pending"
}
]
}
},
{
"url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate",
"valueDate" : "2021-09-27"
},
{
"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-superseded"
}
]
}
}
],
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/cmshcc",
"version" : "24",
"code" : "19",
"display" : "Diabetes without Complications"
}
],
"text" : "HCC 19: Diabetes without Complications"
}
},
{
"id" : "group-006",
"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" : "open-gap"
}
]
}
},
{
"url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate",
"valueDate" : "2020-12-15"
},
{
"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-superseded"
}
]
}
}
],
"code" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/cmshcc",
"version" : "24",
"code" : "84",
"display" : "Cardio-Respiratory Failure and Shock"
}
],
"text" : "HCC 84: Cardio-Respiratory Failure and Shock"
}
},
{
"id" : "group-007",
"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" : "suspected"
}
]
}
},
{
"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-evidenceStatusDate",
"valueDate" : "2021-03-15"
},
{
"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" : "22",
"display" : "Morbid Obesity"
}
],
"text" : "HCC 22: Morbid Obesity"
}
},
{
"id" : "group-008",
"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" : "suspected"
}
]
}
},
{
"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" : "pending"
}
]
}
},
{
"url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate",
"valueDate" : "2021-09-27"
},
{
"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" : "HCC 96: Specified Heart Arrhythmias"
}
},
{
"id" : "group-009",
"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" : "suspected"
}
]
}
},
{
"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" : "open-gap"
}
]
}
},
{
"url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate",
"valueDate" : "2020-07-15"
},
{
"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" : "110",
"display" : "Cystic Fibrosis"
}
],
"text" : "HCC 110: Cystic Fibrosis"
}
},
{
"id" : "group-010",
"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" : "net-new"
}
]
}
},
{
"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" : "pending"
}
]
}
},
{
"url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate",
"valueDate" : "2021-09-28"
},
{
"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" : "83",
"display" : "Respiratory Arrest"
}
],
"text" : "HCC 110: Cystic Fibrosis"
}
}
],
"evaluatedResource" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
"valueString" : "group-001"
}
],
"reference" : "Condition/ra-condition02pat01"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
"valueString" : "group-002"
}
],
"reference" : "Condition/ra-condition03pat01"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
"valueString" : "group-003"
}
],
"reference" : "Condition/ra-condition08pat01"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
"valueString" : "group-004"
}
],
"reference" : "Condition/ra-condition09pat01"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
"valueString" : "group-005"
}
],
"reference" : "Condition/ra-condition10pat01"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
"valueString" : "group-006"
}
],
"reference" : "Condition/ra-condition11pat01"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
"valueString" : "group-007"
}
],
"reference" : "Condition/ra-condition17pat01"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
"valueString" : "group-008"
}
],
"reference" : "Condition/ra-condition18pat01"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
"valueString" : "group-010"
}
],
"reference" : "Condition/ra-condition33pat01"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
"valueString" : "group-001"
}
],
"reference" : "Condition/ra-condition43pat01"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
"valueString" : "group-004"
}
],
"reference" : "Condition/ra-condition44pat01"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
"valueString" : "group-001"
},
{
"url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
"valueString" : "group-007"
}
],
"reference" : "Encounter/ra-encounter02pat01"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
"valueString" : "group-002"
},
{
"url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
"valueString" : "group-005"
},
{
"url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
"valueString" : "group-008"
},
{
"url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
"valueString" : "group-010"
}
],
"reference" : "Encounter/ra-encounter03pat01"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
"valueString" : "group-003"
}
],
"reference" : "Encounter/ra-encounter08pat01"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
"valueString" : "group-004"
}
],
"reference" : "Encounter/ra-encounter09pat01"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
"valueString" : "group-006"
}
],
"reference" : "Encounter/ra-encounter11pat01"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
"valueString" : "group-001"
}
],
"reference" : "Encounter/ra-encounter43pat01"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
"valueString" : "group-004"
}
],
"reference" : "Encounter/ra-encounter44pat01"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
"valueString" : "group-009"
}
],
"reference" : "Observation/ra-obs21pat01"
}
]
}
},
{
"fullUrl" : "https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Condition/ra-condition33pat01",
"resource" : {
"resourceType" : "Condition",
"id" : "ra-condition33pat01",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition"
]
},
"text" : {
"status" : "generated",
"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-condition33pat01\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-condition.html\">US Core Condition Profile</a></p></div><p><b>clinicalStatus</b>: Active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-clinical.html\">Condition Clinical Status Codes</a>#active)</span></p><p><b>verificationStatus</b>: Confirmed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-ver-status.html\">ConditionVerificationStatus</a>#confirmed)</span></p><p><b>category</b>: Problem <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-category.html\">Condition Category Codes</a>#encounter-diagnosis \"Encounter Diagnosis\")</span></p><p><b>code</b>: R09.2: Respiratory arrest <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-icd10CM.html\">International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)</a>#R09.2 \"Respiratory arrest\")</span></p><p><b>subject</b>: <a href=\"#Patient_ra-patient01\">See above (Patient/ra-patient01)</a></p><p><b>onset</b>: 2021-09-26</p></div>"
},
"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" : "R09.2",
"display" : "Respiratory arrest"
}
],
"text" : "R09.2: Respiratory arrest"
},
"subject" : {
"reference" : "Patient/ra-patient01"
},
"onsetDateTime" : "2021-09-26"
}
},
{
"fullUrl" : "https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Patient/ra-patient01",
"resource" : {
"resourceType" : "Patient",
"id" : "ra-patient01",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div class=\"hapiHeaderText\">Eve <b>EVERYWOMAN </b></div><table class=\"hapiPropertyTable\"><tbody><tr><td>Identifier</td><td>12345</td></tr><tr><td>Address</td><td><span>2222 Home Street </span><br/><span>Ann Arbor </span><span>MI </span><span>USA </span></td></tr><tr><td>Date of birth</td><td><span>16 January 1975</span></td></tr></tbody></table></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
"valueCode" : "F"
},
{
"extension" : [
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2106-3",
"display" : "White"
}
},
{
"url" : "text",
"valueString" : "White"
}
],
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
},
{
"extension" : [
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2186-5",
"display" : "Not Hispanic or Latino"
}
},
{
"url" : "text",
"valueString" : "Not Hispanic or Latino"
}
],
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
}
],
"identifier" : [
{
"use" : "usual",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MR",
"display" : "Medical record number"
}
]
},
"system" : "http://hospital.davinci.org",
"value" : "12345"
}
],
"active" : true,
"name" : [
{
"use" : "official",
"family" : "Everywoman",
"given" : [
"Eve"
]
}
],
"gender" : "female",
"birthDate" : "1975-01-16",
"deceasedBoolean" : false,
"address" : [
{
"use" : "home",
"line" : [
"2222 Home Street"
],
"city" : "Ann Arbor",
"state" : "MI",
"postalCode" : "99999",
"country" : "USA"
}
],
"maritalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
"code" : "M",
"display" : "Married"
}
]
},
"communication" : [
{
"language" : {
"coding" : [
{
"system" : "urn:ietf:bcp:47",
"code" : "en-US",
"display" : "English (Region=United States)"
}
]
},
"preferred" : true
}
]
}
},
{
"fullUrl" : "https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Condition/ra-condition10pat01",
"resource" : {
"resourceType" : "Condition",
"id" : "ra-condition10pat01",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition"
]
},
"text" : {
"status" : "generated",
"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-condition10pat01\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-condition.html\">US Core Condition Profile</a></p></div><p><b>clinicalStatus</b>: Active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-clinical.html\">Condition Clinical Status Codes</a>#active)</span></p><p><b>verificationStatus</b>: Confirmed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-ver-status.html\">ConditionVerificationStatus</a>#confirmed)</span></p><p><b>category</b>: Problem <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-category.html\">Condition Category Codes</a>#encounter-diagnosis \"Encounter Diagnosis\")</span></p><p><b>code</b>: J44.1: Chronic obstructive pulmonary disease with (acute) exacerbation <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-icd10CM.html\">International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)</a>#J44.1 \"Chronic obstructive pulmonary disease with (acute) exacerbation\")</span></p><p><b>subject</b>: <a href=\"#Patient_ra-patient01\">See above (Patient/ra-patient01)</a></p><p><b>onset</b>: 2021-09-26</p></div>"
},
"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/Encounter/ra-encounter03pat01",
"resource" : {
"resourceType" : "Encounter",
"id" : "ra-encounter03pat01",
"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"
]
},
"text" : {
"status" : "generated",
"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-encounter03pat01\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-encounter.html\">US Core Encounter Profile</a></p></div><p><b>status</b>: finished</p><p><b>class</b>: ambulatory (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code AMB = 'ambulatory', stated as 'ambulatory')</p><p><b>type</b>: Office Visit, High Complexity <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-CPT.html\">Current Procedural Terminology (CPT®)</a>#99215)</span></p><p><b>subject</b>: <a href=\"#Patient_ra-patient01\">See above (Patient/ra-patient01)</a></p><h3>Participants</h3><table class=\"grid\"><tr><td>-</td><td><b>Individual</b></td></tr><tr><td>*</td><td><a href=\"Practitioner-ra-prac01pat01.html\">Practitioner/ra-prac01pat01</a> \" HIPPOCRATES\"</td></tr></table><p><b>period</b>: 2021-09-26 --> 2021-09-26</p><blockquote><p><b>diagnosis</b></p><p><b>condition</b>: <a href=\"#Condition_ra-condition03pat01\">See above (Condition/ra-condition03pat01)</a></p></blockquote><blockquote><p><b>diagnosis</b></p><p><b>condition</b>: <a href=\"#Condition_ra-condition10pat01\">See above (Condition/ra-condition10pat01)</a></p></blockquote><blockquote><p><b>diagnosis</b></p><p><b>condition</b>: <a href=\"#Condition_ra-condition18pat01\">See above (Condition/ra-condition18pat01)</a></p></blockquote><blockquote><p><b>diagnosis</b></p><p><b>condition</b>: <a href=\"#Condition_ra-condition33pat01\">See above (Condition/ra-condition33pat01)</a></p></blockquote><p><b>serviceProvider</b>: <a href=\"Organization-ra-org01pat01.html\">Organization/ra-org01pat01</a> \"Community Urgent Care\"</p></div>"
},
"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" : "2021-09-26",
"end" : "2021-09-26"
},
"diagnosis" : [
{
"condition" : {
"reference" : "Condition/ra-condition03pat01"
}
},
{
"condition" : {
"reference" : "Condition/ra-condition10pat01"
}
},
{
"condition" : {
"reference" : "Condition/ra-condition18pat01"
}
},
{
"condition" : {
"reference" : "Condition/ra-condition33pat01"
}
}
],
"serviceProvider" : {
"reference" : "Organization/ra-org01pat01"
}
}
},
{
"fullUrl" : "https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Condition/ra-condition09pat01",
"resource" : {
"resourceType" : "Condition",
"id" : "ra-condition09pat01",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition"
]
},
"text" : {
"status" : "generated",
"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-condition09pat01\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-condition.html\">US Core Condition Profile</a></p></div><p><b>clinicalStatus</b>: Active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-clinical.html\">Condition Clinical Status Codes</a>#active)</span></p><p><b>verificationStatus</b>: Confirmed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-ver-status.html\">ConditionVerificationStatus</a>#confirmed)</span></p><p><b>category</b>: Problem <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-category.html\">Condition Category Codes</a>#encounter-diagnosis \"Encounter Diagnosis\")</span></p><p><b>code</b>: B44.81: Allergic bronchopulmonary aspergillosis <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-icd10CM.html\">International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)</a>#B44.81 \"Allergic bronchopulmonary aspergillosis\")</span></p><p><b>subject</b>: <a href=\"#Patient_ra-patient01\">See above (Patient/ra-patient01)</a></p><p><b>onset</b>: 2021-03-27</p></div>"
},
"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" : "B44.81",
"display" : "Allergic bronchopulmonary aspergillosis"
}
],
"text" : "B44.81: Allergic bronchopulmonary aspergillosis"
},
"subject" : {
"reference" : "Patient/ra-patient01"
},
"onsetDateTime" : "2021-03-27"
}
},
{
"fullUrl" : "https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Condition/ra-condition02pat01",
"resource" : {
"resourceType" : "Condition",
"id" : "ra-condition02pat01",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition"
]
},
"text" : {
"status" : "generated",
"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-condition02pat01\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-condition.html\">US Core Condition Profile</a></p></div><p><b>clinicalStatus</b>: Active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-clinical.html\">Condition Clinical Status Codes</a>#active)</span></p><p><b>verificationStatus</b>: Confirmed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-ver-status.html\">ConditionVerificationStatus</a>#confirmed)</span></p><p><b>category</b>: Problem <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-category.html\">Condition Category Codes</a>#encounter-diagnosis \"Encounter Diagnosis\")</span></p><p><b>code</b>: E08.29: Diabetes mellitus due to underlying condition with other diabetic kidney complication <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-icd10CM.html\">International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)</a>#E08.29 \"Diabetes mellitus due to underlying condition with other diabetic kidney complication\")</span></p><p><b>subject</b>: <a href=\"#Patient_ra-patient01\">See above (Patient/ra-patient01)</a></p><p><b>onset</b>: 2021-01-31</p></div>"
},
"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" : "2021-01-31"
}
},
{
"fullUrl" : "https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Encounter/ra-encounter11pat01",
"resource" : {
"resourceType" : "Encounter",
"id" : "ra-encounter11pat01",
"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"
]
},
"text" : {
"status" : "generated",
"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-encounter11pat01\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-encounter.html\">US Core Encounter Profile</a></p></div><p><b>status</b>: finished</p><p><b>class</b>: ambulatory (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code AMB = 'ambulatory', stated as 'ambulatory')</p><p><b>type</b>: Office Visit, High Complexity <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-CPT.html\">Current Procedural Terminology (CPT®)</a>#99215)</span></p><p><b>subject</b>: <a href=\"#Patient_ra-patient01\">See above (Patient/ra-patient01)</a></p><h3>Participants</h3><table class=\"grid\"><tr><td>-</td><td><b>Individual</b></td></tr><tr><td>*</td><td><a href=\"Practitioner-ra-prac01pat01.html\">Practitioner/ra-prac01pat01</a> \" HIPPOCRATES\"</td></tr></table><p><b>period</b>: 2020-11-02 --> 2020-11-02</p><h3>Diagnoses</h3><table class=\"grid\"><tr><td>-</td><td><b>Condition</b></td></tr><tr><td>*</td><td><a href=\"#Condition_ra-condition11pat01\">See above (Condition/ra-condition11pat01)</a></td></tr></table><p><b>serviceProvider</b>: <a href=\"Organization-ra-org01pat01.html\">Organization/ra-org01pat01</a> \"Community Urgent Care\"</p></div>"
},
"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" : "2020-11-02",
"end" : "2020-11-02"
},
"diagnosis" : [
{
"condition" : {
"reference" : "Condition/ra-condition11pat01"
}
}
],
"serviceProvider" : {
"reference" : "Organization/ra-org01pat01"
}
}
},
{
"fullUrl" : "https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Observation/ra-obs21pat01",
"resource" : {
"resourceType" : "Observation",
"id" : "ra-obs21pat01",
"meta" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/instance-name",
"valueString" : "Trypsin [Mass/volume] in Serum or Plasma for Pat01"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/instance-description",
"valueMarkdown" : "Trypsin [Mass/volume] in Serum or Plasma for Pat01*."
}
],
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab"
]
},
"text" : {
"status" : "generated",
"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-obs21pat01\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-observation-lab.html\">US Core Laboratory Result Observation Profile</a></p></div><p><b>status</b>: final</p><p><b>category</b>: Laboratory <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-observation-category.html\">Observation Category Codes</a>#laboratory)</span></p><p><b>code</b>: Trypsin [Mass/volume] in Serum or Plasma <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#33325-2)</span></p><p><b>subject</b>: <a href=\"#Patient_ra-patient01\">See above (Patient/ra-patient01: Eve Everywoman)</a></p><p><b>effective</b>: 2019-06-17</p><p><b>value</b>: 770 ng/mL</p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td>-</td><td><b>Low</b></td><td><b>High</b></td><td><b>Type</b></td></tr><tr><td>*</td><td>169 ng/mL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code ng/mL = 'ng/mL')</span></td><td>773 ng/mL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mg/dL = 'mg/dL')</span></td><td>Normal Range <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-referencerange-meaning.html\">Observation Reference Range Meaning Codes</a>#normal)</span></td></tr></table></div>"
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory",
"display" : "Laboratory"
}
],
"text" : "Laboratory"
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "33325-2",
"display" : "Trypsin [Mass/volume] in Serum or Plasma"
}
],
"text" : "Trypsin [Mass/volume] in Serum or Plasma"
},
"subject" : {
"reference" : "Patient/ra-patient01",
"display" : "Eve Everywoman"
},
"effectiveDateTime" : "2019-06-17",
"valueQuantity" : {
"value" : 770,
"unit" : "ng/mL",
"system" : "http://unitsofmeasure.org"
},
"referenceRange" : [
{
"low" : {
"value" : 169,
"unit" : "ng/mL",
"system" : "http://unitsofmeasure.org",
"code" : "ng/mL"
},
"high" : {
"value" : 773,
"unit" : "ng/mL",
"system" : "http://unitsofmeasure.org",
"code" : "mg/dL"
},
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/referencerange-meaning",
"code" : "normal",
"display" : "Normal Range"
}
],
"text" : "Normal Range"
}
}
]
}
},
{
"fullUrl" : "https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Condition/ra-condition18pat01",
"resource" : {
"resourceType" : "Condition",
"id" : "ra-condition18pat01",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition"
]
},
"text" : {
"status" : "generated",
"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-condition18pat01\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-condition.html\">US Core Condition Profile</a></p></div><p><b>clinicalStatus</b>: Active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-clinical.html\">Condition Clinical Status Codes</a>#active)</span></p><p><b>verificationStatus</b>: Confirmed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-ver-status.html\">ConditionVerificationStatus</a>#confirmed)</span></p><p><b>category</b>: Problem <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-category.html\">Condition Category Codes</a>#encounter-diagnosis \"Encounter Diagnosis\")</span></p><p><b>code</b>: I48.11: Longstanding persistent atrial fibrillation <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-icd10CM.html\">International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)</a>#I48.11 \"Longstanding persistent atrial fibrillation\")</span></p><p><b>subject</b>: <a href=\"#Patient_ra-patient01\">See above (Patient/ra-patient01)</a></p><p><b>onset</b>: 2021-09-26</p></div>"
},
"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" : "I48.11",
"display" : "Longstanding persistent atrial fibrillation"
}
],
"text" : "I48.11: Longstanding persistent atrial fibrillation"
},
"subject" : {
"reference" : "Patient/ra-patient01"
},
"onsetDateTime" : "2021-09-26"
}
},
{
"fullUrl" : "https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Encounter/ra-encounter08pat01",
"resource" : {
"resourceType" : "Encounter",
"id" : "ra-encounter08pat01",
"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"
]
},
"text" : {
"status" : "generated",
"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-encounter08pat01\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-encounter.html\">US Core Encounter Profile</a></p></div><p><b>status</b>: finished</p><p><b>class</b>: ambulatory (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code AMB = 'ambulatory', stated as 'ambulatory')</p><p><b>type</b>: Office Visit, High Complexity <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-CPT.html\">Current Procedural Terminology (CPT®)</a>#99215)</span></p><p><b>subject</b>: <a href=\"#Patient_ra-patient01\">See above (Patient/ra-patient01)</a></p><h3>Participants</h3><table class=\"grid\"><tr><td>-</td><td><b>Individual</b></td></tr><tr><td>*</td><td><a href=\"Practitioner-ra-prac01pat01.html\">Practitioner/ra-prac01pat01</a> \" HIPPOCRATES\"</td></tr></table><p><b>period</b>: 2017-02-03 --> 2017-02-03</p><h3>Diagnoses</h3><table class=\"grid\"><tr><td>-</td><td><b>Condition</b></td></tr><tr><td>*</td><td><a href=\"#Condition_ra-condition08pat01\">See above (Condition/ra-condition08pat01)</a></td></tr></table><p><b>serviceProvider</b>: <a href=\"Organization-ra-org01pat01.html\">Organization/ra-org01pat01</a> \"Community Urgent Care\"</p></div>"
},
"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" : "2017-02-03",
"end" : "2017-02-03"
},
"diagnosis" : [
{
"condition" : {
"reference" : "Condition/ra-condition08pat01"
}
}
],
"serviceProvider" : {
"reference" : "Organization/ra-org01pat01"
}
}
},
{
"fullUrl" : "https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Condition/ra-condition44pat01",
"resource" : {
"resourceType" : "Condition",
"id" : "ra-condition44pat01",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition"
]
},
"text" : {
"status" : "generated",
"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-condition44pat01\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-condition.html\">US Core Condition Profile</a></p></div><p><b>clinicalStatus</b>: Active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-clinical.html\">Condition Clinical Status Codes</a>#active)</span></p><p><b>verificationStatus</b>: Confirmed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-ver-status.html\">ConditionVerificationStatus</a>#confirmed)</span></p><p><b>category</b>: Problem <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-category.html\">Condition Category Codes</a>#encounter-diagnosis \"Encounter Diagnosis\")</span></p><p><b>code</b>: B44.81: Allergic bronchopulmonary aspergillosis <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-icd10CM.html\">International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)</a>#B44.81 \"Allergic bronchopulmonary aspergillosis\")</span></p><p><b>subject</b>: <a href=\"#Patient_ra-patient01\">See above (Patient/ra-patient01)</a></p><p><b>onset</b>: 2017-01-18</p></div>"
},
"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" : "B44.81",
"display" : "Allergic bronchopulmonary aspergillosis"
}
],
"text" : "B44.81: Allergic bronchopulmonary aspergillosis"
},
"subject" : {
"reference" : "Patient/ra-patient01"
},
"onsetDateTime" : "2017-01-18"
}
},
{
"fullUrl" : "https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Encounter/ra-encounter02pat01",
"resource" : {
"resourceType" : "Encounter",
"id" : "ra-encounter02pat01",
"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"
]
},
"text" : {
"status" : "generated",
"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-encounter02pat01\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-encounter.html\">US Core Encounter Profile</a></p></div><p><b>status</b>: finished</p><p><b>class</b>: ambulatory (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code AMB = 'ambulatory', stated as 'ambulatory')</p><p><b>type</b>: Office Visit, High Complexity <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-CPT.html\">Current Procedural Terminology (CPT®)</a>#99215)</span></p><p><b>subject</b>: <a href=\"#Patient_ra-patient01\">See above (Patient/ra-patient01)</a></p><h3>Participants</h3><table class=\"grid\"><tr><td>-</td><td><b>Individual</b></td></tr><tr><td>*</td><td><a href=\"Practitioner-ra-prac01pat01.html\">Practitioner/ra-prac01pat01</a> \" HIPPOCRATES\"</td></tr></table><p><b>period</b>: 2021-01-31 --> 2021-01-31</p><blockquote><p><b>diagnosis</b></p><p><b>condition</b>: <a href=\"#Condition_ra-condition02pat01\">See above (Condition/ra-condition02pat01)</a></p></blockquote><blockquote><p><b>diagnosis</b></p><p><b>condition</b>: <a href=\"#Condition_ra-condition17pat01\">See above (Condition/ra-condition17pat01)</a></p></blockquote><p><b>serviceProvider</b>: <a href=\"Organization-ra-org01pat01.html\">Organization/ra-org01pat01</a> \"Community Urgent Care\"</p></div>"
},
"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" : "2021-01-31",
"end" : "2021-01-31"
},
"diagnosis" : [
{
"condition" : {
"reference" : "Condition/ra-condition02pat01"
}
},
{
"condition" : {
"reference" : "Condition/ra-condition17pat01"
}
}
],
"serviceProvider" : {
"reference" : "Organization/ra-org01pat01"
}
}
},
{
"fullUrl" : "https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Encounter/ra-encounter44pat01",
"resource" : {
"resourceType" : "Encounter",
"id" : "ra-encounter44pat01",
"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"
]
},
"text" : {
"status" : "generated",
"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-encounter44pat01\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-encounter.html\">US Core Encounter Profile</a></p></div><p><b>status</b>: finished</p><p><b>class</b>: ambulatory (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code AMB = 'ambulatory', stated as 'ambulatory')</p><p><b>type</b>: Office Visit, High Complexity <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-CPT.html\">Current Procedural Terminology (CPT®)</a>#99215)</span></p><p><b>subject</b>: <a href=\"#Patient_ra-patient01\">See above (Patient/ra-patient01)</a></p><h3>Participants</h3><table class=\"grid\"><tr><td>-</td><td><b>Individual</b></td></tr><tr><td>*</td><td><a href=\"Practitioner-ra-prac01pat01.html\">Practitioner/ra-prac01pat01</a> \" HIPPOCRATES\"</td></tr></table><p><b>period</b>: 2017-01-18 --> 2017-01-18</p><h3>Diagnoses</h3><table class=\"grid\"><tr><td>-</td><td><b>Condition</b></td></tr><tr><td>*</td><td><a href=\"#Condition_ra-condition44pat01\">See above (Condition/ra-condition44pat01)</a></td></tr></table><p><b>serviceProvider</b>: <a href=\"Organization-ra-org01pat01.html\">Organization/ra-org01pat01</a> \"Community Urgent Care\"</p></div>"
},
"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" : "2017-01-18",
"end" : "2017-01-18"
},
"diagnosis" : [
{
"condition" : {
"reference" : "Condition/ra-condition44pat01"
}
}
],
"serviceProvider" : {
"reference" : "Organization/ra-org01pat01"
}
}
},
{
"fullUrl" : "https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Condition/ra-condition08pat01",
"resource" : {
"resourceType" : "Condition",
"id" : "ra-condition08pat01",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition"
]
},
"text" : {
"status" : "generated",
"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-condition08pat01\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-condition.html\">US Core Condition Profile</a></p></div><p><b>clinicalStatus</b>: Active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-clinical.html\">Condition Clinical Status Codes</a>#active)</span></p><p><b>verificationStatus</b>: Confirmed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-ver-status.html\">ConditionVerificationStatus</a>#confirmed)</span></p><p><b>category</b>: Problem <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-category.html\">Condition Category Codes</a>#encounter-diagnosis \"Encounter Diagnosis\")</span></p><p><b>code</b>: Bipolar disorder, current episode mixed, mild <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-icd10CM.html\">International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)</a>#F31.61)</span></p><p><b>subject</b>: <a href=\"#Patient_ra-patient01\">See above (Patient/ra-patient01)</a></p><p><b>onset</b>: 2017-02-03</p></div>"
},
"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" : "F31.61",
"display" : "Bipolar disorder, current episode mixed, mild"
}
],
"text" : "Bipolar disorder, current episode mixed, mild"
},
"subject" : {
"reference" : "Patient/ra-patient01"
},
"onsetDateTime" : "2017-02-03"
}
},
{
"fullUrl" : "https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Condition/ra-condition43pat01",
"resource" : {
"resourceType" : "Condition",
"id" : "ra-condition43pat01",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition"
]
},
"text" : {
"status" : "generated",
"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-condition43pat01\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-condition.html\">US Core Condition Profile</a></p></div><p><b>clinicalStatus</b>: Active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-clinical.html\">Condition Clinical Status Codes</a>#active)</span></p><p><b>verificationStatus</b>: Confirmed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-ver-status.html\">ConditionVerificationStatus</a>#confirmed)</span></p><p><b>category</b>: Problem <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-category.html\">Condition Category Codes</a>#encounter-diagnosis \"Encounter Diagnosis\")</span></p><p><b>code</b>: E08.29: Diabetes mellitus due to underlying condition with other diabetic kidney complication <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-icd10CM.html\">International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)</a>#E08.29 \"Diabetes mellitus due to underlying condition with other diabetic kidney complication\")</span></p><p><b>subject</b>: <a href=\"#Patient_ra-patient01\">See above (Patient/ra-patient01)</a></p><p><b>onset</b>: 2019-02-10</p></div>"
},
"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"
]
},
"text" : {
"status" : "generated",
"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-condition03pat01\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-condition.html\">US Core Condition Profile</a></p></div><p><b>clinicalStatus</b>: Active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-clinical.html\">Condition Clinical Status Codes</a>#active)</span></p><p><b>verificationStatus</b>: Confirmed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-ver-status.html\">ConditionVerificationStatus</a>#confirmed)</span></p><p><b>category</b>: Problem <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-category.html\">Condition Category Codes</a>#encounter-diagnosis \"Encounter Diagnosis\")</span></p><p><b>code</b>: J44.1: Chronic obstructive pulmonary disease with (acute) exacerbation <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-icd10CM.html\">International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)</a>#J44.1 \"Chronic obstructive pulmonary disease with (acute) exacerbation\")</span></p><p><b>subject</b>: <a href=\"#Patient_ra-patient01\">See above (Patient/ra-patient01)</a></p><p><b>onset</b>: 2021-09-26</p></div>"
},
"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"
]
},
"text" : {
"status" : "generated",
"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-condition11pat01\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-condition.html\">US Core Condition Profile</a></p></div><p><b>clinicalStatus</b>: Active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-clinical.html\">Condition Clinical Status Codes</a>#active)</span></p><p><b>verificationStatus</b>: Confirmed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-ver-status.html\">ConditionVerificationStatus</a>#confirmed)</span></p><p><b>category</b>: Problem <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-category.html\">Condition Category Codes</a>#encounter-diagnosis \"Encounter Diagnosis\")</span></p><p><b>code</b>: J81.0: Acute pulmonary edema <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-icd10CM.html\">International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)</a>#J81.0 \"Acute pulmonary edema\")</span></p><p><b>subject</b>: <a href=\"#Patient_ra-patient01\">See above (Patient/ra-patient01)</a></p><p><b>onset</b>: 2020-11-02</p></div>"
},
"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"
]
},
"text" : {
"status" : "generated",
"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-encounter43pat01\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-encounter.html\">US Core Encounter Profile</a></p></div><p><b>status</b>: finished</p><p><b>class</b>: ambulatory (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code AMB = 'ambulatory', stated as 'ambulatory')</p><p><b>type</b>: Office Visit, High Complexity <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-CPT.html\">Current Procedural Terminology (CPT®)</a>#99215)</span></p><p><b>subject</b>: <a href=\"#Patient_ra-patient01\">See above (Patient/ra-patient01)</a></p><h3>Participants</h3><table class=\"grid\"><tr><td>-</td><td><b>Individual</b></td></tr><tr><td>*</td><td><a href=\"Practitioner-ra-prac01pat01.html\">Practitioner/ra-prac01pat01</a> \" HIPPOCRATES\"</td></tr></table><p><b>period</b>: 2019-02-10 --> 2019-02-10</p><h3>Diagnoses</h3><table class=\"grid\"><tr><td>-</td><td><b>Condition</b></td></tr><tr><td>*</td><td><a href=\"#Condition_ra-condition43pat01\">See above (Condition/ra-condition43pat01)</a></td></tr></table><p><b>serviceProvider</b>: <a href=\"Organization-ra-org01pat01.html\">Organization/ra-org01pat01</a> \"Community Urgent Care\"</p></div>"
},
"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"
]
},
"text" : {
"status" : "generated",
"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-encounter09pat01\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-encounter.html\">US Core Encounter Profile</a></p></div><p><b>status</b>: finished</p><p><b>class</b>: ambulatory (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code AMB = 'ambulatory', stated as 'ambulatory')</p><p><b>type</b>: Office Visit, High Complexity <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-CPT.html\">Current Procedural Terminology (CPT®)</a>#99215)</span></p><p><b>subject</b>: <a href=\"#Patient_ra-patient01\">See above (Patient/ra-patient01)</a></p><h3>Participants</h3><table class=\"grid\"><tr><td>-</td><td><b>Individual</b></td></tr><tr><td>*</td><td><a href=\"Practitioner-ra-prac01pat01.html\">Practitioner/ra-prac01pat01</a> \" HIPPOCRATES\"</td></tr></table><p><b>period</b>: 2021-03-27 --> 2021-03-27</p><h3>Diagnoses</h3><table class=\"grid\"><tr><td>-</td><td><b>Condition</b></td></tr><tr><td>*</td><td><a href=\"#Condition_ra-condition09pat01\">See above (Condition/ra-condition09pat01)</a></td></tr></table><p><b>serviceProvider</b>: <a href=\"Organization-ra-org01pat01.html\">Organization/ra-org01pat01</a> \"Community Urgent Care\"</p></div>"
},
"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"
]
},
"text" : {
"status" : "generated",
"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-condition17pat01\" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-condition.html\">US Core Condition Profile</a></p></div><p><b>clinicalStatus</b>: Active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-clinical.html\">Condition Clinical Status Codes</a>#active)</span></p><p><b>verificationStatus</b>: Confirmed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-ver-status.html\">ConditionVerificationStatus</a>#confirmed)</span></p><p><b>category</b>: Problem <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-condition-category.html\">Condition Category Codes</a>#encounter-diagnosis \"Encounter Diagnosis\")</span></p><p><b>code</b>: Z68.42: Body mass index [BMI] 45.0-49.9, adult <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-icd10CM.html\">International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)</a>#Z68.42 \"Body mass index [BMI] 45.0-49.9, adult\")</span></p><p><b>subject</b>: <a href=\"#Patient_ra-patient01\">See above (Patient/ra-patient01)</a></p><p><b>onset</b>: 2021-01-31</p></div>"
},
"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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