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

Example MeasureReport: ra-measurereport01: Risk Adjustment Measure Report

Generated Narrative

Resource "ra-measurereport01"

Profile: Risk Adjustment Coding Gap Report Profile

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

status: complete

type: individual

measure: Risk Adjustment Model Version 24 - CMS Hierarchical Category Condition (CMS-HCC)

subject: Patient/ra-patient01 " EVERYWOMAN"

date: 2021-10-18

reporter: Organization/ra-payer01 "ABC Payer"

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

group

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

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

Risk Adjustment Evidence Status Date Extension: 2021-04-01

Hierarchical Status Extension: Hierarchies applied and Condition Category is not superseded (Risk Adjustment Hierarchical Status Code System#applied-not-superseded)

code: HCC 18: Diabetes with Chronic Complications (CMS Hierarchical Condition Categories[24]#18 "Diabetes with Chronic Complications")

group

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

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

Risk Adjustment Evidence Status Date Extension: 2021-09-29

Hierarchical Status Extension: Hierarchies applied and Condition Category is not superseded (Risk Adjustment Hierarchical Status Code System#applied-not-superseded)

code: HCC 111: Chronic Obstructive Pulmonary Disease (CMS Hierarchical Condition Categories[24]#111 "Chronic Obstructive Pulmonary Disease")

group

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

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

Risk Adjustment Evidence Status Date Extension: 2020-07-15

Hierarchical Status Extension: Hierarchies applied and Condition Category is not superseded (Risk Adjustment Hierarchical Status Code System#applied-not-superseded)

code: HCC 59: Major Depressive, Bipolar, and Paranoid Disorders (CMS Hierarchical Condition Categories[24]#59 "Major Depressive, Bipolar, and Paranoid Disorders")

group

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

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

Risk Adjustment Evidence Status Date Extension: 2021-04-27

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

code: HCC 112: Fibrosis of lung and other chronic lung disorders (CMS Hierarchical Condition Categories[24]#112 "Fibrosis of lung and other chronic lung disorders")

group

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

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

Risk Adjustment Evidence Status Date Extension: 2021-09-27

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

code: HCC 19: Diabetes without Complications (CMS Hierarchical Condition Categories[24]#19 "Diabetes without Complications")

group

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

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

Risk Adjustment Evidence Status Date Extension: 2020-12-15

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

code: HCC 84: Cardio-Respiratory Failure and Shock (CMS Hierarchical Condition Categories[24]#84 "Cardio-Respiratory Failure and Shock")

group

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

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

Risk Adjustment Evidence Status Date Extension: 2021-03-15

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

code: HCC 22: Morbid Obesity (CMS Hierarchical Condition Categories[24]#22 "Morbid Obesity")

group

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

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

Risk Adjustment Evidence Status Date Extension: 2021-09-27

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

code: HCC 96: Specified Heart Arrhythmias (CMS Hierarchical Condition Categories[24]#96 "Specified Heart Arrhythmias")

group

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

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

Risk Adjustment Evidence Status Date Extension: 2020-07-15

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

code: HCC 110: Cystic Fibrosis (CMS Hierarchical Condition Categories[24]#110 "Cystic Fibrosis")

group

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

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

Risk Adjustment Evidence Status Date Extension: 2021-09-28

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

code: HCC 83: Respiratory Arrest (CMS Hierarchical Condition Categories[24]#83 "Respiratory Arrest")

evaluatedResource: