This is the set of resources that conform to both Risk Adjustment Coding Gap Report Profile (http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-measurereport) and Risk Adjustment Coding Gap MeasureReport (http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-measurereport).
Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
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![]() ![]() | C | 0..* | This is a Risk Adjustment Coding Gap Report. Constraints: mrp-1, mrp-2 | |||||
![]() ![]() ![]() | Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() ![]() | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() ![]() | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
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![]() ![]() ![]() | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
![]() ![]() ![]() | 0..* | Resource | Contained, inline Resources | |||||
![]() ![]() ![]() | S | 1..1 | date | left: This is the deadline by which the providers must have all claims data to the payers to count for risk adjustment for a clinical evaluation period. This date is set by the Payer and applies to the early-bird date if incentive were offered.; right: Extension URL: http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-clinicalDataCollectionDeadline | ||||
![]() ![]() ![]() | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]() ![]() | Σ | 0..* | Identifier | Additional identifier for the MeasureReport | ||||
![]() ![]() ![]() | ?!SΣ | 1..1 | code | complete | pending | error Binding: ?? (required): The status of the measure report. | ||||
![]() ![]() ![]() | SΣ | 1..1 | code | left: The type code is fixed to 'individual' for Risk Adjustment Coding Gap Report; right: The type code is fixed to 'individual' for a risk adjustment coding gap report Binding: ?? (required): The type of the measure report. | ||||
![]() ![]() ![]() | SΣ | 1..1 | canonical(Risk Adjustment Model Measure | #sd-ra-model-measure-ra-model-measure) | left: This references a measure that represents a Risk Adjustment model, such as CMS-HCC V24.; right: This references a measure that represents a risk adjustment model, such as CMS-HCC V24, CMS-HCC V28. | ||||
![]() ![]() ![]() | SΣ | 1..1 | Reference(US Core Patient Profile | #sd-us-core-patient-us-core-patient) | What individual(s) the report is for | ||||
![]() ![]() ![]() | SΣ | 1..1 | dateTime | When the report was generated | ||||
![]() ![]() ![]() | SΣ | 1..1 | Reference(US Core Organization Profile | #sd-us-core-organization-us-core-organization) | Organization that generated the MeasureReport | ||||
![]() ![]() ![]() | SΣC | 1..1 | Period | Clinical evaluation period during which risk adjusting encounters could be conducted and documented with expectations of submission for risk adjustment purposes. Constraints: ra-1 | ||||
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() | SΣ | 1..1 | dateTime | Starting time with inclusive boundary | ||||
![]() ![]() ![]() ![]() | SΣ | 1..1 | dateTime | End time with inclusive boundary, if not ongoing | ||||
![]() ![]() ![]() | ?!Σ | 0..1 | CodeableConcept | increase | decrease Binding: ?? (required): Observation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue. | ||||
![]() ![]() ![]() | S | 0..* | BackboneElement | A group contains information for a Condition Category. If a patient/member has multiple Condition Categories, there will be multiple group(s) and each group represents a Condition Category. | ||||
![]() ![]() ![]() ![]() | 1..* | Extension | Extension | |||||
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() | SΣ | 0..1 | CodeableConcept | Condition Category (CC) code for a Risk Adjustment Model Binding: ?? (example) | ||||
![]() ![]() ![]() ![]() | 0..* | BackboneElement | The populations in the group | |||||
![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: ?? (extensible): The type of population (e.g. initial, numerator, denominator, etc.). | ||||
![]() ![]() ![]() ![]() ![]() | 0..1 | integer | Size of the population | |||||
![]() ![]() ![]() ![]() ![]() | 0..1 | Reference(List) | For subject-list reports, the subject results in this population | |||||
![]() ![]() ![]() ![]() | Σ | 0..1 | Quantity | What score this group achieved | ||||
![]() ![]() ![]() ![]() | 0..* | BackboneElement | Stratification results | |||||
![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() ![]() | 0..1 | CodeableConcept | What stratifier of the group | |||||
![]() ![]() ![]() ![]() ![]() | 0..* | BackboneElement | Stratum results, one for each unique value, or set of values, in the stratifier, or stratifier components | |||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | CodeableConcept | The stratum value, e.g. male | |||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..* | BackboneElement | Stratifier component values | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | CodeableConcept | What stratifier component of the group | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | CodeableConcept | The stratum component value, e.g. male | |||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..* | BackboneElement | Population results in this stratum | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | CodeableConcept | initial-population | numerator | numerator-exclusion | denominator | denominator-exclusion | denominator-exception | measure-population | measure-population-exclusion | measure-observation Binding: ?? (extensible): The type of population (e.g. initial, numerator, denominator, etc.). | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | integer | Size of the population | |||||
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | Reference(List) | For subject-list reports, the subject results in this population | |||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | Quantity | What score this stratum achieved | |||||
![]() ![]() ![]() | S | 0..* | Reference(Resource) | An evaluated resource is any data a clinician would need to independently arrive at the clinical inference that a Condition Category (CC) listed on a Risk Adjustment Coding Gap Report could be present for a patient. Risk adjusted evaluated resources may include practitioners, encounters, diagnoses, medications, labs, or any other clinical evidence that the suspecting algorithm may have used as supporting evidence to infer the presence of a Condition Category (CC) gap. | ||||
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() | Σ | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
![]() ![]() ![]() ![]() | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
![]() ![]() ![]() ![]() | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
![]() ![]() ![]() ![]() | Σ | 0..1 | string | Text alternative for the resource | ||||
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