Da Vinci Risk Adjustment Implementation Guide (STU1 Ballot)
0.1.0 - STU 1 Ballot
Da Vinci Risk Adjustment Implementation Guide (STU1 Ballot)
0.1.0 - STU 1 Ballot
This page is part of the Da Vinci Risk Adjustment FHIR Implementation Guide (v0.1.0: STU 1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions 
<Parameters xmlns="http://hl7.org/fhir">
<id value="Patient-ra-patient01-report"/>
<parameter id="Patient-ra-patient01-report">
<name value="return"/>
<resource>
<Bundle>
<id value="Patient-ra-patient01-report"/>
<meta>
<profile
value="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-measurereport-bundle"/>
</meta>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:8d3e72d9-9d74-4cbb-b797-a1cab0d13492"/>
</identifier>
<type value="collection"/>
<timestamp value="2021-11-16T06:17:58.172+00:00"/>
<entry>
<fullUrl
value="https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/MeasureReport/ra-measurereport01"/>
<resource>
<MeasureReport>
<id value="ra-measurereport01"/>
<meta>
<profile
value="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-measurereport"/>
</meta>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-clinicalDataCollectionDeadline">
<valueDate value="2022-03-31"/>
</extension>
<status value="complete"/>
<type value="individual"/>
<measure
value="https://build.fhir.org/ig/HL7/davinci-ra/Measure-RAModelExample01"/>
<subject>
<reference value="Patient/ra-patient01"/>
</subject>
<date value="2021-10-18"/>
<reporter>
<reference value="Organization/ra-payer01"/>
</reporter>
<period>
<start value="2021-01-01"/>
<end value="2021-09-30"/>
</period>
<group id="group-001">
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type"/>
<code value="historic"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status"/>
<code value="closed-gap"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate">
<valueDate value="2021-04-01"/>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"/>
<code value="applied-not-superseded"/>
</coding>
</valueCodeableConcept>
</extension>
<code>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/cmshcc"/>
<version value="24"/>
<code value="18"/>
<display value="Diabetes with Chronic Complications"/>
</coding>
<text value="HCC 18: Diabetes with Chronic Complications"/>
</code>
</group>
<group id="group-002">
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type"/>
<code value="historic"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status"/>
<code value="pending"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate">
<valueDate value="2021-09-29"/>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"/>
<code value="applied-not-superseded"/>
</coding>
</valueCodeableConcept>
</extension>
<code>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/cmshcc"/>
<version value="24"/>
<code value="111"/>
<display value="Chronic Obstructive Pulmonary Disease"/>
</coding>
<text value="HCC 111: Chronic Obstructive Pulmonary Disease"/>
</code>
</group>
<group id="group-003">
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type"/>
<code value="historic"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status"/>
<code value="open-gap"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate">
<valueDate value="2020-07-15"/>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"/>
<code value="applied-not-superseded"/>
</coding>
</valueCodeableConcept>
</extension>
<code>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/cmshcc"/>
<version value="24"/>
<code value="53"/>
<display
value="Major Depressive, Bipolar, and Paranoid Disorders"/>
</coding>
<text
value="HCC 59: Major Depressive, Bipolar, and Paranoid Disorders"/>
</code>
</group>
<group id="group-004">
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type"/>
<code value="historic"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status"/>
<code value="closed-gap"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate">
<valueDate value="2021-04-27"/>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"/>
<code value="applied-superseded"/>
</coding>
</valueCodeableConcept>
</extension>
<code>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/cmshcc"/>
<version value="24"/>
<code value="112"/>
<display
value="Fibrosis of lung and other chronic lung disorders"/>
</coding>
<text
value="HCC 112: Fibrosis of lung and other chronic lung disorders"/>
</code>
</group>
<group id="group-005">
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type"/>
<code value="historic"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status"/>
<code value="pending"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate">
<valueDate value="2021-09-27"/>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"/>
<code value="applied-superseded"/>
</coding>
</valueCodeableConcept>
</extension>
<code>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/cmshcc"/>
<version value="24"/>
<code value="19"/>
<display value="Diabetes without Complications"/>
</coding>
<text value="HCC 19: Diabetes without Complications"/>
</code>
</group>
<group id="group-006">
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type"/>
<code value="historic"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status"/>
<code value="open-gap"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate">
<valueDate value="2020-12-15"/>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"/>
<code value="applied-superseded"/>
</coding>
</valueCodeableConcept>
</extension>
<code>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/cmshcc"/>
<version value="24"/>
<code value="84"/>
<display value="Cardio-Respiratory Failure and Shock"/>
</coding>
<text value="HCC 84: Cardio-Respiratory Failure and Shock"/>
</code>
</group>
<group id="group-007">
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type"/>
<code value="suspected"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status"/>
<code value="closed-gap"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate">
<valueDate value="2021-03-15"/>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"/>
<code value="applied-not-superseded"/>
</coding>
</valueCodeableConcept>
</extension>
<code>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/cmshcc"/>
<version value="24"/>
<code value="22"/>
<display value="Morbid Obesity"/>
</coding>
<text value="HCC 22: Morbid Obesity"/>
</code>
</group>
<group id="group-008">
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type"/>
<code value="suspected"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status"/>
<code value="pending"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate">
<valueDate value="2021-09-27"/>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"/>
<code value="applied-not-superseded"/>
</coding>
</valueCodeableConcept>
</extension>
<code>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/cmshcc"/>
<version value="24"/>
<code value="96"/>
<display value="Specified Heart Arrhythmias"/>
</coding>
<text value="HCC 96: Specified Heart Arrhythmias"/>
</code>
</group>
<group id="group-009">
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type"/>
<code value="suspected"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status"/>
<code value="open-gap"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate">
<valueDate value="2020-07-15"/>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"/>
<code value="applied-not-superseded"/>
</coding>
</valueCodeableConcept>
</extension>
<code>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/cmshcc"/>
<version value="24"/>
<code value="110"/>
<display value="Cystic Fibrosis"/>
</coding>
<text value="HCC 110: Cystic Fibrosis"/>
</code>
</group>
<group id="group-010">
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type"/>
<code value="net-new"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status"/>
<code value="pending"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate">
<valueDate value="2021-09-28"/>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"/>
<code value="applied-not-superseded"/>
</coding>
</valueCodeableConcept>
</extension>
<code>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/cmshcc"/>
<version value="24"/>
<code value="83"/>
<display value="Respiratory Arrest"/>
</coding>
<text value="HCC 110: Cystic Fibrosis"/>
</code>
</group>
<evaluatedResource>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-001"/>
</extension>
<reference value="Condition/ra-condition02pat01"/>
</evaluatedResource>
<evaluatedResource>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-002"/>
</extension>
<reference value="Condition/ra-condition03pat01"/>
</evaluatedResource>
<evaluatedResource>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-003"/>
</extension>
<reference value="Condition/ra-condition08pat01"/>
</evaluatedResource>
<evaluatedResource>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-004"/>
</extension>
<reference value="Condition/ra-condition09pat01"/>
</evaluatedResource>
<evaluatedResource>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-005"/>
</extension>
<reference value="Condition/ra-condition10pat01"/>
</evaluatedResource>
<evaluatedResource>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-006"/>
</extension>
<reference value="Condition/ra-condition11pat01"/>
</evaluatedResource>
<evaluatedResource>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-007"/>
</extension>
<reference value="Condition/ra-condition17pat01"/>
</evaluatedResource>
<evaluatedResource>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-008"/>
</extension>
<reference value="Condition/ra-condition18pat01"/>
</evaluatedResource>
<evaluatedResource>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-010"/>
</extension>
<reference value="Condition/ra-condition33pat01"/>
</evaluatedResource>
<evaluatedResource>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-001"/>
</extension>
<reference value="Condition/ra-condition43pat01"/>
</evaluatedResource>
<evaluatedResource>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-004"/>
</extension>
<reference value="Condition/ra-condition44pat01"/>
</evaluatedResource>
<evaluatedResource>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-001"/>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-20210714"/>
</extension>
<reference value="Encounter/ra-encounter02pat01"/>
</evaluatedResource>
<evaluatedResource>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-002"/>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-005"/>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-008"/>
</extension>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-010"/>
</extension>
<reference value="Encounter/ra-encounter03pat01"/>
</evaluatedResource>
<evaluatedResource>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-003"/>
</extension>
<reference value="Encounter/ra-encounter08pat01"/>
</evaluatedResource>
<evaluatedResource>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-004"/>
</extension>
<reference value="Encounter/ra-encounter09pat01"/>
</evaluatedResource>
<evaluatedResource>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-006"/>
</extension>
<reference value="Encounter/ra-encounter11pat01"/>
</evaluatedResource>
<evaluatedResource>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-001"/>
</extension>
<reference value="Encounter/ra-encounter43pat01"/>
</evaluatedResource>
<evaluatedResource>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-004"/>
</extension>
<reference value="Encounter/ra-encounter44pat01"/>
</evaluatedResource>
<evaluatedResource>
<extension
url="http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference">
<valueString value="group-009"/>
</extension>
<reference value="Observation/ra-obs21pat01"/>
</evaluatedResource>
</MeasureReport>
</resource>
</entry>
<entry>
<fullUrl
value="https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Condition/ra-condition33pat01"/>
<resource>
<Condition>
<id value="ra-condition33pat01"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition"/>
</meta>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="active"/>
<display value="Active"/>
</coding>
<text value="Active"/>
</clinicalStatus>
<verificationStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
<code value="confirmed"/>
<display value="Confirmed"/>
</coding>
<text value="Confirmed"/>
</verificationStatus>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-category"/>
<code value="encounter-diagnosis"/>
<display value="Encounter Diagnosis"/>
</coding>
<text value="Problem"/>
</category>
<code>
<coding>
<system value="http://hl7.org/fhir/sid/icd-10-cm"/>
<code value="R09.2"/>
<display value="Respiratory arrest"/>
</coding>
<text value="R09.2: Respiratory arrest"/>
</code>
<subject>
<reference value="Patient/ra-patient01"/>
</subject>
<onsetDateTime value="2021-09-26"/>
</Condition>
</resource>
</entry>
<entry>
<fullUrl
value="https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Patient/ra-patient01"/>
<resource>
<Patient>
<id value="ra-patient01"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<extension
url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex">
<valueCode value="F"/>
</extension>
<extension
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<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="active"/>
<display value="Active"/>
</coding>
<text value="Active"/>
</clinicalStatus>
<verificationStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
<code value="confirmed"/>
<display value="Confirmed"/>
</coding>
<text value="Confirmed"/>
</verificationStatus>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-category"/>
<code value="encounter-diagnosis"/>
<display value="Encounter Diagnosis"/>
</coding>
<text value="Problem"/>
</category>
<code>
<coding>
<system value="http://hl7.org/fhir/sid/icd-10-cm"/>
<code value="J81.0"/>
<display value="Acute pulmonary edema"/>
</coding>
<text value="J81.0: Acute pulmonary edema"/>
</code>
<subject>
<reference value="Patient/ra-patient01"/>
</subject>
<onsetDateTime value="2020-11-02"/>
</Condition>
</resource>
</entry>
<entry>
<fullUrl
value="https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Encounter/ra-encounter43pat01"/>
<resource>
<Encounter>
<id value="ra-encounter43pat01"/>
<meta>
<extension
url="http://hl7.org/fhir/StructureDefinition/instance-name">
<valueString
value="Encounter with Dr Howell on 20210714 for Patient 03"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/instance-description">
<valueMarkdown
value="This is Encounter with Dr Howell on 20210714 for Patient 03."/>
</extension>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"/>
</meta>
<status value="finished"/>
<class>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="AMB"/>
<display value="ambulatory"/>
</class>
<type>
<coding>
<system value="http://www.ama-assn.org/go/cpt"/>
<code value="99215"/>
</coding>
<text value="Office Visit, High Complexity"/>
</type>
<subject>
<reference value="Patient/ra-patient01"/>
</subject>
<participant>
<individual>
<reference value="Practitioner/ra-prac01pat01"/>
</individual>
</participant>
<period>
<start value="2019-02-10"/>
<end value="2019-02-10"/>
</period>
<diagnosis>
<condition>
<reference value="Condition/ra-condition43pat01"/>
</condition>
</diagnosis>
<serviceProvider>
<reference value="Organization/ra-org01pat01"/>
</serviceProvider>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl
value="https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Encounter/ra-encounter09pat01"/>
<resource>
<Encounter>
<id value="ra-encounter09pat01"/>
<meta>
<extension
url="http://hl7.org/fhir/StructureDefinition/instance-name">
<valueString
value="Encounter with Dr Howell on 20210714 for Patient 03"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/instance-description">
<valueMarkdown
value="This is Encounter with Dr Howell on 20210714 for Patient 03."/>
</extension>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"/>
</meta>
<status value="finished"/>
<class>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="AMB"/>
<display value="ambulatory"/>
</class>
<type>
<coding>
<system value="http://www.ama-assn.org/go/cpt"/>
<code value="99215"/>
</coding>
<text value="Office Visit, High Complexity"/>
</type>
<subject>
<reference value="Patient/ra-patient01"/>
</subject>
<participant>
<individual>
<reference value="Practitioner/ra-prac01pat01"/>
</individual>
</participant>
<period>
<start value="2021-03-27"/>
<end value="2021-03-27"/>
</period>
<diagnosis>
<condition>
<reference value="Condition/ra-condition09pat01"/>
</condition>
</diagnosis>
<serviceProvider>
<reference value="Organization/ra-org01pat01"/>
</serviceProvider>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl
value="https://ra-sandbox.alphora.com/cqf-ruler-r4/fhir/Condition/ra-condition17pat01"/>
<resource>
<Condition>
<id value="ra-condition17pat01"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition"/>
</meta>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="active"/>
<display value="Active"/>
</coding>
<text value="Active"/>
</clinicalStatus>
<verificationStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
<code value="confirmed"/>
<display value="Confirmed"/>
</coding>
<text value="Confirmed"/>
</verificationStatus>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-category"/>
<code value="encounter-diagnosis"/>
<display value="Encounter Diagnosis"/>
</coding>
<text value="Problem"/>
</category>
<code>
<coding>
<system value="http://hl7.org/fhir/sid/icd-10-cm"/>
<code value="Z68.42"/>
<display value="Body mass index [BMI] 45.0-49.9, adult"/>
</coding>
<text value="Z68.42: Body mass index [BMI] 45.0-49.9, adult"/>
</code>
<subject>
<reference value="Patient/ra-patient01"/>
</subject>
<onsetDateTime value="2021-01-31"/>
</Condition>
</resource>
</entry>
</Bundle>
</resource>
</parameter>
</Parameters>
IG © 2021+ HL7 Clinical Quality Information Work Group. Package hl7.fhir.us.davinci-ra#0.1.0 based on FHIR 4.0.1. Generated 2021-12-06
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