| Package | hl7.fhir.us.davinci-ra |
| Type | ImplementationGuide |
| Id | Id |
| FHIR Version | R4 |
| Source | http://hl7.org/fhir/us/davinci-ra/https://build.fhir.org/ig/HL7/davinci-ra/index.html |
| Url | http://hl7.org/fhir/us/davinci-ra/ImplementationGuide/hl7.fhir.us.davinci-ra |
| Version | 2.0.0 |
| Status | active |
| Date | 2024-12-10T22:27:38+00:00 |
| Name | RiskAdjustment |
| Title | Da Vinci Risk Adjustment Implementation Guide |
| Experimental | False |
| Realm | us |
| Authority | hl7 |
| Description | The Da Vinci Fast Healthcare Interoperability Resource (FHIR) Risk Adjustment Implementation Guide (this IG) describes exchange of risk-based coding gaps among stakeholders such as payers, providers, and government care programs in support of driving towards accurate and complete documentation of health conditions that would lead to more accurate risk-adjustment payment calculations. |
| Copyright | Used by permission of HL7 International - Clinical Quality Information Work Group, all rights reserved Creative Commons License |
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Generated Narrative: ImplementationGuide hl7.fhir.us.davinci-ra
The official URL for this implementation guide is:
http://hl7.org/fhir/us/davinci-ra/ImplementationGuide/hl7.fhir.us.davinci-ra
The Da Vinci Fast Healthcare Interoperability Resource (FHIR) Risk Adjustment Implementation Guide (this IG) describes exchange of risk-based coding gaps among stakeholders such as payers, providers, and government care programs in support of driving towards accurate and complete documentation of health conditions that would lead to more accurate risk-adjustment payment calculations.
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"url" : "value",
"valueString" : "true"
}
],
"url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "fmm-definition"
},
{
"url" : "value",
"valueString" : "http://hl7.org/fhir/versions.html#maturity"
}
],
"url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "propagate-status"
},
{
"url" : "value",
"valueString" : "true"
}
],
"url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "excludelogbinaryformat"
},
{
"url" : "value",
"valueString" : "true"
}
],
"url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
},
{
"extension" : [
{
"url" : "code",
"valueCode" : "tabbed-snapshots"
},
{
"url" : "value",
"valueString" : "true"
}
],
"url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-parameter"
}
],
"resource" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Bundle"
}
],
"reference" : {
"reference" : "Bundle/ra-bundle01"
},
"name" : "ra-bundle01: Risk Adjustment Bundle",
"description" : "Example Risk Adjustment Bundle",
"exampleCanonical" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-measurereport-bundle"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Group"
}
],
"reference" : {
"reference" : "Group/ra-group01"
},
"name" : "ra-group01: Risk Adjustment Patient Group",
"description" : "Example Risk Adjustment Group",
"exampleCanonical" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-patient-group"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Group"
}
],
"reference" : {
"reference" : "Group/ra-group02"
},
"name" : "ra-group02: Risk Adjustment Patient Group",
"description" : "Example Risk Adjustment Group",
"exampleCanonical" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-patient-group"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "MeasureReport"
}
],
"reference" : {
"reference" : "MeasureReport/ra-measurereport01"
},
"name" : "ra-measurereport01: Risk Adjustment Measure Report",
"description" : "Example Risk Adjustment Measure Report",
"exampleCanonical" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-measurereport"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "MeasureReport"
}
],
"reference" : {
"reference" : "MeasureReport/ra-measurereport01-with-remark"
},
"name" : "ra-measurereport01-with-remark: Risk Adjustment Measure Report with Condition Category Remark",
"description" : "Example Risk Adjustment Measure Report with Condition Catetory Remark",
"exampleCanonical" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-measurereport"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "MeasureReport"
}
],
"reference" : {
"reference" : "MeasureReport/ra-measurereport02"
},
"name" : "ra-measurereport02: Risk Adjustment Measure Report",
"description" : "Example Risk Adjustment Measure Report",
"exampleCanonical" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-measurereport"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "MeasureReport"
}
],
"reference" : {
"reference" : "MeasureReport/ra-measurereport03"
},
"name" : "ra-measurereport03: Risk Adjustment Measure Report for HCC V24 for Patient 02",
"description" : "Example Risk Adjustment Measure Report for HCC V24 for Patient 02",
"exampleCanonical" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-measurereport"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "MeasureReport"
}
],
"reference" : {
"reference" : "MeasureReport/ra-measurereport04"
},
"name" : "ra-measurereport04: Risk Adjustment Measure Report for HCC V21 for Patient 03",
"description" : "Example Risk Adjustment Measure Report for HCC V21 for Patient 03",
"exampleCanonical" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-measurereport"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "MeasureReport"
}
],
"reference" : {
"reference" : "MeasureReport/ra-measurereport05"
},
"name" : "ra-measurereport05: Risk Adjustment Measure Report for RxHCC V5 for Patient03",
"description" : "Example Risk Adjustment Measure Report for RxHCC V5 for Patient03",
"exampleCanonical" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-measurereport"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "MeasureReport"
}
],
"reference" : {
"reference" : "MeasureReport/ra-measurereport06"
},
"name" : "ra-measurereport06: Risk Adjustment Measure Report for RxHCC V5 for Patient02",
"description" : "Example Risk Adjustment Measure Report for RxHCC V5 for Patient02",
"exampleCanonical" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-measurereport"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Condition"
}
],
"reference" : {
"reference" : "Condition/ra-condition01pat03"
},
"name" : "Condition01pat03: Other artificial openings of gastrointestinal tract status",
"description" : "Other artificial openings of gastrointestinal tract status",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Condition"
}
],
"reference" : {
"reference" : "Condition/ra-condition02pat01"
},
"name" : "Condition02pat01: Diabetes mellitus due to underlying condition with other diabetic kidney complication",
"description" : "Diabetes mellitus due to underlying condition with other diabetic kidney complication",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Condition"
}
],
"reference" : {
"reference" : "Condition/ra-condition03pat01"
},
"name" : "Condition03pat01: Chronic obstructive pulmonary disease with (acute) exacerbation",
"description" : "Chronic obstructive pulmonary disease with (acute) exacerbation",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Condition"
}
],
"reference" : {
"reference" : "Condition/ra-condition04pat03"
},
"name" : "Condition04pat03: Chronic obstructive pulmonary disease with (acute) exacerbation",
"description" : "Chronic obstructive pulmonary disease with (acute) exacerbation",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Condition"
}
],
"reference" : {
"reference" : "Condition/ra-condition05pat03"
},
"name" : "Condition05pat03: Unspecified protein-calorie malnutrition",
"description" : "Unspecified protein-calorie malnutrition",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Condition"
}
],
"reference" : {
"reference" : "Condition/ra-condition06pat03"
},
"name" : "Condition06pat03: Crohn's disease of large intestine with unspecified complicationss",
"description" : "Crohn's disease of large intestine with unspecified complications",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Condition"
}
],
"reference" : {
"reference" : "Condition/ra-condition07pat03"
},
"name" : "Condition07pat03: Other persistent atrial fibrillation",
"description" : "Other persistent atrial fibrillation",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Condition"
}
],
"reference" : {
"reference" : "Condition/ra-condition08pat01"
},
"name" : "Condition08pat01: Bipolar disorder, current episode mixed, mild",
"description" : "Bipolar disorder, current episode mixed, mild",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Condition"
}
],
"reference" : {
"reference" : "Condition/ra-condition09pat01"
},
"name" : "Condition09pat01: Allergic bronchopulmonary aspergillosis",
"description" : "Allergic bronchopulmonary aspergillosis",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Condition"
}
],
"reference" : {
"reference" : "Condition/ra-condition10pat01"
},
"name" : "Condition10pat01: Long term (current) use of insulin",
"description" : "Long term (current) use of insulin",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Condition"
}
],
"reference" : {
"reference" : "Condition/ra-condition11pat01"
},
"name" : "Condition11pat01: Acute pulmonary edema",
"description" : "Acute pulmonary edema",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Condition"
}
],
"reference" : {
"reference" : "Condition/ra-condition12pat01"
},
"name" : "Condition12pat01: Manic episode, unspecified",
"description" : "Manic episode, unspecified (clinical evaluation evidence)",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Condition"
}
],
"reference" : {
"reference" : "Condition/ra-condition15pat03"
},
"name" : "Condition15pat03: Diabetes mellitus due to underlying condition with diabetic chronic kidney diseases",
"description" : "Diabetes mellitus due to underlying condition with diabetic chronic kidney diseases",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Condition"
}
],
"reference" : {
"reference" : "Condition/ra-condition16pat03"
},
"name" : "Condition16pat03: Dependence on renal dialysis",
"description" : "Dependence on renal dialysis",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Condition"
}
],
"reference" : {
"reference" : "Condition/ra-condition17pat01"
},
"name" : "Condition17pat01: Body mass index [BMI] 45.0-49.9, adult",
"description" : "Body mass index [BMI] 45.0-49.9, adult",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Condition"
}
],
"reference" : {
"reference" : "Condition/ra-condition18pat01"
},
"name" : "Condition18pat01: Longstanding persistent atrial fibrillation",
"description" : "Longstanding persistent atrial fibrillation",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Condition"
}
],
"reference" : {
"reference" : "Condition/ra-conditionR01pat01"
},
"name" : "ConditionR01pat01: Cystic fibrosis with other intestinal manifestations",
"description" : "Cystic fibrosis with other intestinal manifestations",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Condition"
}
],
"reference" : {
"reference" : "Condition/ra-condition21pat03"
},
"name" : "Condition21pat03: Type 2 diabetes mellitus without complications",
"description" : "Type 2 diabetes mellitus without complications",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Condition"
}
],
"reference" : {
"reference" : "Condition/ra-condition22pat03"
},
"name" : "Condition22pat03: Other acute kidney failure",
"description" : "Other acute kidney failure",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Condition"
}
],
"reference" : {
"reference" : "Condition/ra-condition23pat03"
},
"name" : "Condition23pat03: Chronic kidney disease, stage 5",
"description" : "Chronic kidney disease, stage 5",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Condition"
}
],
"reference" : {
"reference" : "Condition/ra-condition31pat02"
},
"name" : "Condition31pat02: Typical atrial flutter",
"description" : "Typical atrial flutter",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Condition"
}
],
"reference" : {
"reference" : "Condition/ra-condition32pat03"
},
"name" : "Condition32pat03: Chronic pulmonary embolism",
"description" : "Chronic pulmonary embolism",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Condition"
}
],
"reference" : {
"reference" : "Condition/ra-condition33pat01"
},
"name" : "Condition33pat01: Respiratory arrest",
"description" : "Respiratory arrest",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Condition"
}
],
"reference" : {
"reference" : "Condition/ra-condition35pat03"
},
"name" : "Condition35pat03: Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene",
"description" : "Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Condition"
}
],
"reference" : {
"reference" : "Condition/ra-condition42pat03"
},
"name" : "Condition42pat03: Other artificial openings of gastrointestinal tract status",
"description" : "Other artificial openings of gastrointestinal tract status",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Condition"
}
],
"reference" : {
"reference" : "Condition/ra-condition43pat01"
},
"name" : "Condition43pat01: Diabetes mellitus due to underlying condition with other diabetic kidney complication",
"description" : "Diabetes mellitus due to underlying condition with other diabetic kidney complication",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Condition"
}
],
"reference" : {
"reference" : "Condition/ra-condition44pat01"
},
"name" : "Condition44pat01: Allergic bronchopulmonary aspergillosis",
"description" : "Allergic bronchopulmonary aspergillosis",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "DocumentReference"
}
],
"reference" : {
"reference" : "DocumentReference/ra-documentreference01pat01"
},
"name" : "Documentreference01pat01: Outpatient Note",
"description" : "Outpatient Note",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Encounter"
}
],
"reference" : {
"reference" : "Encounter/ra-encounter01pat03"
},
"name" : "Encounter on 20210714",
"description" : "Encounter on 2021-07-14",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Encounter"
}
],
"reference" : {
"reference" : "Encounter/ra-encounter02pat01"
},
"name" : "Encounter on 20210131",
"description" : "Encounter on 2021-01-31",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Encounter"
}
],
"reference" : {
"reference" : "Encounter/ra-encounter03pat01"
},
"name" : "Encounter on 20210926",
"description" : "Encounter on 2021-09-26",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Encounter"
}
],
"reference" : {
"reference" : "Encounter/ra-encounter04pat03"
},
"name" : "Encounter on 20201218",
"description" : "Encounter on 2020-12-18",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Encounter"
}
],
"reference" : {
"reference" : "Encounter/ra-encounter05pat03"
},
"name" : "Encounter on 20200303",
"description" : "Encounter on 2020-03-03",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Encounter"
}
],
"reference" : {
"reference" : "Encounter/ra-encounter06pat03"
},
"name" : "Encounter on 20200917",
"description" : "Encounter on 2020-09-17",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Encounter"
}
],
"reference" : {
"reference" : "Encounter/ra-encounter07pat03"
},
"name" : "Encounter on 20190207",
"description" : "Encounter on 2019-02-07",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Encounter"
}
],
"reference" : {
"reference" : "Encounter/ra-encounter08pat01"
},
"name" : "Encounter on 20170203",
"description" : "Encounter on 2017-02-03",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Encounter"
}
],
"reference" : {
"reference" : "Encounter/ra-encounter09pat01"
},
"name" : "Encounter on 20210327",
"description" : "Encounter on 2021-03-27",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Encounter"
}
],
"reference" : {
"reference" : "Encounter/ra-encounter11pat01"
},
"name" : "Encounter on 20201102",
"description" : "Encounter on 2020-11-02",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Encounter"
}
],
"reference" : {
"reference" : "Encounter/ra-encounter15pat03"
},
"name" : "Encounter on 20200808",
"description" : "Encounter on 2020-08-08",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Encounter"
}
],
"reference" : {
"reference" : "Encounter/ra-encounter16pat03"
},
"name" : "Encounter on 20210727",
"description" : "Encounter on 2021-07-27",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Encounter"
}
],
"reference" : {
"reference" : "Encounter/ra-encounter19pat03"
},
"name" : "Encounter on 20210823",
"description" : "Encounter on 2021-08-23",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Encounter"
}
],
"reference" : {
"reference" : "Encounter/ra-encounter21pat03"
},
"name" : "Encounter on 20210130",
"description" : "Encounter on 2021-01-30",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Encounter"
}
],
"reference" : {
"reference" : "Encounter/ra-encounter22pat03"
},
"name" : "Encounter on 20210701",
"description" : "Encounter on 2021-07-01",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Encounter"
}
],
"reference" : {
"reference" : "Encounter/ra-encounter31pat02"
},
"name" : "Encounter on 20210806",
"description" : "Encounter on 2021-08-06",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Encounter"
}
],
"reference" : {
"reference" : "Encounter/ra-encounter35pat03"
},
"name" : "Encounter on 20210212",
"description" : "Encounter on 2021-02-12",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Encounter"
}
],
"reference" : {
"reference" : "Encounter/ra-encounter42pat03"
},
"name" : "Encounter on 20200210",
"description" : "Encounter on 2020-02-10",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Encounter"
}
],
"reference" : {
"reference" : "Encounter/ra-encounter43pat01"
},
"name" : "Encounter on 20190210",
"description" : "Encounter on 2019-02-10",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Encounter"
}
],
"reference" : {
"reference" : "Encounter/ra-encounter44pat01"
},
"name" : "Encounter on 20170118",
"description" : "Encounter on 2017-01-18",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Encounter"
}
],
"reference" : {
"reference" : "Encounter/ra-encounter45pat01"
},
"name" : "Encounter on 20180721",
"description" : "Encounter on 2018-07-21",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Encounter"
}
],
"reference" : {
"reference" : "Encounter/ra-encounter46pat01"
},
"name" : "Encounter on 2021-10-15",
"description" : "Encounter on 2021-10-15 (clinical evaluation evidence)",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Observation"
}
],
"reference" : {
"reference" : "Observation/ra-obs01pat02"
},
"name" : "Observation: Trypsin [Mass/volume] in Serum or Plasma result from 20190617",
"description" : "Trypsin [Mass/volume] in Serum or Plasma result from 2019-06-17",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Observation"
}
],
"reference" : {
"reference" : "Observation/ra-obs01pat03"
},
"name" : "Observation: Creatinine Result from 20210728",
"description" : "Creatinine Result from 2021-07-28",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Observation"
}
],
"reference" : {
"reference" : "Observation/ra-obs02pat03"
},
"name" : "Observation: PHQ9 from 20190823",
"description" : "PHQ9 from 2019-08-23",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Observation"
}
],
"reference" : {
"reference" : "Observation/ra-obs21pat01"
},
"name" : "Trypsin [Mass/volume] in Serum or Plasma from 20170617",
"description" : "Trypsin [Mass/volume] in Serum or Plasma from 2017-06-17",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Organization"
}
],
"reference" : {
"reference" : "Organization/ra-laboratory01"
},
"name" : "Laboratory01: XYZ Laboratory",
"description" : "XYZ Laboratory",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Organization"
}
],
"reference" : {
"reference" : "Organization/ra-vendor01"
},
"name" : "Vendor01: Best RA Vendor",
"description" : "Best RA Vendor",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Organization"
}
],
"reference" : {
"reference" : "Organization/ra-payer01"
},
"name" : "Organization01: ABC Payer",
"description" : "ABC Payer",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Organization"
}
],
"reference" : {
"reference" : "Organization/ra-org01pat01"
},
"name" : "Organization: Community Urgent Care",
"description" : "Community Urgent Care",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Organization"
}
],
"reference" : {
"reference" : "Organization/ra-org02pat02"
},
"name" : "Organization: GHH Outpatient Clinic",
"description" : "GHH Outpatient Clinic",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Organization"
}
],
"reference" : {
"reference" : "Organization/ra-org03pat03"
},
"name" : "Organization: Community HealthCenter",
"description" : "Community HealthCenter",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Organization"
}
],
"reference" : {
"reference" : "Organization/ra-org-author"
},
"name" : "Organization: Risk Adjustment Author",
"description" : "Risk Adjustment Author",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Parameters"
}
],
"reference" : {
"reference" : "Parameters/ra-measurereport01-patch"
},
"name" : "Risk Adjustement Measure Report Patch",
"description" : "Patch of a Risk Adjustement Measure Report",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Parameters"
}
],
"reference" : {
"reference" : "Parameters/ra-measurereport01-patch-mult"
},
"name" : "Risk Adjustement Measure Report Patch With Multiple Values",
"description" : "Patch of multiple values for a Risk Adjustement Measure Report",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Patient"
}
],
"reference" : {
"reference" : "Patient/ra-patient01"
},
"name" : "Patient01: Eve Everywoman",
"description" : "Eve Everywoman",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Patient"
}
],
"reference" : {
"reference" : "Patient/ra-patient02"
},
"name" : "Patient02: Adam Everyman",
"description" : "Adam Everyman",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Patient"
}
],
"reference" : {
"reference" : "Patient/ra-patient03"
},
"name" : "Patient03: Nelda Nuclear",
"description" : "Nelda Nuclear",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Practitioner"
}
],
"reference" : {
"reference" : "Practitioner/ra-prac01pat01"
},
"name" : "Practitioner: Harold Hippocrates",
"description" : "Harold Hippocrates",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Practitioner"
}
],
"reference" : {
"reference" : "Practitioner/ra-prac02pat02"
},
"name" : "Practitioner: Patrick Pump",
"description" : "Patrick Pump",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Practitioner"
}
],
"reference" : {
"reference" : "Practitioner/ra-prac03pat03"
},
"name" : "Practitioner: Otto Osler",
"description" : "Otto Osler",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "MeasureReport"
}
],
"reference" : {
"reference" : "MeasureReport/ra-datax-measurereport01"
},
"name" : "ra-datax-measurereport01: Risk Adjustment Data Exchange Measure Report",
"description" : "Example Risk Adjustment Data Exchange Measure Report",
"exampleCanonical" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-datax-measurereport"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Parameters"
}
],
"reference" : {
"reference" : "Parameters/ra-submit-data"
},
"name" : "Submit Data for Risk Adjustement Data Exchange MeasureReport",
"description" : "Example Parameters Resource for using submit-data operation to submit Risk Adjustment Data Exchange MeasureReport",
"exampleBoolean" : true
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "SearchParameter"
}
],
"reference" : {
"reference" : "SearchParameter/measurereport-category"
},
"name" : "measurereport-category",
"description" : "Search based on the measurereport-category extension",
"exampleBoolean" : false
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Measure"
}
],
"reference" : {
"reference" : "Measure/RAModelExample01"
},
"name" : "Risk Adjustment Model Version 24 - CMS Hierarchical Category Condition (CMS-HCC)",
"description" : "Example measure to represent CMS-HCC Model Version 24",
"exampleCanonical" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-model-measure"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Measure"
}
],
"reference" : {
"reference" : "Measure/RAModelExample02"
},
"name" : "Risk Adjustment Model Version 21 - CMS Hierarchical Category Condition (CMS-HCC)",
"description" : "Example measure to represent CMS-HCC Model Version 21",
"exampleCanonical" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-model-measure"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "Measure"
}
],
"reference" : {
"reference" : "Measure/RAModelExample03"
},
"name" : "Risk Adjustment Model Version 5 - CMS Prescribing Drug Hierarchical Category Condition (CMS-HCC)",
"description" : "Example measure to represent CMS-RxHCC Model Version 5",
"exampleCanonical" : "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-model-measure"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "CodeSystem"
}
],
"reference" : {
"reference" : "CodeSystem/cc-type"
},
"name" : "Risk Adjustment Condition Category Type CodeSystem",
"description" : "Code sytstem that indicates whether it is a suspected Condition Category (CC) gap, a historic Condition Category (CC) gap, or a net-new Condition Category (CC). Historic, suspected, and net-new are mutually exclusive."
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "CodeSystem"
}
],
"reference" : {
"reference" : "CodeSystem/coding-gap-remark"
},
"name" : "Coding Gap Remark CodeSystem",
"description" : "Coded remark for coding gap"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "CodeSystem"
}
],
"reference" : {
"reference" : "CodeSystem/evidence-status"
},
"name" : "Risk Adjustment Evidence Status CodeSystem",
"description" : "Code system that indicates whether a coding gap is an open-gap, invalid-gap, closed-gap, or pending."
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "CodeSystem"
}
],
"reference" : {
"reference" : "CodeSystem/hierarchical-status"
},
"name" : "Risk Adjustment Hierarchical Status CodeSystem",
"description" : "Code system that indicates how hierarchies were applied to a Condition Category (CC), and if applied, whether the Condition Category (CC) is superseded."
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "CodeSystem"
}
],
"reference" : {
"reference" : "CodeSystem/remark-reason"
},
"name" : "Remark Reason CodeSystem",
"description" : "Reason codes for remark"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "OperationDefinition"
}
],
"reference" : {
"reference" : "OperationDefinition/ra.evaluate-measure"
},
"name" : "Evaluate Measure",
"description" : "The ra.evaluate-measure operation is used to evaluate Digital Condition Category and obtain the results."
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "StructureDefinition:extension"
}
],
"reference" : {
"reference" : "StructureDefinition/ra-ccRemark"
},
"name" : "Condition Category Remark",
"description" : "The Condition Category Remark extension allows a coded and/or narrative remark be added to a Condition Category (CC) coding gap that is on a Payer generated risk adjustment coding gap report by a provider, an organization, or a software."
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "StructureDefinition:extension"
}
],
"reference" : {
"reference" : "StructureDefinition/ra-ccType"
},
"name" : "Risk Adjustment Condition Category Type",
"description" : "Indicates whether the Condition Category (CC) gap is historic or suspected. This extension is also used to indicate if a Condition Category (CC) is net-new."
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "StructureDefinition:extension"
}
],
"reference" : {
"reference" : "StructureDefinition/ra-clinicalDataCollectionDeadline"
},
"name" : "Risk Adjustment Clinical Data Collection Deadline",
"description" : "Indicates the deadline for collecting data to close Condition Category (CC) coding gaps for a risk adjustment model of a measurement period."
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "StructureDefinition:extension"
}
],
"reference" : {
"reference" : "StructureDefinition/ra-confidenceScale"
},
"name" : "Confidence Scale",
"description" : "A coded confidence scale, the degree of certainty, for a Condition Category (CC) coding gap presented in a Payer generated risk adjustment coding gap report."
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "StructureDefinition:resource"
}
],
"reference" : {
"reference" : "StructureDefinition/ra-datax-measurereport"
},
"name" : "Risk Adjustment Data Exchange MeasureReport",
"description" : "This profile is based on the [MeasureReport](http://hl7.org/fhir/R4/measurereport.html). It is used for Provider to submit data such as clinical evaluation evidence to Payer."
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "StructureDefinition:extension"
}
],
"reference" : {
"reference" : "StructureDefinition/ra-dxCode"
},
"name" : "Diagnosis Code",
"description" : "Diganosis code(s) of the condition, such as ICD-10 codes."
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "StructureDefinition:extension"
}
],
"reference" : {
"reference" : "StructureDefinition/ra-evidenceStatus"
},
"name" : "Evidence Status",
"description" : "Indicates whether a Condition Category (CC) coding gap is closed-gap, open-gap, invalid-gap, or pending based on the clinical evidence available for risk adjustment."
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "StructureDefinition:extension"
}
],
"reference" : {
"reference" : "StructureDefinition/ra-evidenceStatusDate"
},
"name" : "Risk Adjustment Evidence Status Date",
"description" : "Risk adjustment evidence status date"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "StructureDefinition:extension"
}
],
"reference" : {
"reference" : "StructureDefinition/ra-groupReference"
},
"name" : "Group Reference",
"description" : "This extension identifies which Condition Category (CC) the supporting evidence (represented by `MeasureReport.evaluatedResource`) is for."
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "StructureDefinition:extension"
}
],
"reference" : {
"reference" : "StructureDefinition/ra-hierarchicalStatus"
},
"name" : "Hierarchical Status",
"description" : "Indicates how hiearchies were applied to a Condition Category (CC), and if applied, whether the Condition Category (CC) is superseded."
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "StructureDefinition:resource"
}
],
"reference" : {
"reference" : "StructureDefinition/ra-measurereport-bundle"
},
"name" : "Risk Adjustment Coding Gap Report Bundle",
"description" : "The Risk Adjustment Coding Gap Report Bundle Profile describes a collection bundle returned by the [$ra.evaluate-measure](OperationDefinition-ra.evaluate-measure.html) operation. This bundle is a collection of Risk Adjustment Coding Gap Reports."
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "StructureDefinition:resource"
}
],
"reference" : {
"reference" : "StructureDefinition/ra-measurereport"
},
"name" : "Risk Adjustment Coding Gap MeasureReport",
"description" : "This profile is based on the [MeasureReport](http://hl7.org/fhir/R4/measurereport.html) to represent a risk adjustment coding gap report. Payer runs risk adjustment engine and uses this profile to represent the risk adjustment Condition Category (CC) coding gaps and their detailed information for a patient."
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "StructureDefinition:resource"
}
],
"reference" : {
"reference" : "StructureDefinition/ra-model-measure"
},
"name" : "Risk Adjustment Model Measure",
"description" : "This risk adjustment model measure profile is based on the [Measure](http://hl7.org/fhir/R4/measure.html) resource to represent a risk adjustment model and its version, such as CMS-HCC version 24, CMS-HCC version 28."
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "StructureDefinition:resource"
}
],
"reference" : {
"reference" : "StructureDefinition/ra-parameters-cc-remark-patch"
},
"name" : "RA Parameters ccRemark Patch Profile",
"description" : "A Parameters profile that defines structures of multi-part Parameters to be used for sending [Condition Category Remarks](StructureDefinition-ra-ccRemark.html) to a [Risk Adjustment Coding Gap Report](StructureDefinition-ra-measurereport.html) using the [PATCH](https://www.hl7.org/fhir/http.html#patch) operation."
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "StructureDefinition:resource"
}
],
"reference" : {
"reference" : "StructureDefinition/ra-patient-group"
},
"name" : "Patient Group",
"description" : "The Patient Group Profile describes a group consisting of one or more patients. It can be used a) when generating risk adjustment gap reports using Bulk FHIR or b) for the evaluated-approach for generating reports as defined on the dCC page."
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "StructureDefinition:extension"
}
],
"reference" : {
"reference" : "StructureDefinition/ra-payerCodingGapReportId"
},
"name" : "Payer Coding Gap Report Id",
"description" : "Unique id of the original payer generated coding gap report. This is the MeasureReport.id from the Risk Adjustment Coding Gap Report profile."
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "StructureDefinition:extension"
}
],
"reference" : {
"reference" : "StructureDefinition/ra-reportingVendor"
},
"name" : "Reporting Vendor Extension",
"description" : "A reference to the vendor who generated the report. The 'reporting vendor' is intended to represent the submitting entity when it is not the same as the reporting entity. This extension is used when the Receiver is interested in getting vendor information in the report."
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "ValueSet"
}
],
"reference" : {
"reference" : "ValueSet/cc-type"
},
"name" : "Risk Adjustment Condition Category Type ValueSet",
"description" : "Codes that indicate whether the Condition Category (CC) gap is historic, suspected, or net-new."
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "ValueSet"
}
],
"reference" : {
"reference" : "ValueSet/coding-gap-remark"
},
"name" : "Coding Gap Remark",
"description" : "Coded remark for a coding gap"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "ValueSet"
}
],
"reference" : {
"reference" : "ValueSet/confidence-scale"
},
"name" : "Confidence Scale Value Set",
"description" : "Codes that describe the confidence scale of a risk adjustment Condition Category (CC)."
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "ValueSet"
}
],
"reference" : {
"reference" : "ValueSet/evidence-status"
},
"name" : "Risk Adjustment Evidence Status ValueSet",
"description" : "Codes that indicate whether a coding gap is an open-gap, invalid-gap, closed-gap, or pending."
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "ValueSet"
}
],
"reference" : {
"reference" : "ValueSet/hierarchical-status"
},
"name" : "Risk Adjustment Hierarchical Status ValueSet",
"description" : "Codes that indicate how hiearchies were applied to a Condition Category (CC), and if applied, whether the Condition Category (CC) is superseded."
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "ValueSet"
}
],
"reference" : {
"reference" : "ValueSet/remark-reason"
},
"name" : "Remark Reason",
"description" : "Reason for the remark"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "ValueSet"
}
],
"reference" : {
"reference" : "ValueSet/sample-cmshcc"
},
"name" : "Sample CMS Hierarchical Condition Category",
"description" : "This is a sample of the concepts that can be found in the CMS Hierarchical Condition Categories (CMS-HCC) code system version 24. The source of the codes included in this example was published at https://www.cms.gov/Medicare/Health-Plans/MedicareAdvtgSpecRateStats/Downloads/Announcement2020.pdf. The CMS-HCC model uses more than 9,000 ICD-10-CM codes, which are mapped to condition categories (CCs) that predict costs well. The condition categories (CCs) are based on diagnoses clinically related to one another and with similar predicted cost implications. Hierarchies are imposed on the Condition Categories (CCs) to capture the most costly diagnoses. Hierarchy logic is imposed on certain Condition Categories (CCs) to account for different hierarchical costs, thus, the term Hierarchical Condition Category, or HCC."
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "CapabilityStatement"
}
],
"reference" : {
"reference" : "CapabilityStatement/ra-data-submission-client"
},
"name" : "Risk Adjustment Data Submission Client Capability Statement",
"description" : "This profile defines the expected capabilities of a Da Vinci Risk Adjustment Data Submission Client when conforming to the Da Vinci Risk Adjustment Implementation Guide for interactions between Data Submission Clients and Data Submission Servers. Clients are the actors creating and submitting the Risk Adjustment Data Exchange Measure Reports using the $submit-data operation to the Server."
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "CapabilityStatement"
}
],
"reference" : {
"reference" : "CapabilityStatement/ra-data-submission-server"
},
"name" : "Risk Adjustment Data Submission Server Capability Statement",
"description" : "This profile defines the expected capabilities of a Da Vinci Risk Adjustment Data Submission Server when conforming to the Da Vinci Risk Adjustment Implementation Guide for interactions between Clients and Servers. Servers are the actors receiving and processing the Risk Adjustment Data Exchange MeasureReports submitted by the Client."
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "CapabilityStatement"
}
],
"reference" : {
"reference" : "CapabilityStatement/ra-reporting-client"
},
"name" : "Risk Adjustment Reporting Client Capability Statement",
"description" : "This profile defines the expected capabilities of a Da Vinci Risk Adjustment Reporting Client when conforming to the Da Vinci Risk Adjustment Implementation Guide for interactions between Reporting Clients and Reporting Servers. Clients are the actors making the request for Risk Adjustment Coding Gap Reports for patient(s) and for Risk Adjustmenet Models that are available on the Server. This CapabilityStatement resource includes the complete list of the *recommended* Da Vinci Risk Adjustment profiles and RESTful operations that a Risk Adjustment Reporting Client could support. Clients have the option of choosing from this list based on their local use cases and other contextual requirements."
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/resource-information",
"valueString" : "CapabilityStatement"
}
],
"reference" : {
"reference" : "CapabilityStatement/ra-reporting-server"
},
"name" : "Risk Adjustment Reporting Server Capability Statement",
"description" : "This profile defines the expected capabilities of a Da Vinci Risk Adjustment Reporting Server when conforming to the Da Vinci Risk Adjustment Implementation Guide for interactions between Reporting Clients and Reporting Servers. Servers are the actors receiving the request for Risk Adjustment Coding Gap Reports for patient(s) and for Risk Adjustmenet Models that are available on the Server. This CapabilityStatement resource includes the complete list of the *recommended* Da Vinci Risk Adjustment profiles and RESTful operations that a Risk Adjustment Reporting Server could support. Servers have the option of choosing from this list based on their local use cases and other contextual requirements."
}
],
"page" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "informative"
},
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl" : "toc.html"
}
],
"nameUrl" : "toc.html",
"title" : "Table of Contents",
"generation" : "html",
"page" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "informative"
},
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl" : "index.html"
}
],
"nameUrl" : "index.html",
"title" : "Da Vinci Risk Adjustment Implementation Guide Home Page",
"generation" : "markdown"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "informative"
},
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl" : "methodology.html"
}
],
"nameUrl" : "methodology.html",
"title" : "Methodology",
"generation" : "markdown",
"page" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "informative"
},
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl" : "general-guidance.html"
}
],
"nameUrl" : "general-guidance.html",
"title" : "General Guidance",
"generation" : "markdown"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "informative"
},
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl" : "report-generation.html"
}
],
"nameUrl" : "report-generation.html",
"title" : "Report Generation",
"generation" : "markdown"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "informative"
},
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl" : "report-query.html"
}
],
"nameUrl" : "report-query.html",
"title" : "Report Query",
"generation" : "markdown"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "informative"
},
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl" : "submit-data-to-payer.html"
}
],
"nameUrl" : "submit-data-to-payer.html",
"title" : "Submit Data To Payer",
"generation" : "markdown"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "informative"
},
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl" : "cc-remark.html"
}
],
"nameUrl" : "cc-remark.html",
"title" : "Add Remark to Condition Category",
"generation" : "markdown"
}
]
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "informative"
},
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl" : "dcc.html"
}
],
"nameUrl" : "dcc.html",
"title" : "Digital Condition Category (dCC)",
"generation" : "markdown"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "informative"
},
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl" : "profiles.html"
}
],
"nameUrl" : "profiles.html",
"title" : "Profiles",
"generation" : "markdown"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "informative"
},
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl" : "extensions.html"
}
],
"nameUrl" : "extensions.html",
"title" : "Extensions",
"generation" : "markdown"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "informative"
},
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl" : "terminology.html"
}
],
"nameUrl" : "terminology.html",
"title" : "Terminology",
"generation" : "markdown"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "informative"
},
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl" : "operations.html"
}
],
"nameUrl" : "operations.html",
"title" : "Operation",
"generation" : "markdown"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "informative"
},
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl" : "capabilities.html"
}
],
"nameUrl" : "capabilities.html",
"title" : "Capability Statement",
"generation" : "markdown"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "informative"
},
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl" : "examples.html"
}
],
"nameUrl" : "examples.html",
"title" : "Examples",
"generation" : "markdown"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "informative"
},
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl" : "glossary.html"
}
],
"nameUrl" : "glossary.html",
"title" : "Glossary",
"generation" : "markdown"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "informative"
},
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl" : "downloads.html"
}
],
"nameUrl" : "downloads.html",
"title" : "Downloads",
"generation" : "markdown"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "informative"
},
{
"url" : "http://hl7.org/fhir/tools/StructureDefinition/ig-page-name",
"valueUrl" : "change-log.html"
}
],
"nameUrl" : "change-log.html",
"title" : "Change Log",
"generation" : "markdown"
}
]
},
"parameter" : [
{
"code" : "path-resource",
"value" : "input/capabilities"
},
{
"code" : "path-resource",
"value" : "input/examples"
},
{
"code" : "path-resource",
"value" : "input/extensions"
},
{
"code" : "path-resource",
"value" : "input/profiles"
},
{
"code" : "path-resource",
"value" : "resources\\valueset"
},
{
"code" : "path-resource",
"value" : "resources\\codesystem"
},
{
"code" : "path-resource",
"value" : "resources\\operationdefinition"
},
{
"code" : "path-resource",
"value" : "resources\\capabilitystatement"
},
{
"code" : "path-resource",
"value" : "input/models"
},
{
"code" : "path-resource",
"value" : "input/operations"
},
{
"code" : "path-resource",
"value" : "input/resources"
},
{
"code" : "path-resource",
"value" : "input/vocabulary"
},
{
"code" : "path-resource",
"value" : "input/testing"
},
{
"code" : "path-resource",
"value" : "input/history"
},
{
"code" : "path-resource",
"value" : "fsh-generated/resources"
},
{
"code" : "path-pages",
"value" : "template/config"
},
{
"code" : "path-pages",
"value" : "input/images"
},
{
"code" : "path-tx-cache",
"value" : "input-cache/txcache"
}
]
}
}
XIG built as of ??metadata-date??. Found ??metadata-resources?? resources in ??metadata-packages?? packages.