FHIR IG analytics| Package | hl7.fhir.us.davinci-ra |
| Resource Type | Bundle |
| Id | Bundle-ra-measurereport-with-remark.json |
| FHIR Version | R4 |
No resources found
No resources found
No narrative content found in resource
FHIR
FHIRsmith{
"resourceType": "Bundle",
"id": "ra-measurereport-with-remark",
"meta": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/instance-name",
"valueString": "Bundle example Risk Adjustment MeasureReport with Remark Bundle"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/instance-description",
"valueMarkdown": "This is a Bundle example that contains Risk Adjustment MeasureReport with a Condition Category Remark."
}
],
"profile": [
"http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-measurereport-remark-bundle"
]
},
"language": "en",
"identifier": {
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:97935a18-56b7-490b-a12c-9dac8995f6d5"
},
"type": "collection",
"timestamp": "2026-01-07T06:17:58.172+00:00",
"entry": [
{
"fullUrl": "http://example.org/fhir/MeasureReport/ra-measurereport01-with-remark",
"resource": {
"resourceType": "MeasureReport",
"id": "ra-measurereport01-with-remark",
"meta": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/instance-name",
"valueString": "RA MeasureReport with Remark Example (ra-measurereport01-with-remark)"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/instance-description",
"valueMarkdown": "This is an example for the Risk Adjustment Coding Gap MeasureReport profile that shows using the Condition Category Remark extension. The remark is added to MeasureReport."
}
],
"profile": [
"http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-measurereport-with-remark"
]
},
"text": {
"status": "extensions",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MeasureReport_ra-measurereport01-with-remark\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MeasureReport ra-measurereport01-with-remark</b></p><a name=\"ra-measurereport01-with-remark\"> </a><a name=\"hcra-measurereport01-with-remark\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ra-measurereport-with-remark.html\">Risk Adjustment Coding Gap MeasureReport with Remark</a></p></div><p><b>Measure Report Category</b>: <span title=\"Codes:{http://hl7.org/fhir/CodeSystem/measurereport-category ra}\">Risk Adjustment</span></p><p><b>Clinical Data Collection Deadline Extension</b>: 2022-03-31</p><p><b>status</b>: Complete</p><p><b>type</b>: Individual</p><p><b>measure</b>: <a href=\"Measure-RAModelExample01.html\">Risk Adjustment Model Version 24 - CMS Hierarchical Category Condition (CMS-HCC)</a></p><p><b>subject</b>: <a href=\"Patient-ra-patient01.html\">Eve Everywoman (official) Female, DoB: 1975-01-16 ( Medical record number: 12345 (use: usual, ))</a></p><p><b>date</b>: 2021-10-18</p><p><b>reporter</b>: <a href=\"Organization-ra-payer01.html\">Organization ABC Payer</a></p><p><b>period</b>: 2021-01-01 --> 2021-09-30</p><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-001</blockquote><p><b>Condition Category Type Extension</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type historic}\">Historic Condition Category Gap</span></p><p><b>Evidence Status Extension</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status closed-gap}\">Closed Condition Category Gap</span></p><p><b>Evidence Status Date Extension</b>: 2021-04-01</p><p><b>Hierarchical Status Extension</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status applied-not-superseded}\">Hierarchies applied and Condition Category is not superseded</span></p><blockquote><p><b>Condition Category Remark Extension</b></p><ul><li>author: <a href=\"http://terminology.hl7.org/5.0.0/NamingSystem-npi.html\" title=\"National Provider Identifier\">NPI</a>/1234567890</li></ul></blockquote><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cmshcc 18}\">HCC 18: Diabetes with Chronic Complications</span></p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-002</blockquote><p><b>Condition Category Type Extension</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type historic}\">Historic Condition Category Gap</span></p><p><b>Evidence Status Extension</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status pending}\">Pending Condition Category Gap</span></p><p><b>Evidence Status Date Extension</b>: 2021-09-29</p><p><b>Hierarchical Status Extension</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status applied-not-superseded}\">Hierarchies applied and Condition Category is not superseded</span></p><p><b>Diagnosis Code Extension</b>: <span title=\"Codes:{http://snomed.info/sct 832007}\">Moderate major depression</span></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cmshcc 111}\">HCC 111: Chronic Obstructive Pulmonary Disease</span></p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-003</blockquote><p><b>Condition Category Type Extension</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type historic}\">Historic Condition Category Gap</span></p><p><b>Evidence Status Extension</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status open-gap}\">Open Condition Category Gap</span></p><p><b>Evidence Status Date Extension</b>: 2020-07-15</p><p><b>Hierarchical Status Extension</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status applied-not-superseded}\">Hierarchies applied and Condition Category is not superseded</span></p><blockquote><p><b>Condition Category Remark Extension</b></p><ul><li>author: <a href=\"http://terminology.hl7.org/5.0.0/NamingSystem-npi.html\" title=\"National Provider Identifier\">NPI</a>/1234567890</li><li>text: Diagnosis added</li><li>code: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/coding-gap-remark assessed-present}\">Assessed and present</span></li><li>relatedData: <code>http://example.org/fhir/myclaimno</code>/CLM23333</li></ul></blockquote><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cmshcc 59}\">HCC 59: Major Depressive, Bipolar, and Paranoid Disorders</span></p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-004</blockquote><p><b>Condition Category Type Extension</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type historic}\">Historic Condition Category Gap</span></p><p><b>Evidence Status Extension</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status closed-gap}\">Closed Condition Category Gap</span></p><p><b>Evidence Status Date Extension</b>: 2021-04-27</p><p><b>Hierarchical Status Extension</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status applied-superseded}\">Hierarchies applied and Condition Category is superseded</span></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cmshcc 112}\">HCC 112: Fibrosis of lung and other chronic lung disorders</span></p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-005</blockquote><p><b>Condition Category Type Extension</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type historic}\">Historic Condition Category Gap</span></p><p><b>Evidence Status Extension</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status pending}\">Pending Condition Category Gap</span></p><p><b>Evidence Status Date Extension</b>: 2021-09-27</p><p><b>Hierarchical Status Extension</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status applied-superseded}\">Hierarchies applied and Condition Category is superseded</span></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cmshcc 19}\">HCC 19: Diabetes without Complications</span></p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-006</blockquote><p><b>Condition Category Type Extension</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type historic}\">Historic Condition Category Gap</span></p><p><b>Evidence Status Extension</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status open-gap}\">Open Condition Category Gap</span></p><p><b>Evidence Status Date Extension</b>: 2020-12-15</p><p><b>Hierarchical Status Extension</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status applied-superseded}\">Hierarchies applied and Condition Category is superseded</span></p><blockquote><p><b>Condition Category Remark Extension</b></p><ul><li>author: <a href=\"http://terminology.hl7.org/5.0.0/NamingSystem-npi.html\" title=\"National Provider Identifier\">NPI</a>/1234567890</li><li>authorDatetime: 2021-11-01</li><li>text: Continue evaluation</li><li>code: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/coding-gap-remark deferred}\">Deferred</span></li></ul></blockquote><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cmshcc 84}\">HCC 84: Cardio-Respiratory Failure and Shock</span></p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-007</blockquote><p><b>Condition Category Type Extension</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type suspected}\">Suspected Condition Category Gap</span></p><p><b>Evidence Status Extension</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status closed-gap}\">Closed Condition Category Gap</span></p><p><b>Evidence Status Date Extension</b>: 2021-03-15</p><p><b>Hierarchical Status Extension</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status applied-not-superseded}\">Hierarchies applied and Condition Category is not superseded</span></p><blockquote><p><b>Condition Category Remark Extension</b></p><ul><li>author: <a href=\"http://terminology.hl7.org/5.0.0/NamingSystem-npi.html\" title=\"National Provider Identifier\">NPI</a>/1234567890</li><li>authorDatetime: 2021-11-01</li></ul></blockquote><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cmshcc 22}\">HCC 22: Morbid Obesity</span></p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-008</blockquote><p><b>Condition Category Type Extension</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type suspected}\">Suspected Condition Category Gap</span></p><p><b>Evidence Status Extension</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status pending}\">Pending Condition Category Gap</span></p><p><b>Evidence Status Date Extension</b>: 2021-09-27</p><p><b>Hierarchical Status Extension</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status applied-not-superseded}\">Hierarchies applied and Condition Category is not superseded</span></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cmshcc 96}\">HCC 96: Specified Heart Arrhythmias</span></p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-009</blockquote><p><b>Condition Category Type Extension</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type suspected}\">Suspected Condition Category Gap</span></p><p><b>Evidence Status Extension</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status open-gap}\">Open Condition Category Gap</span></p><p><b>Evidence Status Date Extension</b>: 2020-07-15</p><p><b>Hierarchical Status Extension</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status applied-not-superseded}\">Hierarchies applied and Condition Category is not superseded</span></p><p><b>Confidence Scale Extension</b>: <span title=\"Codes:{http://snomed.info/sct 255508009}\">Medium</span></p><blockquote><p><b>Condition Category Remark Extension</b></p><ul><li>author: <a href=\"http://terminology.hl7.org/5.0.0/NamingSystem-npi.html\" title=\"National Provider Identifier\">NPI</a>/1234567890</li><li>authorDatetime: 2021-11-01</li><li>text: Not diagnosed</li><li>code: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/coding-gap-remark assessed-not-present}\">Assessed and not present</span></li><li>relatedData: <code>http://example.org/fhir/mychart</code>/432203939</li></ul></blockquote><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cmshcc 110}\">HCC 110: Cystic Fibrosis</span></p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-010</blockquote><p><b>Condition Category Type Extension</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type net-new}\">Net-New Condition Category</span></p><p><b>Evidence Status Extension</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status pending}\">Pending Condition Category Gap</span></p><p><b>Evidence Status Date Extension</b>: 2021-09-28</p><p><b>Hierarchical Status Extension</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status applied-not-superseded}\">Hierarchies applied and Condition Category is not superseded</span></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/cmshcc 83}\">HCC 83: Respiratory Arrest</span></p></blockquote><p><b>evaluatedResource</b>: </p><ul><li><a href=\"Condition-ra-condition02pat01.html\">Condition Diabetes mellitus due to underlying condition with other diabetic kidney complication</a></li><li><a href=\"Condition-ra-condition03pat01.html\">Condition Chronic obstructive pulmonary disease with (acute) exacerbation</a></li><li><a href=\"Condition-ra-condition08pat01.html\">Condition Bipolar disorder, current episode mixed, mild</a></li><li><a href=\"Condition-ra-condition09pat01.html\">Condition Allergic bronchopulmonary aspergillosis</a></li><li><a href=\"Condition-ra-condition10pat01.html\">Condition Long term (current) use of insulin</a></li><li><a href=\"Condition-ra-condition11pat01.html\">Condition Acute pulmonary edema</a></li><li><a href=\"Condition-ra-condition17pat01.html\">Condition Body mass index [BMI] 45.0-49.9, adult</a></li><li><a href=\"Condition-ra-condition18pat01.html\">Condition Longstanding persistent atrial fibrillation</a></li><li><a href=\"Condition-ra-condition33pat01.html\">Condition Respiratory arrest</a></li><li><a href=\"Condition-ra-condition43pat01.html\">Condition Diabetes mellitus due to underlying condition with other diabetic kidney complication</a></li><li><a href=\"Condition-ra-condition44pat01.html\">Condition Allergic bronchopulmonary aspergillosis</a></li><li><a href=\"Encounter-ra-encounter02pat01.html\">Encounter: status = finished; class = ambulatory (ActCode#AMB); type = Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 40-54 minutes of total time is spent on the date of the encounter.; period = 2021-01-31 --> 2021-01-31</a></li><li><a href=\"Encounter-ra-encounter03pat01.html\">Encounter: status = finished; class = ambulatory (ActCode#AMB); type = Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 40-54 minutes of total time is spent on the date of the encounter.; period = 2021-09-26 --> 2021-09-26</a></li><li><a href=\"Encounter-ra-encounter08pat01.html\">Encounter: status = finished; class = ambulatory (ActCode#AMB); type = Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 40-54 minutes of total time is spent on the date of the encounter.; period = 2017-02-03 --> 2017-02-03</a></li><li><a href=\"Encounter-ra-encounter09pat01.html\">Encounter: status = finished; class = ambulatory (ActCode#AMB); type = Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 40-54 minutes of total time is spent on the date of the encounter.; period = 2021-03-27 --> 2021-03-27</a></li><li><a href=\"Encounter-ra-encounter11pat01.html\">Encounter: status = finished; class = ambulatory (ActCode#AMB); type = Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 40-54 minutes of total time is spent on the date of the encounter.; period = 2020-11-02 --> 2020-11-02</a></li><li><a href=\"Encounter-ra-encounter43pat01.html\">Encounter: status = finished; class = ambulatory (ActCode#AMB); type = Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 40-54 minutes of total time is spent on the date of the encounter.; period = 2019-02-10 --> 2019-02-10</a></li><li><a href=\"Encounter-ra-encounter44pat01.html\">Encounter: status = finished; class = ambulatory (ActCode#AMB); type = Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 40-54 minutes of total time is spent on the date of the encounter.; period = 2017-01-18 --> 2017-01-18</a></li><li><a href=\"Observation-ra-obs21pat01.html\">Observation Trypsin [Mass/volume] in Serum or Plasma</a></li></ul></div>"
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/measurereport-category",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/CodeSystem/measurereport-category",
"code": "ra"
}
]
}
},
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-clinicalDataCollectionDeadline",
"valueDate": "2022-03-31"
}
],
"status": "complete",
"type": "individual",
"measure": "http://hl7.org/fhir/us/davinci-ra/Measure/RAModelExample01",
"subject": {
"reference": "Patient/ra-patient01"
},
"date": "2021-10-18",
"reporter": {
"reference": "Organization/ra-payer01"
},
"period": {
"start": "2021-01-01",
"end": "2021-09-30"
},
"group": [
{
"id": "group-001",
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccType",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type",
"code": "historic"
}
]
}
},
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status",
"code": "closed-gap"
}
]
}
},
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate",
"valueDate": "2021-04-01"
},
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status",
"code": "applied-not-superseded"
}
]
}
},
{
"extension": [
{
"url": "author",
"valueIdentifier": {
"system": "http://hl7.org/fhir/sid/us-npi",
"value": "1234567890"
}
}
],
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccRemark"
}
],
"code": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/cmshcc",
"version": "24",
"code": "18",
"display": "Diabetes with Chronic Complications"
}
],
"text": "HCC 18: Diabetes with Chronic Complications"
}
},
{
"id": "group-002",
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccType",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type",
"code": "historic"
}
]
}
},
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status",
"code": "pending"
}
]
}
},
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate",
"valueDate": "2021-09-29"
},
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status",
"code": "applied-not-superseded"
}
]
}
},
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-dxCode",
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "832007",
"display": "Moderate major depression"
}
]
}
}
],
"code": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/cmshcc",
"version": "24",
"code": "111",
"display": "Chronic Obstructive Pulmonary Disease"
}
],
"text": "HCC 111: Chronic Obstructive Pulmonary Disease"
}
},
{
"id": "group-003",
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccType",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type",
"code": "historic"
}
]
}
},
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status",
"code": "open-gap"
}
]
}
},
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate",
"valueDate": "2020-07-15"
},
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status",
"code": "applied-not-superseded"
}
]
}
},
{
"extension": [
{
"url": "author",
"valueIdentifier": {
"system": "http://hl7.org/fhir/sid/us-npi",
"value": "1234567890"
}
},
{
"url": "text",
"valueString": "Diagnosis added"
},
{
"url": "code",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-ra/CodeSystem/coding-gap-remark",
"code": "assessed-present",
"display": "Assessed and present"
}
]
}
},
{
"url": "relatedData",
"valueIdentifier": {
"system": "http://example.org/fhir/myclaimno",
"value": "CLM23333"
}
}
],
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccRemark"
}
],
"code": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/cmshcc",
"version": "24",
"code": "59",
"display": "Major Depressive, Bipolar, and Paranoid Disorders"
}
],
"text": "HCC 59: Major Depressive, Bipolar, and Paranoid Disorders"
}
},
{
"id": "group-004",
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccType",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type",
"code": "historic"
}
]
}
},
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status",
"code": "closed-gap"
}
]
}
},
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate",
"valueDate": "2021-04-27"
},
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status",
"code": "applied-superseded"
}
]
}
}
],
"code": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/cmshcc",
"version": "24",
"code": "112",
"display": "Fibrosis of lung and other chronic lung disorders"
}
],
"text": "HCC 112: Fibrosis of lung and other chronic lung disorders"
}
},
{
"id": "group-005",
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccType",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type",
"code": "historic"
}
]
}
},
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status",
"code": "pending"
}
]
}
},
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate",
"valueDate": "2021-09-27"
},
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status",
"code": "applied-superseded"
}
]
}
}
],
"code": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/cmshcc",
"version": "24",
"code": "19",
"display": "Diabetes without Complications"
}
],
"text": "HCC 19: Diabetes without Complications"
}
},
{
"id": "group-006",
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccType",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type",
"code": "historic"
}
]
}
},
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status",
"code": "open-gap"
}
]
}
},
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate",
"valueDate": "2020-12-15"
},
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status",
"code": "applied-superseded"
}
]
}
},
{
"extension": [
{
"url": "author",
"valueIdentifier": {
"system": "http://hl7.org/fhir/sid/us-npi",
"value": "1234567890"
}
},
{
"url": "authorDatetime",
"valueDateTime": "2021-11-01"
},
{
"url": "text",
"valueString": "Continue evaluation"
},
{
"url": "code",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-ra/CodeSystem/coding-gap-remark",
"code": "deferred",
"display": "Deferred"
}
]
}
}
],
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccRemark"
}
],
"code": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/cmshcc",
"version": "24",
"code": "84",
"display": "Cardio-Respiratory Failure and Shock"
}
],
"text": "HCC 84: Cardio-Respiratory Failure and Shock"
}
},
{
"id": "group-007",
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccType",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type",
"code": "suspected"
}
]
}
},
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status",
"code": "closed-gap"
}
]
}
},
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate",
"valueDate": "2021-03-15"
},
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status",
"code": "applied-not-superseded"
}
]
}
},
{
"extension": [
{
"url": "author",
"valueIdentifier": {
"system": "http://hl7.org/fhir/sid/us-npi",
"value": "1234567890"
}
},
{
"url": "authorDatetime",
"valueDateTime": "2021-11-01"
}
],
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccRemark"
}
],
"code": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/cmshcc",
"version": "24",
"code": "22",
"display": "Morbid Obesity"
}
],
"text": "HCC 22: Morbid Obesity"
}
},
{
"id": "group-008",
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccType",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type",
"code": "suspected"
}
]
}
},
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status",
"code": "pending"
}
]
}
},
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate",
"valueDate": "2021-09-27"
},
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status",
"code": "applied-not-superseded"
}
]
}
}
],
"code": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/cmshcc",
"version": "24",
"code": "96",
"display": "Specified Heart Arrhythmias"
}
],
"text": "HCC 96: Specified Heart Arrhythmias"
}
},
{
"id": "group-009",
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccType",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type",
"code": "suspected"
}
]
}
},
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status",
"code": "open-gap"
}
]
}
},
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate",
"valueDate": "2020-07-15"
},
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status",
"code": "applied-not-superseded"
}
]
}
},
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-confidenceScale",
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "255508009",
"display": "Medium"
}
]
}
},
{
"extension": [
{
"url": "author",
"valueIdentifier": {
"system": "http://hl7.org/fhir/sid/us-npi",
"value": "1234567890"
}
},
{
"url": "authorDatetime",
"valueDateTime": "2021-11-01"
},
{
"url": "text",
"valueString": "Not diagnosed"
},
{
"url": "code",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-ra/CodeSystem/coding-gap-remark",
"code": "assessed-not-present"
}
]
}
},
{
"url": "relatedData",
"valueIdentifier": {
"system": "http://example.org/fhir/mychart",
"value": "432203939"
}
}
],
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccRemark"
}
],
"code": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/cmshcc",
"version": "24",
"code": "110",
"display": "Cystic Fibrosis"
}
],
"text": "HCC 110: Cystic Fibrosis"
}
},
{
"id": "group-010",
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccType",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type",
"code": "net-new"
}
]
}
},
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status",
"code": "pending"
}
]
}
},
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate",
"valueDate": "2021-09-28"
},
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status",
"code": "applied-not-superseded"
}
]
}
}
],
"code": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/cmshcc",
"version": "24",
"code": "83",
"display": "Respiratory Arrest"
}
],
"text": "HCC 83: Respiratory Arrest"
}
}
],
"evaluatedResource": [
{
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
"valueString": "group-001"
}
],
"reference": "Condition/ra-condition02pat01"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
"valueString": "group-002"
}
],
"reference": "Condition/ra-condition03pat01"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
"valueString": "group-003"
}
],
"reference": "Condition/ra-condition08pat01"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
"valueString": "group-004"
}
],
"reference": "Condition/ra-condition09pat01"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
"valueString": "group-005"
}
],
"reference": "Condition/ra-condition10pat01"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
"valueString": "group-006"
}
],
"reference": "Condition/ra-condition11pat01"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
"valueString": "group-007"
}
],
"reference": "Condition/ra-condition17pat01"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
"valueString": "group-008"
}
],
"reference": "Condition/ra-condition18pat01"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
"valueString": "group-010"
}
],
"reference": "Condition/ra-condition33pat01"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
"valueString": "group-001"
}
],
"reference": "Condition/ra-condition43pat01"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
"valueString": "group-004"
}
],
"reference": "Condition/ra-condition44pat01"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
"valueString": "group-001"
},
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
"valueString": "group-007"
}
],
"reference": "Encounter/ra-encounter02pat01"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
"valueString": "group-002"
},
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
"valueString": "group-005"
},
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
"valueString": "group-008"
},
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
"valueString": "group-010"
}
],
"reference": "Encounter/ra-encounter03pat01"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
"valueString": "group-003"
}
],
"reference": "Encounter/ra-encounter08pat01"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
"valueString": "group-004"
}
],
"reference": "Encounter/ra-encounter09pat01"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
"valueString": "group-006"
}
],
"reference": "Encounter/ra-encounter11pat01"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
"valueString": "group-001"
}
],
"reference": "Encounter/ra-encounter43pat01"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
"valueString": "group-004"
}
],
"reference": "Encounter/ra-encounter44pat01"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
"valueString": "group-009"
}
],
"reference": "Observation/ra-obs21pat01"
}
]
}
}
]
}