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FHIR IG analytics

Packagehl7.fhir.us.davinci-ra.r4b
Resource TypeMeasureReport
IdMeasureReport-ra-measurereport01.json
FHIR VersionR4B

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Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: MeasureReport ra-measurereport01

Measure Report Category: Risk Adjustment

Clinical Data Collection Deadline Extension: 2022-03-31

status: Complete

type: Individual

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

subject: Eve Everywoman (official) Female, DoB: 1975-01-16 ( Medical record number: 12345 (use: usual, ))

date: 2021-10-18

reporter: Organization ABC Payer

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

group

id

group-001

Condition Category Type Extension: Historic Condition Category Gap

Evidence Status Extension: Closed Condition Category Gap

Evidence Status Date Extension: 2021-04-01

Hierarchical Status Extension: Hierarchies applied and Condition Category is not superseded

code: HCC 18: Diabetes with Chronic Complications

group

id

group-002

Condition Category Type Extension: Historic Condition Category Gap

Evidence Status Extension: Pending Condition Category Gap

Evidence Status Date Extension: 2021-09-29

Hierarchical Status Extension: Hierarchies applied and Condition Category is not superseded

code: HCC 111: Chronic Obstructive Pulmonary Disease

group

id

group-003

Condition Category Type Extension: Historic Condition Category Gap

Evidence Status Extension: Open Condition Category Gap

Evidence Status Date Extension: 2020-07-15

Hierarchical Status Extension: Hierarchies applied and Condition Category is not superseded

code: HCC 59: Major Depressive, Bipolar, and Paranoid Disorders

group

id

group-004

Condition Category Type Extension: Historic Condition Category Gap

Evidence Status Extension: Closed Condition Category Gap

Evidence Status Date Extension: 2021-04-27

Hierarchical Status Extension: Hierarchies applied and Condition Category is superseded

code: HCC 112: Fibrosis of lung and other chronic lung disorders

group

id

group-005

Condition Category Type Extension: Historic Condition Category Gap

Evidence Status Extension: Pending Condition Category Gap

Evidence Status Date Extension: 2021-09-27

Hierarchical Status Extension: Hierarchies applied and Condition Category is superseded

code: HCC 19: Diabetes without Complications

group

id

group-006

Condition Category Type Extension: Historic Condition Category Gap

Evidence Status Extension: Open Condition Category Gap

Evidence Status Date Extension: 2020-12-15

Hierarchical Status Extension: Hierarchies applied and Condition Category is superseded

code: HCC 84: Cardio-Respiratory Failure and Shock

group

id

group-007

Condition Category Type Extension: Suspected Condition Category Gap

Evidence Status Extension: Closed Condition Category Gap

Evidence Status Date Extension: 2021-03-15

Hierarchical Status Extension: Hierarchies applied and Condition Category is not superseded

code: HCC 22: Morbid Obesity

group

id

group-008

Condition Category Type Extension: Suspected Condition Category Gap

Evidence Status Extension: Pending Condition Category Gap

Evidence Status Date Extension: 2021-09-27

Hierarchical Status Extension: Hierarchies applied and Condition Category is not superseded

code: HCC 96: Specified Heart Arrhythmias

group

id

group-009

Condition Category Type Extension: Suspected Condition Category Gap

Evidence Status Extension: Open Condition Category Gap

Evidence Status Date Extension: 2020-07-15

Hierarchical Status Extension: Hierarchies applied and Condition Category is not superseded

Confidence Scale Extension: Medium

code: HCC 110: Cystic Fibrosis

group

id

group-010

Condition Category Type Extension: Net-New Condition Category

Evidence Status Extension: Pending Condition Category Gap

Evidence Status Date Extension: 2021-09-28

Hierarchical Status Extension: Hierarchies applied and Condition Category is not superseded

code: HCC 83: Respiratory Arrest

evaluatedResource:


Source1

{
  "resourceType": "MeasureReport",
  "id": "ra-measurereport01",
  "meta": {
    "extension": [
      {
        "url": "http://hl7.org/fhir/StructureDefinition/instance-name",
        "valueString": "RA Coding Gap MeasureReport Example01 with RA Model CMS-HCC V24 for Patient01 Eve Everywoman"
      },
      {
        "url": "http://hl7.org/fhir/StructureDefinition/instance-description",
        "valueMarkdown": "This is an example for the Risk Adjustment Coding Gap MeasureReport profile. This example report uses the CMS-HCC version 24 as the Risk Adjustment Model and the example patient used is Eve Everywoman."
      }
    ],
    "profile": [
      "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-measurereport"
    ]
  },
  "text": {
    "status": "extensions",
    "div": "<!-- snip (see above) -->"
  },
  "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"
              }
            ]
          }
        }
      ],
      "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"
              }
            ]
          }
        }
      ],
      "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"
              }
            ]
          }
        }
      ],
      "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"
              }
            ]
          }
        }
      ],
      "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"
              }
            ]
          }
        }
      ],
      "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"
              }
            ]
          }
        }
      ],
      "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"
    }
  ]
}