FHIR IG analytics| Package | hl7.fhir.us.davinci-ra.r4b |
| Resource Type | MeasureReport |
| Id | MeasureReport-ra-measurereport01.json |
| FHIR Version | R4B |
No resources found
No resources found
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-001Condition 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Hierarchical Status Extension: Hierarchies applied and Condition Category is not superseded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-002Condition 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Hierarchical Status Extension: Hierarchies applied and Condition Category is not superseded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-003Condition 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Hierarchical Status Extension: Hierarchies applied and Condition Category is not superseded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-004Condition 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Hierarchical Status Extension: Hierarchies applied and Condition Category is superseded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-005Condition 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Hierarchical Status Extension: Hierarchies applied and Condition Category is superseded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-006Condition 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-007Condition 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-008Condition 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-009Condition 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-010Condition 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:
{
"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"
}
]
}