FHIRsmith: MeasureReport/MeasureReport-ra-measurereport02.json

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Package	hl7.fhir.us.davinci-ra.r4b
Resource Type	MeasureReport
Id	MeasureReport-ra-measurereport02.json
FHIR Version	R4B

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Narrative

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

Generated Narrative: MeasureReport ra-measurereport02

Profile: Risk Adjustment Coding Gap MeasureReport

Measure Report Category: Risk Adjustment

Clinical Data Collection Deadline Extension: 2022-03-31

status: Complete

type: Individual

measure: Risk Adjustment Model Version 5 - CMS Prescribing Drug Hierarchical Category Condition (CMS-RxHCC)

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 not applied
code: CMS-RxHCC 227: Pulmonary Fibrosis and Other Chronic Lung Disorders

group
id
group-002
Condition Category Type Extension: Historic Condition Category Gap
Evidence Status Extension: Open Condition Category Gap
Evidence Status Date Extension: 2020-07-01
Hierarchical Status Extension: Hierarchies not applied
code: CMS-RxHCC 131: Bipolar Disorders

group
id
group-003
Condition Category Type Extension: Suspected Condition Category Gap
Evidence Status Extension: Closed Condition Category Gap
Evidence Status Date Extension: 2021-02-15
Hierarchical Status Extension: Hierarchies not applied
code: CMS-RxHCC 30: Diabetes with Chronic Complications

group
id
group-004
Condition Category Type Extension: Suspected Condition Category Gap
Evidence Status Date Extension: 2021-04-01
Evidence Status Extension: Closed Condition Category Gap
Hierarchical Status Extension: Hierarchies not applied
code: CMS-RxHCC 43: Morbid Obesity

group
id
group-005
Condition Category Type Extension: Suspected Condition Category Gap
Evidence Status Extension: Pending Condition Category Gap
Evidence Status Date Extension: 2021-09-29
Hierarchical Status Extension: Hierarchies not applied
code: CMS-RxHCC 31: Diabetes without Complications

group
id
group-006
Condition Category Type Extension: Net-New Condition Category
Evidence Status Extension: Pending Condition Category Gap
Evidence Status Date Extension: 2021-09-29
Hierarchical Status Extension: Hierarchies not applied
code: CMS-RxHCC 226: Chronic Obstructive Pulmonary Disease and Asthma

evaluatedResource:

Source1

{
  "resourceType": "MeasureReport",
  "id": "ra-measurereport02",
  "meta": {
    "extension": [
      {
        "url": "http://hl7.org/fhir/StructureDefinition/instance-name",
        "valueString": "RA Coding Gap MeasureReport Example02 with RA Model CMS-RxHCC V5 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-RxHCC version 5 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/RAModelExample03",
  "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": "not-applied"
              }
            ]
          }
        }
      ],
      "code": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/cmsrxhcc",
            "version": "5",
            "code": "227",
            "display": "Pulmonary Fibrosis and Other Chronic Lung Disorders"
          }
        ],
        "text": "CMS-RxHCC 227: Pulmonary Fibrosis and Other Chronic Lung Disorders"
      }
    },
    {
      "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": "open-gap"
              }
            ]
          }
        },
        {
          "url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate",
          "valueDate": "2020-07-01"
        },
        {
          "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": "not-applied"
              }
            ]
          }
        }
      ],
      "code": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/cmsrxhcc",
            "version": "5",
            "code": "131",
            "display": "Bipolar Disorders"
          }
        ],
        "text": "CMS-RxHCC 131: Bipolar Disorders"
      }
    },
    {
      "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": "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": "2021-02-15"
        },
        {
          "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": "not-applied"
              }
            ]
          }
        }
      ],
      "code": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/cmsrxhcc",
            "version": "5",
            "code": "30",
            "display": "Diabetes with Chronic Complications"
          }
        ],
        "text": "CMS-RxHCC 30: Diabetes with Chronic Complications"
      }
    },
    {
      "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": "suspected"
              }
            ]
          }
        },
        {
          "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-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-hierarchicalStatus",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status",
                "code": "not-applied"
              }
            ]
          }
        }
      ],
      "code": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/cmsrxhcc",
            "version": "5",
            "code": "43",
            "display": "Morbid Obesity"
          }
        ],
        "text": "CMS-RxHCC 43: Morbid Obesity"
      }
    },
    {
      "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": "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": "2021-09-29"
        },
        {
          "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": "not-applied"
              }
            ]
          }
        }
      ],
      "code": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/cmsrxhcc",
            "version": "5",
            "code": "31",
            "display": "Diabetes without Complications"
          }
        ],
        "text": "CMS-RxHCC 31: 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": "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": "2021-09-29"
        },
        {
          "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": "not-applied"
              }
            ]
          }
        }
      ],
      "code": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/cmsrxhcc",
            "version": "5",
            "code": "226",
            "display": "Chronic Obstructive Pulmonary Disease and Asthma"
          }
        ],
        "text": "CMS-RxHCC 226: Chronic Obstructive Pulmonary Disease and Asthma"
      }
    }
  ],
  "evaluatedResource": [
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
          "valueString": "group-001"
        }
      ],
      "reference": "Condition/ra-condition09pat01"
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
          "valueString": "group-002"
        }
      ],
      "reference": "Condition/ra-condition08pat01"
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
          "valueString": "group-003"
        }
      ],
      "reference": "Condition/ra-condition02pat01"
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
          "valueString": "group-004"
        }
      ],
      "reference": "Condition/ra-condition17pat01"
    },
    {
      "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-condition03pat01"
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
          "valueString": "group-001"
        }
      ],
      "reference": "Condition/ra-condition44pat01"
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
          "valueString": "group-001"
        }
      ],
      "reference": "Encounter/ra-encounter09pat01"
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
          "valueString": "group-002"
        }
      ],
      "reference": "Encounter/ra-encounter08pat01"
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
          "valueString": "group-003"
        },
        {
          "url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
          "valueString": "group-004"
        }
      ],
      "reference": "Encounter/ra-encounter02pat01"
    },
    {
      "extension": [
        {
          "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-006"
        }
      ],
      "reference": "Encounter/ra-encounter03pat01"
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
          "valueString": "group-001"
        }
      ],
      "reference": "Encounter/ra-encounter45pat01"
    }
  ]
}

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