FHIRsmith: MeasureReport/MeasureReport-ra-measurereport04.json

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Package	hl7.fhir.us.davinci-ra.r4b
Resource Type	MeasureReport
Id	MeasureReport-ra-measurereport04.json
FHIR Version	R4B

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Narrative

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

Generated Narrative: MeasureReport ra-measurereport04

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 21 - CMS Hierarchical Category Condition (CMS-HCC)

subject: Nelda Nuclear (official) Female, DoB: 1965-07-26 ( Medical record number: 34567 (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
Hierarchical Status Extension: Hierarchies applied and Condition Category is not superseded
code: CMS-HCC 188: Artificial Openings for Feeding or Elimination

group
id
group-002
Condition Category Type Extension: Historic Condition Category Gap
Evidence Status Extension: Open Condition Category Gap
Hierarchical Status Extension: Hierarchies applied and Condition Category is not superseded
code: CMS-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
Hierarchical Status Extension: Hierarchies applied and Condition Category is not superseded
code: CMS-HCC 21: Protein-Calorie Malnutrition

group
id
group-004
Condition Category Type Extension: Historic Condition Category Gap
Evidence Status Extension: Open Condition Category Gap
Hierarchical Status Extension: Hierarchies applied and Condition Category is not superseded
code: CMS-HCC 35: Inflammatory Bowel Disease

group
id
group-005
Condition Category Type Extension: Historic Condition Category Gap
Evidence Status Extension: Open Condition Category Gap
Hierarchical Status Extension: Hierarchies applied and Condition Category is not superseded
code: CMS-HCC 96: Specified Heart Arrhythmia

group
id
group-006
Condition Category Type Extension: Suspected Condition Category Gap
Evidence Status Extension: Closed Condition Category Gap
Hierarchical Status Extension: Hierarchies applied and Condition Category is not superseded
code: CMS-HCC 18: Diabetes with Chronic Complications

group
id
group-007
Condition Category Type Extension: Suspected Condition Category Gap
Evidence Status Extension: Closed Condition Category Gap
Hierarchical Status Extension: Hierarchies applied and Condition Category is not superseded
code: CMS-HCC 134: Dialysis Status

group
id
group-008
Condition Category Type Extension: Suspected Condition Category Gap
Evidence Status Extension: Open Condition Category Gap
Hierarchical Status Extension: Hierarchies applied and Condition Category is not superseded
code: CMS-HCC 58: Major Depressive, Bipolar, and Paranoid Disorders

group
id
group-009
Condition Category Type Extension: Suspected Condition Category Gap
Evidence Status Extension: Closed Condition Category Gap
Hierarchical Status Extension: Hierarchies applied and Condition Category is superseded
code: CMS-HCC 19: Diabetes without Complication

group
id
group-010
Condition Category Type Extension: Suspected Condition Category Gap
Evidence Status Extension: Pending Condition Category Gap
Hierarchical Status Extension: Hierarchies applied and Condition Category is superseded
code: CMS-HCC 135: Acute Renal Failure

group
id
group-011
Condition Category Type Extension: Suspected Condition Category Gap
Evidence Status Extension: Open Condition Category Gap
Hierarchical Status Extension: Hierarchies applied and Condition Category is superseded
code: CMS-HCC 136: Chronic Kidney Disease, Stage 5

group
id
group-012
Condition Category Type Extension: Net-New Condition Category
Evidence Status Extension: Pending Condition Category Gap
Hierarchical Status Extension: Hierarchies applied and Condition Category is not superseded
code: CMS-HCC 107: Vascular Disease with Complications

group
id
group-013
Condition Category Type Extension: Net-New Condition Category
Evidence Status Extension: Closed Condition Category Gap
Hierarchical Status Extension: Hierarchies applied and Condition Category is superseded
code: CMS-HCC 108: Vascular Disease

evaluatedResource:

Source1

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  "resourceType": "MeasureReport",
  "id": "ra-measurereport04",
  "meta": {
    "extension": [
      {
        "url": "http://hl7.org/fhir/StructureDefinition/instance-name",
        "valueString": "RA Coding Gap MeasureReport Example04 with RA Model CMS-HCC V21 for Patient03 Nelda Nuclear"
      },
      {
        "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 21 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/RAModelExample02",
  "subject": {
    "reference": "Patient/ra-patient03"
  },
  "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-hierarchicalStatus",
          "valueCodeableConcept": {
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                "code": "applied-not-superseded"
              }
            ]
          }
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      ],
      "code": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/cmshcc",
            "version": "21",
            "code": "188",
            "display": "Artificial Openings for Feeding or Elimination"
          }
        ],
        "text": "CMS-HCC 188: Artificial Openings for Feeding or Elimination"
      }
    },
    {
      "id": "group-002",
      "extension": [
        {
          "url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccType",
          "valueCodeableConcept": {
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          }
        },
        {
          "url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus",
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      ],
      "code": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/cmshcc",
            "version": "21",
            "code": "111",
            "display": "Chronic Obstructive Pulmonary Disease"
          }
        ],
        "text": "CMS-HCC 111: Chronic Obstructive Pulmonary Disease"
      }
    },
    {
      "id": "group-003",
      "extension": [
        {
          "url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccType",
          "valueCodeableConcept": {
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              }
            ]
          }
        },
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          "url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus",
          "valueCodeableConcept": {
            "coding": [
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                "code": "open-gap"
              }
            ]
          }
        },
        {
          "url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus",
          "valueCodeableConcept": {
            "coding": [
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              }
            ]
          }
        }
      ],
      "code": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/cmshcc",
            "version": "21",
            "code": "21",
            "display": "Protein-Calorie Malnutrition"
          }
        ],
        "text": "CMS-HCC 21: Protein-Calorie Malnutrition"
      }
    },
    {
      "id": "group-004",
      "extension": [
        {
          "url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccType",
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              }
            ]
          }
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          "valueCodeableConcept": {
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              }
            ]
          }
        },
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          "url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus",
          "valueCodeableConcept": {
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              }
            ]
          }
        }
      ],
      "code": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/cmshcc",
            "version": "21",
            "code": "35",
            "display": "Inflammatory Bowel Disease"
          }
        ],
        "text": "CMS-HCC 35: Inflammatory Bowel Disease"
      }
    },
    {
      "id": "group-005",
      "extension": [
        {
          "url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccType",
          "valueCodeableConcept": {
            "coding": [
              {
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                "code": "historic"
              }
            ]
          }
        },
        {
          "url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus",
          "valueCodeableConcept": {
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              }
            ]
          }
        },
        {
          "url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus",
          "valueCodeableConcept": {
            "coding": [
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              }
            ]
          }
        }
      ],
      "code": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/cmshcc",
            "version": "21",
            "code": "96",
            "display": "Specified Heart Arrhythmias"
          }
        ],
        "text": "CMS-HCC 96: Specified Heart Arrhythmia"
      }
    },
    {
      "id": "group-006",
      "extension": [
        {
          "url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccType",
          "valueCodeableConcept": {
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              {
                "system": "http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type",
                "code": "suspected"
              }
            ]
          }
        },
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            ]
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        }
      ],
      "code": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/cmshcc",
            "version": "21",
            "code": "18",
            "display": "Diabetes with Chronic Complications"
          }
        ],
        "text": "CMS-HCC 18: Diabetes with Chronic Complications"
      }
    },
    {
      "id": "group-007",
      "extension": [
        {
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              }
            ]
          }
        },
        {
          "url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus",
          "valueCodeableConcept": {
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        {
          "url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus",
          "valueCodeableConcept": {
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              }
            ]
          }
        }
      ],
      "code": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/cmshcc",
            "version": "21",
            "code": "134",
            "display": "Dialysis Status"
          }
        ],
        "text": "CMS-HCC 134: Dialysis Status"
      }
    },
    {
      "id": "group-008",
      "extension": [
        {
          "url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccType",
          "valueCodeableConcept": {
            "coding": [
              {
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                "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-hierarchicalStatus",
          "valueCodeableConcept": {
            "coding": [
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              }
            ]
          }
        }
      ],
      "code": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/cmshcc",
            "version": "21",
            "code": "58",
            "display": "Major Depressive, Bipolar, and Paranoid Disorders"
          }
        ],
        "text": "CMS-HCC 58: Major Depressive, Bipolar, and Paranoid Disorders"
      }
    },
    {
      "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": "closed-gap"
              }
            ]
          }
        },
        {
          "url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus",
          "valueCodeableConcept": {
            "coding": [
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              }
            ]
          }
        }
      ],
      "code": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/cmshcc",
            "version": "21",
            "code": "19",
            "display": "Diabetes without Complication"
          }
        ],
        "text": "CMS-HCC 19: Diabetes without Complication"
      }
    },
    {
      "id": "group-010",
      "extension": [
        {
          "url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccType",
          "valueCodeableConcept": {
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                "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-hierarchicalStatus",
          "valueCodeableConcept": {
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              }
            ]
          }
        }
      ],
      "code": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/cmshcc",
            "version": "21",
            "code": "135",
            "display": "Acute Renal Failure"
          }
        ],
        "text": "CMS-HCC 135: Acute Renal Failure"
      }
    },
    {
      "id": "group-011",
      "extension": [
        {
          "url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccType",
          "valueCodeableConcept": {
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                "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-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": "21",
            "code": "136",
            "display": "Chronic Kidney Disease, Stage 5"
          }
        ],
        "text": "CMS-HCC 136: Chronic Kidney Disease, Stage 5"
      }
    },
    {
      "id": "group-012",
      "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-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": "21",
            "code": "107",
            "display": "Vascular Disease with Complications"
          }
        ],
        "text": "CMS-HCC 107: Vascular Disease with Complications"
      }
    },
    {
      "id": "group-013",
      "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": "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": "applied-superseded"
              }
            ]
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}

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