RiskAdjustmentDataExchangeMeasureReport

Risk Adjustment Data Exchange MeasureReport

activeDa Vinci Risk Adjustment2.1.0resource20 key elements

This profile is based on the MeasureReport. It is used for Provider to submit data such as clinical evaluation evidence to Payer.

Metadata

Canonical URL: http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-datax-measurereport
ID: ra-datax-measurereport
Type
Base Definition
Derivation: constraint

Mandatory and Must-Support Elements

Elements with cardinality > 0 or marked as Must Support (S)

Path	Card.	Type	Flags	Description
:measurereport-category	1..1	Extension	S1+
extension.value[x].coding	1..1		1+
extension.value[x].coding.code	1..1		1+
:payerCodingGapReportId	0..1	Extension	S
:software	0..*	Extension	S
:vendor	0..1	Extension	S
status			S
type		code	S	The type code is fixed to 'data-collection' for a risk adjustment data exchange measure report
measure		canonical	S	This references a measure that represents a risk adjustment model, such as CMS-HCC V24, CMS-HCC V28.
subject	1..1	Reference	S1+
date	1..1		S1+	When the report was generated
reporter	1..1	Reference	S1+	Organization that generated the MeasureReport
period	1..1	Period	S1+	Clinical evaluation period during which risk adjusting encounters could be conducted and documented with expectations of submission for risk adjustment purposes.
period.start	1..1		S1+
period.end	1..1		S1+
group	0..*		S	Condition Category
group.id	1..1		S1+
group.code	0..1	CodeableConcept	S	Condition Category (CC) code for a Risk Adjustment Model
evaluatedResource			S	An evaluated resource in a risk adjusstment data exchange MeasureReport is any data Provider submits to Payer as clinical evaluation evidence, such as a Consolidated Clinical Document Architecture (C-CDA) document, enounters, and diagnoses.
:groupReference	0..*	Extension	S	This id references the `MeasureReport.group.id`, which allows linking a supporting resource to a specific Condition Categories coding gap.