Da Vinci Risk Adjustment Implementation Guide
2.0.0-ballot - STU2 Ballot

Publication Build: This will be filled in by the publication tooling

## Example MeasureReport: ra-measurereport03: Risk Adjustment Measure Report for HCC V24 for Patient 02

Generated Narrative: MeasureReport

Resource MeasureReport "ra-measurereport03"

Profile: Risk Adjustment Coding Gap MeasureReport

Risk Adjustment Clinical Data Collection Deadline: 2022-03-31

status: complete

type: individual

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

subject: Patient/ra-patient02 " EVERYMAN"

date: 2021-10-18

reporter: Organization/ra-payer01 "ABC Payer"

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

> group

> > id

> > group-001

> Risk Adjustment Suspect Type: Historic Condition Category Gap (Risk Adjustment Suspect Type CodeSystem#historic)

> Evidence Status: Closed Condition Category Gap (Risk Adjustment Evidence Status CodeSystem#closed-gap)

> Hierarchical Status: Hierarchies applied and Condition Category is not superseded (Risk Adjustment Hierarchical Status CodeSystem#applied-not-superseded)

> code: CMS HCC: 96, Specified Heart.Arrhythmias (CMS Hierarchical Condition Categories[24]#96 "Specified Heart.Arrhythmias")

> group

> > id

> > group-002

> Risk Adjustment Suspect Type: Suspected Condition Category Gap (Risk Adjustment Suspect Type CodeSystem#suspected)

> Evidence Status: Open Condition Category Gap (Risk Adjustment Evidence Status CodeSystem#open-gap)

> Risk Adjustment Evidence Status Date: 2020-07-15

> Hierarchical Status: Hierarchies applied and Condition Category is not superseded (Risk Adjustment Hierarchical Status CodeSystem#applied-not-superseded)

> code: HCC 110: Cystic Fibrosis (CMS Hierarchical Condition Categories[24]#110 "Cystic Fibrosis")

evaluatedResource:

- Condition/ra-condition31pat02
- Encounter/ra-encounter31pat02
- Observation/ra-obs01pat02
- Patient/ra-patient02 " EVERYMAN"