Da Vinci Risk Adjustment Implementation Guide
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## : ra-measurereport04: Risk Adjustment Measure Report for HCC V21 for Patient 03 - TTL Representation

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    @prefix fhir: <http://hl7.org/fhir/> .
    @prefix owl: <http://www.w3.org/2002/07/owl#> .
    @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
    @prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

    # - resource -------------------------------------------------------------------

     a fhir:MeasureReport ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:id [ fhir:v "ra-measurereport04"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-measurereport"^^xsd:anyURI ;
    fhir:link <http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-measurereport>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "extensions" ] ;
    fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MeasureReport</b><a name=\"ra-measurereport04\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource MeasureReport &quot;ra-measurereport04&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ra-measurereport.html\">Risk Adjustment Coding Gap MeasureReport</a></p></div><p><b>Risk Adjustment Clinical Data Collection Deadline</b>: 2022-03-31</p><p><b>status</b>: complete</p><p><b>type</b>: individual</p><p><b>measure</b>: <a href=\"Measure-RAModelExample02.html\">Risk Adjustment Model Version 21 - CMS Hierarchical Category Condition (CMS-HCC)</a></p><p><b>subject</b>: <a href=\"Patient-ra-patient03.html\">Patient/ra-patient03</a> &quot; NUCLEAR&quot;</p><p><b>date</b>: 2021-10-18</p><p><b>reporter</b>: <a href=\"Organization-ra-payer01.html\">Organization/ra-payer01</a> &quot;ABC Payer&quot;</p><p><b>period</b>: 2021-01-01 --&gt; 2021-09-30</p><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-001</blockquote><p><b>Risk Adjustment Suspect Type</b>: Historic Condition Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-suspect-type.html\">Risk Adjustment Suspect Type CodeSystem</a>#historic)</span></p><p><b>Evidence Status</b>: Closed Condition Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-evidence-status.html\">Risk Adjustment Evidence Status CodeSystem</a>#closed-gap)</span></p><p><b>Hierarchical Status</b>: Hierarchies applied and Condition Category is not superseded <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-hierarchical-status.html\">Risk Adjustment Hierarchical Status CodeSystem</a>#applied-not-superseded)</span></p><p><b>code</b>: CMS-HCC 188: Artificial Openings for Feeding or Elimination <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (CMS Hierarchical Condition Categories[21]#188 &quot;Artificial Openings for Feeding or Elimination&quot;)</span></p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-002</blockquote><p><b>Risk Adjustment Suspect Type</b>: Historic Condition Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-suspect-type.html\">Risk Adjustment Suspect Type CodeSystem</a>#historic)</span></p><p><b>Evidence Status</b>: Open Condition Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-evidence-status.html\">Risk Adjustment Evidence Status CodeSystem</a>#open-gap)</span></p><p><b>Hierarchical Status</b>: Hierarchies applied and Condition Category is not superseded <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-hierarchical-status.html\">Risk Adjustment Hierarchical Status CodeSystem</a>#applied-not-superseded)</span></p><p><b>code</b>: CMS-HCC 111: Chronic Obstructive Pulmonary Disease <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (CMS Hierarchical Condition Categories[21]#111 &quot;Chronic Obstructive Pulmonary Disease&quot;)</span></p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-003</blockquote><p><b>Risk Adjustment Suspect Type</b>: Historic Condition Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-suspect-type.html\">Risk Adjustment Suspect Type CodeSystem</a>#historic)</span></p><p><b>Evidence Status</b>: Open Condition Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-evidence-status.html\">Risk Adjustment Evidence Status CodeSystem</a>#open-gap)</span></p><p><b>Hierarchical Status</b>: Hierarchies applied and Condition Category is not superseded <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-hierarchical-status.html\">Risk Adjustment Hierarchical Status CodeSystem</a>#applied-not-superseded)</span></p><p><b>code</b>: CMS-HCC 21: Protein-Calorie Malnutrition <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (CMS Hierarchical Condition Categories[21]#21 &quot;Protein-Calorie Malnutrition&quot;)</span></p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-004</blockquote><p><b>Risk Adjustment Suspect Type</b>: Historic Condition Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-suspect-type.html\">Risk Adjustment Suspect Type CodeSystem</a>#historic)</span></p><p><b>Evidence Status</b>: Open Condition Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-evidence-status.html\">Risk Adjustment Evidence Status CodeSystem</a>#open-gap)</span></p><p><b>Hierarchical Status</b>: Hierarchies applied and Condition Category is not superseded <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-hierarchical-status.html\">Risk Adjustment Hierarchical Status CodeSystem</a>#applied-not-superseded)</span></p><p><b>code</b>: CMS-HCC 35: Inflammatory Bowel Disease <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (CMS Hierarchical Condition Categories[21]#35 &quot;Inflammatory Bowel Disease&quot;)</span></p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-005</blockquote><p><b>Risk Adjustment Suspect Type</b>: Historic Condition Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-suspect-type.html\">Risk Adjustment Suspect Type CodeSystem</a>#historic)</span></p><p><b>Evidence Status</b>: Open Condition Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-evidence-status.html\">Risk Adjustment Evidence Status CodeSystem</a>#open-gap)</span></p><p><b>Hierarchical Status</b>: Hierarchies applied and Condition Category is not superseded <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-hierarchical-status.html\">Risk Adjustment Hierarchical Status CodeSystem</a>#applied-not-superseded)</span></p><p><b>code</b>: CMS-HCC 96: Specified Heart Arrhythmia <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (CMS Hierarchical Condition Categories[21]#96 &quot;Specified Heart Arrhythmias&quot;)</span></p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-006</blockquote><p><b>Risk Adjustment Suspect Type</b>: Suspected Condition Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-suspect-type.html\">Risk Adjustment Suspect Type CodeSystem</a>#suspected)</span></p><p><b>Evidence Status</b>: Closed Condition Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-evidence-status.html\">Risk Adjustment Evidence Status CodeSystem</a>#closed-gap)</span></p><p><b>Hierarchical Status</b>: Hierarchies applied and Condition Category is not superseded <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-hierarchical-status.html\">Risk Adjustment Hierarchical Status CodeSystem</a>#applied-not-superseded)</span></p><p><b>code</b>: CMS-HCC 18: Diabetes with Chronic Complications <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (CMS Hierarchical Condition Categories[21]#18 &quot;Diabetes with Chronic Complications&quot;)</span></p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-007</blockquote><p><b>Risk Adjustment Suspect Type</b>: Suspected Condition Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-suspect-type.html\">Risk Adjustment Suspect Type CodeSystem</a>#suspected)</span></p><p><b>Evidence Status</b>: Closed Condition Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-evidence-status.html\">Risk Adjustment Evidence Status CodeSystem</a>#closed-gap)</span></p><p><b>Hierarchical Status</b>: Hierarchies applied and Condition Category is not superseded <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-hierarchical-status.html\">Risk Adjustment Hierarchical Status CodeSystem</a>#applied-not-superseded)</span></p><p><b>code</b>: CMS-HCC 134: Dialysis Status <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (CMS Hierarchical Condition Categories[21]#134 &quot;Dialysis Status&quot;)</span></p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-008</blockquote><p><b>Risk Adjustment Suspect Type</b>: Suspected Condition Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-suspect-type.html\">Risk Adjustment Suspect Type CodeSystem</a>#suspected)</span></p><p><b>Evidence Status</b>: Open Condition Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-evidence-status.html\">Risk Adjustment Evidence Status CodeSystem</a>#open-gap)</span></p><p><b>Hierarchical Status</b>: Hierarchies applied and Condition Category is not superseded <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-hierarchical-status.html\">Risk Adjustment Hierarchical Status CodeSystem</a>#applied-not-superseded)</span></p><p><b>code</b>: CMS-HCC 58: Major Depressive, Bipolar, and Paranoid Disorders <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (CMS Hierarchical Condition Categories[21]#58 &quot;Major Depressive, Bipolar, and Paranoid Disorders&quot;)</span></p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-009</blockquote><p><b>Risk Adjustment Suspect Type</b>: Suspected Condition Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-suspect-type.html\">Risk Adjustment Suspect Type CodeSystem</a>#suspected)</span></p><p><b>Evidence Status</b>: Closed Condition Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-evidence-status.html\">Risk Adjustment Evidence Status CodeSystem</a>#closed-gap)</span></p><p><b>Hierarchical Status</b>: Hierarchies applied and Condition Category is superseded <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-hierarchical-status.html\">Risk Adjustment Hierarchical Status CodeSystem</a>#applied-superseded)</span></p><p><b>code</b>: CMS-HCC 19: Diabetes without Complication <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (CMS Hierarchical Condition Categories[21]#19 &quot;Diabetes without Complication&quot;)</span></p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-010</blockquote><p><b>Risk Adjustment Suspect Type</b>: Suspected Condition Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-suspect-type.html\">Risk Adjustment Suspect Type CodeSystem</a>#suspected)</span></p><p><b>Evidence Status</b>: Pending Condition Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-evidence-status.html\">Risk Adjustment Evidence Status CodeSystem</a>#pending)</span></p><p><b>Hierarchical Status</b>: Hierarchies applied and Condition Category is superseded <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-hierarchical-status.html\">Risk Adjustment Hierarchical Status CodeSystem</a>#applied-superseded)</span></p><p><b>code</b>: CMS-HCC 135: Acute Renal Failure <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (CMS Hierarchical Condition Categories[21]#135 &quot;Acute Renal Failure&quot;)</span></p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-011</blockquote><p><b>Risk Adjustment Suspect Type</b>: Suspected Condition Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-suspect-type.html\">Risk Adjustment Suspect Type CodeSystem</a>#suspected)</span></p><p><b>Evidence Status</b>: Open Condition Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-evidence-status.html\">Risk Adjustment Evidence Status CodeSystem</a>#open-gap)</span></p><p><b>Hierarchical Status</b>: Hierarchies applied and Condition Category is superseded <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-hierarchical-status.html\">Risk Adjustment Hierarchical Status CodeSystem</a>#applied-superseded)</span></p><p><b>code</b>: CMS-HCC 136: Chronic Kidney Disease, Stage 5 <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (CMS Hierarchical Condition Categories[21]#136 &quot;Chronic Kidney Disease, Stage 5&quot;)</span></p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-012</blockquote><p><b>Risk Adjustment Suspect Type</b>: Net-New Condition Category <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-suspect-type.html\">Risk Adjustment Suspect Type CodeSystem</a>#net-new)</span></p><p><b>Evidence Status</b>: Pending Condition Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-evidence-status.html\">Risk Adjustment Evidence Status CodeSystem</a>#pending)</span></p><p><b>Hierarchical Status</b>: Hierarchies applied and Condition Category is not superseded <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-hierarchical-status.html\">Risk Adjustment Hierarchical Status CodeSystem</a>#applied-not-superseded)</span></p><p><b>code</b>: CMS-HCC 107: Vascular Disease with Complications <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (CMS Hierarchical Condition Categories[21]#107 &quot;Vascular Disease with Complications&quot;)</span></p></blockquote><blockquote><p><b>group</b></p><blockquote><p><b>id</b></p>group-013</blockquote><p><b>Risk Adjustment Suspect Type</b>: Net-New Condition Category <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-suspect-type.html\">Risk Adjustment Suspect Type CodeSystem</a>#net-new)</span></p><p><b>Evidence Status</b>: Closed Condition Category Gap <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-evidence-status.html\">Risk Adjustment Evidence Status CodeSystem</a>#closed-gap)</span></p><p><b>Hierarchical Status</b>: Hierarchies applied and Condition Category is superseded <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"CodeSystem-hierarchical-status.html\">Risk Adjustment Hierarchical Status CodeSystem</a>#applied-superseded)</span></p><p><b>code</b>: CMS-HCC 108: Vascular Disease <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (CMS Hierarchical Condition Categories[21]#108 &quot;Vascular Disease&quot;)</span></p></blockquote><p><b>evaluatedResource</b>: </p><ul><li><a href=\"Condition-ra-condition01pat03.html\">Condition/ra-condition01pat03</a></li><li><a href=\"Condition-ra-condition04pat03.html\">Condition/ra-condition04pat03</a></li><li><a href=\"Condition-ra-condition05pat03.html\">Condition/ra-condition05pat03</a></li><li><a href=\"Condition-ra-condition06pat03.html\">Condition/ra-condition06pat03</a></li><li><a href=\"Condition-ra-condition07pat03.html\">Condition/ra-condition07pat03</a></li><li><a href=\"Condition-ra-condition15pat03.html\">Condition/ra-condition15pat03</a></li><li><a href=\"Condition-ra-condition16pat03.html\">Condition/ra-condition16pat03</a></li><li><a href=\"Condition-ra-condition21pat03.html\">Condition/ra-condition21pat03</a></li><li><a href=\"Condition-ra-condition22pat03.html\">Condition/ra-condition22pat03</a></li><li><a href=\"Condition-ra-condition32pat03.html\">Condition/ra-condition32pat03</a></li><li><a href=\"Condition-ra-condition35pat03.html\">Condition/ra-condition35pat03</a></li><li><a href=\"Condition-ra-condition42pat03.html\">Condition/ra-condition42pat03</a></li><li><a href=\"Encounter-ra-encounter01pat03.html\">Encounter/ra-encounter01pat03</a></li><li><a href=\"Encounter-ra-encounter04pat03.html\">Encounter/ra-encounter04pat03</a></li><li><a href=\"Encounter-ra-encounter05pat03.html\">Encounter/ra-encounter05pat03</a></li><li><a href=\"Encounter-ra-encounter06pat03.html\">Encounter/ra-encounter06pat03</a></li><li><a href=\"Encounter-ra-encounter07pat03.html\">Encounter/ra-encounter07pat03</a></li><li><a href=\"Encounter-ra-encounter15pat03.html\">Encounter/ra-encounter15pat03</a></li><li><a href=\"Encounter-ra-encounter16pat03.html\">Encounter/ra-encounter16pat03</a></li><li><a href=\"Encounter-ra-encounter19pat03.html\">Encounter/ra-encounter19pat03</a></li><li><a href=\"Encounter-ra-encounter21pat03.html\">Encounter/ra-encounter21pat03</a></li><li><a href=\"Encounter-ra-encounter22pat03.html\">Encounter/ra-encounter22pat03</a></li><li><a href=\"Encounter-ra-encounter01pat03.html\">Encounter/ra-encounter01pat03</a></li><li><a href=\"Encounter-ra-encounter35pat03.html\">Encounter/ra-encounter35pat03</a></li><li><a href=\"Encounter-ra-encounter42pat03.html\">Encounter/ra-encounter42pat03</a></li><li><a href=\"Observation-ra-obs01pat03.html\">Observation/ra-obs01pat03</a></li><li><a href=\"Observation-ra-obs02pat03.html\">Observation/ra-obs02pat03</a></li></ul></div>"
      ] ; #
      fhir:extension ( [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-clinicalDataCollectionDeadline"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "2022-03-31"^^xsd:date ]
      ] ) ; #
      fhir:status [ fhir:v "complete"] ; #
      fhir:type [ fhir:v "individual"] ; #
      fhir:measure [
    fhir:v "https://build.fhir.org/ig/HL7/davinci-ra/Measure-RAModelExample02"^^xsd:anyURI ;
    fhir:link <https://build.fhir.org/ig/HL7/davinci-ra/Measure-RAModelExample02>
      ] ; #
      fhir:subject [
    fhir:reference [ fhir:v "Patient/ra-patient03" ]
      ] ; #
      fhir:date [ fhir:v "2021-10-18"^^xsd:date] ; #
      fhir:reporter [
    fhir:reference [ fhir:v "Organization/ra-payer01" ]
      ] ; #
      fhir:period [
    fhir:start [ fhir:v "2021-01-01"^^xsd:date ] ;
    fhir:end [ fhir:v "2021-09-30"^^xsd:date ]
      ] ; #
      fhir:group ( [
    fhir:id [ fhir:v "group-001" ] ;
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "historic" ]         ] )       ]     ] [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "closed-gap" ]         ] )       ]     ] [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "applied-not-superseded" ]         ] )       ]     ] ) ;
    fhir:code [
          ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/cmshcc"^^xsd:anyURI ] ;
    fhir:version [ fhir:v "21" ] ;
    fhir:code [ fhir:v "188" ] ;
    fhir:display [ fhir:v "Artificial Openings for Feeding or Elimination" ]       ] ) ;
    fhir:text [ fhir:v "CMS-HCC 188: Artificial Openings for Feeding or Elimination" ]     ]
      ] [
    fhir:id [ fhir:v "group-002" ] ;
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "historic" ]         ] )       ]     ] [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "open-gap" ]         ] )       ]     ] [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "applied-not-superseded" ]         ] )       ]     ] ) ;
    fhir:code [
          ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/cmshcc"^^xsd:anyURI ] ;
    fhir:version [ fhir:v "21" ] ;
    fhir:code [ fhir:v "111" ] ;
    fhir:display [ fhir:v "Chronic Obstructive Pulmonary Disease" ]       ] ) ;
    fhir:text [ fhir:v "CMS-HCC 111: Chronic Obstructive Pulmonary Disease" ]     ]
      ] [
    fhir:id [ fhir:v "group-003" ] ;
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "historic" ]         ] )       ]     ] [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "open-gap" ]         ] )       ]     ] [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "applied-not-superseded" ]         ] )       ]     ] ) ;
    fhir:code [
          ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/cmshcc"^^xsd:anyURI ] ;
    fhir:version [ fhir:v "21" ] ;
    fhir:code [ fhir:v "21" ] ;
    fhir:display [ fhir:v "Protein-Calorie Malnutrition" ]       ] ) ;
    fhir:text [ fhir:v "CMS-HCC 21: Protein-Calorie Malnutrition" ]     ]
      ] [
    fhir:id [ fhir:v "group-004" ] ;
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "historic" ]         ] )       ]     ] [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "open-gap" ]         ] )       ]     ] [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "applied-not-superseded" ]         ] )       ]     ] ) ;
    fhir:code [
          ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/cmshcc"^^xsd:anyURI ] ;
    fhir:version [ fhir:v "21" ] ;
    fhir:code [ fhir:v "35" ] ;
    fhir:display [ fhir:v "Inflammatory Bowel Disease" ]       ] ) ;
    fhir:text [ fhir:v "CMS-HCC 35: Inflammatory Bowel Disease" ]     ]
      ] [
    fhir:id [ fhir:v "group-005" ] ;
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "historic" ]         ] )       ]     ] [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "open-gap" ]         ] )       ]     ] [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "applied-not-superseded" ]         ] )       ]     ] ) ;
    fhir:code [
          ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/cmshcc"^^xsd:anyURI ] ;
    fhir:version [ fhir:v "21" ] ;
    fhir:code [ fhir:v "96" ] ;
    fhir:display [ fhir:v "Specified Heart Arrhythmias" ]       ] ) ;
    fhir:text [ fhir:v "CMS-HCC 96: Specified Heart Arrhythmia" ]     ]
      ] [
    fhir:id [ fhir:v "group-006" ] ;
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "suspected" ]         ] )       ]     ] [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "closed-gap" ]         ] )       ]     ] [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "applied-not-superseded" ]         ] )       ]     ] ) ;
    fhir:code [
          ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/cmshcc"^^xsd:anyURI ] ;
    fhir:version [ fhir:v "21" ] ;
    fhir:code [ fhir:v "18" ] ;
    fhir:display [ fhir:v "Diabetes with Chronic Complications" ]       ] ) ;
    fhir:text [ fhir:v "CMS-HCC 18: Diabetes with Chronic Complications" ]     ]
      ] [
    fhir:id [ fhir:v "group-007" ] ;
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "suspected" ]         ] )       ]     ] [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "closed-gap" ]         ] )       ]     ] [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "applied-not-superseded" ]         ] )       ]     ] ) ;
    fhir:code [
          ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/cmshcc"^^xsd:anyURI ] ;
    fhir:version [ fhir:v "21" ] ;
    fhir:code [ fhir:v "134" ] ;
    fhir:display [ fhir:v "Dialysis Status" ]       ] ) ;
    fhir:text [ fhir:v "CMS-HCC 134: Dialysis Status" ]     ]
      ] [
    fhir:id [ fhir:v "group-008" ] ;
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "suspected" ]         ] )       ]     ] [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "open-gap" ]         ] )       ]     ] [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "applied-not-superseded" ]         ] )       ]     ] ) ;
    fhir:code [
          ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/cmshcc"^^xsd:anyURI ] ;
    fhir:version [ fhir:v "21" ] ;
    fhir:code [ fhir:v "58" ] ;
    fhir:display [ fhir:v "Major Depressive, Bipolar, and Paranoid Disorders" ]       ] ) ;
    fhir:text [ fhir:v "CMS-HCC 58: Major Depressive, Bipolar, and Paranoid Disorders" ]     ]
      ] [
    fhir:id [ fhir:v "group-009" ] ;
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "suspected" ]         ] )       ]     ] [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "closed-gap" ]         ] )       ]     ] [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "applied-superseded" ]         ] )       ]     ] ) ;
    fhir:code [
          ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/cmshcc"^^xsd:anyURI ] ;
    fhir:version [ fhir:v "21" ] ;
    fhir:code [ fhir:v "19" ] ;
    fhir:display [ fhir:v "Diabetes without Complication" ]       ] ) ;
    fhir:text [ fhir:v "CMS-HCC 19: Diabetes without Complication" ]     ]
      ] [
    fhir:id [ fhir:v "group-010" ] ;
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "suspected" ]         ] )       ]     ] [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "pending" ]         ] )       ]     ] [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "applied-superseded" ]         ] )       ]     ] ) ;
    fhir:code [
          ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/cmshcc"^^xsd:anyURI ] ;
    fhir:version [ fhir:v "21" ] ;
    fhir:code [ fhir:v "135" ] ;
    fhir:display [ fhir:v "Acute Renal Failure" ]       ] ) ;
    fhir:text [ fhir:v "CMS-HCC 135: Acute Renal Failure" ]     ]
      ] [
    fhir:id [ fhir:v "group-011" ] ;
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "suspected" ]         ] )       ]     ] [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "open-gap" ]         ] )       ]     ] [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "applied-superseded" ]         ] )       ]     ] ) ;
    fhir:code [
          ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/cmshcc"^^xsd:anyURI ] ;
    fhir:version [ fhir:v "21" ] ;
    fhir:code [ fhir:v "136" ] ;
    fhir:display [ fhir:v "Chronic Kidney Disease, Stage 5" ]       ] ) ;
    fhir:text [ fhir:v "CMS-HCC 136: Chronic Kidney Disease, Stage 5" ]     ]
      ] [
    fhir:id [ fhir:v "group-012" ] ;
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "net-new" ]         ] )       ]     ] [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "pending" ]         ] )       ]     ] [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "applied-not-superseded" ]         ] )       ]     ] ) ;
    fhir:code [
          ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/cmshcc"^^xsd:anyURI ] ;
    fhir:version [ fhir:v "21" ] ;
    fhir:code [ fhir:v "107" ] ;
    fhir:display [ fhir:v "Vascular Disease with Complications" ]       ] ) ;
    fhir:text [ fhir:v "CMS-HCC 107: Vascular Disease with Complications" ]     ]
      ] [
    fhir:id [ fhir:v "group-013" ] ;
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "net-new" ]         ] )       ]     ] [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "closed-gap" ]         ] )       ]     ] [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus"^^xsd:anyURI ] ;
    fhir:value [
    a fhir:CodeableConcept ;
            ( fhir:coding [
    fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"^^xsd:anyURI ] ;
    fhir:code [ fhir:v "applied-superseded" ]         ] )       ]     ] ) ;
    fhir:code [
          ( fhir:coding [
    fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/cmshcc"^^xsd:anyURI ] ;
    fhir:version [ fhir:v "21" ] ;
    fhir:code [ fhir:v "108" ] ;
    fhir:display [ fhir:v "Vascular Disease" ]       ] ) ;
    fhir:text [ fhir:v "CMS-HCC 108: Vascular Disease" ]     ]
      ] ) ; #
      fhir:evaluatedResource ( [
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "group-001" ]     ] ) ;
    fhir:reference [ fhir:v "Condition/ra-condition01pat03" ]
      ] [
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "group-002" ]     ] ) ;
    fhir:reference [ fhir:v "Condition/ra-condition04pat03" ]
      ] [
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "group-003" ]     ] ) ;
    fhir:reference [ fhir:v "Condition/ra-condition05pat03" ]
      ] [
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "group-004" ]     ] ) ;
    fhir:reference [ fhir:v "Condition/ra-condition06pat03" ]
      ] [
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "group-005" ]     ] ) ;
    fhir:reference [ fhir:v "Condition/ra-condition07pat03" ]
      ] [
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "group-006" ]     ] ) ;
    fhir:reference [ fhir:v "Condition/ra-condition15pat03" ]
      ] [
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "group-007" ]     ] ) ;
    fhir:reference [ fhir:v "Condition/ra-condition16pat03" ]
      ] [
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "group-009" ]     ] ) ;
    fhir:reference [ fhir:v "Condition/ra-condition21pat03" ]
      ] [
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "group-010" ]     ] ) ;
    fhir:reference [ fhir:v "Condition/ra-condition22pat03" ]
      ] [
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "group-012" ]     ] ) ;
    fhir:reference [ fhir:v "Condition/ra-condition32pat03" ]
      ] [
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "group-013" ]     ] ) ;
    fhir:reference [ fhir:v "Condition/ra-condition35pat03" ]
      ] [
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "group-001" ]     ] ) ;
    fhir:reference [ fhir:v "Condition/ra-condition42pat03" ]
      ] [
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "group-001" ]     ] ) ;
    fhir:reference [ fhir:v "Encounter/ra-encounter01pat03" ]
      ] [
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "group-002" ]     ] ) ;
    fhir:reference [ fhir:v "Encounter/ra-encounter04pat03" ]
      ] [
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "group-003" ]     ] ) ;
    fhir:reference [ fhir:v "Encounter/ra-encounter05pat03" ]
      ] [
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "group-004" ]     ] ) ;
    fhir:reference [ fhir:v "Encounter/ra-encounter06pat03" ]
      ] [
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "group-005" ]     ] ) ;
    fhir:reference [ fhir:v "Encounter/ra-encounter07pat03" ]
      ] [
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "group-006" ]     ] ) ;
    fhir:reference [ fhir:v "Encounter/ra-encounter15pat03" ]
      ] [
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "group-007" ]     ] ) ;
    fhir:reference [ fhir:v "Encounter/ra-encounter16pat03" ]
      ] [
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "group-008" ]     ] ) ;
    fhir:reference [ fhir:v "Encounter/ra-encounter19pat03" ]
      ] [
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "group-009" ]     ] ) ;
    fhir:reference [ fhir:v "Encounter/ra-encounter21pat03" ]
      ] [
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "group-010" ]     ] ) ;
    fhir:reference [ fhir:v "Encounter/ra-encounter22pat03" ]
      ] [
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "group-012" ]     ] ) ;
    fhir:reference [ fhir:v "Encounter/ra-encounter01pat03" ]
      ] [
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "group-013" ]     ] ) ;
    fhir:reference [ fhir:v "Encounter/ra-encounter35pat03" ]
      ] [
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "group-001" ]     ] ) ;
    fhir:reference [ fhir:v "Encounter/ra-encounter42pat03" ]
      ] [
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "group-011" ]     ] ) ;
    fhir:reference [ fhir:v "Observation/ra-obs01pat03" ]
      ] [
        ( fhir:extension [
    fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference"^^xsd:anyURI ] ;
    fhir:value [ fhir:v "group-008" ]     ] ) ;
    fhir:reference [ fhir:v "Observation/ra-obs02pat03" ]
      ] ) . #