description: This risk adjustment coding gap report profile is based on the [MeasureReport](http://hl7.org/fhir/R4/measurereport.html) to represent a risk adjustment coding gap report.
package_name: rs/hl7.fhir.us.davinci
derivation: constraint
name: RiskAdjustmentCodingGapReport
type: MeasureReport
elements:
  evaluatedResource:
    short: Supporting evidence for Condition Categories coding gaps, such as encounter, medication, and lab. An evidence is linked to a specific Condition Category through referencing the MeasureReport.group.id.
    mustSupport: true
    index: 22
    extensions:
      groupReference: {url: 'http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference', min: 0, type: Extension, mustSupport: true, index: 23}
    elements:
      extension:
        type: Extension
        mustSupport: true
        url: http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference
        index: 23
        slicing:
          slices:
            groupReference:
              match: {}
              schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference', index: 23}
              min: 0
  date: {short: When the report was generated, mustSupport: true, index: 5}
  group:
    short: A group contains information for a Condition Category. If a patient/member has multiple Condition Categories, there will be multiple group(s) and each group represents a Condition Category.
    mustSupport: true
    array: true
    index: 12
    elements:
      id: {mustSupport: true, index: 13}
      extension:
        type: Extension
        mustSupport: true
        url: http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType
        index: 14
        slicing:
          slices:
            suspectType:
              match: {}
              schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType', index: 14}
              min: 0
              max: 1
            evidenceStatus:
              match: {}
              schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus', index: 15}
              min: 0
              max: 1
            evidenceStatusDate:
              match: {}
              schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate', index: 16}
              min: 0
              max: 1
            hierarchicalStatus:
              match: {}
              schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus', index: 17}
              min: 0
              max: 1
      code: {short: Condition Categories code such as Hierarchical Condition Categories (HCC) code 19., mustSupport: true, index: 18}
      population: {index: 19}
      measureScore: {index: 20}
      stratifier: {index: 21}
    required: [id]
    extensions:
      suspectType: {url: 'http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType', min: 0, max: 1, type: Extension, mustSupport: true, index: 14}
      evidenceStatus: {url: 'http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatus', min: 0, max: 1, type: Extension, mustSupport: true, index: 15}
      evidenceStatusDate: {url: 'http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-evidenceStatusDate', min: 0, max: 1, type: Extension, mustSupport: true, index: 16}
      hierarchicalStatus: {url: 'http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-hierarchicalStatus', min: 0, max: 1, type: Extension, mustSupport: true, index: 17}
  type:
    type: code
    short: The type code is fixed to 'individual' for Risk Adjustment Coding Gap Report
    pattern: {type: code, value: individual}
    mustSupport: true
    index: 2
  measure: {type: canonical, short: 'This references a measure that represents a Risk Adjustment model, such as CMS-HCC V24.', mustSupport: true, index: 3}
  extension: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-clinicalDataCollectionDeadline', index: 0}
  reporter:
    short: Organization that generated the MeasureReport
    refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization']
    type: Reference
    mustSupport: true
    index: 6
    extensions:
      group: {url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup', min: 0, max: 1, type: Extension, mustSupport: true, index: 7}
    elements:
      extension:
        type: Extension
        mustSupport: true
        url: http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup
        index: 7
        slicing:
          slices:
            group:
              match: {}
              schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/extension-reporterGroup', index: 7}
              min: 0
              max: 1
  status: {mustSupport: true, index: 1}
  period:
    constraint:
      ra-1: {human: Date precision SHALL  be at least to day ( YYYY-MM-DD ), severity: error, expression: 'start.matches(''^([0-9]{4})(-)(1[0-2]|0[1-9])-(3[01]|0[1-9]|[12][0-9]).*'') and end.matches(''^([0-9]{4})(-)(1[0-2]|0[1-9])-(3[01]|0[1-9]|[12][0-9]).*'')'}
    short: Clinical evaluation period during which risk adjusting encounters could be conducted and documented with expectations of submission for risk adjustment purposes.
    type: Period
    mustSupport: true
    index: 8
    elements:
      start: {mustSupport: true, index: 9}
      end: {mustSupport: true, index: 10}
    required: [end, start]
  improvementNotation: {index: 11}
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient']
    index: 4
package_version: ra-0.1.0
extensions: {}
class: profile
kind: resource
url: http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-measurereport
base: http://hl7.org/fhir/StructureDefinition/MeasureReport
version: 0.1.0
required: [date, period, reporter, subject]