description: This profile is based on the [MeasureReport](http://hl7.org/fhir/R4/measurereport.html). It is used for Provider to submit data such as clinical evaluation evidence to Payer.
package_name: hl7.fhir.us.davinci-ra
derivation: constraint
name: RiskAdjustmentDataExchangeMeasureReport
type: MeasureReport
elements:
  evaluatedResource:
    short: 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.
    mustSupport: true
    index: 18
    extensions:
      groupReference: {url: 'http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference', min: 0, type: Extension, mustSupport: true, index: 19}
    elements:
      extension:
        type: Extension
        mustSupport: true
        url: http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference
        index: 19
        slicing:
          slices:
            groupReference:
              match: {}
              schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference', index: 19}
              min: 0
  date: {short: When the report was generated, mustSupport: true, index: 10}
  group:
    short: Condition Category
    mustSupport: true
    array: true
    index: 15
    elements:
      id: {mustSupport: true, index: 16}
      code:
        short: Condition Category (CC) code for a Risk Adjustment Model
        type: CodeableConcept
        mustSupport: true
        binding: {strength: example, valueSet: 'http://hl7.org/fhir/us/davinci-ra/ValueSet/sample-cmshcc'}
        index: 17
    required: [id]
  type:
    type: code
    short: The type code is fixed to 'data-collection' for a risk adjustment data exchange measure report
    pattern: {type: code, value: data-collection}
    mustSupport: true
    index: 7
  measure: {type: canonical, short: 'This references a measure that represents a risk adjustment model, such as CMS-HCC V24, CMS-HCC V28.', mustSupport: true, index: 8}
  extension:
    type: Extension
    mustSupport: true
    url: http://hl7.org/fhir/StructureDefinition/measurereport-category|5.2.0
    index: 0
    slicing:
      slices:
        measurereport-category:
          match: {}
          schema:
            type: Extension
            mustSupport: true
            url: http://hl7.org/fhir/StructureDefinition/measurereport-category|5.2.0
            index: 0
            elements:
              value[x]:
                elements:
                  coding:
                    index: 1
                    elements:
                      code:
                        pattern: {type: code, value: ra}
                        type: code
                        index: 2
                    required: [code]
                required: [coding]
        payerCodingGapReportId:
          match: {}
          schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-payerCodingGapReportId', index: 3}
          min: 0
          max: 1
        software:
          match: {}
          schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem', index: 4}
          min: 0
        vendor:
          match: {}
          schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-reportingVendor', index: 5}
          min: 0
          max: 1
  reporter:
    short: Organization that generated the MeasureReport
    refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization|7.0.0']
    type: Reference
    mustSupport: true
    index: 11
  status: {mustSupport: true, index: 6}
  period:
    constraint:
      ra-1: {human: Date precision SHALL be at least to day ( YYYY-MM-DD ), severity: error, expression: start.toString().length()>9 and end.toString().length()>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: 12
    elements:
      start: {mustSupport: true, index: 13}
      end: {mustSupport: true, index: 14}
    required: [end, start]
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|7.0.0']
    index: 9
package_version: 2.1.0
extensions:
  measurereport-category:
    url: http://hl7.org/fhir/StructureDefinition/measurereport-category|5.2.0
    type: Extension
    mustSupport: true
    index: 0
    elements:
      value[x]:
        elements:
          coding:
            index: 1
            elements:
              code:
                pattern: {type: code, value: ra}
                type: code
                index: 2
            required: [code]
        required: [coding]
  payerCodingGapReportId: {url: 'http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-payerCodingGapReportId', min: 0, max: 1, type: Extension, mustSupport: true, index: 3}
  software: {url: 'http://hl7.org/fhir/uv/crmi/StructureDefinition/crmi-softwaresystem', min: 0, type: Extension, mustSupport: true, index: 4}
  vendor: {url: 'http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-reportingVendor', min: 0, max: 1, type: Extension, mustSupport: true, index: 5}
class: profile
kind: resource
url: http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-datax-measurereport
base: http://hl7.org/fhir/StructureDefinition/MeasureReport
version: 2.1.0
required: [date, period, reporter, subject]