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  1. FHIR Specification Feedback
  2. FHIR-21156

Clarify where the risk adjustment variables are stored in the fhir document.

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    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Medium Medium
    • US Quality Measures (FHIR)
    • STU3
    • Clinical Quality Information
    • ImplementationGuide [deprecated]
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      Agreed, with two differences:

      1) Keep SHOULD for the "single value" requirement

      2) Keep the naming convention as a SHOULD

      So update the conformance requirements to:

      Conformance Requirement 16 (Supplemental Data Elements):
      Supplemental Data Elements SHALL be included within the supplementalData element using a usage element of supplemental-data.
      Supplemental Data Elements SHOULD reference a single CQL expression definition, with a name beginning with SDE.

      Conformance Requirement 17 (Risk Adjustment Criteria):
      Risk Adjustment Variables SHALL be included within the supplementalData element using a usage element of risk-adjustment-variable
      Risk Adjustment Variables SHOULD reference a single CQL expression definition, with a name beginning with RAF

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      Agreed, with two differences: 1) Keep SHOULD for the "single value" requirement 2) Keep the naming convention as a SHOULD So update the conformance requirements to: Conformance Requirement 16 (Supplemental Data Elements): Supplemental Data Elements SHALL be included within the supplementalData element using a usage element of supplemental-data. Supplemental Data Elements SHOULD reference a single CQL expression definition, with a name beginning with SDE. Conformance Requirement 17 (Risk Adjustment Criteria): Risk Adjustment Variables SHALL be included within the supplementalData element using a usage element of risk-adjustment-variable Risk Adjustment Variables SHOULD reference a single CQL expression definition, with a name beginning with RAF
    • Bryn Rhodes/Gaye Dolin: 20-0-0
    • Enhancement
    • Compatible, substantive

    Description

      Clarify where the risk adjustment variables are stored in the fihr document. They are under "supplementalData" which is not intuitive. Do similar for supplemental data for consistency.

      Existing wording:

      Conformance Requirement 16 (Supplemental Data Elements):
      Each supplemental data element referenced in the CQL SHOULD :
      return a single value when evaluated in the context of a member of the population
      have a name begining with "SDE"

      Conformance Requirement 17 (Risk Adjustment Criteria):
      Risk Adjustment Variables SHALL be included using a usage element of risk-adjustment-variable
      Risk Adjustment Variables SHALL reference a single CQL expression.

      Proposed wording:

      Conformance Requirement 16 (Supplemental Data Elements):
      Supplemental Data Elements SHALL be included within the supplementalData element using a usage element of supplemental-data.
      Supplemental Data Elements SHALL reference a single CQL expression.

      Conformance Requirement 17 (Risk Adjustment Criteria):
      Risk Adjustment Variables SHALL be included within the supplementalData element using a usage element of risk-adjustment-variable
      Risk Adjustment Variables SHALL reference a single CQL expression.

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            Unassigned Unassigned
            lizzie_charbonneau Lizzie Charbonneau
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              Created:
              Updated:
              Resolved: