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  1. FHIR Specification Feedback
  2. FHIR-37345

Example MeasureReport01 Group vs EvaluatedResources Data Conflict

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    • Icon: Change Request Change Request
    • Resolution: Persuasive
    • Icon: Medium Medium
    • US Da Vinci Risk Adjustment (FHIR)
    • 0.1.0 [deprecated]
    • Clinical Quality Information
    • Condition03pat01: Chronic obstructive pulmonary disease with (acute) exacerbation
      ra-measurereport01: Risk Adjustment Measure Report
    • Examples
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      Update Condition-ra-condition03pat01:

      Change from "J45.31 Mild persistent asthma with (acute) exacerbation" to "J44.1 Chronic obstructive pulmonary disease with (acute) exacerbation", which maps to HCC Chronic Obstructive Pulmonary Disease. 

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      Update Condition-ra-condition03pat01: Change from "J45.31 Mild persistent asthma with (acute) exacerbation" to "J44.1 Chronic obstructive pulmonary disease with (acute) exacerbation", which maps to HCC Chronic Obstructive Pulmonary Disease. 
    • Floyd Eisenberg / Juliet Rubini : 9-0-0
    • Correction
    • Non-substantive
    • Yes

    Description

      The linked relevant evaluatedResources conflict with the example of an HCC 111 historic Risk Adjustment Gap

      • measureReport.group: Group-002 references - "HCC 111: Chronic Obstructive Pulmonary Disease"
      • measureReport.evaluatedResource references -"Condition/ra-condition03pat01"
        • J45.31 which is not a code in HCC 111

      Suggested update was to move the condition03pat01 to a different ICD code which is relevant to HCC 111. One such code was J44.1 - Chronic obstructive pulmonary disease with (acute) exacerbation.

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            Unassigned Unassigned
            cody_danielshak Cody Danielshak
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              Updated:
              Resolved: