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  1. FHIR Specification Feedback
  2. FHIR-37348

Example MeasureReport01 HCC Code Consistency

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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
    • ra-measurereport01: Risk Adjustment Measure Report
    • Examples
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      Make the following changes to MeasureReport-ra-measurereport01

      • group-03: correct group-03 code from 53 to 59 which is the correct code for Major Depressive, Bipolar, and Paranoid Disorders.
      • group-10: correct code.text to match HCC 83 that is in code.coding. (Note, in evalautedResource, group-10 was correctly referencing Condition/ra-condition33pat01, which is R09.2 Respiratory Arrest)
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      Make the following changes to MeasureReport-ra-measurereport01 group-03: correct group-03 code from 53 to 59 which is the correct code for Major Depressive, Bipolar, and Paranoid Disorders. group-10: correct code.text to match HCC 83 that is in code.coding. (Note, in evalautedResource, group-10 was correctly referencing Condition/ra-condition33pat01, which is R09.2 Respiratory Arrest)
    • Floyd Eisenberg / Juliet Rubini : 9-0-0
    • Correction
    • Non-substantive
    • Yes

    Description

      A few group codes are inconsistent where the code and display represents something different than the text.

      • measureReport.group.code.text vs measureReport.group.coding.code mismatch
      • Group-003
        • "code": "53"
        • "text": "HCC 59: Major Depressive, Bipolar, and Paranoid Disorders"
        • Suggestion Update Both should be HCC 59
      • Group-010 code:
        • "code" : "83" and "display" : "Respiratory Arrest"
        • "text" : "HCC 110: Cystic Fibrosis"
        • HCC 83: Respiratory Arrest vs 110 is cystic fibrosis
        • Suggestion: Keep 83 and change condition resource in measureReport.evaluatedResource. OR Change to 110 for the code and display!
          • If we choose to keep 83 as this category the measureReport.evaluatedResource references a cystic fibrosis condition resource.

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            Unassigned Unassigned
            cody_danielshak Cody Danielshak
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              Updated:
              Resolved: