Details
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Change Request
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Resolution: Persuasive with Modification
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Medium
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US Da Vinci Risk Adjustment (FHIR)
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0.1.0 [deprecated]
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Clinical Quality Information
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Condition10pat01: Long term (current) use of insulin
ra-measurereport02: Risk Adjustment Measure Report -
Examples
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Floyd Eisenberg / Juliet Rubini : 9-0-0
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Correction
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Non-substantive
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Yes
Description
The linked relevant evaluatedResources conflict with the example of an CMS-RxHCC 31 suspected Risk Adjustment Gap
- measureReport.group: Group-005 references - "CMS-RxHCC 31: Diabetes without Complications"
- measureReport.evaluatedResource: Group-005 references "Condition/ra-condition10pat01"
Suggested update is to replace the Group-005 evaluatedResource from Condition10pat01 to Condition02pat01 and update appropriate encounter data linked to Group-005
However, Condition02pat01 is with complication so maybe we should update the HCC code as well. CMS-RxHCC 30 seems like the correct category for this.
Heavily Realated to issue FHIR-37347