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  1. FHIR Specification Feedback
  2. FHIR-37352

Example MeasureReport04 Group-013 Condition May Not be Applicable

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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
    • Condition35pat03: Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene
      ra-measurereport04: Risk Adjustment Measure Report for HCC V21 for Patient 03
    • Examples
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      Make typo correction to condition35pat03. The ICD 10 code should be E11.51 instead of I11.51. 

      E11.51 Type 2 diabetes mellitus With peripheral circulatory complications Uncontrolled

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      Make typo correction to condition35pat03. The ICD 10 code should be E11.51 instead of I11.51.  E11.51 Type 2 diabetes mellitus With peripheral circulatory complications Uncontrolled
    • Floyd Eisenberg / Juliet Rubini : 9-0-0
    • Correction
    • Non-substantive

    Description

      Group-013 has an evaluatedResource referencing condition35pat03. This condition holds ICD code I15.1 which with my best efforts to confirm does not seem applicable to CMS HCC v21 category 108.

      Suggestion: Maybe this was to represent a suspected rather than net-new? Or we could update the condition resource to something applicable to HCC 108.

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            cody_danielshak Cody Danielshak
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