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  1. FHIR Specification Feedback
  2. FHIR-37353

Example MeasureReport05 Encounter and Condition Link Consistency Issue

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Details

    • Icon: Change Request Change Request
    • Resolution: Persuasive with Modification
    • Icon: Medium Medium
    • US Da Vinci Risk Adjustment (FHIR)
    • 0.1.0 [deprecated]
    • Clinical Quality Information
    • Condition15pat03: Diabetes mellitus due to underlying condition with diabetic chronic kidney diseases
      Condition16pat03: Dependence on renal dialysis
      Condition21pat03: Type 2 diabetes mellitus without complications
      Encounter on 20200808
      Encounter on 20210212
      Encounter on 20210727
      ra-measurereport05: Risk Adjustment Measure Report for RxHCC V5 for Patient03
    • Examples
    • Hide
      • Correct group-002 to link to encounter21pat03 instead of encounter15pat03.

                 Note that encounter21pat03 links to condition21pat03 (E11.9 Type 2 diabetes mellitus without complications) which maps correctly to group-002 "CMS-RxHCC 31: Diabetes without Complication"

      • Correct group-003 to link to encounter15pat03 instead of encounter16pat03.

                Note that encounter15pat03 links to condition15pat03 (E08.22 Diabetes mellitus due to underlying condition with diabetic chronic kidney disease) which maps correctly to group-003 "CMS-RxHCC 30: Diabetes with Complications" 

      • Correct group-004 to link to encounter16pat03 instead of encounter35pat03.

                 Note that encounter16pat03 links to condition16pat03 (Z99.2 Dependence on renal dialysis) which maps correctly to group-004 "CMS-RxHCC 261: Dialysis Status"

      • Also correct group-006 from "CMS-RxHCC 262: Chronic Kidney Disease Stage 5" to "CMS-RxHCC 216 Peripheral Vascular Disease"; change suspect-type from "suspected" to "net-new". Note that group-006 links to condition35pat03 "I15.1 Hypertension secondary to other renal disorders"
      Show
      Correct group-002 to link to encounter21pat03 instead of encounter15pat03.            Note that encounter21pat03 links to condition21pat03 (E11.9 Type 2 diabetes mellitus without complications) which maps correctly to group-002 "CMS-RxHCC 31: Diabetes without Complication" Correct group-003 to link to encounter15pat03 instead of encounter16pat03.           Note that encounter15pat03 links to condition15pat03 (E08.22 Diabetes mellitus due to underlying condition with diabetic chronic kidney disease) which maps correctly to group-003 "CMS-RxHCC 30: Diabetes with Complications"  Correct group-004 to link to encounter16pat03 instead of encounter35pat03.            Note that encounter16pat03 links to condition16pat03 (Z99.2 Dependence on renal dialysis) which maps correctly to group-004 "CMS-RxHCC 261: Dialysis Status" Also correct group-006 from "CMS-RxHCC 262: Chronic Kidney Disease Stage 5" to "CMS-RxHCC 216 Peripheral Vascular Disease"; c hange suspect-type from "suspected" to "net-new". Note that group-006 links to condition35pat03 "I15.1 Hypertension secondary to other renal disorders"
    • Floyd Eisenberg / Juliet Rubini : 9-0-0
    • Correction
    • Non-substantive
    • Yes

    Description

      Group-002 in this MeasureReport links encounter15pat03 and condition21pat03 however the Encounter does not link to that Condition Resource.

      • Rather condition15pat03 is included in encounter15pat03 

      Group-003 in this MeasureReport links encounter16pat03 and condition15pat03 however the Encounter does not link to that Condition Resource.

      • Rather condition16pat03 is included in encounter16pat03 

      Group-004 in this MeasureReport links encounter35pat03 and condition16pat03 however the Encounter does not link to that Condition Resource.

      • Rather condition35pat03 is included in encounter35pat03

      Suggestion: 

      • Update encounter15pat03 to include condition21pat03 
      • Update encounter16pat03 to include condition15pat03 
      • Update encounter35pat03 to include condition16pat03
      • Verify that this update does not impact other references to these encounters and conditions in measurereport05 and measurereport04

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            Unassigned Unassigned
            cody_danielshak Cody Danielshak
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            Dates

              Created:
              Updated:
              Resolved: