2021-10-21 Risk Adjustment Use Case Meeting

Da Vinci Testing Event- October 26-27th, 2021

• Click here for event details- No formal link for registration, please add your name under the track below and/or reach out directly to the Track lead(s). 

Planning and Logistics

• Testing partners
• Reference Implementation
• Test plan and test data
• Touchstone test scripts

Discussions

Review IG: https://build.fhir.org/ig/HL7/davinci-ra/index.html

Discussion topics:

• Need to profile Bundle for the return parameter of $report operation
• Which resource to use for Condition Category: https://chat.fhir.org/#narrow/stream/179166-implementers/topic/Which.20Resource.20Should.20Be.20Used.20for.20Condition.20Categories
• Client/Server vs. Consumer/Producer

Topics to discuss with CQI (on Oct. 21 agenda)

• How do we handle these scenarios in $report operation for the returns?
  • patient not found
  • group not found
  • no MeasureReport for the patient
  • two RA models but patient only falls under one
• Reference Implementation is currently implemented as:
  • patient not found: returns a Parameters resource but no parameter element inside
  • group not found: if the Group is not found, it is not following the expected operation (because no patients are found for the group), so this returns a OperationOutcome with an error message saying that the Resource Group cannot be found
  • no MeasureReport for the patient: returns a Parameters resource but no parameter element inside. 
  •  two RA models but patient only falls under one: returns a Parameters resource with one parameter (with one Bundle)

• The parameter element is one to one to patient. It will always return one Parameters regardless of a single patient or a group of patients. If a group has 10 patients, then a Parameters will contain 10 parameter elements