2021-10-28 Risk Adjustment Use Case Meeting

The 29^th HL7 FHIR Connectathon will take place January 10 – 12, 2022 and will be a virtual event.

Testing Event Report Out

• Test Plan
• 2021-10 Da Vinci Risk Adjustment
• https://miro.com/app/board/o9J_lnvuWFg=/

Discussions

• Which resource to use for Condition Category: https://chat.fhir.org/#narrow/stream/179166-implementers/topic/Which.20Resource.20Should.20Be.20Used.20for.20Condition.20Categories
  • 2021-10-28 Patient Care FHIR Conference Call 11/28 (5pm ET)

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

• Risk Adjustment MeasureReport Bundle profile for the return parameter of $report operation
• $report operation return
  • patient not found: returns an OperationOutcome with 404 error
  • group not found: returns an OperationOutcome with 404 error
  • patient is found but no MeasureReport for the patient: returns a Parameters resource that includes a parameter element with Patient resource
  • patient is found, Server has two RA models, but patient only has HCC gaps under one RA model: returns a Parameters resource that includes a parameter element with a RA MeasureReport resource (for the RA model that the patient has coding gaps), and another parameter element with Patient resource
  • Note that 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

Patient care discussion is 10/28 at 5pm ET.

Yan will report back to the group.