rob-reynolds
commented
1 year ago @c-schuler Per the result below, the operation cancelled a DI it shouldn't have. It should set status to final for the most recent DI, group by cc code (and set the others to cancelled). In this case it cancelled the most recent cc code 96. That should have been set to final. (However, it did the right thing for cc code 110). IOW, it doesn't look like it correctly did the group by cc code.
{
"fullUrl": "http://localhost:8080/fhir/DetectedIssue/ra-measurereport03-remediate",
"resource": {
"resourceType": "DetectedIssue",
"id": "ra-measurereport03-remediate",
"meta": {
"versionId": "1",
"lastUpdated": "2022-11-28T06:45:37.140-07:00",
"source": "#0j179M7WsPgvYFoV",
"profile": [
"http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-coding-gap-clinical-evaluation-detectedissue"
]
},
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
"valueString": "group-002"
}
],
"modifierExtension": [
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-codingGapRequest",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-ra/CodeSystem/coding-gap-request",
"code": "closure-request"
}
]
}
}
],
"status": "final",
"code": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/cmshcc",
"version": "24",
"code": "110",
"display": "Cystic Fibrosis"
}
],
"text": "HCC 110: Cystic Fibrosis"
},
"patient": {
"reference": "Patient/ra-patient02"
},
"implicated": [
{
"reference": "MeasureReport/ra-measurereport03"
}
],
"evidence": [
{
"detail": [
{
"reference": "MeasureReport/ra-measurereport03"
}
]
},
{
"detail": [
{
"reference": "Condition/ra-measurereport03-remediate"
}
]
},
{
"detail": [
{
"reference": "Encounter/ra-measurereport03-remediate"
}
]
}
]
}
},
{
"fullUrl": "http://localhost:8080/fhir/DetectedIssue/ra-measurereport03-group-002",
"resource": {
"resourceType": "DetectedIssue",
"id": "ra-measurereport03-group-002",
"meta": {
"lastUpdated": "2022-11-28T06:45:37.140-07:00",
"profile": [
"http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-coding-gap-original-detectedissue"
]
},
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
"valueString": "group-002"
}
],
"status": "cancelled",
"code": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/cmshcc",
"version": "24",
"code": "110",
"display": "Cystic Fibrosis"
}
],
"text": "HCC 110: Cystic Fibrosis"
},
"patient": {
"reference": "Patient/ra-patient02"
},
"implicated": [
{
"reference": "MeasureReport/ra-measurereport03"
}
],
"evidence": [
{
"detail": [
{
"reference": "Observation/ra-obs01pat02"
}
]
},
{
"detail": [
{
"reference": "Patient/ra-patient02"
}
]
}
]
}
},
{
"fullUrl": "http://localhost:8080/fhir/DetectedIssue/ra-measurereport03-group-001",
"resource": {
"resourceType": "DetectedIssue",
"id": "ra-measurereport03-group-001",
"meta": {
"lastUpdated": "2022-11-28T06:45:37.140-07:00",
"profile": [
"http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-coding-gap-original-detectedissue"
]
},
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-groupReference",
"valueString": "group-001"
}
],
"status": "cancelled",
"code": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/cmshcc",
"version": "24",
"code": "96",
"display": "Specified Heart.Arrhythmias"
}
],
"text": "CMS HCC: 96, Specified Heart.Arrhythmias"
},
"patient": {
"reference": "Patient/ra-patient02"
},
"implicated": [
{
"reference": "MeasureReport/ra-measurereport03"
}
],
"evidence": [
{
"detail": [
{
"reference": "Condition/ra-condition31pat02"
}
]
},
{
"detail": [
{
"reference": "Encounter/ra-encounter31pat02"
}
]
},
{
"detail": [
{
"reference": "Patient/ra-patient02"
}
]
}
]
}
},
Resolution for #662