Stream: implementers
Topic: Recording CMS HCC Data
Angelica Garcia Gutierrez (Jul 06 2017 at 21:15):
Hello!
I am looking for a FHIR resource that would allow us to record data received from CMS specific to HCC (Hierarchical Condition Categories). The information we receive includes:
member_id -> the ID card of the member
cond_year -> the current MRA year
cond_key -> the HCC code
cond_desc -> HCC name
cond_status -> HCC status ID
Current_HCC_Status -> current condition status description
Prior_HCC_Status -> previous condition status description
Current_Service_Date -> HCC current service dates
Prior_Service_Date -> HCC past service dates
Status_Code_This_Year -> condition status current year
Status_Code_Last_Year -> condition status previous year
cond_status_desc -> condition status description
risk_factor -> projected HCC score for MRA for current MRA year
Is_incremental -> Y indicator that states if HCC was also documented during an in Home Assessment
Incremental_dos -> Date that the HCC was documented during In Home Assessment
rptg_mth_date_skey -> Period ending date(data received up to this date)
cond_update_date -> Date that condition was updated/added to source
We are thinking in using the FHIR observation resource and then adding extensions to it. But I wonder if somebody else has tackled a similar problem?
Any help would be appreciated!
Lloyd McKenzie (Jul 06 2017 at 21:58):
This would map to a few Condition instances plus a bunch of observations and probably a few extensions thrown in for good measure. It's a real hodge-podge of stuff. Have you considered Questionnaire/QuestionnaireResponse? It's quite good at handling hodge-podges and it's not clear you have a business case for extracting this information into its constitutent resource instances.
Eric Haas (Jul 06 2017 at 22:31):
Agree with Lloyd
Angelica Garcia Gutierrez (Jul 06 2017 at 23:03):
Thank you both!
Didn't think of using Questionnaire/QuestionnarieResponse but it is a great hint.
Last updated: Apr 12 2022 at 19:14 UTC
