Da Vinci Risk Adjustment Implementation Guide
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This page is part of the Da Vinci Risk Adjustment FHIR Implementation Guide (v2.0.0-ballot: STU2 (v2.0.0) Ballot 1) based on FHIR R4. The current version which supercedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions

: Coding Gap Task Reason CodeSystem - JSON Representation

Draft as of 2023-03-28

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{
  "resourceType" : "CodeSystem",
  "id" : "coding-gap-task-reason",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>This code system <code>http://hl7.org/fhir/us/davinci-ra/CodeSystem/coding-gap-task-reason</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">closure<a name=\"coding-gap-task-reason-closure\"> </a></td><td>Close coding gap</td><td>Task reason is to provide clinical evalaution evidence to close a risk adjustment coding gap.</td></tr><tr><td style=\"white-space:nowrap\">invalidation-never-had-condition<a name=\"coding-gap-task-reason-invalidation-never-had-condition\"> </a></td><td>Invalidate coding gap, patient never had the condition</td><td>Task reason is to provide clinical evalaution evidence to invalidate the coding gap that was inaccurate because the patient has never had this condition.</td></tr><tr><td style=\"white-space:nowrap\">invalidation-inactive-condition<a name=\"coding-gap-task-reason-invalidation-inactive-condition\"> </a></td><td>Invalidate coding gap, condition no longer active</td><td>Task reason is to provide clinical evalaution evidence to invalidate the coding gap because the patient was correctly diagnosed but the condition is no longer active.</td></tr><tr><td style=\"white-space:nowrap\">invalidation-inaccurate-gap<a name=\"coding-gap-task-reason-invalidation-inaccurate-gap\"> </a></td><td>Invalidate coding gap, inaccurate gap</td><td>Task reason is to provide clinical evalaution evidence to invalidate the coding gap because the patient has an active condition but the gap does not accurately describe it.</td></tr><tr><td style=\"white-space:nowrap\">creation<a name=\"coding-gap-task-reason-creation\"> </a></td><td>Create coding gap</td><td>Task reason is provide clinical evaluation evidence to create and close a net-new risk adjustment coding gap discovered during medical review.</td></tr></table></div>"
  },
  "url" : "http://hl7.org/fhir/us/davinci-ra/CodeSystem/coding-gap-task-reason",
  "version" : "2.0.0-ballot",
  "name" : "CodingGapTaskReason",
  "title" : "Coding Gap Task Reason CodeSystem",
  "status" : "draft",
  "experimental" : false,
  "date" : "2023-03-28T02:02:49+00:00",
  "publisher" : "HL7 Clinical Quality Information Work Group",
  "contact" : [
    {
      "name" : "HL7 Clinical Quality Information Work Group",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/cqi"
        }
      ]
    }
  ],
  "description" : "Risk adjustment clinical evaluation evidence task reason",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US",
          "display" : "United States of America"
        }
      ]
    }
  ],
  "copyright" : "Used by permission of HL7 International - Clinical Quality Information Work Group, all rights reserved Creative Commons License",
  "caseSensitive" : true,
  "valueSet" : "http://hl7.org/fhir/us/davinci-ra/ValueSet/coding-gap-task-reason",
  "content" : "complete",
  "count" : 5,
  "concept" : [
    {
      "code" : "closure",
      "display" : "Close coding gap",
      "definition" : "Task reason is to provide clinical evalaution evidence to close a risk adjustment coding gap."
    },
    {
      "code" : "invalidation-never-had-condition",
      "display" : "Invalidate coding gap, patient never had the condition",
      "definition" : "Task reason is to provide clinical evalaution evidence to invalidate the coding gap that was inaccurate because the patient has never had this condition."
    },
    {
      "code" : "invalidation-inactive-condition",
      "display" : "Invalidate coding gap, condition no longer active",
      "definition" : "Task reason is to provide clinical evalaution evidence to invalidate the coding gap because the patient was correctly diagnosed but the condition is no longer active."
    },
    {
      "code" : "invalidation-inaccurate-gap",
      "display" : "Invalidate coding gap, inaccurate gap",
      "definition" : "Task reason is to provide clinical evalaution evidence to invalidate the coding gap because the patient has an active condition but the gap does not accurately describe it."
    },
    {
      "code" : "creation",
      "display" : "Create coding gap",
      "definition" : "Task reason is provide clinical evaluation evidence to create and close a net-new risk adjustment coding gap discovered during medical review."
    }
  ]
}