Da Vinci Risk Adjustment Implementation Guide
2.0.0-ballot - STU2 Ballot United States of America flag

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 - XML Representation

Draft as of 2023-03-28

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<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="coding-gap-task-reason"/>
  <text>
    <status value="generated"/>
    <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Invalidate coding gap, condition no longer active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evalaution evidence to invalidate the coding gap because the patient was correctly diagnosed but the condition is no longer active.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>
  </text>
  <url
       value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/coding-gap-task-reason"/>
  <version value="2.0.0-ballot"/>
  <name value="CodingGapTaskReason"/>
  <title value="Coding Gap Task Reason CodeSystem"/>
  <status value="draft"/>
  <experimental value="false"/>
  <date value="2023-03-28T02:02:49+00:00"/>
  <publisher value="HL7 Clinical Quality Information Work Group"/>
  <contact>
    <name value="HL7 Clinical Quality Information Work Group"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/cqi"/>
    </telecom>
  </contact>
  <description
               value="Risk adjustment clinical evaluation evidence task reason"/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
      <display value="United States of America"/>
    </coding>
  </jurisdiction>
  <copyright
             value="Used by permission of HL7 International - Clinical Quality Information Work Group, all rights reserved Creative Commons License"/>
  <caseSensitive value="true"/>
  <valueSet
            value="http://hl7.org/fhir/us/davinci-ra/ValueSet/coding-gap-task-reason"/>
  <content value="complete"/>
  <count value="5"/>
  <concept>
    <code value="closure"/>
    <display value="Close coding gap"/>
    <definition
                value="Task reason is to provide clinical evalaution evidence to close a risk adjustment coding gap."/>
  </concept>
  <concept>
    <code value="invalidation-never-had-condition"/>
    <display value="Invalidate coding gap, patient never had the condition"/>
    <definition
                value="Task reason is to provide clinical evalaution evidence to invalidate the coding gap that was inaccurate because the patient has never had this condition."/>
  </concept>
  <concept>
    <code value="invalidation-inactive-condition"/>
    <display value="Invalidate coding gap, condition no longer active"/>
    <definition
                value="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."/>
  </concept>
  <concept>
    <code value="invalidation-inaccurate-gap"/>
    <display value="Invalidate coding gap, inaccurate gap"/>
    <definition
                value="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."/>
  </concept>
  <concept>
    <code value="creation"/>
    <display value="Create coding gap"/>
    <definition
                value="Task reason is provide clinical evaluation evidence to create and close a net-new risk adjustment coding gap discovered during medical review."/>
  </concept>
</CodeSystem>