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

Table of Contents

...0 Table of Contents
...1 Da Vinci Risk Adjustment Implementation Guide Home Page
....2 Methodology
....2.1 General Guidance
....2.2 Report Generation
....2.3 Report Query
....2.4 Remediation
....2.5 Report Annotation
...3 Digital Condition Category (dCC)
...4 Profiles
...5 Extensions
...6 Terminology
...7 Operation
...8 Capability Statement
...9 Examples
...10 Glossary
...11 Downloads
...12 Change Log
....13 Artifacts Summary
....13.1 Risk Adjustment Remediation Client Capability Statement
....13.2 Risk Adjustment Remediation Server Capability Statement
....13.3 Risk Adjustment Reporting Client Capability Statement
....13.4 Risk Adjustment Reporting Server Capability Statement
....13.5 Evaluate Measure
....13.6 Risk Adjustment Clinical Evaluation Evidence Task
....13.7 Risk Adjustment Coding Gap Report Bundle
....13.8 Risk Adjustment Coding Gap MeasureReport
....13.9 Risk Adjustment Model Measure
....13.10 Patient Group
....13.11 Risk Adjustment SearchSet Bundle
....13.12 Annotation
....13.13 Risk Adjustment Clinical Data Collection Deadline
....13.14 Confidence Scale
....13.15 Evidence Status
....13.16 Risk Adjustment Evidence Status Date
....13.17 Group Reference
....13.18 Hierarchical Status
....13.19 Risk Adjustment Suspect Type
....13.20 Coding Gap Annotation
....13.21 Coding Gap Task Reason ValueSet
....13.22 Coding Gap Task Status ValueSet
....13.23 Confidence Scale Value Set
....13.24 Risk Adjustment Evidence Status ValueSet
....13.25 Risk Adjustment Hierarchical Status ValueSet
....13.26 Sample CMS Hierarchical Condition Category
....13.27 Risk Adjustment Suspect Type ValueSet
....13.28 Coding Gap Annotation CodeSystem
....13.29 Coding Gap Task Reason CodeSystem
....13.30 Risk Adjustment Evidence Status CodeSystem
....13.31 Risk Adjustment Hierarchical Status CodeSystem
....13.32 Risk Adjustment Suspect Type CodeSystem
....13.33 Task Label CodeSystem
....13.34 ra-bundle01: Risk Adjustment Bundle
....13.35 ra-searchsetbundle01pat01: SearchSet Bundle Pat1 MeasureReport01 group003
....13.36 ra-group01: Risk Adjustment Patient Group
....13.37 ra-group02: Risk Adjustment Patient Group
....13.38 ra-measurereport01: Risk Adjustment Measure Report
....13.39 ra-measurereport01-with-annotation: Risk Adjustment Measure Report with Annotation
....13.40 ra-measurereport02: Risk Adjustment Measure Report
....13.41 ra-measurereport03: Risk Adjustment Measure Report for HCC V24 for Patient 02
....13.42 ra-measurereport04: Risk Adjustment Measure Report for HCC V21 for Patient 03
....13.43 ra-measurereport05: Risk Adjustment Measure Report for RxHCC V5 for Patient03
....13.44 ra-measurereport06: Risk Adjustment Measure Report for RxHCC V5 for Patient02
....13.45 Condition01pat03: Other artificial openings of gastrointestinal tract status
....13.46 Condition02pat01: Diabetes mellitus due to underlying condition with other diabetic kidney complication
....13.47 Condition03pat01: Chronic obstructive pulmonary disease with (acute) exacerbation
....13.48 Condition04pat03: Chronic obstructive pulmonary disease with (acute) exacerbation
....13.49 Condition05pat03: Unspecified protein-calorie malnutrition
....13.50 Condition06pat03: Crohn's disease of large intestine with unspecified complicationss
....13.51 Condition07pat03: Other persistent atrial fibrillation
....13.52 Condition08pat01: Bipolar disorder, current episode mixed, mild
....13.53 Condition09pat01: Allergic bronchopulmonary aspergillosis
....13.54 Condition10pat01: Long term (current) use of insulin
....13.55 Condition11pat01: Acute pulmonary edema
....13.56 Condition12pat01: Manic episode, unspecified
....13.57 Condition15pat03: Diabetes mellitus due to underlying condition with diabetic chronic kidney diseases
....13.58 Condition16pat03: Dependence on renal dialysis
....13.59 Condition17pat01: Body mass index [BMI] 45.0-49.9, adult
....13.60 Condition18pat01: Longstanding persistent atrial fibrillation
....13.61 ConditionR01pat01: Cystic fibrosis with other intestinal manifestations
....13.62 Condition21pat03: Type 2 diabetes mellitus without complications
....13.63 Condition22pat03: Other acute kidney failure
....13.64 Condition23pat03: Chronic kidney disease, stage 5
....13.65 Condition31pat02: Typical atrial flutter
....13.66 Condition32pat03: Chronic pulmonary embolism
....13.67 Condition33pat01: Respiratory arrest
....13.68 Condition35pat03: Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene
....13.69 Condition42pat03: Other artificial openings of gastrointestinal tract status
....13.70 Condition43pat01: Diabetes mellitus due to underlying condition with other diabetic kidney complication
....13.71 Condition44pat01: Allergic bronchopulmonary aspergillosis
....13.72 Documentreference01pat01: Outpatient Note
....13.73 Encounter on 20210714
....13.74 Encounter on 20210131
....13.75 Encounter on 20210926
....13.76 Encounter on 20211218
....13.77 Encounter on 20200303
....13.78 Encounter on 20200917
....13.79 Encounter on 20190207
....13.80 Encounter on 20170203
....13.81 Encounter on 20210327
....13.82 Encounter on 20201102
....13.83 Encounter on 20200808
....13.84 Encounter on 20210727
....13.85 Encounter on 20210823
....13.86 Encounter on 20210130
....13.87 Encounter on 20210701
....13.88 Encounter on 20210806
....13.89 Encounter on 20210212
....13.90 Encounter on 20200210
....13.91 Encounter on 20190210
....13.92 Encounter on 20170118
....13.93 Encounter on 20180721
....13.94 Encounter on 2021-10-15
....13.95 Observation: Trypsin [Mass/volume] in Serum or Plasma result from 20190617
....13.96 Observation: Creatinine Result from 20210728
....13.97 Observation: PHQ9 from 20190823
....13.98 Trypsin [Mass/volume] in Serum or Plasma from 20170617
....13.99 Organization01: ABC Payer
....13.100 Organization: Community Urgent Care
....13.101 Organization: GHH Outpatient Clinic
....13.102 Organization: Community HealthCenter
....13.103 Organization: Risk Adjustment Author
....13.104 Patient01: Eve Everywoman
....13.105 Patient02: Adam Everyman
....13.106 Patient03: Nelda Nuclear
....13.107 Practitioner: Harold Hippocrates
....13.108 Practitioner: Patrick Pump
....13.109 Practitioner: Otto Osler
....13.110 Task: Clinical Evaluation Task
....13.111 Risk Adjustment Model Version 24 - CMS Hierarchical Category Condition (CMS-HCC)
....13.112 Risk Adjustment Model Version 21 - CMS Hierarchical Category Condition (CMS-HCC)
....13.113 Risk Adjustment Model Version 5 - CMS Prescribing Drug Hierarchical Category Condition (CMS-HCC)