Da Vinci Risk Adjustment Implementation Guide
1.0.0 - STU 1 US

This page is part of the Da Vinci Risk Adjustment FHIR Implementation Guide (v1.0.0: STU 1) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). 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 Guidance
...3 Profiles
....3.1 Risk Adjustment Model Measure
....3.2 Risk Adjustment Measure Report
....3.3 Patient Group
....3.4 Risk Adjustment Measure Report Bundle
...4 Extensions
....4.1 Risk Adjustment Clinical Data Collection Deadline
....4.2 Risk Adjustment HCC Gap Evidence Status
....4.3 Risk Adjustment HCC Gap Evidence Status Last Change Date
....4.4 Risk Adjustment Group Reference Extension
....4.5 Risk Adjustment Hierarchical Status
....4.6 Risk Adjustment Suspect Type
...5 Terminology
...6 Operation
...7 Capability Statement
....7.1 Risk Adjustment Server Capability Statement
...8 Examples
....8.1 Condition01Pat03
....8.2 Encounter01Pat03
....8.3 Encounter04Pat03
....8.4 Encounter05Pat03
....8.5 Encounter06Pat03
....8.6 Encounter07Pat03
....8.7 Encounter15Pat03
....8.8 Encounter16Pat03
....8.9 Encounter19Pat03
....8.10 Encounter21Pat03
....8.11 Encounter22Pat03
....8.12 Encounter31Pat02
....8.13 Encounter35Pat03
....8.14 Observation01Pat03
....8.15 Observation02Pat03
....8.16 Patient01
....8.17 MeasureReport01
....8.18 Measure01
....8.19 Measure02
....8.20 Measure03
....8.21 Parameters01
...9 Glossary
...10 Downloads
...11 Change Log
...12 Artifacts Summary
....12.1 Risk Adjustment Server Capability Statement
....12.2 Report Operation
....12.3 Risk Adjustment Coding Gap Report Bundle Profile
....12.4 Risk Adjustment Coding Gap Report Profile
....12.5 Risk Adjustment Model Measure
....12.6 Patient Group Profile
....12.7 Risk Adjustment Clinical Data Collection Deadline Extension
....12.8 Evidence Status Extension
....12.9 Risk Adjustment Evidence Status Date Extension
....12.10 Group Reference Extension
....12.11 Hierarchical Status Extension
....12.12 Risk Adjustment Suspect Type Extension
....12.13 Risk Adjustment Evidence Status Value Set
....12.14 Example CMS Hierarchical Condition Category Value Set
....12.15 Risk Adjustment Hierarchical Status Value Set
....12.16 Risk Adjustment Suspect Type Value Set
....12.17 Risk Adjustment Evidence Status Code System
....12.18 Risk Adjustment Hierarchical Status Code System
....12.19 Risk Adjustment Suspect Type Code System
....12.20 ra-bundle01: Risk Adjustment Bundle
....12.21 ra-group01: Risk Adjustment Patient Group
....12.22 ra-group02: Risk Adjustment Patient Group
....12.23 ra-measurereport01: Risk Adjustment Measure Report
....12.24 ra-measurereport02: Risk Adjustment Measure Report
....12.25 ra-measurereport03: Risk Adjustment Measure Report for HCC V24 for Patient 02
....12.26 ra-measurereport04: Risk Adjustment Measure Report for HCC V21 for Patient 03
....12.27 ra-measurereport05: Risk Adjustment Measure Report for RxHCC V5 for Patient03
....12.28 ra-measurereport06: Risk Adjustment Measure Report for RxHCC V5 for Patient02
....12.29 Condition01pat03: Other artificial openings of gastrointestinal tract status
....12.30 Condition02pat01: Diabetes mellitus due to underlying condition with other diabetic kidney complication
....12.31 Condition03pat01: Chronic obstructive pulmonary disease with (acute) exacerbation
....12.32 Condition04pat03: Chronic obstructive pulmonary disease with (acute) exacerbation
....12.33 Condition05pat03: Unspecified protein-calorie malnutrition
....12.34 Condition06pat03: Crohn's disease of large intestine with unspecified complicationss
....12.35 Condition07pat03: Other persistent atrial fibrillation
....12.36 Condition08pat01: Bipolar disorder, current episode mixed, mild
....12.37 Condition09pat01: Allergic bronchopulmonary aspergillosis
....12.38 Condition10pat01: Long term (current) use of insulin
....12.39 Condition11pat01: Acute pulmonary edema
....12.40 Condition15pat03: Diabetes mellitus due to underlying condition with diabetic chronic kidney diseases
....12.41 Condition16pat03: Dependence on renal dialysis
....12.42 Condition17pat01: Body mass index [BMI] 45.0-49.9, adult
....12.43 Condition18pat01: Longstanding persistent atrial fibrillation
....12.44 Condition21pat03: Type 2 diabetes mellitus without complications
....12.45 Condition22pat03: Other acute kidney failure
....12.46 Condition23pat03: Chronic kidney disease, stage 5
....12.47 Condition31pat02: Typical atrial flutter
....12.48 Condition32pat03: Chronic pulmonary embolism
....12.49 Condition33pat01: Respiratory arrest
....12.50 Condition35pat03: Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene
....12.51 Condition42pat03: Other artificial openings of gastrointestinal tract status
....12.52 Condition43pat01: Diabetes mellitus due to underlying condition with other diabetic kidney complication
....12.53 Condition44pat01: Allergic bronchopulmonary aspergillosis
....12.54 Encounter on 20210714
....12.55 Encounter on 20210131
....12.56 Encounter on 20210926
....12.57 Encounter on 20211218
....12.58 Encounter on 20200303
....12.59 Encounter on 20200917
....12.60 Encounter on 20190207
....12.61 Encounter on 20170203
....12.62 Encounter on 20210327
....12.63 Encounter on 20201102
....12.64 Encounter on 20200808
....12.65 Encounter on 20210727
....12.66 Encounter on 20210823
....12.67 Encounter on 20210130
....12.68 Encounter on 20210701
....12.69 Encounter on 20210806
....12.70 Encounter on 20210212
....12.71 Encounter on 20200210
....12.72 Encounter on 20190210
....12.73 Encounter on 20170118
....12.74 Encounter on 20180721
....12.75 Observation: Creatinine Result from 20210728
....12.76 Observation: PHQ9 from 20190823
....12.77 Trypsin [Mass/volume] in Serum or Plasma from 20170617
....12.78 Organization01: ABC Payer
....12.79 Organization: Community Urgent Care
....12.80 Organization: GHH Outpatient Clinic
....12.81 Organization: Community HealthCenter
....12.82 Patient01: Report
....12.83 Patient01: Eve Everywoman
....12.84 Patient02: Adam Everyman
....12.85 Patient03: Nelda Nuclear
....12.86 Practitioner: Harold Hippocrates
....12.87 Practitioner: Patrick Pump
....12.88 Practitioner: Otto Osler
....12.89 Risk Adjustment Model Version 24 - CMS Hierarchical Category Condition (CMS-HCC)
....12.90 Risk Adjustment Model Version 21 - CMS Hierarchical Category Condition (CMS-HCC)
....12.91 Risk Adjustment Model Version 5 - CMS Prescribing Drug Hierarchical Category Condition (CMS-HCC)