Da Vinci Risk Adjustment Implementation Guide
2.0.0 - STU2 flag

This page is part of the Da Vinci Risk Adjustment FHIR Implementation Guide (v2.0.0: STU 2) based on FHIR (HL7® FHIR® Standard) 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

CodeSystem: Risk Adjustment Condition Category Type CodeSystem

Official URL: http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type Version: 2.0.0
Standards status: Trial-use Maturity Level: 2 Computable Name: RiskAdjustmentConditionCategoryType
Other Identifiers: OID:2.16.840.1.113883.4.642.40.29.16.1

Copyright/Legal: Used by permission of HL7 International - Clinical Quality Information Work Group, all rights reserved Creative Commons License

Code sytstem that indicates whether it is a suspected Condition Category (CC) gap, a historic Condition Category (CC) gap, or a net-new Condition Category (CC). Historic, suspected, and net-new are mutually exclusive.

This Code system is referenced in the content logical definition of the following value sets:

Generated Narrative: CodeSystem cc-type

This case-sensitive code system http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type defines the following codes:

CodeDisplayDefinition
historic Historic Condition Category Gap Historic Condition Category (CC) Gap. Historic Condition Category (CC) is based on verified data from any clinical evaluation period.
suspected Suspected Condition Category Gap Suspected Condition Category (CC) Gap. A member has never had this as a verified Condition Category (CC), but when a Server runs a suspecting algorithm, suspected Condition Categories (CCs) are identified.
net-new Net-New Condition Category Net-New Condition Category (CC). New Condition Category (CC), not from suspected process or historic. A Net-New Condition Category (CC) is documented for the first time during the clinical evaluation period for the risk adjustment model. Any Condition Categories (CCs) that are net new must be either closed-gap or pending and cannot be open-gap.