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

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: Risk Adjustment Condition Category Type CodeSystem - XML Representation

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<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="cc-type"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: CodeSystem cc-type</b></p><a name="cc-type"> </a><a name="hccc-type"> </a><a name="cc-type-en-US"> </a><p>This case-sensitive code system <code>http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type</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">historic<a name="cc-type-historic"> </a></td><td>Historic Condition Category Gap</td><td>Historic Condition Category (CC) Gap. Historic Condition Category (CC) is based on verified data from any clinical evaluation period.</td></tr><tr><td style="white-space:nowrap">suspected<a name="cc-type-suspected"> </a></td><td>Suspected Condition Category Gap</td><td>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.</td></tr><tr><td style="white-space:nowrap">net-new<a name="cc-type-net-new"> </a></td><td>Net-New Condition Category</td><td>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.</td></tr></table></div>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="cqi"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="2">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueCanonical
                        value="http://hl7.org/fhir/us/davinci-ra/ImplementationGuide/fhir.us.davinci-ra"/>
      </extension>
    </valueInteger>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="trial-use">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueCanonical
                        value="http://hl7.org/fhir/us/davinci-ra/ImplementationGuide/fhir.us.davinci-ra"/>
      </extension>
    </valueCode>
  </extension>
  <url value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.16.840.1.113883.4.642.40.29.16.1"/>
  </identifier>
  <version value="2.0.0"/>
  <name value="RiskAdjustmentConditionCategoryType"/>
  <title value="Risk Adjustment Condition Category Type CodeSystem"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2025-02-19T15:09:54+00:00"/>
  <publisher value="HL7 International / Clinical Quality Information"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/cqi"/>
    </telecom>
  </contact>
  <description
               value="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."/>
  <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/cc-type"/>
  <content value="complete"/>
  <count value="3"/>
  <concept>
    <code value="historic"/>
    <display value="Historic Condition Category Gap"/>
    <definition
                value="Historic Condition Category (CC) Gap. Historic Condition Category (CC) is based on verified data from any clinical evaluation period."/>
  </concept>
  <concept>
    <code value="suspected"/>
    <display value="Suspected Condition Category Gap"/>
    <definition
                value="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."/>
  </concept>
  <concept>
    <code value="net-new"/>
    <display value="Net-New Condition Category"/>
    <definition
                value="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."/>
  </concept>
</CodeSystem>