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 Evidence Status CodeSystem - JSON Representation

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{
  "resourceType" : "CodeSystem",
  "id" : "evidence-status",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem evidence-status</b></p><a name=\"evidence-status\"> </a><a name=\"hcevidence-status\"> </a><a name=\"evidence-status-en-US\"> </a><p>This case-sensitive code system <code>http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status</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\">closed-gap<a name=\"evidence-status-closed-gap\"> </a></td><td>Closed Condition Category Gap</td><td>Evidence to support a Condition Category (CC) was confirmed.</td></tr><tr><td style=\"white-space:nowrap\">invalid-gap<a name=\"evidence-status-invalid-gap\"> </a></td><td>Invalid Condition Category Gap</td><td>Evidence to support a Condition Category (CC) was invalidated.</td></tr><tr><td style=\"white-space:nowrap\">open-gap<a name=\"evidence-status-open-gap\"> </a></td><td>Open Condition Category Gap</td><td>Action is needed to confirm whether the Condition Category (CC) is valid.</td></tr><tr><td style=\"white-space:nowrap\">pending<a name=\"evidence-status-pending\"> </a></td><td>Pending Condition Category Gap</td><td>Evidence was received by the payer and is in the process of being evaluated.</td></tr></table></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "cqi"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger" : 2,
      "_valueInteger" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://hl7.org/fhir/us/davinci-ra/ImplementationGuide/fhir.us.davinci-ra"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode" : "trial-use",
      "_valueCode" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://hl7.org/fhir/us/davinci-ra/ImplementationGuide/fhir.us.davinci-ra"
          }
        ]
      }
    }
  ],
  "url" : "http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status",
  "identifier" : [
    {
      "system" : "urn:ietf:rfc:3986",
      "value" : "urn:oid:2.16.840.1.113883.4.642.40.29.16.3"
    }
  ],
  "version" : "2.0.0",
  "name" : "RiskAdjustmentEvidenceStatus",
  "title" : "Risk Adjustment Evidence Status CodeSystem",
  "status" : "active",
  "experimental" : false,
  "date" : "2025-02-19T15:09:54+00:00",
  "publisher" : "HL7 International / Clinical Quality Information",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/cqi"
        }
      ]
    }
  ],
  "description" : "Code system that indicates whether a coding gap is an open-gap, invalid-gap, closed-gap, or pending.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US",
          "display" : "United States of America"
        }
      ]
    }
  ],
  "copyright" : "Used by permission of HL7 International - Clinical Quality Information Work Group, all rights reserved Creative Commons License",
  "caseSensitive" : true,
  "valueSet" : "http://hl7.org/fhir/us/davinci-ra/ValueSet/evidence-status",
  "content" : "complete",
  "count" : 4,
  "concept" : [
    {
      "code" : "closed-gap",
      "display" : "Closed Condition Category Gap",
      "definition" : "Evidence to support a Condition Category (CC) was confirmed."
    },
    {
      "code" : "invalid-gap",
      "display" : "Invalid Condition Category Gap",
      "definition" : "Evidence to support a Condition Category (CC) was invalidated."
    },
    {
      "code" : "open-gap",
      "display" : "Open Condition Category Gap",
      "definition" : "Action is needed to confirm whether the Condition Category (CC) is valid."
    },
    {
      "code" : "pending",
      "display" : "Pending Condition Category Gap",
      "definition" : "Evidence was received by the payer and is in the process of being evaluated."
    }
  ]
}