Da Vinci Risk Adjustment Implementation Guide (STU1 Ballot)
0.1.0 - STU 1 Ballot

This page is part of the Da Vinci Risk Adjustment FHIR Implementation Guide (v0.1.0: STU 1 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 2.1.0. For a full list of available versions, see the Directory of published versions

ValueSet: Risk Adjustment Suspect Type Value Set

Summary

Defining URL:http://hl7.org/fhir/us/davinci-ra/ValueSet/suspect-type
Version:0.1.0
Name:RiskAdjustmentSuspectTypeValueSet
Title:Risk Adjustment Suspect Type Value Set
Status:Active as of 11/11/21
Definition:

Concepts for risk adjustment suspect type

Publisher:HL7 Clinical Quality Information Work Group
Copyright:

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

Source Resource:XML / JSON / Turtle

References

Logical Definition (CLD)

 

Expansion

This value set contains 3 concepts

Expansion based on Risk Adjustment Suspect Type Code System v0.1.0 (CodeSystem)

All codes in this table are from the system http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type

CodeDisplayDefinition
historicHistoric Condition Category GapHistoric Condition Category (CC) Gap. Historic CC is based on data from a prior clinical evaluation period.
suspectedSuspected Condtion Category GapSuspected Condition Category (CC) Gap. A member never has CC before, but when a Server runs a suspecting algorithm, suspected CCs are identified for the member.
net-newNet-New Condition CategoryNet-New Condition Category (CC). New Condition Category, not from suspected process or historic. A Net-New CC is documented for the first time during the clinical evaluation period for the risk adjustment model. Any CCs that are net new must be either closed-gap or pending, and can not be open-gap.

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
Source The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code