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 R4. The current version which supercedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions

: Risk Adjustment Suspect Type Code System - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:CodeSystem;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "suspect-type"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>This code system http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type 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=\"suspect-type-historic\"> </a></td><td>Historic Condition Category Gap</td><td>Historic Condition Category (CC) Gap. Historic CC is based on data from a prior clinical evaluation period.</td></tr><tr><td style=\"white-space:nowrap\">suspected<a name=\"suspect-type-suspected\"> </a></td><td>Suspected Condtion Category Gap</td><td>Suspected 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.</td></tr><tr><td style=\"white-space:nowrap\">net-new<a name=\"suspect-type-net-new\"> </a></td><td>Net-New Condition Category</td><td>Net-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\n      risk adjustment model. Any CCs that are net new must be either closed-gap or pending, and can not be open-gap.</td></tr></table></div>"
  ];
  fhir:CodeSystem.url [ fhir:value "http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type"];
  fhir:CodeSystem.version [ fhir:value "0.1.0"];
  fhir:CodeSystem.name [ fhir:value "RiskAdjustmentSuspectTypeCodeSystem"];
  fhir:CodeSystem.title [ fhir:value "Risk Adjustment Suspect Type Code System"];
  fhir:CodeSystem.status [ fhir:value "draft"];
  fhir:CodeSystem.date [ fhir:value "2021-12-06T22:33:15+00:00"^^xsd:dateTime];
  fhir:CodeSystem.publisher [ fhir:value "HL7 Clinical Quality Information Work Group"];
  fhir:CodeSystem.contact [
     fhir:index 0;
     fhir:ContactDetail.name [ fhir:value "HL7 Clinical Quality Information Work Group" ];
     fhir:ContactDetail.telecom [
       fhir:index 0;
       fhir:ContactPoint.system [ fhir:value "url" ];
       fhir:ContactPoint.value [ fhir:value "http://www.hl7.org/Special/committees/cqi" ]     ]
  ];
  fhir:CodeSystem.description [ fhir:value "This is a code system for Risk Adjustment suspect type to indicate whether it is a suspected Condition Category (CC) gap,\n  a historic CC gap, or an unsuspected CC. Historic, suspected, and net-new are mutually exclusive."];
  fhir:CodeSystem.jurisdiction [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ];
       fhir:Coding.code [ fhir:value "US" ];
       fhir:Coding.display [ fhir:value "United States of America" ]     ]
  ];
  fhir:CodeSystem.copyright [ fhir:value "Used by permission of HL7 International - Clinical Quality Information Work Group, all rights reserved Creative Commons License"];
  fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean];
  fhir:CodeSystem.content [ fhir:value "complete"];
  fhir:CodeSystem.count [ fhir:value "3"^^xsd:nonNegativeInteger];
  fhir:CodeSystem.concept [
     fhir:index 0;
     fhir:CodeSystem.concept.code [ fhir:value "historic" ];
     fhir:CodeSystem.concept.display [ fhir:value "Historic Condition Category Gap" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Historic Condition Category (CC) Gap. Historic CC is based on data from a prior clinical evaluation period." ]
  ], [
     fhir:index 1;
     fhir:CodeSystem.concept.code [ fhir:value "suspected" ];
     fhir:CodeSystem.concept.display [ fhir:value "Suspected Condtion Category Gap" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Suspected 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." ]
  ], [
     fhir:index 2;
     fhir:CodeSystem.concept.code [ fhir:value "net-new" ];
     fhir:CodeSystem.concept.display [ fhir:value "Net-New Condition Category" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Net-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\n      risk adjustment model. Any CCs that are net new must be either closed-gap or pending, and can not be open-gap." ]
  ].

# - ontology header ------------------------------------------------------------

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.