{
"description": "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.",
"_filename": "CodeSystem-suspect-type.json",
"package_name": "hl7.fhir.us.davinci",
"date": "2021-12-06T22:33:15+00:00",
"publisher": "HL7 Clinical Quality Information Work Group",
"jurisdiction": [ {
"coding": [ {
"code": "US",
"system": "urn:iso:std:iso:3166",
"display": "United States of America"
} ]
} ],
"content": "complete",
"name": "RiskAdjustmentSuspectTypeCodeSystem",
"copyright": "Used by permission of HL7 International - Clinical Quality Information Work Group, all rights reserved Creative Commons License",
"type": null,
"experimental": null,
"resourceType": "CodeSystem",
"title": "Risk Adjustment Suspect Type Code System",
"package_version": "ra-0.1.0",
"status": "draft",
"id": "32276269-fe53-4d71-8e7d-4ef0f17e4b45",
"kind": null,
"count": 3,
"url": "http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type",
"concept": [ {
"code": "historic",
"display": "Historic Condition Category Gap",
"definition": "Historic Condition Category (CC) Gap. Historic CC is based on data from a prior clinical evaluation period."
}, {
"code": "suspected",
"display": "Suspected Condtion Category Gap",
"definition": "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."
}, {
"code": "net-new",
"display": "Net-New Condition Category",
"definition": "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."
} ],
"caseSensitive": true,
"version": "0.1.0",
"contact": [ {
"name": "HL7 Clinical Quality Information Work Group",
"telecom": [ {
"value": "http://www.hl7.org/Special/committees/cqi",
"system": "url"
} ]
} ]
}