{ "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-ra", "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": "0.1.0", "status": "draft", "id": "c22d2e69-e175-4bdd-87fa-2421feed8fad", "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" } ] } ] }