Da Vinci Risk Adjustment Implementation Guide
2.0.0-preview - STU2 United States of America flag

Da Vinci Risk Adjustment Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 2.0.0-preview built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-ra/ and changes regularly. See the Directory of published versions

Extension: Condition Category Remark

Official URL: http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccRemark Version: 2.0.0-preview
Active as of 2024-04-18 Computable Name: ConditionCategoryRemark

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

The Condition Category Remark extension allows a coded and/or narrative remark be added to a Condition Category (CC) coding gap that is on a Payer generated risk adjustment coding gap report by a provider, an organization, or a software.

Context of Use

This extension may be used on the following element(s):

  • Element ID MeasureReport.group

Usage info

Usage:

Formal Views of Extension Content

Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.

This structure is derived from Extension

Summary

Complex Extension: The Condition Category Remark extension allows a coded and/or narrative remark be added to a Condition Category (CC) coding gap that is on a Payer generated risk adjustment coding gap report by a provider, an organization, or a software.

  • author: Identifier: An Extension
  • authorOrganization: Identifier: An Extension
  • authorSoftware: Identifier: An Extension
  • authorDatetime: dateTime: An Extension
  • text: string: An Extension
  • code: CodeableConcept: An Extension
  • reasonCode: CodeableConcept: An Extension
  • relatedDataIdentifier: Identifier: An Extension
  • reasonDiagnosis: CodeableConcept: An Extension

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..* Extension Condition Category remark
... extension:author 0..* Extension Identifier of the person who added the remark such as NPI
.... url 1..1 uri "author"
.... valueIdentifier 1..1 Identifier Value of extension
... extension:authorOrganization 0..* Extension Identifier of the organization that added the remark such as TIN, NPI
.... url 1..1 uri "authorOrganization"
.... valueIdentifier 1..1 Identifier Value of extension
... extension:authorSoftware 0..* Extension Identifier of the software that added the remark
.... url 1..1 uri "authorSoftware"
.... valueIdentifier 1..1 Identifier Value of extension
.... url 1..1 uri "authorDatetime"
.... value[x] 1..1 dateTime Value of extension
... extension:text 0..1 Extension Free text remark
.... url 1..1 uri "text"
.... value[x] 1..1 string Value of extension
... extension:code 0..1 Extension Coded remark
.... url 1..1 uri "code"
.... value[x] 1..1 CodeableConcept Value of extension
Binding: Coding Gap Remark (extensible)
... extension:reasonCode 0..* Extension Remark reason
.... url 1..1 uri "reasonCode"
.... value[x] 1..1 CodeableConcept Value of extension
Binding: Remark Reason (extensible)
... extension:relatedDataIdentifier 0..* Extension Related data identifier
.... url 1..1 uri "relatedDataIdentifier"
.... value[x] 1..1 Identifier Value of extension
... extension:reasonDiagnosis 0..* Extension Dignosis from the provider sent as part of the remark
.... url 1..1 uri "reasonDiagnosis"
.... value[x] 1..1 CodeableConcept Value of extension
Binding: US Core Condition Code (preferred)
... url 1..1 uri "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccRemark"
... value[x] 0..0

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..* Extension Condition Category remark
... id 0..1 string Unique id for inter-element referencing
... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
... extension:author 0..* Extension Identifier of the person who added the remark such as NPI
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... url 1..1 uri "author"
.... Slices for value[x] 1..1 Identifier Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueIdentifier 1..1 Identifier Value of extension
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... url 1..1 uri "authorOrganization"
.... Slices for value[x] 1..1 Identifier Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueIdentifier 1..1 Identifier Value of extension
... extension:authorSoftware 0..* Extension Identifier of the software that added the remark
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... url 1..1 uri "authorSoftware"
.... Slices for value[x] 1..1 Identifier Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueIdentifier 1..1 Identifier Value of extension
... extension:authorDatetime 0..1 Extension When the remark was added
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... url 1..1 uri "authorDatetime"
.... value[x] 1..1 dateTime Value of extension
... extension:text 0..1 Extension Free text remark
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... url 1..1 uri "text"
.... value[x] 1..1 string Value of extension
... extension:code 0..1 Extension Coded remark
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... url 1..1 uri "code"
.... value[x] 1..1 CodeableConcept Value of extension
Binding: Coding Gap Remark (extensible)
... extension:reasonCode 0..* Extension Remark reason
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... url 1..1 uri "reasonCode"
.... value[x] 1..1 CodeableConcept Value of extension
Binding: Remark Reason (extensible)
... extension:relatedDataIdentifier 0..* Extension Related data identifier
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... url 1..1 uri "relatedDataIdentifier"
.... value[x] 1..1 Identifier Value of extension
... extension:reasonDiagnosis 0..* Extension Dignosis from the provider sent as part of the remark
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... url 1..1 uri "reasonDiagnosis"
.... value[x] 1..1 CodeableConcept Value of extension
Binding: US Core Condition Code (preferred)
... url 1..1 uri "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccRemark"

doco Documentation for this format

This structure is derived from Extension

Summary

Complex Extension: The Condition Category Remark extension allows a coded and/or narrative remark be added to a Condition Category (CC) coding gap that is on a Payer generated risk adjustment coding gap report by a provider, an organization, or a software.

  • author: Identifier: An Extension
  • authorOrganization: Identifier: An Extension
  • authorSoftware: Identifier: An Extension
  • authorDatetime: dateTime: An Extension
  • text: string: An Extension
  • code: CodeableConcept: An Extension
  • reasonCode: CodeableConcept: An Extension
  • relatedDataIdentifier: Identifier: An Extension
  • reasonDiagnosis: CodeableConcept: An Extension

Differential View

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..* Extension Condition Category remark
... extension:author 0..* Extension Identifier of the person who added the remark such as NPI
.... url 1..1 uri "author"
.... valueIdentifier 1..1 Identifier Value of extension
... extension:authorOrganization 0..* Extension Identifier of the organization that added the remark such as TIN, NPI
.... url 1..1 uri "authorOrganization"
.... valueIdentifier 1..1 Identifier Value of extension
... extension:authorSoftware 0..* Extension Identifier of the software that added the remark
.... url 1..1 uri "authorSoftware"
.... valueIdentifier 1..1 Identifier Value of extension
.... url 1..1 uri "authorDatetime"
.... value[x] 1..1 dateTime Value of extension
... extension:text 0..1 Extension Free text remark
.... url 1..1 uri "text"
.... value[x] 1..1 string Value of extension
... extension:code 0..1 Extension Coded remark
.... url 1..1 uri "code"
.... value[x] 1..1 CodeableConcept Value of extension
Binding: Coding Gap Remark (extensible)
... extension:reasonCode 0..* Extension Remark reason
.... url 1..1 uri "reasonCode"
.... value[x] 1..1 CodeableConcept Value of extension
Binding: Remark Reason (extensible)
... extension:relatedDataIdentifier 0..* Extension Related data identifier
.... url 1..1 uri "relatedDataIdentifier"
.... value[x] 1..1 Identifier Value of extension
... extension:reasonDiagnosis 0..* Extension Dignosis from the provider sent as part of the remark
.... url 1..1 uri "reasonDiagnosis"
.... value[x] 1..1 CodeableConcept Value of extension
Binding: US Core Condition Code (preferred)
... url 1..1 uri "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccRemark"
... value[x] 0..0

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..* Extension Condition Category remark
... id 0..1 string Unique id for inter-element referencing
... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
... extension:author 0..* Extension Identifier of the person who added the remark such as NPI
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... url 1..1 uri "author"
.... Slices for value[x] 1..1 Identifier Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueIdentifier 1..1 Identifier Value of extension
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... url 1..1 uri "authorOrganization"
.... Slices for value[x] 1..1 Identifier Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueIdentifier 1..1 Identifier Value of extension
... extension:authorSoftware 0..* Extension Identifier of the software that added the remark
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... url 1..1 uri "authorSoftware"
.... Slices for value[x] 1..1 Identifier Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueIdentifier 1..1 Identifier Value of extension
... extension:authorDatetime 0..1 Extension When the remark was added
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... url 1..1 uri "authorDatetime"
.... value[x] 1..1 dateTime Value of extension
... extension:text 0..1 Extension Free text remark
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... url 1..1 uri "text"
.... value[x] 1..1 string Value of extension
... extension:code 0..1 Extension Coded remark
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... url 1..1 uri "code"
.... value[x] 1..1 CodeableConcept Value of extension
Binding: Coding Gap Remark (extensible)
... extension:reasonCode 0..* Extension Remark reason
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... url 1..1 uri "reasonCode"
.... value[x] 1..1 CodeableConcept Value of extension
Binding: Remark Reason (extensible)
... extension:relatedDataIdentifier 0..* Extension Related data identifier
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... url 1..1 uri "relatedDataIdentifier"
.... value[x] 1..1 Identifier Value of extension
... extension:reasonDiagnosis 0..* Extension Dignosis from the provider sent as part of the remark
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... url 1..1 uri "reasonDiagnosis"
.... value[x] 1..1 CodeableConcept Value of extension
Binding: US Core Condition Code (preferred)
... url 1..1 uri "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-ccRemark"

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSetURI
Extension.extension:code.value[x]extensibleCodingGapRemark (a valid code from Coding Gap Remark CodeSystem)
http://hl7.org/fhir/us/davinci-ra/ValueSet/coding-gap-remark
from this IG
Extension.extension:reasonCode.value[x]extensibleRemarkReason (a valid code from Remark Reason CodeSystem)
http://hl7.org/fhir/us/davinci-ra/ValueSet/remark-reason
from this IG
Extension.extension:reasonDiagnosis.value[x]preferredUSCoreConditionCode
http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()