Da Vinci Risk Adjustment Implementation Guide
2.1.0 - STU 2.1 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 2.1.0 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

OperationDefinition: Risk Gap

Official URL: http://hl7.org/fhir/us/davinci-ra/OperationDefinition/risk-gap Version: 2.1.0
Standards status: Draft Maturity Level: 1 Computable Name: Risk Gap
Other Identifiers: OID:2.16.840.1.113883.4.642.40.29.33.2

Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License

The risk-gap operation is used to determine condition Category (CC) gaps for a patient/member.

URL: [base]/MeasureReport/$risk-gap

URL: [base]/MeasureReport/[id]/$risk-gap

Parameters

UseNameScopeCardinalityTypeBindingDocumentation
INperiodStart1..1date

The start of a clinical evaluation period.

INperiodEnd1..1date

The end of a clinical evaluation period.

INsubject1..1Patient (US Core Patient Profile)

Patient resource as input parameter, which provides data such as patient's first name, last name, date of birth

INcoverage1..1Coverage (US Core Coverage Profile)

This is a reference to the Coverage resource, which provides information such as the subscriberId

INTIN0..1string
(token)

This is the provider rganization's TIN

INccType0..*codeCondition Category Type (Extensible)

This Condition Category (CC) gaps will be filterd based on the CC type code, whether it is suspected, historic, and/or net-new.

INevidenceStatus0..*codeEvidence Status (Extensible)

This Condition Category (CC) gaps will be filterd based on the evidence status, whether the gap is an open-gap, invalid-gap, closed-gap, and/or pending.

INproviderTaxonomy0..*codeProviderTaxonomy (Extensible)

This Condition Category (CC) gaps will be filterd based on provider taxonomy.

INencounter0..1Encounter (US Core Encounter Profile)

This is a reference to the Encounter resource, which provides information such as the encounter id and date of service.

INcontextId0..1string
(token)

The contextId is intended to be used for 'non-standard' identifiers, for example, some systems may have an internally defined gap-request-id

INreferenced0..*Resource
(reference)

Any resources that are referenced by other input parameters defined in this operation. For example, Coverage.payor that is an Organization resource referenced by Coverage , which can then be included here using this parameter 'referenced'

OUTreturn0..1Bundle

This operation returns a Bundle of MeasureReports and associated resources