# Hierarchical Status - Da Vinci Risk Adjustment Implementation Guide v2.1.0

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **Hierarchical Status**

## ValueSet: Hierarchical Status 

| | | |
| :--- | :--- | :--- |
| *Official URL*:http://hl7.org/fhir/us/davinci-ra/ValueSet/hierarchical-status | *Version*:2.1.0 | |
| *Standards status:*[Trial-use](http://hl7.org/fhir/R4/versions.html#std-process) | [Maturity Level](http://hl7.org/fhir/versions.html#maturity): 2 | *Computable Name*:RiskAdjustmenthierarchicalStatus |
| *Other Identifiers:*OID:2.16.840.1.113883.4.642.40.29.48.5 | | |
| **Copyright/Legal**: Used by permission of HL7 International, all rights reserved Creative Commons License | | |

 
Codes that indicate how hierarchies were applied to a Condition Category (CC), and if applied, whether the Condition Category (CC) is superseded. 

 **References** 

* [Hierarchical Status Extension](StructureDefinition-ra-hierarchicalStatus.md)

### Logical Definition (CLD)

* Include all codes defined in [`http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status`](CodeSystem-hierarchical-status.md)version 📦2.1.0

 

### Expansion

-------

 Explanation of the columns that may appear on this page: 

| | |
| :--- | :--- |
| Level | A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies |
| System | The source of the definition of the code (when the value set draws in codes defined elsewhere) |
| Code | The code (used as the code in the resource instance) |
| Display | The display (used in the*display*element of a[Coding](http://hl7.org/fhir/R4/datatypes.html#Coding)). If there is no display, implementers should not simply display the code, but map the concept into their application |
| Definition | An explanation of the meaning of the concept |
| Comments | Additional notes about how to use the code |



## Resource Content

```json
{
  "resourceType" : "ValueSet",
  "id" : "hierarchical-status",
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "cqi"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger" : 2,
      "_valueInteger" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://hl7.org/fhir/us/davinci-ra/ImplementationGuide/davinci-ra"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode" : "trial-use",
      "_valueCode" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://hl7.org/fhir/us/davinci-ra/ImplementationGuide/davinci-ra"
          }
        ]
      }
    }
  ],
  "url" : "http://hl7.org/fhir/us/davinci-ra/ValueSet/hierarchical-status",
  "identifier" : [
    {
      "system" : "urn:ietf:rfc:3986",
      "value" : "urn:oid:2.16.840.1.113883.4.642.40.29.48.5"
    }
  ],
  "version" : "2.1.0",
  "name" : "RiskAdjustmenthierarchicalStatus",
  "title" : "Hierarchical Status",
  "status" : "active",
  "experimental" : false,
  "date" : "2025-11-20T19:49:53+00:00",
  "publisher" : "HL7 International / Clinical Quality Information",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/cqi"
        }
      ]
    }
  ],
  "description" : "Codes that indicate how hierarchies were applied to a Condition Category (CC), and if applied, whether the Condition Category (CC) is superseded.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US",
          "display" : "United States of America"
        }
      ]
    }
  ],
  "copyright" : "Used by permission of HL7 International, all rights reserved Creative Commons License",
  "compose" : {
    "include" : [
      {
        "system" : "http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-status"
      }
    ]
  }
}

```
