Da Vinci Risk Adjustment Implementation Guide
2.1.0 - STU 2.1

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

## : Risk Gap - TTL Representation

Page standards status: Draft | Maturity Level: 1

Raw ttl | Download

    @prefix fhir: <http://hl7.org/fhir/> .
    @prefix owl: <http://www.w3.org/2002/07/owl#> .
    @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
    @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
    @prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

    # - resource -------------------------------------------------------------------

     a fhir:OperationDefinition ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:id [ fhir:v "risk-gap"] ; #
      fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: OperationDefinition risk-gap</b></p><a name=\"risk-gap\"> </a><a name=\"hcrisk-gap\"> </a><p>URL: [base]/MeasureReport/$risk-gap</p><p>URL: [base]/MeasureReport/[id]/$risk-gap</p><h3>Parameters</h3><table class=\"grid\"><tr><td><b>Use</b></td><td><b>Name</b></td><td><b>Scope</b></td><td><b>Cardinality</b></td><td><b>Type</b></td><td><b>Binding</b></td><td><b>Documentation</b></td></tr><tr><td>IN</td><td>periodStart</td><td/><td>1..1</td><td><a href=\"http://hl7.org/fhir/R4/datatypes.html#date\">date</a></td><td/><td><div><p>The start of a clinical evaluation period.</p>\n</div></td></tr><tr><td>IN</td><td>periodEnd</td><td/><td>1..1</td><td><a href=\"http://hl7.org/fhir/R4/datatypes.html#date\">date</a></td><td/><td><div><p>The end of a clinical evaluation period.</p>\n</div></td></tr><tr><td>IN</td><td>subject</td><td/><td>1..1</td><td><a href=\"http://hl7.org/fhir/R4/patient.html\">Patient</a> (<a href=\"http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-patient.html\" title=\"http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|7.0.0\">US Core Patient Profile</a>)</td><td/><td><div><p>Patient resource as input parameter, which provides data such as patient's first name, last name, date of birth</p>\n</div></td></tr><tr><td>IN</td><td>coverage</td><td/><td>1..1</td><td><a href=\"http://hl7.org/fhir/R4/coverage.html\">Coverage</a> (<a href=\"http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-coverage.html\" title=\"http://hl7.org/fhir/us/core/StructureDefinition/us-core-coverage|7.0.0\">US Core Coverage Profile</a>)</td><td/><td><div><p>This is a reference to the Coverage resource, which provides information such as the subscriberId</p>\n</div></td></tr><tr><td>IN</td><td>TIN</td><td/><td>0..1</td><td><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a><br/>(<a href=\"https://hl7.org/fhir/R4/search.html#token\">token</a>)</td><td/><td><div><p>This is the provider rganization's TIN</p>\n</div></td></tr><tr><td>IN</td><td>ccType</td><td/><td>0..*</td><td><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td><a href=\"ValueSet-cc-type.html\">Condition Category Type</a> (Extensible)</td><td><div><p>This Condition Category (CC) gaps will be filterd based on the CC type code, whether it is suspected, historic, and/or net-new.</p>\n</div></td></tr><tr><td>IN</td><td>evidenceStatus</td><td/><td>0..*</td><td><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td><a href=\"ValueSet-evidence-status.html\">Evidence Status</a> (Extensible)</td><td><div><p>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.</p>\n</div></td></tr><tr><td>IN</td><td>providerTaxonomy</td><td/><td>0..*</td><td><a href=\"http://hl7.org/fhir/R4/datatypes.html#code\">code</a></td><td><a href=\"http://hl7.org/fhir/R4/valueset-provider-taxonomy.html\">ProviderTaxonomy</a> (Extensible)</td><td><div><p>This Condition Category (CC) gaps will be filterd based on provider taxonomy.</p>\n</div></td></tr><tr><td>IN</td><td>encounter</td><td/><td>0..1</td><td><a href=\"http://hl7.org/fhir/R4/encounter.html\">Encounter</a> (<a href=\"http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-encounter.html\" title=\"http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter|7.0.0\">US Core Encounter Profile</a>)</td><td/><td><div><p>This is a reference to the Encounter resource, which provides information such as the encounter id and date of service.</p>\n</div></td></tr><tr><td>IN</td><td>referenced</td><td/><td>0..*</td><td><a href=\"http://hl7.org/fhir/R4/resource.html\">Resource</a></td><td/><td><div><p>Resources that are referenced by other input parameters, specifically Coverage and Encounter, defined in this operation.</p>\n</div></td></tr><tr><td>OUT</td><td>return</td><td/><td>0..1</td><td><a href=\"http://hl7.org/fhir/R4/bundle.html\">Bundle</a></td><td/><td><div><p>This operation returns a Bundle of MeasureReports and associated resources</p>\n</div></td></tr></table></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:extension ( [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm>     ] ;
    fhir:value [
    a fhir:Integer ;
    fhir:v 1     ]
      ] [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-wg>     ] ;
    fhir:value [
    a fhir:Code ;
    fhir:v "cqi"     ]
      ] [
    fhir:url [
    fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status>     ] ;
    fhir:value [
    a fhir:Code ;
    fhir:v "draft"     ]
      ] ) ; #
      fhir:url [
    fhir:v "http://hl7.org/fhir/us/davinci-ra/OperationDefinition/risk-gap"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-ra/OperationDefinition/risk-gap>
      ] ; #
      fhir:version [ fhir:v "2.1.0"] ; #
      fhir:name [ fhir:v "RiskGap"] ; #
      fhir:title [ fhir:v "Risk Gap"] ; #
      fhir:status [ fhir:v "draft"] ; #
      fhir:kind [ fhir:v "operation"] ; #
      fhir:date [ fhir:v "2025-11-20T19:49:53+00:00"^^xsd:dateTime] ; #
      fhir:publisher [ fhir:v "HL7 International / Clinical Quality Information"] ; #
      fhir:contact ( [
        ( fhir:telecom [
    fhir:system [ fhir:v "url" ] ;
    fhir:value [ fhir:v "http://www.hl7.org/Special/committees/cqi" ]     ] )
      ] ) ; #
      fhir:description [ fhir:v "The risk-gap operation is used to determine condition Category (CC) gaps for a patient/member."] ; #
      fhir:jurisdiction ( [
        ( fhir:coding [
    fhir:system [
    fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ;
    fhir:l <urn:iso:std:iso:3166>       ] ;
    fhir:code [ fhir:v "US" ] ;
    fhir:display [ fhir:v "United States of America" ]     ] )
      ] ) ; #
      fhir:code [ fhir:v "risk-gap"] ; #
      fhir:resource ( [ fhir:v "MeasureReport"] ) ; #
      fhir:system [ fhir:v false] ; #
      fhir:type [ fhir:v true] ; #
      fhir:instance [ fhir:v true] ; #
      fhir:parameter ( [
    fhir:name [ fhir:v "periodStart" ] ;
    fhir:use [ fhir:v "in" ] ;
    fhir:min [ fhir:v 1 ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:documentation [ fhir:v "The start of a clinical evaluation period." ] ;
    fhir:type [ fhir:v "date" ]
      ] [
    fhir:name [ fhir:v "periodEnd" ] ;
    fhir:use [ fhir:v "in" ] ;
    fhir:min [ fhir:v 1 ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:documentation [ fhir:v "The end of a clinical evaluation period." ] ;
    fhir:type [ fhir:v "date" ]
      ] [
    fhir:name [ fhir:v "subject" ] ;
    fhir:use [ fhir:v "in" ] ;
    fhir:min [ fhir:v 1 ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:documentation [ fhir:v "Patient resource as input parameter, which provides data such as patient's first name, last name, date of birth" ] ;
    fhir:type [ fhir:v "Patient" ] ;
        ( fhir:targetProfile [
    fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|7.0.0"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient?version=7.0.0>     ] )
      ] [
    fhir:name [ fhir:v "coverage" ] ;
    fhir:use [ fhir:v "in" ] ;
    fhir:min [ fhir:v 1 ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:documentation [ fhir:v "This is a reference to the Coverage resource, which provides information such as the subscriberId" ] ;
    fhir:type [ fhir:v "Coverage" ] ;
        ( fhir:targetProfile [
    fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-coverage|7.0.0"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/core/StructureDefinition/us-core-coverage?version=7.0.0>     ] )
      ] [
    fhir:name [ fhir:v "TIN" ] ;
    fhir:use [ fhir:v "in" ] ;
    fhir:min [ fhir:v 0 ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:documentation [ fhir:v "This is the provider rganization's TIN" ] ;
    fhir:type [ fhir:v "string" ] ;
    fhir:searchType [ fhir:v "token" ]
      ] [
    fhir:name [ fhir:v "ccType" ] ;
    fhir:use [ fhir:v "in" ] ;
    fhir:min [ fhir:v 0 ] ;
    fhir:max [ fhir:v "*" ] ;
    fhir:documentation [ fhir:v "This Condition Category (CC) gaps will be filterd based on the CC type code, whether it is suspected, historic, and/or net-new." ] ;
    fhir:type [ fhir:v "code" ] ;
    fhir:binding [
    fhir:strength [ fhir:v "extensible" ] ;
    fhir:valueSet [
    fhir:v "http://hl7.org/fhir/us/davinci-ra/ValueSet/cc-type"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-ra/ValueSet/cc-type>       ]     ]
      ] [
    fhir:name [ fhir:v "evidenceStatus" ] ;
    fhir:use [ fhir:v "in" ] ;
    fhir:min [ fhir:v 0 ] ;
    fhir:max [ fhir:v "*" ] ;
    fhir:documentation [ fhir:v "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." ] ;
    fhir:type [ fhir:v "code" ] ;
    fhir:binding [
    fhir:strength [ fhir:v "extensible" ] ;
    fhir:valueSet [
    fhir:v "http://hl7.org/fhir/us/davinci-ra/ValueSet/evidence-status"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-ra/ValueSet/evidence-status>       ]     ]
      ] [
    fhir:name [ fhir:v "providerTaxonomy" ] ;
    fhir:use [ fhir:v "in" ] ;
    fhir:min [ fhir:v 0 ] ;
    fhir:max [ fhir:v "*" ] ;
    fhir:documentation [ fhir:v "This Condition Category (CC) gaps will be filterd based on provider taxonomy." ] ;
    fhir:type [ fhir:v "code" ] ;
    fhir:binding [
    fhir:strength [ fhir:v "extensible" ] ;
    fhir:valueSet [
    fhir:v "http://hl7.org/fhir/ValueSet/provider-taxonomy"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/ValueSet/provider-taxonomy>       ]     ]
      ] [
    fhir:name [ fhir:v "encounter" ] ;
    fhir:use [ fhir:v "in" ] ;
    fhir:min [ fhir:v 0 ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:documentation [ fhir:v "This is a reference to the Encounter resource, which provides information such as the encounter id and date of service." ] ;
    fhir:type [ fhir:v "Encounter" ] ;
        ( fhir:targetProfile [
    fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter|7.0.0"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter?version=7.0.0>     ] )
      ] [
    fhir:name [ fhir:v "referenced" ] ;
    fhir:use [ fhir:v "in" ] ;
    fhir:min [ fhir:v 0 ] ;
    fhir:max [ fhir:v "*" ] ;
    fhir:documentation [ fhir:v "Resources that are referenced by other input parameters, specifically Coverage and Encounter, defined in this operation." ] ;
    fhir:type [ fhir:v "Resource" ]
      ] [
    fhir:name [ fhir:v "return" ] ;
    fhir:use [ fhir:v "out" ] ;
    fhir:min [ fhir:v 0 ] ;
    fhir:max [ fhir:v "1" ] ;
    fhir:documentation [ fhir:v "This operation returns a Bundle of MeasureReports and associated resources" ] ;
    fhir:type [ fhir:v "Bundle" ]
      ] ) . #