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 Adjustment Evidence Status Codes - JSON Representation

Page standards status: Trial-use | Maturity Level: 2

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    {
      "resourceType" : "CodeSystem",
      "id" : "evidence-status",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem evidence-status</b></p><a name=\"evidence-status\"> </a><a name=\"hcevidence-status\"> </a><p>This case-sensitive code system <code>http://hl7.org/fhir/us/davinci-ra/CodeSystem/evidence-status</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">closed-gap<a name=\"evidence-status-closed-gap\"> </a></td><td>Closed Condition Category Gap</td><td>Evidence to support a Condition Category (CC) was confirmed</td></tr><tr><td style=\"white-space:nowrap\">invalid-gap<a name=\"evidence-status-invalid-gap\"> </a></td><td>Invalid Condition Category Gap</td><td>Evidence to support a Condition Category (CC) was invalidated.</td></tr><tr><td style=\"white-space:nowrap\">open-gap<a name=\"evidence-status-open-gap\"> </a></td><td>Open Condition Category Gap</td><td>Action is needed to confirm whether the Condition Category (CC) is valid.</td></tr><tr><td style=\"white-space:nowrap\">pending<a name=\"evidence-status-pending\"> </a></td><td>Pending Condition Category Gap</td><td>Evidence was received by the payer and is in the process of being evaluated.</td></tr></table></div>"
      },
      "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/CodeSystem/evidence-status",
      "identifier" : [
        {
          "system" : "urn:ietf:rfc:3986",
          "value" : "urn:oid:2.16.840.1.113883.4.642.40.29.16.3"
        }
      ],
      "version" : "2.1.0",
      "name" : "RiskAdjustmentEvidenceStatus",
      "title" : "Risk Adjustment Evidence Status Codes",
      "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" : "Code System that indicates whether a coding gap is an open-gap, invalid-gap, closed-gap or pending",
      "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",
      "caseSensitive" : true,
      "content" : "complete",
      "count" : 4,
      "concept" : [
        {
          "code" : "closed-gap",
          "display" : "Closed Condition Category Gap",
          "definition" : "Evidence to support a Condition Category (CC) was confirmed"
        },
        {
          "code" : "invalid-gap",
          "display" : "Invalid Condition Category Gap",
          "definition" : "Evidence to support a Condition Category (CC) was invalidated."
        },
        {
          "code" : "open-gap",
          "display" : "Open Condition Category Gap",
          "definition" : "Action is needed to confirm whether the Condition Category (CC) is valid."
        },
        {
          "code" : "pending",
          "display" : "Pending Condition Category Gap",
          "definition" : "Evidence was received by the payer and is in the process of being evaluated."
        }
      ]
    }