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 Hierarchical Status Codes - JSON Representation

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

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    {
      "resourceType" : "CodeSystem",
      "id" : "hierarchical-status",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem hierarchical-status</b></p><a name=\"hierarchical-status\"> </a><a name=\"hchierarchical-status\"> </a><p>This case-sensitive code system <code>http://hl7.org/fhir/us/davinci-ra/CodeSystem/hierarchical-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\">applied-superseded<a name=\"hierarchical-status-applied-superseded\"> </a></td><td>Hierarchies applied and Condition Category is superseded</td><td>Hierarchies were applied to a Condition Category (CC) and the Condition Category (CC) is superseded.</td></tr><tr><td style=\"white-space:nowrap\">applied-not-superseded<a name=\"hierarchical-status-applied-not-superseded\"> </a></td><td>Hierarchies applied and Condition Category is not superseded</td><td>Hierarchies were applied to a Condition Category (CC) and the Condition Category (CC) is not superseded.</td></tr><tr><td style=\"white-space:nowrap\">not-applied<a name=\"hierarchical-status-not-applied\"> </a></td><td>Hierarchies not applied</td><td>Hierarchies were not applied to a Condition Category (CC).</td></tr><tr><td style=\"white-space:nowrap\">not-applicable<a name=\"hierarchical-status-not-applicable\"> </a></td><td>Not applicable</td><td>Applying hierarchies to a Condition Category (CC) is not applicable.</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/hierarchical-status",
      "identifier" : [
        {
          "system" : "urn:ietf:rfc:3986",
          "value" : "urn:oid:2.16.840.1.113883.4.642.40.29.16.4"
        }
      ],
      "version" : "2.1.0",
      "name" : "RiskAdjustmenthierarchicalStatus",
      "title" : "Risk Adjustment Hierarchical 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 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",
      "caseSensitive" : true,
      "content" : "complete",
      "count" : 4,
      "concept" : [
        {
          "code" : "applied-superseded",
          "display" : "Hierarchies applied and Condition Category is superseded",
          "definition" : "Hierarchies were applied to a Condition Category (CC) and the Condition Category (CC) is superseded."
        },
        {
          "code" : "applied-not-superseded",
          "display" : "Hierarchies applied and Condition Category is not superseded",
          "definition" : "Hierarchies were applied to a Condition Category (CC) and the Condition Category (CC) is not superseded."
        },
        {
          "code" : "not-applied",
          "display" : "Hierarchies not applied",
          "definition" : "Hierarchies were not applied to a Condition Category (CC)."
        },
        {
          "code" : "not-applicable",
          "display" : "Not applicable",
          "definition" : "Applying hierarchies to a Condition Category (CC) is not applicable."
        }
      ]
    }