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 2.0.0 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

Downloads

Page standards status: Informative

Package File

The following package file includes an NPM package file used by many of the FHIR tools. It contains all the value sets, profiles, extensions, list of pages and urls, etc., that are defined as part of this version of the implementation guide (IG). This file should be the first choice whenever generating any implementation artifacts since it contains all of the rules about what makes the profiles valid. Implementers will still need to be familiar with the content of the specification and profiles that apply in order to make a conformant implementation. See the Validating Resources documentation in FHIR.

• Package

Downloadable Copy of Entire Specification

A downloadable version of this IG is available so it can be hosted locally:

• Downloadable Copy

Examples

All the examples that are used in this IG are available for download:

• XML
• JSON

Schematrons

Schematrons are available for download:

• Schematrons

Cross Version Analysis

This is an R4 IG. None of the features it uses are changed in R4B, so it can be used as is with R4B systems. Packages for both R4 (hl7.fhir.us.davinci-ra.r4) and R4B (hl7.fhir.us.davinci-ra.r4b) are available.

Dependency Table

Package hl7.fhir.uv.extensions.r4#5.1.0 This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Sat, Apr 27, 2024 18:39+1000+10:00)

Package hl7.fhir.uv.extensions.r4#1.0.0 This IG defines the global extensions - the ones defined for everyone. These extensions are always in scope wherever FHIR is being used (built Sun, Mar 26, 2023 08:46+1100+11:00)

Package hl7.fhir.uv.crmi#1.0.0 This implementation guide defines profiles, operations, capability statements and guidance to facilitate the content management lifecycle for authoring, publishing, distribution, and implementation of FHIR knowledge artifacts such as value sets, profiles, libraries, rules, and measures. The guide is intended to be used by specification and content implementation guide authors as both a dependency for validation of published artifacts, and a guide for construction and publication of content. (built Fri, May 31, 2024 16:38+0000+00:00)

Globals Table

There are no Global profiles defined

IP Statements

This publication includes IP covered under the following statements.

• ISO maintains the copyright on the country codes, and controls its use carefully. For further details see the ISO 3166 web page: https://www.iso.org/iso-3166-country-codes.html
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  • ISO 3166-1 Codes for the representation of names of countries and their subdivisions — Part 1: Country code: CCRemarkPatchParameters, CCType... Show 31 more, CodingGapRemark, ConditionCategoryRemark, ConfidenceScale, DxCode, EvidenceStatus, GroupReference, HierarchicalStatus, MeasureReportCategory, PatientGroup, PayerCodingGapReportId, RAClientCapabilityStatement, RAClinicalDataCollectionDeadline, RAClinicalEvidenceStatusDate, RADataSubmissionClientCapabilityStatement, RADataSubmissionServerCapabilityStatement, RAEvaluateMeasure, RAMeasureReportBundle, RAModelExample01, RAModelExample02, RAModelExample03, RAServerCapabilityStatement, RemarkReason, ReportingVendor, RiskAdjustment, RiskAdjustmentCodingGapMeasureReport, RiskAdjustmentConditionCategoryType, RiskAdjustmentDataExchangeMeasureReport, RiskAdjustmentEvidenceStatus, RiskAdjustmentModelMeasure, RiskAdjustmenthierarchicalStatus and SampleCMSHCC
• The UCUM codes, UCUM table (regardless of format), and UCUM Specification are copyright 1999-2009, Regenstrief Institute, Inc. and the Unified Codes for Units of Measures (UCUM) Organization. All rights reserved. https://ucum.org/trac/wiki/TermsOfUse
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  • Unified Code for Units of Measure (UCUM): Bundle/ra-bundle01, Observation/ra-obs01pat02, Observation/ra-obs01pat03 and Observation/ra-obs21pat01
• This material contains content from LOINC. LOINC is copyright © 1995-2020, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc.
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  • LOINC: Bundle/ra-bundle01, DocumentReference/ra-documentreference01pat01... Show 5 more, Observation/ra-obs01pat02, Observation/ra-obs01pat03, Observation/ra-obs02pat03, Observation/ra-obs21pat01 and Parameters/ra-submit-data
• This material contains content that is copyright of SNOMED International. Implementers of these specifications must have the appropriate SNOMED CT Affiliate license - for more information contact https://www.snomed.org/get-snomed or info@snomed.org.
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  • SNOMED Clinical Terms® (SNOMED CT®): ConditionCategoryRemark, ConfidenceScale, DxCode, MeasureReport/ra-measurereport01 and MeasureReport/ra-measurereport01-with-remark
• This material derives from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.html
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  • Condition Category Codes: Bundle/ra-bundle01, Condition/ra-condition01pat03... Show 26 more, Condition/ra-condition02pat01, Condition/ra-condition03pat01, Condition/ra-condition04pat03, Condition/ra-condition05pat03, Condition/ra-condition06pat03, Condition/ra-condition07pat03, Condition/ra-condition08pat01, Condition/ra-condition09pat01, Condition/ra-condition10pat01, Condition/ra-condition11pat01, Condition/ra-condition12pat01, Condition/ra-condition15pat03, Condition/ra-condition16pat03, Condition/ra-condition17pat01, Condition/ra-condition18pat01, Condition/ra-condition21pat03, Condition/ra-condition22pat03, Condition/ra-condition23pat03, Condition/ra-condition31pat02, Condition/ra-condition32pat03, Condition/ra-condition33pat01, Condition/ra-condition35pat03, Condition/ra-condition42pat03, Condition/ra-condition43pat01, Condition/ra-condition44pat01 and Condition/ra-conditionR01pat01
  • Condition Clinical Status Codes: Bundle/ra-bundle01, Condition/ra-condition01pat03... Show 26 more, Condition/ra-condition02pat01, Condition/ra-condition03pat01, Condition/ra-condition04pat03, Condition/ra-condition05pat03, Condition/ra-condition06pat03, Condition/ra-condition07pat03, Condition/ra-condition08pat01, Condition/ra-condition09pat01, Condition/ra-condition10pat01, Condition/ra-condition11pat01, Condition/ra-condition12pat01, Condition/ra-condition15pat03, Condition/ra-condition16pat03, Condition/ra-condition17pat01, Condition/ra-condition18pat01, Condition/ra-condition21pat03, Condition/ra-condition22pat03, Condition/ra-condition23pat03, Condition/ra-condition31pat02, Condition/ra-condition32pat03, Condition/ra-condition33pat01, Condition/ra-condition35pat03, Condition/ra-condition42pat03, Condition/ra-condition43pat01, Condition/ra-condition44pat01 and Condition/ra-conditionR01pat01
  • ConditionVerificationStatus: Bundle/ra-bundle01, Condition/ra-condition01pat03... Show 26 more, Condition/ra-condition02pat01, Condition/ra-condition03pat01, Condition/ra-condition04pat03, Condition/ra-condition05pat03, Condition/ra-condition06pat03, Condition/ra-condition07pat03, Condition/ra-condition08pat01, Condition/ra-condition09pat01, Condition/ra-condition10pat01, Condition/ra-condition11pat01, Condition/ra-condition12pat01, Condition/ra-condition15pat03, Condition/ra-condition16pat03, Condition/ra-condition17pat01, Condition/ra-condition18pat01, Condition/ra-condition21pat03, Condition/ra-condition22pat03, Condition/ra-condition23pat03, Condition/ra-condition31pat02, Condition/ra-condition32pat03, Condition/ra-condition33pat01, Condition/ra-condition35pat03, Condition/ra-condition42pat03, Condition/ra-condition43pat01, Condition/ra-condition44pat01 and Condition/ra-conditionR01pat01
  • Observation Category Codes: Bundle/ra-bundle01, Observation/ra-obs01pat02, Observation/ra-obs01pat03, Observation/ra-obs02pat03 and Observation/ra-obs21pat01
  • Organization type: ABC Payer, Best RA Vendor... Show 5 more, Community HealthCenter, Community Urgent Care, GHH Outpatient Clinic, Risk Adjustment Author and XYZ Laboratory
  • Observation Reference Range Meaning Codes: Bundle/ra-bundle01, Observation/ra-obs01pat02, Observation/ra-obs01pat03 and Observation/ra-obs21pat01
  • identifierType: Bundle/ra-bundle01, Parameters/ra-submit-data, Patient/ra-patient01, Patient/ra-patient02 and Patient/ra-patient03
  • ActCode: Bundle/ra-bundle01, Encounter/ra-encounter01pat03... Show 21 more, Encounter/ra-encounter02pat01, Encounter/ra-encounter03pat01, Encounter/ra-encounter04pat03, Encounter/ra-encounter05pat03, Encounter/ra-encounter06pat03, Encounter/ra-encounter07pat03, Encounter/ra-encounter08pat01, Encounter/ra-encounter09pat01, Encounter/ra-encounter11pat01, Encounter/ra-encounter15pat03, Encounter/ra-encounter16pat03, Encounter/ra-encounter19pat03, Encounter/ra-encounter21pat03, Encounter/ra-encounter22pat03, Encounter/ra-encounter31pat02, Encounter/ra-encounter35pat03, Encounter/ra-encounter42pat03, Encounter/ra-encounter43pat01, Encounter/ra-encounter44pat01, Encounter/ra-encounter45pat01 and Encounter/ra-encounter46pat01
  • MaritalStatus: Bundle/ra-bundle01, Parameters/ra-submit-data, Patient/ra-patient01, Patient/ra-patient02 and Patient/ra-patient03
• Used by permission of HL7 International - Clinical Quality Information Work Group, all rights reserved Creative Commons License
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  • Risk Adjustment Condition Category Type CodeSystem: Bundle/ra-bundle01, CCType... Show 8 more, MeasureReport/ra-measurereport01, MeasureReport/ra-measurereport01-with-remark, MeasureReport/ra-measurereport02, MeasureReport/ra-measurereport03, MeasureReport/ra-measurereport04, MeasureReport/ra-measurereport05, MeasureReport/ra-measurereport06 and RiskAdjustmentConditionCategoryType
  • Coding Gap Remark CodeSystem: CodingGapRemark, ConditionCategoryRemark and MeasureReport/ra-measurereport01-with-remark
  • Risk Adjustment Evidence Status CodeSystem: Bundle/ra-bundle01, EvidenceStatus... Show 8 more, MeasureReport/ra-measurereport01, MeasureReport/ra-measurereport01-with-remark, MeasureReport/ra-measurereport02, MeasureReport/ra-measurereport03, MeasureReport/ra-measurereport04, MeasureReport/ra-measurereport05, MeasureReport/ra-measurereport06 and RiskAdjustmentEvidenceStatus
  • Risk Adjustment Hierarchical Status CodeSystem: Bundle/ra-bundle01, HierarchicalStatus... Show 8 more, MeasureReport/ra-measurereport01, MeasureReport/ra-measurereport01-with-remark, MeasureReport/ra-measurereport02, MeasureReport/ra-measurereport03, MeasureReport/ra-measurereport04, MeasureReport/ra-measurereport05, MeasureReport/ra-measurereport06 and RiskAdjustmenthierarchicalStatus
  • Remark Reason CodeSystem: ConditionCategoryRemark and RemarkReason