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 3.0.0-ballot 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

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Extension: QualifyingDxCode Extension

Diagnosis code(s) classified under a Condition Category, as defined by the risk adjustment model. This usually comes into play in the scenario where proprietary risk models are used and the mappings of ICD-10 codes to Condition Categories are not readily available. Note that whether qualifying codes may be included in a report depending may depend on individual Risk Adjustment model licensing agreement.

Context of Use

This extension may be used on the following element(s)

• Element ID: MeasureReport.group

Usage info

Usages:

• Use this Extension: Risk Adjustment Coding Gap MeasureReport
• Examples for this Extension: MeasureReport/ra-measurereport06

You can also check for usages in the FHIR IG Statistics

Formal Views of Extension Content

Description Differentials, Snapshots, and other representations.

• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Extension		0..*	Extension	Qualifying diagnosis code(s)
url		1..1	uri	"http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-qualifyingDxCode"
valueCodeableConcept		0..1	CodeableConcept	Diagnosis codes classified under a Condition Category as defined by the risk adjustment model Binding: USCoreConditionCodes (7.0.0) (extensible)
Slices for extension				Content/Rules for all slices
extension:codeOptions		0..1	canonical(ValueSet)	Qualifying diagnosis codes provided as a value set URL: http://hl7.org/fhir/StructureDefinition/codeOptions
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Extension.valueCodeableConcept	Base	extensible	US Core Condition Codes	📍7.0.0	US Core v7.0

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Extension		0..*	Extension	Qualifying diagnosis code(s)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-qualifyingDxCode"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	Diagnosis codes classified under a Condition Category as defined by the risk adjustment model Binding: USCoreConditionCodes (7.0.0) (extensible)
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:codeOptions		0..1	canonical(ValueSet)	Qualifying diagnosis codes provided as a value set URL: http://hl7.org/fhir/StructureDefinition/codeOptions
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Extension.value[x]:valueCodeableConcept	Base	extensible	US Core Condition Codes	📍7.0.0	US Core v7.0

Constraints

Id	Grade	Path(s)	Description	Expression
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Summary

Simple Extension with the type CodeableConcept: Diagnosis code(s) classified under a Condition Category, as defined by the risk adjustment model. This usually comes into play in the scenario where proprietary risk models are used and the mappings of ICD-10 codes to Condition Categories are not readily available. Note that whether qualifying codes may be included in a report depending may depend on individual Risk Adjustment model licensing agreement.

Maturity: 2

Differential ViewDifferential View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Extension		0..*	Extension	Qualifying diagnosis code(s)
url		1..1	uri	"http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-qualifyingDxCode"
valueCodeableConcept		0..1	CodeableConcept	Diagnosis codes classified under a Condition Category as defined by the risk adjustment model Binding: USCoreConditionCodes (7.0.0) (extensible)
Slices for extension				Content/Rules for all slices
extension:codeOptions		0..1	canonical(ValueSet)	Qualifying diagnosis codes provided as a value set URL: http://hl7.org/fhir/StructureDefinition/codeOptions
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Extension.valueCodeableConcept	Base	extensible	US Core Condition Codes	📍7.0.0	US Core v7.0

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Extension		0..*	Extension	Qualifying diagnosis code(s)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-qualifyingDxCode"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	Diagnosis codes classified under a Condition Category as defined by the risk adjustment model Binding: USCoreConditionCodes (7.0.0) (extensible)
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
extension:codeOptions		0..1	canonical(ValueSet)	Qualifying diagnosis codes provided as a value set URL: http://hl7.org/fhir/StructureDefinition/codeOptions
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Extension.value[x]:valueCodeableConcept	Base	extensible	US Core Condition Codes	📍7.0.0	US Core v7.0

Constraints

Id	Grade	Path(s)	Description	Expression
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()

Summary

Simple Extension with the type CodeableConcept: Diagnosis code(s) classified under a Condition Category, as defined by the risk adjustment model. This usually comes into play in the scenario where proprietary risk models are used and the mappings of ICD-10 codes to Condition Categories are not readily available. Note that whether qualifying codes may be included in a report depending may depend on individual Risk Adjustment model licensing agreement.

Maturity: 2

Other representations of profile: CSV, Excel, Schematron