Da Vinci Risk Adjustment Implementation Guide
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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

ValueSet: Condition Category Type

Official URL: http://hl7.org/fhir/us/davinci-ra/ValueSet/cc-type Version: 3.0.0-ballot
Standards status: Trial-use Active as of 2026-03-19 Maturity Level: 2 Computable Name: RiskAdjustmentConditionCategoryTypeVS
Other Identifiers: OID:2.16.840.1.113883.4.642.40.29.48.1

Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License

Type of value-based performance reporting performance metric.

References

Logical Definition (CLD)

 

Expansion

Expansion performed internally based on codesystem Risk Adjustment Condition Category Type Codes v3.0.0-ballot (CodeSystem)

This value set contains 3 concepts

SystemCodeDisplay (en)DefinitionJSONXML
http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type  historicHistoric Condition Category GapHistoric Condition Category (CC) Gap. Historic Condition Category (CC) is based on verified data from any clinical evaluation period.
http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type  suspectedSuspected Condition Category GapSuspected Condition Category (CC) Gap. A member has never had this as a verified Condition Category (CC), but when a Server runs a suspecting algorithm, suspected Condition Categories (CCs) are identified.
http://hl7.org/fhir/us/davinci-ra/CodeSystem/cc-type  net-newNet-New Condition CategoryNet-New Condition Category (CC). New Condition Category (CC), not from suspected process or historic. A Net-New Condition Category (CC) is documented for the first time during the clinical evaluation period for the risk adjustment model. Any Condition Categories (CCs) that are net new must be either closed-gap or pending and cannot be open-gap.

Description of the above table(s).