Da Vinci Risk Adjustment Implementation Guide
2.0.0-ballot - STU2 Ballot

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## : Coding Gap Task Reason CodeSystem - XML Representation

Draft as of 2023-03-28

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    <CodeSystem xmlns="http://hl7.org/fhir">
      <id value="coding-gap-task-reason"/>
      <text>
        <status value="generated"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p>This code system <code>http://hl7.org/fhir/us/davinci-ra/CodeSystem/coding-gap-task-reason</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">closure<a name="coding-gap-task-reason-closure"> </a></td><td>Close coding gap</td><td>Task reason is to provide clinical evalaution evidence to close a risk adjustment coding gap.</td></tr><tr><td style="white-space:nowrap">invalidation-never-had-condition<a name="coding-gap-task-reason-invalidation-never-had-condition"> </a></td><td>Invalidate coding gap, patient never had the condition</td><td>Task reason is to provide clinical evalaution evidence to invalidate the coding gap that was inaccurate because the patient has never had this condition.</td></tr><tr><td style="white-space:nowrap">invalidation-inactive-condition<a name="coding-gap-task-reason-invalidation-inactive-condition"> </a></td><td>Invalidate coding gap, condition no longer active</td><td>Task reason is to provide clinical evalaution evidence to invalidate the coding gap because the patient was correctly diagnosed but the condition is no longer active.</td></tr><tr><td style="white-space:nowrap">invalidation-inaccurate-gap<a name="coding-gap-task-reason-invalidation-inaccurate-gap"> </a></td><td>Invalidate coding gap, inaccurate gap</td><td>Task reason is to provide clinical evalaution evidence to invalidate the coding gap because the patient has an active condition but the gap does not accurately describe it.</td></tr><tr><td style="white-space:nowrap">creation<a name="coding-gap-task-reason-creation"> </a></td><td>Create coding gap</td><td>Task reason is provide clinical evaluation evidence to create and close a net-new risk adjustment coding gap discovered during medical review.</td></tr></table></div>
      </text>
      <url
           value="http://hl7.org/fhir/us/davinci-ra/CodeSystem/coding-gap-task-reason"/>
      <version value="2.0.0-ballot"/>
      <name value="CodingGapTaskReason"/>
      <title value="Coding Gap Task Reason CodeSystem"/>
      <status value="draft"/>
      <experimental value="false"/>
      <date value="2023-03-28T02:02:49+00:00"/>
      <publisher value="HL7 Clinical Quality Information Work Group"/>
      <contact>
        <name value="HL7 Clinical Quality Information Work Group"/>
        <telecom>
          <system value="url"/>
          <value value="http://www.hl7.org/Special/committees/cqi"/>
        </telecom>
      </contact>
      <description
                   value="Risk adjustment clinical evaluation evidence task reason"/>
      <jurisdiction>
        <coding>
          <system value="urn:iso:std:iso:3166"/>
          <code value="US"/>
          <display value="United States of America"/>
        </coding>
      </jurisdiction>
      <copyright
                 value="Used by permission of HL7 International - Clinical Quality Information Work Group, all rights reserved Creative Commons License"/>
      <caseSensitive value="true"/>
      <valueSet
                value="http://hl7.org/fhir/us/davinci-ra/ValueSet/coding-gap-task-reason"/>
      <content value="complete"/>
      <count value="5"/>
      <concept>
        <code value="closure"/>
        <display value="Close coding gap"/>
        <definition
                    value="Task reason is to provide clinical evalaution evidence to close a risk adjustment coding gap."/>
      </concept>
      <concept>
        <code value="invalidation-never-had-condition"/>
        <display value="Invalidate coding gap, patient never had the condition"/>
        <definition
                    value="Task reason is to provide clinical evalaution evidence to invalidate the coding gap that was inaccurate because the patient has never had this condition."/>
      </concept>
      <concept>
        <code value="invalidation-inactive-condition"/>
        <display value="Invalidate coding gap, condition no longer active"/>
        <definition
                    value="Task reason is to provide clinical evalaution evidence to invalidate the coding gap because the patient was correctly diagnosed but the condition is no longer active."/>
      </concept>
      <concept>
        <code value="invalidation-inaccurate-gap"/>
        <display value="Invalidate coding gap, inaccurate gap"/>
        <definition
                    value="Task reason is to provide clinical evalaution evidence to invalidate the coding gap because the patient has an active condition but the gap does not accurately describe it."/>
      </concept>
      <concept>
        <code value="creation"/>
        <display value="Create coding gap"/>
        <definition
                    value="Task reason is provide clinical evaluation evidence to create and close a net-new risk adjustment coding gap discovered during medical review."/>
      </concept>
    </CodeSystem>