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

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## Extension: Risk Adjustment Suspect Type

Official URL: http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType | Version: 2.0.0-ballot
Active as of 2023-03-28 | Computable Name: RASuspectType
Copyright/Legal: Used by permission of HL7 International - Clinical Quality Information Work Group, all rights reserved Creative Commons License

Risk adjustment suspect type

Context of Use

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

- Element ID MeasureReport.group

Usage info

Usage:

- Use this Extension: Risk Adjustment Coding Gap MeasureReport
- Examples for this Extension: Bundle/ra-bundle01, MeasureReport/ra-measurereport01-with-annotation, MeasureReport/ra-measurereport01, MeasureReport/ra-measurereport02... Show 4 more, MeasureReport/ra-measurereport03, MeasureReport/ra-measurereport04, MeasureReport/ra-measurereport05 and MeasureReport/ra-measurereport06

### Formal Views of Extension Content

Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.

- Text Summary
- Differential Table
- Snapshot Table
- All

This structure is derived from Extension

Summary

Simple Extension of type CodeableConcept: Risk adjustment suspect type

This structure is derived from Extension

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Extension |  | 0..1 | Extension | This is the risk adjustment suspect type for a Condition Category (CC) gap
url |  | 1..1 | uri | "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType"
valueCodeableConcept |  | 0..1 | CodeableConcept | Indicate whether HCC gap is historic, suspected, or net new Binding: Risk Adjustment Suspect Type ValueSet (extensible)
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Extension |  | 0..1 | Extension | This is the risk adjustment suspect type for a Condition Category (CC) gap
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-suspectType"
Slices for value[x] |  | 0..1 | CodeableConcept | Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept |  | 0..1 | CodeableConcept | Indicate whether HCC gap is historic, suspected, or net new Binding: Risk Adjustment Suspect Type ValueSet (extensible)
Documentation for this format

This structure is derived from Extension

Summary

Simple Extension of type CodeableConcept: Risk adjustment suspect type

Differential View

This structure is derived from Extension

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Extension |  | 0..1 | Extension | This is the risk adjustment suspect type for a Condition Category (CC) gap
url |  | 1..1 | uri | "http://hl7.org/fhir/us/davinci-ra/StructureDefinition/ra-suspectType"
valueCodeableConcept |  | 0..1 | CodeableConcept | Indicate whether HCC gap is historic, suspected, or net new Binding: Risk Adjustment Suspect Type ValueSet (extensible)
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Extension |  | 0..1 | Extension | This is the risk adjustment suspect type for a Condition Category (CC) gap
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-suspectType"
Slices for value[x] |  | 0..1 | CodeableConcept | Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept |  | 0..1 | CodeableConcept | Indicate whether HCC gap is historic, suspected, or net new Binding: Risk Adjustment Suspect Type ValueSet (extensible)
Documentation for this format

Other representations of profile: CSV, Excel, Schematron

#### Terminology Bindings

Path | Conformance | ValueSet
Extension.value[x]:valueCodeableConcept | extensible | RiskAdjustmentSuspectType (a valid code from Risk Adjustment Suspect Type CodeSystem)

#### Constraints

Id | Grade | Path(s) | Details | Requirements
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() |