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

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## ValueSet: Risk Adjustment Suspect Type ValueSet

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

Risk adjustment suspect type

References

- Risk Adjustment Suspect Type

### Logical Definition (CLD)

- Include all codes defined in `http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type`

### Expansion

This value set contains 3 concepts

Expansion based on Risk Adjustment Suspect Type CodeSystem v2.0.0-ballot (CodeSystem)

Code | System | Display | Definition
historic | http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type | Historic Condition Category Gap | Historic Condition Category (CC) Gap. Historic Condition Category (CC) is based on data from a prior clinical evaluation period.
suspected | http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type | Suspected Condition Category Gap | Suspected Condition Category (CC) Gap. A member never has Condition Category (CC) before, but when a Server runs a suspecting algorithm, suspected Condition Categories (CCs) are identified for the member.
net-new | http://hl7.org/fhir/us/davinci-ra/CodeSystem/suspect-type | Net-New Condition Category | Net-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 can not be open-gap.

Explanation of the columns that may appear on this page:

Level | A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System | The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code | The code (used as the code in the resource instance)
Display | The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition | An explanation of the meaning of the concept
Comments | Additional notes about how to use the code