FHIR © HL7.org  |  Server Home  |  FHIR Server FHIR Server 3.4.11  |  FHIR Version n/a  User: [n/a]

Resource ValueSet/FHIR Server from package hl7.fhir.us.davinci-ra#current (32 ms)

Package hl7.fhir.us.davinci-ra
Type ValueSet
Id Id
FHIR Version R4
Source http://hl7.org/fhir/us/davinci-ra/https://build.fhir.org/ig/HL7/davinci-ra/ValueSet-sample-cmshcc.html
Url http://hl7.org/fhir/us/davinci-ra/ValueSet/sample-cmshcc
Version 2.0.0
Status active
Date 2024-12-10T22:27:38+00:00
Name SampleCMSHCC
Title Sample CMS Hierarchical Condition Category
Experimental False
Realm us
Authority hl7
Description This is a sample of the concepts that can be found in the CMS Hierarchical Condition Categories (CMS-HCC) code system version 24. The source of the codes included in this example was published at https://www.cms.gov/Medicare/Health-Plans/MedicareAdvtgSpecRateStats/Downloads/Announcement2020.pdf. The CMS-HCC model uses more than 9,000 ICD-10-CM codes, which are mapped to condition categories (CCs) that predict costs well. The condition categories (CCs) are based on diagnoses clinically related to one another and with similar predicted cost implications. Hierarchies are imposed on the Condition Categories (CCs) to capture the most costly diagnoses. Hierarchy logic is imposed on certain Condition Categories (CCs) to account for different hierarchical costs, thus, the term Hierarchical Condition Category, or HCC.
Copyright Used by permission of HL7 International - Clinical Quality Information Work Group, all rights reserved Creative Commons License

Resources that use this resource

StructureDefinition
ra-datax-measurereport Risk Adjustment Data Exchange MeasureReport
ra-measurereport Risk Adjustment Coding Gap MeasureReport

Resources that this resource uses

CodeSystem
http://terminology.hl7.org/CodeSystem/cmshcc CMS Hierarchical Condition Categories


Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: ValueSet sample-cmshcc


Source

{
  "resourceType" : "ValueSet",
  "id" : "sample-cmshcc",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet sample-cmshcc</b></p><a name=\"sample-cmshcc\"> </a><a name=\"hcsample-cmshcc\"> </a><a name=\"sample-cmshcc-en-US\"> </a><ul><li>Include these codes as defined in <a href=\"http://terminology.hl7.org/6.0.2/CodeSystem-cmshcc.html\"><code>http://terminology.hl7.org/CodeSystem/cmshcc</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td></tr><tr><td>22</td><td>Morbid Obesity</td></tr><tr><td>88</td><td>Angina Pectoris</td></tr><tr><td>112</td><td>Fibrosis of Lung and Other Chronic Lung Disorders</td></tr></table></li></ul></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "cqi"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger" : 2,
      "_valueInteger" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://hl7.org/fhir/us/davinci-ra/ImplementationGuide/fhir.us.davinci-ra"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode" : "trial-use",
      "_valueCode" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://hl7.org/fhir/us/davinci-ra/ImplementationGuide/fhir.us.davinci-ra"
          }
        ]
      }
    }
  ],
  "url" : "http://hl7.org/fhir/us/davinci-ra/ValueSet/sample-cmshcc",
  "identifier" : [
    {
      "system" : "urn:ietf:rfc:3986",
      "value" : "urn:oid:2.16.840.1.113883.4.642.40.29.48.7"
    }
  ],
  "version" : "2.0.0",
  "name" : "SampleCMSHCC",
  "title" : "Sample CMS Hierarchical Condition Category",
  "status" : "active",
  "experimental" : false,
  "date" : "2024-12-10T22:27:38+00:00",
  "publisher" : "HL7 International / Clinical Quality Information",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/cqi"
        }
      ]
    }
  ],
  "description" : "This is a sample of the concepts that can be found in the CMS Hierarchical Condition Categories (CMS-HCC) code system version 24. The source of the codes included in this example was published at https://www.cms.gov/Medicare/Health-Plans/MedicareAdvtgSpecRateStats/Downloads/Announcement2020.pdf. The CMS-HCC model uses more than 9,000 ICD-10-CM codes, which are mapped to condition categories (CCs) that predict costs well. The condition categories (CCs) are based on diagnoses clinically related to one another and with similar predicted cost implications. Hierarchies are imposed on the Condition Categories (CCs) to capture the most costly diagnoses. Hierarchy logic is imposed on certain Condition Categories (CCs) to account for different hierarchical costs, thus, the term Hierarchical Condition Category, or HCC.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US",
          "display" : "United States of America"
        }
      ]
    }
  ],
  "copyright" : "Used by permission of HL7 International - Clinical Quality Information Work Group, all rights reserved Creative Commons License",
  "compose" : {
    "include" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/cmshcc",
        "concept" : [
          {
            "code" : "22",
            "display" : "Morbid Obesity"
          },
          {
            "code" : "88",
            "display" : "Angina Pectoris"
          },
          {
            "code" : "112",
            "display" : "Fibrosis of Lung and Other Chronic Lung Disorders"
          }
        ]
      }
    ]
  }
}

XIG built as of ??metadata-date??. Found ??metadata-resources?? resources in ??metadata-packages?? packages.