DOCS_RCVD_RISK_ADJ_CAT
Description:
This table stores risk adjustment categories received from outside sources.

Primary Key
Column Name Ordinal Position
DOCUMENT_ID 1
CONTACT_DATE_REAL 2
LINE 3

Column Information
Name Type Discontinued?
1 DOCUMENT_ID NUMERIC No
The unique identifier (.1 item) for the document record.
2 CONTACT_DATE_REAL FLOAT No
A unique contact date in decimal format. The integer portion of the number indicates the date of contact. The digits after the decimal distinguish different contacts on the same date and are unique for each contact on that date. For example, .00 is the first/only contact, .01 is the second contact, etc.
3 LINE INTEGER No
The line number for the information associated with this contact. Multiple pieces of information can be associated with this contact.
4 CONTACT_DATE DATETIME No
The date of this contact in calendar format.
5 RAD_REF_IDENT VARCHAR No
The unique reference identifier associated with the risk adjustment category.
6 RAD_CALC_DATE DATETIME No
The date of the last time the external system generated the report for the risk adjustment category.
7 RAD_START_DATE DATETIME No
The start date of the clinical evaluation period during which the risk adjustment category is documented.
8 RAD_END_DATE DATETIME No
The end date of the clinical evaluation period during which the risk adjustment category is documented.
9 RAD_CAT_NAME VARCHAR No
The name of the risk adjustment category representing the risk adjustment data.
10 RAD_DESCRIPTOR VARCHAR No
The descriptor of the risk adjustment data, which includes the model abbreviation, version abbreviation, and the category identifier.
11 RAD_STATUS_C_NAME VARCHAR No
The status of the risk adjustment category to indicate if this category is historic or suspected.
May contain organization-specific values: No
Category Entries:
Historical
Suspected
12 RAD_EVIDENCE_NOTE_ID VARCHAR No
A note (HNO) about the evidence for the risk adjustment category.
13 RAD_DX_ID_DX_NAME VARCHAR No
The name of the diagnosis.
14 RAD_EXT_DATA_FILTER_REASON_C_NAME VARCHAR No
Stores the reason why an external risk adjustment category should be filtered from the composite record.
May contain organization-specific values: No
Category Entries:
Claim Derivation: Procedure Code Inclusion/Exclusion List
Claim Derivation: Missing Provider
Claim Derivation: Sensitive Diagnosis
Claim Derivation: Missing Procedure Start Date
Claim Derivation: Excluded Procedure Modifier
Source Organization Unknown
Source Organization Mismatch
Source Organization Is Self
Clinical Note Type Exclusion List
Clinical Note Missing Service Instant
Clinical Note Missing Last Filed Instant
Clinical Note Missing Author Name
Dispense Cancellation
Same Day as Internal Encounter
Missing or Invalid Binary URL
Filtered or Missing Source Note
DocumentReference Status not Current
Claim Derivation: Excluded Linked Diagnoses
Claim Derivation: Missing Encounter Start Date
Entered In Error
FHIR resource contained an invalid category
Condition verification status is no longer confirmed
Condition is no longer valid for this patient due to age or sex
FHIR resource has an invalid start date
Encounter FHIR resource is missing the type element
FHIR resource is missing the status element
Encounter FHIR resource is missing the class element
Encounter FHIR resource contained an unrecognized status code
Encounter FHIR resource contained a status code for a future encounter
Encounter FHIR resource contained a class code for a future encounter
FHIR resource has a future start date
FHIR resource does not have a status of completed
FHIR resource is missing the code element
Diagnosis is missing a link to an encounter
FHIR resource contains a reference to encounter not in the system
FHIR resource contained a patient reference not matching the searched for patient
Immunization FHIR Resource is missing the vaccineCode element or did not contain a CVX code
FHIR Resource is missing an effective date/time
FHIR resource contained an invalid status
Observation FHIR resource is linked to a filtered Condition FHIR resource
SDOH Assessment contains no questions
Missing required data for data type
Claim Derivation: Missing face-to-face services
15 RAD_SRC_DOCUMENT_CSN_ID NUMERIC No
The contact serial number of the DXR record that owns the instance of this risk adjustment category.