Da Vinci Clinical Data Exchange (CDex)
2.1.0 - STU 2.1 United States of America flag

Da Vinci Clinical Data Exchange (CDex), published by HL7 International / Payer/Provider Information Exchange Work Group. This guide is not an authorized publication; it is the continuous build for version 2.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-ecdx/ and changes regularly. See the Directory of published versions

: CDex Temporary Code System - TTL Representation

Page standards status: Trial-use Maturity Level: 1

Raw ttl | Download


@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:CodeSystem ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "cdex-temp"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem cdex-temp</b></p><a name=\"cdex-temp\"> </a><a name=\"hccdex-temp\"> </a><a name=\"cdex-temp-en-US\"> </a><p>This case-sensitive code system <code>http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp</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\">claims-processing<a name=\"cdex-temp-claims-processing\"> </a></td><td>Claim Processing</td><td><div><p>Request for data necessary from payers to support claims for services.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">preauth-processing<a name=\"cdex-temp-preauth-processing\"> </a></td><td>Pre-authorization Processing</td><td><div><p>Request for data necessary from payers to support pre-authorization for services.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">risk-adjustment<a name=\"cdex-temp-risk-adjustment\"> </a></td><td>Risk Adjustment</td><td><div><p>Request for data from payers to calculate differences in beneficiary-level risk factors that can affect quality outcomes or medical costs, regardless of the care provided.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">quality-metrics<a name=\"cdex-temp-quality-metrics\"> </a></td><td>Quality Metrics</td><td><div><p>Request for data used for aggregation, calculation and analysis, and ultimately reporting of quality measures.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">referral<a name=\"cdex-temp-referral\"> </a></td><td>Referral</td><td><div><p>Request for additional clinical information from referring provider to support performing the requested service.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">social-care<a name=\"cdex-temp-social-care\"> </a></td><td>Social Care</td><td><div><p>Request for data from payers to support the non-medical social needs of individuals, especially the elderly, vulnerable or with special needs.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">authorization-other<a name=\"cdex-temp-authorization-other\"> </a></td><td>Other Authorization</td><td><div><p>Request for data from payers for other authorization request not otherwise specified.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">care-coordination<a name=\"cdex-temp-care-coordination\"> </a></td><td>Care Coordination</td><td><div><p>Request for data from payers to create a complete clinical record for each of their members to improve care coordination and provide optimum medical care.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">documentation-general<a name=\"cdex-temp-documentation-general\"> </a></td><td>General Documentation</td><td><div><p>Request for data used from payers or providers for general documentation.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">orders<a name=\"cdex-temp-orders\"> </a></td><td>Orders</td><td><div><p>Request for additional clinical information from referring provider to support orders.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">patient-status<a name=\"cdex-temp-patient-status\"> </a></td><td>Patient Status</td><td><div><p>Requests for patient health record information from payers to support their payer member records.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">signature<a name=\"cdex-temp-signature\"> </a></td><td>Signature</td><td><div><p>Request for signatures from payers or providers on requested data.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">care-planning<a name=\"cdex-temp-care-planning\"> </a></td><td>Care Planning</td><td><div><p>Request for data from payers or providers to determine how to deliver care for a particular patient, group or community.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">social-risk<a name=\"cdex-temp-social-risk\"> </a></td><td>Social Risk</td><td><div><p>Request for data from payers or other providers to assess of social risk, establishing coded health concerns/problems, creating patient driven goals, managing interventions, and measuring outcomes.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">operations-noe<a name=\"cdex-temp-operations-noe\"> </a></td><td>Operations Not Otherwise Enumerated</td><td><div><p>Existing concepts do not define a more detailed <a href=\"https://www.hhs.gov/hipaa/for-professionals/privacy/guidance/disclosures-treatment-payment-health-care-operations/index.html\">Healthcare Operations as defined by HIPAA</a>. Therefore, implicit in using this code is that an implementer must supply an additional, alternate code.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">payment-noe<a name=\"cdex-temp-payment-noe\"> </a></td><td>Payment Not Otherwise Enumerated</td><td><div><p>[Existing concepts do not define a more detailed <a href=\"https://www.hhs.gov/hipaa/for-professionals/privacy/guidance/disclosures-treatment-payment-health-care-operations/index.html\">Payment as defined by HIPAA</a>. Therefore, implicit in using this code is that an implementer must supply an additional, alternate code.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">treatment-noe<a name=\"cdex-temp-treatment-noe\"> </a></td><td>Treatment Not Otherwise Enumerated</td><td><div><p>Existing concepts do not define a more detailed <a href=\"https://www.hhs.gov/hipaa/for-professionals/privacy/guidance/disclosures-treatment-payment-health-care-operations/index.html\">Treatment as defined by HIPAA</a>. Therefore, implicit in using this code is that an implementer must supply an additional, alternate code.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">purpose-of-use<a name=\"cdex-temp-purpose-of-use\"> </a></td><td>Purpose Of Use</td><td><div><p>Purpose of use for the requested data.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">signature-flag<a name=\"cdex-temp-signature-flag\"> </a></td><td>Signature Flag</td><td><div><p>Flag to indicate whether the requested data requires a signature.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">tracking-id<a name=\"cdex-temp-tracking-id\"> </a></td><td>Tracking Id</td><td><div><p>A business identifier that ties requested attachments back to the claim or prior-authorization (referred to as the “re-association tracking control numbers”).</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">multiple-submits-flag<a name=\"cdex-temp-multiple-submits-flag\"> </a></td><td>Multiple Submits Flag</td><td><div><p>Flag to indicate whether the requested data can be submitted in multiple transactions.  If true the data can be submitted in separate transactions.  if false <em>all</em> the data should be submitted in a single transaction.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">service-date<a name=\"cdex-temp-service-date\"> </a></td><td>Service Date</td><td><div><p>Date of service or starting date of the service for the claim or prior authorization.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">data-request-code<a name=\"cdex-temp-data-request-code\"> </a></td><td>Data Request Code</td><td><div><p>A Task requesting data using a code.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">data-request-query<a name=\"cdex-temp-data-request-query\"> </a></td><td>Data Request Query</td><td><div><p>A Task requesting data using FHIR query syntax.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">data-request-questionnaire<a name=\"cdex-temp-data-request-questionnaire\"> </a></td><td>Data Request Questionnaire</td><td><div><p>A Task requesting data using a data request questionnaire (<a href=\"http://hl7.org/fhir/questionnaire.html\">FHIR Questionnaire</a>).</p>\n</div></td></tr></table></div>"
  ] ; # 
  fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ] ;
fhir:value [ fhir:v "trial-use" ]
  ] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1"^^xsd:integer ]
  ] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"^^xsd:anyURI ] ;
fhir:value [ fhir:v "claims" ]
  ] ) ; # 
  fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp"^^xsd:anyURI] ; # 
  fhir:identifier ( [
fhir:system [ fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ] ;
fhir:value [ fhir:v "urn:oid:2.16.840.1.113883.4.642.40.21.16.1" ]
  ] ) ; # 
  fhir:version [ fhir:v "2.1.0"] ; # 
  fhir:name [ fhir:v "CDexTempCodes"] ; # 
  fhir:title [ fhir:v "CDex Temporary Code System"] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:experimental [ fhir:v "false"^^xsd:boolean] ; # 
  fhir:date [ fhir:v "2022-12-23"^^xsd:date] ; # 
  fhir:publisher [ fhir:v "HL7 International / Payer/Provider Information Exchange Work Group"] ; # 
  fhir:contact ( [
fhir:name [ fhir:v "HL7 International / Payer/Provider Information Exchange Work Group" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://www.hl7.org/Special/committees/claims" ]     ] [
fhir:system [ fhir:v "email" ] ;
fhir:value [ fhir:v "pie@lists.hl7.org" ]     ] )
  ] ) ; # 
  fhir:description [ fhir:v "Codes temporarily defined as part of the CDex implementation guide.  These will eventually migrate into an officially maintained terminology (likely HL7's [UTG](https://terminology.hl7.org/codesystems.html) code systems)."] ; # 
  fhir:jurisdiction ( [
    ( fhir:coding [
fhir:system [ fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ] ;
fhir:code [ fhir:v "US" ]     ] )
  ] ) ; # 
  fhir:copyright [ fhir:v "Used by permission of HL7 International all rights reserved Creative Commons License"] ; # 
  fhir:caseSensitive [ fhir:v "true"^^xsd:boolean] ; # 
  fhir:content [ fhir:v "complete"] ; # 
  fhir:concept ( [
fhir:code [ fhir:v "claims-processing" ] ;
fhir:display [ fhir:v "Claim Processing" ] ;
fhir:definition [ fhir:v "Request for data necessary from payers to support claims for services." ]
  ] [
fhir:code [ fhir:v "preauth-processing" ] ;
fhir:display [ fhir:v "Pre-authorization Processing" ] ;
fhir:definition [ fhir:v "Request for data necessary from payers to support pre-authorization for services." ]
  ] [
fhir:code [ fhir:v "risk-adjustment" ] ;
fhir:display [ fhir:v "Risk Adjustment" ] ;
fhir:definition [ fhir:v "Request for data from payers to calculate differences in beneficiary-level risk factors that can affect quality outcomes or medical costs, regardless of the care provided." ]
  ] [
fhir:code [ fhir:v "quality-metrics" ] ;
fhir:display [ fhir:v "Quality Metrics" ] ;
fhir:definition [ fhir:v "Request for data used for aggregation, calculation and analysis, and ultimately reporting of quality measures." ]
  ] [
fhir:code [ fhir:v "referral" ] ;
fhir:display [ fhir:v "Referral" ] ;
fhir:definition [ fhir:v "Request for additional clinical information from referring provider to support performing the requested service." ]
  ] [
fhir:code [ fhir:v "social-care" ] ;
fhir:display [ fhir:v "Social Care" ] ;
fhir:definition [ fhir:v "Request for data from payers to support the non-medical social needs of individuals, especially the elderly, vulnerable or with special needs." ]
  ] [
fhir:code [ fhir:v "authorization-other" ] ;
fhir:display [ fhir:v "Other Authorization" ] ;
fhir:definition [ fhir:v "Request for data from payers for other authorization request not otherwise specified." ]
  ] [
fhir:code [ fhir:v "care-coordination" ] ;
fhir:display [ fhir:v "Care Coordination" ] ;
fhir:definition [ fhir:v "Request for data from payers to create a complete clinical record for each of their members to improve care coordination and provide optimum medical care." ]
  ] [
fhir:code [ fhir:v "documentation-general" ] ;
fhir:display [ fhir:v "General Documentation" ] ;
fhir:definition [ fhir:v "Request for data used from payers or providers for general documentation." ]
  ] [
fhir:code [ fhir:v "orders" ] ;
fhir:display [ fhir:v "Orders" ] ;
fhir:definition [ fhir:v "Request for additional clinical information from referring provider to support orders." ]
  ] [
fhir:code [ fhir:v "patient-status" ] ;
fhir:display [ fhir:v "Patient Status" ] ;
fhir:definition [ fhir:v "Requests for patient health record information from payers to support their payer member records." ]
  ] [
fhir:code [ fhir:v "signature" ] ;
fhir:display [ fhir:v "Signature" ] ;
fhir:definition [ fhir:v "Request for signatures from payers or providers on requested data." ]
  ] [
fhir:code [ fhir:v "care-planning" ] ;
fhir:display [ fhir:v "Care Planning" ] ;
fhir:definition [ fhir:v "Request for data from payers or providers to determine how to deliver care for a particular patient, group or community." ]
  ] [
fhir:code [ fhir:v "social-risk" ] ;
fhir:display [ fhir:v "Social Risk" ] ;
fhir:definition [ fhir:v "Request for data from payers or other providers to assess of social risk, establishing coded health concerns/problems, creating patient driven goals, managing interventions, and measuring outcomes." ]
  ] [
fhir:code [ fhir:v "operations-noe" ] ;
fhir:display [ fhir:v "Operations Not Otherwise Enumerated" ] ;
fhir:definition [ fhir:v "Existing concepts do not define a more detailed [Healthcare Operations as defined by HIPAA](https://www.hhs.gov/hipaa/for-professionals/privacy/guidance/disclosures-treatment-payment-health-care-operations/index.html). Therefore, implicit in using this code is that an implementer must supply an additional, alternate code." ]
  ] [
fhir:code [ fhir:v "payment-noe" ] ;
fhir:display [ fhir:v "Payment Not Otherwise Enumerated" ] ;
fhir:definition [ fhir:v "[Existing concepts do not define a more detailed [Payment as defined by HIPAA](https://www.hhs.gov/hipaa/for-professionals/privacy/guidance/disclosures-treatment-payment-health-care-operations/index.html). Therefore, implicit in using this code is that an implementer must supply an additional, alternate code." ]
  ] [
fhir:code [ fhir:v "treatment-noe" ] ;
fhir:display [ fhir:v "Treatment Not Otherwise Enumerated" ] ;
fhir:definition [ fhir:v "Existing concepts do not define a more detailed [Treatment as defined by HIPAA](https://www.hhs.gov/hipaa/for-professionals/privacy/guidance/disclosures-treatment-payment-health-care-operations/index.html). Therefore, implicit in using this code is that an implementer must supply an additional, alternate code." ]
  ] [
fhir:code [ fhir:v "purpose-of-use" ] ;
fhir:display [ fhir:v "Purpose Of Use" ] ;
fhir:definition [ fhir:v "Purpose of use for the requested data." ]
  ] [
fhir:code [ fhir:v "signature-flag" ] ;
fhir:display [ fhir:v "Signature Flag" ] ;
fhir:definition [ fhir:v "Flag to indicate whether the requested data requires a signature." ]
  ] [
fhir:code [ fhir:v "tracking-id" ] ;
fhir:display [ fhir:v "Tracking Id" ] ;
fhir:definition [ fhir:v "A business identifier that ties requested attachments back to the claim or prior-authorization (referred to as the “re-association tracking control numbers”)." ]
  ] [
fhir:code [ fhir:v "multiple-submits-flag" ] ;
fhir:display [ fhir:v "Multiple Submits Flag" ] ;
fhir:definition [ fhir:v "Flag to indicate whether the requested data can be submitted in multiple transactions.  If true the data can be submitted in separate transactions.  if false *all* the data should be submitted in a single transaction." ]
  ] [
fhir:code [ fhir:v "service-date" ] ;
fhir:display [ fhir:v "Service Date" ] ;
fhir:definition [ fhir:v "Date of service or starting date of the service for the claim or prior authorization." ]
  ] [
fhir:code [ fhir:v "data-request-code" ] ;
fhir:display [ fhir:v "Data Request Code" ] ;
fhir:definition [ fhir:v "A Task requesting data using a code." ]
  ] [
fhir:code [ fhir:v "data-request-query" ] ;
fhir:display [ fhir:v "Data Request Query" ] ;
fhir:definition [ fhir:v "A Task requesting data using FHIR query syntax." ]
  ] [
fhir:code [ fhir:v "data-request-questionnaire" ] ;
fhir:display [ fhir:v "Data Request Questionnaire" ] ;
fhir:definition [ fhir:v "A Task requesting data using a data request questionnaire ([FHIR Questionnaire](http://hl7.org/fhir/questionnaire.html))." ]
  ] ) . #