Da Vinci Clinical Data Exchange (CDex)
2.1.0-preview - CI Build
Da Vinci Clinical Data Exchange (CDex)
2.1.0-preview - CI Build
Da Vinci Clinical Data Exchange (CDex), published by HL7 International - Patient Care Work Group. This guide is not an authorized publication; it is the continuous build for version 2.1.0-preview 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
| Page standards status: Draft | Maturity Level: 1 |
<CodeSystem xmlns="http://hl7.org/fhir">
<id value="cdex-temp"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><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>
</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>
</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>
</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>
</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>
</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>
</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>
</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>
</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>
</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>
</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>
</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>
</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>
</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>
</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>
</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>
</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>
</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>
</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>
</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>
</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>
</div></td></tr><tr><td style="white-space:nowrap">payer-url<a name="cdex-temp-payer-url"> </a></td><td>Payer URL</td><td><div><p>$submit-attachment operation endpoint where the requested data can be submitted</p>
</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>
</div></td></tr><tr><td style="white-space:nowrap">attachment-request-code<a name="cdex-temp-attachment-request-code"> </a></td><td>Coded Attachment Request</td><td><div><p>A Task by a Payer requesting attachments for a Provider claim or prior-authorization using LOINC attachment codes.</p>
</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>
</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>
</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>
</div></td></tr><tr><td style="white-space:nowrap">attachment-request-questionnaire<a name="cdex-temp-attachment-request-questionnaire"> </a></td><td>Attachment Request Questionnaire</td><td><div><p>A Task by a Payer requesting attachments or additional data for a Provider claim or prior-authorization using a data request questionnaire (<a href="http://hl7.org/fhir/questionnaire.html">FHIR Questionnaire</a>).</p>
</div></td></tr></table></div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
<valueCode value="draft"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
<valueInteger value="1"/>
</extension>
<url value="http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp"/>
<version value="2.1.0-preview"/>
<name value="CDexTempCodes"/>
<title value="CDex Temporary Code System"/>
<status value="active"/>
<experimental value="false"/>
<date value="2022-12-23"/>
<publisher value="HL7 International - Patient Care Work Group"/>
<contact>
<name value="HL7 International - Patient Care Work Group"/>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/patientcare"/>
</telecom>
<telecom>
<system value="email"/>
<value value="patientcare@lists.HL7.org"/>
</telecom>
</contact>
<description
value="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)."/>
<jurisdiction>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="US"/>
</coding>
</jurisdiction>
<copyright
value="Used by permission of HL7 International all rights reserved Creative Commons License"/>
<caseSensitive value="true"/>
<content value="complete"/>
<concept>
<code value="claims-processing"/>
<display value="Claim Processing"/>
<definition
value="Request for data necessary from payers to support claims for services."/>
</concept>
<concept>
<code value="preauth-processing"/>
<display value="Pre-authorization Processing"/>
<definition
value="Request for data necessary from payers to support pre-authorization for services."/>
</concept>
<concept>
<code value="risk-adjustment"/>
<display value="Risk Adjustment"/>
<definition
value="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."/>
</concept>
<concept>
<code value="quality-metrics"/>
<display value="Quality Metrics"/>
<definition
value="Request for data used for aggregation, calculation and analysis, and ultimately reporting of quality measures."/>
</concept>
<concept>
<code value="referral"/>
<display value="Referral"/>
<definition
value="Request for additional clinical information from referring provider to support performing the requested service."/>
</concept>
<concept>
<code value="social-care"/>
<display value="Social Care"/>
<definition
value="Request for data from payers to support the non-medical social needs of individuals, especially the elderly, vulnerable or with special needs."/>
</concept>
<concept>
<code value="authorization-other"/>
<display value="Other Authorization"/>
<definition
value="Request for data from payers for other authorization request not otherwise specified."/>
</concept>
<concept>
<code value="care-coordination"/>
<display value="Care Coordination"/>
<definition
value="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."/>
</concept>
<concept>
<code value="documentation-general"/>
<display value="General Documentation"/>
<definition
value="Request for data used from payers or providers for general documentation."/>
</concept>
<concept>
<code value="orders"/>
<display value="Orders"/>
<definition
value="Request for additional clinical information from referring provider to support orders."/>
</concept>
<concept>
<code value="patient-status"/>
<display value="Patient Status"/>
<definition
value="Requests for patient health record information from payers to support their payer member records."/>
</concept>
<concept>
<code value="signature"/>
<display value="Signature"/>
<definition
value="Request for signatures from payers or providers on requested data."/>
</concept>
<concept>
<code value="care-planning"/>
<display value="Care Planning"/>
<definition
value="Request for data from payers or providers to determine how to deliver care for a particular patient, group or community."/>
</concept>
<concept>
<code value="social-risk"/>
<display value="Social Risk"/>
<definition
value="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."/>
</concept>
<concept>
<code value="operations-noe"/>
<display value="Operations Not Otherwise Enumerated"/>
<definition
value="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."/>
</concept>
<concept>
<code value="payment-noe"/>
<display value="Payment Not Otherwise Enumerated"/>
<definition
value="[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."/>
</concept>
<concept>
<code value="treatment-noe"/>
<display value="Treatment Not Otherwise Enumerated"/>
<definition
value="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."/>
</concept>
<concept>
<code value="purpose-of-use"/>
<display value="Purpose Of Use"/>
<definition value="Purpose of use for the requested data."/>
</concept>
<concept>
<code value="signature-flag"/>
<display value="Signature Flag"/>
<definition
value="Flag to indicate whether the requested data requires a signature."/>
</concept>
<concept>
<code value="tracking-id"/>
<display value="Tracking Id"/>
<definition
value="A business identifier that ties requested attachments back to the claim or prior-authorization (referred to as the “re-association tracking control numbers”)."/>
</concept>
<concept>
<code value="multiple-submits-flag"/>
<display value="Multiple Submits Flag"/>
<definition
value="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."/>
</concept>
<concept>
<code value="payer-url"/>
<display value="Payer URL"/>
<definition
value="$submit-attachment operation endpoint where the requested data can be submitted"/>
</concept>
<concept>
<code value="service-date"/>
<display value="Service Date"/>
<definition
value="Date of service or starting date of the service for the claim or prior authorization."/>
</concept>
<concept>
<code value="attachment-request-code"/>
<display value="Coded Attachment Request"/>
<definition
value="A Task by a Payer requesting attachments for a Provider claim or prior-authorization using LOINC attachment codes."/>
</concept>
<concept>
<code value="data-request-code"/>
<display value="Data Request Code"/>
<definition value="A Task requesting data using a code."/>
</concept>
<concept>
<code value="data-request-query"/>
<display value="Data Request Query"/>
<definition value="A Task requesting data using FHIR query syntax."/>
</concept>
<concept>
<code value="data-request-questionnaire"/>
<display value="Data Request Questionnaire"/>
<definition
value="A Task requesting data using a data request questionnaire ([FHIR Questionnaire](http://hl7.org/fhir/questionnaire.html))."/>
</concept>
<concept>
<code value="attachment-request-questionnaire"/>
<display value="Attachment Request Questionnaire"/>
<definition
value="A Task by a Payer requesting attachments or additional data for a Provider claim or prior-authorization using a data request questionnaire ([FHIR Questionnaire](http://hl7.org/fhir/questionnaire.html))."/>
</concept>
</CodeSystem>
IG © 2024+ HL7 International - Patient Care Work Group. Package hl7.fhir.us.davinci-cdex#2.1.0-preview based on FHIR 4.0.1. Generated 2024-04-19
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