Da Vinci Clinical Data Exchange (CDex)
2.1.0 - STU2 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 Work Queue Value Set - JSON Representation

Page standards status: Trial-use Maturity Level: 2

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{
  "resourceType" : "ValueSet",
  "id" : "cdex-work-queue",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet cdex-work-queue</b></p><a name=\"cdex-work-queue\"> </a><a name=\"hccdex-work-queue\"> </a><a name=\"cdex-work-queue-en-US\"> </a><ul><li>Include these codes as defined in <a href=\"CodeSystem-cdex-temp.html\"><code>http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp</code></a><table class=\"none\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href=\"CodeSystem-cdex-temp.html#cdex-temp-claims-processing\">claims-processing</a></td><td style=\"color: #cccccc\">Claim Processing</td><td>Request for data necessary from payers to support claims for services.</td></tr><tr><td><a href=\"CodeSystem-cdex-temp.html#cdex-temp-preauth-processing\">preauth-processing</a></td><td style=\"color: #cccccc\">Pre-authorization Processing</td><td>Request for data necessary from payers to support pre-authorization for services.</td></tr><tr><td><a href=\"CodeSystem-cdex-temp.html#cdex-temp-risk-adjustment\">risk-adjustment</a></td><td style=\"color: #cccccc\">Risk Adjustment</td><td>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.</td></tr><tr><td><a href=\"CodeSystem-cdex-temp.html#cdex-temp-quality-metrics\">quality-metrics</a></td><td style=\"color: #cccccc\">Quality Metrics</td><td>Request for data used for aggregation, calculation and analysis, and ultimately reporting of quality measures.</td></tr><tr><td><a href=\"CodeSystem-cdex-temp.html#cdex-temp-referral\">referral</a></td><td style=\"color: #cccccc\">Referral</td><td>Request for additional clinical information from referring provider to support performing the requested service.</td></tr><tr><td><a href=\"CodeSystem-cdex-temp.html#cdex-temp-social-care\">social-care</a></td><td style=\"color: #cccccc\">Social Care</td><td>Request for data from payers to support the non-medical social needs of individuals, especially the elderly, vulnerable or with special needs.</td></tr><tr><td><a href=\"CodeSystem-cdex-temp.html#cdex-temp-authorization-other\">authorization-other</a></td><td style=\"color: #cccccc\">Other Authorization</td><td>Request for data from payers for other authorization request not otherwise specified.</td></tr><tr><td><a href=\"CodeSystem-cdex-temp.html#cdex-temp-care-coordination\">care-coordination</a></td><td style=\"color: #cccccc\">Care Coordination</td><td>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.</td></tr><tr><td><a href=\"CodeSystem-cdex-temp.html#cdex-temp-documentation-general\">documentation-general</a></td><td style=\"color: #cccccc\">General Documentation</td><td>Request for data used from payers or providers for general documentation.</td></tr><tr><td><a href=\"CodeSystem-cdex-temp.html#cdex-temp-orders\">orders</a></td><td style=\"color: #cccccc\">Orders</td><td>Request for additional clinical information from referring provider to support orders.</td></tr><tr><td><a href=\"CodeSystem-cdex-temp.html#cdex-temp-patient-status\">patient-status</a></td><td style=\"color: #cccccc\">Patient Status</td><td>Requests for patient health record information from payers to support their payer member records.</td></tr><tr><td><a href=\"CodeSystem-cdex-temp.html#cdex-temp-signature\">signature</a></td><td style=\"color: #cccccc\">Signature</td><td>Request for signatures from payers or providers on requested data.</td></tr></table></li></ul></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "claims"
    },
    {
      "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-cdex/ImplementationGuide/hl7.fhir.us.davinci-cdex"
          }
        ]
      }
    },
    {
      "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-cdex/ImplementationGuide/hl7.fhir.us.davinci-cdex"
          }
        ]
      }
    }
  ],
  "url" : "http://hl7.org/fhir/us/davinci-cdex/ValueSet/cdex-work-queue",
  "identifier" : [
    {
      "system" : "urn:ietf:rfc:3986",
      "value" : "urn:oid:2.16.840.1.113883.4.642.40.21.48.5"
    }
  ],
  "version" : "2.1.0",
  "name" : "CDexWorkQueueCodes",
  "title" : "CDex Work Queue Value Set",
  "status" : "active",
  "experimental" : false,
  "date" : "2022-10-24",
  "publisher" : "HL7 International / Payer/Provider Information Exchange Work Group",
  "contact" : [
    {
      "name" : "HL7 International / Payer/Provider Information Exchange Work Group",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/claims"
        },
        {
          "system" : "email",
          "value" : "pie@lists.hl7.org"
        }
      ]
    }
  ],
  "description" : "The set work queue tags that the provider may use in their workflow to process requests. This code set is composed of codes defined by this Guide.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US"
        }
      ]
    }
  ],
  "copyright" : "Used by permission of HL7 International all rights reserved Creative Commons License",
  "compose" : {
    "include" : [
      {
        "system" : "http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp",
        "concept" : [
          {
            "code" : "claims-processing"
          },
          {
            "code" : "preauth-processing"
          },
          {
            "code" : "risk-adjustment"
          },
          {
            "code" : "quality-metrics"
          },
          {
            "code" : "referral"
          },
          {
            "code" : "social-care"
          },
          {
            "code" : "authorization-other"
          },
          {
            "code" : "care-coordination"
          },
          {
            "code" : "documentation-general"
          },
          {
            "code" : "orders"
          },
          {
            "code" : "patient-status"
          },
          {
            "code" : "signature"
          }
        ]
      }
    ]
  }
}