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
Page standards status: Trial-use | Maturity Level: 2 |
@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:ValueSet ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "cdex-work-queue"] ; #
fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir: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>"
] ; #
fhir:extension ( [
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/StructureDefinition/structuredefinition-fmm"^^xsd:anyURI ] ;
fhir:value [
fhir:v "2"^^xsd:integer ;
( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom"^^xsd:anyURI ] ;
fhir:value [
fhir:v "http://hl7.org/fhir/us/davinci-cdex/ImplementationGuide/hl7.fhir.us.davinci-cdex"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/davinci-cdex/ImplementationGuide/hl7.fhir.us.davinci-cdex> ] ] ) ]
] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ] ;
fhir:value [
fhir:v "trial-use" ;
( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom"^^xsd:anyURI ] ;
fhir:value [
fhir:v "http://hl7.org/fhir/us/davinci-cdex/ImplementationGuide/hl7.fhir.us.davinci-cdex"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/davinci-cdex/ImplementationGuide/hl7.fhir.us.davinci-cdex> ] ] ) ]
] ) ; #
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-cdex/ValueSet/cdex-work-queue"^^xsd:anyURI] ; #
fhir:identifier ( [
fhir:system [ fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ] ;
fhir:value [ fhir:v "urn:oid:2.16.840.1.113883.4.642.40.21.48.5" ]
] ) ; #
fhir:version [ fhir:v "2.1.0"] ; #
fhir:name [ fhir:v "CDexWorkQueueCodes"] ; #
fhir:title [ fhir:v "CDex Work Queue Value Set"] ; #
fhir:status [ fhir:v "active"] ; #
fhir:experimental [ fhir:v "false"^^xsd:boolean] ; #
fhir:date [ fhir:v "2022-10-24"^^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 "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."] ; #
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:compose [
( fhir:include [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp"^^xsd:anyURI ] ;
( fhir:concept [
fhir:code [ fhir:v "claims-processing" ] ] [
fhir:code [ fhir:v "preauth-processing" ] ] [
fhir:code [ fhir:v "risk-adjustment" ] ] [
fhir:code [ fhir:v "quality-metrics" ] ] [
fhir:code [ fhir:v "referral" ] ] [
fhir:code [ fhir:v "social-care" ] ] [
fhir:code [ fhir:v "authorization-other" ] ] [
fhir:code [ fhir:v "care-coordination" ] ] [
fhir:code [ fhir:v "documentation-general" ] ] [
fhir:code [ fhir:v "orders" ] ] [
fhir:code [ fhir:v "patient-status" ] ] [
fhir:code [ fhir:v "signature" ] ] ) ] )
] . #
IG © 2024+ HL7 International / Payer/Provider Information Exchange Work Group. Package hl7.fhir.us.davinci-cdex#2.1.0 based on FHIR 4.0.1. Generated 2024-12-17
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