Da Vinci Clinical Data Exchange (CDex)
2.1.0-preview - CI Build 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-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

: CDex Work Queue Value Set - XML Representation

Page standards status: Trial-use Maturity Level: 2

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<ValueSet xmlns="http://hl7.org/fhir">
  <id value="cdex-work-queue"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><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>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="claims"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="2">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueCanonical
                        value="http://hl7.org/fhir/us/davinci-cdex/ImplementationGuide/hl7.fhir.us.davinci-cdex"/>
      </extension>
    </valueInteger>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="trial-use">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueCanonical
                        value="http://hl7.org/fhir/us/davinci-cdex/ImplementationGuide/hl7.fhir.us.davinci-cdex"/>
      </extension>
    </valueCode>
  </extension>
  <url value="http://hl7.org/fhir/us/davinci-cdex/ValueSet/cdex-work-queue"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.16.840.1.113883.4.642.40.21.48.6"/>
  </identifier>
  <version value="2.1.0-preview"/>
  <name value="CDexWorkQueueCodes"/>
  <title value="CDex Work Queue Value Set"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2022-10-24"/>
  <publisher
             value="HL7 International / Payer/Provider Information Exchange Work Group"/>
  <contact>
    <name
          value="HL7 International / Payer/Provider Information Exchange Work Group"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/claims"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="pie@lists.hl7.org"/>
    </telecom>
  </contact>
  <description
               value="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 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"/>
  <compose>
    <include>
      <system
              value="http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp"/>
      <concept>
        <code value="claims-processing"/>
      </concept>
      <concept>
        <code value="preauth-processing"/>
      </concept>
      <concept>
        <code value="risk-adjustment"/>
      </concept>
      <concept>
        <code value="quality-metrics"/>
      </concept>
      <concept>
        <code value="referral"/>
      </concept>
      <concept>
        <code value="social-care"/>
      </concept>
      <concept>
        <code value="authorization-other"/>
      </concept>
      <concept>
        <code value="care-coordination"/>
      </concept>
      <concept>
        <code value="documentation-general"/>
      </concept>
      <concept>
        <code value="orders"/>
      </concept>
      <concept>
        <code value="patient-status"/>
      </concept>
      <concept>
        <code value="signature"/>
      </concept>
    </include>
  </compose>
</ValueSet>