Da Vinci Clinical Data Exchange (CDex)
2.1.0 - STU 2.1

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 - JSON Representation

Page standards status: Trial-use | Maturity Level: 1

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    {
      "resourceType" : "CodeSystem",
      "id" : "cdex-temp",
      "text" : {
        "status" : "generated",
        "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><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 Payer-assigned claim/prior authorization identifier that ties the attachment(s) back to the claim or prior authorization. This value referred to as the “re-association tracking control numbers” or &quot;attachment control number (ACN)&quot;.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">admin-ref-number<a name=\"cdex-temp-admin-ref-number\"> </a></td><td>Administrative Reference Number</td><td><div><p>A Payer-assigned business identifier that ties the attachment(s) back to the prior authorization. This value is referred to as the &quot;administrative reference number&quot;.</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>"
      },
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
          "valueCode" : "trial-use"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
          "valueInteger" : 1
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
          "valueCode" : "claims"
        }
      ],
      "url" : "http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp",
      "identifier" : [
        {
          "system" : "urn:ietf:rfc:3986",
          "value" : "urn:oid:2.16.840.1.113883.4.642.40.21.16.1"
        }
      ],
      "version" : "2.1.0",
      "name" : "CDexTempCodes",
      "title" : "CDex Temporary Code System",
      "status" : "active",
      "experimental" : false,
      "date" : "2025-05-22",
      "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" : "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" : "urn:iso:std:iso:3166",
              "code" : "US"
            }
          ]
        }
      ],
      "copyright" : "Used by permission of HL7 International all rights reserved Creative Commons License",
      "caseSensitive" : true,
      "content" : "complete",
      "concept" : [
        {
          "code" : "claims-processing",
          "display" : "Claim Processing",
          "definition" : "Request for data necessary from payers to support claims for services."
        },
        {
          "code" : "preauth-processing",
          "display" : "Pre-authorization Processing",
          "definition" : "Request for data necessary from payers to support pre-authorization for services."
        },
        {
          "code" : "risk-adjustment",
          "display" : "Risk Adjustment",
          "definition" : "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."
        },
        {
          "code" : "quality-metrics",
          "display" : "Quality Metrics",
          "definition" : "Request for data used for aggregation, calculation and analysis, and ultimately reporting of quality measures."
        },
        {
          "code" : "referral",
          "display" : "Referral",
          "definition" : "Request for additional clinical information from referring provider to support performing the requested service."
        },
        {
          "code" : "social-care",
          "display" : "Social Care",
          "definition" : "Request for data from payers to support the non-medical social needs of individuals, especially the elderly, vulnerable or with special needs."
        },
        {
          "code" : "authorization-other",
          "display" : "Other Authorization",
          "definition" : "Request for data from payers for other authorization request not otherwise specified."
        },
        {
          "code" : "care-coordination",
          "display" : "Care Coordination",
          "definition" : "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."
        },
        {
          "code" : "documentation-general",
          "display" : "General Documentation",
          "definition" : "Request for data used from payers or providers for general documentation."
        },
        {
          "code" : "orders",
          "display" : "Orders",
          "definition" : "Request for additional clinical information from referring provider to support orders."
        },
        {
          "code" : "patient-status",
          "display" : "Patient Status",
          "definition" : "Requests for patient health record information from payers to support their payer member records."
        },
        {
          "code" : "signature",
          "display" : "Signature",
          "definition" : "Request for signatures from payers or providers on requested data."
        },
        {
          "code" : "care-planning",
          "display" : "Care Planning",
          "definition" : "Request for data from payers or providers to determine how to deliver care for a particular patient, group or community."
        },
        {
          "code" : "social-risk",
          "display" : "Social Risk",
          "definition" : "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."
        },
        {
          "code" : "operations-noe",
          "display" : "Operations Not Otherwise Enumerated",
          "definition" : "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."
        },
        {
          "code" : "payment-noe",
          "display" : "Payment Not Otherwise Enumerated",
          "definition" : "[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."
        },
        {
          "code" : "treatment-noe",
          "display" : "Treatment Not Otherwise Enumerated",
          "definition" : "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."
        },
        {
          "code" : "purpose-of-use",
          "display" : "Purpose Of Use",
          "definition" : "Purpose of use for the requested data."
        },
        {
          "code" : "signature-flag",
          "display" : "Signature Flag",
          "definition" : "Flag to indicate whether the requested data requires a signature."
        },
        {
          "code" : "tracking-id",
          "display" : "Tracking Id",
          "definition" : "A Payer-assigned claim/prior authorization identifier that ties the attachment(s) back to the claim or prior authorization. This value referred to as the “re-association tracking control numbers” or \"attachment control number (ACN)\"."
        },
        {
          "code" : "admin-ref-number",
          "display" : "Administrative Reference Number",
          "definition" : "A Payer-assigned business identifier that ties the attachment(s) back to the prior authorization. This value is referred to as the \"administrative reference number\"."
        },
        {
          "code" : "multiple-submits-flag",
          "display" : "Multiple Submits Flag",
          "definition" : "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."
        },
        {
          "code" : "service-date",
          "display" : "Service Date",
          "definition" : "Date of service or starting date of the service for the claim or prior authorization."
        },
        {
          "code" : "data-request-code",
          "display" : "Data Request Code",
          "definition" : "A Task requesting data using a code."
        },
        {
          "code" : "data-request-query",
          "display" : "Data Request Query",
          "definition" : "A Task requesting data using FHIR query syntax."
        },
        {
          "code" : "data-request-questionnaire",
          "display" : "Data Request Questionnaire",
          "definition" : "A Task requesting data using a data request questionnaire ([FHIR Questionnaire](http://hl7.org/fhir/questionnaire.html))."
        }
      ]
    }