{ "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).", "_filename": "CodeSystem-cdex-temp.json", "package_name": "hl7.fhir.us.davinci-cdex", "date": "2022-12-23", "publisher": "HL7 International - Patient Care Work Group", "jurisdiction": [ { "coding": [ { "code": "US", "system": "urn:iso:std:iso:3166" } ] } ], "content": "complete", "name": "CDexTempCodes", "copyright": "Used by permission of HL7 International all rights reserved Creative Commons License", "type": null, "experimental": "false", "resourceType": "CodeSystem", "title": "CDex Temporary Code System", "package_version": "2.0.0", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode": "draft" }, { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm", "valueInteger": 1 } ], "status": "active", "id": "d153965c-d39c-448e-8588-0b929f8b3921", "kind": null, "url": "http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp", "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 business identifier that ties requested attachments back to the claim or prior-authorization (referred to as the “re-association tracking control numbers”)." }, { "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": "payer-url", "display": "Payer URL", "definition": "$submit-attachment operation endpoint where the requested data can be submitted" }, { "code": "service-date", "display": "Service Date", "definition": "Date of service or starting date of the service for the claim or prior authorization." }, { "code": "attachment-request-code", "display": "Coded Attachment Request", "definition": "A Task by a Payer requesting attachments for a Provider claim or prior-authorization using LOINC attachment codes." }, { "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))." }, { "code": "attachment-request-questionnaire", "display": "Attachment Request Questionnaire", "definition": "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))." } ], "caseSensitive": true, "version": "2.0.0", "contact": [ { "name": "HL7 International - Patient Care Work Group", "telecom": [ { "value": "http://www.hl7.org/Special/committees/patientcare", "system": "url" }, { "value": "patientcare@lists.HL7.org", "system": "email" } ] } ] }