{
  "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.r4b",
  "date": "2022-12-23",
  "publisher": "HL7 International / Payer/Provider Information Exchange 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": "2.1.0",
  "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"
  } ],
  "status": "active",
  "id": "dbb8ee2e-1c0a-4e56-b72d-69bbc10ec554",
  "kind": null,
  "url": "http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp",
  "identifier": [ {
    "value": "urn:oid:2.16.840.1.113883.4.642.40.21.16.1",
    "system": "urn:ietf:rfc:3986"
  } ],
  "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": "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))."
  } ],
  "caseSensitive": true,
  "version": "2.1.0",
  "contact": [ {
    "name": "HL7 International / Payer/Provider Information Exchange Work Group",
    "telecom": [ {
      "value": "http://www.hl7.org/Special/committees/claims",
      "system": "url"
    }, {
      "value": "pie@lists.hl7.org",
      "system": "email"
    } ]
  } ]
}