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Official URL: http://hl7.org/fhir/us/davinci-cdex/ValueSet/cdex-work-queue | Version: 1.0.0 | |||
Draft as of 2021-10-26 | Computable Name: CDexWorkQueueCodes | |||
Copyright/Legal: Used by permission of HL7 International all rights reserved Creative Commons License |
The set work queue tags that the provider may use in their workflow to process request. This code set is composed of codes defined by this Guide.
References
http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp
Code | Display | Definition |
claims-processing | Claim Processing | Request for data necessary from payers to support claims for services. |
risk-adjustment | Risk Adjustment | 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. |
quality-metrics | Quality Metrics | Request for data used for aggregation, calculation and analysis, and ultimately reporting of quality measures. |
prior-authorization | Prior Authorization | Request for data from payers as part of a prior authorization requests from EHR systems. If authorization is required and documentation is necessary to substantiate the need for the service, the specific documentation is requested. The documentation may take the form of attestations by the provider, diagnoses, results of specific diagnostic tests, prior treatment that has been tried and failed, specific studies that need to be performed and other specific documentation such as progress notes or discharge summaries. |
referral | Referral | Request for additional clinical information from referring provider to support performing the requested service. |
social-care | Social Care | Request for data from payers to support the non-medical social needs of individuals, especially the elderly, vulnerable or with special needs. |
authorization-other | Other Authorization | Request for data from payers for other authorization request not otherwise specified. |
care-coordination | Care Coordination | 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. |
documentation-general | General Documentation | Request for data used from payers or providers for general documentation. |
orders | Orders | Request for additional clinical information from referring provider to support orders. |
patient-status | Patient Status | Requests for patient health record information from payers to support their payer member records. |
signature | Signature | Request for signatures from payers or providers on requested data. |
This value set contains 12 concepts
Expansion based on CDex Temporary Code System v1.0.0 (CodeSystem)
All codes in this table are from the system http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp
Code | Display | Definition |
claims-processing | Claim Processing | Request for data necessary from payers to support claims for services. |
risk-adjustment | Risk Adjustment | 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. |
quality-metrics | Quality Metrics | Request for data used for aggregation, calculation and analysis, and ultimately reporting of quality measures. |
prior-authorization | Prior Authorization | Request for data from payers as part of a prior authorization requests from EHR systems. If authorization is required and documentation is necessary to substantiate the need for the service, the specific documentation is requested. The documentation may take the form of attestations by the provider, diagnoses, results of specific diagnostic tests, prior treatment that has been tried and failed, specific studies that need to be performed and other specific documentation such as progress notes or discharge summaries. |
referral | Referral | Request for additional clinical information from referring provider to support performing the requested service. |
social-care | Social Care | Request for data from payers to support the non-medical social needs of individuals, especially the elderly, vulnerable or with special needs. |
authorization-other | Other Authorization | Request for data from payers for other authorization request not otherwise specified. |
care-coordination | Care Coordination | 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. |
documentation-general | General Documentation | Request for data used from payers or providers for general documentation. |
orders | Orders | Request for additional clinical information from referring provider to support orders. |
patient-status | Patient Status | Requests for patient health record information from payers to support their payer member records. |
signature | Signature | Request for signatures from payers or providers on requested data. |
Explanation of the columns that may appear on this page:
Level | A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies |
System | The source of the definition of the code (when the value set draws in codes defined elsewhere) |
Code | The code (used as the code in the resource instance) |
Display | The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application |
Definition | An explanation of the meaning of the concept |
Comments | Additional notes about how to use the code |