Da Vinci Clinical Data Exchange (CDex)
1.0.0 - STU R1 US

This page is part of the Da Vinci Clinical Documentation Exchange (v1.0.0: STU1) based on FHIR R4. The current version which supercedes this version is 1.1.0. For a full list of available versions, see the Directory of published versions

ValueSet: CDex Work Queue Value Set

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

Logical Definition (CLD)

  • Include these codes as defined in http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp
    CodeDisplayDefinition
    claims-processingClaim ProcessingRequest for data necessary from payers to support claims for services.
    risk-adjustmentRisk AdjustmentRequest 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-metricsQuality MetricsRequest for data used for aggregation, calculation and analysis, and ultimately reporting of quality measures.
    prior-authorizationPrior AuthorizationRequest 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.
    referralReferralRequest for additional clinical information from referring provider to support performing the requested service.
    social-careSocial CareRequest for data from payers to support the non-medical social needs of individuals, especially the elderly, vulnerable or with special needs.
    authorization-otherOther AuthorizationRequest for data from payers for other authorization request not otherwise specified.
    care-coordinationCare CoordinationRequest 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-generalGeneral DocumentationRequest for data used from payers or providers for general documentation.
    ordersOrdersRequest for additional clinical information from referring provider to support orders.
    patient-statusPatient StatusRequests for patient health record information from payers to support their payer member records.
    signatureSignatureRequest for signatures from payers or providers on requested data.

 

Expansion

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

CodeDisplayDefinition
  claims-processingClaim ProcessingRequest for data necessary from payers to support claims for services.
  risk-adjustmentRisk AdjustmentRequest 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-metricsQuality MetricsRequest for data used for aggregation, calculation and analysis, and ultimately reporting of quality measures.
  prior-authorizationPrior AuthorizationRequest 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.
  referralReferralRequest for additional clinical information from referring provider to support performing the requested service.
  social-careSocial CareRequest for data from payers to support the non-medical social needs of individuals, especially the elderly, vulnerable or with special needs.
  authorization-otherOther AuthorizationRequest for data from payers for other authorization request not otherwise specified.
  care-coordinationCare CoordinationRequest 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-generalGeneral DocumentationRequest for data used from payers or providers for general documentation.
  ordersOrdersRequest for additional clinical information from referring provider to support orders.
  patient-statusPatient StatusRequests for patient health record information from payers to support their payer member records.
  signatureSignatureRequest 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