DaVinci PDEX Plan Net
1.0.0 - STU1
DaVinci PDEX Plan Net
1.0.0 - STU1
This page is part of the DaVinci PDEX Plan Net (v1.0.0: STU 1) 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 xmlns="http://hl7.org/fhir">
<id value="EndpointUsecaseVS"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><ul><li>Include these codes as defined in <a href="https://terminology.hl7.org/1.0.0//CodeSystem-v3-ActReason.html"><code>http://terminology.hl7.org/CodeSystem/v3-ActReason</code></a><table class="none"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td><a href="https://terminology.hl7.org/1.0.0//CodeSystem-v3-ActReason.html#v3-ActReason-TREAT">TREAT</a></td><td>treatment</td><td>To perform one or more operations on information for provision of health care.</td></tr><tr><td><a href="https://terminology.hl7.org/1.0.0//CodeSystem-v3-ActReason.html#v3-ActReason-HPAYMT">HPAYMT</a></td><td>healthcare payment</td><td>To perform one or more operations on information for conducting financial or contractual activities related to payment for provision of health care.</td></tr><tr><td><a href="https://terminology.hl7.org/1.0.0//CodeSystem-v3-ActReason.html#v3-ActReason-COC">COC</a></td><td>coordination of care</td><td>To perform one or more actions on information in order to organize the provision and case management of an individual’s healthcare, including: Monitoring a person's goals, needs, and preferences; acting as the communication link between two or more participants concerned with a person's health and wellness; organizing and facilitating care activities and promoting self-management by advocating for, empowering, and educating a person; and ensuring safe, appropriate, non-duplicative, and effective integrated care.<br/><br/>*Usage Note:* Use when describing these functions: 1. Monitoring a person’s goals, needs, and preferences. 2. Acting as the communication link between two or more participants concerned with a person's health and wellness. 3. Organizing and facilitating care activities and promoting self-management by advocating for, empowering, and educating a person. 4. Ensuring safe, appropriate, non-duplicative, and effective integrated care.<br/><br/>The goal is to clearly differentiate this type of coordination of care from HIPAA Operations by specifying that these actions on information are undertaken in the provision of healthcare treatment.<br/><br/>For similar uses of this concept, see SAMHSA Confidentiality of Substance Use Disorder Patient Records Supplemental notice of proposed rulemaking, which differentiates concepts of care coordination and case management for the provision of treatment as specifically distinct from activities related to health care delivery management and the operations of organizational entities involved in the delivery of healthcare.<br/><br/>*Map:* Maps to ISO 14265 Classification Terms: "Support of care activities within the provider organisation for an individual subject of care" described as "To inform persons or processes enabling others to provide health care services to the subject of care." "Subject of Care Uses" described as "To inform the subject of care in support of his or her own interests."</td></tr><tr><td><a href="https://terminology.hl7.org/1.0.0//CodeSystem-v3-ActReason.html#v3-ActReason-COVERAGE">COVERAGE</a></td><td>eligibility verification and determination</td><td>To perform one or more operations on information for conducting activities related to coverage under a program or policy.</td></tr><tr><td><a href="https://terminology.hl7.org/1.0.0//CodeSystem-v3-ActReason.html#v3-ActReason-HOPERAT">HOPERAT</a></td><td>healthcare operations</td><td>To perform one or more operations on information used for conducting administrative and contractual activities related to the provision of health care.</td></tr><tr><td><a href="https://terminology.hl7.org/1.0.0//CodeSystem-v3-ActReason.html#v3-ActReason-PUBHLTH">PUBHLTH</a></td><td>public health</td><td>To perform one or more operations on information for conducting public health activities, such as the reporting of notifiable conditions.</td></tr><tr><td><a href="https://terminology.hl7.org/1.0.0//CodeSystem-v3-ActReason.html#v3-ActReason-HRESCH">HRESCH</a></td><td>healthcare research</td><td>To perform one or more operations on information for conducting scientific investigations to obtain health care knowledge. Use of the data iincludes basic and applied research such as biomedical, population origin or ancestry, translational research, and disease, discipline, specialty specific healthcare research and clinical trial research.</td></tr><tr><td><a href="https://terminology.hl7.org/1.0.0//CodeSystem-v3-ActReason.html#v3-ActReason-ETREAT">ETREAT</a></td><td>emergency treatment</td><td>To perform one or more operations on information for provision of immediately needed health care for an emergent condition.</td></tr><tr><td><a href="https://terminology.hl7.org/1.0.0//CodeSystem-v3-ActReason.html#v3-ActReason-PATRQT">PATRQT</a></td><td>patient requested</td><td>To perform one or more operations on information in response to a patient's request.</td></tr><tr><td><a href="https://terminology.hl7.org/1.0.0//CodeSystem-v3-ActReason.html#v3-ActReason-HRESCH">HRESCH</a></td><td>healthcare research</td><td>To perform one or more operations on information for conducting scientific investigations to obtain health care knowledge. Use of the data iincludes basic and applied research such as biomedical, population origin or ancestry, translational research, and disease, discipline, specialty specific healthcare research and clinical trial research.</td></tr></table></li></ul></div>
</text>
<url
value="http://hl7.org/fhir/us/davinci-pdex-plan-net/ValueSet/EndpointUsecaseVS"/>
<version value="1.0.0"/>
<name value="EndpointUsecaseVS"/>
<title value="Endpoint Usecases"/>
<status value="active"/>
<date value="2020-12-20T06:12:23+00:00"/>
<publisher value="HL7 Financial Management Working Group"/>
<contact>
<name value="HL7 Financial Management Working Group"/>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/fm/index.cfm"/>
</telecom>
<telecom>
<system value="email"/>
<value value="fm@lists.HL7.org"/>
</telecom>
</contact>
<description
value="Codes for documenting business use case by a general grouping by business area."/>
<jurisdiction>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="US"/>
</coding>
</jurisdiction>
<compose>
<include>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
<concept>
<code value="TREAT"/>
<display value="treatment"/>
</concept>
<concept>
<code value="HPAYMT"/>
<display value="healthcare payment"/>
</concept>
<concept>
<code value="COC"/>
<display value="coordination of care"/>
</concept>
<concept>
<code value="COVERAGE"/>
<display value="eligibility verification and determination"/>
</concept>
<concept>
<code value="HOPERAT"/>
<display value="healthcare operations"/>
</concept>
<concept>
<code value="PUBHLTH"/>
<display value="public health"/>
</concept>
<concept>
<code value="HRESCH"/>
<display value="healthcare research"/>
</concept>
<concept>
<code value="ETREAT"/>
<display value="emergency treatment"/>
</concept>
<concept>
<code value="PATRQT"/>
<display value="patient requested"/>
</concept>
<concept>
<code value="HRESCH"/>
<display value="healthcare research"/>
</concept>
</include>
</compose>
</ValueSet>
IG © 2020+ HL7 Financial Management Working Group. Package hl7.fhir.us.davinci-pdex-plan-net#1.0.0 based on FHIR 4.0.1. Generated 2020-12-20
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