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Page standards status: Trial-use | Maturity Level: 2 |
<ValueSet xmlns="http://hl7.org/fhir">
<id value="cdex-work-queue"/>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ValueSet cdex-work-queue</b></p><a name="cdex-work-queue"> </a><a name="hccdex-work-queue"> </a><a name="cdex-work-queue-en-US"> </a><ul><li>Include these codes as defined in <a href="CodeSystem-cdex-temp.html"><code>http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp</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="CodeSystem-cdex-temp.html#cdex-temp-claims-processing">claims-processing</a></td><td style="color: #cccccc">Claim Processing</td><td>Request for data necessary from payers to support claims for services.</td></tr><tr><td><a href="CodeSystem-cdex-temp.html#cdex-temp-preauth-processing">preauth-processing</a></td><td style="color: #cccccc">Pre-authorization Processing</td><td>Request for data necessary from payers to support pre-authorization for services.</td></tr><tr><td><a href="CodeSystem-cdex-temp.html#cdex-temp-risk-adjustment">risk-adjustment</a></td><td style="color: #cccccc">Risk Adjustment</td><td>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.</td></tr><tr><td><a href="CodeSystem-cdex-temp.html#cdex-temp-quality-metrics">quality-metrics</a></td><td style="color: #cccccc">Quality Metrics</td><td>Request for data used for aggregation, calculation and analysis, and ultimately reporting of quality measures.</td></tr><tr><td><a href="CodeSystem-cdex-temp.html#cdex-temp-referral">referral</a></td><td style="color: #cccccc">Referral</td><td>Request for additional clinical information from referring provider to support performing the requested service.</td></tr><tr><td><a href="CodeSystem-cdex-temp.html#cdex-temp-social-care">social-care</a></td><td style="color: #cccccc">Social Care</td><td>Request for data from payers to support the non-medical social needs of individuals, especially the elderly, vulnerable or with special needs.</td></tr><tr><td><a href="CodeSystem-cdex-temp.html#cdex-temp-authorization-other">authorization-other</a></td><td style="color: #cccccc">Other Authorization</td><td>Request for data from payers for other authorization request not otherwise specified.</td></tr><tr><td><a href="CodeSystem-cdex-temp.html#cdex-temp-care-coordination">care-coordination</a></td><td style="color: #cccccc">Care Coordination</td><td>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.</td></tr><tr><td><a href="CodeSystem-cdex-temp.html#cdex-temp-documentation-general">documentation-general</a></td><td style="color: #cccccc">General Documentation</td><td>Request for data used from payers or providers for general documentation.</td></tr><tr><td><a href="CodeSystem-cdex-temp.html#cdex-temp-orders">orders</a></td><td style="color: #cccccc">Orders</td><td>Request for additional clinical information from referring provider to support orders.</td></tr><tr><td><a href="CodeSystem-cdex-temp.html#cdex-temp-patient-status">patient-status</a></td><td style="color: #cccccc">Patient Status</td><td>Requests for patient health record information from payers to support their payer member records.</td></tr><tr><td><a href="CodeSystem-cdex-temp.html#cdex-temp-signature">signature</a></td><td style="color: #cccccc">Signature</td><td>Request for signatures from payers or providers on requested data.</td></tr></table></li></ul></div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
<valueCode value="claims"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
<valueInteger value="2">
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
<valueCanonical
value="http://hl7.org/fhir/us/davinci-cdex/ImplementationGuide/hl7.fhir.us.davinci-cdex"/>
</extension>
</valueInteger>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
<valueCode value="trial-use">
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
<valueCanonical
value="http://hl7.org/fhir/us/davinci-cdex/ImplementationGuide/hl7.fhir.us.davinci-cdex"/>
</extension>
</valueCode>
</extension>
<url value="http://hl7.org/fhir/us/davinci-cdex/ValueSet/cdex-work-queue"/>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:oid:2.16.840.1.113883.4.642.40.21.48.5"/>
</identifier>
<version value="2.1.0-snapshot"/>
<name value="CDexWorkQueueCodes"/>
<title value="CDex Work Queue Value Set"/>
<status value="active"/>
<experimental value="false"/>
<date value="2022-10-24"/>
<publisher
value="HL7 International / Payer/Provider Information Exchange Work Group"/>
<contact>
<name
value="HL7 International / Payer/Provider Information Exchange Work Group"/>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/claims"/>
</telecom>
<telecom>
<system value="email"/>
<value value="pie@lists.hl7.org"/>
</telecom>
</contact>
<description
value="The set work queue tags that the provider may use in their workflow to process requests. This code set is composed of codes defined by this Guide."/>
<jurisdiction>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="US"/>
</coding>
</jurisdiction>
<copyright
value="Used by permission of HL7 International all rights reserved Creative Commons License"/>
<compose>
<include>
<system
value="http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp"/>
<concept>
<code value="claims-processing"/>
</concept>
<concept>
<code value="preauth-processing"/>
</concept>
<concept>
<code value="risk-adjustment"/>
</concept>
<concept>
<code value="quality-metrics"/>
</concept>
<concept>
<code value="referral"/>
</concept>
<concept>
<code value="social-care"/>
</concept>
<concept>
<code value="authorization-other"/>
</concept>
<concept>
<code value="care-coordination"/>
</concept>
<concept>
<code value="documentation-general"/>
</concept>
<concept>
<code value="orders"/>
</concept>
<concept>
<code value="patient-status"/>
</concept>
<concept>
<code value="signature"/>
</concept>
</include>
</compose>
</ValueSet>