CDex Temporary Code System
activeCodes 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).
Generated Narrative: CodeSystem cdex-temp
This case-sensitive code system http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp defines the following codes:
| Code | Display | Definition |
| claims-processing | Claim Processing | Request for data necessary from payers to support claims for services. |
| preauth-processing | Pre-authorization Processing | Request for data necessary from payers to support pre-authorization 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. |
| 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. |
| care-planning | Care Planning | Request for data from payers or providers to determine how to deliver care for a particular patient, group or community. |
| social-risk | Social Risk | 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. |
| operations-noe | Operations Not Otherwise Enumerated | Existing concepts do not define a more detailed Healthcare Operations as defined by HIPAA. Therefore, implicit in using this code is that an implementer must supply an additional, alternate code. |
| payment-noe | Payment Not Otherwise Enumerated | [Existing concepts do not define a more detailed Payment as defined by HIPAA. Therefore, implicit in using this code is that an implementer must supply an additional, alternate code. |
| treatment-noe | Treatment Not Otherwise Enumerated | Existing concepts do not define a more detailed Treatment as defined by HIPAA. Therefore, implicit in using this code is that an implementer must supply an additional, alternate code. |
| purpose-of-use | Purpose Of Use | Purpose of use for the requested data. |
| signature-flag | Signature Flag | Flag to indicate whether the requested data requires a signature. |
| tracking-id | Tracking Id | A business identifier that ties requested attachments back to the claim or prior-authorization (referred to as the “re-association tracking control numbers”). |
| multiple-submits-flag | Multiple Submits Flag | 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. |
| service-date | Service Date | Date of service or starting date of the service for the claim or prior authorization. |
| data-request-code | Data Request Code | A Task requesting data using a code. |
| data-request-query | Data Request Query | A Task requesting data using FHIR query syntax. |
| data-request-questionnaire | Data Request Questionnaire | A Task requesting data using a data request questionnaire (FHIR Questionnaire). |
{
"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).",
"date" : "2022-12-23",
"publisher" : "HL7 International / Payer/Provider Information Exchange Work Group",
"jurisdiction" : [ {
"coding" : [ {
"system" : "urn:iso:std:iso:3166",
"code" : "US"
} ]
} ],
"content" : "complete",
"property" : null,
"name" : "CDexTempCodes",
"copyright" : "Used by permission of HL7 International all rights reserved Creative Commons License",
"experimental" : false,
"resourceType" : "CodeSystem",
"title" : "CDex Temporary Code System",
"extension" : [ {
"valueCode" : "trial-use",
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"
}, {
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger" : 1
}, {
"valueCode" : "claims",
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"
}, {
"extension" : [ {
"valueString" : "concept",
"url" : "path"
}, {
"url" : "count",
"valueInteger" : 25
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"url" : "http://health-samurai.io/extensions/excised-data"
}, {
"url" : "http://health-samurai.io/extensions/source",
"valueCode" : "db"
} ],
"status" : "active",
"id" : "cdex-temp",
"url" : "http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp",
"identifier" : [ {
"system" : "urn:ietf:rfc:3986",
"value" : "urn:oid:2.16.840.1.113883.4.642.40.21.16.1"
} ],
"caseSensitive" : true,
"version" : "2.1.0",
"contact" : [ {
"name" : "HL7 International / Payer/Provider Information Exchange Work Group",
"telecom" : [ {
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/claims"
}, {
"system" : "email",
"value" : "pie@lists.hl7.org"
} ]
} ],
"text" : {
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem cdex-temp</b></p><a name=\"cdex-temp\"> </a><a name=\"hccdex-temp\"> </a><a name=\"cdex-temp-en-US\"> </a><p>This case-sensitive code system <code>http://hl7.org/fhir/us/davinci-cdex/CodeSystem/cdex-temp</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">claims-processing<a name=\"cdex-temp-claims-processing\"> </a></td><td>Claim Processing</td><td><div><p>Request for data necessary from payers to support claims for services.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">preauth-processing<a name=\"cdex-temp-preauth-processing\"> </a></td><td>Pre-authorization Processing</td><td><div><p>Request for data necessary from payers to support pre-authorization for services.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">risk-adjustment<a name=\"cdex-temp-risk-adjustment\"> </a></td><td>Risk Adjustment</td><td><div><p>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.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">quality-metrics<a name=\"cdex-temp-quality-metrics\"> </a></td><td>Quality Metrics</td><td><div><p>Request for data used for aggregation, calculation and analysis, and ultimately reporting of quality measures.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">referral<a name=\"cdex-temp-referral\"> </a></td><td>Referral</td><td><div><p>Request for additional clinical information from referring provider to support performing the requested service.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">social-care<a name=\"cdex-temp-social-care\"> </a></td><td>Social Care</td><td><div><p>Request for data from payers to support the non-medical social needs of individuals, especially the elderly, vulnerable or with special needs.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">authorization-other<a name=\"cdex-temp-authorization-other\"> </a></td><td>Other Authorization</td><td><div><p>Request for data from payers for other authorization request not otherwise specified.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">care-coordination<a name=\"cdex-temp-care-coordination\"> </a></td><td>Care Coordination</td><td><div><p>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.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">documentation-general<a name=\"cdex-temp-documentation-general\"> </a></td><td>General Documentation</td><td><div><p>Request for data used from payers or providers for general documentation.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">orders<a name=\"cdex-temp-orders\"> </a></td><td>Orders</td><td><div><p>Request for additional clinical information from referring provider to support orders.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">patient-status<a name=\"cdex-temp-patient-status\"> </a></td><td>Patient Status</td><td><div><p>Requests for patient health record information from payers to support their payer member records.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">signature<a name=\"cdex-temp-signature\"> </a></td><td>Signature</td><td><div><p>Request for signatures from payers or providers on requested data.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">care-planning<a name=\"cdex-temp-care-planning\"> </a></td><td>Care Planning</td><td><div><p>Request for data from payers or providers to determine how to deliver care for a particular patient, group or community.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">social-risk<a name=\"cdex-temp-social-risk\"> </a></td><td>Social Risk</td><td><div><p>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.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">operations-noe<a name=\"cdex-temp-operations-noe\"> </a></td><td>Operations Not Otherwise Enumerated</td><td><div><p>Existing concepts do not define a more detailed <a href=\"https://www.hhs.gov/hipaa/for-professionals/privacy/guidance/disclosures-treatment-payment-health-care-operations/index.html\">Healthcare Operations as defined by HIPAA</a>. Therefore, implicit in using this code is that an implementer must supply an additional, alternate code.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">payment-noe<a name=\"cdex-temp-payment-noe\"> </a></td><td>Payment Not Otherwise Enumerated</td><td><div><p>[Existing concepts do not define a more detailed <a href=\"https://www.hhs.gov/hipaa/for-professionals/privacy/guidance/disclosures-treatment-payment-health-care-operations/index.html\">Payment as defined by HIPAA</a>. Therefore, implicit in using this code is that an implementer must supply an additional, alternate code.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">treatment-noe<a name=\"cdex-temp-treatment-noe\"> </a></td><td>Treatment Not Otherwise Enumerated</td><td><div><p>Existing concepts do not define a more detailed <a href=\"https://www.hhs.gov/hipaa/for-professionals/privacy/guidance/disclosures-treatment-payment-health-care-operations/index.html\">Treatment as defined by HIPAA</a>. Therefore, implicit in using this code is that an implementer must supply an additional, alternate code.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">purpose-of-use<a name=\"cdex-temp-purpose-of-use\"> </a></td><td>Purpose Of Use</td><td><div><p>Purpose of use for the requested data.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">signature-flag<a name=\"cdex-temp-signature-flag\"> </a></td><td>Signature Flag</td><td><div><p>Flag to indicate whether the requested data requires a signature.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">tracking-id<a name=\"cdex-temp-tracking-id\"> </a></td><td>Tracking Id</td><td><div><p>A business identifier that ties requested attachments back to the claim or prior-authorization (referred to as the “re-association tracking control numbers”).</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">multiple-submits-flag<a name=\"cdex-temp-multiple-submits-flag\"> </a></td><td>Multiple Submits Flag</td><td><div><p>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 <em>all</em> the data should be submitted in a single transaction.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">service-date<a name=\"cdex-temp-service-date\"> </a></td><td>Service Date</td><td><div><p>Date of service or starting date of the service for the claim or prior authorization.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">data-request-code<a name=\"cdex-temp-data-request-code\"> </a></td><td>Data Request Code</td><td><div><p>A Task requesting data using a code.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">data-request-query<a name=\"cdex-temp-data-request-query\"> </a></td><td>Data Request Query</td><td><div><p>A Task requesting data using FHIR query syntax.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\">data-request-questionnaire<a name=\"cdex-temp-data-request-questionnaire\"> </a></td><td>Data Request Questionnaire</td><td><div><p>A Task requesting data using a data request questionnaire (<a href=\"http://hl7.org/fhir/questionnaire.html\">FHIR Questionnaire</a>).</p>\n</div></td></tr></table></div>",
"status" : "generated"
}
}