This page is part of the Da Vinci Payer Data Exchange (v1.0.0: STU1) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
<CodeSystem xmlns="http://hl7.org/fhir">
<id value="ProvenancePayerDataSource"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>This code system http://hl7.org/fhir/us/davinci-pdex/CodeSystem/ProvenancePayerDataSource 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">hl7v2other<a name="ProvenancePayerDataSource-hl7v2other"> </a></td><td>HL7 v2</td><td>HL7 v2 Message</td></tr><tr><td style="white-space:nowrap">hl7v2oru<a name="ProvenancePayerDataSource-hl7v2oru"> </a></td><td>HL7 v2 ORU</td><td>HL7 v2 Structured Observation Report(ORU) message</td></tr><tr><td style="white-space:nowrap">hl7v2adt<a name="ProvenancePayerDataSource-hl7v2adt"> </a></td><td>HL7 v2 ADT</td><td>HL7 v2 Admit, Discharge Transfer (ADT) message</td></tr><tr><td style="white-space:nowrap">hl7v2r01<a name="ProvenancePayerDataSource-hl7v2r01"> </a></td><td>HL7 v2 R01</td><td>HL7 v2 Observation (R01) message</td></tr><tr><td style="white-space:nowrap">hl7v2rsp<a name="ProvenancePayerDataSource-hl7v2rsp"> </a></td><td>HL7 v2 RSP</td><td>HL7 V2 Immunization Record Response</td></tr><tr><td style="white-space:nowrap">hl7v2orm<a name="ProvenancePayerDataSource-hl7v2orm"> </a></td><td>HL7 v2 ORM</td><td>HL7 v2 Orders</td></tr><tr><td style="white-space:nowrap">hl7v2mdm<a name="ProvenancePayerDataSource-hl7v2mdm"> </a></td><td>HL7 v2 MDM</td><td>Medical Document Management</td></tr><tr><td style="white-space:nowrap">hl7v2vxu<a name="ProvenancePayerDataSource-hl7v2vxu"> </a></td><td>HL7 v2 VXU</td><td>HL7 V2 Immunization Transaction</td></tr><tr><td style="white-space:nowrap">hl7v3<a name="ProvenancePayerDataSource-hl7v3"> </a></td><td>HL7 v3</td><td>HL7 v3 Message</td></tr><tr><td style="white-space:nowrap">hl7ccda<a name="ProvenancePayerDataSource-hl7ccda"> </a></td><td>HL7 C-CDA</td><td>HL7 Consolidated-Clinical Document Architecture</td></tr><tr><td style="white-space:nowrap">hl7cda<a name="ProvenancePayerDataSource-hl7cda"> </a></td><td>HL7 CDA</td><td>HL7 CDA documents that are not C-CDA</td></tr><tr><td style="white-space:nowrap">hl7cdaqrda<a name="ProvenancePayerDataSource-hl7cdaqrda"> </a></td><td>HL7 CDA QRDA</td><td>HL7 Quality Reporting Document</td></tr><tr><td style="white-space:nowrap">hl7fhirdstu2<a name="ProvenancePayerDataSource-hl7fhirdstu2"> </a></td><td>FHIR DSTU2</td><td>HL7 FHIR DSTU2</td></tr><tr><td style="white-space:nowrap">hl7fhirdstu3<a name="ProvenancePayerDataSource-hl7fhirdstu3"> </a></td><td>FHIR STU3</td><td>HL7 FHIR STU3</td></tr><tr><td style="white-space:nowrap">hl7fhirr4<a name="ProvenancePayerDataSource-hl7fhirr4"> </a></td><td>FHIR R4</td><td>HL7 FHIR R4</td></tr><tr><td style="white-space:nowrap">x12837<a name="ProvenancePayerDataSource-x12837"> </a></td><td>837 claim</td><td>X12 837 Claim</td></tr><tr><td style="white-space:nowrap">x12278<a name="ProvenancePayerDataSource-x12278"> </a></td><td>278</td><td>X12 Prior Authorization</td></tr><tr><td style="white-space:nowrap">x12275<a name="ProvenancePayerDataSource-x12275"> </a></td><td>275</td><td>X12 Attachment</td></tr><tr><td style="white-space:nowrap">x12other<a name="ProvenancePayerDataSource-x12other"> </a></td><td>X12</td><td>X12 non-specific transaction</td></tr><tr><td style="white-space:nowrap">script<a name="ProvenancePayerDataSource-script"> </a></td><td>NCPDP SCRIPT</td><td>National Council for Prescription Drug Programs (NCPDP) SCRIPT message (eRx)</td></tr><tr><td style="white-space:nowrap">ncpdp<a name="ProvenancePayerDataSource-ncpdp"> </a></td><td>NCPDP Telecommunication</td><td>NCPDP Telecommunication transaction (pharmacy claims)</td></tr><tr><td style="white-space:nowrap">capture<a name="ProvenancePayerDataSource-capture"> </a></td><td>Direct Capture</td><td>Direct Capture, such as into a payers case management system</td></tr><tr><td style="white-space:nowrap">customtx<a name="ProvenancePayerDataSource-customtx"> </a></td><td>Trading Partner Format</td><td>Trading Partner Proprietary format</td></tr><tr><td style="white-space:nowrap">image<a name="ProvenancePayerDataSource-image"> </a></td><td>Image</td><td>Fax or scanned document</td></tr><tr><td style="white-space:nowrap">unstructured<a name="ProvenancePayerDataSource-unstructured"> </a></td><td>Unstructured Document</td><td>PDF, text and other unstructured document</td></tr><tr><td style="white-space:nowrap">other<a name="ProvenancePayerDataSource-other"> </a></td><td>Other</td><td>Any other document format not specifically defined</td></tr></table></div>
</text>
<url
value="http://hl7.org/fhir/us/davinci-pdex/CodeSystem/ProvenancePayerDataSource"/>
<version value="1.0.0"/>
<name value="ProvenancePayerDataSource"/>
<title value="Provenance Payer Data Source Format"/>
<status value="active"/>
<date value="2020-12-22T14:17:18+00:00"/>
<contact>
<name value="Mark Scrimshire (mark.scrimshire@onyxhealth.io)"/>
<telecom>
<system value="email"/>
<value value="mailto:mark@ekivemark.com0"/>
</telecom>
</contact>
<contact>
<name value="HL7 International - Financial Management"/>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/fm"/>
</telecom>
</contact>
<description
value="CodeSystem for source formats that identify what non-FHIR source was used to create FHIR record(s)"/>
<jurisdiction>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="US"/>
</coding>
</jurisdiction>
<content value="complete"/>
<count value="26"/>
<concept>
<code value="hl7v2other"/>
<display value="HL7 v2"/>
<definition value="HL7 v2 Message"/>
</concept>
<concept>
<code value="hl7v2oru"/>
<display value="HL7 v2 ORU"/>
<definition value="HL7 v2 Structured Observation Report(ORU) message"/>
</concept>
<concept>
<code value="hl7v2adt"/>
<display value="HL7 v2 ADT"/>
<definition value="HL7 v2 Admit, Discharge Transfer (ADT) message"/>
</concept>
<concept>
<code value="hl7v2r01"/>
<display value="HL7 v2 R01"/>
<definition value="HL7 v2 Observation (R01) message"/>
</concept>
<concept>
<code value="hl7v2rsp"/>
<display value="HL7 v2 RSP"/>
<definition value="HL7 V2 Immunization Record Response"/>
</concept>
<concept>
<code value="hl7v2orm"/>
<display value="HL7 v2 ORM"/>
<definition value="HL7 v2 Orders"/>
</concept>
<concept>
<code value="hl7v2mdm"/>
<display value="HL7 v2 MDM"/>
<definition value="Medical Document Management"/>
</concept>
<concept>
<code value="hl7v2vxu"/>
<display value="HL7 v2 VXU"/>
<definition value="HL7 V2 Immunization Transaction"/>
</concept>
<concept>
<code value="hl7v3"/>
<display value="HL7 v3"/>
<definition value="HL7 v3 Message"/>
</concept>
<concept>
<code value="hl7ccda"/>
<display value="HL7 C-CDA"/>
<definition value="HL7 Consolidated-Clinical Document Architecture"/>
</concept>
<concept>
<code value="hl7cda"/>
<display value="HL7 CDA"/>
<definition value="HL7 CDA documents that are not C-CDA"/>
</concept>
<concept>
<code value="hl7cdaqrda"/>
<display value="HL7 CDA QRDA"/>
<definition value="HL7 Quality Reporting Document"/>
</concept>
<concept>
<code value="hl7fhirdstu2"/>
<display value="FHIR DSTU2"/>
<definition value="HL7 FHIR DSTU2"/>
</concept>
<concept>
<code value="hl7fhirdstu3"/>
<display value="FHIR STU3"/>
<definition value="HL7 FHIR STU3"/>
</concept>
<concept>
<code value="hl7fhirr4"/>
<display value="FHIR R4"/>
<definition value="HL7 FHIR R4"/>
</concept>
<concept>
<code value="x12837"/>
<display value="837 claim"/>
<definition value="X12 837 Claim"/>
</concept>
<concept>
<code value="x12278"/>
<display value="278"/>
<definition value="X12 Prior Authorization"/>
</concept>
<concept>
<code value="x12275"/>
<display value="275"/>
<definition value="X12 Attachment"/>
</concept>
<concept>
<code value="x12other"/>
<display value="X12"/>
<definition value="X12 non-specific transaction"/>
</concept>
<concept>
<code value="script"/>
<display value="NCPDP SCRIPT"/>
<definition
value="National Council for Prescription Drug Programs (NCPDP) SCRIPT message (eRx)"/>
</concept>
<concept>
<code value="ncpdp"/>
<display value="NCPDP Telecommunication"/>
<definition value="NCPDP Telecommunication transaction (pharmacy claims)"/>
</concept>
<concept>
<code value="capture"/>
<display value="Direct Capture"/>
<definition
value="Direct Capture, such as into a payers case management system"/>
</concept>
<concept>
<code value="customtx"/>
<display value="Trading Partner Format"/>
<definition value="Trading Partner Proprietary format"/>
</concept>
<concept>
<code value="image"/>
<display value="Image"/>
<definition value="Fax or scanned document"/>
</concept>
<concept>
<code value="unstructured"/>
<display value="Unstructured Document"/>
<definition value="PDF, text and other unstructured document"/>
</concept>
<concept>
<code value="other"/>
<display value="Other"/>
<definition value="Any other document format not specifically defined"/>
</concept>
</CodeSystem>