Da Vinci Payer Data exchange Implementation Guide Release 0.1.0

This page is part of the Da Vinci Payer Data Exchange (v0.1.0: STU 1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions

6-6-2 Return Visit with Provider

The patient calls their provider to arrange a follow-up appointment.

The receptionist in the doctors office collects their personal information, checks for any change in health plan coverage information and creates an appointment, a patient record and an initial encounter record.

The creation of an appointment activates a CDS Hook transaction: appointment-book.

In this scenario the Clinician that reviews the Member History is only interested in information in the Member record since their last visit and MAY want to exclude information from their own organization, since that information will already be recorded in their EMR system.