Da Vinci Payer Data Exchange
2.0.0-ballot - ballot US

This page is part of the Da Vinci Payer Data Exchange (v2.0.0-ballot: STU2 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

Table of Contents

..0 Table of Contents
...1 Home
...2 Overview
...3 Introduction
...4 PDex Implementation, Actors, Interactions, Data Payloads and Methods
....4.1 Handling Data Provenance
....4.2 Payer-to-Payer Exchange
....4.3 Data Mapping
.....4.3.1 US Core AllergyIntolerance
.....4.3.2 US Core CarePlan
.....4.3.3 US Core CareTeam
.....4.3.4 US Core Condition
.....4.3.5 Coverage
.....4.3.6 PDex Device
.....4.3.7 US Core DiagnosticReport for Laboratory Results Reporting
.....4.3.8 US Core DiagnosticReport for Report and Note Exchange
.....4.3.9 US Core DocumentReference
.....4.3.10 US Core Encounter
.....4.3.11 US Core Goal
.....4.3.12 US Core Immunization
.....4.3.13 US Core ImplantableDevice
.....4.3.14 US Core Laboratory Result Observation
.....4.3.15 US Core Location
.....4.3.16 US Core Medication
.....4.3.17 PDex MedicationDispense
.....4.3.18 US Core MedicationRequest
.....4.3.19 US Core Organization
.....4.3.20 US Core Patient
.....4.3.21 US Core Pediatric BMI for Age Observation
.....4.3.22 US Core Pediatric Head Occipital-frontal Circumference Observation
.....4.3.23 US Core Pediatric Weight for Height Observation
.....4.3.24 US Core Practitioner
.....4.3.25 US Core PractitionerRole
.....4.3.26 PDex Prior Authorization
.....4.3.27 US Core Procedure
.....4.3.28 PDex Provenance
.....4.3.29 US Core Provenance
.....4.3.30 US Core Pulse Oximetry
.....4.3.31 US Core Smoking Status Observation
.....4.3.32 VitalSigns
...5 Use Case Scenarios
...6 Provider-controlled Information Requests and Filtering
...7 CDS Hooks
....7.1 Workflow Examples
...8 Member-Authorized OAuth2.0 Exchange
...9 Change History
...10 Credits
...11 Downloads
...12 Artifacts Summary
....12.1 PDEX Server CapabilityStatement
....12.2 patient-everything-pdex
....12.3 ExplanationOfBenefit_Identifier
....12.4 ExplanationOfBenefit_Patient
....12.5 ExplanationOfBenefit_ServiceDate
....12.6 ExplanationOfBenefit_Type
....12.7 PdexMedicationDispensePatient
....12.8 PdexMedicationDispenseStatus
....12.9 HRex Coverage Profile
....12.10 PDex Device
....12.11 PDex MedicationDispense
....12.12 PDex Prior Authorization
....12.13 Provenance
....12.14 An attribute to express the refill number of a prescription
....12.15 LevelOfServiceCode
....12.16 An attribute to express the amount of a service or item that has been utilized
....12.17 An attribute to describe the data source a resource was constructed from
....12.18 ReviewAction
....12.19 ReviewActionCode
....12.20 FDA National Drug Code (NDC)
....12.21 PDex Adjudication
....12.22 PDex Adjudication Category Discriminator
....12.23 Procedure Codes - AMA CPT - CMS HCPCS - CMS HIPPS
....12.24 PDex Payer Benefit Payment Status
....12.25 Prior Authorization Procedure Codes - AMA CPT - CMS HCPCS - CMS HIPPS
....12.26 PDex SupportingInfo Type
....12.27 Prior Authorization value categories
....12.28 Provenance Agent Type
....12.29 Payer source of data
....12.30 X12 278 Review Decision Reason Codes
....12.31 X12 Claim Adjustment Reason Codes - Remittance Advice Remark Codes
....12.32 Healthcare Common Procedure Coding System (HCPCS) level II alphanumeric codes
....12.33 Health Insurance Prospective Payment System (HIPPS)
....12.34 X12 Remittance Advice Remark Codes
....12.35 Identifier Type
....12.36 PDex Adjudication Codes
....12.37 PDex Adjudication Discriminator
....12.38 PDex Identifier Type
....12.39 PDex Payer Adjudication Status
....12.40 PDex Supporting Info Type
....12.41 Prior Authorization Values
....12.42 Provenance Roles
....12.43 Provenance Payer Data Source Format
....12.44 X12 Claim Adjustment Reason Codes
....12.45 Patient1
....12.46 Patient1-2
....12.47 Patient100
....12.48 ExampleMedicationDispenseClaim
....12.49 ExampleProvenanceTransmitter
....12.50 ExampleProvenanceAuthorEncounter6
....12.51 ExampleProvenanceAuthorEncounter7
....12.52 ExampleProvenanceSoloPractitioner
....12.53 ExampleProvenancePayerSource
....12.54 ExampleProvenancePayerModified
....12.55 ExampleDocRefProvenance
....12.56 ExampleProvenanceBundleTransmitter
....12.57 ExampleProvenanceCustodian
....12.58 ExampleDocumentReference
....12.59 ExampleBundle1
....12.60 BundleConditionWithProvenance
....12.61 ExamplePractitioner
....12.62 ExampleLocation
....12.63 ExampleDevice
....12.64 ExampleEncounter1
....12.65 ExampleEncounter2
....12.66 ExampleEncounter3
....12.67 ExampleCoverage
....12.68 PriorAuthCoverage
....12.69 PdexPriorAuth
....12.70 OrganizationPayer1
....12.71 OrganizationPayer1-1
....12.72 OrganizationPayer2
....12.73 OrganizationPayer2-2
....12.74 PdexServerCapabilityStatement
....12.75 OrganizationProvider1
....12.76 OrganizationProvider2