Da Vinci Payer Data Exchange
2.1.0-ballot - STU2 Ballot
Da Vinci Payer Data Exchange
2.1.0-ballot - STU2 Ballot
This page is part of the Da Vinci Payer Data Exchange (v2.1.0-ballot: STU2.1 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions
| Page standards status: Trial-use |
{
"resourceType" : "CodeSystem",
"id" : "ProvenancePayerDataSource",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem ProvenancePayerDataSource</b></p><a name=\"ProvenancePayerDataSource\"> </a><a name=\"hcProvenancePayerDataSource\"> </a><a name=\"ProvenancePayerDataSource-en-US\"> </a><p>This case-insensitive code system <code>http://hl7.org/fhir/us/davinci-pdex/CodeSystem/ProvenancePayerDataSource</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\">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>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode" : "fm"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "trial-use",
"_valueCode" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueCanonical" : "http://hl7.org/fhir/us/davinci-pdex/ImplementationGuide/hl7.fhir.us.davinci-pdex"
}
]
}
}
],
"url" : "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/ProvenancePayerDataSource",
"version" : "2.1.0-ballot",
"name" : "ProvenancePayerDataSource",
"title" : "Provenance Payer Data Source Format",
"status" : "active",
"experimental" : false,
"date" : "2024-08-14T20:04:35+00:00",
"publisher" : "HL7 International / Financial Management",
"contact" : [
{
"name" : "HL7 International / Financial Management",
"telecom" : [
{
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/fm"
},
{
"system" : "email",
"value" : "fm@lists.HL7.org"
}
]
},
{
"name" : "Mark Scrimshire (mark.scrimshire@onyxhealth.io)",
"telecom" : [
{
"system" : "email",
"value" : "mailto:mark.scrimshire@onyxhealth.io"
}
]
},
{
"name" : "HL7 International - Financial Management",
"telecom" : [
{
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/fm"
}
]
}
],
"description" : "CodeSystem for source formats that identify what non-FHIR source was used to create FHIR record(s)",
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "US",
"display" : "United States of America"
}
]
}
],
"copyright" : "Used by permission of HL7 International, all rights reserved Creative Commons License",
"caseSensitive" : false,
"content" : "complete",
"count" : 26,
"concept" : [
{
"code" : "hl7v2other",
"display" : "HL7 v2",
"definition" : "HL7 v2 Message"
},
{
"code" : "hl7v2oru",
"display" : "HL7 v2 ORU",
"definition" : "HL7 v2 Structured Observation Report(ORU) message"
},
{
"code" : "hl7v2adt",
"display" : "HL7 v2 ADT",
"definition" : "HL7 v2 Admit, Discharge Transfer (ADT) message"
},
{
"code" : "hl7v2r01",
"display" : "HL7 v2 R01",
"definition" : "HL7 v2 Observation (R01) message"
},
{
"code" : "hl7v2rsp",
"display" : "HL7 v2 RSP",
"definition" : "HL7 V2 Immunization Record Response"
},
{
"code" : "hl7v2orm",
"display" : "HL7 v2 ORM",
"definition" : "HL7 v2 Orders"
},
{
"code" : "hl7v2mdm",
"display" : "HL7 v2 MDM",
"definition" : "Medical Document Management"
},
{
"code" : "hl7v2vxu",
"display" : "HL7 v2 VXU",
"definition" : "HL7 V2 Immunization Transaction"
},
{
"code" : "hl7v3",
"display" : "HL7 v3",
"definition" : "HL7 v3 Message"
},
{
"code" : "hl7ccda",
"display" : "HL7 C-CDA",
"definition" : "HL7 Consolidated-Clinical Document Architecture"
},
{
"code" : "hl7cda",
"display" : "HL7 CDA",
"definition" : "HL7 CDA documents that are not C-CDA"
},
{
"code" : "hl7cdaqrda",
"display" : "HL7 CDA QRDA",
"definition" : "HL7 Quality Reporting Document"
},
{
"code" : "hl7fhirdstu2",
"display" : "FHIR DSTU2",
"definition" : "HL7 FHIR DSTU2"
},
{
"code" : "hl7fhirdstu3",
"display" : "FHIR STU3",
"definition" : "HL7 FHIR STU3"
},
{
"code" : "hl7fhirr4",
"display" : "FHIR R4",
"definition" : "HL7 FHIR R4"
},
{
"code" : "x12837",
"display" : "837 claim",
"definition" : "X12 837 Claim"
},
{
"code" : "x12278",
"display" : "278",
"definition" : "X12 Prior Authorization"
},
{
"code" : "x12275",
"display" : "275",
"definition" : "X12 Attachment"
},
{
"code" : "x12other",
"display" : "X12",
"definition" : "X12 non-specific transaction"
},
{
"code" : "script",
"display" : "NCPDP SCRIPT",
"definition" : "National Council for Prescription Drug Programs (NCPDP) SCRIPT message (eRx)"
},
{
"code" : "ncpdp",
"display" : "NCPDP Telecommunication",
"definition" : "NCPDP Telecommunication transaction (pharmacy claims)"
},
{
"code" : "capture",
"display" : "Direct Capture",
"definition" : "Direct Capture, such as into a payers case management system"
},
{
"code" : "customtx",
"display" : "Trading Partner Format",
"definition" : "Trading Partner Proprietary format"
},
{
"code" : "image",
"display" : "Image",
"definition" : "Fax or scanned document"
},
{
"code" : "unstructured",
"display" : "Unstructured Document",
"definition" : "PDF, text and other unstructured document"
},
{
"code" : "other",
"display" : "Other",
"definition" : "Any other document format not specifically defined"
}
]
}
IG © 2024+ HL7 International / Financial Management. Package hl7.fhir.us.davinci-pdex#2.1.0-ballot based on FHIR 4.0.1. Generated 2024-08-14
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