Da Vinci Payer Data Exchange
2.1.0 - STU 2.1 United States of America flag

This page is part of the Da Vinci Payer Data Exchange (v2.1.0: STU2.1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Example Consent: PDex Provider Access Consent Example

Page standards status: Informative

status: Active

scope: Privacy Consent

category: information disclosure

patient: Johnny Appleseed Male, DoB: 1986-01-01 ( Member Number)

performer: Johnny Appleseed Male, DoB: 1986-01-01 ( Member Number)

organization: Organization Payer 1

policyRule: Common Rule Informed Consent

provision

type: Opt Out

period: 2024-06-11 --> (ongoing)

Actors

-RoleReference
*PerformerMy Health Plan (Identifier: NPI/0123456789)

action: Disclose