Da Vinci Payer Data Exchange
2.0.0 - STU2 United States of America flag

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

Table of Contents

.. 0 Table of Contents
... 1 Home
... 2 PDex Implementation Guide
... 3 Overview
... 4 Introduction
... 5 Security and Privacy
... 6 PDex Implementation, Actors, Interactions, Data Payloads and Methods
.... 6.1 Handling Data Provenance
.... 6.2 Payer-to-Payer Exchange (single member)
.... 6.3 Data Mapping
..... 6.3.1 US Core AllergyIntolerance
..... 6.3.2 US Core CarePlan
..... 6.3.3 US Core CareTeam
..... 6.3.4 US Core Condition
..... 6.3.5 Coverage
..... 6.3.6 PDex Device
..... 6.3.7 US Core DiagnosticReport for Laboratory Results Reporting
..... 6.3.8 US Core DiagnosticReport for Report and Note Exchange
..... 6.3.9 US Core DocumentReference
..... 6.3.10 US Core Encounter
..... 6.3.11 US Core Goal
..... 6.3.12 US Core Immunization
..... 6.3.13 US Core ImplantableDevice
..... 6.3.14 US Core Laboratory Result Observation
..... 6.3.15 US Core Location
..... 6.3.16 US Core Medication
..... 6.3.17 PDex MedicationDispense
..... 6.3.18 US Core MedicationRequest
..... 6.3.19 US Core Organization
..... 6.3.20 US Core Patient
..... 6.3.21 US Core Pediatric BMI for Age Observation
..... 6.3.22 US Core Pediatric Head Occipital-frontal Circumference Observation
..... 6.3.23 US Core Pediatric Weight for Height Observation
..... 6.3.24 US Core Practitioner
..... 6.3.25 US Core PractitionerRole
..... 6.3.26 PDex Prior Authorization
..... 6.3.27 US Core Procedure
..... 6.3.28 PDex Provenance
..... 6.3.29 US Core Provenance
..... 6.3.30 US Core Pulse Oximetry
..... 6.3.31 US Core Smoking Status Observation
..... 6.3.32 VitalSigns
... 7 Use Case Scenarios
... 8 Provider-controlled Information Requests and Filtering
... 9 CDS Hooks
.... 9.1 Workflow Examples
... 10 Member-Authorized OAuth2.0 Exchange
... 11 Change History
... 12 Credits
... 13 Downloads
... 14 FHIR Artifacts
.... 14.1 PDEX Server CapabilityStatement
.... 14.2 ExplanationOfBenefit_Identifier
.... 14.3 ExplanationOfBenefit_Patient
.... 14.4 ExplanationOfBenefit_ServiceDate
.... 14.5 ExplanationOfBenefit_Type
.... 14.6 ExplanationOfBenefit_Use
.... 14.7 PdexMedicationDispensePatient
.... 14.8 PdexMedicationDispenseStatus
.... 14.9 mTLS Endpoint
.... 14.10 mTLS Endpoint Bundle
.... 14.11 mTLS Organization
.... 14.12 PDex Device
.... 14.13 PDex MedicationDispense
.... 14.14 PDex Prior Authorization
.... 14.15 PDex Provenance
.... 14.16 An attribute to describe the data source a resource was constructed from
.... 14.17 An attribute to express the amount of a service or item that has been utilized
.... 14.18 An attribute to express the refill number of a prescription
.... 14.19 LevelOfServiceCode
.... 14.20 mTLS Signed Object
.... 14.21 NDH Associated Servers
.... 14.22 NDH Contactpoint Availabletime
.... 14.23 NDH Dynamic Registration
.... 14.24 NDH Endpoint Access Control Mechanism
.... 14.25 NDH Endpoint Connection Type Version
.... 14.26 NDH Endpoint Rank
.... 14.27 NDH Endpoint Usecase
.... 14.28 NDH FHIR IG
.... 14.29 NDH Identifier Status
.... 14.30 NDH Secure Exchange Artifacts
.... 14.31 NDH Trust Framework
.... 14.32 NDH Verification Status
.... 14.33 ReviewAction
.... 14.34 ReviewActionCode
.... 14.35 Associated Servers Type Value Set
.... 14.36 Endpoint Access Control Mechanism Value Set
.... 14.37 Endpoint Connection Type Version Value Set
.... 14.38 Endpoint Connection Types Value Set
.... 14.39 Endpoint FHIR Mimetype Value Set
.... 14.40 Endpoint Payload Type Value Set
.... 14.41 FDA National Drug Code (NDC)
.... 14.42 Identifier Status Value Set
.... 14.43 mTLS Bundle Type Value Set
.... 14.44 mTLS Signed Object Types
.... 14.45 NDH FHIR Endpoint Usecase Value Set
.... 14.46 NDH Verification Status Value Set
.... 14.47 Organization Type VS
.... 14.48 Payer source of data
.... 14.49 PDex Adjudication
.... 14.50 PDex Adjudication Category Discriminator
.... 14.51 PDex Payer Benefit Payment Status
.... 14.52 PDex Provider Export Value Set
.... 14.53 PDex SupportingInfo Type
.... 14.54 Prior Authorization Procedure Codes - AMA CPT - CMS HCPCS - CMS HIPPS
.... 14.55 Prior Authorization Service Type Codes (X12)
.... 14.56 Prior Authorization value categories
.... 14.57 Procedure Codes - AMA CPT - CMS HCPCS - CMS HIPPS
.... 14.58 Provenance Agent Type
.... 14.59 Secure Exchange Artifacts Value Set
.... 14.60 Trust Framework Type Value Set
.... 14.61 Trust Profile Value Set
.... 14.62 X12 278 Review Decision Reason Codes
.... 14.63 X12 Claim Adjustment Reason Codes - Remittance Advice Remark Codes
.... 14.64 Credential Status Code System
.... 14.65 Endpoint Access Control Mechanism Code System
.... 14.66 Endpoint Connection Type Version Code System
.... 14.67 Endpoint Connection Types (additional) Code System
.... 14.68 Endpoint FHIR MimeType Code System
.... 14.69 Endpoint HIE Specific Connection Type Code System
.... 14.70 Endpoint Payload Types Code System
.... 14.71 Identifier Type
.... 14.72 mTLS Object Type Code
.... 14.73 NDH Associated Servers Type Code System
.... 14.74 NDH FHIR Endpoint Use Case Code System
.... 14.75 NDH Resource Instance Verification Status Code System
.... 14.76 NDH Secure Exchange Artifacts Code System
.... 14.77 Organization Type
.... 14.78 PDex Adjudication Codes
.... 14.79 PDex Adjudication Discriminator
.... 14.80 PDex Identifier Type
.... 14.81 PDex Payer Adjudication Status
.... 14.82 PDex Provider Export Mode
.... 14.83 PDex Supporting Info Type
.... 14.84 Prior Authorization Values
.... 14.85 Provenance Payer Data Source Format
.... 14.86 Provenance Roles
.... 14.87 Trust FrameworkType Code System
.... 14.88 Trust Profile Code System
.... 14.89 Acme
.... 14.90 BundleConditionWithProvenance
.... 14.91 BundleExamplePayer1
.... 14.92 BundleExamplePayer2
.... 14.93 BundleExamplePayer3
.... 14.94 BundleWithProvenance
.... 14.95 diamond-mtls-endpoint1
.... 14.96 diamond-mtls-endpoint2
.... 14.97 example-mtls-endpoint-bundle
.... 14.98 ExampleBundle1
.... 14.99 ExampleCoverage
.... 14.100 ExampleDevice
.... 14.101 ExampleDocRefProvenance
.... 14.102 ExampleDocumentReference
.... 14.103 ExampleEncounter1
.... 14.104 ExampleEncounter2
.... 14.105 ExampleEncounter3
.... 14.106 ExampleLocation
.... 14.107 ExampleMedicationDispenseClaim
.... 14.108 ExamplePractitioner
.... 14.109 ExampleProvenanceAuthorEncounter6
.... 14.110 ExampleProvenanceAuthorEncounter7
.... 14.111 ExampleProvenanceBundleTransmitter
.... 14.112 ExampleProvenanceCustodian
.... 14.113 ExampleProvenancePayerModified
.... 14.114 ExampleProvenancePayerSource
.... 14.115 ExampleProvenanceSoloPractitioner
.... 14.116 ExampleProvenanceTransmitter
.... 14.117 mtlsorganization2
.... 14.118 OrganizationPayer1
.... 14.119 OrganizationPayer1-1
.... 14.120 OrganizationPayer2
.... 14.121 OrganizationPayer2-2
.... 14.122 OrganizationProvider1
.... 14.123 OrganizationProvider2
.... 14.124 Patient1
.... 14.125 Patient1-2
.... 14.126 Patient100
.... 14.127 PdexPriorAuth
.... 14.128 PriorAuthCoverage
... 15 Other IG Artifacts