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

Table of Contents

Page standards status: Informative
.. 0 Table of Contents
... 1 Home
... 2 Overview
... 3 Introduction
... 4 PDex Implementation Guide
... 5 Security and Privacy
.... 5.1 FHIR Access Permissions
... 6 PDex Implementation, Actors, Interactions, Data Payloads and Methods
.... 6.1 Handling Data Provenance
.... 6.2 Provider Access API
.... 6.3 Payer-to-Payer Exchange (single member)
.... 6.4 Payer-to-Payer Exchange (bulk)
.... 6.5 Data Mapping
..... 6.5.1 US Core AllergyIntolerance
..... 6.5.2 US Core CarePlan
..... 6.5.3 US Core CareTeam
..... 6.5.4 US Core Condition
..... 6.5.5 Consent
..... 6.5.6 Coverage
..... 6.5.7 PDex Device
..... 6.5.8 US Core DiagnosticReport for Laboratory Results Reporting
..... 6.5.9 US Core DiagnosticReport for Report and Note Exchange
..... 6.5.10 US Core DocumentReference
..... 6.5.11 US Core Encounter
..... 6.5.12 US Core Goal
..... 6.5.13 US Core Immunization
..... 6.5.14 US Core ImplantableDevice
..... 6.5.15 US Core Laboratory Result Observation
..... 6.5.16 US Core Location
..... 6.5.17 US Core Medication
..... 6.5.18 PDex MedicationDispense
..... 6.5.19 US Core MedicationRequest
..... 6.5.20 US Core Organization
..... 6.5.21 US Core Patient
..... 6.5.22 US Core Pediatric BMI for Age Observation
..... 6.5.23 US Core Pediatric Head Occipital-frontal Circumference Observation
..... 6.5.24 US Core Pediatric Weight for Height Observation
..... 6.5.25 US Core Practitioner
..... 6.5.26 US Core PractitionerRole
..... 6.5.27 PDex Prior Authorization
..... 6.5.28 US Core Procedure
..... 6.5.29 PDex Provenance
..... 6.5.30 US Core Provenance
..... 6.5.31 US Core Pulse Oximetry
..... 6.5.32 US Core Smoking Status Observation
..... 6.5.33 VitalSigns
... 7 Use Case Scenarios
... 8 CDS Hooks
.... 8.1 Workflow Examples
... 9 Member-Authorized OAuth2.0 Exchange
... 10 Change History
... 11 Credits
... 12 Downloads
... 13 FHIR Artifacts
.... 13.1 PDex Payer-Access Server CapabilityStatement
.... 13.2 PDex provider-access Server CapabilityStatement
.... 13.3 PDEX Server CapabilityStatement
.... 13.4 PDex Server CapabilityStatement with US core 6.1 support
.... 13.5 PDex Bulk Member Match Operation
.... 13.6 ExplanationOfBenefit_Identifier
.... 13.7 ExplanationOfBenefit_Patient
.... 13.8 ExplanationOfBenefit_ServiceDate
.... 13.9 ExplanationOfBenefit_Type
.... 13.10 ExplanationOfBenefit_Use
.... 13.11 Group_Code
.... 13.12 PdexMedicationDispensePatient
.... 13.13 PdexMedicationDispenseStatus
.... 13.14 mTLS Endpoint
.... 13.15 mTLS Endpoint Bundle
.... 13.16 mTLS Organization
.... 13.17 PDex $multi-member-match request
.... 13.18 PDex $multi-member-match response
.... 13.19 PDex Device
.... 13.20 PDex MedicationDispense
.... 13.21 PDex Member Match Group
.... 13.22 PDex Member No Match Group
.... 13.23 PDex Prior Authorization
.... 13.24 PDex Provenance
.... 13.25 PDex Provider Access Consent Profile
.... 13.26 PDex Provider Group
.... 13.27 An attribute to describe the data source a resource was constructed from
.... 13.28 An attribute to express the amount of a service or item that has been utilized
.... 13.29 An attribute to express the refill number of a prescription
.... 13.30 LevelOfServiceCode
.... 13.31 Member Last Resource Filters
.... 13.32 Member Last Resource Types
.... 13.33 Member Last Transmission
.... 13.34 Member-Match Input Patient Parameter
.... 13.35 Members Opted-out
.... 13.36 mTLS Signed Object
.... 13.37 NDH Associated Servers
.... 13.38 NDH Contactpoint Availabletime
.... 13.39 NDH Dynamic Registration
.... 13.40 NDH Endpoint Access Control Mechanism
.... 13.41 NDH Endpoint Rank
.... 13.42 NDH Endpoint Usecase
.... 13.43 NDH FHIR IG
.... 13.44 NDH Identifier Status
.... 13.45 NDH Secure Exchange Artifacts
.... 13.46 NDH Trust Framework
.... 13.47 NDH Verification Status
.... 13.48 ReviewAction
.... 13.49 ReviewActionCode
.... 13.50 When Adjudicated
.... 13.51 Endpoint Payload Type Value Set
.... 13.52 FDA National Drug Code (NDC)
.... 13.53 mTLS Signed Object Types
.... 13.54 Organization Type VS
.... 13.55 Payer source of data
.... 13.56 PDex Adjudication
.... 13.57 PDex Adjudication Category Discriminator
.... 13.58 PDex Multi-Member Match Result Value Set
.... 13.59 PDex Payer Benefit Payment Status
.... 13.60 PDex SupportingInfo Type
.... 13.61 Prior Authorization Procedure Codes - AMA CPT - CMS HCPCS - CMS HIPPS
.... 13.62 Prior Authorization Service Type Codes (X12)
.... 13.63 Prior Authorization value categories
.... 13.64 Procedure Codes - AMA CPT - CMS HCPCS - CMS HIPPS
.... 13.65 Provenance Agent Type
.... 13.66 Trust Framework Type Value Set
.... 13.67 X12 278 Review Decision Reason Codes
.... 13.68 X12 Claim Adjustment Reason Codes - Remittance Advice Remark Codes
.... 13.69 Endpoint Payload Types Code System
.... 13.70 mTLS Object Type Code
.... 13.71 Organization Type
.... 13.72 PDex Adjudication Discriminator
.... 13.73 PDex Identifier Type
.... 13.74 PDex Multi-Member Match Result Code System
.... 13.75 PDex Payer Adjudication Status
.... 13.76 PDex Provider Access API Attribution Code System
.... 13.77 PDex Supporting Info Type
.... 13.78 Prior Authorization Values
.... 13.79 Provenance Payer Data Source Format
.... 13.80 Provenance Roles
.... 13.81 Trust FrameworkType Code System
.... 13.82 Trust Profile Code System
.... 13.83 $multi-member-match payer example request
.... 13.84 $multi-member-match payer example response
.... 13.85 Acme
.... 13.86 BundleConditionWithProvenance
.... 13.87 BundleExamplePayer1
.... 13.88 BundleExamplePayer2
.... 13.89 BundleExamplePayer3
.... 13.90 BundleWithProvenance
.... 13.91 consentin2
.... 13.92 coveragein2
.... 13.93 coveragelink2
.... 13.94 diamond-mtls-endpoint1
.... 13.95 diamond-mtls-endpoint2
.... 13.96 example-mtls-endpoint-bundle
.... 13.97 example-pdex-member-consent-constraint-group
.... 13.98 example-pdex-member-match-group
.... 13.99 example-pdex-member-no-match-group
.... 13.100 Example-PDex-Provider-Group
.... 13.101 ExampleBundle1
.... 13.102 ExampleCoverage
.... 13.103 ExampleDevice
.... 13.104 ExampleDocRefProvenance
.... 13.105 ExampleDocumentReference
.... 13.106 ExampleEncounter1
.... 13.107 ExampleEncounter2
.... 13.108 ExampleEncounter3
.... 13.109 ExampleLocation
.... 13.110 ExampleMedicationDispenseClaim
.... 13.111 ExamplePractitioner
.... 13.112 ExampleProvenanceAuthorEncounter6
.... 13.113 ExampleProvenanceAuthorEncounter7
.... 13.114 ExampleProvenanceBundleTransmitter
.... 13.115 ExampleProvenanceCustodian
.... 13.116 ExampleProvenancePayerModified
.... 13.117 ExampleProvenancePayerSource
.... 13.118 ExampleProvenanceSoloPractitioner
.... 13.119 ExampleProvenanceTransmitter
.... 13.120 mtlsorganization2
.... 13.121 OrganizationPayer1
.... 13.122 OrganizationPayer1-1
.... 13.123 OrganizationPayer2
.... 13.124 OrganizationPayer2-2
.... 13.125 OrganizationProvider1
.... 13.126 OrganizationProvider2
.... 13.127 Patient1
.... 13.128 Patient1-2
.... 13.129 Patient100
.... 13.130 Patient1001
.... 13.131 Patient2002
.... 13.132 patientin2
.... 13.133 PDex Provider Access Consent Example
.... 13.134 PDexCoverageExample
.... 13.135 PdexPriorAuth
... 14 Other IG Artifacts