Da Vinci Clinical Data Exchange (CDex)
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Da Vinci Clinical Data Exchange (CDex), published by HL7 International / Payer/Provider Information Exchange Work Group. This guide is not an authorized publication; it is the continuous build for version 2.1.0-preview built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-ecdx/ and changes regularly. See the Directory of published versions

Using CDex Attachments with DaVinci PAS

Page standards status: Informative

In Da Vinci Prior Authorization Support (PAS), the expectation is that a final decision is generated immediately and automatically in the majority of cases. The flow below depicts the cases where the result is “pended” and additional data is needed. In these cases, the Payer or Provider may elect to use CDex to request or submit attachments. The flow sheets diagrams below illustrate where in the PAS workflow the Provider could use CDex to submit attachments.

Figure 21: CDex in DaVinci Burden Reduction Workflow

Figure 22: CDex in DaVinci PAS 'Pended' Workflow

* For details on how the pended transaction is managed, see the Submit Additional Information section in the PAS Implementation Guide.