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 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
Change Log
Version = 2.1.0
This STU Update of The Da Vinci Clinical Data Exchange (CDex) Implementation Guide is the fourth published version of this guide. The sponsoring HL7 International Payer/Provider Information Exchange Work Group members agreed to and voted on the resolution of the community review comments and edits to this guide.
What's new in Version 2.1.0 of CDex:
See the 2.1.0-snapshot version below
Changes:
These changes are the result of the community review of the 2.1.0-snapshot version
Status: Summary (Jira Issue) Link to Change
- Applied: (Enhancement) Add guidance that should not bypass BR guides FHIR-48404 See Changes Here and See Changes Here
- Applied: (Enhancement) Require adherence to Da Vinci Guiding Principles FHIR-48406 See Changes Here
- Applied: (Enhancement) Update Figure FHIR-48384 See Changes Here
- Applied: (Clarification) Remove conflicting guidance on Quality Measure and Risk Adjustment FHIR-48841
Version = 2.1.0-snapshot
This Snapshot version of The Da Vinci Clinical Data Exchange (CDex) Implementation Guide is the proposed STU update of this guide and is published for community review prior to final publication of version 2.1.0. The members of the sponsoring HL7 International Payer/Provider Information Exchange Work Group agreed to and voted on the resolution of the community comments and edits to this guide.
What's new in Version 2.1.0-snapshot of CDex:
- Support for US Core 6.1.0 and US Core 7.0.0.
- Updated guidance on Using CDex Attachments with DaVinci PAS page to align with Da Vinci PAS v 2.0.1 Guide's, Request for Additional Information page.
- A new section on topic-based subscriptions based on the Subscription R5 Backport Implementation Guide implementation guide.
- Updated guidance on discovery of patient ids based on FAST's Interoperable Digital Identity and Patient Matching implementation guide.
- Version 2.0.0 Draft content about using Questionnaires with the Task-based Approach and Attachments updated to Trial Use.
- A new design section explains the IG’s choice of exchange architecture in terms of the Approaches to Exchanging FHIR Data page.
- Task state diagram for the CDex Task profiles.
Changes:
These changes are the result of the trackers listed below.
Status: Summary (Jira Issue) Link to Change
- Applied: (Correction) Update diagram to "Provider submitted requested attachments to the Payer" FHIR-38604 See Changes Here
- Applied: (Enhancement) Add profile for $submit-attachment Parameters resource FHIR-41336 See Changes Here
- Applied: (Correction) Update
meta.tag.system
cardinality to 1..1 FHIR-43618 See Changes Here
- Applied: (Clarification) Clarify when to use CDex vs PAS for attachments FHIR-44870 See Changes Here
- Applied: (Enhancement) Include PWK01 attachment codes FHIR-44871 See Changes:
- Applied: (Enhancement) Correct X12 278 Data Element Mappings FHIR-44875 See Changes Here
- Applied: (Clarification) Change Task.input "payer-url" to "PayerURL" to align with PAS Task FHIR-44883 See Changes Here and Here
- Applied: (Clarification) Change Task.input "code" to "AttachmentsNeeded" to align with PAS Task FHIR-44884 See Changes Here and Here
- Applied: (Clarification) Change Task.input "questionnaire" slice to "QuestionnaireContext" to align with PAS Task FHIR-44885 See Changes Here and Here
- Applied: (Clarification) Fix X12 277RFAI-v6020 mapping for Line Items FHIR-45298 See Changes Here
- Applied: (Correction) Add Business Status to Task FHIR-45299 See Changes Here
- Applied: (Correction) Remove self referencing instantiates in CapabilityStatements FHIR-45322 See Changes:
- Applied: (Enhancement) Update Version 2.0.0 Draft content to Trial Use FHIR-45409
- Applied: (Enhancement) update to support topic based subscriptions FHIR-45628 See Changes:
- Applied:(Enhancement) Add design section to background page FHIR-45884 See Changes Here
- Applied:(Enhancement) Add Task State diagram to specification FHIR-46004 See Changes:
- Applied:(Enhancement) Change Task.input:QuestionnaireContext max from 1 to * FHIR-46093 See Changes Here and Here
- Applied:(Enhancement) Add Task Based approach as an option for the discovery of a member’s FHIR_ID FHIR-45982 See Changes Here
- Applied:(Enhancement) Remove FAST STU note and add guidance on using FAST's The Interoperable Digital Identity and Patient Matching guide FHIR-45985 See Changes Here and Here
- Applied:(Enhancement) Add "Support" menu item FHIR-46349 See Changes Here
- Applied: (Enhancement) Support both US-Core 3.1.1 and 6.1.0 FHIR-46507
- Applied: (Enhancement) Add link to flowcharts images to downloads page FHIR-46508 See Changes Here
- Applied: (Correction) Copy editing changes prior to comment period to ensure accuracy, clarity, and readability. FHIR-46509 For example, See Changes:
- Applied: (Correction) Fix Typo and ordering in Task Data Request Profile FHIR-46294 See Changes Here
- Applied: (Correction) Add Task.authoredOn to list of mandatory elements in the CDex Task Data Request Profile description. FHIR-46296 See Changes Here
- Applied: (Correction) Change page statuses FHIR-46563 For example See Changes Here
- Applied: (Enhancement) Add endpoint discovery guidance for Unsolicited Attachments FHIR-46443 See Changes Here
- Applied: (Enhancement) Support both US-Core 3.1.1 and 6.1.0 and 7.0.0 FHIR-47303
Version = 2.0.0
This STU2 version of The Da Vinci Clinical Data Exchange (CDex) Implementation Guide is the third published version of this guide and is the result of the 2022 September HL7 balloting process. The resulting resolution of the community comments and edits to this guide has been agreed to and voted on by the members of the sponsoring HL7 International Patient Care and Payer/Provider Information Exchange Work Groups.
What's new in Version 2.0.0 of CDex:
- New Requesting Attachments Using Questionnaires functionality. In prior versions, CDex supported requested attachments using the request model of LOINC attachment codes, and the provider typically submitted CCDA or PDF documents in response. In this version, CDex aligns with DTR functionality and provide the ability to request attachment using Questionnaire, CQL, and QuestionnaireResponse as supported by DTR when there is no transition into/out of X12 transactions in the interactions. In addition, this approach will enable specific requests for missing data and avoid unnecessary document formats, yet still provide the ability for signature attestation if required.
- New Task-Based transactions functionality for Using Questionnaire as Task Input. In prior versions, CDex Task Based Approach supported requests using the request model of FHIR RESTful query syntax, codes, and free-text. As a result, the provider typically returned references to FHIR Bundles. Similar to the Attachments updates, this added functionality leverages DTR and enables specific requests for missing data, avoiding unnecessary use of Bundles.
- Improved navigation:
- Menu Bar drop-downs for all the pages to allow faster navigation to a specific topic
- Re-organization of FHIR Artifacts by transaction type. This version has several FHIR artifacts and dozens of examples grouped by Attachments, Task-Based Approach, and Signatures.
- Conforming to CDex Attachments and Conforming to CDex Task Based Approach, including interactions for each role and the conformance resource and terminology that makes them unique.
- After receiving many comments on CDex POU support, the CDex Purpose of Use Value Set now includes a hierarchy to the base "Treatment", "Payment", or "Health Care Operations" (TPO) concepts.
- More examples, including examples of failed signature verifications, signed QuestionnaireResponse, and requesting Attachments for prior authorization using Questionnaire.
Changes:
These changes are the result of over 60 trackers listed below. They include the 2022 September HL7 balloting process and non-ballot issues.
September 2022 ballot and non-ballot comments and links to the updated content are below:
Status: Summary (Jira Issue) Link to Change
- Applied: Correct $submit-attachment input parameter Typo. (FHIR-37956) and (FHIR-38175) See Changes Here
- Applied: Correct claim flow diagram typo (FHIR-38060) See Changes Here
- Applied: Added missing service line item extension to CDex Task Attachment Request Profile (FHIR-38070) See Changes Here
- Applied: Document POU ValueSet Hierarchy to TPO (FHIR-38142) See Changes Here
- Applied: DS4P should be evaluated before required (FHIR-38144) See Changes Here
- Applied: Correct capitalization (FHIR-38145) See Changes Here
- Applied: Change 277 to: “277 Request for Additional Information (RFAI)” (FHIR-38152) See Changes Here
- Applied: Update sentence (FHIR-38153) See Changes Here
- Applied: Correct Typo (FHIR-38154) See Changes Here
- Applied: Modify sentence (FHIR-38155) See Changes Here
- Applied: Change X12n 277 message to X12n 277 RFAI transaction. (FHIR-38156) See Changes Here
- Applied: Update Data Elements table (FHIR-38172) See Changes Here and Here
- Applied: Update Data Elements table (FHIR-38174) See Changes Here
- Applied:Change X12n 275 message to X12n 275 transaction (FHIR-38177) See Changes Here
- Applied:Change all documents to submitted documents (FHIR-38178) See Changes Here
- Applied: Remove HIPAA compliance language (FHIR-38179) See Changes Here
- Applied: Change Claim to claim or prior authorization (FHIR-38184) See Changes Here
- Applied: Normalize term “prior authorization” (FHIR-38186) See Changes Here
- Applied: Update Grammar (FHIR-38187) See Changes Here
- Applied: Clarify that signature support is not required (FHIR-38188) See Changes Here and Here
- Applied: Clarify in operation that either an OrganizationId or ProviderId is required. Allow for both Ids to be sent in request.(FHIR-38189) See Changes:[
- Applied: Change Task service date input parameter to min = 0 and required only for claims (FHIR-38191) See Changes Here and Here
- Applied: Clarify conformance expectations (FHIR-38192) See Changes Here and Here
- Applied: Clarify patient account number (FHIR-38194) See Changes Here
- Applied: Task Infrastructure Elements (FHIR-38195) See Changes Here
- Applied: Separate solicited and unsolicited attachments workflows (FHIR-38210) See Changes Here
- Applied: Make LOINC code display and text consistent (FHIR-38233) See Changes Here
- Applied: Fix Typo in example (FHIR-38236)w See Changes Here
- Applied: Clarify Attachment Scope (FHIR-38240) See Changes Here
- Applied: Expand Attachments and Task based approach to support Questionnaires and DTR (FHIR-38241) See Changes:
- Pages:
- Conformance Artifacts:
- Examples:
- Applied: Clarify when human involvement needed (FHIR-38242) See Changes Here
- Applied: Add link to PAS Guidance on pended results (FHIR-38244) See Changes Here
- Applied: Add POU for Attachment Request as optional input parameter (FHIR-38245) See Changes Here and Here
- Applied: Correct operation name (FHIR-38253) See Changes Here
- Applied: Change only accepts to only accept(FHIR-38255) See Changes Here
- Applied: Clarify use of cdex-temp code system (FHIR-38259) See Changes Here and Here
- Applied: Clarify use of data tagging (FHIR-38286) See Changes Here
- Applied: Updated X12 element mappings and X12 required citations (FHIR-38287) See Changes Here and Changes Here
- Applied: Clarify how to find patient FHIR ID (FHIR-38318) See Changes Here
- Applied: Clarify X12 Compatibility (FHIR-38326) See Changes Here
- Applied: Add Qualifier to Signed Document Bundle (FHIR-38327) See Changes Here
- Applied: Remove words transaction layer (FHIR-38328) See Changes Here
- Applied: Word change analogs to fields (FHIR-38330) See Changes Here
- Applied: Correct rendering of CCDA (FHIR-38367) See Changes Here
- Applied: removed '*' from button bar (FHIR-38368) See Changes Here
- Applied: Change follows to adheres to (FHIR-38576) See Changes Here
- Applied: Revise section 'what Do Payers Do with Clinical Information?' (FHIR-38578) See Changes Here
- Applied: Clarify when CDex is used instead of other guides (FHIR-38585) See Changes Here
- Applied: Remove the HIE paragraph (FHIR-38588) See Changes Here
- Applied: Create failed signature example transaction (FHIR-38596) See Changes Here
- Applied: Clarify benefits of POU element (FHIR-38598) See Changes Here
- Applied: change SHOULD to SHALL (FHIR-38599) See Changes Here
- Applied: Correct Preconditions and Assumptions (FHIR-38600) See Changes Here
- Applied: Correct Preconditions and Assumptions (FHIR-38601) See Changes Here
- Applied: Update polling frequency guidance(FHIR-38602) See Changes Here
- Applied: Remove trading partner agreement statement (FHIR-38603) See Changes Here
- Applied: Clarify association comment and assign FMM levels to guide (FHIR-38605) See Changes Here
- Applied: Clarify Profile relationship to X12 (FHIR-38612) See Changes Here
- Applied: Change $submit-attachment's Attachment input parameter to min=1. (FHIR-38632) See Changes Here
- Applied: Change Tracking-id.system to Must Support; and $submit-attachment TrackingId to type Identifier. (FHIR-39337) See Changes Here and Here
- Applied: Update NPI codesystem (FHIR-39626) See Changes Here
Version = 2.0.0-ballot
Changes:
Da Vinci CDEX 2022 September Ballot. This ballot is restricted to the Draft content in the STU 1.1.0 version of CDex. The draft content includes 1) requesting and sending attachments and 2) communicating the purpose of use in Task Based Queries.
Version = 1.1.0
This STU1.1 version of The Da Vinci Clinical Data Exchange (CDex) Implementation Guide is the second published version of this guide and is the result of the 2022 May HL7 balloting process. The resulting resolution of the community comments and edits to the guide has been agreed to and voted on by the members of the sponsoring HL7 International Patient Care and Payer/Provider Information Exchange Work Groups.
What’s new in Version 1.1.0 of CDex:
- This content is DRAFT and is open for review. An Attachments section documenting how to exchange attachments for claims or prior authorization.
- A Solicited and Unsolicited Attachments page documents the differences and similarities between solicited and unsolicited attachments workflows and the CDex transactions that can be used for each.
- A Sending Attachments page that documents a FHIR-based approach for sending attachments for claims or prior authorization directly to a Payer.
- A Requesting Attachments page to document a FHIR-based approach for requesting attachments for claims or prior authorization from a Provider.
- A Using CDex Attachments with DaVinci PAS page that illustrates where in the PAS workflow the Payer could use CDEX to request attachments and the Provider could use CDEX to submit attachments.
- Signatures page sections for each transaction in CDex to provide specific guidance and rules to exchange signed data using FHIR and non-FHIR signatures.
- A Change Log page to document the changes across the versions of CDex
- More examples and example scenarios
Changes:
These changes are the result of almost 60 trackers listed below. They include the 2022 May HL7 balloting process, non-ballot issue, and Draft new content to meet anticipated Attachments legislation and rules.
May 2022 Ballot comments and links to the updated content are below::
Status: Summary (Jira Issue) Link to Change
- Applied: Typo (FHIR-36819)
- Applied: Typo (FHIR-36820)
- Applied: Typo (FHIR-36821)
- Applied: Add guidance when Signatures fail verification (FHIR-36842) See Changes:
- Applied: Add link to Example of Completed Task Request for Signed Data(FHIR-36844) See Changes Here
- Applied: Clarification on who is signing(FHIR-36845) See Changes:
- Applied: Clarify system level signatures (FHIR-36847) See Changes Here
- Applied: Add example FlowSheets for each Transaction (FHIR-36854) See Changes Here
- Applied: Typo (FHIR-36917)
- Applied Update Figure (FHIR-36918) See Changes Here
- Applied Clarify purpose for additional information (FHIR-36919) See Changes Here
- Applied: Typo (FHIR-36921)
- Applied: Typo (FHIR-36922)
- Applied Clarify Figure 4 and associated text in 2.6.2 (FHIR-36985) See Changes:
- Applied: Add non-document based attachment scenario (FHIR-36995) See Changes Here
- Applied: Clarify association of data (FHIR-36996) See Changes Here
- Applied: Document using CDex Attachments with DaVinci PAS (FHIR-36997) See Changes Here
- Applied: Replace EHR with Source HIT (FHIR-36999) See Changes Here
- Applied: Remove "preferred" approach from direct query (FHIR-37166) See Changes Here
- Applied: Clarify H&P in diagram is object or behavior (FHIR-37225) See Changes Here
- Applied: Clarify roles in attachments diagram(FHIR-37226) See Changes Here
- Applied: Typo (FHIR-37227)
- Applied: Typo (FHIR-37229)
- Applied: Typo (FHIR-37233)
- Applied: Clarify Figure 7 step 4 text to match the description (FHIR-37234) See Changes Here
- Applied: Typo (FHIR-37235)
- Applied: Rewrite introduction to Signature (FHIR-37243) See Changes Here
- Applied: Add best practice guidance for signatures (FHIR-37246) See Changes Here
- Applied: Remove "preferred" (FHIR-37248)
- Applied: Use term Data Consumer consistently and Define how terms used in guide(FHIR-37250) See Changes Here
- Applied: Re-write Signature sections(FHIR-37251) See Changes:
- Applied: Rewrite introduction to Signature (FHIR-37253) See Changes Here
- Applied: Update Polling Guidance (FHIR-37260) See Changes Here
Non-Ballot Issues and links to the updated content are below::
Status: Summary (Jira Issue) Link to Change
- Applied: Recommendation for exchanging purpose of use. (FHIR-30824) See Changes:
- Applied Make Task.reasonReference.identifer 0…1 MS (FHIR-35151) See Changes:
- Applied: Create page for change log (FHIR-36727) See Changes Here
- Applied: Change re-associate to associate (FHIR-36733) See Changes Here
- Applied: Fix Typo(FHIR-36736) See Changes Here
- Applied: Clarify the relation between CDEX and HRex (FHIR-36741) See Changes Here
- Applied: Submit Attachment AttachTo text correction (FHIR-36756) See Changes Here
- Applied: Clarify that signature element should reference an Organization or Practitioner as signer (FHIR-36846) See Changes:
- Applied: Fix grammar(FHIR-36848) See Changes Here
- Applied: Fix formatting Error to separate several entries(FHIR-36853) See Changes Here
- Applied: Fix capitalization(FHIR-36896) See Changes Here
- Applied: Adds links to operation consistently (FHIR-36897) See Changes Here
- Applied: Rewrite digital signature functional requirements: (FHIR-36905) See Changes Here
- Applied: Add conformance Verbs to Submit Attachment operation page (FHIR-36906) See Changes Here
- Applied: Missing examples (FHIR-37245) See Changes Here
- Applied: Rewrite background on section on Payers(FHIR-37252) See Changes Here
- Applied: Clarify support for XML with signatures (FHIR-37264) See Changes:
- Applied: Add clarification on how to handle reads when signatures are needed (FHIR-37265) See Changes Here
- Applied: Update $submit-attachments diagram to show 200 w/ OperationOutcome (FHIR-37271) See Changes:
- Here
- [Here]sending-attachments.html#scenario-1b-ccda-document-attachments-submitted-prior-to-claim)
- Here
- Applied: Add PayerId to $submit-attachments (FHIR-37331) See Changes Here
- Applied: Clarify that claim's attachment submitter is same as claim submitter (FHIR-37332) See Changes:
- Applied: Add "Request Attachments" content as Draft (FHIR-37563) See Changes:
- Applied: Add CCDA example and Correct PDF example (FHIR-37655) See Changes Here
- Applied: Rewrite section on Discovery of FHIR IDs ([FHIR-37652] (https://jira.hl7.org/browse/FHIR-37652)) See Changes:
- Applied: Document how implementers locate the proper identifier (FHIR-37651) See Changes Here
- Applied: Clarify how to fetch data if can not perform a direct query. (FHIR-37649) See Changes Here
Version = 1.1.0-ballot
- Publication Date: 2022-03-25
- Based on FHIR version : 4.0.1
Changes:
Da Vinci CDEX 2022 May Ballot. This ballot is restricted to the Draft content in the STU 1.0 version of CDex. The draft content includes handling of Attachments and Digital Signatures.
Version = 1.0.0
Changes:
This STU1 version of Da Vinci Clinical Data Exchange (CDex) Implementation Guide is the first published version of this guide and is the result of the June 2019 and January 2021 HL7 balloting process. The resulting resolution of the community comments and edits to the guide has been agreed to and voted on by the members of the sponsoring HL7 International Patient Care Work Group.
January 2021 Ballot comments and links to the updated content are below::
Status: Summary (Jira Issue) Link to Change
- Applied: CDex documents require signature, but do not explain how used (FHIR-26855) See Changes:
- Applied: Add reference to C-CDA on FHIR (FHIR-28158) See Change Here
- Applied: Provide another example of a use case not covered by another Da Vinci IG (FHIR-30146) See Change Here
- Applied: Fix link and expectations to CapabilityStatements (FHIR-30147) See Change Here
- Applied: Failed task or task without result? (FHIR-30148) See Changes:
- Applied: add item to list of benefits (FHIR-30440) See Change Here
- Applied: Update section on What Payers Do with Clinical Information (FHIR-30442) See Change Here
- Applied: Update text in sequence diagrams (FHIR-30445) See Change Here
- Applied: Update Scenarios to include to support claim submission - Attachments. (FHIR-30446) See Changes:
- Applied: Update definition of clinical data and added guidance on data provenance(FHIR-30489) See Changes:
- Applied: Referennce clinical safety section in HREX (FHIR-30490) See Change Here
- Applied: Delete use of word "complete" (FHIR-30494) See Change Here
- Applied: Explicitly reference the Da Vinci Guiding Principles in new Privacy and Security section. (FHIR-30498) See Change Here
- Applied: Update Figure 1 (FHIR-30500) See Change Here
- Applied: Typo. (FHIR-30812) See Change Here
- Applied: Remove word complete. (FHIR-30813) See Change Here
- Applied: Corrects and clarifies direct provider to provider scenario. (FHIR-30814) See Change Here
- Applied: Updates to Provider to Provider use case(FHIR-30815) See Changes:
- Applied: Please clarify whether any human involvement is required, and an example, as well as define the term fulfillment as it relates to attestation. (FHIR-30816) See Changes:
- Applied: Rephrase. (FHIR-30817) See Change Here
- Applied: Clarify how subscripition mitigates risks (FHIR-30819) See Change Here
- Applied: Add section on termination of access to request(FHIR-30820) See Change Here
- Applied: Update how a clients set of requests is terminated(FHIR-30821) See Change Here
- Applied: Formalize the current scenarios (FHIR-30826) See Change Here
- Applied: replace /Patient/$everything with /Group/$export in the bulk example (FHIR-30827) See Change Here
- Applied: Remove empty pages (FHIR-30828)
- Applied: Clarified formal authorization use case (FHIR-30829) See Changes:
- Applied: Data Consumer Server SHOULD support Claim. (FHIR-30830) See Change Here
- Applied: Modify CapabilityStatement Rest summary table (FHIR-30831) See Change Here
- Applied: Add hyperlinks. (FHIR-30834) See Change Here
- Applied: Add benefit of transition towards direct queries to Task benefits. (FHIR-30835) [See Change Here](http://hl7.org/fhir/us/davinci-cdex/STU1/task-based-approach.html
- Appied: Update section on Authoization requirements (FHIR-30836) [See Change Here](http://hl7.org/fhir/us/davinci-cdex/STU1/task-based-approach.html
- Applied: Typo (FHIR-30840) See Change Here
- Applied: Typo (FHIR-30841) See Change Here
- Applied: Typo (FHIR-30842) See Change Here
- Applied: Updated anticipated benefits of standard (FHIR-30843) See Change Here
- Applied: Typo (FHIR-30844) See Change Here
- Applied: Correct Grammar (FHIR-30845) See Change Here
- Applied: Correct Grammar (FHIR-30846) See Change Here
- Applied: Remove unsubstantiated claims. (FHIR-30847) See Change Here
- Applied: Remove HEDIS score claim. (FHIR-30849) See Change Here
- Applied: Relocate paragraph. (FHIR-30850) See Change Here
- Applied: Remove paragraph and refer to HREX security page. (FHIR-30851) See Change Here
- Applied: Typo (FHIR-30852) See Change Here
- Applied: Reword statement. (FHIR-30853) See Change Here
- Applied: Typo (FHIR-30854) See Change Here
- Applied: Typo (FHIR-30855) See Change Here
- Applied: Typo (FHIR-30856) See Change Here
- Applied: Typo (FHIR-30857) See Change Here
- Applied: Updated STU-note on when authorization needed? (FHIR-30863) [See Change Here](http://hl7.org/fhir/us/davinci-cdex/STU1/task-based-approach.html#formal-authorization
- Applied: Remove "?" or correct the section name if it is in question (FHIR-30864) See Change Here
- Applied: Typo (FHIR-30865) See Change Here
- Applied: Updated Purpose of Use section for Direct Query. (FHIR-30867) See Change Here
- Applied: Updated Sensitivity and Confidentiality protection guidance. (FHIR-30868) See Change Here
- Applied: Updated Sensitivity and Confidentiality protection guidance. (FHIR-30869) See Change Here
- Applied: clarify when attribution is not present or non-repudiable (FHIR-30870) various changes
- Applied: Fix sequential numbering of figures (FHIR-30935) See Change Here
- Applied: correct last example bullet (FHIR-31050) See Change Here
- Applied: Remove reference to HREX CommunicationRequest plus Task transaction (FHIR-31516) See Change Here
- Applied: Clarify human involvement in Task transaction (FHIR-31886 See Change Here
- Applied: Create privacy and security page (FHIR-31885 See Change Here
- Applied: Clarify when HIEs are data sources (FHIR-31884)See Change Here
- Applied: Add supplemental security guidance on audit (FHIR-31888)See Change Here
- Applied: Add supplemental security guidance on scopes(FHIR-31887)See Change Here
- Applied: Clarify human involvement needed(FHIR-31886)See Change Here
- Applied: Provide guidance on finding organization and provider identifiers(FHIR-32841)See Change Here
- Applied: Update how to represent Purpose of Use and reason in Task Based Query (FHIR-31996)See Change Here
- Applied: Clarify the relationship between this guide and others(FHIR-32116)See Change Here
- Applied: Added guidance on matching patients(FHIR-32840)See Change Here
- Applied: Update to the USCDI link (FHIR-33265
- Applied: Add guidance how to provide some work queue tags(FHIR-31890 See Change Here
- Applied: Add push mechanism to support Attachments for Claims and Prior Auth(FHIR-33129 See Changes:
- Applied: Add figure to clarify relationship between cdex and hrex(FHIR-34559 See Change Here
Version = 0.2.0
Changes:
Based on the 2019-06-20 ballot feedback, this IG has been completely re-written for this ballot. The refactoring has been sufficiently large that it is not practical/useful to enumerate a list of changes between this ballot version (0.2.0) and the 2019-06-20 ballot version (0.1.0).
Version = 0.1.0
Changes:
June 2019 Ballot for Da Vinci CDex