  0 Table of Contents |
  1 Home |
| 2 Overview |
| 3 Introduction |
| 4 Narrative Conformance |
| 5 PDex Implementation Guide |
 6 Security and Privacy |
  6.1 FHIR Access Permissions |
| 7 PDex Implementation, Actors, Interactions, Data Payloads and Methods |
| 7.1 Handling Data Provenance |
| 7.2 Provider Access API |
| 7.3 Provider Access API(v2) |
| 7.4 Payer-to-Payer Exchange (single member) |
| 7.5 Payer-to-Payer Exchange (bulk) |
 7.6 Data Mapping |
 7.6.1 US Core AllergyIntolerance |
| 7.6.2 US Core CarePlan |
| 7.6.3 US Core CareTeam |
| 7.6.4 US Core Condition |
| 7.6.5 Consent |
| 7.6.6 Coverage |
| 7.6.7 PDex Device |
| 7.6.8 US Core DiagnosticReport for Laboratory Results Reporting |
| 7.6.9 US Core DiagnosticReport for Report and Note Exchange |
| 7.6.10 US Core DocumentReference |
| 7.6.11 US Core Encounter |
| 7.6.12 US Core Goal |
| 7.6.13 US Core Immunization |
| 7.6.14 US Core ImplantableDevice |
| 7.6.15 US Core Laboratory Result Observation |
| 7.6.16 US Core Location |
| 7.6.17 US Core Medication |
| 7.6.18 PDex MedicationDispense |
| 7.6.19 US Core MedicationRequest |
| 7.6.20 US Core Organization |
| 7.6.21 US Core Patient |
| 7.6.22 US Core Pediatric BMI for Age Observation |
| 7.6.23 US Core Pediatric Head Occipital-frontal Circumference Observation |
| 7.6.24 US Core Pediatric Weight for Height Observation |
| 7.6.25 US Core Practitioner |
| 7.6.26 US Core PractitionerRole |
| 7.6.27 PDex Prior Authorization |
| 7.6.28 US Core Procedure |
| 7.6.29 PDex Provenance |
| 7.6.30 US Core Provenance |
| 7.6.31 US Core Pulse Oximetry |
| 7.6.32 US Core Smoking Status Observation |
| 7.6.33 VitalSigns |
| 8 Use Case Scenarios |
| 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 Payer-Access Server CapabilityStatement |
| 14.2 PDex provider-access Server CapabilityStatement |
| 14.3 PDEX Server CapabilityStatement |
| 14.4 PDex Server CapabilityStatement with US core 6.1 support |
| 14.5 PDex Bulk Member Match Operation |
| 14.6 PDex Provider-Member-Match Operation |
| 14.7 ExplanationOfBenefit_Identifier |
| 14.8 ExplanationOfBenefit_Patient |
| 14.9 ExplanationOfBenefit_ServiceDate |
| 14.10 ExplanationOfBenefit_Type |
| 14.11 ExplanationOfBenefit_Use |
| 14.12 Group_Code |
| 14.13 PDex Consent Action Search Parameter |
| 14.14 PDex Consent Provider Access Use Case Search Parameter |
| 14.15 PDex Consent Provision Type Search Parameter |
| 14.16 PDex Group Characteristic Value Reference Search Parameter |
| 14.17 PdexMedicationDispensePatient |
| 14.18 PdexMedicationDispenseStatus |
| 14.19 Member Opt-Out Group |
| 14.20 Member-Provider Treatment Relationship Group |
| 14.21 mTLS Endpoint |
| 14.22 mTLS Endpoint Bundle |
| 14.23 mTLS Organization |
| 14.24 PDex $multi-member-match request |
| 14.25 PDex $multi-member-match response |
| 14.26 PDex Device |
| 14.27 PDex MedicationDispense |
| 14.28 PDex Member Match Group |
| 14.29 PDex Member No Match Group |
| 14.30 PDex Prior Authorization |
| 14.31 PDex Provenance |
| 14.32 PDex Provider Access Consent Profile |
| 14.33 PDex Provider Group |
| 14.34 Provider $multi-member-match Request |
| 14.35 Provider $multi-member-match Response |
| 14.36 Provider Attestation to Treatment Relationship |
| 14.37 Provider Member Match Group |
| 14.38 Provider Member No Match Group |
| 14.39 An attribute to describe the data source a resource was constructed from |
| 14.40 An attribute to express the amount of a service or item that has been utilized |
| 14.41 An attribute to express the refill number of a prescription |
| 14.42 LevelOfServiceCode |
| 14.43 Member-Match Input Coverage Parameter |
| 14.44 Member-Match Input Patient Parameter |
| 14.45 Members Opted-out |
| 14.46 mTLS Signed Object |
| 14.47 NDH Associated Servers |
| 14.48 NDH Contactpoint Availabletime |
| 14.49 NDH Dynamic Registration |
| 14.50 NDH Endpoint Access Control Mechanism |
| 14.51 NDH Endpoint Rank |
| 14.52 NDH Endpoint Usecase |
| 14.53 NDH FHIR IG |
| 14.54 NDH Identifier Status |
| 14.55 NDH Secure Exchange Artifacts |
| 14.56 NDH Trust Framework |
| 14.57 NDH Verification Status |
| 14.58 Opt-Out Details |
| 14.59 Opt-Out Reason |
| 14.60 Provider Access Use Case |
| 14.61 ReviewAction |
| 14.62 ReviewActionCode |
| 14.63 Treatment Relationship Details |
| 14.64 When Adjudicated |
| 14.65 Endpoint Payload Type Value Set |
| 14.66 FDA National Drug Code (NDC) |
| 14.67 mTLS Signed Object Types |
| 14.68 Opt-Out Reason Value Set |
| 14.69 Opt-Out Scope Value Set |
| 14.70 Organization Type VS |
| 14.71 Payer source of data |
| 14.72 PDex Adjudication |
| 14.73 PDex Adjudication Category Discriminator |
| 14.74 PDex Consent API Purpose Value Set |
| 14.75 PDex Multi-Member Match Result Value Set |
| 14.76 PDex Payer Benefit Payment Status |
| 14.77 PDex SupportingInfo Type |
| 14.78 Prior Authorization Procedure Codes - AMA CPT - CMS HCPCS - CMS HIPPS |
| 14.79 Prior Authorization Service Type Codes (X12) |
| 14.80 Prior Authorization value categories |
| 14.81 Procedure Codes - AMA CPT - CMS HCPCS - CMS HIPPS |
| 14.82 Provenance Agent Type |
| 14.83 Treatment Attestation Provision Type |
| 14.84 Treatment Attestation Status |
| 14.85 Treatment Relationship Type Value Set |
| 14.86 Trust Framework Type Value Set |
| 14.87 X12 278 Review Decision Reason Codes |
| 14.88 X12 Claim Adjustment Reason Codes - Remittance Advice Remark Codes |
| 14.89 Endpoint Payload Types Code System |
| 14.90 mTLS Object Type Code |
| 14.91 Opt-Out Reason Code System |
| 14.92 Opt-Out Scope Code System |
| 14.93 Organization Type |
| 14.94 PDex Adjudication Discriminator |
| 14.95 PDex Consent API Purpose |
| 14.96 PDex Identifier Type |
| 14.97 PDex Member Characteristic Code |
| 14.98 PDex Multi-Member Match Result Code System |
| 14.99 PDex Payer Adjudication Status |
| 14.100 PDex Provider Access API Attribution Code System |
| 14.101 PDex Supporting Info Type |
| 14.102 Prior Authorization Values |
| 14.103 Provenance Payer Data Source Format |
| 14.104 Provenance Roles |
| 14.105 Treatment Relationship Type Code System |
| 14.106 Trust FrameworkType Code System |
| 14.107 Trust Profile Code System |
| 14.108 $multi-member-match payer example request |
| 14.109 $multi-member-match payer example response |
| 14.110 Acme |
| 14.111 BundleConditionWithProvenance |
| 14.112 BundleExamplePayer1 |
| 14.113 BundleExamplePayer2 |
| 14.114 BundleExamplePayer3 |
| 14.115 BundleWithProvenance |
| 14.116 consentin2 |
| 14.117 Coverage to Match Example 1 |
| 14.118 Coverage to Match Example 2 |
| 14.119 coveragein2 |
| 14.120 coveragelink2 |
| 14.121 diamond-mtls-endpoint1 |
| 14.122 diamond-mtls-endpoint2 |
| 14.123 Example Member Opt-Out Group |
| 14.124 Example Member-Provider Treatment Relationship Group |
| 14.125 Example Provider Consent Constrained Group |
| 14.126 Example Provider Matched Members Group |
| 14.127 Example Provider No Match Group |
| 14.128 example-mtls-endpoint-bundle |
| 14.129 example-pdex-member-consent-constraint-group |
| 14.130 example-pdex-member-match-group |
| 14.131 example-pdex-member-no-match-group |
| 14.132 Example-PDex-Provider-Group |
| 14.133 ExampleBundle1 |
| 14.134 ExampleCoverage |
| 14.135 ExampleDevice |
| 14.136 ExampleDocRefProvenance |
| 14.137 ExampleDocumentReference |
| 14.138 ExampleEncounter1 |
| 14.139 ExampleEncounter2 |
| 14.140 ExampleEncounter3 |
| 14.141 ExampleLocation |
| 14.142 ExampleMedicationDispenseClaim |
| 14.143 ExamplePractitioner |
| 14.144 ExampleProvenanceAuthorEncounter6 |
| 14.145 ExampleProvenanceAuthorEncounter7 |
| 14.146 ExampleProvenanceBundleTransmitter |
| 14.147 ExampleProvenanceCustodian |
| 14.148 ExampleProvenancePayerModified |
| 14.149 ExampleProvenancePayerSource |
| 14.150 ExampleProvenanceSoloPractitioner |
| 14.151 ExampleProvenanceTransmitter |
| 14.152 mtlsorganization2 |
| 14.153 Organization Provider Example 1 |
| 14.154 Organization Provider Example 2 |
| 14.155 OrganizationPayer1 |
| 14.156 OrganizationPayer1-1 |
| 14.157 OrganizationPayer2 |
| 14.158 OrganizationPayer2-2 |
| 14.159 OrganizationProvider1 |
| 14.160 OrganizationProvider2 |
| 14.161 Patient for Member Match Example 1 |
| 14.162 Patient for Member Match Example 2 |
| 14.163 Patient Provider Example 1 - Robert Johnson |
| 14.164 Patient Provider Example 2 - Sarah Williams |
| 14.165 Patient1 |
| 14.166 Patient1-2 |
| 14.167 Patient100 |
| 14.168 Patient1001 |
| 14.169 Patient2002 |
| 14.170 patientin2 |
| 14.171 Payer Member Example 1 - Robert Johnson |
| 14.172 Payer Member Example 2 - Sarah Williams |
| 14.173 PDex Provider Access Consent Opt-Out Example |
| 14.174 PDex Provider Access Consent Permit Example |
| 14.175 PDexCoverageExample |
| 14.176 PdexPriorAuth |
| 14.177 Practitioner Provider Example 1 - Dr. Smith |
| 14.178 Practitioner Provider Example 2 - Dr. Jones |
| 14.179 Provider Attestation Document Reference |
| 14.180 Provider Treatment Attestation Consent Example for Bulk Member Match |
| 14.181 Provider-Member-Match Request Example |
| 14.182 Provider-Member-Match Response Example |
| 14.183 Treatment Attestation Example 1 |
| 14.184 Treatment Attestation Example 2 |
| 14.185 Treatment Attestation Form Example 1 |
| 14.186 Treatment Attestation Form Example 2 |
| 15 Artifacts by API |
| 16 Other IG Artifacts |
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