 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 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 Coverage |
    6.5.6 PDex Device |
    6.5.7 US Core DiagnosticReport for Laboratory Results Reporting |
    6.5.8 US Core DiagnosticReport for Report and Note Exchange |
    6.5.9 US Core DocumentReference |
    6.5.10 US Core Encounter |
    6.5.11 US Core Goal |
    6.5.12 US Core Immunization |
    6.5.13 US Core ImplantableDevice |
    6.5.14 US Core Laboratory Result Observation |
    6.5.15 US Core Location |
    6.5.16 US Core Medication |
    6.5.17 PDex MedicationDispense |
    6.5.18 US Core MedicationRequest |
    6.5.19 US Core Organization |
    6.5.20 US Core Patient |
    6.5.21 US Core Pediatric BMI for Age Observation |
    6.5.22 US Core Pediatric Head Occipital-frontal Circumference Observation |
    6.5.23 US Core Pediatric Weight for Height Observation |
    6.5.24 US Core Practitioner |
    6.5.25 US Core PractitionerRole |
    6.5.26 PDex Prior Authorization |
    6.5.27 US Core Procedure |
    6.5.28 PDex Provenance |
    6.5.29 US Core Provenance |
    6.5.30 US Core Pulse Oximetry |
    6.5.31 US Core Smoking Status Observation |
    6.5.32 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 PDex Bulk Member Match Operation |
   14.3 ExplanationOfBenefit_Identifier |
   14.4 ExplanationOfBenefit_Patient |
   14.5 ExplanationOfBenefit_ServiceDate |
   14.6 ExplanationOfBenefit_Type |
   14.7 ExplanationOfBenefit_Use |
   14.8 Group_Code |
   14.9 PdexMedicationDispensePatient |
   14.10 PdexMedicationDispenseStatus |
   14.11 mTLS Endpoint |
   14.12 mTLS Endpoint Bundle |
   14.13 mTLS Organization |
   14.14 PDex $multi-member-match request |
   14.15 PDex $multi-member-match response |
   14.16 PDex Consent Profile |
   14.17 PDex Device |
   14.18 PDex MedicationDispense |
   14.19 PDex Member Match Group |
   14.20 PDex Member No Match Group |
   14.21 PDex Prior Authorization |
   14.22 PDex Provenance |
   14.23 PDex Provider Group |
   14.24 An attribute to describe the data source a resource was constructed from |
   14.25 An attribute to express the amount of a service or item that has been utilized |
   14.26 An attribute to express the refill number of a prescription |
   14.27 LevelOfServiceCode |
   14.28 Member Last Resource Filters |
   14.29 Member Last Resource Types |
   14.30 Member Last Transmission |
   14.31 Member-Match Input Patient Parameter |
   14.32 Members Opted-out |
   14.33 mTLS Signed Object |
   14.34 NDH Associated Servers |
   14.35 NDH Contactpoint Availabletime |
   14.36 NDH Dynamic Registration |
   14.37 NDH Endpoint Access Control Mechanism |
   14.38 NDH Endpoint Connection Type Version |
   14.39 NDH Endpoint Rank |
   14.40 NDH Endpoint Usecase |
   14.41 NDH FHIR IG |
   14.42 NDH Identifier Status |
   14.43 NDH Secure Exchange Artifacts |
   14.44 NDH Trust Framework |
   14.45 NDH Verification Status |
   14.46 ReviewAction |
   14.47 ReviewActionCode |
   14.48 FDA National Drug Code (NDC) |
   14.49 mTLS Signed Object Types |
   14.50 Organization Type VS |
   14.51 Payer source of data |
   14.52 PDex Adjudication |
   14.53 PDex Adjudication Category Discriminator |
   14.54 PDex Multi-Member Match Result Value Set |
   14.55 PDex Payer Benefit Payment Status |
   14.56 PDex SupportingInfo Type |
   14.57 Prior Authorization Procedure Codes - AMA CPT - CMS HCPCS - CMS HIPPS |
   14.58 Prior Authorization Service Type Codes (X12) |
   14.59 Prior Authorization value categories |
   14.60 Procedure Codes - AMA CPT - CMS HCPCS - CMS HIPPS |
   14.61 Provenance Agent Type |
   14.62 X12 278 Review Decision Reason Codes |
   14.63 X12 Claim Adjustment Reason Codes - Remittance Advice Remark Codes |
   14.64 Identifier Type |
   14.65 mTLS Object Type Code |
   14.66 Organization Type |
   14.67 PDex Adjudication Codes |
   14.68 PDex Adjudication Discriminator |
   14.69 PDex Identifier Type |
   14.70 PDex Multi-Member Match Result Code System |
   14.71 PDex Payer Adjudication Status |
   14.72 PDex Provider Access API Attribution Code System |
   14.73 PDex Supporting Info Type |
   14.74 Prior Authorization Values |
   14.75 Provenance Payer Data Source Format |
   14.76 Provenance Roles |
   14.77 $multi-member-match payer example request |
   14.78 $multi-member-match payer example response |
   14.79 Acme |
   14.80 BundleConditionWithProvenance |
   14.81 BundleExamplePayer1 |
   14.82 BundleExamplePayer2 |
   14.83 BundleExamplePayer3 |
   14.84 BundleWithProvenance |
   14.85 ConsentExample |
   14.86 diamond-mtls-endpoint1 |
   14.87 diamond-mtls-endpoint2 |
   14.88 example-mtls-endpoint-bundle |
   14.89 example-pdex-member-consent-constraint-group |
   14.90 example-pdex-member-match-group |
   14.91 example-pdex-member-no-match-group |
   14.92 Example-PDex-Provider-Group |
   14.93 ExampleBundle1 |
   14.94 ExampleCoverage |
   14.95 ExampleDevice |
   14.96 ExampleDocRefProvenance |
   14.97 ExampleDocumentReference |
   14.98 ExampleEncounter1 |
   14.99 ExampleEncounter2 |
   14.100 ExampleEncounter3 |
   14.101 ExampleLocation |
   14.102 ExampleMedicationDispenseClaim |
   14.103 ExamplePractitioner |
   14.104 ExampleProvenanceAuthorEncounter6 |
   14.105 ExampleProvenanceAuthorEncounter7 |
   14.106 ExampleProvenanceBundleTransmitter |
   14.107 ExampleProvenanceCustodian |
   14.108 ExampleProvenancePayerModified |
   14.109 ExampleProvenancePayerSource |
   14.110 ExampleProvenanceSoloPractitioner |
   14.111 ExampleProvenanceTransmitter |
   14.112 mtlsorganization2 |
   14.113 OrganizationPayer1 |
   14.114 OrganizationPayer1-1 |
   14.115 OrganizationPayer2 |
   14.116 OrganizationPayer2-2 |
   14.117 OrganizationProvider1 |
   14.118 OrganizationProvider2 |
   14.119 Patient1 |
   14.120 Patient1-2 |
   14.121 Patient100 |
   14.122 Patient1001 |
   14.123 Patient2002 |
   14.124 PDexCoverageExample |
   14.125 PdexPriorAuth |
  15 Other IG Artifacts |