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 PdexMedicationDispensePatient |
14.9 PdexMedicationDispenseStatus |
14.10 mTLS Endpoint |
14.11 mTLS Endpoint Bundle |
14.12 mTLS Organization |
14.13 PDex $multi-member-match request |
14.14 PDex $multi-member-match response |
14.15 PDex Consent Profile |
14.16 PDex Device |
14.17 PDex MedicationDispense |
14.18 PDex Member Match Group |
14.19 PDex Member No Match Group |
14.20 PDex Prior Authorization |
14.21 PDex Provenance |
14.22 PDex Provider Group |
14.23 An attribute to describe the data source a resource was constructed from |
14.24 An attribute to express the amount of a service or item that has been utilized |
14.25 An attribute to express the refill number of a prescription |
14.26 LevelOfServiceCode |
14.27 Member Last Resource Filters |
14.28 Member Last Resource Types |
14.29 Member Last Transmission |
14.30 Member-Match Input Patient Parameter |
14.31 Members Opted-out |
14.32 mTLS Signed Object |
14.33 NDH Associated Servers |
14.34 NDH Contactpoint Availabletime |
14.35 NDH Dynamic Registration |
14.36 NDH Endpoint Access Control Mechanism |
14.37 NDH Endpoint Connection Type Version |
14.38 NDH Endpoint Rank |
14.39 NDH Endpoint Usecase |
14.40 NDH FHIR IG |
14.41 NDH Identifier Status |
14.42 NDH Secure Exchange Artifacts |
14.43 NDH Trust Framework |
14.44 NDH Verification Status |
14.45 ReviewAction |
14.46 ReviewActionCode |
14.47 Associated Servers Type Value Set |
14.48 Endpoint Access Control Mechanism Value Set |
14.49 Endpoint Connection Type Version Value Set |
14.50 Endpoint Connection Types Value Set |
14.51 Endpoint FHIR Mimetype Value Set |
14.52 Endpoint Payload Type Value Set |
14.53 FDA National Drug Code (NDC) |
14.54 Identifier Status Value Set |
14.55 mTLS Bundle Type Value Set |
14.56 mTLS Signed Object Types |
14.57 NDH FHIR Endpoint Usecase Value Set |
14.58 NDH Verification Status Value Set |
14.59 Organization Type VS |
14.60 Payer source of data |
14.61 PDex Adjudication |
14.62 PDex Adjudication Category Discriminator |
14.63 PDex Multi-Member Match Result Value Set |
14.64 PDex Payer Benefit Payment Status |
14.65 PDex SupportingInfo Type |
14.66 Prior Authorization Procedure Codes - AMA CPT - CMS HCPCS - CMS HIPPS |
14.67 Prior Authorization Service Type Codes (X12) |
14.68 Prior Authorization value categories |
14.69 Procedure Codes - AMA CPT - CMS HCPCS - CMS HIPPS |
14.70 Provenance Agent Type |
14.71 Secure Exchange Artifacts Value Set |
14.72 Trust Framework Type Value Set |
14.73 Trust Profile Value Set |
14.74 X12 278 Review Decision Reason Codes |
14.75 X12 Claim Adjustment Reason Codes - Remittance Advice Remark Codes |
14.76 Credential Status Code System |
14.77 Endpoint Access Control Mechanism Code System |
14.78 Endpoint Connection Type Version Code System |
14.79 Endpoint Connection Types (additional) Code System |
14.80 Endpoint FHIR MimeType Code System |
14.81 Endpoint HIE Specific Connection Type Code System |
14.82 Endpoint Payload Types Code System |
14.83 Identifier Type |
14.84 mTLS Object Type Code |
14.85 NDH Associated Servers Type Code System |
14.86 NDH FHIR Endpoint Use Case Code System |
14.87 NDH Resource Instance Verification Status Code System |
14.88 NDH Secure Exchange Artifacts Code System |
14.89 Organization Type |
14.90 PDex Adjudication Codes |
14.91 PDex Adjudication Discriminator |
14.92 PDex Identifier Type |
14.93 PDex Multi-Member Match Result Code System |
14.94 PDex Payer Adjudication Status |
14.95 PDex Supporting Info Type |
14.96 Prior Authorization Values |
14.97 Provenance Payer Data Source Format |
14.98 Provenance Roles |
14.99 Trust FrameworkType Code System |
14.100 Trust Profile Code System |
14.101 $multi-member-match payer example request |
14.102 $multi-member-match payer example response |
14.103 Acme |
14.104 BundleConditionWithProvenance |
14.105 BundleExamplePayer1 |
14.106 BundleExamplePayer2 |
14.107 BundleExamplePayer3 |
14.108 BundleWithProvenance |
14.109 diamond-mtls-endpoint1 |
14.110 diamond-mtls-endpoint2 |
14.111 example-mtls-endpoint-bundle |
14.112 ExampleBundle1 |
14.113 ExampleCoverage |
14.114 ExampleDevice |
14.115 ExampleDocRefProvenance |
14.116 ExampleDocumentReference |
14.117 ExampleEncounter1 |
14.118 ExampleEncounter2 |
14.119 ExampleEncounter3 |
14.120 ExampleLocation |
14.121 ExampleMedicationDispenseClaim |
14.122 ExamplePractitioner |
14.123 ExampleProvenanceAuthorEncounter6 |
14.124 ExampleProvenanceAuthorEncounter7 |
14.125 ExampleProvenanceBundleTransmitter |
14.126 ExampleProvenanceCustodian |
14.127 ExampleProvenancePayerModified |
14.128 ExampleProvenancePayerSource |
14.129 ExampleProvenanceSoloPractitioner |
14.130 ExampleProvenanceTransmitter |
14.131 mtlsorganization2 |
14.132 OrganizationPayer1 |
14.133 OrganizationPayer1-1 |
14.134 OrganizationPayer2 |
14.135 OrganizationPayer2-2 |
14.136 OrganizationProvider1 |
14.137 OrganizationProvider2 |
14.138 Patient1 |
14.139 Patient1-2 |
14.140 Patient100 |
14.141 Patient1001 |
14.142 Patient2002 |
14.143 PdexPriorAuth |
14.144 PriorAuthCoverage |
15 Other IG Artifacts |