Da Vinci - Payer Coverage Decision Exchange
0.4.1 - CI Build

Da Vinci - Payer Coverage Decision Exchange, published by HL7 International - Financial Management Work Group. This is not an authorized publication; it is the continuous build for version 0.4.1). This version is based on the current content of https://github.com/HL7/davinci-pcde/ and changes regularly. See the Directory of published versions

FHIR Artifacts

Complying with this implementation guide means complying with a number of profiles, extensions, value sets and custom search parameters. This page provides an overview of where this information can be found.

The FHIR artifacts used by PCDE are organized according to whether the content developed as part of the US Core implementation guides or is Da Vinci-specific.

Artifact Lists

PCDE-specific Artifacts
US Core (3.1.0 - R4 based)
Da Vinci Payer Data Exchange (PDex) (0.1.0 July 2019 ballot)
Da Vinci Clinical Data Exchange (CDex) (0.1.0 July 2019 ballot)
Da Vinci Health Record Exchange (HRex) (0.1.0 - July 2019 ballot)
Da Vinci Prior Authorization Support (PAS) (0.1.0 - Sept 2019 ballot)

Additional information about the use of these artifacts can be found in the main specification.

The artifacts are of four types:

  • Profiles constrain FHIR resources to reflect PCDE requirements
  • Extensions define additional data elements that can be conveyed as part of a resource
  • Code Systems define PCDE-specific terminologies to be used in one or more of those profiles
  • Value Sets define the specific subsets of both PCDE-defined and other code systems that can be (or are recommended to be) used within one or more profile elements
  • Operations of which there is only one which defines the PCDE-specific constraints on the Claim submit operation.