Da Vinci - Payer Coverage Decision Exchange (PCDE)
1.0.0 - STU 1

Da Vinci - Payer Coverage Decision Exchange (PCDE), published by HL7 International - Financial Management Work Group. This is not an authorized publication; it is the continuous build for version 1.0.0). This version is based on the current content of https://github.com/HL7/davinci-pcde/ and changes regularly. See the Directory of published versions

Artifact List

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Structures: Resource Profiles

These define constraints on FHIR resources for systems conforming to this implementation guide

PCDE Coverage Transition Task - Search Profile

Constraints on Task when polling / searching for completed Coverage Transition Documentation

PCDE Coverage Transition CarePlan Profile

Constraints on CarePlan to document a member’s active therapies as part of a Coverage Transition Document

PCDE Coverage Transition Task - Request Profile

Constraints on Task when requesting a Coverage Transition Document

PCDE Coverage Transition Bundle Profile

Constraints on Bundle to reflect the contents of a Coverage Transition Document

PCDE Coverage Transition Composition Profile

Constraints on Composition to define the root and table of contents for a Coverage Transition Document

Terminology: Value Sets

These define sets of codes used by systems conforming to this implementation guide

PCDE Plan Action Reason

Codes describing reasons for interventions in a coverage transition document

PCDE Plan Action

Codes describing interventions in a coverage transition document

PCDE Document Section Codes

The codes for the different sections in a PCDE Document.

Terminology: Code Systems

These define new code systems used by systems conforming to this implementation guide

PCDE Temporary Codes

Temporary codes defined for use in the PCDE specification. These codes will be replaced by official HL7, LOINC and/or other codes in a future release once implementer experience has confirmed requirements.

Example: Example Instances

These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like

PCDE Document example

Example of a Coverage Exchange document

PCDE Coverage Transition Task Request Example

Example of a requested Task for a Coverage Exchange document

PCDE Coverage Transition In Progress Task Search Example

Example of an in-progress Task as returned

PCDE Coverage Transition Completed Task Search Example

Example of a completed Task with reference to a Coverage Exchange document

PCDE Coverage Transition Failed Task Search Example

Example of a completed Task with reference to a Coverage Exchange document