Da Vinci Payer Data Exchange
2.2.0 - STU 2.2
Da Vinci Payer Data Exchange
2.2.0 - STU 2.2
Da Vinci Payer Data Exchange, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-epdx/ and changes regularly. See the Directory of published versions
| Page standards status: Trial-use | Maturity Level: 2 |
@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
<http://hl7.org/fhir/CodeSystem/PDexSupportingInfoTypeCS> a fhir:CodeSystem ;
fhir:nodeRole fhir:treeRoot ;
fhir:Resource.id [ fhir:value "PDexSupportingInfoTypeCS"] ;
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ] ;
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem PDexSupportingInfoTypeCS</b></p><a name=\"PDexSupportingInfoTypeCS\"> </a><a name=\"hcPDexSupportingInfoTypeCS\"> </a><p>This case-insensitive code system <code>http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PDexSupportingInfoTypeCS</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">admissionperiod<a name=\"PDexSupportingInfoTypeCS-admissionperiod\"> </a></td><td>Admission Period</td><td>Dates corresponding with the admission and discharge of the beneficiary to a facility</td></tr><tr><td style=\"white-space:nowrap\">pointoforigin<a name=\"PDexSupportingInfoTypeCS-pointoforigin\"> </a></td><td>Point Of Origin</td><td>UB-04 Source of Admission (FL-15) identifies the place where the patient was identified as needing admission to a facility.</td></tr><tr><td style=\"white-space:nowrap\">admtype<a name=\"PDexSupportingInfoTypeCS-admtype\"> </a></td><td>Admission Type</td><td>UB-04 Priority of the admission (FL-14) indicates, for example, an admission type of elective indicates that the patient's condition permitted time for medical services to be scheduled.</td></tr><tr><td style=\"white-space:nowrap\">billingnetworkcontractingstatus<a name=\"PDexSupportingInfoTypeCS-billingnetworkcontractingstatus\"> </a></td><td>Billing Network Contracting Status</td><td>Indicates that the Billing Provider has a contract with the Payer as of the effective date of service or admission.</td></tr><tr><td style=\"white-space:nowrap\">brandgenericindicator<a name=\"PDexSupportingInfoTypeCS-brandgenericindicator\"> </a></td><td>Brand Generic Indicator</td><td>NCPDP code indicating whether the plan adjudicated the claim as a brand or generic drug.</td></tr><tr><td style=\"white-space:nowrap\">clmrecvddate<a name=\"PDexSupportingInfoTypeCS-clmrecvddate\"> </a></td><td>Claim Received Date</td><td>Date the claim was received by the payer.</td></tr><tr><td style=\"white-space:nowrap\">compoundcode<a name=\"PDexSupportingInfoTypeCS-compoundcode\"> </a></td><td>Compound Code</td><td>NCPDP code indicating whether or not the prescription is a compound.</td></tr><tr><td style=\"white-space:nowrap\">dawcode<a name=\"PDexSupportingInfoTypeCS-dawcode\"> </a></td><td>DAW (Dispense As Written) Code</td><td>NCPDP code indicating the prescriber's instruction regarding substitution of generic equivalents or order to dispense the specific prescribed medication.</td></tr><tr><td style=\"white-space:nowrap\">dayssupply<a name=\"PDexSupportingInfoTypeCS-dayssupply\"> </a></td><td>Days Supply</td><td>NCPDP value indicating the Number of days supply of medication dispensed by the pharmacy.</td></tr><tr><td style=\"white-space:nowrap\">discharge-status<a name=\"PDexSupportingInfoTypeCS-discharge-status\"> </a></td><td>Discharge Status</td><td>UB-04 Discharge Status (FL-17) indicates the patient’s status as of the discharge date for a facility stay.</td></tr><tr><td style=\"white-space:nowrap\">drg<a name=\"PDexSupportingInfoTypeCS-drg\"> </a></td><td>DRG</td><td>DRG (Diagnosis Related Group), including the code system, the DRG version and the code value</td></tr><tr><td style=\"white-space:nowrap\">performingnetworkcontractingstatus<a name=\"PDexSupportingInfoTypeCS-performingnetworkcontractingstatus\"> </a></td><td>Performing Network Contracting Status</td><td>Indicates that the Performing Provider has a contract with the Payer as of the effective date of service or admission.</td></tr><tr><td style=\"white-space:nowrap\">refillnum<a name=\"PDexSupportingInfoTypeCS-refillnum\"> </a></td><td>Refill Number</td><td>NCPDP value indicating the number fill of the current dispensed supply (0, 1, 2, etc.)</td></tr><tr><td style=\"white-space:nowrap\">rxorigincode<a name=\"PDexSupportingInfoTypeCS-rxorigincode\"> </a></td><td>Rx Origin Code</td><td>NCPDP code indicating whether the prescription was transmitted as an electronic prescription, by phone, by fax, or as a written paper copy.</td></tr><tr><td style=\"white-space:nowrap\">servicefacility<a name=\"PDexSupportingInfoTypeCS-servicefacility\"> </a></td><td>Service Facility</td><td>The facility where the service occurred. Examples include hospitals, nursing homes, laboratories or homeless shelters.</td></tr><tr><td style=\"white-space:nowrap\">typeofbill<a name=\"PDexSupportingInfoTypeCS-typeofbill\"> </a></td><td>Type of Bill</td><td>UB-04 Type of Bill (FL-04) provides specific information for payer purposes.</td></tr><tr><td style=\"white-space:nowrap\">medicalrecordnumber<a name=\"PDexSupportingInfoTypeCS-medicalrecordnumber\"> </a></td><td>Medical Record Number</td><td>Patient Medical Record Number associated with the specific claim.</td></tr><tr><td style=\"white-space:nowrap\">patientaccountnumber<a name=\"PDexSupportingInfoTypeCS-patientaccountnumber\"> </a></td><td>Patient Account Number</td><td>Patient Account Number associated with the specific claim.</td></tr></table></div>"
] ;
fhir:DomainResource.extension [
fhir:index 0 ;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg" ] ;
fhir:Extension.valueCode [ fhir:value "fm" ]
], [
fhir:index 1 ;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm" ] ;
fhir:Extension.valueInteger [
fhir:value "2"^^xsd:integer ;
fhir:Element.extension [
fhir:index 0 ;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom" ] ;
fhir:Extension.valueCanonical [
fhir:value "http://hl7.org/fhir/us/davinci-pdex/ImplementationGuide/hl7.fhir.us.davinci-pdex" ;
fhir:link <http://hl7.org/fhir/us/davinci-pdex/ImplementationGuide/hl7.fhir.us.davinci-pdex>
]
]
]
], [
fhir:index 2 ;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status" ] ;
fhir:Extension.valueCode [
fhir:value "trial-use" ;
fhir:Element.extension [
fhir:index 0 ;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom" ] ;
fhir:Extension.valueCanonical [
fhir:value "http://hl7.org/fhir/us/davinci-pdex/ImplementationGuide/hl7.fhir.us.davinci-pdex" ;
fhir:link <http://hl7.org/fhir/us/davinci-pdex/ImplementationGuide/hl7.fhir.us.davinci-pdex>
]
]
]
] ;
fhir:CodeSystem.url [ fhir:value "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PDexSupportingInfoTypeCS"] ;
fhir:CodeSystem.version [ fhir:value "2.2.0"] ;
fhir:CodeSystem.name [ fhir:value "PDexSupportingInfoTypeCS"] ;
fhir:CodeSystem.title [ fhir:value "PDex Supporting Info Type"] ;
fhir:CodeSystem.status [ fhir:value "active"] ;
fhir:CodeSystem.experimental [ fhir:value "false"^^xsd:boolean] ;
fhir:CodeSystem.date [ fhir:value "2026-06-29T15:03:38+00:00"^^xsd:dateTime] ;
fhir:CodeSystem.publisher [ fhir:value "HL7 International / Financial Management"] ;
fhir:CodeSystem.contact [
fhir:index 0 ;
fhir:ContactDetail.name [ fhir:value "HL7 International / Financial Management" ] ;
fhir:ContactDetail.telecom [
fhir:index 0 ;
fhir:ContactPoint.system [ fhir:value "url" ] ;
fhir:ContactPoint.value [ fhir:value "http://www.hl7.org/Special/committees/fm" ]
], [
fhir:index 1 ;
fhir:ContactPoint.system [ fhir:value "email" ] ;
fhir:ContactPoint.value [ fhir:value "fm@lists.HL7.org" ]
]
], [
fhir:index 1 ;
fhir:ContactDetail.name [ fhir:value "Mark Scrimshire (mark.scrimshire@onyxhealth.io)" ] ;
fhir:ContactDetail.telecom [
fhir:index 0 ;
fhir:ContactPoint.system [ fhir:value "email" ] ;
fhir:ContactPoint.value [ fhir:value "mailto:mark.scrimshire@onyxhealth.io" ]
]
], [
fhir:index 2 ;
fhir:ContactDetail.name [ fhir:value "HL7 International - Financial Management" ] ;
fhir:ContactDetail.telecom [
fhir:index 0 ;
fhir:ContactPoint.system [ fhir:value "url" ] ;
fhir:ContactPoint.value [ fhir:value "http://www.hl7.org/Special/committees/fm" ]
]
] ;
fhir:CodeSystem.description [ fhir:value "Claim Information Category - Used as the discriminator for supportingInfo"] ;
fhir:CodeSystem.jurisdiction [
fhir:index 0 ;
fhir:CodeableConcept.coding [
fhir:index 0 ;
fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ] ;
fhir:Coding.code [ fhir:value "US" ] ;
fhir:Coding.display [ fhir:value "United States of America" ]
]
] ;
fhir:CodeSystem.copyright [ fhir:value "This CodeSystem is not copyrighted."] ;
fhir:CodeSystem.caseSensitive [ fhir:value "false"^^xsd:boolean] ;
fhir:CodeSystem.content [ fhir:value "complete"] ;
fhir:CodeSystem.count [ fhir:value "18"^^xsd:nonNegativeInteger] ;
fhir:CodeSystem.concept [
fhir:index 0 ;
fhir:CodeSystem.concept.code [ fhir:value "admissionperiod" ] ;
fhir:CodeSystem.concept.display [ fhir:value "Admission Period" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "Dates corresponding with the admission and discharge of the beneficiary to a facility" ]
], [
fhir:index 1 ;
fhir:CodeSystem.concept.code [ fhir:value "pointoforigin" ] ;
fhir:CodeSystem.concept.display [ fhir:value "Point Of Origin" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "UB-04 Source of Admission (FL-15) identifies the place where the patient was identified as needing admission to a facility." ]
], [
fhir:index 2 ;
fhir:CodeSystem.concept.code [ fhir:value "admtype" ] ;
fhir:CodeSystem.concept.display [ fhir:value "Admission Type" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "UB-04 Priority of the admission (FL-14) indicates, for example, an admission type of elective indicates that the patient's condition permitted time for medical services to be scheduled." ]
], [
fhir:index 3 ;
fhir:CodeSystem.concept.code [ fhir:value "billingnetworkcontractingstatus" ] ;
fhir:CodeSystem.concept.display [ fhir:value "Billing Network Contracting Status" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "Indicates that the Billing Provider has a contract with the Payer as of the effective date of service or admission." ]
], [
fhir:index 4 ;
fhir:CodeSystem.concept.code [ fhir:value "brandgenericindicator" ] ;
fhir:CodeSystem.concept.display [ fhir:value "Brand Generic Indicator" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "NCPDP code indicating whether the plan adjudicated the claim as a brand or generic drug." ]
], [
fhir:index 5 ;
fhir:CodeSystem.concept.code [ fhir:value "clmrecvddate" ] ;
fhir:CodeSystem.concept.display [ fhir:value "Claim Received Date" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "Date the claim was received by the payer." ]
], [
fhir:index 6 ;
fhir:CodeSystem.concept.code [ fhir:value "compoundcode" ] ;
fhir:CodeSystem.concept.display [ fhir:value "Compound Code" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "NCPDP code indicating whether or not the prescription is a compound." ]
], [
fhir:index 7 ;
fhir:CodeSystem.concept.code [ fhir:value "dawcode" ] ;
fhir:CodeSystem.concept.display [ fhir:value "DAW (Dispense As Written) Code" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "NCPDP code indicating the prescriber's instruction regarding substitution of generic equivalents or order to dispense the specific prescribed medication." ]
], [
fhir:index 8 ;
fhir:CodeSystem.concept.code [ fhir:value "dayssupply" ] ;
fhir:CodeSystem.concept.display [ fhir:value "Days Supply" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "NCPDP value indicating the Number of days supply of medication dispensed by the pharmacy." ]
], [
fhir:index 9 ;
fhir:CodeSystem.concept.code [ fhir:value "discharge-status" ] ;
fhir:CodeSystem.concept.display [ fhir:value "Discharge Status" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "UB-04 Discharge Status (FL-17) indicates the patient’s status as of the discharge date for a facility stay." ]
], [
fhir:index 10 ;
fhir:CodeSystem.concept.code [ fhir:value "drg" ] ;
fhir:CodeSystem.concept.display [ fhir:value "DRG" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "DRG (Diagnosis Related Group), including the code system, the DRG version and the code value" ]
], [
fhir:index 11 ;
fhir:CodeSystem.concept.code [ fhir:value "performingnetworkcontractingstatus" ] ;
fhir:CodeSystem.concept.display [ fhir:value "Performing Network Contracting Status" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "Indicates that the Performing Provider has a contract with the Payer as of the effective date of service or admission." ]
], [
fhir:index 12 ;
fhir:CodeSystem.concept.code [ fhir:value "refillnum" ] ;
fhir:CodeSystem.concept.display [ fhir:value "Refill Number" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "NCPDP value indicating the number fill of the current dispensed supply (0, 1, 2, etc.)" ]
], [
fhir:index 13 ;
fhir:CodeSystem.concept.code [ fhir:value "rxorigincode" ] ;
fhir:CodeSystem.concept.display [ fhir:value "Rx Origin Code" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "NCPDP code indicating whether the prescription was transmitted as an electronic prescription, by phone, by fax, or as a written paper copy." ]
], [
fhir:index 14 ;
fhir:CodeSystem.concept.code [ fhir:value "servicefacility" ] ;
fhir:CodeSystem.concept.display [ fhir:value "Service Facility" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "The facility where the service occurred. Examples include hospitals, nursing homes, laboratories or homeless shelters." ]
], [
fhir:index 15 ;
fhir:CodeSystem.concept.code [ fhir:value "typeofbill" ] ;
fhir:CodeSystem.concept.display [ fhir:value "Type of Bill" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "UB-04 Type of Bill (FL-04) provides specific information for payer purposes." ]
], [
fhir:index 16 ;
fhir:CodeSystem.concept.code [ fhir:value "medicalrecordnumber" ] ;
fhir:CodeSystem.concept.display [ fhir:value "Medical Record Number" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "Patient Medical Record Number associated with the specific claim." ]
], [
fhir:index 17 ;
fhir:CodeSystem.concept.code [ fhir:value "patientaccountnumber" ] ;
fhir:CodeSystem.concept.display [ fhir:value "Patient Account Number" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "Patient Account Number associated with the specific claim." ]
] .
# - ontology header ------------------------------------------------------------
<http://hl7.org/fhir/CodeSystem/PDexSupportingInfoTypeCS.ttl> a owl:Ontology ;
owl:imports fhir:fhir.ttl ;
owl:versionIRI <http://build.fhir.org/CodeSystem/PDexSupportingInfoTypeCS.ttl> .
IG © 2024+ HL7 International / Financial Management. Package hl7.fhir.us.davinci-pdex#2.2.0 based on FHIR 4.0.1. Generated 2026-06-29
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