Da Vinci Payer Data Exchange
2.1.1 - STU 2.1 United States of America flag

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 2.1.1 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

Example Consent: Provider Treatment Attestation Consent Example for Bulk Member Match

Page standards status: Informative

status: Active

scope: Treatment

category: Treatment, Release of information consent

patient: Johnny Appleseed Male, DoB: 1986-01-01 ( Member Number)

dateTime: 2024-11-14 10:30:00+0000

performer: Dr. Susan Smith

organization: Provider 1

source: Provider Attestation Form

Policies

-AuthorityUri
*https://example.org/health-authorityhttps://example.org/provider-attestation-policy

Verifications

-VerifiedVerifiedWithVerificationDate
*trueProvider 12024-11-14 10:30:00+0000

provision

type: Opt In

period: 2024-01-15 --> (ongoing)

actor

role: information recipient

reference: Dr. Susan Smith

actor

role: healthcare provider

reference: Provider 1

purpose: ActReason: TREAT (treatment), ActReason: HPAYMT (healthcare payment), ActReason: HOPERAT (healthcare operations)