Da Vinci Payer Data Exchange
2.1.1 - STU 2.1

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

## CodeSystem: PDex Supporting Info Type

Official URL: http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PDexSupportingInfoTypeCS | Version: 2.1.1
Standards status: Trial-use | Maturity Level: 2 | Computable Name: PDexSupportingInfoTypeCS
Copyright/Legal: This CodeSystem is not copyrighted.

Claim Information Category - Used as the discriminator for supportingInfo

This Code system is referenced in the content logical definition of the following value sets:

- PDexSupportingInfoType

This case-insensitive code system `http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PDexSupportingInfoTypeCS` defines the following codes:

Code | Display | Definition
admissionperiod | Admission Period | Dates corresponding with the admission and discharge of the beneficiary to a facility
pointoforigin | Point Of Origin | UB-04 Source of Admission (FL-15) identifies the place where the patient was identified as needing admission to a facility.
admtype | Admission Type | 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.
billingnetworkcontractingstatus | Billing Network Contracting Status | Indicates that the Billing Provider has a contract with the Payer as of the effective date of service or admission.
brandgenericindicator | Brand Generic Indicator | NCPDP code indicating whether the plan adjudicated the claim as a brand or generic drug.
clmrecvddate | Claim Received Date | Date the claim was received by the payer.
compoundcode | Compound Code | NCPDP code indicating whether or not the prescription is a compound.
dawcode | DAW (Dispense As Written) Code | NCPDP code indicating the prescriber's instruction regarding substitution of generic equivalents or order to dispense the specific prescribed medication.
dayssupply | Days Supply | NCPDP value indicating the Number of days supply of medication dispensed by the pharmacy.
discharge-status | Discharge Status | UB-04 Discharge Status (FL-17) indicates the patient’s status as of the discharge date for a facility stay.
drg | DRG | DRG (Diagnosis Related Group), including the code system, the DRG version and the code value
performingnetworkcontractingstatus | Performing Network Contracting Status | Indicates that the Performing Provider has a contract with the Payer as of the effective date of service or admission.
refillnum | Refill Number | NCPDP value indicating the number fill of the current dispensed supply (0, 1, 2, etc.)
rxorigincode | Rx Origin Code | NCPDP code indicating whether the prescription was transmitted as an electronic prescription, by phone, by fax, or as a written paper copy.
servicefacility | Service Facility | The facility where the service occurred. Examples include hospitals, nursing homes, laboratories or homeless shelters.
typeofbill | Type of Bill | UB-04 Type of Bill (FL-04) provides specific information for payer purposes.
medicalrecordnumber | Medical Record Number | Patient Medical Record Number associated with the specific claim.
patientaccountnumber | Patient Account Number | Patient Account Number associated with the specific claim.