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

## ValueSet: PDex SupportingInfo Type (Experimental)

Official URL: http://hl7.org/fhir/us/davinci-pdex/ValueSet/PDexSupportingInfoType | Version: 2.1.1
Standards status: Informative | Computable Name: PDexSupportingInfoType
Copyright/Legal: This Valueset is not copyrighted.

Used as the discriminator for the types of supporting information for the PDEX Prior Authorization. Based on the CARIN IG for Blue Button� Implementation Guide.

References

This value set is not used here; it may be used elsewhere (e.g. specifications and/or implementations that use this content)

### Logical Definition (CLD)

- Include all codes defined in `http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PDexSupportingInfoTypeCS` version 📦2.1.1

### Expansion

Expansion performed internally based on codesystem PDex Supporting Info Type v2.1.1 (CodeSystem)

This value set contains 18 concepts

System | Code | Display (en) | Definition | JSON | XML
`http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PDexSupportingInfoTypeCS` | admissionperiod | Admission Period | Dates corresponding with the admission and discharge of the beneficiary to a facility |  |
`http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PDexSupportingInfoTypeCS` | 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. |  |
`http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PDexSupportingInfoTypeCS` | 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. |  |
`http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PDexSupportingInfoTypeCS` | 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. |  |
`http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PDexSupportingInfoTypeCS` | brandgenericindicator | Brand Generic Indicator | NCPDP code indicating whether the plan adjudicated the claim as a brand or generic drug. |  |
`http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PDexSupportingInfoTypeCS` | clmrecvddate | Claim Received Date | Date the claim was received by the payer. |  |
`http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PDexSupportingInfoTypeCS` | compoundcode | Compound Code | NCPDP code indicating whether or not the prescription is a compound. |  |
`http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PDexSupportingInfoTypeCS` | 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. |  |
`http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PDexSupportingInfoTypeCS` | dayssupply | Days Supply | NCPDP value indicating the Number of days supply of medication dispensed by the pharmacy. |  |
`http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PDexSupportingInfoTypeCS` | discharge-status | Discharge Status | UB-04 Discharge Status (FL-17) indicates the patient’s status as of the discharge date for a facility stay. |  |
`http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PDexSupportingInfoTypeCS` | drg | DRG | DRG (Diagnosis Related Group), including the code system, the DRG version and the code value |  |
`http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PDexSupportingInfoTypeCS` | 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. |  |
`http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PDexSupportingInfoTypeCS` | refillnum | Refill Number | NCPDP value indicating the number fill of the current dispensed supply (0, 1, 2, etc.) |  |
`http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PDexSupportingInfoTypeCS` | 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. |  |
`http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PDexSupportingInfoTypeCS` | servicefacility | Service Facility | The facility where the service occurred. Examples include hospitals, nursing homes, laboratories or homeless shelters. |  |
`http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PDexSupportingInfoTypeCS` | typeofbill | Type of Bill | UB-04 Type of Bill (FL-04) provides specific information for payer purposes. |  |
`http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PDexSupportingInfoTypeCS` | medicalrecordnumber | Medical Record Number | Patient Medical Record Number associated with the specific claim. |  |
`http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PDexSupportingInfoTypeCS` | patientaccountnumber | Patient Account Number | Patient Account Number associated with the specific claim. |  |

Explanation of the columns that may appear on this page:

Level | A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System | The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code | The code (used as the code in the resource instance)
Display | The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition | An explanation of the meaning of the concept
Comments | Additional notes about how to use the code