DaVinci PDEX Plan Net
0.1.0 - STU1

DaVinci PDEX Plan Net, published by HL7 Financial Management Working Group. This is not an authorized publication; it is the continuous build for version 0.1.0). This version is based on the current content of https://github.com/HL7/davinci-pdex-plan-net/ and changes regularly. See the Directory of published versions

Terminology

Value Sets defined as part of this Implementation Guide.

Name Definition
Accepting Patients Codes Codes for acceptance of new patients
Accessibility Codes for documenting general categories of accommodations available.
Delivery Methods Codes for documenting delivery methods.
Endpoint Connection Types Endpoint Connection Types
Endpoint Payload Types Endpoint Payload Types are constrained to NA (Not Applicable) as part of this IG
Endpoint Usecases Codes for documenting business use case by a general grouping by business area.
Healthcare Service Category Valueset for descripting the broad category of service being performed or delivered by a health care service
PLACEHOLDER: Healthcare Service Type HealthcareService Type
Individual Specialties, Degrees, Licenses, and Certificates
Individual and Group Specialties Individual and Group Specialties from National Uniform Claim Committee (NUCC) Health Care Provider Taxonomy code set.
Insurance Plan Type Valueset for InsurancePlan plan types. Plans within a prouduct share coverage but differ in cost-sharing.
Insurance Product Type Valueset for InsurancePlan product types. Any set of plans that share a network type and a set of benefits is a product. Plans within a prouduct share coverage but differ in cost-sharing.
Language Proficiency Codes for documenting spoken language proficiency based on the Interagency Language Roundtable scale of abilities to communicate in a language.
Minimum Endpoint Connection Types Minimum Endpoint Connection Types
Non-Individual Specialties Non-Individual Specialties from National Uniform Claim Committee (NUCC) Health Care Provider Taxonomy code set.
Non-Individual Specialties, Degrees, Licenses, and Certificates
Organization Type Provider Directory Organization Type.
OrganizationAffiliation Roles Value Set for Organization Affiliation Roles
Qualification Status Codes for documenting the status of a qualification.
Specialties Specialties value set based on National Uniform Claim Committee (NUCC) Health Care Provider Taxonomy code set.
Specialties, Degrees, Licenses, and Certificates Specialties and Degree License and Certificates
ValueSet for PractitionerRole.code ValueSet for PractitionerRole.code
Virtual Modalities Codes for virtual service delivery modalities .

Code Systems defined as part of this Implementation Guide.

Name Definition
Accepting Patients Codes Codes for acceptance of new patients
Accessibility Codes for documenting general categories of accommodations available.
Delivery Methods Codes for documenting healthcare service delivery methods.
Endpoint Connection Types (additional) Extension codes for http://terminology.hl7.org/CodeSystem/endpoint-connection-type
Endpoint Payload Types Endpoint Payload Types are constrained to NA (Not Applicable) as part of this IG
Healthcare Service Category Codesystem for descripting the broad category of service being performed or delivered by a health care service
PLACEHOLDER: Healthcare Service Type HealthcareService Type
Insurance Plan Type Codes for InsurancePlan plan types. Plans within a prouduct share coverage but differ in cost-sharing
Insurance Product Type Insurance Product Type
Language Proficiency Codes for documenting spoken language proficiency based on the Interagency Language Roundtable scale of abilities to communicate in a language.
Organization Affiliation Role Codes For Organization Affiliation Role
Organization Type. Codesystem for types of organizations found in provider directories.
Provider Role Codes Codes for Provider Roles. TEMPORARY: two letter codes are Payer roles from Gail, 3 letter codes starting with F are functional roles from Mary Kay
Qualification Status Codes for documenting the status of a qualification.
Virtual Modalities Codes for virtual service delivery modalities .