-
Notifications
You must be signed in to change notification settings - Fork 0
/
Copy pathpackage-list.yml
91 lines (87 loc) · 6.11 KB
/
package-list.yml
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
package-id: hl7.fhir.us.davinci-pdex
canonical: http://hl7.org/fhir/us/davinci-pdex
title: Da Vinci Payer Data Exchange
introduction: >-
This specification is currently undergoing ballot and connectathon testing.
It is expected to evolve, possibly significantly, as part of that process.
Feedback is welcome and may be submitted through the FHIR JIRA tracker indicating
US Da Vinci PDex as the specification. If balloting on this IG,
please submit your comments via the tracker and reference them in your ballot submission
implementation guide.
This guide can be reviewed offline. Go to the Downloads section. Click on the link to
download the full Implementation Guide as a zip file. Expand the zip file and use a
web browser to launch the index.html file in the directory created by the zip extract process.
External hyperlinks in the guide will not be available unless you have an active internet connection.
[Financial Management](https://confluence.hl7.org/display/FM/Financial+Management+Home) is the Sponsoring Work Group
for this Implementation Guide.
**The Payer Data Exchange (PDex) Implementation Guide (IG) is provided for Payers/Health Plans to enable them
to create a Member's Health History using clinical resources (based on US Core Profiles based on FHIR R4)
which can be understood by providers and, if they choose to, committed to their Electronic Medical Records (EMR) System.**
**The PDex work group has made changes to the original version of the IG following the publication of the final
CMS Interoperability and Patient Access Rule.**
This IG uses the same Member Health History \"payload\" for member-authorized exchange of information with other
Health Plans and with Third-Party Applications. It describes the interaction patterns that, when followed, allow
the various parties involved in managing healthcare and payer data to more easily integrate and exchange data
securely and effectively.
This IG covers the exchange of:
> Claims-based information\n- Clinical Information (such as Lab Results, Allergies and Conditions)
This IG covers the exchange of this information using US Core and Da Vinci Health Record Exchange (HRex) Profiles.
This superset of clinical profiles forms the Health Plan Member's Health History.
This IG covers the exchange of a Member's Health History in the following scenarios:
> Provider requested Provider-Health Plan Exchange using CDS-Hooks and SMART-on-FHIR.
> Member-authorized Health Plan to Health Plan exchange.
> Member-authorized Health Plan to Third-Party Application exchange.
The latter two scenarios are provided to meet the requirements identified in the CMS Interoperability
Notice for Proposed Rule Making issued on February 11, 2019.
**There are items in this guide that are subject to update**. This includes:
> Value Sets
> Vocabularies (X12, NUBC etc.)
> Examples\n\n**The Vocabulary, Value Sets and codings used to express data in this IG are subject to review
and will be reconciled with [X12](http://www.x12.org).
See the [Table of Contents](toc.html) for more information.
category: Financial
list:
- version: current
desc: Continuous Integration Build (latest in version control)
path: http://build.fhir.org/ig/HL7/davinci-epdx
status: ci-build
current: true
descmd: >-
The following changes were applied in the STU 1.1.0 update:
| JIRA Ticket | Change |
|------------|-----------------|
|[FHIR-33141](https://jira.hl7.org/browse/FHIR-33141)|Revert [PDex Provenance](StructureDefinition-pdex-provenance.html) Recorded definition to the US Core Provenance version |
|[FHIR-33173](https://jira.hl7.org/browse/FHIR-33173)|Add clarification to use of [$everything operation](PDexImplementationActorsInteractionsDataPayloadsandMethods.html#patient-everything-via-alternate-secure-transport)|
|[FHIR-33216](https://jira.hl7.org/browse/FHIR-33216)|Add guidance for use of Consent resource in [$member-match operation](PayerToPayerExchange.html#operation-member-match-on-patient)|
- version: 1.1.0
date: "2022-02-15"
desc: 'HL7 FHIR® Implementation Guide: Payer Data Exchange (PDex), Release 1.1.0 - US Realm.'
path: http://hl7.org/fhir/us/davinci-pdex/2021Aug
status: ballot
sequence: STU2
fhirversion: 4.0.1
descmd: >-
The following changes were applied in the STU 1.1.0-ballot update:
| JIRA Ticket | Change |
|------------|------------------|
| [FHIR-35868](https://jira.hl7.org/browse/FHIR-35868) | Revert US Core References back to 3.1.1 |
| [FHIR-34308](https://jira.hl7.org/browse/FHIR-34308) | Update US Core and PDex inter-relationship diagram to add Prior Auth in Overview page. |
| [FHIR-33382](https://jira.hl7.org/browse/FHIR-33382) | Change references to US Core to link to the current 4.0.0 version. Reverted - see [FHIR-35868](https://jira.hl7.org/browse/FHIR-35868) above. |
| [FHIR-33218](https://jira.hl7.org/browse/FHIR-33218) | Update Payer-to-Payer Exchange section to clarify use of Bulk FHIR protocols for retrieval of data for a single patient/member only. The flow has been subject to substantial assessment at multiple connectathons and test events. |
| [FHIR-33217](https://jira.hl7.org/browse/FHIR-33217)| Add a [PDex Prior Authorization profile](StructureDefinition-pdex-priorauthorization.html), based on the EOB resource to support the exchange of Prior Authorization information with Members. Added Slices to item adjudication and added consumedunits slice |
| [FHIR-33713](https://jira.hl7.org/browse/FHIR-33713)| Add [Provenance custodian](Provenance-1000101.html) record for receipt of member data from prior payer|
- version: 1.0.0
date: "2020-11-02"
desc: 'HL7 FHIR® Implementation Guide: Payer Data Exchange (PDex), Release 1 - US Realm.'
path: http://hl7.org/fhir/us/davinci-pdex/STU1
status: trial-use
sequence: STU1
fhirversion: 4.0.1
current: true
- version: 0.0.1
date: "2019-06-20"
desc: Initial STU ballot (Sep 2019 Ballot) for Da Vinci PDex
path: http://hl7.org/fhir/us/davinci-pdex/2019Jun
status: ballot
sequence: STU 1
fhirversion: 4.0.0