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Section 1c: FHIR®
Section 3: Implementation Guides

HL7 FHIR® Implementation Guide: Payer Data Exchange (PDex), Edition 2.1, 2.2 - US Realm

DESCRIPTION

Using Payer Data Exchange enables payers to publish Financial and clinical data to Consumers and other payers using US Core clinical resources and additional profiles that are specific to the payer community and not available in US Core.

ALTERNATIVE NAMES

HL7 FHIR® Implementation Guide: Payer Data Exchange (PDex), Edition 2.1, 2.2 - US Realm may also go by the following names or acronyms:

"HL7 FHIR® IG: ePayer Data Exchange (ePDx), Release 1",PDEX, Payer Data Exchange, Da Vinci PDEX,US Da Vinci PDex (FHIR)

BENEFITS

  • Enables consumer-directed exchange of clinical information to meet the requirements of the CMS Interoperability Rule. This version enables more efficient Provider Access.
  • Supports Payer-to-Payer Exchange when a member moves to a new plan 

IMPLEMENTATIONS/CASE STUDIES

  • Consumer Applications / Payers.

DEVELOPMENT BACKGROUND

The Implementation Guide has been developed with the support of the HL7 Da Vinci project and with significant input from the implementer community.

The use case enables the exchange of clinical data held by payers to consumers and to other payers, under the direction of the consumer. The exchange can be to a consumer application by the consumer utilizing their HIPAA Right of Access to share their data.

RELATED DOCUMENTS

HL7 FHIR® Implementation Guide: Payer Data Exchange (PDex), Edition 2.1, 2.2 - US Realm

STU DOCUMENTS

HL7 FHIR® Implementation Guide: Payer Data Exchange (PDex), Edition 2.1 - US Realm See the standard at http://hl7.org/fhir/us/davinci-pdex/STU2.1. (Submit Feedback on STU)
HL7 FHIR® Implementation Guide: Payer Data Exchange (PDex), Edition 2.2 - US Realm See the standard at http://hl7.org/fhir/us/davinci-pdex/STU2.2. (Submit Feedback on STU)
HL7 FHIR® Implementation Guide: Payer Data Exchange (PDex), Release 2 - US Realm See the standard at http://hl7.org/fhir/us/davinci-pdex/STU2. Expiration Jan 2026
HL7 FHIR® Implementation Guide: Payer Data Exchange (PDex), Release 1 - US Realm http://hl7.org/fhir/us/davinci-pdex/STU1/index.html Expiration Dec 2023

TOPIC

  • Financial Management

BALLOT TYPE

  • STU

STATUS DATE

2025-06-17

RESPONSIBLE WORK GROUP

Financial Management

PRODUCT TYPE

  • Implementation Guide

STAKEHOLDERS

  • EHR, PHR Vendors
  • Health Care IT Vendors
  • Healthcare Institutions
  • HIS Vendors
  • Local and State Departments of Health
  • Payors
  • Regulatory Agency

FAMILY

  • FHIR

CURRENT STATE

  • Active

REALM

  • US Realm