Da Vinci Payer Data Exchange
2.2.0 - STU 2.2 United States of America flag

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 2.2.0 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

: example-pdex-member-match-group - TTL Representation

Page standards status: Informative

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/Group/07e72a15407547bf9d03f522aa536a72.1> a fhir:Group ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "07e72a15407547bf9d03f522aa536a72.1"] ;
  fhir:Resource.meta [
     fhir:Meta.lastUpdated [ fhir:value "2024-03-20T09:00:00.000Z"^^xsd:dateTime ]
  ] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Default Generated text for resource.</div>"
  ] ;
  fhir:DomainResource.contained [
     a fhir:Patient ;
     fhir:index 0 ;
     fhir:Resource.id [ fhir:value "1" ] ;
     fhir:Patient.identifier [
       fhir:index 0 ;
       fhir:Identifier.type [
         fhir:CodeableConcept.coding [
           fhir:index 0 ;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ] ;
           fhir:Coding.code [ fhir:value "MB" ]
         ]
       ] ;
       fhir:Identifier.system [ fhir:value "http://example.org/new-payer/identifiers/member" ] ;
       fhir:Identifier.value [ fhir:value "55678" ] ;
       fhir:Identifier.assigner [
         fhir:Reference.display [ fhir:value "New Payer" ]
       ]
     ] ;
     fhir:Patient.name [
       fhir:index 0 ;
       fhir:HumanName.use [ fhir:value "official" ] ;
       fhir:HumanName.family [ fhir:value "Person" ] ;
       fhir:HumanName.given [
         fhir:value "Patricia" ;
         fhir:index 0
       ], [
         fhir:value "Ann" ;
         fhir:index 1
       ]
     ] ;
     fhir:Patient.gender [ fhir:value "female" ] ;
     fhir:Patient.birthDate [ fhir:value "1974-12-25"^^xsd:date ]
  ], [
     a fhir:Patient ;
     fhir:index 1 ;
     fhir:Resource.id [ fhir:value "2" ] ;
     fhir:Patient.identifier [
       fhir:index 0 ;
       fhir:Identifier.type [
         fhir:CodeableConcept.coding [
           fhir:index 0 ;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ] ;
           fhir:Coding.code [ fhir:value "MB" ]
         ]
       ] ;
       fhir:Identifier.system [ fhir:value "http://example.org/new-payer/identifiers/member" ] ;
       fhir:Identifier.value [ fhir:value "45567" ] ;
       fhir:Identifier.assigner [
         fhir:Reference.display [ fhir:value "New Payer" ]
       ]
     ] ;
     fhir:Patient.name [
       fhir:index 0 ;
       fhir:HumanName.use [ fhir:value "official" ] ;
       fhir:HumanName.family [ fhir:value "Smith" ] ;
       fhir:HumanName.given [
         fhir:value "William" ;
         fhir:index 0
       ], [
         fhir:value "John" ;
         fhir:index 1
       ]
     ] ;
     fhir:Patient.gender [ fhir:value "male" ] ;
     fhir:Patient.birthDate [ fhir:value "1958-12-25"^^xsd:date ]
  ], [
     a fhir:Coverage ;
     fhir:index 2 ;
     fhir:Resource.id [ fhir:value "coverage-1" ] ;
     fhir:Coverage.status [ fhir:value "active" ] ;
     fhir:Coverage.subscriberId [ fhir:value "EMP-123456" ] ;
     fhir:Coverage.beneficiary [
       fhir:link <http://hl7.org/fhir/Patient/1001> ;
       fhir:Reference.reference [ fhir:value "Patient/1001" ]
     ] ;
     fhir:Coverage.payor [
       fhir:index 0 ;
       fhir:Reference.identifier [
         fhir:Identifier.system [ fhir:value "http://hl7.org/fhir/sid/us-npi" ] ;
         fhir:Identifier.value [ fhir:value "0123456789" ]
       ] ;
       fhir:Reference.display [ fhir:value "Old Health Plan" ]
     ] ;
     fhir:Coverage.class [
       fhir:index 0 ;
       fhir:Coverage.class.type [
         fhir:CodeableConcept.coding [
           fhir:index 0 ;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/coverage-class" ] ;
           fhir:Coding.code [ fhir:value "plan" ]
         ]
       ] ;
       fhir:Coverage.class.value [ fhir:value "EMP-PLAN-123" ] ;
       fhir:Coverage.class.name [ fhir:value "Employer Plan 123" ]
     ]
  ] ;
  fhir:Group.identifier [
     fhir:index 0 ;
     fhir:Identifier.system [ fhir:value "http://hl7.org/fhir/sid/us-npi" ] ;
     fhir:Identifier.value [ fhir:value "0123456789" ]
  ] ;
  fhir:Group.type [ fhir:value "person"] ;
  fhir:Group.actual [ fhir:value "true"^^xsd:boolean] ;
  fhir:Group.code [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMultiMemberMatchResultCS" ] ;
       fhir:Coding.code [ fhir:value "match" ] ;
       fhir:Coding.display [ fhir:value "Matched" ]
     ]
  ] ;
  fhir:Group.name [ fhir:value "Matched Members"] ;
  fhir:Group.managingEntity [
     fhir:Reference.identifier [
       fhir:Identifier.system [ fhir:value "http://hl7.org/fhir/sid/us-npi" ] ;
       fhir:Identifier.value [ fhir:value "9876543210" ]
     ] ;
     fhir:Reference.display [ fhir:value "Old Health Plan" ]
  ] ;
  fhir:Group.characteristic [
     fhir:index 0 ;
     fhir:Group.characteristic.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMultiMemberMatchResultCS" ] ;
         fhir:Coding.code [ fhir:value "match" ] ;
         fhir:Coding.display [ fhir:value "Matched" ]
       ]
     ] ;
     fhir:Group.characteristic.valueReference [
       fhir:Reference.identifier [
         fhir:Identifier.system [ fhir:value "http://hl7.org/fhir/sid/us-npi" ] ;
         fhir:Identifier.value [ fhir:value "0123456789" ]
       ]
     ] ;
     fhir:Group.characteristic.exclude [ fhir:value "false"^^xsd:boolean ] ;
     fhir:Group.characteristic.period [
       fhir:Period.start [ fhir:value "2024-03-20"^^xsd:date ]
     ]
  ] ;
  fhir:Group.member [
     fhir:index 0 ;
     fhir:Group.member.entity [
       fhir:link <http://hl7.org/fhir/Patient/1001> ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-match-parameters" ] ;
         fhir:Extension.valueReference [
           fhir:Reference.reference [ fhir:value "#1" ]
         ]
       ], [
         fhir:index 1 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-match-coverage" ] ;
         fhir:Extension.valueReference [
           fhir:Reference.reference [ fhir:value "#coverage-1" ]
         ]
       ] ;
       fhir:Reference.reference [ fhir:value "Patient/1001" ]
     ]
  ], [
     fhir:index 1 ;
     fhir:Group.member.entity [
       fhir:link <http://hl7.org/fhir/Patient/2002> ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-match-parameters" ] ;
         fhir:Extension.valueReference [
           fhir:Reference.reference [ fhir:value "#2" ]
         ]
       ] ;
       fhir:Reference.reference [ fhir:value "Patient/2002" ]
     ]
  ] .

<http://hl7.org/fhir/Patient/1001> a fhir:Patient .

<http://hl7.org/fhir/Patient/2002> a fhir:Patient .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/Group/07e72a15407547bf9d03f522aa536a72.1.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/Group/07e72a15407547bf9d03f522aa536a72.1.ttl> .