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

• Narrative Content
• XML
• JSON
• TTL

: Example Provider No Match Group - JSON Representation

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{
  "resourceType" : "Group",
  "id" : "example-provider-nomatch-group",
  "meta" : {
    "lastUpdated" : "2024-12-16T10:00:00Z",
    "profile" : [
      🔗 "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-provider-member-no-match"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>Provider No Match Group</h2><p>Members submitted by the provider that were not found in the payer system.</p></div>"
  },
  "contained" : [
    {
      "resourceType" : "Patient",
      "id" : "prov-patient-2",
      "meta" : {
        "profile" : [
          🔗 "http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-patient-demographics"
        ]
      },
      "name" : [
        {
          "use" : "official",
          "family" : "Smith",
          "given" : [
            "Jane"
          ]
        }
      ],
      "gender" : "female",
      "birthDate" : "1978-06-22"
    }
  ],
  "identifier" : [
    {
      "system" : "http://example.org/payer/match-groups",
      "value" : "NMG-2024-12-16-001",
      "assigner" : {
        "display" : "Example Payer"
      }
    }
  ],
  "active" : true,
  "type" : "person",
  "actual" : true,
  "code" : {
    "coding" : [
      {
        "system" : "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMultiMemberMatchResultCS",
        "code" : "nomatch",
        "display" : "Not Matched"
      }
    ]
  },
  "managingEntity" : {
    "identifier" : {
      "system" : "http://hl7.org/fhir/sid/us-npi",
      "value" : "5555555555"
    },
    "display" : "Example Payer Organization"
  },
  "member" : [
    {
      "entity" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-match-parameters",
            "valueReference" : {
              "reference" : "#prov-patient-2"
            }
          }
        ],
        "reference" : "#prov-patient-2"
      }
    }
  ]
}