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
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• TTL

: Example Provider No Match Group - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

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

 a fhir:Group ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "example-provider-nomatch-group"] ; # 
  fhir:meta [
fhir:lastUpdated [ fhir:v "2024-12-16T10:00:00Z"^^xsd:dateTime ] ;
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-provider-member-no-match"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-provider-member-no-match>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<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>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:contained ( [
a fhir:Patient ;
fhir:id [ fhir:v "prov-patient-2" ] ;
fhir:meta [
      ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-patient-demographics"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-patient-demographics>       ] )     ] ;
    ( fhir:name [
fhir:use [ fhir:v "official" ] ;
fhir:family [ fhir:v "Smith" ] ;
      ( fhir:given [ fhir:v "Jane" ] )     ] ) ;
fhir:gender [ fhir:v "female" ] ;
fhir:birthDate [ fhir:v "1978-06-22"^^xsd:date ]
  ] ) ; # 
  fhir:identifier ( [
fhir:system [
fhir:v "http://example.org/payer/match-groups"^^xsd:anyURI ;
fhir:l <http://example.org/payer/match-groups>     ] ;
fhir:value [ fhir:v "NMG-2024-12-16-001" ] ;
fhir:assigner [
fhir:display [ fhir:v "Example Payer" ]     ]
  ] ) ; # 
  fhir:active [ fhir:v true] ; # 
  fhir:type [ fhir:v "person"] ; # 
  fhir:actual [ fhir:v true] ; # 
  fhir:code [
    ( fhir:coding [
fhir:system [
fhir:v "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMultiMemberMatchResultCS"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMultiMemberMatchResultCS>       ] ;
fhir:code [ fhir:v "nomatch" ] ;
fhir:display [ fhir:v "Not Matched" ]     ] )
  ] ; # 
  fhir:managingEntity [
fhir:identifier [
fhir:system [
fhir:v "http://hl7.org/fhir/sid/us-npi"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/sid/us-npi>       ] ;
fhir:value [ fhir:v "5555555555" ]     ] ;
fhir:display [ fhir:v "Example Payer Organization" ]
  ] ; # 
  fhir:member ( [
fhir:entity [
fhir:l <#prov-patient-2> ;
      ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-match-parameters"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-match-parameters>         ] ;
fhir:value [
a fhir:Reference ;
fhir:l <#prov-patient-2> ;
fhir:reference [ fhir:v "#prov-patient-2" ]         ]       ] ) ;
fhir:reference [ fhir:v "#prov-patient-2" ]     ]
  ] ) . #