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 - XML Representation

Raw xml | Download

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