Da Vinci Payer Data Exchange
2.1.1 - STU 2.1 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 2.1.1 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 Member Opt-Out Group - JSON Representation

Page standards status: Informative

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{
  "resourceType" : "Group",
  "id" : "member-opt-out-group-001",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/member-opt-out-group"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>Member Opt-Out Group</h2><p>Members who have opted out of Provider Access data sharing</p></div>"
  },
  "identifier" : [
    {
      "system" : "http://example.org/payer/opt-out-groups",
      "value" : "OPT-OUT-2024-001",
      "assigner" : {
        "display" : "Example Payer"
      }
    }
  ],
  "active" : true,
  "type" : "person",
  "actual" : true,
  "code" : {
    "coding" : [
      {
        "system" : "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMultiMemberMatchResultCS",
        "code" : "consentconstraint",
        "display" : "Consent Constraint"
      }
    ]
  },
  "quantity" : 1,
  "managingEntity" : {
    "identifier" : {
      "system" : "http://hl7.org/fhir/sid/us-npi",
      "value" : "5555555555"
    },
    "display" : "Example Payer Organization"
  },
  "characteristic" : [
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMultiMemberMatchResultCS",
            "code" : "consentconstraint",
            "display" : "Consent Constraint"
          }
        ]
      },
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/opt-out-scope",
            "code" : "provider-specific",
            "display" : "Provider-Specific Opt-Out"
          }
        ]
      },
      "exclude" : false,
      "period" : {
        "start" : "2024-06-01"
      }
    }
  ],
  "member" : [
    {
      "entity" : {
        🔗 "reference" : "Patient/1",
        "display" : "Jane Doe - Opted out of provider data sharing"
      },
      "inactive" : false
    }
  ]
}