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 Member Opt-Out Group - XML Representation

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<Group xmlns="http://hl7.org/fhir">
  <id value="member-opt-out-group-001"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-member-opt-out"/>
  </meta>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <identifier>
    <system value="http://example.org/payer/opt-out-groups"/>
    <value value="OPT-OUT-2024-001"/>
    <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="consentconstraint"/>
      <display value="Consent Constraint"/>
    </coding>
  </code>
  <quantity value="1"/>
  <managingEntity>
    <identifier>
      <system value="http://hl7.org/fhir/sid/us-npi"/>
      <value value="5555555555"/>
    </identifier>
    <display value="Example Payer Organization"/>
  </managingEntity>
  <characteristic>
    <extension
               url="http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/opt-out-reason">
      <valueCodeableConcept>
        <coding>
          <system
                  value="http://hl7.org/fhir/us/davinci-pdex/CodeSystem/opt-out-reason"/>
          <code value="privacy-concern"/>
          <display value="Privacy Concern"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <code>
      <coding>
        <system
                value="http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMultiMemberMatchResultCS"/>
        <code value="consentconstraint"/>
        <display value="Consent Constraint"/>
      </coding>
    </code>
    <valueCodeableConcept>
      <coding>
        <system
                value="http://hl7.org/fhir/us/davinci-pdex/CodeSystem/opt-out-scope"/>
        <code value="provider-specific"/>
        <display value="Provider-Specific Opt-Out"/>
      </coding>
    </valueCodeableConcept>
    <exclude value="false"/>
    <period>
      <start value="2024-06-01"/>
    </period>
  </characteristic>
  <member>
    <entity>🔗 
      <extension
                 url="http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/opt-out-details">
        <valueString
                     value="Member requested opt-out on 2024-06-01 citing privacy concerns. Opt-out applies to all named providers."/>
      </extension>
      <reference value="Patient/1"/>
      <display value="Jane Doe - Opted out of provider data sharing"/>
    </entity>
    <inactive value="false"/>
  </member>
</Group>