Da Vinci Payer Data Exchange
2.2.0 - STU 2.2
Da Vinci Payer Data Exchange
2.2.0 - STU 2.2
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
@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
<http://hl7.org/fhir/Parameters/payer-multi-member-match-in> a fhir:Parameters ;
fhir:nodeRole fhir:treeRoot ;
fhir:Resource.id [ fhir:value "payer-multi-member-match-in"] ;
fhir:Parameters.parameter [
fhir:index 0 ;
fhir:Parameters.parameter.name [ fhir:value "MemberBundle" ] ;
fhir:Parameters.parameter.part [
fhir:index 0 ;
fhir:Parameters.parameter.name [ fhir:value "MemberPatient" ] ;
fhir:Parameters.parameter.resource [
a fhir:Patient ;
fhir:Resource.id [ fhir:value "patient-1" ] ;
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ] ;
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Default Generated text for resource.</div>"
] ;
fhir:Patient.identifier [
fhir:index 0 ;
fhir:Identifier.type [
fhir:CodeableConcept.coding [
fhir:index 0 ;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ] ;
fhir:Coding.code [ fhir:value "MB" ]
]
] ;
fhir:Identifier.system [ fhir:value "http://example.org/old-payer/identifiers/member" ] ;
fhir:Identifier.value [ fhir:value "55678" ] ;
fhir:Identifier.assigner [
fhir:Reference.display [ fhir:value "Old Payer" ]
]
] ;
fhir:Patient.name [
fhir:index 0 ;
fhir:HumanName.use [ fhir:value "official" ] ;
fhir:HumanName.family [ fhir:value "Person" ] ;
fhir:HumanName.given [
fhir:value "Patricia" ;
fhir:index 0
], [
fhir:value "Ann" ;
fhir:index 1
]
] ;
fhir:Patient.gender [ fhir:value "female" ] ;
fhir:Patient.birthDate [ fhir:value "1974-12-25"^^xsd:date ]
]
], [
fhir:index 1 ;
fhir:Parameters.parameter.name [ fhir:value "CoverageToMatch" ] ;
fhir:Parameters.parameter.resource [
a fhir:Coverage ;
fhir:Resource.id [ fhir:value "coverage-1" ] ;
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ] ;
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Default Generated text for resource.</div>"
] ;
fhir:Coverage.identifier [
fhir:index 0 ;
fhir:Identifier.type [
fhir:CodeableConcept.coding [
fhir:index 0 ;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ] ;
fhir:Coding.code [ fhir:value "MB" ]
]
] ;
fhir:Identifier.system [ fhir:value "http://example.org/old-payer" ] ;
fhir:Identifier.value [ fhir:value "DH10001235" ]
] ;
fhir:Coverage.status [ fhir:value "draft" ] ;
fhir:Coverage.subscriberId [ fhir:value "1234564321" ] ;
fhir:Coverage.beneficiary [
fhir:link <http://hl7.org/fhir/Patient/1> ;
fhir:Reference.reference [ fhir:value "Patient/1" ]
] ;
fhir:Coverage.relationship [
fhir:CodeableConcept.coding [
fhir:index 0 ;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/subscriber-relationship" ] ;
fhir:Coding.code [ fhir:value "self" ]
]
] ;
fhir:Coverage.period [
fhir:Period.start [ fhir:value "2011-05-23"^^xsd:date ] ;
fhir:Period.end [ fhir:value "2012-05-23"^^xsd:date ]
] ;
fhir:Coverage.payor [
fhir:index 0 ;
fhir:Reference.identifier [
fhir:Identifier.system [ fhir:value "http://hl7.org/fhir/sid/us-npi" ] ;
fhir:Identifier.value [ fhir:value "9876543210" ]
] ;
fhir:Reference.display [ fhir:value "Old Health Plan" ]
] ;
fhir:Coverage.class [
fhir:index 0 ;
fhir:Coverage.class.type [
fhir:CodeableConcept.coding [
fhir:index 0 ;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/coverage-class" ] ;
fhir:Coding.code [ fhir:value "group" ]
]
] ;
fhir:Coverage.class.value [ fhir:value "CB135" ]
], [
fhir:index 1 ;
fhir:Coverage.class.type [
fhir:CodeableConcept.coding [
fhir:index 0 ;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/coverage-class" ] ;
fhir:Coding.code [ fhir:value "plan" ]
]
] ;
fhir:Coverage.class.value [ fhir:value "B37FC" ]
], [
fhir:index 2 ;
fhir:Coverage.class.type [
fhir:CodeableConcept.coding [
fhir:index 0 ;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/coverage-class" ] ;
fhir:Coding.code [ fhir:value "subplan" ]
]
] ;
fhir:Coverage.class.value [ fhir:value "P7" ]
], [
fhir:index 3 ;
fhir:Coverage.class.type [
fhir:CodeableConcept.coding [
fhir:index 0 ;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/coverage-class" ] ;
fhir:Coding.code [ fhir:value "class" ]
]
] ;
fhir:Coverage.class.value [ fhir:value "SILVER" ]
]
]
], [
fhir:index 2 ;
fhir:Parameters.parameter.name [ fhir:value "Consent" ] ;
fhir:Parameters.parameter.resource [
a fhir:Consent ;
fhir:Resource.id [ fhir:value "consent-1" ] ;
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ] ;
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Default Generated text for resource.</div>"
] ;
fhir:Consent.status [ fhir:value "active" ] ;
fhir:Consent.scope [
fhir:CodeableConcept.coding [
fhir:index 0 ;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/consentscope" ] ;
fhir:Coding.code [ fhir:value "patient-privacy" ]
]
] ;
fhir:Consent.category [
fhir:index 0 ;
fhir:CodeableConcept.coding [
fhir:index 0 ;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ] ;
fhir:Coding.code [ fhir:value "IDSCL" ]
]
] ;
fhir:Consent.patient [
fhir:link <http://hl7.org/fhir/Patient/1> ;
fhir:Reference.reference [ fhir:value "Patient/1" ]
] ;
fhir:Consent.performer [
fhir:index 0 ;
fhir:link <http://hl7.org/fhir/Patient/1> ;
fhir:Reference.reference [ fhir:value "Patient/1" ]
] ;
fhir:Consent.sourceReference [
fhir:link <http://example.org/DocumentReference/someconsent-1> ;
fhir:Reference.reference [ fhir:value "http://example.org/DocumentReference/someconsent-1" ]
] ;
fhir:Consent.policy [
fhir:index 0 ;
fhir:Consent.policy.uri [ fhir:value "http://hl7.org/fhir/us/davinci-hrex/StructureDefinition-hrex-consent.html#regular" ]
] ;
fhir:Consent.provision [
fhir:Consent.provision.type [ fhir:value "permit" ] ;
fhir:Consent.provision.period [
fhir:Period.start [ fhir:value "2023-12-01"^^xsd:date ] ;
fhir:Period.end [ fhir:value "2024-03-31"^^xsd:date ]
] ;
fhir:Consent.provision.actor [
fhir:index 0 ;
fhir:Consent.provision.actor.role [
fhir:CodeableConcept.coding [
fhir:index 0 ;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/provenance-participant-type" ] ;
fhir:Coding.code [ fhir:value "performer" ]
]
] ;
fhir:Consent.provision.actor.reference [
fhir:Reference.identifier [
fhir:Identifier.system [ fhir:value "http://hl7.org/fhir/sid/us-npi" ] ;
fhir:Identifier.value [ fhir:value "9876543210" ]
] ;
fhir:Reference.display [ fhir:value "Old Health Plan" ]
]
], [
fhir:index 1 ;
fhir:Consent.provision.actor.role [
fhir:CodeableConcept.coding [
fhir:index 0 ;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ParticipationType" ] ;
fhir:Coding.code [ fhir:value "IRCP" ]
]
] ;
fhir:Consent.provision.actor.reference [
fhir:Reference.identifier [
fhir:Identifier.system [ fhir:value "http://hl7.org/fhir/sid/us-npi" ] ;
fhir:Identifier.value [ fhir:value "0123456789" ]
] ;
fhir:Reference.display [ fhir:value "New Health Plan" ]
]
] ;
fhir:Consent.provision.action [
fhir:index 0 ;
fhir:CodeableConcept.coding [
fhir:index 0 ;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/consentaction" ] ;
fhir:Coding.code [ fhir:value "disclose" ]
]
]
]
]
], [
fhir:index 3 ;
fhir:Parameters.parameter.name [ fhir:value "CoverageToLink" ] ;
fhir:Parameters.parameter.resource [
a fhir:Coverage ;
fhir:Resource.id [ fhir:value "coverage-link-1" ] ;
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ] ;
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Default Generated text for resource.</div>"
] ;
fhir:Coverage.identifier [
fhir:index 0 ;
fhir:Identifier.type [
fhir:CodeableConcept.coding [
fhir:index 0 ;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ] ;
fhir:Coding.code [ fhir:value "MB" ]
]
] ;
fhir:Identifier.system [ fhir:value "http://example.org/old-payer" ] ;
fhir:Identifier.value [ fhir:value "234567" ]
] ;
fhir:Coverage.status [ fhir:value "draft" ] ;
fhir:Coverage.subscriberId [ fhir:value "432156789" ] ;
fhir:Coverage.beneficiary [
fhir:link <http://hl7.org/fhir/Patient/1> ;
fhir:Reference.reference [ fhir:value "Patient/1" ]
] ;
fhir:Coverage.relationship [
fhir:CodeableConcept.coding [
fhir:index 0 ;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/subscriber-relationship" ] ;
fhir:Coding.code [ fhir:value "self" ]
]
] ;
fhir:Coverage.period [
fhir:Period.start [ fhir:value "2011-05-23"^^xsd:date ] ;
fhir:Period.end [ fhir:value "2012-05-23"^^xsd:date ]
] ;
fhir:Coverage.payor [
fhir:index 0 ;
fhir:Reference.identifier [
fhir:Identifier.system [ fhir:value "http://hl7.org/fhir/sid/us-npi" ] ;
fhir:Identifier.value [ fhir:value "0123456789" ]
] ;
fhir:Reference.display [ fhir:value "New Health Plan" ]
]
]
]
] .
<http://hl7.org/fhir/Patient/1> a fhir:Patient .
# - ontology header ------------------------------------------------------------
<http://hl7.org/fhir/Parameters/payer-multi-member-match-in.ttl> a owl:Ontology ;
owl:imports fhir:fhir.ttl ;
owl:versionIRI <http://build.fhir.org/Parameters/payer-multi-member-match-in.ttl> .
IG © 2024+ HL7 International / Financial Management. Package hl7.fhir.us.davinci-pdex#2.2.0 based on FHIR 4.0.1. Generated 2026-06-29
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