Da Vinci Payer Data Exchange
2.1.0 - STU2 Ballot 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 2.1.0 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

: $multi-member-match payer example response - JSON Representation

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{
  "resourceType" : "Parameters",
  "id" : "payer-multi-member-match-out",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-parameters-multi-member-match-bundle-out"
    ]
  },
  "parameter" : [
    {
      "name" : "ResourceIdentifier",
      "resource" : {
        "resourceType" : "Group",
        "id" : "07e72a15407547bf9d03f522aa536a72",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Default Generated text for resource.</div>"
        },
        "contained" : [
          {
            "resourceType" : "Patient",
            "id" : "1",
            "identifier" : [
              {
                "type" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                      "code" : "MB"
                    }
                  ]
                },
                "system" : "http://example.org/old-payer/identifiers/member",
                "value" : "55678",
                "assigner" : {
                  "display" : "Old Payer"
                }
              }
            ],
            "name" : [
              {
                "use" : "official",
                "family" : "Person",
                "given" : [
                  "Patricia",
                  "Ann"
                ]
              }
            ],
            "gender" : "female",
            "birthDate" : "1974-12-25"
          },
          {
            "resourceType" : "Patient",
            "id" : "2",
            "identifier" : [
              {
                "type" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                      "code" : "MB"
                    }
                  ]
                },
                "system" : "http://example.org/old-payer/identifiers/member",
                "value" : "45567",
                "assigner" : {
                  "display" : "Old Payer"
                }
              }
            ],
            "name" : [
              {
                "use" : "official",
                "family" : "Smith",
                "given" : [
                  "William",
                  "John"
                ]
              }
            ],
            "gender" : "male",
            "birthDate" : "1958-12-25"
          }
        ],
        "identifier" : [
          {
            "system" : "http://hl7.org/fhir/sid/us-npi",
            "value" : "0123456789"
          }
        ],
        "type" : "person",
        "actual" : true,
        "code" : {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMultiMemberMatchResultCS",
              "code" : "match",
              "display" : "Matched"
            }
          ]
        },
        "managingEntity" : {
          "identifier" : {
            "system" : "http://hl7.org/fhir/sid/us-npi",
            "value" : "9876543210"
          },
          "display" : "Old Health Plan"
        },
        "member" : [
          {
            "entity" : {
              🔗 "extension" : [
                {
                  "url" : "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-match-parameters",
                  "valueReference" : {
                    "reference" : "#1"
                  }
                }
              ],
              "reference" : "Patient/1001"
            }
          },
          {
            "entity" : {
              🔗 "extension" : [
                {
                  "url" : "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-match-parameters",
                  "valueReference" : {
                    "reference" : "#2"
                  }
                }
              ],
              "reference" : "Patient/2002"
            }
          }
        ]
      }
    },
    {
      "name" : "NoMatch",
      "resource" : {
        "resourceType" : "Group",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Default Generated text for resource.</div>"
        },
        "contained" : [
          {
            "resourceType" : "Patient",
            "id" : "3",
            "identifier" : [
              {
                "type" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                      "code" : "MB"
                    }
                  ]
                },
                "system" : "http://example.org/old-payer/identifiers/member",
                "value" : "45567",
                "assigner" : {
                  "display" : "Old Payer"
                }
              }
            ],
            "name" : [
              {
                "use" : "official",
                "family" : "Jones",
                "given" : [
                  "Adam",
                  "Jacob"
                ]
              }
            ],
            "gender" : "male",
            "birthDate" : "1957-12-25"
          }
        ],
        "identifier" : [
          {
            "system" : "http://hl7.org/fhir/sid/us-npi",
            "value" : "0123456789"
          }
        ],
        "type" : "person",
        "actual" : true,
        "code" : {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMultiMemberMatchResultCS",
              "code" : "nomatch",
              "display" : "Not Matched"
            }
          ]
        },
        "managingEntity" : {
          "identifier" : {
            "system" : "http://hl7.org/fhir/sid/us-npi",
            "value" : "9876543210"
          },
          "display" : "Old Health Plan"
        },
        "member" : [
          {
            "entity" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-match-parameters",
                  "valueReference" : {
                    "reference" : "#3"
                  }
                }
              ],
              "reference" : "#3"
            }
          }
        ]
      }
    },
    {
      "name" : "ConsentConstraint",
      "resource" : {
        "resourceType" : "Group",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Default Generated text for resource.</div>"
        },
        "contained" : [
          {
            "resourceType" : "Patient",
            "id" : "4",
            "identifier" : [
              {
                "type" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                      "code" : "MB"
                    }
                  ]
                },
                "system" : "http://example.org/old-payer/identifiers/member",
                "value" : "45567",
                "assigner" : {
                  "display" : "Old Payer"
                }
              }
            ],
            "name" : [
              {
                "use" : "official",
                "family" : "Noway",
                "given" : [
                  "Janis",
                  "Noelle"
                ]
              }
            ],
            "gender" : "female",
            "birthDate" : "1956-12-25"
          }
        ],
        "identifier" : [
          {
            "system" : "http://hl7.org/fhir/sid/us-npi",
            "value" : "0123456789"
          }
        ],
        "type" : "person",
        "actual" : true,
        "code" : {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMultiMemberMatchResultCS",
              "code" : "consentconstraint",
              "display" : "Consent Constraint"
            }
          ]
        },
        "managingEntity" : {
          "identifier" : {
            "system" : "http://hl7.org/fhir/sid/us-npi",
            "value" : "9876543210"
          },
          "display" : "Old Health Plan"
        },
        "member" : [
          {
            "entity" : {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-match-parameters",
                  "valueReference" : {
                    "reference" : "#4"
                  }
                }
              ],
              "reference" : "#4"
            }
          }
        ]
      }
    }
  ]
}