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-out> a fhir:Parameters ;
fhir:nodeRole fhir:treeRoot ;
fhir:Resource.id [ fhir:value "payer-multi-member-match-out"] ;
fhir:Parameters.parameter [
fhir:index 0 ;
fhir:Parameters.parameter.name [ fhir:value "MatchedMembers" ] ;
fhir:Parameters.parameter.resource [
a fhir:Group ;
fhir:Resource.id [ fhir:value "07e72a15407547bf9d03f522aa536a72" ] ;
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ] ;
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Matched members group</div>"
] ;
fhir:DomainResource.contained [
a fhir:Patient ;
fhir:index 0 ;
fhir:Resource.id [ fhir:value "1" ] ;
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/new-payer/identifiers/member" ] ;
fhir:Identifier.value [ fhir:value "55678" ] ;
fhir:Identifier.assigner [
fhir:Reference.display [ fhir:value "New 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 ]
], [
a fhir:Patient ;
fhir:index 1 ;
fhir:Resource.id [ fhir:value "2" ] ;
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/new-payer/identifiers/member" ] ;
fhir:Identifier.value [ fhir:value "45567" ] ;
fhir:Identifier.assigner [
fhir:Reference.display [ fhir:value "New Payer" ]
]
] ;
fhir:Patient.name [
fhir:index 0 ;
fhir:HumanName.use [ fhir:value "official" ] ;
fhir:HumanName.family [ fhir:value "Smith" ] ;
fhir:HumanName.given [
fhir:value "William" ;
fhir:index 0
], [
fhir:value "John" ;
fhir:index 1
]
] ;
fhir:Patient.gender [ fhir:value "male" ] ;
fhir:Patient.birthDate [ fhir:value "1958-12-25"^^xsd:date ]
] ;
fhir:Group.identifier [
fhir:index 0 ;
fhir:Identifier.system [ fhir:value "http://hl7.org/fhir/sid/us-npi" ] ;
fhir:Identifier.value [ fhir:value "0123456789" ]
] ;
fhir:Group.type [ fhir:value "person" ] ;
fhir:Group.actual [ fhir:value "true"^^xsd:boolean ] ;
fhir:Group.code [
fhir:CodeableConcept.coding [
fhir:index 0 ;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMultiMemberMatchResultCS" ] ;
fhir:Coding.code [ fhir:value "match" ] ;
fhir:Coding.display [ fhir:value "Matched" ]
]
] ;
fhir:Group.managingEntity [
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:Group.member [
fhir:index 0 ;
fhir:Group.member.entity [
fhir:link <http://hl7.org/fhir/Patient/1001> ;
fhir:Element.extension [
fhir:index 0 ;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-match-parameters" ] ;
fhir:Extension.valueReference [
fhir:Reference.reference [ fhir:value "#1" ]
]
] ;
fhir:Reference.reference [ fhir:value "Patient/1001" ]
]
], [
fhir:index 1 ;
fhir:Group.member.entity [
fhir:link <http://hl7.org/fhir/Patient/2002> ;
fhir:Element.extension [
fhir:index 0 ;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-match-parameters" ] ;
fhir:Extension.valueReference [
fhir:Reference.reference [ fhir:value "#2" ]
]
] ;
fhir:Reference.reference [ fhir:value "Patient/2002" ]
]
]
]
], [
fhir:index 1 ;
fhir:Parameters.parameter.name [ fhir:value "NonMatchedMembers" ] ;
fhir:Parameters.parameter.resource [
a fhir:Group ;
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ] ;
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Non-matched members group</div>"
] ;
fhir:DomainResource.contained [
a fhir:Patient ;
fhir:index 0 ;
fhir:Resource.id [ fhir:value "3" ] ;
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/new-payer/identifiers/member" ] ;
fhir:Identifier.value [ fhir:value "45567" ] ;
fhir:Identifier.assigner [
fhir:Reference.display [ fhir:value "New Payer" ]
]
] ;
fhir:Patient.name [
fhir:index 0 ;
fhir:HumanName.use [ fhir:value "official" ] ;
fhir:HumanName.family [ fhir:value "Jones" ] ;
fhir:HumanName.given [
fhir:value "Adam" ;
fhir:index 0
], [
fhir:value "Jacob" ;
fhir:index 1
]
] ;
fhir:Patient.gender [ fhir:value "male" ] ;
fhir:Patient.birthDate [ fhir:value "1957-12-25"^^xsd:date ]
] ;
fhir:Group.identifier [
fhir:index 0 ;
fhir:Identifier.system [ fhir:value "http://hl7.org/fhir/sid/us-npi" ] ;
fhir:Identifier.value [ fhir:value "0123456789" ]
] ;
fhir:Group.type [ fhir:value "person" ] ;
fhir:Group.actual [ fhir:value "true"^^xsd:boolean ] ;
fhir:Group.code [
fhir:CodeableConcept.coding [
fhir:index 0 ;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMultiMemberMatchResultCS" ] ;
fhir:Coding.code [ fhir:value "nomatch" ] ;
fhir:Coding.display [ fhir:value "Not Matched" ]
]
] ;
fhir:Group.managingEntity [
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:Group.member [
fhir:index 0 ;
fhir:Group.member.entity [
fhir:Element.extension [
fhir:index 0 ;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-match-parameters" ] ;
fhir:Extension.valueReference [
fhir:Reference.reference [ fhir:value "#3" ]
]
] ;
fhir:Reference.reference [ fhir:value "#3" ]
]
]
]
], [
fhir:index 2 ;
fhir:Parameters.parameter.name [ fhir:value "ConsentConstrainedMembers" ] ;
fhir:Parameters.parameter.resource [
a fhir:Group ;
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ] ;
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Consent-constrained members group</div>"
] ;
fhir:DomainResource.contained [
a fhir:Patient ;
fhir:index 0 ;
fhir:Resource.id [ fhir:value "4" ] ;
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/new-payer/identifiers/member" ] ;
fhir:Identifier.value [ fhir:value "45567" ] ;
fhir:Identifier.assigner [
fhir:Reference.display [ fhir:value "New Payer" ]
]
] ;
fhir:Patient.name [
fhir:index 0 ;
fhir:HumanName.use [ fhir:value "official" ] ;
fhir:HumanName.family [ fhir:value "Noway" ] ;
fhir:HumanName.given [
fhir:value "Janis" ;
fhir:index 0
], [
fhir:value "Noelle" ;
fhir:index 1
]
] ;
fhir:Patient.gender [ fhir:value "female" ] ;
fhir:Patient.birthDate [ fhir:value "1956-12-25"^^xsd:date ]
] ;
fhir:Group.identifier [
fhir:index 0 ;
fhir:Identifier.system [ fhir:value "http://hl7.org/fhir/sid/us-npi" ] ;
fhir:Identifier.value [ fhir:value "0123456789" ]
] ;
fhir:Group.type [ fhir:value "person" ] ;
fhir:Group.actual [ fhir:value "true"^^xsd:boolean ] ;
fhir:Group.code [
fhir:CodeableConcept.coding [
fhir:index 0 ;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMultiMemberMatchResultCS" ] ;
fhir:Coding.code [ fhir:value "consentconstraint" ] ;
fhir:Coding.display [ fhir:value "Consent Constraint" ]
]
] ;
fhir:Group.managingEntity [
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:Group.member [
fhir:index 0 ;
fhir:Group.member.entity [
fhir:Element.extension [
fhir:index 0 ;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-match-parameters" ] ;
fhir:Extension.valueReference [
fhir:Reference.reference [ fhir:value "#4" ]
]
] ;
fhir:Reference.reference [ fhir:value "#4" ]
]
]
]
] .
<http://hl7.org/fhir/Patient/1001> a fhir:Patient .
<http://hl7.org/fhir/Patient/2002> a fhir:Patient .
# - ontology header ------------------------------------------------------------
<http://hl7.org/fhir/Parameters/payer-multi-member-match-out.ttl> a owl:Ontology ;
owl:imports fhir:fhir.ttl ;
owl:versionIRI <http://build.fhir.org/Parameters/payer-multi-member-match-out.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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