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 loinc: <http://loinc.org/rdf#> .
@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/provider-member-match-request-001> a fhir:Parameters ;
fhir:nodeRole fhir:treeRoot ;
fhir:Resource.id [ fhir:value "provider-member-match-request-001"] ;
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/provider-parameters-multi-member-match-bundle-in" ;
fhir:index 0 ;
fhir:link <http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/provider-parameters-multi-member-match-bundle-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-prov-001" ] ;
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ] ;
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Robert Michael Johnson - DOB: 1965-08-15, Male</p></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/provider-org/patient-ids" ] ;
fhir:Identifier.value [ fhir:value "PAT-001" ] ;
fhir:Identifier.assigner [
fhir:Reference.display [ fhir:value "Provider Organization" ]
]
] ;
fhir:Patient.name [
fhir:index 0 ;
fhir:HumanName.use [ fhir:value "official" ] ;
fhir:HumanName.family [ fhir:value "Johnson" ] ;
fhir:HumanName.given [
fhir:value "Robert" ;
fhir:index 0
], [
fhir:value "Michael" ;
fhir:index 1
]
] ;
fhir:Patient.telecom [
fhir:index 0 ;
fhir:ContactPoint.system [ fhir:value "phone" ] ;
fhir:ContactPoint.value [ fhir:value "555-123-4567" ]
] ;
fhir:Patient.gender [ fhir:value "male" ] ;
fhir:Patient.birthDate [ fhir:value "1965-08-15"^^xsd:date ] ;
fhir:Patient.address [
fhir:index 0 ;
fhir:Address.use [ fhir:value "home" ] ;
fhir:Address.line [
fhir:value "123 Main Street" ;
fhir:index 0
] ;
fhir:Address.city [ fhir:value "Springfield" ] ;
fhir:Address.state [ fhir:value "IL" ] ;
fhir:Address.postalCode [ fhir:value "62701" ]
]
]
], [
fhir:index 1 ;
fhir:Parameters.parameter.name [ fhir:value "CoverageToMatch" ] ;
fhir:Parameters.parameter.resource [
a fhir:Coverage ;
fhir:Resource.id [ fhir:value "coverage-to-match-001" ] ;
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ] ;
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Coverage for Robert Johnson - Subscriber ID: 12345678, Previous Health Plan, PPO-GOLD</p></div>"
] ;
fhir:Coverage.status [ fhir:value "draft" ] ;
fhir:Coverage.type [
fhir:CodeableConcept.coding [
fhir:index 0 ;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ] ;
fhir:Coding.code [ fhir:value "HIP" ] ;
fhir:Coding.display [ fhir:value "health insurance plan policy" ]
]
] ;
fhir:Coverage.subscriber [
fhir:link <http://hl7.org/fhir/Patient/patient-prov-001> ;
fhir:Reference.reference [ fhir:value "Patient/patient-prov-001" ]
] ;
fhir:Coverage.subscriberId [ fhir:value "12345678" ] ;
fhir:Coverage.beneficiary [
fhir:link <http://hl7.org/fhir/Patient/patient-prov-001> ;
fhir:Reference.reference [ fhir:value "Patient/patient-prov-001" ]
] ;
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 "2023-01-01"^^xsd:date ] ;
fhir:Period.end [ fhir:value "2023-12-31"^^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 "Previous 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 "EMPLOY-12345" ]
], [
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 "PPO-GOLD" ]
]
]
], [
fhir:index 2 ;
fhir:Parameters.parameter.name [ fhir:value "Consent" ] ;
fhir:Parameters.parameter.resource [
a fhir:Consent ;
fhir:Resource.id [ fhir:value "treatment-attestation-001" ] ;
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ] ;
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Treatment Attestation by Dr. Susan Smith for Robert Johnson - Treatment relationship since 2024-01-15</p></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:Coding.display [ fhir:value "Information Disclosure" ]
]
], [
fhir:index 1 ;
fhir:CodeableConcept.coding [
fhir:index 0 ;
a loinc:64292-6 ;
fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
fhir:Coding.code [ fhir:value "64292-6" ] ;
fhir:Coding.display [ fhir:value "Release of information consent" ]
]
] ;
fhir:Consent.patient [
fhir:link <http://hl7.org/fhir/Patient/patient-prov-001> ;
fhir:Reference.reference [ fhir:value "Patient/patient-prov-001" ]
] ;
fhir:Consent.dateTime [ fhir:value "2024-12-10T14:30:00Z"^^xsd:dateTime ] ;
fhir:Consent.performer [
fhir:index 0 ;
fhir:Reference.identifier [
fhir:Identifier.system [ fhir:value "http://hl7.org/fhir/sid/us-npi" ] ;
fhir:Identifier.value [ fhir:value "1234567893" ]
] ;
fhir:Reference.display [ fhir:value "Dr. Susan Smith, MD" ]
] ;
fhir:Consent.organization [
fhir:index 0 ;
fhir:Reference.identifier [
fhir:Identifier.system [ fhir:value "http://hl7.org/fhir/sid/us-npi" ] ;
fhir:Identifier.value [ fhir:value "1982947230" ]
] ;
fhir:Reference.display [ fhir:value "Springfield Medical Center" ]
] ;
fhir:Consent.sourceReference [
fhir:link <http://hl7.org/fhir/DocumentReference/treatment-attestation-form-001> ;
fhir:Reference.reference [ fhir:value "DocumentReference/treatment-attestation-form-001" ] ;
fhir:Reference.display [ fhir:value "Provider Attestation Form" ]
] ;
fhir:Consent.policy [
fhir:index 0 ;
fhir:Consent.policy.authority [ fhir:value "https://example.org/compliance" ] ;
fhir:Consent.policy.uri [ fhir:value "https://example.org/provider-attestation-policy" ]
] ;
fhir:Consent.provision [
fhir:Consent.provision.type [ fhir:value "permit" ] ;
fhir:Consent.provision.period [
fhir:Period.start [ fhir:value "2024-01-15"^^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/v3-ParticipationType" ] ;
fhir:Coding.code [ fhir:value "IRCP" ] ;
fhir:Coding.display [ fhir:value "information recipient" ]
]
] ;
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 "1234567893" ]
] ;
fhir:Reference.display [ fhir:value "Dr. Susan Smith" ]
]
] ;
fhir:Consent.provision.purpose [
fhir:index 0 ;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActReason" ] ;
fhir:Coding.code [ fhir:value "TREAT" ] ;
fhir:Coding.display [ fhir:value "treatment" ]
]
]
]
]
], [
fhir:index 1 ;
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-prov-002" ] ;
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ] ;
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Sarah Elizabeth Williams - DOB: 1978-03-22, Female</p></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/provider-org/patient-ids" ] ;
fhir:Identifier.value [ fhir:value "PAT-002" ] ;
fhir:Identifier.assigner [
fhir:Reference.display [ fhir:value "Provider Organization" ]
]
] ;
fhir:Patient.name [
fhir:index 0 ;
fhir:HumanName.use [ fhir:value "official" ] ;
fhir:HumanName.family [ fhir:value "Williams" ] ;
fhir:HumanName.given [
fhir:value "Sarah" ;
fhir:index 0
], [
fhir:value "Elizabeth" ;
fhir:index 1
]
] ;
fhir:Patient.telecom [
fhir:index 0 ;
fhir:ContactPoint.system [ fhir:value "phone" ] ;
fhir:ContactPoint.value [ fhir:value "555-987-6543" ]
] ;
fhir:Patient.gender [ fhir:value "female" ] ;
fhir:Patient.birthDate [ fhir:value "1978-03-22"^^xsd:date ] ;
fhir:Patient.address [
fhir:index 0 ;
fhir:Address.use [ fhir:value "home" ] ;
fhir:Address.line [
fhir:value "456 Oak Avenue" ;
fhir:index 0
] ;
fhir:Address.city [ fhir:value "Columbus" ] ;
fhir:Address.state [ fhir:value "OH" ] ;
fhir:Address.postalCode [ fhir:value "43085" ]
]
]
], [
fhir:index 1 ;
fhir:Parameters.parameter.name [ fhir:value "CoverageToMatch" ] ;
fhir:Parameters.parameter.resource [
a fhir:Coverage ;
fhir:Resource.id [ fhir:value "coverage-to-match-002" ] ;
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ] ;
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Coverage for Sarah Williams - Subscriber ID: 87654321, Another Health Plan, HMO-BASIC</p></div>"
] ;
fhir:Coverage.status [ fhir:value "draft" ] ;
fhir:Coverage.type [
fhir:CodeableConcept.coding [
fhir:index 0 ;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ] ;
fhir:Coding.code [ fhir:value "HIP" ] ;
fhir:Coding.display [ fhir:value "health insurance plan policy" ]
]
] ;
fhir:Coverage.subscriber [
fhir:link <http://hl7.org/fhir/Patient/patient-prov-002> ;
fhir:Reference.reference [ fhir:value "Patient/patient-prov-002" ]
] ;
fhir:Coverage.subscriberId [ fhir:value "87654321" ] ;
fhir:Coverage.beneficiary [
fhir:link <http://hl7.org/fhir/Patient/patient-prov-002> ;
fhir:Reference.reference [ fhir:value "Patient/patient-prov-002" ]
] ;
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 "2023-06-01"^^xsd:date ] ;
fhir:Period.end [ fhir:value "2024-05-31"^^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 "1111111111" ]
] ;
fhir:Reference.display [ fhir:value "Another 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 "EMPLOY-67890" ]
], [
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 "HMO-BASIC" ]
]
]
], [
fhir:index 2 ;
fhir:Parameters.parameter.name [ fhir:value "Consent" ] ;
fhir:Parameters.parameter.resource [
a fhir:Consent ;
fhir:Resource.id [ fhir:value "treatment-attestation-002" ] ;
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ] ;
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Treatment Attestation by Dr. James Brown for Sarah Williams - Treatment relationship since 2024-02-01</p></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:Coding.display [ fhir:value "Information Disclosure" ]
]
], [
fhir:index 1 ;
fhir:CodeableConcept.coding [
fhir:index 0 ;
a loinc:64292-6 ;
fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
fhir:Coding.code [ fhir:value "64292-6" ] ;
fhir:Coding.display [ fhir:value "Release of information consent" ]
]
] ;
fhir:Consent.patient [
fhir:link <http://hl7.org/fhir/Patient/patient-prov-002> ;
fhir:Reference.reference [ fhir:value "Patient/patient-prov-002" ]
] ;
fhir:Consent.dateTime [ fhir:value "2024-12-09T10:15:00Z"^^xsd:dateTime ] ;
fhir:Consent.performer [
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 "Dr. James Brown, MD" ]
] ;
fhir:Consent.organization [
fhir:index 0 ;
fhir:Reference.identifier [
fhir:Identifier.system [ fhir:value "http://hl7.org/fhir/sid/us-npi" ] ;
fhir:Identifier.value [ fhir:value "1122334455" ]
] ;
fhir:Reference.display [ fhir:value "Columbus Clinic" ]
] ;
fhir:Consent.sourceReference [
fhir:link <http://hl7.org/fhir/DocumentReference/treatment-attestation-form-002> ;
fhir:Reference.reference [ fhir:value "DocumentReference/treatment-attestation-form-002" ] ;
fhir:Reference.display [ fhir:value "Provider Attestation Form" ]
] ;
fhir:Consent.policy [
fhir:index 0 ;
fhir:Consent.policy.uri [ fhir:value "https://example.org/provider-attestation-policy" ]
] ;
fhir:Consent.provision [
fhir:Consent.provision.type [ fhir:value "permit" ] ;
fhir:Consent.provision.period [
fhir:Period.start [ fhir:value "2024-02-01"^^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/v3-ParticipationType" ] ;
fhir:Coding.code [ fhir:value "IRCP" ] ;
fhir:Coding.display [ fhir:value "information recipient" ]
]
] ;
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 "Dr. James Brown" ]
]
] ;
fhir:Consent.provision.purpose [
fhir:index 0 ;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActReason" ] ;
fhir:Coding.code [ fhir:value "TREAT" ] ;
fhir:Coding.display [ fhir:value "treatment" ]
]
]
]
]
] .
<http://hl7.org/fhir/Patient/patient-prov-001> a fhir:Patient .
<http://hl7.org/fhir/DocumentReference/treatment-attestation-form-001> a fhir:DocumentReference .
<http://hl7.org/fhir/Patient/patient-prov-002> a fhir:Patient .
<http://hl7.org/fhir/DocumentReference/treatment-attestation-form-002> a fhir:DocumentReference .
# - ontology header ------------------------------------------------------------
<http://hl7.org/fhir/Parameters/provider-member-match-request-001.ttl> a owl:Ontology ;
owl:imports fhir:fhir.ttl ;
owl:versionIRI <http://build.fhir.org/Parameters/provider-member-match-request-001.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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