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

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON
• TTL

Resource Profile: PDex Member No Match Group ( Experimental )

A Group List created by the Payer to provide information back to a requesting payer about failed matches. Based on the Group resource. An Extension is added to capture the submitted patient demographics for the access request. The match may have failed for one of two reasons. a) No match on member. b) Matched but unable to comply with consent request.

Usage:

• Use this Resource Profile: PDex $multi-member-match response
• Examples for this Resource Profile: Group/example-pdex-member-consent-constraint-group and Group/example-pdex-member-no-match-group

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from Group

Name	Flags	Card.	Type	Description & Constraints
Group		0..*	Group	Group of multiple entities
code	S	1..1	CodeableConcept	Kind of Group members Binding: PDex Multi-Member Match Result Value Set (required)
member
entity		1..1	Reference(Patient | Practitioner | PractitionerRole | Device | Medication | Substance | Group)	Reference to the group member
Slices for extension				Content/Rules for all slices
nonMatchedMember	S	0..1	Reference(Patient)	Member-Match Input Patient Parameter URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-match-parameters
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Group.code	required	PDexMultiMemberMatchResultVS http://hl7.org/fhir/us/davinci-pdex/ValueSet/PDexMultiMemberMatchResultVS from this IG

Name	Flags	Card.	Type	Description & Constraints
Group	C	0..*	Group	Group of multiple entities dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management grp-1: Can only have members if group is "actual"
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
type	Σ	1..1	code	person | animal | practitioner | device | medication | substance Binding: GroupType (required): Types of resources that are part of group. ele-1: All FHIR elements must have a @value or children
actual	ΣC	1..1	boolean	Descriptive or actual ele-1: All FHIR elements must have a @value or children
code	SΣ	1..1	CodeableConcept	Kind of Group members Binding: PDex Multi-Member Match Result Value Set (required) ele-1: All FHIR elements must have a @value or children
member	C	0..*	BackboneElement	Who or what is in group ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
entity		1..1	Reference(Patient | Practitioner | PractitionerRole | Device | Medication | Substance | Group)	Reference to the group member ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
nonMatchedMember	S	0..1	Reference(Patient)	Member-Match Input Patient Parameter URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-match-parameters ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Group.type	required	GroupType http://hl7.org/fhir/ValueSet/group-type|4.0.1 from the FHIR Standard
Group.code	required	PDexMultiMemberMatchResultVS http://hl7.org/fhir/us/davinci-pdex/ValueSet/PDexMultiMemberMatchResultVS from this IG

Name	Flags	Card.	Type	Description & Constraints
Group	C	0..*	Group	Group of multiple entities grp-1: Can only have members if group is "actual"
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Unique id
active	Σ	0..1	boolean	Whether this group's record is in active use
type	Σ	1..1	code	person | animal | practitioner | device | medication | substance Binding: GroupType (required): Types of resources that are part of group.
actual	ΣC	1..1	boolean	Descriptive or actual
code	SΣ	1..1	CodeableConcept	Kind of Group members Binding: PDex Multi-Member Match Result Value Set (required)
name	Σ	0..1	string	Label for Group
quantity	Σ	0..1	unsignedInt	Number of members
managingEntity	Σ	0..1	Reference(Organization | RelatedPerson | Practitioner | PractitionerRole)	Entity that is the custodian of the Group's definition
characteristic		0..*	BackboneElement	Include / Exclude group members by Trait
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Kind of characteristic Binding Description (No ValueSet): (example): List of characteristics used to describe group members; e.g. gender, age, owner, location, etc.
value[x]		1..1		Value held by characteristic Binding Description (No ValueSet): (example): Value of descriptive member characteristic; e.g. red, male, pneumonia, Caucasian, etc.
valueCodeableConcept			CodeableConcept
valueBoolean			boolean
valueQuantity			Quantity
valueRange			Range
valueReference			Reference(Any)
exclude		1..1	boolean	Group includes or excludes
period		0..1	Period	Period over which characteristic is tested
member	C	0..*	BackboneElement	Who or what is in group
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
entity		1..1	Reference(Patient | Practitioner | PractitionerRole | Device | Medication | Substance | Group)	Reference to the group member
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
nonMatchedMember	S	0..1	Reference(Patient)	Member-Match Input Patient Parameter URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-match-parameters
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
period		0..1	Period	Period member belonged to the group
inactive		0..1	boolean	If member is no longer in group
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Group.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Group.type	required	GroupType http://hl7.org/fhir/ValueSet/group-type|4.0.1 from the FHIR Standard
Group.code	required	PDexMultiMemberMatchResultVS http://hl7.org/fhir/us/davinci-pdex/ValueSet/PDexMultiMemberMatchResultVS from this IG
Group.characteristic.code	example
Group.characteristic.value[x]	example
Group.member.entity.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard

This structure is derived from Group

Summary

Mandatory: 1 element
Must-Support: 2 elements

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-match-parameters

Differential View

This structure is derived from Group

Name	Flags	Card.	Type	Description & Constraints
Group		0..*	Group	Group of multiple entities
code	S	1..1	CodeableConcept	Kind of Group members Binding: PDex Multi-Member Match Result Value Set (required)
member
entity		1..1	Reference(Patient | Practitioner | PractitionerRole | Device | Medication | Substance | Group)	Reference to the group member
Slices for extension				Content/Rules for all slices
nonMatchedMember	S	0..1	Reference(Patient)	Member-Match Input Patient Parameter URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-match-parameters
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Group.code	required	PDexMultiMemberMatchResultVS http://hl7.org/fhir/us/davinci-pdex/ValueSet/PDexMultiMemberMatchResultVS from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Group	C	0..*	Group	Group of multiple entities dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management grp-1: Can only have members if group is "actual"
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
type	Σ	1..1	code	person | animal | practitioner | device | medication | substance Binding: GroupType (required): Types of resources that are part of group. ele-1: All FHIR elements must have a @value or children
actual	ΣC	1..1	boolean	Descriptive or actual ele-1: All FHIR elements must have a @value or children
code	SΣ	1..1	CodeableConcept	Kind of Group members Binding: PDex Multi-Member Match Result Value Set (required) ele-1: All FHIR elements must have a @value or children
member	C	0..*	BackboneElement	Who or what is in group ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
entity		1..1	Reference(Patient | Practitioner | PractitionerRole | Device | Medication | Substance | Group)	Reference to the group member ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
nonMatchedMember	S	0..1	Reference(Patient)	Member-Match Input Patient Parameter URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-match-parameters ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Group.type	required	GroupType http://hl7.org/fhir/ValueSet/group-type|4.0.1 from the FHIR Standard
Group.code	required	PDexMultiMemberMatchResultVS http://hl7.org/fhir/us/davinci-pdex/ValueSet/PDexMultiMemberMatchResultVS from this IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Group	C	0..*	Group	Group of multiple entities grp-1: Can only have members if group is "actual"
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Unique id
active	Σ	0..1	boolean	Whether this group's record is in active use
type	Σ	1..1	code	person | animal | practitioner | device | medication | substance Binding: GroupType (required): Types of resources that are part of group.
actual	ΣC	1..1	boolean	Descriptive or actual
code	SΣ	1..1	CodeableConcept	Kind of Group members Binding: PDex Multi-Member Match Result Value Set (required)
name	Σ	0..1	string	Label for Group
quantity	Σ	0..1	unsignedInt	Number of members
managingEntity	Σ	0..1	Reference(Organization | RelatedPerson | Practitioner | PractitionerRole)	Entity that is the custodian of the Group's definition
characteristic		0..*	BackboneElement	Include / Exclude group members by Trait
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		1..1	CodeableConcept	Kind of characteristic Binding Description (No ValueSet): (example): List of characteristics used to describe group members; e.g. gender, age, owner, location, etc.
value[x]		1..1		Value held by characteristic Binding Description (No ValueSet): (example): Value of descriptive member characteristic; e.g. red, male, pneumonia, Caucasian, etc.
valueCodeableConcept			CodeableConcept
valueBoolean			boolean
valueQuantity			Quantity
valueRange			Range
valueReference			Reference(Any)
exclude		1..1	boolean	Group includes or excludes
period		0..1	Period	Period over which characteristic is tested
member	C	0..*	BackboneElement	Who or what is in group
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
entity		1..1	Reference(Patient | Practitioner | PractitionerRole | Device | Medication | Substance | Group)	Reference to the group member
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
nonMatchedMember	S	0..1	Reference(Patient)	Member-Match Input Patient Parameter URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-match-parameters
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
period		0..1	Period	Period member belonged to the group
inactive		0..1	boolean	If member is no longer in group
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Group.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Group.type	required	GroupType http://hl7.org/fhir/ValueSet/group-type|4.0.1 from the FHIR Standard
Group.code	required	PDexMultiMemberMatchResultVS http://hl7.org/fhir/us/davinci-pdex/ValueSet/PDexMultiMemberMatchResultVS from this IG
Group.characteristic.code	example
Group.characteristic.value[x]	example
Group.member.entity.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard

This structure is derived from Group

Summary

Mandatory: 1 element
Must-Support: 2 elements

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-match-parameters

Other representations of profile: CSV, Excel, Schematron