Da Vinci Payer Data Exchange
2.1.1 - STU 2.1

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 2.1.1 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

## : Provider Bulk Member Match Response Example - TTL Representation

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    @prefix fhir: <http://hl7.org/fhir/> .
    @prefix owl: <http://www.w3.org/2002/07/owl#> .
    @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
    @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
    @prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

    # - resource -------------------------------------------------------------------

     a fhir:Parameters ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:id [ fhir:v "provider-bulk-member-match-out"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/provider-parameters-multi-member-match-bundle-out"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/provider-parameters-multi-member-match-bundle-out>     ] )
      ] ; #
      fhir:parameter ( [
    fhir:name [ fhir:v "MatchedMembers" ] ;
        ( fhir:Parameters.parameter.resource [
    a fhir:Group ;
    fhir:id [ fhir:v "provider-matched-group-001" ] ;
    fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\">Matched members group - members authorized for provider access</div>"^^rdf:XMLLiteral ]       ] ;
          ( fhir:contained [
    a fhir:Patient ;
    fhir:id [ fhir:v "provider-submitted-patient-1" ] ;
            ( fhir:identifier [
    fhir:type [
                ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>               ] ;
    fhir:code [ fhir:v "MR" ]             ] )           ] ;
    fhir:system [
    fhir:v "http://example.org/provider-emr/identifiers/patient"^^xsd:anyURI ;
    fhir:l <http://example.org/provider-emr/identifiers/patient>           ] ;
    fhir:value [ fhir:v "EMR-98765" ] ;
    fhir:assigner [
    fhir:display [ fhir:v "Provider 1 EMR System" ]           ]         ] ) ;
            ( fhir:name [
    fhir:use [ fhir:v "official" ] ;
    fhir:family [ fhir:v "Person" ] ;
              ( fhir:given [ fhir:v "Patricia" ] [ fhir:v "Ann" ] )         ] ) ;
    fhir:gender [ fhir:v "female" ] ;
    fhir:birthDate [ fhir:v "1974-12-25"^^xsd:date ]       ] [
    a fhir:Patient ;
    fhir:id [ fhir:v "provider-submitted-patient-2" ] ;
            ( fhir:identifier [
    fhir:type [
                ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>               ] ;
    fhir:code [ fhir:v "MR" ]             ] )           ] ;
    fhir:system [
    fhir:v "http://example.org/provider-emr/identifiers/patient"^^xsd:anyURI ;
    fhir:l <http://example.org/provider-emr/identifiers/patient>           ] ;
    fhir:value [ fhir:v "EMR-45678" ] ;
    fhir:assigner [
    fhir:display [ fhir:v "Provider 1 EMR System" ]           ]         ] ) ;
            ( fhir:name [
    fhir:use [ fhir:v "official" ] ;
    fhir:family [ fhir:v "Doe" ] ;
              ( fhir:given [ fhir:v "John" ] [ fhir:v "Michael" ] )         ] ) ;
    fhir:gender [ fhir:v "male" ] ;
    fhir:birthDate [ fhir:v "1985-06-15"^^xsd:date ]       ] ) ;
          ( fhir:identifier [
    fhir:system [
    fhir:v "http://hl7.org/fhir/sid/us-npi"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/sid/us-npi>         ] ;
    fhir:value [ fhir:v "1982947230" ] ;
    fhir:assigner [
    fhir:display [ fhir:v "Provider 1" ]         ]       ] ) ;
    fhir:type [ fhir:v "person" ] ;
    fhir:actual [ fhir:v true ] ;
    fhir:code [
            ( fhir:coding [
    fhir:system [
    fhir:v "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMultiMemberMatchResultCS"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMultiMemberMatchResultCS>           ] ;
    fhir:code [ fhir:v "match" ] ;
    fhir:display [ fhir:v "Matched" ]         ] )       ] ;
    fhir:managingEntity [
    fhir:identifier [
    fhir:system [
    fhir:v "http://hl7.org/fhir/sid/us-npi"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/sid/us-npi>           ] ;
    fhir:value [ fhir:v "1234567890" ]         ] ;
    fhir:display [ fhir:v "Example Health Plan" ]       ] ;
          ( fhir:characteristic [
    fhir:code [
              ( fhir:coding [
    fhir:system [
    fhir:v "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMultiMemberMatchResultCS"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMultiMemberMatchResultCS>             ] ;
    fhir:code [ fhir:v "match" ] ;
    fhir:display [ fhir:v "Matched" ]           ] )         ] ;
    fhir:value [
    a fhir:Reference ;
    fhir:identifier [
    fhir:system [
    fhir:v "http://hl7.org/fhir/sid/us-npi"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/sid/us-npi>             ] ;
    fhir:value [ fhir:v "1982947230" ]           ] ;
    fhir:display [ fhir:v "Provider 1" ]         ] ;
    fhir:exclude [ fhir:v false ] ;
    fhir:period [
    fhir:start [ fhir:v "2024-11-14"^^xsd:date ]         ]       ] ) ;
          ( fhir:member [
    fhir:entity [
    fhir:l fhir:Patient/payer-patient-1001 ;
              ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-match-parameters"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-match-parameters>             ] ;
    fhir:value [
    a fhir:Reference ;
    fhir:l <#provider-submitted-patient-1> ;
    fhir:reference [ fhir:v "#provider-submitted-patient-1" ]             ]           ] ) ;
    fhir:reference [ fhir:v "Patient/payer-patient-1001" ] ;
    fhir:display [ fhir:v "Patricia Ann Person - Payer Record" ]         ]       ] [
    fhir:entity [
    fhir:l fhir:Patient/payer-patient-2002 ;
              ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-match-parameters"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-match-parameters>             ] ;
    fhir:value [
    a fhir:Reference ;
    fhir:l <#provider-submitted-patient-2> ;
    fhir:reference [ fhir:v "#provider-submitted-patient-2" ]             ]           ] ) ;
    fhir:reference [ fhir:v "Patient/payer-patient-2002" ] ;
    fhir:display [ fhir:v "John Michael Doe - Payer Record" ]         ]       ] )     ] )
      ] [
    fhir:name [ fhir:v "NonMatchedMembers" ] ;
        ( fhir:Parameters.parameter.resource [
    a fhir:Group ;
    fhir:id [ fhir:v "provider-nomatch-group-001" ] ;
    fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\">Non-matched members group - members not found in payer system</div>"^^rdf:XMLLiteral ]       ] ;
          ( fhir:contained [
    a fhir:Patient ;
    fhir:id [ fhir:v "provider-submitted-patient-3" ] ;
            ( fhir:identifier [
    fhir:type [
                ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>               ] ;
    fhir:code [ fhir:v "MR" ]             ] )           ] ;
    fhir:system [
    fhir:v "http://example.org/provider-emr/identifiers/patient"^^xsd:anyURI ;
    fhir:l <http://example.org/provider-emr/identifiers/patient>           ] ;
    fhir:value [ fhir:v "EMR-99999" ] ;
    fhir:assigner [
    fhir:display [ fhir:v "Provider 1 EMR System" ]           ]         ] ) ;
            ( fhir:name [
    fhir:use [ fhir:v "official" ] ;
    fhir:family [ fhir:v "Smith" ] ;
              ( fhir:given [ fhir:v "Jane" ] [ fhir:v "Marie" ] )         ] ) ;
    fhir:gender [ fhir:v "female" ] ;
    fhir:birthDate [ fhir:v "1990-03-20"^^xsd:date ]       ] ) ;
          ( fhir:identifier [
    fhir:system [
    fhir:v "http://hl7.org/fhir/sid/us-npi"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/sid/us-npi>         ] ;
    fhir:value [ fhir:v "1982947230" ] ;
    fhir:assigner [
    fhir:display [ fhir:v "Provider 1" ]         ]       ] ) ;
    fhir:type [ fhir:v "person" ] ;
    fhir:actual [ fhir:v true ] ;
    fhir:code [
            ( fhir:coding [
    fhir:system [
    fhir:v "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMultiMemberMatchResultCS"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMultiMemberMatchResultCS>           ] ;
    fhir:code [ fhir:v "nomatch" ] ;
    fhir:display [ fhir:v "Not Matched" ]         ] )       ] ;
    fhir:managingEntity [
    fhir:identifier [
    fhir:system [
    fhir:v "http://hl7.org/fhir/sid/us-npi"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/sid/us-npi>           ] ;
    fhir:value [ fhir:v "1234567890" ]         ] ;
    fhir:display [ fhir:v "Example Health Plan" ]       ] ;
          ( fhir:member [
    fhir:entity [
    fhir:l <#provider-submitted-patient-3> ;
              ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-match-parameters"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-match-parameters>             ] ;
    fhir:value [
    a fhir:Reference ;
    fhir:l <#provider-submitted-patient-3> ;
    fhir:reference [ fhir:v "#provider-submitted-patient-3" ]             ]           ] ) ;
    fhir:reference [ fhir:v "#provider-submitted-patient-3" ] ;
    fhir:display [ fhir:v "Jane Marie Smith - Not Found" ]         ]       ] )     ] )
      ] [
    fhir:name [ fhir:v "ConsentConstrainedMembers" ] ;
        ( fhir:Parameters.parameter.resource [
    a fhir:Group ;
    fhir:id [ fhir:v "provider-consent-constraint-group-001" ] ;
    fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\">Consent-constrained members group - members who opted out of Provider Access API</div>"^^rdf:XMLLiteral ]       ] ;
          ( fhir:contained [
    a fhir:Patient ;
    fhir:id [ fhir:v "provider-submitted-patient-4" ] ;
            ( fhir:identifier [
    fhir:type [
                ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/v2-0203>               ] ;
    fhir:code [ fhir:v "MR" ]             ] )           ] ;
    fhir:system [
    fhir:v "http://example.org/provider-emr/identifiers/patient"^^xsd:anyURI ;
    fhir:l <http://example.org/provider-emr/identifiers/patient>           ] ;
    fhir:value [ fhir:v "EMR-77777" ] ;
    fhir:assigner [
    fhir:display [ fhir:v "Provider 1 EMR System" ]           ]         ] ) ;
            ( fhir:name [
    fhir:use [ fhir:v "official" ] ;
    fhir:family [ fhir:v "Wilson" ] ;
              ( fhir:given [ fhir:v "Robert" ] [ fhir:v "James" ] )         ] ) ;
    fhir:gender [ fhir:v "male" ] ;
    fhir:birthDate [ fhir:v "1978-11-30"^^xsd:date ]       ] ) ;
          ( fhir:identifier [
    fhir:system [
    fhir:v "http://hl7.org/fhir/sid/us-npi"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/sid/us-npi>         ] ;
    fhir:value [ fhir:v "1982947230" ] ;
    fhir:assigner [
    fhir:display [ fhir:v "Provider 1" ]         ]       ] ) ;
    fhir:type [ fhir:v "person" ] ;
    fhir:actual [ fhir:v true ] ;
    fhir:code [
            ( fhir:coding [
    fhir:system [
    fhir:v "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMultiMemberMatchResultCS"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMultiMemberMatchResultCS>           ] ;
    fhir:code [ fhir:v "consentconstraint" ] ;
    fhir:display [ fhir:v "Consent Constraint" ]         ] )       ] ;
    fhir:managingEntity [
    fhir:identifier [
    fhir:system [
    fhir:v "http://hl7.org/fhir/sid/us-npi"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/sid/us-npi>           ] ;
    fhir:value [ fhir:v "1234567890" ]         ] ;
    fhir:display [ fhir:v "Example Health Plan" ]       ] ;
          ( fhir:member [
    fhir:entity [
    fhir:l <#provider-submitted-patient-4> ;
              ( fhir:extension [
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-match-parameters"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-match-parameters>             ] ;
    fhir:value [
    a fhir:Reference ;
    fhir:l <#provider-submitted-patient-4> ;
    fhir:reference [ fhir:v "#provider-submitted-patient-4" ]             ]           ] ) ;
    fhir:reference [ fhir:v "#provider-submitted-patient-4" ] ;
    fhir:display [ fhir:v "Robert James Wilson - Opted Out" ]         ]       ] )     ] )
      ] ) . #