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

## : $multi-member-match payer example request - 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 "payer-multi-member-match-in"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-parameters-multi-member-match-bundle-in"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-parameters-multi-member-match-bundle-in>     ] )
      ] ; #
      fhir:parameter ( [
    fhir:name [ fhir:v "MemberBundle" ] ;
        ( fhir:part [
    fhir:name [ fhir:v "MemberPatient" ] ;
          ( fhir:Parameters.parameter.resource [
    a fhir:Patient ;
    fhir:id [ fhir:v "patient-1" ] ;
    fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\">Default Generated text for resource.</div>"^^rdf:XMLLiteral ]         ] ;
            ( 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 "MB" ]             ] )           ] ;
    fhir:system [
    fhir:v "http://example.org/old-payer/identifiers/member"^^xsd:anyURI ;
    fhir:l <http://example.org/old-payer/identifiers/member>           ] ;
    fhir:value [ fhir:v "55678" ] ;
    fhir:assigner [
    fhir:display [ fhir:v "Old Payer" ]           ]         ] ) ;
            ( 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 ]       ] )     ] [
    fhir:name [ fhir:v "CoverageToMatch" ] ;
          ( fhir:Parameters.parameter.resource [
    a fhir:Coverage ;
    fhir:id [ fhir:v "coverage-1" ] ;
    fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\">Default Generated text for resource.</div>"^^rdf:XMLLiteral ]         ] ;
            ( 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 "MB" ]             ] )           ] ;
    fhir:system [
    fhir:v "http://example.org/old-payer"^^xsd:anyURI ;
    fhir:l <http://example.org/old-payer>           ] ;
    fhir:value [ fhir:v "DH10001235" ]         ] ) ;
    fhir:status [ fhir:v "draft" ] ;
    fhir:subscriberId [ fhir:v "1234564321" ] ;
    fhir:beneficiary [
    fhir:l fhir:Patient/1 ;
    fhir:reference [ fhir:v "Patient/1" ]         ] ;
    fhir:relationship [
              ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/subscriber-relationship"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/subscriber-relationship>             ] ;
    fhir:code [ fhir:v "self" ]           ] )         ] ;
    fhir:period [
    fhir:start [ fhir:v "2011-05-23"^^xsd:date ] ;
    fhir:end [ fhir:v "2012-05-23"^^xsd:date ]         ] ;
            ( fhir:payor [
    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 "9876543210" ]           ] ;
    fhir:display [ fhir:v "Old Health Plan" ]         ] ) ;
            ( fhir:class [
    fhir:type [
                ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/coverage-class"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/coverage-class>               ] ;
    fhir:code [ fhir:v "group" ]             ] [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/coverage-class"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/coverage-class>               ] ;
    fhir:code [ fhir:v "subplan" ]             ] )           ] ;
    fhir:value [ fhir:v "P7" ]         ] [
    fhir:type [
                ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/coverage-class"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/coverage-class>               ] ;
    fhir:code [ fhir:v "plan" ]             ] [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/coverage-class"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/coverage-class>               ] ;
    fhir:code [ fhir:v "class" ]             ] )           ] ;
    fhir:value [ fhir:v "SILVER" ]         ] )       ] )     ] [
    fhir:name [ fhir:v "Consent" ] ;
          ( fhir:Parameters.parameter.resource [
    a fhir:Consent ;
    fhir:id [ fhir:v "consent-1" ] ;
    fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\">Default Generated text for resource.</div>"^^rdf:XMLLiteral ]         ] ;
    fhir:status [ fhir:v "active" ] ;
    fhir:scope [
              ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/consentscope"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/consentscope>             ] ;
    fhir:code [ fhir:v "patient-privacy" ]           ] )         ] ;
            ( fhir:category [
              ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/v3-ActCode>             ] ;
    fhir:code [ fhir:v "IDSCL" ]           ] )         ] ) ;
    fhir:patient [
    fhir:l fhir:Patient/1 ;
    fhir:reference [ fhir:v "Patient/1" ]         ] ;
            ( fhir:performer [
    fhir:l fhir:Patient/1 ;
    fhir:reference [ fhir:v "Patient/1" ]         ] ) ;
    fhir:source [
    a fhir:Reference ;
    fhir:l <http://example.org/DocumentReference/someconsent-1> ;
    fhir:reference [ fhir:v "http://example.org/DocumentReference/someconsent-1" ]         ] ;
            ( fhir:policy [
    fhir:uri [
    fhir:v "http://hl7.org/fhir/us/davinci-hrex/StructureDefinition-hrex-consent.html#regular"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-hrex/StructureDefinition-hrex-consent.html#regular>           ]         ] ) ;
    fhir:provision [
    fhir:type [ fhir:v "permit" ] ;
    fhir:period [
    fhir:start [ fhir:v "2023-12-01"^^xsd:date ] ;
    fhir:end [ fhir:v "2024-03-31"^^xsd:date ]           ] ;
              ( fhir:actor [
    fhir:role [
                  ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/provenance-participant-type"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/provenance-participant-type>                 ] ;
    fhir:code [ fhir:v "performer" ]               ] )             ] ;
    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 "9876543210" ]               ] ;
    fhir:display [ fhir:v "Old Health Plan" ]             ]           ] [
    fhir:role [
                  ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/v3-ParticipationType"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/v3-ParticipationType>                 ] ;
    fhir:code [ fhir:v "IRCP" ]               ] )             ] ;
    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 "0123456789" ]               ] ;
    fhir:display [ fhir:v "New Health Plan" ]             ]           ] ) ;
              ( fhir:action [
                ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/consentaction"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/consentaction>               ] ;
    fhir:code [ fhir:v "disclose" ]             ] )           ] )         ]       ] )     ] [
    fhir:name [ fhir:v "CoverageToLink" ] ;
          ( fhir:Parameters.parameter.resource [
    a fhir:Coverage ;
    fhir:id [ fhir:v "coverage-link-1" ] ;
    fhir:text [
    fhir:status [ fhir:v "generated" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\">Default Generated text for resource.</div>"^^rdf:XMLLiteral ]         ] ;
            ( 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 "MB" ]             ] )           ] ;
    fhir:system [
    fhir:v "http://example.org/old-payer"^^xsd:anyURI ;
    fhir:l <http://example.org/old-payer>           ] ;
    fhir:value [ fhir:v "234567" ]         ] ) ;
    fhir:status [ fhir:v "draft" ] ;
    fhir:subscriberId [ fhir:v "432156789" ] ;
    fhir:beneficiary [
    fhir:l fhir:Patient/1 ;
    fhir:reference [ fhir:v "Patient/1" ]         ] ;
    fhir:relationship [
              ( fhir:coding [
    fhir:system [
    fhir:v "http://terminology.hl7.org/CodeSystem/subscriber-relationship"^^xsd:anyURI ;
    fhir:l <http://terminology.hl7.org/CodeSystem/subscriber-relationship>             ] ;
    fhir:code [ fhir:v "self" ]           ] )         ] ;
    fhir:period [
    fhir:start [ fhir:v "2011-05-23"^^xsd:date ] ;
    fhir:end [ fhir:v "2012-05-23"^^xsd:date ]         ] ;
            ( fhir:payor [
    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 "0123456789" ]           ] ;
    fhir:display [ fhir:v "New Health Plan" ]         ] )       ] )     ] )
      ] ) . #