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 response - JSON Representation

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    {
      "resourceType" : "Parameters",
      "id" : "payer-multi-member-match-out",
      "meta" : {
        "profile" : [
          🔗 "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-parameters-multi-member-match-bundle-out"
        ]
      },
      "parameter" : [
        {
          "name" : "MatchedMembers",
          "resource" : {
            "resourceType" : "Group",
            "id" : "07e72a15407547bf9d03f522aa536a72",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Matched members group</div>"
            },
            "contained" : [
              {
                "resourceType" : "Patient",
                "id" : "1",
                "identifier" : [
                  {
                    "type" : {
                      "coding" : [
                        {
                          "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                          "code" : "MB"
                        }
                      ]
                    },
                    "system" : "http://example.org/old-payer/identifiers/member",
                    "value" : "55678",
                    "assigner" : {
                      "display" : "Old Payer"
                    }
                  }
                ],
                "name" : [
                  {
                    "use" : "official",
                    "family" : "Person",
                    "given" : [
                      "Patricia",
                      "Ann"
                    ]
                  }
                ],
                "gender" : "female",
                "birthDate" : "1974-12-25"
              },
              {
                "resourceType" : "Patient",
                "id" : "2",
                "identifier" : [
                  {
                    "type" : {
                      "coding" : [
                        {
                          "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                          "code" : "MB"
                        }
                      ]
                    },
                    "system" : "http://example.org/old-payer/identifiers/member",
                    "value" : "45567",
                    "assigner" : {
                      "display" : "Old Payer"
                    }
                  }
                ],
                "name" : [
                  {
                    "use" : "official",
                    "family" : "Smith",
                    "given" : [
                      "William",
                      "John"
                    ]
                  }
                ],
                "gender" : "male",
                "birthDate" : "1958-12-25"
              }
            ],
            "identifier" : [
              {
                "system" : "http://hl7.org/fhir/sid/us-npi",
                "value" : "0123456789"
              }
            ],
            "type" : "person",
            "actual" : true,
            "code" : {
              "coding" : [
                {
                  "system" : "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMultiMemberMatchResultCS",
                  "code" : "match",
                  "display" : "Matched"
                }
              ]
            },
            "managingEntity" : {
              "identifier" : {
                "system" : "http://hl7.org/fhir/sid/us-npi",
                "value" : "9876543210"
              },
              "display" : "Old Health Plan"
            },
            "member" : [
              {
                "entity" : {
                  🔗 "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-match-parameters",
                      "valueReference" : {
                        "reference" : "#1"
                      }
                    }
                  ],
                  "reference" : "Patient/1001"
                }
              },
              {
                "entity" : {
                  🔗 "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-match-parameters",
                      "valueReference" : {
                        "reference" : "#2"
                      }
                    }
                  ],
                  "reference" : "Patient/2002"
                }
              }
            ]
          }
        },
        {
          "name" : "NonMatchedMembers",
          "resource" : {
            "resourceType" : "Group",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Non-matched members group</div>"
            },
            "contained" : [
              {
                "resourceType" : "Patient",
                "id" : "3",
                "identifier" : [
                  {
                    "type" : {
                      "coding" : [
                        {
                          "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                          "code" : "MB"
                        }
                      ]
                    },
                    "system" : "http://example.org/old-payer/identifiers/member",
                    "value" : "45567",
                    "assigner" : {
                      "display" : "Old Payer"
                    }
                  }
                ],
                "name" : [
                  {
                    "use" : "official",
                    "family" : "Jones",
                    "given" : [
                      "Adam",
                      "Jacob"
                    ]
                  }
                ],
                "gender" : "male",
                "birthDate" : "1957-12-25"
              }
            ],
            "identifier" : [
              {
                "system" : "http://hl7.org/fhir/sid/us-npi",
                "value" : "0123456789"
              }
            ],
            "type" : "person",
            "actual" : true,
            "code" : {
              "coding" : [
                {
                  "system" : "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMultiMemberMatchResultCS",
                  "code" : "nomatch",
                  "display" : "Not Matched"
                }
              ]
            },
            "managingEntity" : {
              "identifier" : {
                "system" : "http://hl7.org/fhir/sid/us-npi",
                "value" : "9876543210"
              },
              "display" : "Old Health Plan"
            },
            "member" : [
              {
                "entity" : {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-match-parameters",
                      "valueReference" : {
                        "reference" : "#3"
                      }
                    }
                  ],
                  "reference" : "#3"
                }
              }
            ]
          }
        },
        {
          "name" : "ConsentConstrainedMembers",
          "resource" : {
            "resourceType" : "Group",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Consent-constrained members group</div>"
            },
            "contained" : [
              {
                "resourceType" : "Patient",
                "id" : "4",
                "identifier" : [
                  {
                    "type" : {
                      "coding" : [
                        {
                          "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                          "code" : "MB"
                        }
                      ]
                    },
                    "system" : "http://example.org/old-payer/identifiers/member",
                    "value" : "45567",
                    "assigner" : {
                      "display" : "Old Payer"
                    }
                  }
                ],
                "name" : [
                  {
                    "use" : "official",
                    "family" : "Noway",
                    "given" : [
                      "Janis",
                      "Noelle"
                    ]
                  }
                ],
                "gender" : "female",
                "birthDate" : "1956-12-25"
              }
            ],
            "identifier" : [
              {
                "system" : "http://hl7.org/fhir/sid/us-npi",
                "value" : "0123456789"
              }
            ],
            "type" : "person",
            "actual" : true,
            "code" : {
              "coding" : [
                {
                  "system" : "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMultiMemberMatchResultCS",
                  "code" : "consentconstraint",
                  "display" : "Consent Constraint"
                }
              ]
            },
            "managingEntity" : {
              "identifier" : {
                "system" : "http://hl7.org/fhir/sid/us-npi",
                "value" : "9876543210"
              },
              "display" : "Old Health Plan"
            },
            "member" : [
              {
                "entity" : {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-match-parameters",
                      "valueReference" : {
                        "reference" : "#4"
                      }
                    }
                  ],
                  "reference" : "#4"
                }
              }
            ]
          }
        }
      ]
    }