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 Request Example - XML Representation

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    <Parameters xmlns="http://hl7.org/fhir">
      <id value="provider-bulk-member-match-in"/>
      <meta>
        <profile
                 value="http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/provider-parameters-multi-member-match-bundle-in"/>
      </meta>
      <parameter>
        <name value="MemberBundle"/>
        <part>
          <name value="MemberPatient"/>
          <resource>
            <Patient>
              <id value="patient-provider-1"/>
              <text>
                <status value="generated"/>
                <div xmlns="http://www.w3.org/1999/xhtml">Patient Patricia Ann Person</div>
              </text>
              <identifier>
                <type>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                    <code value="MB"/>
                  </coding>
                </type>
                <system
                        value="http://example.org/provider-emr/identifiers/patient"/>
                <value value="EMR-98765"/>
                <assigner>
                  <display value="Provider 1 EMR System"/>
                </assigner>
              </identifier>
              <name>
                <use value="official"/>
                <family value="Person"/>
                <given value="Patricia"/>
                <given value="Ann"/>
              </name>
              <gender value="female"/>
              <birthDate value="1974-12-25"/>
            </Patient>
          </resource>
        </part>
        <part>
          <name value="CoverageToMatch"/>
          <resource>
            <Coverage>
              <id value="coverage-provider-1"/>
              <text>
                <status value="generated"/>
                <div xmlns="http://www.w3.org/1999/xhtml">Coverage information from insurance card</div>
              </text>
              <identifier>
                <type>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                    <code value="MB"/>
                  </coding>
                </type>
                <system value="http://example.org/health-plan"/>
                <value value="HP-12345678"/>
              </identifier>
              <status value="active"/>
              <subscriberId value="SUB-987654321"/>
              <beneficiary>
                <reference value="Patient/patient-provider-1"/>
              </beneficiary>
              <relationship>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/subscriber-relationship"/>
                  <code value="self"/>
                </coding>
              </relationship>
              <period>
                <start value="2024-01-01"/>
                <end value="2024-12-31"/>
              </period>
              <payor>
                <identifier>
                  <system value="http://hl7.org/fhir/sid/us-npi"/>
                  <value value="1234567890"/>
                </identifier>
                <display value="Example Health Plan"/>
              </payor>
              <class>
                <type>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
                    <code value="group"/>
                  </coding>
                </type>
                <value value="GRP-001"/>
              </class>
              <class>
                <type>
                  <coding>
                    <system
                            value="http://terminology.hl7.org/CodeSystem/coverage-class"/>
                    <code value="plan"/>
                  </coding>
                </type>
                <value value="PLAN-GOLD"/>
              </class>
            </Coverage>
          </resource>
        </part>
        <part>
          <name value="Consent"/>
          <resource>
            <Consent>
              <id value="consent-provider-1"/>
              <text>
                <status value="generated"/>
                <div xmlns="http://www.w3.org/1999/xhtml">Provider attestation to treatment relationship</div>
              </text>
              <status value="active"/>
              <scope>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/consentscope"/>
                  <code value="treatment"/>
                </coding>
              </scope>
              <category>
                <coding>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/consentcategorycodes"/>
                  <code value="treat"/>
                  <display value="Treatment"/>
                </coding>
              </category>
              <category>
                <coding>
                  <system value="http://loinc.org"/>
                  <code value="64292-6"/>
                  <display value="Release of information consent"/>
                </coding>
              </category>
              <patient>
                <reference value="Patient/patient-provider-1"/>
              </patient>
              <dateTime value="2024-11-14T10:30:00Z"/>
              <performer>🔗
                <reference value="Practitioner/4"/>
                <display value="Dr. Susan Smith"/>
              </performer>
              <sourceReference>🔗
                <reference value="DocumentReference/provider-attestation-doc-1"/>
              </sourceReference>
              <policy>
                <uri value="https://example.org/provider-attestation-policy"/>
              </policy>
              <verification>
                <verified value="true"/>
                <verifiedWith>🔗
                  <reference value="Organization/ProviderOrg1"/>
                </verifiedWith>
                <verificationDate value="2024-11-14T10:30:00Z"/>
              </verification>
              <provision>
                <type value="permit"/>
                <period>
                  <start value="2024-01-15"/>
                </period>
                <actor>
                  <role>
                    <coding>
                      <system
                              value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>
                      <code value="IRCP"/>
                    </coding>
                  </role>
                  <reference>
                    <identifier>
                      <system value="http://hl7.org/fhir/sid/us-npi"/>
                      <value value="1982943213"/>
                    </identifier>
                    <display value="Dr. Susan Smith"/>
                  </reference>
                </actor>
                <actor>
                  <role>
                    <coding>
                      <system
                              value="http://terminology.hl7.org/CodeSystem/v3-RoleClass"/>
                      <code value="PROV"/>
                    </coding>
                  </role>
                  <reference>
                    <identifier>
                      <system value="http://hl7.org/fhir/sid/us-npi"/>
                      <value value="1982947230"/>
                    </identifier>
                    <display value="Provider 1"/>
                  </reference>
                </actor>
                <purpose>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
                  <code value="TREAT"/>
                </purpose>
                <purpose>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
                  <code value="HPAYMT"/>
                </purpose>
                <purpose>
                  <system
                          value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
                  <code value="HOPERAT"/>
                </purpose>
              </provision>
            </Consent>
          </resource>
        </part>
      </parameter>
    </Parameters>