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 - XML Representation

Raw xml | Download

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