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Packagehl7.fhir.us.davinci-pdex
Resource TypeGroup
IdGroup-example-provider-nomatch-group.json
FHIR VersionR4

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Resources that this resource uses

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Narrative

Note: links and images are rebased to the (stated) source

Provider No Match Group

Members submitted by the provider that were not found in the payer system.


Source1

{
  "resourceType": "Group",
  "id": "example-provider-nomatch-group",
  "meta": {
    "lastUpdated": "2024-12-16T10:00:00Z",
    "profile": [
      "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-provider-member-no-match"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "contained": [
    {
      "resourceType": "Patient",
      "id": "prov-patient-2",
      "meta": {
        "profile": [
          "http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-patient-demographics"
        ]
      },
      "name": [
        {
          "use": "official",
          "family": "Smith",
          "given": [
            "Jane"
          ]
        }
      ],
      "gender": "female",
      "birthDate": "1978-06-22"
    }
  ],
  "identifier": [
    {
      "system": "http://example.org/payer/match-groups",
      "value": "NMG-2024-12-16-001",
      "assigner": {
        "display": "Example Payer"
      }
    }
  ],
  "active": true,
  "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": "5555555555"
    },
    "display": "Example Payer Organization"
  },
  "member": [
    {
      "entity": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-match-parameters",
            "valueReference": {
              "reference": "#prov-patient-2"
            }
          }
        ],
        "reference": "#prov-patient-2"
      }
    }
  ]
}