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Packagehl7.fhir.us.davinci-pdex
Resource TypeParameters
IdParameters-payer-multi-member-match-in.json
FHIR VersionR4

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Source1

{
  "resourceType": "Parameters",
  "id": "payer-multi-member-match-in",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-parameters-multi-member-match-bundle-in"
    ]
  },
  "parameter": [
    {
      "name": "MemberBundle",
      "part": [
        {
          "name": "MemberPatient",
          "resource": {
            "resourceType": "Patient",
            "id": "patient-1",
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Default Generated text for resource.</div>"
            },
            "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"
          }
        },
        {
          "name": "CoverageToMatch",
          "resource": {
            "resourceType": "Coverage",
            "id": "coverage-1",
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Default Generated text for resource.</div>"
            },
            "identifier": [
              {
                "type": {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                      "code": "MB"
                    }
                  ]
                },
                "system": "http://example.org/old-payer",
                "value": "DH10001235"
              }
            ],
            "status": "draft",
            "subscriberId": "1234564321",
            "beneficiary": {
              "reference": "Patient/1"
            },
            "relationship": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
                  "code": "self"
                }
              ]
            },
            "period": {
              "start": "2011-05-23",
              "end": "2012-05-23"
            },
            "payor": [
              {
                "identifier": {
                  "system": "http://hl7.org/fhir/sid/us-npi",
                  "value": "9876543210"
                },
                "display": "Old Health Plan"
              }
            ],
            "class": [
              {
                "type": {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/coverage-class",
                      "code": "group"
                    },
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/coverage-class",
                      "code": "subplan"
                    }
                  ]
                },
                "value": "P7"
              },
              {
                "type": {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/coverage-class",
                      "code": "plan"
                    },
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/coverage-class",
                      "code": "class"
                    }
                  ]
                },
                "value": "SILVER"
              }
            ]
          }
        },
        {
          "name": "Consent",
          "resource": {
            "resourceType": "Consent",
            "id": "consent-1",
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Default Generated text for resource.</div>"
            },
            "status": "active",
            "scope": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/consentscope",
                  "code": "patient-privacy"
                }
              ]
            },
            "category": [
              {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
                    "code": "IDSCL"
                  }
                ]
              }
            ],
            "patient": {
              "reference": "Patient/1"
            },
            "performer": [
              {
                "reference": "Patient/1"
              }
            ],
            "sourceReference": {
              "reference": "http://example.org/DocumentReference/someconsent-1"
            },
            "policy": [
              {
                "uri": "http://hl7.org/fhir/us/davinci-hrex/StructureDefinition-hrex-consent.html#regular"
              }
            ],
            "provision": {
              "type": "permit",
              "period": {
                "start": "2023-12-01",
                "end": "2024-03-31"
              },
              "actor": [
                {
                  "role": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
                        "code": "performer"
                      }
                    ]
                  },
                  "reference": {
                    "identifier": {
                      "system": "http://hl7.org/fhir/sid/us-npi",
                      "value": "9876543210"
                    },
                    "display": "Old Health Plan"
                  }
                },
                {
                  "role": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                        "code": "IRCP"
                      }
                    ]
                  },
                  "reference": {
                    "identifier": {
                      "system": "http://hl7.org/fhir/sid/us-npi",
                      "value": "0123456789"
                    },
                    "display": "New Health Plan"
                  }
                }
              ],
              "action": [
                {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/consentaction",
                      "code": "disclose"
                    }
                  ]
                }
              ]
            }
          }
        },
        {
          "name": "CoverageToLink",
          "resource": {
            "resourceType": "Coverage",
            "id": "coverage-link-1",
            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Default Generated text for resource.</div>"
            },
            "identifier": [
              {
                "type": {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                      "code": "MB"
                    }
                  ]
                },
                "system": "http://example.org/old-payer",
                "value": "234567"
              }
            ],
            "status": "draft",
            "subscriberId": "432156789",
            "beneficiary": {
              "reference": "Patient/1"
            },
            "relationship": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
                  "code": "self"
                }
              ]
            },
            "period": {
              "start": "2011-05-23",
              "end": "2012-05-23"
            },
            "payor": [
              {
                "identifier": {
                  "system": "http://hl7.org/fhir/sid/us-npi",
                  "value": "0123456789"
                },
                "display": "New Health Plan"
              }
            ]
          }
        }
      ]
    }
  ]
}