FHIR IG analytics| Package | hl7.fhir.us.davinci-pdex |
| Resource Type | Parameters |
| Id | Parameters-provider-member-match-request-001.json |
| FHIR Version | R4 |
No resources found
No resources found
No narrative content found in resource
FHIR
FHIRsmith{
"resourceType": "Parameters",
"id": "provider-member-match-request-001",
"meta": {
"profile": [
"http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/provider-parameters-multi-member-match-bundle-in"
]
},
"parameter": [
{
"name": "MemberBundle",
"part": [
{
"name": "MemberPatient",
"resource": {
"resourceType": "Patient",
"id": "patient-prov-001",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Robert Michael Johnson - DOB: 1965-08-15, Male</p></div>"
},
"identifier": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "MB"
}
]
},
"system": "http://example.org/provider-org/patient-ids",
"value": "PAT-001",
"assigner": {
"display": "Provider Organization"
}
}
],
"name": [
{
"use": "official",
"family": "Johnson",
"given": [
"Robert",
"Michael"
]
}
],
"telecom": [
{
"system": "phone",
"value": "555-123-4567"
}
],
"gender": "male",
"birthDate": "1965-08-15",
"address": [
{
"use": "home",
"line": [
"123 Main Street"
],
"city": "Springfield",
"state": "IL",
"postalCode": "62701"
}
]
}
},
{
"name": "CoverageToMatch",
"resource": {
"resourceType": "Coverage",
"id": "coverage-to-match-001",
"meta": {
"profile": [
"http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-coverage"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Coverage for Robert Johnson - Subscriber ID: 12345678, Previous Health Plan, PPO-GOLD</p></div>"
},
"status": "draft",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "HIP",
"display": "health insurance plan policy"
}
]
},
"subscriber": {
"reference": "Patient/patient-prov-001"
},
"subscriberId": "12345678",
"beneficiary": {
"reference": "Patient/patient-prov-001"
},
"relationship": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
"code": "self"
}
]
},
"period": {
"start": "2023-01-01",
"end": "2023-12-31"
},
"payor": [
{
"identifier": {
"system": "http://hl7.org/fhir/sid/us-npi",
"value": "9876543210"
},
"display": "Previous Health Plan"
}
],
"class": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/coverage-class",
"code": "group"
}
]
},
"value": "EMPLOY-12345"
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/coverage-class",
"code": "plan"
}
]
},
"value": "PPO-GOLD"
}
]
}
},
{
"name": "Consent",
"resource": {
"resourceType": "Consent",
"id": "treatment-attestation-001",
"meta": {
"profile": [
"http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/provider-treatment-relationship-consent"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Treatment Attestation by Dr. Susan Smith for Robert Johnson - Treatment relationship since 2024-01-15</p></div>"
},
"status": "active",
"scope": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/consentscope",
"code": "treatment"
}
]
},
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "IDSCL",
"display": "Information Disclosure"
}
]
},
{
"coding": [
{
"system": "http://loinc.org",
"code": "64292-6",
"display": "Release of information consent"
}
]
}
],
"patient": {
"reference": "Patient/patient-prov-001"
},
"dateTime": "2024-12-10T14:30:00Z",
"performer": [
{
"identifier": {
"system": "http://hl7.org/fhir/sid/us-npi",
"value": "1234567893"
},
"display": "Dr. Susan Smith, MD"
}
],
"organization": [
{
"reference": "Organization/provider-org-001",
"display": "Springfield Medical Center"
}
],
"sourceReference": {
"reference": "DocumentReference/treatment-attestation-form-001",
"display": "Provider Attestation Form"
},
"policy": [
{
"authority": "https://example.org/compliance",
"uri": "https://example.org/provider-attestation-policy"
}
],
"provision": {
"type": "permit",
"period": {
"start": "2024-01-15"
},
"actor": [
{
"role": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "IRCP",
"display": "information recipient"
}
]
},
"reference": {
"reference": "Practitioner/provider-001",
"display": "Dr. Susan Smith"
}
}
],
"purpose": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"code": "TREAT",
"display": "treatment"
}
]
}
}
}
]
},
{
"name": "MemberBundle",
"part": [
{
"name": "MemberPatient",
"resource": {
"resourceType": "Patient",
"id": "patient-prov-002",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Sarah Elizabeth Williams - DOB: 1978-03-22, Female</p></div>"
},
"identifier": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "MB"
}
]
},
"system": "http://example.org/provider-org/patient-ids",
"value": "PAT-002",
"assigner": {
"display": "Provider Organization"
}
}
],
"name": [
{
"use": "official",
"family": "Williams",
"given": [
"Sarah",
"Elizabeth"
]
}
],
"telecom": [
{
"system": "phone",
"value": "555-987-6543"
}
],
"gender": "female",
"birthDate": "1978-03-22",
"address": [
{
"use": "home",
"line": [
"456 Oak Avenue"
],
"city": "Columbus",
"state": "OH",
"postalCode": "43085"
}
]
}
},
{
"name": "CoverageToMatch",
"resource": {
"resourceType": "Coverage",
"id": "coverage-to-match-002",
"meta": {
"profile": [
"http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-coverage"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Coverage for Sarah Williams - Subscriber ID: 87654321, Another Health Plan, HMO-BASIC</p></div>"
},
"status": "draft",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "HIP",
"display": "health insurance plan policy"
}
]
},
"subscriber": {
"reference": "Patient/patient-prov-002"
},
"subscriberId": "87654321",
"beneficiary": {
"reference": "Patient/patient-prov-002"
},
"relationship": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
"code": "self"
}
]
},
"period": {
"start": "2023-06-01",
"end": "2024-05-31"
},
"payor": [
{
"identifier": {
"system": "http://hl7.org/fhir/sid/us-npi",
"value": "1111111111"
},
"display": "Another Health Plan"
}
],
"class": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/coverage-class",
"code": "group"
}
]
},
"value": "EMPLOY-67890"
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/coverage-class",
"code": "plan"
}
]
},
"value": "HMO-BASIC"
}
]
}
},
{
"name": "Consent",
"resource": {
"resourceType": "Consent",
"id": "treatment-attestation-002",
"meta": {
"profile": [
"http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/provider-treatment-relationship-consent"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Treatment Attestation by Dr. James Brown for Sarah Williams - Treatment relationship since 2024-02-01</p></div>"
},
"status": "active",
"scope": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/consentscope",
"code": "treatment"
}
]
},
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "IDSCL",
"display": "Information Disclosure"
}
]
},
{
"coding": [
{
"system": "http://loinc.org",
"code": "64292-6",
"display": "Release of information consent"
}
]
}
],
"patient": {
"reference": "Patient/patient-prov-002"
},
"dateTime": "2024-12-09T10:15:00Z",
"performer": [
{
"identifier": {
"system": "http://hl7.org/fhir/sid/us-npi",
"value": "9876543210"
},
"display": "Dr. James Brown, MD"
}
],
"organization": [
{
"reference": "Organization/provider-org-002",
"display": "Columbus Clinic"
}
],
"sourceReference": {
"reference": "DocumentReference/treatment-attestation-form-002",
"display": "Provider Attestation Form"
},
"policy": [
{
"uri": "https://example.org/provider-attestation-policy"
}
],
"provision": {
"type": "permit",
"period": {
"start": "2024-02-01"
},
"actor": [
{
"role": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "IRCP",
"display": "information recipient"
}
]
},
"reference": {
"reference": "Practitioner/provider-002",
"display": "Dr. James Brown"
}
}
],
"purpose": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"code": "TREAT",
"display": "treatment"
}
]
}
}
}
]
}
]
}