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This page is part of the Da Vinci Payer Data Exchange (v2.1.0-ballot: STU2.1 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions

: example-pdex-member-no-match-group - JSON Representation

Page standards status: Informative

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{
  "resourceType" : "Group",
  "id" : "example-pdex-member-no-match-group",
  "meta" : {
    "lastUpdated" : "2024-03-20T09:00:00.000Z",
    "profile" : [
      🔗 "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-member-no-match-group"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Default Generated text for resource.</div>"
  },
  "contained" : [
    {
      "resourceType" : "Patient",
      "id" : "3",
      "identifier" : [
        {
          "type" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                "code" : "MB"
              }
            ]
          },
          "system" : "http://example.org/old-payer/identifiers/member",
          "value" : "45567",
          "assigner" : {
            "display" : "Old Payer"
          }
        }
      ],
      "name" : [
        {
          "use" : "official",
          "family" : "Jones",
          "given" : [
            "Adam",
            "Jacob"
          ]
        }
      ],
      "gender" : "male",
      "birthDate" : "1957-12-25"
    }
  ],
  "identifier" : [
    {
      "system" : "http://hl7.org/fhir/sid/us-npi",
      "value" : "0123456789"
    }
  ],
  "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" : "9876543210"
    },
    "display" : "Old Health Plan"
  },
  "member" : [
    {
      "entity" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-match-parameters",
            "valueReference" : {
              "reference" : "#3"
            }
          }
        ],
        "reference" : "#3"
      }
    }
  ]
}