Da Vinci Payer Data Exchange
2.0.0 - STU2
Da Vinci Payer Data Exchange
2.0.0 - STU2
This page is part of the Da Vinci Payer Data Exchange (v2.0.0: STU2) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
a fhir:Bundle ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "1000000-1"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://hl7.org/fhir/StructureDefinition/Bundle"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/StructureDefinition/Bundle> ] )
] ; #
fhir:type [ fhir:v "transaction-response"] ; #
fhir:timestamp [ fhir:v "2019-12-31T20:26:23.217+00:00"^^xsd:dateTime] ; #
fhir:link ( [
fhir:relation [ fhir:v "self" ] ;
fhir:url [ fhir:v "https://example.com/base/fhir/Patient?ct=W2idG9rZW4iOiIrUklEOn53MThjQUk5RlVPZ0lEQUFBQUFBQU"^^xsd:anyURI ]
] ) ; #
fhir:entry ( [
fhir:fullUrl [ fhir:v "https://example.com/base/Patient/1"^^xsd:anyURI ] ;
( fhir:resource <https://example.com/base/Patient/1> ) ;
fhir:response [
fhir:status [ fhir:v "200" ] ]
] [
fhir:fullUrl [ fhir:v "https://example.com/base/Encounter/6-1"^^xsd:anyURI ] ;
( fhir:resource <https://example.com/base/Encounter/6-1> ) ;
fhir:response [
fhir:status [ fhir:v "200" ] ]
] [
fhir:fullUrl [ fhir:v "https://example.com/base/Encounter/7-1"^^xsd:anyURI ] ;
( fhir:resource <https://example.com/base/Encounter/7-1> ) ;
fhir:response [
fhir:status [ fhir:v "200" ] ]
] [
fhir:fullUrl [ fhir:v "https://example.com/base/Provenance/1000002-1"^^xsd:anyURI ] ;
( fhir:resource <https://example.com/base/Provenance/1000002-1> ) ;
fhir:response [
fhir:status [ fhir:v "200" ] ]
] [
fhir:fullUrl [ fhir:v "https://example.com/base/Provenance/1000003-1"^^xsd:anyURI ] ;
( fhir:resource <https://example.com/base/Provenance/1000003-1> ) ;
fhir:response [
fhir:status [ fhir:v "200" ] ]
] [
fhir:fullUrl [ fhir:v "https://example.com/base/Provenance/1000004-1"^^xsd:anyURI ] ;
( fhir:resource <https://example.com/base/Provenance/1000004-1> ) ;
fhir:response [
fhir:status [ fhir:v "200" ] ]
] ) . #
<https://example.com/base/Patient/1> a fhir:Patient ;
fhir:id [ fhir:v "1"] ; #
fhir:meta [
fhir:lastUpdated [ fhir:v "2019-07-07T13:26:22.0314215+00:00"^^xsd:dateTime ] ;
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient> ] )
] ; #
fhir:language [ fhir:v "en-US"] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en-US\" lang=\"en-US\"><p><b>Generated Narrative: Patient</b><a name=\"1\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Patient "1" Updated "2019-07-07 13:26:22+0000" (Language "en-US") </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-patient.html\">US Core Patient Profile</a></p></div><p><b>identifier</b>: Member Number: https://www.xxxhealthplan.com/fhir/memberidentifier#1234-234-1243-12345678901, Medical record number: 1234-234-1243-12345678901m, Health Plan Identifier: 1234-234-1243-12345678901u, Patient external identifier: 1234-234-1243-12345678901a</p><p><b>active</b>: true</p><p><b>name</b>: Johnny Appleseed </p><p><b>telecom</b>: ph: (443)555-1212, ph: (410)678-2323</p><p><b>gender</b>: male</p><p><b>birthDate</b>: 1986-01-01</p><p><b>address</b>: 123 Main Street Pittsburgh PA 12519 </p><p><b>maritalStatus</b>: unknown <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-NullFlavor.html\">NullFlavor</a>#UNK)</span></p></div>"
] ; #
fhir:identifier ( [
fhir:type [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "MB" ] ] ) ] ;
fhir:system [ fhir:v "https://www.xxxhealthplan.com/fhir/memberidentifier"^^xsd:anyURI ] ;
fhir:value [ fhir:v "https://www.xxxhealthplan.com/fhir/memberidentifier#1234-234-1243-12345678901" ]
] [
fhir:type [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "MR" ] ] ) ] ;
fhir:system [ fhir:v "https://www.xxxhealthplan.com/fhir/medicalrecordnumber"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1234-234-1243-12345678901m" ]
] [
fhir:type [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "XV" ] ] ) ] ;
fhir:system [ fhir:v "https://www.xxxhealthplan.com/fhir/uniquememberidentifier"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1234-234-1243-12345678901u" ]
] [
fhir:type [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "PT" ] ] ) ] ;
fhir:system [ fhir:v "https://www.xxxhealthplan.com/fhir/patacctnum"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1234-234-1243-12345678901a" ]
] ) ; #
fhir:active [ fhir:v "true"^^xsd:boolean] ; #
fhir:name ( [
fhir:family [ fhir:v "Appleseed" ] ;
( fhir:given [ fhir:v "Johnny" ] )
] ) ; #
fhir:telecom ( [
fhir:system [ fhir:v "phone" ] ;
fhir:value [ fhir:v "(443)555-1212" ] ;
fhir:rank [ fhir:v "1"^^xsd:positiveInteger ]
] [
fhir:system [ fhir:v "phone" ] ;
fhir:value [ fhir:v "(410)678-2323" ] ;
fhir:rank [ fhir:v "2"^^xsd:positiveInteger ]
] ) ; #
fhir:gender [ fhir:v "male"] ; #
fhir:birthDate [ fhir:v "1986-01-01"^^xsd:date] ; #
fhir:address ( [
fhir:type [ fhir:v "physical" ] ;
( fhir:line [ fhir:v "123 Main Street" ] ) ;
fhir:city [ fhir:v "Pittsburgh" ] ;
fhir:state [ fhir:v "PA" ] ;
fhir:postalCode [ fhir:v "12519" ]
] ) ; #
fhir:maritalStatus [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-NullFlavor"^^xsd:anyURI ] ;
fhir:code [ fhir:v "UNK" ] ] )
] . #
<https://example.com/base/Encounter/6-1> a fhir:Encounter ;
fhir:id [ fhir:v "6-1"] ; #
fhir:meta [
fhir:lastUpdated [ fhir:v "2019-07-14T19:26:23.217+00:00"^^xsd:dateTime ] ;
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Encounter</b><a name=\"6-1\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Encounter "6-1" Updated "2019-07-14 19:26:23+0000" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-encounter.html\">US Core Encounter Profile</a></p></div><p><b>status</b>: finished</p><p><b>class</b>: Ambulatory (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code AMB = 'ambulatory', stated as 'Ambulatory')</p><p><b>type</b>: Consultation <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT[US]</a>#11429006)</span></p><p><b>subject</b>: <a href=\"#Patient_1\">See above (Patient/1)</a></p></div>"
] ; #
fhir:status [ fhir:v "finished"] ; #
fhir:class [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ] ;
fhir:code [ fhir:v "AMB" ] ;
fhir:display [ fhir:v "Ambulatory" ]
] ; #
fhir:type ( [
( fhir:coding [
a sct:11429006 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:version [ fhir:v "http://snomed.info/sct/731000124108" ] ;
fhir:code [ fhir:v "11429006" ] ;
fhir:display [ fhir:v "Consultation" ] ] )
] ) ; #
fhir:subject [
fhir:reference [ fhir:v "Patient/1" ]
] . #
<https://example.com/base/Encounter/7-1> a fhir:Encounter ;
fhir:id [ fhir:v "7-1"] ; #
fhir:meta [
fhir:lastUpdated [ fhir:v "2019-10-15T20:26:23.217+00:00"^^xsd:dateTime ] ;
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Encounter</b><a name=\"7-1\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Encounter "7-1" Updated "2019-10-15 20:26:23+0000" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/StructureDefinition-us-core-encounter.html\">US Core Encounter Profile</a></p></div><p><b>status</b>: finished</p><p><b>class</b>: Ambulatory (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code AMB = 'ambulatory', stated as 'Ambulatory')</p><p><b>type</b>: Consultation <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT[US]</a>#11429006)</span></p><p><b>subject</b>: <a href=\"#Patient_1\">See above (Patient/1)</a></p></div>"
] ; #
fhir:status [ fhir:v "finished"] ; #
fhir:class [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ] ;
fhir:code [ fhir:v "AMB" ] ;
fhir:display [ fhir:v "Ambulatory" ]
] ; #
fhir:type ( [
( fhir:coding [
a sct:11429006 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:version [ fhir:v "http://snomed.info/sct/731000124108" ] ;
fhir:code [ fhir:v "11429006" ] ;
fhir:display [ fhir:v "Consultation" ] ] )
] ) ; #
fhir:subject [
fhir:reference [ fhir:v "Patient/1" ]
] . #
<https://example.com/base/Provenance/1000002-1> a fhir:Provenance ;
fhir:id [ fhir:v "1000002-1"] ; #
fhir:meta [
fhir:versionId [ fhir:v "1" ] ;
fhir:lastUpdated [ fhir:v "2019-07-14T19:26:23.217+00:00"^^xsd:dateTime ] ;
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-provenance"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-provenance> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Provenance</b><a name=\"1000002-1\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Provenance "1000002-1" Version "1" Updated "2019-07-14 19:26:23+0000" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-pdex-provenance.html\">PDex Provenance</a></p></div><p><b>target</b>: <a href=\"#Encounter_6-1\">See above (https://example.com/base/Encounter/6-1)</a></p><p><b>recorded</b>: Jul 10, 2020, 4:26:23 PM</p><h3>Agents</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Who</b></td></tr><tr><td style=\"display: none\">*</td><td>Author <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-provenance-participant-type.html\">Provenance participant type</a>#author)</span></td><td><a href=\"Organization-ProviderOrg1.html\">Organization/ProviderOrg1</a> "Provider 1"</td></tr></table><h3>Entities</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Extension</b></td><td><b>Role</b></td><td><b>What</b></td></tr><tr><td style=\"display: none\">*</td><td/><td>source</td><td><span>: No reference available</span></td></tr></table></div>"
] ; #
fhir:target ( [
fhir:link <https://example.com/base/Encounter/6-1> ;
fhir:reference [ fhir:v "https://example.com/base/Encounter/6-1" ]
] ) ; #
fhir:recorded [ fhir:v "2020-07-10T16:26:23.217+00:00"^^xsd:dateTime] ; #
fhir:agent ( [
fhir:type [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/provenance-participant-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "author" ] ;
fhir:display [ fhir:v "Author" ] ] ) ] ;
fhir:who [
fhir:reference [ fhir:v "Organization/ProviderOrg1" ] ]
] ) ; #
fhir:entity ( [
( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/ProvenanceSourceFrom"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/ProvenancePayerDataSource"^^xsd:anyURI ] ;
fhir:code [ fhir:v "hl7ccda" ] ;
fhir:display [ fhir:v "HL7 C-CDA" ] ] ) ] ] ) ;
fhir:role [ fhir:v "source" ] ;
fhir:what [
fhir:display [ fhir:v "No reference available" ] ]
] ) . #
<https://example.com/base/Provenance/1000003-1> a fhir:Provenance ;
fhir:id [ fhir:v "1000003-1"] ; #
fhir:meta [
fhir:versionId [ fhir:v "1" ] ;
fhir:lastUpdated [ fhir:v "2019-10-15T20:26:23.217+00:00"^^xsd:dateTime ]
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Provenance</b><a name=\"1000003-1\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Provenance "1000003-1" Version "1" Updated "2019-10-15 20:26:23+0000" </p></div><p><b>target</b>: <a href=\"#Encounter_7-1\">See above (Encounter/7-1)</a></p><p><b>recorded</b>: Jul 10, 2020, 4:26:23 PM</p><h3>Agents</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Who</b></td></tr><tr><td style=\"display: none\">*</td><td>Author <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-provenance-participant-type.html\">Provenance participant type</a>#author)</span></td><td><a href=\"Organization-ProviderOrg1.html\">Organization/ProviderOrg1</a> "Provider 1"</td></tr></table><h3>Entities</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Extension</b></td><td><b>Role</b></td><td><b>What</b></td></tr><tr><td style=\"display: none\">*</td><td/><td>source</td><td><span>: No reference available</span></td></tr></table></div>"
] ; #
fhir:target ( [
fhir:reference [ fhir:v "Encounter/7-1" ]
] ) ; #
fhir:recorded [ fhir:v "2020-07-10T16:26:23.217+00:00"^^xsd:dateTime] ; #
fhir:agent ( [
fhir:type [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/provenance-participant-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "author" ] ;
fhir:display [ fhir:v "Author" ] ] ) ] ;
fhir:who [
fhir:reference [ fhir:v "Organization/ProviderOrg1" ] ]
] ) ; #
fhir:entity ( [
( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/ProvenanceSourceFrom"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/ProvenancePayerDataSource"^^xsd:anyURI ] ;
fhir:code [ fhir:v "hl7ccda" ] ;
fhir:display [ fhir:v "HL7 C-CDA" ] ] ) ] ] ) ;
fhir:role [ fhir:v "source" ] ;
fhir:what [
fhir:display [ fhir:v "No reference available" ] ]
] ) . #
<https://example.com/base/Provenance/1000004-1> a fhir:Provenance ;
fhir:id [ fhir:v "1000004-1"] ; #
fhir:meta [
fhir:versionId [ fhir:v "1" ] ;
fhir:lastUpdated [ fhir:v "2019-12-31T20:26:23.217+00:00"^^xsd:dateTime ]
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Provenance</b><a name=\"1000004-1\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Provenance "1000004-1" Version "1" Updated "2019-12-31 20:26:23+0000" </p></div><p><b>target</b>: <a href=\"Bundle-1000000-1.html\">Bundle/1000000-1</a></p><p><b>recorded</b>: Dec 31, 2019, 8:26:23 PM</p><h3>Agents</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Role</b></td><td><b>Who</b></td></tr><tr><td style=\"display: none\">*</td><td>Transmitter <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/us/core/STU3.1.1/CodeSystem-us-core-provenance-participant-type.html\">US Core Provenance Participant Type Extension Codes</a>#transmitter)</span></td><td>Transcriber <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-contractsignertypecodes.html\">Contract Signer Type Codes</a>#TRANS)</span></td><td><a href=\"Organization-Payer1.html\">Organization/Payer1</a> "Payer 1"</td></tr></table></div>"
] ; #
fhir:target ( [
fhir:reference [ fhir:v "Bundle/1000000-1" ]
] ) ; #
fhir:recorded [ fhir:v "2019-12-31T20:26:23.217+00:00"^^xsd:dateTime] ; #
fhir:agent ( [
fhir:type [
( fhir:coding [
fhir:system [ fhir:v "http://hl7.org/fhir/us/core/CodeSystem/us-core-provenance-participant-type"^^xsd:anyURI ] ;
fhir:code [ fhir:v "transmitter" ] ;
fhir:display [ fhir:v "Transmitter" ] ] ) ] ;
( fhir:role [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/contractsignertypecodes"^^xsd:anyURI ] ;
fhir:code [ fhir:v "TRANS" ] ] ) ] ) ;
fhir:who [
fhir:reference [ fhir:v "Organization/Payer1" ] ]
] ) . #
IG © 2020+ HL7 International / Financial Management. Package hl7.fhir.us.davinci-pdex#2.0.0 based on FHIR 4.0.1. Generated 2024-01-06
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