{
  "resourceType" : "Parameters",
  "id" : "provider-member-match-response-001",
  "meta" : {
    "profile" : ["http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/provider-parameters-multi-member-match-bundle-out"]
  },
  "parameter" : [{
    "name" : "MatchedMembers",
    "resource" : {
      "resourceType" : "Group",
      "id" : "matched-treatment-relationship-group-001",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>Matched Members with Treatment Relationships</h2><p>Members with confirmed treatment relationships who are authorized for provider data access</p></div>"
      },
      "identifier" : [{
        "system" : "http://example.org/payer/match-groups",
        "value" : "MTG-2024-12-16-001",
        "assigner" : {
          "display" : "Example Payer"
        }
      },
      {
        "system" : "http://hl7.org/fhir/sid/us-npi",
        "value" : "1982947230",
        "assigner" : {
          "display" : "Provider Organization"
        }
      }],
      "active" : true,
      "type" : "person",
      "actual" : true,
      "code" : {
        "coding" : [{
          "system" : "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMultiMemberMatchResultCS",
          "code" : "match",
          "display" : "Matched"
        }]
      },
      "quantity" : 2,
      "managingEntity" : {
        "identifier" : {
          "system" : "http://hl7.org/fhir/sid/us-npi",
          "value" : "5555555555"
        },
        "display" : "Current Payer"
      },
      "characteristic" : [{
        "code" : {
          "coding" : [{
            "system" : "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMultiMemberMatchResultCS",
            "code" : "match",
            "display" : "Matched"
          }]
        },
        "valueReference" : {
          "identifier" : {
            "system" : "http://hl7.org/fhir/sid/us-npi",
            "value" : "1982947230"
          },
          "display" : "Provider Organization"
        },
        "exclude" : false,
        "period" : {
          "start" : "2024-12-16"
        }
      }],
      "member" : [{
        "entity" : {
          "reference" : "Patient/payer-member-001",
          "display" : "Robert Michael Johnson - Payer Member"
        },
        "inactive" : false
      },
      {
        "entity" : {
          "reference" : "Patient/payer-member-002",
          "display" : "Sarah Elizabeth Williams - Payer Member"
        },
        "inactive" : false
      }]
    }
  },
  {
    "name" : "NonMatchedMembers",
    "resource" : {
      "resourceType" : "Group",
      "id" : "nomatch-group-001",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>Non-Matched Members</h2><p>Members submitted by provider that were not found in payer system</p></div>"
      },
      "identifier" : [{
        "system" : "http://example.org/payer/match-groups",
        "value" : "NMG-2024-12-16-001",
        "assigner" : {
          "display" : "Example Payer"
        }
      },
      {
        "system" : "http://hl7.org/fhir/sid/us-npi",
        "value" : "1982947230",
        "assigner" : {
          "display" : "Provider Organization"
        }
      }],
      "active" : true,
      "type" : "person",
      "actual" : true,
      "code" : {
        "coding" : [{
          "system" : "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMultiMemberMatchResultCS",
          "code" : "nomatch",
          "display" : "Not Matched"
        }]
      },
      "quantity" : 1,
      "managingEntity" : {
        "identifier" : {
          "system" : "http://hl7.org/fhir/sid/us-npi",
          "value" : "5555555555"
        },
        "display" : "Current Payer"
      },
      "characteristic" : [{
        "code" : {
          "coding" : [{
            "system" : "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMultiMemberMatchResultCS",
            "code" : "nomatch",
            "display" : "Not Matched"
          }]
        },
        "valueBoolean" : true,
        "exclude" : false,
        "period" : {
          "start" : "2024-12-16"
        }
      }],
      "member" : [{
        "entity" : {
          "reference" : "Patient/patient-prov-002",
          "display" : "Jane Smith (submitted demographics - no match found)"
        },
        "inactive" : false
      }]
    }
  },
  {
    "name" : "ConsentConstrainedMembers",
    "resource" : {
      "resourceType" : "Group",
      "id" : "consent-constrained-group-001",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>Consent-Constrained Members</h2><p>Members found but who have exercised their right to opt out of Provider Access data sharing</p></div>"
      },
      "identifier" : [{
        "system" : "http://example.org/payer/match-groups",
        "value" : "CCG-2024-12-16-001",
        "assigner" : {
          "display" : "Example Payer"
        }
      },
      {
        "system" : "http://hl7.org/fhir/sid/us-npi",
        "value" : "1982947230",
        "assigner" : {
          "display" : "Provider Organization"
        }
      }],
      "active" : true,
      "type" : "person",
      "actual" : true,
      "code" : {
        "coding" : [{
          "system" : "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMultiMemberMatchResultCS",
          "code" : "consentconstraint",
          "display" : "Consent Constraint"
        }]
      },
      "quantity" : 1,
      "managingEntity" : {
        "identifier" : {
          "system" : "http://hl7.org/fhir/sid/us-npi",
          "value" : "5555555555"
        },
        "display" : "Current Payer"
      },
      "characteristic" : [{
        "code" : {
          "coding" : [{
            "system" : "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMultiMemberMatchResultCS",
            "code" : "consentconstraint",
            "display" : "Consent Constraint"
          }]
        },
        "valueCodeableConcept" : {
          "coding" : [{
            "system" : "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/opt-out-scope",
            "code" : "provider-specific",
            "display" : "Provider-Specific Opt-Out"
          }]
        },
        "exclude" : false,
        "period" : {
          "start" : "2024-12-16"
        }
      }],
      "member" : [{
        "entity" : {
          "reference" : "Patient/payer-member-002",
          "display" : "Sarah Elizabeth Williams (matched but opted out of Provider Access)"
        },
        "inactive" : false
      }]
    }
  }]
}