Da Vinci Payer Data Exchange
2.2.1 - STU 2.2 United States of America flag

Da Vinci Payer Data Exchange, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.2.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-epdx/ and changes regularly. See the Directory of published versions

: Example-PDex-Provider-Group - JSON Representation

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{
  "resourceType" : "Group",
  "id" : "Example-PDex-Provider-Group",
  "meta" : {
    "lastUpdated" : "2024-03-21T17:18:00.000Z"
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Group Example-PDex-Provider-Group</b></p><a name=\"Example-PDex-Provider-Group\"> </a><a name=\"hcExample-PDex-Provider-Group\"> </a><div style=\"display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Last updated: 2024-03-21 17:18:00+0000</p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Attributed List of Health Plan Members for Practitioner 1122334455. (Person, enumerated, 1 member) (http://hl7.org/fhir/sid/us-npi#NPI#1122334455)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Record is active\">Active:</td><td>true</td><td style=\"background-color: #f3f5da\" title=\"The kind of things that are members of the group\">Type:</td><td>Person</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Whether the members are listed (enumerated), or the group is a definition of what could be a member (definitional)\">Membership:</td><td colspan=\"3\">enumerated</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"The kind of members of the group, beyond the basic type\">Kind:</td><td colspan=\"3\"><span title=\"Codes:{http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMemberAttributionCS pdexprovidergroup}\">PDex Provider Group</span></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"The entity responsible for the group\">Managed By:</td><td colspan=\"3\"><a href=\"Organization-Payer1.html\">Payer 1 (Provider number: NPI#1022248102)</a></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Other Id (see the one above)\">Other Id:</td><td colspan=\"3\"><a href=\"http://terminology.hl7.org/5.3.0/NamingSystem-USEIN.html\" title=\"An Employer Identification Number (EIN) is also known as a Federal Tax Identification Number, and is used to identify a business entity.\">United States Employer Identification Number</a>/99-12345</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Indicates the number of members that have opted out of sharing \"><a href=\"StructureDefinition-base-ext-members-opted-out.html\">Members Opted-out</a></td><td colspan=\"3\">5</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"The attribution list status designates if the list is in a draft form or if the list is in a final form. When a list is designated as final, reconciliation operations member-add and member-remove are not allowed to be invoked.\"><a href=\"http://hl7.org/fhir/us/davinci-atr/STU2.1/StructureDefinition-ext-attributionListStatus.html\">Attribution List Status</a></td><td colspan=\"3\">final</td></tr></table><p><b>Characteristics</b></p><table class=\"grid\"><tr><th>Characteristic</th><th>Value</th><th>Period</th></tr><tr><td><span title=\"Codes:{http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMemberAttributionCS pdexprovidergroup}\">PDex Provider Group</span></td><td>Identifier: <a href=\"http://terminology.hl7.org/3.1.0/NamingSystem-npi.html\" title=\"National Provider Identifier\">NPI</a>/0123456789</td><td>2024-03-21 --&gt; (ongoing)</td></tr></table><p><b>Members</b></p><table class=\"grid\"><tr><th>Member</th></tr><tr><td><a href=\"Patient-1001.html\">Patricia Ann Person (official) Female, DoB: 1974-12-25 ( Member Number: 55678)</a></td></tr></table></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/us/davinci-atr/StructureDefinition/ext-attributionListStatus",
      "valueCode" : "final"
    },
    {
      "url" : "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-members-opted-out",
      "valueQuantity" : {
        "value" : 5
      }
    }
  ],
  "identifier" : [
    {
      "system" : "http://hl7.org/fhir/sid/us-npi",
      "value" : "1122334455"
    },
    {
      "system" : "urn:oid:2.16.840.1.113883.4.4",
      "value" : "99-12345"
    }
  ],
  "active" : true,
  "type" : "person",
  "actual" : true,
  "code" : {
    "coding" : [
      {
        "system" : "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMemberAttributionCS",
        "code" : "pdexprovidergroup",
        "display" : "PDex Provider Group"
      }
    ]
  },
  "name" : "Attributed List of Health Plan Members for Practitioner 1122334455.",
  "managingEntity" : {
    🔗 "reference" : "Organization/Payer1"
  },
  "characteristic" : [
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMemberAttributionCS",
            "code" : "pdexprovidergroup",
            "display" : "PDex Provider Group"
          }
        ]
      },
      "valueReference" : {
        "identifier" : {
          "system" : "http://hl7.org/fhir/sid/us-npi",
          "value" : "0123456789"
        }
      },
      "exclude" : false,
      "period" : {
        "start" : "2024-03-21"
      }
    }
  ],
  "member" : [
    {
      "id" : "0",
      "entity" : {
        🔗 "reference" : "Patient/1001"
      }
    }
  ]
}