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 - XML Representation

Page standards status: Informative

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<Group xmlns="http://hl7.org/fhir">
  <id value="Example-PDex-Provider-Group"/>
  <meta>
    <lastUpdated value="2024-03-21T17:18:00.000Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <extension
             url="http://hl7.org/fhir/us/davinci-atr/StructureDefinition/ext-attributionListStatus">
    <valueCode value="final"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-members-opted-out">
    <valueQuantity>
      <value value="5"/>
    </valueQuantity>
  </extension>
  <identifier>
    <system value="http://hl7.org/fhir/sid/us-npi"/>
    <value value="1122334455"/>
  </identifier>
  <identifier>
    <system value="urn:oid:2.16.840.1.113883.4.4"/>
    <value value="99-12345"/>
  </identifier>
  <active value="true"/>
  <type value="person"/>
  <actual value="true"/>
  <code>
    <coding>
      <system
              value="http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMemberAttributionCS"/>
      <code value="pdexprovidergroup"/>
      <display value="PDex Provider Group"/>
    </coding>
  </code>
  <name
        value="Attributed List of Health Plan Members for Practitioner 1122334455."/>
  <managingEntity>🔗 
    <reference value="Organization/Payer1"/>
  </managingEntity>
  <characteristic>
    <code>
      <coding>
        <system
                value="http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMemberAttributionCS"/>
        <code value="pdexprovidergroup"/>
        <display value="PDex Provider Group"/>
      </coding>
    </code>
    <valueReference>
      <identifier>
        <system value="http://hl7.org/fhir/sid/us-npi"/>
        <value value="0123456789"/>
      </identifier>
    </valueReference>
    <exclude value="false"/>
    <period>
      <start value="2024-03-21"/>
    </period>
  </characteristic>
  <member id="0">
    <entity>🔗 
      <reference value="Patient/1001"/>
    </entity>
  </member>
</Group>