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 2.2.0 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

• Narrative Content
• XML
• JSON
• TTL

: Example Member-Provider Treatment Relationship Group - JSON Representation

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{
  "resourceType" : "Group",
  "id" : "example-pdex-treatment-relationship-group",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-treatment-relationship"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>Member-Provider Treatment Relationship Group</h2><p>Providers with an active treatment relationship with the member</p></div>"
  },
  "identifier" : [
    {
      "system" : "http://example.org/payer/treatment-relationship-groups",
      "value" : "TRL-2024-001",
      "assigner" : {
        "display" : "Example Payer Organization"
      }
    }
  ],
  "active" : true,
  "type" : "device",
  "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" : "Example Payer Organization"
  },
  "characteristic" : [
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMemberAttributionCS",
            "code" : "pdex-member",
            "display" : "PDex Member"
          }
        ]
      },
      "valueReference" : {
        🔗 "reference" : "Patient/payer-patient-1001"
      },
      "exclude" : false,
      "period" : {
        "start" : "2024-01-01"
      }
    }
  ],
  "member" : [
    {
      "entity" : {
        🔗 "extension" : [
          {
            "url" : "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/treatment-relationship-details",
            "valueString" : "Primary care physician. Treatment relationship established 2024-01-15 based on office visit."
          }
        ],
        "reference" : "Practitioner/provider-001",
        "display" : "Dr. John Smith, MD"
      },
      "inactive" : false
    },
    {
      "entity" : {
        🔗 "extension" : [
          {
            "url" : "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/treatment-relationship-details",
            "valueString" : "Specialist referral. Treatment relationship established 2024-03-01 based on specialist referral from primary care."
          }
        ],
        "reference" : "Practitioner/provider-002",
        "display" : "Dr. Mary Jones, MD"
      },
      "inactive" : false
    }
  ]
}