Da Vinci Payer Data Exchange
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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

: Example Member-Provider Treatment Relationship Group - TTL Representation

Page standards status: Informative

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@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 xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/Group/example-pdex-treatment-relationship-group> a fhir:Group ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "example-pdex-treatment-relationship-group"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.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>"
  ] ;
  fhir:Group.identifier [
     fhir:index 0 ;
     fhir:Identifier.system [ fhir:value "http://example.org/payer/treatment-relationship-groups" ] ;
     fhir:Identifier.value [ fhir:value "TRL-2024-001" ] ;
     fhir:Identifier.assigner [
       fhir:Reference.display [ fhir:value "Example Payer Organization" ]
     ]
  ] ;
  fhir:Group.active [ fhir:value "true"^^xsd:boolean] ;
  fhir:Group.type [ fhir:value "practitioner"] ;
  fhir:Group.actual [ fhir:value "true"^^xsd:boolean] ;
  fhir:Group.code [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMultiMemberMatchResultCS" ] ;
       fhir:Coding.code [ fhir:value "match" ] ;
       fhir:Coding.display [ fhir:value "Matched" ]
     ]
  ] ;
  fhir:Group.quantity [ fhir:value "2"^^xsd:nonNegativeInteger] ;
  fhir:Group.managingEntity [
     fhir:link <http://hl7.org/fhir/Organization/Payer1> ;
     fhir:Reference.reference [ fhir:value "Organization/Payer1" ] ;
     fhir:Reference.identifier [
       fhir:Identifier.type [
         fhir:CodeableConcept.coding [
           fhir:index 0 ;
           fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PDexIdentifierType" ] ;
           fhir:Coding.code [ fhir:value "naiccode" ] ;
           fhir:Coding.display [ fhir:value "NAIC Code" ]
         ]
       ] ;
       fhir:Identifier.system [ fhir:value "urn:oid:2.16.840.1.113883.6.300" ] ;
       fhir:Identifier.value [ fhir:value "12345" ]
     ] ;
     fhir:Reference.display [ fhir:value "Example Payer Organization" ]
  ] ;
  fhir:Group.characteristic [
     fhir:index 0 ;
     fhir:Group.characteristic.code [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         fhir:Coding.system [ fhir:value "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMemberAttributionCS" ] ;
         fhir:Coding.code [ fhir:value "pdex-member" ] ;
         fhir:Coding.display [ fhir:value "PDex Member" ]
       ]
     ] ;
     fhir:Group.characteristic.valueReference [
       fhir:link <http://hl7.org/fhir/Patient/payer-member-001> ;
       fhir:Reference.reference [ fhir:value "Patient/payer-member-001" ]
     ] ;
     fhir:Group.characteristic.exclude [ fhir:value "false"^^xsd:boolean ] ;
     fhir:Group.characteristic.period [
       fhir:Period.start [ fhir:value "2024-01-01"^^xsd:date ]
     ]
  ] ;
  fhir:Group.member [
     fhir:index 0 ;
     fhir:Group.member.entity [
       fhir:link <http://hl7.org/fhir/Practitioner/provider-001> ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/treatment-relationship-details" ] ;
         fhir:Extension.valueString [ fhir:value "Primary care physician. Treatment relationship established 2024-01-15 based on office visit." ]
       ] ;
       fhir:Reference.reference [ fhir:value "Practitioner/provider-001" ] ;
       fhir:Reference.display [ fhir:value "Dr. John Smith, MD" ]
     ] ;
     fhir:Group.member.inactive [ fhir:value "false"^^xsd:boolean ]
  ], [
     fhir:index 1 ;
     fhir:Group.member.entity [
       fhir:link <http://hl7.org/fhir/Practitioner/provider-002> ;
       fhir:Element.extension [
         fhir:index 0 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/treatment-relationship-details" ] ;
         fhir:Extension.valueString [ fhir:value "Specialist referral. Treatment relationship established 2024-03-01 based on specialist referral from primary care." ]
       ] ;
       fhir:Reference.reference [ fhir:value "Practitioner/provider-002" ] ;
       fhir:Reference.display [ fhir:value "Dr. Mary Jones, MD" ]
     ] ;
     fhir:Group.member.inactive [ fhir:value "false"^^xsd:boolean ]
  ] .

<http://hl7.org/fhir/Organization/Payer1> a fhir:Organization .

<http://hl7.org/fhir/Patient/payer-member-001> a fhir:Patient .

<http://hl7.org/fhir/Practitioner/provider-001> a fhir:Practitioner .

<http://hl7.org/fhir/Practitioner/provider-002> a fhir:Practitioner .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/Group/example-pdex-treatment-relationship-group.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/Group/example-pdex-treatment-relationship-group.ttl> .