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 rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

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

 a fhir:Group ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "example-pdex-treatment-relationship-group"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-treatment-relationship"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-treatment-relationship>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<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>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:identifier ( [
fhir:system [
fhir:v "http://example.org/payer/treatment-relationship-groups"^^xsd:anyURI ;
fhir:l <http://example.org/payer/treatment-relationship-groups>     ] ;
fhir:value [ fhir:v "TRL-2024-001" ] ;
fhir:assigner [
fhir:display [ fhir:v "Example Payer Organization" ]     ]
  ] ) ; # 
  fhir:active [ fhir:v true] ; # 
  fhir:type [ fhir:v "device"] ; # 
  fhir:actual [ fhir:v true] ; # 
  fhir:code [
    ( fhir:coding [
fhir:system [
fhir:v "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMultiMemberMatchResultCS"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMultiMemberMatchResultCS>       ] ;
fhir:code [ fhir:v "match" ] ;
fhir:display [ fhir:v "Matched" ]     ] )
  ] ; # 
  fhir:quantity [ fhir:v "2"^^xsd:nonNegativeInteger] ; # 
  fhir:managingEntity [
fhir:identifier [
fhir:system [
fhir:v "http://hl7.org/fhir/sid/us-npi"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/sid/us-npi>       ] ;
fhir:value [ fhir:v "5555555555" ]     ] ;
fhir:display [ fhir:v "Example Payer Organization" ]
  ] ; # 
  fhir:characteristic ( [
fhir:code [
      ( fhir:coding [
fhir:system [
fhir:v "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMemberAttributionCS"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMemberAttributionCS>         ] ;
fhir:code [ fhir:v "pdex-member" ] ;
fhir:display [ fhir:v "PDex Member" ]       ] )     ] ;
fhir:value [
a fhir:Reference ;
fhir:l fhir:Patient/payer-patient-1001 ;
fhir:reference [ fhir:v "Patient/payer-patient-1001" ]     ] ;
fhir:exclude [ fhir:v false ] ;
fhir:period [
fhir:start [ fhir:v "2024-01-01"^^xsd:date ]     ]
  ] ) ; # 
  fhir:member ( [
fhir:entity [
fhir:l fhir:Practitioner/provider-001 ;
      ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/treatment-relationship-details"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/treatment-relationship-details>         ] ;
fhir:value [
a fhir:String ;
fhir:v "Primary care physician. Treatment relationship established 2024-01-15 based on office visit."         ]       ] ) ;
fhir:reference [ fhir:v "Practitioner/provider-001" ] ;
fhir:display [ fhir:v "Dr. John Smith, MD" ]     ] ;
fhir:inactive [ fhir:v false ]
  ] [
fhir:entity [
fhir:l fhir:Practitioner/provider-002 ;
      ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/treatment-relationship-details"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/treatment-relationship-details>         ] ;
fhir:value [
a fhir:String ;
fhir:v "Specialist referral. Treatment relationship established 2024-03-01 based on specialist referral from primary care."         ]       ] ) ;
fhir:reference [ fhir:v "Practitioner/provider-002" ] ;
fhir:display [ fhir:v "Dr. Mary Jones, MD" ]     ] ;
fhir:inactive [ fhir:v false ]
  ] ) . #