Da Vinci Payer Data Exchange
2.2.0 - 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 2.2.0 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 - XML Representation

Page standards status: Informative

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<Group xmlns="http://hl7.org/fhir">
  <id value="example-pdex-treatment-relationship-group"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-treatment-relationship"/>
  </meta>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <identifier>
    <system value="http://example.org/payer/treatment-relationship-groups"/>
    <value value="TRL-2024-001"/>
    <assigner>
      <display value="Example Payer Organization"/>
    </assigner>
  </identifier>
  <active value="true"/>
  <type value="device"/>
  <actual value="true"/>
  <code>
    <coding>
      <system
              value="http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMultiMemberMatchResultCS"/>
      <code value="match"/>
      <display value="Matched"/>
    </coding>
  </code>
  <quantity value="2"/>
  <managingEntity>
    <identifier>
      <system value="http://hl7.org/fhir/sid/us-npi"/>
      <value value="5555555555"/>
    </identifier>
    <display value="Example Payer Organization"/>
  </managingEntity>
  <characteristic>
    <code>
      <coding>
        <system
                value="http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMemberAttributionCS"/>
        <code value="pdex-member"/>
        <display value="PDex Member"/>
      </coding>
    </code>
    <valueReference>🔗 
      <reference value="Patient/payer-patient-1001"/>
    </valueReference>
    <exclude value="false"/>
    <period>
      <start value="2024-01-01"/>
    </period>
  </characteristic>
  <member>
    <entity>🔗 
      <extension
                 url="http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/treatment-relationship-details">
        <valueString
                     value="Primary care physician. Treatment relationship established 2024-01-15 based on office visit."/>
      </extension>
      <reference value="Practitioner/provider-001"/>
      <display value="Dr. John Smith, MD"/>
    </entity>
    <inactive value="false"/>
  </member>
  <member>
    <entity>🔗 
      <extension
                 url="http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/treatment-relationship-details">
        <valueString
                     value="Specialist referral. Treatment relationship established 2024-03-01 based on specialist referral from primary care."/>
      </extension>
      <reference value="Practitioner/provider-002"/>
      <display value="Dr. Mary Jones, MD"/>
    </entity>
    <inactive value="false"/>
  </member>
</Group>