PDex Provider Group - Da Vinci Payer Data Exchange v2.2.1

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

Resource Profile: PDex Provider Group ( Experimental )

Official URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-provider-group				Version: 2.2.1
Standards status: Informative				Computable Name: PDexProviderGroup
Other Identifiers: OID:2.16.840.1.113883.4.642.40.8.42.38
Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License

The Provider Attribution Group List. Based on the Da Vinci Attribution Group (ATRGroup) Profile. The member element represents the patients attributed to the provider for data access purposes.

Usages:

CapabilityStatements using this Profile: PDex Provider Access Server CapabilityStatement, PDex Server CapabilityStatement with US core 6.1 support and PDEX Server CapabilityStatement
This Profile is not used by any profiles in this Specification

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

Key Elements Table
Differential Table
Snapshot Table
Statistics/References
All

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Group	C	0..*	ATRGroup	Davinci ATR Group Constraints: grp-1
Group.meta	This element is included in summaries.	0..1	Meta	Metadata about the resource
Group.meta.lastUpdated	This element must be supported. This element is included in summaries.	1..1	instant	When the resource version last changed
Group.implicitRules	This element is a modifier element. This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Group.Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
Group.Slices for extension.extension:intendedRecipientIdentifier	This element must be supported.	0..1	Identifier	ATR Intended Recipient Extension URL: http://hl7.org/fhir/us/davinci-atr/StructureDefinition/atr-intended-recipient-identifier-extension
Group.Slices for extension.extension:contractValidityPeriod	This element must be supported.	0..1	Period	Indicates the validity period for Contract which is the basis for the Member Attribution List. URL: http://hl7.org/fhir/us/davinci-atr/StructureDefinition/ext-contractValidityPeriod
Group.Slices for extension.extension:attributionListStatus	This element must be supported.	1..1	code	Indicates the status of the attribution list URL: http://hl7.org/fhir/us/davinci-atr/StructureDefinition/ext-attributionListStatus Binding: DaVinci Attribution List Status (extensible): The Da Vinci Attribution List Status is a starter set of codes used to indicate the status of the attribution list.
Group.Slices for extension.extension:optedOut	This element must be supported.	0..1	Quantity	Members Opted-out URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-members-opted-out
Group.modifierExtension	This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Group.Slices for identifier	This element must be supported. This element is included in summaries.	0..*	Identifier	Unique id Slice: Unordered, Open by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Group.Slices for identifier.identifier:npi	This element must be supported. This element is included in summaries.	0..*	Identifier	Unique id
Group.Slices for identifier.identifier:npi.use	This element is a modifier element. This element is included in summaries.	0..1	code	usual \| official \| temp \| secondary \| old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Group.Slices for identifier.identifier:npi.system	This element must be supported. This element is included in summaries.	1..1	uri	The namespace for the identifier value Fixed Value: http://hl7.org/fhir/sid/us-npi (no extensions allowed)
Group.Slices for identifier.identifier:npi.value	This element must be supported. This element is included in summaries.	1..1	string	The value that is unique Example General: 123456
Group.Slices for identifier.identifier:tin	This element must be supported. This element is included in summaries.	0..*	Identifier	Unique id
Group.Slices for identifier.identifier:tin.use	This element is a modifier element. This element is included in summaries.	0..1	code	usual \| official \| temp \| secondary \| old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Group.Slices for identifier.identifier:tin.system	This element must be supported. This element is included in summaries.	1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.4.4 (no extensions allowed)
Group.Slices for identifier.identifier:tin.value	This element must be supported. This element is included in summaries.	1..1	string	The value that is unique Example General: 123456
Group.active	This element must be supported. This element is included in summaries.	0..1	boolean	Whether this group's record is in active use
Group.type	This element must be supported. This element is included in summaries.	1..1	code	person \| animal \| practitioner \| device \| medication \| substance Binding: GroupType (required): Types of resources that are part of group. Fixed Value: person (no extensions allowed)
Group.actual	This element must be supported. This element is included in summaries. C	1..1	boolean	Descriptive or actual Fixed Value: true (no extensions allowed)
Group.code	This element must be supported. This element is included in summaries.	1..1	CodeableConcept	Kind of Group members Binding: PDex Multi-Member Match Result Value Set (required)
Group.name	This element must be supported. This element is included in summaries.	0..1	string	Label for Group
Group.quantity	This element must be supported. This element is included in summaries.	0..1	unsignedInt	Number of members
Group.managingEntity	This element must be supported. This element is included in summaries.	1..1	Reference(Davinci ATR Organization)	Entity that is the custodian of the Group's definition
Group.characteristic		0..*	BackboneElement	Include / Exclude group members by Trait
Group.characteristic.modifierExtension	This element is a modifier element. This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Group.characteristic.code	This element must be supported.	1..1	CodeableConcept	Kind of characteristic Binding: DaVinci Group Characteristic (extensible): The set of characteristics shared by the members Required Pattern: `{ "coding" : [ { "system" : "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMemberAttributionCS", "code" : "pdexprovidergroup", "display" : "PDex Provider Group" } ] }`
Group.characteristic.Slices for value[x]	This element must be supported.	1..1		Value held by characteristic Slice: Unordered, Closed by type:$this Binding Description: (example): Value of descriptive member characteristic; e.g. red, male, pneumonia, Caucasian, etc. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Group.characteristic.Slices for value[x].valueCodeableConcept			CodeableConcept
Group.characteristic.Slices for value[x].valueBoolean			boolean
Group.characteristic.Slices for value[x].valueQuantity			Quantity
Group.characteristic.Slices for value[x].valueRange			Range
Group.characteristic.Slices for value[x].valueReference			Reference(Any)
Group.characteristic.Slices for value[x].value[x]:valueReference	This element must be supported.	0..1	Reference()	Value held by characteristic
Group.characteristic.exclude		1..1	boolean	Group includes or excludes Required Pattern: false (extensions allowed)
Group.characteristic.period	This element must be supported.	0..1	Period	Period over which characteristic is tested
Group.member	This element must be supported. C	0..*	BackboneElement	Who or what is in group
Group.member.Slices for extension				Content/Rules for all slices
Group.member.Slices for extension.extension:associatedData	This element must be supported.	0..1	Reference()	ATR Any Resource Extension URL: http://hl7.org/fhir/us/davinci-atr/StructureDefinition/atr-any-resource-extension
Group.member.Slices for extension.extension:changeType	This element must be supported.	0..1	code	Indicates whether a member was added, removed or changed when the Group was created/updated. URL: http://hl7.org/fhir/us/davinci-atr/StructureDefinition/ext-changeType Binding: DaVinci ATR Change Types (extensible): The Da Vinci ATR Change Type Value Set is a 'starter set' of codes for identifying the detailed changes associated with Member Attribution Lists
Group.member.Slices for extension.extension:coverageReference	This element must be supported.	0..1	Reference(US Core Coverage Profile(7.0.0) \| DaVinci ATR Coverage 3.1)	Indicates the Coverage assocaited with the member placing them on the attribution list. URL: http://hl7.org/fhir/us/davinci-atr/StructureDefinition/ext-coverageReference
Group.member.Slices for extension.extension:attributedProvider	This element must be supported.	0..1	Reference(Davinci ATR Organization \| Davinci ATR Practitioner \| Davinci ATR PractitionerRole)	Indicates the attributed provider. URL: http://hl7.org/fhir/us/davinci-atr/StructureDefinition/ext-attributedProvider
Group.member.modifierExtension	This element is a modifier element. This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Group.member.entity	This element must be supported.	1..1	Reference(Davinci ATR Patient)	Reference to the group member
Group.member.period	This element must be supported.	0..1	Period	Period member belonged to the group
Group.member.inactive	This element must be supported.	0..1	boolean	If member is no longer in group
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Group.identifier:npi.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Group.identifier:tin.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Group.type	Base	required	GroupType	📍4.0.1	FHIR Std.
Group.code	Base	required	PDex Multi-Member Match Result Value Set	📦2.2.1	This IG
Group.characteristic.code	Base	extensible	DaVinci Group Characteristic	📦2.1.0	Da Vinci - Member Attribution v2.1
Group.characteristic.value[x]	Base	example		Not State	Unknown
Group.characteristic.value[x]:valueCodeableConcept	Base	example		Not State	Unknown
Group.characteristic.value[x]:valueQuantity	Base	example		Not State	Unknown
Group.characteristic.value[x]:valueRange	Base	example		Not State	Unknown

Constraints

Grade

Path(s)

Description

Expression

This structure is derived from ATRGroup

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Group		0..*	ATRGroup	Davinci ATR Group
Group.Slices for extension				Content/Rules for all slices
Group.Slices for extension.extension:optedOut	This element must be supported.	0..1	Quantity	Members Opted-out URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-members-opted-out
Group.code	This element must be supported.	1..1	CodeableConcept	Kind of Group members Binding: PDex Multi-Member Match Result Value Set (required)
Group.characteristic
Group.characteristic.code		1..1	CodeableConcept	Kind of characteristic Required Pattern: `{ "coding" : [ { "system" : "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMemberAttributionCS", "code" : "pdexprovidergroup", "display" : "PDex Provider Group" } ] }`
Group.characteristic.Slices for value[x]		1..1	CodeableConcept, boolean, Quantity, Range, Reference()	Value held by characteristic Slice: Unordered, Open by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Group.characteristic.Slices for value[x].value[x]:valueReference	This element must be supported.	0..1	Reference()	Value held by characteristic
Group.characteristic.exclude		1..1	boolean	Group includes or excludes Required Pattern: false (extensions allowed)
Group.characteristic.period	This element must be supported.	0..1	Period	Period over which characteristic is tested
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Group.code	Base	required	PDex Multi-Member Match Result Value Set	📦2.2.1	This IG

Description & Constraints Filter:

Group C 0..* ATRGroup Davinci ATR Group
Constraints: grp-1

Group.id This element is included in summaries. 0..1 id Logical id of this artifact

Group.meta This element is included in summaries. 0..1 Meta Metadata about the resource

Group.meta.id 0..1 string Unique id for inter-element referencing

Group.meta.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url

Group.meta.versionId This element is included in summaries. 0..1 id Version specific identifier

Group.meta.lastUpdated This element must be supported. This element is included in summaries. 1..1 instant When the resource version last changed

Group.meta.source This element is included in summaries. 0..1 uri Identifies where the resource comes from

Group.meta.profile This element is included in summaries. 0..* canonical(StructureDefinition) Profiles this resource claims to conform to

Group.meta.security This element is included in summaries. 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.

Group.meta.tag This element is included in summaries. 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".

Group.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created

language

0..1

code

Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional Bindings

Purpose

AllLanguages

Max Binding

Group.text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements

Group.contained 0..* Resource Contained, inline Resources

Group.Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url

Group.Slices for extension.extension:intendedRecipientIdentifier This element must be supported. 0..1 Identifier ATR Intended Recipient Extension
URL: http://hl7.org/fhir/us/davinci-atr/StructureDefinition/atr-intended-recipient-identifier-extension

Group.Slices for extension.extension:contractValidityPeriod This element must be supported. 0..1 Period Indicates the validity period for Contract which is the basis for the Member Attribution List.
URL: http://hl7.org/fhir/us/davinci-atr/StructureDefinition/ext-contractValidityPeriod

Group.Slices for extension.extension:attributionListStatus This element must be supported. 1..1 code Indicates the status of the attribution list
URL: http://hl7.org/fhir/us/davinci-atr/StructureDefinition/ext-attributionListStatus
Binding: DaVinci Attribution List Status (extensible): The Da Vinci Attribution List Status is a starter set of codes used to indicate the status of the attribution list.

Group.Slices for extension.extension:optedOut This element must be supported. 0..1 Quantity Members Opted-out
URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-members-opted-out

Group.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored

Group.Slices for identifier This element must be supported. This element is included in summaries. 0..* Identifier Unique id
Slice: Unordered, Open by value:system

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

Group.Slices for identifier.identifier:npi This element must be supported. This element is included in summaries. 0..* Identifier Unique id

Group.Slices for identifier.identifier:npi.id 0..1 string Unique id for inter-element referencing

Group.Slices for identifier.identifier:npi.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url

Group.Slices for identifier.identifier:npi.use This element is a modifier element. This element is included in summaries. 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

Group.Slices for identifier.identifier:npi.type This element is included in summaries. 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

Group.Slices for identifier.identifier:npi.system This element must be supported. This element is included in summaries. 1..1 uri The namespace for the identifier value
Fixed Value: http://hl7.org/fhir/sid/us-npi (no extensions allowed)

Group.Slices for identifier.identifier:npi.value This element must be supported. This element is included in summaries. 1..1 string The value that is unique
Example General: 123456

Group.Slices for identifier.identifier:npi.period This element is included in summaries. 0..1 Period Time period when id is/was valid for use

Group.Slices for identifier.identifier:npi.assigner This element is included in summaries. 0..1 Reference(Organization) Organization that issued id (may be just text)

Group.Slices for identifier.identifier:tin This element must be supported. This element is included in summaries. 0..* Identifier Unique id

Group.Slices for identifier.identifier:tin.id 0..1 string Unique id for inter-element referencing

Group.Slices for identifier.identifier:tin.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url

Group.Slices for identifier.identifier:tin.use This element is a modifier element. This element is included in summaries. 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

Group.Slices for identifier.identifier:tin.type This element is included in summaries. 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

Group.Slices for identifier.identifier:tin.system This element must be supported. This element is included in summaries. 1..1 uri The namespace for the identifier value
Fixed Value: urn:oid:2.16.840.1.113883.4.4 (no extensions allowed)

Group.Slices for identifier.identifier:tin.value This element must be supported. This element is included in summaries. 1..1 string The value that is unique
Example General: 123456

Group.Slices for identifier.identifier:tin.period This element is included in summaries. 0..1 Period Time period when id is/was valid for use

Group.Slices for identifier.identifier:tin.assigner This element is included in summaries. 0..1 Reference(Organization) Organization that issued id (may be just text)

Group.active This element must be supported. This element is included in summaries. 0..1 boolean Whether this group's record is in active use

Group.type This element must be supported. This element is included in summaries. 1..1 code person | animal | practitioner | device | medication | substance
Binding: GroupType (required): Types of resources that are part of group.
Fixed Value: person (no extensions allowed)

Group.actual This element must be supported. This element is included in summaries. C 1..1 boolean Descriptive or actual
Fixed Value: true (no extensions allowed)

Group.code This element must be supported. This element is included in summaries. 1..1 CodeableConcept Kind of Group members
Binding: PDex Multi-Member Match Result Value Set (required)

Group.name This element must be supported. This element is included in summaries. 0..1 string Label for Group

Group.quantity This element must be supported. This element is included in summaries. 0..1 unsignedInt Number of members

Group.managingEntity This element must be supported. This element is included in summaries. 1..1 Reference(Davinci ATR Organization) Entity that is the custodian of the Group's definition

Group.characteristic 0..* BackboneElement Include / Exclude group members by Trait

Group.characteristic.id 0..1 string Unique id for inter-element referencing

Group.characteristic.extension 0..* Extension Additional content defined by implementations

Group.characteristic.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized

code

1..1

CodeableConcept

Kind of characteristic
Binding: DaVinci Group Characteristic (extensible): The set of characteristics shared by the members
Required Pattern:

{
  "coding" : [
    {
      "system" : "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMemberAttributionCS",
      "code" : "pdexprovidergroup",
      "display" : "PDex Provider Group"
    }
  ]
}

Group.characteristic.Slices for value[x] This element must be supported. 1..1 Value held by characteristic
Slice: Unordered, Closed by type:$this
Binding Description: (example): Value of descriptive member characteristic; e.g. red, male, pneumonia, Caucasian, etc.
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view

Group.characteristic.Slices for value[x].valueCodeableConcept CodeableConcept

Group.characteristic.Slices for value[x].valueBoolean boolean

Group.characteristic.Slices for value[x].valueQuantity Quantity

Group.characteristic.Slices for value[x].valueRange Range

Group.characteristic.Slices for value[x].valueReference Reference(Any)

Group.characteristic.Slices for value[x].value[x]:valueReference This element must be supported. 0..1 Reference() Value held by characteristic

Group.characteristic.exclude 1..1 boolean Group includes or excludes
Required Pattern: false (extensions allowed)

Group.characteristic.period This element must be supported. 0..1 Period Period over which characteristic is tested

Group.member This element must be supported. C 0..* BackboneElement Who or what is in group

Group.member.id 0..1 string Unique id for inter-element referencing

Group.member.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url

Group.member.Slices for extension.extension:associatedData This element must be supported. 0..1 Reference() ATR Any Resource Extension
URL: http://hl7.org/fhir/us/davinci-atr/StructureDefinition/atr-any-resource-extension

Group.member.Slices for extension.extension:changeType This element must be supported. 0..1 code Indicates whether a member was added, removed or changed when the Group was created/updated.
URL: http://hl7.org/fhir/us/davinci-atr/StructureDefinition/ext-changeType
Binding: DaVinci ATR Change Types (extensible): The Da Vinci ATR Change Type Value Set is a 'starter set' of codes for identifying the detailed changes associated with Member Attribution Lists

Group.member.Slices for extension.extension:coverageReference This element must be supported. 0..1 Reference(US Core Coverage Profile(7.0.0) | DaVinci ATR Coverage 3.1) Indicates the Coverage assocaited with the member placing them on the attribution list.
URL: http://hl7.org/fhir/us/davinci-atr/StructureDefinition/ext-coverageReference

Group.member.Slices for extension.extension:attributedProvider This element must be supported. 0..1 Reference(Davinci ATR Organization | Davinci ATR Practitioner | Davinci ATR PractitionerRole) Indicates the attributed provider.
URL: http://hl7.org/fhir/us/davinci-atr/StructureDefinition/ext-attributedProvider

Group.member.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized

Group.member.entity This element must be supported. 1..1 Reference(Davinci ATR Patient) Reference to the group member

Group.member.period This element must be supported. 0..1 Period Period member belonged to the group

Group.member.inactive This element must be supported. 0..1 boolean If member is no longer in group

Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Group.meta.security	Base	extensible	SecurityLabels	📦4.0.1	FHIR Std.
Group.meta.tag	Base	example	Common Tags	📦4.0.1	FHIR Std.
Group.language	Base	preferred	Common Languages	📦4.0.1	FHIR Std.
Group.identifier:npi.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Group.identifier:npi.type	Base	extensible	IdentifierType	📦4.0.1	FHIR Std.
Group.identifier:tin.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Group.identifier:tin.type	Base	extensible	IdentifierType	📦4.0.1	FHIR Std.
Group.type	Base	required	GroupType	📍4.0.1	FHIR Std.
Group.code	Base	required	PDex Multi-Member Match Result Value Set	📦2.2.1	This IG
Group.characteristic.code	Base	extensible	DaVinci Group Characteristic	📦2.1.0	Da Vinci - Member Attribution v2.1
Group.characteristic.value[x]	Base	example		Not State	Unknown
Group.characteristic.value[x]:valueCodeableConcept	Base	example		Not State	Unknown
Group.characteristic.value[x]:valueQuantity	Base	example		Not State	Unknown
Group.characteristic.value[x]:valueRange	Base	example		Not State	Unknown

Constraints

Grade

Path(s)

Description

Expression

This structure is derived from ATRGroup

Summary

Mandatory: 1 element
Must-Support: 4 elements

Extensions

This structure refers to these extensions:

http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-members-opted-out

Slices

This structure defines the following Slices:

The element 1 is sliced based on the value of Group.characteristic.value[x]

Key Elements View

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Group	C	0..*	ATRGroup	Davinci ATR Group Constraints: grp-1
Group.meta	This element is included in summaries.	0..1	Meta	Metadata about the resource
Group.meta.lastUpdated	This element must be supported. This element is included in summaries.	1..1	instant	When the resource version last changed
Group.implicitRules	This element is a modifier element. This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Group.Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
Group.Slices for extension.extension:intendedRecipientIdentifier	This element must be supported.	0..1	Identifier	ATR Intended Recipient Extension URL: http://hl7.org/fhir/us/davinci-atr/StructureDefinition/atr-intended-recipient-identifier-extension
Group.Slices for extension.extension:contractValidityPeriod	This element must be supported.	0..1	Period	Indicates the validity period for Contract which is the basis for the Member Attribution List. URL: http://hl7.org/fhir/us/davinci-atr/StructureDefinition/ext-contractValidityPeriod
Group.Slices for extension.extension:attributionListStatus	This element must be supported.	1..1	code	Indicates the status of the attribution list URL: http://hl7.org/fhir/us/davinci-atr/StructureDefinition/ext-attributionListStatus Binding: DaVinci Attribution List Status (extensible): The Da Vinci Attribution List Status is a starter set of codes used to indicate the status of the attribution list.
Group.Slices for extension.extension:optedOut	This element must be supported.	0..1	Quantity	Members Opted-out URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-members-opted-out
Group.modifierExtension	This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Group.Slices for identifier	This element must be supported. This element is included in summaries.	0..*	Identifier	Unique id Slice: Unordered, Open by value:system Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Group.Slices for identifier.identifier:npi	This element must be supported. This element is included in summaries.	0..*	Identifier	Unique id
Group.Slices for identifier.identifier:npi.use	This element is a modifier element. This element is included in summaries.	0..1	code	usual \| official \| temp \| secondary \| old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Group.Slices for identifier.identifier:npi.system	This element must be supported. This element is included in summaries.	1..1	uri	The namespace for the identifier value Fixed Value: http://hl7.org/fhir/sid/us-npi (no extensions allowed)
Group.Slices for identifier.identifier:npi.value	This element must be supported. This element is included in summaries.	1..1	string	The value that is unique Example General: 123456
Group.Slices for identifier.identifier:tin	This element must be supported. This element is included in summaries.	0..*	Identifier	Unique id
Group.Slices for identifier.identifier:tin.use	This element is a modifier element. This element is included in summaries.	0..1	code	usual \| official \| temp \| secondary \| old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
Group.Slices for identifier.identifier:tin.system	This element must be supported. This element is included in summaries.	1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.4.4 (no extensions allowed)
Group.Slices for identifier.identifier:tin.value	This element must be supported. This element is included in summaries.	1..1	string	The value that is unique Example General: 123456
Group.active	This element must be supported. This element is included in summaries.	0..1	boolean	Whether this group's record is in active use
Group.type	This element must be supported. This element is included in summaries.	1..1	code	person \| animal \| practitioner \| device \| medication \| substance Binding: GroupType (required): Types of resources that are part of group. Fixed Value: person (no extensions allowed)
Group.actual	This element must be supported. This element is included in summaries. C	1..1	boolean	Descriptive or actual Fixed Value: true (no extensions allowed)
Group.code	This element must be supported. This element is included in summaries.	1..1	CodeableConcept	Kind of Group members Binding: PDex Multi-Member Match Result Value Set (required)
Group.name	This element must be supported. This element is included in summaries.	0..1	string	Label for Group
Group.quantity	This element must be supported. This element is included in summaries.	0..1	unsignedInt	Number of members
Group.managingEntity	This element must be supported. This element is included in summaries.	1..1	Reference(Davinci ATR Organization)	Entity that is the custodian of the Group's definition
Group.characteristic		0..*	BackboneElement	Include / Exclude group members by Trait
Group.characteristic.modifierExtension	This element is a modifier element. This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Group.characteristic.code	This element must be supported.	1..1	CodeableConcept	Kind of characteristic Binding: DaVinci Group Characteristic (extensible): The set of characteristics shared by the members Required Pattern: `{ "coding" : [ { "system" : "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMemberAttributionCS", "code" : "pdexprovidergroup", "display" : "PDex Provider Group" } ] }`
Group.characteristic.Slices for value[x]	This element must be supported.	1..1		Value held by characteristic Slice: Unordered, Closed by type:$this Binding Description: (example): Value of descriptive member characteristic; e.g. red, male, pneumonia, Caucasian, etc. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Group.characteristic.Slices for value[x].valueCodeableConcept			CodeableConcept
Group.characteristic.Slices for value[x].valueBoolean			boolean
Group.characteristic.Slices for value[x].valueQuantity			Quantity
Group.characteristic.Slices for value[x].valueRange			Range
Group.characteristic.Slices for value[x].valueReference			Reference(Any)
Group.characteristic.Slices for value[x].value[x]:valueReference	This element must be supported.	0..1	Reference()	Value held by characteristic
Group.characteristic.exclude		1..1	boolean	Group includes or excludes Required Pattern: false (extensions allowed)
Group.characteristic.period	This element must be supported.	0..1	Period	Period over which characteristic is tested
Group.member	This element must be supported. C	0..*	BackboneElement	Who or what is in group
Group.member.Slices for extension				Content/Rules for all slices
Group.member.Slices for extension.extension:associatedData	This element must be supported.	0..1	Reference()	ATR Any Resource Extension URL: http://hl7.org/fhir/us/davinci-atr/StructureDefinition/atr-any-resource-extension
Group.member.Slices for extension.extension:changeType	This element must be supported.	0..1	code	Indicates whether a member was added, removed or changed when the Group was created/updated. URL: http://hl7.org/fhir/us/davinci-atr/StructureDefinition/ext-changeType Binding: DaVinci ATR Change Types (extensible): The Da Vinci ATR Change Type Value Set is a 'starter set' of codes for identifying the detailed changes associated with Member Attribution Lists
Group.member.Slices for extension.extension:coverageReference	This element must be supported.	0..1	Reference(US Core Coverage Profile(7.0.0) \| DaVinci ATR Coverage 3.1)	Indicates the Coverage assocaited with the member placing them on the attribution list. URL: http://hl7.org/fhir/us/davinci-atr/StructureDefinition/ext-coverageReference
Group.member.Slices for extension.extension:attributedProvider	This element must be supported.	0..1	Reference(Davinci ATR Organization \| Davinci ATR Practitioner \| Davinci ATR PractitionerRole)	Indicates the attributed provider. URL: http://hl7.org/fhir/us/davinci-atr/StructureDefinition/ext-attributedProvider
Group.member.modifierExtension	This element is a modifier element. This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Group.member.entity	This element must be supported.	1..1	Reference(Davinci ATR Patient)	Reference to the group member
Group.member.period	This element must be supported.	0..1	Period	Period member belonged to the group
Group.member.inactive	This element must be supported.	0..1	boolean	If member is no longer in group
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Group.identifier:npi.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Group.identifier:tin.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Group.type	Base	required	GroupType	📍4.0.1	FHIR Std.
Group.code	Base	required	PDex Multi-Member Match Result Value Set	📦2.2.1	This IG
Group.characteristic.code	Base	extensible	DaVinci Group Characteristic	📦2.1.0	Da Vinci - Member Attribution v2.1
Group.characteristic.value[x]	Base	example		Not State	Unknown
Group.characteristic.value[x]:valueCodeableConcept	Base	example		Not State	Unknown
Group.characteristic.value[x]:valueQuantity	Base	example		Not State	Unknown
Group.characteristic.value[x]:valueRange	Base	example		Not State	Unknown

Constraints

Grade

Path(s)

Description

Expression

Differential View

This structure is derived from ATRGroup

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Group		0..*	ATRGroup	Davinci ATR Group
Group.Slices for extension				Content/Rules for all slices
Group.Slices for extension.extension:optedOut	This element must be supported.	0..1	Quantity	Members Opted-out URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-members-opted-out
Group.code	This element must be supported.	1..1	CodeableConcept	Kind of Group members Binding: PDex Multi-Member Match Result Value Set (required)
Group.characteristic
Group.characteristic.code		1..1	CodeableConcept	Kind of characteristic Required Pattern: `{ "coding" : [ { "system" : "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMemberAttributionCS", "code" : "pdexprovidergroup", "display" : "PDex Provider Group" } ] }`
Group.characteristic.Slices for value[x]		1..1	CodeableConcept, boolean, Quantity, Range, Reference()	Value held by characteristic Slice: Unordered, Open by type:$this Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them Other type slices that contain no new information are not shown in this view
Group.characteristic.Slices for value[x].value[x]:valueReference	This element must be supported.	0..1	Reference()	Value held by characteristic
Group.characteristic.exclude		1..1	boolean	Group includes or excludes Required Pattern: false (extensions allowed)
Group.characteristic.period	This element must be supported.	0..1	Period	Period over which characteristic is tested
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Group.code	Base	required	PDex Multi-Member Match Result Value Set	📦2.2.1	This IG

Snapshot View