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 2.1.0 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

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON
• TTL

Resource Profile: PDex Provider Group ( Experimental )

The Provider Attribution Group List. Based on the Da Vinci Attribution Group (ATRGroup) Profile with the addition of extensions to track latest download for a member. Each member element in the Group record, that is processed by the export operation, should be updated with the execution date/time in lastTransmitted, list of resources (resourceTypes) in lastResources and query filters (filterQueries) in lastFilters.

Usage:

• Examples for this Resource Profile: Attributed List of Health Plan Members for Practitioner 1122334455.

Formal Views of Profile Content

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

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from ATRGroup

Name	Flags	Card.	Type	Description & Constraints
Group		0..*	ATRGroup	Davinci ATR Group
Slices for extension				Content/Rules for all slices
optedOut	S	0..1	Quantity	Members Opted-out URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-members-opted-out
code	S	1..1	CodeableConcept	Kind of Group members Binding: PDex Multi-Member Match Result Value Set (required)
characteristic
code		1..1	CodeableConcept	Kind of characteristic Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMemberAttributionCS
code		1..1	code	Symbol in syntax defined by the system Fixed Value: pdexprovidergroup
display		1..1	string	Representation defined by the system Fixed Value: PDex Provider Group
Slices for value[x]		1..1	CodeableConcept, boolean, Quantity, Range, Reference()	Value held by characteristic Slice: Unordered, Open by type:$this
value[x]:valueReference	S	0..1	Reference()	Value held by characteristic
exclude		1..1	boolean	Group includes or excludes Required Pattern: false
period	S	0..1	Period	Period over which characteristic is tested
member
Slices for extension				Content/Rules for all slices
lastTransmitted	S	0..1	dateTime	Member Last Transmission URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-last-transmission
lastResources	S	0..1	string	Member Last Resource Types URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-last-types
lastFilters	S	0..1	string	Member Last Resource Filters URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-last-typefilter
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Group.code	required	PDexMultiMemberMatchResultVS http://hl7.org/fhir/us/davinci-pdex/ValueSet/PDexMultiMemberMatchResultVS from this IG

Name	Flags	Card.	Type	Description & Constraints
Group	C	0..*	ATRGroup	Davinci ATR Group dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management grp-1: Can only have members if group is "actual"
meta	Σ	0..1	Meta	Metadata about the resource ele-1: All FHIR elements must have a @value or children
lastUpdated	SΣ	1..1	instant	When the resource version last changed ele-1: All FHIR elements must have a @value or children
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
intendedRecipientIdentifier	S	0..1	Identifier	ATR Intended Recipient Extension URL: http://hl7.org/fhir/us/davinci-atr/StructureDefinition/atr-intended-recipient-identifier-extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
contractValidityPeriod	S	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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
attributionListStatus	S	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. ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
optedOut	S	0..1	Quantity	Members Opted-out URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-members-opted-out ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for identifier	SΣ	0..*	Identifier	Unique id Slice: Unordered, Open by value:system ele-1: All FHIR elements must have a @value or children
identifier:npi	SΣ	0..*	Identifier	Unique id ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Fixed Value: http://hl7.org/fhir/sid/us-npi
value	SΣ	1..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children Example General: 123456
identifier:tin	SΣ	0..*	Identifier	Unique id ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Fixed Value: urn:oid:2.16.840.1.113883.4.4
value	SΣ	1..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children Example General: 123456
active	SΣ	0..1	boolean	Whether this group's record is in active use ele-1: All FHIR elements must have a @value or children
type	SΣ	1..1	code	person | animal | practitioner | device | medication | substance Binding: GroupType (required): Types of resources that are part of group. ele-1: All FHIR elements must have a @value or children Fixed Value: person
actual	SΣC	1..1	boolean	Descriptive or actual ele-1: All FHIR elements must have a @value or children Fixed Value: true
code	SΣ	1..1	CodeableConcept	Kind of Group members Binding: PDex Multi-Member Match Result Value Set (required) ele-1: All FHIR elements must have a @value or children
name	SΣ	0..1	string	Label for Group ele-1: All FHIR elements must have a @value or children
quantity	SΣ	0..1	unsignedInt	Number of members ele-1: All FHIR elements must have a @value or children
managingEntity	SΣ	1..1	Reference(Davinci ATR Organization)	Entity that is the custodian of the Group's definition ele-1: All FHIR elements must have a @value or children
characteristic		0..*	BackboneElement	Include / Exclude group members by Trait ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	S	1..1	CodeableConcept	Kind of characteristic Binding: DaVinci Group Characteristic (extensible): The set of characteristics shared by the members ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMemberAttributionCS
code		1..1	code	Symbol in syntax defined by the system Fixed Value: pdexprovidergroup
display		1..1	string	Representation defined by the system Fixed Value: PDex Provider Group
Slices for value[x]	S	1..1		Value held by characteristic Slice: Unordered, Open by type:$this Binding Description (No ValueSet): (example): Value of descriptive member characteristic; e.g. red, male, pneumonia, Caucasian, etc. ele-1: All FHIR elements must have a @value or children
valueCodeableConcept			CodeableConcept
valueBoolean			boolean
valueQuantity			Quantity
valueRange			Range
valueReference			Reference(Any)
value[x]:valueReference	S	0..1	Reference()	Value held by characteristic ele-1: All FHIR elements must have a @value or children
exclude		1..1	boolean	Group includes or excludes ele-1: All FHIR elements must have a @value or children Required Pattern: false
period	S	0..1	Period	Period over which characteristic is tested ele-1: All FHIR elements must have a @value or children
member	SC	0..*	BackboneElement	Who or what is in group ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
associatedData	S	0..1	Reference()	ATR Any Resource Extension URL: http://hl7.org/fhir/us/davinci-atr/StructureDefinition/atr-any-resource-extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
changeType	S	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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
coverageReference	S	0..1	Reference(Davinci ATR Coverage)	Indicates the Coverage assocaited with the member placing them on the attribution list. URL: http://hl7.org/fhir/us/davinci-atr/StructureDefinition/ext-coverageReference ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
attributedProvider	S	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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
lastTransmitted	S	0..1	dateTime	Member Last Transmission URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-last-transmission ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
lastResources	S	0..1	string	Member Last Resource Types URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-last-types ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
lastFilters	S	0..1	string	Member Last Resource Filters URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-last-typefilter ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
entity	S	1..1	Reference(Davinci ATR Patient)	Reference to the group member ele-1: All FHIR elements must have a @value or children
period	S	0..1	Period	Period member belonged to the group ele-1: All FHIR elements must have a @value or children
inactive	S	0..1	boolean	If member is no longer in group ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Group.identifier:npi.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Group.identifier:tin.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Group.type	required	Fixed Value: person http://hl7.org/fhir/ValueSet/group-type|4.0.1 from the FHIR Standard
Group.code	required	PDexMultiMemberMatchResultVS http://hl7.org/fhir/us/davinci-pdex/ValueSet/PDexMultiMemberMatchResultVS from this IG
Group.characteristic.code	extensible	Pattern: pdexprovidergroup("PDex Provider Group") http://hl7.org/fhir/us/davinci-atr/ValueSet/davinci-group-characteristic
Group.characteristic.value[x]	example

Name	Flags	Card.	Type	Description & Constraints
Group	C	0..*	ATRGroup	Davinci ATR Group grp-1: Can only have members if group is "actual"
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	SΣ	1..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	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".
implicitRules	?!Σ	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
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
intendedRecipientIdentifier	S	0..1	Identifier	ATR Intended Recipient Extension URL: http://hl7.org/fhir/us/davinci-atr/StructureDefinition/atr-intended-recipient-identifier-extension
contractValidityPeriod	S	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
attributionListStatus	S	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.
optedOut	S	0..1	Quantity	Members Opted-out URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-members-opted-out
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	0..*	Identifier	Unique id Slice: Unordered, Open by value:system
identifier:npi	SΣ	0..*	Identifier	Unique id
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	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.
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: http://hl7.org/fhir/sid/us-npi
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:tin	SΣ	0..*	Identifier	Unique id
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	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.
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.4.4
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
active	SΣ	0..1	boolean	Whether this group's record is in active use
type	SΣ	1..1	code	person | animal | practitioner | device | medication | substance Binding: GroupType (required): Types of resources that are part of group. Fixed Value: person
actual	SΣC	1..1	boolean	Descriptive or actual Fixed Value: true
code	SΣ	1..1	CodeableConcept	Kind of Group members Binding: PDex Multi-Member Match Result Value Set (required)
name	SΣ	0..1	string	Label for Group
quantity	SΣ	0..1	unsignedInt	Number of members
managingEntity	SΣ	1..1	Reference(Davinci ATR Organization)	Entity that is the custodian of the Group's definition
characteristic		0..*	BackboneElement	Include / Exclude group members by Trait
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Kind of characteristic Binding: DaVinci Group Characteristic (extensible): The set of characteristics shared by the members Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMemberAttributionCS
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: pdexprovidergroup
display		1..1	string	Representation defined by the system Fixed Value: PDex Provider Group
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Slices for value[x]	S	1..1		Value held by characteristic Slice: Unordered, Open by type:$this Binding Description (No ValueSet): (example): Value of descriptive member characteristic; e.g. red, male, pneumonia, Caucasian, etc.
valueCodeableConcept			CodeableConcept
valueBoolean			boolean
valueQuantity			Quantity
valueRange			Range
valueReference			Reference(Any)
value[x]:valueReference	S	0..1	Reference()	Value held by characteristic
exclude		1..1	boolean	Group includes or excludes Required Pattern: false
period	S	0..1	Period	Period over which characteristic is tested
member	SC	0..*	BackboneElement	Who or what is in group
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
associatedData	S	0..1	Reference()	ATR Any Resource Extension URL: http://hl7.org/fhir/us/davinci-atr/StructureDefinition/atr-any-resource-extension
changeType	S	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
coverageReference	S	0..1	Reference(Davinci ATR Coverage)	Indicates the Coverage assocaited with the member placing them on the attribution list. URL: http://hl7.org/fhir/us/davinci-atr/StructureDefinition/ext-coverageReference
attributedProvider	S	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
lastTransmitted	S	0..1	dateTime	Member Last Transmission URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-last-transmission
lastResources	S	0..1	string	Member Last Resource Types URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-last-types
lastFilters	S	0..1	string	Member Last Resource Filters URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-last-typefilter
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
entity	S	1..1	Reference(Davinci ATR Patient)	Reference to the group member
period	S	0..1	Period	Period member belonged to the group
inactive	S	0..1	boolean	If member is no longer in group
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Group.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
Group.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
Group.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Group.identifier:npi.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Group.identifier:npi.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Group.identifier:tin.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Group.identifier:tin.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Group.type	required	Fixed Value: person http://hl7.org/fhir/ValueSet/group-type|4.0.1 from the FHIR Standard
Group.code	required	PDexMultiMemberMatchResultVS http://hl7.org/fhir/us/davinci-pdex/ValueSet/PDexMultiMemberMatchResultVS from this IG
Group.characteristic.code	extensible	Pattern: pdexprovidergroup("PDex Provider Group") http://hl7.org/fhir/us/davinci-atr/ValueSet/davinci-group-characteristic
Group.characteristic.value[x]	example

This structure is derived from ATRGroup

Summary

Mandatory: 1 element
Must-Support: 7 elements

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-members-opted-out
• http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-last-transmission
• http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-last-types
• http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-last-typefilter

Slices

This structure defines the following Slices:

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

Differential View

This structure is derived from ATRGroup

Name	Flags	Card.	Type	Description & Constraints
Group		0..*	ATRGroup	Davinci ATR Group
Slices for extension				Content/Rules for all slices
optedOut	S	0..1	Quantity	Members Opted-out URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-members-opted-out
code	S	1..1	CodeableConcept	Kind of Group members Binding: PDex Multi-Member Match Result Value Set (required)
characteristic
code		1..1	CodeableConcept	Kind of characteristic Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMemberAttributionCS
code		1..1	code	Symbol in syntax defined by the system Fixed Value: pdexprovidergroup
display		1..1	string	Representation defined by the system Fixed Value: PDex Provider Group
Slices for value[x]		1..1	CodeableConcept, boolean, Quantity, Range, Reference()	Value held by characteristic Slice: Unordered, Open by type:$this
value[x]:valueReference	S	0..1	Reference()	Value held by characteristic
exclude		1..1	boolean	Group includes or excludes Required Pattern: false
period	S	0..1	Period	Period over which characteristic is tested
member
Slices for extension				Content/Rules for all slices
lastTransmitted	S	0..1	dateTime	Member Last Transmission URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-last-transmission
lastResources	S	0..1	string	Member Last Resource Types URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-last-types
lastFilters	S	0..1	string	Member Last Resource Filters URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-last-typefilter
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Group.code	required	PDexMultiMemberMatchResultVS http://hl7.org/fhir/us/davinci-pdex/ValueSet/PDexMultiMemberMatchResultVS from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Group	C	0..*	ATRGroup	Davinci ATR Group dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management grp-1: Can only have members if group is "actual"
meta	Σ	0..1	Meta	Metadata about the resource ele-1: All FHIR elements must have a @value or children
lastUpdated	SΣ	1..1	instant	When the resource version last changed ele-1: All FHIR elements must have a @value or children
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
intendedRecipientIdentifier	S	0..1	Identifier	ATR Intended Recipient Extension URL: http://hl7.org/fhir/us/davinci-atr/StructureDefinition/atr-intended-recipient-identifier-extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
contractValidityPeriod	S	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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
attributionListStatus	S	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. ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
optedOut	S	0..1	Quantity	Members Opted-out URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-members-opted-out ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for identifier	SΣ	0..*	Identifier	Unique id Slice: Unordered, Open by value:system ele-1: All FHIR elements must have a @value or children
identifier:npi	SΣ	0..*	Identifier	Unique id ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Fixed Value: http://hl7.org/fhir/sid/us-npi
value	SΣ	1..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children Example General: 123456
identifier:tin	SΣ	0..*	Identifier	Unique id ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Fixed Value: urn:oid:2.16.840.1.113883.4.4
value	SΣ	1..1	string	The value that is unique ele-1: All FHIR elements must have a @value or children Example General: 123456
active	SΣ	0..1	boolean	Whether this group's record is in active use ele-1: All FHIR elements must have a @value or children
type	SΣ	1..1	code	person | animal | practitioner | device | medication | substance Binding: GroupType (required): Types of resources that are part of group. ele-1: All FHIR elements must have a @value or children Fixed Value: person
actual	SΣC	1..1	boolean	Descriptive or actual ele-1: All FHIR elements must have a @value or children Fixed Value: true
code	SΣ	1..1	CodeableConcept	Kind of Group members Binding: PDex Multi-Member Match Result Value Set (required) ele-1: All FHIR elements must have a @value or children
name	SΣ	0..1	string	Label for Group ele-1: All FHIR elements must have a @value or children
quantity	SΣ	0..1	unsignedInt	Number of members ele-1: All FHIR elements must have a @value or children
managingEntity	SΣ	1..1	Reference(Davinci ATR Organization)	Entity that is the custodian of the Group's definition ele-1: All FHIR elements must have a @value or children
characteristic		0..*	BackboneElement	Include / Exclude group members by Trait ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
code	S	1..1	CodeableConcept	Kind of characteristic Binding: DaVinci Group Characteristic (extensible): The set of characteristics shared by the members ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMemberAttributionCS
code		1..1	code	Symbol in syntax defined by the system Fixed Value: pdexprovidergroup
display		1..1	string	Representation defined by the system Fixed Value: PDex Provider Group
Slices for value[x]	S	1..1		Value held by characteristic Slice: Unordered, Open by type:$this Binding Description (No ValueSet): (example): Value of descriptive member characteristic; e.g. red, male, pneumonia, Caucasian, etc. ele-1: All FHIR elements must have a @value or children
valueCodeableConcept			CodeableConcept
valueBoolean			boolean
valueQuantity			Quantity
valueRange			Range
valueReference			Reference(Any)
value[x]:valueReference	S	0..1	Reference()	Value held by characteristic ele-1: All FHIR elements must have a @value or children
exclude		1..1	boolean	Group includes or excludes ele-1: All FHIR elements must have a @value or children Required Pattern: false
period	S	0..1	Period	Period over which characteristic is tested ele-1: All FHIR elements must have a @value or children
member	SC	0..*	BackboneElement	Who or what is in group ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
associatedData	S	0..1	Reference()	ATR Any Resource Extension URL: http://hl7.org/fhir/us/davinci-atr/StructureDefinition/atr-any-resource-extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
changeType	S	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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
coverageReference	S	0..1	Reference(Davinci ATR Coverage)	Indicates the Coverage assocaited with the member placing them on the attribution list. URL: http://hl7.org/fhir/us/davinci-atr/StructureDefinition/ext-coverageReference ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
attributedProvider	S	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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
lastTransmitted	S	0..1	dateTime	Member Last Transmission URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-last-transmission ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
lastResources	S	0..1	string	Member Last Resource Types URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-last-types ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
lastFilters	S	0..1	string	Member Last Resource Filters URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-last-typefilter ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
entity	S	1..1	Reference(Davinci ATR Patient)	Reference to the group member ele-1: All FHIR elements must have a @value or children
period	S	0..1	Period	Period member belonged to the group ele-1: All FHIR elements must have a @value or children
inactive	S	0..1	boolean	If member is no longer in group ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Group.identifier:npi.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Group.identifier:tin.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Group.type	required	Fixed Value: person http://hl7.org/fhir/ValueSet/group-type|4.0.1 from the FHIR Standard
Group.code	required	PDexMultiMemberMatchResultVS http://hl7.org/fhir/us/davinci-pdex/ValueSet/PDexMultiMemberMatchResultVS from this IG
Group.characteristic.code	extensible	Pattern: pdexprovidergroup("PDex Provider Group") http://hl7.org/fhir/us/davinci-atr/ValueSet/davinci-group-characteristic
Group.characteristic.value[x]	example

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Group	C	0..*	ATRGroup	Davinci ATR Group grp-1: Can only have members if group is "actual"
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	SΣ	1..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	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".
implicitRules	?!Σ	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
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
intendedRecipientIdentifier	S	0..1	Identifier	ATR Intended Recipient Extension URL: http://hl7.org/fhir/us/davinci-atr/StructureDefinition/atr-intended-recipient-identifier-extension
contractValidityPeriod	S	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
attributionListStatus	S	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.
optedOut	S	0..1	Quantity	Members Opted-out URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-members-opted-out
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	0..*	Identifier	Unique id Slice: Unordered, Open by value:system
identifier:npi	SΣ	0..*	Identifier	Unique id
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	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.
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: http://hl7.org/fhir/sid/us-npi
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:tin	SΣ	0..*	Identifier	Unique id
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	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.
system	SΣ	1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.16.840.1.113883.4.4
value	SΣ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
active	SΣ	0..1	boolean	Whether this group's record is in active use
type	SΣ	1..1	code	person | animal | practitioner | device | medication | substance Binding: GroupType (required): Types of resources that are part of group. Fixed Value: person
actual	SΣC	1..1	boolean	Descriptive or actual Fixed Value: true
code	SΣ	1..1	CodeableConcept	Kind of Group members Binding: PDex Multi-Member Match Result Value Set (required)
name	SΣ	0..1	string	Label for Group
quantity	SΣ	0..1	unsignedInt	Number of members
managingEntity	SΣ	1..1	Reference(Davinci ATR Organization)	Entity that is the custodian of the Group's definition
characteristic		0..*	BackboneElement	Include / Exclude group members by Trait
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code	S	1..1	CodeableConcept	Kind of characteristic Binding: DaVinci Group Characteristic (extensible): The set of characteristics shared by the members Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMemberAttributionCS
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: pdexprovidergroup
display		1..1	string	Representation defined by the system Fixed Value: PDex Provider Group
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Slices for value[x]	S	1..1		Value held by characteristic Slice: Unordered, Open by type:$this Binding Description (No ValueSet): (example): Value of descriptive member characteristic; e.g. red, male, pneumonia, Caucasian, etc.
valueCodeableConcept			CodeableConcept
valueBoolean			boolean
valueQuantity			Quantity
valueRange			Range
valueReference			Reference(Any)
value[x]:valueReference	S	0..1	Reference()	Value held by characteristic
exclude		1..1	boolean	Group includes or excludes Required Pattern: false
period	S	0..1	Period	Period over which characteristic is tested
member	SC	0..*	BackboneElement	Who or what is in group
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
associatedData	S	0..1	Reference()	ATR Any Resource Extension URL: http://hl7.org/fhir/us/davinci-atr/StructureDefinition/atr-any-resource-extension
changeType	S	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
coverageReference	S	0..1	Reference(Davinci ATR Coverage)	Indicates the Coverage assocaited with the member placing them on the attribution list. URL: http://hl7.org/fhir/us/davinci-atr/StructureDefinition/ext-coverageReference
attributedProvider	S	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
lastTransmitted	S	0..1	dateTime	Member Last Transmission URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-last-transmission
lastResources	S	0..1	string	Member Last Resource Types URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-last-types
lastFilters	S	0..1	string	Member Last Resource Filters URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-last-typefilter
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
entity	S	1..1	Reference(Davinci ATR Patient)	Reference to the group member
period	S	0..1	Period	Period member belonged to the group
inactive	S	0..1	boolean	If member is no longer in group
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Group.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
Group.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
Group.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Group.identifier:npi.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Group.identifier:npi.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Group.identifier:tin.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
Group.identifier:tin.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Group.type	required	Fixed Value: person http://hl7.org/fhir/ValueSet/group-type|4.0.1 from the FHIR Standard
Group.code	required	PDexMultiMemberMatchResultVS http://hl7.org/fhir/us/davinci-pdex/ValueSet/PDexMultiMemberMatchResultVS from this IG
Group.characteristic.code	extensible	Pattern: pdexprovidergroup("PDex Provider Group") http://hl7.org/fhir/us/davinci-atr/ValueSet/davinci-group-characteristic
Group.characteristic.value[x]	example

This structure is derived from ATRGroup

Summary

Mandatory: 1 element
Must-Support: 7 elements

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-members-opted-out
• http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-last-transmission
• http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-last-types
• http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-last-typefilter

Slices

This structure defines the following Slices:

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

Other representations of profile: CSV, Excel, Schematron

Notes: