Da Vinci Payer Data Exchange
2.1.1 - STU 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 2.1.1 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: Member-Provider Treatment Relationship Group

Official URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/member-provider-treatment-relationship-group | Version: 2.1.1
Standards status: Trial-use | Maturity Level: 2 | Computable Name: MemberProviderTreatmentRelationship
Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License

A Group resource representing the treatment relationship between a specific member/patient and one or more healthcare providers. The Payer is the managing organization. The member is identified through a characteristic containing the Patient ID. The group members are the providers that have an active or confirmed treatment relationship with the member.

Usages:

- This Profile is not used by any profiles in this Implementation Guide

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..* | Group | Group of multiple entities Constraints: grp-1
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 0..* | Identifier | Unique identifier for the treatment relationship group
active | S Σ | 0..1 | boolean | Treatment relationship group is active Required Pattern: true
type | S Σ | 1..1 | code | Type of group (provider treatment relationship) Binding: GroupType (required): Types of resources that are part of group. Required Pattern: device
actual | S Σ C | 1..1 | boolean | This is an actual collection of providers Required Pattern: true
code | S Σ | 0..1 | CodeableConcept | Kind of treatment relationship Binding: PDex Multi-Member Match Result Value Set (required)
quantity | S Σ | 0..1 | unsignedInt | Number of providers in the group
managingEntity | S Σ | 0..1 | Reference(Organization | RelatedPerson | Practitioner | PractitionerRole) | The Payer managing this treatment relationship
characteristic | S | 0..* | BackboneElement | Member/Patient identifier and other characteristics
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Identifies the member characteristic Binding Description: (example): List of characteristics used to describe group members; e.g. gender, age, owner, location, etc. 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 |  | 0..1 | uri | Identity of the terminology system
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: pdex-member
display |  | 1..1 | string | Representation defined by the system Fixed Value: PDex Member
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: (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 |  | 0..1 | Reference(Patient) | Reference to the member/patient
exclude |  | 1..1 | boolean | This is an include, not an exclude Required Pattern: false
period | S | 0..1 | Period | Period during which this group is valid
member | S C | 0..* | BackboneElement | Providers with treatment relationship to the member
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
entity | S | 1..1 | Reference(Practitioner | PractitionerRole) | Provider entity
Slices for extension |  |  |  | Content/Rules for all slices
extension:treatmentDetails |  | 0..1 | string | Details of the treatment relationship URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/treatment-relationship-details
inactive |  | 0..1 | boolean | Whether the treatment relationship is currently active
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Group.type | Base | required | GroupType | 📍4.0.1 | FHIR Std.
Group.code | Base | required | PDex Multi-Member Match Result Value Set | 📦2.1.1 | This IG
Group.characteristic.​code | Base | example |  | Not State | Unknown
Group.characteristic.​value[x] | Base | example |  | Not State | Unknown

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Group | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Group | 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 | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Group | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Group | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Group | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
grp-1 | error | Group | Can only have members if group is "actual" | `member.empty() or (actual = true)`

This structure is derived from Group

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Group |  | 0..* | Group | Group of multiple entities
identifier | S | 0..* | Identifier | Unique identifier for the treatment relationship group
active | S | 0..1 | boolean | Treatment relationship group is active Required Pattern: true
type | S | 1..1 | code | Type of group (provider treatment relationship) Required Pattern: device
actual | S | 1..1 | boolean | This is an actual collection of providers Required Pattern: true
code | S | 0..1 | CodeableConcept | Kind of treatment relationship Binding: PDex Multi-Member Match Result Value Set (required)
quantity | S | 0..1 | unsignedInt | Number of providers in the group
managingEntity | S | 0..1 | Reference(Organization | RelatedPerson | Practitioner | PractitionerRole) | The Payer managing this treatment relationship
characteristic | S | 0..* | BackboneElement | Member/Patient identifier and other characteristics
code | S | 1..1 | CodeableConcept | Identifies the member characteristic Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: pdex-member
display |  | 1..1 | string | Representation defined by the system Fixed Value: PDex Member
Slices for value[x] | S | 1..1 | CodeableConcept, boolean, Quantity, Range, Reference() | Value held by characteristic Slice: Unordered, Open by type:$this
value[x]:valueReference |  | 0..1 | Reference(Patient) | Reference to the member/patient
exclude |  | 1..1 | boolean | This is an include, not an exclude Required Pattern: false
period | S | 0..1 | Period | Period during which this group is valid
member | S | 0..* | BackboneElement | Providers with treatment relationship to the member
entity | S | 1..1 | Reference(Practitioner | PractitionerRole) | Provider entity
Slices for extension |  |  |  | Content/Rules for all slices
extension:treatmentDetails |  | 0..1 | string | Details of the treatment relationship URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/treatment-relationship-details
inactive |  | 0..1 | boolean | Whether the treatment relationship is currently active
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Group.code | Base | required | PDex Multi-Member Match Result Value Set | 📦2.1.1 | This IG

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Group | C | 0..* | Group | Group of multiple entities Constraints: grp-1
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 0..* | Identifier | Unique identifier for the treatment relationship group
active | S Σ | 0..1 | boolean | Treatment relationship group is active Required Pattern: true
type | S Σ | 1..1 | code | Type of group (provider treatment relationship) Binding: GroupType (required): Types of resources that are part of group. Required Pattern: device
actual | S Σ C | 1..1 | boolean | This is an actual collection of providers Required Pattern: true
code | S Σ | 0..1 | CodeableConcept | Kind of treatment relationship Binding: PDex Multi-Member Match Result Value Set (required)
name | Σ | 0..1 | string | Label for Group
quantity | S Σ | 0..1 | unsignedInt | Number of providers in the group
managingEntity | S Σ | 0..1 | Reference(Organization | RelatedPerson | Practitioner | PractitionerRole) | The Payer managing this treatment relationship
characteristic | S | 0..* | BackboneElement | Member/Patient identifier and other characteristics
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 | Identifies the member characteristic Binding Description: (example): List of characteristics used to describe group members; e.g. gender, age, owner, location, etc. 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 |  | 0..1 | uri | Identity of the terminology system
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: pdex-member
display |  | 1..1 | string | Representation defined by the system Fixed Value: PDex Member
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: (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 |  | 0..1 | Reference(Patient) | Reference to the member/patient
exclude |  | 1..1 | boolean | This is an include, not an exclude Required Pattern: false
period | S | 0..1 | Period | Period during which this group is valid
member | S C | 0..* | BackboneElement | Providers with treatment relationship to the member
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
entity | S | 1..1 | Reference(Practitioner | PractitionerRole) | Provider entity
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension:treatmentDetails |  | 0..1 | string | Details of the treatment relationship URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/treatment-relationship-details
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
period |  | 0..1 | Period | Period member belonged to the group
inactive |  | 0..1 | boolean | Whether the treatment relationship is currently active
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Group.language | Base | preferred | Common Languages | 📍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 | 📦2.1.1 | This IG
Group.characteristic.​code | Base | example |  | Not State | Unknown
Group.characteristic.​value[x] | Base | example |  | Not State | Unknown
Group.member.entity.​type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Group | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Group | 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 | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Group | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Group | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Group | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
grp-1 | error | Group | Can only have members if group is "actual" | `member.empty() or (actual = true)`

This structure is derived from Group

Summary

Must-Support: 13 elements

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/treatment-relationship-details

Slices

This structure defines the following Slices:

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

Maturity: 2

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Group | C | 0..* | Group | Group of multiple entities Constraints: grp-1
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 0..* | Identifier | Unique identifier for the treatment relationship group
active | S Σ | 0..1 | boolean | Treatment relationship group is active Required Pattern: true
type | S Σ | 1..1 | code | Type of group (provider treatment relationship) Binding: GroupType (required): Types of resources that are part of group. Required Pattern: device
actual | S Σ C | 1..1 | boolean | This is an actual collection of providers Required Pattern: true
code | S Σ | 0..1 | CodeableConcept | Kind of treatment relationship Binding: PDex Multi-Member Match Result Value Set (required)
quantity | S Σ | 0..1 | unsignedInt | Number of providers in the group
managingEntity | S Σ | 0..1 | Reference(Organization | RelatedPerson | Practitioner | PractitionerRole) | The Payer managing this treatment relationship
characteristic | S | 0..* | BackboneElement | Member/Patient identifier and other characteristics
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
code | S | 1..1 | CodeableConcept | Identifies the member characteristic Binding Description: (example): List of characteristics used to describe group members; e.g. gender, age, owner, location, etc. 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 |  | 0..1 | uri | Identity of the terminology system
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: pdex-member
display |  | 1..1 | string | Representation defined by the system Fixed Value: PDex Member
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: (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 |  | 0..1 | Reference(Patient) | Reference to the member/patient
exclude |  | 1..1 | boolean | This is an include, not an exclude Required Pattern: false
period | S | 0..1 | Period | Period during which this group is valid
member | S C | 0..* | BackboneElement | Providers with treatment relationship to the member
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
entity | S | 1..1 | Reference(Practitioner | PractitionerRole) | Provider entity
Slices for extension |  |  |  | Content/Rules for all slices
extension:treatmentDetails |  | 0..1 | string | Details of the treatment relationship URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/treatment-relationship-details
inactive |  | 0..1 | boolean | Whether the treatment relationship is currently active
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Group.type | Base | required | GroupType | 📍4.0.1 | FHIR Std.
Group.code | Base | required | PDex Multi-Member Match Result Value Set | 📦2.1.1 | This IG
Group.characteristic.​code | Base | example |  | Not State | Unknown
Group.characteristic.​value[x] | Base | example |  | Not State | Unknown

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Group | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Group | 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 | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Group | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Group | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Group | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
grp-1 | error | Group | Can only have members if group is "actual" | `member.empty() or (actual = true)`

Differential View

This structure is derived from Group

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Group |  | 0..* | Group | Group of multiple entities
identifier | S | 0..* | Identifier | Unique identifier for the treatment relationship group
active | S | 0..1 | boolean | Treatment relationship group is active Required Pattern: true
type | S | 1..1 | code | Type of group (provider treatment relationship) Required Pattern: device
actual | S | 1..1 | boolean | This is an actual collection of providers Required Pattern: true
code | S | 0..1 | CodeableConcept | Kind of treatment relationship Binding: PDex Multi-Member Match Result Value Set (required)
quantity | S | 0..1 | unsignedInt | Number of providers in the group
managingEntity | S | 0..1 | Reference(Organization | RelatedPerson | Practitioner | PractitionerRole) | The Payer managing this treatment relationship
characteristic | S | 0..* | BackboneElement | Member/Patient identifier and other characteristics
code | S | 1..1 | CodeableConcept | Identifies the member characteristic Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: pdex-member
display |  | 1..1 | string | Representation defined by the system Fixed Value: PDex Member
Slices for value[x] | S | 1..1 | CodeableConcept, boolean, Quantity, Range, Reference() | Value held by characteristic Slice: Unordered, Open by type:$this
value[x]:valueReference |  | 0..1 | Reference(Patient) | Reference to the member/patient
exclude |  | 1..1 | boolean | This is an include, not an exclude Required Pattern: false
period | S | 0..1 | Period | Period during which this group is valid
member | S | 0..* | BackboneElement | Providers with treatment relationship to the member
entity | S | 1..1 | Reference(Practitioner | PractitionerRole) | Provider entity
Slices for extension |  |  |  | Content/Rules for all slices
extension:treatmentDetails |  | 0..1 | string | Details of the treatment relationship URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/treatment-relationship-details
inactive |  | 0..1 | boolean | Whether the treatment relationship is currently active
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Group.code | Base | required | PDex Multi-Member Match Result Value Set | 📦2.1.1 | This IG

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Group | C | 0..* | Group | Group of multiple entities Constraints: grp-1
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | S Σ | 0..* | Identifier | Unique identifier for the treatment relationship group
active | S Σ | 0..1 | boolean | Treatment relationship group is active Required Pattern: true
type | S Σ | 1..1 | code | Type of group (provider treatment relationship) Binding: GroupType (required): Types of resources that are part of group. Required Pattern: device
actual | S Σ C | 1..1 | boolean | This is an actual collection of providers Required Pattern: true
code | S Σ | 0..1 | CodeableConcept | Kind of treatment relationship Binding: PDex Multi-Member Match Result Value Set (required)
name | Σ | 0..1 | string | Label for Group
quantity | S Σ | 0..1 | unsignedInt | Number of providers in the group
managingEntity | S Σ | 0..1 | Reference(Organization | RelatedPerson | Practitioner | PractitionerRole) | The Payer managing this treatment relationship
characteristic | S | 0..* | BackboneElement | Member/Patient identifier and other characteristics
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 | Identifies the member characteristic Binding Description: (example): List of characteristics used to describe group members; e.g. gender, age, owner, location, etc. 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 |  | 0..1 | uri | Identity of the terminology system
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: pdex-member
display |  | 1..1 | string | Representation defined by the system Fixed Value: PDex Member
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: (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 |  | 0..1 | Reference(Patient) | Reference to the member/patient
exclude |  | 1..1 | boolean | This is an include, not an exclude Required Pattern: false
period | S | 0..1 | Period | Period during which this group is valid
member | S C | 0..* | BackboneElement | Providers with treatment relationship to the member
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
entity | S | 1..1 | Reference(Practitioner | PractitionerRole) | Provider entity
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension:treatmentDetails |  | 0..1 | string | Details of the treatment relationship URL: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/treatment-relationship-details
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
period |  | 0..1 | Period | Period member belonged to the group
inactive |  | 0..1 | boolean | Whether the treatment relationship is currently active
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Group.language | Base | preferred | Common Languages | 📍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 | 📦2.1.1 | This IG
Group.characteristic.​code | Base | example |  | Not State | Unknown
Group.characteristic.​value[x] | Base | example |  | Not State | Unknown
Group.member.entity.​type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Group | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Group | 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 | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Group | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Group | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Group | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
grp-1 | error | Group | Can only have members if group is "actual" | `member.empty() or (actual = true)`

This structure is derived from Group

Summary

Must-Support: 13 elements

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/treatment-relationship-details

Slices

This structure defines the following Slices:

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

Maturity: 2

Other representations of profile: CSV, Excel, Schematron