This is modified content for the STU 2 ballot where atr-group is derived from davinci-patient-list profile.

Introduction

This profile represents an instance of Member Attribution List. The resource instance contain information related to members who are attributed to a specific individual provider or a provider organization. The instance may also contains information about the contract, settlement entity details. In addition, NPI and TIN of the consumer (provider) organization may be contained within the instance. Attribution information such as the attributed period, attributed provider is also contained within the group resource. Members may be added or removed from the member attribution list. Group.member has a cardinality of 0..* because Groups may have zero members when they are initially created and members get added at a later point in time. The Group.member.inactive flag is used to indicate that the patient is no longer part of the Member Attribution List.

Implementation Requirements

Implementers are advised to read Data Model Requirements to implement the Group profile and create a Member Attribution List.

APIs : Retrieval of Group Resource Instance:

The Group instance is retrieved using search parameters outlined in the Group discovery APIs.

The retrieved Group resource instance which represents the Member Attribution List has member and other related resource references. In order to retrieve the complete Member Attribution List information including member, coverage, attributed provider information a Bulk API request is initiated on the retrieved Group resource.

Handling Large Groups

Groups which have large number of members (for e.g > 100,000) end up consuming a large number of resources on server, client and the network to retrieve the Group either using search mechanisms or read mechanisms. In order to limit the amount of data being returned by the server the following requirements are being levied.

* All Group search operations or read operations should use the _summary=true parameter. This parameter will only return teh summary of the Group resource and does not include any members. This makes the operation light weight for clients and severs. 

* Once the Group is received, the client can perform the davinci-data-export operation on the Group resource which will create a NDJSON file for the Group itself. In this case the NDJSON file will only contain a single line with a large number of data based on the number of members present in the Group.

* NOTE: There is discussion on creating a new operation to page the Group resource based on the number of data elements. When this is made available, the IG will be revised to use the method for Group searches and reads without the _summary parameter. 

Using Sub Groups

A Group can contain other groups. This capability may be used by use cases where multiple characteristics have to be grouped into a composite group. For e.g if you want to create a group of patients attributed to an Organization (Say Org-AttributionList Group), which consists of a group of patients attributed to provider A (ProviderA-AttributionList) and Provider B (ProviderB-AttributionList). In this case the Org-AttributionList group may contain the sub-groups namely ProviderA-AttributionList and ProviderB-AttributionList. The existing DaVinci use cases do not require this level of complexity and hence it is not explicitly identifies as being required for DaVinci use cases.

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

This structure is derived from DaVinciPatientList

Name	Flags	Card.	Type	Description & Constraints
Group		0..*	DaVinciPatientList	Davinci ATR Group
meta
lastUpdated	S	1..1	instant	When the resource version last changed
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
Slices for identifier	S	0..*	Identifier	Unique id Slice: Unordered, Open by value:type.coding.system, value:type.coding.code
identifier:NPIIdentifier	S	0..*	Identifier	Unique id
type	S	1..1	CodeableConcept	Description of identifier
coding	S	1..1	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code	S	1..1	code	Symbol in syntax defined by the system Fixed Value: NPI
system	S	1..1	uri	The namespace for the identifier value
value	S	1..1	string	The value that is unique
identifier:TAXIdentifier	S	0..*	Identifier	Unique id
type	S	1..1	CodeableConcept	Description of identifier
coding	S	1..1	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code	S	1..1	code	Symbol in syntax defined by the system Fixed Value: TAX
system	S	1..1	uri	The namespace for the identifier value
value	S	1..1	string	The value that is unique
member	S	0..*	BackboneElement	Who or what is in group
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: Da Vinci 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
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
Group.member.extension:changeType [CanonicalType[http://hl7.org/fhir/us/davinci-atr/StructureDefinition/ext-changeType]]	extensible	DaVinciAtrChangeType (a valid code from Davinci ATR Change Type Codes)

Name	Flags	Card.	Type	Description & Constraints
Group	C	0..*	DaVinciPatientList	Davinci ATR Group
meta	Σ	0..1	Meta	Metadata about the resource
lastUpdated	SΣ	1..1	instant	When the resource version last changed
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
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
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	0..*	Identifier	Unique id Slice: Unordered, Open by value:type.coding.system, value:type.coding.code
identifier:NPIIdentifier	SΣ	0..*	Identifier	Unique id
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	1..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.
coding	SΣ	1..1	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: NPI
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
identifier:TAXIdentifier	SΣ	0..*	Identifier	Unique id
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	1..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.
coding	SΣ	1..1	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: TAX
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
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
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
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
value[x]	S	1..1		Value held by characteristic Binding: (unbound) (example): Value of descriptive member characteristic; e.g. red, male, pneumonia, Caucasian, etc.
valueCodeableConcept			CodeableConcept
valueBoolean			boolean
valueQuantity			Quantity
valueRange			Range
valueReference			Reference(Any)
exclude		1..1	boolean	Group includes or excludes
member	SC	0..*	BackboneElement	Who or what is in group
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: Da Vinci 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
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
Group.identifier:NPIIdentifier.use	required	IdentifierUse
Group.identifier:NPIIdentifier.type	extensible	Identifier Type Codes
Group.identifier:TAXIdentifier.use	required	IdentifierUse
Group.identifier:TAXIdentifier.type	extensible	Identifier Type Codes
Group.type	required	Fixed Value: person
Group.characteristic.code	extensible	DaVinciGroupCharacteristic (a valid code from Davinci Group Charactersitic Codes)
Group.characteristic.value[x]	example

Constraints

Id	Grade	Path(s)	Details	Requirements
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)

Name	Flags	Card.	Type	Description & Constraints
Group	C	0..*	DaVinciPatientList	Davinci ATR Group
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		0..*	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
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	0..*	Identifier	Unique id Slice: Unordered, Open by value:type.coding.system, value:type.coding.code
identifier:NPIIdentifier	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	SΣ	1..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.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: NPI
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
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:TAXIdentifier	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	SΣ	1..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.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: TAX
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
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	Σ	0..1	CodeableConcept	Kind of Group members Binding: (unbound) (example): Kind of particular resource; e.g. cow, syringe, lake, etc.
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
value[x]	S	1..1		Value held by characteristic Binding: (unbound) (example): Value of descriptive member characteristic; e.g. red, male, pneumonia, Caucasian, etc.
valueCodeableConcept			CodeableConcept
valueBoolean			boolean
valueQuantity			Quantity
valueRange			Range
valueReference			Reference(Any)
exclude		1..1	boolean	Group includes or excludes
period		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: Da Vinci 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
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
Group.meta.security	extensible	All Security Labels
Group.meta.tag	example	CommonTags
Group.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Group.identifier:NPIIdentifier.use	required	IdentifierUse
Group.identifier:NPIIdentifier.type	extensible	Identifier Type Codes
Group.identifier:TAXIdentifier.use	required	IdentifierUse
Group.identifier:TAXIdentifier.type	extensible	Identifier Type Codes
Group.type	required	Fixed Value: person
Group.code	example
Group.characteristic.code	extensible	DaVinciGroupCharacteristic (a valid code from Davinci Group Charactersitic Codes)
Group.characteristic.value[x]	example

Constraints

Id	Grade	Path(s)	Details	Requirements
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()

Differential View

This structure is derived from DaVinciPatientList

Name	Flags	Card.	Type	Description & Constraints
Group		0..*	DaVinciPatientList	Davinci ATR Group
meta
lastUpdated	S	1..1	instant	When the resource version last changed
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
Slices for identifier	S	0..*	Identifier	Unique id Slice: Unordered, Open by value:type.coding.system, value:type.coding.code
identifier:NPIIdentifier	S	0..*	Identifier	Unique id
type	S	1..1	CodeableConcept	Description of identifier
coding	S	1..1	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code	S	1..1	code	Symbol in syntax defined by the system Fixed Value: NPI
system	S	1..1	uri	The namespace for the identifier value
value	S	1..1	string	The value that is unique
identifier:TAXIdentifier	S	0..*	Identifier	Unique id
type	S	1..1	CodeableConcept	Description of identifier
coding	S	1..1	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code	S	1..1	code	Symbol in syntax defined by the system Fixed Value: TAX
system	S	1..1	uri	The namespace for the identifier value
value	S	1..1	string	The value that is unique
member	S	0..*	BackboneElement	Who or what is in group
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: Da Vinci 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
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
Group.member.extension:changeType [CanonicalType[http://hl7.org/fhir/us/davinci-atr/StructureDefinition/ext-changeType]]	extensible	DaVinciAtrChangeType (a valid code from Davinci ATR Change Type Codes)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Group	C	0..*	DaVinciPatientList	Davinci ATR Group
meta	Σ	0..1	Meta	Metadata about the resource
lastUpdated	SΣ	1..1	instant	When the resource version last changed
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
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
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	0..*	Identifier	Unique id Slice: Unordered, Open by value:type.coding.system, value:type.coding.code
identifier:NPIIdentifier	SΣ	0..*	Identifier	Unique id
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	1..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.
coding	SΣ	1..1	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: NPI
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
identifier:TAXIdentifier	SΣ	0..*	Identifier	Unique id
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	SΣ	1..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.
coding	SΣ	1..1	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: TAX
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	The value that is unique Example General: 123456
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
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
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
value[x]	S	1..1		Value held by characteristic Binding: (unbound) (example): Value of descriptive member characteristic; e.g. red, male, pneumonia, Caucasian, etc.
valueCodeableConcept			CodeableConcept
valueBoolean			boolean
valueQuantity			Quantity
valueRange			Range
valueReference			Reference(Any)
exclude		1..1	boolean	Group includes or excludes
member	SC	0..*	BackboneElement	Who or what is in group
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: Da Vinci 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
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
Group.identifier:NPIIdentifier.use	required	IdentifierUse
Group.identifier:NPIIdentifier.type	extensible	Identifier Type Codes
Group.identifier:TAXIdentifier.use	required	IdentifierUse
Group.identifier:TAXIdentifier.type	extensible	Identifier Type Codes
Group.type	required	Fixed Value: person
Group.characteristic.code	extensible	DaVinciGroupCharacteristic (a valid code from Davinci Group Charactersitic Codes)
Group.characteristic.value[x]	example

Constraints

Id	Grade	Path(s)	Details	Requirements
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)

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Group	C	0..*	DaVinciPatientList	Davinci ATR Group
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		0..*	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
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	SΣ	0..*	Identifier	Unique id Slice: Unordered, Open by value:type.coding.system, value:type.coding.code
identifier:NPIIdentifier	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	SΣ	1..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.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: NPI
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
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:TAXIdentifier	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	SΣ	1..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.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v2-0203
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	Symbol in syntax defined by the system Fixed Value: TAX
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
system	SΣ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
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	Σ	0..1	CodeableConcept	Kind of Group members Binding: (unbound) (example): Kind of particular resource; e.g. cow, syringe, lake, etc.
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
value[x]	S	1..1		Value held by characteristic Binding: (unbound) (example): Value of descriptive member characteristic; e.g. red, male, pneumonia, Caucasian, etc.
valueCodeableConcept			CodeableConcept
valueBoolean			boolean
valueQuantity			Quantity
valueRange			Range
valueReference			Reference(Any)
exclude		1..1	boolean	Group includes or excludes
period		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: Da Vinci 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
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
Group.meta.security	extensible	All Security Labels
Group.meta.tag	example	CommonTags
Group.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Group.identifier:NPIIdentifier.use	required	IdentifierUse
Group.identifier:NPIIdentifier.type	extensible	Identifier Type Codes
Group.identifier:TAXIdentifier.use	required	IdentifierUse
Group.identifier:TAXIdentifier.type	extensible	Identifier Type Codes
Group.type	required	Fixed Value: person
Group.code	example
Group.characteristic.code	extensible	DaVinciGroupCharacteristic (a valid code from Davinci Group Charactersitic Codes)
Group.characteristic.value[x]	example

Constraints

Id	Grade	Path(s)	Details	Requirements
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()

This structure is derived from DaVinciPatientList

Summary

Mandatory: 0 element (13 nested mandatory elements)
Must-Support: 21 elements
Fixed Value: 4 elements

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/us/davinci-atr/StructureDefinition/ext-contractValidityPeriod
• http://hl7.org/fhir/us/davinci-atr/StructureDefinition/ext-changeType
• http://hl7.org/fhir/us/davinci-atr/StructureDefinition/ext-coverageReference
• http://hl7.org/fhir/us/davinci-atr/StructureDefinition/ext-attributedProvider

Slices

This structure defines the following Slices:

• The element Group.identifier is sliced based on the values of value:type.coding.system, value:type.coding.code