Da Vinci Payer Data Exchange
2.1.0-ballot - STU2 Ballot United States of America flag

This page is part of the Da Vinci Payer Data Exchange (v2.1.0-ballot: STU2.1 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions

: Example-PDex-Provider-Group - JSON Representation

Page standards status: Informative

Raw json | Download


{
  "resourceType" : "Group",
  "id" : "Example-PDex-Provider-Group",
  "meta" : {
    "lastUpdated" : "2024-03-21T17:18:00.000Z",
    "profile" : [
      🔗 "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-provider-group"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Group Example-PDex-Provider-Group</b></p><a name=\"Example-PDex-Provider-Group\"> </a><a name=\"hcExample-PDex-Provider-Group\"> </a><a name=\"Example-PDex-Provider-Group-en-US\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Last updated: 2024-03-21 17:18:00+0000</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-pdex-provider-group.html\">PDex Provider Group</a></p></div><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/5.3.0/NamingSystem-npi.html\" title=\"National Provider Identifier\">United States National Provider Identifier</a>/1122334455, <a href=\"http://terminology.hl7.org/5.3.0/NamingSystem-USEIN.html\" title=\"An Employer Identification Number (EIN) is also known as a Federal Tax Identification Number, and is used to identify a business entity.\">United States Employer Identification Number</a>/99-12345</p><p><b>active</b>: true</p><p><b>type</b>: Person</p><p><b>actual</b>: true</p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMemberAttributionCS pdexprovidergroup}\">PDex Provider Group</span></p><p><b>name</b>: Attributed List of Health Plan Members for Practitioner 1122334455.</p><p><b>managingEntity</b>: <a href=\"Organization-ProviderOrg1.html\">Organization Provider 1</a></p><h3>Characteristics</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Value[x]</b></td><td><b>Exclude</b></td><td><b>Period</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMemberAttributionCS pdexprovidergroup}\">PDex Provider Group</span></td><td>Identifier: <a href=\"http://terminology.hl7.org/5.3.0/NamingSystem-npi.html\" title=\"National Provider Identifier\">United States National Provider Identifier</a>/0123456789</td><td>false</td><td>2024-03-21 --&gt; (ongoing)</td></tr></table><blockquote><p><b>member</b></p><blockquote><p><b>id</b></p>0</blockquote><p><b>entity</b>: <a href=\"Patient-1001.html\">Patricia Ann Person (official) Female, DoB: 1974-12-25 ( Member Number)</a></p></blockquote></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/us/davinci-atr/StructureDefinition/ext-attributionListStatus",
      "valueCode" : "final"
    },
    {
      "url" : "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-members-opted-out",
      "valueQuantity" : {
        "value" : 5
      }
    }
  ],
  "identifier" : [
    {
      "system" : "http://hl7.org/fhir/sid/us-npi",
      "value" : "1122334455"
    },
    {
      "system" : "urn:oid:2.16.840.1.113883.4.4",
      "value" : "99-12345"
    }
  ],
  "active" : true,
  "type" : "person",
  "actual" : true,
  "code" : {
    "coding" : [
      {
        "system" : "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMemberAttributionCS",
        "code" : "pdexprovidergroup",
        "display" : "PDex Provider Group"
      }
    ]
  },
  "name" : "Attributed List of Health Plan Members for Practitioner 1122334455.",
  "managingEntity" : {
    🔗 "reference" : "Organization/ProviderOrg1"
  },
  "characteristic" : [
    {
      "code" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMemberAttributionCS",
            "code" : "pdexprovidergroup",
            "display" : "PDex Provider Group"
          }
        ]
      },
      "valueReference" : {
        "identifier" : {
          "system" : "http://hl7.org/fhir/sid/us-npi",
          "value" : "0123456789"
        }
      },
      "exclude" : false,
      "period" : {
        "start" : "2024-03-21"
      }
    }
  ],
  "member" : [
    {
      "id" : "0",
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-last-transmission",
          "valueDateTime" : "2024-03-21T17:18:00.000Z"
        },
        {
          "url" : "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-last-types",
          "valueString" : "Patient,Condition,Observation,Procedure"
        },
        {
          "url" : "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-last-typefilter",
          "valueString" : "Condition?recordedDate=ge2023-09-23,Procedure?performed=ge2023-03-21"
        }
      ],
      "entity" : {
        🔗 "reference" : "Patient/1001"
      }
    }
  ]
}