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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 - XML Representation

Page standards status: Informative

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<Group xmlns="http://hl7.org/fhir">
  <id value="Example-PDex-Provider-Group"/>
  <meta>
    <lastUpdated value="2024-03-21T17:18:00.000Z"/>
    <profile
             value="http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-provider-group"/>
  </meta>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <extension
             url="http://hl7.org/fhir/us/davinci-atr/StructureDefinition/ext-attributionListStatus">
    <valueCode value="final"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-members-opted-out">
    <valueQuantity>
      <value value="5"/>
    </valueQuantity>
  </extension>
  <identifier>
    <system value="http://hl7.org/fhir/sid/us-npi"/>
    <value value="1122334455"/>
  </identifier>
  <identifier>
    <system value="urn:oid:2.16.840.1.113883.4.4"/>
    <value value="99-12345"/>
  </identifier>
  <active value="true"/>
  <type value="person"/>
  <actual value="true"/>
  <code>
    <coding>
      <system
              value="http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMemberAttributionCS"/>
      <code value="pdexprovidergroup"/>
      <display value="PDex Provider Group"/>
    </coding>
  </code>
  <name
        value="Attributed List of Health Plan Members for Practitioner 1122334455."/>
  <managingEntity>🔗 
    <reference value="Organization/ProviderOrg1"/>
  </managingEntity>
  <characteristic>
    <code>
      <coding>
        <system
                value="http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PdexMemberAttributionCS"/>
        <code value="pdexprovidergroup"/>
        <display value="PDex Provider Group"/>
      </coding>
    </code>
    <valueReference>
      <identifier>
        <system value="http://hl7.org/fhir/sid/us-npi"/>
        <value value="0123456789"/>
      </identifier>
    </valueReference>
    <exclude value="false"/>
    <period>
      <start value="2024-03-21"/>
    </period>
  </characteristic>
  <member id="0">
    <extension
               url="http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-last-transmission">
      <valueDateTime value="2024-03-21T17:18:00.000Z"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-last-types">
      <valueString value="Patient,Condition,Observation,Procedure"/>
    </extension>
    <extension
               url="http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/base-ext-last-typefilter">
      <valueString
                   value="Condition?recordedDate=ge2023-09-23,Procedure?performed=ge2023-03-21"/>
    </extension>
    <entity>🔗 
      <reference value="Patient/1001"/>
    </entity>
  </member>
</Group>