Network of providers

1

Hi,

I checked DaVinci documentation but couldn’t figure out exactly how to represent network of providers (organizations). Please take into consideration that one provider could exist in multiple networks.

Thanks

2

Hi Ahmad

Check here: https://build.fhir.org/ig/HL7/davinci-pdex-plan-net/#network

3

Thanks Blessed,

I already checked this reference and this is what i understood please confirm :
Network is Organization linked to another Organization (payer) using partOf field and there are many Locations (providers) pointed to network organization using managingOrganization field.

That means i represent provider as location in network not organization, do you know why ?

Another thing please, in this supposition i can only link Location (provider) to one network which is not true in real case.

Regards

4

From the IG, a Location is the physical place where healthcare services are provided, practitioners are employed, organizations are based, etc, and the term provider can refer to a doctor, hospital, healthcare professional or healthcare facility.. Not 100% sure though, this is just my own assumption

Do you perhaps have a use case that you can share?

5

Dear Blessed,

I faced real business case where same provider exists in multiple networks but only one of those networks will be assigned to member plan.

Regards

6

Okay, may you try posting on this forum: https://chat.fhir.org/#narrow/stream/179283-Da-Vinci