This page is part of the Da Vinci - Member Attribution (ATR) List (v2.1.0: STU 2) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
Official URL: http://hl7.org/fhir/us/davinci-atr/ImplementationGuide/hl7.fhir.us.davinci-atr | Version: 2.1.0 | |||
IG Standards status: Trial-use | Maturity Level: 2 | Computable Name: MemberAttributionList |
Member Attribution (ATR) lists are used between Payers and Providers for implementing risk-based contracts, value based contracts, care gap closures and quality reporting. The processes of establishing and exchanging Member Attribution Lists are complex and time consuming. Currently there are no standards in use for establishing and exchanging risk-based contract member lists between payers and providers. The most common method in use today involves the creation of files (CSVs, txt etc) and exchanging them using various methods such as Email and Secure File Transfer Protocol (SFTP).This implementation guide will use HL7 FHIR to specify standards for the exchange of Member Attribution Lists between providers and payers. The list can be used by providers and payers to implement use cases for Value Based Contracts (VBC), Quality Reporting, Da Vinci Payer Data Exchange (PDex) and Da Vinci Clinical Data Exchange (CDex) among others.
The purpose of this implementation guide is to define the mechanisms (APIs, protocols), data structures and value sets to be used for exchanging the Member Attribution List. The Member Attribution List typically contains the following information:
This implementation guide is designed to allow
The implementation guide is organized into the following sections:
At present, ATR IG is based on FHIR R4. In addition, this guide also relies on a number of parent implementation guides:
Implementation Guide | Version(s) | Reason |
---|---|---|
Bulk Data Access IG | 2.0.0 | |
CARIN Consumer Directed Payer Data Exchange (CARIN IG for Blue Button®) | 2.0.0 | Imported by Da Vinci Prior Authorization Support (PAS) FHIR IG (and potentially others) |
Da Vinci - Coverage Requirements Discovery | 2.1.0 | Imported by Da Vinci - Documentation Templates and Rules (and potentially others) |
2.0.0 | Imported by Da Vinci Prior Authorization Support (PAS) FHIR IG (and potentially others) | |
Da Vinci - Documentation Templates and Rules | 2.1.0 | Imported by Da Vinci Clinical Data Exchange (CDex) (and potentially others) |
Da Vinci Clinical Data Exchange (CDex) | 2.1.0 | |
Da Vinci Health Record Exchange (HRex) | 1.1.0 | Imported by Da Vinci PDex Plan Net (and potentially others) |
1.0.0 | Imported by Da Vinci - Coverage Requirements Discovery (and potentially others) | |
Da Vinci PDex Plan Net | 1.2.0 | |
Da Vinci Prior Authorization Support (PAS) FHIR IG | 2.1.0 | Imported by Da Vinci Clinical Data Exchange (CDex) (and potentially others) |
FHIR Extensions Pack | 5.2.0 | Automatically added as a dependency - all IGs depend on the HL7 Extension Pack |
5.1.0 | Imported by Da Vinci Health Record Exchange (HRex) (and potentially others) | |
1.0.0 | Imported by Da Vinci - Coverage Requirements Discovery (and potentially others) | |
FHIR R4 package : Core | 4.0.1 | Imported by HL7 Terminology (THO) (and potentially others) |
HL7 Terminology (THO) | 6.3.0 | Automatically added as a dependency - all IGs depend on HL7 Terminology |
6.2.0 | Imported by Da Vinci PDex Plan Net (and potentially others) | |
6.1.0 | Imported by Da Vinci Health Record Exchange (HRex) (and potentially others) | |
5.5.0 | Imported by US Core (and potentially others) | |
5.3.0 | Imported by Da Vinci - Coverage Requirements Discovery (and potentially others) | |
5.0.0 | Imported by SMART App Launch (and potentially others) | |
Public Health Information Network Vocabulary Access and Distribution System (PHIN VADS) | 0.12.0 | Imported by US Core (and potentially others) |
SMART App Launch | 2.1.0 | |
2.0.0 | Imported by US Core (and potentially others) | |
Security for Scalable Registration, Authentication, and Authorization | 0.1.0 | Imported by Da Vinci Health Record Exchange (HRex) (and potentially others) |
Structured Data Capture | 3.0.0 | Imported by US Core (and potentially others) |
Subscriptions R5 Backport | 1.1.0 | |
US Core | 7.0.0 | Defines US Core EHR expectations on a range of resources that will be queried by ATR clients. |
6.1.0 | Defines US Core EHR expectations on a range of resources that will be queried by ATR clients. | |
3.1.1 | Defines US Core EHR expectations on a range of resources that will be queried by ATR clients. | |
Value Set Authority Center (VSAC) | 0.7.0 | Imported by CARIN Consumer Directed Payer Data Exchange (CARIN IG for Blue Button®) (and potentially others) |
0.19.0 | Imported by Da Vinci Health Record Exchange (HRex) (and potentially others) | |
0.18.0 | Imported by US Core (and potentially others) | |
0.11.0 | Imported by Da Vinci - Coverage Requirements Discovery (and potentially others) |
This implementation guide defines additional constraints and usage expectations above and beyond the information found in these base specifications.
This implementation guide and the underlying FHIR specification are licensed as public domain under the FHIR license. The license page also describes rules for the use of the FHIR name and logo.
This publication includes IP covered under the following statements.