Da Vinci - Risk Based Contracts Member Attribution (ATR) List
0.1.0 - STU1 Ballot

This page is part of the Risk Based Contracts Member Attribution List FHIR IG (v0.1.0: STU 1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions

DaVinci ATR Consumer

Format(s):

Narrative view

DaVinciAtrConsumer

(Requirements Definition Capability Statement)

Canonical URL: http://hl7.org/fhir/us/davinci-atr/CapabilityStatement/davinci-atr-consumer Published: 2019-12-20 (draft)

Published by: HL7 International - Financial Management

This profile defines the expected capabilities of the DaVinci ATR Consumer actor. This actor is responsible for consuming the member attribution list for Risk Based Contracts. Typically Payers are the Producers of the member attribution list and Provider organization are consumers.

General

FHIR Version: $ver$
Supported formats: json

REST behavior

The primary focus of the Consumer is to retrieve and use the member attribution list for implementing different DaVinci use cases such as CDex, PDex. The list can also be used for other purposes as needed by the Consumer.

Security:

Implementations must meet the general security requirements documented in FHIR Security guidance.

In addition the Consumer needs to meet the security requirements as outlined in the Formal Specification - Security Section.

Resource summary

Resource Search Read Read Version Instance History Resource History Create Update Delete
Coverage (Profile) SHALL SHALL
Group (Profile) SHALL SHALL SHALL SHALL
Location (Profile) SHALL SHALL
Organization (Profile) SHALL SHALL
Patient (Profile) SHALL SHALL
Practitioner (Profile) SHALL SHALL
PractitionerRole (Profile) SHALL SHALL
RelatedPerson (Profile) SHALL SHALL

Operations:



Coverage

Profile: http://hl7.org/fhir/us/davinci-atr/StructureDefinition/davinci-atr-coverage

Interactions

Name Description
  read

Allows retrieval of a specific known Coverage Resource
  vread

Allows retrieval of a specific version of a Coverage Resource


Group

Profile: http://hl7.org/fhir/us/davinci-atr/StructureDefinition/davinci-atr-group

Interactions

Name Description
  search-type

Allows discovery of existing Groups corresponding to a Consumer using their own TAX and NPI Identifiers.
  read

Allows retrieval of a specific Group resource.
  vread

Allows retrieval of a historical version of a Group resource.
  history-instance

Allows review of changes to a Group over time

Search

Parameter Type Definition & Chaining
identifier token Search using identifiers which would be NPI and/or TIN for the Consumer


Location

Profile: http://hl7.org/fhir/us/davinci-atr/StructureDefinition/davinci-atr-location

Interactions

Name Description
  read

Allows retrieval of a specific known Location Resource
  vread

Allows retrieval of a specific version of a Location Resource


Organization

Profile: http://hl7.org/fhir/us/davinci-atr/StructureDefinition/davinci-atr-organization

Interactions

Name Description
  read

Allows retrieval of a specific known Organization Resource
  vread

Allows retrieval of a specific version of a Organization Resource


Patient

Profile: http://hl7.org/fhir/us/davinci-atr/StructureDefinition/davinci-atr-patient

Interactions

Name Description
  read

Allows retrieval of a specific known Patient Resource
  vread

Allows retrieval of a specific version of a Patient Resource


Practitioner

Profile: http://hl7.org/fhir/us/davinci-atr/StructureDefinition/davinci-atr-practitioner

Interactions

Name Description
  read

Allows retrieval of a specific known Practitioner Resource
  vread

Allows retrieval of a specific version of a Practitioner Resource


PractitionerRole

Profile: http://hl7.org/fhir/us/davinci-atr/StructureDefinition/davinci-atr-practitionerrole

Interactions

Name Description
  read

Allows retrieval of a specific known PractitionerRole Resource
  vread

Allows retrieval of a specific version of a PractitionerRole Resource


RelatedPerson

Profile: http://hl7.org/fhir/us/davinci-atr/StructureDefinition/davinci-atr-relatedperson

Interactions

Name Description
  read

Allows retrieval of a specific known RelatedPerson Resource
  vread

Allows retrieval of a specific version of a RelatedPerson Resource