This page is part of the Da Vinci - Member Attribution (ATR) List (v0.1.0: STU 1 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 2.1.0. For a full list of available versions, see the Directory of published versions
Source view
{
"resourceType" : "Group",
"id" : "MemberAttributionListExample",
"meta" : {
"versionId" : "1",
"lastUpdated" : "2015-02-07T13:28:17.239+05:00"
},
"text" : {
"status" : "additional",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p> <b> Member Attribution List Group Example : </b>Patients attributed to Provider Organization based on a specific risk based contract</p> \n </div>"
},
"identifier" : [
{
"use" : "official",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "NPI",
"display" : "National provider identifier"
}
]
},
"system" : "http://hl7.org.fhir/sid/us-npi",
"value" : "1003802679"
},
{
"use" : "official",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "TAX",
"display" : "Tax Id Number"
}
]
},
"system" : "http://www.irs.gov/",
"value" : "12-1234567"
}
],
"active" : true,
"type" : "person",
"actual" : true,
"name" : "Member Attribution List for Contract InsurancePlan/SampleContract",
"managingEntity" : {
"reference" : "Organization/CambiaPayer"
},
"characteristic" : [
{
"code" : {
"text" : "Members Attributed based on Contract"
},
"valueReference" : {
"reference" : "InsurancePlan/SampleContract"
},
"exclude" : false
}
],
"member" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-atr/StructureDefinition/ext-changeType",
"valueCode" : "new"
}
],
"entity" : {
"reference" : "Patient/pat1"
},
"period" : {
"start" : "2020-01-01",
"end" : "2020-12-31"
}
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-atr/StructureDefinition/ext-changeType",
"valueCode" : "nochange"
}
],
"entity" : {
"reference" : "Patient/pat2"
},
"period" : {
"start" : "2020-01-01",
"end" : "2020-12-31"
}
}
]
}