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

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{
  "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"
      }
    }
  ]
}