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

- XML Representation

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Raw xml

Source view

<Group xmlns="http://hl7.org/fhir">
  <id value="MemberAttributionListExample"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2015-02-07T13:28:17.239+05:00"/>
  </meta>
  <text>
    <status value="additional"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p> <b> Member Attribution List Group Example : </b>Patients attributed to Provider Organization based on a specific risk based contract</p> 
    </div>
  </text>
<!--   NPI Identifier   -->
  <identifier>
    <use value="official"/>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
        <code value="NPI"/>
        <display value="National provider identifier"/>
      </coding>
    </type>
    <system value="http://hl7.org.fhir/sid/us-npi"/>
    <value value="1003802679"/>
  </identifier>
<!--   TAX Identifier   -->
  <identifier>
    <use value="official"/>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
        <code value="TAX"/>
        <display value="Tax Id Number"/>
      </coding>
    </type>
    <system value="http://www.irs.gov/"/>
    <value value="12-1234567"/>
  </identifier>
  <active value="true"/>
  <type value="person"/>
  <actual value="true"/>
  <name
        value="Member Attribution List for Contract InsurancePlan/SampleContract"/>
  <managingEntity>
    <reference value="Organization/CambiaPayer"/>
  </managingEntity>
  <characteristic>
    <code>
      <text value="Members Attributed based on Contract"/>
    </code>
    <valueReference>
      <reference value="InsurancePlan/SampleContract"/>
    </valueReference>
    <exclude value="false"/>
  </characteristic>
  <member>
    <extension
               url="http://hl7.org/fhir/us/davinci-atr/StructureDefinition/ext-changeType">
      <valueCode value="new"/>
    </extension>
    <entity>
      <reference value="Patient/pat1"/>
    </entity>
    <period>
      <start value="2020-01-01"/>
      <end value="2020-12-31"/>
    </period>
  </member>
  <member>
    <extension
               url="http://hl7.org/fhir/us/davinci-atr/StructureDefinition/ext-changeType">
      <valueCode value="nochange"/>
    </extension>
    <entity>
      <reference value="Patient/pat2"/>
    </entity>
    <period>
      <start value="2020-01-01"/>
      <end value="2020-12-31"/>
    </period>
  </member>
</Group>