Da Vinci - Member Attribution (ATR) List
2.0.0-ballot - STU 2.0.0 US

This page is part of the Risk Based Contracts Member Attribution List FHIR IG (v2.0.0-ballot: STU2 Release 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

CapabilityStatement: DaVinci ATR Producer

Official URL: http://hl7.org/fhir/us/davinci-atr/CapabilityStatement/atr-producer Version: 2.0.0-ballot
Active as of 2014-07-06 Computable Name: DaVinciAtrProducer

This profile defines the expected capabilities of the ‘‘Producer’’ role when conforming to the DaVinci Risk Based Contracts Member Attribution List Implementation Guide. This role is responsible for creating and publishing the Member Attribution List for usage by Consumers based on specific Risk Based Contracts.

Raw OpenAPI-Swagger Definition file | Download

AtrProducer

(Requirements Definition Capability Statement)

Canonical URL: http://hl7.org/fhir/us/davinci-atr/CapabilityStatement/atr-producer

Published by: HL7 International - Financial Management

This profile defines the expected capabilities of the DaVinci ATR Producer actor. This actor is responsible for managing and sometimes producing the member attribution list. Typically Payers are the producers of the member attribution list and Provider organization are consumers.

General

FHIR Version: 4.0.1
Supported formats: json

REST behavior

The primary focus of the Producer is to potentially create and manage the member attribution list and publish the member attribution list so that Consumers can download the member attribution list which is necessary for the implementation of other DaVinci use cases.

Security:

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

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

In cases where the Consumers create resources in Producer systems such as Groups (Attribution Lists) and provide Provenance information using the X-Provenance Header as specified in Provenance Specification, Producers SHOULD persist the Provenance information received.

Resource summary

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

FHIR Operations summary

The following FHIR operations SHALL be supported by the Producer.



Coverage

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

Interactions

Name Description
  read

Allows retrieval of a specific known Coverage Resource


Group

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

Allows creation of a Group.
  delete

Allows deletion of a Group.

Search

Parameter Type Definition & Chaining
identifier token Search using identifiers which can be Consumer NPI, Consumer TIN, Settlement Entity Identifier, Contract Identifier. Combinations of AND/OR logic for the different identifiers are allowed according to the FHIR specification.
identifier:of-type token Search using identifiers using a combination of system|code|value, where the system and code refer to a Identifier.type.coding.system and .code, and match if any of the type codes match.
characteristic token Search using characteristic.code
Group-characteristic-value-reference composite Search using characteristic.code and value reference
name string Search using Group name.
period date Search using contract validity period.


Location

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

Interactions

Name Description
  read

Allows retrieval of a specific known Location Resource


Organization

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

Interactions

Name Description
  read

Allows retrieval of a specific known Organization Resource
  create

Allows creation of a Organization.
  delete

Allows deletion of a Organization.


Patient

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

Interactions

Name Description
  read

Allows retrieval of a specific known Patient Resource
  create

Allows creation of a Patient.
  delete

Allows deletion of a Patient.


Practitioner

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

Interactions

Name Description
  read

Allows retrieval of a specific known Practitioner Resource
  create

Allows creation of a Practitioner.
  delete

Allows deletion of a Practitioner.


PractitionerRole

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

Interactions

Name Description
  read

Allows retrieval of a specific known PractitionerRole Resource
  create

Allows creation of a PractitionerRole.
  delete

Allows deletion of a PractitionerRole.


RelatedPerson

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

Interactions

Name Description
  read

Allows retrieval of a specific known RelatedPerson Resource