Da Vinci - Member Attribution (ATR) List
2.0.0 - STU 2.0.0
Da Vinci - Member Attribution (ATR) List
2.0.0 - STU 2.0.0
This page is part of the Risk Based Contracts Member Attribution List FHIR IG (v2.0.0: STU2 Release 1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
| Active as of 2014-07-06 |
{
"resourceType" : "CapabilityStatement",
"id" : "atr-producer",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <h2>AtrProducer</h2>\n <p>(Requirements Definition Capability Statement)</p>\n <p>Canonical URL: http://hl7.org/fhir/us/davinci-atr/CapabilityStatement/atr-producer</p>\n <p>Published by: <b>HL7 International - Financial Management</b>\n </p>\n <p>This profile defines the expected capabilities of the <i>DaVinci ATR Producer </i> actor. \n This actor is responsible for managing and sometimes producing the member attribution list. \n Typically Payers are the producers of the member attribution list and Provider organization are consumers.</p>\n <h2>General</h2>\n <div class=\"table-wrapper\">\n <table>\n <tbody>\n <tr>\n <th>FHIR Version:</th>\n <td>4.0.1</td>\n </tr>\n <tr>\n <th>Supported formats:</th>\n <td>json</td>\n </tr>\n </tbody>\n </table>\n </div>\n <h2>REST behavior</h2>\n <p>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.</p>\n <p>\n <b>Security:</b>\n </p>\n <p>Implementations must meet the general security requirements documented in the FHIR <a href=\"http://hl7.org/fhir/security.html\">Security guidance</a>.</p>\n <p>In addition the Producer **SHOULD** meet the security requirements as outlined in the <a href=\"spec.html#smart-on-fhir-backend-services-authorization\">Formal Specification - Security Section.</a></p>\n <p>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 \n <a href=\"http://hl7.org/fhir/provenance.html#header\">Provenance Specification</a>, Producers **SHOULD** persist the Provenance information received.</p>\n <h3>Resource summary</h3>\n <div class=\"table-wrapper\">\n <table class=\"grid\">\n <thead>\n <tr>\n <th>Resource</th>\n <th>Search</th>\n <th>Read</th>\n <th>Read Version</th>\n <th>Instance History</th>\n <th>Resource History</th>\n <th>Create</th>\n <th>Update</th>\n <th>Delete</th>\n </tr>\n </thead>\n <tbody>\n <tr>\n <th>Coverage (<a href=\"StructureDefinition-atr-coverage.html\">Profile</a>)</th>\n <td/>\n <td>\n <a href=\"#Coverage-read\" title=\"Allows retrieval of a specific Coverage Resource\">SHALL</a>\n </td>\n <td/>\n <td/>\n <td/>\n <td/>\n <td/>\n <td/>\n </tr>\n <tr>\n <th>Group (<a href=\"StructureDefinition-atr-group.html\">Profile</a>)</th>\n <td>\n <a href=\"#Group-search-type\" title=\"Allows a user to search for existing Groups\">SHALL</a>\n </td>\n <td>\n <a href=\"#Group-read\" title=\"Allows retrieval of a specific Group\">SHALL</a>\n </td>\n <td>\n <a href=\"#Group-vread\" title=\"Allows retrieval of a specific version of a Group\">SHOULD</a>\n </td>\n <td>\n <a href=\"#Group-history-instance\" title=\"Allows review of changes to a Group over time\">SHOULD</a>\n </td>\n <td/>\n <td>\n <a href=\"#Group-create\" title=\"Allows creation of a Group\">SHOULD</a>\n </td>\n <td/>\n <td>\n <a href=\"#Group-delete\" title=\"Allows deletion of a Group\">SHOULD</a>\n </td>\n </tr> \n <tr>\n <th>Location (<a href=\"StructureDefinition-atr-location.html\">Profile</a>)</th>\n <td/>\n <td>\n <a href=\"#Location-read\" title=\"Allows retrieval of a specific Location Resource\">SHALL</a>\n </td>\n <td/>\n <td/>\n <td/>\n <td/>\n <td/>\n <td/>\n </tr> \n <tr>\n <th>Organization (<a href=\"StructureDefinition-atr-organization.html\">Profile</a>)</th>\n <td/>\n <td>\n <a href=\"#Organization-read\" title=\"Allows retrieval of a specific Organization Resource\">SHALL</a>\n </td>\n <td/>\n <td/>\n <td/>\n <td>\n <a href=\"#Organization-create\" title=\"Allows creation of a Organization\">SHOULD</a>\n </td>\n <td/>\n <td>\n <a href=\"#Organization-delete\" title=\"Allows deletion of a Organization\">SHOULD</a>\n </td>\n </tr> \n <tr>\n <th>Patient (<a href=\"StructureDefinition-atr-patient.html\">Profile</a>)</th>\n <td/>\n <td>\n <a href=\"#Patient-read\" title=\"Allows retrieval of a specific Patient Resource\">SHALL</a>\n </td>\n <td/>\n <td/>\n <td/>\n\t\t\t <td>\n <a href=\"#Patient-create\" title=\"Allows creation of a Patient\">SHOULD</a>\n </td>\n <td/>\n <td>\n <a href=\"#Patient-delete\" title=\"Allows deletion of a Patient\">SHOULD</a>\n </td>\n </tr>\n <tr>\n <th>Practitioner (<a href=\"StructureDefinition-atr-practitioner.html\">Profile</a>)</th>\n <td/>\n <td>\n <a href=\"#Practitioner-read\" title=\"Allows retrieval of a specific Practitioner Resource\">SHALL</a>\n </td>\n <td/>\n <td/>\n <td/>\n\t\t\t <td>\n <a href=\"#Practitioner-create\" title=\"Allows creation of a Practitioner\">SHOULD</a>\n </td>\n <td/>\n <td>\n <a href=\"#Practitioner-delete\" title=\"Allows deletion of a Practitioner\">SHOULD</a>\n </td>\n </tr>\n <tr>\n <th>PractitionerRole (<a href=\"StructureDefinition-atr-practitionerrole.html\">Profile</a>)</th>\n <td/>\n <td>\n <a href=\"#PractitionerRole-read\" title=\"Allows retrieval of a specific PractitionerRole Resource\">SHALL</a>\n </td>\n <td/>\n <td/>\n <td/>\n <td>\n <a href=\"#PractitionerRole-create\" title=\"Allows creation of a PractitionerRole\">SHOULD</a>\n </td>\n <td/>\n <td>\n <a href=\"#PractitionerRole-delete\" title=\"Allows deletion of a PractitionerRole\">SHOULD</a>\n </td>\n </tr>\n <tr>\n <th>RelatedPerson (<a href=\"StructureDefinition-atr-relatedperson.html\">Profile</a>)</th>\n <td/>\n <td>\n <a href=\"#RelatedPerson-read\" title=\"Allows retrieval of a specific RelatedPerson Resource\">SHALL</a>\n </td>\n <td/>\n <td/>\n <td/>\n <td/>\n <td/>\n <td/>\n </tr>\n <tr>\n <th>Subscription (<a href=\"StructureDefinition-atr-list-change-subscription.html\">Profile</a>)</th>\n <td>\n </td>\n <td>\n </td>\n <td>\n </td>\n <td>\n </td>\n <td/>\n <td>\n <a href=\"#Subscription-create\" title=\"Allows creation of a Subscription\">SHOULD</a>\n </td>\n <td>\n \t<a href=\"#Subscription-update\" title=\"Allows updating of a Subscription\">SHOULD</a>\n </td>\n <td>\n </td>\n </tr>\n </tbody>\n </table>\n </div>\n \n <h3>FHIR Operations summary</h3>\n <p>The following FHIR operations SHALL be supported by the Producer.</p>\n \n <ul>\n <li>\n <a href=\"OperationDefinition-davinci-data-export.html\">DaVinci Data Export</a>\n </li>\n <li>\n <a href=\"OperationDefinition-member-add.html\">Member Add</a>\n </li>\n <li>\n <a href=\"OperationDefinition-member-remove.html\">Member Remove</a>\n </li>\n <li>\n <a href=\"OperationDefinition-attribution-status.html\">Retrieve Attribution Status for a Member</a>\n </li>\n <li>\n <a href=\"OperationDefinition-confirm-attribution-list.html\">Confirm Attribution List</a>\n </li>\n </ul>\n <br/>\n <br/>\n <h3>\n <a href=\"http://hl7.org/fhir/R4/coverage.html\">Coverage</a>\n </h3>\n <p>Profile: <a href=\"StructureDefinition-atr-coverage.html\">http://hl7.org/fhir/us/davinci-atr/StructureDefinition/atr-coverage</a>\n </p>\n <h4>Interactions</h4>\n <div class=\"table-wrapper\">\n <table class=\"list\">\n <thead>\n <tr>\n <th>Name</th>\n <th>Description</th>\n </tr>\n </thead>\n <tbody>\n <tr>\n <th>\n <a name=\"Coverage-read\">\u00a0</a>\n <span>read</span>\n </th>\n <td>\n <p>Allows retrieval of a specific known Coverage Resource</p>\n </td>\n </tr> \n </tbody>\n </table>\n </div>\n <br/>\n <br/>\n <h3>\n <a href=\"http://hl7.org/fhir/R4/group.html\">Group</a>\n </h3>\n <p>Profile: <a href=\"StructureDefinition-atr-group.html\">http://hl7.org/fhir/us/davinci-atr/StructureDefinition/atr-group</a>\n </p>\n <h4>Interactions</h4>\n <div class=\"table-wrapper\">\n <table class=\"list\">\n <thead>\n <tr>\n <th>Name</th>\n <th>Description</th>\n </tr>\n </thead>\n <tbody>\n <tr>\n <th>\n <a name=\"Group-search-type\">\u00a0</a>\n <span>search-type</span>\n </th>\n <td>\n <p>Allows discovery of existing Groups corresponding to a Consumer using their own TAX and NPI Identifiers.</p>\n </td>\n </tr>\n <tr>\n <th>\n <a name=\"Group-read\">\u00a0</a>\n <span>read</span>\n </th>\n <td>\n <p>Allows retrieval of a specific Group resource.</p>\n </td>\n </tr>\n <tr>\n <th>\n <a name=\"Group-vread\">\u00a0</a>\n <span>vread</span>\n </th>\n <td>\n <p>Allows retrieval of a historical version of a Group resource.</p>\n </td>\n </tr>\n <tr>\n <th>\n <a name=\"Group-history-instance\">\u00a0</a>\n <span>history-instance</span>\n </th>\n <td>\n <p>Allows review of changes to a Group over time</p>\n </td>\n </tr>\n <tr>\n <th>\n <a name=\"Group-create\">\u00a0</a>\n <span>create</span>\n </th>\n <td>\n <p>Allows creation of a Group.</p>\n </td>\n </tr>\n <tr>\n <th>\n <a name=\"Group-delete\">\u00a0</a>\n <span>delete</span>\n </th>\n <td>\n <p>Allows deletion of a Group.</p>\n </td>\n </tr>\n </tbody>\n </table>\n </div>\n <h4>Search</h4>\n <div class=\"table-wrapper\">\n <table class=\"list\">\n <thead>\n <tr>\n <th>Parameter</th>\n <th>Type</th>\n <th>Definition & Chaining</th>\n </tr>\n </thead>\n <tbody>\n <tr>\n <th>identifier</th>\n <td>token</td>\n <td>Search using identifiers which can be the 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.</td>\n </tr>\n <tr>\n <th>characteristic</th>\n <td>token</td>\n <td>Search using characteristic.code</td>\n </tr>\n <tr>\n <th>Group-characteristic-value-reference</th>\n <td>composite</td>\n <td>Search using characteristic.code and value reference</td>\n </tr>\n <tr>\n <th>name</th>\n <td>string</td>\n <td>Search using Group name.</td>\n </tr>\n <tr>\n <th>period</th>\n <td>date</td>\n <td>Search using contract validity period.</td>\n </tr>\n </tbody>\n </table>\n </div>\n \n <br/>\n <br/>\n <h3>\n <a href=\"http://hl7.org/fhir/R4/location.html\">Location</a>\n </h3>\n <p>Profile: <a href=\"StructureDefinition-atr-location.html\">http://hl7.org/fhir/us/davinci-atr/StructureDefinition/atr-location</a>\n </p>\n <h4>Interactions</h4>\n <div class=\"table-wrapper\">\n <table class=\"list\">\n <thead>\n <tr>\n <th>Name</th>\n <th>Description</th>\n </tr>\n </thead>\n <tbody>\n <tr>\n <th>\n <a name=\"Location-read\">\u00a0</a>\n <span>read</span>\n </th>\n <td>\n <p>Allows retrieval of a specific known Location Resource</p>\n </td>\n </tr>\n \n </tbody>\n </table>\n </div>\n \n <br/>\n <br/>\n <h3>\n <a href=\"http://hl7.org/fhir/R4/organization.html\">Organization</a>\n </h3>\n <p>Profile: <a href=\"StructureDefinition-atr-organization.html\">http://hl7.org/fhir/us/davinci-atr/StructureDefinition/atr-organization</a>\n </p>\n <h4>Interactions</h4>\n <div class=\"table-wrapper\">\n <table class=\"list\">\n <thead>\n <tr>\n <th>Name</th>\n <th>Description</th>\n </tr>\n </thead>\n <tbody>\n <tr>\n <th>\n <a name=\"Organization-read\">\u00a0</a>\n <span>read</span>\n </th>\n <td>\n <p>Allows retrieval of a specific known Organization Resource</p>\n </td>\n </tr>\n <tr>\n <th>\n <a name=\"Organization-create\">\u00a0</a>\n <span>create</span>\n </th>\n <td>\n <p>Allows creation of a Organization.</p>\n </td>\n </tr>\n <tr>\n <th>\n <a name=\"Organization-delete\">\u00a0</a>\n <span>delete</span>\n </th>\n <td>\n <p>Allows deletion of a Organization.</p>\n </td>\n </tr>\n </tbody>\n </table>\n </div>\n \n <br/>\n <br/>\n <h3>\n <a href=\"http://hl7.org/fhir/R4/patient.html\">Patient</a>\n </h3>\n <p>Profile: <a href=\"StructureDefinition-atr-patient.html\">http://hl7.org/fhir/us/davinci-atr/StructureDefinition/atr-patient</a>\n </p>\n <h4>Interactions</h4>\n <div class=\"table-wrapper\">\n <table class=\"list\">\n <thead>\n <tr>\n <th>Name</th>\n <th>Description</th>\n </tr>\n </thead>\n <tbody>\n <tr>\n <th>\n <a name=\"Patient-read\">\u00a0</a>\n <span>read</span>\n </th>\n <td>\n <p>Allows retrieval of a specific known Patient Resource</p>\n </td>\n </tr>\n <tr>\n <th>\n <a name=\"Patient-create\">\u00a0</a>\n <span>create</span>\n </th>\n <td>\n <p>Allows creation of a Patient.</p>\n </td>\n </tr>\n <tr>\n <th>\n <a name=\"Patient-delete\">\u00a0</a>\n <span>delete</span>\n </th>\n <td>\n <p>Allows deletion of a Patient.</p>\n </td>\n </tr>\n </tbody>\n </table>\n </div>\n \n <br/>\n <br/>\n <h3>\n <a href=\"http://hl7.org/fhir/R4/practitioner.html\">Practitioner</a>\n </h3>\n <p>Profile: <a href=\"StructureDefinition-atr-practitioner.html\">http://hl7.org/fhir/us/davinci-atr/StructureDefinition/atr-practitioner</a>\n </p>\n <h4>Interactions</h4>\n <div class=\"table-wrapper\">\n <table class=\"list\">\n <thead>\n <tr>\n <th>Name</th>\n <th>Description</th>\n </tr>\n </thead>\n <tbody>\n <tr>\n <th>\n <a name=\"Practitioner-read\">\u00a0</a>\n <span>read</span>\n </th>\n <td>\n <p>Allows retrieval of a specific known Practitioner Resource</p>\n </td>\n </tr>\n <tr>\n <th>\n <a name=\"Practitioner-create\">\u00a0</a>\n <span>create</span>\n </th>\n <td>\n <p>Allows creation of a Practitioner.</p>\n </td>\n </tr>\n <tr>\n <th>\n <a name=\"Practitioner-delete\">\u00a0</a>\n <span>delete</span>\n </th>\n <td>\n <p>Allows deletion of a Practitioner.</p>\n </td>\n </tr> \n </tbody>\n </table>\n </div>\n \n <br/>\n <br/>\n <h3>\n <a href=\"http://hl7.org/fhir/R4/practitionerrole.html\">PractitionerRole</a>\n </h3>\n <p>Profile: <a href=\"StructureDefinition-atr-practitionerrole.html\">http://hl7.org/fhir/us/davinci-atr/StructureDefinition/atr-practitionerrole</a>\n </p>\n <h4>Interactions</h4>\n <div class=\"table-wrapper\">\n <table class=\"list\">\n <thead>\n <tr>\n <th>Name</th>\n <th>Description</th>\n </tr>\n </thead>\n <tbody>\n <tr>\n <th>\n <a name=\"PractitionerRole-read\">\u00a0</a>\n <span>read</span>\n </th>\n <td>\n <p>Allows retrieval of a specific known PractitionerRole Resource</p>\n </td>\n </tr>\n <tr>\n <th>\n <a name=\"PractitionerRole-create\">\u00a0</a>\n <span>create</span>\n </th>\n <td>\n <p>Allows creation of a PractitionerRole.</p>\n </td>\n </tr>\n <tr>\n <th>\n <a name=\"PractitionerRole-delete\">\u00a0</a>\n <span>delete</span>\n </th>\n <td>\n <p>Allows deletion of a PractitionerRole.</p>\n </td>\n </tr>\n </tbody>\n </table>\n </div>\n \n <br/>\n <br/>\n <h3>\n <a href=\"http://hl7.org/fhir/R4/relatedperson.html\">RelatedPerson</a>\n </h3>\n <p>Profile: <a href=\"StructureDefinition-atr-relatedperson.html\">http://hl7.org/fhir/us/davinci-atr/StructureDefinition/atr-relatedperson</a>\n </p>\n <h4>Interactions</h4>\n <div class=\"table-wrapper\">\n <table class=\"list\">\n <thead>\n <tr>\n <th>Name</th>\n <th>Description</th>\n </tr>\n </thead>\n <tbody>\n <tr>\n <th>\n <a name=\"RelatedPerson-read\">\u00a0</a>\n <span>read</span>\n </th>\n <td>\n <p>Allows retrieval of a specific known RelatedPerson Resource</p>\n </td>\n </tr>\n \n </tbody>\n </table>\n </div>\n \n <h3>\n <a href=\"http://hl7.org/fhir/R4/subscription.html\">Subscription</a>\n </h3>\n <p>Profile: <a href=\"StructureDefinition-atr-list-change-subscription.html\">http://hl7.org/fhir/us/davinci-atr/StructureDefinition/atr-list-change-subscription</a>\n </p>\n <h4>Interactions</h4>\n <div class=\"table-wrapper\">\n <table class=\"list\">\n <thead>\n <tr>\n <th>Name</th>\n <th>Description</th>\n </tr>\n </thead>\n <tbody>\n <tr>\n <th>\n <a name=\"Subscription-create\">\u00a0</a>\n <span>create</span>\n </th>\n <td>\n <p>Allows creation of a Subscription</p>\n </td>\n </tr>\n <tr>\n <th>\n <a name=\"Subscription-update\">\u00a0</a>\n <span>update</span>\n </th>\n <td>\n <p>Allows updates to a Subscription</p>\n </td>\n </tr>\n \n </tbody>\n </table>\n </div>\n \n </div>"
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