{ "description": "Exchange of member attribution list between payers and providers ", "_filename": "ig-r4.json", "package_name": "hl7.fhir.us.davinci-atr", "definition": { "page": { "page": [ { "title": "IG Home Page", "nameUrl": "index.html", "generation": "markdown" }, { "title": "Use Cases and Overview", "nameUrl": "usecases.html", "generation": "markdown" }, { "title": "Background", "nameUrl": "background.html", "generation": "markdown" }, { "title": "Detailed Specification", "nameUrl": "spec.html", "generation": "markdown" }, { "title": "Credits", "nameUrl": "credits.html", "generation": "markdown" }, { "title": "Useful Downloads", "nameUrl": "downloads.html", "generation": "html" }, { "title": "IG Change History", "nameUrl": "changes.html", "generation": "html" }, { "title": "IG Version History", "nameUrl": "history.html", "generation": "html" } ], "title": "Table of Contents", "nameUrl": "toc.html", "generation": "html" }, "grouping": [ { "id": "coverage-profile-spreadsheet.xml", "name": "not relevant" }, { "id": "group-profile-spreadsheet.xml", "name": "not relevant" }, { "id": "location-profile-spreadsheet.xml", "name": "not relevant" }, { "id": "organization-profile-spreadsheet.xml", "name": "not relevant" }, { "id": "patient-profile-spreadsheet.xml", "name": "not relevant" }, { "id": "practitioner-profile-spreadsheet.xml", "name": "not relevant" }, { "id": "practitionerrole-profile-spreadsheet.xml", "name": "not relevant" }, { "id": "relatedperson-profile-spreadsheet.xml", "name": "not relevant" } ], "resource": [ { "name": "Group Member Attribution List example", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "Group" } ], "reference": { "reference": "Group/fullexample" }, "description": "An example showing a fully populated Member Attribution List", "exampleCanonical": "http://hl7.org/fhir/us/davinci-atr/StructureDefinition/atr-group" }, { "name": "Payer Organization Example", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "Organization" } ], "reference": { "reference": "Organization/1" }, "description": "An example showing a Payer Organization", "exampleCanonical": "http://hl7.org/fhir/us/davinci-atr/StructureDefinition/atr-organization" }, { "name": "PRovider Organization Example", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "Organization" } ], "reference": { "reference": "Organization/2" }, "description": "An example showing a Provider Organization", "exampleBoolean": true }, { "name": "Coverage For Patient 1 - Example", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "Coverage" } ], "reference": { "reference": "Coverage/1" }, "description": "An example showing a Coverage for a Patient", "exampleCanonical": "http://hl7.org/fhir/us/davinci-atr/StructureDefinition/atr-coverage" }, { "name": "Coverage For Patient 2 - Example", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "Coverage" } ], "reference": { "reference": "Coverage/2" }, "description": "An example showing a Coverage for a Patient", "exampleBoolean": true }, { "name": "Coverage For Patient 3 - Example", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "Coverage" } ], "reference": { "reference": "Coverage/3" }, "description": "An example showing a Coverage for a Patient", "exampleBoolean": true }, { "name": "Patient 1 - Example", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "Patient" } ], "reference": { "reference": "Patient/1" }, "description": "An example showing a Patient", "exampleCanonical": "http://hl7.org/fhir/us/davinci-atr/StructureDefinition/atr-patient" }, { "name": "Patient 2 - Example", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "Patient" } ], "reference": { "reference": "Patient/2" }, "description": "An example showing a Patient", "exampleBoolean": true }, { "name": "Patient 3 - Example", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "Patient" } ], "reference": { "reference": "Patient/3" }, "description": "An example showing a Patient", "exampleBoolean": true }, { "name": "Practitioner - Example", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "Practitioner" } ], "reference": { "reference": "Practitioner/1" }, "description": "An example showing a Practitioner", "exampleCanonical": "http://hl7.org/fhir/us/davinci-atr/StructureDefinition/atr-practitioner" }, { "name": "PractitionerRole - Example", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "PractitionerRole" } ], "reference": { "reference": "PractitionerRole/1" }, "description": "An example showing a PractitionerRole", "exampleCanonical": "http://hl7.org/fhir/us/davinci-atr/StructureDefinition/atr-practitionerrole" }, { "name": "Location - Example", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "Location" } ], "reference": { "reference": "Location/1" }, "description": "An example showing a Location used in Practitioner Role", "exampleCanonical": "http://hl7.org/fhir/us/davinci-atr/StructureDefinition/atr-location" }, { "name": "Related Person (1) used as a Subscriber in Coverage", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "RelatedPerson" } ], "reference": { "reference": "RelatedPerson/1" }, "description": "An example showing a Related Person as a subscriber", "exampleCanonical": "http://hl7.org/fhir/us/davinci-atr/StructureDefinition/atr-relatedperson" }, { "name": "Related Person (2) used as a Subscriber in Coverage", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "RelatedPerson" } ], "reference": { "reference": "RelatedPerson/2" }, "description": "An example showing a Related Person as a subscriber", "exampleBoolean": true }, { "name": "DaVinci ATR Consumer", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "CapabilityStatement" } ], "reference": { "reference": "CapabilityStatement/atr-consumer" }, "description": "This profile defines the expected capabilities of the ''Consumer'' role when conforming to the DaVinci Risk Based Contracts Member Attribution List Implementation Guide. This role is responsible for retrieving and using the Member Attribution List for DaVinci use cases such as CDex, PDex. The Member Attribution List can be used for other purposes also." }, { "name": "DaVinci ATR Producer", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "CapabilityStatement" } ], "reference": { "reference": "CapabilityStatement/atr-producer" }, "description": "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." }, { "name": "Davinci ATR Change Type Codes", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "CodeSystem" } ], "reference": { "reference": "CodeSystem/atr-changetype" }, "description": "The Da Vinci Change Type CodeSystem is a 'starter set' of codes supported for identifying changes in member attribution list." }, { "name": "Da Vinci ATR Change Types", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "ValueSet" } ], "reference": { "reference": "ValueSet/atr-changetype" }, "description": "The Da Vinci ATR Change Type Value Set is a 'starter set' of codes for identifying the detailed changes associated with Member Attribution Lists." }, { "name": "InsuranceProductType", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "StructureDefinition:extension" } ], "reference": { "reference": "StructureDefinition/ext-insuranceProductType" }, "groupingId": "coverage-profile-spreadsheet.xml", "description": "Indicates the specific insurance product type related to the instance of the coverage resource." }, { "name": "ATRCoverage", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "StructureDefinition:resource" } ], "reference": { "reference": "StructureDefinition/atr-coverage" }, "groupingId": "coverage-profile-spreadsheet.xml", "description": "This is the Coverage Resource profile for the IG." }, { "name": "ChangeType", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "StructureDefinition:extension" } ], "reference": { "reference": "StructureDefinition/ext-changeType" }, "groupingId": "group-profile-spreadsheet.xml", "description": "changeType can be new (member added), dropped (member removed), changed (member information has changed), nochange (no change in member information since group was created)." }, { "name": "CoverageReference", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "StructureDefinition:extension" } ], "reference": { "reference": "StructureDefinition/ext-coverageReference" }, "groupingId": "group-profile-spreadsheet.xml", "description": "Indicates the Coverage assocaited with the member placing them on the attribution list." }, { "name": "AttributedProvider", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "StructureDefinition:extension" } ], "reference": { "reference": "StructureDefinition/ext-attributedProvider" }, "groupingId": "group-profile-spreadsheet.xml", "description": "Indicates the attributed provider." }, { "name": "ContractValidityPeriod", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "StructureDefinition:extension" } ], "reference": { "reference": "StructureDefinition/ext-contractValidityPeriod" }, "groupingId": "group-profile-spreadsheet.xml", "description": "Indicates the validity period for Contract which is the basis for the Member Attribution List." }, { "name": "ATRGroup", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "StructureDefinition:resource" } ], "reference": { "reference": "StructureDefinition/atr-group" }, "groupingId": "group-profile-spreadsheet.xml", "description": "This is the Group Resource profile for the IG." }, { "name": "ATRLocation", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "StructureDefinition:resource" } ], "reference": { "reference": "StructureDefinition/atr-location" }, "groupingId": "location-profile-spreadsheet.xml", "description": "This is the Location Resource profile for the IG." }, { "name": "ATROrganization", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "StructureDefinition:resource" } ], "reference": { "reference": "StructureDefinition/atr-organization" }, "groupingId": "organization-profile-spreadsheet.xml", "description": "This is the Organization Resource profile for the IG." }, { "name": "ATRPatient", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "StructureDefinition:resource" } ], "reference": { "reference": "StructureDefinition/atr-patient" }, "groupingId": "patient-profile-spreadsheet.xml", "description": "This is the Patient Resource profile for the IG." }, { "name": "ATRPractitioner", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "StructureDefinition:resource" } ], "reference": { "reference": "StructureDefinition/atr-practitioner" }, "groupingId": "practitioner-profile-spreadsheet.xml", "description": "This is the Practitioner Resource profile for the IG." }, { "name": "ATRPractitionerRole", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "StructureDefinition:resource" } ], "reference": { "reference": "StructureDefinition/atr-practitionerrole" }, "groupingId": "practitionerrole-profile-spreadsheet.xml", "description": "This is the PractitionerRole Resource profile for the IG." }, { "name": "ATRRelatedPerson", "extension": [ { "url": "http://hl7.org/fhir/tools/StructureDefinition/resource-information", "valueString": "StructureDefinition:resource" } ], "reference": { "reference": "StructureDefinition/atr-relatedperson" }, "groupingId": "relatedperson-profile-spreadsheet.xml", "description": "This is the RelatedPerson Resource profile for the IG." } ], 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"true" } ] }, "date": "2021-02-08T19:02:16+00:00", "publisher": "HL7 International - Financial Management Work Group", "fhirVersion": [ "4.0.1" ], "license": "CC0-1.0", "jurisdiction": [ { "coding": [ { "code": "US", "system": "urn:iso:std:iso:3166" } ] } ], "dependsOn": [ { "id": "uscoreR4", "uri": "http://hl7.org/fhir/us/core/ImplementationGuide/hl7.fhir.us.core", "version": "3.1.0", "packageId": "hl7.fhir.us.core" }, { "id": "pdexPlanNet", "uri": "http://hl7.org/fhir/us/davinci-pdex-plan-net/ImplementationGuide/hl7.fhir.us.davinci-pdex-plan-net", "version": "1.0.0", "packageId": "hl7.fhir.us.davinci-pdex-plan-net" } ], "name": "MemberAttributionList", "type": null, "experimental": "false", "resourceType": "ImplementationGuide", "title": "Da Vinci - Member Attribution (ATR) List", "package_version": "1.0.0", "status": "active", "id": "98a9cd81-14bb-4ca4-9ff2-3829f3ed7da6", "kind": null, "url": "http://hl7.org/fhir/us/davinci-atr/ImplementationGuide/hl7.fhir.us.davinci-atr", 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