Da Vinci - Member Attribution (ATR) List
2.1.0-preview - STU 2.0.0 United States of America flag

Da Vinci - Member Attribution (ATR) List, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.1.0-preview built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-atr/ and changes regularly. See the Directory of published versions

Resource Profile: DaVinci Patient List

Official URL: http://hl7.org/fhir/us/davinci-atr/StructureDefinition/davinci-patient-list Version: 2.1.0-preview
Active as of 2019-09-01 Computable Name: DaVinciPatientList

Group Resource profile for exchanging a Patient List.

Introduction

This profile represents a Patient List. The resource instance contain information related to members who are grouped for a specific use case. For example, the Patient List could represent the Member Attribution List containing a list of patients attributed to a Provider. Attribution information such as the attributed period, attributed provider is also contained within the group resource. Members may be added or removed from the Patient List using member-add and member-remove operation. Group.member has a cardinality of 0..* because Groups may have zero members when they are initially created and members get added at a later point in time. The Group.member.inactive flag is used to indicate that the patient is no longer part of the Member Attribution List.

Implementation Requirements for Member Attribution List

Implementers are advised to read Data Model Requirements to implement the Group profile and create a Member Attribution List.

Handling Large Groups

Groups which have large number of members (for e.g > 100,000) end up consuming a large number of resources on server, client and the network to retrieve the Group either using search mechanisms or read mechanisms. In order to limit the amount of data being returned by the server the following requirements are being levied.

* All Group search operations or read operations should use the _summary=true parameter. This parameter will only return teh summary of the Group resource and does not include any members. This makes the operation light weight for clients and severs. 

* Once the Group is received, the client can perform the davinci-data-export operation on the Group resource which will create a NDJSON file for the Group itself. In this case the NDJSON file will only contain a single line with a large number of data based on the number of members present in the Group.

* NOTE: There is discussion on creating a new operation to page the Group resource based on the number of data elements. When this is made available, the IG will be revised to use the method for Group searches and reads without the _summary parameter.

Using Sub Groups

A Group can contain other groups. This capability may be used by use cases where multiple characteristics have to be grouped into a composite group. For e.g if you want to create a group of patients attributed to an Organization (Say Org-AttributionList Group), which consists of a group of patients attributed to provider A (ProviderA-AttributionList) and Provider B (ProviderB-AttributionList). In this case the Org-AttributionList group may contain the sub-groups namely ProviderA-AttributionList and ProviderB-AttributionList. The existing DaVinci use cases do not require this level of complexity and hence it is not explicitly identifies as being required for DaVinci use cases.

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from Group

NameFlagsCard.TypeDescription & Constraintsdoco
.. Group 0..* Group DaVinci Patient List
... Slices for extension Content/Rules for all slices
.... intendedRecipientIdentifier S 0..1 Identifier ATR Intended Recipient Extension
URL: http://hl7.org/fhir/us/davinci-atr/StructureDefinition/atr-intended-recipient-identifier-extension
... identifier S 0..* Identifier Unique id
... active S 0..1 boolean Whether this group's record is in active use
... actual S 1..1 boolean Descriptive or actual
Fixed Value: true
... name S 0..1 string Label for Group
... quantity S 0..1 unsignedInt Number of members
... managingEntity S 1..1 Reference(Davinci ATR Organization) Entity that is the custodian of the Group's definition
... characteristic 0..* BackboneElement Include / Exclude group members by Trait
.... code S 1..1 CodeableConcept Kind of characteristic
Binding: DaVinci Group Characteristic (extensible): The set of characteristics shared by the members

.... value[x] S 1..1 CodeableConcept, boolean, Quantity, Range, Reference() Value held by characteristic
... member 0..* BackboneElement Who or what is in group
.... Slices for extension Content/Rules for all slices
..... associatedData S 0..1 Reference() ATR Any Resource Extension
URL: http://hl7.org/fhir/us/davinci-atr/StructureDefinition/atr-any-resource-extension
.... entity S 1..1 Reference(Davinci ATR Patient) Reference to the group member
.... period S 0..1 Period Period member belonged to the group
.... inactive S 0..1 boolean If member is no longer in group

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Group.characteristic.codeextensibleDaVinciGroupCharacteristic
http://hl7.org/fhir/us/davinci-atr/ValueSet/davinci-group-characteristic
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. Group C 0..* Group DaVinci Patient List
grp-1: Can only have members if group is "actual"
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... intendedRecipientIdentifier S 0..1 Identifier ATR Intended Recipient Extension
URL: http://hl7.org/fhir/us/davinci-atr/StructureDefinition/atr-intended-recipient-identifier-extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... active SΣ 0..1 boolean Whether this group's record is in active use
... type SΣ 1..1 code person | animal | practitioner | device | medication | substance
Binding: GroupType (required): Types of resources that are part of group.


Fixed Value: person
... actual SΣC 1..1 boolean Descriptive or actual
Fixed Value: true
... name SΣ 0..1 string Label for Group
... quantity SΣ 0..1 unsignedInt Number of members
... managingEntity SΣ 1..1 Reference(Davinci ATR Organization) Entity that is the custodian of the Group's definition
... characteristic 0..* BackboneElement Include / Exclude group members by Trait
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code S 1..1 CodeableConcept Kind of characteristic
Binding: DaVinci Group Characteristic (extensible): The set of characteristics shared by the members

.... value[x] S 1..1 Value held by characteristic
Binding Description (No ValueSet): (example): Value of descriptive member characteristic; e.g. red, male, pneumonia, Caucasian, etc.

..... valueCodeableConcept CodeableConcept
..... valueBoolean boolean
..... valueQuantity Quantity
..... valueRange Range
..... valueReference Reference(Any)
.... exclude 1..1 boolean Group includes or excludes
... member C 0..* BackboneElement Who or what is in group
.... Slices for extension Content/Rules for all slices
..... associatedData S 0..1 Reference() ATR Any Resource Extension
URL: http://hl7.org/fhir/us/davinci-atr/StructureDefinition/atr-any-resource-extension
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... entity S 1..1 Reference(Davinci ATR Patient) Reference to the group member
.... period S 0..1 Period Period member belonged to the group
.... inactive S 0..1 boolean If member is no longer in group

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Group.typerequiredFixed Value: person
http://hl7.org/fhir/ValueSet/group-type|4.0.1
from the FHIR Standard
Group.characteristic.codeextensibleDaVinciGroupCharacteristic
http://hl7.org/fhir/us/davinci-atr/ValueSet/davinci-group-characteristic
from this IG
Group.characteristic.value[x]example

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorGroupIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorGroupIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorGroupIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorGroupIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceGroupA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
grp-1errorGroupCan only have members if group is "actual"
: member.empty() or (actual = true)
NameFlagsCard.TypeDescription & Constraintsdoco
.. Group C 0..* Group DaVinci Patient List
grp-1: Can only have members if group is "actual"
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... intendedRecipientIdentifier S 0..1 Identifier ATR Intended Recipient Extension
URL: http://hl7.org/fhir/us/davinci-atr/StructureDefinition/atr-intended-recipient-identifier-extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier Unique id
... active SΣ 0..1 boolean Whether this group's record is in active use
... type SΣ 1..1 code person | animal | practitioner | device | medication | substance
Binding: GroupType (required): Types of resources that are part of group.


Fixed Value: person
... actual SΣC 1..1 boolean Descriptive or actual
Fixed Value: true
... code Σ 0..1 CodeableConcept Kind of Group members
Binding Description (No ValueSet): (example): Kind of particular resource; e.g. cow, syringe, lake, etc.

... name SΣ 0..1 string Label for Group
... quantity SΣ 0..1 unsignedInt Number of members
... managingEntity SΣ 1..1 Reference(Davinci ATR Organization) Entity that is the custodian of the Group's definition
... characteristic 0..* BackboneElement Include / Exclude group members by Trait
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code S 1..1 CodeableConcept Kind of characteristic
Binding: DaVinci Group Characteristic (extensible): The set of characteristics shared by the members

.... value[x] S 1..1 Value held by characteristic
Binding Description (No ValueSet): (example): Value of descriptive member characteristic; e.g. red, male, pneumonia, Caucasian, etc.

..... valueCodeableConcept CodeableConcept
..... valueBoolean boolean
..... valueQuantity Quantity
..... valueRange Range
..... valueReference Reference(Any)
.... exclude 1..1 boolean Group includes or excludes
.... period 0..1 Period Period over which characteristic is tested
... member C 0..* BackboneElement Who or what is in group
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... associatedData S 0..1 Reference() ATR Any Resource Extension
URL: http://hl7.org/fhir/us/davinci-atr/StructureDefinition/atr-any-resource-extension
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... entity S 1..1 Reference(Davinci ATR Patient) Reference to the group member
.... period S 0..1 Period Period member belonged to the group
.... inactive S 0..1 boolean If member is no longer in group

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Group.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Group.typerequiredFixed Value: person
http://hl7.org/fhir/ValueSet/group-type|4.0.1
from the FHIR Standard
Group.codeexample
Group.characteristic.codeextensibleDaVinciGroupCharacteristic
http://hl7.org/fhir/us/davinci-atr/ValueSet/davinci-group-characteristic
from this IG
Group.characteristic.value[x]example

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorGroupIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorGroupIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorGroupIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorGroupIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceGroupA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
grp-1errorGroupCan only have members if group is "actual"
: member.empty() or (actual = true)

This structure is derived from Group

Differential View

This structure is derived from Group

NameFlagsCard.TypeDescription & Constraintsdoco
.. Group 0..* Group DaVinci Patient List
... Slices for extension Content/Rules for all slices
.... intendedRecipientIdentifier S 0..1 Identifier ATR Intended Recipient Extension
URL: http://hl7.org/fhir/us/davinci-atr/StructureDefinition/atr-intended-recipient-identifier-extension
... identifier S 0..* Identifier Unique id
... active S 0..1 boolean Whether this group's record is in active use
... actual S 1..1 boolean Descriptive or actual
Fixed Value: true
... name S 0..1 string Label for Group
... quantity S 0..1 unsignedInt Number of members
... managingEntity S 1..1 Reference(Davinci ATR Organization) Entity that is the custodian of the Group's definition
... characteristic 0..* BackboneElement Include / Exclude group members by Trait
.... code S 1..1 CodeableConcept Kind of characteristic
Binding: DaVinci Group Characteristic (extensible): The set of characteristics shared by the members

.... value[x] S 1..1 CodeableConcept, boolean, Quantity, Range, Reference() Value held by characteristic
... member 0..* BackboneElement Who or what is in group
.... Slices for extension Content/Rules for all slices
..... associatedData S 0..1 Reference() ATR Any Resource Extension
URL: http://hl7.org/fhir/us/davinci-atr/StructureDefinition/atr-any-resource-extension
.... entity S 1..1 Reference(Davinci ATR Patient) Reference to the group member
.... period S 0..1 Period Period member belonged to the group
.... inactive S 0..1 boolean If member is no longer in group

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Group.characteristic.codeextensibleDaVinciGroupCharacteristic
http://hl7.org/fhir/us/davinci-atr/ValueSet/davinci-group-characteristic
from this IG

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Group C 0..* Group DaVinci Patient List
grp-1: Can only have members if group is "actual"
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... intendedRecipientIdentifier S 0..1 Identifier ATR Intended Recipient Extension
URL: http://hl7.org/fhir/us/davinci-atr/StructureDefinition/atr-intended-recipient-identifier-extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... active SΣ 0..1 boolean Whether this group's record is in active use
... type SΣ 1..1 code person | animal | practitioner | device | medication | substance
Binding: GroupType (required): Types of resources that are part of group.


Fixed Value: person
... actual SΣC 1..1 boolean Descriptive or actual
Fixed Value: true
... name SΣ 0..1 string Label for Group
... quantity SΣ 0..1 unsignedInt Number of members
... managingEntity SΣ 1..1 Reference(Davinci ATR Organization) Entity that is the custodian of the Group's definition
... characteristic 0..* BackboneElement Include / Exclude group members by Trait
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code S 1..1 CodeableConcept Kind of characteristic
Binding: DaVinci Group Characteristic (extensible): The set of characteristics shared by the members

.... value[x] S 1..1 Value held by characteristic
Binding Description (No ValueSet): (example): Value of descriptive member characteristic; e.g. red, male, pneumonia, Caucasian, etc.

..... valueCodeableConcept CodeableConcept
..... valueBoolean boolean
..... valueQuantity Quantity
..... valueRange Range
..... valueReference Reference(Any)
.... exclude 1..1 boolean Group includes or excludes
... member C 0..* BackboneElement Who or what is in group
.... Slices for extension Content/Rules for all slices
..... associatedData S 0..1 Reference() ATR Any Resource Extension
URL: http://hl7.org/fhir/us/davinci-atr/StructureDefinition/atr-any-resource-extension
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... entity S 1..1 Reference(Davinci ATR Patient) Reference to the group member
.... period S 0..1 Period Period member belonged to the group
.... inactive S 0..1 boolean If member is no longer in group

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Group.typerequiredFixed Value: person
http://hl7.org/fhir/ValueSet/group-type|4.0.1
from the FHIR Standard
Group.characteristic.codeextensibleDaVinciGroupCharacteristic
http://hl7.org/fhir/us/davinci-atr/ValueSet/davinci-group-characteristic
from this IG
Group.characteristic.value[x]example

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorGroupIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorGroupIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorGroupIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorGroupIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceGroupA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
grp-1errorGroupCan only have members if group is "actual"
: member.empty() or (actual = true)

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Group C 0..* Group DaVinci Patient List
grp-1: Can only have members if group is "actual"
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... intendedRecipientIdentifier S 0..1 Identifier ATR Intended Recipient Extension
URL: http://hl7.org/fhir/us/davinci-atr/StructureDefinition/atr-intended-recipient-identifier-extension
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier Unique id
... active SΣ 0..1 boolean Whether this group's record is in active use
... type SΣ 1..1 code person | animal | practitioner | device | medication | substance
Binding: GroupType (required): Types of resources that are part of group.


Fixed Value: person
... actual SΣC 1..1 boolean Descriptive or actual
Fixed Value: true
... code Σ 0..1 CodeableConcept Kind of Group members
Binding Description (No ValueSet): (example): Kind of particular resource; e.g. cow, syringe, lake, etc.

... name SΣ 0..1 string Label for Group
... quantity SΣ 0..1 unsignedInt Number of members
... managingEntity SΣ 1..1 Reference(Davinci ATR Organization) Entity that is the custodian of the Group's definition
... characteristic 0..* BackboneElement Include / Exclude group members by Trait
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... code S 1..1 CodeableConcept Kind of characteristic
Binding: DaVinci Group Characteristic (extensible): The set of characteristics shared by the members

.... value[x] S 1..1 Value held by characteristic
Binding Description (No ValueSet): (example): Value of descriptive member characteristic; e.g. red, male, pneumonia, Caucasian, etc.

..... valueCodeableConcept CodeableConcept
..... valueBoolean boolean
..... valueQuantity Quantity
..... valueRange Range
..... valueReference Reference(Any)
.... exclude 1..1 boolean Group includes or excludes
.... period 0..1 Period Period over which characteristic is tested
... member C 0..* BackboneElement Who or what is in group
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... associatedData S 0..1 Reference() ATR Any Resource Extension
URL: http://hl7.org/fhir/us/davinci-atr/StructureDefinition/atr-any-resource-extension
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... entity S 1..1 Reference(Davinci ATR Patient) Reference to the group member
.... period S 0..1 Period Period member belonged to the group
.... inactive S 0..1 boolean If member is no longer in group

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Group.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Group.typerequiredFixed Value: person
http://hl7.org/fhir/ValueSet/group-type|4.0.1
from the FHIR Standard
Group.codeexample
Group.characteristic.codeextensibleDaVinciGroupCharacteristic
http://hl7.org/fhir/us/davinci-atr/ValueSet/davinci-group-characteristic
from this IG
Group.characteristic.value[x]example

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorGroupIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorGroupIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorGroupIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorGroupIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceGroupA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
grp-1errorGroupCan only have members if group is "actual"
: member.empty() or (actual = true)

This structure is derived from Group

 

Other representations of profile: CSV, Excel, Schematron