Risk Based Contracts Member Attribution (ATR) List


Publication Request	Publication Request
1. Published Name of the Standard for which request is being made	Risk Based Contracts Member Attribution (ATR) List
2. Standards Material/Document	STU
3. Date of Request	Dec 16, 2020
4. Use Period	2 years
5. Reason for extension, timeline, and actions
6. Original Publication Date
7. End date of the current STU period
8. Length of the requested extension
9. Review Process
10. HL7 Work Group making this request and date	Financial Management
10a. Requesting WG Date	Oct 20, 2020
11. URL of approval minutes	https://confluence.hl7.org/display/FM/2020-10-20+FM+Interim+Meeting
12. HL7 Product Management Group	FMG
12a. Management Group Date of Approval	Dec 16, 2020
13. URL of approval minutes	https://confluence.hl7.org/pages/viewpage.action?pageId=97472058
14. Is the artifact ready for final publication?	Yes
15. If not ready, please describe remaining steps.
16. Tool name used to produce the machine processable artifacts in the IG	FHIR IG Publisher - hand edit
17. The name of the “IG artifact” within the context of the above mentioned tool.	DaVinci-ATR
18. Balloted Name of the standard for which request is being made	HL7 FHIR® Implementation Guide: Risk Based Contract Member Identification, Release 1 - US Realm
19. Requested name for published standard	HL7 FHIR® Implementation Guide: Risk Based Contract Member Identification, Release 1 - US Realm
20. If CMET, list IDs balloted	N/A
21. Project Insight Number	1517
22. Document Realm	US Realm
23. Ballot cycle in which the document was successfully balloted	2020-02
24. Results of that ballot (following reconciliation activities):	24. Results of that ballot (following reconciliation activities): (not needed for errata, STU extension, or unballoted STU update)
25. Affirmative	64
26. Negative	14
27. Abstentions	53
28. Not Returned	21
29. Total in ballot pool	152
30. Date on which final document/standards material was supplied to HQ	Dec 16, 2020
31. URL of publication material/ SVN repository	https://github.com/HL7/davinci-atr
32. Publishing Facilitator	Nagesh (Dragon) Bashyam
33. Special Publication Instructions
34. URL of ballot reconciliation document	http://www.hl7.org/documentcenter/public/ballots/2020FEB/reconciliation/recon_fhir_ig_risk_contract_r1_d1_2020feb.xls
35. Has the Work Group posted its consideration of all comments received in its reconciliation document on the ballot desktop?	Yes
36. Substantive Changes Since Last Ballot?
37. Product Brief Reviewed By	Financial Management
38. Date Product Brief Reviewed	Dec 01, 2020
39. Has the Product Brief changed?
Product Brief	Product Brief
40. Family	FHIR
41. Section	Implementation Guides
42. Topic	Financial Management
43. Please Describe the Topic	Member attribution list electronic exchange implementation guide.
44. Product Type	Implementation Guide
45. Parent standard	FHIR R4
46. Parent Standard Status	Active
47. Update/replace standard	N/A
48. Common name/search keyword	Member Attribution, Member Roster, Risk based,
49. Description	The implementation guide defines the mechanisms, resources, profiles and extensions required to exchange Member Attribution Lists. The Member Attribution Lists enable providers and payer organization to validate enrollment in Value-Based Care (VBC) programs and support reporting requirements and payment reconciliation.
Targets	Targets These are categories of potential users, implementers, or other interested parties such as those that are indicated on the Project Scope Statement under “Stakeholders/Vendors/Providers”. Select those that are applicable, or suggest others:
50. Stakeholders	Payors
51. Vendors	EHR, PHR, Health Care IT
52. Providers	Healthcare Institutions (hospitals, long term care, home care, mental health) Other (specify in text box below)
53. Benefits	Enables FHIR based exchange of Member Attribution Lists (MAL) between providers and payers. Replaces the fragile current methods of custom files (CSVs, txt etc) and exchanging them using different methods such as Email and Secure Eile Transfer Protocol (SFTP)
54. Implementations/Case Studies	MultiCare Providence Epic
55. Development Background

Publication Request
1. Published Name of the Standard for which request is being made
2. Standards Material/Document	Normative Informative Errata STU STU Extension Unballoted STU Update
3. Date of Request
4. Use Period	Trial Use period requested for STU e.g.: One year, or other up to two years maximum (please specify)
5. Reason for extension, timeline, and actions	According to GOM 13.02.07.02, Extending the Trial Use Period
6. Original Publication Date
7. End date of the current STU period
8. Length of the requested extension	Maximum 2 years
9. Review Process	Describe the review process that was followed (peer review, wiki, comment ballot)
10. HL7 Work Group making this request and date
10a. Requesting WG Date
11. URL of approval minutes
12. HL7 Product Management Group
12a. Management Group Date of Approval
13. URL of approval minutes
14. Is the artifact ready for final publication?
15. If not ready, please describe remaining steps.
16. Tool name used to produce the machine processable artifacts in the IG
17. The name of the “IG artifact” within the context of the above mentioned tool.
18. Balloted Name of the standard for which request is being made
19. Requested name for published standard
20. If CMET, list IDs balloted	COCT_MTxxxxxx
21. Project Insight Number
22. Document Realm
23. Ballot cycle in which the document was successfully balloted	yyyy-mmm
24. Results of that ballot (following reconciliation activities): (not needed for errata, STU extension, or unballoted STU update)
25. Affirmative
26. Negative
27. Abstentions
28. Not Returned
29. Total in ballot pool
30. Date on which final document/standards material was supplied to HQ
31. URL of publication material/ SVN repository
32. Publishing Facilitator
33. Special Publication Instructions
34. URL of ballot reconciliation document
35. Has the Work Group posted its consideration of all comments received in its reconciliation document on the ballot desktop?
36. Substantive Changes Since Last Ballot?
37. Product Brief Reviewed By	i.e. the group or individuals endorsing this product brief information and the date the endorsement was approved
38. Date Product Brief Reviewed
39. Has the Product Brief changed?
Product Brief
40. Family
41. Section	Clinical and Administrative Domains EHR Profiles Implementation Guides Rules and References Education and Awareness
42. Topic	Cardiology Care Provision Clinical Genomics Clinical Quality Clinical Statement Community-Based Health Decision Support Emergency Management Financial Management Laboratory Materials Management Medical Records Nutrition Orders Attachments Patient Administration Patient Care Patient Referral Personnel Management Pharmacy Public Health Regulated Products Regulated Studies Scheduling Security and Privacy Terminology CCOW Healthcare Devices SPL
43. Please Describe the Topic
44. Product Type	Clinical Information Model Data Types Document Domain Analysis Model Domain Content Model Encoding Syntax Functional Model Functional Profile Implementable Transport Specification Implementation Guide Methodology Specifications Services Specification Errata Standard Reference Materials Structures Tools Transport(ebxml, cd, mllp) White Paper XML Schemas
45. Parent standard	e.g. the standard to which an implementation guide applies
46. Parent Standard Status
47. Update/replace standard	(e.g. is this a STU update, or is there an R1 specification which an R2 publication updates or replaces) – Please specify if this publication has a replacement, supplemental or addendum relationship to a prior standard or STU:
48. Common name/search keyword	Please specify if the publication is known by a common name internally to the Work Group or a specific search term/acronym should be provided to help users find the product.
49. Description	This is typically a short paragraph summarizing the use and intent of the standard, such as would be found in an overview paragraph in the published specification.
Targets These are categories of potential users, implementers, or other interested parties such as those that are indicated on the Project Scope Statement under “Stakeholders/Vendors/Providers”. Select those that are applicable, or suggest others:
50. Stakeholders	Clinical and Public Health Laboratories Immunization Registries Quality Reporting Agencies Regulatory Agency Standards Development Organizations (SDOs) Payors Other (specify in text box below) N/A
51. Vendors	Pharmaceutical EHR, PHR Equipment Health Care IT Clinical Decision Support Systems Lab HIS Other (please specify) N/A
52. Providers	Clinical and Public Health Laboratories Emergency Services Local and State Departments of Health Medical Imaging Service Healthcare Institutions (hospitals, long term care, home care, mental health) Other (specify in text box below) N/A
53. Benefits	This section will describe the benefits the standard or its implementation provides to healthcare, information technology, interoperability and the like. This section is often difficult to compose and will require careful editing by the review group(s). Please create phrases such as "Creates..." "Enables..." "Supports..."
54. Implementations/Case Studies	This section would identify the known implementers of the standard, production or STU implementers, or any known adopters of the specification. Agencies or other organizations that sponsored the development of the specification could be listed here. • Organization A (Product B - optional) • Organization C (Product or program D)
55. Development Background	This section may be used for additional important information beyond the short summary in the Description, such as would be found in an Introduction section, in the published specification.




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24. Results of that ballot (following reconciliation activities):

Product Brief

Targets

Publication Request

24. Results of that ballot (following reconciliation activities):

Product Brief

Targets