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  1. FHIR Specification Feedback
  2. FHIR-39666

Clarify source of truth for scenario #1 vs #2

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    • Change Request
    • Resolution: Persuasive with Modification
    • Medium
    • US Da Vinci ATR (FHIR)
    • 2.0.0-ballot
    • Financial Mgmt
    • STU
    • Detailed Specification
    • 4.4.2
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      In the spec.html section for member-add and member-remove, add clarifications indicating that the producer makes the final decision on whether to add or remove based on not just the parameters supplied , but could use other data. Hence the response to the operations will depend on the adjudication performed by the Producer on the operation. If the operation is not successful, then an operation outcome would be returned with appropriate messages. 

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      In the spec.html section for member-add and member-remove, add clarifications indicating that the producer makes the final decision on whether to add or remove based on not just the parameters supplied , but could use other data. Hence the response to the operations will depend on the adjudication performed by the Producer on the operation. If the operation is not successful, then an operation outcome would be returned with appropriate messages. 
    • Nagesh Bashyam/Jeff Brown: 11-0-1
    • Correction
    • Compatible, substantive

    Description

      "Expected Results: Successful removal of the Patient from the Member Attribution List if the member and the provider is found in the system. An OperationOutcome if the Patient to be removed is not found in the system or the member attribution list."
      In https://build.fhir.org/ig/HL7/davinci-atr/usecases.html 2.5 figure 3 step 4, "Consumer requests add/modify or delete of a member" suggests that the add or remove operation is submitted to the producer as a request, but other text suggests that it is more of a demand. Because this is part of a reconciliation process, can the producer decline the add or delete request, or are they obligated to perform the add or delete even if they disagree with it? For scenario #2 in particular, it is unclear which system is actually the source of truth.

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          Ballot Vote - The designation of a comment about a specification as related to an overall Ballot Submission BALLOT-46352 Negative - Christopher Schaut : 2023-Jan-FHIR IG RISK CONTRACT R1 STU

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          Ballot Vote - The designation of a comment about a specification as related to an overall Ballot Submission BALLOT-47610 Negative - Cooper Thompson : 2023-Jan-FHIR IG RISK CONTRACT R1 STU

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          Ballot Vote - The designation of a comment about a specification as related to an overall Ballot Submission BALLOT-47621 Negative - Danielle Friend : 2023-Jan-FHIR IG RISK CONTRACT R1 STU

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          Ballot Vote - The designation of a comment about a specification as related to an overall Ballot Submission BALLOT-47632 Negative - Amit Popat : 2023-Jan-FHIR IG RISK CONTRACT R1 STU

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          Ballot Vote - The designation of a comment about a specification as related to an overall Ballot Submission BALLOT-47641 Negative - Daniel Zhang : 2023-Jan-FHIR IG RISK CONTRACT R1 STU

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          Ballot Vote - The designation of a comment about a specification as related to an overall Ballot Submission BALLOT-47650 Negative - Kimberly Herman : 2023-Jan-FHIR IG RISK CONTRACT R1 STU

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          Ballot Vote - The designation of a comment about a specification as related to an overall Ballot Submission BALLOT-47659 Negative - Daniel Rutz : 2023-Jan-FHIR IG RISK CONTRACT R1 STU

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          Ballot Vote - The designation of a comment about a specification as related to an overall Ballot Submission BALLOT-47668 Negative - David Sundaram-Stukel : 2023-Jan-FHIR IG RISK CONTRACT R1 STU

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          Ballot Vote - The designation of a comment about a specification as related to an overall Ballot Submission BALLOT-47677 Negative - Thanos Tsiolis : 2023-Jan-FHIR IG RISK CONTRACT R1 STU

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          Ballot Vote - The designation of a comment about a specification as related to an overall Ballot Submission BALLOT-47686 Negative - Chris Courville : 2023-Jan-FHIR IG RISK CONTRACT R1 STU

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          Ballot Vote - The designation of a comment about a specification as related to an overall Ballot Submission BALLOT-47695 Negative - Isaac Vetter : 2023-Jan-FHIR IG RISK CONTRACT R1 STU

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          Ballot Vote - The designation of a comment about a specification as related to an overall Ballot Submission BALLOT-47704 Negative - Vassil Peytchev : 2023-Jan-FHIR IG RISK CONTRACT R1 STU

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          Ballot Vote - The designation of a comment about a specification as related to an overall Ballot Submission BALLOT-47715 Negative - Carl Dvorak : 2023-Jan-FHIR IG RISK CONTRACT R1 STU

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