Release Notes: Enterprise 2022.3.0.9

Overview

The 2022.3.0.9 release from Opala includes the following updates:

• ATR Groups definition update for UniRoster ETL.
• Client/backend service authorization workflow and custom ATR Group export added to Member Attribution (ATR) API.
• Updates to Databricks.

ETL Pipeline

UniRoster ETL

Opala has changed how it builds ATR Groups. A new field available in the Uniroster Contracts file, pod_id, has been added to differentiate between MA and GOC (commercial) contracts in Premera's source data (UniRoster files). The new field is appended to the name of the attribution group (if a group is present) and used to determine group membership.

Member Attribution (ATR)

The following features have been added to the ATR API.

Backend Client Service Authorization Workflow

Workflow

SMART Backend Service Authorization workflow hass been added to ATR to be used by developers of backend services that need to access resources from FHIR servers which have pre-authorized defined scopes of access. This feature is used by providers to security access and retrieve bulk data from Opala’s ATR API.

For more information see the SMART Backend Services Authorization Guide .

Providence Registration

Providence has registered with Opala to enable backend service connectivity to Opala's ATR API and allow retrieval of Value Based Contracts/ATR Groups assigned to Providence.

Custom ATR Bulk Export Operation

To support the ATR use case, a custom Group Export operation was implemented to return only FHIR Resources as defined by the ATR data model.

This custom Group Export is configured on the ATR API endpoints and effectively replaces the core FHIR Bulk Export operation. It enables registered parties to place the standard Group Export request:

It also enables registered parties to receive a custom set of FHIR resources which are listed below.

Group	Retrieve Group identified in the ATRGroup export request
Patient	Patient, where Patient in Group:member Patient, where Patient in Coverage:subscriber Patient, where Patient in Coverage:beneficiary Patient, where Patient in Coverage:payor
Practitioner	Practitioner, where Practitioner in Group:ext-attributedProvider Practitoner, where Practitioner in PractitionerRole:practitioner, and PractitionerRole in Group:ext-attributedProvider
PractitionerRole	PractitionerRole, where PractitionerRole in Group:ext-attributedProvider
Location	Location, where Location in PractitioinerRole:location
Organization	Organization, where Organization in Group:managing-entity Organization, where Organization in Group:ext-attributedProvider Organization, where Organization in Coverage:policy-holder Organization, where Organization in Coverage:payor Organization, where Organization in PractitionerRole:organization, and PractitionerRole in Group:ext-attributedProvider
Coverage	Coverage, where Coverage in Group:ext-coverageReference
Related Person	Related Person, where Related Person in Coverage:policy-holder, and Coverage in Group:ext-coverageReference Related Person, where Related Person in Coverage:subscriber, and Coverage in Group:ext-coverageReference Related Person, where Related Person in Coverage:payor, and Coverage in Group:ext-coverageReference

Databricks Updated

Databricks has been updated to set up databases, file mounts, and configurations; to add a dim_date table; and to set up a daily FHIR recourse count pull.