xCaliber healthCare Data Mesh

Risk Contract

Source Object: Risk Contract

Overview and Usage: The "Risk Contract" source object provides important data related to risk contracts in the healthcare system. Risk contracts are agreements between healthcare providers and payers that specify how the cost of patient care is shared and reimbursed. This data is crucial for managing financial arrangements and ensuring proper compensation for healthcare services. Below are key components of the "Risk Contract" source object:

  • Risk Contract ID: A unique identifier for the risk contract.
  • All Charts: An indication of whether this risk contract applies to all patient charts.
  • Patient ID: The unique identifier of the patient associated with the risk contract.
  • Department Count: The count of departments or units related to this risk contract.

Risk contracts play a vital role in managing financial aspects within the healthcare system. They help healthcare providers and payers ensure that patients receive necessary care while managing the associated costs effectively.

Mapping Table

Data FieldExample ValueSource Data Field DescriptionSource Field Data TypeSource Data Field CardinalityMapped FHIR++ ResourceMapped FHIR Data FieldAugmented MappingAssociated Coding SystemAssociated FHIR Data Field ExtensionMapping Context
riskcontractid-Risk Contract IDInteger0..1BasicidTop Level
allcharts-True if this risk contract applies to the given patient across all departmentsstring0..1Basicextension.valueStringall-chartsTop Level
patientid-Patient IDInteger0..1Basicsubject.referenceTop Level
departmentcount-The number of departments to which this risk contract has been applied for the given patient. Only present if the DEPARTMENTID argument was omitted.Integer0..1Basicextension.valueIntegerdepartment-countTop Level