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HealthLake's FHIR R4 $confirm-attribution-list Operation Explained

HealthLake の FHIR R4 $confirm-attribution-listオペレーション - AWS Documentation

December 27, 2025AWS HealthLake

Summary

AWS HealthLake provides the $confirm-attribution-list operation based on FHIR R4. This feature is used to finalize the member attribution list attached to a Group resource.

Details

This document details the `$confirm-attribution-list` operation for FHIR R4 within AWS HealthLake. The operation allows a consumer to signal to the producer that there are no further changes to be added to the attribution list, thereby finalizing the group's attribute list. Specifically, it formalizes the attribution list (ATR) by removing inactive members and setting the status to 'final'. This is part of the implementation for the FHIR Member Attribution (ATR) List IG 2.1.0. The endpoint is `POST [base]/Group/[id]/$confirm-attribution-list`, requiring no parameters. A successful call returns HTTP 201 with a confirmation message, and the Group resource's status is updated to 'final'. Error handling covers invalid operation requests (400) or non-existent group IDs (404). To utilize this feature, clients must possess write permissions to modify the Group resource, in addition to read permissions for the group and related attribute resources. This mechanism adheres to standard FHIR authorization practices.

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