Da Vinci Health Record Exchange (HRex)
1.1.0-preview - STU R1 United States of America flag

Da Vinci Health Record Exchange (HRex), published by HL7 International / Clinical Interoperability Council. This guide is not an authorized publication; it is the continuous build for version 1.1.0-preview built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-ehrx/ and changes regularly. See the Directory of published versions

Example Parameters: $member-match payer example request

This sample shows the three parameter values passed into the $member-match operation. At minimum, the Patient must have an identifier, name, and gender. The identifier will be the member number as known by the requesting organization. Both the old and new coverage identify the Patient as the beneficiary via a local reference. In both coverages, the organization information is conveyed as a ‘contained’ resource - indicating that it is maintained as part of the coverage.

Parameters

MemberPatient

Patient/1

Generated Narrative: Patient

Resource Patient "1"

name: Patricia Ann Person (Official)

gender: female

birthDate: 1974-12-25

CoverageToMatch

Coverage/9876B1

Generated Narrative: Coverage

Resource Coverage "9876B1"

identifier: Member Number/DH10001235

status: draft

​beneficiary: See on this page: Patient/1

relationship: Unknown (DataAbsentReason#unknown)

period: 2011-05-23 --> 2012-05-23

payor: : Old Health Plan

class

type: Group (Coverage Class Codes#group)

value: CB135

class

type: Plan (Coverage Class Codes#plan)

value: B37FC

class

type: SubPlan (Coverage Class Codes#subplan)

value: P7

class

type: Class (Coverage Class Codes#class)

value: SILVER

CoverageToLink

Coverage/AA87654

Generated Narrative: Coverage

Resource Coverage "AA87654"

identifier: Member Number/234567

status: active

beneficiary: https://hl7.org/fhir/us/core/STU6.1/Patient/example

relationship: Unknown (DataAbsentReason#unknown)

payor: : New Health Plan

Consent

Consent/null

Generated Narrative: Consent

status: active

scope: Privacy Consent (Consent Scope Codes#patient-privacy)

category: information disclosure (ActCode#IDSCL)

patient: http://hl7.org/fhir/us/core/STU6.1/Patient/example

performer: http://hl7.org/fhir/us/core/STU6.1/Patient/example

source: http://example.org/DocumentReference/someconsent

Policies

-Uri
*​http://hl7.org/fhir/us/davinci-hrex/StructureDefinition-hrex-consent.html#regular

provision

type: permit

period: 2022-01-01 --> 2022-01-31

actor

role: Performer (Provenance participant type#performer)

reference: : Old Health Plan

actor

role: information recipient (ParticipationType#IRCP)

reference: : New Health Plan

action: Disclose (Consent Action Codes#disclose)