Da Vinci Payer Data Exchange
2.2.1 - STU 2.2 United States of America flag

Da Vinci Payer Data Exchange, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.2.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-epdx/ and changes regularly. See the Directory of published versions

Resource Profile: ProviderMultiMemberMatchRequestParameters - Detailed Descriptions

Page standards status: Informative

Definitions for the provider-parameters-multi-member-match-bundle-in resource profile.

See the documentation on how to interpret the contents of this table

0. Parameters
Definition

This resource is a non-persisted resource used to pass information into and back from an operation. It has no other use, and there is no RESTful endpoint associated with it.

ShortOperation Request or Response
Comments

The parameters that may be used are defined by the OperationDefinition resource.

Control0..*
Is Modifierfalse
Summaryfalse
2. Parameters.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

ShortA set of rules under which this content was created
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Control0..1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Parameters.parameter
Definition

Parameters for a provider-initiated bulk member match request containing current member demographics, current coverage, and provider treatment attestation.


A parameter passed to or received from the operation.

ShortProvider member match request parametersOperation Parameter
Control10..*
TypeBackboneElement
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
inv-1: A parameter must have one and only one of (value, resource, part) ((part.exists() and value.empty() and resource.empty()) or (part.empty() and (value.exists() xor resource.exists())))
inv-1: A parameter must have one and only one of (value, resource, part) ((part.exists() and value.empty() and resource.empty()) or (part.empty() and (value.exists() xor resource.exists())))
SlicingThis element introduces a set of slices on Parameters.parameter. The slices are Unordered and Open, and can be differentiated using the following discriminators:
  • value @ name
6. Parameters.parameter.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
8. Parameters.parameter.name
Definition

The name of the parameter (reference to the operation definition).

ShortName from the definition
Control1..1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. Parameters.parameter:MemberBundle
Slice NameMemberBundle
Definition

A parameter passed to or received from the operation.

ShortOperation Parameter
Control10..*
TypeBackboneElement
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
inv-1: A parameter must have one and only one of (value, resource, part) ((part.exists() and value.empty() and resource.empty()) or (part.empty() and (value.exists() xor resource.exists())))
inv-1: A parameter must have one and only one of (value, resource, part) ((part.exists() and value.empty() and resource.empty()) or (part.empty() and (value.exists() xor resource.exists())))
12. Parameters.parameter:MemberBundle.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
14. Parameters.parameter:MemberBundle.name
Definition

A repeating parameter containing current member demographics, current coverage information, and provider treatment attestation for a single member. The name aligns with the ProviderMemberMatch OperationDefinition.


The name of the parameter (reference to the operation definition).

ShortMember elements to match for provider accessName from the definition
Control1..1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Pattern Value
{
  "name" : "MemberBundle"
}
<name value="MemberBundle"/>
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
16. Parameters.parameter:MemberBundle.part
Definition

The individual components required for a provider to request access to member data: current patient demographics, current coverage, and provider treatment attestation.


A named part of a multi-part parameter.

ShortComponents of provider member match requestNamed part of a multi-part parameter
Comments

Only one level of nested parameters is allowed.

Control30..*
TypeSeettp://hl7.org/fhir/StructureDefinition/Parameters#Parameters.parameter
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on Parameters.parameter.part. The slices are Unordered and Open, and can be differentiated using the following discriminators:
  • value @ name
18. Parameters.parameter:MemberBundle.part.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
20. Parameters.parameter:MemberBundle.part.name
Definition

The name of the parameter (reference to the operation definition).

ShortName from the definition
Control1..1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. Parameters.parameter:MemberBundle.part:MemberPatient
Slice NameMemberPatient
Definition

A named part of a multi-part parameter.

ShortNamed part of a multi-part parameter
Comments

Only one level of nested parameters is allowed.

Control10..1*
TypeBackboneElement
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
inv-1: A parameter must have one and only one of (value, resource, part) ((part.exists() and value.empty() and resource.empty()) or (part.empty() and (value.exists() xor resource.exists())))
24. Parameters.parameter:MemberBundle.part:MemberPatient.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
26. Parameters.parameter:MemberBundle.part:MemberPatient.name
Definition

Current patient demographic information as known by the provider (from provider's EMR or patient-provided information).


The name of the parameter (reference to the operation definition).

ShortCurrent member demographicsName from the definition
Control1..1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Pattern Value
{
  "name" : "MemberPatient"
}
<name value="MemberPatient"/>
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
28. Parameters.parameter:MemberBundle.part:MemberPatient.resource
Definition

The patient's current demographic information including name, date of birth, gender, and identifiers from the provider's system.


If the parameter is a whole resource.

ShortPatient demographic detailsIf parameter is a whole resource
Comments

When resolving references in resources, the operation definition may specify how references may be resolved between parameters. If a reference cannot be resolved between the parameters, the application should fall back to it's general resource resolution methods.

Control10..1
This element is affected by the following invariants: inv-1
TypePatientResource(HRex Member Match Patient Only some of the constraints on the root of this type profile have been applied to this element in the snapshot. Check the type profile directly as well)
Is Modifierfalse
Must Supportfalse
Summaryfalse
Alternate NamesSubjectOfCare Client Resident
30. Parameters.parameter:MemberBundle.part:CoverageToMatch
Slice NameCoverageToMatch
Definition

A named part of a multi-part parameter.

ShortNamed part of a multi-part parameter
Comments

Only one level of nested parameters is allowed.

Control10..1*
TypeBackboneElement
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
inv-1: A parameter must have one and only one of (value, resource, part) ((part.exists() and value.empty() and resource.empty()) or (part.empty() and (value.exists() xor resource.exists())))
32. Parameters.parameter:MemberBundle.part:CoverageToMatch.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
34. Parameters.parameter:MemberBundle.part:CoverageToMatch.name
Definition

The member's current active coverage with the payer (typically from insurance card or eligibility verification).


The name of the parameter (reference to the operation definition).

ShortCurrent member coverageName from the definition
Control1..1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Pattern Value
{
  "name" : "CoverageToMatch"
}
<name value="CoverageToMatch"/>
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
36. Parameters.parameter:MemberBundle.part:CoverageToMatch.resource
Definition

The member's active coverage information including member ID, subscriber ID, group number, plan details, and payer identifier.


If the parameter is a whole resource.

ShortCurrent coverage detailsIf parameter is a whole resource
Comments

The Coverage resource contains the insurance card level information, which is customary to provide on claims and other communications between providers and insurers.


When resolving references in resources, the operation definition may specify how references may be resolved between parameters. If a reference cannot be resolved between the parameters, the application should fall back to it's general resource resolution methods.

Control10..1
This element is affected by the following invariants: inv-1
TypeCoverageResource(HRex Member Match Coverage Profile Only some of the constraints on the root of this type profile have been applied to this element in the snapshot. Check the type profile directly as well)
Is Modifierfalse
Must Supportfalse
Summaryfalse
38. Parameters.parameter:MemberBundle.part:Consent
Slice NameConsent
Definition

A named part of a multi-part parameter.

ShortNamed part of a multi-part parameter
Comments

Only one level of nested parameters is allowed.

Control10..1*
TypeBackboneElement
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
inv-1: A parameter must have one and only one of (value, resource, part) ((part.exists() and value.empty() and resource.empty()) or (part.empty() and (value.exists() xor resource.exists())))
40. Parameters.parameter:MemberBundle.part:Consent.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
42. Parameters.parameter:MemberBundle.part:Consent.name
Definition

Provider's attestation of an active treatment relationship with the member. This is NOT patient consent for payer-to-payer data exchange, but rather the provider's certification that they have a treatment relationship justifying access to the member's data.


The name of the parameter (reference to the operation definition).

ShortProvider treatment attestationName from the definition
Control1..1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Pattern Value
{
  "name" : "Consent"
}
<name value="Consent"/>
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
44. Parameters.parameter:MemberBundle.part:Consent.resource
Definition

A Consent resource conforming to the ProviderTreatmentAttestation profile, documenting that the provider has an active treatment relationship with the member and the purposes for which they are requesting access to the member's data.


If the parameter is a whole resource.

ShortProvider attestation to treatment relationshipIf parameter is a whole resource
Comments

Unlike the payer-to-payer multi-member-match which includes patient consent for data exchange between payers, the provider version includes the provider's attestation to a treatment relationship. This attestation serves as the legal basis for the payer to release data to the provider under HIPAA treatment, payment, and operations (TPO) provisions.


When resolving references in resources, the operation definition may specify how references may be resolved between parameters. If a reference cannot be resolved between the parameters, the application should fall back to it's general resource resolution methods.

Control10..1
This element is affected by the following invariants: inv-1
TypeConsentResource(Provider Attestation to Treatment Relationship Only some of the constraints on the root of this type profile have been applied to this element in the snapshot. Check the type profile directly as well)
Is Modifierfalse
Summaryfalse

See the documentation on how to interpret the contents of this table

0. Parameters
2. Parameters.parameter
Definition

Parameters for a provider-initiated bulk member match request containing current member demographics, current coverage, and provider treatment attestation.

ShortProvider member match request parameters
Control1..?
SlicingThis element introduces a set of slices on Parameters.parameter. The slices are Unordered and Open, and can be differentiated using the following discriminators:
  • value @ name
4. Parameters.parameter:MemberBundle
Slice NameMemberBundle
Control1..*
6. Parameters.parameter:MemberBundle.name
Definition

A repeating parameter containing current member demographics, current coverage information, and provider treatment attestation for a single member. The name aligns with the ProviderMemberMatch OperationDefinition.

ShortMember elements to match for provider access
Pattern Value
{
  "name" : "MemberBundle"
}
<name value="MemberBundle"/>
8. Parameters.parameter:MemberBundle.part
Definition

The individual components required for a provider to request access to member data: current patient demographics, current coverage, and provider treatment attestation.

ShortComponents of provider member match request
Control3..?
SlicingThis element introduces a set of slices on Parameters.parameter.part. The slices are Unordered and Open, and can be differentiated using the following discriminators:
  • value @ name
10. Parameters.parameter:MemberBundle.part:MemberPatient
Slice NameMemberPatient
Control1..1
TypeBackboneElement
12. Parameters.parameter:MemberBundle.part:MemberPatient.name
Definition

Current patient demographic information as known by the provider (from provider's EMR or patient-provided information).

ShortCurrent member demographics
Pattern Value
{
  "name" : "MemberPatient"
}
<name value="MemberPatient"/>
14. Parameters.parameter:MemberBundle.part:MemberPatient.resource
Definition

The patient's current demographic information including name, date of birth, gender, and identifiers from the provider's system.

ShortPatient demographic details
Control1..?
TypePatient(HRex Member Match Patient)
16. Parameters.parameter:MemberBundle.part:CoverageToMatch
Slice NameCoverageToMatch
Control1..1
TypeBackboneElement
18. Parameters.parameter:MemberBundle.part:CoverageToMatch.name
Definition

The member's current active coverage with the payer (typically from insurance card or eligibility verification).

ShortCurrent member coverage
Pattern Value
{
  "name" : "CoverageToMatch"
}
<name value="CoverageToMatch"/>
20. Parameters.parameter:MemberBundle.part:CoverageToMatch.resource
Definition

The member's active coverage information including member ID, subscriber ID, group number, plan details, and payer identifier.

ShortCurrent coverage details
Control1..?
TypeCoverage(HRex Member Match Coverage Profile)
22. Parameters.parameter:MemberBundle.part:Consent
Slice NameConsent
Control1..1
TypeBackboneElement
24. Parameters.parameter:MemberBundle.part:Consent.name
Definition

Provider's attestation of an active treatment relationship with the member. This is NOT patient consent for payer-to-payer data exchange, but rather the provider's certification that they have a treatment relationship justifying access to the member's data.

ShortProvider treatment attestation
Pattern Value
{
  "name" : "Consent"
}
<name value="Consent"/>
26. Parameters.parameter:MemberBundle.part:Consent.resource
Definition

A Consent resource conforming to the ProviderTreatmentAttestation profile, documenting that the provider has an active treatment relationship with the member and the purposes for which they are requesting access to the member's data.

ShortProvider attestation to treatment relationship
Comments

Unlike the payer-to-payer multi-member-match which includes patient consent for data exchange between payers, the provider version includes the provider's attestation to a treatment relationship. This attestation serves as the legal basis for the payer to release data to the provider under HIPAA treatment, payment, and operations (TPO) provisions.

Control1..?
TypeConsent(Provider Attestation to Treatment Relationship)

See the documentation on how to interpret the contents of this table

0. Parameters
Definition

This resource is a non-persisted resource used to pass information into and back from an operation. It has no other use, and there is no RESTful endpoint associated with it.

ShortOperation Request or Response
Comments

The parameters that may be used are defined by the OperationDefinition resource.

Control0..*
Is Modifierfalse
Summaryfalse
2. Parameters.id
Definition

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

ShortLogical id of this artifact
Comments

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Control0..1
Typeid
Is Modifierfalse
Summarytrue
4. Parameters.meta
Definition

The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

ShortMetadata about the resource
Control0..1
TypeMeta
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
6. Parameters.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

ShortA set of rules under which this content was created
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Control0..1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. Parameters.language
Definition

The base language in which the resource is written.

ShortLanguage of the resource content
Comments

Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

Control0..1
BindingThe codes SHOULD be taken from CommonLanguages
(preferred to http://hl7.org/fhir/ValueSet/languages|4.0.1)

A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
Typecode
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. Parameters.parameter
Definition

Parameters for a provider-initiated bulk member match request containing current member demographics, current coverage, and provider treatment attestation.

ShortProvider member match request parameters
Control1..*
TypeBackboneElement
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
inv-1: A parameter must have one and only one of (value, resource, part) ((part.exists() and value.empty() and resource.empty()) or (part.empty() and (value.exists() xor resource.exists())))
SlicingThis element introduces a set of slices on Parameters.parameter. The slices are Unordered and Open, and can be differentiated using the following discriminators:
  • value @ name
12. Parameters.parameter.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
14. Parameters.parameter.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
16. Parameters.parameter.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
18. Parameters.parameter.name
Definition

The name of the parameter (reference to the operation definition).

ShortName from the definition
Control1..1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. Parameters.parameter.value[x]
Definition

If the parameter is a data type.

ShortIf parameter is a data type
Control0..1
This element is affected by the following invariants: inv-1
TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
[x] NoteSeeChoice of Data Typesfor further information about how to use [x]
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. Parameters.parameter.resource
Definition

If the parameter is a whole resource.

ShortIf parameter is a whole resource
Comments

When resolving references in resources, the operation definition may specify how references may be resolved between parameters. If a reference cannot be resolved between the parameters, the application should fall back to it's general resource resolution methods.

Control0..1
This element is affected by the following invariants: inv-1
TypeResource
Is Modifierfalse
Summarytrue
24. Parameters.parameter.part
Definition

A named part of a multi-part parameter.

ShortNamed part of a multi-part parameter
Comments

Only one level of nested parameters is allowed.

Control0..*
TypeSeettp://hl7.org/fhir/StructureDefinition/Parameters#Parameters.parameter
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. Parameters.parameter:MemberBundle
Slice NameMemberBundle
Definition

A parameter passed to or received from the operation.

ShortOperation Parameter
Control1..*
TypeBackboneElement
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
inv-1: A parameter must have one and only one of (value, resource, part) ((part.exists() and value.empty() and resource.empty()) or (part.empty() and (value.exists() xor resource.exists())))
28. Parameters.parameter:MemberBundle.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
30. Parameters.parameter:MemberBundle.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
32. Parameters.parameter:MemberBundle.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
34. Parameters.parameter:MemberBundle.name
Definition

A repeating parameter containing current member demographics, current coverage information, and provider treatment attestation for a single member. The name aligns with the ProviderMemberMatch OperationDefinition.

ShortMember elements to match for provider access
Control1..1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Pattern Value
{
  "name" : "MemberBundle"
}
<name value="MemberBundle"/>
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
36. Parameters.parameter:MemberBundle.value[x]
Definition

If the parameter is a data type.

ShortIf parameter is a data type
Control0..1
This element is affected by the following invariants: inv-1
TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
[x] NoteSeeChoice of Data Typesfor further information about how to use [x]
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
38. Parameters.parameter:MemberBundle.resource
Definition

If the parameter is a whole resource.

ShortIf parameter is a whole resource
Comments

When resolving references in resources, the operation definition may specify how references may be resolved between parameters. If a reference cannot be resolved between the parameters, the application should fall back to it's general resource resolution methods.

Control0..1
This element is affected by the following invariants: inv-1
TypeResource
Is Modifierfalse
Summarytrue
40. Parameters.parameter:MemberBundle.part
Definition

The individual components required for a provider to request access to member data: current patient demographics, current coverage, and provider treatment attestation.

ShortComponents of provider member match request
Comments

Only one level of nested parameters is allowed.

Control3..*
TypeSeettp://hl7.org/fhir/StructureDefinition/Parameters#Parameters.parameter
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on Parameters.parameter.part. The slices are Unordered and Open, and can be differentiated using the following discriminators:
  • value @ name
42. Parameters.parameter:MemberBundle.part.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
44. Parameters.parameter:MemberBundle.part.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
46. Parameters.parameter:MemberBundle.part.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
48. Parameters.parameter:MemberBundle.part.name
Definition

The name of the parameter (reference to the operation definition).

ShortName from the definition
Control1..1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
50. Parameters.parameter:MemberBundle.part.value[x]
Definition

If the parameter is a data type.

ShortIf parameter is a data type
Control0..1
This element is affected by the following invariants: inv-1
TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
[x] NoteSeeChoice of Data Typesfor further information about how to use [x]
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
52. Parameters.parameter:MemberBundle.part.resource
Definition

If the parameter is a whole resource.

ShortIf parameter is a whole resource
Comments

When resolving references in resources, the operation definition may specify how references may be resolved between parameters. If a reference cannot be resolved between the parameters, the application should fall back to it's general resource resolution methods.

Control0..1
This element is affected by the following invariants: inv-1
TypeResource
Is Modifierfalse
Summarytrue
54. Parameters.parameter:MemberBundle.part.part
Definition

A named part of a multi-part parameter.

ShortNamed part of a multi-part parameter
Comments

Only one level of nested parameters is allowed.

Control0..*
TypeSeettp://hl7.org/fhir/StructureDefinition/Parameters#Parameters.parameter
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
56. Parameters.parameter:MemberBundle.part:MemberPatient
Slice NameMemberPatient
Definition

A named part of a multi-part parameter.

ShortNamed part of a multi-part parameter
Comments

Only one level of nested parameters is allowed.

Control1..1
TypeBackboneElement
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
inv-1: A parameter must have one and only one of (value, resource, part) ((part.exists() and value.empty() and resource.empty()) or (part.empty() and (value.exists() xor resource.exists())))
58. Parameters.parameter:MemberBundle.part:MemberPatient.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
60. Parameters.parameter:MemberBundle.part:MemberPatient.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
62. Parameters.parameter:MemberBundle.part:MemberPatient.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
64. Parameters.parameter:MemberBundle.part:MemberPatient.name
Definition

Current patient demographic information as known by the provider (from provider's EMR or patient-provided information).

ShortCurrent member demographics
Control1..1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Pattern Value
{
  "name" : "MemberPatient"
}
<name value="MemberPatient"/>
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
66. Parameters.parameter:MemberBundle.part:MemberPatient.value[x]
Definition

If the parameter is a data type.

ShortIf parameter is a data type
Control0..1
This element is affected by the following invariants: inv-1
TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
[x] NoteSeeChoice of Data Typesfor further information about how to use [x]
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
68. Parameters.parameter:MemberBundle.part:MemberPatient.resource
Definition

The patient's current demographic information including name, date of birth, gender, and identifiers from the provider's system.

ShortPatient demographic details
Comments

When resolving references in resources, the operation definition may specify how references may be resolved between parameters. If a reference cannot be resolved between the parameters, the application should fall back to it's general resource resolution methods.

Control1..1
TypePatient(HRex Member Match Patient Only some of the constraints on the root of this type profile have been applied to this element in the snapshot. Check the type profile directly as well)
Is Modifierfalse
Must Supportfalse
Summaryfalse
Alternate NamesSubjectOfCare Client Resident
70. Parameters.parameter:MemberBundle.part:MemberPatient.part
Definition

A named part of a multi-part parameter.

ShortNamed part of a multi-part parameter
Comments

Only one level of nested parameters is allowed.

Control0..*
TypeSeettp://hl7.org/fhir/StructureDefinition/Parameters#Parameters.parameter
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
72. Parameters.parameter:MemberBundle.part:CoverageToMatch
Slice NameCoverageToMatch
Definition

A named part of a multi-part parameter.

ShortNamed part of a multi-part parameter
Comments

Only one level of nested parameters is allowed.

Control1..1
TypeBackboneElement
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
inv-1: A parameter must have one and only one of (value, resource, part) ((part.exists() and value.empty() and resource.empty()) or (part.empty() and (value.exists() xor resource.exists())))
74. Parameters.parameter:MemberBundle.part:CoverageToMatch.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
76. Parameters.parameter:MemberBundle.part:CoverageToMatch.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
78. Parameters.parameter:MemberBundle.part:CoverageToMatch.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
80. Parameters.parameter:MemberBundle.part:CoverageToMatch.name
Definition

The member's current active coverage with the payer (typically from insurance card or eligibility verification).

ShortCurrent member coverage
Control1..1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Pattern Value
{
  "name" : "CoverageToMatch"
}
<name value="CoverageToMatch"/>
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
82. Parameters.parameter:MemberBundle.part:CoverageToMatch.value[x]
Definition

If the parameter is a data type.

ShortIf parameter is a data type
Control0..1
This element is affected by the following invariants: inv-1
TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
[x] NoteSeeChoice of Data Typesfor further information about how to use [x]
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
84. Parameters.parameter:MemberBundle.part:CoverageToMatch.resource
Definition

The member's active coverage information including member ID, subscriber ID, group number, plan details, and payer identifier.

ShortCurrent coverage details
Comments

The Coverage resource contains the insurance card level information, which is customary to provide on claims and other communications between providers and insurers.

Control1..1
TypeCoverage(HRex Member Match Coverage Profile Only some of the constraints on the root of this type profile have been applied to this element in the snapshot. Check the type profile directly as well)
Is Modifierfalse
Must Supportfalse
Summaryfalse
86. Parameters.parameter:MemberBundle.part:CoverageToMatch.part
Definition

A named part of a multi-part parameter.

ShortNamed part of a multi-part parameter
Comments

Only one level of nested parameters is allowed.

Control0..*
TypeSeettp://hl7.org/fhir/StructureDefinition/Parameters#Parameters.parameter
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
88. Parameters.parameter:MemberBundle.part:Consent
Slice NameConsent
Definition

A named part of a multi-part parameter.

ShortNamed part of a multi-part parameter
Comments

Only one level of nested parameters is allowed.

Control1..1
TypeBackboneElement
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
inv-1: A parameter must have one and only one of (value, resource, part) ((part.exists() and value.empty() and resource.empty()) or (part.empty() and (value.exists() xor resource.exists())))
90. Parameters.parameter:MemberBundle.part:Consent.id
Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
92. Parameters.parameter:MemberBundle.part:Consent.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
94. Parameters.parameter:MemberBundle.part:Consent.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored even if unrecognized
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summarytrue
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content, modifiers
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
96. Parameters.parameter:MemberBundle.part:Consent.name
Definition

Provider's attestation of an active treatment relationship with the member. This is NOT patient consent for payer-to-payer data exchange, but rather the provider's certification that they have a treatment relationship justifying access to the member's data.

ShortProvider treatment attestation
Control1..1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Pattern Value
{
  "name" : "Consent"
}
<name value="Consent"/>
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
98. Parameters.parameter:MemberBundle.part:Consent.value[x]
Definition

If the parameter is a data type.

ShortIf parameter is a data type
Control0..1
This element is affected by the following invariants: inv-1
TypeChoice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
[x] NoteSeeChoice of Data Typesfor further information about how to use [x]
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
100. Parameters.parameter:MemberBundle.part:Consent.resource
Definition

A Consent resource conforming to the ProviderTreatmentAttestation profile, documenting that the provider has an active treatment relationship with the member and the purposes for which they are requesting access to the member's data.

ShortProvider attestation to treatment relationship
Comments

Unlike the payer-to-payer multi-member-match which includes patient consent for data exchange between payers, the provider version includes the provider's attestation to a treatment relationship. This attestation serves as the legal basis for the payer to release data to the provider under HIPAA treatment, payment, and operations (TPO) provisions.

Control1..1
TypeConsent(Provider Attestation to Treatment Relationship Only some of the constraints on the root of this type profile have been applied to this element in the snapshot. Check the type profile directly as well)
Is Modifierfalse
Summaryfalse
102. Parameters.parameter:MemberBundle.part:Consent.part
Definition

A named part of a multi-part parameter.

ShortNamed part of a multi-part parameter
Comments

Only one level of nested parameters is allowed.

Control0..*
TypeSeettp://hl7.org/fhir/StructureDefinition/Parameters#Parameters.parameter
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))