Da Vinci Health Record Exchange (HRex)
0.2.0 - STU R1 - 2nd ballot

Da Vinci Health Record Exchange (HRex), published by HL7 International - Clinical Interoperability Council. This is not an authorized publication; it is the continuous build for version 0.2.0). This version is based on the current content of https://github.com/HL7/davinci-ehrx/ and changes regularly. See the Directory of published versions

: HRex Member Match Operation - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:OperationDefinition;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "member-match"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h2>MemberMatch</h2><p>OPERATION: MemberMatch</p><p>The official URL for this operation definition is: </p><pre>http://hl7.org/fhir/us/davinci-hrex/OperationDefinition/member-match</pre><div><p>The <strong>$member-match</strong> operation allows one health plan to retrieve a unique identifier for a member from another health plan using a member's demographic and coverage information.  This identifier can then be used to perform subsequent queries and operations.</p>\n</div><p>URL: [base]/Patient/$member-match</p><p>Parameters</p><table class=\"grid\"><tr><td><b>Use</b></td><td><b>Name</b></td><td><b>Cardinality</b></td><td><b>Type</b></td><td><b>Binding</b></td><td><b>Documentation</b></td></tr><tr><td>IN</td><td>MemberPatient</td><td>1..1</td><td><a href=\"http://hl7.org/fhir/R4/resource.html\">Resource</a></td><td/><td><div><p>Parameter submitted by the new plan <strong>SHALL</strong> contain US Core Patient containing member demographics.</p>\n</div></td></tr><tr><td>IN</td><td>OldCoverage</td><td>1..1</td><td><a href=\"http://hl7.org/fhir/R4/resource.html\">Resource</a></td><td/><td><div><p>Parameter submitted by the new plan <strong>SHALL</strong> contain Coverage details of prior health plan coverage provided by the member, typically from their health plan coverage card.</p>\n</div></td></tr><tr><td>IN</td><td>NewCoverage</td><td>1..1</td><td><a href=\"http://hl7.org/fhir/R4/resource.html\">Resource</a></td><td/><td><div><p>Parameter submitted by the new plan <strong>SHALL</strong> contain Coverage details of new or prospective health plan coverage provided by the new health plan based upon the member's enrollment.</p>\n</div></td></tr><tr><td>OUT</td><td>MemberPatient</td><td>1..1</td><td><a href=\"http://hl7.org/fhir/R4/resource.html\">Resource</a></td><td/><td><div><p>Parameter returned by the old plan resource <strong>SHALL</strong> contain the MemberPatient resource received from new plan with the ADDITION of an identifier of type &quot;UMB&quot; representing the unique identifier identifying the member of the old health plan.</p>\n</div></td></tr><tr><td>OUT</td><td>NewCoverage</td><td>1..1</td><td><a href=\"http://hl7.org/fhir/R4/resource.html\">Resource</a></td><td/><td><div><p>Parameter returned by the old plan resource <strong>SHALL</strong> contain the NewCoverage record received from the new plan.</p>\n</div></td></tr></table></div>"
  ];
  fhir:OperationDefinition.url [ fhir:value "http://hl7.org/fhir/us/davinci-hrex/OperationDefinition/member-match"];
  fhir:OperationDefinition.version [ fhir:value "0.2.0"];
  fhir:OperationDefinition.name [ fhir:value "MemberMatch"];
  fhir:OperationDefinition.title [ fhir:value "HRex Member Match Operation"];
  fhir:OperationDefinition.status [ fhir:value "draft"];
  fhir:OperationDefinition.kind [ fhir:value "operation"];
  fhir:OperationDefinition.date [ fhir:value "2020-09-11T05:25:14+00:00"^^xsd:dateTime];
  fhir:OperationDefinition.publisher [ fhir:value "HL7 International - Clinical Interoperability Council"];
  fhir:OperationDefinition.contact [
     fhir:index 0;
     fhir:ContactDetail.telecom [
       fhir:index 0;
       fhir:ContactPoint.system [ fhir:value "url" ];
       fhir:ContactPoint.value [ fhir:value "http://www.hl7.org/Special/committees/cic" ]     ]
  ];
  fhir:OperationDefinition.description [ fhir:value "The **$member-match** operation allows one health plan to retrieve a unique identifier for a member from another health plan using a member's demographic and coverage information.  This identifier can then be used to perform subsequent queries and operations."];
  fhir:OperationDefinition.jurisdiction [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ];
       fhir:Coding.code [ fhir:value "US" ]     ]
  ];
  fhir:OperationDefinition.code [ fhir:value "member-match"];
  fhir:OperationDefinition.resource [
     fhir:value "Patient";
     fhir:index 0
  ];
  fhir:OperationDefinition.system [ fhir:value "false"^^xsd:boolean];
  fhir:OperationDefinition.type [ fhir:value "true"^^xsd:boolean];
  fhir:OperationDefinition.instance [ fhir:value "false"^^xsd:boolean];
  fhir:OperationDefinition.inputProfile [
     fhir:value "http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-parameters-member-match-in";
     fhir:link <http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-parameters-member-match-in>
  ];
  fhir:OperationDefinition.outputProfile [
     fhir:value "http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-parameters-member-match-out";
     fhir:link <http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-parameters-member-match-out>
  ];
  fhir:OperationDefinition.parameter [
     fhir:index 0;
     fhir:OperationDefinition.parameter.name [ fhir:value "MemberPatient" ];
     fhir:OperationDefinition.parameter.use [ fhir:value "in" ];
     fhir:OperationDefinition.parameter.min [ fhir:value "1"^^xsd:integer ];
     fhir:OperationDefinition.parameter.max [ fhir:value "1" ];
     fhir:OperationDefinition.parameter.documentation [ fhir:value "Parameter submitted by the new plan **SHALL** contain US Core Patient containing member demographics." ];
     fhir:OperationDefinition.parameter.type [ fhir:value "Resource" ];
     fhir:OperationDefinition.parameter.referencedFrom [
       fhir:index 0;
       fhir:OperationDefinition.parameter.referencedFrom.source [ fhir:value "OldCoverage" ];
       fhir:OperationDefinition.parameter.referencedFrom.sourceId [ fhir:value "beneficiary" ]     ], [
       fhir:index 1;
       fhir:OperationDefinition.parameter.referencedFrom.source [ fhir:value "NewCoverage" ];
       fhir:OperationDefinition.parameter.referencedFrom.sourceId [ fhir:value "beneficiary" ]     ]
  ], [
     fhir:index 1;
     fhir:OperationDefinition.parameter.name [ fhir:value "OldCoverage" ];
     fhir:OperationDefinition.parameter.use [ fhir:value "in" ];
     fhir:OperationDefinition.parameter.min [ fhir:value "1"^^xsd:integer ];
     fhir:OperationDefinition.parameter.max [ fhir:value "1" ];
     fhir:OperationDefinition.parameter.documentation [ fhir:value "Parameter submitted by the new plan **SHALL** contain Coverage details of prior health plan coverage provided by the member, typically from their health plan coverage card." ];
     fhir:OperationDefinition.parameter.type [ fhir:value "Resource" ]
  ], [
     fhir:index 2;
     fhir:OperationDefinition.parameter.name [ fhir:value "NewCoverage" ];
     fhir:OperationDefinition.parameter.use [ fhir:value "in" ];
     fhir:OperationDefinition.parameter.min [ fhir:value "1"^^xsd:integer ];
     fhir:OperationDefinition.parameter.max [ fhir:value "1" ];
     fhir:OperationDefinition.parameter.documentation [ fhir:value "Parameter submitted by the new plan **SHALL** contain Coverage details of new or prospective health plan coverage provided by the new health plan based upon the member's enrollment." ];
     fhir:OperationDefinition.parameter.type [ fhir:value "Resource" ]
  ], [
     fhir:index 3;
     fhir:OperationDefinition.parameter.name [ fhir:value "MemberPatient" ];
     fhir:OperationDefinition.parameter.use [ fhir:value "out" ];
     fhir:OperationDefinition.parameter.min [ fhir:value "1"^^xsd:integer ];
     fhir:OperationDefinition.parameter.max [ fhir:value "1" ];
     fhir:OperationDefinition.parameter.documentation [ fhir:value "Parameter returned by the old plan resource **SHALL** contain the MemberPatient resource received from new plan with the ADDITION of an identifier of type \"UMB\" representing the unique identifier identifying the member of the old health plan." ];
     fhir:OperationDefinition.parameter.type [ fhir:value "Resource" ];
     fhir:OperationDefinition.parameter.referencedFrom [
       fhir:index 0;
       fhir:OperationDefinition.parameter.referencedFrom.source [ fhir:value "NewCoverage" ];
       fhir:OperationDefinition.parameter.referencedFrom.sourceId [ fhir:value "beneficiary" ]     ]
  ], [
     fhir:index 4;
     fhir:OperationDefinition.parameter.name [ fhir:value "NewCoverage" ];
     fhir:OperationDefinition.parameter.use [ fhir:value "out" ];
     fhir:OperationDefinition.parameter.min [ fhir:value "1"^^xsd:integer ];
     fhir:OperationDefinition.parameter.max [ fhir:value "1" ];
     fhir:OperationDefinition.parameter.documentation [ fhir:value "Parameter returned by the old plan resource **SHALL** contain the NewCoverage record received from the new plan." ];
     fhir:OperationDefinition.parameter.type [ fhir:value "Resource" ]
  ].

# - ontology header ------------------------------------------------------------

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.