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 1.0.0). This version is based on the current content of https://github.com/HL7/davinci-ehrx/ and changes regularly. See the Directory of published versions

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Resource Profile: HRex Parameters - Member Match Request Profile

The Parameters profile for Da Vinci Find Member using Patient and Coverage Resources Request. The resource must contain:

• MemberPatient - US Core Patient containing member demographics
• CoverageToMatch - details of prior health plan coverage provided by the member, typically from their health plan coverage card
• CoverageToLink - details of new or prospective health plan coverage, provided by the health plan based upon the member’s enrolment

Usage:

• This Resource Profile is not used by any profiles in this Implementation Guide

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from Parameters

Name	Flags	Card.	Type	Description & Constraints
Parameters		0..*	Parameters	Operation Request or Response
Slices for parameter	S	3..4	BackboneElement	Operation Parameter Slice: Unordered, Closed by value:name
parameter:memberPatient	S	1..1	BackboneElement	Operation Parameter
name	S	1..1	string	Name from the definition Fixed Value: MemberPatient
resource	S	1..1	HRexPatientDemographics	Information about an individual or animal receiving health care services
parameter:CoverageToMatch	S	1..1	BackboneElement	Operation Parameter
name	S	1..1	string	Name from the definition Fixed Value: CoverageToMatch
resource	S	1..1	HRexCoverage	Insurance or medical plan or a payment agreement
parameter:CoverageToLink	S	0..1	BackboneElement	Operation Parameter
name	S	1..1	string	Name from the definition Fixed Value: CoverageToLink
resource	S	1..1	HRexCoverage	Insurance or medical plan or a payment agreement
parameter:Consent	S	1..1	BackboneElement	Operation Parameter
name	S	1..1	string	Name from the definition Fixed Value: Consent
resource	S	1..1	HRexConsent	A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Parameters		0..*	Parameters	Operation Request or Response
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for parameter	SΣC	3..4	BackboneElement	Operation Parameter Slice: Unordered, Closed by value:name
parameter:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
name	Σ	1..1	string	Name from the definition
parameter:memberPatient	SΣC	1..1	BackboneElement	Operation Parameter
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
name	SΣ	1..1	string	Name from the definition Fixed Value: MemberPatient
resource	SC	1..1	HRexPatientDemographics	Information about an individual or animal receiving health care services
parameter:CoverageToMatch	SΣC	1..1	BackboneElement	Operation Parameter
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
name	SΣ	1..1	string	Name from the definition Fixed Value: CoverageToMatch
resource	SC	1..1	HRexCoverage	Insurance or medical plan or a payment agreement
parameter:CoverageToLink	SΣC	0..1	BackboneElement	Operation Parameter
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
name	SΣ	1..1	string	Name from the definition Fixed Value: CoverageToLink
resource	SC	1..1	HRexCoverage	Insurance or medical plan or a payment agreement
parameter:Consent	SΣC	1..1	BackboneElement	Operation Parameter
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
name	SΣ	1..1	string	Name from the definition Fixed Value: Consent
resource	SC	1..1	HRexConsent	A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Parameters		0..*	Parameters	Operation Request or Response
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Slices for parameter	SΣC	3..4	BackboneElement	Operation Parameter Slice: Unordered, Closed by value:name
parameter:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
name	Σ	1..1	string	Name from the definition
value[x]	ΣC	0..1		If parameter is a data type
valueBase64Binary			base64Binary
valueBoolean			boolean
valueCanonical			canonical(Any)
valueCode			code
valueDate			date
valueDateTime			dateTime
valueDecimal			decimal
valueId			id
valueInstant			instant
valueInteger			integer
valueMarkdown			markdown
valueOid			oid
valuePositiveInt			positiveInt
valueString			string
valueTime			time
valueUnsignedInt			unsignedInt
valueUri			uri
valueUrl			url
valueUuid			uuid
valueAddress			Address
valueAge			Age
valueAnnotation			Annotation
valueAttachment			Attachment
valueCodeableConcept			CodeableConcept
valueCoding			Coding
valueContactPoint			ContactPoint
valueCount			Count
valueDistance			Distance
valueDuration			Duration
valueHumanName			HumanName
valueIdentifier			Identifier
valueMoney			Money
valuePeriod			Period
valueQuantity			Quantity
valueRange			Range
valueRatio			Ratio
valueReference			Reference(Any)
valueSampledData			SampledData
valueSignature			Signature
valueTiming			Timing
valueContactDetail			ContactDetail
valueContributor			Contributor
valueDataRequirement			DataRequirement
valueExpression			Expression
valueParameterDefinition			ParameterDefinition
valueRelatedArtifact			RelatedArtifact
valueTriggerDefinition			TriggerDefinition
valueUsageContext			UsageContext
valueDosage			Dosage
valueMeta			Meta
resource	ΣC	0..1	Resource	If parameter is a whole resource
part	Σ	0..*	See parameter (Parameters)	Named part of a multi-part parameter
parameter:memberPatient	SΣC	1..1	BackboneElement	Operation Parameter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
name	SΣ	1..1	string	Name from the definition Fixed Value: MemberPatient
value[x]	ΣC	0..1		If parameter is a data type
valueBase64Binary			base64Binary
valueBoolean			boolean
valueCanonical			canonical(Any)
valueCode			code
valueDate			date
valueDateTime			dateTime
valueDecimal			decimal
valueId			id
valueInstant			instant
valueInteger			integer
valueMarkdown			markdown
valueOid			oid
valuePositiveInt			positiveInt
valueString			string
valueTime			time
valueUnsignedInt			unsignedInt
valueUri			uri
valueUrl			url
valueUuid			uuid
valueAddress			Address
valueAge			Age
valueAnnotation			Annotation
valueAttachment			Attachment
valueCodeableConcept			CodeableConcept
valueCoding			Coding
valueContactPoint			ContactPoint
valueCount			Count
valueDistance			Distance
valueDuration			Duration
valueHumanName			HumanName
valueIdentifier			Identifier
valueMoney			Money
valuePeriod			Period
valueQuantity			Quantity
valueRange			Range
valueRatio			Ratio
valueReference			Reference(Any)
valueSampledData			SampledData
valueSignature			Signature
valueTiming			Timing
valueContactDetail			ContactDetail
valueContributor			Contributor
valueDataRequirement			DataRequirement
valueExpression			Expression
valueParameterDefinition			ParameterDefinition
valueRelatedArtifact			RelatedArtifact
valueTriggerDefinition			TriggerDefinition
valueUsageContext			UsageContext
valueDosage			Dosage
valueMeta			Meta
resource	SC	1..1	HRexPatientDemographics	Information about an individual or animal receiving health care services
part	Σ	0..*	See parameter (Parameters)	Named part of a multi-part parameter
parameter:CoverageToMatch	SΣC	1..1	BackboneElement	Operation Parameter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
name	SΣ	1..1	string	Name from the definition Fixed Value: CoverageToMatch
value[x]	ΣC	0..1		If parameter is a data type
valueBase64Binary			base64Binary
valueBoolean			boolean
valueCanonical			canonical(Any)
valueCode			code
valueDate			date
valueDateTime			dateTime
valueDecimal			decimal
valueId			id
valueInstant			instant
valueInteger			integer
valueMarkdown			markdown
valueOid			oid
valuePositiveInt			positiveInt
valueString			string
valueTime			time
valueUnsignedInt			unsignedInt
valueUri			uri
valueUrl			url
valueUuid			uuid
valueAddress			Address
valueAge			Age
valueAnnotation			Annotation
valueAttachment			Attachment
valueCodeableConcept			CodeableConcept
valueCoding			Coding
valueContactPoint			ContactPoint
valueCount			Count
valueDistance			Distance
valueDuration			Duration
valueHumanName			HumanName
valueIdentifier			Identifier
valueMoney			Money
valuePeriod			Period
valueQuantity			Quantity
valueRange			Range
valueRatio			Ratio
valueReference			Reference(Any)
valueSampledData			SampledData
valueSignature			Signature
valueTiming			Timing
valueContactDetail			ContactDetail
valueContributor			Contributor
valueDataRequirement			DataRequirement
valueExpression			Expression
valueParameterDefinition			ParameterDefinition
valueRelatedArtifact			RelatedArtifact
valueTriggerDefinition			TriggerDefinition
valueUsageContext			UsageContext
valueDosage			Dosage
valueMeta			Meta
resource	SC	1..1	HRexCoverage	Insurance or medical plan or a payment agreement
part	Σ	0..*	See parameter (Parameters)	Named part of a multi-part parameter
parameter:CoverageToLink	SΣC	0..1	BackboneElement	Operation Parameter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
name	SΣ	1..1	string	Name from the definition Fixed Value: CoverageToLink
value[x]	ΣC	0..1		If parameter is a data type
valueBase64Binary			base64Binary
valueBoolean			boolean
valueCanonical			canonical(Any)
valueCode			code
valueDate			date
valueDateTime			dateTime
valueDecimal			decimal
valueId			id
valueInstant			instant
valueInteger			integer
valueMarkdown			markdown
valueOid			oid
valuePositiveInt			positiveInt
valueString			string
valueTime			time
valueUnsignedInt			unsignedInt
valueUri			uri
valueUrl			url
valueUuid			uuid
valueAddress			Address
valueAge			Age
valueAnnotation			Annotation
valueAttachment			Attachment
valueCodeableConcept			CodeableConcept
valueCoding			Coding
valueContactPoint			ContactPoint
valueCount			Count
valueDistance			Distance
valueDuration			Duration
valueHumanName			HumanName
valueIdentifier			Identifier
valueMoney			Money
valuePeriod			Period
valueQuantity			Quantity
valueRange			Range
valueRatio			Ratio
valueReference			Reference(Any)
valueSampledData			SampledData
valueSignature			Signature
valueTiming			Timing
valueContactDetail			ContactDetail
valueContributor			Contributor
valueDataRequirement			DataRequirement
valueExpression			Expression
valueParameterDefinition			ParameterDefinition
valueRelatedArtifact			RelatedArtifact
valueTriggerDefinition			TriggerDefinition
valueUsageContext			UsageContext
valueDosage			Dosage
valueMeta			Meta
resource	SC	1..1	HRexCoverage	Insurance or medical plan or a payment agreement
part	Σ	0..*	See parameter (Parameters)	Named part of a multi-part parameter
parameter:Consent	SΣC	1..1	BackboneElement	Operation Parameter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
name	SΣ	1..1	string	Name from the definition Fixed Value: Consent
value[x]	ΣC	0..1		If parameter is a data type
valueBase64Binary			base64Binary
valueBoolean			boolean
valueCanonical			canonical(Any)
valueCode			code
valueDate			date
valueDateTime			dateTime
valueDecimal			decimal
valueId			id
valueInstant			instant
valueInteger			integer
valueMarkdown			markdown
valueOid			oid
valuePositiveInt			positiveInt
valueString			string
valueTime			time
valueUnsignedInt			unsignedInt
valueUri			uri
valueUrl			url
valueUuid			uuid
valueAddress			Address
valueAge			Age
valueAnnotation			Annotation
valueAttachment			Attachment
valueCodeableConcept			CodeableConcept
valueCoding			Coding
valueContactPoint			ContactPoint
valueCount			Count
valueDistance			Distance
valueDuration			Duration
valueHumanName			HumanName
valueIdentifier			Identifier
valueMoney			Money
valuePeriod			Period
valueQuantity			Quantity
valueRange			Range
valueRatio			Ratio
valueReference			Reference(Any)
valueSampledData			SampledData
valueSignature			Signature
valueTiming			Timing
valueContactDetail			ContactDetail
valueContributor			Contributor
valueDataRequirement			DataRequirement
valueExpression			Expression
valueParameterDefinition			ParameterDefinition
valueRelatedArtifact			RelatedArtifact
valueTriggerDefinition			TriggerDefinition
valueUsageContext			UsageContext
valueDosage			Dosage
valueMeta			Meta
resource	SC	1..1	HRexConsent	A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time
part	Σ	0..*	See parameter (Parameters)	Named part of a multi-part parameter
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet
Parameters.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding

This structure is derived from Parameters

Summary

Mandatory: 6 elements (1 nested mandatory element)
Must-Support: 13 elements
Fixed Value: 4 elements

Structures

This structure refers to these other structures:

• HRex Patient Demographics (http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-patient-demographics)
• HRex Coverage Profile (http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-coverage)
• HRex Consent Profile (http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-consent)

Slices

This structure defines the following Slices:

• The element Parameters.parameter is sliced based on the value of value:name (Closed)

Maturity: 2

Differential View

This structure is derived from Parameters

Name	Flags	Card.	Type	Description & Constraints
Parameters		0..*	Parameters	Operation Request or Response
Slices for parameter	S	3..4	BackboneElement	Operation Parameter Slice: Unordered, Closed by value:name
parameter:memberPatient	S	1..1	BackboneElement	Operation Parameter
name	S	1..1	string	Name from the definition Fixed Value: MemberPatient
resource	S	1..1	HRexPatientDemographics	Information about an individual or animal receiving health care services
parameter:CoverageToMatch	S	1..1	BackboneElement	Operation Parameter
name	S	1..1	string	Name from the definition Fixed Value: CoverageToMatch
resource	S	1..1	HRexCoverage	Insurance or medical plan or a payment agreement
parameter:CoverageToLink	S	0..1	BackboneElement	Operation Parameter
name	S	1..1	string	Name from the definition Fixed Value: CoverageToLink
resource	S	1..1	HRexCoverage	Insurance or medical plan or a payment agreement
parameter:Consent	S	1..1	BackboneElement	Operation Parameter
name	S	1..1	string	Name from the definition Fixed Value: Consent
resource	S	1..1	HRexConsent	A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Parameters		0..*	Parameters	Operation Request or Response
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for parameter	SΣC	3..4	BackboneElement	Operation Parameter Slice: Unordered, Closed by value:name
parameter:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
name	Σ	1..1	string	Name from the definition
parameter:memberPatient	SΣC	1..1	BackboneElement	Operation Parameter
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
name	SΣ	1..1	string	Name from the definition Fixed Value: MemberPatient
resource	SC	1..1	HRexPatientDemographics	Information about an individual or animal receiving health care services
parameter:CoverageToMatch	SΣC	1..1	BackboneElement	Operation Parameter
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
name	SΣ	1..1	string	Name from the definition Fixed Value: CoverageToMatch
resource	SC	1..1	HRexCoverage	Insurance or medical plan or a payment agreement
parameter:CoverageToLink	SΣC	0..1	BackboneElement	Operation Parameter
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
name	SΣ	1..1	string	Name from the definition Fixed Value: CoverageToLink
resource	SC	1..1	HRexCoverage	Insurance or medical plan or a payment agreement
parameter:Consent	SΣC	1..1	BackboneElement	Operation Parameter
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
name	SΣ	1..1	string	Name from the definition Fixed Value: Consent
resource	SC	1..1	HRexConsent	A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Parameters		0..*	Parameters	Operation Request or Response
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Slices for parameter	SΣC	3..4	BackboneElement	Operation Parameter Slice: Unordered, Closed by value:name
parameter:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
name	Σ	1..1	string	Name from the definition
value[x]	ΣC	0..1		If parameter is a data type
valueBase64Binary			base64Binary
valueBoolean			boolean
valueCanonical			canonical(Any)
valueCode			code
valueDate			date
valueDateTime			dateTime
valueDecimal			decimal
valueId			id
valueInstant			instant
valueInteger			integer
valueMarkdown			markdown
valueOid			oid
valuePositiveInt			positiveInt
valueString			string
valueTime			time
valueUnsignedInt			unsignedInt
valueUri			uri
valueUrl			url
valueUuid			uuid
valueAddress			Address
valueAge			Age
valueAnnotation			Annotation
valueAttachment			Attachment
valueCodeableConcept			CodeableConcept
valueCoding			Coding
valueContactPoint			ContactPoint
valueCount			Count
valueDistance			Distance
valueDuration			Duration
valueHumanName			HumanName
valueIdentifier			Identifier
valueMoney			Money
valuePeriod			Period
valueQuantity			Quantity
valueRange			Range
valueRatio			Ratio
valueReference			Reference(Any)
valueSampledData			SampledData
valueSignature			Signature
valueTiming			Timing
valueContactDetail			ContactDetail
valueContributor			Contributor
valueDataRequirement			DataRequirement
valueExpression			Expression
valueParameterDefinition			ParameterDefinition
valueRelatedArtifact			RelatedArtifact
valueTriggerDefinition			TriggerDefinition
valueUsageContext			UsageContext
valueDosage			Dosage
valueMeta			Meta
resource	ΣC	0..1	Resource	If parameter is a whole resource
part	Σ	0..*	See parameter (Parameters)	Named part of a multi-part parameter
parameter:memberPatient	SΣC	1..1	BackboneElement	Operation Parameter
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
name	SΣ	1..1	string	Name from the definition Fixed Value: MemberPatient
value[x]	ΣC	0..1		If parameter is a data type
valueBase64Binary			base64Binary
valueBoolean			boolean
valueCanonical			canonical(Any)
valueCode			code
valueDate			date
valueDateTime			dateTime
valueDecimal			decimal
valueId			id
valueInstant			instant
valueInteger			integer
valueMarkdown			markdown
valueOid			oid
valuePositiveInt			positiveInt
valueString			string
valueTime			time
valueUnsignedInt			unsignedInt
valueUri			uri
valueUrl			url
valueUuid			uuid
valueAddress			Address
valueAge			Age
valueAnnotation			Annotation
valueAttachment			Attachment
valueCodeableConcept			CodeableConcept
valueCoding			Coding
valueContactPoint			ContactPoint
valueCount			Count
valueDistance			Distance
valueDuration			Duration
valueHumanName			HumanName
valueIdentifier			Identifier
valueMoney			Money
valuePeriod			Period
valueQuantity			Quantity
valueRange			Range
valueRatio			Ratio