Da Vinci Payer Data Exchange
2.2.0 - STU 2.2
Da Vinci Payer Data Exchange
2.2.0 - STU 2.2
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 2.2.0 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
| Page standards status: Informative |
@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 -------------------------------------------------------------------
<http://hl7.org/fhir/OperationDefinition/BulkMemberMatch> a fhir:OperationDefinition ;
fhir:nodeRole fhir:treeRoot ;
fhir:Resource.id [ fhir:value "BulkMemberMatch"] ;
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ] ;
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: OperationDefinition BulkMemberMatch</b></p><a name=\"BulkMemberMatch\"> </a><a name=\"hcBulkMemberMatch\"> </a><p>URL: [base]/Group/$bulk-member-match</p><p>Input parameters Profile:<a href=\"StructureDefinition-pdex-parameters-multi-member-match-bundle-in.html\">PDex $multi-member-match request</a></p><p>Output parameters Profile:<a href=\"StructureDefinition-pdex-parameters-multi-member-match-bundle-out.html\">PDex $multi-member-match response</a></p><h3>Parameters</h3><table class=\"grid\"><tr><td><b>Use</b></td><td><b>Name</b></td><td><b>Scope</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>MemberBundle</td><td/><td>1..*</td><td/><td/><td/></tr><tr><td>IN</td><td>MemberBundle.MemberPatient</td><td/><td>1..1</td><td><a href=\"http://hl7.org/fhir/R4/patient.html\">Patient</a> (<a href=\"http://hl7.org/fhir/us/davinci-hrex/1.2.0/StructureDefinition-hrex-patient-demographics.html\" title=\"http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-patient-demographics|1.2.0\">HRex Member Match Patient</a>)</td><td/><td/></tr><tr><td>IN</td><td>MemberBundle.CoverageToMatch</td><td/><td>1..1</td><td><a href=\"http://hl7.org/fhir/R4/coverage.html\">Coverage</a> (<a href=\"http://hl7.org/fhir/us/davinci-hrex/1.2.0/StructureDefinition-hrex-coverage.html\" title=\"http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-coverage|1.2.0\">HRex Member Match Coverage Profile</a>)</td><td/><td/></tr><tr><td>IN</td><td>MemberBundle.CoverageToLink</td><td/><td>0..1</td><td><a href=\"http://hl7.org/fhir/R4/coverage.html\">Coverage</a> (<a href=\"http://hl7.org/fhir/us/davinci-hrex/1.2.0/StructureDefinition-hrex-coverage.html\" title=\"http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-coverage|1.2.0\">HRex Member Match Coverage Profile</a>)</td><td/><td/></tr><tr><td>IN</td><td>MemberBundle.Consent</td><td/><td>1..1</td><td><a href=\"http://hl7.org/fhir/R4/consent.html\">Consent</a> (<a href=\"http://hl7.org/fhir/us/davinci-hrex/1.2.0/StructureDefinition-hrex-consent.html\" title=\"http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-consent|1.2.0\">HRex Consent Profile</a>)</td><td/><td/></tr><tr><td>OUT</td><td>MatchedMembers</td><td/><td>1..1</td><td><a href=\"http://hl7.org/fhir/R4/group.html\">Group</a></td><td/><td><div><p>Group of members successfully matched. Delivered asynchronously via the bulk data completion manifest.</p>\n</div></td></tr><tr><td>OUT</td><td>NonMatchedMembers</td><td/><td>0..1</td><td><a href=\"http://hl7.org/fhir/R4/group.html\">Group</a></td><td/><td><div><p>Group of members that could not be matched. Delivered asynchronously via the bulk data completion manifest.</p>\n</div></td></tr><tr><td>OUT</td><td>ConsentConstrainedMembers</td><td/><td>0..1</td><td><a href=\"http://hl7.org/fhir/R4/group.html\">Group</a></td><td/><td><div><p>Group of members matched but excluded due to consent constraints. Delivered asynchronously via the bulk data completion manifest.</p>\n</div></td></tr></table><div><p>The Group resources returned by this operation can be used as input to the $davinci-data-export operation (defined in the Da Vinci Member Attribution IG) to perform bulk data export and retrieve the associated member health history in ndjson format.</p>\n</div></div>"
] ;
fhir:DomainResource.extension [
fhir:index 0 ;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg" ] ;
fhir:Extension.valueCode [ fhir:value "fm" ]
], [
fhir:index 1 ;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status" ] ;
fhir:Extension.valueCode [
fhir:value "informative" ;
fhir:Element.extension [
fhir:index 0 ;
fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom" ] ;
fhir:Extension.valueCanonical [
fhir:value "http://hl7.org/fhir/us/davinci-pdex/ImplementationGuide/hl7.fhir.us.davinci-pdex" ;
fhir:link <http://hl7.org/fhir/us/davinci-pdex/ImplementationGuide/hl7.fhir.us.davinci-pdex>
]
]
]
] ;
fhir:OperationDefinition.url [ fhir:value "http://hl7.org/fhir/us/davinci-pdex/OperationDefinition/BulkMemberMatch"] ;
fhir:OperationDefinition.version [ fhir:value "2.2.0"] ;
fhir:OperationDefinition.name [ fhir:value "BulkMemberMatch"] ;
fhir:OperationDefinition.title [ fhir:value "PDex Bulk Member Match Operation"] ;
fhir:OperationDefinition.status [ fhir:value "active"] ;
fhir:OperationDefinition.kind [ fhir:value "operation"] ;
fhir:OperationDefinition.experimental [ fhir:value "true"^^xsd:boolean] ;
fhir:OperationDefinition.date [ fhir:value "2025-05-14T21:28:59+02:00"^^xsd:dateTime] ;
fhir:OperationDefinition.publisher [ fhir:value "HL7 International / Financial Management"] ;
fhir:OperationDefinition.contact [
fhir:index 0 ;
fhir:ContactDetail.name [ fhir:value "HL7 International / Financial Management" ] ;
fhir:ContactDetail.telecom [
fhir:index 0 ;
fhir:ContactPoint.system [ fhir:value "url" ] ;
fhir:ContactPoint.value [ fhir:value "http://www.hl7.org/Special/committees/fm" ]
], [
fhir:index 1 ;
fhir:ContactPoint.system [ fhir:value "email" ] ;
fhir:ContactPoint.value [ fhir:value "fm@lists.HL7.org" ]
]
], [
fhir:index 1 ;
fhir:ContactDetail.name [ fhir:value "Mark Scrimshire (mark.scrimshire@onyxhealth.io)" ] ;
fhir:ContactDetail.telecom [
fhir:index 0 ;
fhir:ContactPoint.system [ fhir:value "email" ] ;
fhir:ContactPoint.value [ fhir:value "mailto:mark.scrimshire@onyxhealth.io" ]
]
], [
fhir:index 2 ;
fhir:ContactDetail.name [ fhir:value "HL7 International - Financial Management" ] ;
fhir:ContactDetail.telecom [
fhir:index 0 ;
fhir:ContactPoint.system [ fhir:value "url" ] ;
fhir:ContactPoint.value [ fhir:value "http://www.hl7.org/Special/committees/fm" ]
]
] ;
fhir:OperationDefinition.description [ fhir:value "Bulk Member Match Operation enables Payers to match multiple members against another Payer's records for bulk data exchange."] ;
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:Coding.display [ fhir:value "United States of America" ]
]
] ;
fhir:OperationDefinition.code [ fhir:value "bulk-member-match"] ;
fhir:OperationDefinition.comment [ fhir:value "The Group resources returned by this operation can be used as input to the $davinci-data-export operation (defined in the Da Vinci Member Attribution IG) to perform bulk data export and retrieve the associated member health history in ndjson format."] ;
fhir:OperationDefinition.resource [
fhir:value "Group" ;
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-pdex/StructureDefinition/pdex-parameters-multi-member-match-bundle-in" ;
fhir:link <http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-parameters-multi-member-match-bundle-in>
] ;
fhir:OperationDefinition.outputProfile [
fhir:value "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-parameters-multi-member-match-bundle-out" ;
fhir:link <http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-parameters-multi-member-match-bundle-out>
] ;
fhir:OperationDefinition.parameter [
fhir:index 0 ;
fhir:OperationDefinition.parameter.name [ fhir:value "MemberBundle" ] ;
fhir:OperationDefinition.parameter.use [ fhir:value "in" ] ;
fhir:OperationDefinition.parameter.min [ fhir:value "1"^^xsd:integer ] ;
fhir:OperationDefinition.parameter.max [ fhir:value "*" ] ;
fhir:OperationDefinition.parameter.part [
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.type [ fhir:value "Patient" ] ;
fhir:OperationDefinition.parameter.targetProfile [
fhir:value "http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-patient-demographics|1.2.0" ;
fhir:index 0 ;
fhir:link <http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-patient-demographics|1.2.0>
]
], [
fhir:index 1 ;
fhir:OperationDefinition.parameter.name [ fhir:value "CoverageToMatch" ] ;
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.type [ fhir:value "Coverage" ] ;
fhir:OperationDefinition.parameter.targetProfile [
fhir:value "http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-coverage|1.2.0" ;
fhir:index 0 ;
fhir:link <http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-coverage|1.2.0>
]
], [
fhir:index 2 ;
fhir:OperationDefinition.parameter.name [ fhir:value "CoverageToLink" ] ;
fhir:OperationDefinition.parameter.use [ fhir:value "in" ] ;
fhir:OperationDefinition.parameter.min [ fhir:value "0"^^xsd:integer ] ;
fhir:OperationDefinition.parameter.max [ fhir:value "1" ] ;
fhir:OperationDefinition.parameter.type [ fhir:value "Coverage" ] ;
fhir:OperationDefinition.parameter.targetProfile [
fhir:value "http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-coverage|1.2.0" ;
fhir:index 0 ;
fhir:link <http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-coverage|1.2.0>
]
], [
fhir:index 3 ;
fhir:OperationDefinition.parameter.name [ fhir:value "Consent" ] ;
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.type [ fhir:value "Consent" ] ;
fhir:OperationDefinition.parameter.targetProfile [
fhir:value "http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-consent|1.2.0" ;
fhir:index 0 ;
fhir:link <http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-consent|1.2.0>
]
]
], [
fhir:index 1 ;
fhir:OperationDefinition.parameter.name [ fhir:value "MatchedMembers" ] ;
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 "Group of members successfully matched. Delivered asynchronously via the bulk data completion manifest." ] ;
fhir:OperationDefinition.parameter.type [ fhir:value "Group" ]
], [
fhir:index 2 ;
fhir:OperationDefinition.parameter.name [ fhir:value "NonMatchedMembers" ] ;
fhir:OperationDefinition.parameter.use [ fhir:value "out" ] ;
fhir:OperationDefinition.parameter.min [ fhir:value "0"^^xsd:integer ] ;
fhir:OperationDefinition.parameter.max [ fhir:value "1" ] ;
fhir:OperationDefinition.parameter.documentation [ fhir:value "Group of members that could not be matched. Delivered asynchronously via the bulk data completion manifest." ] ;
fhir:OperationDefinition.parameter.type [ fhir:value "Group" ]
], [
fhir:index 3 ;
fhir:OperationDefinition.parameter.name [ fhir:value "ConsentConstrainedMembers" ] ;
fhir:OperationDefinition.parameter.use [ fhir:value "out" ] ;
fhir:OperationDefinition.parameter.min [ fhir:value "0"^^xsd:integer ] ;
fhir:OperationDefinition.parameter.max [ fhir:value "1" ] ;
fhir:OperationDefinition.parameter.documentation [ fhir:value "Group of members matched but excluded due to consent constraints. Delivered asynchronously via the bulk data completion manifest." ] ;
fhir:OperationDefinition.parameter.type [ fhir:value "Group" ]
] .
# - ontology header ------------------------------------------------------------
<http://hl7.org/fhir/OperationDefinition/BulkMemberMatch.ttl> a owl:Ontology ;
owl:imports fhir:fhir.ttl ;
owl:versionIRI <http://build.fhir.org/OperationDefinition/BulkMemberMatch.ttl> .
IG © 2024+ HL7 International / Financial Management. Package hl7.fhir.us.davinci-pdex#2.2.0 based on FHIR 4.0.1. Generated 2026-06-29
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