Da Vinci Payer Data Exchange
2.1.0 - STU2 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 2.1.0 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

: PDex Bulk Member Match Operation - TTL Representation

Page standards status: Trial-use

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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:id [ fhir:v "bulk-member-match"] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><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><p>Parameters</p><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>MatchRequest</td><td/><td>1..1</td><td><a href=\"http://hl7.org/fhir/R4/references.html#Reference\">Reference</a> (<a href=\"StructureDefinition-pdex-parameters-multi-member-match-bundle-in.html\" title=\"http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-parameters-multi-member-match-bundle-in\">PDex $multi-member-match request</a>)</td><td/><td><div><p>Bundle of Member information. Repeat bundle for each member to be submitted to bulk member-match, as defined in PDex $multi-member-match request.</p>\n</div></td></tr><tr><td>OUT</td><td>MatchResponse</td><td/><td>1..1</td><td><a href=\"http://hl7.org/fhir/R4/references.html#Reference\">Reference</a> (<a href=\"StructureDefinition-pdex-parameters-multi-member-match-bundle-out.html\" title=\"http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-parameters-multi-member-match-bundle-out\">PDex $multi-member-match response</a>)</td><td/><td><div><p>Bundle of Groups returned from Member Match Operation. There can be up to three (3) groups: Matched, Not-Matched and ConsentConstrained.</p>\n</div></td></tr></table></div>"
  ] ; # 
  fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"^^xsd:anyURI ] ;
fhir:value [ fhir:v "fm" ]
  ] [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ] ;
fhir:value [
fhir:v "trial-use" ;
      ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom"^^xsd:anyURI ] ;
fhir:value [
fhir:v "http://hl7.org/fhir/us/davinci-pdex/ImplementationGuide/hl7.fhir.us.davinci-pdex"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/davinci-pdex/ImplementationGuide/hl7.fhir.us.davinci-pdex>         ]       ] )     ]
  ] ) ; # 
  fhir:url [ fhir:v "http://hl7.org/fhir/us/davinci-pdex/OperationDefinition/bulk-member-match"^^xsd:anyURI] ; # 
  fhir:version [ fhir:v "2.1.0"] ; # 
  fhir:name [ fhir:v "BulkMemberMatch"] ; # 
  fhir:title [ fhir:v "PDex Bulk Member Match Operation"] ; # 
  fhir:status [ fhir:v "draft"] ; # 
  fhir:kind [ fhir:v "operation"] ; # 
  fhir:date [ fhir:v "2024-06-19T14:09:01+00:00"^^xsd:dateTime] ; # 
  fhir:publisher [ fhir:v "HL7 International / Financial Management"] ; # 
  fhir:contact ( [
fhir:name [ fhir:v "HL7 International / Financial Management" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://www.hl7.org/Special/committees/fm" ]     ] [
fhir:system [ fhir:v "email" ] ;
fhir:value [ fhir:v "fm@lists.HL7.org" ]     ] )
  ] [
fhir:name [ fhir:v "Mark Scrimshire (mark.scrimshire@onyxhealth.io)" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "email" ] ;
fhir:value [ fhir:v "mailto:mark.scrimshire@onyxhealth.io" ]     ] )
  ] [
fhir:name [ fhir:v "HL7 International - Financial Management" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://www.hl7.org/Special/committees/fm" ]     ] )
  ] ) ; # 
  fhir:description [ fhir:v "The **$bulk-member-match** operation that can be invoked by either a payer or an EHR or other system, allows one health plan to retrieve a unique identifier for a group resource containing matched members from another health plan using a member's demographic, coverage information with an accompanying consent record.  This identifier can then be used to perform subsequent queries and operations. Health Plans implementing a deterministic match will require a match on member id or subscriber id at a minimum (i.e. A pure demographic match will not be supported by such implementations.)."] ; # 
  fhir:jurisdiction ( [
    ( fhir:coding [
fhir:system [ fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ] ;
fhir:code [ fhir:v "US" ] ;
fhir:display [ fhir:v "United States of America" ]     ] )
  ] ) ; # 
  fhir:affectsState [ fhir:v "true"^^xsd:boolean] ; # 
  fhir:code [ fhir:v "bulk-member-match"] ; # 
  fhir:resource ( [ fhir:v "Group"] ) ; # 
  fhir:system [ fhir:v "false"^^xsd:boolean] ; # 
  fhir:type [ fhir:v "true"^^xsd:boolean] ; # 
  fhir:instance [ fhir:v "false"^^xsd:boolean] ; # 
  fhir:inputProfile [
fhir:v "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-parameters-multi-member-match-bundle-in"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-parameters-multi-member-match-bundle-in>
  ] ; # 
  fhir:outputProfile [
fhir:v "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-parameters-multi-member-match-bundle-out"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-parameters-multi-member-match-bundle-out>
  ] ; # 
  fhir:parameter ( [
fhir:name [ fhir:v "MatchRequest" ] ;
fhir:use [ fhir:v "in" ] ;
fhir:min [ fhir:v "1"^^xsd:integer ] ;
fhir:max [ fhir:v "1" ] ;
fhir:documentation [ fhir:v "Bundle of Member information. Repeat bundle for each member to be submitted to bulk member-match, as defined in PDex $multi-member-match request." ] ;
fhir:type [ fhir:v "Reference" ] ;
    ( fhir:targetProfile [
fhir:v "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-parameters-multi-member-match-bundle-in"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-parameters-multi-member-match-bundle-in>     ] )
  ] [
fhir:name [ fhir:v "MatchResponse" ] ;
fhir:use [ fhir:v "out" ] ;
fhir:min [ fhir:v "1"^^xsd:integer ] ;
fhir:max [ fhir:v "1" ] ;
fhir:documentation [ fhir:v "Bundle of Groups returned from Member Match Operation. There can be up to three (3) groups: Matched, Not-Matched and ConsentConstrained." ] ;
fhir:type [ fhir:v "Reference" ] ;
    ( fhir:targetProfile [
fhir:v "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-parameters-multi-member-match-bundle-out"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-parameters-multi-member-match-bundle-out>     ] )
  ] ) . #