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 - XML Representation

Page standards status: Trial-use

Raw xml | Download



<OperationDefinition xmlns="http://hl7.org/fhir">
  <id value="bulk-member-match"/>
  <text>
    <status value="extensions"/>
    <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>
</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 $multi-member-match response</a>)</td><td/><td><div><p>Bundle of Groups returned from Member Match Operation. There can be up to three (3) groups: Matched, Not-Matched and ConsentConstrained.</p>
</div></td></tr></table></div>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="fm"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="trial-use">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueCanonical
                        value="http://hl7.org/fhir/us/davinci-pdex/ImplementationGuide/hl7.fhir.us.davinci-pdex"/>
      </extension>
    </valueCode>
  </extension>
  <url
       value="http://hl7.org/fhir/us/davinci-pdex/OperationDefinition/bulk-member-match"/>
  <version value="2.1.0"/>
  <name value="BulkMemberMatch"/>
  <title value="PDex Bulk Member Match Operation"/>
  <status value="draft"/>
  <kind value="operation"/>
  <date value="2024-06-19T14:09:01+00:00"/>
  <publisher value="HL7 International / Financial Management"/>
  <contact>
    <name value="HL7 International / Financial Management"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/fm"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="fm@lists.HL7.org"/>
    </telecom>
  </contact>
  <contact>
    <name value="Mark Scrimshire (mark.scrimshire@onyxhealth.io)"/>
    <telecom>
      <system value="email"/>
      <value value="mailto:mark.scrimshire@onyxhealth.io"/>
    </telecom>
  </contact>
  <contact>
    <name value="HL7 International - Financial Management"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/fm"/>
    </telecom>
  </contact>
  <description
               value="The **$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.)."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
      <display value="United States of America"/>
    </coding>
  </jurisdiction>
  <affectsState value="true"/>
  <code value="bulk-member-match"/>
  <resource value="Group"/>
  <system value="false"/>
  <type value="true"/>
  <instance value="false"/>
  <inputProfile
                value="http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-parameters-multi-member-match-bundle-in"/>
  <outputProfile
                 value="http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-parameters-multi-member-match-bundle-out"/>
  <parameter>
    <name value="MatchRequest"/>
    <use value="in"/>
    <min value="1"/>
    <max value="1"/>
    <documentation
                   value="Bundle of Member information. Repeat bundle for each member to be submitted to bulk member-match, as defined in PDex $multi-member-match request."/>
    <type value="Reference"/>
    <targetProfile
                   value="http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-parameters-multi-member-match-bundle-in"/>
  </parameter>
  <parameter>
    <name value="MatchResponse"/>
    <use value="out"/>
    <min value="1"/>
    <max value="1"/>
    <documentation
                   value="Bundle of Groups returned from Member Match Operation. There can be up to three (3) groups: Matched, Not-Matched and ConsentConstrained."/>
    <type value="Reference"/>
    <targetProfile
                   value="http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-parameters-multi-member-match-bundle-out"/>
  </parameter>
</OperationDefinition>