Da Vinci Payer Data Exchange
2.1.1 - STU 2.1

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 2.1.1 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 - JSON Representation

Page standards status: Informative

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    {
      "resourceType" : "OperationDefinition",
      "id" : "BulkMemberMatch",
      "text" : {
        "status" : "generated",
        "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>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/STU1.1/StructureDefinition-hrex-patient-demographics.html\" title=\"http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-patient-demographics\">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/STU1.1/StructureDefinition-hrex-coverage.html\" title=\"http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-coverage\">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/STU1.1/StructureDefinition-hrex-coverage.html\" title=\"http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-coverage\">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/STU1.1/StructureDefinition-hrex-consent.html\" title=\"http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-consent\">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> (<a href=\"StructureDefinition-pdex-member-match-group.html\" title=\"http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-member-match-group\">PDex Member Match Group</a>)</td><td/><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> (<a href=\"StructureDefinition-pdex-member-no-match-group.html\" title=\"http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-member-no-match-group\">PDex Member No Match Group</a>)</td><td/><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> (<a href=\"StructureDefinition-pdex-member-no-match-group.html\" title=\"http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-member-no-match-group\">PDex Member No Match Group</a>)</td><td/><td/></tr></table><div><p>The Group resources returned by this operation can be used as input to the $davinci-data-export operation to perform bulk data export and retrieve the associated member health history in ndjson format. See BulkMemberMatchDataExport operation for details on the bulk export manifest structure.</p>\n</div></div>"
      },
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
          "valueCode" : "fm"
        },
        {
          "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
          "valueCode" : "informative",
          "_valueCode" : {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
                "valueCanonical" : "http://hl7.org/fhir/us/davinci-pdex/ImplementationGuide/hl7.fhir.us.davinci-pdex"
              }
            ]
          }
        }
      ],
      "url" : "http://hl7.org/fhir/us/davinci-pdex/OperationDefinition/BulkMemberMatch",
      "version" : "2.1.1",
      "name" : "BulkMemberMatch",
      "title" : "PDex Bulk Member Match Operation",
      "status" : "active",
      "kind" : "operation",
      "experimental" : true,
      "date" : "2025-05-14T21:28:59+02:00",
      "publisher" : "HL7 International / Financial Management",
      "contact" : [
        {
          "name" : "HL7 International / Financial Management",
          "telecom" : [
            {
              "system" : "url",
              "value" : "http://www.hl7.org/Special/committees/fm"
            },
            {
              "system" : "email",
              "value" : "fm@lists.HL7.org"
            }
          ]
        },
        {
          "name" : "Mark Scrimshire (mark.scrimshire@onyxhealth.io)",
          "telecom" : [
            {
              "system" : "email",
              "value" : "mailto:mark.scrimshire@onyxhealth.io"
            }
          ]
        },
        {
          "name" : "HL7 International - Financial Management",
          "telecom" : [
            {
              "system" : "url",
              "value" : "http://www.hl7.org/Special/committees/fm"
            }
          ]
        }
      ],
      "description" : "Bulk Member Match Operation enables Payers to match multiple members against another Payer's records for bulk data exchange. The operation returns Group resources containing matched, non-matched, and constrained members. The matched members Group can be used with the $davinci-data-export operation to retrieve bulk FHIR data for all matched members. The $davinci-data-export operation returns a manifest file referencing bulk data files in ndjson format.",
      "jurisdiction" : [
        {
          "coding" : [
            {
              "system" : "urn:iso:std:iso:3166",
              "code" : "US",
              "display" : "United States of America"
            }
          ]
        }
      ],
      "code" : "bulk-member-match",
      "comment" : "The Group resources returned by this operation can be used as input to the $davinci-data-export operation to perform bulk data export and retrieve the associated member health history in ndjson format. See BulkMemberMatchDataExport operation for details on the bulk export manifest structure.",
      "system" : false,
      "type" : true,
      "instance" : false,
      "inputProfile" : "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-parameters-multi-member-match-bundle-in",
      "outputProfile" : "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-parameters-multi-member-match-bundle-out",
      "parameter" : [
        {
          "name" : "MemberBundle",
          "use" : "in",
          "min" : 1,
          "max" : "*",
          "part" : [
            {
              "name" : "MemberPatient",
              "use" : "in",
              "min" : 1,
              "max" : "1",
              "type" : "Patient",
              "targetProfile" : [
                🔗 "http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-patient-demographics"
              ]
            },
            {
              "name" : "CoverageToMatch",
              "use" : "in",
              "min" : 1,
              "max" : "1",
              "type" : "Coverage",
              "targetProfile" : [
                🔗 "http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-coverage"
              ]
            },
            {
              "name" : "CoverageToLink",
              "use" : "in",
              "min" : 0,
              "max" : "1",
              "type" : "Coverage",
              "targetProfile" : [
                🔗 "http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-coverage"
              ]
            },
            {
              "name" : "Consent",
              "use" : "in",
              "min" : 1,
              "max" : "1",
              "type" : "Consent",
              "targetProfile" : [
                🔗 "http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-consent"
              ]
            }
          ]
        },
        {
          "name" : "MatchedMembers",
          "use" : "out",
          "min" : 1,
          "max" : "1",
          "type" : "Group",
          "targetProfile" : [
            🔗 "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-member-match-group"
          ]
        },
        {
          "name" : "NonMatchedMembers",
          "use" : "out",
          "min" : 0,
          "max" : "1",
          "type" : "Group",
          "targetProfile" : [
            🔗 "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-member-no-match-group"
          ]
        },
        {
          "name" : "ConsentConstrainedMembers",
          "use" : "out",
          "min" : 0,
          "max" : "1",
          "type" : "Group",
          "targetProfile" : [
            🔗 "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-member-no-match-group"
          ]
        }
      ]
    }