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

## Resource Profile: ProviderMultiMemberMatchRequestParameters - Detailed Descriptions

Page standards status: Informative

Definitions for the provider-parameters-multi-member-match-bundle-in resource profile.

- Key Elements Table
- Differential Elements Table
- Snapshot Elements Table

Guidance on how to interpret the contents of this table can be foundhere

0. Parameters
Definition | This resource is a non-persisted resource used to pass information into and back from an operation. It has no other use, and there is no RESTful endpoint associated with it.
Short | Operation Request or Response
Comments | The parameters that may be used are defined by the OperationDefinition resource.
Control | 0..*
Is Modifier | false
Summary | false
2. Parameters.implicitRules
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Short | A set of rules under which this content was created
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Control | 0..1
Type | uri
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Parameters.parameter
Definition | Parameters for a provider-initiated bulk member match request containing current member demographics, current coverage, and provider treatment attestation. A parameter passed to or received from the operation.
Short | Provider member match request parametersOperation Parameter
Control | 10..*
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) inv-1: A parameter must have one and only one of (value, resource, part) (`(part.exists() and value.empty() and resource.empty()) or (part.empty() and (value.exists() xor resource.exists()))`) inv-1: A parameter must have one and only one of (value, resource, part) ((part.exists() and value.empty() and resource.empty()) or (part.empty() and (value.exists() xor resource.exists())))
Slicing | This element introduces a set of slices on `Parameters.parameter`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ name
6. Parameters.parameter.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
8. Parameters.parameter.name
Definition | The name of the parameter (reference to the operation definition).
Short | Name from the definition
Control | 1..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. Parameters.parameter:MemberBundle
Slice Name | MemberBundle
Definition | A parameter passed to or received from the operation.
Short | Operation Parameter
Control | 10..*
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) inv-1: A parameter must have one and only one of (value, resource, part) (`(part.exists() and value.empty() and resource.empty()) or (part.empty() and (value.exists() xor resource.exists()))`) inv-1: A parameter must have one and only one of (value, resource, part) ((part.exists() and value.empty() and resource.empty()) or (part.empty() and (value.exists() xor resource.exists())))
12. Parameters.parameter:MemberBundle.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
14. Parameters.parameter:MemberBundle.name
Definition | A bundle containing current member demographics, current coverage information, and provider treatment attestation for a single member. The name of the parameter (reference to the operation definition).
Short | Bundle of member elements to match for provider accessName from the definition
Control | 1..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Pattern Value | `MemberBundle`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
16. Parameters.parameter:MemberBundle.part
Definition | The individual components required for a provider to request access to member data: current patient demographics, current coverage, and provider treatment attestation. A named part of a multi-part parameter.
Short | Components of provider member match requestNamed part of a multi-part parameter
Comments | Only one level of nested parameters is allowed.
Control | 30..*
Type | Seettp://hl7.org/fhir/StructureDefinition/Parameters#Parameters.parameter
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
Slicing | This element introduces a set of slices on `Parameters.parameter.part`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ name
18. Parameters.parameter:MemberBundle.part.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
20. Parameters.parameter:MemberBundle.part.name
Definition | The name of the parameter (reference to the operation definition).
Short | Name from the definition
Control | 1..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. Parameters.parameter:MemberBundle.part:MemberPatient
Slice Name | MemberPatient
Definition | A named part of a multi-part parameter.
Short | Named part of a multi-part parameter
Comments | Only one level of nested parameters is allowed.
Control | 10..1*
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. Parameters.parameter:MemberBundle.part:MemberPatient.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
26. Parameters.parameter:MemberBundle.part:MemberPatient.name
Definition | Current patient demographic information as known by the provider (from provider's EMR or patient-provided information). The name of the parameter (reference to the operation definition).
Short | Current member demographicsName from the definition
Control | 1..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Pattern Value | `MemberPatient`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
28. Parameters.parameter:MemberBundle.part:MemberPatient.resource
Definition | The patient's current demographic information including name, date of birth, gender, and identifiers from the provider's system. If the parameter is a whole resource.
Short | Patient demographic detailsIf parameter is a whole resource
Comments | When resolving references in resources, the operation definition may specify how references may be resolved between parameters. If a reference cannot be resolved between the parameters, the application should fall back to it's general resource resolution methods.
Control | 10..1 This element is affected by the following invariants: inv-1
Type | Patient Resource(HRex Member Match Patient)
Is Modifier | false
Must Support | false
Summary | false
Alternate Names | SubjectOfCare Client Resident
30. Parameters.parameter:MemberBundle.part:CoverageToMatch
Slice Name | CoverageToMatch
Definition | A named part of a multi-part parameter.
Short | Named part of a multi-part parameter
Comments | Only one level of nested parameters is allowed.
Control | 10..1*
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
32. Parameters.parameter:MemberBundle.part:CoverageToMatch.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
34. Parameters.parameter:MemberBundle.part:CoverageToMatch.name
Definition | The member's current active coverage with the payer (typically from insurance card or eligibility verification). The name of the parameter (reference to the operation definition).
Short | Current member coverageName from the definition
Control | 1..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Pattern Value | `CoverageToMatch`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
36. Parameters.parameter:MemberBundle.part:CoverageToMatch.resource
Definition | The member's active coverage information including member ID, subscriber ID, group number, plan details, and payer identifier. If the parameter is a whole resource.
Short | Current coverage detailsIf parameter is a whole resource
Comments | The Coverage resource contains the insurance card level information, which is customary to provide on claims and other communications between providers and insurers. When resolving references in resources, the operation definition may specify how references may be resolved between parameters. If a reference cannot be resolved between the parameters, the application should fall back to it's general resource resolution methods.
Control | 10..1 This element is affected by the following invariants: inv-1
Type | Coverage Resource(HRex Member Match Coverage Profile)
Is Modifier | false
Must Support | false
Summary | false
38. Parameters.parameter:MemberBundle.part:Consent
Slice Name | Consent
Definition | A named part of a multi-part parameter.
Short | Named part of a multi-part parameter
Comments | Only one level of nested parameters is allowed.
Control | 10..1*
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
40. Parameters.parameter:MemberBundle.part:Consent.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
42. Parameters.parameter:MemberBundle.part:Consent.name
Definition | Provider's attestation of an active treatment relationship with the member. This is NOT patient consent for payer-to-payer data exchange, but rather the provider's certification that they have a treatment relationship justifying access to the member's data. The name of the parameter (reference to the operation definition).
Short | Provider treatment attestationName from the definition
Control | 1..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Pattern Value | `Consent`
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
44. Parameters.parameter:MemberBundle.part:Consent.resource
Definition | A Consent resource conforming to the ProviderTreatmentAttestation profile, documenting that the provider has an active treatment relationship with the member and the purposes for which they are requesting access to the member's data. If the parameter is a whole resource.
Short | Provider attestation to treatment relationshipIf parameter is a whole resource
Comments | Unlike the payer-to-payer multi-member-match which includes patient consent for data exchange between payers, the provider version includes the provider's attestation to a treatment relationship. This attestation serves as the legal basis for the payer to release data to the provider under HIPAA treatment, payment, and operations (TPO) provisions. When resolving references in resources, the operation definition may specify how references may be resolved between parameters. If a reference cannot be resolved between the parameters, the application should fall back to it's general resource resolution methods.
Control | 10..1 This element is affected by the following invariants: inv-1
Type | Consent Resource(Provider Attestation to Treatment Relationship)
Is Modifier | false
Summary | false
46. Parameters.parameter:MemberBundle.part:CoverageToLink
Slice Name | CoverageToLink
Definition | CoverageToLink is not used in provider-initiated member match requests as providers are not linking historical coverage to new coverage. This element is only relevant for payer-to-payer member match operations. A named part of a multi-part parameter.
Short | Not used in provider requestsNamed part of a multi-part parameter
Comments | Only one level of nested parameters is allowed.
Control | 0..0*
Type | Seettp://hl7.org/fhir/StructureDefinition/Parameters#Parameters.parameter
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

Guidance on how to interpret the contents of this table can be foundhere

0. Parameters
2. Parameters.parameter
Definition | Parameters for a provider-initiated bulk member match request containing current member demographics, current coverage, and provider treatment attestation.
Short | Provider member match request parameters
Control | 1..?
Slicing | This element introduces a set of slices on `Parameters.parameter`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ name
4. Parameters.parameter:MemberBundle
Slice Name | MemberBundle
Control | 1..*
6. Parameters.parameter:MemberBundle.name
Definition | A bundle containing current member demographics, current coverage information, and provider treatment attestation for a single member.
Short | Bundle of member elements to match for provider access
Pattern Value | `MemberBundle`
8. Parameters.parameter:MemberBundle.part
Definition | The individual components required for a provider to request access to member data: current patient demographics, current coverage, and provider treatment attestation.
Short | Components of provider member match request
Control | 3..?
Slicing | This element introduces a set of slices on `Parameters.parameter.part`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ name
10. Parameters.parameter:MemberBundle.part:MemberPatient
Slice Name | MemberPatient
Control | 1..1
Type | BackboneElement
12. Parameters.parameter:MemberBundle.part:MemberPatient.name
Definition | Current patient demographic information as known by the provider (from provider's EMR or patient-provided information).
Short | Current member demographics
Pattern Value | `MemberPatient`
14. Parameters.parameter:MemberBundle.part:MemberPatient.resource
Definition | The patient's current demographic information including name, date of birth, gender, and identifiers from the provider's system.
Short | Patient demographic details
Control | 1..?
Type | Patient(HRex Member Match Patient)
16. Parameters.parameter:MemberBundle.part:CoverageToMatch
Slice Name | CoverageToMatch
Control | 1..1
Type | BackboneElement
18. Parameters.parameter:MemberBundle.part:CoverageToMatch.name
Definition | The member's current active coverage with the payer (typically from insurance card or eligibility verification).
Short | Current member coverage
Pattern Value | `CoverageToMatch`
20. Parameters.parameter:MemberBundle.part:CoverageToMatch.resource
Definition | The member's active coverage information including member ID, subscriber ID, group number, plan details, and payer identifier.
Short | Current coverage details
Control | 1..?
Type | Coverage(HRex Member Match Coverage Profile)
22. Parameters.parameter:MemberBundle.part:Consent
Slice Name | Consent
Control | 1..1
Type | BackboneElement
24. Parameters.parameter:MemberBundle.part:Consent.name
Definition | Provider's attestation of an active treatment relationship with the member. This is NOT patient consent for payer-to-payer data exchange, but rather the provider's certification that they have a treatment relationship justifying access to the member's data.
Short | Provider treatment attestation
Pattern Value | `Consent`
26. Parameters.parameter:MemberBundle.part:Consent.resource
Definition | A Consent resource conforming to the ProviderTreatmentAttestation profile, documenting that the provider has an active treatment relationship with the member and the purposes for which they are requesting access to the member's data.
Short | Provider attestation to treatment relationship
Comments | Unlike the payer-to-payer multi-member-match which includes patient consent for data exchange between payers, the provider version includes the provider's attestation to a treatment relationship. This attestation serves as the legal basis for the payer to release data to the provider under HIPAA treatment, payment, and operations (TPO) provisions.
Control | 1..?
Type | Consent(Provider Attestation to Treatment Relationship)
28. Parameters.parameter:MemberBundle.part:CoverageToLink
Slice Name | CoverageToLink
Definition | CoverageToLink is not used in provider-initiated member match requests as providers are not linking historical coverage to new coverage. This element is only relevant for payer-to-payer member match operations.
Short | Not used in provider requests
Control | 0..0

Guidance on how to interpret the contents of this table can be foundhere

0. Parameters
Definition | This resource is a non-persisted resource used to pass information into and back from an operation. It has no other use, and there is no RESTful endpoint associated with it.
Short | Operation Request or Response
Comments | The parameters that may be used are defined by the OperationDefinition resource.
Control | 0..*
Is Modifier | false
Summary | false
2. Parameters.id
Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
Short | Logical id of this artifact
Comments | The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
Control | 0..1
Type | id
Is Modifier | false
Summary | true
4. Parameters.meta
Definition | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
Short | Metadata about the resource
Control | 0..1
Type | Meta
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
6. Parameters.implicitRules
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Short | A set of rules under which this content was created
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Control | 0..1
Type | uri
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
8. Parameters.language
Definition | The base language in which the resource is written.
Short | Language of the resource content
Comments | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
Control | 0..1
Binding | The codes SHOULD be taken from CommonLanguages (preferred to `http://hl7.org/fhir/ValueSet/languages|4.0.1` ) A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
Type | code
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
10. Parameters.parameter
Definition | Parameters for a provider-initiated bulk member match request containing current member demographics, current coverage, and provider treatment attestation.
Short | Provider member match request parameters
Control | 1..*
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) inv-1: A parameter must have one and only one of (value, resource, part) (`(part.exists() and value.empty() and resource.empty()) or (part.empty() and (value.exists() xor resource.exists()))`)
Slicing | This element introduces a set of slices on `Parameters.parameter`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ name
12. Parameters.parameter.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
14. Parameters.parameter.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
16. Parameters.parameter.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
18. Parameters.parameter.name
Definition | The name of the parameter (reference to the operation definition).
Short | Name from the definition
Control | 1..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
20. Parameters.parameter.value[x]
Definition | If the parameter is a data type.
Short | If parameter is a data type
Control | 0..1 This element is affected by the following invariants: inv-1
Type | Choice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
22. Parameters.parameter.resource
Definition | If the parameter is a whole resource.
Short | If parameter is a whole resource
Comments | When resolving references in resources, the operation definition may specify how references may be resolved between parameters. If a reference cannot be resolved between the parameters, the application should fall back to it's general resource resolution methods.
Control | 0..1 This element is affected by the following invariants: inv-1
Type | Resource
Is Modifier | false
Summary | true
24. Parameters.parameter.part
Definition | A named part of a multi-part parameter.
Short | Named part of a multi-part parameter
Comments | Only one level of nested parameters is allowed.
Control | 0..*
Type | Seettp://hl7.org/fhir/StructureDefinition/Parameters#Parameters.parameter
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
26. Parameters.parameter:MemberBundle
Slice Name | MemberBundle
Definition | A parameter passed to or received from the operation.
Short | Operation Parameter
Control | 1..*
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) inv-1: A parameter must have one and only one of (value, resource, part) (`(part.exists() and value.empty() and resource.empty()) or (part.empty() and (value.exists() xor resource.exists()))`)
28. Parameters.parameter:MemberBundle.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
30. Parameters.parameter:MemberBundle.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
32. Parameters.parameter:MemberBundle.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
34. Parameters.parameter:MemberBundle.name
Definition | A bundle containing current member demographics, current coverage information, and provider treatment attestation for a single member.
Short | Bundle of member elements to match for provider access
Control | 1..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Pattern Value | `MemberBundle`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
36. Parameters.parameter:MemberBundle.value[x]
Definition | If the parameter is a data type.
Short | If parameter is a data type
Control | 0..1 This element is affected by the following invariants: inv-1
Type | Choice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
38. Parameters.parameter:MemberBundle.resource
Definition | If the parameter is a whole resource.
Short | If parameter is a whole resource
Comments | When resolving references in resources, the operation definition may specify how references may be resolved between parameters. If a reference cannot be resolved between the parameters, the application should fall back to it's general resource resolution methods.
Control | 0..1 This element is affected by the following invariants: inv-1
Type | Resource
Is Modifier | false
Summary | true
40. Parameters.parameter:MemberBundle.part
Definition | The individual components required for a provider to request access to member data: current patient demographics, current coverage, and provider treatment attestation.
Short | Components of provider member match request
Comments | Only one level of nested parameters is allowed.
Control | 3..*
Type | Seettp://hl7.org/fhir/StructureDefinition/Parameters#Parameters.parameter
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
Slicing | This element introduces a set of slices on `Parameters.parameter.part`. The slices areUnordered and Open, and can be differentiated using the following discriminators: value @ name
42. Parameters.parameter:MemberBundle.part.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
44. Parameters.parameter:MemberBundle.part.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
46. Parameters.parameter:MemberBundle.part.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
48. Parameters.parameter:MemberBundle.part.name
Definition | The name of the parameter (reference to the operation definition).
Short | Name from the definition
Control | 1..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
50. Parameters.parameter:MemberBundle.part.value[x]
Definition | If the parameter is a data type.
Short | If parameter is a data type
Control | 0..1 This element is affected by the following invariants: inv-1
Type | Choice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
52. Parameters.parameter:MemberBundle.part.resource
Definition | If the parameter is a whole resource.
Short | If parameter is a whole resource
Comments | When resolving references in resources, the operation definition may specify how references may be resolved between parameters. If a reference cannot be resolved between the parameters, the application should fall back to it's general resource resolution methods.
Control | 0..1 This element is affected by the following invariants: inv-1
Type | Resource
Is Modifier | false
Summary | true
54. Parameters.parameter:MemberBundle.part.part
Definition | A named part of a multi-part parameter.
Short | Named part of a multi-part parameter
Comments | Only one level of nested parameters is allowed.
Control | 0..*
Type | Seettp://hl7.org/fhir/StructureDefinition/Parameters#Parameters.parameter
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
56. Parameters.parameter:MemberBundle.part:MemberPatient
Slice Name | MemberPatient
Definition | A named part of a multi-part parameter.
Short | Named part of a multi-part parameter
Comments | Only one level of nested parameters is allowed.
Control | 1..1
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
58. Parameters.parameter:MemberBundle.part:MemberPatient.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
60. Parameters.parameter:MemberBundle.part:MemberPatient.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
62. Parameters.parameter:MemberBundle.part:MemberPatient.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
64. Parameters.parameter:MemberBundle.part:MemberPatient.name
Definition | Current patient demographic information as known by the provider (from provider's EMR or patient-provided information).
Short | Current member demographics
Control | 1..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Pattern Value | `MemberPatient`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
66. Parameters.parameter:MemberBundle.part:MemberPatient.value[x]
Definition | If the parameter is a data type.
Short | If parameter is a data type
Control | 0..1 This element is affected by the following invariants: inv-1
Type | Choice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
68. Parameters.parameter:MemberBundle.part:MemberPatient.resource
Definition | The patient's current demographic information including name, date of birth, gender, and identifiers from the provider's system.
Short | Patient demographic details
Comments | When resolving references in resources, the operation definition may specify how references may be resolved between parameters. If a reference cannot be resolved between the parameters, the application should fall back to it's general resource resolution methods.
Control | 1..1
Type | Patient(HRex Member Match Patient)
Is Modifier | false
Must Support | false
Summary | false
Alternate Names | SubjectOfCare Client Resident
70. Parameters.parameter:MemberBundle.part:MemberPatient.part
Definition | A named part of a multi-part parameter.
Short | Named part of a multi-part parameter
Comments | Only one level of nested parameters is allowed.
Control | 0..*
Type | Seettp://hl7.org/fhir/StructureDefinition/Parameters#Parameters.parameter
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
72. Parameters.parameter:MemberBundle.part:CoverageToMatch
Slice Name | CoverageToMatch
Definition | A named part of a multi-part parameter.
Short | Named part of a multi-part parameter
Comments | Only one level of nested parameters is allowed.
Control | 1..1
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
74. Parameters.parameter:MemberBundle.part:CoverageToMatch.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
76. Parameters.parameter:MemberBundle.part:CoverageToMatch.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
78. Parameters.parameter:MemberBundle.part:CoverageToMatch.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
80. Parameters.parameter:MemberBundle.part:CoverageToMatch.name
Definition | The member's current active coverage with the payer (typically from insurance card or eligibility verification).
Short | Current member coverage
Control | 1..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Pattern Value | `CoverageToMatch`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
82. Parameters.parameter:MemberBundle.part:CoverageToMatch.value[x]
Definition | If the parameter is a data type.
Short | If parameter is a data type
Control | 0..1 This element is affected by the following invariants: inv-1
Type | Choice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
84. Parameters.parameter:MemberBundle.part:CoverageToMatch.resource
Definition | The member's active coverage information including member ID, subscriber ID, group number, plan details, and payer identifier.
Short | Current coverage details
Comments | The Coverage resource contains the insurance card level information, which is customary to provide on claims and other communications between providers and insurers.
Control | 1..1
Type | Coverage(HRex Member Match Coverage Profile)
Is Modifier | false
Must Support | false
Summary | false
86. Parameters.parameter:MemberBundle.part:CoverageToMatch.part
Definition | A named part of a multi-part parameter.
Short | Named part of a multi-part parameter
Comments | Only one level of nested parameters is allowed.
Control | 0..*
Type | Seettp://hl7.org/fhir/StructureDefinition/Parameters#Parameters.parameter
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
88. Parameters.parameter:MemberBundle.part:Consent
Slice Name | Consent
Definition | A named part of a multi-part parameter.
Short | Named part of a multi-part parameter
Comments | Only one level of nested parameters is allowed.
Control | 1..1
Type | BackboneElement
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
90. Parameters.parameter:MemberBundle.part:Consent.id
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Short | Unique id for inter-element referencing
Control | 0..1
Type | string
Is Modifier | false
XML Format | In the XML format, this property is represented as an attribute.
Summary | false
92. Parameters.parameter:MemberBundle.part:Consent.extension
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Short | Additional content defined by implementations
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | false
Summary | false
Alternate Names | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
94. Parameters.parameter:MemberBundle.part:Consent.modifierExtension
Definition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Short | Extensions that cannot be ignored even if unrecognized
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Control | 0..*
Type | Extension
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Summary | true
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Alternate Names | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
96. Parameters.parameter:MemberBundle.part:Consent.name
Definition | Provider's attestation of an active treatment relationship with the member. This is NOT patient consent for payer-to-payer data exchange, but rather the provider's certification that they have a treatment relationship justifying access to the member's data.
Short | Provider treatment attestation
Control | 1..1
Type | string
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Pattern Value | `Consent`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
98. Parameters.parameter:MemberBundle.part:Consent.value[x]
Definition | If the parameter is a data type.
Short | If parameter is a data type
Control | 0..1 This element is affected by the following invariants: inv-1
Type | Choice of: base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta
[x] Note | SeeChoice of Data Typesfor further information about how to use [x]
Is Modifier | false
Primitive Value | This primitive element may be present, or absent, or replaced by an extension
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
100. Parameters.parameter:MemberBundle.part:Consent.resource
Definition | A Consent resource conforming to the ProviderTreatmentAttestation profile, documenting that the provider has an active treatment relationship with the member and the purposes for which they are requesting access to the member's data.
Short | Provider attestation to treatment relationship
Comments | Unlike the payer-to-payer multi-member-match which includes patient consent for data exchange between payers, the provider version includes the provider's attestation to a treatment relationship. This attestation serves as the legal basis for the payer to release data to the provider under HIPAA treatment, payment, and operations (TPO) provisions.
Control | 1..1
Type | Consent(Provider Attestation to Treatment Relationship)
Is Modifier | false
Summary | false
102. Parameters.parameter:MemberBundle.part:Consent.part
Definition | A named part of a multi-part parameter.
Short | Named part of a multi-part parameter
Comments | Only one level of nested parameters is allowed.
Control | 0..*
Type | Seettp://hl7.org/fhir/StructureDefinition/Parameters#Parameters.parameter
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
104. Parameters.parameter:MemberBundle.part:CoverageToLink
Slice Name | CoverageToLink
Definition | CoverageToLink is not used in provider-initiated member match requests as providers are not linking historical coverage to new coverage. This element is only relevant for payer-to-payer member match operations.
Short | Not used in provider requests
Comments | Only one level of nested parameters is allowed.
Control | 0..0
Type | Seettp://hl7.org/fhir/StructureDefinition/Parameters#Parameters.parameter
Is Modifier | false
Summary | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)