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

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Resource Profile: Provider $multi-member-match Response ( Experimental )

A Parameters profile defining the result of a $bulk-member-match operation performed by a payer system in response to a provider request. The response indicates which members were successfully matched and authorized for provider access, which were not found, and which have opted out of Provider Access API data sharing.

Usages:

• Examples for this Profile: Parameters/provider-bulk-member-match-out

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Parameters		0..*	Parameters	Operation Request or Response
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for parameter	ΣC	1..3	BackboneElement	Provider member match response groups Slice: Unordered, Closed by value:name Constraints: inv-1
parameter:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
name	Σ	1..1	string	Name from the definition
parameter:MatchedMembers	ΣC	1..1	BackboneElement	Operation Parameter Constraints: inv-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
name	Σ	1..1	string	Successfully matched and authorized members Required Pattern: MatchedMembers
resource		1..1	ProviderMemberMatchGroup	Group of matched members
parameter:NonMatchedMembers	ΣC	0..1	BackboneElement	Operation Parameter Constraints: inv-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
name	Σ	1..1	string	Members not found Required Pattern: NonMatchedMembers
resource		0..1	ProviderMemberNoMatchGroup	Group of non-matched members
parameter:ConsentConstrainedMembers	ΣC	0..1	BackboneElement	Operation Parameter Constraints: inv-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
name	Σ	1..1	string	Members who opted out of Provider Access Required Pattern: ConsentConstrainedMembers
resource		0..1	ProviderMemberNoMatchGroup	Group of members who opted out
Documentation for this format

Constraints

Id	Grade	Path(s)	Description	Expression
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
inv-1	error	Parameters.parameter, Parameters.parameter:MatchedMembers, Parameters.parameter:NonMatchedMembers, Parameters.parameter:ConsentConstrainedMembers	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()))

This structure is derived from Parameters

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Parameters		0..*	Parameters	Operation Request or Response
Slices for parameter		1..3	BackboneElement	Provider member match response groups Slice: Unordered, Closed by value:name
parameter:MatchedMembers		1..1	BackboneElement	Operation Parameter
name		1..1	string	Successfully matched and authorized members Required Pattern: MatchedMembers
value[x]		0..0		If parameter is a data type
resource		1..1	ProviderMemberMatchGroup	Group of matched members
parameter:NonMatchedMembers		0..1	BackboneElement	Operation Parameter
name		1..1	string	Members not found Required Pattern: NonMatchedMembers
value[x]		0..0		If parameter is a data type
resource		0..1	ProviderMemberNoMatchGroup	Group of non-matched members
parameter:ConsentConstrainedMembers		0..1	BackboneElement	Operation Parameter
name		1..1	string	Members who opted out of Provider Access Required Pattern: ConsentConstrainedMembers
value[x]		0..0		If parameter is a data type
resource		0..1	ProviderMemberNoMatchGroup	Group of members who opted out
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Parameters		0..*	Parameters	Operation Request or Response
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Slices for parameter	ΣC	1..3	BackboneElement	Provider member match response groups Slice: Unordered, Closed by value:name Constraints: inv-1
parameter:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
name	Σ	1..1	string	Name from the definition
value[x]	ΣC	0..1		If parameter is a data type
valueBase64Binary			base64Binary
valueBoolean			boolean
valueCanonical			canonical(Any)
valueCode			code
valueDate			date
valueDateTime			dateTime
valueDecimal			decimal
valueId			id
valueInstant			instant
valueInteger			integer
valueMarkdown			markdown
valueOid			oid
valuePositiveInt			positiveInt
valueString			string
valueTime			time
valueUnsignedInt			unsignedInt
valueUri			uri
valueUrl			url
valueUuid			uuid
valueAddress			Address
valueAge			Age
valueAnnotation			Annotation
valueAttachment			Attachment
valueCodeableConcept			CodeableConcept
valueCoding			Coding
valueContactPoint			ContactPoint
valueCount			Count
valueDistance			Distance
valueDuration			Duration
valueHumanName			HumanName
valueIdentifier			Identifier
valueMoney			Money
valuePeriod			Period
valueQuantity			Quantity
valueRange			Range
valueRatio			Ratio
valueReference			Reference(Any)
valueSampledData			SampledData
valueSignature			Signature
valueTiming			Timing
valueContactDetail			ContactDetail
valueContributor			Contributor
valueDataRequirement			DataRequirement
valueExpression			Expression
valueParameterDefinition			ParameterDefinition
valueRelatedArtifact			RelatedArtifact
valueTriggerDefinition			TriggerDefinition
valueUsageContext			UsageContext
valueDosage			Dosage
valueMeta			Meta
resource	ΣC	0..1	Resource	If parameter is a whole resource
part	Σ	0..*	See parameter (Parameters)	Named part of a multi-part parameter
parameter:MatchedMembers	ΣC	1..1	BackboneElement	Operation Parameter Constraints: inv-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
name	Σ	1..1	string	Successfully matched and authorized members Required Pattern: MatchedMembers
resource		1..1	ProviderMemberMatchGroup	Group of matched members
part	Σ	0..*	See parameter (Parameters)	Named part of a multi-part parameter
parameter:NonMatchedMembers	ΣC	0..1	BackboneElement	Operation Parameter Constraints: inv-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
name	Σ	1..1	string	Members not found Required Pattern: NonMatchedMembers
resource		0..1	ProviderMemberNoMatchGroup	Group of non-matched members
part	Σ	0..*	See parameter (Parameters)	Named part of a multi-part parameter
parameter:ConsentConstrainedMembers	ΣC	0..1	BackboneElement	Operation Parameter Constraints: inv-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
name	Σ	1..1	string	Members who opted out of Provider Access Required Pattern: ConsentConstrainedMembers
resource		0..1	ProviderMemberNoMatchGroup	Group of members who opted out
part	Σ	0..*	See parameter (Parameters)	Named part of a multi-part parameter
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Parameters.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
inv-1	error	Parameters.parameter, Parameters.parameter:MatchedMembers, Parameters.parameter:NonMatchedMembers, Parameters.parameter:ConsentConstrainedMembers	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()))

This structure is derived from Parameters

Summary

Mandatory: 3 elements
Prohibited: 3 elements

Structures

This structure refers to these other structures:

• Provider Member Match Group (http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/provider-member-match-group)
• Provider Member No Match Group (http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/provider-member-no-match-group)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Parameters.parameter (Closed)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Parameters		0..*	Parameters	Operation Request or Response
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for parameter	ΣC	1..3	BackboneElement	Provider member match response groups Slice: Unordered, Closed by value:name Constraints: inv-1
parameter:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
name	Σ	1..1	string	Name from the definition
parameter:MatchedMembers	ΣC	1..1	BackboneElement	Operation Parameter Constraints: inv-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
name	Σ	1..1	string	Successfully matched and authorized members Required Pattern: MatchedMembers
resource		1..1	ProviderMemberMatchGroup	Group of matched members
parameter:NonMatchedMembers	ΣC	0..1	BackboneElement	Operation Parameter Constraints: inv-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
name	Σ	1..1	string	Members not found Required Pattern: NonMatchedMembers
resource		0..1	ProviderMemberNoMatchGroup	Group of non-matched members
parameter:ConsentConstrainedMembers	ΣC	0..1	BackboneElement	Operation Parameter Constraints: inv-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
name	Σ	1..1	string	Members who opted out of Provider Access Required Pattern: ConsentConstrainedMembers
resource		0..1	ProviderMemberNoMatchGroup	Group of members who opted out
Documentation for this format

Constraints

Id	Grade	Path(s)	Description	Expression
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
inv-1	error	Parameters.parameter, Parameters.parameter:MatchedMembers, Parameters.parameter:NonMatchedMembers, Parameters.parameter:ConsentConstrainedMembers	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()))

Differential View

This structure is derived from Parameters

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Parameters		0..*	Parameters	Operation Request or Response
Slices for parameter		1..3	BackboneElement	Provider member match response groups Slice: Unordered, Closed by value:name
parameter:MatchedMembers		1..1	BackboneElement	Operation Parameter
name		1..1	string	Successfully matched and authorized members Required Pattern: MatchedMembers
value[x]		0..0		If parameter is a data type
resource		1..1	ProviderMemberMatchGroup	Group of matched members
parameter:NonMatchedMembers		0..1	BackboneElement	Operation Parameter
name		1..1	string	Members not found Required Pattern: NonMatchedMembers
value[x]		0..0		If parameter is a data type
resource		0..1	ProviderMemberNoMatchGroup	Group of non-matched members
parameter:ConsentConstrainedMembers		0..1	BackboneElement	Operation Parameter
name		1..1	string	Members who opted out of Provider Access Required Pattern: ConsentConstrainedMembers
value[x]		0..0		If parameter is a data type
resource		0..1	ProviderMemberNoMatchGroup	Group of members who opted out
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Parameters		0..*	Parameters	Operation Request or Response
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Slices for parameter	ΣC	1..3	BackboneElement	Provider member match response groups Slice: Unordered, Closed by value:name Constraints: inv-1
parameter:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
name	Σ	1..1	string	Name from the definition
value[x]	ΣC	0..1		If parameter is a data type
valueBase64Binary			base64Binary
valueBoolean			boolean
valueCanonical			canonical(Any)
valueCode			code
valueDate			date
valueDateTime			dateTime
valueDecimal			decimal
valueId			id
valueInstant			instant
valueInteger			integer
valueMarkdown			markdown
valueOid			oid
valuePositiveInt			positiveInt
valueString			string
valueTime			time
valueUnsignedInt			unsignedInt
valueUri			uri
valueUrl			url
valueUuid			uuid
valueAddress			Address
valueAge			Age
valueAnnotation			Annotation
valueAttachment			Attachment
valueCodeableConcept			CodeableConcept
valueCoding			Coding
valueContactPoint			ContactPoint
valueCount			Count
valueDistance			Distance
valueDuration			Duration
valueHumanName			HumanName
valueIdentifier			Identifier
valueMoney			Money
valuePeriod			Period
valueQuantity			Quantity
valueRange			Range
valueRatio			Ratio
valueReference			Reference(Any)
valueSampledData			SampledData
valueSignature			Signature
valueTiming			Timing
valueContactDetail			ContactDetail
valueContributor			Contributor
valueDataRequirement			DataRequirement
valueExpression			Expression
valueParameterDefinition			ParameterDefinition
valueRelatedArtifact			RelatedArtifact
valueTriggerDefinition			TriggerDefinition
valueUsageContext			UsageContext
valueDosage			Dosage
valueMeta			Meta
resource	ΣC	0..1	Resource	If parameter is a whole resource
part	Σ	0..*	See parameter (Parameters)	Named part of a multi-part parameter
parameter:MatchedMembers	ΣC	1..1	BackboneElement	Operation Parameter Constraints: inv-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
name	Σ	1..1	string	Successfully matched and authorized members Required Pattern: MatchedMembers
resource		1..1	ProviderMemberMatchGroup	Group of matched members
part	Σ	0..*	See parameter (Parameters)	Named part of a multi-part parameter
parameter:NonMatchedMembers	ΣC	0..1	BackboneElement	Operation Parameter Constraints: inv-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
name	Σ	1..1	string	Members not found Required Pattern: NonMatchedMembers
resource		0..1	ProviderMemberNoMatchGroup	Group of non-matched members
part	Σ	0..*	See parameter (Parameters)	Named part of a multi-part parameter
parameter:ConsentConstrainedMembers	ΣC	0..1	BackboneElement	Operation Parameter Constraints: inv-1
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
name	Σ	1..1	string	Members who opted out of Provider Access Required Pattern: ConsentConstrainedMembers
resource		0..1	ProviderMemberNoMatchGroup	Group of members who opted out
part	Σ	0..*	See parameter (Parameters)	Named part of a multi-part parameter
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Parameters.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
inv-1	error	Parameters.parameter, Parameters.parameter:MatchedMembers, Parameters.parameter:NonMatchedMembers, Parameters.parameter:ConsentConstrainedMembers	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()))

This structure is derived from Parameters

Summary

Mandatory: 3 elements
Prohibited: 3 elements

Structures

This structure refers to these other structures:

• Provider Member Match Group (http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/provider-member-match-group)
• Provider Member No Match Group (http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/provider-member-no-match-group)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Parameters.parameter (Closed)

Other representations of profile: CSV, Excel, Schematron