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Resource OperationDefinition/FHIR Server from package hl7.fhir.us.davinci-pdex#current (31 ms)

Package hl7.fhir.us.davinci-pdex
Type OperationDefinition
Id Id
FHIR Version R4
Source http://hl7.org/fhir/us/davinci-pdex/https://build.fhir.org/ig/HL7/davinci-epdx/OperationDefinition-bulk-member-match.html
Url http://hl7.org/fhir/us/davinci-pdex/OperationDefinition/bulk-member-match
Version 2.1.0
Status active
Date 2025-05-14T21:28:59+02:00
Name BulkMemberMatch
Title PDex Bulk Member Match Operation
Experimental False
Realm us
Authority hl7
Description The **$bulk-member-match** operation that can be invoked by either a payer or an EHR or other system, allows one health plan to retrieve a unique identifier for a group resource containing matched members from another health plan using a member's demographic, coverage information with an accompanying consent record. This identifier can then be used to perform subsequent queries and operations. Health Plans implementing a deterministic match will require a match on member id or subscriber id at a minimum (i.e. A pure demographic match will not be supported by such implementations.).
Type true
Kind operation

Resources that use this resource

CapabilityStatement
pdex-payer-access-server PDex Payer Access Server CapabilityStatement
pdex-server-6-1 PDex Server CapabilityStatement with US core 6.1 support
pdex-server PDEX Server CapabilityStatement

Resources that this resource uses

No resources found



Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: OperationDefinition bulk-member-match

URL: [base]/Group/$bulk-member-match

Input parameters Profile:PDex $multi-member-match request

Output parameters Profile:PDex $multi-member-match response

Parameters

UseNameScopeCardinalityTypeBindingDocumentation
INMemberBundle1..*string

Input bundle of member info (defined in inputProfile)

OUTMatchedMembers0..1string

Output for matched members

OUTNonMatchedMembers0..1string

Output for non-matched members

OUTConsentConstrainedMembers0..1string

Output for consent-constrained members


Source

{
  "resourceType" : "OperationDefinition",
  "id" : "bulk-member-match",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: OperationDefinition bulk-member-match</b></p><a name=\"bulk-member-match\"> </a><a name=\"hcbulk-member-match\"> </a><a name=\"bulk-member-match-en-US\"> </a><p>URL: [base]/Group/$bulk-member-match</p><p>Input parameters Profile:<a href=\"StructureDefinition-pdex-parameters-multi-member-match-bundle-in.html\">PDex $multi-member-match request</a></p><p>Output parameters Profile:<a href=\"StructureDefinition-pdex-parameters-multi-member-match-bundle-out.html\">PDex $multi-member-match response</a></p><h3>Parameters</h3><table class=\"grid\"><tr><td><b>Use</b></td><td><b>Name</b></td><td><b>Scope</b></td><td><b>Cardinality</b></td><td><b>Type</b></td><td><b>Binding</b></td><td><b>Documentation</b></td></tr><tr><td>IN</td><td>MemberBundle</td><td/><td>1..*</td><td><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td/><td><div><p>Input bundle of member info (defined in inputProfile)</p>\n</div></td></tr><tr><td>OUT</td><td>MatchedMembers</td><td/><td>0..1</td><td><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td/><td><div><p>Output for matched members</p>\n</div></td></tr><tr><td>OUT</td><td>NonMatchedMembers</td><td/><td>0..1</td><td><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td/><td><div><p>Output for non-matched members</p>\n</div></td></tr><tr><td>OUT</td><td>ConsentConstrainedMembers</td><td/><td>0..1</td><td><a href=\"http://hl7.org/fhir/R4/datatypes.html#string\">string</a></td><td/><td><div><p>Output for consent-constrained members</p>\n</div></td></tr></table></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "fm"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger" : 2,
      "_valueInteger" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://hl7.org/fhir/us/davinci-pdex/ImplementationGuide/hl7.fhir.us.davinci-pdex"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode" : "trial-use",
      "_valueCode" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://hl7.org/fhir/us/davinci-pdex/ImplementationGuide/hl7.fhir.us.davinci-pdex"
          }
        ]
      }
    }
  ],
  "url" : "http://hl7.org/fhir/us/davinci-pdex/OperationDefinition/bulk-member-match",
  "version" : "2.1.0",
  "name" : "BulkMemberMatch",
  "title" : "PDex Bulk Member Match Operation",
  "status" : "active",
  "kind" : "operation",
  "date" : "2025-05-14T21:28:59+02:00",
  "publisher" : "HL7 International / Financial Management",
  "contact" : [
    {
      "name" : "HL7 International / Financial Management",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fm"
        },
        {
          "system" : "email",
          "value" : "fm@lists.HL7.org"
        }
      ]
    },
    {
      "name" : "Mark Scrimshire (mark.scrimshire@onyxhealth.io)",
      "telecom" : [
        {
          "system" : "email",
          "value" : "mailto:mark.scrimshire@onyxhealth.io"
        }
      ]
    },
    {
      "name" : "HL7 International - Financial Management",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fm"
        }
      ]
    }
  ],
  "description" : "The **$bulk-member-match** operation that can be invoked by either a payer or an EHR or other system, allows one health plan to retrieve a unique identifier for a group resource containing matched members from another health plan using a member's demographic, coverage information with an accompanying consent record. This identifier can then be used to perform subsequent queries and operations. Health Plans implementing a deterministic match will require a match on member id or subscriber id at a minimum (i.e. A pure demographic match will not be supported by such implementations.).",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US",
          "display" : "United States of America"
        }
      ]
    }
  ],
  "affectsState" : true,
  "code" : "bulk-member-match",
  "resource" : [
    "Group"
  ],
  "system" : false,
  "type" : true,
  "instance" : false,
  "inputProfile" : "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-parameters-multi-member-match-bundle-in",
  "outputProfile" : "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-parameters-multi-member-match-bundle-out",
  "parameter" : [
    {
      "name" : "MemberBundle",
      "use" : "in",
      "min" : 1,
      "max" : "*",
      "documentation" : "Input bundle of member info (defined in inputProfile)",
      "type" : "string"
    },
    {
      "name" : "MatchedMembers",
      "use" : "out",
      "min" : 0,
      "max" : "1",
      "documentation" : "Output for matched members",
      "type" : "string"
    },
    {
      "name" : "NonMatchedMembers",
      "use" : "out",
      "min" : 0,
      "max" : "1",
      "documentation" : "Output for non-matched members",
      "type" : "string"
    },
    {
      "name" : "ConsentConstrainedMembers",
      "use" : "out",
      "min" : 0,
      "max" : "1",
      "documentation" : "Output for consent-constrained members",
      "type" : "string"
    }
  ]
}

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