{ "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.).", "_filename": "OperationDefinition-bulk-member-match.json", "package_name": "hl7.fhir.us.davinci-pdex", "date": "2024-08-14T20:04:35+00:00", "system": false, "publisher": "HL7 International / Financial Management", "instance": false, "jurisdiction": [ { "coding": [ { "code": "US", "system": "urn:iso:std:iso:3166", "display": "United States of America" } ] } ], "name": "BulkMemberMatch", "type": "true", "experimental": null, "outputProfile": "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-parameters-multi-member-match-bundle-out", "resourceType": "OperationDefinition", "title": "PDex Bulk Member Match Operation", "package_version": "2.1.0-ballot", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg", "valueCode": "fm" }, { "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" } ] } } ], "status": "active", "id": "6b0293a8-9fcd-49d3-b38d-f651b292706d", "resource": [ "Group" ], "affectsState": true, "kind": "operation", "url": "http://hl7.org/fhir/us/davinci-pdex/OperationDefinition/bulk-member-match", "code": "bulk-member-match", "version": "2.1.0-ballot", "contact": [ { "name": "HL7 International / Financial Management", "telecom": [ { "value": "http://www.hl7.org/Special/committees/fm", "system": "url" }, { "value": "fm@lists.HL7.org", "system": "email" } ] }, { "name": "Mark Scrimshire (mark.scrimshire@onyxhealth.io)", "telecom": [ { "value": "mailto:mark.scrimshire@onyxhealth.io", "system": "email" } ] }, { "name": "HL7 International - Financial Management", "telecom": [ { "value": "http://www.hl7.org/Special/committees/fm", "system": "url" } ] } ], "inputProfile": "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-parameters-multi-member-match-bundle-in", "parameter": [ { "max": "1", "min": 1, "use": "in", "name": "MatchRequest", "type": "Reference", "documentation": "Bundle of Member information. Repeat bundle for each member to be submitted to bulk member-match, as defined in PDex $multi-member-match request.", "targetProfile": [ "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-parameters-multi-member-match-bundle-in" ] }, { "max": "1", "min": 1, "use": "out", "name": "MatchResponse", "type": "Reference", "documentation": "Bundle of Groups returned from Member Match Operation. There can be up to three (3) groups: Matched, Not-Matched and ConsentConstrained.", "targetProfile": [ "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-parameters-multi-member-match-bundle-out" ] } ] }