{
"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.r4",
"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": "7edda031-fb94-454c-ba75-64db777ac3d7",
"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" ]
} ]
}