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This page is part of the Da Vinci Payer Data Exchange (v2.1.0: STU2.1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: PDex Bulk Member Match Operation - JSON Representation

Page standards status: Informative

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{
  "resourceType" : "OperationDefinition",
  "id" : "BulkMemberMatch",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: OperationDefinition BulkMemberMatch</b></p><a name=\"BulkMemberMatch\"> </a><a name=\"hcBulkMemberMatch\"> </a><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/><td/><td/></tr><tr><td>IN</td><td>MemberBundle.MemberPatient</td><td/><td>1..1</td><td><a href=\"http://hl7.org/fhir/R4/patient.html\">Patient</a> (<a href=\"http://hl7.org/fhir/us/davinci-hrex/STU1.1/StructureDefinition-hrex-patient-demographics.html\" title=\"http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-patient-demographics\">HRex Member Match Patient</a>)</td><td/><td/></tr><tr><td>IN</td><td>MemberBundle.CoverageToMatch</td><td/><td>1..1</td><td><a href=\"http://hl7.org/fhir/R4/coverage.html\">Coverage</a> (<a href=\"http://hl7.org/fhir/us/davinci-hrex/STU1.1/StructureDefinition-hrex-coverage.html\" title=\"http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-coverage\">HRex Member Match Coverage Profile</a>)</td><td/><td/></tr><tr><td>IN</td><td>MemberBundle.CoverageToLink</td><td/><td>0..1</td><td><a href=\"http://hl7.org/fhir/R4/coverage.html\">Coverage</a> (<a href=\"http://hl7.org/fhir/us/davinci-hrex/STU1.1/StructureDefinition-hrex-coverage.html\" title=\"http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-coverage\">HRex Member Match Coverage Profile</a>)</td><td/><td/></tr><tr><td>IN</td><td>MemberBundle.Consent</td><td/><td>1..1</td><td><a href=\"http://hl7.org/fhir/R4/consent.html\">Consent</a> (<a href=\"http://hl7.org/fhir/us/davinci-hrex/STU1.1/StructureDefinition-hrex-consent.html\" title=\"http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-consent\">HRex Consent Profile</a>)</td><td/><td/></tr><tr><td>OUT</td><td>MatchedMembers</td><td/><td>1..1</td><td><a href=\"http://hl7.org/fhir/R4/group.html\">Group</a> (<a href=\"StructureDefinition-pdex-member-match-group.html\" title=\"http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-member-match-group\">PDex Member Match Group</a>)</td><td/><td/></tr><tr><td>OUT</td><td>NonMatchedMembers</td><td/><td>0..1</td><td><a href=\"http://hl7.org/fhir/R4/group.html\">Group</a> (<a href=\"StructureDefinition-pdex-member-no-match-group.html\" title=\"http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-member-no-match-group\">PDex Member No Match Group</a>)</td><td/><td/></tr><tr><td>OUT</td><td>ConsentConstrainedMembers</td><td/><td>0..1</td><td><a href=\"http://hl7.org/fhir/R4/group.html\">Group</a> (<a href=\"StructureDefinition-pdex-member-no-match-group.html\" title=\"http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-member-no-match-group\">PDex Member No Match Group</a>)</td><td/><td/></tr></table></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "fm"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode" : "informative",
      "_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/BulkMemberMatch",
  "version" : "2.1.0",
  "name" : "BulkMemberMatch",
  "title" : "PDex Bulk Member Match Operation",
  "status" : "active",
  "kind" : "operation",
  "experimental" : true,
  "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" : "Bulk Member Match Operation",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US",
          "display" : "United States of America"
        }
      ]
    }
  ],
  "code" : "bulk-member-match",
  "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" : "*",
      "part" : [
        {
          "name" : "MemberPatient",
          "use" : "in",
          "min" : 1,
          "max" : "1",
          "type" : "Patient",
          "targetProfile" : [
            🔗 "http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-patient-demographics"
          ]
        },
        {
          "name" : "CoverageToMatch",
          "use" : "in",
          "min" : 1,
          "max" : "1",
          "type" : "Coverage",
          "targetProfile" : [
            🔗 "http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-coverage"
          ]
        },
        {
          "name" : "CoverageToLink",
          "use" : "in",
          "min" : 0,
          "max" : "1",
          "type" : "Coverage",
          "targetProfile" : [
            🔗 "http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-coverage"
          ]
        },
        {
          "name" : "Consent",
          "use" : "in",
          "min" : 1,
          "max" : "1",
          "type" : "Consent",
          "targetProfile" : [
            🔗 "http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-consent"
          ]
        }
      ]
    },
    {
      "name" : "MatchedMembers",
      "use" : "out",
      "min" : 1,
      "max" : "1",
      "type" : "Group",
      "targetProfile" : [
        🔗 "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-member-match-group"
      ]
    },
    {
      "name" : "NonMatchedMembers",
      "use" : "out",
      "min" : 0,
      "max" : "1",
      "type" : "Group",
      "targetProfile" : [
        🔗 "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-member-no-match-group"
      ]
    },
    {
      "name" : "ConsentConstrainedMembers",
      "use" : "out",
      "min" : 0,
      "max" : "1",
      "type" : "Group",
      "targetProfile" : [
        🔗 "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-member-no-match-group"
      ]
    }
  ]
}