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Resource Profile: HRex Parameters - Member Match Request Profile

Official URL: http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-parameters-member-match-in				Version: 1.0.0
Standards status: Trial-use			Maturity Level: 2	Computable Name: HRexMemberMatchRequestParameters

The Parameters profile for Da Vinci Find Member using Patient and Coverage Resources Request. The resource must contain:

• MemberPatient - US Core Patient containing member demographics
• CoverageToMatch - details of prior health plan coverage provided by the member, typically from their health plan coverage card
• CoverageToLink - details of new or prospective health plan coverage, provided by the health plan based upon the member’s enrolment

Formal Views of Profile Content

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

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

Path	Conformance	ValueSet
Parameters.language	preferred	CommonLanguages Max Binding: AllLanguages

Constraints

Id	Grade	Path	Details	Requirements
ele-1	error	Parameters.meta	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Parameters.implicitRules	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Parameters.language	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Parameters.parameter	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
inv-1	error	Parameters.parameter	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()))
ele-1	error	Parameters.parameter.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Parameters.parameter.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Parameters.parameter.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Parameters.parameter.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Parameters.parameter.name	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Parameters.parameter.value[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Parameters.parameter.part	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Parameters.parameter:memberPatient	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
inv-1	error	Parameters.parameter:memberPatient	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()))
ele-1	error	Parameters.parameter:memberPatient.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Parameters.parameter:memberPatient.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Parameters.parameter:memberPatient.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Parameters.parameter:memberPatient.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Parameters.parameter:memberPatient.name	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Parameters.parameter:memberPatient.value[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
dom-2	error	Parameters.parameter:memberPatient.resource	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Parameters.parameter:memberPatient.resource	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Parameters.parameter:memberPatient.resource	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Parameters.parameter:memberPatient.resource	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	Best Practice	Parameters.parameter:memberPatient.resource	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	Parameters.parameter:memberPatient.part	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Parameters.parameter:CoverageToMatch	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
inv-1	error	Parameters.parameter:CoverageToMatch	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()))
ele-1	error	Parameters.parameter:CoverageToMatch.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Parameters.parameter:CoverageToMatch.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Parameters.parameter:CoverageToMatch.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Parameters.parameter:CoverageToMatch.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Parameters.parameter:CoverageToMatch.name	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Parameters.parameter:CoverageToMatch.value[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
dom-2	error	Parameters.parameter:CoverageToMatch.resource	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Parameters.parameter:CoverageToMatch.resource	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Parameters.parameter:CoverageToMatch.resource	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Parameters.parameter:CoverageToMatch.resource	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	Best Practice	Parameters.parameter:CoverageToMatch.resource	A resource should have narrative for robust management : text.`div`.exists()
hrex-cov-1	error	Parameters.parameter:CoverageToMatch.resource	Coverage.identifier or Coverage.subscriberId SHALL be present : identifier.exists() or subscriberId.exists()
ele-1	error	Parameters.parameter:CoverageToMatch.part	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Parameters.parameter:CoverageToLink	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
inv-1	error	Parameters.parameter:CoverageToLink	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()))
ele-1	error	Parameters.parameter:CoverageToLink.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Parameters.parameter:CoverageToLink.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Parameters.parameter:CoverageToLink.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Parameters.parameter:CoverageToLink.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Parameters.parameter:CoverageToLink.name	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Parameters.parameter:CoverageToLink.value[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
dom-2	error	Parameters.parameter:CoverageToLink.resource	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Parameters.parameter:CoverageToLink.resource	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Parameters.parameter:CoverageToLink.resource	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Parameters.parameter:CoverageToLink.resource	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	Best Practice	Parameters.parameter:CoverageToLink.resource	A resource should have narrative for robust management : text.`div`.exists()
hrex-cov-1	error	Parameters.parameter:CoverageToLink.resource	Coverage.identifier or Coverage.subscriberId SHALL be present : identifier.exists() or subscriberId.exists()
ele-1	error	Parameters.parameter:CoverageToLink.part	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Parameters.parameter:Consent	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
inv-1	error	Parameters.parameter:Consent	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()))
ele-1	error	Parameters.parameter:Consent.extension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Parameters.parameter:Consent.extension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Parameters.parameter:Consent.modifierExtension	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	Parameters.parameter:Consent.modifierExtension	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ele-1	error	Parameters.parameter:Consent.name	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ele-1	error	Parameters.parameter:Consent.value[x]	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
dom-2	error	Parameters.parameter:Consent.resource	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Parameters.parameter:Consent.resource	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Parameters.parameter:Consent.resource	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Parameters.parameter:Consent.resource	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	Best Practice	Parameters.parameter:Consent.resource	A resource should have narrative for robust management : text.`div`.exists()
ppc-1	error	Parameters.parameter:Consent.resource	Either a Policy or PolicyRule : policy.exists() or policyRule.exists()
ppc-2	error	Parameters.parameter:Consent.resource	IF Scope=privacy, there must be a patient : patient.exists() or scope.coding.where(system='something' and code='patient-privacy').exists().not()
ppc-3	error	Parameters.parameter:Consent.resource	IF Scope=research, there must be a patient : patient.exists() or scope.coding.where(system='something' and code='research').exists().not()
ppc-4	error	Parameters.parameter:Consent.resource	IF Scope=adr, there must be a patient : patient.exists() or scope.coding.where(system='something' and code='adr').exists().not()
ppc-5	error	Parameters.parameter:Consent.resource	IF Scope=treatment, there must be a patient : patient.exists() or scope.coding.where(system='something' and code='treatment').exists().not()
ele-1	error	Parameters.parameter:Consent.part	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())