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$member-match操作为 HealthLake

AWS HealthLake 现在支持患者资源$member-match运营，使医疗保健组织能够使用人口统计和保险信息在不同的医疗保健系统中查找成员的唯一标识符。该操作对于实现CMS合规性以及在维护患者隐私的同时促进安全 payer-to-payer的数据交换至关重要。

当您需要执行以下操作时，此操作特别有用：

用法

可以使用 POST 方法在患者资源上调用该$member-match操作：

POST [base]/Patient/$member-match

支持的参数

HealthLake 支持以下 FHIR $member-match 参数：

示例

带参数的 POST 请求

POST [base]/Patient/$member-match
Content-Type: application/fhir+json

{
  "resourceType": "Parameters",
  "parameter": [
    {
      "name": "MemberPatient",
      "resource": {
        "resourceType": "Patient",
        "name": [
          {
            "family": "Jones",
            "given": ["Sarah"]
          }
        ],
        "gender": "female",
        "birthDate": "1985-05-15"
      }
    },
    {
      "name": "CoverageToMatch",
      "resource": {
        "resourceType": "Coverage",
        "status": "active",
        "beneficiary": {
          "reference": "Patient/1"
        },
        "relationship": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/subscriber-relationship",
              "code": "self",
              "display": "Self"
            }
          ]
        },
        "payor": [
          {
            "reference": "Organization/payer456"
          }
        ]
      }
    },
    {
      "name": "Consent",
      "resource": {
        "resourceType": "Consent",
        "status": "active",
        "scope": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/consentscope",
              "code": "patient-privacy"
            }
          ]
        },
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
                "code": "IDSCL"
              }
            ]
          }
        ],
        "patient": {
          "reference": "Patient/1"
        },
        "performer": [
          {
            "reference": "Patient/patient123"
          }
        ],
        "sourceReference": {
          "reference": "Document/someconsent"
        },
        "policy": [
          {
            "uri": "http://hl7.org/fhir/us/davinci-hrex/StructureDefinition-hrex-consent.html#regular"
          }
        ]
      }
    }
  ]
}

示例响应

该操作返回一个包含匹配结果的参数资源：

{
  "resourceType": "Parameters",
  "parameter": [
    {
      "name": "MemberIdentifier",
      "valueIdentifier": {
        "system": "http://hospital.org/medical-record-number",
        "value": "MRN-123456"
      }
    },
    {
      "name": "MemberId",
      "valueReference": {
        "reference": "Patient/patient123"
      }
    },
    {
      "name": "matchAlgorithm",
      "valueString": "DEMOGRAPHIC_MATCH"
    },
    {
      "name": "matchDetails",
      "valueString": "Demographic match: DOB + Name"
    },
    {
      "name": "matchedFields",
      "valueString": "given,birthdate,gender,family"
    }
  ]
}

响应参数

找到匹配项时，响应包含以下参数：

匹配算法

$member-matchAPI 采用多层匹配方法来确保准确识别成员：

行为

该$member-match操作：

Authorization

API 在 FHIR 上使用 SMART 授权协议，其所需范围如下：

错误处理

该操作处理以下错误情况：