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$member-match HealthLake 的 操作

AWS HealthLake 現在支援 病患資源$member-match的操作，讓醫療保健組織能夠使用人口統計和涵蓋資訊，在不同醫療保健系統中尋找成員的唯一識別符。此操作對於實現 CMS 合規和促進安全payer-to-payer資料交換，同時維護患者隱私至關重要。

當您需要執行下列動作時，此操作特別有用：

用途

您可以使用 POST 方法，在病患資源上叫用 $member-match操作：

POST [base]/Patient/$member-match

支援的參數

HealthLake 支援下列 FHIR $member-match 參數：

範例

具有參數的 POST 請求

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"
          }
        ]
      }
    }
  ]
}

回應範例

操作會傳回參數資源，其中包含相符的結果：

{
  "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"
    }
  ]
}

回應參數

找到相符項目時，回應會包含下列參數：

相符演算法

$member-match API 採用多層比對方法，以確保準確的成員識別：

Behavior (行為)

$member-match 操作：

Authorization

API 在 FHIR 授權通訊協定上使用 SMART 搭配下列必要範圍：

錯誤處理

操作會處理下列錯誤條件：