DocumentationExperience PlatformExperience Data Model (XDM) Guide

Healthcare Member Details schema field group

Last update: Fri Dec 15 2023 00:00:00 GMT+0000 (Coordinated Universal Time)

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Healthcare Member Details is a standard schema field group for the XDM Individual Profile class that captures details of a person that has or will receive medical service or care, such as contact information, primary care physician, and plan information.

Field group structure

Property
Data type
Description
billingAddress
Postal address
The person’s billing address.
faxPhone
Phone number
The person’s fax phone number.
homeAddress
Postal address
The person’s home address.
homePhone
Phone number
The person’s home phone number.
mailingAddress
Postal address
The person’s mailing address.
memberDetails
Object
An object that contains detailed information about the person’s healthcare-related attributes and relationships. See the subsection below for more information on the object’s structure.
mobilePhone
Phone number
The person’s mobile phone number.
person
Person
An individual actor, contact, or owner related to the person’s healthcare membership.
personalEmail
Email address
The person’s personal email address.
shippingAddress
Postal address
The person’s shipping address.

memberDetails memberDetails

memberDetails is an object that contains detailed information about the person’s healthcare-related attributes and relationships. The structure of memberDetails is described below.

memberDetails structure

Property
Data type
Description
emergencyContact
Object

Captures the following emergency contact details for the person:

  • fullName: (String) The full name of the emergency contact.
  • phone: (String) The phone number for the emergency contact.
  • relationshipToMember: (String) The emergency contact’s relationship to the person.
medications
Array of objects

Lists the details of current and past medications associated with the person. Each array item is an object that captures the following details:

  • refillLocation: (Postal address) The refill location for the medication.
  • ID: (String) Medication ID.
  • isCurrent: (Boolean) Indicates whether the medication is current or past.
  • numberOfRefills: (Integer) The number of refills prescribed by the provider of this medication.
  • startDate: (DateTime) The date on which the person began taking the medication.
multipleBirth
Object

Captures details related to multiple births:

  • isMultipleBirth: (Boolean) Indicates whether the person gave multiple births.
  • multipleBirthNumber: (Integer) The number of babies born if isMultipleBirth is true.
plans
Array of objects

Lists the details of current and past medical plans associated with the person. Each array item is an object that captures the following details:

  • coverageEndDate: (DateTime) The date on which the plan coverage ends.
  • coverageStartDate: (DateTime) The date on which the plan coverage starts.
  • isActive: (Boolean) Indicates whether the plan is active.
  • planId: (String) The plan ID.
primaryCarePhysicians
Array of objects

Lists the details of primary care physicians associated with the person. Each array item is an object that captures the following details:

  • endDate: (DateTime) The date on which the primary care physician ended care for the person.
  • fullname: (String) The full name of the physician.
  • providerId: (String) A unique identifier for the physician.
  • startDate: (DateTime) The date on which the primary care physician started care for the person.
specialists
Array of objects

Lists the details of healthcare specialists associated with the person. Each array item is an object that captures the following details:

  • fullname: (String) The full name of the specialist.
  • providerId: (String) A unique identifier for the specialist.
  • specialty: (String) The specialty of the provider (such as anesthesiology, urology, radiology, dermatology, and so on).
beneficiaryRelationship
String
The beneficiary relationship to the healthcare member if the person is a dependent (examples include self, spouse, child, and so on).
billingAccountID
String
A unique identifier for the person’s billing account.
dateAgeCollected
DateTime
The date the person’s age was collected.
deceasedDate
DateTime
The date the person died if they are deceased.
isDeceased
Boolean
Indicates whether the person is deceased.
isDependent
Boolean
Indicates whether the person is a dependent.
nationality
String
The legal relationship between the person and their state, represented using the ISO 3166-1 Alpha-2 code.
preferredAvailability
String
The person’s preferred day and time availability for an appointment.
primaryMemberID
String
A unique identifier of the primary subscriber if the person is a dependent.

For more details on the field group, refer to the public XDM repository:

Refer to the industry schema documentation for more information on how this field group can be used to serve common healthcare industry use cases.

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