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Resource CapabilityStatement/FHIR Server from package hl7.fhir.us.carin-bb#current (78 ms)

Package hl7.fhir.us.carin-bb
Type CapabilityStatement
Id Id
FHIR Version R4
Source http://hl7.org/fhir/us/carin-bb/https://build.fhir.org/ig/HL7/carin-bb/CapabilityStatement-c4bb.html
Url http://hl7.org/fhir/us/carin-bb/CapabilityStatement/c4bb
Version 2.1.0
Status active
Date 2022-09-11
Name CarinBbCapabilityStatement
Title C4BB CapabilityStatement
Experimental False
Realm us
Authority hl7
Description This Section describes the expected capabilities of the C4BB Server actor which is responsible for providing responses to the queries submitted by the C4BB Requestors. The EOB Resource is the focal Consumer-Directed Payer Data Exchange (CDPDE) Resource. Several Reference Resources are defined directly/indirectly from the EOB: Coverage, Patient, Organization (Payer ID), Practioner, and Organization (Facility). The Coverage Reference Resource SHALL be returned with data that was effective as of the date of service of the claim; for example, the data will reflect the employer name in effect at that time. However, for other reference resources, payers MAY decide to provide either the data that was in effect as of the date of service or the current data. All reference resources within the EOB will have meta.lastUpdated flagged as must support. Payers SHALL provide the last time the data was updated or the date of creation in the payers system of record, whichever comes last. Apps will use the meta.lastUpdated values to determine if the reference resources are as of the current date or date of service.
Kind requirements

Resources that use this resource

No resources found


Resources that this resource uses

ImplementationGuide
hl7.fhir.us.carin-bb CARIN Consumer Directed Payer Data Exchange (CARIN IG for Blue ButtonĀ®)
http://hl7.org/fhir/us/carin-bb/SearchParameter/explanationofbenefit-billable-period-start ExplanationOfBenefit_BillablePeriodStart
http://hl7.org/fhir/us/carin-bb/SearchParameter/explanationofbenefit-identifier ExplanationOfBenefit_Identifier
http://hl7.org/fhir/us/carin-bb/SearchParameter/explanationofbenefit-patient ExplanationOfBenefit_Patient
http://hl7.org/fhir/us/carin-bb/SearchParameter/explanationofbenefit-service-date ExplanationOfBenefit_ServiceDate
http://hl7.org/fhir/us/carin-bb/SearchParameter/explanationofbenefit-service-start-date ExplanationOfBenefit_ServiceStartDate
http://hl7.org/fhir/us/carin-bb/SearchParameter/explanationofbenefit-type ExplanationOfBenefit_Type
http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Coverage C4BB Coverage
http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-ExplanationOfBenefit-Inpatient-Institutional C4BB ExplanationOfBenefit Inpatient Institutional
http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-ExplanationOfBenefit-Oral C4BB ExplanationOfBenefit Oral
http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-ExplanationOfBenefit-Outpatient-Institutional C4BB ExplanationOfBenefit Outpatient Institutional
http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-ExplanationOfBenefit-Pharmacy C4BB ExplanationOfBenefit Pharmacy
http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-ExplanationOfBenefit-Professional-NonClinician C4BB ExplanationOfBenefit Professional NonClinician
http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-ExplanationOfBenefit C4BB Explanation Of Benefit
http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Organization C4BB Organization
http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Patient C4BB Patient
http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Practitioner C4BB Practitioner
http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-RelatedPerson C4BB RelatedPerson


Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: CapabilityStatement c4bb

C4BB CapabilityStatement

  • Implementation Guide Version: 2.1.0
  • FHIR Version: 4.0.1
  • Supported Formats: xml, json
  • Supported Patch Formats:
  • Published on: 2022-09-11
  • Published by: HL7 International / Financial Management

Note to Implementers: FHIR Capabilities

Any FHIR capability may be 'allowed' by the system unless explicitly marked as 'SHALL NOT'. A few items are marked as MAY in the Implementation Guide to highlight their potential relevance to the use case.

SHALL Support the Following Implementation Guides

FHIR RESTful Capabilities

Mode: server

The C4BB Server SHALL:

  1. Support all profiles defined in this Implementation Guide..
  2. Implement the RESTful behavior according to the FHIR specification.
  3. Return the following response classes:
    • (Status 400): invalid parameter
    • (Status 401/4xx): unauthorized request
    • (Status 403): insufficient scope
    • (Status 404): unknown resource
    • (Status 410): deleted resource.
  4. Support json source formats for all CARIN-BB interactions.
  5. Identify the CARIN-BB profiles supported as part of the FHIR meta.profile attribute for each instance.
  6. Support the searchParameters on each profile individually and in combination.

The C4BB Server SHOULD:

  1. Support xml source formats for all C4BB interactions.
Security
  1. See the General Security Considerations section for requirements and recommendations.
  2. A server SHALL reject any unauthorized requests by returning an HTTP 401 "Unauthorized", HTTP 403 "Forbidden", or HTTP 404 "Not Found" .
Summary of System-wide Interactions

Capabilities by Resource/Profile

Summary

The summary table lists the resources that are part of this configuration, and for each resource it lists:

  • The relevant profiles (if any)
  • The interactions supported by each resource (Read, Search, Update, and Create, are always shown, while VRead, Patch, Delete, History on Instance, or History on Type are only present if at least one of the resources has support for them.
  • The required, recommended, and some optional search parameters (if any).
  • The linked resources enabled for _include
  • The other resources enabled for _revinclude
  • The operations on the resource (if any)
Resource TypeProfileRV-RSUCSearches_include_revincludeOperations
CoverageSupported Profiles
  C4BB Coverage
yyy_id, _lastUpdatedCoverage:payor
ExplanationOfBenefitSupported Profiles
  C4BB Explanation Of Benefit
  C4BB ExplanationOfBenefit Inpatient Institutional
  C4BB ExplanationOfBenefit Outpatient Institutional
  C4BB ExplanationOfBenefit Oral
  C4BB ExplanationOfBenefit Pharmacy
  C4BB ExplanationOfBenefit Professional NonClinician
yyy_id, patient, _lastUpdated, type, identifier, service-date, service-start-date, billable-period-startExplanationOfBenefit:patient, ExplanationOfBenefit:provider, ExplanationOfBenefit:care-team, ExplanationOfBenefit:coverage, ExplanationOfBenefit:insurer, ExplanationOfBenefit:payee, ExplanationOfBenefit:*
OrganizationSupported Profiles
  C4BB Organization
yyy_id, _lastUpdated
PatientSupported Profiles
  C4BB Patient
yyy_id, _lastUpdated
PractitionerSupported Profiles
  C4BB Practitioner
yyy_id, _lastUpdated
RelatedPersonSupported Profiles
  C4BB RelatedPerson
yyy_id, _lastUpdated

Resource Conformance: SHALL Coverage

Core FHIR Resource
Coverage
Reference Policy
resolves
Interaction summary
  • SHALL support search-type, read.
  • SHOULD support vread.

Supported Profiles

C4BB Coverage

Search Parameters
ConformanceParameterTypeDocumentation
SHALL_idtoken

http://hl7.org/fhir/R4/search.html#id

SHOULD_lastUpdateddate

http://hl7.org/fhir/R4/search.html#lastUpdated

 

Resource Conformance: SHALL ExplanationOfBenefit

Core FHIR Resource
ExplanationOfBenefit
Reference Policy
resolves
Interaction summary
  • SHALL support read
    search-type

    _include:* SHALL be supported.

    Note: _include=ExplanationOfBenefit:* means, at minimum, the resources that are included as reference type search parameters for the ExplanationOfBenefit resource on the server. Servers claiming compliance to this guide will, at minimum, support the include of patient, provider, care-team, coverage, insurer, and payee, and will support returning all of them in support ExplanationOfBenefit:* (Where not supported only as contained resources). Not all of these are defined as required search parameters, but are defined as part of the _include requirement. For example, the insurer search parameter is not required because in the context of the use case, it is anticipated there will ever be one insurer. It however must be returned in the _include=ExplanationOfBenefit:* results. The means in which this is done (including defining all of the _include as search parameters) is not defined.

  • SHOULD support vread.

Documentation

When an EOB references another resource (e.g., Patient or Practitioner), the reference may be versioned or versionless. Payers SHALL use versioned references whenever they maintain point-in-time data (data that was effective as of the date of service or date of admission on the claim), but MAY use versionless references when they do not maintain versioned data. Clients MAY request referenced resources as part of an EOB search (by supplying the _include parameter) or directly using read or vread. Payers SHALL support both approaches, and SHALL return the same content for referenced resources in either case. “:iterate" should be used if you request to include Coverage:payor in the EOB response bundle, e.g. GET [base]/ExplanationOfBenefit?_id[parameter=value]&_include=ExplanationOfBenefit:coverage&_include:iterate=Coverage:payor.

Search Parameters
ConformanceParameterTypeDocumentation
SHALL_idtoken

http://hl7.org/fhir/R4/search.html#id

SHALLpatientreference
SHALL_lastUpdateddate

http://hl7.org/fhir/R4/search.html#lastUpdated

SHALLtypetoken
SHALLidentifiertoken
SHALLservice-datedate
SHALLservice-start-datedate
SHALLbillable-period-startdate
 

Resource Conformance: SHOULD Organization

Core FHIR Resource
Organization
Reference Policy
resolves
Interaction summary
  • SHALL support read.
  • SHOULD support vread.
  • MAY support search-type.

Supported Profiles

C4BB Organization

Search Parameters
ConformanceParameterTypeDocumentation
SHALL_idtoken

http://hl7.org/fhir/R4/search.html#id

SHOULD_lastUpdateddate

http://hl7.org/fhir/R4/search.html#lastUpdated

 

Resource Conformance: SHALL Patient

Core FHIR Resource
Patient
Reference Policy
resolves
Interaction summary
  • SHALL support read.
  • SHOULD support vread.
  • MAY support search-type.

Supported Profiles

C4BB Patient

Search Parameters
ConformanceParameterTypeDocumentation
SHALL_idtoken

http://hl7.org/fhir/R4/search.html#id

SHOULD_lastUpdateddate

http://hl7.org/fhir/R4/search.html#lastUpdated

 

Resource Conformance: SHOULD Practitioner

Core FHIR Resource
Practitioner
Reference Policy
resolves
Interaction summary
  • SHALL support read.
  • SHOULD support vread.
  • MAY support search-type.

Supported Profiles

C4BB Practitioner

Search Parameters
ConformanceParameterTypeDocumentation
SHALL_idtoken

http://hl7.org/fhir/R4/search.html#id

SHOULD_lastUpdateddate

http://hl7.org/fhir/R4/search.html#lastUpdated

 

Resource Conformance: SHOULD RelatedPerson

Core FHIR Resource
RelatedPerson
Reference Policy
resolves
Interaction summary
  • SHALL support read.
  • SHOULD support vread.
  • MAY support search-type.

Supported Profiles

C4BB RelatedPerson

Search Parameters
ConformanceParameterTypeDocumentation
SHALL_idtoken

http://hl7.org/fhir/R4/search.html#id

SHOULD_lastUpdateddate

http://hl7.org/fhir/R4/search.html#lastUpdated

 

Source

{
  "resourceType" : "CapabilityStatement",
  "id" : "c4bb",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CapabilityStatement c4bb</b></p><a name=\"c4bb\"> </a><a name=\"hcc4bb\"> </a><a name=\"c4bb-en-US\"> </a><h2 id=\"title\">C4BB CapabilityStatement</h2><ul><li>Implementation Guide Version: 2.1.0 </li><li>FHIR Version: 4.0.1 </li><li>Supported Formats: <code>xml</code>, <code>json</code></li><li>Supported Patch Formats: </li><li>Published on: 2022-09-11 </li><li>Published by: HL7 International / Financial Management </li></ul><blockquote class=\"impl-note\"><p><strong>Note to Implementers: FHIR Capabilities</strong></p><p>Any FHIR capability may be 'allowed' by the system unless explicitly marked as 'SHALL NOT'. A few items are marked as MAY in the Implementation Guide to highlight their potential relevance to the use case.</p></blockquote><h3 id=\"shallIGs\">SHALL Support the Following Implementation Guides</h3><ul><li><a href=\"index.html\">http://hl7.org/fhir/us/carin-bb/ImplementationGuide/hl7.fhir.us.carin-bb</a></li></ul><h2 id=\"rest\">FHIR RESTful Capabilities</h2><div class=\"panel panel-default\"><div class=\"panel-heading\"><h3 id=\"mode1\" class=\"panel-title\">Mode: <code>server</code></h3></div><div class=\"panel-body\"><div><p>The C4BB Server <strong>SHALL</strong>:</p>\n<ol>\n<li>Support all profiles defined in this Implementation Guide..</li>\n<li>Implement the RESTful behavior according to the FHIR specification.</li>\n<li>Return the following response classes:\n<ul>\n<li>(Status 400): invalid parameter</li>\n<li>(Status 401/4xx): unauthorized request</li>\n<li>(Status 403): insufficient scope</li>\n<li>(Status 404): unknown resource</li>\n<li>(Status 410): deleted resource.</li>\n</ul>\n</li>\n<li>Support json source formats for all CARIN-BB interactions.</li>\n<li>Identify the CARIN-BB profiles supported as part of the FHIR <code>meta.profile</code> attribute for each instance.</li>\n<li>Support the searchParameters on each profile individually and in combination.</li>\n</ol>\n<p>The C4BB Server <strong>SHOULD</strong>:</p>\n<ol>\n<li>Support xml source formats for all C4BB interactions.</li>\n</ol>\n</div><div class=\"lead\"><em>Security</em></div><blockquote><div><ol>\n<li>See the <a href=\"Security_And_Privacy_Considerations.html\">General Security Considerations</a> section for requirements and recommendations.</li>\n<li>A server <strong>SHALL</strong> reject any unauthorized requests by returning an HTTP 401 &quot;Unauthorized&quot;, HTTP 403 &quot;Forbidden&quot;, or HTTP 404 &quot;Not Found&quot; .</li>\n</ol>\n</div></blockquote><div class=\"lead\"><em>Summary of System-wide Interactions</em></div></div></div><h3 id=\"resourcesCap1\">Capabilities by Resource/Profile</h3><h4 id=\"resourcesSummary1\">Summary</h4><p>The summary table lists the resources that are part of this configuration, and for each resource it lists:</p><ul><li>The relevant profiles (if any)</li><li>The interactions supported by each resource (<b><span class=\"bg-info\">R</span></b>ead, <b><span class=\"bg-info\">S</span></b>earch, <b><span class=\"bg-info\">U</span></b>pdate, and <b><span class=\"bg-info\">C</span></b>reate, are always shown, while <b><span class=\"bg-info\">VR</span></b>ead, <b><span class=\"bg-info\">P</span></b>atch, <b><span class=\"bg-info\">D</span></b>elete, <b><span class=\"bg-info\">H</span></b>istory on <b><span class=\"bg-info\">I</span></b>nstance, or <b><span class=\"bg-info\">H</span></b>istory on <b><span class=\"bg-info\">T</span></b>ype are only present if at least one of the resources has support for them.</li><li><span>The required, recommended, and some optional search parameters (if any). </span></li><li>The linked resources enabled for <code>_include</code></li><li>The other resources enabled for <code>_revinclude</code></li><li>The operations on the resource (if any)</li></ul><div class=\"table-responsive\"><table class=\"table table-condensed table-hover\"><thead><tr><th><b>Resource Type</b></th><th><b>Profile</b></th><th class=\"text-center\"><b title=\"GET a resource (read interaction)\">R</b></th><th class=\"text-center\"><b title=\"GET past versions of resources (vread interaction)\">V-R</b></th><th class=\"text-center\"><b title=\"GET all set of resources of the type (search interaction)\">S</b></th><th class=\"text-center\"><b title=\"PUT a new resource version (update interaction)\">U</b></th><th class=\"text-center\"><b title=\"POST a new resource (create interaction)\">C</b></th><th><b title=\"Required and recommended search parameters\">Searches</b></th><th><code><b>_include</b></code></th><th><code><b>_revinclude</b></code></th><th><b>Operations</b></th></tr></thead><tbody><tr><td><a href=\"#Coverage1-1\">Coverage</a></td><td>Supported Profiles<br/>��<a href=\"StructureDefinition-C4BB-Coverage.html\">C4BB Coverage</a></td><td class=\"text-center\">y</td><td class=\"text-center\">y</td><td class=\"text-center\">y</td><td class=\"text-center\"></td><td class=\"text-center\"></td><td>_id, _lastUpdated</td><td><code>Coverage:payor</code></td><td/><td/></tr><tr><td><a href=\"#ExplanationOfBenefit1-2\">ExplanationOfBenefit</a></td><td>Supported Profiles<br/>��<a href=\"StructureDefinition-C4BB-ExplanationOfBenefit.html\">C4BB Explanation Of Benefit</a><br/>��<a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional.html\">C4BB ExplanationOfBenefit Inpatient Institutional</a><br/>��<a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Outpatient-Institutional.html\">C4BB ExplanationOfBenefit Outpatient Institutional</a><br/>��<a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Oral.html\">C4BB ExplanationOfBenefit Oral</a><br/>��<a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Pharmacy.html\">C4BB ExplanationOfBenefit Pharmacy</a><br/>��<a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Professional-NonClinician.html\">C4BB ExplanationOfBenefit Professional NonClinician</a></td><td class=\"text-center\">y</td><td class=\"text-center\">y</td><td class=\"text-center\">y</td><td class=\"text-center\"></td><td class=\"text-center\"></td><td>_id, patient, _lastUpdated, type, identifier, service-date, service-start-date, billable-period-start</td><td><code>ExplanationOfBenefit:patient</code>, <code>ExplanationOfBenefit:provider</code>, <code>ExplanationOfBenefit:care-team</code>, <code>ExplanationOfBenefit:coverage</code>, <code>ExplanationOfBenefit:insurer</code>, <code>ExplanationOfBenefit:payee</code>, <code>ExplanationOfBenefit:*</code></td><td/><td/></tr><tr><td><a href=\"#Organization1-3\">Organization</a></td><td>Supported Profiles<br/>��<a href=\"StructureDefinition-C4BB-Organization.html\">C4BB Organization</a></td><td class=\"text-center\">y</td><td class=\"text-center\">y</td><td class=\"text-center\">y</td><td class=\"text-center\"></td><td class=\"text-center\"></td><td>_id, _lastUpdated</td><td/><td/><td/></tr><tr><td><a href=\"#Patient1-4\">Patient</a></td><td>Supported Profiles<br/>��<a href=\"StructureDefinition-C4BB-Patient.html\">C4BB Patient</a></td><td class=\"text-center\">y</td><td class=\"text-center\">y</td><td class=\"text-center\">y</td><td class=\"text-center\"></td><td class=\"text-center\"></td><td>_id, _lastUpdated</td><td/><td/><td/></tr><tr><td><a href=\"#Practitioner1-5\">Practitioner</a></td><td>Supported Profiles<br/>��<a href=\"StructureDefinition-C4BB-Practitioner.html\">C4BB Practitioner</a></td><td class=\"text-center\">y</td><td class=\"text-center\">y</td><td class=\"text-center\">y</td><td class=\"text-center\"></td><td class=\"text-center\"></td><td>_id, _lastUpdated</td><td/><td/><td/></tr><tr><td><a href=\"#RelatedPerson1-6\">RelatedPerson</a></td><td>Supported Profiles<br/>��<a href=\"StructureDefinition-C4BB-RelatedPerson.html\">C4BB RelatedPerson</a></td><td class=\"text-center\">y</td><td class=\"text-center\">y</td><td class=\"text-center\">y</td><td class=\"text-center\"></td><td class=\"text-center\"></td><td>_id, _lastUpdated</td><td/><td/><td/></tr></tbody></table></div><hr/><div class=\"panel panel-default\"><div class=\"panel-heading\"><h4 id=\"Coverage1-1\" class=\"panel-title\"><span style=\"float: right;\">Resource Conformance: SHALL </span>Coverage</h4></div><div class=\"panel-body\"><div class=\"container\"><div class=\"row\"><div class=\"col-lg-4\"><span class=\"lead\">Core FHIR Resource</span><br/><a href=\"http://hl7.org/fhir/R4/coverage.html\">Coverage</a></div><div class=\"col-lg-4\"><span class=\"lead\">Reference Policy</span><br/><code>resolves</code></div><div class=\"col-lg-4\"><span class=\"lead\">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>.</li></ul></div></div><p/><div class=\"row\"><div class=\"col-6\"><span class=\"lead\">Supported Profiles</span><p><a href=\"StructureDefinition-C4BB-Coverage.html\">C4BB Coverage</a></p></div></div><p/><div class=\"row\"><div class=\"col-lg-7\"><span class=\"lead\">Search Parameters</span><table class=\"table table-condensed table-hover\"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href=\"http://hl7.org/fhir/R4/resource.html#search\">_id</a></td><td><code>token</code></td><td><div><p>http://hl7.org/fhir/R4/search.html#id</p>\n</div></td></tr><tr><td><b>SHOULD</b></td><td><a href=\"http://hl7.org/fhir/R4/resource.html#search\">_lastUpdated</a></td><td><code>date</code></td><td><div><p>http://hl7.org/fhir/R4/search.html#lastUpdated</p>\n</div></td></tr></tbody></table></div><div class=\"col-lg-5\">�</div></div></div></div></div><div class=\"panel panel-default\"><div class=\"panel-heading\"><h4 id=\"ExplanationOfBenefit1-2\" class=\"panel-title\"><span style=\"float: right;\">Resource Conformance: SHALL </span>ExplanationOfBenefit</h4></div><div class=\"panel-body\"><div class=\"container\"><div class=\"row\"><div class=\"col-lg-4\"><span class=\"lead\">Core FHIR Resource</span><br/><a href=\"http://hl7.org/fhir/R4/explanationofbenefit.html\">ExplanationOfBenefit</a></div><div class=\"col-lg-4\"><span class=\"lead\">Reference Policy</span><br/><code>resolves</code></div><div class=\"col-lg-4\"><span class=\"lead\">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>read</code><br/><code>search-type</code><div><p>_include:* SHALL be supported.</p>\n<p>Note: <code>_include=ExplanationOfBenefit:*</code> means, at minimum, the resources that are included as reference type search parameters for the ExplanationOfBenefit resource on the server. Servers claiming compliance to this guide will, at minimum, support the include of <code>patient</code>, <code>provider</code>, <code>care-team</code>, <code>coverage</code>, <code>insurer</code>, and <code>payee</code>, and will support returning all of them in support <code>ExplanationOfBenefit:*</code> (Where not supported only as contained resources). Not all of these are defined as required search parameters, but are defined as part of the _include requirement. For example, the insurer search parameter is not required because in the context of the use case, it is anticipated there will ever be one insurer. It however must be returned in the <code>_include=ExplanationOfBenefit:*</code> results. The means in which this is done (including defining all of the _include as search parameters) is not defined.</p>\n</div></li><li><strong>SHOULD</strong> support <code>vread</code>.</li></ul></div></div><p/><div class=\"row\"><div class=\"col-6\"><span class=\"lead\">Supported Profiles</span><p><a href=\"StructureDefinition-C4BB-ExplanationOfBenefit.html\">C4BB Explanation Of Benefit</a><br/><a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Inpatient-Institutional.html\">C4BB ExplanationOfBenefit Inpatient Institutional</a><br/><a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Outpatient-Institutional.html\">C4BB ExplanationOfBenefit Outpatient Institutional</a><br/><a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Oral.html\">C4BB ExplanationOfBenefit Oral</a><br/><a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Pharmacy.html\">C4BB ExplanationOfBenefit Pharmacy</a><br/><a href=\"StructureDefinition-C4BB-ExplanationOfBenefit-Professional-NonClinician.html\">C4BB ExplanationOfBenefit Professional NonClinician</a></p></div></div><p/><div class=\"row\"><div class=\"col-12\"><span class=\"lead\">Documentation</span><blockquote><div><p>When an EOB references another resource (e.g., Patient or Practitioner), the reference may be versioned or versionless. Payers SHALL use versioned references whenever they maintain point-in-time data (data that was effective as of the date of service or date of admission on the claim), but MAY use versionless references when they do not maintain versioned data. Clients MAY request referenced resources as part of an EOB search (by supplying the _include parameter) or directly using read or vread. Payers SHALL support both approaches, and SHALL return the same content for referenced resources in either case. “:iterate&quot; should be used if you request to include Coverage:payor in the EOB response bundle, e.g. GET [base]/ExplanationOfBenefit?_id[parameter=value]&amp;_include=ExplanationOfBenefit:coverage&amp;_include:iterate=Coverage:payor.</p>\n</div></blockquote></div></div><div class=\"row\"><div class=\"col-lg-7\"><span class=\"lead\">Search Parameters</span><table class=\"table table-condensed table-hover\"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href=\"http://hl7.org/fhir/R4/resource.html#search\">_id</a></td><td><code>token</code></td><td><div><p>http://hl7.org/fhir/R4/search.html#id</p>\n</div></td></tr><tr><td><b>SHALL</b></td><td><a href=\"SearchParameter-explanationofbenefit-patient.html\">patient</a></td><td><code>reference</code></td><td><div/></td></tr><tr><td><b>SHALL</b></td><td><a href=\"http://hl7.org/fhir/R4/resource.html#search\">_lastUpdated</a></td><td><code>date</code></td><td><div><p>http://hl7.org/fhir/R4/search.html#lastUpdated</p>\n</div></td></tr><tr><td><b>SHALL</b></td><td><a href=\"SearchParameter-explanationofbenefit-type.html\">type</a></td><td><code>token</code></td><td><div/></td></tr><tr><td><b>SHALL</b></td><td><a href=\"SearchParameter-explanationofbenefit-identifier.html\">identifier</a></td><td><code>token</code></td><td><div/></td></tr><tr><td><b>SHALL</b></td><td><a href=\"SearchParameter-explanationofbenefit-service-date.html\">service-date</a></td><td><code>date</code></td><td><div/></td></tr><tr><td><b>SHALL</b></td><td><a href=\"SearchParameter-explanationofbenefit-service-start-date.html\">service-start-date</a></td><td><code>date</code></td><td><div/></td></tr><tr><td><b>SHALL</b></td><td><a href=\"SearchParameter-explanationofbenefit-billable-period-start.html\">billable-period-start</a></td><td><code>date</code></td><td><div/></td></tr></tbody></table></div><div class=\"col-lg-5\">�</div></div></div></div></div><div class=\"panel panel-default\"><div class=\"panel-heading\"><h4 id=\"Organization1-3\" class=\"panel-title\"><span style=\"float: right;\">Resource Conformance: SHOULD </span>Organization</h4></div><div class=\"panel-body\"><div class=\"container\"><div class=\"row\"><div class=\"col-lg-4\"><span class=\"lead\">Core FHIR Resource</span><br/><a href=\"http://hl7.org/fhir/R4/organization.html\">Organization</a></div><div class=\"col-lg-4\"><span class=\"lead\">Reference Policy</span><br/><code>resolves</code></div><div class=\"col-lg-4\"><span class=\"lead\">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>.</li><li><strong>MAY</strong> support <code>search-type</code>.</li></ul></div></div><p/><div class=\"row\"><div class=\"col-6\"><span class=\"lead\">Supported Profiles</span><p><a href=\"StructureDefinition-C4BB-Organization.html\">C4BB Organization</a></p></div></div><p/><div class=\"row\"><div class=\"col-lg-7\"><span class=\"lead\">Search Parameters</span><table class=\"table table-condensed table-hover\"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href=\"http://hl7.org/fhir/R4/resource.html#search\">_id</a></td><td><code>token</code></td><td><div><p>http://hl7.org/fhir/R4/search.html#id</p>\n</div></td></tr><tr><td><b>SHOULD</b></td><td><a href=\"http://hl7.org/fhir/R4/resource.html#search\">_lastUpdated</a></td><td><code>date</code></td><td><div><p>http://hl7.org/fhir/R4/search.html#lastUpdated</p>\n</div></td></tr></tbody></table></div><div class=\"col-lg-5\">�</div></div></div></div></div><div class=\"panel panel-default\"><div class=\"panel-heading\"><h4 id=\"Patient1-4\" class=\"panel-title\"><span style=\"float: right;\">Resource Conformance: SHALL </span>Patient</h4></div><div class=\"panel-body\"><div class=\"container\"><div class=\"row\"><div class=\"col-lg-4\"><span class=\"lead\">Core FHIR Resource</span><br/><a href=\"http://hl7.org/fhir/R4/patient.html\">Patient</a></div><div class=\"col-lg-4\"><span class=\"lead\">Reference Policy</span><br/><code>resolves</code></div><div class=\"col-lg-4\"><span class=\"lead\">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>.</li><li><strong>MAY</strong> support <code>search-type</code>.</li></ul></div></div><p/><div class=\"row\"><div class=\"col-6\"><span class=\"lead\">Supported Profiles</span><p><a href=\"StructureDefinition-C4BB-Patient.html\">C4BB Patient</a></p></div></div><p/><div class=\"row\"><div class=\"col-lg-7\"><span class=\"lead\">Search Parameters</span><table class=\"table table-condensed table-hover\"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href=\"http://hl7.org/fhir/R4/resource.html#search\">_id</a></td><td><code>token</code></td><td><div><p>http://hl7.org/fhir/R4/search.html#id</p>\n</div></td></tr><tr><td><b>SHOULD</b></td><td><a href=\"http://hl7.org/fhir/R4/resource.html#search\">_lastUpdated</a></td><td><code>date</code></td><td><div><p>http://hl7.org/fhir/R4/search.html#lastUpdated</p>\n</div></td></tr></tbody></table></div><div class=\"col-lg-5\">�</div></div></div></div></div><div class=\"panel panel-default\"><div class=\"panel-heading\"><h4 id=\"Practitioner1-5\" class=\"panel-title\"><span style=\"float: right;\">Resource Conformance: SHOULD </span>Practitioner</h4></div><div class=\"panel-body\"><div class=\"container\"><div class=\"row\"><div class=\"col-lg-4\"><span class=\"lead\">Core FHIR Resource</span><br/><a href=\"http://hl7.org/fhir/R4/practitioner.html\">Practitioner</a></div><div class=\"col-lg-4\"><span class=\"lead\">Reference Policy</span><br/><code>resolves</code></div><div class=\"col-lg-4\"><span class=\"lead\">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>.</li><li><strong>MAY</strong> support <code>search-type</code>.</li></ul></div></div><p/><div class=\"row\"><div class=\"col-6\"><span class=\"lead\">Supported Profiles</span><p><a href=\"StructureDefinition-C4BB-Practitioner.html\">C4BB Practitioner</a></p></div></div><p/><div class=\"row\"><div class=\"col-lg-7\"><span class=\"lead\">Search Parameters</span><table class=\"table table-condensed table-hover\"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href=\"http://hl7.org/fhir/R4/resource.html#search\">_id</a></td><td><code>token</code></td><td><div><p>http://hl7.org/fhir/R4/search.html#id</p>\n</div></td></tr><tr><td><b>SHOULD</b></td><td><a href=\"http://hl7.org/fhir/R4/resource.html#search\">_lastUpdated</a></td><td><code>date</code></td><td><div><p>http://hl7.org/fhir/R4/search.html#lastUpdated</p>\n</div></td></tr></tbody></table></div><div class=\"col-lg-5\">�</div></div></div></div></div><div class=\"panel panel-default\"><div class=\"panel-heading\"><h4 id=\"RelatedPerson1-6\" class=\"panel-title\"><span style=\"float: right;\">Resource Conformance: SHOULD </span>RelatedPerson</h4></div><div class=\"panel-body\"><div class=\"container\"><div class=\"row\"><div class=\"col-lg-4\"><span class=\"lead\">Core FHIR Resource</span><br/><a href=\"http://hl7.org/fhir/R4/relatedperson.html\">RelatedPerson</a></div><div class=\"col-lg-4\"><span class=\"lead\">Reference Policy</span><br/><code>resolves</code></div><div class=\"col-lg-4\"><span class=\"lead\">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>read</code>.</li><li><strong>SHOULD</strong> support <code>vread</code>.</li><li><strong>MAY</strong> support <code>search-type</code>.</li></ul></div></div><p/><div class=\"row\"><div class=\"col-6\"><span class=\"lead\">Supported Profiles</span><p><a href=\"StructureDefinition-C4BB-RelatedPerson.html\">C4BB RelatedPerson</a></p></div></div><p/><div class=\"row\"><div class=\"col-lg-7\"><span class=\"lead\">Search Parameters</span><table class=\"table table-condensed table-hover\"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href=\"http://hl7.org/fhir/R4/resource.html#search\">_id</a></td><td><code>token</code></td><td><div><p>http://hl7.org/fhir/R4/search.html#id</p>\n</div></td></tr><tr><td><b>SHOULD</b></td><td><a href=\"http://hl7.org/fhir/R4/resource.html#search\">_lastUpdated</a></td><td><code>date</code></td><td><div><p>http://hl7.org/fhir/R4/search.html#lastUpdated</p>\n</div></td></tr></tbody></table></div><div class=\"col-lg-5\">�</div></div></div></div></div></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "fm"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode" : "trial-use",
      "_valueCode" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://hl7.org/fhir/us/carin-bb/ImplementationGuide/hl7.fhir.us.carin-bb"
          }
        ]
      }
    }
  ],
  "url" : "http://hl7.org/fhir/us/carin-bb/CapabilityStatement/c4bb",
  "version" : "2.1.0",
  "name" : "CarinBbCapabilityStatement",
  "title" : "C4BB CapabilityStatement",
  "status" : "active",
  "experimental" : false,
  "date" : "2022-09-11",
  "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"
        }
      ]
    }
  ],
  "description" : "This Section describes the expected capabilities of the C4BB Server actor which is responsible for providing responses to the queries submitted by the C4BB Requestors. \n\nThe EOB Resource is the focal Consumer-Directed Payer Data Exchange (CDPDE) Resource. Several Reference Resources are defined directly/indirectly from the EOB: Coverage, Patient, Organization (Payer ID), Practioner, and Organization (Facility).\n\nThe Coverage Reference Resource SHALL be returned with data that was effective as of the date of service of the claim; for example, the data will reflect the employer name in effect at that time. However, for other reference resources, payers MAY decide to provide either the data that was in effect as of the date of service or the current data. All reference resources within the EOB will have meta.lastUpdated flagged as must support. Payers SHALL provide the last time the data was updated or the date of creation in the payers system of record, whichever comes last. Apps will use the meta.lastUpdated values to determine if the reference resources are as of the current date or date of service.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US"
        }
      ]
    }
  ],
  "kind" : "requirements",
  "fhirVersion" : "4.0.1",
  "format" : [
    "xml",
    "json"
  ],
  "implementationGuide" : [
    "http://hl7.org/fhir/us/carin-bb/ImplementationGuide/hl7.fhir.us.carin-bb"
  ],
  "rest" : [
    {
      "mode" : "server",
      "documentation" : "The C4BB Server **SHALL**:\n\n1. Support all profiles defined in this Implementation Guide..\n2. Implement the RESTful behavior according to the FHIR specification.\n3. Return the following response classes:\n - (Status 400): invalid parameter\n - (Status 401/4xx): unauthorized request\n - (Status 403): insufficient scope\n - (Status 404): unknown resource\n - (Status 410): deleted resource.\n4. Support json source formats for all CARIN-BB interactions.\n5. Identify the CARIN-BB profiles supported as part of the FHIR `meta.profile` attribute for each instance.\n6. Support the searchParameters on each profile individually and in combination.\n\nThe C4BB Server **SHOULD**:\n\n1. Support xml source formats for all C4BB interactions.\n",
      "security" : {
        "description" : "1. See the [General Security Considerations](Security_And_Privacy_Considerations.html) section for requirements and recommendations.\n2. A server **SHALL** reject any unauthorized requests by returning an HTTP 401 \"Unauthorized\", HTTP 403 \"Forbidden\", or HTTP 404 \"Not Found\" ."
      },
      "resource" : [
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
              "valueCode" : "SHALL"
            }
          ],
          "type" : "Coverage",
          "supportedProfile" : [
            "http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-Coverage"
          ],
          "interaction" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "code" : "search-type"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "code" : "read"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHOULD"
                }
              ],
              "code" : "vread"
            }
          ],
          "referencePolicy" : [
            "resolves"
          ],
          "searchInclude" : [
            "Coverage:payor"
          ],
          "searchParam" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "name" : "_id",
              "definition" : "http://hl7.org/fhir/SearchParameter/Resource-id",
              "type" : "token",
              "documentation" : "http://hl7.org/fhir/R4/search.html#id"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHOULD"
                }
              ],
              "name" : "_lastUpdated",
              "definition" : "http://hl7.org/fhir/SearchParameter/Resource-lastUpdated",
              "type" : "date",
              "documentation" : "http://hl7.org/fhir/R4/search.html#lastUpdated"
            }
          ]
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
              "valueCode" : "SHALL"
            }
          ],
          "type" : "ExplanationOfBenefit",
          "supportedProfile" : [
            "http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-ExplanationOfBenefit",
            "http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-ExplanationOfBenefit-Inpatient-Institutional",
            "http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-ExplanationOfBenefit-Outpatient-Institutional",
            "http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-ExplanationOfBenefit-Oral",
            "http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-ExplanationOfBenefit-Pharmacy",
            "http://hl7.org/fhir/us/carin-bb/StructureDefinition/C4BB-ExplanationOfBenefit-Professional-NonClinician"
          ],
          "documentation" : "When an EOB references another resource (e.g., Patient or Practitioner), the reference may be versioned or versionless. Payers SHALL use versioned references whenever they maintain point-in-time data (data that was effective as of the date of service or date of admission on the claim), but MAY use versionless references when they do not maintain versioned data. Clients MAY request referenced resources as part of an EOB search (by supplying the _include parameter) or directly using read or vread. Payers SHALL support both approaches, and SHALL return the same content for referenced resources in either case. “:iterate\" should be used if you request to include Coverage:payor in the EOB response bundle, e.g. GET [base]/ExplanationOfBenefit?_id[parameter=value]&_include=ExplanationOfBenefit:coverage&_include:iterate=Coverage:payor.",
          "interaction" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "code" : "search-type",
              "documentation" : "_include:* SHALL be supported.\n\n\nNote: `_include=ExplanationOfBenefit:*` means, at minimum, the resources that are included as reference type search parameters for the ExplanationOfBenefit resource on the server. Servers claiming compliance to this guide will, at minimum, support the include of `patient`, `provider`, `care-team`, `coverage`, `insurer`, and `payee`, and will support returning all of them in support `ExplanationOfBenefit:*` (Where not supported only as contained resources). Not all of these are defined as required search parameters, but are defined as part of the _include requirement. For example, the insurer search parameter is not required because in the context of the use case, it is anticipated there will ever be one insurer. It however must be returned in the `_include=ExplanationOfBenefit:*` results. The means in which this is done (including defining all of the _include as search parameters) is not defined.\n"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "code" : "read"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHOULD"
                }
              ],
              "code" : "vread"
            }
          ],
          "referencePolicy" : [
            "resolves"
          ],
          "searchInclude" : [
            "ExplanationOfBenefit:patient",
            "ExplanationOfBenefit:provider",
            "ExplanationOfBenefit:care-team",
            "ExplanationOfBenefit:coverage",
            "ExplanationOfBenefit:insurer",
            "ExplanationOfBenefit:payee",
            "ExplanationOfBenefit:*"
          ],
          "searchParam" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "name" : "_id",
              "definition" : "http://hl7.org/fhir/SearchParameter/Resource-id",
              "type" : "token",
              "documentation" : "http://hl7.org/fhir/R4/search.html#id"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "name" : "patient",
              "definition" : "http://hl7.org/fhir/us/carin-bb/SearchParameter/explanationofbenefit-patient",
              "type" : "reference"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "name" : "_lastUpdated",
              "definition" : "http://hl7.org/fhir/SearchParameter/Resource-lastUpdated",
              "type" : "date",
              "documentation" : "http://hl7.org/fhir/R4/search.html#lastUpdated"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "name" : "type",
              "definition" : "http://hl7.org/fhir/us/carin-bb/SearchParameter/explanationofbenefit-type",
              "type" : "token"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "name" : "identifier",
              "definition" : "http://hl7.org/fhir/us/carin-bb/SearchParameter/explanationofbenefit-identifier",
              "type" : "token"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "name" : "service-date",
              "definition" : "http://hl7.org/fhir/us/carin-bb/SearchParameter/explanationofbenefit-service-date",
              "type" : "date"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "name" : "service-start-date",
              "definition" : "http://hl7.org/fhir/us/carin-bb/SearchParameter/explanationofbenefit-service-start-date",
              "type" : "date"
            },
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                  "valueCode" : "SHALL"
                }
              ],
              "name" : "billable-period-start",
              "definition" : "http://hl7.org/fhir/us/carin-bb/SearchParameter/explanationofbenefit-billable-period-start",
              "type" : "date"
            }
          ]
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
              "valueCode" : "SHOULD"
            }
          ],
          "type" : "Organization",
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XIG built as of ??metadata-date??. Found ??metadata-resources?? resources in ??metadata-packages?? packages.