| Package | ihe.iti.fais |
| Type | CapabilityStatement |
| Id | Id |
| FHIR Version | R4 |
| Source | https://profiles.ihe.net/ITI/FAIS/https://build.fhir.org/ig/IHE/ITI.Finance/CapabilityStatement-IHE.FAIS.BeneficiaryRequestor.html |
| Url | https://profiles.ihe.net/ITI/FAIS/CapabilityStatement/IHE.FAIS.BeneficiaryRequestor |
| Version | 1.0.0-current |
| Status | active |
| Date | 2024-07-17 |
| Name | IHE_FAIS_BeneficiaryRequestor |
| Title | IHE FAIS Beneficiary Requestor |
| Experimental | False |
| Realm | uv |
| Authority | ihe |
| Description | CapabilityStatement for [Beneficiary Requestor Actor](volume-1.html#beneficiary-requestor). The Beneficiary Requestor can enroll beneficiaries and optionally query insurance plans from a Beneficiary Manager. |
| Kind | requirements |
No resources found
| OperationDefinition | |
IHE.FAIS.EnrollmentRequest.Submit  | FAIS Enrollment Request $submit |
| https://profiles.ihe.net/ITI/FAIS/StructureDefinition/IHE.FAIS.EnrollmentRequest | FAIS EnrollmentRequest Profile |
| https://profiles.ihe.net/ITI/FAIS/StructureDefinition/IHE.FAIS.EnrollmentResponse | FAIS EnrollmentResponse Profile |
| https://profiles.ihe.net/ITI/FAIS/StructureDefinition/IHE.FAIS.InsurancePlan | FAIS InsurancePlan Profile |
Note: links and images are rebased to the (stated) source
Generated Narrative: CapabilityStatement IHE.FAIS.BeneficiaryRequestor
FHIRapplication/fhir+xml, application/fhir+jsonNote 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.
clientFAIS Beneficiary Requestor provides capability to query insurance plans, submit enrollment requests, and query for enrollment responses.
Recommend ATNA, encouraged IHE-IUA or SMART-app-launch
search-systeminteraction.The summary table lists the resources that are part of this configuration, and for each resource it lists:
_include_revinclude| Resource Type | Profile | R | S | U | C | Searches | _include | _revinclude | Operations |
|---|---|---|---|---|---|---|---|---|---|
| InsurancePlan | Supported Profiles FAIS InsurancePlan Profile | y | y | _lastUpdated, _id, status, type, name, identifier, administered-by, owned-by | |||||
| EnrollmentRequest | Supported Profiles FAIS EnrollmentRequest Profile | $submit | |||||||
| EnrollmentResponse | Supported Profiles FAIS EnrollmentResponse Profile | y | y | _lastUpdated, _id, status, request |
FAIS Query Insurance Plan transaction [ITI-121]
| Conformance | Parameter | Type | Documentation |
|---|---|---|---|
| MAY | _lastUpdated | date | When the resource version last changed. The values for this shall support these prefixes: gt, lt, ge, le, sa, and eb. |
| MAY | _id | token | Logical id of this artifact |
| MAY | status | token | The status of the Insurance Plan |
| MAY | type | token | The type of the Insurance Plan |
| MAY | name | string | The name of the Insurance Plan |
| MAY | identifier | token | The business identifiers of the Insurance Plan |
| MAY | administered-by | reference | Who administers the Insurance Plan |
| MAY | owned-by | reference | Who owns the Insurance Plan |
FAIS Enroll Beneficiary transaction [ITI-122]
read, search-type.FAIS Check Enrollment Status transaction [ITI-123]
| Conformance | Parameter | Type | Documentation |
|---|---|---|---|
| MAY | _lastUpdated | date | When the resource version last changed. The values for this shall support these prefixes: gt, lt, ge, le, sa, and eb. |
| MAY | _id | token | Logical id of this artifact |
| MAY | status | token | The status of the response |
| MAY | request | reference | The enrollment request |
{
"resourceType" : "CapabilityStatement",
"id" : "IHE.FAIS.BeneficiaryRequestor",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CapabilityStatement IHE.FAIS.BeneficiaryRequestor</b></p><a name=\"IHE.FAIS.BeneficiaryRequestor\"> </a><a name=\"hcIHE.FAIS.BeneficiaryRequestor\"> </a><a name=\"IHE.FAIS.BeneficiaryRequestor-en-US\"> </a><h2 id=\"title\">IHE FAIS Beneficiary Requestor</h2><ul><li>Implementation Guide Version: 1.0.0-current </li><li>FHIR Version: 4.0.1 </li><li>Supported Formats: <code>application/fhir+xml</code>, <code>application/fhir+json</code></li><li>Supported Patch Formats: </li><li>Published on: 2024-07-17 </li><li>Published by: IHE IT Infrastructure Technical Committee </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><h2 id=\"rest\">FHIR RESTful Capabilities</h2><div class=\"panel panel-default\"><div class=\"panel-heading\"><h3 id=\"mode1\" class=\"panel-title\">Mode: <code>client</code></h3></div><div class=\"panel-body\"><div><p>FAIS Beneficiary Requestor provides capability to query insurance plans, submit enrollment requests, and query for enrollment responses.</p>\n</div><div class=\"lead\"><em>Security</em></div><blockquote><div><p>Recommend <a href=\"https://profiles.ihe.net/ITI/TF/Volume1/ch-9.html\">ATNA</a>, encouraged <a href=\"https://profiles.ihe.net/ITI/IUA/index.html\">IHE-IUA</a> or <a href=\"http://www.hl7.org/fhir/smart-app-launch/\">SMART-app-launch</a></p>\n</div></blockquote><div class=\"lead\"><em>Summary of System-wide Interactions</em></div><ul><li><strong>MAY </strong>support the <code>search-system</code>interaction.</li></ul></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 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=\"#InsurancePlan1-1\">InsurancePlan</a></td><td>Supported Profiles<br/>��<a href=\"StructureDefinition-IHE.FAIS.InsurancePlan.html\">FAIS InsurancePlan Profile</a></td><td class=\"text-center\">y</td><td class=\"text-center\">y</td><td class=\"text-center\"></td><td class=\"text-center\"></td><td>_lastUpdated, _id, status, type, name, identifier, administered-by, owned-by</td><td/><td/><td/></tr><tr><td><a href=\"#EnrollmentRequest1-2\">EnrollmentRequest</a></td><td>Supported Profiles<br/>��<a href=\"StructureDefinition-IHE.FAIS.EnrollmentRequest.html\">FAIS EnrollmentRequest Profile</a></td><td class=\"text-center\"></td><td class=\"text-center\"></td><td class=\"text-center\"></td><td class=\"text-center\"></td><td></td><td/><td/><td><code>$submit</code></td></tr><tr><td><a href=\"#EnrollmentResponse1-3\">EnrollmentResponse</a></td><td>Supported Profiles<br/>��<a href=\"StructureDefinition-IHE.FAIS.EnrollmentResponse.html\">FAIS EnrollmentResponse Profile</a></td><td class=\"text-center\">y</td><td class=\"text-center\">y</td><td class=\"text-center\"></td><td class=\"text-center\"></td><td>_lastUpdated, _id, status, request</td><td/><td/><td/></tr></tbody></table></div><hr/><div class=\"panel panel-default\"><div class=\"panel-heading\"><h4 id=\"InsurancePlan1-1\" class=\"panel-title\"><span style=\"float: right;\">Resource Conformance: MAY </span>InsurancePlan</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/insuranceplan.html\">InsurancePlan</a></div><div class=\"col-lg-4\"><span class=\"lead\">Reference Policy</span><br/></div><div class=\"col-lg-4\"><span class=\"lead\">Interaction summary</span><br/><ul><li><strong>MAY</strong> support <code>read</code>, <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-IHE.FAIS.InsurancePlan.html\">FAIS InsurancePlan Profile</a></p></div></div><p/><div class=\"row\"><div class=\"col-12\"><span class=\"lead\">Documentation</span><blockquote><div><p>FAIS Query Insurance Plan transaction <a href=\"ITI-121.html\">[ITI-121]</a></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>MAY</b></td><td>_lastUpdated</td><td><code>date</code></td><td><div><p>When the resource version last changed. The values for this shall support these prefixes: gt, lt, ge, le, sa, and eb.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td>_id</td><td><code>token</code></td><td><div><p>Logical id of this artifact</p>\n</div></td></tr><tr><td><b>MAY</b></td><td>status</td><td><code>token</code></td><td><div><p>The status of the Insurance Plan</p>\n</div></td></tr><tr><td><b>MAY</b></td><td>type</td><td><code>token</code></td><td><div><p>The type of the Insurance Plan</p>\n</div></td></tr><tr><td><b>MAY</b></td><td>name</td><td><code>string</code></td><td><div><p>The name of the Insurance Plan</p>\n</div></td></tr><tr><td><b>MAY</b></td><td>identifier</td><td><code>token</code></td><td><div><p>The business identifiers of the Insurance Plan</p>\n</div></td></tr><tr><td><b>MAY</b></td><td>administered-by</td><td><code>reference</code></td><td><div><p>Who administers the Insurance Plan</p>\n</div></td></tr><tr><td><b>MAY</b></td><td>owned-by</td><td><code>reference</code></td><td><div><p>Who owns the Insurance Plan</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=\"EnrollmentRequest1-2\" class=\"panel-title\"><span style=\"float: right;\">Resource Conformance: supported </span>EnrollmentRequest</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/enrollmentrequest.html\">EnrollmentRequest</a></div><div class=\"col-lg-4\"><span class=\"lead\">Reference Policy</span><br/></div><div class=\"col-lg-4\"><span class=\"lead\">Interaction summary</span><br/><ul/></div></div><p/><div class=\"row\"><div class=\"col-6\"><span class=\"lead\">Supported Profiles</span><p><a href=\"StructureDefinition-IHE.FAIS.EnrollmentRequest.html\">FAIS EnrollmentRequest Profile</a></p></div></div><p/><div class=\"row\"><div class=\"col-12\"><span class=\"lead\">Documentation</span><blockquote><div><p>FAIS Enroll Beneficiary transaction <a href=\"ITI-122.html\">[ITI-122]</a></p>\n</div></blockquote></div></div><div class=\"row\"><div class=\"col-12\"><span class=\"lead\">Extended Operations</span><table class=\"table table-condensed table-hover\"><thead><tr><th>Conformance</th><th>Operation</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href=\"OperationDefinition-IHE.FAIS.EnrollmentRequest.Submit.html\">$submit</a></td><td><div><p>Submits an enrollment request to enroll a new beneficiary with the request coverage. FAIS Enroll Beneficiary transaction <a href=\"ITI-122.html\">[ITI-122]</a></p>\n</div></td></tr></tbody></table></div></div></div></div></div><div class=\"panel panel-default\"><div class=\"panel-heading\"><h4 id=\"EnrollmentResponse1-3\" class=\"panel-title\"><span style=\"float: right;\">Resource Conformance: MAY </span>EnrollmentResponse</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/enrollmentresponse.html\">EnrollmentResponse</a></div><div class=\"col-lg-4\"><span class=\"lead\">Reference Policy</span><br/></div><div class=\"col-lg-4\"><span class=\"lead\">Interaction summary</span><br/><ul><li><strong>MAY</strong> support <code>read</code>, <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-IHE.FAIS.EnrollmentResponse.html\">FAIS EnrollmentResponse Profile</a></p></div></div><p/><div class=\"row\"><div class=\"col-12\"><span class=\"lead\">Documentation</span><blockquote><div><p>FAIS Check Enrollment Status transaction <a href=\"ITI-123.html\">[ITI-123]</a></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>MAY</b></td><td>_lastUpdated</td><td><code>date</code></td><td><div><p>When the resource version last changed. The values for this shall support these prefixes: gt, lt, ge, le, sa, and eb.</p>\n</div></td></tr><tr><td><b>MAY</b></td><td>_id</td><td><code>token</code></td><td><div><p>Logical id of this artifact</p>\n</div></td></tr><tr><td><b>MAY</b></td><td>status</td><td><code>token</code></td><td><div><p>The status of the response</p>\n</div></td></tr><tr><td><b>MAY</b></td><td>request</td><td><code>reference</code></td><td><div><p>The enrollment request</p>\n</div></td></tr></tbody></table></div><div class=\"col-lg-5\">�</div></div></div></div></div></div>"
},
"url" : "https://profiles.ihe.net/ITI/FAIS/CapabilityStatement/IHE.FAIS.BeneficiaryRequestor",
"version" : "1.0.0-current",
"name" : "IHE_FAIS_BeneficiaryRequestor",
"title" : "IHE FAIS Beneficiary Requestor",
"status" : "active",
"experimental" : false,
"date" : "2024-07-17",
"publisher" : "IHE IT Infrastructure Technical Committee",
"contact" : [
{
"telecom" : [
{
"system" : "url",
"value" : "https://www.ihe.net/ihe_domains/it_infrastructure/"
}
]
},
{
"telecom" : [
{
"system" : "email",
"value" : "iti@ihe.net"
}
]
},
{
"name" : "IHE IT Infrastructure Technical Committee",
"telecom" : [
{
"system" : "email",
"value" : "iti@ihe.net"
}
]
}
],
"description" : "CapabilityStatement for [Beneficiary Requestor Actor](volume-1.html#beneficiary-requestor).\n\nThe Beneficiary Requestor can enroll beneficiaries and optionally query insurance plans from a Beneficiary Manager.",
"jurisdiction" : [
{
"coding" : [
{
"system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code" : "001"
}
]
}
],
"kind" : "requirements",
"fhirVersion" : "4.0.1",
"format" : [
"application/fhir+xml",
"application/fhir+json"
],
"rest" : [
{
"mode" : "client",
"documentation" : "FAIS Beneficiary Requestor provides capability to query insurance plans, submit enrollment requests, and query for enrollment responses.",
"security" : {
"description" : "Recommend [ATNA](https://profiles.ihe.net/ITI/TF/Volume1/ch-9.html), encouraged [IHE-IUA](https://profiles.ihe.net/ITI/IUA/index.html) or [SMART-app-launch](http://www.hl7.org/fhir/smart-app-launch/)"
},
"resource" : [
{
"type" : "InsurancePlan",
"supportedProfile" : [
"https://profiles.ihe.net/ITI/FAIS/StructureDefinition/IHE.FAIS.InsurancePlan"
],
"documentation" : "FAIS Query Insurance Plan transaction [[ITI-121]](ITI-121.html)",
"interaction" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "MAY"
}
],
"code" : "read"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "MAY"
}
],
"code" : "search-type"
}
],
"searchParam" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "MAY"
}
],
"name" : "_lastUpdated",
"type" : "date",
"documentation" : "When the resource version last changed. The values for this shall support these prefixes: gt, lt, ge, le, sa, and eb."
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "MAY"
}
],
"name" : "_id",
"type" : "token",
"documentation" : "Logical id of this artifact"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "MAY"
}
],
"name" : "status",
"type" : "token",
"documentation" : "The status of the Insurance Plan"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "MAY"
}
],
"name" : "type",
"type" : "token",
"documentation" : "The type of the Insurance Plan"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "MAY"
}
],
"name" : "name",
"type" : "string",
"documentation" : "The name of the Insurance Plan"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "MAY"
}
],
"name" : "identifier",
"type" : "token",
"documentation" : "The business identifiers of the Insurance Plan"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "MAY"
}
],
"name" : "administered-by",
"type" : "reference",
"documentation" : "Who administers the Insurance Plan"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "MAY"
}
],
"name" : "owned-by",
"type" : "reference",
"documentation" : "Who owns the Insurance Plan"
}
]
},
{
"type" : "EnrollmentRequest",
"supportedProfile" : [
"https://profiles.ihe.net/ITI/FAIS/StructureDefinition/IHE.FAIS.EnrollmentRequest"
],
"documentation" : "FAIS Enroll Beneficiary transaction [[ITI-122]](ITI-122.html)",
"operation" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "SHALL"
}
],
"name" : "submit",
"definition" : "https://profiles.ihe.net/ITI/FAIS/OperationDefinition/IHE.FAIS.EnrollmentRequest.Submit",
"documentation" : "Submits an enrollment request to enroll a new beneficiary with the request coverage. FAIS Enroll Beneficiary transaction [[ITI-122]](ITI-122.html)"
}
]
},
{
"type" : "EnrollmentResponse",
"supportedProfile" : [
"https://profiles.ihe.net/ITI/FAIS/StructureDefinition/IHE.FAIS.EnrollmentResponse"
],
"documentation" : "FAIS Check Enrollment Status transaction [[ITI-123]](ITI-123.html)",
"interaction" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "MAY"
}
],
"code" : "read"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "MAY"
}
],
"code" : "search-type"
}
],
"searchParam" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "MAY"
}
],
"name" : "_lastUpdated",
"type" : "date",
"documentation" : "When the resource version last changed. The values for this shall support these prefixes: gt, lt, ge, le, sa, and eb."
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "MAY"
}
],
"name" : "_id",
"type" : "token",
"documentation" : "Logical id of this artifact"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "MAY"
}
],
"name" : "status",
"type" : "token",
"documentation" : "The status of the response"
},
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "MAY"
}
],
"name" : "request",
"type" : "reference",
"documentation" : "The enrollment request"
}
]
}
],
"interaction" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode" : "MAY"
}
],
"code" : "search-system"
}
]
}
]
}
XIG built as of ??metadata-date??. Found ??metadata-resources?? resources in ??metadata-packages?? packages.