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Resource CapabilityStatement/FHIR Server from package ihe.iti.fais#current (46 ms)

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.ClaimsRequestor.html
Url https://profiles.ihe.net/ITI/FAIS/CapabilityStatement/IHE.FAIS.ClaimsRequestor
Version 1.0.1-current
Status active
Date 2024-07-17
Name IHE_FAIS_ClaimsRequestor
Title IHE FAIS Claims Requestor
Experimental False
Realm uv
Authority ihe
Description CapabilityStatement for [Claims Requestor Actor](volume-1.html#claims-requestor). The Claims Requestor files a pre-determination, pre-authorization, or claim for a patient, as well as cancel and re-process claims, and can query for responses when the result is queued.
Kind requirements

Resources that use this resource

No resources found


Resources that this resource uses

OperationDefinition
IHE.FAIS.Claim.Cancel FAIS Claim $cancel
IHE.FAIS.Claim.Reprocess FAIS Claim $reprocess
IHE.FAIS.Claim.Submit FAIS Claim $submit
https://profiles.ihe.net/ITI/FAIS/StructureDefinition/IHE.FAIS.Claim FAIS Claim Profile
https://profiles.ihe.net/ITI/FAIS/StructureDefinition/IHE.FAIS.ClaimResponse FAIS ClaimResponse Profile


Narrative

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

Generated Narrative: CapabilityStatement IHE.FAIS.ClaimsRequestor

IHE FAIS Claims Requestor

  • Implementation Guide Version: 1.0.1-current
  • FHIR Version: 4.0.1
  • Supported Formats: application/fhir+xml, application/fhir+json
  • Supported Patch Formats:
  • Published on: 2024-07-17
  • Published by: IHE IT Infrastructure Technical Committee

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.

FHIR RESTful Capabilities

Mode: client

FAIS Claims Requestor provides capability to submit claim requests and query for claim responses.

Security

Recommend ATNA, encouraged IHE-IUA or SMART-app-launch

Summary of System-wide Interactions
  • MAY support the search-systeminteraction.

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 TypeProfileRSUCSearches_include_revincludeOperations
ClaimSupported Profiles
  FAIS Claim Profile
$submit, $cancel, $reprocess
ClaimResponseSupported Profiles
  FAIS ClaimResponse Profile
yy_lastUpdated, _id, status, request, patient, requestor

Resource Conformance: supported Claim

Core FHIR Resource
Claim
Reference Policy
Interaction summary

    Supported Profiles

    FAIS Claim Profile

    Extended Operations
    ConformanceOperationDocumentation
    SHALL$submit

    Submits a claim. FAIS Submit Claim transaction [ITI-126].

    SHALL$cancel

    Cancels a claim. FAIS Cancel Claim transaction [ITI-127].

    SHALL$reprocess

    Re-processes a claim. FAIS Re-process Claim transaction [ITI-128].

    Resource Conformance: MAY ClaimResponse

    Core FHIR Resource
    ClaimResponse
    Reference Policy
    Interaction summary
    • MAY support read, search-type.

    Supported Profiles

    FAIS ClaimResponse Profile

    Documentation

    FAIS Track Claim transaction [ITI-129]

    Search Parameters
    ConformanceParameterTypeDocumentation
    MAY_lastUpdateddate

    When the resource version last changed. The values for this shall support these prefixes: gt, lt, ge, le, sa, and eb.

    MAY_idtoken

    Logical id of this artifact

    MAYstatustoken

    The status of the response

    MAYrequestreference

    The coverage eligiblity request

    MAYpatientreference

    The beneficiary

    MAYrequestorreference

    The provider making the request

     

    Source

    {
      "resourceType" : "CapabilityStatement",
      "id" : "IHE.FAIS.ClaimsRequestor",
      "text" : {
        "status" : "extensions",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CapabilityStatement IHE.FAIS.ClaimsRequestor</b></p><a name=\"IHE.FAIS.ClaimsRequestor\"> </a><a name=\"hcIHE.FAIS.ClaimsRequestor\"> </a><a name=\"IHE.FAIS.ClaimsRequestor-en-US\"> </a><h2 id=\"title\">IHE FAIS Claims Requestor</h2><ul><li>Implementation Guide Version: 1.0.1-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 Claims Requestor provides capability to submit claim requests and query for claim 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=\"#Claim1-1\">Claim</a></td><td>Supported Profiles<br/>��<a href=\"StructureDefinition-IHE.FAIS.Claim.html\">FAIS Claim 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>$submit</code>, <code>$cancel</code>, <code>$reprocess</code></td></tr><tr><td><a href=\"#ClaimResponse1-2\">ClaimResponse</a></td><td>Supported Profiles<br/>��<a href=\"StructureDefinition-IHE.FAIS.ClaimResponse.html\">FAIS ClaimResponse Profile</a></td><td class=\"text-center\">y</td><td class=\"text-center\">y</td><td class=\"text-center\"></td><td class=\"text-center\"></td><td>_lastUpdated, _id, status, request, patient, requestor</td><td/><td/><td/></tr></tbody></table></div><hr/><div class=\"panel panel-default\"><div class=\"panel-heading\"><h4 id=\"Claim1-1\" class=\"panel-title\"><span style=\"float: right;\">Resource Conformance: supported </span>Claim</h4></div><div class=\"panel-body\"><div class=\"container\"><div class=\"row\"><div class=\"col-lg-4\"><span class=\"lead\">Core FHIR Resource</span><br/><a href=\"http://hl7.org/fhir/R4/claim.html\">Claim</a></div><div class=\"col-lg-4\"><span class=\"lead\">Reference Policy</span><br/></div><div class=\"col-lg-4\"><span class=\"lead\">Interaction summary</span><br/><ul/></div></div><p/><div class=\"row\"><div class=\"col-6\"><span class=\"lead\">Supported Profiles</span><p><a href=\"StructureDefinition-IHE.FAIS.Claim.html\">FAIS Claim Profile</a></p></div></div><p/><div class=\"row\"><div class=\"col-12\"><span class=\"lead\">Documentation</span><blockquote><div><p>Supports these transactions:</p>\n<ul>\n<li><a href=\"ITI-126.html\">Submit Claim [ITI-126]</a></li>\n<li><a href=\"ITI-127.html\">Cancel Claim [ITI-127]</a></li>\n<li><a href=\"ITI-128.html\">Re-process Claim [ITI-128]</a></li>\n</ul>\n</div></blockquote></div></div><div class=\"row\"><div class=\"col-12\"><span class=\"lead\">Extended Operations</span><table class=\"table table-condensed table-hover\"><thead><tr><th>Conformance</th><th>Operation</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href=\"OperationDefinition-IHE.FAIS.Claim.Submit.html\">$submit</a></td><td><div><p>Submits a claim. FAIS Submit Claim transaction <a href=\"ITI-126.html\">[ITI-126]</a>.</p>\n</div></td></tr><tr><td><b>SHALL</b></td><td><a href=\"OperationDefinition-IHE.FAIS.Claim.Cancel.html\">$cancel</a></td><td><div><p>Cancels a claim. FAIS Cancel Claim transaction <a href=\"ITI-127.html\">[ITI-127]</a>.</p>\n</div></td></tr><tr><td><b>SHALL</b></td><td><a href=\"OperationDefinition-IHE.FAIS.Claim.Reprocess.html\">$reprocess</a></td><td><div><p>Re-processes a claim. FAIS Re-process Claim transaction <a href=\"ITI-128.html\">[ITI-128]</a>.</p>\n</div></td></tr></tbody></table></div></div></div></div></div><div class=\"panel panel-default\"><div class=\"panel-heading\"><h4 id=\"ClaimResponse1-2\" class=\"panel-title\"><span style=\"float: right;\">Resource Conformance: MAY </span>ClaimResponse</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/claimresponse.html\">ClaimResponse</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.ClaimResponse.html\">FAIS ClaimResponse Profile</a></p></div></div><p/><div class=\"row\"><div class=\"col-12\"><span class=\"lead\">Documentation</span><blockquote><div><p>FAIS Track Claim transaction <a href=\"ITI-129.html\">[ITI-129]</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 coverage eligiblity request</p>\n</div></td></tr><tr><td><b>MAY</b></td><td>patient</td><td><code>reference</code></td><td><div><p>The beneficiary</p>\n</div></td></tr><tr><td><b>MAY</b></td><td>requestor</td><td><code>reference</code></td><td><div><p>The provider making the 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.ClaimsRequestor",
      "version" : "1.0.1-current",
      "name" : "IHE_FAIS_ClaimsRequestor",
      "title" : "IHE FAIS Claims 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 [Claims Requestor Actor](volume-1.html#claims-requestor).\n\nThe Claims Requestor files a pre-determination, pre-authorization, or claim for a patient, as well as cancel and re-process claims, and can query for responses when the result is queued.",
      "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 Claims Requestor provides capability to submit claim requests and query for claim 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" : "Claim",
              "supportedProfile" : [
                "https://profiles.ihe.net/ITI/FAIS/StructureDefinition/IHE.FAIS.Claim"
              ],
              "documentation" : "Supports these transactions:\n* [Submit Claim [ITI-126]](ITI-126.html)\n* [Cancel Claim [ITI-127]](ITI-127.html)\n* [Re-process Claim [ITI-128]](ITI-128.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.Claim.Submit",
                  "documentation" : "Submits a claim. FAIS Submit Claim transaction [[ITI-126]](ITI-126.html)."
                },
                {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                      "valueCode" : "SHALL"
                    }
                  ],
                  "name" : "cancel",
                  "definition" : "https://profiles.ihe.net/ITI/FAIS/OperationDefinition/IHE.FAIS.Claim.Cancel",
                  "documentation" : "Cancels a claim. FAIS Cancel Claim transaction [[ITI-127]](ITI-127.html)."
                },
                {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                      "valueCode" : "SHALL"
                    }
                  ],
                  "name" : "reprocess",
                  "definition" : "https://profiles.ihe.net/ITI/FAIS/OperationDefinition/IHE.FAIS.Claim.Reprocess",
                  "documentation" : "Re-processes a claim. FAIS Re-process Claim transaction [[ITI-128]](ITI-128.html)."
                }
              ]
            },
            {
              "type" : "ClaimResponse",
              "supportedProfile" : [
                "https://profiles.ihe.net/ITI/FAIS/StructureDefinition/IHE.FAIS.ClaimResponse"
              ],
              "documentation" : "FAIS Track Claim transaction [[ITI-129]](ITI-129.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 coverage eligiblity request"
                },
                {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                      "valueCode" : "MAY"
                    }
                  ],
                  "name" : "patient",
                  "type" : "reference",
                  "documentation" : "The beneficiary"
                },
                {
                  "extension" : [
                    {
                      "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                      "valueCode" : "MAY"
                    }
                  ],
                  "name" : "requestor",
                  "type" : "reference",
                  "documentation" : "The provider making the 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.