FHIR IG analytics| Package | hl7.fhir.us.davinci-pct |
| Resource Type | CapabilityStatement |
| Id | CapabilityStatement-davinci-pct.json |
| FHIR Version | R4 |
| Source | https://build.fhir.org/ig/HL7/davinci-pct/CapabilityStatement-davinci-pct.html |
| URL | http://hl7.org/fhir/us/davinci-pct/CapabilityStatement/davinci-pct |
| Version | 2.0.0 |
| Status | active |
| Date | 2023-03-28T14:21:32-05:00 |
| Name | PatientCostTransparencyCapabilityStatement |
| Title | Patient Cost Transparency Implementation Guide Payer Capability Statement |
| Realm | us |
| Authority | hl7 |
| Description | Payer capability statement for the Da Vinci Patient Cost Transparency Implementation Guide |
| Copyright | Used by permission of HL7 International, all rights reserved Creative Commons License |
| Kind | requirements |
No resources found
| CapabilityStatement | |
| us-core-server | US Core Server CapabilityStatement |
| OperationDefinition | |
| GFE-submit | Submit a GFE resource for the creation of an AEOB |
| SearchParameter | |
| DocumentReference-doc-status | DocumentReferenceDocStatus |
| packet-PlannedPeriodOfService | PacketPlannedPeriodOfService |
| packet-condition | PacketCondition |
| packet-linking-identifier | PacketLinkingIdentifier |
| packet-procedure-or-service | PacketProcedureOrService |
| packet-request-initiation-time | PacketRequestInitiationTime |
| StructureDefinition | |
| davinci-pct-aeob | PCT Advanced EOB |
| davinci-pct-aeob-documentreference | PCT AEOB Packet Document Reference |
| davinci-pct-aeob-packet | PCT AEOB Packet |
| davinci-pct-coverage | PCT Coverage |
| davinci-pct-gfe-bundle | PCT GFE Bundle |
| davinci-pct-gfe-institutional | PCT Good Faith Estimate Institutional |
| davinci-pct-gfe-packet | PCT GFE Packet |
| davinci-pct-gfe-professional | PCT Good Faith Estimate Professional |
| davinci-pct-organization | PCT Organization |
| davinci-pct-practitioner | PCT Practitioner |
Note: links and images are rebased to the (stated) source
Generated Narrative: CapabilityStatement davinci-pct
version: 1; Last updated: 2023-03-28 19:21:32+0000
FHIR
FHIRsmithjson, SHOULD support xmlNote 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.
This CapabilityStatement imports the CapabilityStatement US Core Server CapabilityStatementversion: 7.0.0)
serverThe summary table lists the resources that are part of this configuration, and for each resource it lists:
_include_revinclude| Resource Type | Profile | R | V-R | S | U | P | C | D | H-I | H-T | Searches | _include | _revinclude | Operations |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Bundle | Supported Profiles PCT AEOB Packet PCT GFE Bundle PCT GFE Packet | Y | y? | Y | y? | y? | y? | y? | y? | y? | $GFESubmit | |||
| ExplanationOfBenefit | Supported Profiles PCT Advanced EOB | Y | y? | Y | y? | y? | y? | y? | y? | y? | ||||
| Coverage | Supported Profiles PCT Coverage | Y | y? | Y | y? | y? | y? | y? | y? | y? | ||||
| Claim | Supported Profiles PCT Good Faith Estimate Professional PCT Good Faith Estimate Institutional | Y | y? | Y | y? | y? | y? | y? | y? | y? | ||||
| Organization | Supported Profiles PCT Organization | Y | y? | Y | y? | y? | y? | y? | y? | y? | ||||
| Practitioner | Supported Profiles PCT Practitioner | Y | y? | Y | y? | y? | y? | y? | y? | y? | ||||
| DocumentReference | Supported Profiles PCT AEOB Packet Document Reference PCT GFE Bundle PCT GFE Packet | Y | y? | Y | y? | y? | category, status, doc-status, type, date, patient, estimate-initiation-time, estimate-service, estimate-condition, linking-identifier, planned-period, author, relatesto |
search-type, read.create, vread, update, patch, delete, history-instance, history-type.| Conformance | Operation | Documentation |
|---|---|---|
| SHALL | $GFESubmit | This operation is used by an entity to submit one or multiple GFEs as a Bundle containing the GFE(s) and other referenced resources for processing. The only input parameter is the single Bundle resource with one or multiple GFE(s) - each of which is based on the Claim resource (along with other referenced resources). The only output is a url for subsequent polling per async pattern. If after polling the response is complete, then the result will either be a single Bundle with the AEOB - which is based on the ExplanationOfBenefit resource, (and other referenced resources) or an OperationOutcome resource indicating the AEOB will be sent directly to the patient. |
search-type, read.create, vread, update, patch, delete, history-instance, history-type.search-type, read.create, vread, update, patch, delete, history-instance, history-type.search-type, read.create, vread, update, patch, delete, history-instance, history-type.search-type, read.create, vread, update, patch, delete, history-instance, history-type.search-type, read.create, vread, update, patch, delete, history-instance, history-type.search-type, read.vread, history-instance, history-type.PCT AEOB Packet Document Reference
PCT GFE Bundle
PCT GFE Packet
| Conformance | Parameter | Type | Documentation |
|---|---|---|---|
| SHALL | category | token | Categorization of document. |
| SHALL | status | token | current | superseded | entered-in-error |
| SHALL | doc-status | token | preliminary | final | amended | entered-in-error |
| SHALL | type | token | Kind of document |
| SHALL | date | date | Kind of document |
| SHALL | patient | reference | Who/what is the subject of the document |
| SHOULD | estimate-initiation-time | date | Instant from which the request originating request was being initiated. |
| SHOULD | estimate-service | token | Significant Procedures and/or products involved in an estimate in the packet. |
| SHOULD | estimate-condition | token | Significant condition involved in an estimate in the packet. |
| SHOULD | linking-identifier | token | An identifier assigned to a particular service or series of services to enabling linking. |
| SHOULD | planned-period | date | Planned date(s) of a particular admission/service or a series of admissions/services. |
| SHOULD | author | reference | All involved authoring parties, including payer all Good Faith Estimate (GFE) providers. |
| SHOULD | relatesto | reference | Target of the relationship. |
{
"resourceType": "CapabilityStatement",
"id": "davinci-pct",
"meta": {
"versionId": "1",
"lastUpdated": "2023-03-28T19:21:32.176+00:00"
},
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode": "fm"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger": 2,
"_valueInteger": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueCanonical": "http://hl7.org/fhir/us/davinci-pct/ImplementationGuide/hl7.fhir.us.davinci-pct"
}
]
}
},
{
"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/davinci-pct/ImplementationGuide/hl7.fhir.us.davinci-pct"
}
]
}
}
],
"url": "http://hl7.org/fhir/us/davinci-pct/CapabilityStatement/davinci-pct",
"version": "2.0.0",
"name": "PatientCostTransparencyCapabilityStatement",
"title": "Patient Cost Transparency Implementation Guide Payer Capability Statement",
"status": "active",
"date": "2023-03-28T14:21:32-05:00",
"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": "fmlists@lists.hl7.org"
}
]
}
],
"description": "Payer capability statement for the Da Vinci Patient Cost Transparency Implementation Guide",
"jurisdiction": [
{
"coding": [
{
"system": "urn:iso:std:iso:3166",
"code": "US"
}
]
}
],
"copyright": "Used by permission of HL7 International, all rights reserved Creative Commons License",
"kind": "requirements",
"imports": [
"http://hl7.org/fhir/us/core/CapabilityStatement/us-core-server|7.0.0"
],
"fhirVersion": "4.0.1",
"format": [
"json",
"xml"
],
"_format": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "SHALL"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "SHOULD"
}
]
}
],
"rest": [
{
"mode": "server",
"resource": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "SHALL"
}
],
"type": "Bundle",
"supportedProfile": [
"http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-aeob-packet",
"http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-gfe-bundle",
"http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-gfe-packet"
],
"_supportedProfile": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "SHALL"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "SHOULD"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "SHOULD"
}
]
}
],
"interaction": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "MAY"
}
],
"code": "create"
},
{
"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": "MAY"
}
],
"code": "vread"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "MAY"
}
],
"code": "update"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "MAY"
}
],
"code": "patch"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "MAY"
}
],
"code": "delete"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "MAY"
}
],
"code": "history-instance"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "MAY"
}
],
"code": "history-type"
}
],
"operation": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "SHALL"
}
],
"name": "GFESubmit",
"definition": "http://hl7.org/fhir/us/davinci-pct/OperationDefinition/GFE-submit",
"documentation": "This operation is used by an entity to submit one or multiple GFEs as a Bundle containing the GFE(s) and other referenced resources for processing. The only input parameter is the single Bundle resource with one or multiple GFE(s) - each of which is based on the Claim resource (along with other referenced resources). The only output is a url for subsequent polling per [async pattern](https://hl7.org/fhir/R5/async-bundle.html). If after polling the response is complete, then the result will either be a single Bundle with the AEOB - which is based on the ExplanationOfBenefit resource, (and other referenced resources) or an OperationOutcome resource indicating the AEOB will be sent directly to the patient."
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "SHOULD"
}
],
"type": "ExplanationOfBenefit",
"supportedProfile": [
"http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-aeob"
],
"_supportedProfile": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "SHALL"
}
]
}
],
"interaction": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "MAY"
}
],
"code": "create"
},
{
"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": "MAY"
}
],
"code": "vread"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "MAY"
}
],
"code": "update"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "MAY"
}
],
"code": "patch"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "MAY"
}
],
"code": "delete"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "MAY"
}
],
"code": "history-instance"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "MAY"
}
],
"code": "history-type"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "SHOULD"
}
],
"type": "Coverage",
"supportedProfile": [
"http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-coverage"
],
"_supportedProfile": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "SHALL"
}
]
}
],
"interaction": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "MAY"
}
],
"code": "create"
},
{
"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": "MAY"
}
],
"code": "vread"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "MAY"
}
],
"code": "update"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "MAY"
}
],
"code": "patch"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "MAY"
}
],
"code": "delete"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "MAY"
}
],
"code": "history-instance"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "MAY"
}
],
"code": "history-type"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "SHOULD"
}
],
"type": "Claim",
"supportedProfile": [
"http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-gfe-professional",
"http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-gfe-institutional"
],
"_supportedProfile": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "SHALL"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "SHALL"
}
]
}
],
"interaction": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "MAY"
}
],
"code": "create"
},
{
"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": "MAY"
}
],
"code": "vread"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "MAY"
}
],
"code": "update"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "MAY"
}
],
"code": "patch"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "MAY"
}
],
"code": "delete"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "MAY"
}
],
"code": "history-instance"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "MAY"
}
],
"code": "history-type"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "SHOULD"
}
],
"type": "Organization",
"supportedProfile": [
"http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-organization"
],
"_supportedProfile": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "SHALL"
}
]
}
],
"interaction": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "MAY"
}
],
"code": "create"
},
{
"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": "MAY"
}
],
"code": "vread"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "MAY"
}
],
"code": "update"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "MAY"
}
],
"code": "patch"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "MAY"
}
],
"code": "delete"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "MAY"
}
],
"code": "history-instance"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "MAY"
}
],
"code": "history-type"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "SHOULD"
}
],
"type": "Practitioner",
"supportedProfile": [
"http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-practitioner"
],
"_supportedProfile": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "SHALL"
}
]
}
],
"interaction": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "MAY"
}
],
"code": "create"
},
{
"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": "MAY"
}
],
"code": "vread"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "MAY"
}
],
"code": "update"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "MAY"
}
],
"code": "patch"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "MAY"
}
],
"code": "delete"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "MAY"
}
],
"code": "history-instance"
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "MAY"
}
],
"code": "history-type"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
"valueCode": "SHOULD"
}
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{
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