Package | ihe.iti.fais |
Type | CapabilityStatement |
Id | IHE.FAIS.CoverageRequestor |
FHIR Version | R4 |
Source | https://profiles.ihe.net/ITI/FAIS/https://build.fhir.org/ig/IHE/ITI.Finance/CapabilityStatement-IHE.FAIS.CoverageRequestor.html |
URL | https://profiles.ihe.net/ITI/FAIS/CapabilityStatement/IHE.FAIS.CoverageRequestor |
Version | 1.0.1-current |
Status | active |
Date | 2024-07-17 |
Name | IHE_FAIS_CoverageRequestor |
Title | IHE FAIS Coverage Requestor |
Realm | uv |
Authority | ihe |
Description | CapabilityStatement for [Coverage Requestor Actor](volume-1.html#coverage-requestor). The Coverage Requestor checks for what coverage a patient has and can query for responses when the result is queued. |
Kind | requirements |
No resources found
OperationDefinition | |
IHE.FAIS.CoverageEligibilityRequest.Submit | FAIS Coverage Eligibility Request $submit |
StructureDefinition | |
IHE.FAIS.CoverageEligibilityRequest | FAIS CoverageEligibilityRequest Profile |
IHE.FAIS.CoverageEligibilityResponse | FAIS CoverageEligibilityResponse Profile |
Note: links and images are rebased to the (stated) source
Generated Narrative: CapabilityStatement IHE.FAIS.CoverageRequestor
application/fhir+xml
, application/fhir+json
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.
client
FAIS Coverage Requestor provides capability to submit coverage eligibility requests and query for coverage eligibility responses.
Recommend ATNA, encouraged IHE-IUA or SMART-app-launch
search-system
interaction.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 |
---|---|---|---|---|---|---|---|---|---|
CoverageEligibilityRequest | Supported Profiles FAIS CoverageEligibilityRequest Profile | $submit | |||||||
CoverageEligibilityResponse | Supported Profiles FAIS CoverageEligibilityResponse Profile | y | y | _lastUpdated, _id, status, request, patient, requestor |
FAIS Check Coverage Eligibility transaction [ITI-124]
read
, search-type
.FAIS Check Coverage Eligibility Status transaction [ITI-125]
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 coverage eligiblity request |
MAY | patient | reference | The beneficiary |
MAY | requestor | reference | The provider making the request |
{ "resourceType": "CapabilityStatement", "id": "IHE.FAIS.CoverageRequestor", "text": { "status": "extensions", "div": "<!-- snip (see above) -->" }, "url": "https://profiles.ihe.net/ITI/FAIS/CapabilityStatement/IHE.FAIS.CoverageRequestor", "version": "1.0.1-current", "name": "IHE_FAIS_CoverageRequestor", "title": "IHE FAIS Coverage 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 [Coverage Requestor Actor](volume-1.html#coverage-requestor).\n\nThe Coverage Requestor checks for what coverage a patient has 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 Coverage Requestor provides capability to submit coverage eligibility requests and query for coverage eligibility 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": "CoverageEligibilityRequest", "supportedProfile": [ "https://profiles.ihe.net/ITI/FAIS/StructureDefinition/IHE.FAIS.CoverageEligibilityRequest" ], "documentation": "FAIS Check Coverage Eligibility transaction [[ITI-124]](ITI-124.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.CoverageEligibilityRequest.Submit", "documentation": "Submits a coverage eligibility request to check the coverage of a beneficiary. FAIS Check Coverage Eligibility transaction [[ITI-124]](ITI-124.html)." } ] }, { "type": "CoverageEligibilityResponse", "supportedProfile": [ "https://profiles.ihe.net/ITI/FAIS/StructureDefinition/IHE.FAIS.CoverageEligibilityResponse" ], "documentation": "FAIS Check Coverage Eligibility Status transaction [[ITI-125]](ITI-125.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" } ] } ] }