Patient Cost Transparency Implementation Guide
2.0.0-ballot - STU 2 Ballot United States of America flag

Patient Cost Transparency Implementation Guide, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-pct/ and changes regularly. See the Directory of published versions

: Patient Cost Transparency Implementation Guide Payer Capability Statement - JSON Representation

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{
  "resourceType" : "CapabilityStatement",
  "id" : "davinci-pct",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2023-03-28T19:21:32.176+00:00"
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n    <!-- TODO \n    Jurisdiction \n    Prohibited extension - http://hl7.org/fhir/StructureDefinition/capabilitystatement-prohibited -->\n    <!-- set include_symbols = false to turn off confonrmance symbols and legen, true to turn on -->\n  \n  \n  <h2 id=\"title\">Patient Cost Transparency Implementation Guide Payer Capability Statement</h2>\n  <ul>\n    <li><b>Title:</b>Patient Cost Transparency Implementation Guide Payer Capability Statement</li>\n    <li><b>Implementation Guide Version:</b> 2.0.0-ballot</li>\n    <li><b>FHIR Version:</b> 4.0.1</li>\n    <li><b>Intended Use:</b> Requirements</li>\n    <li><b>Supported Formats: </b> \n\n    \n      \n      \n        <strong>SHALL</strong> support \n      \n      json;\n    \n      \n      \n        <strong>SHOULD</strong> support \n      \n      xml;\n    \n\n    </li>\n    \n    <li><b>Published:</b> 2023-03-28 14:21:32-0500</li>\n  \n    <li><b>Published by:</b> HL7 International / Financial Management</li>\n    <li><b>Status:</b> Active</li>\n    <li><b>Copyright:</b> <div><p>Used by permission of HL7 International, all rights reserved Creative Commons License</p>\n</div></li>\n  </ul>\n  <br/>\n\n\n\n  \n    <strong>Description:</strong> <div><div><p>Payer capability statement for the Da Vinci Patient Cost Transparency Implementation Guide</p>\n</div></div>\n  \n  <br/>\n  \n  \n\n\n  \n    <h3>Support and Requirements for Other Artifacts</h3>\n    \n    \n      <tr>\n        <th>Imports other capabilities:</th>\n        <td>\n          <ul>\n            \n              <li>\n                \n                <a href=\"http://hl7.org/fhir/us/core/STU3.1.1/CapabilityStatement-us-core-server.html\">US Core Server CapabilityStatement</a>\n              </li>\n            \n          </ul>\n        </td>\n      </tr>\n    \n    \n  \n\n  <br/>\n    <!-- TODO - Make this a summary of capabilities, including system wide and each paradigm -->\n  <p>\n    <b>Jump to:</b>\n  </p>\n  <ul>\n    \n      <li><a href=\"#Server\">REST Server</a></li>\n    \n    \n    \n  </ul>\n\n\n\n    <!-- REST Capabilities -->\n  \n    <br/>\n    <a name=\"Server\"> </a>\n    <h3 id=\"behavior\">FHIR Server RESTful Capabilities</h3>\n    \n\n      <!-- REST Security -->\n    \n\n      <!-- REST System wide Capabilities -->\n    \n      <h3>System-wide Server Capabilities</h3>\n    \n        <!-- REST System wide interactions -->\n      \n\n        <!-- REST System wide operations -->\n      \n\n\n        <!-- REST System wide search parameters -->\n      \n    \n\n\n\n      <!-- Resource Capabilities -->\n    \n\n      <h4>Summary of Resource/Profile Capabilities</h4>\n        <!-- TODO need include conformance verb legend -->\n      <p><i>♦ = <b>SHALL</b> expectation</i>; <i>⋄ = <b>SHOULD</b> expectation</i>; <i>▿ = <b>MAY</b> expectation</i>;</p>\n      <table class=\"grid\">\n        <thead>\n          <tr>\n            <th>Resource Type</th>\n            <th>Supported Interactions</th>\n            <th>Supported Profiles</th>\n            <th>Supported Searches</th>\n            <th>Supported <code>_includes</code></th>\n            <th>Supported <code>_revincludes</code></th>\n            <th>Supported Operations</th>\n          </tr>\n        </thead>\n        <tbody>\n          \n          <tr>\n            <td>\n              <a href=\"#Server_Bundle\"><span style=\"white-space: nowrap;\">Bundle<span title=\"null\"><sup/></span></span></a>\n            </td>\n\n              <!-- Supported Interactions -->\n            <td>\n              \n                \n                <span style=\"white-space: nowrap;\">create<span title=\"MAY\"><sup>▿</sup></span></span>,\n                \n                <span style=\"white-space: nowrap;\">search-type<span title=\"SHALL\"><sup>♦</sup></span></span>,\n                \n                <span style=\"white-space: nowrap;\">read<span title=\"SHALL\"><sup>♦</sup></span></span>,\n                \n                <span style=\"white-space: nowrap;\">vread<span title=\"MAY\"><sup>▿</sup></span></span>,\n                \n                <span style=\"white-space: nowrap;\">update<span title=\"MAY\"><sup>▿</sup></span></span>,\n                \n                <span style=\"white-space: nowrap;\">patch<span title=\"MAY\"><sup>▿</sup></span></span>,\n                \n                <span style=\"white-space: nowrap;\">delete<span title=\"MAY\"><sup>▿</sup></span></span>,\n                \n                <span style=\"white-space: nowrap;\">history-instance<span title=\"MAY\"><sup>▿</sup></span></span>,\n                \n                <span style=\"white-space: nowrap;\">history-type<span title=\"MAY\"><sup>▿</sup></span></span>,\n                \n              \n            </td>\n\n              <!-- Supported Profiles -->\n            <td>\n              \n                <a href=\"StructureDefinition-davinci-pct-aeob-bundle.html\">PCT AEOB Bundle</a><span title=\"SHALL, SHALL, SHALL\"><sup/></span>,\n                \n                \n                <a href=\"StructureDefinition-davinci-pct-gfe-bundle.html\">PCT GFE Bundle</a><span title=\"SHALL, SHALL, SHALL\"><sup/></span>,\n                \n                \n                <a href=\"StructureDefinition-davinci-pct-gfe-collection-bundle.html\">PCT GFE Collection Bundle</a><span title=\"SHALL, SHALL, SHALL\"><sup/></span>,\n                \n                \n              \n            </td>\n\n              <!-- Supported Searches will need to do some sort of mapping instead of join to get the expectations printed out -->\n            <td>\n              \n            </td>\n\n              <!-- Supported _includes -->\n            <td>\n              \n            </td>\n\n              <!-- Supported _revincludes -->\n            <td>\n              \n            </td>\n\n              <!-- Supported Operations -->\n            <td>\n              \n                \n                  <span style=\"white-space: nowrap;\">$GFESubmit<span title=\"SHALL\"><sup>♦</sup></span></span>\n                  \n                \n              \n            </td>\n          </tr>\n          \n          <tr>\n            <td>\n              <a href=\"#Server_ExplanationOfBenefit\"><span style=\"white-space: nowrap;\">ExplanationOfBenefit<span title=\"null\"><sup/></span></span></a>\n            </td>\n\n              <!-- Supported Interactions -->\n            <td>\n              \n                \n                <span style=\"white-space: nowrap;\">create<span title=\"MAY\"><sup>▿</sup></span></span>,\n                \n                <span style=\"white-space: nowrap;\">search-type<span title=\"SHALL\"><sup>♦</sup></span></span>,\n                \n                <span style=\"white-space: nowrap;\">read<span title=\"SHALL\"><sup>♦</sup></span></span>,\n                \n                <span style=\"white-space: nowrap;\">vread<span title=\"MAY\"><sup>▿</sup></span></span>,\n                \n                <span style=\"white-space: nowrap;\">update<span title=\"MAY\"><sup>▿</sup></span></span>,\n                \n                <span style=\"white-space: nowrap;\">patch<span title=\"MAY\"><sup>▿</sup></span></span>,\n                \n                <span style=\"white-space: nowrap;\">delete<span title=\"MAY\"><sup>▿</sup></span></span>,\n                \n                <span style=\"white-space: nowrap;\">history-instance<span title=\"MAY\"><sup>▿</sup></span></span>,\n                \n                <span style=\"white-space: nowrap;\">history-type<span title=\"MAY\"><sup>▿</sup></span></span>,\n                \n              \n            </td>\n\n              <!-- Supported Profiles -->\n            <td>\n              \n                <a href=\"StructureDefinition-davinci-pct-aeob.html\">PCT Advanced EOB</a><span title=\"SHALL\"><sup>♦</sup></span>,\n                \n                \n              \n            </td>\n\n              <!-- Supported Searches will need to do some sort of mapping instead of join to get the expectations printed out -->\n            <td>\n              \n            </td>\n\n              <!-- Supported _includes -->\n            <td>\n              \n            </td>\n\n              <!-- Supported _revincludes -->\n            <td>\n              \n            </td>\n\n              <!-- Supported Operations -->\n            <td>\n              \n            </td>\n          </tr>\n          \n          <tr>\n            <td>\n              <a href=\"#Server_Coverage\"><span style=\"white-space: nowrap;\">Coverage<span title=\"null\"><sup/></span></span></a>\n            </td>\n\n              <!-- Supported Interactions -->\n            <td>\n              \n                \n                <span style=\"white-space: nowrap;\">create<span title=\"MAY\"><sup>▿</sup></span></span>,\n                \n                <span style=\"white-space: nowrap;\">search-type<span title=\"SHALL\"><sup>♦</sup></span></span>,\n                \n                <span style=\"white-space: nowrap;\">read<span title=\"SHALL\"><sup>♦</sup></span></span>,\n                \n                <span style=\"white-space: nowrap;\">vread<span title=\"MAY\"><sup>▿</sup></span></span>,\n                \n                <span style=\"white-space: nowrap;\">update<span title=\"MAY\"><sup>▿</sup></span></span>,\n                \n                <span style=\"white-space: nowrap;\">patch<span title=\"MAY\"><sup>▿</sup></span></span>,\n                \n                <span style=\"white-space: nowrap;\">delete<span title=\"MAY\"><sup>▿</sup></span></span>,\n                \n                <span style=\"white-space: nowrap;\">history-instance<span title=\"MAY\"><sup>▿</sup></span></span>,\n                \n                <span style=\"white-space: nowrap;\">history-type<span title=\"MAY\"><sup>▿</sup></span></span>,\n                \n              \n            </td>\n\n              <!-- Supported Profiles -->\n            <td>\n              \n                <a href=\"StructureDefinition-davinci-pct-coverage.html\">PCT Coverage</a><span title=\"SHALL\"><sup>♦</sup></span>,\n                \n                \n              \n            </td>\n\n              <!-- Supported Searches will need to do some sort of mapping instead of join to get the expectations printed out -->\n            <td>\n              \n            </td>\n\n              <!-- Supported _includes -->\n            <td>\n              \n            </td>\n\n              <!-- Supported _revincludes -->\n            <td>\n              \n            </td>\n\n              <!-- Supported Operations -->\n            <td>\n              \n            </td>\n          </tr>\n          \n          <tr>\n            <td>\n              <a href=\"#Server_Claim\"><span style=\"white-space: nowrap;\">Claim<span title=\"null\"><sup/></span></span></a>\n            </td>\n\n              <!-- Supported Interactions -->\n            <td>\n              \n                \n                <span style=\"white-space: nowrap;\">create<span title=\"MAY\"><sup>▿</sup></span></span>,\n                \n                <span style=\"white-space: nowrap;\">search-type<span title=\"SHALL\"><sup>♦</sup></span></span>,\n                \n                <span style=\"white-space: nowrap;\">read<span title=\"SHALL\"><sup>♦</sup></span></span>,\n                \n                <span style=\"white-space: nowrap;\">vread<span title=\"MAY\"><sup>▿</sup></span></span>,\n                \n                <span style=\"white-space: nowrap;\">update<span title=\"MAY\"><sup>▿</sup></span></span>,\n                \n                <span style=\"white-space: nowrap;\">patch<span title=\"MAY\"><sup>▿</sup></span></span>,\n                \n                <span style=\"white-space: nowrap;\">delete<span title=\"MAY\"><sup>▿</sup></span></span>,\n                \n                <span style=\"white-space: nowrap;\">history-instance<span title=\"MAY\"><sup>▿</sup></span></span>,\n                \n                <span style=\"white-space: nowrap;\">history-type<span title=\"MAY\"><sup>▿</sup></span></span>,\n                \n              \n            </td>\n\n              <!-- Supported Profiles -->\n            <td>\n              \n                <a href=\"StructureDefinition-davinci-pct-gfe-professional.html\">PCT Good Faith Estimate Professional</a><span title=\"SHALL, SHALL\"><sup/></span>,\n                \n                \n                <a href=\"StructureDefinition-davinci-pct-gfe-institutional.html\">PCT Good Faith Estimate Institutional</a><span title=\"SHALL, SHALL\"><sup/></span>,\n                \n                \n              \n            </td>\n\n              <!-- Supported Searches will need to do some sort of mapping instead of join to get the expectations printed out -->\n            <td>\n              \n            </td>\n\n              <!-- Supported _includes -->\n            <td>\n              \n            </td>\n\n              <!-- Supported _revincludes -->\n            <td>\n              \n            </td>\n\n              <!-- Supported Operations -->\n            <td>\n              \n            </td>\n          </tr>\n          \n          <tr>\n            <td>\n              <a href=\"#Server_Organization\"><span style=\"white-space: nowrap;\">Organization<span title=\"null\"><sup/></span></span></a>\n            </td>\n\n              <!-- Supported Interactions -->\n            <td>\n              \n                \n                <span style=\"white-space: nowrap;\">create<span title=\"MAY\"><sup>▿</sup></span></span>,\n                \n                <span style=\"white-space: nowrap;\">search-type<span title=\"SHALL\"><sup>♦</sup></span></span>,\n                \n                <span style=\"white-space: nowrap;\">read<span title=\"SHALL\"><sup>♦</sup></span></span>,\n                \n                <span style=\"white-space: nowrap;\">vread<span title=\"MAY\"><sup>▿</sup></span></span>,\n                \n                <span style=\"white-space: nowrap;\">update<span title=\"MAY\"><sup>▿</sup></span></span>,\n                \n                <span style=\"white-space: nowrap;\">patch<span title=\"MAY\"><sup>▿</sup></span></span>,\n                \n                <span style=\"white-space: nowrap;\">delete<span title=\"MAY\"><sup>▿</sup></span></span>,\n                \n                <span style=\"white-space: nowrap;\">history-instance<span title=\"MAY\"><sup>▿</sup></span></span>,\n                \n                <span style=\"white-space: nowrap;\">history-type<span title=\"MAY\"><sup>▿</sup></span></span>,\n                \n              \n            </td>\n\n              <!-- Supported Profiles -->\n            <td>\n              \n                <a href=\"StructureDefinition-davinci-pct-organization.html\">PCT Organization</a><span title=\"SHALL\"><sup>♦</sup></span>,\n                \n                \n              \n            </td>\n\n              <!-- Supported Searches will need to do some sort of mapping instead of join to get the expectations printed out -->\n            <td>\n              \n            </td>\n\n              <!-- Supported _includes -->\n            <td>\n              \n            </td>\n\n              <!-- Supported _revincludes -->\n            <td>\n              \n            </td>\n\n              <!-- Supported Operations -->\n            <td>\n              \n            </td>\n          </tr>\n          \n          <tr>\n            <td>\n              <a href=\"#Server_Practitioner\"><span style=\"white-space: nowrap;\">Practitioner<span title=\"null\"><sup/></span></span></a>\n            </td>\n\n              <!-- Supported Interactions -->\n            <td>\n              \n                \n                <span style=\"white-space: nowrap;\">create<span title=\"MAY\"><sup>▿</sup></span></span>,\n                \n                <span style=\"white-space: nowrap;\">search-type<span title=\"SHALL\"><sup>♦</sup></span></span>,\n                \n                <span style=\"white-space: nowrap;\">read<span title=\"SHALL\"><sup>♦</sup></span></span>,\n                \n                <span style=\"white-space: nowrap;\">vread<span title=\"MAY\"><sup>▿</sup></span></span>,\n                \n                <span style=\"white-space: nowrap;\">update<span title=\"MAY\"><sup>▿</sup></span></span>,\n                \n                <span style=\"white-space: nowrap;\">patch<span title=\"MAY\"><sup>▿</sup></span></span>,\n                \n                <span style=\"white-space: nowrap;\">delete<span title=\"MAY\"><sup>▿</sup></span></span>,\n                \n                <span style=\"white-space: nowrap;\">history-instance<span title=\"MAY\"><sup>▿</sup></span></span>,\n                \n                <span style=\"white-space: nowrap;\">history-type<span title=\"MAY\"><sup>▿</sup></span></span>,\n                \n              \n            </td>\n\n              <!-- Supported Profiles -->\n            <td>\n              \n                <a href=\"StructureDefinition-davinci-pct-practitioner.html\">PCT Practitioner</a><span title=\"SHALL\"><sup>♦</sup></span>,\n                \n                \n              \n            </td>\n\n              <!-- Supported Searches will need to do some sort of mapping instead of join to get the expectations printed out -->\n            <td>\n              \n            </td>\n\n              <!-- Supported _includes -->\n            <td>\n              \n            </td>\n\n              <!-- Supported _revincludes -->\n            <td>\n              \n            </td>\n\n              <!-- Supported Operations -->\n            <td>\n              \n            </td>\n          </tr>\n          \n        </tbody>\n      </table>\n      <br/>\n\n      <h3 id=\"resource-details\" class=\"no_toc\">RESTful Server Capabilities by Resource/Profile:</h3>\n        <!-- Each REST Resource Detail -->\n      \n        <h4 id=\"Server_Bundle\" class=\"no_toc\">Bundle</h4>\n\n          <p>Conformance Expectation:\t<strong/></p>\n\n          \n\n          \n\n          <p>Supported Profiles:</p>\n            <ul>\n              \n                <li><strong>SHALL</strong> support \n                <a href=\"StructureDefinition-davinci-pct-aeob-bundle.html\">PCT AEOB Bundle</a>\n                </li>\n              \n                <li><strong>SHALL</strong> support \n                <a href=\"StructureDefinition-davinci-pct-gfe-bundle.html\">PCT GFE Bundle</a>\n                </li>\n              \n                <li><strong>SHALL</strong> support \n                <a href=\"StructureDefinition-davinci-pct-gfe-collection-bundle.html\">PCT GFE Collection Bundle</a>\n                </li>\n              \n            </ul>\n          \n      \n\n\n        <p>\n          \n\n          \n\n          \n\n          \n        </p>\n\n\n\n\n\n\n          <!-- Resource Interactions -->\n        <p>Bundle Interaction Summary:</p>\n          <ul>\n            \n              <li><strong>SHALL</strong> support search-type,  read, </li>\n            \n            \n            \n            \n              <li><strong>MAY</strong> support create,  vread,  update,  patch,  delete,  history-instance,  history-type, </li>\n            \n            \n          </ul>\n\n          \n            \n          \n            \n          \n            \n          \n            \n          \n            \n          \n            \n          \n            \n          \n            \n          \n            \n          \n        \n\n          <!-- Resource Operations -->\n        \n\n\n\n          <!-- TODO Nexted ul items do not appear with a subbullet style -->\n        \n          <br/>\n          <p>Modify Criteria:</p> \n          <ul>\n            \n              \n                <li>\n                  A Server <strong>MAY</strong> be capable of a <code>create</code> interaction creating a Bundle resource using:\n                  <code class=\"highlighter-rouge\">POST [base]/Bundle/[id]{?_format=[mime-type]}</code>\n                  \n                </li>\n              \n\n              \n\n              \n\n\n              \n\n            \n              \n\n              \n\n              \n\n\n              \n\n            \n              \n\n              \n\n              \n\n\n              \n\n            \n              \n\n              \n\n              \n\n\n              \n\n            \n              \n\n              \n                <li>\n                    <!-- TODO change note if server allows putting of a new one (with a specified ID) -->\n                  A Server <strong>MAY</strong> be capable of updating a existing Bundle resource using:\n                  <code class=\"highlighter-rouge\">PUT [base]/Bundle/[id]{?_format=[mime-type]}</code>\n                  \n                </li>\n              \n\n              \n\n\n              \n\n            \n              \n\n              \n\n              \n\n\n              \n                <li>\n                  A Server <strong>MAY</strong> be capable of patching an existing Bundle resource using:\n                  <code class=\"highlighter-rouge\">PATCH [base]/Bundle/[id]{?_format=[mime-type]}</code>\n                </li>\n              \n\n            \n              \n\n              \n\n              \n                <li>\n                  A Server <strong>MAY</strong> be capable of deleting a Bundle resource using:\n                  <code class=\"highlighter-rouge\">DELETE [base]//[id]</code>\n                  \n                </li>\n              \n\n\n              \n\n            \n              \n\n              \n\n              \n\n\n              \n\n            \n              \n\n              \n\n              \n\n\n              \n\n            \n          </ul>\n        \n\n\n        \n          <br/>\n          <p>Fetch and Search Criteria:</p>\n          <ul>\n            \n              \n              \n              \n              \n              \n            \n              \n              \n              \n                <li>\n                  A Server <strong>SHALL</strong> be capable of a <code>search-type</code> interaction returning Bundle resources matching a search query using:\n                  <code class=\"highlighter-rouge\">GET [base]/Bundle/[id]{?[parameters]{&amp;_format=[mime-type]}}</code>\n                </li>\n              \n              \n              \n            \n              \n                <li>\n                  A Server <strong>SHALL</strong> be capable of a <code>read</code> interaction returning a Bundle resource using:\n                  <code class=\"highlighter-rouge\">GET [base]/Bundle/[id]</code>\n                  \n                </li>\n              \n              \n              \n              \n              \n            \n              \n              \n                <li>\n                  A Server <strong>MAY</strong> be capable of a <code>vread</code> interaction returning a Bundle resource using:\n                  <code class=\"highlighter-rouge\">GET [base]/Bundle/[id]/_history/vid</code>\n                </li>\n              \n              \n              \n              \n            \n              \n              \n              \n              \n              \n            \n              \n              \n              \n              \n              \n            \n              \n              \n              \n              \n              \n            \n              \n              \n              \n              \n                <li>\n                  A Server <strong>MAY</strong> be capable of a <code>history-instance</code> interaction returning a history of a Bundle using:\n                  <code class=\"highlighter-rouge\">GET [base]/Bundle/[id]/_history{?[parameters]&amp;_format=[mime-type]}</code>\n                </li>\n              \n              \n            \n              \n              \n              \n              \n              \n                <li>\n                  A Server <strong>MAY</strong> be capable of a <code>history-type</code> interaction returning the history of Bundle resources using:\n                  <code class=\"highlighter-rouge\">GET [base]/Bundle/_history{?[parameters]&amp;_format=[mime-type]}</code>\n                </li>\n              \n            \n\n            \n\n            \n\n          </ul>\n        \n\n        \n\n          <!-- Search Combination -->\n        \n        \n        \n\n      \n        <h4 id=\"Server_ExplanationOfBenefit\" class=\"no_toc\">ExplanationOfBenefit</h4>\n\n          <p>Conformance Expectation:\t<strong/></p>\n\n          \n\n          \n\n          <p>Supported Profiles:</p>\n            <ul>\n              \n                <li><strong>SHALL</strong> support \n                <a href=\"StructureDefinition-davinci-pct-aeob.html\">PCT Advanced EOB</a>\n                </li>\n              \n            </ul>\n          \n      \n\n\n        <p>\n          \n\n          \n\n          \n\n          \n        </p>\n\n\n\n\n\n\n          <!-- Resource Interactions -->\n        \n\n          <!-- Resource Operations -->\n        \n\n\n\n          <!-- TODO Nexted ul items do not appear with a subbullet style -->\n        \n          <br/>\n          <p>Modify Criteria:</p> \n          <ul>\n            \n              \n                <li>\n                  A Server <strong>MAY</strong> be capable of a <code>create</code> interaction creating a ExplanationOfBenefit resource using:\n                  <code class=\"highlighter-rouge\">POST [base]/ExplanationOfBenefit/[id]{?_format=[mime-type]}</code>\n                  \n                </li>\n              \n\n              \n\n              \n\n\n              \n\n            \n              \n\n              \n\n              \n\n\n              \n\n            \n              \n\n              \n\n              \n\n\n              \n\n            \n              \n\n              \n\n              \n\n\n              \n\n            \n              \n\n              \n                <li>\n                    <!-- TODO change note if server allows putting of a new one (with a specified ID) -->\n                  A Server <strong>MAY</strong> be capable of updating a existing ExplanationOfBenefit resource using:\n                  <code class=\"highlighter-rouge\">PUT [base]/ExplanationOfBenefit/[id]{?_format=[mime-type]}</code>\n                  \n                </li>\n              \n\n              \n\n\n              \n\n            \n              \n\n              \n\n              \n\n\n              \n                <li>\n                  A Server <strong>MAY</strong> be capable of patching an existing ExplanationOfBenefit resource using:\n                  <code class=\"highlighter-rouge\">PATCH [base]/ExplanationOfBenefit/[id]{?_format=[mime-type]}</code>\n                </li>\n              \n\n            \n              \n\n              \n\n              \n                <li>\n                  A Server <strong>MAY</strong> be capable of deleting a ExplanationOfBenefit resource using:\n                  <code class=\"highlighter-rouge\">DELETE [base]//[id]</code>\n                  \n                </li>\n              \n\n\n              \n\n            \n              \n\n              \n\n              \n\n\n              \n\n            \n              \n\n              \n\n              \n\n\n              \n\n            \n          </ul>\n        \n\n\n        \n          <br/>\n          <p>Fetch and Search Criteria:</p>\n          <ul>\n            \n              \n              \n              \n              \n              \n            \n              \n              \n              \n                <li>\n                  A Server <strong>SHALL</strong> be capable of a <code>search-type</code> interaction returning ExplanationOfBenefit resources matching a search query using:\n                  <code class=\"highlighter-rouge\">GET [base]/ExplanationOfBenefit/[id]{?[parameters]{&amp;_format=[mime-type]}}</code>\n                </li>\n              \n              \n              \n            \n              \n                <li>\n                  A Server <strong>SHALL</strong> be capable of a <code>read</code> interaction returning a ExplanationOfBenefit resource using:\n                  <code class=\"highlighter-rouge\">GET [base]/ExplanationOfBenefit/[id]</code>\n                  \n                </li>\n              \n              \n              \n              \n              \n            \n              \n              \n                <li>\n                  A Server <strong>MAY</strong> be capable of a <code>vread</code> interaction returning a ExplanationOfBenefit resource using:\n                  <code class=\"highlighter-rouge\">GET [base]/ExplanationOfBenefit/[id]/_history/vid</code>\n                </li>\n              \n              \n              \n              \n            \n              \n              \n              \n              \n              \n            \n              \n              \n              \n              \n              \n            \n              \n              \n              \n              \n              \n            \n              \n              \n              \n              \n                <li>\n                  A Server <strong>MAY</strong> be capable of a <code>history-instance</code> interaction returning a history of a ExplanationOfBenefit using:\n                  <code class=\"highlighter-rouge\">GET [base]/ExplanationOfBenefit/[id]/_history{?[parameters]&amp;_format=[mime-type]}</code>\n                </li>\n              \n              \n            \n              \n              \n              \n              \n              \n                <li>\n                  A Server <strong>MAY</strong> be capable of a <code>history-type</code> interaction returning the history of ExplanationOfBenefit resources using:\n                  <code class=\"highlighter-rouge\">GET [base]/ExplanationOfBenefit/_history{?[parameters]&amp;_format=[mime-type]}</code>\n                </li>\n              \n            \n\n            \n\n            \n\n          </ul>\n        \n\n        \n\n          <!-- Search Combination -->\n        \n        \n        \n\n      \n        <h4 id=\"Server_Coverage\" class=\"no_toc\">Coverage</h4>\n\n          <p>Conformance Expectation:\t<strong/></p>\n\n          \n\n          \n\n          <p>Supported Profiles:</p>\n            <ul>\n              \n                <li><strong>SHALL</strong> support \n                <a href=\"StructureDefinition-davinci-pct-coverage.html\">PCT Coverage</a>\n                </li>\n              \n            </ul>\n          \n      \n\n\n        <p>\n          \n\n          \n\n          \n\n          \n        </p>\n\n\n\n\n\n\n          <!-- Resource Interactions -->\n        \n\n          <!-- Resource Operations -->\n        \n\n\n\n          <!-- TODO Nexted ul items do not appear with a subbullet style -->\n        \n          <br/>\n          <p>Modify Criteria:</p> \n          <ul>\n            \n              \n                <li>\n                  A Server <strong>MAY</strong> be capable of a <code>create</code> interaction creating a Coverage resource using:\n                  <code class=\"highlighter-rouge\">POST [base]/Coverage/[id]{?_format=[mime-type]}</code>\n                  \n                </li>\n              \n\n              \n\n              \n\n\n              \n\n            \n              \n\n              \n\n              \n\n\n              \n\n            \n              \n\n              \n\n              \n\n\n              \n\n            \n              \n\n              \n\n              \n\n\n              \n\n            \n              \n\n              \n                <li>\n                    <!-- TODO change note if server allows putting of a new one (with a specified ID) -->\n                  A Server <strong>MAY</strong> be capable of updating a existing Coverage resource using:\n                  <code class=\"highlighter-rouge\">PUT [base]/Coverage/[id]{?_format=[mime-type]}</code>\n                  \n                </li>\n              \n\n              \n\n\n              \n\n            \n              \n\n              \n\n              \n\n\n              \n                <li>\n                  A Server <strong>MAY</strong> be capable of patching an existing Coverage resource using:\n                  <code class=\"highlighter-rouge\">PATCH [base]/Coverage/[id]{?_format=[mime-type]}</code>\n                </li>\n              \n\n            \n              \n\n              \n\n              \n                <li>\n                  A Server <strong>MAY</strong> be capable of deleting a Coverage resource using:\n                  <code class=\"highlighter-rouge\">DELETE [base]//[id]</code>\n                  \n                </li>\n              \n\n\n              \n\n            \n              \n\n              \n\n              \n\n\n              \n\n            \n              \n\n              \n\n              \n\n\n              \n\n            \n          </ul>\n        \n\n\n        \n          <br/>\n          <p>Fetch and Search Criteria:</p>\n          <ul>\n            \n              \n              \n              \n              \n              \n            \n              \n              \n              \n                <li>\n                  A Server <strong>SHALL</strong> be capable of a <code>search-type</code> interaction returning Coverage resources matching a search query using:\n                  <code class=\"highlighter-rouge\">GET [base]/Coverage/[id]{?[parameters]{&amp;_format=[mime-type]}}</code>\n                </li>\n              \n              \n              \n            \n              \n                <li>\n                  A Server <strong>SHALL</strong> be capable of a <code>read</code> interaction returning a Coverage resource using:\n                  <code class=\"highlighter-rouge\">GET [base]/Coverage/[id]</code>\n                  \n                </li>\n              \n              \n              \n              \n              \n            \n              \n              \n                <li>\n                  A Server <strong>MAY</strong> be capable of a <code>vread</code> interaction returning a Coverage resource using:\n                  <code class=\"highlighter-rouge\">GET [base]/Coverage/[id]/_history/vid</code>\n                </li>\n              \n              \n              \n              \n            \n              \n              \n              \n              \n              \n            \n              \n              \n              \n              \n              \n            \n              \n              \n              \n              \n              \n            \n              \n              \n              \n              \n                <li>\n                  A Server <strong>MAY</strong> be capable of a <code>history-instance</code> interaction returning a history of a Coverage using:\n                  <code class=\"highlighter-rouge\">GET [base]/Coverage/[id]/_history{?[parameters]&amp;_format=[mime-type]}</code>\n                </li>\n              \n              \n            \n              \n              \n              \n              \n              \n                <li>\n                  A Server <strong>MAY</strong> be capable of a <code>history-type</code> interaction returning the history of Coverage resources using:\n                  <code class=\"highlighter-rouge\">GET [base]/Coverage/_history{?[parameters]&amp;_format=[mime-type]}</code>\n                </li>\n              \n            \n\n            \n\n            \n\n          </ul>\n        \n\n        \n\n          <!-- Search Combination -->\n        \n        \n        \n\n      \n        <h4 id=\"Server_Claim\" class=\"no_toc\">Claim</h4>\n\n          <p>Conformance Expectation:\t<strong/></p>\n\n          \n\n          \n\n          <p>Supported Profiles:</p>\n            <ul>\n              \n                <li><strong>SHALL</strong> support \n                <a href=\"StructureDefinition-davinci-pct-gfe-professional.html\">PCT Good Faith Estimate Professional</a>\n                </li>\n              \n                <li><strong>SHALL</strong> support \n                <a href=\"StructureDefinition-davinci-pct-gfe-institutional.html\">PCT Good Faith Estimate Institutional</a>\n                </li>\n              \n            </ul>\n          \n      \n\n\n        <p>\n          \n\n          \n\n          \n\n          \n        </p>\n\n\n\n\n\n\n          <!-- Resource Interactions -->\n        \n\n          <!-- Resource Operations -->\n        \n\n\n\n          <!-- TODO Nexted ul items do not appear with a subbullet style -->\n        \n          <br/>\n          <p>Modify Criteria:</p> \n          <ul>\n            \n              \n                <li>\n                  A Server <strong>MAY</strong> be capable of a <code>create</code> interaction creating a Claim resource using:\n                  <code class=\"highlighter-rouge\">POST [base]/Claim/[id]{?_format=[mime-type]}</code>\n                  \n                </li>\n              \n\n              \n\n              \n\n\n              \n\n            \n              \n\n              \n\n              \n\n\n              \n\n            \n              \n\n              \n\n              \n\n\n              \n\n            \n              \n\n              \n\n              \n\n\n              \n\n            \n              \n\n              \n                <li>\n                    <!-- TODO change note if server allows putting of a new one (with a specified ID) -->\n                  A Server <strong>MAY</strong> be capable of updating a existing Claim resource using:\n                  <code class=\"highlighter-rouge\">PUT [base]/Claim/[id]{?_format=[mime-type]}</code>\n                  \n                </li>\n              \n\n              \n\n\n              \n\n            \n              \n\n              \n\n              \n\n\n              \n                <li>\n                  A Server <strong>MAY</strong> be capable of patching an existing Claim resource using:\n                  <code class=\"highlighter-rouge\">PATCH [base]/Claim/[id]{?_format=[mime-type]}</code>\n                </li>\n              \n\n            \n              \n\n              \n\n              \n                <li>\n                  A Server <strong>MAY</strong> be capable of deleting a Claim resource using:\n                  <code class=\"highlighter-rouge\">DELETE [base]//[id]</code>\n                  \n                </li>\n              \n\n\n              \n\n            \n              \n\n              \n\n              \n\n\n              \n\n            \n              \n\n              \n\n              \n\n\n              \n\n            \n          </ul>\n        \n\n\n        \n          <br/>\n          <p>Fetch and Search Criteria:</p>\n          <ul>\n            \n              \n              \n              \n              \n              \n            \n              \n              \n              \n                <li>\n                  A Server <strong>SHALL</strong> be capable of a <code>search-type</code> interaction returning Claim resources matching a search query using:\n                  <code class=\"highlighter-rouge\">GET [base]/Claim/[id]{?[parameters]{&amp;_format=[mime-type]}}</code>\n                </li>\n              \n              \n              \n            \n              \n                <li>\n                  A Server <strong>SHALL</strong> be capable of a <code>read</code> interaction returning a Claim resource using:\n                  <code class=\"highlighter-rouge\">GET [base]/Claim/[id]</code>\n                  \n                </li>\n              \n              \n              \n              \n              \n            \n              \n              \n                <li>\n                  A Server <strong>MAY</strong> be capable of a <code>vread</code> interaction returning a Claim resource using:\n                  <code class=\"highlighter-rouge\">GET [base]/Claim/[id]/_history/vid</code>\n                </li>\n              \n              \n              \n              \n            \n              \n              \n              \n              \n              \n            \n              \n              \n              \n              \n              \n            \n              \n              \n              \n              \n              \n            \n              \n              \n              \n              \n                <li>\n                  A Server <strong>MAY</strong> be capable of a <code>history-instance</code> interaction returning a history of a Claim using:\n                  <code class=\"highlighter-rouge\">GET [base]/Claim/[id]/_history{?[parameters]&amp;_format=[mime-type]}</code>\n                </li>\n              \n              \n            \n              \n              \n              \n              \n              \n                <li>\n                  A Server <strong>MAY</strong> be capable of a <code>history-type</code> interaction returning the history of Claim resources using:\n                  <code class=\"highlighter-rouge\">GET [base]/Claim/_history{?[parameters]&amp;_format=[mime-type]}</code>\n                </li>\n              \n            \n\n            \n\n            \n\n          </ul>\n        \n\n        \n\n          <!-- Search Combination -->\n        \n        \n        \n\n      \n        <h4 id=\"Server_Organization\" class=\"no_toc\">Organization</h4>\n\n          <p>Conformance Expectation:\t<strong/></p>\n\n          \n\n          \n\n          <p>Supported Profiles:</p>\n            <ul>\n              \n                <li><strong>SHALL</strong> support \n                <a href=\"StructureDefinition-davinci-pct-organization.html\">PCT Organization</a>\n                </li>\n              \n            </ul>\n          \n      \n\n\n        <p>\n          \n\n          \n\n          \n\n          \n        </p>\n\n\n\n\n\n\n          <!-- Resource Interactions -->\n        \n\n          <!-- Resource Operations -->\n        \n\n\n\n          <!-- TODO Nexted ul items do not appear with a subbullet style -->\n        \n          <br/>\n          <p>Modify Criteria:</p> \n          <ul>\n            \n              \n                <li>\n                  A Server <strong>MAY</strong> be capable of a <code>create</code> interaction creating a Organization resource using:\n                  <code class=\"highlighter-rouge\">POST [base]/Organization/[id]{?_format=[mime-type]}</code>\n                  \n                </li>\n              \n\n              \n\n              \n\n\n              \n\n            \n              \n\n              \n\n              \n\n\n              \n\n            \n              \n\n              \n\n              \n\n\n              \n\n            \n              \n\n              \n\n              \n\n\n              \n\n            \n              \n\n              \n                <li>\n                    <!-- TODO change note if server allows putting of a new one (with a specified ID) -->\n                  A Server <strong>MAY</strong> be capable of updating a existing Organization resource using:\n                  <code class=\"highlighter-rouge\">PUT [base]/Organization/[id]{?_format=[mime-type]}</code>\n                  \n                </li>\n              \n\n              \n\n\n              \n\n            \n              \n\n              \n\n              \n\n\n              \n                <li>\n                  A Server <strong>MAY</strong> be capable of patching an existing Organization resource using:\n                  <code class=\"highlighter-rouge\">PATCH [base]/Organization/[id]{?_format=[mime-type]}</code>\n                </li>\n              \n\n            \n              \n\n              \n\n              \n                <li>\n                  A Server <strong>MAY</strong> be capable of deleting a Organization resource using:\n                  <code class=\"highlighter-rouge\">DELETE [base]//[id]</code>\n                  \n                </li>\n              \n\n\n              \n\n            \n              \n\n              \n\n              \n\n\n              \n\n            \n              \n\n              \n\n              \n\n\n              \n\n            \n          </ul>\n        \n\n\n        \n          <br/>\n          <p>Fetch and Search Criteria:</p>\n          <ul>\n            \n              \n              \n              \n              \n              \n            \n              \n              \n              \n                <li>\n                  A Server <strong>SHALL</strong> be capable of a <code>search-type</code> interaction returning Organization resources matching a search query using:\n                  <code class=\"highlighter-rouge\">GET [base]/Organization/[id]{?[parameters]{&amp;_format=[mime-type]}}</code>\n                </li>\n              \n              \n              \n            \n              \n                <li>\n                  A Server <strong>SHALL</strong> be capable of a <code>read</code> interaction returning a Organization resource using:\n                  <code class=\"highlighter-rouge\">GET [base]/Organization/[id]</code>\n                  \n                </li>\n              \n              \n              \n              \n              \n            \n              \n              \n                <li>\n                  A Server <strong>MAY</strong> be capable of a <code>vread</code> interaction returning a Organization resource using:\n                  <code class=\"highlighter-rouge\">GET [base]/Organization/[id]/_history/vid</code>\n                </li>\n              \n              \n              \n              \n            \n              \n              \n              \n              \n              \n            \n              \n              \n              \n              \n              \n            \n              \n              \n              \n              \n              \n            \n              \n              \n              \n              \n                <li>\n                  A Server <strong>MAY</strong> be capable of a <code>history-instance</code> interaction returning a history of a Organization using:\n                  <code class=\"highlighter-rouge\">GET [base]/Organization/[id]/_history{?[parameters]&amp;_format=[mime-type]}</code>\n                </li>\n              \n              \n            \n              \n              \n              \n              \n              \n                <li>\n                  A Server <strong>MAY</strong> be capable of a <code>history-type</code> interaction returning the history of Organization resources using:\n                  <code class=\"highlighter-rouge\">GET [base]/Organization/_history{?[parameters]&amp;_format=[mime-type]}</code>\n                </li>\n              \n            \n\n            \n\n            \n\n          </ul>\n        \n\n        \n\n          <!-- Search Combination -->\n        \n        \n        \n\n      \n        <h4 id=\"Server_Practitioner\" class=\"no_toc\">Practitioner</h4>\n\n          <p>Conformance Expectation:\t<strong/></p>\n\n          \n\n          \n\n          <p>Supported Profiles:</p>\n            <ul>\n              \n                <li><strong>SHALL</strong> support \n                <a href=\"StructureDefinition-davinci-pct-practitioner.html\">PCT Practitioner</a>\n                </li>\n              \n            </ul>\n          \n      \n\n\n        <p>\n          \n\n          \n\n          \n\n          \n        </p>\n\n\n\n\n\n\n          <!-- Resource Interactions -->\n        \n\n          <!-- Resource Operations -->\n        \n\n\n\n          <!-- TODO Nexted ul items do not appear with a subbullet style -->\n        \n          <br/>\n          <p>Modify Criteria:</p> \n          <ul>\n            \n              \n                <li>\n                  A Server <strong>MAY</strong> be capable of a <code>create</code> interaction creating a Practitioner resource using:\n                  <code class=\"highlighter-rouge\">POST [base]/Practitioner/[id]{?_format=[mime-type]}</code>\n                  \n                </li>\n              \n\n              \n\n              \n\n\n              \n\n            \n              \n\n              \n\n              \n\n\n              \n\n            \n              \n\n              \n\n              \n\n\n              \n\n            \n              \n\n              \n\n              \n\n\n              \n\n            \n              \n\n              \n                <li>\n                    <!-- TODO change note if server allows putting of a new one (with a specified ID) -->\n                  A Server <strong>MAY</strong> be capable of updating a existing Practitioner resource using:\n                  <code class=\"highlighter-rouge\">PUT [base]/Practitioner/[id]{?_format=[mime-type]}</code>\n                  \n                </li>\n              \n\n              \n\n\n              \n\n            \n              \n\n              \n\n              \n\n\n              \n                <li>\n                  A Server <strong>MAY</strong> be capable of patching an existing Practitioner resource using:\n                  <code class=\"highlighter-rouge\">PATCH [base]/Practitioner/[id]{?_format=[mime-type]}</code>\n                </li>\n              \n\n            \n              \n\n              \n\n              \n                <li>\n                  A Server <strong>MAY</strong> be capable of deleting a Practitioner resource using:\n                  <code class=\"highlighter-rouge\">DELETE [base]//[id]</code>\n                  \n                </li>\n              \n\n\n              \n\n            \n              \n\n              \n\n              \n\n\n              \n\n            \n              \n\n              \n\n              \n\n\n              \n\n            \n          </ul>\n        \n\n\n        \n          <br/>\n          <p>Fetch and Search Criteria:</p>\n          <ul>\n            \n              \n              \n              \n              \n              \n            \n              \n              \n              \n                <li>\n                  A Server <strong>SHALL</strong> be capable of a <code>search-type</code> interaction returning Practitioner resources matching a search query using:\n                  <code class=\"highlighter-rouge\">GET [base]/Practitioner/[id]{?[parameters]{&amp;_format=[mime-type]}}</code>\n                </li>\n              \n              \n              \n            \n              \n                <li>\n                  A Server <strong>SHALL</strong> be capable of a <code>read</code> interaction returning a Practitioner resource using:\n                  <code class=\"highlighter-rouge\">GET [base]/Practitioner/[id]</code>\n                  \n                </li>\n              \n              \n              \n              \n              \n            \n              \n              \n                <li>\n                  A Server <strong>MAY</strong> be capable of a <code>vread</code> interaction returning a Practitioner resource using:\n                  <code class=\"highlighter-rouge\">GET [base]/Practitioner/[id]/_history/vid</code>\n                </li>\n              \n              \n              \n              \n            \n              \n              \n              \n              \n              \n            \n              \n              \n              \n              \n              \n            \n              \n              \n              \n              \n              \n            \n              \n              \n              \n              \n                <li>\n                  A Server <strong>MAY</strong> be capable of a <code>history-instance</code> interaction returning a history of a Practitioner using:\n                  <code class=\"highlighter-rouge\">GET [base]/Practitioner/[id]/_history{?[parameters]&amp;_format=[mime-type]}</code>\n                </li>\n              \n              \n            \n              \n              \n              \n              \n              \n                <li>\n                  A Server <strong>MAY</strong> be capable of a <code>history-type</code> interaction returning the history of Practitioner resources using:\n                  <code class=\"highlighter-rouge\">GET [base]/Practitioner/_history{?[parameters]&amp;_format=[mime-type]}</code>\n                </li>\n              \n            \n\n            \n\n            \n\n          </ul>\n        \n\n        \n\n          <!-- Search Combination -->\n        \n        \n        \n\n      \n    \n\n\n\n  \n\n\n\n\n\n\n\n\n\n    <!-- Messaging Capabilities -->\n  \n\n    <!-- Document Capabilities -->\n  \n\n</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/davinci-pct/ImplementationGuide/hl7.fhir.us.davinci-pct"
          }
        ]
      }
    }
  ],
  "url" : "http://hl7.org/fhir/us/davinci-pct/CapabilityStatement/davinci-pct",
  "version" : "2.0.0-ballot",
  "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"
  ],
  "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" : [
        {
          "type" : "Bundle",
          "_type" : {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation",
                "valueCode" : "SHALL"
              }
            ]
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}