Finance and Insurance Service (FAIS)
1.0.1-current - ci-build
Finance and Insurance Service (FAIS)
1.0.1-current - ci-build
Finance and Insurance Service (FAIS), published by IHE IT Infrastructure Technical Committee. This guide is not an authorized publication; it is the continuous build for version 1.0.1-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IHE/ITI.Finance/ and changes regularly. See the Directory of published versions
| Official URL: https://profiles.ihe.net/ITI/FAIS/CapabilityStatement/IHE.FAIS.BeneficiaryRequestor | Version: 1.0.1-current | |||
| Active as of 2024-07-17 | Computable Name: IHE_FAIS_BeneficiaryRequestor | |||
CapabilityStatement for Beneficiary Requestor Actor.
The Beneficiary Requestor can enroll beneficiaries and optionally query insurance plans from a Beneficiary Manager.
Raw OpenAPI-Swagger Definition file | Download
Generated Narrative: CapabilityStatement IHE.FAIS.BeneficiaryRequestor
application/fhir+xml, application/fhir+jsonNote to Implementers: FHIR Capabilities
Any FHIR capability may be 'allowed' by the system unless explicitly marked as 'SHALL NOT'. A few items are marked as MAY in the Implementation Guide to highlight their potential relevance to the use case.
clientFAIS Beneficiary Requestor provides capability to query insurance plans, submit enrollment requests, and query for enrollment responses.
Recommend ATNA, encouraged IHE-IUA or SMART-app-launch
search-systeminteraction.The summary table lists the resources that are part of this configuration, and for each resource it lists:
_include_revinclude| Resource Type | Profile | R | S | U | C | Searches | _include | _revinclude | Operations |
|---|---|---|---|---|---|---|---|---|---|
| InsurancePlan | Supported Profiles FAIS InsurancePlan Profile | y | y | _lastUpdated, _id, status, type, name, identifier, administered-by, owned-by, network, coverage-area, benefit-type | |||||
| EnrollmentRequest | Supported Profiles FAIS EnrollmentRequest Profile | $submit | |||||||
| EnrollmentResponse | Supported Profiles FAIS EnrollmentResponse Profile | y | y | _lastUpdated, _id, status, request |
FAIS Query Insurance Plan transaction [ITI-121]
| Conformance | Parameter | Type | Documentation |
|---|---|---|---|
| MAY | _lastUpdated | date | When the resource version last changed. The values for this shall support these prefixes: gt, lt, ge, le, sa, and eb. |
| MAY | _id | token | Logical id of this artifact |
| MAY | status | token | The status of the Insurance Plan |
| MAY | type | token | The type of the Insurance Plan |
| MAY | name | string | The name of the Insurance Plan |
| MAY | identifier | token | The business identifiers of the Insurance Plan |
| MAY | administered-by | reference | Who administers the Insurance Plan |
| MAY | owned-by | reference | Who owns the Insurance Plan |
| MAY | network | reference | The Insurance Plan network |
| MAY | coverage-area | reference | The Insurance Plan coverage area |
| MAY | benefit-type | token | The Insurance Plan type of benefit |
FAIS Enroll Beneficiary transaction [ITI-122]
read, search-type.FAIS Check Enrollment Status transaction [ITI-123]
| Conformance | Parameter | Type | Documentation |
|---|---|---|---|
| MAY | _lastUpdated | date | When the resource version last changed. The values for this shall support these prefixes: gt, lt, ge, le, sa, and eb. |
| MAY | _id | token | Logical id of this artifact |
| MAY | status | token | The status of the response |
| MAY | request | reference | The enrollment request |
IG © 2024+ IHE IT Infrastructure Technical Committee. Package ihe.iti.fais#1.0.1-current based on FHIR 4.0.1. Generated 2024-11-22
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