Patient Cost Transparency Implementation Guide
2.0.0-ballot - STU 2 Ballot
Patient Cost Transparency Implementation Guide
2.0.0-ballot - STU 2 Ballot
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
| Official URL: http://hl7.org/fhir/us/davinci-pct/CapabilityStatement/davinci-pct | Version: 2.0.0-ballot | |||
| Standards status: Trial-use | Computable Name: PatientCostTransparencyCapabilityStatement | |||
| Other Identifiers: OID:2.16.840.1.113883.4.642.40.4.13.1 | ||||
Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License |
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Payer capability statement for the Da Vinci Patient Cost Transparency Implementation Guide
Raw OpenAPI-Swagger Definition file | Download
json, 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.
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 Bundle PCT GFE Bundle PCT GFE Collection Bundle | 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 |
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.http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-aeob
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.
IG © 2023+ HL7 International / Financial Management. Package hl7.fhir.us.davinci-pct#2.0.0-ballot based on FHIR 4.0.1. Generated 2024-04-08
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