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-draft 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-draft | |||
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 |
Payer capability statement for the Da Vinci Patient Cost Transparency Implementation Guide
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Used by permission of HL7 International, all rights reserved Creative Commons License
Payer capability statement for the Da Vinci Patient Cost Transparency Implementation Guide
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♦ = SHALL expectation; ⋄ = SHOULD expectation; ▿ = MAY expectation;
Resource Type | Supported Interactions | Supported Profiles | Supported Searches | Supported _includes |
Supported _revincludes |
Supported Operations |
---|---|---|---|---|---|---|
Bundle | create▿, search-type♦, read♦, vread▿, update▿, patch▿, delete▿, history-instance▿, history-type▿, | PCT AEOB Packet, PCT GFE Bundle, PCT GFE Packet, | estimate-initiation-time♦, estimate-service♦, estimate-condition♦, linking-identifier♦, planned-period♦, | $GFESubmit♦ | ||
ExplanationOfBenefit | create▿, search-type♦, read♦, vread▿, update▿, patch▿, delete▿, history-instance▿, history-type▿, | PCT Advanced EOB♦, | ||||
Coverage | create▿, search-type♦, read♦, vread▿, update▿, patch▿, delete▿, history-instance▿, history-type▿, | PCT Coverage♦, | ||||
Claim | create▿, search-type♦, read♦, vread▿, update▿, patch▿, delete▿, history-instance▿, history-type▿, | PCT Good Faith Estimate Professional, PCT Good Faith Estimate Institutional, | ||||
Organization | create▿, search-type♦, read♦, vread▿, update▿, patch▿, delete▿, history-instance▿, history-type▿, | PCT Organization♦, | ||||
Practitioner | create▿, search-type♦, read♦, vread▿, update▿, patch▿, delete▿, history-instance▿, history-type▿, | PCT Practitioner♦, |
Conformance Expectation:
Supported Profiles:
Bundle Interaction Summary:
Modify Criteria:
create
interaction creating a Bundle resource using:
POST [base]/Bundle/[id]{?_format=[mime-type]}
PUT [base]/Bundle/[id]{?_format=[mime-type]}
PATCH [base]/Bundle/[id]{?_format=[mime-type]}
DELETE [base]//[id]
Fetch and Search Criteria:
search-type
interaction returning Bundle resources matching a search query using:
GET [base]/Bundle/[id]{?[parameters]{&_format=[mime-type]}}
read
interaction returning a Bundle resource using:
GET [base]/Bundle/[id]
vread
interaction returning a Bundle resource using:
GET [base]/Bundle/[id]/_history/vid
history-instance
interaction returning a history of a Bundle using:
GET [base]/Bundle/[id]/_history{?[parameters]&_format=[mime-type]}
history-type
interaction returning the history of Bundle resources using:
GET [base]/Bundle/_history{?[parameters]&_format=[mime-type]}
Search Parameter Summary:
Conformance | Parameter | Type | Example |
---|---|---|---|
SHALL | estimate-initiation-time | Date/DateTime |
GET [base]/Bundle?estimate-initiation-time=[dateTime]
|
SHALL | estimate-service | Token |
GET [base]/Bundle?estimate-service=[system]|[code]
|
SHALL | estimate-condition | Token |
GET [base]/Bundle?estimate-condition=[system]|[code]
|
SHALL | linking-identifier | Token |
GET [base]/Bundle?linking-identifier=[system]|[code]
|
SHALL | planned-period | Date/DateTime |
GET [base]/Bundle?planned-period=[dateTime]
|
Search Parameter Requirements (When Used Alone or in Combination):
Instant from which the request originating request was being initiated.
Significant Procedures and/or products involved in an estimate in the packet.
Significant condition involved in an estimate in the packet.
An identifier assigned to a particular service or series of services to enabling linking.
Planned date(s) of a particular admission/service or a series of admissions/services.
Conformance Expectation:
Supported Profiles:
Modify Criteria:
create
interaction creating a ExplanationOfBenefit resource using:
POST [base]/ExplanationOfBenefit/[id]{?_format=[mime-type]}
PUT [base]/ExplanationOfBenefit/[id]{?_format=[mime-type]}
PATCH [base]/ExplanationOfBenefit/[id]{?_format=[mime-type]}
DELETE [base]//[id]
Fetch and Search Criteria:
search-type
interaction returning ExplanationOfBenefit resources matching a search query using:
GET [base]/ExplanationOfBenefit/[id]{?[parameters]{&_format=[mime-type]}}
read
interaction returning a ExplanationOfBenefit resource using:
GET [base]/ExplanationOfBenefit/[id]
vread
interaction returning a ExplanationOfBenefit resource using:
GET [base]/ExplanationOfBenefit/[id]/_history/vid
history-instance
interaction returning a history of a ExplanationOfBenefit using:
GET [base]/ExplanationOfBenefit/[id]/_history{?[parameters]&_format=[mime-type]}
history-type
interaction returning the history of ExplanationOfBenefit resources using:
GET [base]/ExplanationOfBenefit/_history{?[parameters]&_format=[mime-type]}
Conformance Expectation:
Supported Profiles:
Modify Criteria:
create
interaction creating a Coverage resource using:
POST [base]/Coverage/[id]{?_format=[mime-type]}
PUT [base]/Coverage/[id]{?_format=[mime-type]}
PATCH [base]/Coverage/[id]{?_format=[mime-type]}
DELETE [base]//[id]
Fetch and Search Criteria:
search-type
interaction returning Coverage resources matching a search query using:
GET [base]/Coverage/[id]{?[parameters]{&_format=[mime-type]}}
read
interaction returning a Coverage resource using:
GET [base]/Coverage/[id]
vread
interaction returning a Coverage resource using:
GET [base]/Coverage/[id]/_history/vid
history-instance
interaction returning a history of a Coverage using:
GET [base]/Coverage/[id]/_history{?[parameters]&_format=[mime-type]}
history-type
interaction returning the history of Coverage resources using:
GET [base]/Coverage/_history{?[parameters]&_format=[mime-type]}
Conformance Expectation:
Supported Profiles:
Modify Criteria:
create
interaction creating a Claim resource using:
POST [base]/Claim/[id]{?_format=[mime-type]}
PUT [base]/Claim/[id]{?_format=[mime-type]}
PATCH [base]/Claim/[id]{?_format=[mime-type]}
DELETE [base]//[id]
Fetch and Search Criteria:
search-type
interaction returning Claim resources matching a search query using:
GET [base]/Claim/[id]{?[parameters]{&_format=[mime-type]}}
read
interaction returning a Claim resource using:
GET [base]/Claim/[id]
vread
interaction returning a Claim resource using:
GET [base]/Claim/[id]/_history/vid
history-instance
interaction returning a history of a Claim using:
GET [base]/Claim/[id]/_history{?[parameters]&_format=[mime-type]}
history-type
interaction returning the history of Claim resources using:
GET [base]/Claim/_history{?[parameters]&_format=[mime-type]}
Conformance Expectation:
Supported Profiles:
Modify Criteria:
create
interaction creating a Organization resource using:
POST [base]/Organization/[id]{?_format=[mime-type]}
PUT [base]/Organization/[id]{?_format=[mime-type]}
PATCH [base]/Organization/[id]{?_format=[mime-type]}
DELETE [base]//[id]
Fetch and Search Criteria:
search-type
interaction returning Organization resources matching a search query using:
GET [base]/Organization/[id]{?[parameters]{&_format=[mime-type]}}
read
interaction returning a Organization resource using:
GET [base]/Organization/[id]
vread
interaction returning a Organization resource using:
GET [base]/Organization/[id]/_history/vid
history-instance
interaction returning a history of a Organization using:
GET [base]/Organization/[id]/_history{?[parameters]&_format=[mime-type]}
history-type
interaction returning the history of Organization resources using:
GET [base]/Organization/_history{?[parameters]&_format=[mime-type]}
Conformance Expectation:
Supported Profiles:
Modify Criteria:
create
interaction creating a Practitioner resource using:
POST [base]/Practitioner/[id]{?_format=[mime-type]}
PUT [base]/Practitioner/[id]{?_format=[mime-type]}
PATCH [base]/Practitioner/[id]{?_format=[mime-type]}
DELETE [base]//[id]
Fetch and Search Criteria:
search-type
interaction returning Practitioner resources matching a search query using:
GET [base]/Practitioner/[id]{?[parameters]{&_format=[mime-type]}}
read
interaction returning a Practitioner resource using:
GET [base]/Practitioner/[id]
vread
interaction returning a Practitioner resource using:
GET [base]/Practitioner/[id]/_history/vid
history-instance
interaction returning a history of a Practitioner using:
GET [base]/Practitioner/[id]/_history{?[parameters]&_format=[mime-type]}
history-type
interaction returning the history of Practitioner resources using:
GET [base]/Practitioner/_history{?[parameters]&_format=[mime-type]}