Patient Cost Transparency Implementation Guide
2.0.0 - STU 2
Patient Cost Transparency Implementation Guide
2.0.0 - STU 2
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 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
| Page standards status: Trial-use | Maturity Level: 2 |
<CapabilityStatement xmlns="http://hl7.org/fhir">
<id value="davinci-pct"/>
<meta>
<versionId value="1"/>
<lastUpdated value="2023-03-28T19:21:32.176+00:00"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: CapabilityStatement davinci-pct</b></p><a name="davinci-pct"> </a><a name="hcdavinci-pct"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">version: 1; Last updated: 2023-03-28 19:21:32+0000</p></div><h2 id="title">Patient Cost Transparency Implementation Guide Payer Capability Statement</h2><ul><li>Implementation Guide Version: 2.0.0 </li><li>FHIR Version: 4.0.1 </li><li>Supported Formats: <strong>SHALL</strong> support <code>json</code>, <strong>SHOULD</strong> support <code>xml</code></li><li>Published on: 2023-03-28 14:21:32-0500 </li><li>Published by: HL7 International / Financial Management </li></ul><blockquote class="impl-note"><p><strong>Note to Implementers: FHIR Capabilities</strong></p><p>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.</p></blockquote><p>This CapabilityStatement imports the CapabilityStatement <a href="http://hl7.org/fhir/us/core/STU7/CapabilityStatement-us-core-server.html">US Core Server CapabilityStatementversion: null7.0.0)</a></p><h2 id="rest">FHIR RESTful Capabilities</h2><div class="panel panel-default"><div class="panel-heading"><h3 id="mode1" class="panel-title">Mode: <code>server</code></h3></div><div class="panel-body"/></div><h3 id="resourcesCap1">Capabilities by Resource/Profile</h3><h4 id="resourcesSummary1">Summary</h4><p>The summary table lists the resources that are part of this configuration, and for each resource it lists:</p><ul><li>The relevant profiles (if any)</li><li>The interactions supported by each resource (<b><span class="bg-info">R</span></b>ead, <b><span class="bg-info">S</span></b>earch, <b><span class="bg-info">U</span></b>pdate, and <b><span class="bg-info">C</span></b>reate, are always shown, while <b><span class="bg-info">VR</span></b>ead, <b><span class="bg-info">P</span></b>atch, <b><span class="bg-info">D</span></b>elete, <b><span class="bg-info">H</span></b>istory on <b><span class="bg-info">I</span></b>nstance, or <b><span class="bg-info">H</span></b>istory on <b><span class="bg-info">T</span></b>ype are only present if at least one of the resources has support for them.</li><li><span>The required, recommended, and some optional search parameters (if any). </span></li><li>The linked resources enabled for <code>_include</code></li><li>The other resources enabled for <code>_revinclude</code></li><li>The operations on the resource (if any)</li></ul><div class="table-responsive"><table class="table table-condensed table-hover"><thead><tr><th><b>Resource Type</b></th><th><b>Profile</b></th><th class="text-center"><b title="GET a resource (read interaction)">R</b></th><th class="text-center"><b title="GET past versions of resources (vread interaction)">V-R</b></th><th class="text-center"><b title="GET all set of resources of the type (search interaction)">S</b></th><th class="text-center"><b title="PUT a new resource version (update interaction)">U</b></th><th class="text-center"><b title="PATCH a new resource version (patch interaction)">P</b></th><th class="text-center"><b title="POST a new resource (create interaction)">C</b></th><th class="text-center"><b title="DELETE a resource (delete interaction)">D</b></th><th class="text-center"><b title="GET changes to a resource (history interaction on instance)">H-I</b></th><th class="text-center"><b title="GET changes for all resources of the type (history interaction on type)">H-T</b></th><th><b title="Required and recommended search parameters">Searches</b></th><th><code><b>_include</b></code></th><th><code><b>_revinclude</b></code></th><th><b>Operations</b></th></tr></thead><tbody><tr><td><a href="#DocumentReference1-1">DocumentReference</a></td><td>Supported Profiles<br/> <a href="StructureDefinition-davinci-pct-aeob-documentreference.html">PCT AEOB Packet Document Reference</a><br/> <a href="StructureDefinition-davinci-pct-gfe-bundle.html">PCT GFE Bundle</a><br/> <a href="StructureDefinition-davinci-pct-gfe-packet.html">PCT GFE Packet</a></td><td class="text-center"><span title="SHOULD">Y</span></td><td class="text-center"><span title="MAY">y?</span></td><td class="text-center"><span title="SHOULD">Y</span></td><td class="text-center"/><td class="text-center"><span title="MAY">y?</span></td><td class="text-center"/><td class="text-center"><span title="MAY">y?</span></td><td class="text-center"><span title="MAY">y?</span><span title="MAY">y?</span></td><td class="text-center"><span title="MAY">y?</span><span title="MAY">y?</span></td><td>category, status, doc-status, type, date, patient, estimate-initiation-time, estimate-service, estimate-condition, linking-identifier, planned-period, author, relatesto</td><td/><td/><td><code>$GFESubmit</code></td></tr><tr><td><a href="#ExplanationOfBenefit1-2">ExplanationOfBenefit</a></td><td>Supported Profiles<br/> <a href="StructureDefinition-davinci-pct-aeob.html">PCT Advanced EOB</a></td><td class="text-center"><span title="SHALL"><b>Y</b></span></td><td class="text-center"><span title="MAY">y?</span></td><td class="text-center"><span title="SHALL"><b>Y</b></span></td><td class="text-center"><span title="MAY">y?</span></td><td class="text-center"><span title="MAY">y?</span></td><td class="text-center"><span title="MAY">y?</span></td><td class="text-center"><span title="MAY">y?</span></td><td class="text-center"><span title="MAY">y?</span></td><td class="text-center"><span title="MAY">y?</span></td><td/><td/><td/><td/></tr><tr><td><a href="#Coverage1-3">Coverage</a></td><td>Supported Profiles<br/> <a href="StructureDefinition-davinci-pct-coverage.html">PCT Coverage</a></td><td class="text-center"><span title="SHALL"><b>Y</b></span></td><td class="text-center"><span title="MAY">y?</span></td><td class="text-center"><span title="SHALL"><b>Y</b></span></td><td class="text-center"><span title="MAY">y?</span></td><td class="text-center"><span title="MAY">y?</span></td><td class="text-center"><span title="MAY">y?</span></td><td class="text-center"><span title="MAY">y?</span></td><td class="text-center"><span title="MAY">y?</span></td><td class="text-center"><span title="MAY">y?</span></td><td/><td/><td/><td/></tr><tr><td><a href="#Claim1-4">Claim</a></td><td>Supported Profiles<br/> <a href="StructureDefinition-davinci-pct-gfe-professional.html">PCT Good Faith Estimate Professional</a><br/> <a href="StructureDefinition-davinci-pct-gfe-institutional.html">PCT Good Faith Estimate Institutional</a></td><td class="text-center"><span title="SHALL"><b>Y</b></span></td><td class="text-center"><span title="MAY">y?</span></td><td class="text-center"><span title="SHALL"><b>Y</b></span></td><td class="text-center"><span title="MAY">y?</span></td><td class="text-center"><span title="MAY">y?</span></td><td class="text-center"><span title="MAY">y?</span></td><td class="text-center"><span title="MAY">y?</span></td><td class="text-center"><span title="MAY">y?</span></td><td class="text-center"><span title="MAY">y?</span></td><td/><td/><td/><td/></tr><tr><td><a href="#Organization1-5">Organization</a></td><td>Supported Profiles<br/> <a href="StructureDefinition-davinci-pct-organization.html">PCT Organization</a></td><td class="text-center"><span title="SHALL"><b>Y</b></span></td><td class="text-center"><span title="MAY">y?</span></td><td class="text-center"><span title="SHALL"><b>Y</b></span></td><td class="text-center"><span title="MAY">y?</span></td><td class="text-center"><span title="MAY">y?</span></td><td class="text-center"><span title="MAY">y?</span></td><td class="text-center"><span title="MAY">y?</span></td><td class="text-center"><span title="MAY">y?</span></td><td class="text-center"><span title="MAY">y?</span></td><td/><td/><td/><td/></tr><tr><td><a href="#Practitioner1-6">Practitioner</a></td><td>Supported Profiles<br/> <a href="StructureDefinition-davinci-pct-practitioner.html">PCT Practitioner</a></td><td class="text-center"><span title="SHALL"><b>Y</b></span></td><td class="text-center"><span title="MAY">y?</span></td><td class="text-center"><span title="SHALL"><b>Y</b></span></td><td class="text-center"><span title="MAY">y?</span></td><td class="text-center"><span title="MAY">y?</span></td><td class="text-center"><span title="MAY">y?</span></td><td class="text-center"><span title="MAY">y?</span></td><td class="text-center"><span title="MAY">y?</span></td><td class="text-center"><span title="MAY">y?</span></td><td/><td/><td/><td/></tr></tbody></table></div><hr/><div class="panel panel-default"><div class="panel-heading"><h4 id="DocumentReference1-1" class="panel-title"><span style="float: right;">Resource Conformance: SHOULD </span>DocumentReference</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Core FHIR Resource</span><br/><a href="http://hl7.org/fhir/R4/documentreference.html">DocumentReference</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHOULD</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>MAY</strong> support <code>vread</code>, <code>history-instance</code>, <code>history-type</code>, <code>patch</code>, <code>delete</code>, <code>history-instance</code>, <code>history-type</code>.</li></ul></div></div><p/><div class="row"><div class="col-6"><span class="lead">Supported Profiles</span><p><a href="StructureDefinition-davinci-pct-aeob-documentreference.html">PCT AEOB Packet Document Reference</a><br/><a href="StructureDefinition-davinci-pct-gfe-bundle.html">PCT GFE Bundle</a><br/><a href="StructureDefinition-davinci-pct-gfe-packet.html">PCT GFE Packet</a></p></div></div><p/><div class="row"><div class="col-lg-7"><span class="lead">Search Parameters</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Parameter</th><th>Type</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/R4/documentreference.html#search">category</a></td><td><code>token</code></td><td><div><p>Categorization of document.</p>
</div></td></tr><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/R4/documentreference.html#search">status</a></td><td><code>token</code></td><td><div><p>current | superseded | entered-in-error</p>
</div></td></tr><tr><td><b>SHALL</b></td><td><a href="SearchParameter-DocumentReference-doc-status.html">doc-status</a></td><td><code>token</code></td><td><div><p>preliminary | final | amended | entered-in-error</p>
</div></td></tr><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/R4/documentreference.html#search">type</a></td><td><code>token</code></td><td><div><p>Kind of document</p>
</div></td></tr><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/R4/documentreference.html#search">date</a></td><td><code>date</code></td><td><div><p>Kind of document</p>
</div></td></tr><tr><td><b>SHALL</b></td><td><a href="http://hl7.org/fhir/R4/documentreference.html#search">patient</a></td><td><code>reference</code></td><td><div><p>Who/what is the subject of the document</p>
</div></td></tr><tr><td><b>SHOULD</b></td><td><a href="SearchParameter-packet-request-initiation-time.html">estimate-initiation-time</a></td><td><code>date</code></td><td><div><p>Instant from which the request originating request was being initiated.</p>
</div></td></tr><tr><td><b>SHOULD</b></td><td><a href="SearchParameter-packet-procedure-or-service.html">estimate-service</a></td><td><code>token</code></td><td><div><p>Significant Procedures and/or products involved in an estimate in the packet.</p>
</div></td></tr><tr><td><b>SHOULD</b></td><td><a href="SearchParameter-packet-condition.html">estimate-condition</a></td><td><code>token</code></td><td><div><p>Significant condition involved in an estimate in the packet.</p>
</div></td></tr><tr><td><b>SHOULD</b></td><td><a href="SearchParameter-packet-linking-identifier.html">linking-identifier</a></td><td><code>token</code></td><td><div><p>An identifier assigned to a particular service or series of services to enabling linking.</p>
</div></td></tr><tr><td><b>SHOULD</b></td><td><a href="SearchParameter-packet-PlannedPeriodOfService.html">planned-period</a></td><td><code>date</code></td><td><div><p>Planned date(s) of a particular admission/service or a series of admissions/services.</p>
</div></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/R4/documentreference.html#search">author</a></td><td><code>reference</code></td><td><div><p>All involved authoring parties, including payer all Good Faith Estimate (GFE) providers.</p>
</div></td></tr><tr><td><b>SHOULD</b></td><td><a href="http://hl7.org/fhir/R4/documentreference.html#search">relatesto</a></td><td><code>reference</code></td><td><div><p>Target of the relationship.</p>
</div></td></tr></tbody></table></div><div class="col-lg-5"> </div></div><div class="row"><div class="col-12"><span class="lead">Extended Operations</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Operation</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="OperationDefinition-GFE-submit.html">$GFESubmit</a></td><td><div><p>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 <a href="https://hl7.org/fhir/R5/async-bundle.html">async pattern</a>. 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.</p>
</div></td></tr></tbody></table></div></div></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="ExplanationOfBenefit1-2" class="panel-title"><span style="float: right;">Resource Conformance: SHOULD </span>ExplanationOfBenefit</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Core FHIR Resource</span><br/><a href="http://hl7.org/fhir/R4/explanationofbenefit.html">ExplanationOfBenefit</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>vread</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-instance</code>, <code>history-type</code>.</li></ul></div></div><p/><div class="row"><div class="col-6"><span class="lead">Supported Profiles</span><p><a href="StructureDefinition-davinci-pct-aeob.html">PCT Advanced EOB</a></p></div></div><p/></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="Coverage1-3" class="panel-title"><span style="float: right;">Resource Conformance: SHOULD </span>Coverage</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Core FHIR Resource</span><br/><a href="http://hl7.org/fhir/R4/coverage.html">Coverage</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>vread</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-instance</code>, <code>history-type</code>.</li></ul></div></div><p/><div class="row"><div class="col-6"><span class="lead">Supported Profiles</span><p><a href="StructureDefinition-davinci-pct-coverage.html">PCT Coverage</a></p></div></div><p/></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="Claim1-4" class="panel-title"><span style="float: right;">Resource Conformance: SHOULD </span>Claim</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Core FHIR Resource</span><br/><a href="http://hl7.org/fhir/R4/claim.html">Claim</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>vread</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-instance</code>, <code>history-type</code>.</li></ul></div></div><p/><div class="row"><div class="col-6"><span class="lead">Supported Profiles</span><p><a href="StructureDefinition-davinci-pct-gfe-professional.html">PCT Good Faith Estimate Professional</a><br/><a href="StructureDefinition-davinci-pct-gfe-institutional.html">PCT Good Faith Estimate Institutional</a></p></div></div><p/></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="Organization1-5" class="panel-title"><span style="float: right;">Resource Conformance: SHOULD </span>Organization</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Core FHIR Resource</span><br/><a href="http://hl7.org/fhir/R4/organization.html">Organization</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>vread</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-instance</code>, <code>history-type</code>.</li></ul></div></div><p/><div class="row"><div class="col-6"><span class="lead">Supported Profiles</span><p><a href="StructureDefinition-davinci-pct-organization.html">PCT Organization</a></p></div></div><p/></div></div></div><div class="panel panel-default"><div class="panel-heading"><h4 id="Practitioner1-6" class="panel-title"><span style="float: right;">Resource Conformance: SHOULD </span>Practitioner</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Core FHIR Resource</span><br/><a href="http://hl7.org/fhir/R4/practitioner.html">Practitioner</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul><li><strong>SHALL</strong> support <code>search-type</code>, <code>read</code>.</li><li><strong>MAY</strong> support <code>create</code>, <code>vread</code>, <code>update</code>, <code>patch</code>, <code>delete</code>, <code>history-instance</code>, <code>history-type</code>.</li></ul></div></div><p/><div class="row"><div class="col-6"><span class="lead">Supported Profiles</span><p><a href="StructureDefinition-davinci-pct-practitioner.html">PCT Practitioner</a></p></div></div><p/></div></div></div></div>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
<valueCode value="fm"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
<valueInteger value="2">
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
<valueCanonical
value="http://hl7.org/fhir/us/davinci-pct/ImplementationGuide/hl7.fhir.us.davinci-pct"/>
</extension>
</valueInteger>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
<valueCode value="trial-use">
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
<valueCanonical
value="http://hl7.org/fhir/us/davinci-pct/ImplementationGuide/hl7.fhir.us.davinci-pct"/>
</extension>
</valueCode>
</extension>
<url
value="http://hl7.org/fhir/us/davinci-pct/CapabilityStatement/davinci-pct"/>
<version value="2.0.0"/>
<name value="PatientCostTransparencyCapabilityStatement"/>
<title
value="Patient Cost Transparency Implementation Guide Payer Capability Statement"/>
<status value="active"/>
<date value="2023-03-28T14:21:32-05:00"/>
<publisher value="HL7 International / Financial Management"/>
<contact>
<name value="HL7 International / Financial Management"/>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/fm"/>
</telecom>
<telecom>
<system value="email"/>
<value value="fmlists@lists.hl7.org"/>
</telecom>
</contact>
<description
value="Payer capability statement for the Da Vinci Patient Cost Transparency Implementation Guide"/>
<jurisdiction>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="US"/>
</coding>
</jurisdiction>
<copyright
value="Used by permission of HL7 International, all rights reserved Creative Commons License"/>
<kind value="requirements"/>
<imports
value="http://hl7.org/fhir/us/core/CapabilityStatement/us-core-server|7.0.0"/>
<fhirVersion value="4.0.1"/>
<format value="json">
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
</format>
<format value="xml">
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
</format>
<rest>
<mode value="server"/>
<resource>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
<type value="DocumentReference"/>
<supportedProfile
value="http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-aeob-documentreference">🔗
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
</supportedProfile>
<supportedProfile
value="http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-gfe-bundle">🔗
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
</supportedProfile>
<supportedProfile
value="http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-gfe-packet">🔗
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
</supportedProfile>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
<code value="search-type"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
<code value="read"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="vread"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="history-instance"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="history-type"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="patch"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="delete"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="history-instance"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="history-type"/>
</interaction>
<searchParam>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
<name value="category"/>
<definition
value="http://hl7.org/fhir/SearchParameter/DocumentReference-category"/>
<type value="token"/>
<documentation value="Categorization of document."/>
</searchParam>
<searchParam>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
<name value="status"/>
<definition
value="http://hl7.org/fhir/SearchParameter/DocumentReference-status"/>
<type value="token"/>
<documentation value="current | superseded | entered-in-error"/>
</searchParam>
<searchParam>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
<name value="doc-status"/>
<definition
value="http://hl7.org/fhir/us/davinci-pct/SearchParameter/DocumentReference-doc-status"/>
<type value="token"/>
<documentation
value="preliminary | final | amended | entered-in-error"/>
</searchParam>
<searchParam>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
<name value="type"/>
<definition
value="http://hl7.org/fhir/SearchParameter/clinical-type"/>
<type value="token"/>
<documentation value="Kind of document"/>
</searchParam>
<searchParam>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
<name value="date"/>
<definition
value="http://hl7.org/fhir/SearchParameter/clinical-date"/>
<type value="date"/>
<documentation value="Kind of document"/>
</searchParam>
<searchParam>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
<name value="patient"/>
<definition
value="http://hl7.org/fhir/SearchParameter/clinical-patient"/>
<type value="reference"/>
<documentation value="Who/what is the subject of the document"/>
</searchParam>
<searchParam>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
<name value="estimate-initiation-time"/>
<definition
value="http://hl7.org/fhir/us/davinci-pct/SearchParameter/packet-request-initiation-time"/>
<type value="date"/>
<documentation
value="Instant from which the request originating request was being initiated."/>
</searchParam>
<searchParam>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
<name value="estimate-service"/>
<definition
value="http://hl7.org/fhir/us/davinci-pct/SearchParameter/packet-procedure-or-service"/>
<type value="token"/>
<documentation
value="Significant Procedures and/or products involved in an estimate in the packet."/>
</searchParam>
<searchParam>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
<name value="estimate-condition"/>
<definition
value="http://hl7.org/fhir/us/davinci-pct/SearchParameter/packet-condition"/>
<type value="token"/>
<documentation
value="Significant condition involved in an estimate in the packet."/>
</searchParam>
<searchParam>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
<name value="linking-identifier"/>
<definition
value="http://hl7.org/fhir/us/davinci-pct/SearchParameter/packet-linking-identifier"/>
<type value="token"/>
<documentation
value="An identifier assigned to a particular service or series of services to enabling linking."/>
</searchParam>
<searchParam>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
<name value="planned-period"/>
<definition
value="http://hl7.org/fhir/us/davinci-pct/SearchParameter/packet-PlannedPeriodOfService"/>
<type value="date"/>
<documentation
value="Planned date(s) of a particular admission/service or a series of admissions/services."/>
</searchParam>
<searchParam>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
<name value="author"/>
<definition
value="http://hl7.org/fhir/SearchParameter/DocumentReference-author"/>
<type value="reference"/>
<documentation
value="All involved authoring parties, including payer all Good Faith Estimate (GFE) providers."/>
</searchParam>
<searchParam>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
<name value="relatesto"/>
<definition
value="http://hl7.org/fhir/SearchParameter/DocumentReference-relatesto"/>
<type value="reference"/>
<documentation value="Target of the relationship."/>
</searchParam>
<operation>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
<name value="GFESubmit"/>
<definition
value="http://hl7.org/fhir/us/davinci-pct/OperationDefinition/GFE-submit"/>
<documentation
value="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](https://hl7.org/fhir/R5/async-bundle.html). 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."/>
</operation>
</resource>
<resource>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
<type value="ExplanationOfBenefit"/>
<supportedProfile
value="http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-aeob">🔗
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
</supportedProfile>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="create"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
<code value="search-type"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
<code value="read"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="vread"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="update"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="patch"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="delete"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="history-instance"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="history-type"/>
</interaction>
</resource>
<resource>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
<type value="Coverage"/>
<supportedProfile
value="http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-coverage">🔗
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
</supportedProfile>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="create"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
<code value="search-type"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
<code value="read"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="vread"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="update"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="patch"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="delete"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="history-instance"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="history-type"/>
</interaction>
</resource>
<resource>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
<type value="Claim"/>
<supportedProfile
value="http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-gfe-professional">🔗
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
</supportedProfile>
<supportedProfile
value="http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-gfe-institutional">🔗
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
</supportedProfile>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="create"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
<code value="search-type"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
<code value="read"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="vread"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="update"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="patch"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="delete"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="history-instance"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="history-type"/>
</interaction>
</resource>
<resource>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
<type value="Organization"/>
<supportedProfile
value="http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-organization">🔗
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
</supportedProfile>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="create"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
<code value="search-type"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
<code value="read"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="vread"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="update"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="patch"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="delete"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="history-instance"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="history-type"/>
</interaction>
</resource>
<resource>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHOULD"/>
</extension>
<type value="Practitioner"/>
<supportedProfile
value="http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-practitioner">🔗
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
</supportedProfile>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="create"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
<code value="search-type"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="SHALL"/>
</extension>
<code value="read"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="vread"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="update"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="patch"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="delete"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="history-instance"/>
</interaction>
<interaction>
<extension
url="http://hl7.org/fhir/StructureDefinition/capabilitystatement-expectation">
<valueCode value="MAY"/>
</extension>
<code value="history-type"/>
</interaction>
</resource>
</rest>
</CapabilityStatement>
IG © 2025+ HL7 International / Financial Management. Package hl7.fhir.us.davinci-pct#2.0.0 based on FHIR 4.0.1. Generated 2025-09-09
Links: Table of Contents |
QA Report
| Version History |
|
Propose a change