Generated Narrative: CapabilityStatement davinci-pct version: 1; Last updated: 2023-03-28 19:21:32+0000 Patient Cost Transparency Implementation Guide Payer Capability Statement Implementation Guide Version: 2.0.0 FHIR Version: 4.0.1 Supported Formats: SHALL support json, SHOULD support xml Published on: 2023-03-28 14:21:32-0500 Published by: HL7 International / Financial Management Note 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. This CapabilityStatement imports the CapabilityStatement US Core Server CapabilityStatementversion: 7.0.0) FHIR RESTful Capabilities Mode: server Capabilities by Resource/Profile Summary The summary table lists the resources that are part of this configuration, and for each resource it lists: The relevant profiles (if any) The interactions supported by each resource (Read, Search, Update, and Create, are always shown, while VRead, Patch, Delete, History on Instance, or History on Type are only present if at least one of the resources has support for them. The required, recommended, and some optional search parameters (if any). The linked resources enabled for _include The other resources enabled for _revinclude The operations on the resource (if any) Resource Type Profile R V-R S U P C D H-I H-T Searches _include _revinclude Operations Bundle Supported Profiles PCT AEOB Packet PCT GFE Bundle PCT GFE Packet 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? DocumentReference Supported Profiles PCT AEOB Packet Document Reference PCT GFE Bundle PCT GFE Packet Y y? Y y? y? category, status, doc-status, type, date, patient, estimate-initiation-time, estimate-service, estimate-condition, linking-identifier, planned-period, author, relatesto Resource Conformance: SHALL Bundle Core FHIR Resource Bundle Reference Policy Interaction summary SHALL support search-type, read. MAY support create, vread, update, patch, delete, history-instance, history-type. Supported Profiles PCT AEOB Packet PCT GFE Bundle PCT GFE Packet Extended Operations 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. Resource Conformance: SHOULD ExplanationOfBenefit Core FHIR Resource ExplanationOfBenefit Reference Policy Interaction summary SHALL support search-type, read. MAY support create, vread, update, patch, delete, history-instance, history-type. Supported Profiles PCT Advanced EOB Resource Conformance: SHOULD Coverage Core FHIR Resource Coverage Reference Policy Interaction summary SHALL support search-type, read. MAY support create, vread, update, patch, delete, history-instance, history-type. Supported Profiles PCT Coverage Resource Conformance: SHOULD Claim Core FHIR Resource Claim Reference Policy Interaction summary SHALL support search-type, read. MAY support create, vread, update, patch, delete, history-instance, history-type. Supported Profiles PCT Good Faith Estimate Professional PCT Good Faith Estimate Institutional Resource Conformance: SHOULD Organization Core FHIR Resource Organization Reference Policy Interaction summary SHALL support search-type, read. MAY support create, vread, update, patch, delete, history-instance, history-type. Supported Profiles PCT Organization Resource Conformance: SHOULD Practitioner Core FHIR Resource Practitioner Reference Policy Interaction summary SHALL support search-type, read. MAY support create, vread, update, patch, delete, history-instance, history-type. Supported Profiles PCT Practitioner Resource Conformance: SHOULD DocumentReference Core FHIR Resource DocumentReference Reference Policy Interaction summary SHOULD support search-type, read. MAY support vread, history-instance, history-type. Supported Profiles PCT AEOB Packet Document Reference PCT GFE Bundle PCT GFE Packet Search Parameters Conformance Parameter Type Documentation SHALL category token Categorization of document. SHALL status token current | superseded | entered-in-error SHALL doc-status token preliminary | final | amended | entered-in-error SHALL type token Kind of document SHALL date date Kind of document SHALL patient reference Who/what is the subject of the document SHOULD estimate-initiation-time date Instant from which the request originating request was being initiated. SHOULD estimate-service token Significant Procedures and/or products involved in an estimate in the packet. SHOULD estimate-condition token Significant condition involved in an estimate in the packet. SHOULD linking-identifier token An identifier assigned to a particular service or series of services to enabling linking. SHOULD planned-period date Planned date(s) of a particular admission/service or a series of admissions/services. SHOULD author reference All involved authoring parties, including payer all Good Faith Estimate (GFE) providers. SHOULD relatesto reference Target of the relationship.
Patient Cost Transparency Implementation Guide Payer Capability Statement
HL7 International / Financial Management
Payer capability statement for the Da Vinci Patient Cost Transparency Implementation Guide
Used by permission of HL7 International, all rights reserved Creative Commons License
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.
preliminary | final | amended | entered-in-error
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.
All involved authoring parties, including payer all Good Faith Estimate (GFE) providers.