Da Vinci Prior Authorization Support (PAS) FHIR IG
2.1.0 - STU 2.1 United States of America flag

This page is part of the Da Vinci Prior Authorization Support (PAS) FHIR IG (v2.1.0: STU 2) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: Intermediary PAS Capabilities - JSON Representation

Page standards status: Trial-use Maturity Level: 3

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{
  "resourceType" : "CapabilityStatement",
  "id" : "IntermediaryCapabilities",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CapabilityStatement IntermediaryCapabilities</b></p><a name=\"IntermediaryCapabilities\"> </a><a name=\"hcIntermediaryCapabilities\"> </a><a name=\"IntermediaryCapabilities-en-US\"> </a><h2 id=\"title\">Intermediary PAS Capabilities</h2><ul><li>Implementation Guide Version: 2.1.0 </li><li>FHIR Version: 4.0.1 </li><li>Supported Formats: <code>json</code>, <code>xml</code></li><li>Supported Patch Formats: </li><li>Published on: 2023-08-08 </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><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 class=\"lead\"><em>Summary of System-wide Interactions</em></div></div></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 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=\"POST a new resource (create interaction)\">C</b></th><th class=\"text-center\"><b title=\"DELETE a resource (delete interaction)\">D</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=\"#Claim1-1\">Claim</a></td><td>\u00a0</td><td class=\"text-center\"></td><td class=\"text-center\"></td><td class=\"text-center\"></td><td class=\"text-center\"></td><td class=\"text-center\"></td><td></td><td/><td/><td><code>$PAS Claim Request</code>, <code>$PAS Claim Inquiry</code></td></tr><tr><td><a href=\"#Subscription1-2\">Subscription</a></td><td>\u00a0</td><td class=\"text-center\"></td><td class=\"text-center\"></td><td class=\"text-center\">y</td><td class=\"text-center\">y</td><td class=\"text-center\">y</td><td></td><td/><td/><td/></tr></tbody></table></div><hr/><div class=\"panel panel-default\"><div class=\"panel-heading\"><h4 id=\"Claim1-1\" class=\"panel-title\"><span style=\"float: right;\">Resource Conformance: supported </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/></div></div><p/><p/><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-Claim-submit.html\">$PAS Claim Request</a></td><td><div/></td></tr><tr><td><b>SHALL</b></td><td><a href=\"OperationDefinition-Claim-inquiry.html\">$PAS Claim Inquiry</a></td><td><div/></td></tr></tbody></table></div></div></div></div></div><div class=\"panel panel-default\"><div class=\"panel-heading\"><h4 id=\"Subscription1-2\" class=\"panel-title\"><span style=\"float: right;\">Resource Conformance: supported </span>Subscription</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/subscription.html\">Subscription</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>Supports <code>create</code>, <code>update</code>, <code>delete</code>.</li></ul></div></div><p/><p/></div></div></div></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "fm"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger" : 3,
      "_valueInteger" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://hl7.org/fhir/us/davinci-pas/ImplementationGuide/hl7.fhir.us.davinci-pas"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode" : "trial-use",
      "_valueCode" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://hl7.org/fhir/us/davinci-pas/ImplementationGuide/hl7.fhir.us.davinci-pas"
          }
        ]
      }
    }
  ],
  "url" : "http://hl7.org/fhir/us/davinci-pas/CapabilityStatement/IntermediaryCapabilities",
  "version" : "2.1.0",
  "name" : "PASIntermediary",
  "title" : "Intermediary PAS Capabilities",
  "status" : "active",
  "experimental" : false,
  "date" : "2023-08-08",
  "publisher" : "HL7 International / Financial Management",
  "contact" : [
    {
      "name" : "HL7 International / Financial Management",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://hl7.org/Special/committees/fm"
        },
        {
          "system" : "email",
          "value" : "fmlists@lists.hl7.org"
        }
      ]
    },
    {
      "name" : "Jean Duteau",
      "telecom" : [
        {
          "system" : "email",
          "value" : "mailto:jean@duteaudesign.com"
        }
      ]
    },
    {
      "name" : "HL7 International / Financial Management",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fm"
        }
      ]
    }
  ],
  "description" : "Capabilities required for an Intermediary participating in a PAS Exchange.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US",
          "display" : "United States of America"
        }
      ]
    }
  ],
  "kind" : "requirements",
  "fhirVersion" : "4.0.1",
  "format" : [
    "json",
    "xml"
  ],
  "rest" : [
    {
      "mode" : "server",
      "resource" : [
        {
          "type" : "Claim",
          "operation" : [
            {
              "name" : "PAS Claim Request",
              "definition" : "http://hl7.org/fhir/us/davinci-pas/OperationDefinition/Claim-submit"
            },
            {
              "name" : "PAS Claim Inquiry",
              "definition" : "http://hl7.org/fhir/us/davinci-pas/OperationDefinition/Claim-inquiry"
            }
          ]
        },
        {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/uv/subscriptions-backport/StructureDefinition/capabilitystatement-subscriptiontopic-canonical",
              "valueCanonical" : "http://hl7.org/fhir/us/davinci-pas/SubscriptionTopic/PASSubscriptionTopic"
            }
          ],
          "type" : "Subscription",
          "interaction" : [
            {
              "code" : "create"
            },
            {
              "code" : "update"
            },
            {
              "code" : "delete"
            }
          ]
        }
      ]
    }
  ]
}