Patient Cost Transparency Implementation Guide
1.1.0 - STU 1 United States of America flag

This page is part of the Da Vinci Patient Cost Transparency Implementation Guide (v1.1.0: STU 1) 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

CapabilityStatement: Patient Cost Transparency Implementation Guide Capability Statement

Official URL: http://hl7.org/fhir/us/davinci-pct/CapabilityStatement/davinci-pct Version: 1.1.0
Standards status: Trial-use Computable Name: PatientCostTransparencyCapabilityStatement

Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License

Capability statement for the Da Vinci Patient Cost Transparency Implementation Guide

Raw OpenAPI-Swagger Definition file | Download

Patient Cost Transparency Implementation Guide Capability Statement

  • Implementation Guide Version: 1.1.0
  • FHIR Version: 4.0.1
  • Supported Formats: SHALL support json, SHOULD support xml
  • Supported Patch Formats:
  • Published on: Tue Mar 28 19:21:32 UTC 2023
  • 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.

FHIR RESTful Capabilities

Mode: server

Summary of System-wide Interactions

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 TypeProfileRV-RSUPCDH-IH-TSearches_include_revincludeOperations
BundleSupported profiles:
  PCT AEOB Bundle
  PCT GFE Bundle
yyyyyyyyy$GFESubmit
ExplanationOfBenefitSupported profiles:
  PCT Advanced EOB
yyyyyyyyy
CoverageSupported profiles:
  PCT Coverage
yyyyyyyyy
ClaimSupported profiles:
  PCT Good Faith Estimate Professional
  PCT Good Faith Estimate Institutional
yyyyyyyyy
OrganizationSupported profiles:
  PCT Organization
yyyyyyyyy
PractitionerSupported profiles:
  PCT Practitioner
yyyyyyyyy

Resource Conformance: SHALLBundle

Core FHIR Resource
Bundle
Reference Policy
Interaction summary
  • SHALL support search-type, read.
  • MAY support create, vread, update, patch, delete, history-instance, history-type.

Extended Operations
ConformanceOperationDocumentation
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: SHALLExplanationOfBenefit

Core FHIR Resource
ExplanationOfBenefit
Reference Policy
Interaction summary
  • SHALL support search-type, read.
  • MAY support create, vread, update, patch, delete, history-instance, history-type.

Resource Conformance: SHALLCoverage

Core FHIR Resource
Coverage
Reference Policy
Interaction summary
  • SHALL support search-type, read.
  • MAY support create, vread, update, patch, delete, history-instance, history-type.

Resource Conformance: SHALLClaim

Core FHIR Resource
Claim
Reference Policy
Interaction summary
  • SHALL support search-type, read.
  • MAY support create, vread, update, patch, delete, history-instance, history-type.

Resource Conformance: SHALLOrganization

Core FHIR Resource
Organization
Reference Policy
Interaction summary
  • SHALL support search-type, read.
  • MAY support create, vread, update, patch, delete, history-instance, history-type.

Resource Conformance: SHALLPractitioner

Core FHIR Resource
Practitioner
Reference Policy
Interaction summary
  • SHALL support search-type, read.
  • MAY support create, vread, update, patch, delete, history-instance, history-type.