FHIR Coverage Resource Search Functionality and Supported Profiles
Patient Access Coverage | Netsmart CareConnect
Summary
Netsmart CareConnect provides standard search functionality for the HL7 FHIR R4 Coverage resource. This API supports the US Core Coverage profile, allowing information retrieval based on patient ID or paying party (payor).
Details
This document details the technical specifications for the FHIR Coverage resource provided by Netsmart CareConnect. The Coverage resource is defined as a "Financial instrument which may be used to reimburse or pay for health care products and services" (HL7 FHIR R4 compliant). The API supports the US Core Coverage profile, offering standard CRUD operations in addition to search functionality. The search mechanism allows the use of parameters such as patient reference, page index, and paying party reference. Using the POST method is recommended, ensuring that sensitive health information is not included in the URL. Furthermore, the document specifies support status across various solutions like GEHRIMED and TheraOffice. This information serves as a technical guideline for healthcare institutions regarding the standardized acquisition and management of insurance coverage (Coverage) using FHIR format during system interoperability.
Original content copyright by respective publishers