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V2.0.0_Hospital_price_transparency_schema.json
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V2.0.0_Hospital_price_transparency_schema.json
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{
"$schema": "http://json-schema.org/draft-07/schema#",
"definitions": {
"code_information": {
"type": "object",
"properties": {
"code": {
"type": "string",
"minLength": 1
},
"type": {
"enum": [
"CPT",
"HCPCS",
"ICD",
"DRG",
"MS-DRG",
"R-DRG",
"S-DRG",
"APS-DRG",
"AP-DRG",
"APR-DRG",
"TRIS-DRG",
"APC",
"NDC",
"HIPPS",
"LOCAL",
"EAPG",
"CDT",
"RC",
"CDM"
],
"type": "string"
}
},
"required": [
"code",
"type"
]
},
"affirmation": {
"type": "object",
"properties": {
"affirmation": {
"const": "To the best of its knowledge and belief, the hospital has included all applicable standard charge information in accordance with the requirements of 45 CFR 180.50, and the information encoded is true, accurate, and complete as of the date indicated."
},
"confirm_affirmation": {
"type": "boolean"
}
},
"required": [
"affirmation",
"confirm_affirmation"
]
},
"license_information": {
"type": "object",
"properties": {
"license_number": {
"type": "string",
"minLength": 1
},
"state": {
"enum": [
"AL",
"AK",
"AS",
"AZ",
"AR",
"CA",
"CO",
"CT",
"DE",
"DC",
"FM",
"FL",
"GA",
"GU",
"HI",
"ID",
"IL",
"IN",
"IA",
"KS",
"KY",
"LA",
"ME",
"MH",
"MD",
"MA",
"MI",
"MN",
"MS",
"MO",
"MT",
"NE",
"NV",
"NH",
"NJ",
"NM",
"NY",
"NC",
"ND",
"MP",
"OH",
"OK",
"OR",
"PW",
"PA",
"PR",
"RI",
"SC",
"SD",
"TN",
"TX",
"UT",
"VT",
"VI",
"VA",
"WA",
"WV",
"WI",
"WY"
],
"type": "string"
}
},
"required": [
"state"
]
},
"standard_charges": {
"type": "object",
"properties": {
"minimum": {
"type": "number",
"exclusiveMinimum": 0
},
"maximum": {
"type": "number",
"exclusiveMinimum": 0
},
"gross_charge": {
"type": "number",
"exclusiveMinimum": 0
},
"discounted_cash": {
"type": "number",
"exclusiveMinimum": 0
},
"setting": {
"enum": [
"inpatient",
"outpatient",
"both"
],
"type": "string"
},
"payers_information": {
"type": "array",
"items": {
"$ref": "#/definitions/payers_information"
},
"minItems": 1
},
"additional_generic_notes": {
"type": "string"
}
},
"required": [
"setting"
]
},
"standard_charge_information": {
"type": "object",
"properties": {
"description": {
"type": "string",
"minLength": 1
},
"code_information": {
"type": "array",
"items": {
"$ref": "#/definitions/code_information"
},
"minItems": 1
},
"standard_charges": {
"type": "array",
"items": {
"$ref": "#/definitions/standard_charges"
},
"minItems": 1
}
},
"required": [
"description",
"code_information",
"standard_charges"
]
},
"payers_information": {
"type": "object",
"properties": {
"payer_name": {
"type": "string",
"minLength": 1
},
"plan_name": {
"type": "string",
"minLength": 1
},
"additional_payer_notes": {
"type": "string"
},
"standard_charge_dollar": {
"type": "number",
"exclusiveMinimum": 0
},
"standard_charge_algorithm": {
"type": "string"
},
"standard_charge_percentage": {
"type": "number",
"exclusiveMinimum": 0
},
"estimated_amount": {
"type": "number",
"exclusiveMinimum": 0
},
"methodology": {
"enum": [
"case rate",
"fee schedule",
"percent of total billed charges",
"per diem",
"other"
],
"type": "string"
}
},
"required": [
"payer_name",
"plan_name",
"methodology"
]
}
},
"type": "object",
"properties": {
"hospital_name": {
"type": "string",
"minLength": 1
},
"hospital_address": {
"type": "array",
"items": {
"type": "string"
},
"minItems": 1
},
"last_updated_on": {
"type": "string",
"format": "date"
},
"affirmation": {
"$ref": "#/definitions/affirmation"
},
"license_information": {
"$ref": "#/definitions/license_information"
},
"version": {
"type": "string",
"minLength": 1
},
"hospital_location": {
"type": "array",
"items": {
"type": "string"
},
"minItems": 1
},
"standard_charge_information": {
"type": "array",
"items": {
"$ref": "#/definitions/standard_charge_information"
},
"minItems": 1
}
},
"required": [
"hospital_name",
"standard_charge_information",
"last_updated_on",
"hospital_location",
"hospital_address",
"license_information",
"affirmation",
"version"
]
}