Patient Cost Transparency Implementation Guide, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-pct/ and changes regularly. See the Directory of published versions
Page standards status: Informative |
Generated Narrative: Claim PCT-GFE-Summary-MRI
status: Active
type: Estimate Summary
use: Predetermination
patient: Eve Betterhalf Female, DoB: 1955-07-23 ( http://example.com/identifiers/patient#1001)
billablePeriod: 2021-10-31 --> (ongoing)
created: 2021-10-05
insurer: Organization Umbrella Insurance Company
provider: ??
priority: Normal
Sequence | Diagnosis[x] | Type | PackageCode |
1 | Unspecified focal traumatic brain injury | Principal Diagnosis | Head trauma - concussion |
Sequence | Focal | Coverage |
1 | true | Coverage: extension = insurance,false; status = active; subscriberId = PFP123450000; relationship = Self; period = 2021-01-01 --> 2022-01-01 |
Value | Currency |
200 | United States dollar |