Patient Cost Transparency Implementation Guide
2.0.0-ballot - STU 2 Ballot United States of America flag

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

Resource Profile: PCT AEOB Complete

Official URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-aeob-complete Version: 2.0.0-ballot
Standards status: Trial-use Computable Name: AEOBComplete
Other Identifiers: OID:2.16.840.1.113883.4.642.40.4.42.4

OperationOutcome returned from the gfeSubmit operation when the AEOB process is complete but no AEOB will be returned to the submitter (i.e. it was sent only to the patient)

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from OperationOutcome

NameFlagsCard.TypeDescription & Constraintsdoco
.. OperationOutcome 0..* OperationOutcome Information about the success/failure of an action
... issue
.... severity 1..1 code fatal | error | warning | information
Required Pattern: information
.... code 1..1 code Error or warning code
Required Pattern: processing
.... diagnostics 0..1 string Additional diagnostic information about the issue
Required Pattern: AEOB processing is complete, the AEOB will be sent directly to the patient. No AEOB will be returned to the submitter.

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. OperationOutcome 0..* OperationOutcome Information about the success/failure of an action
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... issue Σ 1..* BackboneElement A single issue associated with the action
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... severity Σ 1..1 code fatal | error | warning | information
Binding: IssueSeverity (required): How the issue affects the success of the action.


Required Pattern: information
.... code Σ 1..1 code Error or warning code
Binding: IssueType (required): A code that describes the type of issue.


Required Pattern: processing
.... diagnostics Σ 0..1 string Additional diagnostic information about the issue
Required Pattern: AEOB processing is complete, the AEOB will be sent directly to the patient. No AEOB will be returned to the submitter.

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
OperationOutcome.issue.severityrequiredPattern: information
http://hl7.org/fhir/ValueSet/issue-severity|4.0.1
from the FHIR Standard
OperationOutcome.issue.coderequiredPattern: processing
http://hl7.org/fhir/ValueSet/issue-type|4.0.1
from the FHIR Standard
NameFlagsCard.TypeDescription & Constraintsdoco
.. OperationOutcome 0..* OperationOutcome Information about the success/failure of an action
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... issue Σ 1..* BackboneElement A single issue associated with the action
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... severity Σ 1..1 code fatal | error | warning | information
Binding: IssueSeverity (required): How the issue affects the success of the action.


Required Pattern: information
.... code Σ 1..1 code Error or warning code
Binding: IssueType (required): A code that describes the type of issue.


Required Pattern: processing
.... details Σ 0..1 CodeableConcept Additional details about the error
Binding: OperationOutcomeCodes (example): A code that provides details as the exact issue.

.... diagnostics Σ 0..1 string Additional diagnostic information about the issue
Required Pattern: AEOB processing is complete, the AEOB will be sent directly to the patient. No AEOB will be returned to the submitter.
.... location Σ 0..* string Deprecated: Path of element(s) related to issue
.... expression Σ 0..* string FHIRPath of element(s) related to issue

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
OperationOutcome.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
OperationOutcome.issue.severityrequiredPattern: information
http://hl7.org/fhir/ValueSet/issue-severity|4.0.1
from the FHIR Standard
OperationOutcome.issue.coderequiredPattern: processing
http://hl7.org/fhir/ValueSet/issue-type|4.0.1
from the FHIR Standard
OperationOutcome.issue.detailsexampleOperationOutcomeCodes
http://hl7.org/fhir/ValueSet/operation-outcome
from the FHIR Standard

This structure is derived from OperationOutcome

Summary

Differential View

This structure is derived from OperationOutcome

NameFlagsCard.TypeDescription & Constraintsdoco
.. OperationOutcome 0..* OperationOutcome Information about the success/failure of an action
... issue
.... severity 1..1 code fatal | error | warning | information
Required Pattern: information
.... code 1..1 code Error or warning code
Required Pattern: processing
.... diagnostics 0..1 string Additional diagnostic information about the issue
Required Pattern: AEOB processing is complete, the AEOB will be sent directly to the patient. No AEOB will be returned to the submitter.

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. OperationOutcome 0..* OperationOutcome Information about the success/failure of an action
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... issue Σ 1..* BackboneElement A single issue associated with the action
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... severity Σ 1..1 code fatal | error | warning | information
Binding: IssueSeverity (required): How the issue affects the success of the action.


Required Pattern: information
.... code Σ 1..1 code Error or warning code
Binding: IssueType (required): A code that describes the type of issue.


Required Pattern: processing
.... diagnostics Σ 0..1 string Additional diagnostic information about the issue
Required Pattern: AEOB processing is complete, the AEOB will be sent directly to the patient. No AEOB will be returned to the submitter.

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
OperationOutcome.issue.severityrequiredPattern: information
http://hl7.org/fhir/ValueSet/issue-severity|4.0.1
from the FHIR Standard
OperationOutcome.issue.coderequiredPattern: processing
http://hl7.org/fhir/ValueSet/issue-type|4.0.1
from the FHIR Standard

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. OperationOutcome 0..* OperationOutcome Information about the success/failure of an action
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... issue Σ 1..* BackboneElement A single issue associated with the action
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... severity Σ 1..1 code fatal | error | warning | information
Binding: IssueSeverity (required): How the issue affects the success of the action.


Required Pattern: information
.... code Σ 1..1 code Error or warning code
Binding: IssueType (required): A code that describes the type of issue.


Required Pattern: processing
.... details Σ 0..1 CodeableConcept Additional details about the error
Binding: OperationOutcomeCodes (example): A code that provides details as the exact issue.

.... diagnostics Σ 0..1 string Additional diagnostic information about the issue
Required Pattern: AEOB processing is complete, the AEOB will be sent directly to the patient. No AEOB will be returned to the submitter.
.... location Σ 0..* string Deprecated: Path of element(s) related to issue
.... expression Σ 0..* string FHIRPath of element(s) related to issue

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
OperationOutcome.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
OperationOutcome.issue.severityrequiredPattern: information
http://hl7.org/fhir/ValueSet/issue-severity|4.0.1
from the FHIR Standard
OperationOutcome.issue.coderequiredPattern: processing
http://hl7.org/fhir/ValueSet/issue-type|4.0.1
from the FHIR Standard
OperationOutcome.issue.detailsexampleOperationOutcomeCodes
http://hl7.org/fhir/ValueSet/operation-outcome
from the FHIR Standard

This structure is derived from OperationOutcome

Summary

 

Other representations of profile: CSV, Excel, Schematron