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
Mappings for the davinci-pct-coverage resource profile.
| PCTCoverage |
| Coverage | Entity. Role, or Act, Coverage |
| text | Act.text? |
| contained | N/A |
| extension | |
| extension (coverage-kind) | n/a, N/A |
| id | n/a |
| url | N/A |
| value[x] | N/A |
| modifierExtension | N/A |
| identifier | .id |
| id | n/a |
| extension | n/a |
| use | Role.code or implied by context |
| type | Role.code or implied by context |
| system | II.root or Role.id.root |
| value | II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) |
| period | Role.effectiveTime or implied by context |
| assigner | II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper |
| status | Act.status |
| subscriber | |
| id | n/a |
| extension | n/a |
| reference | N/A |
| type | N/A |
| identifier | .identifier |
| display | N/A |
| period | Act.effectiveTime |
| class | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| type | |
| class (group) | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| type | |
| class (plan) | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| type | |
| id | n/a |
| extension | n/a |
| coding | union(., ./translation) |
| text | ./originalText[mediaType/code="text/plain"]/data |
| costToBeneficiary | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| exception | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| contract | n/a |
| PCTCoverage |
| Coverage | |
| identifier | IN1-2 |
| use | N/A |
| type | CX.5 |
| system | CX.4 / EI-2-4 |
| value | CX.1 / EI.1 |
| period | CX.7 + CX.8 |
| assigner | CX.4 / (CX.4,CX.9,CX.10) |
| type | IN1-15 |
| policyHolder | IN1-16, 18, 19-name of insured, address, date of birth |
| subscriber | IN1-16, 18, 19-name of insured, address, date of birth |
| subscriberId | IN1-16, 18, 19-name of insured, address, date of birth |
| beneficiary | IN1-16, 18, 19-name of insured, address, date of birth |
| dependent | - No exact HL7 v2 equivalent concept seems to exist; |
| period | IN1-12 / IN1-13 |
| payor | IN1-3 |
| class | |
| type | |
| value | IN1-8 |
| name | IN1-8 |
| class (group) | |
| type | |
| value | IN1-8 |
| name | IN1-8 |
| class (plan) | |
| type | |
| coding | C*E.1-8, C*E.10-22 |
| text | C*E.9. But note many systems use C*E.2 for this |
| value | IN1-8 |
| name | IN1-8 |
| order | - No exact HL7 v2 equivalent concept seems to exist; |
| costToBeneficiary | |
| value[x] | IN1-8 |
| contract | IN1-16, 18, 19 |
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