Patient Cost Transparency Implementation Guide
2.0.0-ballot - STU 2 Ballot
Patient Cost Transparency Implementation Guide
2.0.0-ballot - STU 2 Ballot
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: Trial-use | Maturity Level: 2 |
Mappings for the davinci-pct-gfe-institutional resource profile.
| PCTGFEInstitutional | ||
| Claim | Request | |
| identifier | Request.identifier | |
| identifier (PLAC) | Request.identifier | |
| identifier (INTER) | Request.identifier | |
| status | Request.status | |
| patient | Request.subject | |
| created | Request.authoredOn | |
| insurer | Request.performer | |
| provider | Request.requester | |
| priority | Request.priority | |
| related | ||
| claim | Request.replaces | |
| supportingInfo | Request.supportingInfo | |
| supportingInfo (typeOfBill) | Request.supportingInfo | |
| supportingInfo (serviceFacility) | Request.supportingInfo | |
| supportingInfo (drg) | Request.supportingInfo | |
| supportingInfo (pointoforigin) | Request.supportingInfo | |
| supportingInfo (admtype) | Request.supportingInfo | |
| diagnosis | Request.reasonReference | |
| diagnosis (principal) | Request.reasonReference | |
| diagnosis (admitting) | Request.reasonReference | |
| diagnosis (patientReasonForVisit) | Request.reasonReference | |
| diagnosis (externalcauseofinjury) | Request.reasonReference | |
| diagnosis (other) | Request.reasonReference | |
| insurance | ||
| identifier | Request.identifier | |
| item | ||
| encounter | Request.context | |
| PCTGFEInstitutional | ||
| Claim | ||
| identifier | FiveWs.identifier | |
| identifier (PLAC) | FiveWs.identifier | |
| identifier (INTER) | FiveWs.identifier | |
| status | FiveWs.status | |
| type | FiveWs.class | |
| subType | FiveWs.class | |
| use | FiveWs.class | |
| patient | FiveWs.subject[x], FiveWs.subject | |
| billablePeriod | FiveWs.done[x] | |
| created | FiveWs.recorded | |
| enterer | FiveWs.author | |
| provider | FiveWs.source | |
| referral | FiveWs.cause | |
| facility | FiveWs.where[x] | |
| careTeam | ||
| provider | FiveWs.actor | |
| careTeam (attending) | ||
| provider | FiveWs.actor | |
| careTeam (operating) | ||
| provider | FiveWs.actor | |
| careTeam (rendering) | ||
| provider | FiveWs.actor | |
| careTeam (referring) | ||
| provider | FiveWs.actor | |
| insurance | ||
| identifier | FiveWs.identifier | |
| item | ||
| serviced[x] | FiveWs.done[x] | |
| location[x] | FiveWs.where[x] | |
| location[x] (locationCodeableConcept) | FiveWs.where[x] | |
| PCTGFEInstitutional | ||
| Claim | Entity. Role, or Act | |
| text | Act.text? | |
| contained | N/A | |
| modifierExtension | N/A | |
| identifier | ||
| identifier (PLAC) | ||
| 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 | |
| identifier (INTER) | ||
| 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 | |
| provider | ||
| id | n/a | |
| reference | N/A | |
| type | N/A | |
| identifier | .identifier | |
| display | N/A | |
| related | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| payee | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| referral | ||
| id | n/a | |
| reference | N/A | |
| type | N/A | |
| identifier | .identifier | |
| display | N/A | |
| careTeam | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| careTeam (attending) | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| careTeam (operating) | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| careTeam (rendering) | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| careTeam (referring) | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| supportingInfo | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| supportingInfo (typeOfBill) | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| supportingInfo (serviceFacility) | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| supportingInfo (drg) | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| supportingInfo (pointoforigin) | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| supportingInfo (admtype) | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| diagnosis | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| diagnosis (principal) | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| diagnosis (admitting) | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| diagnosis (patientReasonForVisit) | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| diagnosis (externalcauseofinjury) | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| diagnosis (other) | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| procedure | ||
| id | n/a | |
| modifierExtension | N/A | |
| procedure (principal) | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| procedure (other) | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| insurance | Coverage | |
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| coverage | ||
| id | n/a | |
| extension | n/a | |
| extension (dataAbsentReason) | ANY.nullFlavor | |
| reference | N/A | |
| type | N/A | |
| identifier | .identifier | |
| display | N/A | |
| accident | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| location[x] | ||
| id | n/a | |
| extension | n/a | |
| use | unique(./use) | |
| type | unique(./use) | |
| text | ./formatted | |
| line | AD.part[parttype = AL] | |
| city | AD.part[parttype = CTY] | |
| district | AD.part[parttype = CNT | CPA] | |
| state | AD.part[parttype = STA] | |
| postalCode | AD.part[parttype = ZIP] | |
| country | AD.part[parttype = CNT] | |
| period | ./usablePeriod[type="IVL<TS>"] | |
| item | ||
| id | n/a | |
| modifierExtension | N/A | |
| detail | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| subDetail | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
IG © 2023+ HL7 International / Financial Management. Package hl7.fhir.us.davinci-pct#2.0.0-ballot based on FHIR 4.0.1. Generated 2024-07-17
Links: Table of Contents |
QA Report
| Version History |
|
Propose a change