Patient Cost Transparency Implementation Guide
2.0.0-draft - STU 2 - Draft 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-draft 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

Extension: GFEConsentForBalanceBilling

Official URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/gfeConsentForBalanceBilling Version: 2.0.0-draft
Standards status: Trial-use Computable Name: GFEConsentForBalanceBilling
Other Identifiers: OID:2.16.840.1.113883.4.642.40.4.42.26

If the provider has received a written consent form indicating a patient has agreed to waive their protections and pay up to the full cost for the out-of-network item or service, this will be “true”. If the provider has not received written consent, this will be “false”. This is an attestation only. The billing provider is legally required to maintain the written notice and consent form.

Context of Use

    This extension may be used on the following element(s)

Usage info

Usages:

Changes since version 1.1.0:

  • No changes

    • Formal Views of Extension Content

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

    This structure is derived from Extension

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Extension 0..* Extension Extension
    ... extension 0..0
    ... url 1..1 uri "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/gfeConsentForBalanceBilling"
    ... value[x] 1..1 boolean Value of extension

    doco Documentation for this format
    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Extension 0..* Extension Extension
    ... id 0..1 string Unique id for inter-element referencing
    ... extension 0..0
    ... url 1..1 uri "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/gfeConsentForBalanceBilling"
    ... value[x] 1..1 boolean Value of extension

    doco Documentation for this format

    This structure is derived from Extension

    Summary

    Simple Extension with the type boolean: If the provider has received a written consent form indicating a patient has agreed to waive their protections and pay up to the full cost for the out-of-network item or service, this will be “true”. If the provider has not received written consent, this will be “false”. This is an attestation only. The billing provider is legally required to maintain the written notice and consent form.

    Differential View

    This structure is derived from Extension

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Extension 0..* Extension Extension
    ... extension 0..0
    ... url 1..1 uri "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/gfeConsentForBalanceBilling"
    ... value[x] 1..1 boolean Value of extension

    doco Documentation for this format

    Snapshot View

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Extension 0..* Extension Extension
    ... id 0..1 string Unique id for inter-element referencing
    ... extension 0..0
    ... url 1..1 uri "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/gfeConsentForBalanceBilling"
    ... value[x] 1..1 boolean Value of extension

    doco Documentation for this format

    This structure is derived from Extension

    Summary

    Simple Extension with the type boolean: If the provider has received a written consent form indicating a patient has agreed to waive their protections and pay up to the full cost for the out-of-network item or service, this will be “true”. If the provider has not received written consent, this will be “false”. This is an attestation only. The billing provider is legally required to maintain the written notice and consent form.

     

    Other representations of profile: CSV, Excel, Schematron

    Constraints

    IdGradePath(s)DetailsRequirements
    ele-1error**ALL** elementsAll FHIR elements must have a @value or children
    : hasValue() or (children().count() > id.count())
    ext-1error**ALL** extensionsMust have either extensions or value[x], not both
    : extension.exists() != value.exists()