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 Adjudication Error

Official URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-aeob-adjudication-error Version: 2.0.0-ballot
Standards status: Trial-use Computable Name: AEOBAdjudicationError
Other Identifiers: OID:2.16.840.1.113883.4.642.40.4.42.2

OperationOutcome returned from the gfeSubmit operation when there are adjudication errors during AEOB processing

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..*OperationOutcomeInformation about the success/failure of an action
... issue
.... severity 1..1codefatal | error | warning | information
Required Pattern: error
.... code 1..1codeError or warning code
Required Pattern: processing
.... diagnostics 1..1stringAdditional diagnostic information about the issue

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. OperationOutcome 0..*OperationOutcomeInformation about the success/failure of an action
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... issue Σ1..*BackboneElementA single issue associated with the action
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... severity Σ1..1codefatal | error | warning | information
Binding: IssueSeverity (required): How the issue affects the success of the action.


Required Pattern: error
.... code Σ1..1codeError or warning code
Binding: IssueType (required): A code that describes the type of issue.


Required Pattern: processing
.... diagnostics Σ1..1stringAdditional diagnostic information about the issue

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
OperationOutcome.issue.severityrequiredPattern: error
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..*OperationOutcomeInformation about the success/failure of an action
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... issue Σ1..*BackboneElementA single issue associated with the action
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... severity Σ1..1codefatal | error | warning | information
Binding: IssueSeverity (required): How the issue affects the success of the action.


Required Pattern: error
.... code Σ1..1codeError or warning code
Binding: IssueType (required): A code that describes the type of issue.


Required Pattern: processing
.... details Σ0..1CodeableConceptAdditional details about the error
Binding: OperationOutcomeCodes (example): A code that provides details as the exact issue.

.... diagnostics Σ1..1stringAdditional diagnostic information about the issue
.... location Σ0..*stringDeprecated: Path of element(s) related to issue
.... expression Σ0..*stringFHIRPath 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: error
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

Mandatory: 1 element

Differential View

This structure is derived from OperationOutcome

NameFlagsCard.TypeDescription & Constraintsdoco
.. OperationOutcome 0..*OperationOutcomeInformation about the success/failure of an action
... issue
.... severity 1..1codefatal | error | warning | information
Required Pattern: error
.... code 1..1codeError or warning code
Required Pattern: processing
.... diagnostics 1..1stringAdditional diagnostic information about the issue

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. OperationOutcome 0..*OperationOutcomeInformation about the success/failure of an action
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... issue Σ1..*BackboneElementA single issue associated with the action
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... severity Σ1..1codefatal | error | warning | information
Binding: IssueSeverity (required): How the issue affects the success of the action.


Required Pattern: error
.... code Σ1..1codeError or warning code
Binding: IssueType (required): A code that describes the type of issue.


Required Pattern: processing
.... diagnostics Σ1..1stringAdditional diagnostic information about the issue

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
OperationOutcome.issue.severityrequiredPattern: error
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..*OperationOutcomeInformation about the success/failure of an action
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... issue Σ1..*BackboneElementA single issue associated with the action
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... severity Σ1..1codefatal | error | warning | information
Binding: IssueSeverity (required): How the issue affects the success of the action.


Required Pattern: error
.... code Σ1..1codeError or warning code
Binding: IssueType (required): A code that describes the type of issue.


Required Pattern: processing
.... details Σ0..1CodeableConceptAdditional details about the error
Binding: OperationOutcomeCodes (example): A code that provides details as the exact issue.

.... diagnostics Σ1..1stringAdditional diagnostic information about the issue
.... location Σ0..*stringDeprecated: Path of element(s) related to issue
.... expression Σ0..*stringFHIRPath 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: error
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

Mandatory: 1 element

 

Other representations of profile: CSV, Excel, Schematron