Patient Cost Transparency Implementation Guide
2.0.0 - 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 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 GFE DeviceRequest

Official URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-devicerequest Version: 2.0.0
Standards status: Draft Maturity Level: 0 Computable Name: PCTDeviceRequest
Other Identifiers: OID:2.16.840.1.113883.4.642.40.4.42.21

The PCT DeviceRequest including details about a device for which a GFE is being requested.

The following profile relates to the GFE Coordination workflow and is marked as DRAFT. This content has not yet met the requisite level of testing to be balloted as trail-use. However, this part of the specification has been reviewed by the Da Vinci PCT open community of providers, payers, and health IT vendors and was determined to be at a sufficient level of development to be included in this publication for the purposes of soliciting feedback from, and enabling testing by, the larger implementation community with the intention of bringing the content related to the GFE Coordination workflow to full STU status in a future version. Feedback is welcome and may be submitted through the FHIR change tracker indicating "US Da Vinci Patient Cost Transparency (PCT)(FHIR)" as the specification.

Usages:

You can also check for usages in the FHIR IG Statistics

Changes since version 1.1.0:

  • New Content

    • Formal Views of Profile Content

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

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. DeviceRequest 0..* DeviceRequest Medical device request
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... status ?!Σ 0..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
    Binding: RequestStatus (required): Codes representing the status of the request.
    Required Pattern: active
    ... intent ?!Σ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
    Binding: RequestIntent (required): The kind of diagnostic request.
    Required Pattern: proposal
    ... code[x] SΣ 1..1 Device requested
    Binding: FHIRDeviceTypes (example): Codes for devices that can be requested.
    .... codeReference Reference(Device)
    .... codeCodeableConcept CodeableConcept
    ... subject Σ 1..1 Reference(US Core Patient Profile(7.0.0)) Focus of request

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSet / CodeURI
    DeviceRequest.statusrequiredPattern Value: active
    http://hl7.org/fhir/ValueSet/request-status|4.0.1
    From the FHIR Standard
    DeviceRequest.intentrequiredPattern Value: proposal
    http://hl7.org/fhir/ValueSet/request-intent|4.0.1
    From the FHIR Standard
    DeviceRequest.code[x]exampleFHIRDeviceTypes
    http://hl7.org/fhir/ValueSet/device-kind
    From the FHIR Standard

    Constraints

    IdGradePath(s)DetailsRequirements
    dom-2errorDeviceRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
    : contained.contained.empty()
    dom-3errorDeviceRequestIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
    : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
    dom-4errorDeviceRequestIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
    : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
    dom-5errorDeviceRequestIf a resource is contained in another resource, it SHALL NOT have a security label
    : contained.meta.security.empty()
    dom-6best practiceDeviceRequestA resource should have narrative for robust management
    : text.`div`.exists()
    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()

    This structure is derived from DeviceRequest

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. DeviceRequest DeviceRequest
    ... status 0..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
    Required Pattern: active
    ... intent 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
    Required Pattern: proposal
    ... code[x] S 1..1 Reference(Device), CodeableConcept Device requested
    ... subject 1..1 Reference(US Core Patient Profile(7.0.0)) Focus of request

    doco Documentation for this format
    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. DeviceRequest 0..* DeviceRequest Medical device request
    ... 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
    ... language 0..1 code Language of the resource content
    Binding: CommonLanguages (preferred): A human language.
    Additional BindingsPurpose
    AllLanguages Max Binding
    ... text 0..1 Narrative Text summary of the resource, for human interpretation
    This profile does not constrain the narrative in regard to content, language, or traceability to data elements
    ... contained 0..* Resource Contained, inline Resources
    ... extension 0..* Extension Additional content defined by implementations
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... identifier Σ 0..* Identifier External Request identifier
    ... instantiatesCanonical Σ 0..* canonical(ActivityDefinition | PlanDefinition) Instantiates FHIR protocol or definition
    ... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
    ... basedOn Σ 0..* Reference(Resource) What request fulfills
    ... priorRequest Σ 0..* Reference(Resource) What request replaces
    ... groupIdentifier Σ 0..1 Identifier Identifier of composite request
    ... status ?!Σ 0..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
    Binding: RequestStatus (required): Codes representing the status of the request.
    Required Pattern: active
    ... intent ?!Σ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
    Binding: RequestIntent (required): The kind of diagnostic request.
    Required Pattern: proposal
    ... priority Σ 0..1 code routine | urgent | asap | stat
    Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
    ... code[x] SΣ 1..1 Device requested
    Binding: FHIRDeviceTypes (example): Codes for devices that can be requested.
    .... codeReference Reference(Device)
    .... codeCodeableConcept CodeableConcept
    ... parameter 0..* BackboneElement Device details
    .... 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
    .... code 0..1 CodeableConcept Device detail
    Binding Description: (example): A code that identifies the device detail.
    .... value[x] 0..1 Value of detail
    ..... valueCodeableConcept CodeableConcept
    ..... valueQuantity Quantity
    ..... valueRange Range
    ..... valueBoolean boolean
    ... subject Σ 1..1 Reference(US Core Patient Profile(7.0.0)) Focus of request
    ... encounter Σ 0..1 Reference(Encounter) Encounter motivating request
    ... occurrence[x] Σ 0..1 Desired time or schedule for use
    .... occurrenceDateTime dateTime
    .... occurrencePeriod Period
    .... occurrenceTiming Timing
    ... authoredOn Σ 0..1 dateTime When recorded
    ... requester Σ 0..1 Reference(Device | Practitioner | PractitionerRole | Organization) Who/what is requesting diagnostics
    ... performerType Σ 0..1 CodeableConcept Filler role
    Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
    ... performer Σ 0..1 Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) Requested Filler
    ... reasonCode Σ 0..* CodeableConcept Coded Reason for request
    Binding: Condition/Problem/DiagnosisCodes (example): Diagnosis or problem codes justifying the reason for requesting the device.
    ... reasonReference Σ 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Linked Reason for request
    ... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
    ... supportingInfo 0..* Reference(Resource) Additional clinical information
    ... note 0..* Annotation Notes or comments
    ... relevantHistory 0..* Reference(Provenance) Request provenance

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSet / CodeURI
    DeviceRequest.languagepreferredCommonLanguages
    http://hl7.org/fhir/ValueSet/languages
    From the FHIR Standard
    Additional Bindings Purpose
    AllLanguages Max Binding
    DeviceRequest.statusrequiredPattern Value: active
    http://hl7.org/fhir/ValueSet/request-status|4.0.1
    From the FHIR Standard
    DeviceRequest.intentrequiredPattern Value: proposal
    http://hl7.org/fhir/ValueSet/request-intent|4.0.1
    From the FHIR Standard
    DeviceRequest.priorityrequiredRequestPriority
    http://hl7.org/fhir/ValueSet/request-priority|4.0.1
    From the FHIR Standard
    DeviceRequest.code[x]exampleFHIRDeviceTypes
    http://hl7.org/fhir/ValueSet/device-kind
    From the FHIR Standard
    DeviceRequest.parameter.codeexample
    DeviceRequest.performerTypeexampleParticipantRoles
    http://hl7.org/fhir/ValueSet/participant-role
    From the FHIR Standard
    DeviceRequest.reasonCodeexampleCondition/Problem/DiagnosisCodes
    http://hl7.org/fhir/ValueSet/condition-code
    From the FHIR Standard

    Constraints

    IdGradePath(s)DetailsRequirements
    dom-2errorDeviceRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
    : contained.contained.empty()
    dom-3errorDeviceRequestIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
    : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
    dom-4errorDeviceRequestIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
    : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
    dom-5errorDeviceRequestIf a resource is contained in another resource, it SHALL NOT have a security label
    : contained.meta.security.empty()
    dom-6best practiceDeviceRequestA resource should have narrative for robust management
    : text.`div`.exists()
    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()

    This structure is derived from DeviceRequest

    Summary

    Must-Support: 1 element

    Structures

    This structure refers to these other structures:

    Maturity: 0

    Key Elements View

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. DeviceRequest 0..* DeviceRequest Medical device request
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... status ?!Σ 0..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
    Binding: RequestStatus (required): Codes representing the status of the request.
    Required Pattern: active
    ... intent ?!Σ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
    Binding: RequestIntent (required): The kind of diagnostic request.
    Required Pattern: proposal
    ... code[x] SΣ 1..1 Device requested
    Binding: FHIRDeviceTypes (example): Codes for devices that can be requested.
    .... codeReference Reference(Device)
    .... codeCodeableConcept CodeableConcept
    ... subject Σ 1..1 Reference(US Core Patient Profile(7.0.0)) Focus of request

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSet / CodeURI
    DeviceRequest.statusrequiredPattern Value: active
    http://hl7.org/fhir/ValueSet/request-status|4.0.1
    From the FHIR Standard
    DeviceRequest.intentrequiredPattern Value: proposal
    http://hl7.org/fhir/ValueSet/request-intent|4.0.1
    From the FHIR Standard
    DeviceRequest.code[x]exampleFHIRDeviceTypes
    http://hl7.org/fhir/ValueSet/device-kind
    From the FHIR Standard

    Constraints

    IdGradePath(s)DetailsRequirements
    dom-2errorDeviceRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
    : contained.contained.empty()
    dom-3errorDeviceRequestIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
    : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
    dom-4errorDeviceRequestIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
    : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
    dom-5errorDeviceRequestIf a resource is contained in another resource, it SHALL NOT have a security label
    : contained.meta.security.empty()
    dom-6best practiceDeviceRequestA resource should have narrative for robust management
    : text.`div`.exists()
    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()

    Differential View

    This structure is derived from DeviceRequest

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. DeviceRequest DeviceRequest
    ... status 0..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
    Required Pattern: active
    ... intent 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
    Required Pattern: proposal
    ... code[x] S 1..1 Reference(Device), CodeableConcept Device requested
    ... subject 1..1 Reference(US Core Patient Profile(7.0.0)) Focus of request

    doco Documentation for this format

    Snapshot View

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. DeviceRequest 0..* DeviceRequest Medical device request
    ... 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
    ... language 0..1 code Language of the resource content
    Binding: CommonLanguages (preferred): A human language.
    Additional BindingsPurpose
    AllLanguages Max Binding
    ... text 0..1 Narrative Text summary of the resource, for human interpretation
    This profile does not constrain the narrative in regard to content, language, or traceability to data elements
    ... contained 0..* Resource Contained, inline Resources
    ... extension 0..* Extension Additional content defined by implementations
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ... identifier Σ 0..* Identifier External Request identifier
    ... instantiatesCanonical Σ 0..* canonical(ActivityDefinition | PlanDefinition) Instantiates FHIR protocol or definition
    ... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
    ... basedOn Σ 0..* Reference(Resource) What request fulfills
    ... priorRequest Σ 0..* Reference(Resource) What request replaces
    ... groupIdentifier Σ 0..1 Identifier Identifier of composite request
    ... status ?!Σ 0..1 code draft | active | on-hold | revoked | completed | entered-in-error | unknown
    Binding: RequestStatus (required): Codes representing the status of the request.
    Required Pattern: active
    ... intent ?!Σ 1..1 code proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option
    Binding: RequestIntent (required): The kind of diagnostic request.
    Required Pattern: proposal
    ... priority Σ 0..1 code routine | urgent | asap | stat
    Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
    ... code[x] SΣ 1..1 Device requested
    Binding: FHIRDeviceTypes (example): Codes for devices that can be requested.
    .... codeReference Reference(Device)
    .... codeCodeableConcept CodeableConcept
    ... parameter 0..* BackboneElement Device details
    .... 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
    .... code 0..1 CodeableConcept Device detail
    Binding Description: (example): A code that identifies the device detail.
    .... value[x] 0..1 Value of detail
    ..... valueCodeableConcept CodeableConcept
    ..... valueQuantity Quantity
    ..... valueRange Range
    ..... valueBoolean boolean
    ... subject Σ 1..1 Reference(US Core Patient Profile(7.0.0)) Focus of request
    ... encounter Σ 0..1 Reference(Encounter) Encounter motivating request
    ... occurrence[x] Σ 0..1 Desired time or schedule for use
    .... occurrenceDateTime dateTime
    .... occurrencePeriod Period
    .... occurrenceTiming Timing
    ... authoredOn Σ 0..1 dateTime When recorded
    ... requester Σ 0..1 Reference(Device | Practitioner | PractitionerRole | Organization) Who/what is requesting diagnostics
    ... performerType Σ 0..1 CodeableConcept Filler role
    Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc.
    ... performer Σ 0..1 Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) Requested Filler
    ... reasonCode Σ 0..* CodeableConcept Coded Reason for request
    Binding: Condition/Problem/DiagnosisCodes (example): Diagnosis or problem codes justifying the reason for requesting the device.
    ... reasonReference Σ 0..* Reference(Condition | Observation | DiagnosticReport | DocumentReference) Linked Reason for request
    ... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
    ... supportingInfo 0..* Reference(Resource) Additional clinical information
    ... note 0..* Annotation Notes or comments
    ... relevantHistory 0..* Reference(Provenance) Request provenance

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSet / CodeURI
    DeviceRequest.languagepreferredCommonLanguages
    http://hl7.org/fhir/ValueSet/languages
    From the FHIR Standard
    Additional Bindings Purpose
    AllLanguages Max Binding
    DeviceRequest.statusrequiredPattern Value: active
    http://hl7.org/fhir/ValueSet/request-status|4.0.1
    From the FHIR Standard
    DeviceRequest.intentrequiredPattern Value: proposal
    http://hl7.org/fhir/ValueSet/request-intent|4.0.1
    From the FHIR Standard
    DeviceRequest.priorityrequiredRequestPriority
    http://hl7.org/fhir/ValueSet/request-priority|4.0.1
    From the FHIR Standard
    DeviceRequest.code[x]exampleFHIRDeviceTypes
    http://hl7.org/fhir/ValueSet/device-kind
    From the FHIR Standard
    DeviceRequest.parameter.codeexample
    DeviceRequest.performerTypeexampleParticipantRoles
    http://hl7.org/fhir/ValueSet/participant-role
    From the FHIR Standard
    DeviceRequest.reasonCodeexampleCondition/Problem/DiagnosisCodes
    http://hl7.org/fhir/ValueSet/condition-code
    From the FHIR Standard

    Constraints

    IdGradePath(s)DetailsRequirements
    dom-2errorDeviceRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
    : contained.contained.empty()
    dom-3errorDeviceRequestIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
    : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
    dom-4errorDeviceRequestIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
    : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
    dom-5errorDeviceRequestIf a resource is contained in another resource, it SHALL NOT have a security label
    : contained.meta.security.empty()
    dom-6best practiceDeviceRequestA resource should have narrative for robust management
    : text.`div`.exists()
    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()

    This structure is derived from DeviceRequest

    Summary

    Must-Support: 1 element

    Structures

    This structure refers to these other structures:

    Maturity: 0

     

    Other representations of profile: CSV, Excel, Schematron