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 GFE DeviceRequest

Official URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-devicerequest Version: 2.0.0-ballot
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.

Usage:

Formal Views of Profile Content

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

This structure is derived from DeviceRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. DeviceRequest 0..* DeviceRequest Medical device request
... 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

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... 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(HRex Patient Demographics) Focus of request

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
DeviceRequest.statusrequiredPattern: active
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
DeviceRequest.intentrequiredPattern: 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
NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... 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: (unbound) (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(HRex Patient Demographics) 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
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
DeviceRequest.statusrequiredPattern: active
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
DeviceRequest.intentrequiredPattern: 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

This structure is derived from DeviceRequest

Summary

Must-Support: 1 element

Structures

This structure refers to these other structures:

Maturity: 0

Differential View

This structure is derived from DeviceRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. DeviceRequest 0..* DeviceRequest Medical device request
... 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

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... 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(HRex Patient Demographics) Focus of request

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
DeviceRequest.statusrequiredPattern: active
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
DeviceRequest.intentrequiredPattern: 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

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... 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: (unbound) (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(HRex Patient Demographics) 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
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
DeviceRequest.statusrequiredPattern: active
http://hl7.org/fhir/ValueSet/request-status|4.0.1
from the FHIR Standard
DeviceRequest.intentrequiredPattern: 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

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