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

Resource Profile: PCT GFE DeviceRequest

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

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 & Constraintsdoco
    .. DeviceRequest 0..* DeviceRequest Medical device request
    dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
    dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
    dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
    dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
    dom-6: A resource should have narrative for robust management
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ele-1: All FHIR elements must have a @value or children
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ele-1: All FHIR elements must have a @value or children
    ext-1: Must have either extensions or value[x], not both
    ... 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.


    ele-1: All FHIR elements must have a @value or children
    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.


    ele-1: All FHIR elements must have a @value or children
    Required Pattern: proposal
    ... code[x] SΣ 1..1 Device requested
    Binding: FHIRDeviceTypes (example): Codes for devices that can be requested.


    ele-1: All FHIR elements must have a @value or children
    .... codeReference Reference(Device)
    .... codeCodeableConcept CodeableConcept
    ... subject Σ 1..1 Reference(HRex Patient Demographics) Focus of request
    ele-1: All FHIR elements must have a @value or children

    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

    This structure is derived from DeviceRequest

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

    doco Documentation for this format
    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 Description (No ValueSet): (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
    http://hl7.org/fhir/ValueSet/languages
    from the FHIR Standard
    Additional Bindings Purpose
    AllLanguages Max Binding
    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

    Key Elements View

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. DeviceRequest 0..* DeviceRequest Medical device request
    dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
    dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
    dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
    dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
    dom-6: A resource should have narrative for robust management
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ele-1: All FHIR elements must have a @value or children
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ele-1: All FHIR elements must have a @value or children
    ext-1: Must have either extensions or value[x], not both
    ... 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.


    ele-1: All FHIR elements must have a @value or children
    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.


    ele-1: All FHIR elements must have a @value or children
    Required Pattern: proposal
    ... code[x] SΣ 1..1 Device requested
    Binding: FHIRDeviceTypes (example): Codes for devices that can be requested.


    ele-1: All FHIR elements must have a @value or children
    .... codeReference Reference(Device)
    .... codeCodeableConcept CodeableConcept
    ... subject Σ 1..1 Reference(HRex Patient Demographics) Focus of request
    ele-1: All FHIR elements must have a @value or children

    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

    Differential View

    This structure is derived from DeviceRequest

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

    doco Documentation for this format

    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 Description (No ValueSet): (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
    http://hl7.org/fhir/ValueSet/languages
    from the FHIR Standard
    Additional Bindings Purpose
    AllLanguages Max Binding
    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