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 Composition

Official URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-gfe-composition Version: 2.0.0-draft
Standards status: Trial-use Maturity Level: 1 Computable Name: PCTGFEComposition
Other Identifiers: OID:2.16.840.1.113883.4.642.40.4.42.57

PCT GFE Composition that assembles the contents of a GFE (represented by one or more individual GFE Bundles) into a single logical package. This version fo the Bundle is a document type that will enable versioning, signing and being referenced by a DocumentReference for searching and subscription notifications.

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
    .. Composition 0..* Composition A set of resources composed into a single coherent clinical statement with clinical attestation
    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 1..1 code preliminary | final | amended | entered-in-error
    Binding: CompositionStatus (required): The workflow/clinical status of the composition.


    ele-1: All FHIR elements must have a @value or children
    ... type Σ 1..1 CodeableConcept Kind of composition (LOINC if possible)
    Binding: FHIRDocumentTypeCodes (preferred): Type of a composition.


    ele-1: All FHIR elements must have a @value or children
    Required Pattern: At least the following
    .... coding 1..* Coding Code defined by a terminology system
    Fixed Value: (complex)
    ..... system 1..1 uri Identity of the terminology system
    Fixed Value: http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTDocumentTypeTemporaryTrialUse
    ..... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: gfe-document
    ... category Σ 0..* CodeableConcept Categorization of Composition
    Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.


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

    Required Pattern: At least the following
    .... coding 1..* Coding Code defined by a terminology system
    Fixed Value: (complex)
    ..... system 1..1 uri Identity of the terminology system
    Fixed Value: http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTDocumentCategoryTemporaryTrialUse
    ..... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: estimate
    ... subject SΣ 1..1 Reference(HRex Patient Demographics) Who and/or what the composition is about
    ele-1: All FHIR elements must have a @value or children
    ... date ΣC 1..1 dateTime Composition editing time
    ele-1: All FHIR elements must have a @value or children
    pct-datetime-to-seconds: Datetime must be at least to seconds.
    ... author Σ 1..* Reference(PCT Organization | PCT Practitioner) All involved authoring parties, including all Good Faith Estimate (GFE) providers
    ele-1: All FHIR elements must have a @value or children
    ... title SΣ 1..1 string Human Readable name/title
    ele-1: All FHIR elements must have a @value or children
    ... Slices for section C 1..* BackboneElement Sections Individual GFE Bundles
    Slice: Unordered, Open by value:code
    cmp-1: A section must contain at least one of text, entries, or sub-sections
    cmp-2: A section can only have an emptyReason if it is empty
    ele-1: All FHIR elements must have a @value or children
    .... section:All Slices Content/Rules for all slices
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    ele-1: All FHIR elements must have a @value or children
    ext-1: Must have either extensions or value[x], not both
    .... section:gfeBundle SC 1..* BackboneElement SHALL reference one PCTGFEBundle resource, which may be contained in the document bundle or may reference an external resource, and the associated author (GFE Contributor) contained in the document bundle.
    cmp-1: A section must contain at least one of text, entries, or sub-sections
    cmp-2: A section can only have an emptyReason if it is empty
    ele-1: All FHIR elements must have a @value or children
    ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    ele-1: All FHIR elements must have a @value or children
    ext-1: Must have either extensions or value[x], not both
    ..... code 1..1 CodeableConcept Classification of section (recommended)
    Binding: DocumentSectionCodes (example): Classification of a section of a composition/document.


    ele-1: All FHIR elements must have a @value or children
    Required Pattern: At least the following
    ...... coding 1..* Coding Code defined by a terminology system
    Fixed Value: (complex)
    ....... system 1..1 uri Identity of the terminology system
    Fixed Value: http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTDocumentSection
    ....... code 1..1 code Symbol in syntax defined by the system
    Fixed Value: gfe-section
    ..... author S 1..1 Reference(PCT Practitioner | PCT Organization) {b} Associated GFE author (GFE Contributor) contained in the document bundle
    ele-1: All FHIR elements must have a @value or children
    ..... entry SC 1..1 Reference(PCT GFE Bundle) {b} A reference to data that supports this section
    ele-1: All FHIR elements must have a @value or children

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSet / CodeURI
    Composition.statusrequiredCompositionStatus
    http://hl7.org/fhir/ValueSet/composition-status|4.0.1
    from the FHIR Standard
    Composition.typepreferredPattern: gfe-document
    http://hl7.org/fhir/ValueSet/doc-typecodes
    from the FHIR Standard
    Composition.categoryexamplePattern: estimate
    http://hl7.org/fhir/ValueSet/document-classcodes
    from the FHIR Standard
    Composition.section:gfeBundle.codeexamplePattern: gfe-section
    http://hl7.org/fhir/ValueSet/doc-section-codes
    from the FHIR Standard

    Constraints

    IdGradePath(s)DetailsRequirements
    pct-datetime-to-secondserrorComposition.dateDatetime must be at least to seconds.
    : $this is dateTime implies $this.toString().length() >= 19

     

    Other representations of profile: CSV, Excel, Schematron