Patient Cost Transparency Implementation Guide
2.0.0 - STU 2 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: PCTGFEInstitutional - Mappings

Page standards status: Trial-use Maturity Level: 2

Mappings for the davinci-pct-gfe-institutional resource profile.

Mappings to Structures in this Implementation Guide

No Mappings Found

Mappings to other Structures

No Mappings Found

Other Mappings

NameWorkflow PatternFiveWs Pattern MappingRIM Mappingdoco
.. Claim
Request
  • Entity. Role
  • or Act
... id
... meta
... implicitRules
... language
... text
Act.text?
... contained
N/A
... Slices for extension
.... extension:gfeServiceLinkingInfo
.... extension:providerEventMethodology
.... extension:gfeDisclaimer
... modifierExtension
N/A
... Slices for identifier
Request.identifier
FiveWs.identifier
.... identifier:PLAC
Request.identifier
FiveWs.identifier
..... id
n/a
..... extension
n/a
..... use
Role.code or implied by context
..... type
Role.code or implied by context
..... system
II.root or Role.id.root
..... value
II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
..... period
Role.effectiveTime or implied by context
..... assigner
II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
... status
Request.status
FiveWs.status
... type
FiveWs.class
... subType
FiveWs.class
... use
FiveWs.class
... patient
Request.subject
FiveWs.subject
... billablePeriod
FiveWs.done[x]
... created
Request.authoredOn
FiveWs.recorded
... enterer
FiveWs.author
... insurer
Request.performer
... provider
Request.requester
FiveWs.source
.... id
n/a
.... Slices for extension
..... extension:providerTaxonomy
..... extension:consentForBalanceBilling
.... reference
N/A
.... type
N/A
.... identifier
.identifier
.... display
N/A
... priority
Request.priority
... fundsReserve
... related
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... claim
Request.replaces
.... relationship
.... reference
... prescription
... originalPrescription
... payee
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... type
.... party
... referral
FiveWs.cause
.... id
n/a
.... Slices for extension
..... extension:referralNumber
.... reference
N/A
.... type
N/A
.... identifier
.identifier
.... display
N/A
... facility
FiveWs.where[x]
... Slices for careTeam
.... careTeam:All Slices
..... id
n/a
..... extension
n/a
..... modifierExtension
N/A
..... sequence
..... provider
FiveWs.actor
..... responsible
..... role
..... qualification
.... careTeam:attending
..... id
n/a
..... extension
n/a
..... modifierExtension
N/A
..... sequence
..... provider
FiveWs.actor
..... responsible
..... role
..... qualification
.... careTeam:operating
..... id
n/a
..... extension
n/a
..... modifierExtension
N/A
..... sequence
..... provider
FiveWs.actor
..... responsible
..... role
..... qualification
.... careTeam:rendering
..... id
n/a
..... extension
n/a
..... modifierExtension
N/A
..... sequence
..... provider
FiveWs.actor
..... responsible
..... role
..... qualification
.... careTeam:referring
..... id
n/a
..... extension
n/a
..... modifierExtension
N/A
..... sequence
..... provider
FiveWs.actor
..... responsible
..... role
..... qualification
... Slices for supportingInfo
Request.supportingInfo
.... supportingInfo:All Slices
..... id
n/a
..... extension
n/a
..... modifierExtension
N/A
..... sequence
..... category
..... code
..... timing[x]
..... value[x]
..... reason
.... supportingInfo:typeOfBill
Request.supportingInfo
..... id
n/a
..... extension
n/a
..... modifierExtension
N/A
..... sequence
..... category
..... code
..... timing[x]
..... value[x]
..... reason
.... supportingInfo:serviceFacility
Request.supportingInfo
..... id
n/a
..... extension
n/a
..... modifierExtension
N/A
..... sequence
..... category
..... code
..... timing[x]
..... Slices for value[x]
...... value[x]:valueReference
..... reason
.... supportingInfo:drg
Request.supportingInfo
..... id
n/a
..... extension
n/a
..... modifierExtension
N/A
..... sequence
..... category
..... code
..... timing[x]
..... value[x]
..... reason
.... supportingInfo:pointoforigin
Request.supportingInfo
..... id
n/a
..... extension
n/a
..... modifierExtension
N/A
..... sequence
..... category
..... code
..... timing[x]
..... value[x]
..... reason
.... supportingInfo:admtype
Request.supportingInfo
..... id
n/a
..... extension
n/a
..... modifierExtension
N/A
..... sequence
..... category
..... code
..... timing[x]
..... value[x]
..... reason
... Slices for diagnosis
Request.reasonReference
.... diagnosis:All Slices
..... id
n/a
..... extension
n/a
..... modifierExtension
N/A
..... sequence
..... diagnosis[x]
..... type
..... onAdmission
..... packageCode
.... diagnosis:principal
Request.reasonReference
..... id
n/a
..... extension
n/a
..... modifierExtension
N/A
..... sequence
..... diagnosis[x]
..... type
..... onAdmission
..... packageCode
.... diagnosis:admitting
Request.reasonReference
..... id
n/a
..... extension
n/a
..... modifierExtension
N/A
..... sequence
..... diagnosis[x]
..... type
..... onAdmission
..... packageCode
.... diagnosis:patientReasonForVisit
Request.reasonReference
..... id
n/a
..... extension
n/a
..... modifierExtension
N/A
..... sequence
..... diagnosis[x]
..... type
..... onAdmission
..... packageCode
.... diagnosis:externalcauseofinjury
Request.reasonReference
..... id
n/a
..... extension
n/a
..... modifierExtension
N/A
..... sequence
..... diagnosis[x]
..... type
..... onAdmission
..... packageCode
.... diagnosis:other
Request.reasonReference
..... id
n/a
..... extension
n/a
..... modifierExtension
N/A
..... sequence
..... diagnosis[x]
..... type
..... onAdmission
..... packageCode
... Slices for procedure
.... procedure:All Slices
..... id
n/a
..... Slices for extension
...... extension:serviceDescription
..... modifierExtension
N/A
..... sequence
..... type
..... date
..... procedure[x]
..... udi
.... procedure:principal
..... id
n/a
..... Slices for extension
...... extension:serviceDescription
..... modifierExtension
N/A
..... sequence
..... type
..... date
..... procedure[x]
..... udi
.... procedure:other
..... id
n/a
..... Slices for extension
...... extension:serviceDescription
..... modifierExtension
N/A
..... sequence
..... type
..... date
..... procedure[x]
..... udi
... insurance
Coverage
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... sequence
.... focal
.... identifier
Request.identifier
FiveWs.identifier
.... coverage
..... id
n/a
..... Slices for extension
n/a
...... extension:dataAbsentReason
ANY.nullFlavor
..... reference
N/A
..... type
N/A
..... identifier
.identifier
..... display
N/A
.... businessArrangement
.... preAuthRef
.... claimResponse
... accident
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... date
.... type
.... location[x]
..... id
n/a
..... extension
n/a
..... use
unique(./use)
..... type
unique(./use)
..... text
./formatted
..... line
AD.part[parttype = AL]
..... city
AD.part[parttype = CTY]
..... district
AD.part[parttype = CNT | CPA]
..... state
AD.part[parttype = STA]
..... postalCode
AD.part[parttype = ZIP]
..... country
AD.part[parttype = CNT]
..... period
./usablePeriod[type="IVL<TS>"]
... item
.... id
n/a
.... Slices for extension
..... extension:gfeBillingProviderLineItemCtrlNum
..... extension:serviceDescription
..... extension:ProviderEventMethodology
.... modifierExtension
N/A
.... sequence
.... careTeamSequence
.... diagnosisSequence
.... procedureSequence
.... informationSequence
.... revenue
.... category
.... productOrService
..... id
n/a
..... extension
n/a
..... coding
  • union(.
  • ./translation)
..... text
./originalText[mediaType/code="text/plain"]/data
.... modifier
..... id
n/a
..... extension
n/a
..... coding
  • union(.
  • ./translation)
..... text
./originalText[mediaType/code="text/plain"]/data
.... programCode
.... serviced[x]
FiveWs.done[x]
.... Slices for location[x]
FiveWs.where[x]
..... location[x]:locationCodeableConcept
FiveWs.where[x]
.... quantity
.... unitPrice
.... factor
.... net
.... udi
.... bodySite
.... subSite
.... encounter
Request.context
.... detail
..... id
n/a
..... extension
n/a
..... modifierExtension
N/A
..... sequence
..... revenue
..... category
..... productOrService
..... modifier
..... programCode
..... quantity
..... unitPrice
..... factor
..... net
..... udi
..... subDetail
...... id
n/a
...... extension
n/a
...... modifierExtension
N/A
...... sequence
...... revenue
...... category
...... productOrService
...... modifier
...... programCode
...... quantity
...... unitPrice
...... factor
...... net
...... udi
... total

doco Documentation for this format