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 Service Location

Official URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-service-location Version: 2.0.0-draft
Standards status: Draft Maturity Level: 0 Computable Name: PCTServiceLocation
Other Identifiers: OID:2.16.840.1.113883.4.642.40.4.42.50

The PCT Service Location provides information where the service is to be performed or the item delivered. This could be used to express an actual physical location or a facility type.

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
    .. Location 0..* USCoreLocation Details and position information for a physical place
    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 ?!SΣ 0..1 code active | suspended | inactive
    Binding: LocationStatus (required): Indicates whether the location is still in use.


    ele-1: All FHIR elements must have a @value or children
    ... name SΣ 1..1 string Name of the location as used by humans
    ele-1: All FHIR elements must have a @value or children
    ... type SΣ 0..* CodeableConcept Type of function performed
    Binding: ServiceDeliveryLocationRoleType (extensible): Indicates the type of function performed at the location.


    ele-1: All FHIR elements must have a @value or children
    ... telecom S 0..* ContactPoint Contact details of the location
    ele-1: All FHIR elements must have a @value or children
    ... address S 0..1 Address Physical location
    ele-1: All FHIR elements must have a @value or children
    .... use ?!Σ 0..1 code home | work | temp | old | billing - purpose of this address
    Binding: AddressUse (required): The use of an address.


    ele-1: All FHIR elements must have a @value or children
    Example General: home
    .... line SΣ 0..* string Street name, number, direction & P.O. Box etc.
    ele-1: All FHIR elements must have a @value or children
    This repeating element order: The order in which lines should appear in an address label
    Example General: 137 Nowhere Street
    .... city SΣ 0..1 string Name of city, town etc.
    ele-1: All FHIR elements must have a @value or children
    Example General: Erewhon
    .... state SΣ 0..1 string Sub-unit of country (abbreviations ok)
    Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes.


    ele-1: All FHIR elements must have a @value or children
    .... postalCode SΣ 0..1 string US Zip Codes
    ele-1: All FHIR elements must have a @value or children
    Example General: 9132
    ... managingOrganization SΣ 0..1 Reference(US Core Organization Profile) Organization responsible for provisioning and upkeep
    ele-1: All FHIR elements must have a @value or children

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSetURI
    Location.statusrequiredLocationStatus
    http://hl7.org/fhir/ValueSet/location-status|4.0.1
    from the FHIR Standard
    Location.typeextensibleServiceDeliveryLocationRoleType
    http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
    Location.address.userequiredAddressUse
    http://hl7.org/fhir/ValueSet/address-use|4.0.1
    from the FHIR Standard
    Location.address.stateextensibleUspsTwoLetterAlphabeticCodes
    http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state
    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Location 0..* USCoreLocation Details and position information for a physical place
    ... 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 Unique code or number identifying the location to its users
    ... status ?!SΣ 0..1 code active | suspended | inactive
    Binding: LocationStatus (required): Indicates whether the location is still in use.

    ... operationalStatus Σ 0..1 Coding The operational status of the location (typically only for a bed/room)
    Binding: hl7VS-bedStatus (preferred): The operational status if the location (where typically a bed/room).

    ... name SΣ 1..1 string Name of the location as used by humans
    ... alias 0..* string A list of alternate names that the location is known as, or was known as, in the past
    ... description Σ 0..1 string Additional details about the location that could be displayed as further information to identify the location beyond its name
    ... mode Σ 0..1 code instance | kind
    Binding: LocationMode (required): Indicates whether a resource instance represents a specific location or a class of locations.

    ... type SΣ 0..* CodeableConcept Type of function performed
    Binding: ServiceDeliveryLocationRoleType (extensible): Indicates the type of function performed at the location.


    ... telecom S 0..* ContactPoint Contact details of the location
    ... address S 0..1 Address Physical location
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    .... use ?!Σ 0..1 code home | work | temp | old | billing - purpose of this address
    Binding: AddressUse (required): The use of an address.


    Example General: home
    .... type Σ 0..1 code postal | physical | both
    Binding: AddressType (required): The type of an address (physical / postal).


    Example General: both
    .... text Σ 0..1 string Text representation of the address
    Example General: 137 Nowhere Street, Erewhon 9132
    .... line SΣ 0..* string Street name, number, direction & P.O. Box etc.
    This repeating element order: The order in which lines should appear in an address label
    Example General: 137 Nowhere Street
    .... city SΣ 0..1 string Name of city, town etc.
    Example General: Erewhon
    .... district Σ 0..1 string District name (aka county)
    Example General: Madison
    .... state SΣ 0..1 string Sub-unit of country (abbreviations ok)
    Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes.

    .... postalCode SΣ 0..1 string US Zip Codes
    Example General: 9132
    .... country Σ 0..1 string Country (e.g. can be ISO 3166 2 or 3 letter code)
    .... period Σ 0..1 Period Time period when address was/is in use
    Example General: {"start":"2010-03-23","end":"2010-07-01"}
    ... physicalType Σ 0..1 CodeableConcept Physical form of the location
    Binding: LocationType (example): Physical form of the location.

    ... position 0..1 BackboneElement The absolute geographic location
    .... 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
    .... longitude 1..1 decimal Longitude with WGS84 datum
    .... latitude 1..1 decimal Latitude with WGS84 datum
    .... altitude 0..1 decimal Altitude with WGS84 datum
    ... managingOrganization SΣ 0..1 Reference(US Core Organization Profile) Organization responsible for provisioning and upkeep
    ... partOf 0..1 Reference(Location) Another Location this one is physically a part of
    ... hoursOfOperation 0..* BackboneElement What days/times during a week is this location usually open
    .... 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
    .... daysOfWeek 0..* code mon | tue | wed | thu | fri | sat | sun
    Binding: DaysOfWeek (required): The days of the week.


    .... allDay 0..1 boolean The Location is open all day
    .... openingTime 0..1 time Time that the Location opens
    .... closingTime 0..1 time Time that the Location closes
    ... availabilityExceptions 0..1 string Description of availability exceptions
    ... endpoint 0..* Reference(Endpoint) Technical endpoints providing access to services operated for the location

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSetURI
    Location.languagepreferredCommonLanguages
    http://hl7.org/fhir/ValueSet/languages
    from the FHIR Standard
    Additional Bindings Purpose
    AllLanguages Max Binding
    Location.statusrequiredLocationStatus
    http://hl7.org/fhir/ValueSet/location-status|4.0.1
    from the FHIR Standard
    Location.operationalStatuspreferredHl7VSBedStatus
    http://terminology.hl7.org/ValueSet/v2-0116
    Location.moderequiredLocationMode
    http://hl7.org/fhir/ValueSet/location-mode|4.0.1
    from the FHIR Standard
    Location.typeextensibleServiceDeliveryLocationRoleType
    http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
    Location.address.userequiredAddressUse
    http://hl7.org/fhir/ValueSet/address-use|4.0.1
    from the FHIR Standard
    Location.address.typerequiredAddressType
    http://hl7.org/fhir/ValueSet/address-type|4.0.1
    from the FHIR Standard
    Location.address.stateextensibleUspsTwoLetterAlphabeticCodes
    http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state
    Location.physicalTypeexampleLocationType
    http://hl7.org/fhir/ValueSet/location-physical-type
    from the FHIR Standard
    Location.hoursOfOperation.daysOfWeekrequiredDaysOfWeek
    http://hl7.org/fhir/ValueSet/days-of-week|4.0.1
    from the FHIR Standard

    This structure is derived from USCoreLocation

    Summary

    Must-Support: 1 element

    Maturity: 0

    Key Elements View

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Location 0..* USCoreLocation Details and position information for a physical place
    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 ?!SΣ 0..1 code active | suspended | inactive
    Binding: LocationStatus (required): Indicates whether the location is still in use.


    ele-1: All FHIR elements must have a @value or children
    ... name SΣ 1..1 string Name of the location as used by humans
    ele-1: All FHIR elements must have a @value or children
    ... type SΣ 0..* CodeableConcept Type of function performed
    Binding: ServiceDeliveryLocationRoleType (extensible): Indicates the type of function performed at the location.


    ele-1: All FHIR elements must have a @value or children
    ... telecom S 0..* ContactPoint Contact details of the location
    ele-1: All FHIR elements must have a @value or children
    ... address S 0..1 Address Physical location
    ele-1: All FHIR elements must have a @value or children
    .... use ?!Σ 0..1 code home | work | temp | old | billing - purpose of this address
    Binding: AddressUse (required): The use of an address.


    ele-1: All FHIR elements must have a @value or children
    Example General: home
    .... line SΣ 0..* string Street name, number, direction & P.O. Box etc.
    ele-1: All FHIR elements must have a @value or children
    This repeating element order: The order in which lines should appear in an address label
    Example General: 137 Nowhere Street
    .... city SΣ 0..1 string Name of city, town etc.
    ele-1: All FHIR elements must have a @value or children
    Example General: Erewhon
    .... state SΣ 0..1 string Sub-unit of country (abbreviations ok)
    Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes.


    ele-1: All FHIR elements must have a @value or children
    .... postalCode SΣ 0..1 string US Zip Codes
    ele-1: All FHIR elements must have a @value or children
    Example General: 9132
    ... managingOrganization SΣ 0..1 Reference(US Core Organization Profile) Organization responsible for provisioning and upkeep
    ele-1: All FHIR elements must have a @value or children

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSetURI
    Location.statusrequiredLocationStatus
    http://hl7.org/fhir/ValueSet/location-status|4.0.1
    from the FHIR Standard
    Location.typeextensibleServiceDeliveryLocationRoleType
    http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
    Location.address.userequiredAddressUse
    http://hl7.org/fhir/ValueSet/address-use|4.0.1
    from the FHIR Standard
    Location.address.stateextensibleUspsTwoLetterAlphabeticCodes
    http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state

    Differential View

    This structure is derived from USCoreLocation

    Snapshot View

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. Location 0..* USCoreLocation Details and position information for a physical place
    ... 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 Unique code or number identifying the location to its users
    ... status ?!SΣ 0..1 code active | suspended | inactive
    Binding: LocationStatus (required): Indicates whether the location is still in use.

    ... operationalStatus Σ 0..1 Coding The operational status of the location (typically only for a bed/room)
    Binding: hl7VS-bedStatus (preferred): The operational status if the location (where typically a bed/room).

    ... name SΣ 1..1 string Name of the location as used by humans
    ... alias 0..* string A list of alternate names that the location is known as, or was known as, in the past
    ... description Σ 0..1 string Additional details about the location that could be displayed as further information to identify the location beyond its name
    ... mode Σ 0..1 code instance | kind
    Binding: LocationMode (required): Indicates whether a resource instance represents a specific location or a class of locations.

    ... type SΣ 0..* CodeableConcept Type of function performed
    Binding: ServiceDeliveryLocationRoleType (extensible): Indicates the type of function performed at the location.


    ... telecom S 0..* ContactPoint Contact details of the location
    ... address S 0..1 Address Physical location
    .... id 0..1 string Unique id for inter-element referencing
    .... extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    .... use ?!Σ 0..1 code home | work | temp | old | billing - purpose of this address
    Binding: AddressUse (required): The use of an address.


    Example General: home
    .... type Σ 0..1 code postal | physical | both
    Binding: AddressType (required): The type of an address (physical / postal).


    Example General: both
    .... text Σ 0..1 string Text representation of the address
    Example General: 137 Nowhere Street, Erewhon 9132
    .... line SΣ 0..* string Street name, number, direction & P.O. Box etc.
    This repeating element order: The order in which lines should appear in an address label
    Example General: 137 Nowhere Street
    .... city SΣ 0..1 string Name of city, town etc.
    Example General: Erewhon
    .... district Σ 0..1 string District name (aka county)
    Example General: Madison
    .... state SΣ 0..1 string Sub-unit of country (abbreviations ok)
    Binding: USPS Two Letter Alphabetic Codes (extensible): Two letter USPS alphabetic codes.

    .... postalCode SΣ 0..1 string US Zip Codes
    Example General: 9132
    .... country Σ 0..1 string Country (e.g. can be ISO 3166 2 or 3 letter code)
    .... period Σ 0..1 Period Time period when address was/is in use
    Example General: {"start":"2010-03-23","end":"2010-07-01"}
    ... physicalType Σ 0..1 CodeableConcept Physical form of the location
    Binding: LocationType (example): Physical form of the location.

    ... position 0..1 BackboneElement The absolute geographic location
    .... 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
    .... longitude 1..1 decimal Longitude with WGS84 datum
    .... latitude 1..1 decimal Latitude with WGS84 datum
    .... altitude 0..1 decimal Altitude with WGS84 datum
    ... managingOrganization SΣ 0..1 Reference(US Core Organization Profile) Organization responsible for provisioning and upkeep
    ... partOf 0..1 Reference(Location) Another Location this one is physically a part of
    ... hoursOfOperation 0..* BackboneElement What days/times during a week is this location usually open
    .... 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
    .... daysOfWeek 0..* code mon | tue | wed | thu | fri | sat | sun
    Binding: DaysOfWeek (required): The days of the week.


    .... allDay 0..1 boolean The Location is open all day
    .... openingTime 0..1 time Time that the Location opens
    .... closingTime 0..1 time Time that the Location closes
    ... availabilityExceptions 0..1 string Description of availability exceptions
    ... endpoint 0..* Reference(Endpoint) Technical endpoints providing access to services operated for the location

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSetURI
    Location.languagepreferredCommonLanguages
    http://hl7.org/fhir/ValueSet/languages
    from the FHIR Standard
    Additional Bindings Purpose
    AllLanguages Max Binding
    Location.statusrequiredLocationStatus
    http://hl7.org/fhir/ValueSet/location-status|4.0.1
    from the FHIR Standard
    Location.operationalStatuspreferredHl7VSBedStatus
    http://terminology.hl7.org/ValueSet/v2-0116
    Location.moderequiredLocationMode
    http://hl7.org/fhir/ValueSet/location-mode|4.0.1
    from the FHIR Standard
    Location.typeextensibleServiceDeliveryLocationRoleType
    http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType
    Location.address.userequiredAddressUse
    http://hl7.org/fhir/ValueSet/address-use|4.0.1
    from the FHIR Standard
    Location.address.typerequiredAddressType
    http://hl7.org/fhir/ValueSet/address-type|4.0.1
    from the FHIR Standard
    Location.address.stateextensibleUspsTwoLetterAlphabeticCodes
    http://hl7.org/fhir/us/core/ValueSet/us-core-usps-state
    Location.physicalTypeexampleLocationType
    http://hl7.org/fhir/ValueSet/location-physical-type
    from the FHIR Standard
    Location.hoursOfOperation.daysOfWeekrequiredDaysOfWeek
    http://hl7.org/fhir/ValueSet/days-of-week|4.0.1
    from the FHIR Standard

    This structure is derived from USCoreLocation

    Summary

    Must-Support: 1 element

    Maturity: 0

     

    Other representations of profile: CSV, Excel, Schematron