Patient Cost Transparency Implementation Guide
2.0.0 - 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 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

Extension: GFEServiceLinkingInfo

Official URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/gfeServiceLinkingInfo Version: 2.0.0
Standards status: Trial-use Maturity Level: 2 Computable Name: GFEServiceLinkingInfo
Other Identifiers: OID:2.16.840.1.113883.4.642.40.4.42.29

This extension is used to provide the GFE Service Linking Information. This allows implementers to have the same identifier on multiple GFEs that are part of one period of care's services. This would be needed for some of the workflow options that businesses may decide to use.

Context of Use

    This extension may be used on the following element(s)

Usage info

Usages:

You can also check for usages in the FHIR IG Statistics

Changes since version 1.1.0:

  • The data elements list has changed
  • One or more text definitions, invariants or bindings have changed

    • Formal Views of Extension Content

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

    This structure is derived from Extension

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Extension 0..* Extension Extension
    ... Slices for extension Content/Rules for all slices
    .... extension:plannedPeriodOfService S 0..* Extension A timeframe during which a patient is expected to receive healthcare services and/or items as outlined in a Good Faith Estimate (GFE).
    ..... extension 0..0
    ..... url 1..1 uri "plannedPeriodOfService"
    ..... value[x] 1..1 Value of extension
    ...... valueDate date
    ...... valuePeriod Period
    .... extension:linkingIdentifier S 0..1 Extension An identifier assigned to a particular service or series of services, generally by a scheduling facility, to be used by all providers and practitioners who will be submitting a GFE for a patient's care.
    ..... extension 0..0
    ..... url 1..1 uri "linkingIdentifier"
    ..... value[x] 1..1 Identifier Value of extension
    ...... system 1..1 uri The namespace for the identifier value
    ...... value 1..1 string The value that is unique
    .... extension:anticipatedSubmittingProviderCount 0..1 Extension Total number of providers that are expected to submit GFEs.
    ..... extension 0..0
    ..... url 1..1 uri "anticipatedSubmittingProviderCount"
    ..... value[x] 1..1 unsignedInt Value of extension
    ... url 1..1 uri "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/gfeServiceLinkingInfo"
    ... value[x] 0..0

    doco Documentation for this format
    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Extension 0..* Extension Extension
    ... id 0..1 string Unique id for inter-element referencing
    ... Slices for extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    .... extension:plannedPeriodOfService S 0..* Extension A timeframe during which a patient is expected to receive healthcare services and/or items as outlined in a Good Faith Estimate (GFE).
    ..... id 0..1 string Unique id for inter-element referencing
    ..... extension 0..0
    ..... url 1..1 uri "plannedPeriodOfService"
    ..... value[x] 1..1 Value of extension
    ...... valueDate date
    ...... valuePeriod Period
    .... extension:linkingIdentifier S 0..1 Extension An identifier assigned to a particular service or series of services, generally by a scheduling facility, to be used by all providers and practitioners who will be submitting a GFE for a patient's care.
    ..... id 0..1 string Unique id for inter-element referencing
    ..... extension 0..0
    ..... url 1..1 uri "linkingIdentifier"
    ..... value[x] 1..1 Identifier Value of extension
    ...... 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 usual | official | temp | secondary | old (If known)
    Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
    ...... type Σ 0..1 CodeableConcept Description of identifier
    Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
    ...... system Σ 1..1 uri The namespace for the identifier value
    Example General: http://www.acme.com/identifiers/patient
    ...... value Σ 1..1 string The value that is unique
    Example General: 123456
    ...... period Σ 0..1 Period Time period when id is/was valid for use
    ...... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
    .... extension:anticipatedSubmittingProviderCount 0..1 Extension Total number of providers that are expected to submit GFEs.
    ..... id 0..1 string Unique id for inter-element referencing
    ..... extension 0..0
    ..... url 1..1 uri "anticipatedSubmittingProviderCount"
    ..... value[x] 1..1 unsignedInt Value of extension
    ... url 1..1 uri "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/gfeServiceLinkingInfo"

    doco Documentation for this format

    This structure is derived from Extension

    Summary

    Complex Extension: This extension is used to provide the GFE Service Linking Information. This allows implementers to have the same identifier on multiple GFEs that are part of one period of care's services. This would be needed for some of the workflow options that businesses may decide to use.

    • plannedPeriodOfService: date, Period: A timeframe (scheduled or requested) during which a patient is expected to receive healthcare services generally related to a specific treatment goal, episode of care, or clinical objective as outlined in a Good Faith Estimate (GFE). This period typically begins with the initial scheduled service and includes all reasonably expected items and services that are associated with that primary service, even if rendered by different providers or facilities.
    • linkingIdentifier: Identifier: An identifier assigned to a particular service or series of services, generally by a scheduling facility, to be used by all providers and practitioners who will be submitting a GFE for a patient's care.
    • anticipatedSubmittingProviderCount: unsignedInt: The total number of providers that are expected to submit a GFE as part of a planned period of service or estimate request. This number includes all co-provider and the convening provider (if the convening provider is submitting a GFE). If this value is provided in more than one resource and there is a conflict in the number, the extension as part of the GFE Composition as part of the GFE Packet will be the definitive number.

    Maturity: 2

    Differential View

    This structure is derived from Extension

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Extension 0..* Extension Extension
    ... Slices for extension Content/Rules for all slices
    .... extension:plannedPeriodOfService S 0..* Extension A timeframe during which a patient is expected to receive healthcare services and/or items as outlined in a Good Faith Estimate (GFE).
    ..... extension 0..0
    ..... url 1..1 uri "plannedPeriodOfService"
    ..... value[x] 1..1 Value of extension
    ...... valueDate date
    ...... valuePeriod Period
    .... extension:linkingIdentifier S 0..1 Extension An identifier assigned to a particular service or series of services, generally by a scheduling facility, to be used by all providers and practitioners who will be submitting a GFE for a patient's care.
    ..... extension 0..0
    ..... url 1..1 uri "linkingIdentifier"
    ..... value[x] 1..1 Identifier Value of extension
    ...... system 1..1 uri The namespace for the identifier value
    ...... value 1..1 string The value that is unique
    .... extension:anticipatedSubmittingProviderCount 0..1 Extension Total number of providers that are expected to submit GFEs.
    ..... extension 0..0
    ..... url 1..1 uri "anticipatedSubmittingProviderCount"
    ..... value[x] 1..1 unsignedInt Value of extension
    ... url 1..1 uri "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/gfeServiceLinkingInfo"
    ... value[x] 0..0

    doco Documentation for this format

    Snapshot View

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Extension 0..* Extension Extension
    ... id 0..1 string Unique id for inter-element referencing
    ... Slices for extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    .... extension:plannedPeriodOfService S 0..* Extension A timeframe during which a patient is expected to receive healthcare services and/or items as outlined in a Good Faith Estimate (GFE).
    ..... id 0..1 string Unique id for inter-element referencing
    ..... extension 0..0
    ..... url 1..1 uri "plannedPeriodOfService"
    ..... value[x] 1..1 Value of extension
    ...... valueDate date
    ...... valuePeriod Period
    .... extension:linkingIdentifier S 0..1 Extension An identifier assigned to a particular service or series of services, generally by a scheduling facility, to be used by all providers and practitioners who will be submitting a GFE for a patient's care.
    ..... id 0..1 string Unique id for inter-element referencing
    ..... extension 0..0
    ..... url 1..1 uri "linkingIdentifier"
    ..... value[x] 1..1 Identifier Value of extension
    ...... 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 usual | official | temp | secondary | old (If known)
    Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
    ...... type Σ 0..1 CodeableConcept Description of identifier
    Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
    ...... system Σ 1..1 uri The namespace for the identifier value
    Example General: http://www.acme.com/identifiers/patient
    ...... value Σ 1..1 string The value that is unique
    Example General: 123456
    ...... period Σ 0..1 Period Time period when id is/was valid for use
    ...... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
    .... extension:anticipatedSubmittingProviderCount 0..1 Extension Total number of providers that are expected to submit GFEs.
    ..... id 0..1 string Unique id for inter-element referencing
    ..... extension 0..0
    ..... url 1..1 uri "anticipatedSubmittingProviderCount"
    ..... value[x] 1..1 unsignedInt Value of extension
    ... url 1..1 uri "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/gfeServiceLinkingInfo"

    doco Documentation for this format

    This structure is derived from Extension

    Summary

    Complex Extension: This extension is used to provide the GFE Service Linking Information. This allows implementers to have the same identifier on multiple GFEs that are part of one period of care's services. This would be needed for some of the workflow options that businesses may decide to use.

    • plannedPeriodOfService: date, Period: A timeframe (scheduled or requested) during which a patient is expected to receive healthcare services generally related to a specific treatment goal, episode of care, or clinical objective as outlined in a Good Faith Estimate (GFE). This period typically begins with the initial scheduled service and includes all reasonably expected items and services that are associated with that primary service, even if rendered by different providers or facilities.
    • linkingIdentifier: Identifier: An identifier assigned to a particular service or series of services, generally by a scheduling facility, to be used by all providers and practitioners who will be submitting a GFE for a patient's care.
    • anticipatedSubmittingProviderCount: unsignedInt: The total number of providers that are expected to submit a GFE as part of a planned period of service or estimate request. This number includes all co-provider and the convening provider (if the convening provider is submitting a GFE). If this value is provided in more than one resource and there is a conflict in the number, the extension as part of the GFE Composition as part of the GFE Packet will be the definitive number.

    Maturity: 2

     

    Other representations of profile: CSV, Excel, Schematron

    Terminology Bindings

    PathConformanceValueSetURI
    Extension.extension:linkingIdentifier.value[x].userequiredIdentifierUse
    http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
    From the FHIR Standard
    Extension.extension:linkingIdentifier.value[x].typeextensibleIdentifier Type Codes
    http://hl7.org/fhir/ValueSet/identifier-type
    From the FHIR Standard

    Constraints

    IdGradePath(s)DetailsRequirements
    ele-1error**ALL** elementsAll FHIR elements must have a @value or children
    : hasValue() or (children().count() > id.count())
    ext-1error**ALL** extensionsMust have either extensions or value[x], not both
    : extension.exists() != value.exists()