Patient Cost Transparency Implementation Guide
2.0.1 - STU 2

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 2.0.1 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

## Example Bundle: PCT-GFE-Missing-Bundle-1

Profile: PCT GFE Missing Bundle

Bundle PCT-GFE-Missing-Bundle-1 of type collection

Entry 1 - fullUrl = http://example.org/fhir/Organization/org1002

Resource Organization:

> Profile: PCT Organization

> identifier: United States National Provider Identifier/9941339100, Tax ID number/TAX-3211001

> active: true

> type: Healthcare Provider

> name: Boston Radiology Center

> ### Contacts

> - | Telecom | Address
> * | ph: 781-232-3200(Work) | 32 Fruit Street Boston MA 02114 US

Entry 2 - fullUrl = http://example.org/fhir/Patient/patient1001

Resource Patient:

> Eve Betterhalf female, DoB: 1955-07-23 ( `http://example.com/identifiers/patient`/1001)

> Marital Status: | unmarried
> Contact Details: | ph: 781-949-4949(MOBILE) 222 Burlington Road, Bedford MA 01730
> Language: | English (United States) (preferred)

Entry 3 - fullUrl = http://example.org/fhir/Coverage/coverage1001

Resource Coverage:

> Profile: PCT Coverage

> Extension Definition for Coverage.kind for Version 5.0: insurance

> status: Active

> subscriberId: PFP123450000

> beneficiary: Eve Betterhalf Female, DoB: 1955-07-23 ( http://example.com/identifiers/patient#1001)

> relationship: Self

> period: 2021-01-01 --> 2022-01-01

> ### Classes

> - | Type | Value | Name
> * | Plan | Premim Family Plus | Premim Family Plus Plan

> ### CostToBeneficiaries

> - | Type | Value[x]
> * | Copay Percentage | 20

Entry 4 - fullUrl = http://example.org/fhir/Organization/org1001

Resource Organization:

> Profile: PCT Organization

> identifier: Electronic Transmitter Identification Number/ETIN-3200002

> active: true

> type: Payer

> name: Umbrella Insurance Company

> ### Contacts

> - | Telecom | Address
> * | ph: 860-547-5001(Work) | 680 Asylum Street Hartford CT 06155 US

Entry 5 - fullUrl = http://example.org/fhir/DeviceRequest/PCT-DeviceRequest-1

Resource DeviceRequest:

> Profile: PCT GFE DeviceRequest

> status: Active

> intent: Proposal

> subject: Eve Betterhalf Female, DoB: 1955-07-23 ( http://example.com/identifiers/patient#1001)