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

## Extension: Significant condition involved

Official URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/estimateCondition | Version: 2.0.1
Standards status: Trial-use | Maturity Level: 2 | Computable Name: EstimateCondition
Other Identifiers: OID:2.16.840.1.113883.4.642.40.4.42.54

Significant condition involved in an estimate.

Context of Use

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

- Element ID: `Task`
- Element ID: `DocumentReference`

Usage info

Usages:

- Use this Extension: PCT AEOB Packet Document Reference and PCT GFE Packet Document Reference
- Examples for this Extension: DocumentReference/PCT-AEOB-DocumentReference-1, DocumentReference/PCT-GFE-DocumentReference-Inst-1 and DocumentReference/PCT-GFE-DocumentReference-Prof-1

You can also check for usages in the FHIR IG Statistics

Changes since version 1.1.0:

- New Content

### Formal Views of Extension Content

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

- Differential Table
- Snapshot Table
- Statistics/References
- All

This structure is derived from Extension

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | Significant condition involved
extension |  | 0..0 |  | Extension
url |  | 1..1 | uri | "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/estimateCondition"
value[x] |  | 1..1 | CodeableConcept | Significant condition or condition involved Binding: PCT ICD-10 Diagnostic Codes (required)
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | Significant condition involved
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/estimateCondition"
value[x] |  | 1..1 | CodeableConcept | Significant condition or condition involved Binding: PCT ICD-10 Diagnostic Codes (required)
Documentation for this format

This structure is derived from Extension

Summary

Simple Extension with the type CodeableConcept: Significant condition involved in an estimate.

Maturity: 2

Differential View

This structure is derived from Extension

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | Significant condition involved
extension |  | 0..0 |  | Extension
url |  | 1..1 | uri | "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/estimateCondition"
value[x] |  | 1..1 | CodeableConcept | Significant condition or condition involved Binding: PCT ICD-10 Diagnostic Codes (required)
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | Significant condition involved
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/estimateCondition"
value[x] |  | 1..1 | CodeableConcept | Significant condition or condition involved Binding: PCT ICD-10 Diagnostic Codes (required)
Documentation for this format

This structure is derived from Extension

Summary

Simple Extension with the type CodeableConcept: Significant condition involved in an estimate.

Maturity: 2

Other representations of profile: CSV, Excel, Schematron

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Extension.value[x] | Base | required | PCT ICD-10 Diagnostic Codes | 📦2.0.1 | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`