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

## : PCT-GFE-DocumentReference-Prof-1 - TTL Representation

Page standards status: Informative

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    @prefix fhir: <http://hl7.org/fhir/> .
    @prefix loinc: <https://loinc.org/rdf/> .
    @prefix owl: <http://www.w3.org/2002/07/owl#> .
    @prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
    @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
    @prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

    # - resource -------------------------------------------------------------------

     a fhir:DocumentReference ;
      fhir:nodeRole fhir:treeRoot ;
      fhir:id [ fhir:v "PCT-GFE-DocumentReference-Prof-1"] ; #
      fhir:meta [
        ( fhir:profile [
    fhir:v "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-gfe-documentreference"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-gfe-documentreference>     ] )
      ] ; #
      fhir:text [
    fhir:status [ fhir:v "extensions" ] ;
    fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: DocumentReference PCT-GFE-DocumentReference-Prof-1</b></p><a name=\"PCT-GFE-DocumentReference-Prof-1\"> </a><a name=\"hcPCT-GFE-DocumentReference-Prof-1\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-davinci-pct-gfe-documentreference.html\">PCT GFE Packet Document Reference</a></p></div><p><b>Request Initiation Time</b>: 2025-01-08 09:01:00+0500</p><p><b>Significant Procedures and/or products involved</b>: <span title=\"Codes:{http://www.ama-assn.org/go/cpt 70551}\">Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material</span></p><p><b>Significant condition involved</b>: <span title=\"Codes:{http://hl7.org/fhir/sid/icd-10-cm S06.30}\">Unspecified focal traumatic brain injury</span></p><p><b>status</b>: Current</p><p><b>docStatus</b>: Final</p><p><b>type</b>: <span title=\"Codes:{http://loinc.org 111480-0}\">Good faith estimate</span></p><p><b>category</b>: <span title=\"Codes:{http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTDocumentTypeTemporaryTrialUse estimate}\">Estimation Packet</span></p><p><b>subject</b>: <a href=\"Patient-patient1001.html\">Eve Betterhalf Female, DoB: 1955-07-23 ( http://example.com/identifiers/patient#1001)</a></p><p><b>date</b>: 2025-01-10 11:01:00+0500</p><p><b>author</b>: </p><ul><li><a href=\"Organization-org1001.html\">Organization Umbrella Insurance Company</a></li><li><a href=\"Organization-Submitter-Org-1.html\">Organization GFE Service Help INC.</a></li></ul><blockquote><p><b>content</b></p><h3>Attachments</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Url</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"http://example.org/fhir/Bundle/PCT-GFE-Packet-Prof-1\">http://example.org/fhir/Bundle/PCT-GFE-Packet-Prof-1</a></td></tr></table></blockquote></div>"^^rdf:XMLLiteral ]
      ] ; #
      fhir:extension ( [
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/requestInitiationTime"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-pct/StructureDefinition/requestInitiationTime>     ] ;
    fhir:value [
    a fhir:Instant ;
    fhir:v "2025-01-08T09:01:00+05:00"^^xsd:dateTime     ]
      ] [
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/estimateProcedureOrService"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-pct/StructureDefinition/estimateProcedureOrService>     ] ;
    fhir:value [
    a fhir:CodeableConcept ;
          ( fhir:coding [
    fhir:system [
    fhir:v "http://www.ama-assn.org/go/cpt"^^xsd:anyURI ;
    fhir:l <http://www.ama-assn.org/go/cpt>         ] ;
    fhir:code [ fhir:v "70551" ] ;
    fhir:display [ fhir:v "Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material" ]       ] )     ]
      ] [
    fhir:url [
    fhir:v "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/estimateCondition"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-pct/StructureDefinition/estimateCondition>     ] ;
    fhir:value [
    a fhir:CodeableConcept ;
          ( fhir:coding [
    fhir:system [
    fhir:v "http://hl7.org/fhir/sid/icd-10-cm"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/sid/icd-10-cm>         ] ;
    fhir:code [ fhir:v "S06.30" ] ;
    fhir:display [ fhir:v "Unspecified focal traumatic brain injury" ]       ] )     ]
      ] ) ; #
      fhir:status [ fhir:v "current"] ; #
      fhir:docStatus [ fhir:v "final"] ; #
      fhir:type [
        ( fhir:coding [
    a loinc:111480-0 ;
    fhir:system [
    fhir:v "http://loinc.org"^^xsd:anyURI ;
    fhir:l <http://loinc.org>       ] ;
    fhir:code [ fhir:v "111480-0" ] ;
    fhir:display [ fhir:v "Good faith estimate" ]     ] )
      ] ; #
      fhir:category ( [
        ( fhir:coding [
    fhir:system [
    fhir:v "http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTDocumentTypeTemporaryTrialUse"^^xsd:anyURI ;
    fhir:l <http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTDocumentTypeTemporaryTrialUse>       ] ;
    fhir:code [ fhir:v "estimate" ]     ] )
      ] ) ; #
      fhir:subject [
    fhir:l fhir:Patient/patient1001 ;
    fhir:reference [ fhir:v "Patient/patient1001" ]
      ] ; #
      fhir:date [ fhir:v "2025-01-10T11:01:00+05:00"^^xsd:dateTime] ; #
      fhir:author ( [
    fhir:l fhir:Organization/org1001 ;
    fhir:reference [ fhir:v "Organization/org1001" ]
      ] [
    fhir:l fhir:Organization/Submitter-Org-1 ;
    fhir:reference [ fhir:v "Organization/Submitter-Org-1" ]
      ] ) ; #
      fhir:content ( [
    fhir:attachment [
    fhir:url [
    fhir:v "http://example.org/fhir/Bundle/PCT-GFE-Packet-Prof-1"^^xsd:anyURI ;
    fhir:l <http://example.org/fhir/Bundle/PCT-GFE-Packet-Prof-1>       ]     ]
      ] ) . #