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: GFEServiceLinkingInfo

Official URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/gfeServiceLinkingInfo | Version: 2.0.1
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)

- Element ID: `Claim`
- Element ID: `Composition`

Usage info

Usages:

- Use this Extension: PCT AEOB Packet Document Reference, PCT GFE Composition, PCT GFE Packet Document Reference, PCT Good Faith Estimate Institutional and PCT Good Faith Estimate Professional
- Examples for this Extension: Bundle/PCT-AEOB-Packet-1, Bundle/PCT-GFE-Bundle-Inst-1, Bundle/PCT-GFE-Bundle-Prof-1, Bundle/PCT-GFE-Packet-Inst-1... Show 4 more, Bundle/PCT-GFE-Packet-Prof-1, Claim/PCT-GFE-Institutional-1, Claim/PCT-GFE-Institutional-MRI and Claim/PCT-GFE-Professional-MRI

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.

- 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 | 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 |  | Extension
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 |  | Extension
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 |  | Extension
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 |  | Value of extension
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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 |  | Extension Slice: Unordered, Open by value:url
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 |  | Extension Slice: Unordered, Open by value:url
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 |  | Extension Slice: Unordered, Open by value:url
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"
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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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 |  | Extension
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 |  | Extension
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 |  | Extension
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 |  | Value of extension
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
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 |  | Extension Slice: Unordered, Open by value:url
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 |  | Extension Slice: Unordered, Open by value:url
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 |  | Extension Slice: Unordered, Open by value:url
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"
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

Path | Status | Usage | ValueSet | Version | Source
Extension.extension:linkingIdentifier.​value[x].use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Extension.extension:linkingIdentifier.​value[x].type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std.

#### 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()`