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: GFEDisclaimer

Official URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/gfeDisclaimer | Version: 2.0.1
Standards status: Trial-use | Maturity Level: 2 | Computable Name: GFEDisclaimer
Other Identifiers: OID:2.16.840.1.113883.4.642.40.4.42.27

Disclaimers the patient should be made aware of regarding the providers estimate (e.g. application of sliding scale for self-pay/uninsured patients) including any additional assumptions and requirements. Noting that that the information provided is only an estimate based on the items and services reasonably expected, at the time of scheduling (or requesting) the item or service, to be furnished and is subject to change.

Context of Use

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

- Element ID: `Claim`

Usage info

Usages:

- Use this Extension: PCT Good Faith Estimate Institutional, PCT Good Faith Estimate Professional and PCT Good Faith Estimate Summary
- Examples for this Extension: Bundle/PCT-AEOB-Packet-1, Bundle/PCT-GFE-Bundle-Inst-1, Bundle/PCT-GFE-Packet-Inst-1 and Claim/PCT-GFE-Institutional-1

You can also check for usages in the FHIR IG Statistics

Changes since version 1.1.0:

- The resource metadata has changed (description)
- 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
extension |  | 0..0 |  | Extension
url |  | 1..1 | uri | "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/gfeDisclaimer"
value[x] |  | 1..1 | string | 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
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/gfeDisclaimer"
value[x] |  | 1..1 | string | Value of extension
Documentation for this format

This structure is derived from Extension

Summary

Simple Extension with the type string: Disclaimers the patient should be made aware of regarding the providers estimate (e.g. application of sliding scale for self-pay/uninsured patients) including any additional assumptions and requirements. Noting that that the information provided is only an estimate based on the items and services reasonably expected, at the time of scheduling (or requesting) the item or service, to be furnished and is subject to change.

Maturity: 2

Differential View

This structure is derived from Extension

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  | 0..* | Extension | Extension
extension |  | 0..0 |  | Extension
url |  | 1..1 | uri | "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/gfeDisclaimer"
value[x] |  | 1..1 | string | 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
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/gfeDisclaimer"
value[x] |  | 1..1 | string | Value of extension
Documentation for this format

This structure is derived from Extension

Summary

Simple Extension with the type string: Disclaimers the patient should be made aware of regarding the providers estimate (e.g. application of sliding scale for self-pay/uninsured patients) including any additional assumptions and requirements. Noting that that the information provided is only an estimate based on the items and services reasonably expected, at the time of scheduling (or requesting) the item or service, to be furnished and is subject to change.

Maturity: 2

Other representations of profile: CSV, Excel, Schematron

#### 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()`