# GFEDisclaimer - Patient Cost Transparency Implementation Guide v2.0.1

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **GFEDisclaimer**

## Extension: GFEDisclaimer 

| | | |
| :--- | :--- | :--- |
| *Official URL*:http://hl7.org/fhir/us/davinci-pct/StructureDefinition/gfeDisclaimer | *Version*:2.0.1 | |
| * Standards status: *[Trial-use](http://hl7.org/fhir/R4/versions.html#std-process) | [Maturity Level](http://hl7.org/fhir/versions.html#maturity): 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**

**Usage info**

**Usages:**

* Use this Extension: [PCT Good Faith Estimate Institutional](StructureDefinition-davinci-pct-gfe-institutional.md), [PCT Good Faith Estimate Professional](StructureDefinition-davinci-pct-gfe-professional.md) and [PCT Good Faith Estimate Summary](StructureDefinition-davinci-pct-gfe-summary.md)
* Examples for this Extension: [Bundle/PCT-AEOB-Packet-1](Bundle-PCT-AEOB-Packet-1.md), [Bundle/PCT-GFE-Bundle-Inst-1](Bundle-PCT-GFE-Bundle-Inst-1.md), [Bundle/PCT-GFE-Packet-Inst-1](Bundle-PCT-GFE-Packet-Inst-1.md) and [Claim/PCT-GFE-Institutional-1](Claim-PCT-GFE-Institutional-1.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/hl7.fhir.us.davinci-pct|current/StructureDefinition/gfeDisclaimer)

**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](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](StructureDefinition-gfeDisclaimer.csv), [Excel](StructureDefinition-gfeDisclaimer.xlsx), [Schematron](StructureDefinition-gfeDisclaimer.sch) 

#### Constraints



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "gfeDisclaimer",
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "fm"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 2,
    "_valueInteger" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueCanonical" : "http://hl7.org/fhir/us/davinci-pct/ImplementationGuide/hl7.fhir.us.davinci-pct"
      }]
    }
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "trial-use",
    "_valueCode" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueCanonical" : "http://hl7.org/fhir/us/davinci-pct/ImplementationGuide/hl7.fhir.us.davinci-pct"
      }]
    }
  }],
  "url" : "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/gfeDisclaimer",
  "identifier" : [{
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:oid:2.16.840.1.113883.4.642.40.4.42.27"
  }],
  "version" : "2.0.1",
  "name" : "GFEDisclaimer",
  "status" : "active",
  "date" : "2026-03-26T13:47:00+00:00",
  "publisher" : "HL7 International / Financial Management",
  "contact" : [{
    "name" : "HL7 International / Financial Management",
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org/Special/committees/fm"
    },
    {
      "system" : "email",
      "value" : "fmlists@lists.hl7.org"
    }]
  }],
  "description" : "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.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "US"
    }]
  }],
  "fhirVersion" : "4.0.1",
  "mapping" : [{
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  }],
  "kind" : "complex-type",
  "abstract" : false,
  "context" : [{
    "type" : "element",
    "expression" : "Claim"
  }],
  "type" : "Extension",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Extension",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "id" : "Extension",
      "path" : "Extension",
      "definition" : "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."
    },
    {
      "id" : "Extension.extension",
      "path" : "Extension.extension",
      "max" : "0"
    },
    {
      "id" : "Extension.url",
      "path" : "Extension.url",
      "fixedUri" : "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/gfeDisclaimer"
    },
    {
      "id" : "Extension.value[x]",
      "path" : "Extension.value[x]",
      "min" : 1,
      "type" : [{
        "code" : "string"
      }]
    }]
  }
}

```
