Patient Cost Transparency Implementation Guide
2.0.0 - STU 2 United States of America flag

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 2.0.0 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

Example Bundle: PCT-GFE-Missing-Bundle-1

Bundle PCT-GFE-Missing-Bundle-1 of type collection

Entry 1 - fullUrl = http://example.org/fhir/Organization/org1002

Resource Organization:

identifier: United States National Provider Identifier/9941339100, Tax ID number/TAX-3211001

active: true

type: Healthcare Provider

name: Boston Radiology Center

Contacts

-TelecomAddress
*ph: 781-232-3200(Work)32 Fruit Street Boston MA 02114 US

Entry 2 - fullUrl = http://example.org/fhir/Patient/patient1001

Resource Patient:

Eve Betterhalf female, DoB: 1955-07-23 ( http://example.com/identifiers/patient/1001)

Marital Status:unmarried
Contact Details:
  • ph: 781-949-4949(MOBILE)
  • 222 Burlington Road, Bedford MA 01730
Language:English (United States) (preferred)

Entry 3 - fullUrl = http://example.org/fhir/Coverage/coverage1001

Resource Coverage:

Profile: PCT Coverage

Extension Definition for Coverage.kind for Version 5.0: insurance

status: Active

subscriberId: PFP123450000

beneficiary: Eve Betterhalf Female, DoB: 1955-07-23 ( http://example.com/identifiers/patient#1001)

relationship: Self

period: 2021-01-01 --> 2022-01-01

Classes

-TypeValueName
*PlanPremim Family PlusPremim Family Plus Plan

CostToBeneficiaries

-TypeValue[x]
*Copay Percentage20

Entry 4 - fullUrl = http://example.org/fhir/Organization/org1001

Resource Organization:

identifier: Electronic Transmitter Identification Number/ETIN-3200002

active: true

type: Payer

name: Umbrella Insurance Company

Contacts

-TelecomAddress
*ph: 860-547-5001(Work)680 Asylum Street Hartford CT 06155 US

Entry 5 - fullUrl = http://example.org/fhir/DeviceRequest/PCT-DeviceRequest-1

Resource DeviceRequest:

status: Active

intent: Proposal

subject: Eve Betterhalf Female, DoB: 1955-07-23 ( http://example.com/identifiers/patient#1001)