Patient Cost Transparency Implementation Guide
2.0.2 - STU 2
Patient Cost Transparency Implementation Guide
2.0.2 - 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 2.0.2 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
| Official URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-devicerequest | Version: 2.0.2 | ||||
| Standards status: Draft | Maturity Level: 0 | Computable Name: PCTDeviceRequest | |||
| Other Identifiers: OID:2.16.840.1.113883.4.642.40.4.42.21 | |||||
The PCT DeviceRequest including details about a device for which a GFE is being requested.
The following profile relates to the Good Faith Estimate (GFE) Coordination workflow and is marked as DRAFT. This content has not yet met the requisite level of testing to be balloted as trial-use. However, this part of the specification has been reviewed by the Da Vinci Patient Cost Transparency (PCT) open community of providers, payers, and health information technology (IT) vendors and was determined to be at a sufficient level of development to be included in this publication for the purposes of soliciting feedback from, and enabling testing by, the larger implementation community with the intention of bringing the content related to the GFE Coordination workflow to full standard for trial use (STU) status in a future version. Feedback is welcome and may be submitted through the FHIR change tracker indicating "US Da Vinci Patient Cost Transparency (PCT)(FHIR)" as the specification.
Usages:
You can also check for usages in the FHIR IG Statistics
Changes since version 1.1.0:
Description Differentials, Snapshots, and other representations.
| Name | Flags | Card. | Type | Description & Constraints Filter:  |
|---|---|---|---|---|
  DeviceRequest |
0..* | DeviceRequest | Medical device request | |
  implicitRules |
0..1 | uri | A set of rules under which this content was created | |
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
| status |
0..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Codes representing the status of the request. Required Pattern: active (extensions allowed) | |
| intent |
1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of diagnostic request. Required Pattern: proposal (extensions allowed) | |
 code[x] |
1..1 | Device requested Binding: FHIRDeviceTypes (example): Codes for devices that can be requested. | ||
  codeReference |
Reference(Device) | |||
  codeCodeableConcept |
CodeableConcept | |||
| subject |
1..1 | Reference(US Core Patient Profile(7.0.0)) | Focus of request | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| DeviceRequest.status | Base | required | RequestStatus | 📍4.0.1 | FHIR Std. |
| DeviceRequest.intent | Base | required | RequestIntent | 📍4.0.1 | FHIR Std. |
| DeviceRequest.code[x] | Base | example | FHIR Device Types | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
This structure is derived from DeviceRequest
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| DeviceRequest |
DeviceRequest | |||
 status |
0..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Required Pattern: active (extensions allowed) | |
| intent |
1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Required Pattern: proposal (extensions allowed) | |
| code[x] |
1..1 | Reference(Device), CodeableConcept | Device requested | |
| subject |
1..1 | Reference(US Core Patient Profile(7.0.0)) | Focus of request | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| DeviceRequest |
0..* | DeviceRequest | Medical device request | |||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
 extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
0..* | Identifier | External Request identifier | |||||
| instantiatesCanonical |
0..* | canonical(ActivityDefinition | PlanDefinition) | Instantiates FHIR protocol or definition | |||||
| instantiatesUri |
0..* | uri | Instantiates external protocol or definition | |||||
| basedOn |
0..* | Reference(Resource) | What request fulfills | |||||
| priorRequest |
0..* | Reference(Resource) | What request replaces | |||||
| groupIdentifier |
0..1 | Identifier | Identifier of composite request | |||||
| status |
0..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Codes representing the status of the request. Required Pattern: active (extensions allowed) | |||||
| intent |
1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of diagnostic request. Required Pattern: proposal (extensions allowed) | |||||
| priority |
0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | |||||
| code[x] |
1..1 | Device requested Binding: FHIRDeviceTypes (example): Codes for devices that can be requested. | ||||||
| codeReference |
Reference(Device) | |||||||
| codeCodeableConcept |
CodeableConcept | |||||||
| parameter |
0..* | BackboneElement | Device details | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| code |
0..1 | CodeableConcept | Device detail Binding Description: (example): A code that identifies the device detail. | |||||
| value[x] |
0..1 | Value of detail | ||||||
 valueCodeableConcept |
CodeableConcept | |||||||
| valueQuantity |
Quantity | |||||||
| valueRange |
Range | |||||||
| valueBoolean |
boolean | |||||||
| subject |
1..1 | Reference(US Core Patient Profile(7.0.0)) | Focus of request | |||||
| encounter |
0..1 | Reference(Encounter) | Encounter motivating request | |||||
| occurrence[x] |
0..1 | Desired time or schedule for use | ||||||
| occurrenceDateTime |
dateTime | |||||||
| occurrencePeriod |
Period | |||||||
| occurrenceTiming |
Timing | |||||||
| authoredOn |
0..1 | dateTime | When recorded | |||||
| requester |
0..1 | Reference(Device | Practitioner | PractitionerRole | Organization) | Who/what is requesting diagnostics | |||||
| performerType |
0..1 | CodeableConcept | Filler role Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc. | |||||
| performer |
0..1 | Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) | Requested Filler | |||||
| reasonCode |
0..* | CodeableConcept | Coded Reason for request Binding: Condition/Problem/DiagnosisCodes (example): Diagnosis or problem codes justifying the reason for requesting the device. | |||||
| reasonReference |
0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Linked Reason for request | |||||
| insurance |
0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||
| supportingInfo |
0..* | Reference(Resource) | Additional clinical information | |||||
| note |
0..* | Annotation | Notes or comments | |||||
| relevantHistory |
0..* | Reference(Provenance) | Request provenance | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| DeviceRequest.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| DeviceRequest.status | Base | required | RequestStatus | 📍4.0.1 | FHIR Std. |
| DeviceRequest.intent | Base | required | RequestIntent | 📍4.0.1 | FHIR Std. |
| DeviceRequest.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std. |
| DeviceRequest.code[x] | Base | example | FHIR Device Types | 📍4.0.1 | FHIR Std. |
| DeviceRequest.parameter.code | Base | example | Not State | Unknown | |
| DeviceRequest.performerType | Base | example | Participant Roles | 📍4.0.1 | FHIR Std. |
| DeviceRequest.reasonCode | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
This structure is derived from DeviceRequest
Summary
Must-Support: 1 element
Structures
This structure refers to these other structures:
Maturity: 0
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| DeviceRequest |
0..* | DeviceRequest | Medical device request | |
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |
| status |
0..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Codes representing the status of the request. Required Pattern: active (extensions allowed) | |
| intent |
1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of diagnostic request. Required Pattern: proposal (extensions allowed) | |
| code[x] |
1..1 | Device requested Binding: FHIRDeviceTypes (example): Codes for devices that can be requested. | ||
| codeReference |
Reference(Device) | |||
| codeCodeableConcept |
CodeableConcept | |||
| subject |
1..1 | Reference(US Core Patient Profile(7.0.0)) | Focus of request | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| DeviceRequest.status | Base | required | RequestStatus | 📍4.0.1 | FHIR Std. |
| DeviceRequest.intent | Base | required | RequestIntent | 📍4.0.1 | FHIR Std. |
| DeviceRequest.code[x] | Base | example | FHIR Device Types | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
Differential View
This structure is derived from DeviceRequest
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| DeviceRequest |
DeviceRequest | |||
| status |
0..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Required Pattern: active (extensions allowed) | |
| intent |
1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Required Pattern: proposal (extensions allowed) | |
| code[x] |
1..1 | Reference(Device), CodeableConcept | Device requested | |
| subject |
1..1 | Reference(US Core Patient Profile(7.0.0)) | Focus of request | |
| Documentation for this format | ||||
Snapshot ViewView
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| DeviceRequest |
0..* | DeviceRequest | Medical device request | |||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
0..* | Identifier | External Request identifier | |||||
| instantiatesCanonical |
0..* | canonical(ActivityDefinition | PlanDefinition) | Instantiates FHIR protocol or definition | |||||
| instantiatesUri |
0..* | uri | Instantiates external protocol or definition | |||||
| basedOn |
0..* | Reference(Resource) | What request fulfills | |||||
| priorRequest |
0..* | Reference(Resource) | What request replaces | |||||
| groupIdentifier |
0..1 | Identifier | Identifier of composite request | |||||
| status |
0..1 | code | draft | active | on-hold | revoked | completed | entered-in-error | unknown Binding: RequestStatus (required): Codes representing the status of the request. Required Pattern: active (extensions allowed) | |||||
| intent |
1..1 | code | proposal | plan | directive | order | original-order | reflex-order | filler-order | instance-order | option Binding: RequestIntent (required): The kind of diagnostic request. Required Pattern: proposal (extensions allowed) | |||||
| priority |
0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | |||||
| code[x] |
1..1 | Device requested Binding: FHIRDeviceTypes (example): Codes for devices that can be requested. | ||||||
| codeReference |
Reference(Device) | |||||||
| codeCodeableConcept |
CodeableConcept | |||||||
| parameter |
0..* | BackboneElement | Device details | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| code |
0..1 | CodeableConcept | Device detail Binding Description: (example): A code that identifies the device detail. | |||||
| value[x] |
0..1 | Value of detail | ||||||
| valueCodeableConcept |
CodeableConcept | |||||||
| valueQuantity |
Quantity | |||||||
| valueRange |
Range | |||||||
| valueBoolean |
boolean | |||||||
| subject |
1..1 | Reference(US Core Patient Profile(7.0.0)) | Focus of request | |||||
| encounter |
0..1 | Reference(Encounter) | Encounter motivating request | |||||
| occurrence[x] |
0..1 | Desired time or schedule for use | ||||||
| occurrenceDateTime |
dateTime | |||||||
| occurrencePeriod |
Period | |||||||
| occurrenceTiming |
Timing | |||||||
| authoredOn |
0..1 | dateTime | When recorded | |||||
| requester |
0..1 | Reference(Device | Practitioner | PractitionerRole | Organization) | Who/what is requesting diagnostics | |||||
| performerType |
0..1 | CodeableConcept | Filler role Binding: ParticipantRoles (example): Indicates specific responsibility of an individual within the care team, such as "Primary physician", "Team coordinator", "Caregiver", etc. | |||||
| performer |
0..1 | Reference(Practitioner | PractitionerRole | Organization | CareTeam | HealthcareService | Patient | Device | RelatedPerson) | Requested Filler | |||||
| reasonCode |
0..* | CodeableConcept | Coded Reason for request Binding: Condition/Problem/DiagnosisCodes (example): Diagnosis or problem codes justifying the reason for requesting the device. | |||||
| reasonReference |
0..* | Reference(Condition | Observation | DiagnosticReport | DocumentReference) | Linked Reason for request | |||||
| insurance |
0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||
| supportingInfo |
0..* | Reference(Resource) | Additional clinical information | |||||
| note |
0..* | Annotation | Notes or comments | |||||
| relevantHistory |
0..* | Reference(Provenance) | Request provenance | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| DeviceRequest.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| DeviceRequest.status | Base | required | RequestStatus | 📍4.0.1 | FHIR Std. |
| DeviceRequest.intent | Base | required | RequestIntent | 📍4.0.1 | FHIR Std. |
| DeviceRequest.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std. |
| DeviceRequest.code[x] | Base | example | FHIR Device Types | 📍4.0.1 | FHIR Std. |
| DeviceRequest.parameter.code | Base | example | Not State | Unknown | |
| DeviceRequest.performerType | Base | example | Participant Roles | 📍4.0.1 | FHIR Std. |
| DeviceRequest.reasonCode | Base | example | Condition/Problem/Diagnosis Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
This structure is derived from DeviceRequest
Summary
Must-Support: 1 element
Structures
This structure refers to these other structures:
Maturity: 0
Other representations of profile: CSV, Excel, Schematron
IG © 2025+ HL7 International / Financial Management.
Package hl7.fhir.us.davinci-pct#2.0.2 based on FHIR 4.0.1.
Generated
2026-11-09
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