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

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Resource Profile: PCT Good Faith Estimate Summary - Mappings

Mappings for the davinci-pct-gfe-summary resource profile.

Mappings to Structures in this Implementation Guide

No Mappings Found

Mappings to other Structures

No Mappings Found

Other Mappings

Name	Workflow Pattern	FiveWs Pattern Mapping	RIM Mapping
Claim	Request		Entity. Role or Act
Claim / id
Claim / meta
Claim / implicitRules
Claim / language
Claim / text			Act.text?
Claim / contained			N/A
Claim / Slices for extension
Claim / Slices for extension / extension:gfeDisclaimer
Claim / Slices for extension / extension:serviceDescription
Claim / modifierExtension			N/A
Claim / identifier	Request.identifier	FiveWs.identifier
Claim / status	Request.status	FiveWs.status
Claim / type		FiveWs.class
Claim / subType		FiveWs.class
Claim / use		FiveWs.class
Claim / patient	Request.subject	FiveWs.subject
Claim / billablePeriod		FiveWs.done[x]
Claim / created	Request.authoredOn	FiveWs.recorded
Claim / enterer		FiveWs.author
Claim / insurer	Request.performer
Claim / provider	Request.requester	FiveWs.source
Claim / provider / id			n/a
Claim / provider / Slices for extension
Claim / provider / Slices for extension / extension:dataAbsentReason			ANY.nullFlavor
Claim / provider / Slices for extension / extension:dataAbsentReason / id			n/a
Claim / provider / Slices for extension / extension:dataAbsentReason / extension
Claim / provider / Slices for extension / extension:dataAbsentReason / url			N/A
Claim / provider / Slices for extension / extension:dataAbsentReason / value[x]			N/A
Claim / provider / reference			N/A
Claim / provider / type			N/A
Claim / provider / identifier			.identifier
Claim / provider / display			N/A
Claim / priority	Request.priority
Claim / fundsReserve
Claim / related
Claim / related / id			n/a
Claim / related / extension			n/a
Claim / related / modifierExtension			N/A
Claim / related / claim	Request.replaces
Claim / related / relationship
Claim / related / reference
Claim / prescription
Claim / originalPrescription
Claim / payee
Claim / referral		FiveWs.cause
Claim / facility		FiveWs.where[x]
Claim / Slices for careTeam
Claim / Slices for careTeam / careTeam:All Slices
Claim / Slices for careTeam / careTeam:All Slices / id			n/a
Claim / Slices for careTeam / careTeam:All Slices / extension			n/a
Claim / Slices for careTeam / careTeam:All Slices / modifierExtension			N/A
Claim / Slices for careTeam / careTeam:All Slices / sequence
Claim / Slices for careTeam / careTeam:All Slices / provider		FiveWs.actor
Claim / Slices for careTeam / careTeam:All Slices / responsible
Claim / Slices for careTeam / careTeam:All Slices / role
Claim / Slices for careTeam / careTeam:All Slices / qualification
Claim / Slices for careTeam / careTeam:attending
Claim / Slices for careTeam / careTeam:attending / id			n/a
Claim / Slices for careTeam / careTeam:attending / extension			n/a
Claim / Slices for careTeam / careTeam:attending / modifierExtension			N/A
Claim / Slices for careTeam / careTeam:attending / sequence
Claim / Slices for careTeam / careTeam:attending / provider		FiveWs.actor
Claim / Slices for careTeam / careTeam:attending / responsible
Claim / Slices for careTeam / careTeam:attending / role
Claim / Slices for careTeam / careTeam:attending / qualification
Claim / Slices for careTeam / careTeam:operating
Claim / Slices for careTeam / careTeam:operating / id			n/a
Claim / Slices for careTeam / careTeam:operating / extension			n/a
Claim / Slices for careTeam / careTeam:operating / modifierExtension			N/A
Claim / Slices for careTeam / careTeam:operating / sequence
Claim / Slices for careTeam / careTeam:operating / provider		FiveWs.actor
Claim / Slices for careTeam / careTeam:operating / responsible
Claim / Slices for careTeam / careTeam:operating / role
Claim / Slices for careTeam / careTeam:operating / qualification
Claim / Slices for careTeam / careTeam:rendering
Claim / Slices for careTeam / careTeam:rendering / id			n/a
Claim / Slices for careTeam / careTeam:rendering / extension			n/a
Claim / Slices for careTeam / careTeam:rendering / modifierExtension			N/A
Claim / Slices for careTeam / careTeam:rendering / sequence
Claim / Slices for careTeam / careTeam:rendering / provider		FiveWs.actor
Claim / Slices for careTeam / careTeam:rendering / responsible
Claim / Slices for careTeam / careTeam:rendering / role
Claim / Slices for careTeam / careTeam:rendering / qualification
Claim / Slices for careTeam / careTeam:referring
Claim / Slices for careTeam / careTeam:referring / id			n/a
Claim / Slices for careTeam / careTeam:referring / extension			n/a
Claim / Slices for careTeam / careTeam:referring / modifierExtension			N/A
Claim / Slices for careTeam / careTeam:referring / sequence
Claim / Slices for careTeam / careTeam:referring / provider		FiveWs.actor
Claim / Slices for careTeam / careTeam:referring / responsible
Claim / Slices for careTeam / careTeam:referring / role
Claim / Slices for careTeam / careTeam:referring / qualification
Claim / supportingInfo	Request.supportingInfo
Claim / Slices for diagnosis	Request.reasonReference
Claim / Slices for diagnosis / diagnosis:All Slices
Claim / Slices for diagnosis / diagnosis:All Slices / id			n/a
Claim / Slices for diagnosis / diagnosis:All Slices / extension			n/a
Claim / Slices for diagnosis / diagnosis:All Slices / modifierExtension			N/A
Claim / Slices for diagnosis / diagnosis:All Slices / sequence
Claim / Slices for diagnosis / diagnosis:All Slices / diagnosis[x]
Claim / Slices for diagnosis / diagnosis:All Slices / type
Claim / Slices for diagnosis / diagnosis:All Slices / onAdmission
Claim / Slices for diagnosis / diagnosis:All Slices / packageCode
Claim / Slices for diagnosis / diagnosis:principal	Request.reasonReference
Claim / Slices for diagnosis / diagnosis:principal / id			n/a
Claim / Slices for diagnosis / diagnosis:principal / extension			n/a
Claim / Slices for diagnosis / diagnosis:principal / modifierExtension			N/A
Claim / Slices for diagnosis / diagnosis:principal / sequence
Claim / Slices for diagnosis / diagnosis:principal / diagnosis[x]
Claim / Slices for diagnosis / diagnosis:principal / type
Claim / Slices for diagnosis / diagnosis:principal / onAdmission
Claim / Slices for diagnosis / diagnosis:principal / packageCode
Claim / Slices for diagnosis / diagnosis:admitting	Request.reasonReference
Claim / Slices for diagnosis / diagnosis:admitting / id			n/a
Claim / Slices for diagnosis / diagnosis:admitting / extension			n/a
Claim / Slices for diagnosis / diagnosis:admitting / modifierExtension			N/A
Claim / Slices for diagnosis / diagnosis:admitting / sequence
Claim / Slices for diagnosis / diagnosis:admitting / diagnosis[x]
Claim / Slices for diagnosis / diagnosis:admitting / type
Claim / Slices for diagnosis / diagnosis:admitting / onAdmission
Claim / Slices for diagnosis / diagnosis:admitting / packageCode
Claim / Slices for diagnosis / diagnosis:patientReasonForVisit	Request.reasonReference
Claim / Slices for diagnosis / diagnosis:patientReasonForVisit / id			n/a
Claim / Slices for diagnosis / diagnosis:patientReasonForVisit / extension			n/a
Claim / Slices for diagnosis / diagnosis:patientReasonForVisit / modifierExtension			N/A
Claim / Slices for diagnosis / diagnosis:patientReasonForVisit / sequence
Claim / Slices for diagnosis / diagnosis:patientReasonForVisit / diagnosis[x]
Claim / Slices for diagnosis / diagnosis:patientReasonForVisit / type
Claim / Slices for diagnosis / diagnosis:patientReasonForVisit / onAdmission
Claim / Slices for diagnosis / diagnosis:patientReasonForVisit / packageCode
Claim / Slices for diagnosis / diagnosis:externalcauseofinjury	Request.reasonReference
Claim / Slices for diagnosis / diagnosis:externalcauseofinjury / id			n/a
Claim / Slices for diagnosis / diagnosis:externalcauseofinjury / extension			n/a
Claim / Slices for diagnosis / diagnosis:externalcauseofinjury / modifierExtension			N/A
Claim / Slices for diagnosis / diagnosis:externalcauseofinjury / sequence
Claim / Slices for diagnosis / diagnosis:externalcauseofinjury / diagnosis[x]
Claim / Slices for diagnosis / diagnosis:externalcauseofinjury / type
Claim / Slices for diagnosis / diagnosis:externalcauseofinjury / onAdmission
Claim / Slices for diagnosis / diagnosis:externalcauseofinjury / packageCode
Claim / Slices for diagnosis / diagnosis:other	Request.reasonReference
Claim / Slices for diagnosis / diagnosis:other / id			n/a
Claim / Slices for diagnosis / diagnosis:other / extension			n/a
Claim / Slices for diagnosis / diagnosis:other / modifierExtension			N/A
Claim / Slices for diagnosis / diagnosis:other / sequence
Claim / Slices for diagnosis / diagnosis:other / diagnosis[x]
Claim / Slices for diagnosis / diagnosis:other / type
Claim / Slices for diagnosis / diagnosis:other / onAdmission
Claim / Slices for diagnosis / diagnosis:other / packageCode
Claim / Slices for procedure
Claim / Slices for procedure / procedure:All Slices
Claim / Slices for procedure / procedure:All Slices / id			n/a
Claim / Slices for procedure / procedure:All Slices / Slices for extension
Claim / Slices for procedure / procedure:All Slices / Slices for extension / extension:serviceDescription
Claim / Slices for procedure / procedure:All Slices / modifierExtension			N/A
Claim / Slices for procedure / procedure:All Slices / sequence
Claim / Slices for procedure / procedure:All Slices / type
Claim / Slices for procedure / procedure:All Slices / date
Claim / Slices for procedure / procedure:All Slices / procedure[x]
Claim / Slices for procedure / procedure:All Slices / udi
Claim / Slices for procedure / procedure:principal
Claim / Slices for procedure / procedure:principal / id			n/a
Claim / Slices for procedure / procedure:principal / Slices for extension
Claim / Slices for procedure / procedure:principal / Slices for extension
Claim / Slices for procedure / procedure:principal / Slices for extension / extension:serviceDescription
Claim / Slices for procedure / procedure:principal / modifierExtension			N/A
Claim / Slices for procedure / procedure:principal / sequence
Claim / Slices for procedure / procedure:principal / type
Claim / Slices for procedure / procedure:principal / date
Claim / Slices for procedure / procedure:principal / procedure[x]
Claim / Slices for procedure / procedure:principal / udi
Claim / Slices for procedure / procedure:anesthesiaRelated
Claim / Slices for procedure / procedure:anesthesiaRelated / id			n/a
Claim / Slices for procedure / procedure:anesthesiaRelated / Slices for extension
Claim / Slices for procedure / procedure:anesthesiaRelated / Slices for extension
Claim / Slices for procedure / procedure:anesthesiaRelated / Slices for extension / extension:serviceDescription
Claim / Slices for procedure / procedure:anesthesiaRelated / modifierExtension			N/A
Claim / Slices for procedure / procedure:anesthesiaRelated / sequence
Claim / Slices for procedure / procedure:anesthesiaRelated / type
Claim / Slices for procedure / procedure:anesthesiaRelated / date
Claim / Slices for procedure / procedure:anesthesiaRelated / procedure[x]
Claim / Slices for procedure / procedure:anesthesiaRelated / udi
Claim / Slices for procedure / procedure:other
Claim / Slices for procedure / procedure:other / id			n/a
Claim / Slices for procedure / procedure:other / Slices for extension
Claim / Slices for procedure / procedure:other / Slices for extension
Claim / Slices for procedure / procedure:other / Slices for extension / extension:serviceDescription
Claim / Slices for procedure / procedure:other / modifierExtension			N/A
Claim / Slices for procedure / procedure:other / sequence
Claim / Slices for procedure / procedure:other / type
Claim / Slices for procedure / procedure:other / date
Claim / Slices for procedure / procedure:other / procedure[x]
Claim / Slices for procedure / procedure:other / udi
Claim / insurance			Coverage
Claim / insurance / id			n/a
Claim / insurance / extension			n/a
Claim / insurance / modifierExtension			N/A
Claim / insurance / sequence
Claim / insurance / focal
Claim / insurance / identifier	Request.identifier	FiveWs.identifier
Claim / insurance / coverage
Claim / insurance / businessArrangement
Claim / insurance / preAuthRef
Claim / insurance / claimResponse
Claim / accident
Claim / accident / id			n/a
Claim / accident / extension			n/a
Claim / accident / modifierExtension			N/A
Claim / accident / date
Claim / accident / type
Claim / accident / location[x]
Claim / accident / location[x] / id			n/a
Claim / accident / location[x] / extension			n/a
Claim / accident / location[x] / use			unique(./use)
Claim / accident / location[x] / type			unique(./use)
Claim / accident / location[x] / text			./formatted
Claim / accident / location[x] / line			AD.part[parttype = AL]
Claim / accident / location[x] / city			AD.part[parttype = CTY]
Claim / accident / location[x] / district			AD.part[parttype = CNT | CPA]
Claim / accident / location[x] / state			AD.part[parttype = STA]
Claim / accident / location[x] / postalCode			AD.part[parttype = ZIP]
Claim / accident / location[x] / country			AD.part[parttype = CNT]
Claim / accident / location[x] / period			./usablePeriod[type="IVL<TS>"]
Claim / item
Claim / total
Documentation for this format