Patient Cost Transparency Implementation Guide
2.0.2 - 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 2.0.2 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

Extension:

Official URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/gfeServiceLinkingInfo Version: 2.0.2
Standards status: Trial-use Maturity Level: 2 Computable Name: GFEServiceLinkingInfo
Other Identifiers: OID:2.16.840.1.113883.4.642.40.4.42.29

This extension is used to provide the GFE Service Linking Information. This allows implementers to have the same identifier on multiple GFEs that are part of one period of care's services. This would be needed for some of the workflow options that businesses may decide to use.

Context of Use

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

Usage info

Usages:

You can also check for usages in the FHIR IG Statistics

Changes since version 1.1.0:

  • The data elements list has changed
  • One or more text definitions, invariants or bindings have changed (Extension.extension:plannedPeriodOfService)

    • Formal Views of Extension Content

    Description Differentials, Snapshots, and other representations.

    This structure is derived from Extension

    NameFlagsCard.TypeDescription & Constraints    Filter: doco
    Extension 0..* Extension Extension
    Extension.Slices for extension Content/Rules for all slices
    Extension.Slices for extension.extension:plannedPeriodOfService This element must be supported. 0..* Extension A timeframe during which a patient is expected to receive healthcare services and/or items as outlined in a Good Faith Estimate (GFE).
    Extension.Slices for extension.extension:plannedPeriodOfService.extension 0..0 Extension
    Extension.Slices for extension.extension:plannedPeriodOfService.url 1..1 uri "plannedPeriodOfService"
    Extension.Slices for extension.extension:plannedPeriodOfService.value[x] 1..1 Value of extension
    Extension.Slices for extension.extension:plannedPeriodOfService.value[x].valueDate date
    Extension.Slices for extension.extension:plannedPeriodOfService.value[x].valuePeriod Period
    Extension.Slices for extension.extension:linkingIdentifier This element must be supported. 0..1 Extension An identifier assigned to a particular service or series of services, generally by a scheduling facility, to be used by all providers and practitioners who will be submitting a GFE for a patient's care.
    Extension.Slices for extension.extension:linkingIdentifier.extension 0..0 Extension
    Extension.Slices for extension.extension:linkingIdentifier.url 1..1 uri "linkingIdentifier"
    Extension.Slices for extension.extension:linkingIdentifier.value[x] 1..1 Identifier Value of extension
    Extension.Slices for extension.extension:linkingIdentifier.value[x].system 1..1 uri The namespace for the identifier value
    Extension.Slices for extension.extension:linkingIdentifier.value[x].value 1..1 string The value that is unique
    Extension.Slices for extension.extension:anticipatedSubmittingProviderCount 0..1 Extension Total number of providers that are expected to submit GFEs.
    Extension.Slices for extension.extension:anticipatedSubmittingProviderCount.extension 0..0 Extension
    Extension.Slices for extension.extension:anticipatedSubmittingProviderCount.url 1..1 uri "anticipatedSubmittingProviderCount"
    Extension.Slices for extension.extension:anticipatedSubmittingProviderCount.value[x] 1..1 unsignedInt Value of extension
    Extension.url 1..1 uri "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/gfeServiceLinkingInfo"
    Extension.value[x] 0..0 Value of extension

    doco Documentation for this format
    NameFlagsCard.TypeDescription & Constraints    Filter: doco
    Extension 0..* Extension Extension
    Extension.id 0..1 string Unique id for inter-element referencing
    Extension.Slices for extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    Extension.Slices for extension.extension:plannedPeriodOfService This element must be supported. 0..* Extension A timeframe during which a patient is expected to receive healthcare services and/or items as outlined in a Good Faith Estimate (GFE).
    Extension.Slices for extension.extension:plannedPeriodOfService.id 0..1 string Unique id for inter-element referencing
    Extension.Slices for extension.extension:plannedPeriodOfService.extension 0..0 Extension
    Slice: Unordered, Open by value:url
    Extension.Slices for extension.extension:plannedPeriodOfService.url 1..1 uri "plannedPeriodOfService"
    Extension.Slices for extension.extension:plannedPeriodOfService.value[x] 1..1 Value of extension
    Extension.Slices for extension.extension:plannedPeriodOfService.value[x].valueDate date
    Extension.Slices for extension.extension:plannedPeriodOfService.value[x].valuePeriod Period
    Extension.Slices for extension.extension:linkingIdentifier This element must be supported. 0..1 Extension An identifier assigned to a particular service or series of services, generally by a scheduling facility, to be used by all providers and practitioners who will be submitting a GFE for a patient's care.
    Extension.Slices for extension.extension:linkingIdentifier.id 0..1 string Unique id for inter-element referencing
    Extension.Slices for extension.extension:linkingIdentifier.extension 0..0 Extension
    Slice: Unordered, Open by value:url
    Extension.Slices for extension.extension:linkingIdentifier.url 1..1 uri "linkingIdentifier"
    Extension.Slices for extension.extension:linkingIdentifier.value[x] 1..1 Identifier Value of extension
    Extension.Slices for extension.extension:linkingIdentifier.value[x].id 0..1 string Unique id for inter-element referencing
    Extension.Slices for extension.extension:linkingIdentifier.value[x].extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    Extension.Slices for extension.extension:linkingIdentifier.value[x].use This element is a modifier element. This element is included in summaries. 0..1 code usual | official | temp | secondary | old (If known)
    Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
    Extension.Slices for extension.extension:linkingIdentifier.value[x].type This element is included in summaries. 0..1 CodeableConcept Description of identifier
    Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
    Extension.Slices for extension.extension:linkingIdentifier.value[x].system This element is included in summaries. 1..1 uri The namespace for the identifier value
    Example General: http://www.acme.com/identifiers/patient
    Extension.Slices for extension.extension:linkingIdentifier.value[x].value This element is included in summaries. 1..1 string The value that is unique
    Example General: 123456
    Extension.Slices for extension.extension:linkingIdentifier.value[x].period This element is included in summaries. 0..1 Period Time period when id is/was valid for use
    Extension.Slices for extension.extension:linkingIdentifier.value[x].assigner This element is included in summaries. 0..1 Reference(Organization) Organization that issued id (may be just text)
    Extension.Slices for extension.extension:anticipatedSubmittingProviderCount 0..1 Extension Total number of providers that are expected to submit GFEs.
    Extension.Slices for extension.extension:anticipatedSubmittingProviderCount.id 0..1 string Unique id for inter-element referencing
    Extension.Slices for extension.extension:anticipatedSubmittingProviderCount.extension 0..0 Extension
    Slice: Unordered, Open by value:url
    Extension.Slices for extension.extension:anticipatedSubmittingProviderCount.url 1..1 uri "anticipatedSubmittingProviderCount"
    Extension.Slices for extension.extension:anticipatedSubmittingProviderCount.value[x] 1..1 unsignedInt Value of extension
    Extension.url 1..1 uri "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/gfeServiceLinkingInfo"

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    Extension.extension:linkingIdentifier.​value[x].use Base required IdentifierUse 📍4.0.1 FHIR Std.
    Extension.extension:linkingIdentifier.​value[x].type Base extensible IdentifierType 📍4.0.1 FHIR Std.

    Constraints

    Id Grade Path(s) Description Expression

    This structure is derived from Extension

    Summary

    Complex Extension: This extension is used to provide the GFE Service Linking Information. This allows implementers to have the same identifier on multiple GFEs that are part of one period of care's services. This would be needed for some of the workflow options that businesses may decide to use.

    • plannedPeriodOfService: date, Period: A timeframe (scheduled or requested) during which a patient is expected to receive healthcare services generally related to a specific treatment goal, episode of care, or clinical objective as outlined in a Good Faith Estimate (GFE). This period typically begins with the initial scheduled service and includes all reasonably expected items and services that are associated with that primary service, even if rendered by different providers or facilities.
    • linkingIdentifier: Identifier: An identifier assigned to a particular service or series of services, generally by a scheduling facility, to be used by all providers and practitioners who will be submitting a GFE for a patient's care.
    • anticipatedSubmittingProviderCount: unsignedInt: The total number of providers that are expected to submit a GFE as part of a planned period of service or estimate request. This number includes all co-provider and the convening provider (if the convening provider is submitting a GFE). If this value is provided in more than one resource and there is a conflict in the number, the extension as part of the GFE Composition as part of the GFE Packet will be the definitive number.

    Maturity: 2

    Differential View

    This structure is derived from Extension

    NameFlagsCard.TypeDescription & Constraints    Filter: doco
    Extension 0..* Extension Extension
    Extension.Slices for extension Content/Rules for all slices
    Extension.Slices for extension.extension:plannedPeriodOfService This element must be supported. 0..* Extension A timeframe during which a patient is expected to receive healthcare services and/or items as outlined in a Good Faith Estimate (GFE).
    Extension.Slices for extension.extension:plannedPeriodOfService.extension 0..0 Extension
    Extension.Slices for extension.extension:plannedPeriodOfService.url 1..1 uri "plannedPeriodOfService"
    Extension.Slices for extension.extension:plannedPeriodOfService.value[x] 1..1 Value of extension
    Extension.Slices for extension.extension:plannedPeriodOfService.value[x].valueDate date
    Extension.Slices for extension.extension:plannedPeriodOfService.value[x].valuePeriod Period
    Extension.Slices for extension.extension:linkingIdentifier This element must be supported. 0..1 Extension An identifier assigned to a particular service or series of services, generally by a scheduling facility, to be used by all providers and practitioners who will be submitting a GFE for a patient's care.
    Extension.Slices for extension.extension:linkingIdentifier.extension 0..0 Extension
    Extension.Slices for extension.extension:linkingIdentifier.url 1..1 uri "linkingIdentifier"
    Extension.Slices for extension.extension:linkingIdentifier.value[x] 1..1 Identifier Value of extension
    Extension.Slices for extension.extension:linkingIdentifier.value[x].system 1..1 uri The namespace for the identifier value
    Extension.Slices for extension.extension:linkingIdentifier.value[x].value 1..1 string The value that is unique
    Extension.Slices for extension.extension:anticipatedSubmittingProviderCount 0..1 Extension Total number of providers that are expected to submit GFEs.
    Extension.Slices for extension.extension:anticipatedSubmittingProviderCount.extension 0..0 Extension
    Extension.Slices for extension.extension:anticipatedSubmittingProviderCount.url 1..1 uri "anticipatedSubmittingProviderCount"
    Extension.Slices for extension.extension:anticipatedSubmittingProviderCount.value[x] 1..1 unsignedInt Value of extension
    Extension.url 1..1 uri "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/gfeServiceLinkingInfo"
    Extension.value[x] 0..0 Value of extension

    doco Documentation for this format

    Snapshot View

    NameFlagsCard.TypeDescription & Constraints    Filter: doco
    Extension 0..* Extension Extension
    Extension.id 0..1 string Unique id for inter-element referencing
    Extension.Slices for extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    Extension.Slices for extension.extension:plannedPeriodOfService This element must be supported. 0..* Extension A timeframe during which a patient is expected to receive healthcare services and/or items as outlined in a Good Faith Estimate (GFE).
    Extension.Slices for extension.extension:plannedPeriodOfService.id 0..1 string Unique id for inter-element referencing
    Extension.Slices for extension.extension:plannedPeriodOfService.extension 0..0 Extension
    Slice: Unordered, Open by value:url
    Extension.Slices for extension.extension:plannedPeriodOfService.url 1..1 uri "plannedPeriodOfService"
    Extension.Slices for extension.extension:plannedPeriodOfService.value[x] 1..1 Value of extension
    Extension.Slices for extension.extension:plannedPeriodOfService.value[x].valueDate date
    Extension.Slices for extension.extension:plannedPeriodOfService.value[x].valuePeriod Period
    Extension.Slices for extension.extension:linkingIdentifier This element must be supported. 0..1 Extension An identifier assigned to a particular service or series of services, generally by a scheduling facility, to be used by all providers and practitioners who will be submitting a GFE for a patient's care.
    Extension.Slices for extension.extension:linkingIdentifier.id 0..1 string Unique id for inter-element referencing
    Extension.Slices for extension.extension:linkingIdentifier.extension 0..0 Extension
    Slice: Unordered, Open by value:url
    Extension.Slices for extension.extension:linkingIdentifier.url 1..1 uri "linkingIdentifier"
    Extension.Slices for extension.extension:linkingIdentifier.value[x] 1..1 Identifier Value of extension
    Extension.Slices for extension.extension:linkingIdentifier.value[x].id 0..1 string Unique id for inter-element referencing
    Extension.Slices for extension.extension:linkingIdentifier.value[x].extension 0..* Extension Additional content defined by implementations
    Slice: Unordered, Open by value:url
    Extension.Slices for extension.extension:linkingIdentifier.value[x].use This element is a modifier element. This element is included in summaries. 0..1 code usual | official | temp | secondary | old (If known)
    Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
    Extension.Slices for extension.extension:linkingIdentifier.value[x].type This element is included in summaries. 0..1 CodeableConcept Description of identifier
    Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
    Extension.Slices for extension.extension:linkingIdentifier.value[x].system This element is included in summaries. 1..1 uri The namespace for the identifier value
    Example General: http://www.acme.com/identifiers/patient
    Extension.Slices for extension.extension:linkingIdentifier.value[x].value This element is included in summaries. 1..1 string The value that is unique
    Example General: 123456
    Extension.Slices for extension.extension:linkingIdentifier.value[x].period This element is included in summaries. 0..1 Period Time period when id is/was valid for use
    Extension.Slices for extension.extension:linkingIdentifier.value[x].assigner This element is included in summaries. 0..1 Reference(Organization) Organization that issued id (may be just text)
    Extension.Slices for extension.extension:anticipatedSubmittingProviderCount 0..1 Extension Total number of providers that are expected to submit GFEs.
    Extension.Slices for extension.extension:anticipatedSubmittingProviderCount.id 0..1 string Unique id for inter-element referencing
    Extension.Slices for extension.extension:anticipatedSubmittingProviderCount.extension 0..0 Extension
    Slice: Unordered, Open by value:url
    Extension.Slices for extension.extension:anticipatedSubmittingProviderCount.url 1..1 uri "anticipatedSubmittingProviderCount"
    Extension.Slices for extension.extension:anticipatedSubmittingProviderCount.value[x] 1..1 unsignedInt Value of extension
    Extension.url 1..1 uri "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/gfeServiceLinkingInfo"

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    Extension.extension:linkingIdentifier.​value[x].use Base required IdentifierUse 📍4.0.1 FHIR Std.
    Extension.extension:linkingIdentifier.​value[x].type Base extensible IdentifierType 📍4.0.1 FHIR Std.

    Constraints

    Id Grade Path(s) Description Expression

    This structure is derived from Extension

    Summary

    Complex Extension: This extension is used to provide the GFE Service Linking Information. This allows implementers to have the same identifier on multiple GFEs that are part of one period of care's services. This would be needed for some of the workflow options that businesses may decide to use.

    • plannedPeriodOfService: date, Period: A timeframe (scheduled or requested) during which a patient is expected to receive healthcare services generally related to a specific treatment goal, episode of care, or clinical objective as outlined in a Good Faith Estimate (GFE). This period typically begins with the initial scheduled service and includes all reasonably expected items and services that are associated with that primary service, even if rendered by different providers or facilities.
    • linkingIdentifier: Identifier: An identifier assigned to a particular service or series of services, generally by a scheduling facility, to be used by all providers and practitioners who will be submitting a GFE for a patient's care.
    • anticipatedSubmittingProviderCount: unsignedInt: The total number of providers that are expected to submit a GFE as part of a planned period of service or estimate request. This number includes all co-provider and the convening provider (if the convening provider is submitting a GFE). If this value is provided in more than one resource and there is a conflict in the number, the extension as part of the GFE Composition as part of the GFE Packet will be the definitive number.

    Maturity: 2

     

    Other representations of profile: CSV, Excel, Schematron