Package | hl7.fhir.us.davinci-pct |
Type | StructureDefinition |
Id | Id |
FHIR Version | R4 |
Source | http://hl7.org/fhir/us/davinci-pct/https://build.fhir.org/ig/HL7/davinci-pct/StructureDefinition-davinci-pct-gfe-summary.html |
Url | http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-gfe-summary |
Version | 2.0.0-draft |
Status | active |
Date | 2025-06-03T13:32:08+00:00 |
Name | PCTGFESummary |
Title | PCT Good Faith Estimate Summary |
Experimental | False |
Realm | us |
Authority | hl7 |
Description | PCT Good Faith Estimate Summary is a profile for summarizing costs associated with a set of Good Faith Estimate Claims for a single Period of Care. |
Type | Claim |
Kind | resource |
StructureDefinition | |
davinci-pct-gfe-bundle ![]() | PCT GFE Bundle |
StructureDefinition | |
http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-patient-demographics ![]() | HRex Member Match Patient |
davinci-pct-coverage ![]() | PCT Coverage |
davinci-pct-organization ![]() | PCT Organization |
davinci-pct-practitioner ![]() | PCT Practitioner |
gfeDisclaimer ![]() | GFEDisclaimer |
serviceDescription ![]() | Service Description |
http://hl7.org/fhir/us/davinci-pct/ValueSet/ICD10ProcedureCodes ![]() | ICD-10 Procedure Codes |
http://hl7.org/fhir/us/davinci-pct/ValueSet/PCTCareTeamRoleVS ![]() | PCT Care Team Role Value Set |
http://hl7.org/fhir/us/davinci-pct/ValueSet/PCTDiagnosisTypeVS ![]() | PCT Diagnosis Type Value Set |
http://hl7.org/fhir/us/davinci-pct/ValueSet/PCTDiagnosticCodes ![]() | PCT ICD-10 Diagnostic Codes |
http://hl7.org/fhir/us/davinci-pct/ValueSet/PCTProcedureSurgicalCodes ![]() | PCT CMS HCPCS and AMA CPT Procedure Surgical Codes |
http://hl7.org/fhir/us/davinci-pct/ValueSet/PCTProcedureTypeVS ![]() | PCT Procedure Type Value Set |
Note: links and images are rebased to the (stated) source
Generated Narrative: StructureDefinition davinci-pct-gfe-summary
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
![]() ![]() | Claim | |||
![]() ![]() ![]() | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
![]() ![]() ![]() ![]() | S | 0..* | string | Disclaimers the patient should be made aware of regarding the estimate URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/gfeDisclaimer |
![]() ![]() ![]() ![]() | S | 0..1 | string | Service Description URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/serviceDescription |
![]() ![]() ![]() | 0..* | Identifier | Business Identifier for claim Slice: Unordered, Open by value:type | |
![]() ![]() ![]() ![]() | 0..* | Identifier | Intermediary System Identifier | |
![]() ![]() ![]() ![]() ![]() | 1..1 | CodeableConcept | Description of identifier Required Pattern: At least the following | |
![]() ![]() ![]() ![]() ![]() ![]() | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTIdentifierType | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | code | Symbol in syntax defined by the system Fixed Value: INTER | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | string | Representation defined by the system Fixed Value: Intermediary System Identifier | |
![]() ![]() ![]() | 1..1 | CodeableConcept | Category or discipline Required Pattern: At least the following | |
![]() ![]() ![]() ![]() | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
![]() ![]() ![]() ![]() ![]() | 1..1 | uri | Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTEstimateTypeSummaryCSTemporaryTrialUse | |
![]() ![]() ![]() ![]() ![]() | 1..1 | code | Symbol in syntax defined by the system Fixed Value: estimate-summary | |
![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() | 1..1 | code | claim | preauthorization | predetermination Required Pattern: predetermination | |
![]() ![]() ![]() | 1..1 | Reference(HRex Patient Demographics) | The recipient of the products and services | |
![]() ![]() ![]() | S | 0..1 | Period | The full Period of Care for all services or products included in the estimate from the first event to the last event. |
![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() | S | 0..1 | Reference(PCT Organization) | Target |
![]() ![]() ![]() | ||||
![]() ![]() ![]() ![]() | 1..* | Extension | Extension | |
![]() ![]() ![]() ![]() | Content/Rules for all slices | |||
![]() ![]() ![]() ![]() ![]() | 1..1 | (Complex) | unknown | asked | temp | notasked | masked | unsupported | astext | error URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason | |
![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | code | Value of extension Required Pattern: not-applicable | |
![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() | 1..1 | CodeableConcept | Desired processing ugency Binding: ProcessPriorityCodes (required) | |
![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() | S | 0..* | BackboneElement | Members of the care team Slice: Unordered, Open by value:role |
![]() ![]() ![]() ![]() | Content/Rules for all slices | |||
![]() ![]() ![]() ![]() ![]() | 1..1 | Reference(PCT Practitioner | PCT Organization) | Practitioner or organization | |
![]() ![]() ![]() ![]() ![]() | 1..1 | CodeableConcept | Function within the team Binding: PCT Care Team Role Value Set (required) | |
![]() ![]() ![]() ![]() ![]() | 0..1 | CodeableConcept | Practitioner credential or specialization Binding: US Core Provider Role (NUCC) (required) | |
![]() ![]() ![]() ![]() | S | 0..1 | BackboneElement | Members of the care team |
![]() ![]() ![]() ![]() ![]() | 1..1 | Reference(PCT Practitioner) | Practitioner or organization | |
![]() ![]() ![]() ![]() ![]() | 1..1 | CodeableConcept | Function within the team Required Pattern: At least the following | |
![]() ![]() ![]() ![]() ![]() ![]() | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/claimcareteamrole | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | code | Symbol in syntax defined by the system Fixed Value: attending | |
![]() ![]() ![]() ![]() ![]() | 1..1 | CodeableConcept | Practitioner credential or specialization | |
![]() ![]() ![]() ![]() | S | 0..2 | BackboneElement | Members of the care team |
![]() ![]() ![]() ![]() ![]() | 1..1 | Reference(PCT Practitioner) | Practitioner or organization | |
![]() ![]() ![]() ![]() ![]() | 1..1 | CodeableConcept | Function within the team Required Pattern: At least the following | |
![]() ![]() ![]() ![]() ![]() ![]() | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/claimcareteamrole | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | code | Symbol in syntax defined by the system Fixed Value: operating | |
![]() ![]() ![]() ![]() | S | 0..1 | BackboneElement | Members of the care team |
![]() ![]() ![]() ![]() ![]() | 1..1 | Reference(PCT Practitioner) | Practitioner or organization | |
![]() ![]() ![]() ![]() ![]() | 1..1 | CodeableConcept | Function within the team Required Pattern: At least the following | |
![]() ![]() ![]() ![]() ![]() ![]() | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/claimcareteamrole | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | code | Symbol in syntax defined by the system Fixed Value: rendering | |
![]() ![]() ![]() ![]() | S | 0..1 | BackboneElement | Members of the care team |
![]() ![]() ![]() ![]() ![]() | 1..1 | CodeableConcept | Function within the team Required Pattern: At least the following | |
![]() ![]() ![]() ![]() ![]() ![]() | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/claimcareteamrole | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | code | Symbol in syntax defined by the system Fixed Value: referring | |
![]() ![]() ![]() | 0..0 | |||
![]() ![]() ![]() | S | 0..* | BackboneElement | Pertinent diagnosis information Slice: Unordered, Open by value:type |
![]() ![]() ![]() ![]() | Content/Rules for all slices | |||
![]() ![]() ![]() ![]() ![]() | S | 0..* | CodeableConcept | Timing or nature of the diagnosis Binding: PCT Diagnosis Type Value Set (required) |
![]() ![]() ![]() ![]() | S | 0..1 | BackboneElement | Principal Diagnosis - Must Support means the information source SHALL be capable of populating and SHALL populate if available and permitted. |
![]() ![]() ![]() ![]() ![]() | 1..1 | positiveInt | Diagnosis instance identifier Required Pattern: 1 | |
![]() ![]() ![]() ![]() ![]() | 1..1 | CodeableConcept | Nature of illness or problem Binding: PCT ICD-10 Diagnostic Codes (required) | |
![]() ![]() ![]() ![]() ![]() | 1..1 | CodeableConcept | Timing or nature of the diagnosis Required Pattern: At least the following | |
![]() ![]() ![]() ![]() ![]() ![]() | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/ex-diagnosistype | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | code | Symbol in syntax defined by the system Fixed Value: principal | |
![]() ![]() ![]() ![]() | S | 0..1 | BackboneElement | Pertinent diagnosis information |
![]() ![]() ![]() ![]() ![]() | 1..1 | CodeableConcept | Nature of illness or problem Binding: PCT ICD-10 Diagnostic Codes (required) | |
![]() ![]() ![]() ![]() ![]() | 1..1 | CodeableConcept | Timing or nature of the diagnosis Required Pattern: At least the following | |
![]() ![]() ![]() ![]() ![]() ![]() | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/ex-diagnosistype | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | code | Symbol in syntax defined by the system Fixed Value: admitting | |
![]() ![]() ![]() ![]() | S | 0..3 | BackboneElement | Pertinent diagnosis information |
![]() ![]() ![]() ![]() ![]() | 1..1 | CodeableConcept | Nature of illness or problem Binding: PCT ICD-10 Diagnostic Codes (required) | |
![]() ![]() ![]() ![]() ![]() | 1..1 | CodeableConcept | Timing or nature of the diagnosis Required Pattern: At least the following | |
![]() ![]() ![]() ![]() ![]() ![]() | 1..* | Coding | Code defined by a terminology system Fixed Value: (complex) | |
![]() ![]() ![]() ![]() ![]() ![]() ![]() | 1..1 |