Patient Cost Transparency Implementation Guide
0.1.0 - STU 1 Ballot
Patient Cost Transparency Implementation Guide
0.1.0 - STU 1 Ballot
This page is part of the Da Vinci Patient Cost Transparency Implementation Guide (v0.1.0: STU 1 Draft) based on FHIR R4. . For a full list of available versions, see the Directory of published versions 
Mappings for the davinci-pct-aeob resource profile.
| PCTAdvancedEOB | ||
| ExplanationOfBenefit | Event | |
| identifier | Event.identifier | |
| status | Event.status | |
| type | Event.code | |
| patient | Event.subject | |
| created | Event.occurrence[x] | |
| enterer | Event.performer.agent | |
| insurer | Event.performer.agent | |
| facility | Event.performer.location | |
| PCTAdvancedEOB | ||
| ExplanationOfBenefit | ||
| identifier | FiveWs.identifier | |
| status | FiveWs.status | |
| type | FiveWs.class | |
| subType | FiveWs.class | |
| use | FiveWs.class | |
| patient | FiveWs.subject[x], FiveWs.subject | |
| billablePeriod | FiveWs.done[x] | |
| created | FiveWs.recorded | |
| enterer | FiveWs.author | |
| insurer | FiveWs.author | |
| provider | FiveWs.source | |
| referral | FiveWs.cause | |
| facility | FiveWs.where[x] | |
| claim | FiveWs.why[x] | |
| careTeam | ||
| provider | FiveWs.actor | |
| item | ||
| serviced[x] | FiveWs.done[x] | |
| location[x] | FiveWs.where[x] | |
| addItem | ||
| provider | FiveWs.source | |
| serviced[x] | FiveWs.done[x] | |
| location[x] | FiveWs.where[x] | |
| PCTAdvancedEOB | ||
| ExplanationOfBenefit | ||
| priority | Request.priority | |
| insurance | Coverage | |
| PCTAdvancedEOB | ||
| ExplanationOfBenefit | Entity. Role, or Act | |
| text | Act.text? | |
| contained | N/A | |
| modifierExtension | N/A | |
| provider | ||
| id | n/a | |
| extension | n/a | |
| reference | N/A | |
| type | N/A | |
| identifier | .identifier | |
| display | N/A | |
| related | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| payee | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| careTeam | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| supportingInfo | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| diagnosis | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| procedure | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| insurance | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| accident | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| item | ||
| id | n/a | |
| modifierExtension | N/A | |
| adjudication | ||
| id | n/a | |
| modifierExtension | N/A | |
| detail | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| subDetail | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| addItem | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| detail | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| subDetail | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| total | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| payment | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| processNote | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| benefitBalance | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| financial | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
IG © 2021+ HL7 International - Financial Management Work Group. Package hl7.fhir.us.davinci-pct#0.1.0 based on FHIR 4.0.1. Generated 2021-12-04
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