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

Resource Profile: PCTGFEProfessional - Mappings

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

Mappings for Workflow Pattern (http://hl7.org/fhir/workflow)

PCTGFEProfessional
ClaimRequest
   identifierRequest.identifier
   statusRequest.status
   patientRequest.subject
   createdRequest.authoredOn
   insurerRequest.performer
   providerRequest.requester
   priorityRequest.priority
   related
      claimRequest.replaces
   supportingInfoRequest.supportingInfo
   supportingInfo (placeOfService)Request.supportingInfo
   diagnosisRequest.reasonReference
   diagnosis (principal)Request.reasonReference
   diagnosis (other)Request.reasonReference
   insurance
      identifierRequest.identifier
   item
      encounterRequest.context

Mappings for FiveWs Pattern Mapping (http://hl7.org/fhir/fivews)

PCTGFEProfessional
Claim
   identifierFiveWs.identifier
   statusFiveWs.status
   typeFiveWs.class
   subTypeFiveWs.class
   useFiveWs.class
   patientFiveWs.subject[x], FiveWs.subject
   billablePeriodFiveWs.done[x]
   createdFiveWs.recorded
   entererFiveWs.author
   providerFiveWs.source
   referralFiveWs.cause
   facilityFiveWs.where[x]
   careTeam
      providerFiveWs.actor
   careTeam (rendering)
      providerFiveWs.actor
   careTeam (referring)
      providerFiveWs.actor
   insurance
      identifierFiveWs.identifier
   item
      serviced[x]FiveWs.done[x]
      location[x]FiveWs.where[x]
      location[x] (locationCodeableConcept)FiveWs.where[x]

Mappings for RIM Mapping (http://hl7.org/v3)

PCTGFEProfessional
ClaimEntity. Role, or Act
   textAct.text?
   containedN/A
   modifierExtensionN/A
   related
      idn/a
      extensionn/a
      modifierExtensionN/A
   payee
      idn/a
      extensionn/a
      modifierExtensionN/A
   referral
      idn/a
      referenceN/A
      typeN/A
      identifier.identifier
      displayN/A
   careTeam
      idn/a
      extensionn/a
      modifierExtensionN/A
   careTeam (rendering)
      idn/a
      extensionn/a
      modifierExtensionN/A
   careTeam (referring)
      idn/a
      extensionn/a
      modifierExtensionN/A
   supportingInfo
      idn/a
      extensionn/a
      modifierExtensionN/A
   supportingInfo (placeOfService)
      idn/a
      extensionn/a
      modifierExtensionN/A
   diagnosis
      idn/a
      extensionn/a
      modifierExtensionN/A
   diagnosis (principal)
      idn/a
      extensionn/a
      modifierExtensionN/A
   diagnosis (other)
      idn/a
      extensionn/a
      modifierExtensionN/A
   procedure
      idn/a
      extensionn/a
      modifierExtensionN/A
   procedure (anesthesiaRelated)
      idn/a
      extensionn/a
      modifierExtensionN/A
   procedure (other)
      idn/a
      extensionn/a
      modifierExtensionN/A
   insuranceCoverage
      idn/a
      extensionn/a
      modifierExtensionN/A
   accident
      idn/a
      extensionn/a
      modifierExtensionN/A
   item
      idn/a
      modifierExtensionN/A
      detail
         idn/a
         modifierExtensionN/A
         subDetail
            idn/a
            extensionn/a
            modifierExtensionN/A