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: PCTGFEInstitutional - Mappings

Mappings for the pct-gfe-Institutional resource profile.

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

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

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

PCTGFEInstitutional
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 (attending)
      providerFiveWs.actor
   careTeam (operating)
      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)

PCTGFEInstitutional
ClaimEntity. Role, or Act
   textAct.text?
   containedN/A
   extension
   extension (gfeSubmitter)
      idn/a
      urlN/A
      value[x]N/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 (attending)
      idn/a
      extensionn/a
      modifierExtensionN/A
   careTeam (operating)
      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 (typeOfBill)
      idn/a
      extensionn/a
      modifierExtensionN/A
   diagnosis
      idn/a
      extensionn/a
      modifierExtensionN/A
   diagnosis (principal)
      idn/a
      extensionn/a
      modifierExtensionN/A
   diagnosis (admitting)
      idn/a
      extensionn/a
      modifierExtensionN/A
   diagnosis (patientReasonForVisit)
      idn/a
      extensionn/a
      modifierExtensionN/A
   diagnosis (other)
      idn/a
      extensionn/a
      modifierExtensionN/A
   procedure
      idn/a
      extensionn/a
      modifierExtensionN/A
   procedure (primary)
      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