Patient Cost Transparency Implementation Guide
2.0.0-ballot - STU 2 Ballot 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 2.0.0-ballot 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

Resource Profile: PCT AEOB Bundle

Official URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-aeob-bundle Version: 2.0.0-ballot
Standards status: Trial-use Maturity Level: 1 Computable Name: PCTAEOBBundle
Other Identifiers: OID:2.16.840.1.113883.4.642.40.4.42.3

PCT AEOB Bundle that contains necessary resources for an AEOBs. Organizations for both the payer and provider SHALL be included.

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from Bundle

NameFlagsCard.TypeDescription & Constraintsdoco
.. Bundle C0..*BundleContains a collection of resources
pct-aeob-bundle-1: All references resources SHALL be contained within the Bundle with the exception of the PCT GFE Bundle (referenced from the gfeReference extension in the AEOB), which MAY be present
pct-aeob-bundle-2: SHALL have at least one entry for a payer organization.
... identifier 1..1IdentifierPersistent identifier for the bundle
... type 1..1codedocument | message | transaction | transaction-response | batch | batch-response | history | searchset | collection
Fixed Value: collection
... timestamp 1..1instantWhen the bundle was assembled
.... entry:All Slices Content/Rules for all slices
..... fullUrl 1..1uriURI for resource (Absolute URL server address or URI for UUID/OID)
..... search 0..0
..... request 0..0
..... response 0..0
.... entry:aeob 2..*BackboneElementSHALL have a PCTAdvancedEOB resource
..... resource 1..1PCTAdvancedEOBSummary, PCTAdvancedEOBExplanation of Benefit resource
.... entry:patient 1..2BackboneElementSHALL have the patient subject of care and may be a separate subscriber
..... resource 1..1HRexPatientDemographicsInformation about an individual or animal receiving health care services
.... entry:coverage 1..1BackboneElementSHALL have one Coverage
..... resource 1..1PCTCoverageInsurance or medical plan or a payment agreement
.... entry:organization 1..*BackboneElementSHALL have the payer organization and may have provider organization(s)
..... resource 1..1PCTOrganizationA grouping of people or organizations with a common purpose
.... entry:practitioner S0..*BackboneElementMAY have the provider Practitioner(s)
..... resource 1..1PCTPractitionerA person with a formal responsibility in the provisioning of healthcare or related services
.... entry:gfeBundle S0..*BackboneElementMAY have PCTGFEBundle resource
..... resource 1..1PCTGFEBundleContains a collection of resources

doco Documentation for this format

Constraints

IdGradePath(s)DetailsRequirements
pct-aeob-bundle-1errorBundleAll references resources SHALL be contained within the Bundle with the exception of the PCT GFE Bundle (referenced from the gfeReference extension in the AEOB), which MAY be present
: Bundle.entry.descendants().reference.distinct().all(resolve().exists())
pct-aeob-bundle-2errorBundleSHALL have at least one entry for a payer organization.
: entry.resource.ofType(Organization).where(type.coding.where(code='pay').exists()).exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Bundle C0..*BundleContains a collection of resources
bdl-1: total only when a search or history
bdl-2: entry.search only when a search
bdl-3: entry.request mandatory for batch/transaction/history, otherwise prohibited
bdl-4: entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited
bdl-7: FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles)
bdl-9: A document must have an identifier with a system and a value
bdl-10: A document must have a date
bdl-11: A document must have a Composition as the first resource
bdl-12: A message must have a MessageHeader as the first resource
pct-aeob-bundle-1: All references resources SHALL be contained within the Bundle with the exception of the PCT GFE Bundle (referenced from the gfeReference extension in the AEOB), which MAY be present
pct-aeob-bundle-2: SHALL have at least one entry for a payer organization.
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... identifier Σ1..1IdentifierPersistent identifier for the bundle
... type Σ1..1codedocument | message | transaction | transaction-response | batch | batch-response | history | searchset | collection
Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used.


Fixed Value: collection
... Slices for entry ΣC5..*BackboneElementEntry in the bundle - will have a resource or information
Slice: Unordered, Open by type:resource
bdl-5: must be a resource unless there's a request or response
bdl-8: fullUrl cannot be a version specific reference
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
.... entry:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... fullUrl Σ1..1uriURI for resource (Absolute URL server address or URI for UUID/OID)
.... entry:aeob ΣC2..*BackboneElementSHALL have a PCTAdvancedEOB resource
bdl-5: must be a resource unless there's a request or response
bdl-8: fullUrl cannot be a version specific reference
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... resource 1..1PCTAdvancedEOBSummary, PCTAdvancedEOBExplanation of Benefit resource
.... entry:patient ΣC1..2BackboneElementSHALL have the patient subject of care and may be a separate subscriber
bdl-5: must be a resource unless there's a request or response
bdl-8: fullUrl cannot be a version specific reference
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... resource 1..1HRexPatientDemographicsInformation about an individual or animal receiving health care services
.... entry:coverage ΣC1..1BackboneElementSHALL have one Coverage
bdl-5: must be a resource unless there's a request or response
bdl-8: fullUrl cannot be a version specific reference
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... resource 1..1PCTCoverageInsurance or medical plan or a payment agreement
.... entry:organization ΣC1..*BackboneElementSHALL have the payer organization and may have provider organization(s)
bdl-5: must be a resource unless there's a request or response
bdl-8: fullUrl cannot be a version specific reference
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... resource 1..1PCTOrganizationA grouping of people or organizations with a common purpose
.... entry:practitioner SΣC0..*BackboneElementMAY have the provider Practitioner(s)
bdl-5: must be a resource unless there's a request or response
bdl-8: fullUrl cannot be a version specific reference
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... resource 1..1PCTPractitionerA person with a formal responsibility in the provisioning of healthcare or related services
.... entry:gfeBundle SΣC0..*BackboneElementMAY have PCTGFEBundle resource
bdl-5: must be a resource unless there's a request or response
bdl-8: fullUrl cannot be a version specific reference
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... resource 1..1PCTGFEBundleContains a collection of resources

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Bundle.typerequiredFixed Value: collection
http://hl7.org/fhir/ValueSet/bundle-type|4.0.1
from the FHIR Standard
Bundle.entry.request.methodrequiredHTTPVerb
http://hl7.org/fhir/ValueSet/http-verb|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
pct-aeob-bundle-1errorBundleAll references resources SHALL be contained within the Bundle with the exception of the PCT GFE Bundle (referenced from the gfeReference extension in the AEOB), which MAY be present
: Bundle.entry.descendants().reference.distinct().all(resolve().exists())
pct-aeob-bundle-2errorBundleSHALL have at least one entry for a payer organization.
: entry.resource.ofType(Organization).where(type.coding.where(code='pay').exists()).exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Bundle C0..*BundleContains a collection of resources
bdl-1: total only when a search or history
bdl-2: entry.search only when a search
bdl-3: entry.request mandatory for batch/transaction/history, otherwise prohibited
bdl-4: entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited
bdl-7: FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles)
bdl-9: A document must have an identifier with a system and a value
bdl-10: A document must have a date
bdl-11: A document must have a Composition as the first resource
bdl-12: A message must have a MessageHeader as the first resource
pct-aeob-bundle-1: All references resources SHALL be contained within the Bundle with the exception of the PCT GFE Bundle (referenced from the gfeReference extension in the AEOB), which MAY be present
pct-aeob-bundle-2: SHALL have at least one entry for a payer organization.
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... identifier Σ1..1IdentifierPersistent identifier for the bundle
... type Σ1..1codedocument | message | transaction | transaction-response | batch | batch-response | history | searchset | collection
Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used.


Fixed Value: collection
... timestamp Σ1..1instantWhen the bundle was assembled
... total ΣC0..1unsignedIntIf search, the total number of matches
... link Σ0..*BackboneElementLinks related to this Bundle
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... relation Σ1..1stringSee http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1
.... url Σ1..1uriReference details for the link
... Slices for entry ΣC5..*BackboneElementEntry in the bundle - will have a resource or information
Slice: Unordered, Open by type:resource
bdl-5: must be a resource unless there's a request or response
bdl-8: fullUrl cannot be a version specific reference
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
.... entry:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... link Σ0..*See link (Bundle)Links related to this entry
..... fullUrl Σ1..1uriURI for resource (Absolute URL server address or URI for UUID/OID)
..... resource Σ0..1ResourceA resource in the bundle
.... entry:aeob ΣC2..*BackboneElementSHALL have a PCTAdvancedEOB resource
bdl-5: must be a resource unless there's a request or response
bdl-8: fullUrl cannot be a version specific reference
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... link Σ0..*See link (Bundle)Links related to this entry
..... fullUrl Σ0..1uriURI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 1..1PCTAdvancedEOBSummary, PCTAdvancedEOBExplanation of Benefit resource
..... search ΣC0..1BackboneElementSearch related information
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... mode Σ0..1codematch | include | outcome - why this is in the result set
Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.

...... score Σ0..1decimalSearch ranking (between 0 and 1)
..... request ΣC0..1BackboneElementAdditional execution information (transaction/batch/history)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... method Σ1..1codeGET | HEAD | POST | PUT | DELETE | PATCH
Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.

...... url Σ1..1uriURL for HTTP equivalent of this entry
...... ifNoneMatch Σ0..1stringFor managing cache currency
...... ifModifiedSince Σ0..1instantFor managing cache currency
...... ifMatch Σ0..1stringFor managing update contention
...... ifNoneExist Σ0..1stringFor conditional creates
..... response ΣC0..1BackboneElementResults of execution (transaction/batch/history)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... status Σ1..1stringStatus response code (text optional)
...... location Σ0..1uriThe location (if the operation returns a location)
...... etag Σ0..1stringThe Etag for the resource (if relevant)
...... lastModified Σ0..1instantServer's date time modified
...... outcome Σ0..1ResourceOperationOutcome with hints and warnings (for batch/transaction)
.... entry:patient ΣC1..2BackboneElementSHALL have the patient subject of care and may be a separate subscriber
bdl-5: must be a resource unless there's a request or response
bdl-8: fullUrl cannot be a version specific reference
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... link Σ0..*See link (Bundle)Links related to this entry
..... fullUrl Σ0..1uriURI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 1..1HRexPatientDemographicsInformation about an individual or animal receiving health care services
..... search ΣC0..1BackboneElementSearch related information
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... mode Σ0..1codematch | include | outcome - why this is in the result set
Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.

...... score Σ0..1decimalSearch ranking (between 0 and 1)
..... request ΣC0..1BackboneElementAdditional execution information (transaction/batch/history)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... method Σ1..1codeGET | HEAD | POST | PUT | DELETE | PATCH
Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.

...... url Σ1..1uriURL for HTTP equivalent of this entry
...... ifNoneMatch Σ0..1stringFor managing cache currency
...... ifModifiedSince Σ0..1instantFor managing cache currency
...... ifMatch Σ0..1stringFor managing update contention
...... ifNoneExist Σ0..1stringFor conditional creates
..... response ΣC0..1BackboneElementResults of execution (transaction/batch/history)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... status Σ1..1stringStatus response code (text optional)
...... location Σ0..1uriThe location (if the operation returns a location)
...... etag Σ0..1stringThe Etag for the resource (if relevant)
...... lastModified Σ0..1instantServer's date time modified
...... outcome Σ0..1ResourceOperationOutcome with hints and warnings (for batch/transaction)
.... entry:coverage ΣC1..1BackboneElementSHALL have one Coverage
bdl-5: must be a resource unless there's a request or response
bdl-8: fullUrl cannot be a version specific reference
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... link Σ0..*See link (Bundle)Links related to this entry
..... fullUrl Σ0..1uriURI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 1..1PCTCoverageInsurance or medical plan or a payment agreement
..... search ΣC0..1BackboneElementSearch related information
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... mode Σ0..1codematch | include | outcome - why this is in the result set
Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.

...... score Σ0..1decimalSearch ranking (between 0 and 1)
..... request ΣC0..1BackboneElementAdditional execution information (transaction/batch/history)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... method Σ1..1codeGET | HEAD | POST | PUT | DELETE | PATCH
Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.

...... url Σ1..1uriURL for HTTP equivalent of this entry
...... ifNoneMatch Σ0..1stringFor managing cache currency
...... ifModifiedSince Σ0..1instantFor managing cache currency
...... ifMatch Σ0..1stringFor managing update contention
...... ifNoneExist Σ0..1stringFor conditional creates
..... response ΣC0..1BackboneElementResults of execution (transaction/batch/history)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... status Σ1..1stringStatus response code (text optional)
...... location Σ0..1uriThe location (if the operation returns a location)
...... etag Σ0..1stringThe Etag for the resource (if relevant)
...... lastModified Σ0..1instantServer's date time modified
...... outcome Σ0..1ResourceOperationOutcome with hints and warnings (for batch/transaction)
.... entry:organization ΣC1..*BackboneElementSHALL have the payer organization and may have provider organization(s)
bdl-5: must be a resource unless there's a request or response
bdl-8: fullUrl cannot be a version specific reference
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... link Σ0..*See link (Bundle)Links related to this entry
..... fullUrl Σ0..1uriURI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 1..1PCTOrganizationA grouping of people or organizations with a common purpose
..... search ΣC0..1BackboneElementSearch related information
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... mode Σ0..1codematch | include | outcome - why this is in the result set
Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.

...... score Σ0..1decimalSearch ranking (between 0 and 1)
..... request ΣC0..1BackboneElementAdditional execution information (transaction/batch/history)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... method Σ1..1codeGET | HEAD | POST | PUT | DELETE | PATCH
Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.

...... url Σ1..1uriURL for HTTP equivalent of this entry
...... ifNoneMatch Σ0..1stringFor managing cache currency
...... ifModifiedSince Σ0..1instantFor managing cache currency
...... ifMatch Σ0..1stringFor managing update contention
...... ifNoneExist Σ0..1stringFor conditional creates
..... response ΣC0..1BackboneElementResults of execution (transaction/batch/history)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... status Σ1..1stringStatus response code (text optional)
...... location Σ0..1uriThe location (if the operation returns a location)
...... etag Σ0..1stringThe Etag for the resource (if relevant)
...... lastModified Σ0..1instantServer's date time modified
...... outcome Σ0..1ResourceOperationOutcome with hints and warnings (for batch/transaction)
.... entry:practitioner SΣC0..*BackboneElementMAY have the provider Practitioner(s)
bdl-5: must be a resource unless there's a request or response
bdl-8: fullUrl cannot be a version specific reference
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... link Σ0..*See link (Bundle)Links related to this entry
..... fullUrl Σ0..1uriURI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 1..1PCTPractitionerA person with a formal responsibility in the provisioning of healthcare or related services
..... search ΣC0..1BackboneElementSearch related information
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... mode Σ0..1codematch | include | outcome - why this is in the result set
Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.

...... score Σ0..1decimalSearch ranking (between 0 and 1)
..... request ΣC0..1BackboneElementAdditional execution information (transaction/batch/history)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... method Σ1..1codeGET | HEAD | POST | PUT | DELETE | PATCH
Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.

...... url Σ1..1uriURL for HTTP equivalent of this entry
...... ifNoneMatch Σ0..1stringFor managing cache currency
...... ifModifiedSince Σ0..1instantFor managing cache currency
...... ifMatch Σ0..1stringFor managing update contention
...... ifNoneExist Σ0..1stringFor conditional creates
..... response ΣC0..1BackboneElementResults of execution (transaction/batch/history)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... status Σ1..1stringStatus response code (text optional)
...... location Σ0..1uriThe location (if the operation returns a location)
...... etag Σ0..1stringThe Etag for the resource (if relevant)
...... lastModified Σ0..1instantServer's date time modified
...... outcome Σ0..1ResourceOperationOutcome with hints and warnings (for batch/transaction)
.... entry:gfeBundle SΣC0..*BackboneElementMAY have PCTGFEBundle resource
bdl-5: must be a resource unless there's a request or response
bdl-8: fullUrl cannot be a version specific reference
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... link Σ0..*See link (Bundle)Links related to this entry
..... fullUrl Σ0..1uriURI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 1..1PCTGFEBundleContains a collection of resources
..... search ΣC0..1BackboneElementSearch related information
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... mode Σ0..1codematch | include | outcome - why this is in the result set
Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.

...... score Σ0..1decimalSearch ranking (between 0 and 1)
..... request ΣC0..1BackboneElementAdditional execution information (transaction/batch/history)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... method Σ1..1codeGET | HEAD | POST | PUT | DELETE | PATCH
Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.

...... url Σ1..1uriURL for HTTP equivalent of this entry
...... ifNoneMatch Σ0..1stringFor managing cache currency
...... ifModifiedSince Σ0..1instantFor managing cache currency
...... ifMatch Σ0..1stringFor managing update contention
...... ifNoneExist Σ0..1stringFor conditional creates
..... response ΣC0..1BackboneElementResults of execution (transaction/batch/history)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... status Σ1..1stringStatus response code (text optional)
...... location Σ0..1uriThe location (if the operation returns a location)
...... etag Σ0..1stringThe Etag for the resource (if relevant)
...... lastModified Σ0..1instantServer's date time modified
...... outcome Σ0..1ResourceOperationOutcome with hints and warnings (for batch/transaction)
... signature Σ0..1SignatureDigital Signature

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Bundle.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Bundle.typerequiredFixed Value: collection
http://hl7.org/fhir/ValueSet/bundle-type|4.0.1
from the FHIR Standard
Bundle.entry.search.moderequiredSearchEntryMode
http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1
from the FHIR Standard
Bundle.entry.request.methodrequiredHTTPVerb
http://hl7.org/fhir/ValueSet/http-verb|4.0.1
from the FHIR Standard
Bundle.entry:aeob.search.moderequiredSearchEntryMode
http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1
from the FHIR Standard
Bundle.entry:aeob.request.methodrequiredHTTPVerb
http://hl7.org/fhir/ValueSet/http-verb|4.0.1
from the FHIR Standard
Bundle.entry:patient.search.moderequiredSearchEntryMode
http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1
from the FHIR Standard
Bundle.entry:patient.request.methodrequiredHTTPVerb
http://hl7.org/fhir/ValueSet/http-verb|4.0.1
from the FHIR Standard
Bundle.entry:coverage.search.moderequiredSearchEntryMode
http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1
from the FHIR Standard
Bundle.entry:coverage.request.methodrequiredHTTPVerb
http://hl7.org/fhir/ValueSet/http-verb|4.0.1
from the FHIR Standard
Bundle.entry:organization.search.moderequiredSearchEntryMode
http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1
from the FHIR Standard
Bundle.entry:organization.request.methodrequiredHTTPVerb
http://hl7.org/fhir/ValueSet/http-verb|4.0.1
from the FHIR Standard
Bundle.entry:practitioner.search.moderequiredSearchEntryMode
http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1
from the FHIR Standard
Bundle.entry:practitioner.request.methodrequiredHTTPVerb
http://hl7.org/fhir/ValueSet/http-verb|4.0.1
from the FHIR Standard
Bundle.entry:gfeBundle.search.moderequiredSearchEntryMode
http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1
from the FHIR Standard
Bundle.entry:gfeBundle.request.methodrequiredHTTPVerb
http://hl7.org/fhir/ValueSet/http-verb|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
pct-aeob-bundle-1errorBundleAll references resources SHALL be contained within the Bundle with the exception of the PCT GFE Bundle (referenced from the gfeReference extension in the AEOB), which MAY be present
: Bundle.entry.descendants().reference.distinct().all(resolve().exists())
pct-aeob-bundle-2errorBundleSHALL have at least one entry for a payer organization.
: entry.resource.ofType(Organization).where(type.coding.where(code='pay').exists()).exists()

Differential View

This structure is derived from Bundle

NameFlagsCard.TypeDescription & Constraintsdoco
.. Bundle C0..*BundleContains a collection of resources
pct-aeob-bundle-1: All references resources SHALL be contained within the Bundle with the exception of the PCT GFE Bundle (referenced from the gfeReference extension in the AEOB), which MAY be present
pct-aeob-bundle-2: SHALL have at least one entry for a payer organization.
... identifier 1..1IdentifierPersistent identifier for the bundle
... type 1..1codedocument | message | transaction | transaction-response | batch | batch-response | history | searchset | collection
Fixed Value: collection
... timestamp 1..1instantWhen the bundle was assembled
.... entry:All Slices Content/Rules for all slices
..... fullUrl 1..1uriURI for resource (Absolute URL server address or URI for UUID/OID)
..... search 0..0
..... request 0..0
..... response 0..0
.... entry:aeob 2..*BackboneElementSHALL have a PCTAdvancedEOB resource
..... resource 1..1PCTAdvancedEOBSummary, PCTAdvancedEOBExplanation of Benefit resource
.... entry:patient 1..2BackboneElementSHALL have the patient subject of care and may be a separate subscriber
..... resource 1..1HRexPatientDemographicsInformation about an individual or animal receiving health care services
.... entry:coverage 1..1BackboneElementSHALL have one Coverage
..... resource 1..1PCTCoverageInsurance or medical plan or a payment agreement
.... entry:organization 1..*BackboneElementSHALL have the payer organization and may have provider organization(s)
..... resource 1..1PCTOrganizationA grouping of people or organizations with a common purpose
.... entry:practitioner S0..*BackboneElementMAY have the provider Practitioner(s)
..... resource 1..1PCTPractitionerA person with a formal responsibility in the provisioning of healthcare or related services
.... entry:gfeBundle S0..*BackboneElementMAY have PCTGFEBundle resource
..... resource 1..1PCTGFEBundleContains a collection of resources

doco Documentation for this format

Constraints

IdGradePath(s)DetailsRequirements
pct-aeob-bundle-1errorBundleAll references resources SHALL be contained within the Bundle with the exception of the PCT GFE Bundle (referenced from the gfeReference extension in the AEOB), which MAY be present
: Bundle.entry.descendants().reference.distinct().all(resolve().exists())
pct-aeob-bundle-2errorBundleSHALL have at least one entry for a payer organization.
: entry.resource.ofType(Organization).where(type.coding.where(code='pay').exists()).exists()

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Bundle C0..*BundleContains a collection of resources
bdl-1: total only when a search or history
bdl-2: entry.search only when a search
bdl-3: entry.request mandatory for batch/transaction/history, otherwise prohibited
bdl-4: entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited
bdl-7: FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles)
bdl-9: A document must have an identifier with a system and a value
bdl-10: A document must have a date
bdl-11: A document must have a Composition as the first resource
bdl-12: A message must have a MessageHeader as the first resource
pct-aeob-bundle-1: All references resources SHALL be contained within the Bundle with the exception of the PCT GFE Bundle (referenced from the gfeReference extension in the AEOB), which MAY be present
pct-aeob-bundle-2: SHALL have at least one entry for a payer organization.
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... identifier Σ1..1IdentifierPersistent identifier for the bundle
... type Σ1..1codedocument | message | transaction | transaction-response | batch | batch-response | history | searchset | collection
Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used.


Fixed Value: collection
... Slices for entry ΣC5..*BackboneElementEntry in the bundle - will have a resource or information
Slice: Unordered, Open by type:resource
bdl-5: must be a resource unless there's a request or response
bdl-8: fullUrl cannot be a version specific reference
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
.... entry:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... fullUrl Σ1..1uriURI for resource (Absolute URL server address or URI for UUID/OID)
.... entry:aeob ΣC2..*BackboneElementSHALL have a PCTAdvancedEOB resource
bdl-5: must be a resource unless there's a request or response
bdl-8: fullUrl cannot be a version specific reference
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... resource 1..1PCTAdvancedEOBSummary, PCTAdvancedEOBExplanation of Benefit resource
.... entry:patient ΣC1..2BackboneElementSHALL have the patient subject of care and may be a separate subscriber
bdl-5: must be a resource unless there's a request or response
bdl-8: fullUrl cannot be a version specific reference
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... resource 1..1HRexPatientDemographicsInformation about an individual or animal receiving health care services
.... entry:coverage ΣC1..1BackboneElementSHALL have one Coverage
bdl-5: must be a resource unless there's a request or response
bdl-8: fullUrl cannot be a version specific reference
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... resource 1..1PCTCoverageInsurance or medical plan or a payment agreement
.... entry:organization ΣC1..*BackboneElementSHALL have the payer organization and may have provider organization(s)
bdl-5: must be a resource unless there's a request or response
bdl-8: fullUrl cannot be a version specific reference
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... resource 1..1PCTOrganizationA grouping of people or organizations with a common purpose
.... entry:practitioner SΣC0..*BackboneElementMAY have the provider Practitioner(s)
bdl-5: must be a resource unless there's a request or response
bdl-8: fullUrl cannot be a version specific reference
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... resource 1..1PCTPractitionerA person with a formal responsibility in the provisioning of healthcare or related services
.... entry:gfeBundle SΣC0..*BackboneElementMAY have PCTGFEBundle resource
bdl-5: must be a resource unless there's a request or response
bdl-8: fullUrl cannot be a version specific reference
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... resource 1..1PCTGFEBundleContains a collection of resources

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Bundle.typerequiredFixed Value: collection
http://hl7.org/fhir/ValueSet/bundle-type|4.0.1
from the FHIR Standard
Bundle.entry.request.methodrequiredHTTPVerb
http://hl7.org/fhir/ValueSet/http-verb|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
pct-aeob-bundle-1errorBundleAll references resources SHALL be contained within the Bundle with the exception of the PCT GFE Bundle (referenced from the gfeReference extension in the AEOB), which MAY be present
: Bundle.entry.descendants().reference.distinct().all(resolve().exists())
pct-aeob-bundle-2errorBundleSHALL have at least one entry for a payer organization.
: entry.resource.ofType(Organization).where(type.coding.where(code='pay').exists()).exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Bundle C0..*BundleContains a collection of resources
bdl-1: total only when a search or history
bdl-2: entry.search only when a search
bdl-3: entry.request mandatory for batch/transaction/history, otherwise prohibited
bdl-4: entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited
bdl-7: FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles)
bdl-9: A document must have an identifier with a system and a value
bdl-10: A document must have a date
bdl-11: A document must have a Composition as the first resource
bdl-12: A message must have a MessageHeader as the first resource
pct-aeob-bundle-1: All references resources SHALL be contained within the Bundle with the exception of the PCT GFE Bundle (referenced from the gfeReference extension in the AEOB), which MAY be present
pct-aeob-bundle-2: SHALL have at least one entry for a payer organization.
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... identifier Σ1..1IdentifierPersistent identifier for the bundle
... type Σ1..1codedocument | message | transaction | transaction-response | batch | batch-response | history | searchset | collection
Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used.


Fixed Value: collection
... timestamp Σ1..1instantWhen the bundle was assembled
... total ΣC0..1unsignedIntIf search, the total number of matches
... link Σ0..*BackboneElementLinks related to this Bundle
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... relation Σ1..1stringSee http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1
.... url Σ1..1uriReference details for the link
... Slices for entry ΣC5..*BackboneElementEntry in the bundle - will have a resource or information
Slice: Unordered, Open by type:resource
bdl-5: must be a resource unless there's a request or response
bdl-8: fullUrl cannot be a version specific reference
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
.... entry:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... link Σ0..*See link (Bundle)Links related to this entry
..... fullUrl Σ1..1uriURI for resource (Absolute URL server address or URI for UUID/OID)
..... resource Σ0..1ResourceA resource in the bundle
.... entry:aeob ΣC2..*BackboneElementSHALL have a PCTAdvancedEOB resource
bdl-5: must be a resource unless there's a request or response
bdl-8: fullUrl cannot be a version specific reference
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... link Σ0..*See link (Bundle)Links related to this entry
..... fullUrl Σ0..1uriURI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 1..1PCTAdvancedEOBSummary, PCTAdvancedEOBExplanation of Benefit resource
..... search ΣC0..1BackboneElementSearch related information
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... mode Σ0..1codematch | include | outcome - why this is in the result set
Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.

...... score Σ0..1decimalSearch ranking (between 0 and 1)
..... request ΣC0..1BackboneElementAdditional execution information (transaction/batch/history)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... method Σ1..1codeGET | HEAD | POST | PUT | DELETE | PATCH
Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.

...... url Σ1..1uriURL for HTTP equivalent of this entry
...... ifNoneMatch Σ0..1stringFor managing cache currency
...... ifModifiedSince Σ0..1instantFor managing cache currency
...... ifMatch Σ0..1stringFor managing update contention
...... ifNoneExist Σ0..1stringFor conditional creates
..... response ΣC0..1BackboneElementResults of execution (transaction/batch/history)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... status Σ1..1stringStatus response code (text optional)
...... location Σ0..1uriThe location (if the operation returns a location)
...... etag Σ0..1stringThe Etag for the resource (if relevant)
...... lastModified Σ0..1instantServer's date time modified
...... outcome Σ0..1ResourceOperationOutcome with hints and warnings (for batch/transaction)
.... entry:patient ΣC1..2BackboneElementSHALL have the patient subject of care and may be a separate subscriber
bdl-5: must be a resource unless there's a request or response
bdl-8: fullUrl cannot be a version specific reference
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... link Σ0..*See link (Bundle)Links related to this entry
..... fullUrl Σ0..1uriURI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 1..1HRexPatientDemographicsInformation about an individual or animal receiving health care services
..... search ΣC0..1BackboneElementSearch related information
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... mode Σ0..1codematch | include | outcome - why this is in the result set
Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.

...... score Σ0..1decimalSearch ranking (between 0 and 1)
..... request ΣC0..1BackboneElementAdditional execution information (transaction/batch/history)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... method Σ1..1codeGET | HEAD | POST | PUT | DELETE | PATCH
Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.

...... url Σ1..1uriURL for HTTP equivalent of this entry
...... ifNoneMatch Σ0..1stringFor managing cache currency
...... ifModifiedSince Σ0..1instantFor managing cache currency
...... ifMatch Σ0..1stringFor managing update contention
...... ifNoneExist Σ0..1stringFor conditional creates
..... response ΣC0..1BackboneElementResults of execution (transaction/batch/history)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... status Σ1..1stringStatus response code (text optional)
...... location Σ0..1uriThe location (if the operation returns a location)
...... etag Σ0..1stringThe Etag for the resource (if relevant)
...... lastModified Σ0..1instantServer's date time modified
...... outcome Σ0..1ResourceOperationOutcome with hints and warnings (for batch/transaction)
.... entry:coverage ΣC1..1BackboneElementSHALL have one Coverage
bdl-5: must be a resource unless there's a request or response
bdl-8: fullUrl cannot be a version specific reference
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... link Σ0..*See link (Bundle)Links related to this entry
..... fullUrl Σ0..1uriURI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 1..1PCTCoverageInsurance or medical plan or a payment agreement
..... search ΣC0..1BackboneElementSearch related information
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... mode Σ0..1codematch | include | outcome - why this is in the result set
Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.

...... score Σ0..1decimalSearch ranking (between 0 and 1)
..... request ΣC0..1BackboneElementAdditional execution information (transaction/batch/history)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... method Σ1..1codeGET | HEAD | POST | PUT | DELETE | PATCH
Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.

...... url Σ1..1uriURL for HTTP equivalent of this entry
...... ifNoneMatch Σ0..1stringFor managing cache currency
...... ifModifiedSince Σ0..1instantFor managing cache currency
...... ifMatch Σ0..1stringFor managing update contention
...... ifNoneExist Σ0..1stringFor conditional creates
..... response ΣC0..1BackboneElementResults of execution (transaction/batch/history)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... status Σ1..1stringStatus response code (text optional)
...... location Σ0..1uriThe location (if the operation returns a location)
...... etag Σ0..1stringThe Etag for the resource (if relevant)
...... lastModified Σ0..1instantServer's date time modified
...... outcome Σ0..1ResourceOperationOutcome with hints and warnings (for batch/transaction)
.... entry:organization ΣC1..*BackboneElementSHALL have the payer organization and may have provider organization(s)
bdl-5: must be a resource unless there's a request or response
bdl-8: fullUrl cannot be a version specific reference
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... link Σ0..*See link (Bundle)Links related to this entry
..... fullUrl Σ0..1uriURI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 1..1PCTOrganizationA grouping of people or organizations with a common purpose
..... search ΣC0..1BackboneElementSearch related information
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... mode Σ0..1codematch | include | outcome - why this is in the result set
Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.

...... score Σ0..1decimalSearch ranking (between 0 and 1)
..... request ΣC0..1BackboneElementAdditional execution information (transaction/batch/history)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... method Σ1..1codeGET | HEAD | POST | PUT | DELETE | PATCH
Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.

...... url Σ1..1uriURL for HTTP equivalent of this entry
...... ifNoneMatch Σ0..1stringFor managing cache currency
...... ifModifiedSince Σ0..1instantFor managing cache currency
...... ifMatch Σ0..1stringFor managing update contention
...... ifNoneExist Σ0..1stringFor conditional creates
..... response ΣC0..1BackboneElementResults of execution (transaction/batch/history)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... status Σ1..1stringStatus response code (text optional)
...... location Σ0..1uriThe location (if the operation returns a location)
...... etag Σ0..1stringThe Etag for the resource (if relevant)
...... lastModified Σ0..1instantServer's date time modified
...... outcome Σ0..1ResourceOperationOutcome with hints and warnings (for batch/transaction)
.... entry:practitioner SΣC0..*BackboneElementMAY have the provider Practitioner(s)
bdl-5: must be a resource unless there's a request or response
bdl-8: fullUrl cannot be a version specific reference
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... link Σ0..*See link (Bundle)Links related to this entry
..... fullUrl Σ0..1uriURI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 1..1PCTPractitionerA person with a formal responsibility in the provisioning of healthcare or related services
..... search ΣC0..1BackboneElementSearch related information
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... mode Σ0..1codematch | include | outcome - why this is in the result set
Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.

...... score Σ0..1decimalSearch ranking (between 0 and 1)
..... request ΣC0..1BackboneElementAdditional execution information (transaction/batch/history)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... method Σ1..1codeGET | HEAD | POST | PUT | DELETE | PATCH
Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.

...... url Σ1..1uriURL for HTTP equivalent of this entry
...... ifNoneMatch Σ0..1stringFor managing cache currency
...... ifModifiedSince Σ0..1instantFor managing cache currency
...... ifMatch Σ0..1stringFor managing update contention
...... ifNoneExist Σ0..1stringFor conditional creates
..... response ΣC0..1BackboneElementResults of execution (transaction/batch/history)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... status Σ1..1stringStatus response code (text optional)
...... location Σ0..1uriThe location (if the operation returns a location)
...... etag Σ0..1stringThe Etag for the resource (if relevant)
...... lastModified Σ0..1instantServer's date time modified
...... outcome Σ0..1ResourceOperationOutcome with hints and warnings (for batch/transaction)
.... entry:gfeBundle SΣC0..*BackboneElementMAY have PCTGFEBundle resource
bdl-5: must be a resource unless there's a request or response
bdl-8: fullUrl cannot be a version specific reference
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... link Σ0..*See link (Bundle)Links related to this entry
..... fullUrl Σ0..1uriURI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 1..1PCTGFEBundleContains a collection of resources
..... search ΣC0..1BackboneElementSearch related information
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... mode Σ0..1codematch | include | outcome - why this is in the result set
Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.

...... score Σ0..1decimalSearch ranking (between 0 and 1)
..... request ΣC0..1BackboneElementAdditional execution information (transaction/batch/history)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... method Σ1..1codeGET | HEAD | POST | PUT | DELETE | PATCH
Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.

...... url Σ1..1uriURL for HTTP equivalent of this entry
...... ifNoneMatch Σ0..1stringFor managing cache currency
...... ifModifiedSince Σ0..1instantFor managing cache currency
...... ifMatch Σ0..1stringFor managing update contention
...... ifNoneExist Σ0..1stringFor conditional creates
..... response ΣC0..1BackboneElementResults of execution (transaction/batch/history)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... status Σ1..1stringStatus response code (text optional)
...... location Σ0..1uriThe location (if the operation returns a location)
...... etag Σ0..1stringThe Etag for the resource (if relevant)
...... lastModified Σ0..1instantServer's date time modified
...... outcome Σ0..1ResourceOperationOutcome with hints and warnings (for batch/transaction)
... signature Σ0..1SignatureDigital Signature

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Bundle.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Bundle.typerequiredFixed Value: collection
http://hl7.org/fhir/ValueSet/bundle-type|4.0.1
from the FHIR Standard
Bundle.entry.search.moderequiredSearchEntryMode
http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1
from the FHIR Standard
Bundle.entry.request.methodrequiredHTTPVerb
http://hl7.org/fhir/ValueSet/http-verb|4.0.1
from the FHIR Standard
Bundle.entry:aeob.search.moderequiredSearchEntryMode
http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1
from the FHIR Standard
Bundle.entry:aeob.request.methodrequiredHTTPVerb
http://hl7.org/fhir/ValueSet/http-verb|4.0.1
from the FHIR Standard
Bundle.entry:patient.search.moderequiredSearchEntryMode
http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1
from the FHIR Standard
Bundle.entry:patient.request.methodrequiredHTTPVerb
http://hl7.org/fhir/ValueSet/http-verb|4.0.1
from the FHIR Standard
Bundle.entry:coverage.search.moderequiredSearchEntryMode
http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1
from the FHIR Standard
Bundle.entry:coverage.request.methodrequiredHTTPVerb
http://hl7.org/fhir/ValueSet/http-verb|4.0.1
from the FHIR Standard
Bundle.entry:organization.search.moderequiredSearchEntryMode
http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1
from the FHIR Standard
Bundle.entry:organization.request.methodrequiredHTTPVerb
http://hl7.org/fhir/ValueSet/http-verb|4.0.1
from the FHIR Standard
Bundle.entry:practitioner.search.moderequiredSearchEntryMode
http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1
from the FHIR Standard
Bundle.entry:practitioner.request.methodrequiredHTTPVerb
http://hl7.org/fhir/ValueSet/http-verb|4.0.1
from the FHIR Standard
Bundle.entry:gfeBundle.search.moderequiredSearchEntryMode
http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1
from the FHIR Standard
Bundle.entry:gfeBundle.request.methodrequiredHTTPVerb
http://hl7.org/fhir/ValueSet/http-verb|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
pct-aeob-bundle-1errorBundleAll references resources SHALL be contained within the Bundle with the exception of the PCT GFE Bundle (referenced from the gfeReference extension in the AEOB), which MAY be present
: Bundle.entry.descendants().reference.distinct().all(resolve().exists())
pct-aeob-bundle-2errorBundleSHALL have at least one entry for a payer organization.
: entry.resource.ofType(Organization).where(type.coding.where(code='pay').exists()).exists()

 

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