Da Vinci Prior Authorization Support (PAS) FHIR IG
2.2.0-ballot - STU 2.2 - Ballot

Da Vinci Prior Authorization Support (PAS) FHIR IG, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.2.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-pas/ and changes regularly. See the Directory of published versions

## Resource Profile: PAS Inquiry Request Bundle

Official URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-pas-inquiry-request-bundle | Version: 2.2.0-ballot
Standards status: Trial-use | Maturity Level: 3 | Computable Name: PASInquiryRequestBundle
Other Identifiers: OID:2.16.840.1.113883.4.642.40.24.42.64

PAS constraints on Bundle resource ensuring that a claim inquiry resource is present and that non-supported elements are not.

Usages:

- Examples for this Profile: Bundle/PASClaimInquiryBundleExample

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Bundle | C | 0..* | Bundle | Contains a collection of resources Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, ClaimFirst
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
identifier | S Σ | 1..1 | Identifier | Submitted Transaction Identifier - this number will be assigned by the originator or sender to identify the **Inquiry** transaction within the sender's business application system. It does not represent any of the queried request identifiers.
type | Σ | 1..1 | code | document | 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. Required Pattern: collection
timestamp | S Σ | 1..1 | instant | When the bundle was assembled
Slices for entry | S Σ C | 1..* | BackboneElement | Entry in the bundle - will have a resource or information Slice: Unordered, Open by type:resource Constraints: bdl-5, bdl-8 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 | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
fullUrl | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource | S Σ | 1..1 | Resource | A resource in the bundle
entry:Claim | S Σ C | 1..1 | BackboneElement | Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 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 | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
fullUrl | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource | S | 1..1 | PASClaimInquiry | Query for Preauthorizations
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
Bundle.type | required | Pattern Value: collection `http://hl7.org/fhir/ValueSet/bundle-type|4.0.1` From the FHIR Standard
Bundle.entry.request.method | required | HTTPVerb `http://hl7.org/fhir/ValueSet/http-verb|4.0.1` From the FHIR Standard
Bundle.entry:Claim.request.method | required | HTTPVerb `http://hl7.org/fhir/ValueSet/http-verb|4.0.1` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
ClaimFirst | error | Bundle | A Prior Authorization Bundle must have the PAS Request as the first resource : entry.first().resource is Claim |
bdl-1 | error | Bundle | total only when a search or history : total.empty() or (type = 'searchset') or (type = 'history') |
bdl-2 | error | Bundle | entry.search only when a search : entry.search.empty() or (type = 'searchset') |
bdl-3 | error | Bundle | entry.request mandatory for batch/transaction/history, otherwise prohibited : entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history')) |
bdl-4 | error | Bundle | entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited : entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history')) |
bdl-5 | error | Bundle.entry, Bundle.entry:Claim | must be a resource unless there's a request or response : resource.exists() or request.exists() or response.exists() |
bdl-7 | error | Bundle | FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles) : (type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&resource.meta.versionId).isDistinct() |
bdl-8 | error | Bundle.entry, Bundle.entry:Claim | fullUrl cannot be a version specific reference : fullUrl.contains('/_history/').not() |
bdl-9 | error | Bundle | A document must have an identifier with a system and a value : type = 'document' implies (identifier.system.exists() and identifier.value.exists()) |
bdl-10 | error | Bundle | A document must have a date : type = 'document' implies (timestamp.hasValue()) |
bdl-11 | error | Bundle | A document must have a Composition as the first resource : type = 'document' implies entry.first().resource.is(Composition) |
bdl-12 | error | Bundle | A message must have a MessageHeader as the first resource : type = 'message' implies entry.first().resource.is(MessageHeader) |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |

This structure is derived from Bundle

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Bundle | C | 0..* | Bundle | Contains a collection of resources Constraints: ClaimFirst
identifier | S | 1..1 | Identifier | Submitted Transaction Identifier - this number will be assigned by the originator or sender to identify the **Inquiry** transaction within the sender's business application system. It does not represent any of the queried request identifiers.
type |  | 1..1 | code | document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Required Pattern: collection
timestamp | S | 1..1 | instant | When the bundle was assembled
Slices for entry | S | 1..* | BackboneElement | Entry in the bundle - will have a resource or information Slice: Unordered, Open by type:resource
entry:All Slices |  |  |  | Content/Rules for all slices
fullUrl | S | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource | S | 1..1 | Resource | A resource in the bundle
search |  | 0..0 |  |
request |  | 0..0 |  |
response |  | 0..0 |  |
entry:Claim | S | 1..1 | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | PASClaimInquiry | Query for Preauthorizations
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Details | Requirements
ClaimFirst | error | Bundle | A Prior Authorization Bundle must have the PAS Request as the first resource : entry.first().resource is Claim |

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Bundle | C | 0..* | Bundle | Contains a collection of resources Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, ClaimFirst
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
identifier | S Σ | 1..1 | Identifier | Submitted Transaction Identifier - this number will be assigned by the originator or sender to identify the **Inquiry** transaction within the sender's business application system. It does not represent any of the queried request identifiers.
type | Σ | 1..1 | code | document | 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. Required Pattern: collection
timestamp | S Σ | 1..1 | instant | When the bundle was assembled
total | Σ C | 0..1 | unsignedInt | If search, the total number of matches
link | Σ | 0..* | BackboneElement | Links related to this Bundle
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
relation | Σ | 1..1 | string | See http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1
url | Σ | 1..1 | uri | Reference details for the link
Slices for entry | S Σ C | 1..* | BackboneElement | Entry in the bundle - will have a resource or information Slice: Unordered, Open by type:resource Constraints: bdl-5, bdl-8 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..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
link | Σ | 0..* | See link (Bundle) | Links related to this entry
fullUrl | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource | S Σ | 1..1 | Resource | A resource in the bundle
entry:Claim | S Σ C | 1..1 | BackboneElement | Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 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..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
link | Σ | 0..* | See link (Bundle) | Links related to this entry
fullUrl | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource | S | 1..1 | PASClaimInquiry | Query for Preauthorizations
signature | Σ | 0..1 | Signature | Digital Signature
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
Bundle.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` From the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
Bundle.type | required | Pattern Value: collection `http://hl7.org/fhir/ValueSet/bundle-type|4.0.1` From the FHIR Standard
Bundle.entry.search.mode | required | SearchEntryMode `http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1` From the FHIR Standard
Bundle.entry.request.method | required | HTTPVerb `http://hl7.org/fhir/ValueSet/http-verb|4.0.1` From the FHIR Standard
Bundle.entry:Claim.search.mode | required | SearchEntryMode `http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1` From the FHIR Standard
Bundle.entry:Claim.request.method | required | HTTPVerb `http://hl7.org/fhir/ValueSet/http-verb|4.0.1` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
ClaimFirst | error | Bundle | A Prior Authorization Bundle must have the PAS Request as the first resource : entry.first().resource is Claim |
bdl-1 | error | Bundle | total only when a search or history : total.empty() or (type = 'searchset') or (type = 'history') |
bdl-2 | error | Bundle | entry.search only when a search : entry.search.empty() or (type = 'searchset') |
bdl-3 | error | Bundle | entry.request mandatory for batch/transaction/history, otherwise prohibited : entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history')) |
bdl-4 | error | Bundle | entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited : entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history')) |
bdl-5 | error | Bundle.entry, Bundle.entry:Claim | must be a resource unless there's a request or response : resource.exists() or request.exists() or response.exists() |
bdl-7 | error | Bundle | FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles) : (type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&resource.meta.versionId).isDistinct() |
bdl-8 | error | Bundle.entry, Bundle.entry:Claim | fullUrl cannot be a version specific reference : fullUrl.contains('/_history/').not() |
bdl-9 | error | Bundle | A document must have an identifier with a system and a value : type = 'document' implies (identifier.system.exists() and identifier.value.exists()) |
bdl-10 | error | Bundle | A document must have a date : type = 'document' implies (timestamp.hasValue()) |
bdl-11 | error | Bundle | A document must have a Composition as the first resource : type = 'document' implies entry.first().resource.is(Composition) |
bdl-12 | error | Bundle | A message must have a MessageHeader as the first resource : type = 'message' implies entry.first().resource.is(MessageHeader) |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |

This structure is derived from Bundle

Summary

Mandatory: 6 elements
Must-Support: 6 elements
Prohibited: 3 elements

Structures

This structure refers to these other structures:

- PAS Claim Inquiry (http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-claim-inquiry)

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Bundle.entry

Maturity: 3

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Bundle | C | 0..* | Bundle | Contains a collection of resources Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, ClaimFirst
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
identifier | S Σ | 1..1 | Identifier | Submitted Transaction Identifier - this number will be assigned by the originator or sender to identify the **Inquiry** transaction within the sender's business application system. It does not represent any of the queried request identifiers.
type | Σ | 1..1 | code | document | 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. Required Pattern: collection
timestamp | S Σ | 1..1 | instant | When the bundle was assembled
Slices for entry | S Σ C | 1..* | BackboneElement | Entry in the bundle - will have a resource or information Slice: Unordered, Open by type:resource Constraints: bdl-5, bdl-8 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 | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
fullUrl | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource | S Σ | 1..1 | Resource | A resource in the bundle
entry:Claim | S Σ C | 1..1 | BackboneElement | Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 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 | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
fullUrl | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource | S | 1..1 | PASClaimInquiry | Query for Preauthorizations
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
Bundle.type | required | Pattern Value: collection `http://hl7.org/fhir/ValueSet/bundle-type|4.0.1` From the FHIR Standard
Bundle.entry.request.method | required | HTTPVerb `http://hl7.org/fhir/ValueSet/http-verb|4.0.1` From the FHIR Standard
Bundle.entry:Claim.request.method | required | HTTPVerb `http://hl7.org/fhir/ValueSet/http-verb|4.0.1` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
ClaimFirst | error | Bundle | A Prior Authorization Bundle must have the PAS Request as the first resource : entry.first().resource is Claim |
bdl-1 | error | Bundle | total only when a search or history : total.empty() or (type = 'searchset') or (type = 'history') |
bdl-2 | error | Bundle | entry.search only when a search : entry.search.empty() or (type = 'searchset') |
bdl-3 | error | Bundle | entry.request mandatory for batch/transaction/history, otherwise prohibited : entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history')) |
bdl-4 | error | Bundle | entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited : entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history')) |
bdl-5 | error | Bundle.entry, Bundle.entry:Claim | must be a resource unless there's a request or response : resource.exists() or request.exists() or response.exists() |
bdl-7 | error | Bundle | FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles) : (type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&resource.meta.versionId).isDistinct() |
bdl-8 | error | Bundle.entry, Bundle.entry:Claim | fullUrl cannot be a version specific reference : fullUrl.contains('/_history/').not() |
bdl-9 | error | Bundle | A document must have an identifier with a system and a value : type = 'document' implies (identifier.system.exists() and identifier.value.exists()) |
bdl-10 | error | Bundle | A document must have a date : type = 'document' implies (timestamp.hasValue()) |
bdl-11 | error | Bundle | A document must have a Composition as the first resource : type = 'document' implies entry.first().resource.is(Composition) |
bdl-12 | error | Bundle | A message must have a MessageHeader as the first resource : type = 'message' implies entry.first().resource.is(MessageHeader) |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |

Differential View

This structure is derived from Bundle

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Bundle | C | 0..* | Bundle | Contains a collection of resources Constraints: ClaimFirst
identifier | S | 1..1 | Identifier | Submitted Transaction Identifier - this number will be assigned by the originator or sender to identify the **Inquiry** transaction within the sender's business application system. It does not represent any of the queried request identifiers.
type |  | 1..1 | code | document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Required Pattern: collection
timestamp | S | 1..1 | instant | When the bundle was assembled
Slices for entry | S | 1..* | BackboneElement | Entry in the bundle - will have a resource or information Slice: Unordered, Open by type:resource
entry:All Slices |  |  |  | Content/Rules for all slices
fullUrl | S | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource | S | 1..1 | Resource | A resource in the bundle
search |  | 0..0 |  |
request |  | 0..0 |  |
response |  | 0..0 |  |
entry:Claim | S | 1..1 | BackboneElement | Entry in the bundle - will have a resource or information
resource |  | 1..1 | PASClaimInquiry | Query for Preauthorizations
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Details | Requirements
ClaimFirst | error | Bundle | A Prior Authorization Bundle must have the PAS Request as the first resource : entry.first().resource is Claim |

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Bundle | C | 0..* | Bundle | Contains a collection of resources Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, ClaimFirst
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
identifier | S Σ | 1..1 | Identifier | Submitted Transaction Identifier - this number will be assigned by the originator or sender to identify the **Inquiry** transaction within the sender's business application system. It does not represent any of the queried request identifiers.
type | Σ | 1..1 | code | document | 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. Required Pattern: collection
timestamp | S Σ | 1..1 | instant | When the bundle was assembled
total | Σ C | 0..1 | unsignedInt | If search, the total number of matches
link | Σ | 0..* | BackboneElement | Links related to this Bundle
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
relation | Σ | 1..1 | string | See http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1
url | Σ | 1..1 | uri | Reference details for the link
Slices for entry | S Σ C | 1..* | BackboneElement | Entry in the bundle - will have a resource or information Slice: Unordered, Open by type:resource Constraints: bdl-5, bdl-8 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..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
link | Σ | 0..* | See link (Bundle) | Links related to this entry
fullUrl | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource | S Σ | 1..1 | Resource | A resource in the bundle
entry:Claim | S Σ C | 1..1 | BackboneElement | Entry in the bundle - will have a resource or information Constraints: bdl-5, bdl-8 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..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
link | Σ | 0..* | See link (Bundle) | Links related to this entry
fullUrl | S Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource | S | 1..1 | PASClaimInquiry | Query for Preauthorizations
signature | Σ | 0..1 | Signature | Digital Signature
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet / Code | URI
Bundle.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages` From the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
Bundle.type | required | Pattern Value: collection `http://hl7.org/fhir/ValueSet/bundle-type|4.0.1` From the FHIR Standard
Bundle.entry.search.mode | required | SearchEntryMode `http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1` From the FHIR Standard
Bundle.entry.request.method | required | HTTPVerb `http://hl7.org/fhir/ValueSet/http-verb|4.0.1` From the FHIR Standard
Bundle.entry:Claim.search.mode | required | SearchEntryMode `http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1` From the FHIR Standard
Bundle.entry:Claim.request.method | required | HTTPVerb `http://hl7.org/fhir/ValueSet/http-verb|4.0.1` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
ClaimFirst | error | Bundle | A Prior Authorization Bundle must have the PAS Request as the first resource : entry.first().resource is Claim |
bdl-1 | error | Bundle | total only when a search or history : total.empty() or (type = 'searchset') or (type = 'history') |
bdl-2 | error | Bundle | entry.search only when a search : entry.search.empty() or (type = 'searchset') |
bdl-3 | error | Bundle | entry.request mandatory for batch/transaction/history, otherwise prohibited : entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history')) |
bdl-4 | error | Bundle | entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited : entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history')) |
bdl-5 | error | Bundle.entry, Bundle.entry:Claim | must be a resource unless there's a request or response : resource.exists() or request.exists() or response.exists() |
bdl-7 | error | Bundle | FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles) : (type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&resource.meta.versionId).isDistinct() |
bdl-8 | error | Bundle.entry, Bundle.entry:Claim | fullUrl cannot be a version specific reference : fullUrl.contains('/_history/').not() |
bdl-9 | error | Bundle | A document must have an identifier with a system and a value : type = 'document' implies (identifier.system.exists() and identifier.value.exists()) |
bdl-10 | error | Bundle | A document must have a date : type = 'document' implies (timestamp.hasValue()) |
bdl-11 | error | Bundle | A document must have a Composition as the first resource : type = 'document' implies entry.first().resource.is(Composition) |
bdl-12 | error | Bundle | A message must have a MessageHeader as the first resource : type = 'message' implies entry.first().resource.is(MessageHeader) |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |

This structure is derived from Bundle

Summary

Mandatory: 6 elements
Must-Support: 6 elements
Prohibited: 3 elements

Structures

This structure refers to these other structures:

- PAS Claim Inquiry (http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-claim-inquiry)

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Bundle.entry

Maturity: 3

Other representations of profile: CSV, Excel, Schematron