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-draft 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

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON
• TTL

Resource Profile: PCT AEOB Packet

PCT AEOB Packet that contains necessary resources for AEOBs. A document type Bundle that enables versioning, signing and being referenced by a DocumentReference for searching and subscription notifications.

Usage:

• Examples for this Resource Profile: Bundle/PCT-AEOB-Packet-1
• CapabilityStatements using this Resource Profile: Patient Cost Transparency Implementation Guide Payer Capability Statement

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
Bundle	C	0..*	Bundle	Contains 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-packet-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-packet-2: SHALL have at least one entry for a payer organization.
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
identifier	Σ	1..1	Identifier	Persistent identifier for the bundle ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children Fixed Value: document
timestamp	Σ	1..1	instant	When the bundle was assembled ele-1: All FHIR elements must have a @value or children
Slices for entry	ΣC	6..*	BackboneElement	Entry 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 ele-1: All FHIR elements must have a @value or children 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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID) ele-1: All FHIR elements must have a @value or children
entry:composition	SΣC	1..1	BackboneElement	SHALL have a PCTAdvancedEOBComposition resource bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference ele-1: All FHIR elements must have a @value or children 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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID) ele-1: All FHIR elements must have a @value or children
resource		1..1	PCTAdvancedEOBComposition	A set of resources composed into a single coherent clinical statement with clinical attestation
entry:aeob	SΣC	2..*	BackboneElement	SHALL have a PCTAdvancedEOBSummary or PCTAdvancedEOB resource bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference ele-1: All FHIR elements must have a @value or children 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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID) ele-1: All FHIR elements must have a @value or children
resource		1..1	PCTAdvancedEOBSummary, PCTAdvancedEOB	Explanation of Benefit resource
entry:patient	SΣC	1..2	BackboneElement	SHALL 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 ele-1: All FHIR elements must have a @value or children 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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID) ele-1: All FHIR elements must have a @value or children
resource		1..1	HRexPatientDemographics	Information about an individual or animal receiving health care services
entry:coverage	SΣC	1..1	BackboneElement	SHALL 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 ele-1: All FHIR elements must have a @value or children 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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID) ele-1: All FHIR elements must have a @value or children
resource		1..1	PCTCoverage	Insurance or medical plan or a payment agreement
entry:organization	SΣC	1..*	BackboneElement	SHALL 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 ele-1: All FHIR elements must have a @value or children 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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID) ele-1: All FHIR elements must have a @value or children
resource		1..1	PCTOrganization	A grouping of people or organizations with a common purpose
entry:practitioner	SΣC	0..*	BackboneElement	MAY 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 ele-1: All FHIR elements must have a @value or children 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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID) ele-1: All FHIR elements must have a @value or children
resource		1..1	PCTPractitioner	A person with a formal responsibility in the provisioning of healthcare or related services
entry:gfeBundle	SΣC	0..*	BackboneElement	MAY have PCTGFEBundle or PCTGFEMissingBundle resource bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference ele-1: All FHIR elements must have a @value or children 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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID) ele-1: All FHIR elements must have a @value or children
resource		1..1	PCTGFEBundle, PCTGFEMissingBundle	Contains a collection of resources
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Bundle.type	required	Fixed Value: document 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:composition.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:aeob.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:patient.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:coverage.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:organization.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:practitioner.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:gfeBundle.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
pct-aeob-packet-1	error	Bundle	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 : Bundle.entry.descendants().reference.distinct().all(resolve().exists())
pct-aeob-packet-2	error	Bundle	SHALL have at least one entry for a payer organization. : entry.resource.ofType(Organization).where(type.coding.where(code='pay').exists()).exists()

This structure is derived from Bundle

Name	Flags	Card.	Type	Description & Constraints
Bundle	C	0..*	Bundle	Contains a collection of resources pct-aeob-packet-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-packet-2: SHALL have at least one entry for a payer organization.
identifier		1..1	Identifier	Persistent identifier for the bundle
type		1..1	code	document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Fixed Value: document
timestamp		1..1	instant	When the bundle was assembled
Slices for entry		6..*	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		1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
search		0..0
request		0..0
response		0..0
entry:composition	S	1..1	BackboneElement	SHALL have a PCTAdvancedEOBComposition resource
resource		1..1	PCTAdvancedEOBComposition	A set of resources composed into a single coherent clinical statement with clinical attestation
entry:aeob	S	2..*	BackboneElement	SHALL have a PCTAdvancedEOBSummary or PCTAdvancedEOB resource
resource		1..1	PCTAdvancedEOBSummary, PCTAdvancedEOB	Explanation of Benefit resource
entry:patient	S	1..2	BackboneElement	SHALL have the patient subject of care and may be a separate subscriber
resource		1..1	HRexPatientDemographics	Information about an individual or animal receiving health care services
entry:coverage	S	1..1	BackboneElement	SHALL have one Coverage
resource		1..1	PCTCoverage	Insurance or medical plan or a payment agreement
entry:organization	S	1..*	BackboneElement	SHALL have the payer organization and may have provider organization(s)
resource		1..1	PCTOrganization	A grouping of people or organizations with a common purpose
entry:practitioner	S	0..*	BackboneElement	MAY have the provider Practitioner(s)
resource		1..1	PCTPractitioner	A person with a formal responsibility in the provisioning of healthcare or related services
entry:gfeBundle	S	0..*	BackboneElement	MAY have PCTGFEBundle or PCTGFEMissingBundle resource
resource		1..1	PCTGFEBundle, PCTGFEMissingBundle	Contains a collection of resources
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
pct-aeob-packet-1	error	Bundle	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 : Bundle.entry.descendants().reference.distinct().all(resolve().exists())
pct-aeob-packet-2	error	Bundle	SHALL have at least one entry for a payer organization. : entry.resource.ofType(Organization).where(type.coding.where(code='pay').exists()).exists()

Name	Flags	Card.	Type	Description & Constraints
Bundle	C	0..*	Bundle	Contains 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-packet-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-packet-2: SHALL have at least one entry for a payer organization.
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	Σ	1..1	Identifier	Persistent identifier for the bundle
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. Fixed Value: document
timestamp	Σ	1..1	instant	When the bundle was assembled
total	ΣC	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	ΣC	6..*	BackboneElement	Entry 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..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	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	0..1	Resource	A resource in the bundle
entry:composition	SΣC	1..1	BackboneElement	SHALL have a PCTAdvancedEOBComposition 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..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	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	PCTAdvancedEOBComposition	A set of resources composed into a single coherent clinical statement with clinical attestation
entry:aeob	SΣC	2..*	BackboneElement	SHALL have a PCTAdvancedEOBSummary or 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..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	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	PCTAdvancedEOBSummary, PCTAdvancedEOB	Explanation of Benefit resource
entry:patient	SΣC	1..2	BackboneElement	SHALL 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..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	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	HRexPatientDemographics	Information about an individual or animal receiving health care services
entry:coverage	SΣC	1..1	BackboneElement	SHALL 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..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	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	PCTCoverage	Insurance or medical plan or a payment agreement
entry:organization	SΣC	1..*	BackboneElement	SHALL 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..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	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	PCTOrganization	A grouping of people or organizations with a common purpose
entry:practitioner	SΣC	0..*	BackboneElement	MAY 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..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	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	PCTPractitioner	A person with a formal responsibility in the provisioning of healthcare or related services
entry:gfeBundle	SΣC	0..*	BackboneElement	MAY have PCTGFEBundle or PCTGFEMissingBundle 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..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	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	PCTGFEBundle, PCTGFEMissingBundle	Contains a collection of resources
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	Fixed Value: document 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:composition.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:composition.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:aeob.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:aeob.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:patient.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:patient.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:coverage.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:coverage.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:organization.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:organization.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:practitioner.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:practitioner.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:gfeBundle.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:gfeBundle.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
pct-aeob-packet-1	error	Bundle	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 : Bundle.entry.descendants().reference.distinct().all(resolve().exists())
pct-aeob-packet-2	error	Bundle	SHALL have at least one entry for a payer organization. : entry.resource.ofType(Organization).where(type.coding.where(code='pay').exists()).exists()

This structure is derived from Bundle

Summary

Mandatory: 11 elements(3 nested mandatory elements)
Must-Support: 7 elements
Fixed: 1 element
Prohibited: 3 elements

Structures

This structure refers to these other structures:

• PCT AEOB Composition (http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-aeob-composition)
• PCT Advanced EOB Summary (http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-aeob-summary)
• PCT Advanced EOB (http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-aeob)
• HRex Patient Demographics (http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-patient-demographics)
• PCT Coverage (http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-coverage)
• PCT Organization (http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-organization)
• PCT Practitioner (http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-practitioner)
• PCT GFE Bundle (http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-gfe-bundle)
• PCT GFE Missing Bundle (http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-gfe-missing-bundle)

Slices

This structure defines the following Slices:

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

Maturity: 1

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Bundle	C	0..*	Bundle	Contains 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-packet-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-packet-2: SHALL have at least one entry for a payer organization.
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
identifier	Σ	1..1	Identifier	Persistent identifier for the bundle ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children Fixed Value: document
timestamp	Σ	1..1	instant	When the bundle was assembled ele-1: All FHIR elements must have a @value or children
Slices for entry	ΣC	6..*	BackboneElement	Entry 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 ele-1: All FHIR elements must have a @value or children 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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID) ele-1: All FHIR elements must have a @value or children
entry:composition	SΣC	1..1	BackboneElement	SHALL have a PCTAdvancedEOBComposition resource bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference ele-1: All FHIR elements must have a @value or children 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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID) ele-1: All FHIR elements must have a @value or children
resource		1..1	PCTAdvancedEOBComposition	A set of resources composed into a single coherent clinical statement with clinical attestation
entry:aeob	SΣC	2..*	BackboneElement	SHALL have a PCTAdvancedEOBSummary or PCTAdvancedEOB resource bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference ele-1: All FHIR elements must have a @value or children 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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID) ele-1: All FHIR elements must have a @value or children
resource		1..1	PCTAdvancedEOBSummary, PCTAdvancedEOB	Explanation of Benefit resource
entry:patient	SΣC	1..2	BackboneElement	SHALL 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 ele-1: All FHIR elements must have a @value or children 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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID) ele-1: All FHIR elements must have a @value or children
resource		1..1	HRexPatientDemographics	Information about an individual or animal receiving health care services
entry:coverage	SΣC	1..1	BackboneElement	SHALL 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 ele-1: All FHIR elements must have a @value or children 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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID) ele-1: All FHIR elements must have a @value or children
resource		1..1	PCTCoverage	Insurance or medical plan or a payment agreement
entry:organization	SΣC	1..*	BackboneElement	SHALL 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 ele-1: All FHIR elements must have a @value or children 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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID) ele-1: All FHIR elements must have a @value or children
resource		1..1	PCTOrganization	A grouping of people or organizations with a common purpose
entry:practitioner	SΣC	0..*	BackboneElement	MAY 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 ele-1: All FHIR elements must have a @value or children 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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID) ele-1: All FHIR elements must have a @value or children
resource		1..1	PCTPractitioner	A person with a formal responsibility in the provisioning of healthcare or related services
entry:gfeBundle	SΣC	0..*	BackboneElement	MAY have PCTGFEBundle or PCTGFEMissingBundle resource bdl-5: must be a resource unless there's a request or response bdl-8: fullUrl cannot be a version specific reference ele-1: All FHIR elements must have a @value or children 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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
fullUrl	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID) ele-1: All FHIR elements must have a @value or children
resource		1..1	PCTGFEBundle, PCTGFEMissingBundle	Contains a collection of resources
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Bundle.type	required	Fixed Value: document 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:composition.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:aeob.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:patient.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:coverage.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:organization.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:practitioner.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:gfeBundle.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
pct-aeob-packet-1	error	Bundle	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 : Bundle.entry.descendants().reference.distinct().all(resolve().exists())
pct-aeob-packet-2	error	Bundle	SHALL 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

Name	Flags	Card.	Type	Description & Constraints
Bundle	C	0..*	Bundle	Contains a collection of resources pct-aeob-packet-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-packet-2: SHALL have at least one entry for a payer organization.
identifier		1..1	Identifier	Persistent identifier for the bundle
type		1..1	code	document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection Fixed Value: document
timestamp		1..1	instant	When the bundle was assembled
Slices for entry		6..*	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		1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
search		0..0
request		0..0
response		0..0
entry:composition	S	1..1	BackboneElement	SHALL have a PCTAdvancedEOBComposition resource
resource		1..1	PCTAdvancedEOBComposition	A set of resources composed into a single coherent clinical statement with clinical attestation
entry:aeob	S	2..*	BackboneElement	SHALL have a PCTAdvancedEOBSummary or PCTAdvancedEOB resource
resource		1..1	PCTAdvancedEOBSummary, PCTAdvancedEOB	Explanation of Benefit resource
entry:patient	S	1..2	BackboneElement	SHALL have the patient subject of care and may be a separate subscriber
resource		1..1	HRexPatientDemographics	Information about an individual or animal receiving health care services
entry:coverage	S	1..1	BackboneElement	SHALL have one Coverage
resource		1..1	PCTCoverage	Insurance or medical plan or a payment agreement
entry:organization	S	1..*	BackboneElement	SHALL have the payer organization and may have provider organization(s)
resource		1..1	PCTOrganization	A grouping of people or organizations with a common purpose
entry:practitioner	S	0..*	BackboneElement	MAY have the provider Practitioner(s)
resource		1..1	PCTPractitioner	A person with a formal responsibility in the provisioning of healthcare or related services
entry:gfeBundle	S	0..*	BackboneElement	MAY have PCTGFEBundle or PCTGFEMissingBundle resource
resource		1..1	PCTGFEBundle, PCTGFEMissingBundle	Contains a collection of resources
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
pct-aeob-packet-1	error	Bundle	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 : Bundle.entry.descendants().reference.distinct().all(resolve().exists())
pct-aeob-packet-2	error	Bundle	SHALL have at least one entry for a payer organization. : entry.resource.ofType(Organization).where(type.coding.where(code='pay').exists()).exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Bundle	C	0..*	Bundle	Contains 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-packet-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-packet-2: SHALL have at least one entry for a payer organization.
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	Σ	1..1	Identifier	Persistent identifier for the bundle
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. Fixed Value: document
timestamp	Σ	1..1	instant	When the bundle was assembled
total	ΣC	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	ΣC	6..*	BackboneElement	Entry 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..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	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource	Σ	0..1	Resource	A resource in the bundle
entry:composition	SΣC	1..1	BackboneElement	SHALL have a PCTAdvancedEOBComposition 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..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	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	PCTAdvancedEOBComposition	A set of resources composed into a single coherent clinical statement with clinical attestation
entry:aeob	SΣC	2..*	BackboneElement	SHALL have a PCTAdvancedEOBSummary or 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..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	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	PCTAdvancedEOBSummary, PCTAdvancedEOB	Explanation of Benefit resource
entry:patient	SΣC	1..2	BackboneElement	SHALL 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..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	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	HRexPatientDemographics	Information about an individual or animal receiving health care services
entry:coverage	SΣC	1..1	BackboneElement	SHALL 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..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	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	PCTCoverage	Insurance or medical plan or a payment agreement
entry:organization	SΣC	1..*	BackboneElement	SHALL 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..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	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	PCTOrganization	A grouping of people or organizations with a common purpose
entry:practitioner	SΣC	0..*	BackboneElement	MAY 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..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	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	PCTPractitioner	A person with a formal responsibility in the provisioning of healthcare or related services
entry:gfeBundle	SΣC	0..*	BackboneElement	MAY have PCTGFEBundle or PCTGFEMissingBundle 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..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	Σ	1..1	uri	URI for resource (Absolute URL server address or URI for UUID/OID)
resource		1..1	PCTGFEBundle, PCTGFEMissingBundle	Contains a collection of resources
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	Fixed Value: document 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:composition.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:composition.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:aeob.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:aeob.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:patient.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:patient.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:coverage.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:coverage.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:organization.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:organization.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:practitioner.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:practitioner.request.method	required	HTTPVerb http://hl7.org/fhir/ValueSet/http-verb|4.0.1 from the FHIR Standard
Bundle.entry:gfeBundle.search.mode	required	SearchEntryMode http://hl7.org/fhir/ValueSet/search-entry-mode|4.0.1 from the FHIR Standard
Bundle.entry:gfeBundle.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
pct-aeob-packet-1	error	Bundle	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 : Bundle.entry.descendants().reference.distinct().all(resolve().exists())
pct-aeob-packet-2	error	Bundle	SHALL have at least one entry for a payer organization. : entry.resource.ofType(Organization).where(type.coding.where(code='pay').exists()).exists()

This structure is derived from Bundle

Summary

Mandatory: 11 elements(3 nested mandatory elements)
Must-Support: 7 elements
Fixed: 1 element
Prohibited: 3 elements

Structures

This structure refers to these other structures:

• PCT AEOB Composition (http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-aeob-composition)
• PCT Advanced EOB Summary (http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-aeob-summary)
• PCT Advanced EOB (http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-aeob)
• HRex Patient Demographics (http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-patient-demographics)
• PCT Coverage (http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-coverage)
• PCT Organization (http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-organization)
• PCT Practitioner (http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-practitioner)
• PCT GFE Bundle (http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-gfe-bundle)
• PCT GFE Missing Bundle (http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-gfe-missing-bundle)

Slices

This structure defines the following Slices:

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

Maturity: 1

Other representations of profile: CSV, Excel, Schematron