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 GFE Information Bundle

Official URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-gfe-information-bundle Version: 2.0.0-ballot
Standards status: Draft Maturity Level: 0 Computable Name: PCTGFEInformationBundle
Other Identifiers: OID:2.16.840.1.113883.4.642.40.4.42.16

PCT GFE Information Bundle that contains the information necessary for GFE contributors to create their estimates. This bundle may for all GFE Contributors or specific to a single contributor and may include, but is not limited to, the Patient Resource, request resources (such as ServiceRequest, MedicationRequest, and DeviceRequest), Service location information, Coverage and Payer Organization resources (if applicable).

The following profile relates to the GFE Coordination workflow and is marked as DRAFT. This content has not yet met the requisite level of testing to be balloted as trail-use. However, this part of the specification has been reviewed by the Da Vinci PCT open community of providers, payers, and health IT vendors and was determined to be at a sufficient level of development to be included in this publication for the purposes of soliciting feedback from, and enabling testing by, the larger implementation community with the intention of bringing the content related to the GFE Coordination workflow to full STU status in a future version. Feedback is welcome and may be submitted through the FHIR change tracker indicating “US Da Vinci Patient Cost Transparency (PCT)(FHIR)” as the specification.

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 C 0..* Bundle Contains a collection of resources
pct-gfe-information-bundle-1: All references resources SHALL be contained within the Bundle
... type 1..1 code document | message | transaction | transaction-response | batch | batch-response | history | searchset | collection
Fixed Value: collection
... timestamp 1..1 instant When the bundle was assembled
... Slices for entry 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 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:patient 1..2 BackboneElement SHALL have the patient subject of care and may have a separate subscriber
..... resource 1..1 HRexPatientDemographics Information about an individual or animal receiving health care services
.... entry:coverage S 0..1 BackboneElement MAY have one Coverage
..... resource 1..1 PCTCoverage Insurance or medical plan or a payment agreement
.... entry:organization S 0..* BackboneElement MAY 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:service-location S 0..* BackboneElement MAY have Service Location(s)
..... resource 1..1 PCTServiceLocation Details and position information for a physical place
.... 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:practitioner-role S 0..* BackboneElement MAY have the provider PractitionerRole(s)
..... resource 1..1 HRexPractitionerRole Roles/organizations the practitioner is associated with
.... entry:requested-items-service S 0..* BackboneElement Items the request is about - PCTServiceRequest
..... resource 1..1 PCTServiceRequest A request for a service to be performed
.... entry:requested-items-medication S 0..* BackboneElement Items the request is about - PCTMedicationRequest
..... resource 1..1 PCTMedicationRequest Ordering of medication for patient or group
.... entry:requested-items-device S 0..* BackboneElement Items the request is about - PCTDeviceRequest
..... resource 1..1 PCTDeviceRequest Medical device request
.... entry:requested-items-nutrition S 0..* BackboneElement Items the request is about - NutritionOrder
..... resource 1..1 NutritionOrder A resource in the bundle
.... entry:requested-items-vision S 0..* BackboneElement Items the request is about - VisionPrescription
..... resource 1..1 VisionPrescription A resource in the bundle
.... entry:attachment S 0..* BackboneElement MAY have attachments as DocumentReference resource(s)
..... resource 1..1 DocumentReference A resource in the bundle

doco Documentation for this format

Constraints

IdGradePath(s)DetailsRequirements
pct-gfe-information-bundle-1errorBundleAll references resources SHALL be contained within the Bundle
: Bundle.entry.resource.descendants().reference.where($this.startsWith('#').not()).all((%resource.entry.fullUrl.join('|')&'|').contains(($this&'|')))
NameFlagsCard.TypeDescription & Constraintsdoco
.. 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-gfe-information-bundle-1: All references resources SHALL be contained within the Bundle
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... 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: collection
... timestamp Σ 1..1 instant When the bundle was assembled
.... entry:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... fullUrl Σ 1..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
.... entry:patient ΣC 1..2 BackboneElement SHALL have the patient subject of care and may have 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 ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... resource 1..1 HRexPatientDemographics Information about an individual or animal receiving health care services
.... entry:coverage SΣC 0..1 BackboneElement MAY 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 ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... resource 1..1 PCTCoverage Insurance or medical plan or a payment agreement
.... entry:organization SΣC 0..* BackboneElement MAY 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 ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... resource 1..1 PCTOrganization A grouping of people or organizations with a common purpose
.... entry:service-location SΣC 0..* BackboneElement MAY have Service Location(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 ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... resource 1..1 PCTServiceLocation Details and position information for a physical place
.... 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
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... resource 1..1 PCTPractitioner A person with a formal responsibility in the provisioning of healthcare or related services
.... entry:practitioner-role SΣC 0..* BackboneElement MAY have the provider PractitionerRole(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 ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... resource 1..1 HRexPractitionerRole Roles/organizations the practitioner is associated with
.... entry:requested-items-service SΣC 0..* BackboneElement Items the request is about - PCTServiceRequest
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 ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... resource 1..1 PCTServiceRequest A request for a service to be performed
.... entry:requested-items-medication SΣC 0..* BackboneElement Items the request is about - PCTMedicationRequest
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 ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... resource 1..1 PCTMedicationRequest Ordering of medication for patient or group
.... entry:requested-items-device SΣC 0..* BackboneElement Items the request is about - PCTDeviceRequest
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 ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... resource 1..1 PCTDeviceRequest Medical device request
.... entry:requested-items-nutrition SΣC 0..* BackboneElement Items the request is about - NutritionOrder
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 ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... resource Σ 1..1 NutritionOrder A resource in the bundle
.... entry:requested-items-vision SΣC 0..* BackboneElement Items the request is about - VisionPrescription
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 ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... resource Σ 1..1 VisionPrescription A resource in the bundle
.... entry:attachment SΣC 0..* BackboneElement MAY have attachments as DocumentReference resource(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 ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... resource Σ 1..1 DocumentReference A resource in the bundle

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-gfe-information-bundle-1errorBundleAll references resources SHALL be contained within the Bundle
: Bundle.entry.resource.descendants().reference.where($this.startsWith('#').not()).all((%resource.entry.fullUrl.join('|')&'|').contains(($this&'|')))
NameFlagsCard.TypeDescription & Constraintsdoco
.. 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-gfe-information-bundle-1: All references resources SHALL be contained within the Bundle
... 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
... identifier Σ 0..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: collection
... 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 1..* 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:patient ΣC 1..2 BackboneElement SHALL have the patient subject of care and may have 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 0..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
..... search ΣC 0..1 BackboneElement Search related information
...... 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
...... mode Σ 0..1 code match | 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 Σ 0..1 decimal Search ranking (between 0 and 1)
..... request ΣC 0..1 BackboneElement Additional execution information (transaction/batch/history)
...... 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
...... method Σ 1..1 code GET | HEAD | POST | PUT | DELETE | PATCH
Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.

...... url Σ 1..1 uri URL for HTTP equivalent of this entry
...... ifNoneMatch Σ 0..1 string For managing cache currency
...... ifModifiedSince Σ 0..1 instant For managing cache currency
...... ifMatch Σ 0..1 string For managing update contention
...... ifNoneExist Σ 0..1 string For conditional creates
..... response ΣC 0..1 BackboneElement Results of execution (transaction/batch/history)
...... 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
...... status Σ 1..1 string Status response code (text optional)
...... location Σ 0..1 uri The location (if the operation returns a location)
...... etag Σ 0..1 string The Etag for the resource (if relevant)
...... lastModified Σ 0..1 instant Server's date time modified
...... outcome Σ 0..1 Resource OperationOutcome with hints and warnings (for batch/transaction)
.... entry:coverage SΣC 0..1 BackboneElement MAY 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 0..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
..... search ΣC 0..1 BackboneElement Search related information
...... 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
...... mode Σ 0..1 code match | 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 Σ 0..1 decimal Search ranking (between 0 and 1)
..... request ΣC 0..1 BackboneElement Additional execution information (transaction/batch/history)
...... 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
...... method Σ 1..1 code GET | HEAD | POST | PUT | DELETE | PATCH
Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.

...... url Σ 1..1 uri URL for HTTP equivalent of this entry
...... ifNoneMatch Σ 0..1 string For managing cache currency
...... ifModifiedSince Σ 0..1 instant For managing cache currency
...... ifMatch Σ 0..1 string For managing update contention
...... ifNoneExist Σ 0..1 string For conditional creates
..... response ΣC 0..1 BackboneElement Results of execution (transaction/batch/history)
...... 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
...... status Σ 1..1 string Status response code (text optional)
...... location Σ 0..1 uri The location (if the operation returns a location)
...... etag Σ 0..1 string The Etag for the resource (if relevant)
...... lastModified Σ 0..1 instant Server's date time modified
...... outcome Σ 0..1 Resource OperationOutcome with hints and warnings (for batch/transaction)
.... entry:organization SΣC 0..* BackboneElement MAY 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 0..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
..... search ΣC 0..1 BackboneElement Search related information
...... 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
...... mode Σ 0..1 code match | 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 Σ 0..1 decimal Search ranking (between 0 and 1)
..... request ΣC 0..1 BackboneElement Additional execution information (transaction/batch/history)
...... 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
...... method Σ 1..1 code GET | HEAD | POST | PUT | DELETE | PATCH
Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.

...... url Σ 1..1 uri URL for HTTP equivalent of this entry
...... ifNoneMatch Σ 0..1 string For managing cache currency
...... ifModifiedSince Σ 0..1 instant For managing cache currency
...... ifMatch Σ 0..1 string For managing update contention
...... ifNoneExist Σ 0..1 string For conditional creates
..... response ΣC 0..1 BackboneElement Results of execution (transaction/batch/history)
...... 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
...... status Σ 1..1 string Status response code (text optional)
...... location Σ 0..1 uri The location (if the operation returns a location)
...... etag Σ 0..1 string The Etag for the resource (if relevant)
...... lastModified Σ 0..1 instant Server's date time modified
...... outcome Σ 0..1 Resource OperationOutcome with hints and warnings (for batch/transaction)
.... entry:service-location SΣC 0..* BackboneElement MAY have Service Location(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 0..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 1..1 PCTServiceLocation Details and position information for a physical place
..... search ΣC 0..1 BackboneElement Search related information
...... 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
...... mode Σ 0..1 code match | 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 Σ 0..1 decimal Search ranking (between 0 and 1)
..... request ΣC 0..1 BackboneElement Additional execution information (transaction/batch/history)
...... 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
...... method Σ 1..1 code GET | HEAD | POST | PUT | DELETE | PATCH
Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.

...... url Σ 1..1 uri URL for HTTP equivalent of this entry
...... ifNoneMatch Σ 0..1 string For managing cache currency
...... ifModifiedSince Σ 0..1 instant For managing cache currency
...... ifMatch Σ 0..1 string For managing update contention
...... ifNoneExist Σ 0..1 string For conditional creates
..... response ΣC 0..1 BackboneElement Results of execution (transaction/batch/history)
...... 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
...... status Σ 1..1 string Status response code (text optional)
...... location Σ 0..1 uri The location (if the operation returns a location)
...... etag Σ 0..1 string The Etag for the resource (if relevant)
...... lastModified Σ 0..1 instant Server's date time modified
...... outcome Σ 0..1 Resource OperationOutcome with hints and warnings (for batch/transaction)
.... 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 0..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
..... search ΣC 0..1 BackboneElement Search related information
...... 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
...... mode Σ 0..1 code match | 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 Σ 0..1 decimal Search ranking (between 0 and 1)
..... request ΣC 0..1 BackboneElement Additional execution information (transaction/batch/history)
...... 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
...... method Σ 1..1 code GET | HEAD | POST | PUT | DELETE | PATCH
Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.

...... url Σ 1..1 uri URL for HTTP equivalent of this entry
...... ifNoneMatch Σ 0..1 string For managing cache currency
...... ifModifiedSince Σ 0..1 instant For managing cache currency
...... ifMatch Σ 0..1 string For managing update contention
...... ifNoneExist Σ 0..1 string For conditional creates
..... response ΣC 0..1 BackboneElement Results of execution (transaction/batch/history)
...... 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
...... status Σ 1..1 string Status response code (text optional)
...... location Σ 0..1 uri The location (if the operation returns a location)
...... etag Σ 0..1 string The Etag for the resource (if relevant)
...... lastModified Σ 0..1 instant Server's date time modified
...... outcome Σ 0..1 Resource OperationOutcome with hints and warnings (for batch/transaction)
.... entry:practitioner-role SΣC 0..* BackboneElement MAY have the provider PractitionerRole(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 0..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 1..1 HRexPractitionerRole Roles/organizations the practitioner is associated with
..... search ΣC 0..1 BackboneElement Search related information
...... 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
...... mode Σ 0..1 code match | 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 Σ 0..1 decimal Search ranking (between 0 and 1)
..... request ΣC 0..1 BackboneElement Additional execution information (transaction/batch/history)
...... 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
...... method Σ 1..1 code GET | HEAD | POST | PUT | DELETE | PATCH
Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.

...... url Σ 1..1 uri URL for HTTP equivalent of this entry
...... ifNoneMatch Σ 0..1 string For managing cache currency
...... ifModifiedSince Σ 0..1 instant For managing cache currency
...... ifMatch Σ 0..1 string For managing update contention
...... ifNoneExist Σ 0..1 string For conditional creates
..... response ΣC 0..1 BackboneElement Results of execution (transaction/batch/history)
...... 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
...... status Σ 1..1 string Status response code (text optional)
...... location Σ 0..1 uri The location (if the operation returns a location)
...... etag Σ 0..1 string The Etag for the resource (if relevant)
...... lastModified Σ 0..1 instant Server's date time modified
...... outcome Σ 0..1 Resource OperationOutcome with hints and warnings (for batch/transaction)
.... entry:requested-items-service SΣC 0..* BackboneElement Items the request is about - PCTServiceRequest
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 0..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 1..1 PCTServiceRequest A request for a service to be performed
..... search ΣC 0..1 BackboneElement Search related information
...... 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
...... mode Σ 0..1 code match | 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 Σ 0..1 decimal Search ranking (between 0 and 1)
..... request ΣC 0..1 BackboneElement Additional execution information (transaction/batch/history)
...... 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
...... method Σ 1..1 code GET | HEAD | POST | PUT | DELETE | PATCH
Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.

...... url Σ 1..1 uri URL for HTTP equivalent of this entry
...... ifNoneMatch Σ 0..1 string For managing cache currency
...... ifModifiedSince Σ 0..1 instant For managing cache currency
...... ifMatch Σ 0..1 string For managing update contention
...... ifNoneExist Σ 0..1 string For conditional creates
..... response ΣC 0..1 BackboneElement Results of execution (transaction/batch/history)
...... 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
...... status Σ 1..1 string Status response code (text optional)
...... location Σ 0..1 uri The location (if the operation returns a location)
...... etag Σ 0..1 string The Etag for the resource (if relevant)
...... lastModified Σ 0..1 instant Server's date time modified
...... outcome Σ 0..1 Resource OperationOutcome with hints and warnings (for batch/transaction)
.... entry:requested-items-medication SΣC 0..* BackboneElement Items the request is about - PCTMedicationRequest
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 0..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 1..1 PCTMedicationRequest Ordering of medication for patient or group
..... search ΣC 0..1 BackboneElement Search related information
...... 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
...... mode Σ 0..1 code match | 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 Σ 0..1 decimal Search ranking (between 0 and 1)
..... request ΣC 0..1 BackboneElement Additional execution information (transaction/batch/history)
...... 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
...... method Σ 1..1 code GET | HEAD | POST | PUT | DELETE | PATCH
Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.

...... url Σ 1..1 uri URL for HTTP equivalent of this entry
...... ifNoneMatch Σ 0..1 string For managing cache currency
...... ifModifiedSince Σ 0..1 instant For managing cache currency
...... ifMatch Σ 0..1 string For managing update contention
...... ifNoneExist Σ 0..1 string For conditional creates
..... response ΣC 0..1 BackboneElement Results of execution (transaction/batch/history)
...... 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
...... status Σ 1..1 string Status response code (text optional)
...... location Σ 0..1 uri The location (if the operation returns a location)
...... etag Σ 0..1 string The Etag for the resource (if relevant)
...... lastModified Σ 0..1 instant Server's date time modified
...... outcome Σ 0..1 Resource OperationOutcome with hints and warnings (for batch/transaction)
.... entry:requested-items-device SΣC 0..* BackboneElement Items the request is about - PCTDeviceRequest
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 0..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 1..1 PCTDeviceRequest Medical device request
..... search ΣC 0..1 BackboneElement Search related information
...... 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
...... mode Σ 0..1 code match | 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 Σ 0..1 decimal Search ranking (between 0 and 1)
..... request ΣC 0..1 BackboneElement Additional execution information (transaction/batch/history)
...... 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
...... method Σ 1..1 code GET | HEAD | POST | PUT | DELETE | PATCH
Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.

...... url Σ 1..1 uri URL for HTTP equivalent of this entry
...... ifNoneMatch Σ 0..1 string For managing cache currency
...... ifModifiedSince Σ 0..1 instant For managing cache currency
...... ifMatch Σ 0..1 string For managing update contention
...... ifNoneExist Σ 0..1 string For conditional creates
..... response ΣC 0..1 BackboneElement Results of execution (transaction/batch/history)
...... 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
...... status Σ 1..1 string Status response code (text optional)
...... location Σ 0..1 uri The location (if the operation returns a location)
...... etag Σ 0..1 string The Etag for the resource (if relevant)
...... lastModified Σ 0..1 instant Server's date time modified
...... outcome Σ 0..1 Resource OperationOutcome with hints and warnings (for batch/transaction)
.... entry:requested-items-nutrition SΣC 0..* BackboneElement Items the request is about - NutritionOrder
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 0..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource Σ 1..1 NutritionOrder A resource in the bundle
..... search ΣC 0..1 BackboneElement Search related information
...... 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
...... mode Σ 0..1 code match | 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 Σ 0..1 decimal Search ranking (between 0 and 1)
..... request ΣC 0..1 BackboneElement Additional execution information (transaction/batch/history)
...... 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
...... method Σ 1..1 code GET | HEAD | POST | PUT | DELETE | PATCH
Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.

...... url Σ 1..1 uri URL for HTTP equivalent of this entry
...... ifNoneMatch Σ 0..1 string For managing cache currency
...... ifModifiedSince Σ 0..1 instant For managing cache currency
...... ifMatch Σ 0..1 string For managing update contention
...... ifNoneExist Σ 0..1 string For conditional creates
..... response ΣC 0..1 BackboneElement Results of execution (transaction/batch/history)
...... 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
...... status Σ 1..1 string Status response code (text optional)
...... location Σ 0..1 uri The location (if the operation returns a location)
...... etag Σ 0..1 string The Etag for the resource (if relevant)
...... lastModified Σ 0..1 instant Server's date time modified
...... outcome Σ 0..1 Resource OperationOutcome with hints and warnings (for batch/transaction)
.... entry:requested-items-vision SΣC 0..* BackboneElement Items the request is about - VisionPrescription
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 0..1 uri URI for resource (Absolute URL server address or URI for UUID/OID)
..... resource Σ 1..1 VisionPrescription A resource in the bundle
..... search ΣC 0..1 BackboneElement Search related information
...... 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
...... mode Σ 0..1 code match | 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 Σ 0..1 decimal Search ranking (between 0 and 1)
..... request ΣC 0..1 BackboneElement Additional execution information (transaction/batch/history)
...... 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
...... method Σ 1..1 code GET | HEAD | POST | PUT | DELETE | PATCH
Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.

...... url Σ 1..1 uri URL for HTTP equivalent of this entry
...... ifNoneMatch Σ 0..1 string For managing cache currency
...... ifModifiedSince Σ 0..1 instant For managing cache currency
...... ifMatch Σ 0..1 string For managing update contention
...... ifNoneExist Σ 0..1 string For conditional creates
..... response ΣC 0..1 BackboneElement Results of execution (transaction/batch/history)
...... 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
...... status Σ 1..1 string