Patient Cost Transparency Implementation Guide
2.0.1 - STU 2

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 2.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-pct/ and changes regularly. See the Directory of published versions

## Resource Profile: PCT AEOB Packet

Official URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-aeob-packet | Version: 2.0.1
Standards status: Trial-use | Maturity Level: 1 | Computable Name: PCTAEOBPacket
Other Identifiers: OID:2.16.840.1.113883.4.642.40.4.42.60

PCT AEOB Packet that contains necessary resources for one or more an AEOBs. Organizations for both the payer and provider SHALL be included. An AEOB Summary SHALL be included and reflect the total estimate for the patient, including all AEOB resources within the Bundle. This version of the Bundle is a document type that will enable versioning, signing and being referenced by a DocumentReference for searching and subscription notifications.

Usages:

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

You can also check for usages in the FHIR IG Statistics

Changes since version 1.1.0:

- New Content

### Formal Views of Profile Content

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

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Bundle | C | 0..* | Bundle | Contains a collection of resources Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, pct-aeob-packet-1, pct-aeob-packet-2
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
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
Slices for entry | Σ C | 6..* | BackboneElement | Entry in the bundle - will have a resource or information Slice: Unordered, Open by type:resource Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
entry:All Slices |  |  |  | Content/Rules for all slices
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
fullUrl | Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
entry:composition | S Σ C | 1..1 | BackboneElement | SHALL have a PCTAdvancedEOBComposition resource Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
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)
resource |  | 1..1 | PCTAdvancedEOBComposition | A set of resources composed into a single coherent clinical statement with clinical attestation
entry:aeob | S Σ C | 2..* | BackboneElement | SHALL have a PCTAdvancedEOBSummary or PCTAdvancedEOB resource Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
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)
resource |  | 1..1 | PCTAdvancedEOBSummary, PCTAdvancedEOB | Explanation of Benefit resource
entry:patient | S Σ C | 1..2 | BackboneElement | SHALL have the patient subject of care and may be a separate subscriber Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
fullUrl | Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | USCorePatientProfile(7.0.0) | Information about an individual or animal receiving health care services
entry:coverage | S Σ C | 1..1 | BackboneElement | SHALL have one Coverage Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
fullUrl | 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 | S Σ C | 1..* | BackboneElement | SHALL have the payer organization and may have provider organization(s) Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
fullUrl | 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 | S Σ C | 0..* | BackboneElement | MAY have the provider Practitioner(s) Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
fullUrl | 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 | S Σ C | 0..* | BackboneElement | MAY include GFE contributor specific GFE bundle or information about a unfulfilled GFE request (GFE Missing Bundle) Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
fullUrl | 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
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Bundle.type | Base | required | BundleType | 📍4.0.1 | FHIR Std.
Bundle.entry.request.​method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:composition.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:aeob.request.​method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:patient.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:coverage.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:organization.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:practitioner.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:gfeBundle.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
bdl-1 | error | Bundle | total only when a search or history | `total.empty() or (type = 'searchset') or (type = 'history')`
bdl-2 | error | Bundle | entry.search only when a search | `entry.search.empty() or (type = 'searchset')`
bdl-3 | error | Bundle | entry.request mandatory for batch/transaction/history, otherwise prohibited | `entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history'))`
bdl-4 | error | Bundle | entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited | `entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history'))`
bdl-5 | error | Bundle.entry, Bundle.entry:composition, Bundle.entry:aeob, Bundle.entry:patient, Bundle.entry:coverage, Bundle.entry:organization, Bundle.entry:practitioner, Bundle.entry:gfeBundle | must be a resource unless there's a request or response | `resource.exists() or request.exists() or response.exists()`
bdl-7 | error | Bundle | FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles) | `(type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&resource.meta.versionId).isDistinct()`
bdl-8 | error | Bundle.entry, Bundle.entry:composition, Bundle.entry:aeob, Bundle.entry:patient, Bundle.entry:coverage, Bundle.entry:organization, Bundle.entry:practitioner, Bundle.entry:gfeBundle | fullUrl cannot be a version specific reference | `fullUrl.contains('/_history/').not()`
bdl-9 | error | Bundle | A document must have an identifier with a system and a value | `type = 'document' implies (identifier.system.exists() and identifier.value.exists())`
bdl-10 | error | Bundle | A document must have a date | `type = 'document' implies (timestamp.hasValue())`
bdl-11 | error | Bundle | A document must have a Composition as the first resource | `type = 'document' implies entry.first().resource.is(Composition)`
bdl-12 | error | Bundle | A message must have a MessageHeader as the first resource | `type = 'message' implies entry.first().resource.is(MessageHeader)`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
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 Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Bundle | C | 0..* | Bundle | Contains a collection of resources Constraints: pct-aeob-packet-1, pct-aeob-packet-2
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 |  | Search related information
request |  | 0..0 |  | Additional execution information (transaction/batch/history)
response |  | 0..0 |  | Results of execution (transaction/batch/history)
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 | USCorePatientProfile(7.0.0) | 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 include GFE contributor specific GFE bundle or information about a unfulfilled GFE request (GFE Missing Bundle)
resource |  | 1..1 | PCTGFEBundle, PCTGFEMissingBundle | Contains a collection of resources
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Description | Expression
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 Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Bundle | C | 0..* | Bundle | Contains a collection of resources Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, pct-aeob-packet-1, pct-aeob-packet-2
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 | Σ C | 0..1 | unsignedInt | If search, the total number of matches
link | Σ | 0..* | BackboneElement | Links related to this Bundle
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
relation | Σ | 1..1 | string | See http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1
url | Σ | 1..1 | uri | Reference details for the link
Slices for entry | Σ C | 6..* | BackboneElement | Entry in the bundle - will have a resource or information Slice: Unordered, Open by type:resource Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
entry:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
link | Σ | 0..* | See link (Bundle) | Links related to this entry
fullUrl | 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 | S Σ C | 1..1 | BackboneElement | SHALL have a PCTAdvancedEOBComposition resource Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
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 | S Σ C | 2..* | BackboneElement | SHALL have a PCTAdvancedEOBSummary or PCTAdvancedEOB resource Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
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 | S Σ C | 1..2 | BackboneElement | SHALL have the patient subject of care and may be a separate subscriber Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
link | Σ | 0..* | See link (Bundle) | Links related to this entry
fullUrl | Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | USCorePatientProfile(7.0.0) | Information about an individual or animal receiving health care services
entry:coverage | S Σ C | 1..1 | BackboneElement | SHALL have one Coverage Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
link | Σ | 0..* | See link (Bundle) | Links related to this entry
fullUrl | 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 | S Σ C | 1..* | BackboneElement | SHALL have the payer organization and may have provider organization(s) Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
link | Σ | 0..* | See link (Bundle) | Links related to this entry
fullUrl | 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 | S Σ C | 0..* | BackboneElement | MAY have the provider Practitioner(s) Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
link | Σ | 0..* | See link (Bundle) | Links related to this entry
fullUrl | 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 | S Σ C | 0..* | BackboneElement | MAY include GFE contributor specific GFE bundle or information about a unfulfilled GFE request (GFE Missing Bundle) Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
link | Σ | 0..* | See link (Bundle) | Links related to this entry
fullUrl | 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 | Status | Usage | ValueSet | Version | Source
Bundle.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Bundle.type | Base | required | BundleType | 📍4.0.1 | FHIR Std.
Bundle.entry.search.​mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry.request.​method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:composition.​search.mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:composition.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:aeob.search.​mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:aeob.request.​method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:patient.​search.mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:patient.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:coverage.​search.mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:coverage.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:organization.​search.mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:organization.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:practitioner.​search.mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:practitioner.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:gfeBundle.​search.mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:gfeBundle.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
bdl-1 | error | Bundle | total only when a search or history | `total.empty() or (type = 'searchset') or (type = 'history')`
bdl-2 | error | Bundle | entry.search only when a search | `entry.search.empty() or (type = 'searchset')`
bdl-3 | error | Bundle | entry.request mandatory for batch/transaction/history, otherwise prohibited | `entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history'))`
bdl-4 | error | Bundle | entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited | `entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history'))`
bdl-5 | error | Bundle.entry, Bundle.entry:composition, Bundle.entry:aeob, Bundle.entry:patient, Bundle.entry:coverage, Bundle.entry:organization, Bundle.entry:practitioner, Bundle.entry:gfeBundle | must be a resource unless there's a request or response | `resource.exists() or request.exists() or response.exists()`
bdl-7 | error | Bundle | FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles) | `(type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&resource.meta.versionId).isDistinct()`
bdl-8 | error | Bundle.entry, Bundle.entry:composition, Bundle.entry:aeob, Bundle.entry:patient, Bundle.entry:coverage, Bundle.entry:organization, Bundle.entry:practitioner, Bundle.entry:gfeBundle | fullUrl cannot be a version specific reference | `fullUrl.contains('/_history/').not()`
bdl-9 | error | Bundle | A document must have an identifier with a system and a value | `type = 'document' implies (identifier.system.exists() and identifier.value.exists())`
bdl-10 | error | Bundle | A document must have a date | `type = 'document' implies (timestamp.hasValue())`
bdl-11 | error | Bundle | A document must have a Composition as the first resource | `type = 'document' implies entry.first().resource.is(Composition)`
bdl-12 | error | Bundle | A message must have a MessageHeader as the first resource | `type = 'message' implies entry.first().resource.is(MessageHeader)`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
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)
- US Core Patient Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|7.0.0)
- 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 Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Bundle | C | 0..* | Bundle | Contains a collection of resources Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, pct-aeob-packet-1, pct-aeob-packet-2
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
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
Slices for entry | Σ C | 6..* | BackboneElement | Entry in the bundle - will have a resource or information Slice: Unordered, Open by type:resource Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
entry:All Slices |  |  |  | Content/Rules for all slices
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
fullUrl | Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
entry:composition | S Σ C | 1..1 | BackboneElement | SHALL have a PCTAdvancedEOBComposition resource Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
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)
resource |  | 1..1 | PCTAdvancedEOBComposition | A set of resources composed into a single coherent clinical statement with clinical attestation
entry:aeob | S Σ C | 2..* | BackboneElement | SHALL have a PCTAdvancedEOBSummary or PCTAdvancedEOB resource Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
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)
resource |  | 1..1 | PCTAdvancedEOBSummary, PCTAdvancedEOB | Explanation of Benefit resource
entry:patient | S Σ C | 1..2 | BackboneElement | SHALL have the patient subject of care and may be a separate subscriber Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
fullUrl | Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | USCorePatientProfile(7.0.0) | Information about an individual or animal receiving health care services
entry:coverage | S Σ C | 1..1 | BackboneElement | SHALL have one Coverage Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
fullUrl | 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 | S Σ C | 1..* | BackboneElement | SHALL have the payer organization and may have provider organization(s) Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
fullUrl | 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 | S Σ C | 0..* | BackboneElement | MAY have the provider Practitioner(s) Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
fullUrl | 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 | S Σ C | 0..* | BackboneElement | MAY include GFE contributor specific GFE bundle or information about a unfulfilled GFE request (GFE Missing Bundle) Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
fullUrl | 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
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Bundle.type | Base | required | BundleType | 📍4.0.1 | FHIR Std.
Bundle.entry.request.​method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:composition.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:aeob.request.​method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:patient.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:coverage.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:organization.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:practitioner.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:gfeBundle.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
bdl-1 | error | Bundle | total only when a search or history | `total.empty() or (type = 'searchset') or (type = 'history')`
bdl-2 | error | Bundle | entry.search only when a search | `entry.search.empty() or (type = 'searchset')`
bdl-3 | error | Bundle | entry.request mandatory for batch/transaction/history, otherwise prohibited | `entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history'))`
bdl-4 | error | Bundle | entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited | `entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history'))`
bdl-5 | error | Bundle.entry, Bundle.entry:composition, Bundle.entry:aeob, Bundle.entry:patient, Bundle.entry:coverage, Bundle.entry:organization, Bundle.entry:practitioner, Bundle.entry:gfeBundle | must be a resource unless there's a request or response | `resource.exists() or request.exists() or response.exists()`
bdl-7 | error | Bundle | FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles) | `(type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&resource.meta.versionId).isDistinct()`
bdl-8 | error | Bundle.entry, Bundle.entry:composition, Bundle.entry:aeob, Bundle.entry:patient, Bundle.entry:coverage, Bundle.entry:organization, Bundle.entry:practitioner, Bundle.entry:gfeBundle | fullUrl cannot be a version specific reference | `fullUrl.contains('/_history/').not()`
bdl-9 | error | Bundle | A document must have an identifier with a system and a value | `type = 'document' implies (identifier.system.exists() and identifier.value.exists())`
bdl-10 | error | Bundle | A document must have a date | `type = 'document' implies (timestamp.hasValue())`
bdl-11 | error | Bundle | A document must have a Composition as the first resource | `type = 'document' implies entry.first().resource.is(Composition)`
bdl-12 | error | Bundle | A message must have a MessageHeader as the first resource | `type = 'message' implies entry.first().resource.is(MessageHeader)`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
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 Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Bundle | C | 0..* | Bundle | Contains a collection of resources Constraints: pct-aeob-packet-1, pct-aeob-packet-2
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 |  | Search related information
request |  | 0..0 |  | Additional execution information (transaction/batch/history)
response |  | 0..0 |  | Results of execution (transaction/batch/history)
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 | USCorePatientProfile(7.0.0) | 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 include GFE contributor specific GFE bundle or information about a unfulfilled GFE request (GFE Missing Bundle)
resource |  | 1..1 | PCTGFEBundle, PCTGFEMissingBundle | Contains a collection of resources
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Description | Expression
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 Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Bundle | C | 0..* | Bundle | Contains a collection of resources Constraints: bdl-1, bdl-2, bdl-3, bdl-4, bdl-7, bdl-9, bdl-10, bdl-11, bdl-12, pct-aeob-packet-1, pct-aeob-packet-2
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 | Σ C | 0..1 | unsignedInt | If search, the total number of matches
link | Σ | 0..* | BackboneElement | Links related to this Bundle
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
relation | Σ | 1..1 | string | See http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1
url | Σ | 1..1 | uri | Reference details for the link
Slices for entry | Σ C | 6..* | BackboneElement | Entry in the bundle - will have a resource or information Slice: Unordered, Open by type:resource Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
entry:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
link | Σ | 0..* | See link (Bundle) | Links related to this entry
fullUrl | 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 | S Σ C | 1..1 | BackboneElement | SHALL have a PCTAdvancedEOBComposition resource Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
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 | S Σ C | 2..* | BackboneElement | SHALL have a PCTAdvancedEOBSummary or PCTAdvancedEOB resource Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
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 | S Σ C | 1..2 | BackboneElement | SHALL have the patient subject of care and may be a separate subscriber Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
link | Σ | 0..* | See link (Bundle) | Links related to this entry
fullUrl | Σ | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID)
resource |  | 1..1 | USCorePatientProfile(7.0.0) | Information about an individual or animal receiving health care services
entry:coverage | S Σ C | 1..1 | BackboneElement | SHALL have one Coverage Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
link | Σ | 0..* | See link (Bundle) | Links related to this entry
fullUrl | 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 | S Σ C | 1..* | BackboneElement | SHALL have the payer organization and may have provider organization(s) Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
link | Σ | 0..* | See link (Bundle) | Links related to this entry
fullUrl | 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 | S Σ C | 0..* | BackboneElement | MAY have the provider Practitioner(s) Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
link | Σ | 0..* | See link (Bundle) | Links related to this entry
fullUrl | 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 | S Σ C | 0..* | BackboneElement | MAY include GFE contributor specific GFE bundle or information about a unfulfilled GFE request (GFE Missing Bundle) Constraints: bdl-5, bdl-8 This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
link | Σ | 0..* | See link (Bundle) | Links related to this entry
fullUrl | 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 | Status | Usage | ValueSet | Version | Source
Bundle.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Bundle.type | Base | required | BundleType | 📍4.0.1 | FHIR Std.
Bundle.entry.search.​mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry.request.​method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:composition.​search.mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:composition.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:aeob.search.​mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:aeob.request.​method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:patient.​search.mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:patient.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:coverage.​search.mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:coverage.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:organization.​search.mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:organization.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:practitioner.​search.mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:practitioner.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.
Bundle.entry:gfeBundle.​search.mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:gfeBundle.​request.method | Base | required | HTTPVerb | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
bdl-1 | error | Bundle | total only when a search or history | `total.empty() or (type = 'searchset') or (type = 'history')`
bdl-2 | error | Bundle | entry.search only when a search | `entry.search.empty() or (type = 'searchset')`
bdl-3 | error | Bundle | entry.request mandatory for batch/transaction/history, otherwise prohibited | `entry.all(request.exists() = (%resource.type = 'batch' or %resource.type = 'transaction' or %resource.type = 'history'))`
bdl-4 | error | Bundle | entry.response mandatory for batch-response/transaction-response/history, otherwise prohibited | `entry.all(response.exists() = (%resource.type = 'batch-response' or %resource.type = 'transaction-response' or %resource.type = 'history'))`
bdl-5 | error | Bundle.entry, Bundle.entry:composition, Bundle.entry:aeob, Bundle.entry:patient, Bundle.entry:coverage, Bundle.entry:organization, Bundle.entry:practitioner, Bundle.entry:gfeBundle | must be a resource unless there's a request or response | `resource.exists() or request.exists() or response.exists()`
bdl-7 | error | Bundle | FullUrl must be unique in a bundle, or else entries with the same fullUrl must have different meta.versionId (except in history bundles) | `(type = 'history') or entry.where(fullUrl.exists()).select(fullUrl&resource.meta.versionId).isDistinct()`
bdl-8 | error | Bundle.entry, Bundle.entry:composition, Bundle.entry:aeob, Bundle.entry:patient, Bundle.entry:coverage, Bundle.entry:organization, Bundle.entry:practitioner, Bundle.entry:gfeBundle | fullUrl cannot be a version specific reference | `fullUrl.contains('/_history/').not()`
bdl-9 | error | Bundle | A document must have an identifier with a system and a value | `type = 'document' implies (identifier.system.exists() and identifier.value.exists())`
bdl-10 | error | Bundle | A document must have a date | `type = 'document' implies (timestamp.hasValue())`
bdl-11 | error | Bundle | A document must have a Composition as the first resource | `type = 'document' implies entry.first().resource.is(Composition)`
bdl-12 | error | Bundle | A message must have a MessageHeader as the first resource | `type = 'message' implies entry.first().resource.is(MessageHeader)`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`
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)
- US Core Patient Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|7.0.0)
- 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

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