# PCT AEOB Packet Document Reference - Patient Cost Transparency Implementation Guide v2.0.1

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **PCT AEOB Packet Document Reference**

## Resource Profile: PCT AEOB Packet Document Reference 

| | | |
| :--- | :--- | :--- |
| *Official URL*:http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-aeob-documentreference | *Version*:2.0.1 | |
| * Standards status: *[Trial-use](http://hl7.org/fhir/R4/versions.html#std-process) | [Maturity Level](http://hl7.org/fhir/versions.html#maturity): 1 | *Computable Name*:PCTAdvancedEOBDocumentReference |
| *Other Identifiers:*OID:2.16.840.1.113883.4.642.40.4.42.53 | | |

 
PCT AEOB Packet Document Reference that enables searching and subscriptions for AEOB Packets. 

**Usages:**

* Examples for this Profile: [DocumentReference/PCT-AEOB-DocumentReference-1](DocumentReference-PCT-AEOB-DocumentReference-1.md)
* CapabilityStatements using this Profile: [Patient Cost Transparency Implementation Guide Coordination Requester Capability Statement](CapabilityStatement-davinci-pct-coordination-requester.md) and [Patient Cost Transparency Implementation Guide Payer Capability Statement](CapabilityStatement-davinci-pct.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/hl7.fhir.us.davinci-pct|current/StructureDefinition/davinci-pct-aeob-documentreference)

**Changes since version 1.1.0:**

* New Content

### Formal Views of Profile Content

 [Description of Profiles, Differentials, Snapshots and how the different presentations work](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](StructureDefinition-davinci-pct-aeob-documentreference.csv), [Excel](StructureDefinition-davinci-pct-aeob-documentreference.xlsx), [Schematron](StructureDefinition-davinci-pct-aeob-documentreference.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "davinci-pct-aeob-documentreference",
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "trial-use"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 1
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "fm"
  }],
  "url" : "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-aeob-documentreference",
  "identifier" : [{
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:oid:2.16.840.1.113883.4.642.40.4.42.53"
  }],
  "version" : "2.0.1",
  "name" : "PCTAdvancedEOBDocumentReference",
  "title" : "PCT AEOB Packet Document Reference",
  "status" : "active",
  "date" : "2026-03-26T13:47:00+00:00",
  "publisher" : "HL7 International / Financial Management",
  "contact" : [{
    "name" : "HL7 International / Financial Management",
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org/Special/committees/fm"
    },
    {
      "system" : "email",
      "value" : "fmlists@lists.hl7.org"
    }]
  }],
  "description" : "PCT AEOB Packet Document Reference that enables searching and subscriptions for AEOB Packets.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "US"
    }]
  }],
  "fhirVersion" : "4.0.1",
  "mapping" : [{
    "identity" : "workflow",
    "uri" : "http://hl7.org/fhir/workflow",
    "name" : "Workflow Pattern"
  },
  {
    "identity" : "fhircomposition",
    "uri" : "http://hl7.org/fhir/composition",
    "name" : "FHIR Composition"
  },
  {
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  },
  {
    "identity" : "cda",
    "uri" : "http://hl7.org/v3/cda",
    "name" : "CDA (R2)"
  },
  {
    "identity" : "w5",
    "uri" : "http://hl7.org/fhir/fivews",
    "name" : "FiveWs Pattern Mapping"
  },
  {
    "identity" : "v2",
    "uri" : "http://hl7.org/v2",
    "name" : "HL7 v2 Mapping"
  },
  {
    "identity" : "xds",
    "uri" : "http://ihe.net/xds",
    "name" : "XDS metadata equivalent"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "DocumentReference",
  "baseDefinition" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference|7.0.0",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "id" : "DocumentReference",
      "path" : "DocumentReference"
    },
    {
      "id" : "DocumentReference.extension",
      "path" : "DocumentReference.extension",
      "slicing" : {
        "discriminator" : [{
          "type" : "value",
          "path" : "url"
        }],
        "ordered" : false,
        "rules" : "open"
      },
      "min" : 1
    },
    {
      "id" : "DocumentReference.extension:requestInitiationTime",
      "path" : "DocumentReference.extension",
      "sliceName" : "requestInitiationTime",
      "short" : "Estimate Request instant (instance GFE Packet submitted to payer)",
      "comment" : "Instant from which the request is being initiated. The time of the AEOB request made to a payer to fulfill, this is the time in which the GFE submission was made to the payer.",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "Extension",
        "profile" : ["http://hl7.org/fhir/us/davinci-pct/StructureDefinition/requestInitiationTime"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "DocumentReference.extension:gfeServiceLinkingInfo",
      "path" : "DocumentReference.extension",
      "sliceName" : "gfeServiceLinkingInfo",
      "short" : "GFE Service Linking Information including planned period of service and a GFE linking identifier",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Extension",
        "profile" : ["http://hl7.org/fhir/us/davinci-pct/StructureDefinition/gfeServiceLinkingInfo"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "DocumentReference.extension:procedureOrService",
      "path" : "DocumentReference.extension",
      "sliceName" : "procedureOrService",
      "short" : "Primary Procedures and/or products involved in the estimates",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Extension",
        "profile" : ["http://hl7.org/fhir/us/davinci-pct/StructureDefinition/estimateProcedureOrService"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "DocumentReference.extension:condition",
      "path" : "DocumentReference.extension",
      "sliceName" : "condition",
      "short" : "Primary diagnoses involved in the estimates",
      "min" : 0,
      "max" : "*",
      "type" : [{
        "code" : "Extension",
        "profile" : ["http://hl7.org/fhir/us/davinci-pct/StructureDefinition/estimateCondition"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "DocumentReference.docStatus",
      "path" : "DocumentReference.docStatus",
      "min" : 1,
      "mustSupport" : true
    },
    {
      "id" : "DocumentReference.type.coding",
      "path" : "DocumentReference.type.coding",
      "slicing" : {
        "discriminator" : [{
          "type" : "value",
          "path" : "$this"
        }],
        "description" : "Slice defining composition as an estimate - type coding",
        "rules" : "open"
      },
      "min" : 1
    },
    {
      "id" : "DocumentReference.type.coding:estimate",
      "path" : "DocumentReference.type.coding",
      "sliceName" : "estimate",
      "min" : 1,
      "max" : "1",
      "patternCoding" : {
        "system" : "http://loinc.org",
        "code" : "111479-2"
      },
      "mustSupport" : true
    },
    {
      "id" : "DocumentReference.category:estimate",
      "path" : "DocumentReference.category",
      "sliceName" : "estimate",
      "short" : "Estimate category",
      "min" : 1,
      "max" : "1",
      "patternCodeableConcept" : {
        "coding" : [{
          "system" : "http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTDocumentTypeTemporaryTrialUse",
          "code" : "estimate"
        }]
      },
      "mustSupport" : true
    },
    {
      "id" : "DocumentReference.date",
      "path" : "DocumentReference.date",
      "constraint" : [{
        "key" : "pct-datetime-to-seconds",
        "severity" : "error",
        "human" : "Datetime must be at least to seconds.",
        "expression" : "$this is dateTime implies $this.toString().length() >= 19",
        "source" : "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-aeob-documentreference"
      }]
    },
    {
      "id" : "DocumentReference.author",
      "path" : "DocumentReference.author",
      "short" : "All involved authoring parties, including payer all Good Faith Estimate (GFE) providers",
      "min" : 2,
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-organization",
        "http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-practitioner"]
      }]
    },
    {
      "id" : "DocumentReference.relatesTo",
      "path" : "DocumentReference.relatesTo",
      "slicing" : {
        "discriminator" : [{
          "type" : "value",
          "path" : "code"
        }],
        "description" : "Slice different relationships",
        "rules" : "open"
      },
      "short" : "Relationship to other AEOB packets. Required if this estimate is replacing another."
    },
    {
      "id" : "DocumentReference.relatesTo:replaces",
      "path" : "DocumentReference.relatesTo",
      "sliceName" : "replaces",
      "min" : 0,
      "max" : "1",
      "mustSupport" : true
    },
    {
      "id" : "DocumentReference.relatesTo:replaces.code",
      "path" : "DocumentReference.relatesTo.code",
      "patternCode" : "replaces"
    },
    {
      "id" : "DocumentReference.content",
      "path" : "DocumentReference.content",
      "max" : "1"
    },
    {
      "id" : "DocumentReference.content.format",
      "path" : "DocumentReference.content.format",
      "patternCoding" : {
        "system" : "http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTDocumentTypeTemporaryTrialUse",
        "code" : "pct-aeob-packet"
      }
    }]
  }
}

```
