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 GFE Bundle

Official URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-gfe-bundle | Version: 2.0.1
Standards status: Trial-use | Maturity Level: 2 | Computable Name: PCTGFEBundle
Other Identifiers: OID:2.16.840.1.113883.4.642.40.4.42.9

PCT GFE Bundle that contains all resources for a Good faith estimate submitted by a single GFE contributing provider. Organizations for both the provider and payer MAY be included. This single contributing provider GFE Bundle may be included in a set of GFE bundles from other providers in a GFE Packet that can then be made available to the patient or sent to a payer for insurance estimation. The scope of this guide does not include coordination of benefits for more than one coverage. This does not serve as a replacement for eligibility, prior authorization or other financial and administrative use cases.

Usages:

- Use this Profile: PCT AEOB Packet and PCT GFE Packet
- Refer to this Profile: PCT AEOB Composition, PCT GFE Composition and GFE Reference
- Examples for this Profile: Bundle/PCT-GFE-Bundle-Inst-1 and Bundle/PCT-GFE-Bundle-Prof-1
- CapabilityStatements using this Profile: Patient Cost Transparency Implementation Guide Coordination Platform Capability Statement, Patient Cost Transparency Implementation Guide Coordination Requester Capability Statement, Patient Cost Transparency Implementation Guide GFE Contributor Capability Statement, Patient Cost Transparency Implementation Guide Provider Capability Statement and 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:

- The resource metadata has changed (description)
- The data elements list has changed
- One or more text definitions, invariants or bindings have changed

### 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-gfe-bundle-1, pct-gfe-bundle-2, pct-gfe-bundle-3
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: collection
timestamp | Σ | 1..1 | instant | When the bundle was assembled
Slices for entry | Σ C | 3..* | 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:gfe | Σ C | 2..* | BackboneElement | SHALL have one or more PCTGFEProfessional or PCTGFEInstitutional resource(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 | PCTGFESummary, PCTGFEProfessional, PCTGFEInstitutional | Claim, Pre-determination or Pre-authorization
entry:patient | Σ C | 1..2 | BackboneElement | SHALL have the patient subject of care and may have 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 | 0..1 | BackboneElement | MAY 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 | 0..* | BackboneElement | SHALL have a submitting provider or submitting organization, but not both. May also have a payer organization. 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 | SHALL have a submitting provider or submitting organization, but not both. 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:attachment | S Σ C | 0..* | BackboneElement | MAY have attachments as DocumentReference resource(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 | Σ | 1..1 | DocumentReference | A resource in the bundle
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:gfe.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:attachment.​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:gfe, Bundle.entry:patient, Bundle.entry:coverage, Bundle.entry:organization, Bundle.entry:practitioner, Bundle.entry:attachment | 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:gfe, Bundle.entry:patient, Bundle.entry:coverage, Bundle.entry:organization, Bundle.entry:practitioner, Bundle.entry:attachment | 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-gfe-bundle-1 | error | Bundle | SHALL have a submitting provider or submitting organization, but not both. | `Bundle.entry.resource.ofType(Practitioner).exists() or Bundle.entry.resource.ofType(Organization).exists()`
pct-gfe-bundle-2 | error | Bundle | All references resources SHALL be contained within the Bundle | `Bundle.entry.resource.descendants().reference.where($this.startsWith('#').not()).all((%resource.entry.fullUrl.join('|')&'|').contains(($this&'|')))`
pct-gfe-bundle-3 | error | Bundle | The first entry SHALL be an estimate-summary GFE | `Bundle.entry[0].resource.ofType(Claim).type.coding.where(code='estimate-summary' and system='http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTEstimateTypeSummaryCSTemporaryTrialUse').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-gfe-bundle-1, pct-gfe-bundle-2, pct-gfe-bundle-3
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: collection
timestamp |  | 1..1 | instant | When the bundle was assembled
Slices for entry |  | 3..* | 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:gfe | C | 2..* | BackboneElement | SHALL have one or more PCTGFEProfessional or PCTGFEInstitutional resource(s)
resource |  | 1..1 | PCTGFESummary, PCTGFEProfessional, PCTGFEInstitutional | Claim, Pre-determination or Pre-authorization
entry:patient |  | 1..2 | BackboneElement | SHALL have the patient subject of care and may have a separate subscriber
resource |  | 1..1 | USCorePatientProfile(7.0.0) | 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 | SHALL have a submitting provider or submitting organization, but not both. May also have a payer organization.
resource |  | 1..1 | PCTOrganization | A grouping of people or organizations with a common purpose
entry:practitioner | S | 0..* | BackboneElement | SHALL have a submitting provider or submitting organization, but not both.
resource |  | 1..1 | PCTPractitioner | A person with a formal responsibility in the provisioning of healthcare or related services
entry:attachment | S | 0..* | BackboneElement | MAY have attachments as DocumentReference resource(s)
resource |  | 1..1 | DocumentReference | A resource in the bundle
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Description | Expression
pct-gfe-bundle-1 | error | Bundle | SHALL have a submitting provider or submitting organization, but not both. | `Bundle.entry.resource.ofType(Practitioner).exists() or Bundle.entry.resource.ofType(Organization).exists()`
pct-gfe-bundle-2 | error | Bundle | All references resources SHALL be contained within the Bundle | `Bundle.entry.resource.descendants().reference.where($this.startsWith('#').not()).all((%resource.entry.fullUrl.join('|')&'|').contains(($this&'|')))`
pct-gfe-bundle-3 | error | Bundle | The first entry SHALL be an estimate-summary GFE | `Bundle.entry[0].resource.ofType(Claim).type.coding.where(code='estimate-summary' and system='http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTEstimateTypeSummaryCSTemporaryTrialUse').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-gfe-bundle-1, pct-gfe-bundle-2, pct-gfe-bundle-3
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: collection
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 | 3..* | 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:gfe | Σ C | 2..* | BackboneElement | SHALL have one or more PCTGFEProfessional or PCTGFEInstitutional resource(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 | PCTGFESummary, PCTGFEProfessional, PCTGFEInstitutional | Claim, Pre-determination or Pre-authorization
entry:patient | Σ C | 1..2 | BackboneElement | SHALL have the patient subject of care and may have 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 | 0..1 | BackboneElement | MAY 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 | 0..* | BackboneElement | SHALL have a submitting provider or submitting organization, but not both. May also have a payer organization. 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 | SHALL have a submitting provider or submitting organization, but not both. 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:attachment | S Σ C | 0..* | BackboneElement | MAY have attachments as DocumentReference resource(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 | Σ | 1..1 | DocumentReference | A resource in the bundle
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:gfe.search.​mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:gfe.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:attachment.​search.mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:attachment.​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:gfe, Bundle.entry:patient, Bundle.entry:coverage, Bundle.entry:organization, Bundle.entry:practitioner, Bundle.entry:attachment | 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:gfe, Bundle.entry:patient, Bundle.entry:coverage, Bundle.entry:organization, Bundle.entry:practitioner, Bundle.entry:attachment | 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-gfe-bundle-1 | error | Bundle | SHALL have a submitting provider or submitting organization, but not both. | `Bundle.entry.resource.ofType(Practitioner).exists() or Bundle.entry.resource.ofType(Organization).exists()`
pct-gfe-bundle-2 | error | Bundle | All references resources SHALL be contained within the Bundle | `Bundle.entry.resource.descendants().reference.where($this.startsWith('#').not()).all((%resource.entry.fullUrl.join('|')&'|').contains(($this&'|')))`
pct-gfe-bundle-3 | error | Bundle | The first entry SHALL be an estimate-summary GFE | `Bundle.entry[0].resource.ofType(Claim).type.coding.where(code='estimate-summary' and system='http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTEstimateTypeSummaryCSTemporaryTrialUse').exists()`

This structure is derived from Bundle

Summary

Mandatory: 5 elements(5 nested mandatory elements)
Must-Support: 4 elements
Fixed: 1 element
Prohibited: 3 elements

Structures

This structure refers to these other structures:

- PCT Good Faith Estimate Summary (http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-gfe-summary)
- PCT Good Faith Estimate Professional (http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-gfe-professional)
- PCT Good Faith Estimate Institutional (http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-gfe-institutional)
- 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)

Slices

This structure defines the following Slices:

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

Maturity: 2

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-gfe-bundle-1, pct-gfe-bundle-2, pct-gfe-bundle-3
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: collection
timestamp | Σ | 1..1 | instant | When the bundle was assembled
Slices for entry | Σ C | 3..* | 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:gfe | Σ C | 2..* | BackboneElement | SHALL have one or more PCTGFEProfessional or PCTGFEInstitutional resource(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 | PCTGFESummary, PCTGFEProfessional, PCTGFEInstitutional | Claim, Pre-determination or Pre-authorization
entry:patient | Σ C | 1..2 | BackboneElement | SHALL have the patient subject of care and may have 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 | 0..1 | BackboneElement | MAY 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 | 0..* | BackboneElement | SHALL have a submitting provider or submitting organization, but not both. May also have a payer organization. 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 | SHALL have a submitting provider or submitting organization, but not both. 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:attachment | S Σ C | 0..* | BackboneElement | MAY have attachments as DocumentReference resource(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 | Σ | 1..1 | DocumentReference | A resource in the bundle
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:gfe.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:attachment.​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:gfe, Bundle.entry:patient, Bundle.entry:coverage, Bundle.entry:organization, Bundle.entry:practitioner, Bundle.entry:attachment | 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:gfe, Bundle.entry:patient, Bundle.entry:coverage, Bundle.entry:organization, Bundle.entry:practitioner, Bundle.entry:attachment | 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-gfe-bundle-1 | error | Bundle | SHALL have a submitting provider or submitting organization, but not both. | `Bundle.entry.resource.ofType(Practitioner).exists() or Bundle.entry.resource.ofType(Organization).exists()`
pct-gfe-bundle-2 | error | Bundle | All references resources SHALL be contained within the Bundle | `Bundle.entry.resource.descendants().reference.where($this.startsWith('#').not()).all((%resource.entry.fullUrl.join('|')&'|').contains(($this&'|')))`
pct-gfe-bundle-3 | error | Bundle | The first entry SHALL be an estimate-summary GFE | `Bundle.entry[0].resource.ofType(Claim).type.coding.where(code='estimate-summary' and system='http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTEstimateTypeSummaryCSTemporaryTrialUse').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-gfe-bundle-1, pct-gfe-bundle-2, pct-gfe-bundle-3
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: collection
timestamp |  | 1..1 | instant | When the bundle was assembled
Slices for entry |  | 3..* | 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:gfe | C | 2..* | BackboneElement | SHALL have one or more PCTGFEProfessional or PCTGFEInstitutional resource(s)
resource |  | 1..1 | PCTGFESummary, PCTGFEProfessional, PCTGFEInstitutional | Claim, Pre-determination or Pre-authorization
entry:patient |  | 1..2 | BackboneElement | SHALL have the patient subject of care and may have a separate subscriber
resource |  | 1..1 | USCorePatientProfile(7.0.0) | 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 | SHALL have a submitting provider or submitting organization, but not both. May also have a payer organization.
resource |  | 1..1 | PCTOrganization | A grouping of people or organizations with a common purpose
entry:practitioner | S | 0..* | BackboneElement | SHALL have a submitting provider or submitting organization, but not both.
resource |  | 1..1 | PCTPractitioner | A person with a formal responsibility in the provisioning of healthcare or related services
entry:attachment | S | 0..* | BackboneElement | MAY have attachments as DocumentReference resource(s)
resource |  | 1..1 | DocumentReference | A resource in the bundle
Documentation for this format

#### Constraints

Id | Grade | Path(s) | Description | Expression
pct-gfe-bundle-1 | error | Bundle | SHALL have a submitting provider or submitting organization, but not both. | `Bundle.entry.resource.ofType(Practitioner).exists() or Bundle.entry.resource.ofType(Organization).exists()`
pct-gfe-bundle-2 | error | Bundle | All references resources SHALL be contained within the Bundle | `Bundle.entry.resource.descendants().reference.where($this.startsWith('#').not()).all((%resource.entry.fullUrl.join('|')&'|').contains(($this&'|')))`
pct-gfe-bundle-3 | error | Bundle | The first entry SHALL be an estimate-summary GFE | `Bundle.entry[0].resource.ofType(Claim).type.coding.where(code='estimate-summary' and system='http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTEstimateTypeSummaryCSTemporaryTrialUse').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-gfe-bundle-1, pct-gfe-bundle-2, pct-gfe-bundle-3
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: collection
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 | 3..* | 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:gfe | Σ C | 2..* | BackboneElement | SHALL have one or more PCTGFEProfessional or PCTGFEInstitutional resource(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 | PCTGFESummary, PCTGFEProfessional, PCTGFEInstitutional | Claim, Pre-determination or Pre-authorization
entry:patient | Σ C | 1..2 | BackboneElement | SHALL have the patient subject of care and may have 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 | 0..1 | BackboneElement | MAY 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 | 0..* | BackboneElement | SHALL have a submitting provider or submitting organization, but not both. May also have a payer organization. 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 | SHALL have a submitting provider or submitting organization, but not both. 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:attachment | S Σ C | 0..* | BackboneElement | MAY have attachments as DocumentReference resource(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 | Σ | 1..1 | DocumentReference | A resource in the bundle
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:gfe.search.​mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:gfe.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:attachment.​search.mode | Base | required | SearchEntryMode | 📍4.0.1 | FHIR Std.
Bundle.entry:attachment.​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:gfe, Bundle.entry:patient, Bundle.entry:coverage, Bundle.entry:organization, Bundle.entry:practitioner, Bundle.entry:attachment | 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:gfe, Bundle.entry:patient, Bundle.entry:coverage, Bundle.entry:organization, Bundle.entry:practitioner, Bundle.entry:attachment | 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-gfe-bundle-1 | error | Bundle | SHALL have a submitting provider or submitting organization, but not both. | `Bundle.entry.resource.ofType(Practitioner).exists() or Bundle.entry.resource.ofType(Organization).exists()`
pct-gfe-bundle-2 | error | Bundle | All references resources SHALL be contained within the Bundle | `Bundle.entry.resource.descendants().reference.where($this.startsWith('#').not()).all((%resource.entry.fullUrl.join('|')&'|').contains(($this&'|')))`
pct-gfe-bundle-3 | error | Bundle | The first entry SHALL be an estimate-summary GFE | `Bundle.entry[0].resource.ofType(Claim).type.coding.where(code='estimate-summary' and system='http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTEstimateTypeSummaryCSTemporaryTrialUse').exists()`

This structure is derived from Bundle

Summary

Mandatory: 5 elements(5 nested mandatory elements)
Must-Support: 4 elements
Fixed: 1 element
Prohibited: 3 elements

Structures

This structure refers to these other structures:

- PCT Good Faith Estimate Summary (http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-gfe-summary)
- PCT Good Faith Estimate Professional (http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-gfe-professional)
- PCT Good Faith Estimate Institutional (http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-gfe-institutional)
- 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)

Slices

This structure defines the following Slices:

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

Maturity: 2

Other representations of profile: CSV, Excel, Schematron