PCT AEOB Packet Document Reference - Patient Cost Transparency Implementation Guide v2.0.2

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 2.0.2 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 Document Reference

Official URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-aeob-documentreference	Version: 2.0.2	Highlight text changes?
Standards status: Trial-use	Maturity Level: 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
CapabilityStatements using this Profile: Patient Cost Transparency Implementation Guide Coordination Requester 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:

New Content

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

Key Elements Table
Differential Table
Snapshot Table
Statistics/References
All

Description & Constraints Filter:

DocumentReference 0..* USCoreDocumentReferenceProfile(7.0.0) A reference to a document

DocumentReference.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created

DocumentReference.Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url

DocumentReference.Slices for extension.extension:requestInitiationTime This element must be supported. 1..1 instant Estimate Request instant (instance GFE Packet submitted to payer)
URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/requestInitiationTime

DocumentReference.Slices for extension.extension:gfeServiceLinkingInfo This element must be supported. 0..1 (Complex) GFE Service Linking Information including planned period of service and a GFE linking identifier
URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/gfeServiceLinkingInfo

DocumentReference.Slices for extension.extension:procedureOrService This element must be supported. 0..* CodeableConcept Primary Procedures and/or products involved in the estimates
URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/estimateProcedureOrService
Binding: Claim Medical Product or Service Value Set (required)

DocumentReference.Slices for extension.extension:condition This element must be supported. 0..* CodeableConcept Primary diagnoses involved in the estimates
URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/estimateCondition
Binding: PCT ICD-10 Diagnostic Codes (required)

DocumentReference.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored

DocumentReference.identifier This element must be supported. This element is included in summaries. 0..* Identifier Other identifiers for the document

DocumentReference.status This element is a modifier element. This element must be supported. This element is included in summaries. 1..1 code current | superseded | entered-in-error
Binding: DocumentReferenceStatus (required)

DocumentReference.docStatus This element must be supported. This element is included in summaries. 1..1 code preliminary | final | amended | entered-in-error
Binding: CompositionStatus (required): Status of the underlying document.

type

1..1

CodeableConcept

Kind of document (LOINC if possible)
Binding: USCoreDocumentReferenceType (7.0.0) (required): All LOINC values whose SCALE is "Doc" in the LOINC database and the HL7 v3 Code System NullFlavor concept 'unknown'

Additional Bindings

Purpose

USCoreClinicalNoteType (7.0.0)

Min Binding

DocumentReference.type.Slices for coding This element is included in summaries. 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:$this

coding:estimate

1..1

Coding

Code defined by a terminology system

Required Pattern:

{
  "system" : "http://loinc.org",
  "code" : "111479-2"
}

DocumentReference.Slices for category This element must be supported. This element is included in summaries. 1..* CodeableConcept Categorization of document
Slice: Unordered, Open by pattern:$this
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.

Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them

DocumentReference.Slices for category.category:uscore This element is included in summaries. 0..* CodeableConcept 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Categorization of document
Binding: USCoreDocumentReferenceCategory (7.0.0) (required): The US Core DocumentReferences Type Value Set is a "starter set" of categories supported for fetching and storing clinical notes. Note that other codes are permitted, see Required Bindings When Slicing by Value Sets

category:estimate

1..1

CodeableConcept

Estimate category
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.

Required Pattern:

{
  "coding" : [
    {
      "system" : "http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTDocumentTypeTemporaryTrialUse",
      "code" : "estimate"
    }
  ]
}

DocumentReference.subject This element must be supported. This element is included in summaries. 1..1 Reference(US Core Patient Profile(7.0.0) This type must be supported. | Practitioner | Group | Device) Who/what is the subject of the document

DocumentReference.date This element must be supported. This element is included in summaries. C 0..1 instant When this document reference was created
Constraints: pct-datetime-to-seconds

DocumentReference.author This element must be supported. This element is included in summaries. 2..* Reference(PCT Organization | PCT Practitioner) All involved authoring parties, including payer all Good Faith Estimate (GFE) providers

DocumentReference.Slices for relatesTo This element is included in summaries. 0..* BackboneElement Relationship to other AEOB packets. Required if this estimate is replacing another.
Slice: Unordered, Open by value:code

DocumentReference.Slices for relatesTo.relatesTo:All Slices Content/Rules for all slices

DocumentReference.Slices for relatesTo.relatesTo:All Slices.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized

DocumentReference.Slices for relatesTo.relatesTo:All Slices.code This element is included in summaries. 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.

DocumentReference.Slices for relatesTo.relatesTo:All Slices.target This element is included in summaries. 1..1 Reference(DocumentReference) Target of the relationship

DocumentReference.Slices for relatesTo.relatesTo:replaces This element must be supported. This element is included in summaries. 0..1 BackboneElement Relationships to other documents

DocumentReference.Slices for relatesTo.relatesTo:replaces.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized

DocumentReference.Slices for relatesTo.relatesTo:replaces.code This element is included in summaries. 1..1 code replaces | transforms | signs | appends
Binding: DocumentRelationshipType (required): The type of relationship between documents.
Required Pattern: replaces (extensions allowed)

DocumentReference.Slices for relatesTo.relatesTo:replaces.target This element is included in summaries. 1..1 Reference(DocumentReference) Target of the relationship

DocumentReference.content This element must be supported. This element is included in summaries. 1..1 BackboneElement Document referenced

DocumentReference.content.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized

DocumentReference.content.attachment This element must be supported. This element is included in summaries. C 1..1 Attachment Where to access the document
Constraints: us-core-6

DocumentReference.content.attachment.contentType This element must be supported. This element is included in summaries. 0..1 code Mime type of the content, with charset etc.
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
Example General: text/plain; charset=UTF-8, image/png

DocumentReference.content.attachment.data This element must be supported. C 0..1 base64Binary Data inline, base64ed

DocumentReference.content.attachment.url This element must be supported. This element is included in summaries. C 0..1 url Uri where the data can be found
Example General: http://www.acme.com/logo-small.png

format

0..1

Coding

Format/content rules for the document
Binding: HL7FormatCodes (2.1.0) (extensible)
Required Pattern:

{
  "system" : "http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTDocumentTypeTemporaryTrialUse",
  "code" : "pct-aeob-packet"
}

DocumentReference.context This element must be supported. This element is included in summaries. 0..1 BackboneElement Clinical context of document

DocumentReference.context.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized

DocumentReference.context.encounter This element must be supported. 0..1 Reference(US Core Encounter Profile(7.0.0)) Context of the document content

DocumentReference.context.period This element must be supported. This element is included in summaries. 0..1 Period Time of service that is being documented

Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DocumentReference.status	Base	required	DocumentReferenceStatus	📦4.0.1	FHIR Std.
DocumentReference.docStatus	Base	required	CompositionStatus	📍4.0.1	FHIR Std.
DocumentReference.type	Base	required	US Core DocumentReference Type	📍7.0.0	US Core v7.0
DocumentReference.category	Base	example	Document Class Value Set	📦4.0.1	FHIR Std.
DocumentReference.category:uscore	Base	required	US Core DocumentReference Category	📍7.0.0	US Core v7.0
DocumentReference.category:estimate	Base	example	Document Class Value Set	📍4.0.1	FHIR Std.
DocumentReference.relatesTo.code	Base	required	DocumentRelationshipType	📍4.0.1	FHIR Std.
DocumentReference.relatesTo:replaces.code	Base	required	DocumentRelationshipType	📍4.0.1	FHIR Std.
DocumentReference.content.attachment.contentType	Base	required	MimeType	📍4.0.1	FHIR Std.
DocumentReference.content.format	Base	extensible	HL7 ValueSet of Format Codes for use with Document Sharing	📍2.1.0	THO v7.1

Constraints

Id	Grade	Path(s)	Description	Expression
pct-datetime-to-seconds	error	DocumentReference.date	Datetime must be at least to seconds.	`$this is dateTime implies $this.toString().length() >= 19`

This structure is derived from USCoreDocumentReferenceProfile

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
DocumentReference		0..*	USCoreDocumentReferenceProfile(7.0.0)	A reference to a document
DocumentReference.Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
DocumentReference.Slices for extension.extension:requestInitiationTime	This element must be supported.	1..1	instant	Estimate Request instant (instance GFE Packet submitted to payer) URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/requestInitiationTime
DocumentReference.Slices for extension.extension:gfeServiceLinkingInfo	This element must be supported.	0..1	(Complex)	GFE Service Linking Information including planned period of service and a GFE linking identifier URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/gfeServiceLinkingInfo
DocumentReference.Slices for extension.extension:procedureOrService	This element must be supported.	0..*	CodeableConcept	Primary Procedures and/or products involved in the estimates URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/estimateProcedureOrService Binding: Claim Medical Product or Service Value Set (required)
DocumentReference.Slices for extension.extension:condition	This element must be supported.	0..*	CodeableConcept	Primary diagnoses involved in the estimates URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/estimateCondition Binding: PCT ICD-10 Diagnostic Codes (required)
DocumentReference.docStatus	This element must be supported.	1..1	code	preliminary \| final \| amended \| entered-in-error
DocumentReference.type
DocumentReference.type.Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:$this
DocumentReference.type.Slices for coding.coding:estimate	This element must be supported.	1..1	Coding	Code defined by a terminology system Required Pattern: `{ "system" : "http://loinc.org", "code" : "111479-2" }`
DocumentReference.Slices for category				Content/Rules for all slices
DocumentReference.Slices for category.category:estimate	This element must be supported.	1..1	CodeableConcept	Estimate category Required Pattern: `{ "coding" : [ { "system" : "http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTDocumentTypeTemporaryTrialUse", "code" : "estimate" } ] }`
DocumentReference.date	C	0..1	instant	When this document reference was created Constraints: pct-datetime-to-seconds
DocumentReference.author		2..*	Reference(PCT Organization \| PCT Practitioner)	All involved authoring parties, including payer all Good Faith Estimate (GFE) providers
DocumentReference.Slices for relatesTo		0..*	BackboneElement	Relationship to other AEOB packets. Required if this estimate is replacing another. Slice: Unordered, Open by value:code
DocumentReference.Slices for relatesTo.relatesTo:replaces	This element must be supported.	0..1	BackboneElement	Relationships to other documents
DocumentReference.Slices for relatesTo.relatesTo:replaces.code		1..1	code	replaces \| transforms \| signs \| appends Required Pattern: replaces (extensions allowed)
DocumentReference.content		1..1	BackboneElement	Document referenced
DocumentReference.content.format		0..1	Coding	Format/content rules for the document Required Pattern: `{ "system" : "http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTDocumentTypeTemporaryTrialUse", "code" : "pct-aeob-packet" }`
Documentation for this format

Constraints

Id	Grade	Path(s)	Description	Expression
pct-datetime-to-seconds	error	DocumentReference.date	Datetime must be at least to seconds.	`$this is dateTime implies $this.toString().length() >= 19`

Description & Constraints Filter:

DocumentReference 0..* USCoreDocumentReferenceProfile(7.0.0) A reference to a document

DocumentReference.id This element is included in summaries. 0..1 id Logical id of this artifact

DocumentReference.meta This element is included in summaries. 0..1 Meta Metadata about the resource

DocumentReference.implicitRules This element is a modifier element. This element is included in summaries. 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

DocumentReference.text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements

DocumentReference.contained 0..* Resource Contained, inline Resources

DocumentReference.Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url

DocumentReference.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored

DocumentReference.masterIdentifier This element is included in summaries. 0..1 Identifier Master Version Specific Identifier

DocumentReference.identifier This element must be supported. This element is included in summaries. 0..* Identifier Other identifiers for the document

type

1..1

CodeableConcept

Additional Bindings

Purpose

USCoreClinicalNoteType (7.0.0)

Min Binding

DocumentReference.type.id 0..1 string Unique id for inter-element referencing

DocumentReference.type.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url

DocumentReference.type.Slices for coding This element is included in summaries. 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:$this

coding:estimate

1..1

Coding

Code defined by a terminology system

Required Pattern:

{
  "system" : "http://loinc.org",
  "code" : "111479-2"
}

DocumentReference.type.text This element is included in summaries. 0..1 string Plain text representation of the concept

category:estimate

1..1

CodeableConcept

Estimate category
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.

Required Pattern:

{
  "coding" : [
    {
      "system" : "http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTDocumentTypeTemporaryTrialUse",
      "code" : "estimate"
    }
  ]
}

DocumentReference.date This element must be supported. This element is included in summaries. C 0..1 instant When this document reference was created
Constraints: pct-datetime-to-seconds

DocumentReference.authenticator 0..1 Reference(Practitioner | PractitionerRole | Organization) Who/what authenticated the document

DocumentReference.custodian 0..1 Reference(Organization) Organization which maintains the document

DocumentReference.Slices for relatesTo.relatesTo:All Slices Content/Rules for all slices

DocumentReference.Slices for relatesTo.relatesTo:All Slices.id 0..1 string Unique id for inter-element referencing

DocumentReference.Slices for relatesTo.relatesTo:All Slices.extension 0..* Extension Additional content defined by implementations

DocumentReference.Slices for relatesTo.relatesTo:All Slices.target This element is included in summaries. 1..1 Reference(DocumentReference) Target of the relationship

DocumentReference.Slices for relatesTo.relatesTo:replaces This element must be supported. This element is included in summaries. 0..1 BackboneElement Relationships to other documents

DocumentReference.Slices for relatesTo.relatesTo:replaces.id 0..1 string Unique id for inter-element referencing

DocumentReference.Slices for relatesTo.relatesTo:replaces.extension 0..* Extension Additional content defined by implementations

DocumentReference.Slices for relatesTo.relatesTo:replaces.target This element is included in summaries. 1..1 Reference(DocumentReference) Target of the relationship

DocumentReference.description This element is included in summaries. 0..1 string Human-readable description

DocumentReference.securityLabel This element is included in summaries. 0..* CodeableConcept Document security-tags
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.

DocumentReference.content This element must be supported. This element is included in summaries. 1..1 BackboneElement Document referenced

DocumentReference.content.id 0..1 string Unique id for inter-element referencing

DocumentReference.content.extension 0..* Extension Additional content defined by implementations

DocumentReference.content.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized

DocumentReference.content.attachment This element must be supported. This element is included in summaries. C 1..1 Attachment Where to access the document
Constraints: us-core-6

DocumentReference.content.attachment.id 0..1 string Unique id for inter-element referencing

DocumentReference.content.attachment.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url

language

0..1

code

Human language of the content (BCP-47)
Binding: CommonLanguages (preferred): A human language.

Additional Bindings

Purpose

AllLanguages

Max Binding

Example General: en-AU

DocumentReference.content.attachment.data This element must be supported. C 0..1 base64Binary Data inline, base64ed

DocumentReference.content.attachment.size This element is included in summaries. 0..1 unsignedInt Number of bytes of content (if url provided)

DocumentReference.content.attachment.hash This element is included in summaries. 0..1 base64Binary Hash of the data (sha-1, base64ed)

DocumentReference.content.attachment.title This element is included in summaries. 0..1 string Label to display in place of the data
Example General: Official Corporate Logo

DocumentReference.content.attachment.creation This element is included in summaries. 0..1 dateTime Date attachment was first created

format

0..1

Coding

Format/content rules for the document
Binding: HL7FormatCodes (2.1.0) (extensible)
Required Pattern:

{
  "system" : "http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTDocumentTypeTemporaryTrialUse",
  "code" : "pct-aeob-packet"
}

DocumentReference.context This element must be supported. This element is included in summaries. 0..1 BackboneElement Clinical context of document

DocumentReference.context.id 0..1 string Unique id for inter-element referencing

DocumentReference.context.extension 0..* Extension Additional content defined by implementations

DocumentReference.context.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized

DocumentReference.context.encounter This element must be supported. 0..1 Reference(US Core Encounter Profile(7.0.0)) Context of the document content

DocumentReference.context.event 0..* CodeableConcept Main clinical acts documented
Binding: ActCode (3.0.0) (example): This list of codes represents the main clinical acts being documented.

DocumentReference.context.period This element must be supported. This element is included in summaries. 0..1 Period Time of service that is being documented

DocumentReference.context.facilityType 0..1 CodeableConcept Kind of facility where patient was seen
Binding: FacilityTypeCodeValueSet (example): XDS Facility Type.

DocumentReference.context.practiceSetting 0..1 CodeableConcept Additional details about where the content was created (e.g. clinical specialty)
Binding: PracticeSettingCodeValueSet (example): Additional details about where the content was created (e.g. clinical specialty).

DocumentReference.context.sourcePatientInfo 0..1 Reference(Patient) Patient demographics from source

DocumentReference.context.related 0..* Reference(Resource) Related identifiers or resources

Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
DocumentReference.language	Base	preferred	Common Languages	📦4.0.1	FHIR Std.
DocumentReference.status	Base	required	DocumentReferenceStatus	📦4.0.1	FHIR Std.
DocumentReference.docStatus	Base	required	CompositionStatus	📍4.0.1	FHIR Std.
DocumentReference.type	Base	required	US Core DocumentReference Type	📍7.0.0	US Core v7.0
DocumentReference.category	Base	example	Document Class Value Set	📦4.0.1	FHIR Std.
DocumentReference.category:uscore	Base	required	US Core DocumentReference Category	📍7.0.0	US Core v7.0
DocumentReference.category:estimate	Base	example	Document Class Value Set	📍4.0.1	FHIR Std.
DocumentReference.relatesTo.code	Base	required	DocumentRelationshipType	📍4.0.1	FHIR Std.
DocumentReference.relatesTo:replaces.code	Base	required	DocumentRelationshipType	📍4.0.1	FHIR Std.
DocumentReference.securityLabel	Base	extensible	SecurityLabels	📦4.0.1	FHIR Std.
DocumentReference.content.attachment.contentType	Base	required	MimeType	📍4.0.1	FHIR Std.
DocumentReference.content.attachment.language	Base	preferred	Common Languages	📦4.0.1	FHIR Std.
DocumentReference.content.format	Base	extensible	HL7 ValueSet of Format Codes for use with Document Sharing	📍2.1.0	THO v7.1
DocumentReference.context.event	Base	example	v3 Code System ActCode	📍3.0.0	THO v7.1
DocumentReference.context.facilityType	Base	example	Facility Type Code Value Set	📦4.0.1	FHIR Std.
DocumentReference.context.practiceSetting	Base	example	Practice Setting Code Value Set	📦4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
pct-datetime-to-seconds	error	DocumentReference.date	Datetime must be at least to seconds.	`$this is dateTime implies $this.toString().length() >= 19`

This structure is derived from USCoreDocumentReferenceProfile

Summary

Mandatory: 6 elements
Must-Support: 8 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

The element 1 is sliced based on the value of DocumentReference.type.coding
The element 1 is sliced based on the value of DocumentReference.relatesTo

Maturity: 1

Key Elements View

Description & Constraints Filter:

DocumentReference 0..* USCoreDocumentReferenceProfile(7.0.0) A reference to a document

DocumentReference.implicitRules This element is a modifier element. This element is included in summaries. 0..1 uri A set of rules under which this content was created

DocumentReference.Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url

DocumentReference.modifierExtension This element is a modifier element. 0..* Extension Extensions that cannot be ignored

DocumentReference.identifier This element must be supported. This element is included in summaries. 0..* Identifier Other identifiers for the document

type

1..1

CodeableConcept

Additional Bindings

Purpose

USCoreClinicalNoteType (7.0.0)

Min Binding

DocumentReference.type.Slices for coding This element is included in summaries. 1..* Coding Code defined by a terminology system
Slice: Unordered, Open by value:$this

coding:estimate

1..1

Coding

Code defined by a terminology system

Required Pattern:

{
  "system" : "http://loinc.org",
  "code" : "111479-2"
}

category:estimate

1..1

CodeableConcept

Estimate category
Binding: DocumentClassValueSet (example): High-level kind of a clinical document at a macro level.

Required Pattern:

{
  "coding" : [
    {
      "system" : "http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTDocumentTypeTemporaryTrialUse",
      "code" : "estimate"
    }
  ]
}