Patient Cost Transparency Implementation Guide
1.1.0 - STU 1
Patient Cost Transparency Implementation Guide
1.1.0 - STU 1
This page is part of the Da Vinci Patient Cost Transparency Implementation Guide (v1.1.0: STU 1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
| Official URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-gfe-bundle | Version: 1.1.0 | |||
| Standards status: Trial-use | Computable Name: PCTGFEBundle | |||
PCT GFE Bundle that contains necessary resources as a GFE Submission for obtaining an AEOB. Organizations for both the provider and payer SHALL be included. The scope of this guide does not include coordination of benefits or more than one coverage. This does not serve as a replacement for eligibility, prior authorization or other financial and administrative use cases.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Bundle
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Bundle | C | 0..* | Bundle | Contains a collection of resources pct-gfe-bundle-1: All GFEs must have the same GFE submitter pct-gfe-bundle-2: SHALL have at least one entry for a payer organization. pct-gfe-bundle-3: All references resources SHALL be contained within the Bundle |
  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 | 4..* | BackboneElement | Entry in the bundle - will have a resource or information Slice: Unordered, Open by type:resource | |
  entry:All Slices | Content/Rules for all slices | |||
  fullUrl | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID) | |
| search | 0..0 | |||
| request | 0..0 | |||
 response | 0..0 | |||
 entry:gfe | 1..* | BackboneElement | SHALL have one or more PCTGFEProfessional or PCTGFEInstitutional resource(s) | |
 resource | 1..1 | 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 | HRexPatientDemographics | Information about an individual or animal receiving health care services | |
| entry:coverage | 1..1 | BackboneElement | SHALL have one Coverage | |
| resource | 1..1 | PCTCoverage | Insurance or medical plan or a payment agreement | |
| entry:organization | 1..* | BackboneElement | SHALL have the payer organization and may have provider organization(s) | |
| resource | 1..1 | PCTOrganization | A grouping of people or organizations with a common purpose | |
| entry:practitioner | S | 0..* | BackboneElement | MAY have the provider Practitioner(s) |
| resource | 1..1 | PCTPractitioner | A person with a formal responsibility in the provisioning of healthcare or related services | |
 entry:attachment | S | 0..* | BackboneElement | MAY have attachments as DocumentReference resource(s) |
| resource | 1..1 | DocumentReference | A resource in the bundle | |
| Documentation for this format | ||||
| Id | Grade | Path(s) | Details | Requirements |
| pct-gfe-bundle-1 | error | Bundle | All GFEs must have the same GFE submitter : (Bundle.entry.resource.ofType(Claim).extension.where(url='http://hl7.org/fhir/us/davinci-pct/StructureDefinition/gfeSubmitter').value.ofType(Reference).reference.distinct().count() = 1) | |
| pct-gfe-bundle-2 | error | Bundle | SHALL have at least one entry for a payer organization. : entry.resource.ofType(Organization).where(type.coding.where(code='pay').exists()).exists() | |
| pct-gfe-bundle-3 | 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&'|'))) |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Bundle | C | 0..* | Bundle | Contains a collection of resources pct-gfe-bundle-1: All GFEs must have the same GFE submitter pct-gfe-bundle-2: SHALL have at least one entry for a payer organization. pct-gfe-bundle-3: All references resources SHALL be contained within the Bundle |
 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 | ΣC | 4..* | BackboneElement | Entry in the bundle - will have a resource or information Slice: Unordered, Open by type:resource 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 | ΣC | 1..* | BackboneElement | SHALL have one or more PCTGFEProfessional or PCTGFEInstitutional resource(s) This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type |
 modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| resource | 1..1 | PCTGFEProfessional, PCTGFEInstitutional | Claim, Pre-determination or Pre-authorization | |
| entry:patient | ΣC | 1..2 | BackboneElement | SHALL have the patient subject of care and may have a separate subscriber This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| resource | C | 1..1 | HRexPatientDemographics | Information about an individual or animal receiving health care services |
| entry:coverage | ΣC | 1..1 | BackboneElement | SHALL have one Coverage This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| resource | C | 1..1 | PCTCoverage | Insurance or medical plan or a payment agreement |
| entry:organization | ΣC | 1..* | BackboneElement | SHALL have the payer organization and may have provider organization(s) This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| resource | C | 1..1 | PCTOrganization | A grouping of people or organizations with a common purpose |
| entry:practitioner | SΣC | 0..* | BackboneElement | MAY have the provider Practitioner(s) This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| resource | 1..1 | PCTPractitioner | A person with a formal responsibility in the provisioning of healthcare or related services | |
| entry:attachment | SΣC | 0..* | BackboneElement | MAY have attachments as DocumentReference resource(s) This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| resource | Σ | 1..1 | DocumentReference | A resource in the bundle |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Bundle.type | required | Fixed Value: collection |
| Bundle.entry.request.method | required | HTTPVerb |
| Id | Grade | Path(s) | Details | Requirements |
| pct-gfe-bundle-1 | error | Bundle | All GFEs must have the same GFE submitter : (Bundle.entry.resource.ofType(Claim).extension.where(url='http://hl7.org/fhir/us/davinci-pct/StructureDefinition/gfeSubmitter').value.ofType(Reference).reference.distinct().count() = 1) | |
| pct-gfe-bundle-2 | error | Bundle | SHALL have at least one entry for a payer organization. : entry.resource.ofType(Organization).where(type.coding.where(code='pay').exists()).exists() | |
| pct-gfe-bundle-3 | 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&'|'))) |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Bundle | C | 0..* | Bundle | Contains a collection of resources pct-gfe-bundle-1: All GFEs must have the same GFE submitter pct-gfe-bundle-2: SHALL have at least one entry for a payer organization. pct-gfe-bundle-3: All references resources SHALL be contained within the Bundle | ||||
| id | Σ | 0..1 | id | Logical id of this artifact | ||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| 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 | ΣC | 0..1 | unsignedInt | If search, the total number of matches | ||||
 link | Σ | 0..* | BackboneElement | Links related to this Bundle | ||||
 id | 0..1 | string | Unique id for inter-element referencing | |||||
 extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| relation | Σ | 1..1 | string | See http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1 | ||||
 url | Σ | 1..1 | uri | Reference details for the link | ||||
| Slices for entry | ΣC | 4..* | BackboneElement | Entry in the bundle - will have a resource or information Slice: Unordered, Open by type:resource 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 | ΣC | 1..* | BackboneElement | SHALL have one or more PCTGFEProfessional or PCTGFEInstitutional resource(s) This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| link | Σ | 0..* | See link (Bundle) | Links related to this entry | ||||
| fullUrl | Σ | 0..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID) | ||||
| resource | 1..1 | PCTGFEProfessional, PCTGFEInstitutional | Claim, Pre-determination or Pre-authorization | |||||
 search | ΣC | 0..1 | BackboneElement | Search related information | ||||
 id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| mode | Σ | 0..1 | code | match | include | outcome - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process. | ||||
| score | Σ | 0..1 | decimal | Search ranking (between 0 and 1) | ||||
| request | ΣC | 0..1 | BackboneElement | Additional execution information (transaction/batch/history) | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| method | Σ | 1..1 | code | GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details. | ||||
| url | Σ | 1..1 | uri | URL for HTTP equivalent of this entry | ||||
| ifNoneMatch | Σ | 0..1 | string | For managing cache currency | ||||
| ifModifiedSince | Σ | 0..1 | instant | For managing cache currency | ||||
| ifMatch | Σ | 0..1 | string | For managing update contention | ||||
| ifNoneExist | Σ | 0..1 | string | For conditional creates | ||||
 response | ΣC | 0..1 | BackboneElement | Results of execution (transaction/batch/history) | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| status | Σ | 1..1 | string | Status response code (text optional) | ||||
| location | Σ | 0..1 | uri | The location (if the operation returns a location) | ||||
| etag | Σ | 0..1 | string | The Etag for the resource (if relevant) | ||||
| lastModified | Σ | 0..1 | instant | Server's date time modified | ||||
| outcome | Σ | 0..1 | Resource | OperationOutcome with hints and warnings (for batch/transaction) | ||||
| entry:patient | ΣC | 1..2 | BackboneElement | SHALL have the patient subject of care and may have a separate subscriber This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| link | Σ | 0..* | See link (Bundle) | Links related to this entry | ||||
| fullUrl | Σ | 0..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID) | ||||
| resource | C | 1..1 | HRexPatientDemographics | Information about an individual or animal receiving health care services | ||||
| search | ΣC | 0..1 | BackboneElement | Search related information | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| mode | Σ | 0..1 | code | match | include | outcome - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process. | ||||
| score | Σ | 0..1 | decimal | Search ranking (between 0 and 1) | ||||
| request | ΣC | 0..1 | BackboneElement | Additional execution information (transaction/batch/history) | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| method | Σ | 1..1 | code | GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details. | ||||
| url | Σ | 1..1 | uri | URL for HTTP equivalent of this entry | ||||
| ifNoneMatch | Σ | 0..1 | string | For managing cache currency | ||||
| ifModifiedSince | Σ | 0..1 | instant | For managing cache currency | ||||
| ifMatch | Σ | 0..1 | string | For managing update contention | ||||
| ifNoneExist | Σ | 0..1 | string | For conditional creates | ||||
| response | ΣC | 0..1 | BackboneElement | Results of execution (transaction/batch/history) | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| status | Σ | 1..1 | string | Status response code (text optional) | ||||
| location | Σ | 0..1 | uri | The location (if the operation returns a location) | ||||
| etag | Σ | 0..1 | string | The Etag for the resource (if relevant) | ||||
| lastModified | Σ | 0..1 | instant | Server's date time modified | ||||
| outcome | Σ | 0..1 | Resource | OperationOutcome with hints and warnings (for batch/transaction) | ||||
| entry:coverage | ΣC | 1..1 | BackboneElement | SHALL have one Coverage This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| link | Σ | 0..* | See link (Bundle) | Links related to this entry | ||||
| fullUrl | Σ | 0..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID) | ||||
| resource | C | 1..1 | PCTCoverage | Insurance or medical plan or a payment agreement | ||||
| search | ΣC | 0..1 | BackboneElement | Search related information | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| mode | Σ | 0..1 | code | match | include | outcome - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process. | ||||
| score | Σ | 0..1 | decimal | Search ranking (between 0 and 1) | ||||
| request | ΣC | 0..1 | BackboneElement | Additional execution information (transaction/batch/history) | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| method | Σ | 1..1 | code | GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details. | ||||
| url | Σ | 1..1 | uri | URL for HTTP equivalent of this entry | ||||
| ifNoneMatch | Σ | 0..1 | string | For managing cache currency | ||||
| ifModifiedSince | Σ | 0..1 | instant | For managing cache currency | ||||
| ifMatch | Σ | 0..1 | string | For managing update contention | ||||
| ifNoneExist | Σ | 0..1 | string | For conditional creates | ||||
| response | ΣC | 0..1 | BackboneElement | Results of execution (transaction/batch/history) | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| status | Σ | 1..1 | string | Status response code (text optional) | ||||
| location | Σ | 0..1 | uri | The location (if the operation returns a location) | ||||
| etag | Σ | 0..1 | string | The Etag for the resource (if relevant) | ||||
| lastModified | Σ | 0..1 | instant | Server's date time modified | ||||
| outcome | Σ | 0..1 | Resource | OperationOutcome with hints and warnings (for batch/transaction) | ||||
| entry:organization | ΣC | 1..* | BackboneElement | SHALL have the payer organization and may have provider organization(s) This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| link | Σ | 0..* | See link (Bundle) | Links related to this entry | ||||
| fullUrl | Σ | 0..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID) | ||||
| resource | C | 1..1 | PCTOrganization | A grouping of people or organizations with a common purpose | ||||
| search | ΣC | 0..1 | BackboneElement | Search related information | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| mode | Σ | 0..1 | code | match | include | outcome - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process. | ||||
| score | Σ | 0..1 | decimal | Search ranking (between 0 and 1) | ||||
| request | ΣC | 0..1 | BackboneElement | Additional execution information (transaction/batch/history) | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| method | Σ | 1..1 | code | GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details. | ||||
| url | Σ | 1..1 | uri | URL for HTTP equivalent of this entry | ||||
| ifNoneMatch | Σ | 0..1 | string | For managing cache currency | ||||
| ifModifiedSince | Σ | 0..1 | instant | For managing cache currency | ||||
| ifMatch | Σ | 0..1 | string | For managing update contention | ||||
| ifNoneExist | Σ | 0..1 | string | For conditional creates | ||||
| response | ΣC | 0..1 | BackboneElement | Results of execution (transaction/batch/history) | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| status | Σ | 1..1 | string | Status response code (text optional) | ||||
| location | Σ | 0..1 | uri | The location (if the operation returns a location) | ||||
| etag | Σ | 0..1 | string | The Etag for the resource (if relevant) | ||||
| lastModified | Σ | 0..1 | instant | Server's date time modified | ||||
| outcome | Σ | 0..1 | Resource | OperationOutcome with hints and warnings (for batch/transaction) | ||||
| entry:practitioner | SΣC | 0..* | BackboneElement | MAY have the provider Practitioner(s) This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| link | Σ | 0..* | See link (Bundle) | Links related to this entry | ||||
| fullUrl | Σ | 0..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID) | ||||
| resource | 1..1 | PCTPractitioner | A person with a formal responsibility in the provisioning of healthcare or related services | |||||
| search | ΣC | 0..1 | BackboneElement | Search related information | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| mode | Σ | 0..1 | code | match | include | outcome - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process. | ||||
| score | Σ | 0..1 | decimal | Search ranking (between 0 and 1) | ||||
| request | ΣC | 0..1 | BackboneElement | Additional execution information (transaction/batch/history) | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| method | Σ | 1..1 | code | GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details. | ||||
| url | Σ | 1..1 | uri | URL for HTTP equivalent of this entry | ||||
| ifNoneMatch | Σ | 0..1 | string | For managing cache currency | ||||
| ifModifiedSince | Σ | 0..1 | instant | For managing cache currency | ||||
| ifMatch | Σ | 0..1 | string | For managing update contention | ||||
| ifNoneExist | Σ | 0..1 | string | For conditional creates | ||||
| response | ΣC | 0..1 | BackboneElement | Results of execution (transaction/batch/history) | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| status | Σ | 1..1 | string | Status response code (text optional) | ||||
| location | Σ | 0..1 | uri | The location (if the operation returns a location) | ||||
| etag | Σ | 0..1 | string | The Etag for the resource (if relevant) | ||||
| lastModified | Σ | 0..1 | instant | Server's date time modified | ||||
| outcome | Σ | 0..1 | Resource | OperationOutcome with hints and warnings (for batch/transaction) | ||||
| entry:attachment | SΣC | 0..* | BackboneElement | MAY have attachments as DocumentReference resource(s) This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| link | Σ | 0..* | See link (Bundle) | Links related to this entry | ||||
| fullUrl | Σ | 0..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID) | ||||
| resource | Σ | 1..1 | DocumentReference | A resource in the bundle | ||||
| search | ΣC | 0..1 | BackboneElement | Search related information | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| mode | Σ | 0..1 | code | match | include | outcome - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process. | ||||
| score | Σ | 0..1 | decimal | Search ranking (between 0 and 1) | ||||
| request | ΣC | 0..1 | BackboneElement | Additional execution information (transaction/batch/history) | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| method | Σ | 1..1 | code | GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details. | ||||
| url | Σ | 1..1 | uri | URL for HTTP equivalent of this entry | ||||
| ifNoneMatch | Σ | 0..1 | string | For managing cache currency | ||||
| ifModifiedSince | Σ | 0..1 | instant | For managing cache currency | ||||
| ifMatch | Σ | 0..1 | string | For managing update contention | ||||
| ifNoneExist | Σ | 0..1 | string | For conditional creates | ||||
| response | ΣC | 0..1 | BackboneElement | Results of execution (transaction/batch/history) | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| status | Σ | 1..1 | string | Status response code (text optional) | ||||
| location | Σ | 0..1 | uri | The location (if the operation returns a location) | ||||
| etag | Σ | 0..1 | string | The Etag for the resource (if relevant) | ||||
| lastModified | Σ | 0..1 | instant | Server's date time modified | ||||
| outcome | Σ | 0..1 | Resource | OperationOutcome with hints and warnings (for batch/transaction) | ||||
| signature | Σ | 0..1 | Signature | Digital Signature | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | ||||
| Bundle.language | preferred | CommonLanguages
| ||||
| Bundle.type | required | Fixed Value: collection | ||||
| Bundle.entry.search.mode | required | SearchEntryMode | ||||
| Bundle.entry.request.method | required | HTTPVerb | ||||
| Bundle.entry:gfe.search.mode | required | SearchEntryMode | ||||
| Bundle.entry:gfe.request.method | required | HTTPVerb | ||||
| Bundle.entry:patient.search.mode | required | SearchEntryMode | ||||
| Bundle.entry:patient.request.method | required | HTTPVerb | ||||
| Bundle.entry:coverage.search.mode | required | SearchEntryMode | ||||
| Bundle.entry:coverage.request.method | required | HTTPVerb | ||||
| Bundle.entry:organization.search.mode | required | SearchEntryMode | ||||
| Bundle.entry:organization.request.method | required | HTTPVerb | ||||
| Bundle.entry:practitioner.search.mode | required | SearchEntryMode | ||||
| Bundle.entry:practitioner.request.method | required | HTTPVerb | ||||
| Bundle.entry:attachment.search.mode | required | SearchEntryMode | ||||
| Bundle.entry:attachment.request.method | required | HTTPVerb |
| Id | Grade | Path(s) | Details | Requirements |
| pct-gfe-bundle-1 | error | Bundle | All GFEs must have the same GFE submitter : (Bundle.entry.resource.ofType(Claim).extension.where(url='http://hl7.org/fhir/us/davinci-pct/StructureDefinition/gfeSubmitter').value.ofType(Reference).reference.distinct().count() = 1) | |
| pct-gfe-bundle-2 | error | Bundle | SHALL have at least one entry for a payer organization. : entry.resource.ofType(Organization).where(type.coding.where(code='pay').exists()).exists() | |
| pct-gfe-bundle-3 | 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&'|'))) |
This structure is derived from Bundle
Summary
Mandatory: 11 elements (2 nested mandatory elements)
Must-Support: 2 elements
Fixed Value: 1 element
Prohibited: 3 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from Bundle
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Bundle | C | 0..* | Bundle | Contains a collection of resources pct-gfe-bundle-1: All GFEs must have the same GFE submitter pct-gfe-bundle-2: SHALL have at least one entry for a payer organization. pct-gfe-bundle-3: All references resources SHALL be contained within the Bundle |
| 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 | 4..* | BackboneElement | Entry in the bundle - will have a resource or information Slice: Unordered, Open by type:resource | |
| entry:All Slices | Content/Rules for all slices | |||
| fullUrl | 1..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID) | |
| search | 0..0 | |||
| request | 0..0 | |||
| response | 0..0 | |||
| entry:gfe | 1..* | BackboneElement | SHALL have one or more PCTGFEProfessional or PCTGFEInstitutional resource(s) | |
| resource | 1..1 | 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 | HRexPatientDemographics | Information about an individual or animal receiving health care services | |
| entry:coverage | 1..1 | BackboneElement | SHALL have one Coverage | |
| resource | 1..1 | PCTCoverage | Insurance or medical plan or a payment agreement | |
| entry:organization | 1..* | BackboneElement | SHALL have the payer organization and may have provider organization(s) | |
| resource | 1..1 | PCTOrganization | A grouping of people or organizations with a common purpose | |
| entry:practitioner | S | 0..* | BackboneElement | MAY have the provider Practitioner(s) |
| resource | 1..1 | PCTPractitioner | A person with a formal responsibility in the provisioning of healthcare or related services | |
| entry:attachment | S | 0..* | BackboneElement | MAY have attachments as DocumentReference resource(s) |
| resource | 1..1 | DocumentReference | A resource in the bundle | |
| Documentation for this format | ||||
| Id | Grade | Path(s) | Details | Requirements |
| pct-gfe-bundle-1 | error | Bundle | All GFEs must have the same GFE submitter : (Bundle.entry.resource.ofType(Claim).extension.where(url='http://hl7.org/fhir/us/davinci-pct/StructureDefinition/gfeSubmitter').value.ofType(Reference).reference.distinct().count() = 1) | |
| pct-gfe-bundle-2 | error | Bundle | SHALL have at least one entry for a payer organization. : entry.resource.ofType(Organization).where(type.coding.where(code='pay').exists()).exists() | |
| pct-gfe-bundle-3 | 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&'|'))) |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Bundle | C | 0..* | Bundle | Contains a collection of resources pct-gfe-bundle-1: All GFEs must have the same GFE submitter pct-gfe-bundle-2: SHALL have at least one entry for a payer organization. pct-gfe-bundle-3: All references resources SHALL be contained within the Bundle |
| 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 | ΣC | 4..* | BackboneElement | Entry in the bundle - will have a resource or information Slice: Unordered, Open by type:resource 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 | ΣC | 1..* | BackboneElement | SHALL have one or more PCTGFEProfessional or PCTGFEInstitutional resource(s) This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| resource | 1..1 | PCTGFEProfessional, PCTGFEInstitutional | Claim, Pre-determination or Pre-authorization | |
| entry:patient | ΣC | 1..2 | BackboneElement | SHALL have the patient subject of care and may have a separate subscriber This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| resource | C | 1..1 | HRexPatientDemographics | Information about an individual or animal receiving health care services |
| entry:coverage | ΣC | 1..1 | BackboneElement | SHALL have one Coverage This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| resource | C | 1..1 | PCTCoverage | Insurance or medical plan or a payment agreement |
| entry:organization | ΣC | 1..* | BackboneElement | SHALL have the payer organization and may have provider organization(s) This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| resource | C | 1..1 | PCTOrganization | A grouping of people or organizations with a common purpose |
| entry:practitioner | SΣC | 0..* | BackboneElement | MAY have the provider Practitioner(s) This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| resource | 1..1 | PCTPractitioner | A person with a formal responsibility in the provisioning of healthcare or related services | |
| entry:attachment | SΣC | 0..* | BackboneElement | MAY have attachments as DocumentReference resource(s) This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| resource | Σ | 1..1 | DocumentReference | A resource in the bundle |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Bundle.type | required | Fixed Value: collection |
| Bundle.entry.request.method | required | HTTPVerb |
| Id | Grade | Path(s) | Details | Requirements |
| pct-gfe-bundle-1 | error | Bundle | All GFEs must have the same GFE submitter : (Bundle.entry.resource.ofType(Claim).extension.where(url='http://hl7.org/fhir/us/davinci-pct/StructureDefinition/gfeSubmitter').value.ofType(Reference).reference.distinct().count() = 1) | |
| pct-gfe-bundle-2 | error | Bundle | SHALL have at least one entry for a payer organization. : entry.resource.ofType(Organization).where(type.coding.where(code='pay').exists()).exists() | |
| pct-gfe-bundle-3 | 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&'|'))) |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Bundle | C | 0..* | Bundle | Contains a collection of resources pct-gfe-bundle-1: All GFEs must have the same GFE submitter pct-gfe-bundle-2: SHALL have at least one entry for a payer organization. pct-gfe-bundle-3: All references resources SHALL be contained within the Bundle | ||||
| id | Σ | 0..1 | id | Logical id of this artifact | ||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| 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 | ΣC | 0..1 | unsignedInt | If search, the total number of matches | ||||
| link | Σ | 0..* | BackboneElement | Links related to this Bundle | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| relation | Σ | 1..1 | string | See http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1 | ||||
| url | Σ | 1..1 | uri | Reference details for the link | ||||
| Slices for entry | ΣC | 4..* | BackboneElement | Entry in the bundle - will have a resource or information Slice: Unordered, Open by type:resource 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 | ΣC | 1..* | BackboneElement | SHALL have one or more PCTGFEProfessional or PCTGFEInstitutional resource(s) This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| link | Σ | 0..* | See link (Bundle) | Links related to this entry | ||||
| fullUrl | Σ | 0..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID) | ||||
| resource | 1..1 | PCTGFEProfessional, PCTGFEInstitutional | Claim, Pre-determination or Pre-authorization | |||||
| search | ΣC | 0..1 | BackboneElement | Search related information | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| mode | Σ | 0..1 | code | match | include | outcome - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process. | ||||
| score | Σ | 0..1 | decimal | Search ranking (between 0 and 1) | ||||
| request | ΣC | 0..1 | BackboneElement | Additional execution information (transaction/batch/history) | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| method | Σ | 1..1 | code | GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details. | ||||
| url | Σ | 1..1 | uri | URL for HTTP equivalent of this entry | ||||
| ifNoneMatch | Σ | 0..1 | string | For managing cache currency | ||||
| ifModifiedSince | Σ | 0..1 | instant | For managing cache currency | ||||
| ifMatch | Σ | 0..1 | string | For managing update contention | ||||
| ifNoneExist | Σ | 0..1 | string | For conditional creates | ||||
| response | ΣC | 0..1 | BackboneElement | Results of execution (transaction/batch/history) | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| status | Σ | 1..1 | string | Status response code (text optional) | ||||
| location | Σ | 0..1 | uri | The location (if the operation returns a location) | ||||
| etag | Σ | 0..1 | string | The Etag for the resource (if relevant) | ||||
| lastModified | Σ | 0..1 | instant | Server's date time modified | ||||
| outcome | Σ | 0..1 | Resource | OperationOutcome with hints and warnings (for batch/transaction) | ||||
| entry:patient | ΣC | 1..2 | BackboneElement | SHALL have the patient subject of care and may have a separate subscriber This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| link | Σ | 0..* | See link (Bundle) | Links related to this entry | ||||
| fullUrl | Σ | 0..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID) | ||||
| resource | C | 1..1 | HRexPatientDemographics | Information about an individual or animal receiving health care services | ||||
| search | ΣC | 0..1 | BackboneElement | Search related information | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| mode | Σ | 0..1 | code | match | include | outcome - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process. | ||||
| score | Σ | 0..1 | decimal | Search ranking (between 0 and 1) | ||||
| request | ΣC | 0..1 | BackboneElement | Additional execution information (transaction/batch/history) | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| method | Σ | 1..1 | code | GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details. | ||||
| url | Σ | 1..1 | uri | URL for HTTP equivalent of this entry | ||||
| ifNoneMatch | Σ | 0..1 | string | For managing cache currency | ||||
| ifModifiedSince | Σ | 0..1 | instant | For managing cache currency | ||||
| ifMatch | Σ | 0..1 | string | For managing update contention | ||||
| ifNoneExist | Σ | 0..1 | string | For conditional creates | ||||
| response | ΣC | 0..1 | BackboneElement | Results of execution (transaction/batch/history) | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| status | Σ | 1..1 | string | Status response code (text optional) | ||||
| location | Σ | 0..1 | uri | The location (if the operation returns a location) | ||||
| etag | Σ | 0..1 | string | The Etag for the resource (if relevant) | ||||
| lastModified | Σ | 0..1 | instant | Server's date time modified | ||||
| outcome | Σ | 0..1 | Resource | OperationOutcome with hints and warnings (for batch/transaction) | ||||
| entry:coverage | ΣC | 1..1 | BackboneElement | SHALL have one Coverage This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| link | Σ | 0..* | See link (Bundle) | Links related to this entry | ||||
| fullUrl | Σ | 0..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID) | ||||
| resource | C | 1..1 | PCTCoverage | Insurance or medical plan or a payment agreement | ||||
| search | ΣC | 0..1 | BackboneElement | Search related information | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| mode | Σ | 0..1 | code | match | include | outcome - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process. | ||||
| score | Σ | 0..1 | decimal | Search ranking (between 0 and 1) | ||||
| request | ΣC | 0..1 | BackboneElement | Additional execution information (transaction/batch/history) | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| method | Σ | 1..1 | code | GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details. | ||||
| url | Σ | 1..1 | uri | URL for HTTP equivalent of this entry | ||||
| ifNoneMatch | Σ | 0..1 | string | For managing cache currency | ||||
| ifModifiedSince | Σ | 0..1 | instant | For managing cache currency | ||||
| ifMatch | Σ | 0..1 | string | For managing update contention | ||||
| ifNoneExist | Σ | 0..1 | string | For conditional creates | ||||
| response | ΣC | 0..1 | BackboneElement | Results of execution (transaction/batch/history) | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| status | Σ | 1..1 | string | Status response code (text optional) | ||||
| location | Σ | 0..1 | uri | The location (if the operation returns a location) | ||||
| etag | Σ | 0..1 | string | The Etag for the resource (if relevant) | ||||
| lastModified | Σ | 0..1 | instant | Server's date time modified | ||||
| outcome | Σ | 0..1 | Resource | OperationOutcome with hints and warnings (for batch/transaction) | ||||
| entry:organization | ΣC | 1..* | BackboneElement | SHALL have the payer organization and may have provider organization(s) This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| link | Σ | 0..* | See link (Bundle) | Links related to this entry | ||||
| fullUrl | Σ | 0..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID) | ||||
| resource | C | 1..1 | PCTOrganization | A grouping of people or organizations with a common purpose | ||||
| search | ΣC | 0..1 | BackboneElement | Search related information | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| mode | Σ | 0..1 | code | match | include | outcome - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process. | ||||
| score | Σ | 0..1 | decimal | Search ranking (between 0 and 1) | ||||
| request | ΣC | 0..1 | BackboneElement | Additional execution information (transaction/batch/history) | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| method | Σ | 1..1 | code | GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details. | ||||
| url | Σ | 1..1 | uri | URL for HTTP equivalent of this entry | ||||
| ifNoneMatch | Σ | 0..1 | string | For managing cache currency | ||||
| ifModifiedSince | Σ | 0..1 | instant | For managing cache currency | ||||
| ifMatch | Σ | 0..1 | string | For managing update contention | ||||
| ifNoneExist | Σ | 0..1 | string | For conditional creates | ||||
| response | ΣC | 0..1 | BackboneElement | Results of execution (transaction/batch/history) | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| status | Σ | 1..1 | string | Status response code (text optional) | ||||
| location | Σ | 0..1 | uri | The location (if the operation returns a location) | ||||
| etag | Σ | 0..1 | string | The Etag for the resource (if relevant) | ||||
| lastModified | Σ | 0..1 | instant | Server's date time modified | ||||
| outcome | Σ | 0..1 | Resource | OperationOutcome with hints and warnings (for batch/transaction) | ||||
| entry:practitioner | SΣC | 0..* | BackboneElement | MAY have the provider Practitioner(s) This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| link | Σ | 0..* | See link (Bundle) | Links related to this entry | ||||
| fullUrl | Σ | 0..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID) | ||||
| resource | 1..1 | PCTPractitioner | A person with a formal responsibility in the provisioning of healthcare or related services | |||||
| search | ΣC | 0..1 | BackboneElement | Search related information | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| mode | Σ | 0..1 | code | match | include | outcome - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process. | ||||
| score | Σ | 0..1 | decimal | Search ranking (between 0 and 1) | ||||
| request | ΣC | 0..1 | BackboneElement | Additional execution information (transaction/batch/history) | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| method | Σ | 1..1 | code | GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details. | ||||
| url | Σ | 1..1 | uri | URL for HTTP equivalent of this entry | ||||
| ifNoneMatch | Σ | 0..1 | string | For managing cache currency | ||||
| ifModifiedSince | Σ | 0..1 | instant | For managing cache currency | ||||
| ifMatch | Σ | 0..1 | string | For managing update contention | ||||
| ifNoneExist | Σ | 0..1 | string | For conditional creates | ||||
| response | ΣC | 0..1 | BackboneElement | Results of execution (transaction/batch/history) | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| status | Σ | 1..1 | string | Status response code (text optional) | ||||
| location | Σ | 0..1 | uri | The location (if the operation returns a location) | ||||
| etag | Σ | 0..1 | string | The Etag for the resource (if relevant) | ||||
| lastModified | Σ | 0..1 | instant | Server's date time modified | ||||
| outcome | Σ | 0..1 | Resource | OperationOutcome with hints and warnings (for batch/transaction) | ||||
| entry:attachment | SΣC | 0..* | BackboneElement | MAY have attachments as DocumentReference resource(s) This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| link | Σ | 0..* | See link (Bundle) | Links related to this entry | ||||
| fullUrl | Σ | 0..1 | uri | URI for resource (Absolute URL server address or URI for UUID/OID) | ||||
| resource | Σ | 1..1 | DocumentReference | A resource in the bundle | ||||
| search | ΣC | 0..1 | BackboneElement | Search related information | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| mode | Σ | 0..1 | code | match | include | outcome - why this is in the result set Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process. | ||||
| score | Σ | 0..1 | decimal | Search ranking (between 0 and 1) | ||||
| request | ΣC | 0..1 | BackboneElement | Additional execution information (transaction/batch/history) | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| method | Σ | 1..1 | code | GET | HEAD | POST | PUT | DELETE | PATCH Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details. | ||||
| url | Σ | 1..1 | uri | URL for HTTP equivalent of this entry | ||||
| ifNoneMatch | Σ | 0..1 | string | For managing cache currency | ||||
| ifModifiedSince | Σ | 0..1 | instant | For managing cache currency | ||||
| ifMatch | Σ | 0..1 | string | For managing update contention | ||||
| ifNoneExist | Σ | 0..1 | string | For conditional creates | ||||
| response | ΣC | 0..1 | BackboneElement | Results of execution (transaction/batch/history) | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| status | Σ | 1..1 | string | Status response code (text optional) | ||||
| location | Σ | 0..1 | uri | The location (if the operation returns a location) | ||||
| etag | Σ | 0..1 | string | The Etag for the resource (if relevant) | ||||
| lastModified | Σ | 0..1 | instant | Server's date time modified | ||||
| outcome | Σ | 0..1 | Resource | OperationOutcome with hints and warnings (for batch/transaction) | ||||
| signature | Σ | 0..1 | Signature | Digital Signature | ||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | ||||
| Bundle.language | preferred | CommonLanguages
| ||||
| Bundle.type | required | Fixed Value: collection | ||||
| Bundle.entry.search.mode | required | SearchEntryMode | ||||
| Bundle.entry.request.method | required | HTTPVerb | ||||
| Bundle.entry:gfe.search.mode | required | SearchEntryMode | ||||
| Bundle.entry:gfe.request.method | required | HTTPVerb | ||||
| Bundle.entry:patient.search.mode | required | SearchEntryMode | ||||
| Bundle.entry:patient.request.method | required | HTTPVerb | ||||
| Bundle.entry:coverage.search.mode | required | SearchEntryMode | ||||
| Bundle.entry:coverage.request.method | required | HTTPVerb | ||||
| Bundle.entry:organization.search.mode | required | SearchEntryMode | ||||
| Bundle.entry:organization.request.method | required | HTTPVerb | ||||
| Bundle.entry:practitioner.search.mode | required | SearchEntryMode | ||||
| Bundle.entry:practitioner.request.method | required | HTTPVerb | ||||
| Bundle.entry:attachment.search.mode | required | SearchEntryMode | ||||
| Bundle.entry:attachment.request.method | required | HTTPVerb |
| Id | Grade | Path(s) | Details | Requirements |
| pct-gfe-bundle-1 | error | Bundle | All GFEs must have the same GFE submitter : (Bundle.entry.resource.ofType(Claim).extension.where(url='http://hl7.org/fhir/us/davinci-pct/StructureDefinition/gfeSubmitter').value.ofType(Reference).reference.distinct().count() = 1) | |
| pct-gfe-bundle-2 | error | Bundle | SHALL have at least one entry for a payer organization. : entry.resource.ofType(Organization).where(type.coding.where(code='pay').exists()).exists() | |
| pct-gfe-bundle-3 | 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&'|'))) |
This structure is derived from Bundle
Summary
Mandatory: 11 elements (2 nested mandatory elements)
Must-Support: 2 elements
Fixed Value: 1 element
Prohibited: 3 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron
IG © 2023+ HL7 International / Financial Management. Package hl7.fhir.us.davinci-pct#1.1.0 based on FHIR 4.0.1. Generated 2024-01-03
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