| Name | Flags | Card. | Type |
Description & Constraints
|
|---|---|---|---|---|
Bundle
|
C | Bundle |
pct-aeob-bundle-1:
All references resources SHALL be contained within the Bundle with the exception of the PCT GFE Bundle (referenced from the gfeReference extension in the AEOB), which MAY be present pct-aeob-bundle-2: SHALL have at least one entry for a payer organization. |
|
identifier
|
1.. | |||
|
type
|
Fixed Value: collection | |||
|
timestamp
|
1.. | |||
Slices for entry
|
4 .. | Slice: Unordered, Open by type:resource | ||
entry:All Slices
|
Content/Rules for all slices | |||
fullUrl
|
1.. | |||
|
search
|
.. 0 | |||
|
request
|
.. 0 | |||
response
|
.. 0 | |||
entry:aeob
|
1..* |
SHALL have a PCTAdvancedEOB resource |
||
resource
|
1.. | ExplanationOfBenefit | ||
|
entry:patient
|
1..2 | SHALL have the patient subject of care and may be a separate subscriber | ||
|
resource
|
1.. | Patient | ||
|
entry:coverage
|
1..1 | SHALL have one Coverage | ||
|
resource
|
1.. | Coverage | ||
|
entry:organization
|
1..* |
SHALL have the payer organization and may have provider organization(s) |
||
|
resource
|
1.. | Organization | ||
|
entry:practitioner
|
S | 0..* |
MAY have the provider Practitioner(s) |
|
|
resource
|
1.. | Practitioner | ||
|
entry:gfeBundle
|
S | 0..* |
MAY have PCTGFEBundle resource |
|
|
resource
|
1.. | Bundle | ||
|
Documentation for this format
|
||||