StructureDefinition-davinci-pct-gfe-bundle

Sourcehl7.fhir.us.davinci-pct#current:Patient Cost Transparency Implementation Guide (v4.0.1)
resourceTypeStructureDefinition
iddavinci-pct-gfe-bundle
canonicalhttp://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-gfe-bundle
version1.0.0
statusactive
publisherHL7 International - Financial Management Work Group
namePCTGFEBundle
titlePCT GFE Bundle
date2023-03-29T20:18:58+00:00
descriptionPCT 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.
jurisdictionsus
fhirVersion4.0.1
kindresource
abstractfalse
sdTtypeBundle
derivationconstraint
basehttp://hl7.org/fhir/StructureDefinition/Bundle
Usages
Name Flags Card. Type Description & Constraints doco
. . Bundle C Bundle 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..
. . . 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:gfe 1..* SHALL have one or more PCTGFEProfessional or PCTGFEInstitutional resource(s)
. . . . . resource 1.. Claim , Claim
. . . . entry:patient 1..2 SHALL have the patient subject of care and may have 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:attachment S 0..* MAY have attachments as DocumentReference resource(s)
. . . . . resource 1.. DocumentReference

doco Documentation for this format

Produced 06 Apr 2023