PCTAdvancedEOBComposition

PCT AEOB Composition

activeDa Vinci PCT2.0.1resource27 key elements

PCT AEOB Composition that assembles the contents of an AEOB (represented by one or more individual AEOB resources) into a single logical package. A Composition for the document type Bundle that enables versioning, signing and being referenced by a DocumentReference for searching and subscription notifications.

Metadata

hl7.org/fhir
Canonical URL
http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-aeob-composition
ID
davinci-pct-aeob-composition
Type
Base Definition
Derivation
constraint
Mandatory and Must-Support Elements

Elements with cardinality > 0 or marked as Must Support (S)

PathCard.TypeFlagsDescription
extension
1+
:requestInitiationTime1..1
Extension
S1+
Estimate Request instant (instance GFE Packet submitted to payer)
identifier
1+
identifier.system
1+
identifier.value
1+
category
1+
:estimate1..1
S1+
category.coding
1+
:estimate-coding1..1
S1+
subject
Reference
S1+
author
Reference
1+
All involved authoring parties, including payer all Good Faith Estimate (GFE) providers
title
S
:replaces0..1
S
The identifier of the document (Composition.identifier) this estimate replaces
:targetIdentifier1..1
Identifier
S1+
relatesTo.target[x].system
1+
relatesTo.target[x].value
1+
section
1+
Sections for Advanced Explanation of Benefit (AEOB) Summary, Individual AEOBs, and associates Good Faith Estimates (GFEs)
:aeob-summary1..1
S1+
SHALL have a reference to one PCTAdvancedEOBSummary, contained within the document bundle
section.code
1+
section.entry1..1
Reference
S1+
:aeob1..1
S1+
SHALL have a reference to one or more PCTAdvancedEOB resource(s), all contained within the document bundle
section.code
1+
section.entry
Reference
S1+
:gfeBundle1..*
S1+
SHALL reference one PCTGFEBundle or PCTGFEMissingBundle resource, which may be contained in the document bundle or may reference an external resource, and the associated author (GFE Contributor) or proposed author (in the case of a missing GFE Bundle) contained in the document bundle.
section.code
1+
section.author1..1
Reference
S1+
Associated GFE author (GFE Contributor) or proposed author (in the case of a missing GFE Bundle) contained in the document bundle
section.entry1..1
Reference
S1+