PCTAEOBPacket

PCT AEOB Packet

activeDa Vinci PCT2.0.1resource18 key elements

PCT AEOB Packet that contains necessary resources for one or more an AEOBs. Organizations for both the payer and provider SHALL be included. An AEOB Summary SHALL be included and reflect the total estimate for the patient, including all AEOB resources within the Bundle. This version of the Bundle is a document type that will enable 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-packet
ID
davinci-pct-aeob-packet
Type
Base Definition
Derivation
constraint
Mandatory and Must-Support Elements

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

PathCard.TypeFlagsDescription
identifier
1+
timestamp
1+
entry
1+
entry.fullUrl
1+
:composition1..1
S1+
SHALL have a PCTAdvancedEOBComposition resource
entry.resource
Composition
1+
:aeob2..*
S1+
SHALL have a PCTAdvancedEOBSummary or PCTAdvancedEOB resource
entry.resource
ExplanationOfBenefit
1+
:patient1..2
S1+
SHALL have the patient subject of care and may be a separate subscriber
entry.resource
Patient
1+
:coverage1..1
S1+
SHALL have one Coverage
entry.resource
Coverage
1+
:organization1..*
S1+
SHALL have the payer organization and may have provider organization(s)
entry.resource
Organization
1+
:practitioner0..*
S
MAY have the provider Practitioner(s)
entry.resource
Practitioner
1+
:gfeBundle0..*
S
MAY include GFE contributor specific GFE bundle or information about a unfulfilled GFE request (GFE Missing Bundle)
entry.resource
Bundle
1+