description: PCT Good Faith Estimate Institutional is a profile for capturing submission data needed to be processed by a payer for the creation of an Advanced EOB. This profile is used for an institutional GFE submission.
package_name: hl7.fhir.us.davinci
derivation: constraint
name: PCTGFEInstitutional
type: Claim
elements:
  patient:
    type: Reference
    refers: ['http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-patient-demographics']
    index: 14
  insurance:
    elements:
      coverage:
        type: Reference
        refers: ['http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-coverage']
        index: 108
      preAuthRef: {index: 109}
  diagnosis:
    mustSupport: true
    index: 63
    elements:
      type:
        binding: {strength: required, valueSet: 'http://hl7.org/fhir/us/davinci-pct/ValueSet/PCTDiagnosisTypeVS'}
        mustSupport: true
        index: 64
    slicing:
      rules: open
      ordered: false
      description: Slice based on $this pattern
      discriminator:
      - {path: type, type: pattern}
      min: 1
      slices:
        principal:
          match:
            type:
              coding:
              - {code: principal, system: 'http://terminology.hl7.org/CodeSystem/ex-diagnosistype'}
          schema:
            _required: true
            index: 65
            elements:
              sequence:
                pattern: {type: PositiveInt, value: 1}
                index: 66
              diagnosis:
                choices: [diagnosisCodeableConcept]
                index: 68
              diagnosisCodeableConcept: {type: CodeableConcept, choiceOf: diagnosis, index: 69}
              type:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: principal, system: 'http://terminology.hl7.org/CodeSystem/ex-diagnosistype'}
                index: 70
            required: [type]
        admitting:
          match:
            type:
              coding:
              - {code: admitting, system: 'http://terminology.hl7.org/CodeSystem/ex-diagnosistype'}
          schema:
            mustSupport: true
            index: 71
            elements:
              diagnosis:
                choices: [diagnosisCodeableConcept]
                index: 73
              diagnosisCodeableConcept: {type: CodeableConcept, choiceOf: diagnosis, index: 74}
              type:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: admitting, system: 'http://terminology.hl7.org/CodeSystem/ex-diagnosistype'}
                index: 75
            required: [type]
        patientReasonForVisit:
          match:
            type:
              coding:
              - {code: patientReasonForVisit, system: 'http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTDiagnosisType'}
          schema:
            mustSupport: true
            array: true
            max: 3
            index: 76
            elements:
              diagnosis:
                choices: [diagnosisCodeableConcept]
                index: 78
              diagnosisCodeableConcept: {type: CodeableConcept, choiceOf: diagnosis, index: 79}
              type:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: patientReasonForVisit, system: 'http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTDiagnosisType'}
                index: 80
            required: [type]
        externalcauseofinjury:
          match:
            type:
              coding:
              - {code: externalCauseOfInjury, system: 'http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTDiagnosisType'}
          schema:
            mustSupport: true
            array: true
            max: 12
            index: 81
            elements:
              diagnosis:
                choices: [diagnosisCodeableConcept]
                index: 83
              diagnosisCodeableConcept: {type: CodeableConcept, choiceOf: diagnosis, index: 84}
              type:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: externalCauseOfInjury, system: 'http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTDiagnosisType'}
                index: 85
            required: [type]
        other:
          match:
            type:
              coding:
              - {code: other, system: 'http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTDiagnosisType'}
          schema:
            mustSupport: true
            array: true
            max: 24
            index: 86
            elements:
              diagnosis:
                mustSupport: true
                choices: [diagnosisCodeableConcept]
                index: 88
              diagnosisCodeableConcept: {type: CodeableConcept, mustSupport: true, choiceOf: diagnosis, index: 89}
              type:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: other, system: 'http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTDiagnosisType'}
                index: 90
            required: [type]
  supportingInfo:
    mustSupport: true
    index: 42
    elements:
      category:
        binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/us/davinci-pct/ValueSet/PCTSupportingInfoTypeVS'}
        index: 43
    slicing:
      rules: open
      ordered: false
      description: Slice based on $this pattern
      discriminator:
      - {path: category, type: pattern}
      min: 1
      slices:
        typeOfBill:
          match:
            category:
              coding:
              - {code: typeofbill, system: 'http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTSupportingInfoType'}
          schema:
            _required: true
            index: 44
            elements:
              category:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: typeofbill, system: 'http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTSupportingInfoType'}
                index: 45
              code:
                binding: {strength: required, valueSet: 'http://hl7.org/fhir/us/davinci-pct/ValueSet/PCTGFETypeOfBillVS'}
                index: 46
            required: [code]
        serviceFacility:
          match:
            category:
              coding:
              - {code: servicefacility, system: 'http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTSupportingInfoType'}
          schema:
            short: Service Facility
            mustSupport: true
            index: 47
            elements:
              category:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: servicefacility, system: 'http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTSupportingInfoType'}
                index: 48
              value:
                choices: []
                index: 50
                slicing:
                  rules: open
                  ordered: false
                  discriminator:
                  - {path: $this, type: type}
                  min: 1
                  slices:
                    valueReference:
                      match: {}
                      schema:
                        choices: [valueReference]
                        _required: true
                        index: 52
                      min: 1
                      max: 1
              valueReference:
                type: Reference
                choiceOf: value
                refers: ['http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-organization']
                index: 53
                slicing:
                  slices:
                    valueReference:
                      match: {}
                      schema:
                        type: Reference
                        choiceOf: value
                        refers: ['http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-organization']
                        _required: true
                        index: 53
                      min: 1
                      max: 1
            required: [valueReference, value]
        drg:
          match:
            category:
              coding:
              - {code: drg, system: 'http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTSupportingInfoType'}
          schema:
            index: 54
            elements:
              category:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: drg, system: 'http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTSupportingInfoType'}
                index: 55
              code:
                binding: {strength: required, valueSet: 'http://hl7.org/fhir/us/davinci-pct/ValueSet/USClaimDRGCodes'}
                index: 56
        pointoforigin:
          match:
            category:
              coding:
              - {code: pointoforigin, system: 'http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTSupportingInfoType'}
          schema:
            index: 57
            elements:
              category:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: pointoforigin, system: 'http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTSupportingInfoType'}
                index: 58
              code:
                binding: {strength: required, valueSet: 'http://hl7.org/fhir/us/davinci-pct/ValueSet/AHANUBCPointOfOriginVS'}
                index: 59
        admtype:
          match:
            category:
              coding:
              - {code: admtype, system: 'http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTSupportingInfoType'}
          schema:
            index: 60
            elements:
              category:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: admtype, system: 'http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTSupportingInfoType'}
                index: 61
              code:
                binding: {strength: required, valueSet: 'http://hl7.org/fhir/us/davinci-pct/ValueSet/AHANUBCPriorityTypeOfAdmissionOrVisitVS'}
                index: 62
  use:
    pattern: {type: Code, value: predetermination}
    index: 13
  item:
    array: true
    min: 1
    max: 999
    index: 114
    extensions:
      gfeBillingProviderLineItemCtrlNum: {url: 'http://hl7.org/fhir/us/davinci-pct/StructureDefinition/gfeBillingProviderLineItemCtrlNum', min: 0, max: 1, type: Extension, mustSupport: true, index: 116}
      serviceDescription: {url: 'http://hl7.org/fhir/us/davinci-pct/StructureDefinition/serviceDescription', min: 1, max: 1, type: Extension, index: 117}
      ProviderEventMethodology: {url: 'http://hl7.org/fhir/us/davinci-pct/StructureDefinition/providerEventMethodology', min: 0, max: 1, short: Provider Event Methodology, type: Extension, mustSupport: true, index: 118}
    elements:
      modifier:
        binding: {strength: required, valueSet: 'http://hl7.org/fhir/us/davinci-pct/ValueSet/PCTGFEItemCptHcpcsVS'}
        mustSupport: true
        array: true
        max: 4
        index: 121
      revenue:
        short: Revenue or cost center code - must provide a value for the Institutional case
        binding: {strength: required, valueSet: 'http://hl7.org/fhir/us/davinci-pct/ValueSet/PCTGFEItemRevenueVS'}
        index: 119
      locationCodeableConcept:
        type: CodeableConcept
        mustSupport: true
        choiceOf: location
        index: 128
        slicing:
          slices:
            locationCodeableConcept:
              match: {}
              schema: {type: CodeableConcept, mustSupport: true, choiceOf: location, index: 128}
              min: 0
              max: 1
      net: {short: Total charge amount for the service line, index: 130}
      serviced:
        short: This is the planned or estimated date(s)s of service
        mustSupport: true
        choices: []
        index: 123
      productOrService:
        binding: {strength: required, valueSet: 'http://hl7.org/fhir/us/davinci-pct/ValueSet/USClaimMedicalProductOrServiceCodes'}
        index: 120
      extension:
        index: 115
        slicing:
          rules: open
          ordered: false
          discriminator:
          - {path: url, type: value}
          min: 1
          slices:
            gfeBillingProviderLineItemCtrlNum:
              match: {url: null}
              schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-pct/StructureDefinition/gfeBillingProviderLineItemCtrlNum', index: 116}
              min: 0
              max: 1
            serviceDescription:
              match: {url: null}
              schema: {type: Extension, url: 'http://hl7.org/fhir/us/davinci-pct/StructureDefinition/serviceDescription', index: 117}
              min: 1
              max: 1
            ProviderEventMethodology:
              match: {url: null}
              schema: {short: Provider Event Methodology, type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-pct/StructureDefinition/providerEventMethodology', index: 118}
              min: 0
              max: 1
      quantity: {index: 129}
      location:
        choices: []
        index: 125
        slicing:
          rules: open
          ordered: false
          discriminator:
          - {path: $this, type: type}
          min: null
          slices:
            locationCodeableConcept:
              match: {}
              schema:
                mustSupport: true
                choices: [locationCodeableConcept]
                index: 127
              min: 0
              max: 1
      detail:
        short: Drug Identification Information
        mustSupport: true
        index: 131
        elements:
          productOrService:
            binding: {strength: required, valueSet: 'http://hl7.org/fhir/us/davinci-pct/ValueSet/PCTGFEItemNDCVS'}
            index: 132
          quantity: {mustSupport: true, index: 133}
    required: [revenue, net, extension, quantity, serviced]
  type:
    pattern:
      type: CodeableConcept
      value:
        coding:
        - {code: institutional, system: 'http://terminology.hl7.org/CodeSystem/claim-type'}
    index: 12
  procedure:
    mustSupport: true
    index: 91
    extensions:
      serviceDescription: {url: 'http://hl7.org/fhir/us/davinci-pct/StructureDefinition/serviceDescription', min: 1, max: 1, type: Extension, index: 93}
    elements:
      extension:
        index: 92
        slicing:
          rules: open
          ordered: false
          discriminator:
          - {path: url, type: value}
          min: 1
          slices:
            serviceDescription:
              match: {url: null}
              schema: {type: Extension, url: 'http://hl7.org/fhir/us/davinci-pct/StructureDefinition/serviceDescription', index: 93}
              min: 1
              max: 1
      type:
        binding: {strength: required, valueSet: 'http://hl7.org/fhir/us/davinci-pct/ValueSet/PCTProcedureTypeVS'}
        mustSupport: true
        index: 94
    required: [extension]
    slicing:
      rules: open
      ordered: false
      description: Slice based on $this pattern
      discriminator:
      - {path: type, type: pattern}
      min: null
      slices:
        principal:
          match:
            type:
              coding:
              - {code: principal, system: 'http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTProcedureType'}
          schema:
            short: Principal clinical procedure performed
            mustSupport: true
            index: 95
            extensions:
              serviceDescription: {url: 'http://hl7.org/fhir/us/davinci-pct/StructureDefinition/serviceDescription', min: 1, max: 1, type: Extension, index: 96}
            elements:
              extension:
                type: Extension
                url: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/serviceDescription
                index: 96
                slicing:
                  slices:
                    serviceDescription:
                      match: {}
                      schema: {type: Extension, url: 'http://hl7.org/fhir/us/davinci-pct/StructureDefinition/serviceDescription', index: 96}
                      min: 1
                      max: 1
              sequence:
                pattern: {type: PositiveInt, value: 1}
                index: 97
              type:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: principal, system: 'http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTProcedureType'}
                index: 98
              procedure:
                choices: [procedureCodeableConcept]
                index: 100
              procedureCodeableConcept: {type: CodeableConcept, choiceOf: procedure, index: 101}
            required: [type]
        other:
          match:
            type:
              coding:
              - {code: other, system: 'http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTProcedureType'}
          schema:
            mustSupport: true
            array: true
            max: 24
            index: 102
            extensions:
              serviceDescription: {url: 'http://hl7.org/fhir/us/davinci-pct/StructureDefinition/serviceDescription', min: 1, max: 1, type: Extension, index: 103}
            elements:
              extension:
                type: Extension
                url: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/serviceDescription
                index: 103
                slicing:
                  slices:
                    serviceDescription:
                      match: {}
                      schema: {type: Extension, url: 'http://hl7.org/fhir/us/davinci-pct/StructureDefinition/serviceDescription', index: 103}
                      min: 1
                      max: 1
              type:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: other, system: 'http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTProcedureType'}
                index: 104
              procedure:
                choices: [procedureCodeableConcept]
                index: 106
              procedureCodeableConcept: {type: CodeableConcept, choiceOf: procedure, index: 107}
            required: [type]
  extension:
    index: 0
    slicing:
      rules: open
      ordered: false
      discriminator:
      - {path: url, type: value}
      min: 1
      slices:
        gfeSubmitter:
          match: {url: null}
          schema: {type: Extension, short: The scheduling entity that submits the GFE to provide a collection of services to a payer for the creation of an Advanced EOB, url: 'http://hl7.org/fhir/us/davinci-pct/StructureDefinition/gfeSubmitter', index: 1}
          min: 1
          max: 1
        gfeServiceLinkingInfo:
          match: {url: null}
          schema: {type: Extension, short: GFE Service Linking Information., mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-pct/StructureDefinition/gfeServiceLinkingInfo', index: 2}
          min: 0
          max: 1
        providerEventMethodology:
          match: {url: null}
          schema: {short: Provider event collection methodology, type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-pct/StructureDefinition/providerEventMethodology', index: 3}
          min: 0
          max: 1
        gfeDisclaimer:
          match: {url: null}
          schema: {type: Extension, short: Disclaimers the patient should be made aware of regarding the providers estimate, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-pct/StructureDefinition/gfeDisclaimer', index: 4}
          min: 0
  referral:
    extensions:
      referralNumber: {url: 'http://hl7.org/fhir/us/davinci-pct/StructureDefinition/referralNumber', min: 1, max: 1, type: Extension, short: Referral Number, index: 25}
    elements:
      extension:
        index: 24
        slicing:
          slices:
            referralNumber:
              match: {}
              schema: {type: Extension, short: Referral Number, url: 'http://hl7.org/fhir/us/davinci-pct/StructureDefinition/referralNumber', index: 25}
              min: 1
              max: 1
    required: [extension]
  total: {short: Total GFE Charges Submitted, index: 134}
  insurer:
    type: Reference
    refers: ['http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-organization']
    index: 16
  priority:
    binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/process-priority'}
    index: 21
  accident:
    elements:
      location:
        choices: [locationAddress]
        index: 111
      locationAddress: {type: Address, choiceOf: location, index: 112}
      location[x]:
        elements:
          country:
            binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/iso3166-1-2'}
            index: 113
  payee:
    mustSupport: true
    index: 22
    elements:
      party:
        type: Reference
        refers: ['http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-organization', 'http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-practitioner']
        index: 23
  billablePeriod: {short: 'Relevant time frame for the claim. This is per claim, whereas a planned period of service can span multiple claims.', mustSupport: true, index: 15}
  identifier:
    index: 5
    slicing:
      rules: open
      description: Slice based on $this pattern
      discriminator:
      - {path: type, type: pattern}
      min: 1
      slices:
        PLAC:
          match:
            type:
              coding:
              - {code: PLAC, system: 'http://terminology.hl7.org/CodeSystem/v2-0203', display: Placer Identifier}
          schema:
            short: Provider Assigned Identifier for GFE Claim
            _required: true
            index: 6
            elements:
              type:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: PLAC, system: 'http://terminology.hl7.org/CodeSystem/v2-0203', display: Placer Identifier}
                index: 7
              system: {mustSupport: true, index: 8}
              value: {index: 9}
            required: [value, type]
        INTER:
          match:
            type:
              coding:
              - {code: INTER, system: 'http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTIdentifierType', display: Intermediary System Identifier}
          schema:
            short: Intermediary System Identifier
            array: true
            index: 10
            elements:
              type:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: INTER, system: 'http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTIdentifierType', display: Intermediary System Identifier}
                index: 11
            required: [type]
  provider:
    type: Reference
    short: Billing provider - party responsible for the GFE
    refers: ['http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-organization']
    index: 17
    extensions:
      providerTaxonomy: {url: 'http://hl7.org/fhir/us/davinci-pct/StructureDefinition/providerTaxonomy', min: 1, max: 1, type: Extension, short: Provider taxonomy codes consisting of NUCC Health Care Provider Taxonomy Code Set for providers, index: 19}
      consentForBalanceBilling: {url: 'http://hl7.org/fhir/us/davinci-pct/StructureDefinition/gfeConsentForBalanceBilling', min: 0, max: 1, type: Extension, mustSupport: true, index: 20}
    elements:
      extension:
        index: 18
        slicing:
          slices:
            providerTaxonomy:
              match: {}
              schema: {type: Extension, short: Provider taxonomy codes consisting of NUCC Health Care Provider Taxonomy Code Set for providers, url: 'http://hl7.org/fhir/us/davinci-pct/StructureDefinition/providerTaxonomy', index: 19}
              min: 1
              max: 1
            consentForBalanceBilling:
              match: {}
              schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-pct/StructureDefinition/gfeConsentForBalanceBilling', index: 20}
              min: 0
              max: 1
    required: [extension]
  careTeam:
    mustSupport: true
    index: 26
    elements:
      provider:
        type: Reference
        refers: ['http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-organization', 'http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-practitioner']
        index: 27
      role:
        binding: {strength: required, valueSet: 'http://hl7.org/fhir/us/davinci-pct/ValueSet/PCTCareTeamRoleVS'}
        index: 28
      qualification:
        binding: {strength: required, valueSet: 'http://hl7.org/fhir/us/core/ValueSet/us-core-provider-role'}
        index: 29
    required: [role]
    slicing:
      rules: open
      ordered: false
      description: Slice based on $this pattern
      discriminator:
      - {path: role, type: pattern}
      min: null
      slices:
        attending:
          match:
            role:
              coding:
              - {code: attending, system: 'http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTCareTeamRole'}
          schema:
            mustSupport: true
            index: 30
            elements:
              provider:
                type: Reference
                refers: ['http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-practitioner']
                index: 31
              role:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: attending, system: 'http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTCareTeamRole'}
                index: 32
              qualification: {index: 33}
            required: [qualification]
        operating:
          match:
            role:
              coding:
              - {code: operating, system: 'http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTCareTeamRole'}
          schema:
            mustSupport: true
            array: true
            max: 2
            index: 34
            elements:
              provider:
                type: Reference
                refers: ['http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-practitioner']
                index: 35
              role:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: operating, system: 'http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTCareTeamRole'}
                index: 36
        rendering:
          match:
            role:
              coding:
              - {code: rendering, system: 'http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTCareTeamRole'}
          schema:
            mustSupport: true
            index: 37
            elements:
              provider:
                type: Reference
                refers: ['http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-practitioner']
                index: 38
              role:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: rendering, system: 'http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTCareTeamRole'}
                index: 39
        referring:
          match:
            role:
              coding:
              - {code: referring, system: 'http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTCareTeamRole'}
          schema:
            mustSupport: true
            index: 40
            elements:
              role:
                pattern:
                  type: CodeableConcept
                  value:
                    coding:
                    - {code: referring, system: 'http://hl7.org/fhir/us/davinci-pct/CodeSystem/PCTCareTeamRole'}
                index: 41
package_version: pct-1.1.0
extensions:
  gfeSubmitter: {url: 'http://hl7.org/fhir/us/davinci-pct/StructureDefinition/gfeSubmitter', min: 1, max: 1, type: Extension, short: The scheduling entity that submits the GFE to provide a collection of services to a payer for the creation of an Advanced EOB, index: 1}
  gfeServiceLinkingInfo: {url: 'http://hl7.org/fhir/us/davinci-pct/StructureDefinition/gfeServiceLinkingInfo', min: 0, max: 1, type: Extension, short: GFE Service Linking Information., mustSupport: true, index: 2}
  providerEventMethodology: {url: 'http://hl7.org/fhir/us/davinci-pct/StructureDefinition/providerEventMethodology', min: 0, max: 1, short: Provider event collection methodology, type: Extension, mustSupport: true, index: 3}
  gfeDisclaimer: {url: 'http://hl7.org/fhir/us/davinci-pct/StructureDefinition/gfeDisclaimer', min: 0, type: Extension, short: Disclaimers the patient should be made aware of regarding the providers estimate, mustSupport: true, index: 4}
class: profile
kind: resource
url: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-gfe-institutional
base: http://hl7.org/fhir/StructureDefinition/Claim
version: 1.1.0
required: [total, insurer, diagnosis, extension, supportingInfo, identifier, item]