description: PCT GFE Collection Bundle that contains GFE Bundles from GFE contributors. This collection of GFE Bundles from GFE contributors that can then be made available to the patient or sent to a payer for insurance estimation. 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.
package_name: hl7.fhir.us.davinci-pct.r4b
derivation: constraint
name: PCTGFECollectionBundle
type: Bundle
elements:
  identifier: {index: 0}
  type:
    pattern: {type: Code, value: collection}
    index: 1
  timestamp: {index: 2}
  entry:
    index: 3
    elements:
      fullUrl: {index: 4}
      search: {index: 5}
      request: {index: 6}
      response: {index: 7}
    required: [fullUrl]
    slicing:
      rules: open
      description: Slice different resources included in the bundle
      discriminator:
      - {path: resource, type: type}
      min: 1
      slices:
        patient:
          match: {}
          schema:
            short: SHALL have the patient subject of care and may have a separate subscriber
            array: true
            min: 1
            max: 2
            _required: true
            index: 8
            elements:
              resource: {type: Patient, index: 9}
            required: [resource]
        coverage:
          match: {}
          schema:
            short: MAY have one Coverage
            mustSupport: true
            index: 10
            elements:
              resource: {type: Coverage, index: 11}
            required: [resource]
        organization:
          match: {}
          schema:
            short: SHALL have an initiating provider or initiating organization, but not both. May also have a payer organization.
            mustSupport: true
            array: true
            max: 2
            index: 12
            elements:
              resource: {type: Organization, index: 13}
            required: [resource]
        practitioner:
          match: {}
          schema:
            short: SHALL have a initiating provider or initiating organization, but not both.
            mustSupport: true
            index: 14
            elements:
              resource: {type: Practitioner, index: 15}
            required: [resource]
        gfe-bundle:
          match: {}
          schema:
            short: MAY include GFE contributor specific GFE bundle and MAY include bundle(s) with information about a unfulfilled GFE request
            mustSupport: true
            array: true
            index: 16
            elements:
              resource: {type: Bundle, index: 17}
            required: [resource]
        attachment:
          match: {}
          schema:
            short: MAY have attachments as DocumentReference resource(s)
            mustSupport: true
            array: true
            index: 18
            elements:
              resource: {type: DocumentReference, index: 19}
            required: [resource]
package_version: 2.0.0-ballot
class: profile
kind: resource
url: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-gfe-collection-bundle
base: http://hl7.org/fhir/StructureDefinition/Bundle
version: 2.0.0-ballot
required: [entry, timestamp, identifier]