FHIR Implementation Guide for HCX
0.7.1 - CI Build

FHIR Implementation Guide for HCX - Local Development build (v0.7.1). See the Directory of published versions

Resource Profile: HCX Claim Response Bundle

Defining URL:https://ig.hcxprotocol.io/v0.7.1/StructureDefinition-ClaimResponseBundle.html
Version:0.7.1
Name:ClaimResponseBundle
Title:Claim Response Bundle
Status:Draft as of 2022-12-21 01:04:20+0000 (Standards Status: Trial Use)
Definition:

Claim Response constraints on Bundle resource ensuring that a claim response resource is present.

Publisher:HCX Open Community
Maturity:1
Source Resource:XML / JSON / Turtle

The official URL for this profile is:

https://ig.hcxprotocol.io/v0.7.1/StructureDefinition-ClaimResponseBundle.html

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from Bundle

Summary

Mandatory: 5 elements
Must-Support: 5 elements
Fixed Value: 1 element
Prohibited: 3 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element Bundle.entry is sliced based on the value of type:resource

Maturity: 1

This structure is derived from Bundle

NameFlagsCard.TypeDescription & Constraintsdoco
.. Bundle 0..*BundleContains a collection of resources
... type 1..1codedocument | message | transaction | transaction-response | batch | batch-response | history | searchset | collection
Fixed Value: collection
... timestamp S1..1instantWhen the bundle was assembled
... Slices for entry S1..*BackboneElementEntry in the bundle - will have a resource or information
Slice: Unordered, Open by type:resource
.... entry:All Slices Content/Rules for all slices
..... fullUrl S1..1uriURI for resource (Absolute URL server address or URI for UUID/OID)
..... resource S1..1ResourceA resource in the bundle
..... search 0..0
..... request 0..0
..... response 0..0
.... entry:ClaimResponse S1..1BackboneElementEntry in the bundle - will have a resource or information
..... resource 0..1ClaimResponseResponse to a claim predetermination or preauthorization

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Bundle C0..*BundleContains a collection of resources
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... identifier Σ0..1IdentifierPersistent identifier for the bundle
... type Σ1..1codedocument | message | transaction | transaction-response | batch | batch-response | history | searchset | collection
Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used.


Fixed Value: collection
... timestamp SΣ1..1instantWhen the bundle was assembled
... total ΣC0..1unsignedIntIf search, the total number of matches
... link Σ0..*BackboneElementLinks related to this Bundle
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... relation Σ1..1stringSee http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1
.... url Σ1..1uriReference details for the link
... Slices for entry SΣC1..*BackboneElementEntry in the bundle - will have a resource or information
Slice: Unordered, Open by type:resource
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
.... entry:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... link Σ0..*See link (Bundle)Links related to this entry
..... fullUrl SΣ1..1uriURI for resource (Absolute URL server address or URI for UUID/OID)
..... resource SΣ1..1ResourceA resource in the bundle
.... entry:ClaimResponse SΣC1..1BackboneElementEntry in the bundle - will have a resource or information
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... link Σ0..*See link (Bundle)Links related to this entry
..... fullUrl Σ0..1uriURI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 0..1ClaimResponseResponse to a claim predetermination or preauthorization
..... search ΣC0..1BackboneElementSearch related information
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... mode Σ0..1codematch | include | outcome - why this is in the result set
Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.

...... score Σ0..1decimalSearch ranking (between 0 and 1)
..... request ΣC0..1BackboneElementAdditional execution information (transaction/batch/history)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... method Σ1..1codeGET | HEAD | POST | PUT | DELETE | PATCH
Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.

...... url Σ1..1uriURL for HTTP equivalent of this entry
...... ifNoneMatch Σ0..1stringFor managing cache currency
...... ifModifiedSince Σ0..1instantFor managing cache currency
...... ifMatch Σ0..1stringFor managing update contention
...... ifNoneExist Σ0..1stringFor conditional creates
..... response ΣC0..1BackboneElementResults of execution (transaction/batch/history)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... status Σ1..1stringStatus response code (text optional)
...... location Σ0..1uriThe location (if the operation returns a location)
...... etag Σ0..1stringThe Etag for the resource (if relevant)
...... lastModified Σ0..1instantServer's date time modified
...... outcome Σ0..1ResourceOperationOutcome with hints and warnings (for batch/transaction)
... signature ΣTU0..1SignatureDigital Signature

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Bundle C0..*BundleContains a collection of resources
... timestamp Σ1..1instantWhen the bundle was assembled
... Slices for entry ΣC1..*BackboneElementEntry in the bundle - will have a resource or information
Slice: Unordered, Open by type:resource
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
.... entry:All Slices Content/Rules for all slices
..... fullUrl Σ1..1uriURI for resource (Absolute URL server address or URI for UUID/OID)
..... resource Σ1..1ResourceA resource in the bundle
.... entry:ClaimResponse ΣC1..1BackboneElementEntry in the bundle - will have a resource or information
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type

doco Documentation for this format

This structure is derived from Bundle

Summary

Mandatory: 5 elements
Must-Support: 5 elements
Fixed Value: 1 element
Prohibited: 3 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element Bundle.entry is sliced based on the value of type:resource

Maturity: 1

Differential View

This structure is derived from Bundle

NameFlagsCard.TypeDescription & Constraintsdoco
.. Bundle 0..*BundleContains a collection of resources
... type 1..1codedocument | message | transaction | transaction-response | batch | batch-response | history | searchset | collection
Fixed Value: collection
... timestamp S1..1instantWhen the bundle was assembled
... Slices for entry S1..*BackboneElementEntry in the bundle - will have a resource or information
Slice: Unordered, Open by type:resource
.... entry:All Slices Content/Rules for all slices
..... fullUrl S1..1uriURI for resource (Absolute URL server address or URI for UUID/OID)
..... resource S1..1ResourceA resource in the bundle
..... search 0..0
..... request 0..0
..... response 0..0
.... entry:ClaimResponse S1..1BackboneElementEntry in the bundle - will have a resource or information
..... resource 0..1ClaimResponseResponse to a claim predetermination or preauthorization

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Bundle C0..*BundleContains a collection of resources
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... identifier Σ0..1IdentifierPersistent identifier for the bundle
... type Σ1..1codedocument | message | transaction | transaction-response | batch | batch-response | history | searchset | collection
Binding: BundleType (required): Indicates the purpose of a bundle - how it is intended to be used.


Fixed Value: collection
... timestamp SΣ1..1instantWhen the bundle was assembled
... total ΣC0..1unsignedIntIf search, the total number of matches
... link Σ0..*BackboneElementLinks related to this Bundle
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... relation Σ1..1stringSee http://www.iana.org/assignments/link-relations/link-relations.xhtml#link-relations-1
.... url Σ1..1uriReference details for the link
... Slices for entry SΣC1..*BackboneElementEntry in the bundle - will have a resource or information
Slice: Unordered, Open by type:resource
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
.... entry:All Slices Content/Rules for all slices
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... link Σ0..*See link (Bundle)Links related to this entry
..... fullUrl SΣ1..1uriURI for resource (Absolute URL server address or URI for UUID/OID)
..... resource SΣ1..1ResourceA resource in the bundle
.... entry:ClaimResponse SΣC1..1BackboneElementEntry in the bundle - will have a resource or information
This repeating element order: For bundles of type 'document' and 'message', the first resource is special (must be Composition or MessageHeader respectively). For all bundles, the meaning of the order of entries depends on the bundle type
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... link Σ0..*See link (Bundle)Links related to this entry
..... fullUrl Σ0..1uriURI for resource (Absolute URL server address or URI for UUID/OID)
..... resource 0..1ClaimResponseResponse to a claim predetermination or preauthorization
..... search ΣC0..1BackboneElementSearch related information
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... mode Σ0..1codematch | include | outcome - why this is in the result set
Binding: SearchEntryMode (required): Why an entry is in the result set - whether it's included as a match or because of an _include requirement, or to convey information or warning information about the search process.

...... score Σ0..1decimalSearch ranking (between 0 and 1)
..... request ΣC0..1BackboneElementAdditional execution information (transaction/batch/history)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... method Σ1..1codeGET | HEAD | POST | PUT | DELETE | PATCH
Binding: HTTPVerb (required): HTTP verbs (in the HTTP command line). See HTTP rfc for details.

...... url Σ1..1uriURL for HTTP equivalent of this entry
...... ifNoneMatch Σ0..1stringFor managing cache currency
...... ifModifiedSince Σ0..1instantFor managing cache currency
...... ifMatch Σ0..1stringFor managing update contention
...... ifNoneExist Σ0..1stringFor conditional creates
..... response ΣC0..1BackboneElementResults of execution (transaction/batch/history)
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
...... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
...... status Σ1..1stringStatus response code (text optional)
...... location Σ0..1uriThe location (if the operation returns a location)
...... etag Σ0..1stringThe Etag for the resource (if relevant)
...... lastModified Σ0..1instantServer's date time modified
...... outcome Σ0..1ResourceOperationOutcome with hints and warnings (for batch/transaction)
... signature ΣTU0..1SignatureDigital Signature

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSet / Code
Bundle.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Bundle.typerequiredFixed Value: collection
Bundle.entry.search.moderequiredSearchEntryMode
Bundle.entry.request.methodrequiredHTTPVerb
Bundle.entry:ClaimResponse.search.moderequiredSearchEntryMode
Bundle.entry:ClaimResponse.request.methodrequiredHTTPVerb

Constraints

IdGradePath(s)DetailsRequirements
bdl-5errorBundle.entry, Bundle.entry:ClaimResponsemust be a resource unless there's a request or response
: resource.exists() or request.exists() or response.exists()
bdl-8errorBundle.entry, Bundle.entry:ClaimResponsefullUrl cannot be a version specific reference
: fullUrl.contains('/_history/').not()
dom-2errorBundle.entry:ClaimResponse.resourceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorBundle.entry:ClaimResponse.resourceIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorBundle.entry:ClaimResponse.resourceIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorBundle.entry:ClaimResponse.resourceIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceBundle.entry:ClaimResponse.resourceA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()