US Veterans Health Administration FHIR Map Set Implementation Guide
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US Veterans Health Administration FHIR Map Set Implementation Guide - Downloaded Version 1.10.0 See the Directory of published versions

Resource Profile: Debt Portal ChargeItem[charges]

Official URL: http://va.gov/fhir/StructureDefinition/DebtPortalChargeItemcharges Version: 1.10.0
Active as of 2025-11-04 Computable Name: DebtPortalChargeItemcharges

This StructureDefinition contains the maps for VistA file INTEGRATED BILLING ACTION (350) to ChargeItem.

​See also the FHIR Shorthand.

Use Case Overview

Use Case: Debt Portal«FHIR Account»DebtPortalAccountsubject«FHIR Invoice»DebtPortalInvoicerecipientsubjectissueraccountlineItem[va-charges].chargeItemReferencelineItem[va-interest].chargeItemReference«Patient»DebtPortalPatient«FHIR ChargeItem»DebtPortalChargeItemchargessubjectcontextservice[va-rxorig]service[va-rxrefill]service[va-rxpartial]«FHIR ChargeItem»DebtPortalChargeItemremovedpartOf«FHIR ChargeItem»DebtPortalChargeIteminterest«FHIR PaymentReconciliation»DebtPortalPaymentReconciliationextension[PaymentReconciliation.paymentIssuer].valueReferenceextension[PaymentReconciliation.allocation.target].valueReferencePatientPatientOrganizationPatientEncounterVisitEncounterPTFEncounterMedicationDispenseOriginalMedicationDispenseRefillMedicationDispensePartial

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ChargeItem 0..* ChargeItem(4.0.1) Item containing charge code(s) associated with the provision of healthcare provider products
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier Business Identifier for item
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
..... text SΣ 0..1 string Plain text representation of the concept
Required Pattern: Sta3n - IBAction.IEN
.... system SΣ 0..1 uri The namespace for the identifier value
Required Pattern: http://va.gov/identifiers/{sta3n}/35
.... value SΣ 0..1 string The value that is unique
Required Pattern: concat({sta3n},"-",{IEN (.001)})
... code Σ 1..1 CodeableConcept A code that identifies the charge, like a billing code
Binding: ChargeItemCode (example): Example set of codes that can be used for billing purposes.
.... text SΣ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(Patient) Individual service was done for/to
... context SΣC 0..1 Reference(Encounter: Visit | Encounter: PTF Encounter) Encounter / Episode associated with event
Constraints: dpci-27-2008, dpci-27-2009
... Slices for occurrence[x] Σ 0..1 When the charged service was applied
Slice: Unordered, Open by type:$this
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrenceTiming Timing
.... occurrence[x]:occurrencePeriod Σ 0..1 Period When the charged service was applied
..... start SΣC 0..1 dateTime Starting time with inclusive boundary
..... end SΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
... enteredDate SΣ 0..1 dateTime Date the charge item was entered
... Slices for service 0..* Reference(DiagnosticReport | ImagingStudy | Immunization | MedicationAdministration | MedicationDispense | Observation | Procedure | SupplyDelivery) Which rendered service is being charged?
Slice: Unordered, Open by value:$this
.... service:va-rxorig S 0..1 Reference(MedicationDispense: Original) Which rendered service is being charged?
.... service:va-rxrefill S 0..1 Reference(MedicationDispense: Refill) Which rendered service is being charged?
.... service:va-rxpartial S 0..1 Reference(MedicationDispense: Partial) Which rendered service is being charged?
... Slices for supportingInformation 0..* Reference(Resource) Further information supporting this charge
Slice: Unordered, Open by value:$this
.... supportingInformation:va-arbillnbr S 0..1 Reference(Resource) Further information supporting this charge
..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
...... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
...... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
....... text SΣ 0..1 string Plain text representation of the concept
Required Pattern: Bill Number
...... value SΣ 0..1 string The value that is unique
Example General: 123456
.... supportingInformation:va-artransnbr S 0..1 Reference(Resource) Further information supporting this charge
..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
...... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
...... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
....... text SΣC 0..1 string Plain text representation of the concept
Constraints: dpci-27-2218-1
...... value SΣC 0..1 string The value that is unique
Constraints: dpci-27-2218
Example General: 123456

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ChargeItem.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
ChargeItem.identifier.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
ChargeItem.status Base required ChargeItemStatus 📍4.0.1 FHIR Std.
ChargeItem.code Base example ChargeItemCode 📍4.0.1 FHIR Std.
ChargeItem.supportingInformation:va-arbillnbr.​identifier.use Base required IdentifierUse 📍4.0.1 FHIR Std.
ChargeItem.supportingInformation:va-arbillnbr.​identifier.type Base extensible IdentifierType 📍4.0.1 FHIR Std.
ChargeItem.supportingInformation:va-artransnbr.​identifier.use Base required IdentifierUse 📍4.0.1 FHIR Std.
ChargeItem.supportingInformation:va-artransnbr.​identifier.type Base extensible IdentifierType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error ChargeItem If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error ChargeItem If 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-4 error ChargeItem If 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-5 error ChargeItem If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice ChargeItem A resource should have narrative for robust management text.`div`.exists()
dpci-27-2008 best practice ChargeItem.context If Outpatient then reference /EncounterVisit based on (360-1.02 > 399-304>399.0304-20>409.68-.05) true
dpci-27-2009 best practice ChargeItem.context If Inpatient then reference /EncounterPTFEncounter based on (360-1.02 > 399-.08) true
dpci-27-2218 best practice ChargeItem.supportingInformation:va-artransnbr.identifier.value If AR TRANSACTION - TRANSACTION TYPE > ACCOUNTS RECEIVABLE TRANS.TYPE - IEN = 1 OR 35 then source value from (350-.12) true
dpci-27-2218-1 best practice ChargeItem.supportingInformation:va-artransnbr.identifier.type.text If AR TRANSACTION - TRANSACTION TYPE > ACCOUNTS RECEIVABLE TRANS.TYPE - IEN = 1 OR 35 then fixed value Transaction Number true
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from ChargeItem

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ChargeItem 0..* ChargeItem(4.0.1) Item containing charge code(s) associated with the provision of healthcare provider products
... identifier S 0..* Identifier Business Identifier for item
.... type
..... text S 0..1 string Plain text representation of the concept
Required Pattern: Sta3n - IBAction.IEN
.... system S 0..1 uri The namespace for the identifier value
Required Pattern: http://va.gov/identifiers/{sta3n}/35
.... value S 0..1 string The value that is unique
Required Pattern: concat({sta3n},"-",{IEN (.001)})
... status S 1..1 code planned | billable | not-billable | aborted | billed | entered-in-error | unknown
Required Pattern: billed
... code
.... text S 0..1 string Plain text representation of the concept
... context SC 0..1 Reference(Encounter: Visit | Encounter: PTF Encounter) Encounter / Episode associated with event
Constraints: dpci-27-2008, dpci-27-2009
... Slices for occurrence[x] 0..1 dateTime, Period, Timing When the charged service was applied
Slice: Unordered, Open by type:$this
.... occurrence[x]:occurrencePeriod 0..1 Period When the charged service was applied
..... start S 0..1 dateTime Starting time with inclusive boundary
..... end S 0..1 dateTime End time with inclusive boundary, if not ongoing
... enteredDate S 0..1 dateTime Date the charge item was entered
... Slices for service 0..* Reference(DiagnosticReport | ImagingStudy | Immunization | MedicationAdministration | MedicationDispense | Observation | Procedure | SupplyDelivery) Which rendered service is being charged?
Slice: Unordered, Open by value:$this
.... service:va-rxorig S 0..1 Reference(MedicationDispense: Original) Which rendered service is being charged?
.... service:va-rxrefill S 0..1 Reference(MedicationDispense: Refill) Which rendered service is being charged?
.... service:va-rxpartial S 0..1 Reference(MedicationDispense: Partial) Which rendered service is being charged?
... Slices for supportingInformation 0..* Reference(Resource) Further information supporting this charge
Slice: Unordered, Open by value:$this
.... supportingInformation:va-arbillnbr S 0..1 Reference(Resource) Further information supporting this charge
..... identifier
...... type
....... text S 0..1 string Plain text representation of the concept
Required Pattern: Bill Number
...... value S 0..1 string The value that is unique
.... supportingInformation:va-artransnbr S 0..1 Reference(Resource) Further information supporting this charge
..... identifier
...... type
....... text SC 0..1 string Plain text representation of the concept
Constraints: dpci-27-2218-1
...... value SC 0..1 string The value that is unique
Constraints: dpci-27-2218

doco Documentation for this format

Constraints

Id Grade Path(s) Description Expression
dpci-27-2008 best practice ChargeItem.context If Outpatient then reference /EncounterVisit based on (360-1.02 > 399-304>399.0304-20>409.68-.05) true
dpci-27-2009 best practice ChargeItem.context If Inpatient then reference /EncounterPTFEncounter based on (360-1.02 > 399-.08) true
dpci-27-2218 best practice ChargeItem.supportingInformation:va-artransnbr.identifier.value If AR TRANSACTION - TRANSACTION TYPE > ACCOUNTS RECEIVABLE TRANS.TYPE - IEN = 1 OR 35 then source value from (350-.12) true
dpci-27-2218-1 best practice ChargeItem.supportingInformation:va-artransnbr.identifier.type.text If AR TRANSACTION - TRANSACTION TYPE > ACCOUNTS RECEIVABLE TRANS.TYPE - IEN = 1 OR 35 then fixed value Transaction Number true
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ChargeItem 0..* ChargeItem(4.0.1) Item containing charge code(s) associated with the provision of healthcare provider products
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier Business Identifier for item
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 0..* Coding Code defined by a terminology system
..... text SΣ 0..1 string Plain text representation of the concept
Required Pattern: Sta3n - IBAction.IEN
.... system SΣ 0..1 uri The namespace for the identifier value
Required Pattern: http://va.gov/identifiers/{sta3n}/35
.... value SΣ 0..1 string The value that is unique
Required Pattern: concat({sta3n},"-",{IEN (.001)})
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... definitionUri 0..* uri Defining information about the code of this charge item
... definitionCanonical 0..* canonical(ChargeItemDefinition) Resource defining the code of this ChargeItem
... status ?!SΣ 1..1 code planned | billable | not-billable | aborted | billed | entered-in-error | unknown
Binding: ChargeItemStatus (required): Codes identifying the lifecycle stage of a ChargeItem.
Required Pattern: billed
... partOf 0..* Reference(ChargeItem) Part of referenced ChargeItem
... code Σ 1..1 CodeableConcept A code that identifies the charge, like a billing code
Binding: ChargeItemCode (example): Example set of codes that can be used for billing purposes.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 0..* Coding Code defined by a terminology system
.... text SΣ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(Patient) Individual service was done for/to
... context SΣC 0..1 Reference(Encounter: Visit | Encounter: PTF Encounter) Encounter / Episode associated with event
Constraints: dpci-27-2008, dpci-27-2009
... Slices for occurrence[x] Σ 0..1 When the charged service was applied
Slice: Unordered, Open by type:$this
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrenceTiming Timing
.... occurrence[x]:occurrencePeriod Σ 0..1 Period When the charged service was applied
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... start SΣC 0..1 dateTime Starting time with inclusive boundary
..... end SΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
... performer 0..* BackboneElement Who performed charged service
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... function 0..1 CodeableConcept What type of performance was done
Binding: ProcedurePerformerRoleCodes (example): Codes describing the types of functional roles performers can take on when performing events.
.... actor 1..1 Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson) Individual who was performing
... performingOrganization 0..1 Reference(Organization) Organization providing the charged service
... requestingOrganization 0..1 Reference(Organization) Organization requesting the charged service
... costCenter 0..1 Reference(Organization) Organization that has ownership of the (potential, future) revenue
... quantity Σ 0..1 Quantity Quantity of which the charge item has been serviced
... bodysite Σ 0..* CodeableConcept Anatomical location, if relevant
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... factorOverride 0..1 decimal Factor overriding the associated rules
... priceOverride 0..1 Money Price overriding the associated rules
... overrideReason 0..1 string Reason for overriding the list price/factor
... enterer Σ 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson) Individual who was entering
... enteredDate SΣ 0..1 dateTime Date the charge item was entered
... reason 0..* CodeableConcept Why was the charged service rendered?
Binding: ICD-10Codes (example): Example binding for reason.
... Slices for service 0..* Reference(DiagnosticReport | ImagingStudy | Immunization | MedicationAdministration | MedicationDispense | Observation | Procedure | SupplyDelivery) Which rendered service is being charged?
Slice: Unordered, Open by value:$this
.... service:va-rxorig S 0..1 Reference(MedicationDispense: Original) Which rendered service is being charged?
.... service:va-rxrefill S 0..1 Reference(MedicationDispense: Refill) Which rendered service is being charged?
.... service:va-rxpartial S 0..1 Reference(MedicationDispense: Partial) Which rendered service is being charged?
... product[x] 0..1 Product charged
Binding: FHIRDeviceTypes (example): Example binding for product type.
.... productReference Reference(Device | Medication | Substance)
.... productCodeableConcept CodeableConcept
... account Σ 0..* Reference(Account) Account to place this charge
... note 0..* Annotation Comments made about the ChargeItem
... Slices for supportingInformation 0..* Reference(Resource) Further information supporting this charge
Slice: Unordered, Open by value:$this
.... supportingInformation:va-arbillnbr S 0..1 Reference(Resource) Further information supporting this charge
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
...... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... coding Σ 0..* Coding Code defined by a terminology system
....... text SΣ 0..1 string Plain text representation of the concept
Required Pattern: Bill Number
...... system Σ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
...... value SΣ 0..1 string The value that is unique
Example General: 123456
...... period Σ 0..1 Period Time period when id is/was valid for use
...... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
..... display Σ 0..1 string Text alternative for the resource
.... supportingInformation:va-artransnbr S 0..1 Reference(Resource) Further information supporting this charge
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
...... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... coding Σ 0..* Coding Code defined by a terminology system
....... text SΣC 0..1 string Plain text representation of the concept
Constraints: dpci-27-2218-1
...... system Σ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
...... value SΣC 0..1 string The value that is unique
Constraints: dpci-27-2218
Example General: 123456
...... period Σ 0..1 Period Time period when id is/was valid for use
...... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
..... display Σ 0..1 string Text alternative for the resource

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ChargeItem.language Base preferred Common Languages 📍4.0.1 FHIR Std.
ChargeItem.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
ChargeItem.identifier.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
ChargeItem.status Base required ChargeItemStatus 📍4.0.1 FHIR Std.
ChargeItem.code Base example ChargeItemCode 📍4.0.1 FHIR Std.
ChargeItem.performer.​function Base example Procedure Performer Role Codes 📍4.0.1 FHIR Std.
ChargeItem.bodysite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
ChargeItem.reason Base example ICD-10 Codes 📍4.0.1 FHIR Std.
ChargeItem.product[x] Base example FHIR Device Types 📍4.0.1 FHIR Std.
ChargeItem.supportingInformation:va-arbillnbr.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
ChargeItem.supportingInformation:va-arbillnbr.​identifier.use Base required IdentifierUse 📍4.0.1 FHIR Std.
ChargeItem.supportingInformation:va-arbillnbr.​identifier.type Base extensible IdentifierType 📍4.0.1 FHIR Std.
ChargeItem.supportingInformation:va-artransnbr.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
ChargeItem.supportingInformation:va-artransnbr.​identifier.use Base required IdentifierUse 📍4.0.1 FHIR Std.
ChargeItem.supportingInformation:va-artransnbr.​identifier.type Base extensible IdentifierType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error ChargeItem If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error ChargeItem If 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-4 error ChargeItem If 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-5 error ChargeItem If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice ChargeItem A resource should have narrative for robust management text.`div`.exists()
dpci-27-2008 best practice ChargeItem.context If Outpatient then reference /EncounterVisit based on (360-1.02 > 399-304>399.0304-20>409.68-.05) true
dpci-27-2009 best practice ChargeItem.context If Inpatient then reference /EncounterPTFEncounter based on (360-1.02 > 399-.08) true
dpci-27-2218 best practice ChargeItem.supportingInformation:va-artransnbr.identifier.value If AR TRANSACTION - TRANSACTION TYPE > ACCOUNTS RECEIVABLE TRANS.TYPE - IEN = 1 OR 35 then source value from (350-.12) true
dpci-27-2218-1 best practice ChargeItem.supportingInformation:va-artransnbr.identifier.type.text If AR TRANSACTION - TRANSACTION TYPE > ACCOUNTS RECEIVABLE TRANS.TYPE - IEN = 1 OR 35 then fixed value Transaction Number true
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from ChargeItem

Summary

Must-Support: 20 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of ChargeItem.occurrence[x]
  • The element 1 is sliced based on the value of ChargeItem.service
  • The element 1 is sliced based on the value of ChargeItem.supportingInformation

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ChargeItem 0..* ChargeItem(4.0.1) Item containing charge code(s) associated with the provision of healthcare provider products
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier Business Identifier for item
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
..... text SΣ 0..1 string Plain text representation of the concept
Required Pattern: Sta3n - IBAction.IEN
.... system SΣ 0..1 uri The namespace for the identifier value
Required Pattern: http://va.gov/identifiers/{sta3n}/35
.... value SΣ 0..1 string The value that is unique
Required Pattern: concat({sta3n},"-",{IEN (.001)})
... code Σ 1..1 CodeableConcept A code that identifies the charge, like a billing code
Binding: ChargeItemCode (example): Example set of codes that can be used for billing purposes.
.... text SΣ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(Patient) Individual service was done for/to
... context SΣC 0..1 Reference(Encounter: Visit | Encounter: PTF Encounter) Encounter / Episode associated with event
Constraints: dpci-27-2008, dpci-27-2009
... Slices for occurrence[x] Σ 0..1 When the charged service was applied
Slice: Unordered, Open by type:$this
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrenceTiming Timing
.... occurrence[x]:occurrencePeriod Σ 0..1 Period When the charged service was applied
..... start SΣC 0..1 dateTime Starting time with inclusive boundary
..... end SΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
... enteredDate SΣ 0..1 dateTime Date the charge item was entered
... Slices for service 0..* Reference(DiagnosticReport | ImagingStudy | Immunization | MedicationAdministration | MedicationDispense | Observation | Procedure | SupplyDelivery) Which rendered service is being charged?
Slice: Unordered, Open by value:$this
.... service:va-rxorig S 0..1 Reference(MedicationDispense: Original) Which rendered service is being charged?
.... service:va-rxrefill S 0..1 Reference(MedicationDispense: Refill) Which rendered service is being charged?
.... service:va-rxpartial S 0..1 Reference(MedicationDispense: Partial) Which rendered service is being charged?
... Slices for supportingInformation 0..* Reference(Resource) Further information supporting this charge
Slice: Unordered, Open by value:$this
.... supportingInformation:va-arbillnbr S 0..1 Reference(Resource) Further information supporting this charge
..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
...... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
...... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
....... text SΣ 0..1 string Plain text representation of the concept
Required Pattern: Bill Number
...... value SΣ 0..1 string The value that is unique
Example General: 123456
.... supportingInformation:va-artransnbr S 0..1 Reference(Resource) Further information supporting this charge
..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
...... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
...... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
....... text SΣC 0..1 string Plain text representation of the concept
Constraints: dpci-27-2218-1
...... value SΣC 0..1 string The value that is unique
Constraints: dpci-27-2218
Example General: 123456

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ChargeItem.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
ChargeItem.identifier.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
ChargeItem.status Base required ChargeItemStatus 📍4.0.1 FHIR Std.
ChargeItem.code Base example ChargeItemCode 📍4.0.1 FHIR Std.
ChargeItem.supportingInformation:va-arbillnbr.​identifier.use Base required IdentifierUse 📍4.0.1 FHIR Std.
ChargeItem.supportingInformation:va-arbillnbr.​identifier.type Base extensible IdentifierType 📍4.0.1 FHIR Std.
ChargeItem.supportingInformation:va-artransnbr.​identifier.use Base required IdentifierUse 📍4.0.1 FHIR Std.
ChargeItem.supportingInformation:va-artransnbr.​identifier.type Base extensible IdentifierType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error ChargeItem If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error ChargeItem If 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-4 error ChargeItem If 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-5 error ChargeItem If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice ChargeItem A resource should have narrative for robust management text.`div`.exists()
dpci-27-2008 best practice ChargeItem.context If Outpatient then reference /EncounterVisit based on (360-1.02 > 399-304>399.0304-20>409.68-.05) true
dpci-27-2009 best practice ChargeItem.context If Inpatient then reference /EncounterPTFEncounter based on (360-1.02 > 399-.08) true
dpci-27-2218 best practice ChargeItem.supportingInformation:va-artransnbr.identifier.value If AR TRANSACTION - TRANSACTION TYPE > ACCOUNTS RECEIVABLE TRANS.TYPE - IEN = 1 OR 35 then source value from (350-.12) true
dpci-27-2218-1 best practice ChargeItem.supportingInformation:va-artransnbr.identifier.type.text If AR TRANSACTION - TRANSACTION TYPE > ACCOUNTS RECEIVABLE TRANS.TYPE - IEN = 1 OR 35 then fixed value Transaction Number true
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

This structure is derived from ChargeItem

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ChargeItem 0..* ChargeItem(4.0.1) Item containing charge code(s) associated with the provision of healthcare provider products
... identifier S 0..* Identifier Business Identifier for item
.... type
..... text S 0..1 string Plain text representation of the concept
Required Pattern: Sta3n - IBAction.IEN
.... system S 0..1 uri The namespace for the identifier value
Required Pattern: http://va.gov/identifiers/{sta3n}/35
.... value S 0..1 string The value that is unique
Required Pattern: concat({sta3n},"-",{IEN (.001)})
... status S 1..1 code planned | billable | not-billable | aborted | billed | entered-in-error | unknown
Required Pattern: billed
... code
.... text S 0..1 string Plain text representation of the concept
... context SC 0..1 Reference(Encounter: Visit | Encounter: PTF Encounter) Encounter / Episode associated with event
Constraints: dpci-27-2008, dpci-27-2009
... Slices for occurrence[x] 0..1 dateTime, Period, Timing When the charged service was applied
Slice: Unordered, Open by type:$this
.... occurrence[x]:occurrencePeriod 0..1 Period When the charged service was applied
..... start S 0..1 dateTime Starting time with inclusive boundary
..... end S 0..1 dateTime End time with inclusive boundary, if not ongoing
... enteredDate S 0..1 dateTime Date the charge item was entered
... Slices for service 0..* Reference(DiagnosticReport | ImagingStudy | Immunization | MedicationAdministration | MedicationDispense | Observation | Procedure | SupplyDelivery) Which rendered service is being charged?
Slice: Unordered, Open by value:$this
.... service:va-rxorig S 0..1 Reference(MedicationDispense: Original) Which rendered service is being charged?
.... service:va-rxrefill S 0..1 Reference(MedicationDispense: Refill) Which rendered service is being charged?
.... service:va-rxpartial S 0..1 Reference(MedicationDispense: Partial) Which rendered service is being charged?
... Slices for supportingInformation 0..* Reference(Resource) Further information supporting this charge
Slice: Unordered, Open by value:$this
.... supportingInformation:va-arbillnbr S 0..1 Reference(Resource) Further information supporting this charge
..... identifier
...... type
....... text S 0..1 string Plain text representation of the concept
Required Pattern: Bill Number
...... value S 0..1 string The value that is unique
.... supportingInformation:va-artransnbr S 0..1 Reference(Resource) Further information supporting this charge
..... identifier
...... type
....... text SC 0..1 string Plain text representation of the concept
Constraints: dpci-27-2218-1
...... value SC 0..1 string The value that is unique
Constraints: dpci-27-2218

doco Documentation for this format

Constraints

Id Grade Path(s) Description Expression
dpci-27-2008 best practice ChargeItem.context If Outpatient then reference /EncounterVisit based on (360-1.02 > 399-304>399.0304-20>409.68-.05) true
dpci-27-2009 best practice ChargeItem.context If Inpatient then reference /EncounterPTFEncounter based on (360-1.02 > 399-.08) true
dpci-27-2218 best practice ChargeItem.supportingInformation:va-artransnbr.identifier.value If AR TRANSACTION - TRANSACTION TYPE > ACCOUNTS RECEIVABLE TRANS.TYPE - IEN = 1 OR 35 then source value from (350-.12) true
dpci-27-2218-1 best practice ChargeItem.supportingInformation:va-artransnbr.identifier.type.text If AR TRANSACTION - TRANSACTION TYPE > ACCOUNTS RECEIVABLE TRANS.TYPE - IEN = 1 OR 35 then fixed value Transaction Number true

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ChargeItem 0..* ChargeItem(4.0.1) Item containing charge code(s) associated with the provision of healthcare provider products
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier SΣ 0..* Identifier Business Identifier for item
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 0..* Coding Code defined by a terminology system
..... text SΣ 0..1 string Plain text representation of the concept
Required Pattern: Sta3n - IBAction.IEN
.... system SΣ 0..1 uri The namespace for the identifier value
Required Pattern: http://va.gov/identifiers/{sta3n}/35
.... value SΣ 0..1 string The value that is unique
Required Pattern: concat({sta3n},"-",{IEN (.001)})
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... definitionUri 0..* uri Defining information about the code of this charge item
... definitionCanonical 0..* canonical(ChargeItemDefinition) Resource defining the code of this ChargeItem
... status ?!SΣ 1..1 code planned | billable | not-billable | aborted | billed | entered-in-error | unknown
Binding: ChargeItemStatus (required): Codes identifying the lifecycle stage of a ChargeItem.
Required Pattern: billed
... partOf 0..* Reference(ChargeItem) Part of referenced ChargeItem
... code Σ 1..1 CodeableConcept A code that identifies the charge, like a billing code
Binding: ChargeItemCode (example): Example set of codes that can be used for billing purposes.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 0..* Coding Code defined by a terminology system
.... text SΣ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(Patient) Individual service was done for/to
... context SΣC 0..1 Reference(Encounter: Visit | Encounter: PTF Encounter) Encounter / Episode associated with event
Constraints: dpci-27-2008, dpci-27-2009
... Slices for occurrence[x] Σ 0..1 When the charged service was applied
Slice: Unordered, Open by type:$this
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrenceTiming Timing
.... occurrence[x]:occurrencePeriod Σ 0..1 Period When the charged service was applied
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... start SΣC 0..1 dateTime Starting time with inclusive boundary
..... end SΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
... performer 0..* BackboneElement Who performed charged service
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... function 0..1 CodeableConcept What type of performance was done
Binding: ProcedurePerformerRoleCodes (example): Codes describing the types of functional roles performers can take on when performing events.
.... actor 1..1 Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson) Individual who was performing
... performingOrganization 0..1 Reference(Organization) Organization providing the charged service
... requestingOrganization 0..1 Reference(Organization) Organization requesting the charged service
... costCenter 0..1 Reference(Organization) Organization that has ownership of the (potential, future) revenue
... quantity Σ 0..1 Quantity Quantity of which the charge item has been serviced
... bodysite Σ 0..* CodeableConcept Anatomical location, if relevant
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... factorOverride 0..1 decimal Factor overriding the associated rules
... priceOverride 0..1 Money Price overriding the associated rules
... overrideReason 0..1 string Reason for overriding the list price/factor
... enterer Σ 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson) Individual who was entering
... enteredDate SΣ 0..1 dateTime Date the charge item was entered
... reason 0..* CodeableConcept Why was the charged service rendered?
Binding: ICD-10Codes (example): Example binding for reason.
... Slices for service 0..* Reference(DiagnosticReport | ImagingStudy | Immunization | MedicationAdministration | MedicationDispense | Observation | Procedure | SupplyDelivery) Which rendered service is being charged?
Slice: Unordered, Open by value:$this
.... service:va-rxorig S 0..1 Reference(MedicationDispense: Original) Which rendered service is being charged?
.... service:va-rxrefill S 0..1 Reference(MedicationDispense: Refill) Which rendered service is being charged?
.... service:va-rxpartial S 0..1 Reference(MedicationDispense: Partial) Which rendered service is being charged?
... product[x] 0..1 Product charged
Binding: FHIRDeviceTypes (example): Example binding for product type.
.... productReference Reference(Device | Medication | Substance)
.... productCodeableConcept CodeableConcept
... account Σ 0..* Reference(Account) Account to place this charge
... note 0..* Annotation Comments made about the ChargeItem
... Slices for supportingInformation 0..* Reference(Resource) Further information supporting this charge
Slice: Unordered, Open by value:$this
.... supportingInformation:va-arbillnbr S 0..1 Reference(Resource) Further information supporting this charge
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
...... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... coding Σ 0..* Coding Code defined by a terminology system
....... text SΣ 0..1 string Plain text representation of the concept
Required Pattern: Bill Number
...... system Σ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
...... value SΣ 0..1 string The value that is unique
Example General: 123456
...... period Σ 0..1 Period Time period when id is/was valid for use
...... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
..... display Σ 0..1 string Text alternative for the resource
.... supportingInformation:va-artransnbr S 0..1 Reference(Resource) Further information supporting this charge
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
...... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... coding Σ 0..* Coding Code defined by a terminology system
....... text SΣC 0..1 string Plain text representation of the concept
Constraints: dpci-27-2218-1
...... system Σ 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
...... value SΣC 0..1 string The value that is unique
Constraints: dpci-27-2218
Example General: 123456
...... period Σ 0..1 Period Time period when id is/was valid for use
...... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
..... display Σ 0..1 string Text alternative for the resource

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ChargeItem.language Base preferred Common Languages 📍4.0.1 FHIR Std.
ChargeItem.identifier.​use Base required IdentifierUse 📍4.0.1 FHIR Std.
ChargeItem.identifier.​type Base extensible IdentifierType 📍4.0.1 FHIR Std.
ChargeItem.status Base required ChargeItemStatus 📍4.0.1 FHIR Std.
ChargeItem.code Base example ChargeItemCode 📍4.0.1 FHIR Std.
ChargeItem.performer.​function Base example Procedure Performer Role Codes 📍4.0.1 FHIR Std.
ChargeItem.bodysite Base example SNOMED CT Body Structures 📍4.0.1 FHIR Std.
ChargeItem.reason Base example ICD-10 Codes 📍4.0.1 FHIR Std.
ChargeItem.product[x] Base example FHIR Device Types 📍4.0.1 FHIR Std.
ChargeItem.supportingInformation:va-arbillnbr.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
ChargeItem.supportingInformation:va-arbillnbr.​identifier.use Base required IdentifierUse 📍4.0.1 FHIR Std.
ChargeItem.supportingInformation:va-arbillnbr.​identifier.type Base extensible IdentifierType 📍4.0.1 FHIR Std.
ChargeItem.supportingInformation:va-artransnbr.​type Base extensible ResourceType 📍4.0.1 FHIR Std.
ChargeItem.supportingInformation:va-artransnbr.​identifier.use Base required IdentifierUse 📍4.0.1 FHIR Std.
ChargeItem.supportingInformation:va-artransnbr.​identifier.type Base extensible IdentifierType 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error ChargeItem If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error ChargeItem If 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-4 error ChargeItem If 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-5 error ChargeItem If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice ChargeItem A resource should have narrative for robust management text.`div`.exists()
dpci-27-2008 best practice ChargeItem.context If Outpatient then reference /EncounterVisit based on (360-1.02 > 399-304>399.0304-20>409.68-.05) true
dpci-27-2009 best practice ChargeItem.context If Inpatient then reference /EncounterPTFEncounter based on (360-1.02 > 399-.08) true
dpci-27-2218 best practice ChargeItem.supportingInformation:va-artransnbr.identifier.value If AR TRANSACTION - TRANSACTION TYPE > ACCOUNTS RECEIVABLE TRANS.TYPE - IEN = 1 OR 35 then source value from (350-.12) true
dpci-27-2218-1 best practice ChargeItem.supportingInformation:va-artransnbr.identifier.type.text If AR TRANSACTION - TRANSACTION TYPE > ACCOUNTS RECEIVABLE TRANS.TYPE - IEN = 1 OR 35 then fixed value Transaction Number true
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from ChargeItem

Summary

Must-Support: 20 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of ChargeItem.occurrence[x]
  • The element 1 is sliced based on the value of ChargeItem.service
  • The element 1 is sliced based on the value of ChargeItem.supportingInformation

 

Other representations of profile: CSV, Excel, Schematron