Name	Flags	Card.	Type	Description & Constraints
ChargeItem		0..*	ChargeItem	Item containing charge code(s) associated with the provision of healthcare provider products dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for identifier	Σ	0..*	Identifier	Business Identifier for item Slice: Unordered, Open by value:$this ele-1: All FHIR elements must have a @value or children
identifier:va-billno	SΣ	0..1	Identifier	Business Identifier for item ele-1: All FHIR elements must have a @value or children
identifier:va-artransno	SΣC	0..1	Identifier	Business Identifier for item ele-1: All FHIR elements must have a @value or children dpci-27-2218: If AR TRANSACTION - TRANSACTION TYPE > ACCOUNTS RECEIVABLE TRANS.TYPE - IEN = 1 OR 35 then source value from (350-.12)
status	?!SΣ	1..1	code	planned | billable | not-billable | aborted | billed | entered-in-error | unknown Binding: ChargeItemStatus (required): Codes identifying the lifecycle stage of a ChargeItem. ele-1: All FHIR elements must have a @value or children Required Pattern: billed
code	Σ	1..1	CodeableConcept	A code that identifies the charge, like a billing code Binding: ChargeItemCode (example): Example set of codes that can be used for billing purposes. ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	Plain text representation of the concept ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(Patient)	Individual service was done for/to ele-1: All FHIR elements must have a @value or children
context	SΣC	0..1	Reference(Encounter: Outpatient | Encounter: Inpatient Encounter)	Encounter / Episode associated with event ele-1: All FHIR elements must have a @value or children dpci-27-2008: If Outpatient then reference /EncounterOutpatient based on (360-1.02 > 399-304>399.0304-20>409.68-.05) dpci-27-2009: If Inpatient then reference /EncounterInpatientEncounter based on (360-1.02 > 399-.08)
Slices for occurrence[x]	Σ	0..1		When the charged service was applied Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
occurrence[x]:occurrencePeriod	Σ	0..1	Period	When the charged service was applied ele-1: All FHIR elements must have a @value or children
start	SΣC	0..1	dateTime	Starting time with inclusive boundary ele-1: All FHIR elements must have a @value or children
end	SΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing ele-1: All FHIR elements must have a @value or children
enteredDate	SΣ	0..1	dateTime	Date the charge item was entered ele-1: All FHIR elements must have a @value or children
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 ele-1: All FHIR elements must have a @value or children
service:va-rxorig	S	0..1	Reference(MedicationDispense: Original)	Which rendered service is being charged? ele-1: All FHIR elements must have a @value or children
service:va-rxrefill	S	0..1	Reference(MedicationDispense: Refill)	Which rendered service is being charged? ele-1: All FHIR elements must have a @value or children
service:va-rxpartial	S	0..1	Reference(MedicationDispense: Partial)	Which rendered service is being charged? ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ChargeItem.status	required	Pattern: billed http://hl7.org/fhir/ValueSet/chargeitem-status|4.0.1 from the FHIR Standard
ChargeItem.code	example	ChargeItemCode http://hl7.org/fhir/ValueSet/chargeitem-billingcodes from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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	warning	ChargeItem.context	If Outpatient then reference /EncounterOutpatient based on (360-1.02 > 399-304>399.0304-20>409.68-.05) : true
dpci-27-2009	warning	ChargeItem.context	If Inpatient then reference /EncounterInpatientEncounter based on (360-1.02 > 399-.08) : true
dpci-27-2218	warning	ChargeItem.identifier:va-artransno	If AR TRANSACTION - TRANSACTION TYPE > ACCOUNTS RECEIVABLE TRANS.TYPE - IEN = 1 OR 35 then source value from (350-.12) : 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()

Name	Flags	Card.	Type	Description & Constraints
ChargeItem		0..*	ChargeItem	Item containing charge code(s) associated with the provision of healthcare provider products
Slices for identifier		0..*	Identifier	Business Identifier for item Slice: Unordered, Open by value:$this
identifier:va-billno	S	0..1	Identifier	Business Identifier for item
identifier:va-artransno	SC	0..1	Identifier	Business Identifier for item dpci-27-2218: If AR TRANSACTION - TRANSACTION TYPE > ACCOUNTS RECEIVABLE TRANS.TYPE - IEN = 1 OR 35 then source value from (350-.12)
status	S	1..1	code	planned | billable | not-billable | aborted | billed | entered-in-error | unknown Required Pattern: billed
code
text	S	0..1	string	Plain text representation of the concept
subject	S	1..1	Reference(Patient)	Individual service was done for/to
context	SC	0..1	Reference(Encounter: Outpatient | Encounter: Inpatient Encounter)	Encounter / Episode associated with event dpci-27-2008: If Outpatient then reference /EncounterOutpatient based on (360-1.02 > 399-304>399.0304-20>409.68-.05) dpci-27-2009: If Inpatient then reference /EncounterInpatientEncounter based on (360-1.02 > 399-.08)
Slices for occurrence[x]		0..1	dateTime, Period, Timing	When the charged service was applied Slice: Unordered, Open by type:$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?
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
dpci-27-2008	warning	ChargeItem.context	If Outpatient then reference /EncounterOutpatient based on (360-1.02 > 399-304>399.0304-20>409.68-.05) : true
dpci-27-2009	warning	ChargeItem.context	If Inpatient then reference /EncounterInpatientEncounter based on (360-1.02 > 399-.08) : true
dpci-27-2218	warning	ChargeItem.identifier:va-artransno	If AR TRANSACTION - TRANSACTION TYPE > ACCOUNTS RECEIVABLE TRANS.TYPE - IEN = 1 OR 35 then source value from (350-.12) : true

Name	Flags	Card.	Type	Description & Constraints
ChargeItem		0..*	ChargeItem	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 Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	0..*	Identifier	Business Identifier for item Slice: Unordered, Open by value:$this
identifier:va-billno	SΣ	0..1	Identifier	Business Identifier for item
identifier:va-artransno	SΣC	0..1	Identifier	Business Identifier for item dpci-27-2218: If AR TRANSACTION - TRANSACTION TYPE > ACCOUNTS RECEIVABLE TRANS.TYPE - IEN = 1 OR 35 then source value from (350-.12)
definitionUri		0..*	uri	Defining information about the code of this charge item
definitionCanonical		0..*	canonical(ChargeItemDefinition)	Resource defining the code of this ChargeItem
status	?!SΣ	1..1	code	planned | billable | not-billable | aborted | billed | entered-in-error | unknown Binding: ChargeItemStatus (required): Codes identifying the lifecycle stage of a ChargeItem. Required Pattern: billed
partOf		0..*	Reference(ChargeItem)	Part of referenced ChargeItem
code	Σ	1..1	CodeableConcept	A code that identifies the charge, like a billing code Binding: ChargeItemCode (example): Example set of codes that can be used for billing purposes.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	SΣ	0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(Patient)	Individual service was done for/to
context	SΣC	0..1	Reference(Encounter: Outpatient | Encounter: Inpatient Encounter)	Encounter / Episode associated with event dpci-27-2008: If Outpatient then reference /EncounterOutpatient based on (360-1.02 > 399-304>399.0304-20>409.68-.05) dpci-27-2009: If Inpatient then reference /EncounterInpatientEncounter based on (360-1.02 > 399-.08)
Slices for occurrence[x]	Σ	0..1		When the charged service was applied Slice: Unordered, Open by type:$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
supportingInformation		0..*	Reference(Resource)	Further information supporting this charge
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ChargeItem.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
ChargeItem.status	required	Pattern: billed http://hl7.org/fhir/ValueSet/chargeitem-status|4.0.1 from the FHIR Standard
ChargeItem.code	example	ChargeItemCode http://hl7.org/fhir/ValueSet/chargeitem-billingcodes from the FHIR Standard
ChargeItem.performer.function	example	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard
ChargeItem.bodysite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
ChargeItem.reason	example	ICD-10Codes http://hl7.org/fhir/ValueSet/icd-10 from the FHIR Standard
ChargeItem.product[x]	example	FHIRDeviceTypes http://hl7.org/fhir/ValueSet/device-kind from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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	warning	ChargeItem.context	If Outpatient then reference /EncounterOutpatient based on (360-1.02 > 399-304>399.0304-20>409.68-.05) : true
dpci-27-2009	warning	ChargeItem.context	If Inpatient then reference /EncounterInpatientEncounter based on (360-1.02 > 399-.08) : true
dpci-27-2218	warning	ChargeItem.identifier:va-artransno	If AR TRANSACTION - TRANSACTION TYPE > ACCOUNTS RECEIVABLE TRANS.TYPE - IEN = 1 OR 35 then source value from (350-.12) : 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()

Summary

Must-Support: 12 elements

Structures

This structure refers to these other structures:

• Patient (http://va.gov/fhir/StructureDefinition/Patient)
• Encounter: Outpatient (http://va.gov/fhir/StructureDefinition/EncounterOutpatient)
• Encounter: Inpatient Encounter (http://va.gov/fhir/StructureDefinition/EncounterInpatientEncounter)
• MedicationDispense: Original (http://va.gov/fhir/StructureDefinition/MedicationDispenseOriginal)
• MedicationDispense: Refill (http://va.gov/fhir/StructureDefinition/MedicationDispenseRefill)
• MedicationDispense: Partial (http://va.gov/fhir/StructureDefinition/MedicationDispensePartial)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of ChargeItem.identifier
• 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

Name	Flags	Card.	Type	Description & Constraints
ChargeItem		0..*	ChargeItem	Item containing charge code(s) associated with the provision of healthcare provider products dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
Slices for identifier	Σ	0..*	Identifier	Business Identifier for item Slice: Unordered, Open by value:$this ele-1: All FHIR elements must have a @value or children
identifier:va-billno	SΣ	0..1	Identifier	Business Identifier for item ele-1: All FHIR elements must have a @value or children
identifier:va-artransno	SΣC	0..1	Identifier	Business Identifier for item ele-1: All FHIR elements must have a @value or children dpci-27-2218: If AR TRANSACTION - TRANSACTION TYPE > ACCOUNTS RECEIVABLE TRANS.TYPE - IEN = 1 OR 35 then source value from (350-.12)
status	?!SΣ	1..1	code	planned | billable | not-billable | aborted | billed | entered-in-error | unknown Binding: ChargeItemStatus (required): Codes identifying the lifecycle stage of a ChargeItem. ele-1: All FHIR elements must have a @value or children Required Pattern: billed
code	Σ	1..1	CodeableConcept	A code that identifies the charge, like a billing code Binding: ChargeItemCode (example): Example set of codes that can be used for billing purposes. ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	Plain text representation of the concept ele-1: All FHIR elements must have a @value or children
subject	SΣ	1..1	Reference(Patient)	Individual service was done for/to ele-1: All FHIR elements must have a @value or children
context	SΣC	0..1	Reference(Encounter: Outpatient | Encounter: Inpatient Encounter)	Encounter / Episode associated with event ele-1: All FHIR elements must have a @value or children dpci-27-2008: If Outpatient then reference /EncounterOutpatient based on (360-1.02 > 399-304>399.0304-20>409.68-.05) dpci-27-2009: If Inpatient then reference /EncounterInpatientEncounter based on (360-1.02 > 399-.08)
Slices for occurrence[x]	Σ	0..1		When the charged service was applied Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
occurrence[x]:occurrencePeriod	Σ	0..1	Period	When the charged service was applied ele-1: All FHIR elements must have a @value or children
start	SΣC	0..1	dateTime	Starting time with inclusive boundary ele-1: All FHIR elements must have a @value or children
end	SΣC	0..1	dateTime	End time with inclusive boundary, if not ongoing ele-1: All FHIR elements must have a @value or children
enteredDate	SΣ	0..1	dateTime	Date the charge item was entered ele-1: All FHIR elements must have a @value or children
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 ele-1: All FHIR elements must have a @value or children
service:va-rxorig	S	0..1	Reference(MedicationDispense: Original)	Which rendered service is being charged? ele-1: All FHIR elements must have a @value or children
service:va-rxrefill	S	0..1	Reference(MedicationDispense: Refill)	Which rendered service is being charged? ele-1: All FHIR elements must have a @value or children
service:va-rxpartial	S	0..1	Reference(MedicationDispense: Partial)	Which rendered service is being charged? ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ChargeItem.status	required	Pattern: billed http://hl7.org/fhir/ValueSet/chargeitem-status|4.0.1 from the FHIR Standard
ChargeItem.code	example	ChargeItemCode http://hl7.org/fhir/ValueSet/chargeitem-billingcodes from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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	warning	ChargeItem.context	If Outpatient then reference /EncounterOutpatient based on (360-1.02 > 399-304>399.0304-20>409.68-.05) : true
dpci-27-2009	warning	ChargeItem.context	If Inpatient then reference /EncounterInpatientEncounter based on (360-1.02 > 399-.08) : true
dpci-27-2218	warning	ChargeItem.identifier:va-artransno	If AR TRANSACTION - TRANSACTION TYPE > ACCOUNTS RECEIVABLE TRANS.TYPE - IEN = 1 OR 35 then source value from (350-.12) : 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()

Name	Flags	Card.	Type	Description & Constraints
ChargeItem		0..*	ChargeItem	Item containing charge code(s) associated with the provision of healthcare provider products
Slices for identifier		0..*	Identifier	Business Identifier for item Slice: Unordered, Open by value:$this
identifier:va-billno	S	0..1	Identifier	Business Identifier for item
identifier:va-artransno	SC	0..1	Identifier	Business Identifier for item dpci-27-2218: If AR TRANSACTION - TRANSACTION TYPE > ACCOUNTS RECEIVABLE TRANS.TYPE - IEN = 1 OR 35 then source value from (350-.12)
status	S	1..1	code	planned | billable | not-billable | aborted | billed | entered-in-error | unknown Required Pattern: billed
code
text	S	0..1	string	Plain text representation of the concept
subject	S	1..1	Reference(Patient)	Individual service was done for/to
context	SC	0..1	Reference(Encounter: Outpatient | Encounter: Inpatient Encounter)	Encounter / Episode associated with event dpci-27-2008: If Outpatient then reference /EncounterOutpatient based on (360-1.02 > 399-304>399.0304-20>409.68-.05) dpci-27-2009: If Inpatient then reference /EncounterInpatientEncounter based on (360-1.02 > 399-.08)
Slices for occurrence[x]		0..1	dateTime, Period, Timing	When the charged service was applied Slice: Unordered, Open by type:$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?
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
dpci-27-2008	warning	ChargeItem.context	If Outpatient then reference /EncounterOutpatient based on (360-1.02 > 399-304>399.0304-20>409.68-.05) : true
dpci-27-2009	warning	ChargeItem.context	If Inpatient then reference /EncounterInpatientEncounter based on (360-1.02 > 399-.08) : true
dpci-27-2218	warning	ChargeItem.identifier:va-artransno	If AR TRANSACTION - TRANSACTION TYPE > ACCOUNTS RECEIVABLE TRANS.TYPE - IEN = 1 OR 35 then source value from (350-.12) : true

Name	Flags	Card.	Type	Description & Constraints
ChargeItem		0..*	ChargeItem	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 Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	0..*	Identifier	Business Identifier for item Slice: Unordered, Open by value:$this
identifier:va-billno	SΣ	0..1	Identifier	Business Identifier for item
identifier:va-artransno	SΣC	0..1	Identifier	Business Identifier for item dpci-27-2218: If AR TRANSACTION - TRANSACTION TYPE > ACCOUNTS RECEIVABLE TRANS.TYPE - IEN = 1 OR 35 then source value from (350-.12)
definitionUri		0..*	uri	Defining information about the code of this charge item
definitionCanonical		0..*	canonical(ChargeItemDefinition)	Resource defining the code of this ChargeItem
status	?!SΣ	1..1	code	planned | billable | not-billable | aborted | billed | entered-in-error | unknown Binding: ChargeItemStatus (required): Codes identifying the lifecycle stage of a ChargeItem. Required Pattern: billed
partOf		0..*	Reference(ChargeItem)	Part of referenced ChargeItem
code	Σ	1..1	CodeableConcept	A code that identifies the charge, like a billing code Binding: ChargeItemCode (example): Example set of codes that can be used for billing purposes.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
text	SΣ	0..1	string	Plain text representation of the concept
subject	SΣ	1..1	Reference(Patient)	Individual service was done for/to
context	SΣC	0..1	Reference(Encounter: Outpatient | Encounter: Inpatient Encounter)	Encounter / Episode associated with event dpci-27-2008: If Outpatient then reference /EncounterOutpatient based on (360-1.02 > 399-304>399.0304-20>409.68-.05) dpci-27-2009: If Inpatient then reference /EncounterInpatientEncounter based on (360-1.02 > 399-.08)
Slices for occurrence[x]	Σ	0..1		When the charged service was applied Slice: Unordered, Open by type:$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
supportingInformation		0..*	Reference(Resource)	Further information supporting this charge
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
ChargeItem.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
ChargeItem.status	required	Pattern: billed http://hl7.org/fhir/ValueSet/chargeitem-status|4.0.1 from the FHIR Standard
ChargeItem.code	example	ChargeItemCode http://hl7.org/fhir/ValueSet/chargeitem-billingcodes from the FHIR Standard
ChargeItem.performer.function	example	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard
ChargeItem.bodysite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
ChargeItem.reason	example	ICD-10Codes http://hl7.org/fhir/ValueSet/icd-10 from the FHIR Standard
ChargeItem.product[x]	example	FHIRDeviceTypes http://hl7.org/fhir/ValueSet/device-kind from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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	warning	ChargeItem.context	If Outpatient then reference /EncounterOutpatient based on (360-1.02 > 399-304>399.0304-20>409.68-.05) : true
dpci-27-2009	warning	ChargeItem.context	If Inpatient then reference /EncounterInpatientEncounter based on (360-1.02 > 399-.08) : true
dpci-27-2218	warning	ChargeItem.identifier:va-artransno	If AR TRANSACTION - TRANSACTION TYPE > ACCOUNTS RECEIVABLE TRANS.TYPE - IEN = 1 OR 35 then source value from (350-.12) : 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()

Summary

Must-Support: 12 elements

Structures

This structure refers to these other structures:

• Patient (http://va.gov/fhir/StructureDefinition/Patient)
• Encounter: Outpatient (http://va.gov/fhir/StructureDefinition/EncounterOutpatient)
• Encounter: Inpatient Encounter (http://va.gov/fhir/StructureDefinition/EncounterInpatientEncounter)
• MedicationDispense: Original (http://va.gov/fhir/StructureDefinition/MedicationDispenseOriginal)
• MedicationDispense: Refill (http://va.gov/fhir/StructureDefinition/MedicationDispenseRefill)
• MedicationDispense: Partial (http://va.gov/fhir/StructureDefinition/MedicationDispensePartial)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of ChargeItem.identifier
• 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