US Veterans Health Administration FHIR Map Set Implementation Guide
1.3.1 - 250401
Publication Build: This will be filled in by the publication tooling
Official URL: http://va.gov/fhir/StructureDefinition/DebtPortalChargeItemremoved | Version: 1.3.1 | |||
Active as of 2025-03-31 | Computable Name: DebtPortalChargeItemremoved |
This StructureDefinition contains the maps for VistA file INTEGRATED BILLING ACTION (350) to ChargeItem.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() |
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 | |
![]() ![]() ![]() |
?!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 |
![]() ![]() ![]() |
?! | 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 |
![]() ![]() ![]() |
?!Σ | 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 |
![]() ![]() ![]() |
SC | 0..* | Reference(Debt Portal ChargeItem[charges]) | Part of referenced ChargeItem ele-1: All FHIR elements must have a @value or children dpci-27-2219: If INTEGRATED BILLING ACTION - PARENT CHARGE <> INTEGRATED BILLING ACTION - IEN then reference ChargeItemcharges based on (350-.09) |
![]() ![]() ![]() |
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 |
![]() ![]() ![]() ![]() |
SΣC | 0..1 | string | Plain text representation of the concept ele-1: All FHIR elements must have a @value or children dpci-27-2029: If NOT NULL and INTEGRATED BILLING ACTION - PARENT CHARGE (350-.09) <> INTEGRATED BILLING ACTION - IEN (350-.001) then source value from (350-.1 > 350.3-.01) |
![]() ![]() ![]() |
Σ | 1..1 | Reference(Patient | Group) | Individual service was done for/to ele-1: All FHIR elements must have a @value or children |
![]() |
Path | Conformance | ValueSet | URI |
ChargeItem.status | required | ChargeItemStatushttp://hl7.org/fhir/ValueSet/chargeitem-status|4.0.1 from the FHIR Standard | |
ChargeItem.code | example | ChargeItemCodehttp://hl7.org/fhir/ValueSet/chargeitem-billingcodes from the FHIR Standard |
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-27-2029 | warning | ChargeItem.code.text | If NOT NULL and INTEGRATED BILLING ACTION - PARENT CHARGE (350-.09) <> INTEGRATED BILLING ACTION - IEN (350-.001) then source value from (350-.1 > 350.3-.01) : true | |
dpci-27-2219 | warning | ChargeItem.partOf | If INTEGRATED BILLING ACTION - PARENT CHARGE <> INTEGRATED BILLING ACTION - IEN then reference ChargeItemcharges based on (350-.09) : 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
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() |
0..* | ChargeItem | Item containing charge code(s) associated with the provision of healthcare provider products | |
![]() ![]() ![]() |
SC | 0..* | Reference(Debt Portal ChargeItem[charges]) | Part of referenced ChargeItem dpci-27-2219: If INTEGRATED BILLING ACTION - PARENT CHARGE <> INTEGRATED BILLING ACTION - IEN then reference ChargeItemcharges based on (350-.09) |
![]() ![]() ![]() |
||||
![]() ![]() ![]() ![]() |
SC | 0..1 | string | Plain text representation of the concept dpci-27-2029: If NOT NULL and INTEGRATED BILLING ACTION - PARENT CHARGE (350-.09) <> INTEGRATED BILLING ACTION - IEN (350-.001) then source value from (350-.1 > 350.3-.01) |
![]() |
Id | Grade | Path(s) | Details | Requirements |
dpci-27-2029 | warning | ChargeItem.code.text | If NOT NULL and INTEGRATED BILLING ACTION - PARENT CHARGE (350-.09) <> INTEGRATED BILLING ACTION - IEN (350-.001) then source value from (350-.1 > 350.3-.01) : true | |
dpci-27-2219 | warning | ChargeItem.partOf | If INTEGRATED BILLING ACTION - PARENT CHARGE <> INTEGRATED BILLING ACTION - IEN then reference ChargeItemcharges based on (350-.09) : true |
Name | Flags | Card. | Type | Description & Constraints![]() | ||||
---|---|---|---|---|---|---|---|---|
![]() ![]() |
0..* | ChargeItem | Item containing charge code(s) associated with the provision of healthcare provider products | |||||
![]() ![]() ![]() |
Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]() ![]() |
Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() ![]() |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
![]() ![]() ![]() |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
![]() ![]() ![]() |
0..* | Resource | Contained, inline Resources | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]() ![]() |
Σ | 0..* | Identifier | Business Identifier for item | ||||
![]() ![]() ![]() |
0..* | uri | Defining information about the code of this charge item | |||||
![]() ![]() ![]() |
0..* | canonical(ChargeItemDefinition) | Resource defining the code of this ChargeItem | |||||
![]() ![]() ![]() |
?!Σ | 1..1 | code | planned | billable | not-billable | aborted | billed | entered-in-error | unknown Binding: ChargeItemStatus (required): Codes identifying the lifecycle stage of a ChargeItem. | ||||
![]() ![]() ![]() |
SC | 0..* | Reference(Debt Portal ChargeItem[charges]) | Part of referenced ChargeItem dpci-27-2219: If INTEGRATED BILLING ACTION - PARENT CHARGE <> INTEGRATED BILLING ACTION - IEN then reference ChargeItemcharges based on (350-.09) | ||||
![]() ![]() ![]() |
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. | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() |
Σ | 0..* | Coding | Code defined by a terminology system | ||||
![]() ![]() ![]() ![]() |
SΣC | 0..1 | string | Plain text representation of the concept dpci-27-2029: If NOT NULL and INTEGRATED BILLING ACTION - PARENT CHARGE (350-.09) <> INTEGRATED BILLING ACTION - IEN (350-.001) then source value from (350-.1 > 350.3-.01) | ||||
![]() ![]() ![]() |
Σ | 1..1 | Reference(Patient | Group) | Individual service was done for/to | ||||
![]() ![]() ![]() |
Σ | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with event | ||||
![]() ![]() ![]() |
Σ | 0..1 | When the charged service was applied | |||||
![]() ![]() ![]() ![]() |
dateTime | |||||||
![]() ![]() ![]() ![]() |
Period | |||||||
![]() ![]() ![]() ![]() |
Timing | |||||||
![]() ![]() ![]() |
0..* | BackboneElement | Who performed charged service | |||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
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. | |||||
![]() ![]() ![]() ![]() |
1..1 | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson) | Individual who was performing | |||||
![]() ![]() ![]() |
0..1 | Reference(Organization) | Organization providing the charged service | |||||
![]() ![]() ![]() |
0..1 | Reference(Organization) | Organization requesting the charged service | |||||
![]() ![]() ![]() |
0..1 | Reference(Organization) | Organization that has ownership of the (potential, future) revenue | |||||
![]() ![]() ![]() |
Σ | 0..1 | Quantity | Quantity of which the charge item has been serviced | ||||
![]() ![]() ![]() |
Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||
![]() ![]() ![]() |
0..1 | decimal | Factor overriding the associated rules | |||||
![]() ![]() ![]() |
0..1 | Money | Price overriding the associated rules | |||||
![]() ![]() ![]() |
0..1 | string | Reason for overriding the list price/factor | |||||
![]() ![]() ![]() |
Σ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson) | Individual who was entering | ||||
![]() ![]() ![]() |
Σ | 0..1 | dateTime | Date the charge item was entered | ||||
![]() ![]() ![]() |
0..* | CodeableConcept | Why was the charged service rendered? Binding: ICD-10Codes (example): Example binding for reason. | |||||
![]() ![]() ![]() |
0..* | Reference(DiagnosticReport | ImagingStudy | Immunization | MedicationAdministration | MedicationDispense | Observation | Procedure | SupplyDelivery) | Which rendered service is being charged? | |||||
![]() ![]() ![]() |
0..1 | Product charged Binding: FHIRDeviceTypes (example): Example binding for product type. | ||||||
![]() ![]() ![]() ![]() |
Reference(Device | Medication | Substance) | |||||||
![]() ![]() ![]() ![]() |
CodeableConcept | |||||||
![]() ![]() ![]() |
Σ | 0..* | Reference(Account) | Account to place this charge | ||||
![]() ![]() ![]() |
0..* | Annotation | Comments made about the ChargeItem | |||||
![]() ![]() ![]() |
0..* | Reference(Resource) | Further information supporting this charge | |||||
![]() |
Path | Conformance | ValueSet | URI | |||
ChargeItem.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages from the FHIR Standard
| ||||
ChargeItem.status | required | ChargeItemStatushttp://hl7.org/fhir/ValueSet/chargeitem-status|4.0.1 from the FHIR Standard | ||||
ChargeItem.code | example | ChargeItemCodehttp://hl7.org/fhir/ValueSet/chargeitem-billingcodes from the FHIR Standard | ||||
ChargeItem.performer.function | example | ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard | ||||
ChargeItem.bodysite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard | ||||
ChargeItem.reason | example | ICD-10Codeshttp://hl7.org/fhir/ValueSet/icd-10 from the FHIR Standard | ||||
ChargeItem.product[x] | example | FHIRDeviceTypeshttp://hl7.org/fhir/ValueSet/device-kind from the FHIR Standard |
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-27-2029 | warning | ChargeItem.code.text | If NOT NULL and INTEGRATED BILLING ACTION - PARENT CHARGE (350-.09) <> INTEGRATED BILLING ACTION - IEN (350-.001) then source value from (350-.1 > 350.3-.01) : true | |
dpci-27-2219 | warning | ChargeItem.partOf | If INTEGRATED BILLING ACTION - PARENT CHARGE <> INTEGRATED BILLING ACTION - IEN then reference ChargeItemcharges based on (350-.09) : 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
Key Elements View
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() |
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 | |
![]() ![]() ![]() |
?!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 |
![]() ![]() ![]() |
?! | 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 |
![]() ![]() ![]() |
?!Σ | 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 |
![]() ![]() ![]() |
SC | 0..* | Reference(Debt Portal ChargeItem[charges]) | Part of referenced ChargeItem ele-1: All FHIR elements must have a @value or children dpci-27-2219: If INTEGRATED BILLING ACTION - PARENT CHARGE <> INTEGRATED BILLING ACTION - IEN then reference ChargeItemcharges based on (350-.09) |
![]() ![]() ![]() |
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 |
![]() ![]() ![]() ![]() |
SΣC | 0..1 | string | Plain text representation of the concept ele-1: All FHIR elements must have a @value or children dpci-27-2029: If NOT NULL and INTEGRATED BILLING ACTION - PARENT CHARGE (350-.09) <> INTEGRATED BILLING ACTION - IEN (350-.001) then source value from (350-.1 > 350.3-.01) |
![]() ![]() ![]() |
Σ | 1..1 | Reference(Patient | Group) | Individual service was done for/to ele-1: All FHIR elements must have a @value or children |
![]() |
Path | Conformance | ValueSet | URI |
ChargeItem.status | required | ChargeItemStatushttp://hl7.org/fhir/ValueSet/chargeitem-status|4.0.1 from the FHIR Standard | |
ChargeItem.code | example | ChargeItemCodehttp://hl7.org/fhir/ValueSet/chargeitem-billingcodes from the FHIR Standard |
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-27-2029 | warning | ChargeItem.code.text | If NOT NULL and INTEGRATED BILLING ACTION - PARENT CHARGE (350-.09) <> INTEGRATED BILLING ACTION - IEN (350-.001) then source value from (350-.1 > 350.3-.01) : true | |
dpci-27-2219 | warning | ChargeItem.partOf | If INTEGRATED BILLING ACTION - PARENT CHARGE <> INTEGRATED BILLING ACTION - IEN then reference ChargeItemcharges based on (350-.09) : 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
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() |
0..* | ChargeItem | Item containing charge code(s) associated with the provision of healthcare provider products | |
![]() ![]() ![]() |
SC | 0..* | Reference(Debt Portal ChargeItem[charges]) | Part of referenced ChargeItem dpci-27-2219: If INTEGRATED BILLING ACTION - PARENT CHARGE <> INTEGRATED BILLING ACTION - IEN then reference ChargeItemcharges based on (350-.09) |
![]() ![]() ![]() |
||||
![]() ![]() ![]() ![]() |
SC | 0..1 | string | Plain text representation of the concept dpci-27-2029: If NOT NULL and INTEGRATED BILLING ACTION - PARENT CHARGE (350-.09) <> INTEGRATED BILLING ACTION - IEN (350-.001) then source value from (350-.1 > 350.3-.01) |
![]() |
Id | Grade | Path(s) | Details | Requirements |
dpci-27-2029 | warning | ChargeItem.code.text | If NOT NULL and INTEGRATED BILLING ACTION - PARENT CHARGE (350-.09) <> INTEGRATED BILLING ACTION - IEN (350-.001) then source value from (350-.1 > 350.3-.01) : true | |
dpci-27-2219 | warning | ChargeItem.partOf | If INTEGRATED BILLING ACTION - PARENT CHARGE <> INTEGRATED BILLING ACTION - IEN then reference ChargeItemcharges based on (350-.09) : true |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints![]() | ||||
---|---|---|---|---|---|---|---|---|
![]() ![]() |
0..* | ChargeItem | Item containing charge code(s) associated with the provision of healthcare provider products | |||||
![]() ![]() ![]() |
Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]() ![]() |
Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() ![]() |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
![]() ![]() ![]() |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
![]() ![]() ![]() |
0..* | Resource | Contained, inline Resources | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]() ![]() |
Σ | 0..* | Identifier | Business Identifier for item | ||||
![]() ![]() ![]() |
0..* | uri | Defining information about the code of this charge item | |||||
![]() ![]() ![]() |
0..* | canonical(ChargeItemDefinition) | Resource defining the code of this ChargeItem | |||||
![]() ![]() ![]() |
?!Σ | 1..1 | code | planned | billable | not-billable | aborted | billed | entered-in-error | unknown Binding: ChargeItemStatus (required): Codes identifying the lifecycle stage of a ChargeItem. | ||||
![]() ![]() ![]() |
SC | 0..* | Reference(Debt Portal ChargeItem[charges]) | Part of referenced ChargeItem dpci-27-2219: If INTEGRATED BILLING ACTION - PARENT CHARGE <> INTEGRATED BILLING ACTION - IEN then reference ChargeItemcharges based on (350-.09) | ||||
![]() ![]() ![]() |
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. | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() |
Σ | 0..* | Coding | Code defined by a terminology system | ||||
![]() ![]() ![]() ![]() |
SΣC | 0..1 | string | Plain text representation of the concept dpci-27-2029: If NOT NULL and INTEGRATED BILLING ACTION - PARENT CHARGE (350-.09) <> INTEGRATED BILLING ACTION - IEN (350-.001) then source value from (350-.1 > 350.3-.01) | ||||
![]() ![]() ![]() |
Σ | 1..1 | Reference(Patient | Group) | Individual service was done for/to | ||||
![]() ![]() ![]() |
Σ | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with event | ||||
![]() ![]() ![]() |
Σ | 0..1 | When the charged service was applied | |||||
![]() ![]() ![]() ![]() |
dateTime | |||||||
![]() ![]() ![]() ![]() |
Period | |||||||
![]() ![]() ![]() ![]() |
Timing | |||||||
![]() ![]() ![]() |
0..* | BackboneElement | Who performed charged service | |||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
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. | |||||
![]() ![]() ![]() ![]() |
1..1 | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson) | Individual who was performing | |||||
![]() ![]() ![]() |
0..1 | Reference(Organization) | Organization providing the charged service | |||||
![]() ![]() ![]() |
0..1 | Reference(Organization) | Organization requesting the charged service | |||||
![]() ![]() ![]() |
0..1 | Reference(Organization) | Organization that has ownership of the (potential, future) revenue | |||||
![]() ![]() ![]() |
Σ | 0..1 | Quantity | Quantity of which the charge item has been serviced | ||||
![]() ![]() ![]() |
Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. | ||||
![]() ![]() ![]() |
0..1 | decimal | Factor overriding the associated rules | |||||
![]() ![]() ![]() |
0..1 | Money | Price overriding the associated rules | |||||
![]() ![]() ![]() |
0..1 | string | Reason for overriding the list price/factor | |||||
![]() ![]() ![]() |
Σ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson) | Individual who was entering | ||||
![]() ![]() ![]() |
Σ | 0..1 | dateTime | Date the charge item was entered | ||||
![]() ![]() ![]() |
0..* | CodeableConcept | Why was the charged service rendered? Binding: ICD-10Codes (example): Example binding for reason. | |||||
![]() ![]() ![]() |
0..* | Reference(DiagnosticReport | ImagingStudy | Immunization | MedicationAdministration | MedicationDispense | Observation | Procedure | SupplyDelivery) | Which rendered service is being charged? | |||||
![]() ![]() ![]() |
0..1 | Product charged Binding: FHIRDeviceTypes (example): Example binding for product type. | ||||||
![]() ![]() ![]() ![]() |
Reference(Device | Medication | Substance) | |||||||
![]() ![]() ![]() ![]() |
CodeableConcept | |||||||
![]() ![]() ![]() |
Σ | 0..* | Reference(Account) | Account to place this charge | ||||
![]() ![]() ![]() |
0..* | Annotation | Comments made about the ChargeItem | |||||
![]() ![]() ![]() |
0..* | Reference(Resource) | Further information supporting this charge | |||||
![]() |
Path | Conformance | ValueSet | URI | |||
ChargeItem.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages from the FHIR Standard
| ||||
ChargeItem.status | required | ChargeItemStatushttp://hl7.org/fhir/ValueSet/chargeitem-status|4.0.1 from the FHIR Standard | ||||
ChargeItem.code | example | ChargeItemCodehttp://hl7.org/fhir/ValueSet/chargeitem-billingcodes from the FHIR Standard | ||||
ChargeItem.performer.function | example | ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard | ||||
ChargeItem.bodysite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard | ||||
ChargeItem.reason | example | ICD-10Codeshttp://hl7.org/fhir/ValueSet/icd-10 from the FHIR Standard | ||||
ChargeItem.product[x] | example | FHIRDeviceTypeshttp://hl7.org/fhir/ValueSet/device-kind from the FHIR Standard |
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-27-2029 | warning | ChargeItem.code.text | If NOT NULL and INTEGRATED BILLING ACTION - PARENT CHARGE (350-.09) <> INTEGRATED BILLING ACTION - IEN (350-.001) then source value from (350-.1 > 350.3-.01) : true | |
dpci-27-2219 | warning | ChargeItem.partOf | If INTEGRATED BILLING ACTION - PARENT CHARGE <> INTEGRATED BILLING ACTION - IEN then reference ChargeItemcharges based on (350-.09) : 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
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