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[removed]

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

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
... status ?!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.
... 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 SΣC 0..1 string Plain text representation of the concept
Constraints: dpci-27-2029
... subject Σ 1..1 Reference(Patient | Group) Individual service was done for/to

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ChargeItem.status Base required ChargeItemStatus 📍4.0.1 FHIR Std.
ChargeItem.code Base example ChargeItemCode 📍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-27-2029 best practice 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 best practice 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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ChargeItem 0..* ChargeItem(4.0.1) Item containing charge code(s) associated with the provision of healthcare provider products
... partOf SC 0..* Reference(Debt Portal ChargeItem[charges]) Part of referenced ChargeItem
Constraints: dpci-27-2219
... code
.... text SC 0..1 string Plain text representation of the concept
Constraints: dpci-27-2029

doco Documentation for this format

Constraints

Id Grade Path(s) Description Expression
dpci-27-2029 best practice 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 best practice ChargeItem.partOf If INTEGRATED BILLING ACTION - PARENT CHARGE <> INTEGRATED BILLING ACTION - IEN then reference ChargeItemcharges based on (350-.09) 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 Σ 0..* Identifier Business Identifier for item
... definitionUri 0..* uri Defining information about the code of this charge item
... definitionCanonical 0..* canonical(ChargeItemDefinition) Resource defining the code of this ChargeItem
... status ?!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.
... partOf SC 0..* Reference(Debt Portal ChargeItem[charges]) Part of referenced ChargeItem
Constraints: dpci-27-2219
... 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 SΣC 0..1 string Plain text representation of the concept
Constraints: dpci-27-2029
... subject Σ 1..1 Reference(Patient | Group) Individual service was done for/to
... context Σ 0..1 Reference(Encounter | EpisodeOfCare) Encounter / Episode associated with event
... occurrence[x] Σ 0..1 When the charged service was applied
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrenceTiming Timing
... 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 Σ 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.
... service 0..* Reference(DiagnosticReport | ImagingStudy | Immunization | MedicationAdministration | MedicationDispense | Observation | Procedure | SupplyDelivery) 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

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.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.

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-27-2029 best practice 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 best practice 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

Summary

Must-Support: 2 elements

Structures

This structure refers to these other structures:

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
... status ?!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.
... 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 SΣC 0..1 string Plain text representation of the concept
Constraints: dpci-27-2029
... subject Σ 1..1 Reference(Patient | Group) Individual service was done for/to

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
ChargeItem.status Base required ChargeItemStatus 📍4.0.1 FHIR Std.
ChargeItem.code Base example ChargeItemCode 📍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-27-2029 best practice 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 best practice 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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ChargeItem 0..* ChargeItem(4.0.1) Item containing charge code(s) associated with the provision of healthcare provider products
... partOf SC 0..* Reference(Debt Portal ChargeItem[charges]) Part of referenced ChargeItem
Constraints: dpci-27-2219
... code
.... text SC 0..1 string Plain text representation of the concept
Constraints: dpci-27-2029

doco Documentation for this format

Constraints

Id Grade Path(s) Description Expression
dpci-27-2029 best practice 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 best practice ChargeItem.partOf If INTEGRATED BILLING ACTION - PARENT CHARGE <> INTEGRATED BILLING ACTION - IEN then reference ChargeItemcharges based on (350-.09) 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 Σ 0..* Identifier Business Identifier for item
... definitionUri 0..* uri Defining information about the code of this charge item
... definitionCanonical 0..* canonical(ChargeItemDefinition) Resource defining the code of this ChargeItem
... status ?!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.
... partOf SC 0..* Reference(Debt Portal ChargeItem[charges]) Part of referenced ChargeItem
Constraints: dpci-27-2219
... 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 SΣC 0..1 string Plain text representation of the concept
Constraints: dpci-27-2029
... subject Σ 1..1 Reference(Patient | Group) Individual service was done for/to
... context Σ 0..1 Reference(Encounter | EpisodeOfCare) Encounter / Episode associated with event
... occurrence[x] Σ 0..1 When the charged service was applied
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrenceTiming Timing
... 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 Σ 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.
... service 0..* Reference(DiagnosticReport | ImagingStudy | Immunization | MedicationAdministration | MedicationDispense | Observation | Procedure | SupplyDelivery) 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

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.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.

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-27-2029 best practice 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 best practice 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

Summary

Must-Support: 2 elements

Structures

This structure refers to these other structures:

 

Other representations of profile: CSV, Excel, Schematron