US Veterans Health Administration FHIR Map Set Implementation Guide
1.3.1 - 250401 United States of America flag

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Resource Profile: Debt Portal ChargeItem[removed]

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.

See also the FHIR Shorthand.

Use Case Overview

Use Case: Debt Portal«FHIR Account»DebtPortalAccountsubject«FHIR Invoice»DebtPortalInvoicerecipientsubjectissueraccountlineItem[va-charges].chargeItemReferencelineItem[va-interest].chargeItemReference«FHIR 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].valueReferencePatientPatientOrganizationPatientEncounterOutpatientEncounterInpatientEncounterMedicationDispenseOriginalMedicationDispenseRefillMedicationDispensePartial

Usage:

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... 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.


ele-1: All FHIR elements must have a @value or children
... 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 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)
... subject Σ 1..1 Reference(Patient | Group) Individual service was done for/to
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
ChargeItem.statusrequiredChargeItemStatus
http://hl7.org/fhir/ValueSet/chargeitem-status|4.0.1
from the FHIR Standard
ChargeItem.codeexampleChargeItemCode
http://hl7.org/fhir/ValueSet/chargeitem-billingcodes
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorChargeItemIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorChargeItemIf 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-4errorChargeItemIf 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-5errorChargeItemIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceChargeItemA resource should have narrative for robust management
: text.`div`.exists()
dpci-27-2029warningChargeItem.code.textIf 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-27-2219warningChargeItem.partOfIf INTEGRATED BILLING ACTION - PARENT CHARGE <> INTEGRATED BILLING ACTION - IEN then reference ChargeItemcharges based on (350-.09)
: true
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from ChargeItem

NameFlagsCard.TypeDescription & Constraintsdoco
.. ChargeItem 0..* ChargeItem 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
dpci-27-2219: If INTEGRATED BILLING ACTION - PARENT CHARGE <> INTEGRATED BILLING ACTION - IEN then reference ChargeItemcharges based on (350-.09)
... code
.... text 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)

doco Documentation for this format

Constraints

IdGradePath(s)DetailsRequirements
dpci-27-2029warningChargeItem.code.textIf 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-27-2219warningChargeItem.partOfIf INTEGRATED BILLING ACTION - PARENT CHARGE <> INTEGRATED BILLING ACTION - IEN then reference ChargeItemcharges based on (350-.09)
: true
NameFlagsCard.TypeDescription & Constraintsdoco
.. 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 BindingsPurpose
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
... 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
dpci-27-2219: If INTEGRATED BILLING ACTION - PARENT CHARGE <> INTEGRATED BILLING ACTION - IEN then reference ChargeItemcharges based on (350-.09)
... 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
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)
... 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

PathConformanceValueSetURI
ChargeItem.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
ChargeItem.statusrequiredChargeItemStatus
http://hl7.org/fhir/ValueSet/chargeitem-status|4.0.1
from the FHIR Standard
ChargeItem.codeexampleChargeItemCode
http://hl7.org/fhir/ValueSet/chargeitem-billingcodes
from the FHIR Standard
ChargeItem.performer.functionexampleProcedurePerformerRoleCodes
http://hl7.org/fhir/ValueSet/performer-role
from the FHIR Standard
ChargeItem.bodysiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
ChargeItem.reasonexampleICD-10Codes
http://hl7.org/fhir/ValueSet/icd-10
from the FHIR Standard
ChargeItem.product[x]exampleFHIRDeviceTypes
http://hl7.org/fhir/ValueSet/device-kind
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorChargeItemIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorChargeItemIf 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-4errorChargeItemIf 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-5errorChargeItemIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceChargeItemA resource should have narrative for robust management
: text.`div`.exists()
dpci-27-2029warningChargeItem.code.textIf 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-27-2219warningChargeItem.partOfIf INTEGRATED BILLING ACTION - PARENT CHARGE <> INTEGRATED BILLING ACTION - IEN then reference ChargeItemcharges based on (350-.09)
: true
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from ChargeItem

Summary

Must-Support: 2 elements

Structures

This structure refers to these other structures:

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... 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.


ele-1: All FHIR elements must have a @value or children
... 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 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)
... subject Σ 1..1 Reference(Patient | Group) Individual service was done for/to
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
ChargeItem.statusrequiredChargeItemStatus
http://hl7.org/fhir/ValueSet/chargeitem-status|4.0.1
from the FHIR Standard
ChargeItem.codeexampleChargeItemCode
http://hl7.org/fhir/ValueSet/chargeitem-billingcodes
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorChargeItemIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorChargeItemIf 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-4errorChargeItemIf 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-5errorChargeItemIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceChargeItemA resource should have narrative for robust management
: text.`div`.exists()
dpci-27-2029warningChargeItem.code.textIf 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-27-2219warningChargeItem.partOfIf INTEGRATED BILLING ACTION - PARENT CHARGE <> INTEGRATED BILLING ACTION - IEN then reference ChargeItemcharges based on (350-.09)
: true
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Differential View

This structure is derived from ChargeItem

NameFlagsCard.TypeDescription & Constraintsdoco
.. ChargeItem 0..* ChargeItem 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
dpci-27-2219: If INTEGRATED BILLING ACTION - PARENT CHARGE <> INTEGRATED BILLING ACTION - IEN then reference ChargeItemcharges based on (350-.09)
... code
.... text 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)

doco Documentation for this format

Constraints

IdGradePath(s)DetailsRequirements
dpci-27-2029warningChargeItem.code.textIf 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-27-2219warningChargeItem.partOfIf INTEGRATED BILLING ACTION - PARENT CHARGE <> INTEGRATED BILLING ACTION - IEN then reference ChargeItemcharges based on (350-.09)
: true

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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 BindingsPurpose
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
... 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
dpci-27-2219: If INTEGRATED BILLING ACTION - PARENT CHARGE <> INTEGRATED BILLING ACTION - IEN then reference ChargeItemcharges based on (350-.09)
... 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
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)
... 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

PathConformanceValueSetURI
ChargeItem.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
ChargeItem.statusrequiredChargeItemStatus
http://hl7.org/fhir/ValueSet/chargeitem-status|4.0.1
from the FHIR Standard
ChargeItem.codeexampleChargeItemCode
http://hl7.org/fhir/ValueSet/chargeitem-billingcodes
from the FHIR Standard
ChargeItem.performer.functionexampleProcedurePerformerRoleCodes
http://hl7.org/fhir/ValueSet/performer-role
from the FHIR Standard
ChargeItem.bodysiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
ChargeItem.reasonexampleICD-10Codes
http://hl7.org/fhir/ValueSet/icd-10
from the FHIR Standard
ChargeItem.product[x]exampleFHIRDeviceTypes
http://hl7.org/fhir/ValueSet/device-kind
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorChargeItemIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorChargeItemIf 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-4errorChargeItemIf 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-5errorChargeItemIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceChargeItemA resource should have narrative for robust management
: text.`div`.exists()
dpci-27-2029warningChargeItem.code.textIf 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-27-2219warningChargeItem.partOfIf INTEGRATED BILLING ACTION - PARENT CHARGE <> INTEGRATED BILLING ACTION - IEN then reference ChargeItemcharges based on (350-.09)
: true
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

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