{"abstract":false,"baseDefinition":"http://hl7.org/fhir/StructureDefinition/DomainResource","contact":[{"telecom":[{"system":"url","value":"http://hl7.org/fhir"}]},{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/pafm/index.cfm"}]}],"date":"2023-03-26T15:21:02+11:00","derivation":"specialization","description":"The resource ChargeItem describes the provision of healthcare provider products for a certain patient, therefore referring not only to the product, but containing in addition details of the provision, like date, time, amounts and participating organizations and persons. Main Usage of the ChargeItem is to enable the billing process and internal cost allocation.","differential":{"element":[{"definition":"The resource ChargeItem describes the provision of healthcare provider products for a certain patient, therefore referring not only to the product, but containing in addition details of the provision, like date, time, amounts and participating organizations and persons. Main Usage of the ChargeItem is to enable the billing process and internal cost allocation.","id":"ChargeItem","isModifier":false,"mapping":[{"identity":"workflow","map":"Event"},{"identity":"w5","map":"financial.support"},{"identity":"v2","map":"FT1"},{"identity":"rim","map":"Act[moodCode=EVN]"}],"max":"*","min":0,"mustSupport":false,"path":"ChargeItem","short":"Item containing charge code(s) associated with the provision of healthcare provider products"},{"definition":"Identifiers assigned to this event performer or other systems.","id":"ChargeItem.identifier","isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.identifier"},{"identity":"w5","map":"FiveWs.identifier"},{"identity":"v2","map":"FT1.2"},{"identity":"rim","map":".identifier"}],"max":"*","min":0,"mustSupport":false,"path":"ChargeItem.identifier","requirements":"Allows identification of the charge Item as it is known by various participating systems and in a way that remains consistent across servers.","short":"Business Identifier for item","type":[{"code":"Identifier"}]},{"definition":"References the (external) source of pricing information, rules of application for the code this ChargeItem uses.","id":"ChargeItem.definitionUri","isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"Varies by domain"},{"identity":"rim","map":".outboundRelationship[typeCode=DEFN].target"}],"max":"*","min":0,"mustSupport":false,"path":"ChargeItem.definitionUri","short":"Defining information about the code of this charge item","type":[{"code":"uri"}]},{"definition":"References the source of pricing information, rules of application for the code this ChargeItem uses.","id":"ChargeItem.definitionCanonical","isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"Varies by domain"},{"identity":"rim","map":".outboundRelationship[typeCode=DEFN].target"}],"max":"*","min":0,"mustSupport":false,"path":"ChargeItem.definitionCanonical","short":"Resource defining the code of this ChargeItem","type":[{"code":"canonical","targetProfile":["http://hl7.org/fhir/StructureDefinition/ChargeItemDefinition"]}]},{"binding":{"description":"Codes identifying the lifecycle stage of a ChargeItem.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ChargeItemStatus"}],"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/chargeitem-status|5.0.0"},"comment":"Unknown does not represent \"other\" - one of the defined statuses must apply. Unknown is used when the authoring system is not sure what the current status is.\n\nThis element is labeled as a modifier because the status contains the code entered-in-error that marks the charge item as not currently valid.","definition":"The current state of the ChargeItem.","id":"ChargeItem.status","isModifier":true,"isModifierReason":"This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid","isSummary":true,"mapping":[{"identity":"workflow","map":"Event.status"},{"identity":"w5","map":"FiveWs.status"},{"identity":"v2","map":"Varies by domain"},{"identity":"rim","map":".status"}],"max":"1","min":1,"mustSupport":false,"path":"ChargeItem.status","short":"planned | billable | not-billable | aborted | billed | entered-in-error | unknown","type":[{"code":"code"}]},{"alias":["container"],"definition":"ChargeItems can be grouped to larger ChargeItems covering the whole set.","id":"ChargeItem.partOf","isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.partOf"},{"identity":"v2","map":"Varies by domain"},{"identity":"rim","map":".inboundRelationship[typeCode=COMP].source[moodCode=EVN]"}],"max":"*","min":0,"mustSupport":false,"path":"ChargeItem.partOf","requirements":"E.g. Drug administration as part of a procedure, procedure as part of observation, etc.","short":"Part of referenced ChargeItem","type":[{"code":"Reference","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy","valueBoolean":true}],"targetProfile":["http://hl7.org/fhir/StructureDefinition/ChargeItem"]}]},{"alias":["type"],"binding":{"description":"Example codes for billing purposes","extension":[{"url":"http://hl7.org/fhir/tools/StructureDefinition/binding-definition","valueString":"Example set of codes that can be used for billing purposes."},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ChargeItemCode"}],"strength":"example","valueSet":"http://hl7.org/fhir/ValueSet/chargeitem-billingcodes"},"definition":"A code that identifies the charge, like a billing code.","id":"ChargeItem.code","isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.code"},{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"v2","map":"FT1.7"},{"identity":"rim","map":".code"}],"max":"1","min":1,"mustSupport":false,"path":"ChargeItem.code","short":"A code that identifies the charge, like a billing code","type":[{"code":"CodeableConcept"}]},{"alias":["patient"],"definition":"The individual or set of individuals the action is being or was performed on.","id":"ChargeItem.subject","isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.subject"},{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"v2","map":"PAT in proximity to FT1 segment"},{"identity":"rim","map":".participation[typeCode=SBJ].role"}],"max":"1","min":1,"mustSupport":false,"path":"ChargeItem.subject","requirements":"Links the event to the Patient context.","short":"Individual service was done for/to","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Patient","http://hl7.org/fhir/StructureDefinition/Group"]}]},{"comment":"This ChargeItem may be recorded during planning, execution or after the actual encounter takes place.","definition":"This ChargeItem has the details of how the associated Encounter should be billed or otherwise be handled by finance systems.","id":"ChargeItem.encounter","isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.encounter"},{"identity":"w5","map":"FiveWs.context"},{"identity":"v2","map":"PV1 in proximity to FT1 segment"},{"identity":"rim","map":".inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN]"}],"max":"1","min":0,"mustSupport":false,"path":"ChargeItem.encounter","short":"Encounter associated with this ChargeItem","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Encounter"]}]},{"alias":["timing"],"comment":"The list of types may be constrained as appropriate for the type of charge item.","definition":"Date/time(s) or duration when the charged service was applied.","id":"ChargeItem.occurrence[x]","isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.occurrence[x]"},{"identity":"w5","map":"FiveWs.done[x]"},{"identity":"v2","map":"Varies by domain"},{"identity":"rim","map":".effectiveTime"}],"max":"1","min":0,"mustSupport":false,"path":"ChargeItem.occurrence[x]","short":"When the charged service was applied","type":[{"code":"dateTime"},{"code":"Period"},{"code":"Timing"}]},{"definition":"Indicates who or what performed or participated in the charged service.","id":"ChargeItem.performer","isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.performer"},{"identity":"v2","map":"EVN.5 or by domain"},{"identity":"rim","map":".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"}],"max":"*","min":0,"mustSupport":false,"path":"ChargeItem.performer","short":"Who performed charged service","type":[{"code":"BackboneElement"}]},{"binding":{"description":"Codes describing the types of functional roles performers can take on when performing events.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ChargeItemPerformerFunction"}],"strength":"example","valueSet":"http://hl7.org/fhir/ValueSet/performer-role"},"definition":"Describes the type of performance or participation(e.g. primary surgeon, anesthesiologiest, etc.).","id":"ChargeItem.performer.function","isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.performer.function"},{"identity":"v2","map":"Varies by domain"},{"identity":"rim","map":".participation.functionCode"}],"max":"1","min":0,"mustSupport":false,"path":"ChargeItem.performer.function","short":"What type of performance was done","type":[{"code":"CodeableConcept"}]},{"definition":"The device, practitioner, etc. who performed or participated in the service.","id":"ChargeItem.performer.actor","isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.performer.actor"},{"identity":"w5","map":"FiveWs.actor"},{"identity":"v2","map":"EVN.5 or by domain"},{"identity":"rim","map":".player"}],"max":"1","min":1,"mustSupport":false,"path":"ChargeItem.performer.actor","short":"Individual who was performing","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner","http://hl7.org/fhir/StructureDefinition/PractitionerRole","http://hl7.org/fhir/StructureDefinition/Organization","http://hl7.org/fhir/StructureDefinition/HealthcareService","http://hl7.org/fhir/StructureDefinition/CareTeam","http://hl7.org/fhir/StructureDefinition/Patient","http://hl7.org/fhir/StructureDefinition/Device","http://hl7.org/fhir/StructureDefinition/RelatedPerson"]}]},{"comment":"Practitioners and Devices can be associated with multiple organizations. It has to be made clear, on behalf of which Organization the services have been rendered.","definition":"The organization performing the service.","id":"ChargeItem.performingOrganization","isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.performer.actor"},{"identity":"v2","map":"N/A"},{"identity":"rim","map":".scoper"}],"max":"1","min":0,"mustSupport":false,"path":"ChargeItem.performingOrganization","short":"Organization providing the charged service","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Organization"]}]},{"comment":"The rendered Service might not be associated with a Request. This property indicates which Organization requested the services to be rendered. (In many cases, this may just be the Department associated with the Encounter.location).","definition":"The organization requesting the service.","id":"ChargeItem.requestingOrganization","isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"N/A"},{"identity":"rim","map":".scoper"}],"max":"1","min":0,"mustSupport":false,"path":"ChargeItem.requestingOrganization","short":"Organization requesting the charged service","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Organization"]}]},{"comment":"The costCenter could either be given as a reference to an Organization(Role) resource or as the identifier of the cost center determined by Reference.identifier.value and Reference.identifier.system, depending on use case requirements.","definition":"The financial cost center permits the tracking of charge attribution.","id":"ChargeItem.costCenter","isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"FT1.13"}],"max":"1","min":0,"mustSupport":false,"path":"ChargeItem.costCenter","short":"Organization that has ownership of the (potential, future) revenue","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Organization"]}]},{"comment":"In many cases this may just be a value, if the underlying units are implicit in the definition of the charge item code.","definition":"Quantity of which the charge item has been serviced.","id":"ChargeItem.quantity","isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"FT1.10"}],"max":"1","min":0,"mustSupport":false,"path":"ChargeItem.quantity","short":"Quantity of which the charge item has been serviced","type":[{"code":"Quantity"}]},{"binding":{"description":"SNOMED CT Body site concepts","extension":[{"url":"http://hl7.org/fhir/tools/StructureDefinition/binding-definition","valueString":"Codes describing anatomical locations. May include laterality."},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"BodySite"}],"strength":"example","valueSet":"http://hl7.org/fhir/ValueSet/body-site"},"comment":"Only used if not implicit in code found in Condition.code. If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension [http://hl7.org/fhir/StructureDefinition/bodySite](http://hl7.org/fhir/extensions/StructureDefinition-bodySite.html). May be a summary code, or a reference to a very precise definition of the location, or both.","definition":"The anatomical location where the related service has been applied.","id":"ChargeItem.bodysite","isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":".targetBodySiteCode"}],"max":"*","min":0,"mustSupport":false,"path":"ChargeItem.bodysite","short":"Anatomical location, if relevant","type":[{"code":"CodeableConcept"}]},{"comment":"This could be communicated in ChargeItemDefinition. But if ChargeItemDefinition is not supported or not available, the unit price can be communicated in this property.","definition":"The unit price of the chargable item.","id":"ChargeItem.unitPriceComponent","isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"FT1.22"}],"max":"1","min":0,"mustSupport":false,"path":"ChargeItem.unitPriceComponent","short":"Unit price overriding the associated rules","type":[{"code":"MonetaryComponent"}]},{"comment":" Often, the total price may be be calculated and recorded on the Invoice, but if a calculated total price must be exchanged prior to Invoice creation, it can be communicated in this property.","definition":"The total price for the chargable item, accounting for the quantity.","id":"ChargeItem.totalPriceComponent","isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"FT1.22"}],"max":"1","min":0,"mustSupport":false,"path":"ChargeItem.totalPriceComponent","short":"Total price overriding the associated rules","type":[{"code":"MonetaryComponent"}]},{"binding":{"description":"Local or regional codes covering why a price was overridden","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"override-reason"}],"strength":"example"},"definition":"If the list price or the rule-based factor associated with the code is overridden, this attribute can capture a text to indicate the reason for this action.","id":"ChargeItem.overrideReason","isModifier":false,"isSummary":false,"max":"1","min":0,"mustSupport":false,"path":"ChargeItem.overrideReason","short":"Reason for overriding the list price/factor","type":[{"code":"CodeableConcept"}]},{"comment":"The enterer is also the person considered responsible for factor/price overrides if applicable.","definition":"The device, practitioner, etc. who entered the charge item.","id":"ChargeItem.enterer","isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.actor"},{"identity":"v2","map":"EVN.5 or by domain"},{"identity":"rim","map":".player"}],"max":"1","min":0,"mustSupport":false,"path":"ChargeItem.enterer","short":"Individual who was entering","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner","http://hl7.org/fhir/StructureDefinition/PractitionerRole","http://hl7.org/fhir/StructureDefinition/Organization","http://hl7.org/fhir/StructureDefinition/Patient","http://hl7.org/fhir/StructureDefinition/Device","http://hl7.org/fhir/StructureDefinition/RelatedPerson"]}]},{"comment":"The actual date when the service associated with the charge has been rendered is captured in occurrence[x].","definition":"Date the charge item was entered.","id":"ChargeItem.enteredDate","isModifier":false,"isSummary":true,"max":"1","min":0,"mustSupport":false,"path":"ChargeItem.enteredDate","short":"Date the charge item was entered","type":[{"code":"dateTime"}]},{"binding":{"description":"ICD 10 diagnosis codes","extension":[{"url":"http://hl7.org/fhir/tools/StructureDefinition/binding-definition","valueString":"Example binding for reason."},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ChargeItemReason"}],"strength":"example","valueSet":"http://hl7.org/fhir/ValueSet/icd-10"},"comment":"If the application of the charge item requires a reason to be given, it can be captured here. Textual reasons can be captured using reasonCode.text.","definition":"Describes why the event occurred in coded or textual form.","id":"ChargeItem.reason","isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.reason"},{"identity":"w5","map":"FiveWs.why[x]"},{"identity":"v2","map":"EVN.4 or by domain"},{"identity":"rim","map":".reasonCode"}],"max":"*","min":0,"mustSupport":false,"path":"ChargeItem.reason","short":"Why was the charged service rendered?","type":[{"code":"CodeableConcept"}]},{"definition":"Indicated the rendered service that caused this charge.","id":"ChargeItem.service","isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.reason"},{"identity":"w5","map":"FiveWs.why[x]"},{"identity":"v2","map":"EVN.4 or by domain"},{"identity":"rim","map":".outboundRelationship[typeCode=RSON].target"}],"max":"*","min":0,"mustSupport":false,"path":"ChargeItem.service","short":"Which rendered service is being charged?","type":[{"code":"CodeableReference","targetProfile":["http://hl7.org/fhir/StructureDefinition/DiagnosticReport","http://hl7.org/fhir/StructureDefinition/ImagingStudy","http://hl7.org/fhir/StructureDefinition/Immunization","http://hl7.org/fhir/StructureDefinition/MedicationAdministration","http://hl7.org/fhir/StructureDefinition/MedicationDispense","http://hl7.org/fhir/StructureDefinition/MedicationRequest","http://hl7.org/fhir/StructureDefinition/Observation","http://hl7.org/fhir/StructureDefinition/Procedure","http://hl7.org/fhir/StructureDefinition/ServiceRequest","http://hl7.org/fhir/StructureDefinition/SupplyDelivery"]}]},{"binding":{"description":"Example binding for product type.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ChargeItemProduct"}],"strength":"example","valueSet":"http://hl7.org/fhir/ValueSet/device-type"},"definition":"Identifies the device, food, drug or other product being charged either by type code or reference to an instance.","id":"ChargeItem.product","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".participation[typeCode=CSM].role"}],"max":"*","min":0,"mustSupport":false,"path":"ChargeItem.product","short":"Product charged","type":[{"code":"CodeableReference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Device","http://hl7.org/fhir/StructureDefinition/Medication","http://hl7.org/fhir/StructureDefinition/Substance"]}]},{"comment":"Systems posting the ChargeItems might not always be able to determine, which accounts the Items need to be places into. It is up to the postprocessing Financial System to apply internal rules to decide based on the Encounter/EpisodeOfCare/Patient/Coverage context and the type of ChargeItem, which Account is appropriate.","definition":"Account into which this ChargeItems belongs.","id":"ChargeItem.account","isModifier":false,"isSummary":true,"max":"*","min":0,"mustSupport":false,"path":"ChargeItem.account","short":"Account to place this charge","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Account"]}]},{"definition":"Comments made about the event by the performer, subject or other participants.","id":"ChargeItem.note","isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.note"},{"identity":"v2","map":"NTE"},{"identity":"rim","map":".inboundRelationship(typeCode=SUBJ].source[classCode=ANNGEN, moodCode=EVN].value[xsi:type=ST]"}],"max":"*","min":0,"mustSupport":false,"path":"ChargeItem.note","short":"Comments made about the ChargeItem","type":[{"code":"Annotation"}]},{"definition":"Further information supporting this charge.","id":"ChargeItem.supportingInformation","isModifier":false,"isSummary":false,"max":"*","min":0,"mustSupport":false,"path":"ChargeItem.supportingInformation","short":"Further information supporting this charge","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource"]}]}]},"experimental":false,"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-category","valueString":"Financial.General"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status","valueCode":"trial-use"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm","valueInteger":1},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category","valueCode":"patient"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode":"pa"}],"fhirVersion":"5.0.0","id":"ChargeItem","jurisdiction":[{"coding":[{"code":"001","display":"World","system":"http://unstats.un.org/unsd/methods/m49/m49.htm"}]}],"kind":"resource","mapping":[{"identity":"workflow","name":"Workflow Pattern","uri":"http://hl7.org/fhir/workflow"},{"identity":"w5","name":"FiveWs Pattern Mapping","uri":"http://hl7.org/fhir/fivews"},{"identity":"v2","name":"HL7 V2 Mapping","uri":"http://hl7.org/v2"},{"identity":"rim","name":"RIM Mapping","uri":"http://hl7.org/v3"}],"meta":{"lastUpdated":"2023-03-26T15:21:02.749+11:00"},"name":"ChargeItem","publisher":"Health Level Seven International (Patient Administration)","resourceType":"StructureDefinition","snapshot":{"element":[{"base":{"max":"*","min":0,"path":"ChargeItem"},"constraint":[{"expression":"contained.contained.empty()","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","key":"dom-2","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"expression":"contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()","human":"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","key":"dom-3","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","key":"dom-4","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"expression":"contained.meta.security.empty()","human":"If a resource is contained in another resource, it SHALL NOT have a security label","key":"dom-5","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"expression":"text.`div`.exists()","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."}],"human":"A resource should have narrative for robust management","key":"dom-6","severity":"warning","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"}],"definition":"The resource ChargeItem describes the provision of healthcare provider products for a certain patient, therefore referring not only to the product, but containing in addition details of the provision, like date, time, amounts and participating organizations and persons. Main Usage of the ChargeItem is to enable the billing process and internal cost allocation.","id":"ChargeItem","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity, Role, or Act,Act[moodCode=EVN]"},{"identity":"workflow","map":"Event"},{"identity":"w5","map":"financial.support"},{"identity":"v2","map":"FT1"}],"max":"*","min":0,"mustSupport":false,"path":"ChargeItem","short":"Item containing charge code(s) associated with the provision of healthcare provider products"},{"base":{"max":"1","min":0,"path":"Resource.id"},"comment":"Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","id":"ChargeItem.id","isModifier":false,"isSummary":true,"max":"1","min":0,"mustSupport":false,"path":"ChargeItem.id","short":"Logical id of this artifact","type":[{"code":"http://hl7.org/fhirpath/System.String","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"id"}]}]},{"base":{"max":"1","min":0,"path":"Resource.meta"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","id":"ChargeItem.meta","isModifier":false,"isSummary":true,"max":"1","min":0,"mustSupport":false,"path":"ChargeItem.meta","short":"Metadata about the resource","type":[{"code":"Meta"}]},{"base":{"max":"1","min":0,"path":"Resource.implicitRules"},"comment":"Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","id":"ChargeItem.implicitRules","isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation","isSummary":true,"max":"1","min":0,"mustSupport":false,"path":"ChargeItem.implicitRules","short":"A set of rules under which this content was created","type":[{"code":"uri"}]},{"base":{"max":"1","min":0,"path":"Resource.language"},"binding":{"additional":[{"purpose":"starter","valueSet":"http://hl7.org/fhir/ValueSet/languages"}],"description":"IETF language tag for a human language","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/all-languages|5.0.0"},"comment":"Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"The base language in which the resource is written.","id":"ChargeItem.language","isModifier":false,"isSummary":false,"max":"1","min":0,"mustSupport":false,"path":"ChargeItem.language","short":"Language of the resource content","type":[{"code":"code"}]},{"alias":["narrative","html","xhtml","display"],"base":{"max":"1","min":0,"path":"DomainResource.text"},"comment":"Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.","condition":["dom-6"],"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.","id":"ChargeItem.text","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}],"max":"1","min":0,"mustSupport":false,"path":"ChargeItem.text","short":"Text summary of the resource, for human interpretation","type":[{"code":"Narrative"}]},{"alias":["inline resources","anonymous resources","contained resources"],"base":{"max":"*","min":0,"path":"DomainResource.contained"},"comment":"This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels.","condition":["dom-2","dom-4","dom-3","dom-5"],"definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.","id":"ChargeItem.contained","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}],"max":"*","min":0,"mustSupport":false,"path":"ChargeItem.contained","short":"Contained, inline Resources","type":[{"code":"Resource"}]},{"alias":["extensions","user content"],"base":{"max":"*","min":0,"path":"DomainResource.extension"},"comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"expression":"extension.exists() != value.exists()","human":"Must have either extensions or value[x], not both","key":"ext-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"definition":"May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","id":"ChargeItem.extension","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}],"max":"*","min":0,"mustSupport":false,"path":"ChargeItem.extension","short":"Additional content defined by implementations","type":[{"code":"Extension"}]},{"alias":["extensions","user content"],"base":{"max":"*","min":0,"path":"DomainResource.modifierExtension"},"comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"expression":"extension.exists() != value.exists()","human":"Must have either extensions or value[x], not both","key":"ext-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"definition":"May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","id":"ChargeItem.modifierExtension","isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}],"max":"*","min":0,"mustSupport":false,"path":"ChargeItem.modifierExtension","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).","short":"Extensions that cannot be ignored","type":[{"code":"Extension"}]},{"base":{"max":"*","min":0,"path":"ChargeItem.identifier"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"Identifiers assigned to this event performer or other systems.","id":"ChargeItem.identifier","isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.identifier"},{"identity":"w5","map":"FiveWs.identifier"},{"identity":"v2","map":"FT1.2"},{"identity":"rim","map":".identifier"}],"max":"*","min":0,"mustSupport":false,"path":"ChargeItem.identifier","requirements":"Allows identification of the charge Item as it is known by various participating systems and in a way that remains consistent across servers.","short":"Business Identifier for item","type":[{"code":"Identifier"}]},{"base":{"max":"*","min":0,"path":"ChargeItem.definitionUri"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"References the (external) source of pricing information, rules of application for the code this ChargeItem uses.","id":"ChargeItem.definitionUri","isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"Varies by domain"},{"identity":"rim","map":".outboundRelationship[typeCode=DEFN].target"}],"max":"*","min":0,"mustSupport":false,"path":"ChargeItem.definitionUri","short":"Defining information about the code of this charge item","type":[{"code":"uri"}]},{"base":{"max":"*","min":0,"path":"ChargeItem.definitionCanonical"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"References the source of pricing information, rules of application for the code this ChargeItem uses.","id":"ChargeItem.definitionCanonical","isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"Varies by domain"},{"identity":"rim","map":".outboundRelationship[typeCode=DEFN].target"}],"max":"*","min":0,"mustSupport":false,"path":"ChargeItem.definitionCanonical","short":"Resource defining the code of this ChargeItem","type":[{"code":"canonical","targetProfile":["http://hl7.org/fhir/StructureDefinition/ChargeItemDefinition"]}]},{"base":{"max":"1","min":1,"path":"ChargeItem.status"},"binding":{"description":"Codes identifying the lifecycle stage of a ChargeItem.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ChargeItemStatus"}],"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/chargeitem-status|5.0.0"},"comment":"Unknown does not represent \"other\" - one of the defined statuses must apply. Unknown is used when the authoring system is not sure what the current status is.\n\nThis element is labeled as a modifier because the status contains the code entered-in-error that marks the charge item as not currently valid.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"The current state of the ChargeItem.","id":"ChargeItem.status","isModifier":true,"isModifierReason":"This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid","isSummary":true,"mapping":[{"identity":"workflow","map":"Event.status"},{"identity":"w5","map":"FiveWs.status"},{"identity":"v2","map":"Varies by domain"},{"identity":"rim","map":".status"}],"max":"1","min":1,"mustSupport":false,"path":"ChargeItem.status","short":"planned | billable | not-billable | aborted | billed | entered-in-error | unknown","type":[{"code":"code"}]},{"alias":["container"],"base":{"max":"*","min":0,"path":"ChargeItem.partOf"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"ChargeItems can be grouped to larger ChargeItems covering the whole set.","id":"ChargeItem.partOf","isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.partOf"},{"identity":"v2","map":"Varies by domain"},{"identity":"rim","map":".inboundRelationship[typeCode=COMP].source[moodCode=EVN]"}],"max":"*","min":0,"mustSupport":false,"path":"ChargeItem.partOf","requirements":"E.g. Drug administration as part of a procedure, procedure as part of observation, etc.","short":"Part of referenced ChargeItem","type":[{"code":"Reference","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-hierarchy","valueBoolean":true}],"targetProfile":["http://hl7.org/fhir/StructureDefinition/ChargeItem"]}]},{"alias":["type"],"base":{"max":"1","min":1,"path":"ChargeItem.code"},"binding":{"description":"Example codes for billing purposes","extension":[{"url":"http://hl7.org/fhir/tools/StructureDefinition/binding-definition","valueString":"Example set of codes that can be used for billing purposes."},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ChargeItemCode"}],"strength":"example","valueSet":"http://hl7.org/fhir/ValueSet/chargeitem-billingcodes"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"A code that identifies the charge, like a billing code.","id":"ChargeItem.code","isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.code"},{"identity":"w5","map":"FiveWs.what[x]"},{"identity":"v2","map":"FT1.7"},{"identity":"rim","map":".code"}],"max":"1","min":1,"mustSupport":false,"path":"ChargeItem.code","short":"A code that identifies the charge, like a billing code","type":[{"code":"CodeableConcept"}]},{"alias":["patient"],"base":{"max":"1","min":1,"path":"ChargeItem.subject"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"The individual or set of individuals the action is being or was performed on.","id":"ChargeItem.subject","isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.subject"},{"identity":"w5","map":"FiveWs.subject[x]"},{"identity":"v2","map":"PAT in proximity to FT1 segment"},{"identity":"rim","map":".participation[typeCode=SBJ].role"}],"max":"1","min":1,"mustSupport":false,"path":"ChargeItem.subject","requirements":"Links the event to the Patient context.","short":"Individual service was done for/to","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Patient","http://hl7.org/fhir/StructureDefinition/Group"]}]},{"base":{"max":"1","min":0,"path":"ChargeItem.encounter"},"comment":"This ChargeItem may be recorded during planning, execution or after the actual encounter takes place.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"This ChargeItem has the details of how the associated Encounter should be billed or otherwise be handled by finance systems.","id":"ChargeItem.encounter","isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.encounter"},{"identity":"w5","map":"FiveWs.context"},{"identity":"v2","map":"PV1 in proximity to FT1 segment"},{"identity":"rim","map":".inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN]"}],"max":"1","min":0,"mustSupport":false,"path":"ChargeItem.encounter","short":"Encounter associated with this ChargeItem","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Encounter"]}]},{"alias":["timing"],"base":{"max":"1","min":0,"path":"ChargeItem.occurrence[x]"},"comment":"The list of types may be constrained as appropriate for the type of charge item.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"Date/time(s) or duration when the charged service was applied.","id":"ChargeItem.occurrence[x]","isModifier":false,"isSummary":true,"mapping":[{"identity":"workflow","map":"Event.occurrence[x]"},{"identity":"w5","map":"FiveWs.done[x]"},{"identity":"v2","map":"Varies by domain"},{"identity":"rim","map":".effectiveTime"}],"max":"1","min":0,"mustSupport":false,"path":"ChargeItem.occurrence[x]","short":"When the charged service was applied","type":[{"code":"dateTime"},{"code":"Period"},{"code":"Timing"}]},{"base":{"max":"*","min":0,"path":"ChargeItem.performer"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"Indicates who or what performed or participated in the charged service.","id":"ChargeItem.performer","isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.performer"},{"identity":"v2","map":"EVN.5 or by domain"},{"identity":"rim","map":".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"}],"max":"*","min":0,"mustSupport":false,"path":"ChargeItem.performer","short":"Who performed charged service","type":[{"code":"BackboneElement"}]},{"base":{"max":"1","min":0,"path":"Element.id"},"condition":["ele-1"],"definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","id":"ChargeItem.performer.id","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}],"max":"1","min":0,"path":"ChargeItem.performer.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","type":[{"code":"http://hl7.org/fhirpath/System.String","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}]}]},{"alias":["extensions","user content"],"base":{"max":"*","min":0,"path":"Element.extension"},"comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"expression":"extension.exists() != value.exists()","human":"Must have either extensions or value[x], not both","key":"ext-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","id":"ChargeItem.performer.extension","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}],"max":"*","min":0,"path":"ChargeItem.performer.extension","short":"Additional content defined by implementations","type":[{"code":"Extension"}]},{"alias":["extensions","user content","modifiers"],"base":{"max":"*","min":0,"path":"BackboneElement.modifierExtension"},"comment":"There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"expression":"extension.exists() != value.exists()","human":"Must have either extensions or value[x], not both","key":"ext-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"definition":"May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","id":"ChargeItem.performer.modifierExtension","isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}],"max":"*","min":0,"path":"ChargeItem.performer.modifierExtension","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).","short":"Extensions that cannot be ignored even if unrecognized","type":[{"code":"Extension"}]},{"base":{"max":"1","min":0,"path":"ChargeItem.performer.function"},"binding":{"description":"Codes describing the types of functional roles performers can take on when performing events.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ChargeItemPerformerFunction"}],"strength":"example","valueSet":"http://hl7.org/fhir/ValueSet/performer-role"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"Describes the type of performance or participation(e.g. primary surgeon, anesthesiologiest, etc.).","id":"ChargeItem.performer.function","isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.performer.function"},{"identity":"v2","map":"Varies by domain"},{"identity":"rim","map":".participation.functionCode"}],"max":"1","min":0,"mustSupport":false,"path":"ChargeItem.performer.function","short":"What type of performance was done","type":[{"code":"CodeableConcept"}]},{"base":{"max":"1","min":1,"path":"ChargeItem.performer.actor"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"The device, practitioner, etc. who performed or participated in the service.","id":"ChargeItem.performer.actor","isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.performer.actor"},{"identity":"w5","map":"FiveWs.actor"},{"identity":"v2","map":"EVN.5 or by domain"},{"identity":"rim","map":".player"}],"max":"1","min":1,"mustSupport":false,"path":"ChargeItem.performer.actor","short":"Individual who was performing","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner","http://hl7.org/fhir/StructureDefinition/PractitionerRole","http://hl7.org/fhir/StructureDefinition/Organization","http://hl7.org/fhir/StructureDefinition/HealthcareService","http://hl7.org/fhir/StructureDefinition/CareTeam","http://hl7.org/fhir/StructureDefinition/Patient","http://hl7.org/fhir/StructureDefinition/Device","http://hl7.org/fhir/StructureDefinition/RelatedPerson"]}]},{"base":{"max":"1","min":0,"path":"ChargeItem.performingOrganization"},"comment":"Practitioners and Devices can be associated with multiple organizations. It has to be made clear, on behalf of which Organization the services have been rendered.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"The organization performing the service.","id":"ChargeItem.performingOrganization","isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.performer.actor"},{"identity":"v2","map":"N/A"},{"identity":"rim","map":".scoper"}],"max":"1","min":0,"mustSupport":false,"path":"ChargeItem.performingOrganization","short":"Organization providing the charged service","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Organization"]}]},{"base":{"max":"1","min":0,"path":"ChargeItem.requestingOrganization"},"comment":"The rendered Service might not be associated with a Request. This property indicates which Organization requested the services to be rendered. (In many cases, this may just be the Department associated with the Encounter.location).","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"The organization requesting the service.","id":"ChargeItem.requestingOrganization","isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"N/A"},{"identity":"rim","map":".scoper"}],"max":"1","min":0,"mustSupport":false,"path":"ChargeItem.requestingOrganization","short":"Organization requesting the charged service","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Organization"]}]},{"base":{"max":"1","min":0,"path":"ChargeItem.costCenter"},"comment":"The costCenter could either be given as a reference to an Organization(Role) resource or as the identifier of the cost center determined by Reference.identifier.value and Reference.identifier.system, depending on use case requirements.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"The financial cost center permits the tracking of charge attribution.","id":"ChargeItem.costCenter","isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"FT1.13"}],"max":"1","min":0,"mustSupport":false,"path":"ChargeItem.costCenter","short":"Organization that has ownership of the (potential, future) revenue","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Organization"]}]},{"base":{"max":"1","min":0,"path":"ChargeItem.quantity"},"comment":"In many cases this may just be a value, if the underlying units are implicit in the definition of the charge item code.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"Quantity of which the charge item has been serviced.","id":"ChargeItem.quantity","isModifier":false,"isSummary":true,"mapping":[{"identity":"v2","map":"FT1.10"}],"max":"1","min":0,"mustSupport":false,"path":"ChargeItem.quantity","short":"Quantity of which the charge item has been serviced","type":[{"code":"Quantity"}]},{"base":{"max":"*","min":0,"path":"ChargeItem.bodysite"},"binding":{"description":"SNOMED CT Body site concepts","extension":[{"url":"http://hl7.org/fhir/tools/StructureDefinition/binding-definition","valueString":"Codes describing anatomical locations. May include laterality."},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"BodySite"}],"strength":"example","valueSet":"http://hl7.org/fhir/ValueSet/body-site"},"comment":"Only used if not implicit in code found in Condition.code. If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension [http://hl7.org/fhir/StructureDefinition/bodySite](http://hl7.org/fhir/extensions/StructureDefinition-bodySite.html). May be a summary code, or a reference to a very precise definition of the location, or both.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"The anatomical location where the related service has been applied.","id":"ChargeItem.bodysite","isModifier":false,"isSummary":true,"mapping":[{"identity":"rim","map":".targetBodySiteCode"}],"max":"*","min":0,"mustSupport":false,"path":"ChargeItem.bodysite","short":"Anatomical location, if relevant","type":[{"code":"CodeableConcept"}]},{"base":{"max":"1","min":0,"path":"ChargeItem.unitPriceComponent"},"comment":"This could be communicated in ChargeItemDefinition. But if ChargeItemDefinition is not supported or not available, the unit price can be communicated in this property.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"The unit price of the chargable item.","id":"ChargeItem.unitPriceComponent","isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"FT1.22"}],"max":"1","min":0,"mustSupport":false,"path":"ChargeItem.unitPriceComponent","short":"Unit price overriding the associated rules","type":[{"code":"MonetaryComponent"}]},{"base":{"max":"1","min":0,"path":"ChargeItem.totalPriceComponent"},"comment":" Often, the total price may be be calculated and recorded on the Invoice, but if a calculated total price must be exchanged prior to Invoice creation, it can be communicated in this property.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"The total price for the chargable item, accounting for the quantity.","id":"ChargeItem.totalPriceComponent","isModifier":false,"isSummary":false,"mapping":[{"identity":"v2","map":"FT1.22"}],"max":"1","min":0,"mustSupport":false,"path":"ChargeItem.totalPriceComponent","short":"Total price overriding the associated rules","type":[{"code":"MonetaryComponent"}]},{"base":{"max":"1","min":0,"path":"ChargeItem.overrideReason"},"binding":{"description":"Local or regional codes covering why a price was overridden","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"override-reason"}],"strength":"example"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"If the list price or the rule-based factor associated with the code is overridden, this attribute can capture a text to indicate the reason for this action.","id":"ChargeItem.overrideReason","isModifier":false,"isSummary":false,"max":"1","min":0,"mustSupport":false,"path":"ChargeItem.overrideReason","short":"Reason for overriding the list price/factor","type":[{"code":"CodeableConcept"}]},{"base":{"max":"1","min":0,"path":"ChargeItem.enterer"},"comment":"The enterer is also the person considered responsible for factor/price overrides if applicable.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"The device, practitioner, etc. who entered the charge item.","id":"ChargeItem.enterer","isModifier":false,"isSummary":true,"mapping":[{"identity":"w5","map":"FiveWs.actor"},{"identity":"v2","map":"EVN.5 or by domain"},{"identity":"rim","map":".player"}],"max":"1","min":0,"mustSupport":false,"path":"ChargeItem.enterer","short":"Individual who was entering","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner","http://hl7.org/fhir/StructureDefinition/PractitionerRole","http://hl7.org/fhir/StructureDefinition/Organization","http://hl7.org/fhir/StructureDefinition/Patient","http://hl7.org/fhir/StructureDefinition/Device","http://hl7.org/fhir/StructureDefinition/RelatedPerson"]}]},{"base":{"max":"1","min":0,"path":"ChargeItem.enteredDate"},"comment":"The actual date when the service associated with the charge has been rendered is captured in occurrence[x].","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"Date the charge item was entered.","id":"ChargeItem.enteredDate","isModifier":false,"isSummary":true,"max":"1","min":0,"mustSupport":false,"path":"ChargeItem.enteredDate","short":"Date the charge item was entered","type":[{"code":"dateTime"}]},{"base":{"max":"*","min":0,"path":"ChargeItem.reason"},"binding":{"description":"ICD 10 diagnosis codes","extension":[{"url":"http://hl7.org/fhir/tools/StructureDefinition/binding-definition","valueString":"Example binding for reason."},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ChargeItemReason"}],"strength":"example","valueSet":"http://hl7.org/fhir/ValueSet/icd-10"},"comment":"If the application of the charge item requires a reason to be given, it can be captured here. Textual reasons can be captured using reasonCode.text.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"Describes why the event occurred in coded or textual form.","id":"ChargeItem.reason","isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.reason"},{"identity":"w5","map":"FiveWs.why[x]"},{"identity":"v2","map":"EVN.4 or by domain"},{"identity":"rim","map":".reasonCode"}],"max":"*","min":0,"mustSupport":false,"path":"ChargeItem.reason","short":"Why was the charged service rendered?","type":[{"code":"CodeableConcept"}]},{"base":{"max":"*","min":0,"path":"ChargeItem.service"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"Indicated the rendered service that caused this charge.","id":"ChargeItem.service","isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.reason"},{"identity":"w5","map":"FiveWs.why[x]"},{"identity":"v2","map":"EVN.4 or by domain"},{"identity":"rim","map":".outboundRelationship[typeCode=RSON].target"}],"max":"*","min":0,"mustSupport":false,"path":"ChargeItem.service","short":"Which rendered service is being charged?","type":[{"code":"CodeableReference","targetProfile":["http://hl7.org/fhir/StructureDefinition/DiagnosticReport","http://hl7.org/fhir/StructureDefinition/ImagingStudy","http://hl7.org/fhir/StructureDefinition/Immunization","http://hl7.org/fhir/StructureDefinition/MedicationAdministration","http://hl7.org/fhir/StructureDefinition/MedicationDispense","http://hl7.org/fhir/StructureDefinition/MedicationRequest","http://hl7.org/fhir/StructureDefinition/Observation","http://hl7.org/fhir/StructureDefinition/Procedure","http://hl7.org/fhir/StructureDefinition/ServiceRequest","http://hl7.org/fhir/StructureDefinition/SupplyDelivery"]}]},{"base":{"max":"*","min":0,"path":"ChargeItem.product"},"binding":{"description":"Example binding for product type.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ChargeItemProduct"}],"strength":"example","valueSet":"http://hl7.org/fhir/ValueSet/device-type"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"Identifies the device, food, drug or other product being charged either by type code or reference to an instance.","id":"ChargeItem.product","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":".participation[typeCode=CSM].role"}],"max":"*","min":0,"mustSupport":false,"path":"ChargeItem.product","short":"Product charged","type":[{"code":"CodeableReference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Device","http://hl7.org/fhir/StructureDefinition/Medication","http://hl7.org/fhir/StructureDefinition/Substance"]}]},{"base":{"max":"*","min":0,"path":"ChargeItem.account"},"comment":"Systems posting the ChargeItems might not always be able to determine, which accounts the Items need to be places into. It is up to the postprocessing Financial System to apply internal rules to decide based on the Encounter/EpisodeOfCare/Patient/Coverage context and the type of ChargeItem, which Account is appropriate.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"Account into which this ChargeItems belongs.","id":"ChargeItem.account","isModifier":false,"isSummary":true,"max":"*","min":0,"mustSupport":false,"path":"ChargeItem.account","short":"Account to place this charge","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Account"]}]},{"base":{"max":"*","min":0,"path":"ChargeItem.note"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"Comments made about the event by the performer, subject or other participants.","id":"ChargeItem.note","isModifier":false,"isSummary":false,"mapping":[{"identity":"workflow","map":"Event.note"},{"identity":"v2","map":"NTE"},{"identity":"rim","map":".inboundRelationship(typeCode=SUBJ].source[classCode=ANNGEN, moodCode=EVN].value[xsi:type=ST]"}],"max":"*","min":0,"mustSupport":false,"path":"ChargeItem.note","short":"Comments made about the ChargeItem","type":[{"code":"Annotation"}]},{"base":{"max":"*","min":0,"path":"ChargeItem.supportingInformation"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"Further information supporting this charge.","id":"ChargeItem.supportingInformation","isModifier":false,"isSummary":false,"max":"*","min":0,"mustSupport":false,"path":"ChargeItem.supportingInformation","short":"Further information supporting this charge","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource"]}]}]},"status":"draft","text":{"div":"
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" ChargeItem TUDomainResourceItem containing charge code(s) associated with the provision of healthcare provider products

Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
\".\"\".\"\".\" identifier Σ0..*IdentifierBusiness Identifier for item

\".\"\".\"\".\" definitionUri 0..*uriDefining information about the code of this charge item

\".\"\".\"\".\" definitionCanonical 0..*canonical(ChargeItemDefinition)Resource defining the code of this ChargeItem

\".\"\".\"\".\" status ?!Σ1..1codeplanned | billable | not-billable | aborted | billed | entered-in-error | unknown
Binding: Charge Item Status (Required)
\".\"\".\"\".\" partOf 0..*Reference(ChargeItem)Part of referenced ChargeItem

\".\"\".\"\".\" code Σ1..1CodeableConceptA code that identifies the charge, like a billing code
Binding: Charge Item Code (Example)
\".\"\".\"\".\" subject Σ1..1Reference(Patient | Group)Individual service was done for/to
\".\"\".\"\".\" encounter Σ0..1Reference(Encounter)Encounter associated with this ChargeItem
\".\"\".\"\".\" occurrence[x] Σ0..1When the charged service was applied
\".\"\".\"\".\"\".\" occurrenceDateTimedateTime
\".\"\".\"\".\"\".\" occurrencePeriodPeriod
\".\"\".\"\".\"\".\" occurrenceTimingTiming
\".\"\".\"\".\" performer 0..*BackboneElementWho performed charged service

\".\"\".\"\".\"\".\" function 0..1CodeableConceptWhat type of performance was done
Binding: Procedure Performer Role Codes (Example)
\".\"\".\"\".\"\".\" actor 1..1Reference(Practitioner | PractitionerRole | Organization | HealthcareService | CareTeam | Patient | Device | RelatedPerson)Individual who was performing
\".\"\".\"\".\" performingOrganization 0..1Reference(Organization)Organization providing the charged service
\".\"\".\"\".\" requestingOrganization 0..1Reference(Organization)Organization requesting the charged service
\".\"\".\"\".\" costCenter 0..1Reference(Organization)Organization that has ownership of the (potential, future) revenue
\".\"\".\"\".\" quantity Σ0..1QuantityQuantity of which the charge item has been serviced
\".\"\".\"\".\" bodysite Σ0..*CodeableConceptAnatomical location, if relevant
Binding: SNOMED CT Body Structures (Example)

\".\"\".\"\".\" unitPriceComponent 0..1MonetaryComponentUnit price overriding the associated rules
\".\"\".\"\".\" totalPriceComponent 0..1MonetaryComponentTotal price overriding the associated rules
\".\"\".\"\".\" overrideReason 0..1CodeableConceptReason for overriding the list price/factor
Binding: override-reason (Example)
\".\"\".\"\".\" enterer Σ0..1Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson)Individual who was entering
\".\"\".\"\".\" enteredDate Σ0..1dateTimeDate the charge item was entered
\".\"\".\"\".\" reason 0..*CodeableConceptWhy was the charged service rendered?
Binding: ICD-10 Codes (Example)

\".\"\".\"\".\" service 0..*CodeableReference(DiagnosticReport | ImagingStudy | Immunization | MedicationAdministration | MedicationDispense | MedicationRequest | Observation | Procedure | ServiceRequest | SupplyDelivery)Which rendered service is being charged?

\".\"\".\"\".\" product 0..*CodeableReference(Device | Medication | Substance)Product charged
Binding: Device Type (Example)

\".\"\".\"\".\" account Σ0..*Reference(Account)Account to place this charge

\".\"\".\"\".\" note 0..*AnnotationComments made about the ChargeItem

\".\"\".\"\".\" supportingInformation 0..*Reference(Any)Further information supporting this charge


\"doco\" Documentation for this format
","status":"generated"},"type":"ChargeItem","url":"http://hl7.org/fhir/StructureDefinition/ChargeItem","version":"5.0.0"}