FHIR IG analytics| Package | hl7.fhir.uv.xver-r4b.r3 |
| Resource Type | StructureDefinition |
| Id | StructureDefinition-profile-ChargeItem.json |
| FHIR Version | R3 |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: StructureDefinition profile-ChargeItem
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  ChargeItem | 0..* | ChargeItem | Item containing charge code(s) associated with the provision of healthcare provider products | |
  meta | ||||
   Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
   extension:meta | 0..1 | Meta | R4B: meta additional types URL: http://hl7.org/fhir/4.3/StructureDefinition/extension-ChargeItem.meta | |
| text | ||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:text | 0..1 | (Complex) | R4B: text additional types URL: http://hl7.org/fhir/4.3/StructureDefinition/extension-ChargeItem.text | |
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
 extension:definitionCanonical | 0..* | uri | R4B: Resource defining the code of this ChargeItem (new) URL: http://hl7.org/fhir/4.3/StructureDefinition/extension-ChargeItem.definitionCanonical | |
| extension:occurrence | 0..1 | Period, Timing | R4B: occurrence additional types URL: http://hl7.org/fhir/4.3/StructureDefinition/extension-ChargeItem.occurrence | |
| extension:costCenter | 0..1 | Reference(Cross-version Profile for R4B.Organization for use in FHIR STU3(0.1.0) | Organization) | R4B: Organization that has ownership of the (potential, future) revenue (new) URL: http://hl7.org/fhir/4.3/StructureDefinition/extension-ChargeItem.costCenter | |
| extension:product | 0..1 | Reference(Cross-version Profile for R4B.Device for use in FHIR STU3(0.1.0) | Device | Cross-version Profile for R4B.Medication for use in FHIR STU3(0.1.0) | Medication | Cross-version Profile for R4B.Substance for use in FHIR STU3(0.1.0) | Substance), CodeableConcept | R4B: Product charged (new) URL: http://hl7.org/fhir/4.3/StructureDefinition/extension-ChargeItem.product | |
| identifier | ||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:identifier | 0..* | Identifier | R4B: identifier additional types URL: http://hl7.org/fhir/4.3/StructureDefinition/extension-ChargeItem.identifier | |
| partOf | ||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:partOf | 0..* | ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] | R4B: partOf additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference | |
| subject | ||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:subject | 0..1 | ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] | R4B: subject additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference | |
| context | ||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:context | 0..1 | ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] | R4B: context additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference | |
| participant | ||||
| actor | ||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:actor | 0..1 | ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] | R4B: actor URL: http://hl7.org/fhir/StructureDefinition/alternate-reference | |
| performingOrganization | ||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:performingOrganization | 0..1 | ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] | R4B: Organization providing the charged service additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference | |
| requestingOrganization | ||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:requestingOrganization | 0..1 | ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] | R4B: requestingOrganization additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference | |
| enterer | ||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:enterer | 0..1 | ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] | R4B: enterer URL: http://hl7.org/fhir/StructureDefinition/alternate-reference | |
| service | ||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:service | 0..* | ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] | R4B: service URL: http://hl7.org/fhir/StructureDefinition/alternate-reference | |
| account | ||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:account | 0..* | ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] | R4B: account additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference | |
| note | ||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:note | 0..* | Annotation | R4B: note additional types URL: http://hl7.org/fhir/4.3/StructureDefinition/extension-ChargeItem.note | |
| supportingInformation | ||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:supportingInformation | 0..* | ?gen-e1? [CanonicalType[http://hl7.org/fhir/StructureDefinition/alternate-reference]] | R4B: Further information supporting this charge additional types URL: http://hl7.org/fhir/StructureDefinition/alternate-reference | |
| Documentation for this format | ||||
FHIR
FHIRsmith{
"resourceType": "StructureDefinition",
"id": "profile-ChargeItem",
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode": "fhir"
},
{
"extension": [
{
"url": "packageId",
"valueId": "hl7.fhir.uv.xver-r4b.r3"
},
{
"url": "version",
"valueString": "0.1.0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/package-source"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger": 0,
"_valueInteger": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4b.r3"
}
]
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "trial-use",
"_valueCode": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r4b.r3"
}
]
}
}
],
"url": "http://hl7.org/fhir/4.3/StructureDefinition/profile-ChargeItem",
"version": "0.1.0",
"name": "Profile_R4B_ChargeItem_R3",
"title": "Cross-version Profile for R4B.ChargeItem for use in FHIR STU3",
"status": "active",
"experimental": false,
"date": "2026-03-17T16:04:25.0450386-05:00",
"publisher": "FHIR Infrastructure",
"contact": [
{
"name": "FHIR Infrastructure",
"telecom": [
{
"system": "url",
"value": "http://www.hl7.org/Special/committees/fiwg"
}
]
}
],
"description": "This cross-version profile allows R4B ChargeItem content to be represented via FHIR STU3 ChargeItem resources.",
"jurisdiction": [
{
"coding": [
{
"system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code": "001",
"display": "World"
}
]
}
],
"fhirVersion": "3.0.2",
"mapping": [
{
"identity": "v2",
"uri": "http://hl7.org/v2",
"name": "HL7 v2 Mapping"
},
{
"identity": "rim",
"uri": "http://hl7.org/v3",
"name": "RIM Mapping"
},
{
"identity": "w5",
"uri": "http://hl7.org/fhir/w5",
"name": "W5 Mapping"
},
{
"identity": "workflow",
"uri": "http://hl7.org/fhir/workflow",
"name": "Workflow Mapping"
}
],
"kind": "resource",
"abstract": false,
"type": "ChargeItem",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/ChargeItem",
"derivation": "constraint",
"snapshot": {
"element": [
{
"id": "ChargeItem",
"path": "ChargeItem",
"short": "Item containing charge code(s) associated with the provision of healthcare provider products",
"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.",
"min": 0,
"max": "*",
"base": {
"path": "ChargeItem",
"min": 0,
"max": "*"
},
"constraint": [
{
"key": "dom-2",
"severity": "error",
"human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
"expression": "contained.contained.empty()",
"xpath": "not(parent::f:contained and f:contained)",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "dom-1",
"severity": "error",
"human": "If the resource is contained in another resource, it SHALL NOT contain any narrative",
"expression": "contained.text.empty()",
"xpath": "not(parent::f:contained and f:text)",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "dom-4",
"severity": "error",
"human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
"expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
"xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key": "dom-3",
"severity": "error",
"human": "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource",
"expression": "contained.where(('#'+id in %resource.descendants().reference).not()).empty()",
"xpath": "not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))",
"source": "http://hl7.org/fhir/StructureDefinition/DomainResource"
}
],
"mapping": [
{
"identity": "rim",
"map": "Entity. Role, or Act"
},
{
"identity": "v2",
"map": "FT1"
},
{
"identity": "rim",
"map": "Act[moodCode=EVN]"
},
{
"identity": "w5",
"map": "financial.support"
}
]
},
{
"id": "ChargeItem.id",
"path": "ChargeItem.id",
"short": "Logical id of this artifact",
"definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
"comment": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "id"
}
],
"isSummary": true
},
{
"id": "ChargeItem.meta",
"path": "ChargeItem.meta",
"short": "Metadata about the resource",
"definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.meta",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Meta"
}
],
"isSummary": true
},
{
"id": "ChargeItem.meta.id",
"path": "ChargeItem.meta.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "ChargeItem.meta.extension",
"path": "ChargeItem.meta.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"ordered": false,
"rules": "open"
},
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
]
},
{
"id": "ChargeItem.meta.extension:meta",
"path": "ChargeItem.meta.extension",
"sliceName": "meta",
"short": "R4B: meta additional types",
"definition": "R4B: `ChargeItem.meta` additional types (Meta) additional types from child elements (lastUpdated, profile, security, source, tag, versionId)",
"comment": "Element `ChargeItem.meta` is mapped to FHIR STU3 element `ChargeItem.meta` as `SourceIsBroaderThanTarget`.\nThe mappings for `ChargeItem.meta` do not cover the following types: Meta.\nThe mappings for `ChargeItem.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, source, tag, versionId.",
"min": 0,
"max": "1",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ChargeItem.meta|0.1.0"
}
]
},
{
"id": "ChargeItem.meta.versionId",
"path": "ChargeItem.meta.versionId",
"short": "Version specific identifier",
"definition": "The version specific identifier, as it appears in the version portion of the URL. This values changes when the resource is created, updated, or deleted.",
"comment": "The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.",
"min": 0,
"max": "1",
"base": {
"path": "Meta.versionId",
"min": 0,
"max": "1"
},
"type": [
{
"code": "id"
}
],
"isSummary": true
},
{
"id": "ChargeItem.meta.lastUpdated",
"path": "ChargeItem.meta.lastUpdated",
"short": "When the resource version last changed",
"definition": "When the resource last changed - e.g. when the version changed.",
"comment": "This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant.",
"min": 0,
"max": "1",
"base": {
"path": "Meta.lastUpdated",
"min": 0,
"max": "1"
},
"type": [
{
"code": "instant"
}
],
"isSummary": true
},
{
"id": "ChargeItem.meta.profile",
"path": "ChargeItem.meta.profile",
"short": "Profiles this resource claims to conform to",
"definition": "A list of profiles (references to [StructureDefinition](http://hl7.org/fhir/STU3/structuredefinition.html#) resources) that this resource claims to conform to. The URL is a reference to [StructureDefinition.url](http://hl7.org/fhir/STU3/).",
"comment": "It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.",
"min": 0,
"max": "*",
"base": {
"path": "Meta.profile",
"min": 0,
"max": "*"
},
"type": [
{
"code": "uri"
}
],
"isSummary": true
},
{
"id": "ChargeItem.meta.security",
"path": "ChargeItem.meta.security",
"short": "Security Labels applied to this resource",
"definition": "Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.",
"comment": "The security labels can be updated without changing the stated version of the resource The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.",
"min": 0,
"max": "*",
"base": {
"path": "Meta.security",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Coding"
}
],
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SecurityLabels"
}
],
"strength": "extensible",
"description": "Security Labels from the Healthcare Privacy and Security Classification System.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/security-labels|3.0.2"
}
}
},
{
"id": "ChargeItem.meta.tag",
"path": "ChargeItem.meta.tag",
"short": "Tags applied to this resource",
"definition": "Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.",
"comment": "The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.",
"min": 0,
"max": "*",
"base": {
"path": "Meta.tag",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Coding"
}
],
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "Tags"
}
],
"strength": "example",
"description": "Codes that represent various types of tags, commonly workflow-related; e.g. \"Needs review by Dr. Jones\"",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/common-tags|3.0.2"
}
}
},
{
"id": "ChargeItem.implicitRules",
"path": "ChargeItem.implicitRules",
"short": "A set of rules under which this content was created",
"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.",
"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. \n\nThis element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.implicitRules",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"isModifier": true,
"isSummary": true
},
{
"id": "ChargeItem.language",
"path": "ChargeItem.language",
"short": "Language of the resource content",
"definition": "The base language in which the resource is written.",
"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).",
"min": 0,
"max": "1",
"base": {
"path": "Resource.language",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
"valueReference": {
"reference": "http://hl7.org/fhir/ValueSet/all-languages|3.0.2"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "Language"
}
],
"strength": "extensible",
"description": "A human language.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/languages|3.0.2"
}
}
},
{
"id": "ChargeItem.text",
"path": "ChargeItem.text",
"short": "Text summary of the resource, for human interpretation",
"definition": "A human-readable narrative that contains a summary of the resource, and may 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.",
"comment": "Contained resources do not have 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 in formation is added later.",
"alias": [
"narrative",
"html",
"xhtml",
"display"
],
"min": 0,
"max": "1",
"base": {
"path": "DomainResource.text",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Narrative"
}
],
"condition": [
"dom-1"
],
"mapping": [
{
"identity": "rim",
"map": "Act.text?"
}
]
},
{
"id": "ChargeItem.text.id",
"path": "ChargeItem.text.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "ChargeItem.text.extension",
"path": "ChargeItem.text.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"ordered": false,
"rules": "open"
},
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
]
},
{
"id": "ChargeItem.text.extension:text",
"path": "ChargeItem.text.extension",
"sliceName": "text",
"short": "R4B: text additional types",
"definition": "R4B: `ChargeItem.text` additional types (Narrative) additional types from child elements (div, status)",
"comment": "Element `ChargeItem.text` is mapped to FHIR STU3 element `ChargeItem.text` as `SourceIsBroaderThanTarget`.\nThe mappings for `ChargeItem.text` do not cover the following types: Narrative.\nThe mappings for `ChargeItem.text` do not cover the following types based on type expansion: div, status.\nContained resources do not have 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.",
"min": 0,
"max": "1",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ChargeItem.text|0.1.0"
}
]
},
{
"id": "ChargeItem.text.status",
"path": "ChargeItem.text.status",
"short": "generated | extensions | additional | empty",
"definition": "The status of the narrative - whether it's entirely generated (from just the defined data or the extensions too), or whether a human authored it and it may contain additional data.",
"min": 1,
"max": "1",
"base": {
"path": "Narrative.status",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "NarrativeStatus"
}
],
"strength": "required",
"description": "The status of a resource narrative",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/narrative-status|3.0.2"
}
},
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "ChargeItem.text.div",
"path": "ChargeItem.text.div",
"short": "Limited xhtml content",
"definition": "The actual narrative content, a stripped down version of XHTML.",
"comment": "The contents of the html element are an XHTML fragment containing only the basic html formatting elements described in chapters 7-11 and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained stylesheets. The XHTML content may not contain a head, a body, external stylesheet references, scripts, forms, base/link/xlink, frames, iframes and objects.",
"min": 1,
"max": "1",
"base": {
"path": "Narrative.div",
"min": 1,
"max": "1"
},
"type": [
{
"code": "xhtml"
}
],
"constraint": [
{
"key": "txt-1",
"severity": "error",
"human": "The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes",
"expression": "htmlchecks()",
"xpath": "not(descendant-or-self::*[not(local-name(.)=('a', 'abbr', 'acronym', 'b', 'big', 'blockquote', 'br', 'caption', 'cite', 'code', 'col', 'colgroup', 'dd', 'dfn', 'div', 'dl', 'dt', 'em', 'h1', 'h2', 'h3', 'h4', 'h5', 'h6', 'hr', 'i', 'img', 'li', 'ol', 'p', 'pre', 'q', 'samp', 'small', 'span', 'strong', 'sub', 'sup', 'table', 'tbody', 'td', 'tfoot', 'th', 'thead', 'tr', 'tt', 'ul', 'var'))]) and not(descendant-or-self::*/@*[not(name(.)=('abbr', 'accesskey', 'align', 'alt', 'axis', 'bgcolor', 'border', 'cellhalign', 'cellpadding', 'cellspacing', 'cellvalign', 'char', 'charoff', 'charset', 'cite', 'class', 'colspan', 'compact', 'coords', 'dir', 'frame', 'headers', 'height', 'href', 'hreflang', 'hspace', 'id', 'lang', 'longdesc', 'name', 'nowrap', 'rel', 'rev', 'rowspan', 'rules', 'scope', 'shape', 'span', 'src', 'start', 'style', 'summary', 'tabindex', 'title', 'type', 'valign', 'value', 'vspace', 'width'))])",
"source": "http://hl7.org/fhir/StructureDefinition/ChargeItem"
},
{
"key": "txt-2",
"severity": "error",
"human": "The narrative SHALL have some non-whitespace content",
"expression": "htmlchecks()",
"xpath": "descendant::text()[normalize-space(.)!=''] or descendant::h:img[@src]",
"source": "http://hl7.org/fhir/StructureDefinition/ChargeItem"
}
],
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "ChargeItem.contained",
"path": "ChargeItem.contained",
"short": "Contained, inline Resources",
"definition": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
"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.",
"alias": [
"inline resources",
"anonymous resources",
"contained resources"
],
"min": 0,
"max": "*",
"base": {
"path": "DomainResource.contained",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Resource"
}
],
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "ChargeItem.extension",
"path": "ChargeItem.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"ordered": false,
"rules": "open"
},
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "*",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
]
},
{
"id": "ChargeItem.extension:definitionCanonical",
"path": "ChargeItem.extension",
"sliceName": "definitionCanonical",
"short": "R4B: Resource defining the code of this ChargeItem (new)",
"definition": "R4B: `ChargeItem.definitionCanonical` (new:canonical(ChargeItemDefinition))",
"comment": "Element `ChargeItem.definitionCanonical` has a context of ChargeItem based on following the parent source element upwards and mapping to `ChargeItem`.\nElement `ChargeItem.definitionCanonical` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"min": 0,
"max": "*",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ChargeItem.definitionCanonical|0.1.0"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false
},
{
"id": "ChargeItem.extension:occurrence",
"path": "ChargeItem.extension",
"sliceName": "occurrence",
"short": "R4B: occurrence additional types",
"definition": "R4B: `ChargeItem.occurrence[x]` additional types (Period, Timing)",
"comment": "Element `ChargeItem.occurrence[x]` is mapped to FHIR STU3 element `ChargeItem.occurrence[x]` as `SourceIsBroaderThanTarget`.\nThe mappings for `ChargeItem.occurrence[x]` do not cover the following types: Period, Timing.\nThe target context `ChargeItem.occurrence[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ChargeItem`.\nThe list of types may be constrained as appropriate for the type of charge item.",
"min": 0,
"max": "1",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ChargeItem.occurrence|0.1.0"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false
},
{
"id": "ChargeItem.extension:costCenter",
"path": "ChargeItem.extension",
"sliceName": "costCenter",
"short": "R4B: Organization that has ownership of the (potential, future) revenue (new)",
"definition": "R4B: `ChargeItem.costCenter` (new:Reference(Organization))",
"comment": "Element `ChargeItem.costCenter` has a context of ChargeItem based on following the parent source element upwards and mapping to `ChargeItem`.\nElement `ChargeItem.costCenter` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nThe 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.",
"min": 0,
"max": "1",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ChargeItem.costCenter|0.1.0"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false
},
{
"id": "ChargeItem.extension:product",
"path": "ChargeItem.extension",
"sliceName": "product",
"short": "R4B: Product charged (new)",
"definition": "R4B: `ChargeItem.product[x]` (new:CodeableConcept, Reference(Device,Medication,Substance))",
"comment": "Element `ChargeItem.product[x]` has a context of ChargeItem based on following the parent source element upwards and mapping to `ChargeItem`.\nElement `ChargeItem.product[x]` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"min": 0,
"max": "1",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ChargeItem.product|0.1.0"
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key": "ext-1",
"severity": "error",
"human": "Must have either extensions or value[x], not both",
"expression": "extension.exists() != value.exists()",
"xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])",
"source": "http://hl7.org/fhir/StructureDefinition/Extension"
}
],
"isModifier": false
},
{
"id": "ChargeItem.modifierExtension",
"path": "ChargeItem.modifierExtension",
"short": "Extensions that cannot be ignored",
"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. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, 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.",
"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.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "DomainResource.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"isModifier": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "ChargeItem.identifier",
"path": "ChargeItem.identifier",
"short": "Business Identifier for item",
"definition": "Identifiers assigned to this event performer or other systems.",
"requirements": "Allows identification of the charge Item as it is known by various participating systems and in a way that remains consistent across servers.",
"min": 0,
"max": "1",
"base": {
"path": "ChargeItem.identifier",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Identifier"
}
],
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "FT1.2"
},
{
"identity": "rim",
"map": ".identifier"
},
{
"identity": "w5",
"map": "id"
}
]
},
{
"id": "ChargeItem.identifier.id",
"path": "ChargeItem.identifier.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "ChargeItem.identifier.extension",
"path": "ChargeItem.identifier.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"ordered": false,
"rules": "open"
},
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
]
},
{
"id": "ChargeItem.identifier.extension:identifier",
"path": "ChargeItem.identifier.extension",
"sliceName": "identifier",
"short": "R4B: identifier additional types",
"definition": "R4B: `ChargeItem.identifier` additional types (Identifier) additional types from child elements (assigner, period, system, type, use, value)",
"comment": "Element `ChargeItem.identifier` is mapped to FHIR STU3 element `ChargeItem.identifier` as `SourceIsBroaderThanTarget`.\nThe mappings for `ChargeItem.identifier` do not cover the following types: Identifier.\nThe mappings for `ChargeItem.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value.",
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ChargeItem.identifier|0.1.0"
}
]
},
{
"id": "ChargeItem.identifier.use",
"path": "ChargeItem.identifier.use",
"short": "usual | official | temp | secondary (If known)",
"definition": "The purpose of this identifier.",
"comment": "This is labeled as \"Is Modifier\" because applications should not mistake a temporary id for a permanent one. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.",
"requirements": "Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.",
"min": 0,
"max": "1",
"base": {
"path": "Identifier.use",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"isModifier": true,
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "IdentifierUse"
}
],
"strength": "required",
"description": "Identifies the purpose for this identifier, if known .",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/identifier-use|3.0.2"
}
},
"mapping": [
{
"identity": "v2",
"map": "N/A"
},
{
"identity": "rim",
"map": "Role.code or implied by context"
}
]
},
{
"id": "ChargeItem.identifier.type",
"path": "ChargeItem.identifier.type",
"short": "Description of identifier",
"definition": "A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.",
"comment": "This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. \n\nWhere the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.",
"requirements": "Allows users to make use of identifiers when the identifier system is not known.",
"min": 0,
"max": "1",
"base": {
"path": "Identifier.type",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "IdentifierType"
}
],
"strength": "extensible",
"description": "A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/identifier-type|3.0.2"
}
},
"mapping": [
{
"identity": "v2",
"map": "CX.5"
},
{
"identity": "rim",
"map": "Role.code or implied by context"
}
]
},
{
"id": "ChargeItem.identifier.system",
"path": "ChargeItem.identifier.system",
"short": "The namespace for the identifier value",
"definition": "Establishes the namespace for the value - that is, a URL that describes a set values that are unique.",
"requirements": "There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.",
"min": 0,
"max": "1",
"base": {
"path": "Identifier.system",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"example": [
{
"label": "General",
"valueUri": "http://www.acme.com/identifiers/patient"
}
],
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "CX.4 / EI-2-4"
},
{
"identity": "rim",
"map": "II.root or Role.id.root"
},
{
"identity": "servd",
"map": "./IdentifierType"
}
]
},
{
"id": "ChargeItem.identifier.value",
"path": "ChargeItem.identifier.value",
"short": "The value that is unique",
"definition": "The portion of the identifier typically relevant to the user and which is unique within the context of the system.",
"comment": "If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the [Rendered Value extension](http://hl7.org/fhir/STU3/extension-rendered-value.html).",
"min": 0,
"max": "1",
"base": {
"path": "Identifier.value",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"example": [
{
"label": "General",
"valueString": "123456"
}
],
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "CX.1 / EI.1"
},
{
"identity": "rim",
"map": "II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)"
},
{
"identity": "servd",
"map": "./Value"
}
]
},
{
"id": "ChargeItem.identifier.period",
"path": "ChargeItem.identifier.period",
"short": "Time period when id is/was valid for use",
"definition": "Time period during which identifier is/was valid for use.",
"min": 0,
"max": "1",
"base": {
"path": "Identifier.period",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Period"
}
],
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "CX.7 + CX.8"
},
{
"identity": "rim",
"map": "Role.effectiveTime or implied by context"
},
{
"identity": "servd",
"map": "./StartDate and ./EndDate"
}
]
},
{
"id": "ChargeItem.identifier.assigner",
"path": "ChargeItem.identifier.assigner",
"short": "Organization that issued id (may be just text)",
"definition": "Organization that issued/manages the identifier.",
"comment": "The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.",
"min": 0,
"max": "1",
"base": {
"path": "Identifier.assigner",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Organization"
}
],
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "CX.4 / (CX.4,CX.9,CX.10)"
},
{
"identity": "rim",
"map": "II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper"
},
{
"identity": "servd",
"map": "./IdentifierIssuingAuthority"
}
]
},
{
"id": "ChargeItem.definition",
"path": "ChargeItem.definition",
"short": "Defining information about the code of this charge item",
"definition": "References the source of pricing information, rules of application for the code this ChargeItem uses.",
"comment": "Target Resource is yet to be defined as a container that holds information about list prices and rules applicable to the charge item code. Once defined, change type back to Reference(Definition Type).",
"min": 0,
"max": "*",
"base": {
"path": "ChargeItem.definition",
"min": 0,
"max": "*"
},
"type": [
{
"code": "uri"
}
],
"isSummary": false,
"mapping": [
{
"identity": "v2",
"map": "Varies by domain"
},
{
"identity": "rim",
"map": ".outboundRelationship[typeCode=DEFN].target"
}
]
},
{
"id": "ChargeItem.status",
"path": "ChargeItem.status",
"short": "planned | billable | not-billable | aborted | billed | entered-in-error | unknown",
"definition": "The current state of the ChargeItem.",
"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.",
"min": 1,
"max": "1",
"base": {
"path": "ChargeItem.status",
"min": 1,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"isModifier": true,
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "ChargeItemStatus"
}
],
"strength": "required",
"description": "Codes identifying the stage lifecycle stage of a ChargeItem",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/chargeitem-status|3.0.2"
}
},
"mapping": [
{
"identity": "v2",
"map": "Varies by domain"
},
{
"identity": "rim",
"map": ".status"
},
{
"identity": "w5",
"map": "status"
}
]
},
{
"id": "ChargeItem.partOf",
"path": "ChargeItem.partOf",
"short": "Part of referenced ChargeItem",
"definition": "ChargeItems can be grouped to larger ChargeItems covering the whole set.",
"requirements": "E.g. Drug administration as part of a procedure, procedure as part of observation, etc.",
"alias": [
"container"
],
"min": 0,
"max": "*",
"base": {
"path": "ChargeItem.partOf",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/ChargeItem"
}
],
"isSummary": false,
"mapping": [
{
"identity": "v2",
"map": "Varies by domain"
},
{
"identity": "rim",
"map": ".inboundRelationship[typeCode=COMP].source[moodCode=EVN]"
}
]
},
{
"id": "ChargeItem.partOf.id",
"path": "ChargeItem.partOf.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "ChargeItem.partOf.extension",
"path": "ChargeItem.partOf.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"ordered": false,
"rules": "open"
},
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
]
},
{
"id": "ChargeItem.partOf.extension:partOf",
"path": "ChargeItem.partOf.extension",
"sliceName": "partOf",
"short": "R4B: partOf additional types",
"definition": "R4B: `ChargeItem.partOf` additional types from child elements (display, identifier, reference, type)",
"comment": "Element `ChargeItem.partOf` is mapped to FHIR STU3 element `ChargeItem.partOf` as `SourceIsBroaderThanTarget`.\nThe mappings for `ChargeItem.partOf` do not cover the following types based on type expansion: display, identifier, reference, type.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ChargeItem.partOf` with unmapped reference targets: ChargeItem.",
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": "http://hl7.org/fhir/StructureDefinition/alternate-reference"
}
]
},
{
"id": "ChargeItem.partOf.reference",
"path": "ChargeItem.partOf.reference",
"short": "Literal reference, Relative, internal or absolute URL",
"definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
"comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.reference",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ref-1"
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "ChargeItem.partOf.identifier",
"path": "ChargeItem.partOf.identifier",
"short": "Logical reference, when literal reference is not known",
"definition": "An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.",
"comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.identifier",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Identifier"
}
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": ".identifier"
}
]
},
{
"id": "ChargeItem.partOf.display",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
}
],
"path": "ChargeItem.partOf.display",
"short": "Text alternative for the resource",
"definition": "Plain text narrative that identifies the resource in addition to the resource reference.",
"comment": "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.display",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "ChargeItem.code",
"path": "ChargeItem.code",
"short": "A code that identifies the charge, like a billing code",
"definition": "A code that identifies the charge, like a billing code.",
"alias": [
"type"
],
"min": 1,
"max": "1",
"base": {
"path": "ChargeItem.code",
"min": 1,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "ChargeItemCode"
}
],
"strength": "example",
"description": "Example set of codes that can be used for billing purposes",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/chargeitem-billingcodes|3.0.2"
}
},
"mapping": [
{
"identity": "workflow",
"map": "Event.code"
},
{
"identity": "v2",
"map": "FT1.7"
},
{
"identity": "rim",
"map": ".code"
},
{
"identity": "w5",
"map": "what"
}
]
},
{
"id": "ChargeItem.subject",
"path": "ChargeItem.subject",
"short": "Individual service was done for/to",
"definition": "The individual or set of individuals the action is being or was performed on.",
"requirements": "Links the event to the Patient context.",
"alias": [
"patient"
],
"min": 1,
"max": "1",
"base": {
"path": "ChargeItem.subject",
"min": 1,
"max": "1"
},
"type": [
{
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Patient"
},
{
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Group"
}
],
"isSummary": true,
"mapping": [
{
"identity": "workflow",
"map": "Event.subject"
},
{
"identity": "v2",
"map": "PAT in proximity to FT1 segment"
},
{
"identity": "rim",
"map": ".participation[typeCode=SBJ].role"
},
{
"identity": "w5",
"map": "who.focus"
}
]
},
{
"id": "ChargeItem.subject.id",
"path": "ChargeItem.subject.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "ChargeItem.subject.extension",
"path": "ChargeItem.subject.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"ordered": false,
"rules": "open"
},
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
]
},
{
"id": "ChargeItem.subject.extension:subject",
"path": "ChargeItem.subject.extension",
"sliceName": "subject",
"short": "R4B: subject additional types",
"definition": "R4B: `ChargeItem.subject` additional types from child elements (display, identifier, reference, type)",
"comment": "Element `ChargeItem.subject` is mapped to FHIR STU3 element `ChargeItem.subject` as `SourceIsBroaderThanTarget`.\nThe mappings for `ChargeItem.subject` do not cover the following types based on type expansion: display, identifier, reference, type.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ChargeItem.subject` with unmapped reference targets: Group, Patient.",
"min": 0,
"max": "1",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": "http://hl7.org/fhir/StructureDefinition/alternate-reference"
}
]
},
{
"id": "ChargeItem.subject.reference",
"path": "ChargeItem.subject.reference",
"short": "Literal reference, Relative, internal or absolute URL",
"definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
"comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.reference",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ref-1"
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "ChargeItem.subject.identifier",
"path": "ChargeItem.subject.identifier",
"short": "Logical reference, when literal reference is not known",
"definition": "An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.",
"comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.identifier",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Identifier"
}
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": ".identifier"
}
]
},
{
"id": "ChargeItem.subject.display",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
}
],
"path": "ChargeItem.subject.display",
"short": "Text alternative for the resource",
"definition": "Plain text narrative that identifies the resource in addition to the resource reference.",
"comment": "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.display",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "ChargeItem.context",
"path": "ChargeItem.context",
"short": "Encounter / Episode associated with event",
"definition": "The encounter or episode of care that establishes the context for this event.",
"requirements": "Links the request to the Encounter context.",
"alias": [
"encounter"
],
"min": 0,
"max": "1",
"base": {
"path": "ChargeItem.context",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Encounter"
},
{
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"
}
],
"isSummary": true,
"mapping": [
{
"identity": "workflow",
"map": "Event.context"
},
{
"identity": "v2",
"map": "PV1 in proximity to FT1 segment"
},
{
"identity": "rim",
"map": ".inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN]"
},
{
"identity": "w5",
"map": "context"
}
]
},
{
"id": "ChargeItem.context.id",
"path": "ChargeItem.context.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "ChargeItem.context.extension",
"path": "ChargeItem.context.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"ordered": false,
"rules": "open"
},
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
]
},
{
"id": "ChargeItem.context.extension:context",
"path": "ChargeItem.context.extension",
"sliceName": "context",
"short": "R4B: context additional types",
"definition": "R4B: `ChargeItem.context` additional types from child elements (display, identifier, reference, type)",
"comment": "Element `ChargeItem.context` is mapped to FHIR STU3 element `ChargeItem.context` as `SourceIsBroaderThanTarget`.\nThe mappings for `ChargeItem.context` do not cover the following types based on type expansion: display, identifier, reference, type.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ChargeItem.context` with unmapped reference targets: Encounter, EpisodeOfCare.",
"min": 0,
"max": "1",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": "http://hl7.org/fhir/StructureDefinition/alternate-reference"
}
]
},
{
"id": "ChargeItem.context.reference",
"path": "ChargeItem.context.reference",
"short": "Literal reference, Relative, internal or absolute URL",
"definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
"comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.reference",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ref-1"
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "ChargeItem.context.identifier",
"path": "ChargeItem.context.identifier",
"short": "Logical reference, when literal reference is not known",
"definition": "An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.",
"comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.identifier",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Identifier"
}
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": ".identifier"
}
]
},
{
"id": "ChargeItem.context.display",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
}
],
"path": "ChargeItem.context.display",
"short": "Text alternative for the resource",
"definition": "Plain text narrative that identifies the resource in addition to the resource reference.",
"comment": "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.display",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "ChargeItem.occurrence[x]",
"path": "ChargeItem.occurrence[x]",
"short": "When the charged service was applied",
"definition": "Date/time(s) or duration when the charged service was applied.",
"comment": "The list of types may be constrained as appropriate for the type of charge item.",
"alias": [
"timing"
],
"min": 0,
"max": "1",
"base": {
"path": "ChargeItem.occurrence[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "dateTime"
},
{
"code": "Period"
},
{
"code": "Timing"
}
],
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "Varies by domain"
},
{
"identity": "rim",
"map": ".effectiveTime"
},
{
"identity": "w5",
"map": "when.done"
}
]
},
{
"id": "ChargeItem.participant",
"path": "ChargeItem.participant",
"short": "Who performed charged service",
"definition": "Indicates who or what performed or participated in the charged service.",
"min": 0,
"max": "*",
"base": {
"path": "ChargeItem.participant",
"min": 0,
"max": "*"
},
"type": [
{
"code": "BackboneElement"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "http://hl7.org/fhir/StructureDefinition/Element"
}
],
"isSummary": false,
"mapping": [
{
"identity": "v2",
"map": "EVN.5 or by domain"
},
{
"identity": "rim",
"map": ".participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]"
}
]
},
{
"id": "ChargeItem.participant.id",
"path": "ChargeItem.participant.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "ChargeItem.participant.extension",
"path": "ChargeItem.participant.extension",
"short": "Additional Content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, 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.",
"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.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "ChargeItem.participant.modifierExtension",
"path": "ChargeItem.participant.modifierExtension",
"short": "Extensions that cannot be ignored",
"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 that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, 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.",
"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.",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"isModifier": true,
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "ChargeItem.participant.role",
"path": "ChargeItem.participant.role",
"short": "What type of performance was done",
"definition": "Describes the type of performance or participation(e.g. primary surgeon, anaesthesiologiest, etc.).",
"min": 0,
"max": "1",
"base": {
"path": "ChargeItem.participant.role",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"isSummary": false,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "ChargeItemPerformerRole"
}
],
"strength": "example",
"description": "Codes describing the types of functional roles performers can take on when performing events",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/performer-role|3.0.2"
}
},
"mapping": [
{
"identity": "v2",
"map": "Varies by domain"
},
{
"identity": "rim",
"map": ".participation.functionCode"
}
]
},
{
"id": "ChargeItem.participant.actor",
"path": "ChargeItem.participant.actor",
"short": "Individual who was performing",
"definition": "The device, practitioner, etc. who performed or participated in the service.",
"min": 1,
"max": "1",
"base": {
"path": "ChargeItem.participant.actor",
"min": 1,
"max": "1"
},
"type": [
{
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Practitioner"
},
{
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Organization"
},
{
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Patient"
},
{
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Device"
},
{
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/RelatedPerson"
}
],
"isSummary": false,
"mapping": [
{
"identity": "v2",
"map": "EVN.5 or by domain"
},
{
"identity": "rim",
"map": ".player"
},
{
"identity": "w5",
"map": "who.actor"
}
]
},
{
"id": "ChargeItem.participant.actor.id",
"path": "ChargeItem.participant.actor.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "ChargeItem.participant.actor.extension",
"path": "ChargeItem.participant.actor.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"ordered": false,
"rules": "open"
},
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
]
},
{
"id": "ChargeItem.participant.actor.extension:actor",
"path": "ChargeItem.participant.actor.extension",
"sliceName": "actor",
"short": "R4B: actor",
"definition": "R4B: `ChargeItem.performer.actor`",
"comment": "Element `ChargeItem.performer.actor` is mapped to FHIR STU3 element `ChargeItem.participant.actor` as `SourceIsBroaderThanTarget`.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ChargeItem.performer.actor` with unmapped reference targets: CareTeam, Device, Organization, Patient, Practitioner, PractitionerRole, RelatedPerson.",
"min": 0,
"max": "1",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": "http://hl7.org/fhir/StructureDefinition/alternate-reference"
}
]
},
{
"id": "ChargeItem.participant.actor.reference",
"path": "ChargeItem.participant.actor.reference",
"short": "Literal reference, Relative, internal or absolute URL",
"definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
"comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.reference",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ref-1"
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "ChargeItem.participant.actor.identifier",
"path": "ChargeItem.participant.actor.identifier",
"short": "Logical reference, when literal reference is not known",
"definition": "An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.",
"comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.identifier",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Identifier"
}
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": ".identifier"
}
]
},
{
"id": "ChargeItem.participant.actor.display",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
}
],
"path": "ChargeItem.participant.actor.display",
"short": "Text alternative for the resource",
"definition": "Plain text narrative that identifies the resource in addition to the resource reference.",
"comment": "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.display",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "ChargeItem.performingOrganization",
"path": "ChargeItem.performingOrganization",
"short": "Organization providing the charged sevice",
"definition": "The organization requesting the service.",
"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.",
"min": 0,
"max": "1",
"base": {
"path": "ChargeItem.performingOrganization",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Organization"
}
],
"isSummary": false,
"mapping": [
{
"identity": "v2",
"map": "N/A"
},
{
"identity": "rim",
"map": ".scoper"
}
]
},
{
"id": "ChargeItem.performingOrganization.id",
"path": "ChargeItem.performingOrganization.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "ChargeItem.performingOrganization.extension",
"path": "ChargeItem.performingOrganization.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"ordered": false,
"rules": "open"
},
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
]
},
{
"id": "ChargeItem.performingOrganization.extension:performingOrganization",
"path": "ChargeItem.performingOrganization.extension",
"sliceName": "performingOrganization",
"short": "R4B: Organization providing the charged service additional types",
"definition": "R4B: `ChargeItem.performingOrganization` additional types from child elements (display, identifier, reference, type)",
"comment": "Element `ChargeItem.performingOrganization` is mapped to FHIR STU3 element `ChargeItem.performingOrganization` as `SourceIsBroaderThanTarget`.\nThe mappings for `ChargeItem.performingOrganization` do not cover the following types based on type expansion: display, identifier, reference, type.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ChargeItem.performingOrganization` with unmapped reference targets: Organization.\nPractitioners and Devices can be associated with multiple organizations. It has to be made clear, on behalf of which Organization the services have been rendered.",
"min": 0,
"max": "1",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": "http://hl7.org/fhir/StructureDefinition/alternate-reference"
}
]
},
{
"id": "ChargeItem.performingOrganization.reference",
"path": "ChargeItem.performingOrganization.reference",
"short": "Literal reference, Relative, internal or absolute URL",
"definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
"comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.reference",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ref-1"
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "ChargeItem.performingOrganization.identifier",
"path": "ChargeItem.performingOrganization.identifier",
"short": "Logical reference, when literal reference is not known",
"definition": "An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.",
"comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.identifier",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Identifier"
}
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": ".identifier"
}
]
},
{
"id": "ChargeItem.performingOrganization.display",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
}
],
"path": "ChargeItem.performingOrganization.display",
"short": "Text alternative for the resource",
"definition": "Plain text narrative that identifies the resource in addition to the resource reference.",
"comment": "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.display",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "ChargeItem.requestingOrganization",
"path": "ChargeItem.requestingOrganization",
"short": "Organization requesting the charged service",
"definition": "The organization performing the service.",
"comment": "The rendered Service may not be associated with a Request. It has to be made clear, ob which Organization's Request, the services have been rendered. (In many cases, this may just be the Department associated with the Encounter.location).",
"min": 0,
"max": "1",
"base": {
"path": "ChargeItem.requestingOrganization",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Organization"
}
],
"isSummary": false,
"mapping": [
{
"identity": "v2",
"map": "N/A"
},
{
"identity": "rim",
"map": ".scoper"
}
]
},
{
"id": "ChargeItem.requestingOrganization.id",
"path": "ChargeItem.requestingOrganization.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "ChargeItem.requestingOrganization.extension",
"path": "ChargeItem.requestingOrganization.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"ordered": false,
"rules": "open"
},
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
]
},
{
"id": "ChargeItem.requestingOrganization.extension:requestingOrganization",
"path": "ChargeItem.requestingOrganization.extension",
"sliceName": "requestingOrganization",
"short": "R4B: requestingOrganization additional types",
"definition": "R4B: `ChargeItem.requestingOrganization` additional types from child elements (display, identifier, reference, type)",
"comment": "Element `ChargeItem.requestingOrganization` is mapped to FHIR STU3 element `ChargeItem.requestingOrganization` as `SourceIsBroaderThanTarget`.\nThe mappings for `ChargeItem.requestingOrganization` do not cover the following types based on type expansion: display, identifier, reference, type.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ChargeItem.requestingOrganization` with unmapped reference targets: Organization.\nThe 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).",
"min": 0,
"max": "1",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": "http://hl7.org/fhir/StructureDefinition/alternate-reference"
}
]
},
{
"id": "ChargeItem.requestingOrganization.reference",
"path": "ChargeItem.requestingOrganization.reference",
"short": "Literal reference, Relative, internal or absolute URL",
"definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
"comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.reference",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ref-1"
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "ChargeItem.requestingOrganization.identifier",
"path": "ChargeItem.requestingOrganization.identifier",
"short": "Logical reference, when literal reference is not known",
"definition": "An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.",
"comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.identifier",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Identifier"
}
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": ".identifier"
}
]
},
{
"id": "ChargeItem.requestingOrganization.display",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
}
],
"path": "ChargeItem.requestingOrganization.display",
"short": "Text alternative for the resource",
"definition": "Plain text narrative that identifies the resource in addition to the resource reference.",
"comment": "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.display",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "ChargeItem.quantity",
"path": "ChargeItem.quantity",
"short": "Quantity of which the charge item has been serviced",
"definition": "Quantity of which the charge item has been serviced.",
"comment": "In many cases this may just be a value, if the underlying units are implicit in the definition of the charge item code.",
"min": 0,
"max": "1",
"base": {
"path": "ChargeItem.quantity",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Quantity"
}
],
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "FT1.10"
}
]
},
{
"id": "ChargeItem.bodysite",
"path": "ChargeItem.bodysite",
"short": "Anatomical location, if relevant",
"definition": "The anatomical location where the related service has been applied.",
"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 [body-site-instance](http://hl7.org/fhir/STU3/extension-body-site-instance.html). May be a summary code, or a reference to a very precise definition of the location, or both.",
"min": 0,
"max": "*",
"base": {
"path": "ChargeItem.bodysite",
"min": 0,
"max": "*"
},
"type": [
{
"code": "CodeableConcept"
}
],
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "BodySite"
}
],
"strength": "example",
"description": "Codes describing anatomical locations. May include laterality.",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/body-site|3.0.2"
}
},
"mapping": [
{
"identity": "rim",
"map": ".targetBodySiteCode"
}
]
},
{
"id": "ChargeItem.factorOverride",
"path": "ChargeItem.factorOverride",
"short": "Factor overriding the associated rules",
"definition": "Factor overriding the factor determined by the rules associated with the code.",
"comment": "There is no reason to carry the factor in the instance of a ChargeItem unless special circumstances require a manual override. The factors are usually defined by a set of rules in a back catalogue of the billing codes (see ChargeItem.definition). Derived profiles may require a ChargeItem.overrideReason to be provided if either factor or price are manually overriden.",
"min": 0,
"max": "1",
"base": {
"path": "ChargeItem.factorOverride",
"min": 0,
"max": "1"
},
"type": [
{
"code": "decimal"
}
],
"isSummary": false,
"mapping": [
{
"identity": "v2",
"map": "FT1.26"
}
]
},
{
"id": "ChargeItem.priceOverride",
"path": "ChargeItem.priceOverride",
"short": "Price overriding the associated rules",
"definition": "Total price of the charge overriding the list price associated with the code.",
"comment": "There is no reason to carry the price in the instance of a ChargeItem unless circumstances require a manual override. The list prices or are usually defined in a back catalogue of the billing codes (see ChargeItem.definition). Derived profiles may require a ChargeItem.overrideReason to be provided if either factor or price are manually overriden.",
"min": 0,
"max": "1",
"base": {
"path": "ChargeItem.priceOverride",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Money"
}
],
"isSummary": false,
"mapping": [
{
"identity": "v2",
"map": "FT1.22"
}
]
},
{
"id": "ChargeItem.overrideReason",
"path": "ChargeItem.overrideReason",
"short": "Reason for overriding the list price/factor",
"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.",
"comment": "Derived Profiles may chose to add invariants requiring this field to be populated if either priceOverride or factorOverride have been filled.",
"min": 0,
"max": "1",
"base": {
"path": "ChargeItem.overrideReason",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"isSummary": false
},
{
"id": "ChargeItem.enterer",
"path": "ChargeItem.enterer",
"short": "Individual who was entering",
"definition": "The device, practitioner, etc. who entered the charge item.",
"comment": "The enterer is also te person considered responsible for factor/priceOverrides if applicable.",
"min": 0,
"max": "1",
"base": {
"path": "ChargeItem.enterer",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Practitioner"
},
{
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Organization"
},
{
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Patient"
},
{
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Device"
},
{
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/RelatedPerson"
}
],
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "EVN.5 or by domain"
},
{
"identity": "rim",
"map": ".player"
},
{
"identity": "w5",
"map": "who.actor"
}
]
},
{
"id": "ChargeItem.enterer.id",
"path": "ChargeItem.enterer.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "ChargeItem.enterer.extension",
"path": "ChargeItem.enterer.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"ordered": false,
"rules": "open"
},
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
]
},
{
"id": "ChargeItem.enterer.extension:enterer",
"path": "ChargeItem.enterer.extension",
"sliceName": "enterer",
"short": "R4B: enterer",
"definition": "R4B: `ChargeItem.enterer`",
"comment": "Element `ChargeItem.enterer` is mapped to FHIR STU3 element `ChargeItem.enterer` as `SourceIsBroaderThanTarget`.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ChargeItem.enterer` with unmapped reference targets: Device, Organization, Patient, Practitioner, PractitionerRole, RelatedPerson.\nThe enterer is also the person considered responsible for factor/price overrides if applicable.",
"min": 0,
"max": "1",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": "http://hl7.org/fhir/StructureDefinition/alternate-reference"
}
]
},
{
"id": "ChargeItem.enterer.reference",
"path": "ChargeItem.enterer.reference",
"short": "Literal reference, Relative, internal or absolute URL",
"definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
"comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.reference",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ref-1"
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "ChargeItem.enterer.identifier",
"path": "ChargeItem.enterer.identifier",
"short": "Logical reference, when literal reference is not known",
"definition": "An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.",
"comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.identifier",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Identifier"
}
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": ".identifier"
}
]
},
{
"id": "ChargeItem.enterer.display",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
}
],
"path": "ChargeItem.enterer.display",
"short": "Text alternative for the resource",
"definition": "Plain text narrative that identifies the resource in addition to the resource reference.",
"comment": "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.display",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "ChargeItem.enteredDate",
"path": "ChargeItem.enteredDate",
"short": "Date the charge item was entered",
"definition": "Date the charge item was entered.",
"comment": "The actual date when the service associated with the charge has been rendered is captured in occurrence[x].",
"min": 0,
"max": "1",
"base": {
"path": "ChargeItem.enteredDate",
"min": 0,
"max": "1"
},
"type": [
{
"code": "dateTime"
}
],
"isSummary": true
},
{
"id": "ChargeItem.reason",
"path": "ChargeItem.reason",
"short": "Why was the charged service rendered?",
"definition": "Describes why the event occurred in coded or textual form.",
"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.",
"min": 0,
"max": "*",
"base": {
"path": "ChargeItem.reason",
"min": 0,
"max": "*"
},
"type": [
{
"code": "CodeableConcept"
}
],
"isSummary": false,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "ChargeItemReason"
}
],
"strength": "example",
"description": "Example binding for reason",
"valueSetReference": {
"reference": "http://hl7.org/fhir/ValueSet/icd-10|3.0.2"
}
},
"mapping": [
{
"identity": "workflow",
"map": "Event.reasonCodeableConcept"
},
{
"identity": "v2",
"map": "EVN.4 or by domain"
},
{
"identity": "rim",
"map": ".reasonCode"
},
{
"identity": "w5",
"map": "why"
}
]
},
{
"id": "ChargeItem.service",
"path": "ChargeItem.service",
"short": "Which rendered service is being charged?",
"definition": "Indicated the rendered service that caused this charge.",
"min": 0,
"max": "*",
"base": {
"path": "ChargeItem.service",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/DiagnosticReport"
},
{
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/ImagingStudy"
},
{
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Immunization"
},
{
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration"
},
{
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/MedicationDispense"
},
{
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Observation"
},
{
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Procedure"
},
{
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/SupplyDelivery"
}
],
"isSummary": false,
"mapping": [
{
"identity": "workflow",
"map": "Event.reasonReference"
},
{
"identity": "v2",
"map": "EVN.4 or by domain"
},
{
"identity": "rim",
"map": ".outboundRelationship[typeCode=RSON].target"
},
{
"identity": "w5",
"map": "why"
}
]
},
{
"id": "ChargeItem.service.id",
"path": "ChargeItem.service.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "ChargeItem.service.extension",
"path": "ChargeItem.service.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"ordered": false,
"rules": "open"
},
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
]
},
{
"id": "ChargeItem.service.extension:service",
"path": "ChargeItem.service.extension",
"sliceName": "service",
"short": "R4B: service",
"definition": "R4B: `ChargeItem.service`",
"comment": "Element `ChargeItem.service` is mapped to FHIR STU3 element `ChargeItem.service` as `SourceIsBroaderThanTarget`.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ChargeItem.service` with unmapped reference targets: DiagnosticReport, ImagingStudy, Immunization, MedicationAdministration, MedicationDispense, Observation, Procedure, SupplyDelivery.",
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": "http://hl7.org/fhir/StructureDefinition/alternate-reference"
}
]
},
{
"id": "ChargeItem.service.reference",
"path": "ChargeItem.service.reference",
"short": "Literal reference, Relative, internal or absolute URL",
"definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
"comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.reference",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ref-1"
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "ChargeItem.service.identifier",
"path": "ChargeItem.service.identifier",
"short": "Logical reference, when literal reference is not known",
"definition": "An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.",
"comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.identifier",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Identifier"
}
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": ".identifier"
}
]
},
{
"id": "ChargeItem.service.display",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
}
],
"path": "ChargeItem.service.display",
"short": "Text alternative for the resource",
"definition": "Plain text narrative that identifies the resource in addition to the resource reference.",
"comment": "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.display",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "ChargeItem.account",
"path": "ChargeItem.account",
"short": "Account to place this charge",
"definition": "Account into which this ChargeItems belongs.",
"comment": "Systems posting the ChargeItems may not always be able to determine, which accounts the Items need to be places into. It is up to the potprocessing 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.",
"min": 0,
"max": "*",
"base": {
"path": "ChargeItem.account",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Account"
}
],
"isSummary": true
},
{
"id": "ChargeItem.account.id",
"path": "ChargeItem.account.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "ChargeItem.account.extension",
"path": "ChargeItem.account.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"ordered": false,
"rules": "open"
},
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
]
},
{
"id": "ChargeItem.account.extension:account",
"path": "ChargeItem.account.extension",
"sliceName": "account",
"short": "R4B: account additional types",
"definition": "R4B: `ChargeItem.account` additional types from child elements (display, identifier, reference, type)",
"comment": "Element `ChargeItem.account` is mapped to FHIR STU3 element `ChargeItem.account` as `SourceIsBroaderThanTarget`.\nThe mappings for `ChargeItem.account` do not cover the following types based on type expansion: display, identifier, reference, type.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ChargeItem.account` with unmapped reference targets: Account.\nSystems 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.",
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": "http://hl7.org/fhir/StructureDefinition/alternate-reference"
}
]
},
{
"id": "ChargeItem.account.reference",
"path": "ChargeItem.account.reference",
"short": "Literal reference, Relative, internal or absolute URL",
"definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
"comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.reference",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ref-1"
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "ChargeItem.account.identifier",
"path": "ChargeItem.account.identifier",
"short": "Logical reference, when literal reference is not known",
"definition": "An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.",
"comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.identifier",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Identifier"
}
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": ".identifier"
}
]
},
{
"id": "ChargeItem.account.display",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
}
],
"path": "ChargeItem.account.display",
"short": "Text alternative for the resource",
"definition": "Plain text narrative that identifies the resource in addition to the resource reference.",
"comment": "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.display",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "ChargeItem.note",
"path": "ChargeItem.note",
"short": "Comments made about the ChargeItem",
"definition": "Comments made about the event by the performer, subject or other participants.",
"min": 0,
"max": "*",
"base": {
"path": "ChargeItem.note",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Annotation"
}
],
"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]"
}
]
},
{
"id": "ChargeItem.note.id",
"path": "ChargeItem.note.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "ChargeItem.note.extension",
"path": "ChargeItem.note.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"ordered": false,
"rules": "open"
},
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
]
},
{
"id": "ChargeItem.note.extension:note",
"path": "ChargeItem.note.extension",
"sliceName": "note",
"short": "R4B: note additional types",
"definition": "R4B: `ChargeItem.note` additional types (Annotation) additional types from child elements (author[x], text, time)",
"comment": "Element `ChargeItem.note` is mapped to FHIR STU3 element `ChargeItem.note` as `SourceIsBroaderThanTarget`.\nThe mappings for `ChargeItem.note` do not cover the following types: Annotation.\nThe mappings for `ChargeItem.note` do not cover the following types based on type expansion: author[x], text, time.",
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ChargeItem.note|0.1.0"
}
]
},
{
"id": "ChargeItem.note.author[x]",
"path": "ChargeItem.note.author[x]",
"short": "Individual responsible for the annotation",
"definition": "The individual responsible for making the annotation.",
"min": 0,
"max": "1",
"base": {
"path": "Annotation.author[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Practitioner"
},
{
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Patient"
},
{
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/RelatedPerson"
},
{
"code": "string"
}
],
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "N/A"
},
{
"identity": "rim",
"map": "Act.participant[typeCode=AUT].role"
}
]
},
{
"id": "ChargeItem.note.time",
"path": "ChargeItem.note.time",
"short": "When the annotation was made",
"definition": "Indicates when this particular annotation was made.",
"min": 0,
"max": "1",
"base": {
"path": "Annotation.time",
"min": 0,
"max": "1"
},
"type": [
{
"code": "dateTime"
}
],
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "N/A"
},
{
"identity": "rim",
"map": "Act.effectiveTime"
}
]
},
{
"id": "ChargeItem.note.text",
"path": "ChargeItem.note.text",
"short": "The annotation - text content",
"definition": "The text of the annotation.",
"min": 1,
"max": "1",
"base": {
"path": "Annotation.text",
"min": 1,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "v2",
"map": "N/A"
},
{
"identity": "rim",
"map": "Act.text"
}
]
},
{
"id": "ChargeItem.supportingInformation",
"path": "ChargeItem.supportingInformation",
"short": "Further information supporting the this charge",
"definition": "Further information supporting the this charge.",
"min": 0,
"max": "*",
"base": {
"path": "ChargeItem.supportingInformation",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource"
}
],
"isSummary": false
},
{
"id": "ChargeItem.supportingInformation.id",
"path": "ChargeItem.supportingInformation.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "ChargeItem.supportingInformation.extension",
"path": "ChargeItem.supportingInformation.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"ordered": false,
"rules": "open"
},
"short": "Extension",
"definition": "An Extension",
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
]
},
{
"id": "ChargeItem.supportingInformation.extension:supportingInformation",
"path": "ChargeItem.supportingInformation.extension",
"sliceName": "supportingInformation",
"short": "R4B: Further information supporting this charge additional types",
"definition": "R4B: `ChargeItem.supportingInformation` additional types from child elements (display, identifier, reference, type)",
"comment": "Element `ChargeItem.supportingInformation` is mapped to FHIR STU3 element `ChargeItem.supportingInformation` as `SourceIsBroaderThanTarget`.\nThe mappings for `ChargeItem.supportingInformation` do not cover the following types based on type expansion: display, identifier, reference, type.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ChargeItem.supportingInformation` with unmapped reference targets: Resource.",
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": "http://hl7.org/fhir/StructureDefinition/alternate-reference"
}
]
},
{
"id": "ChargeItem.supportingInformation.reference",
"path": "ChargeItem.supportingInformation.reference",
"short": "Literal reference, Relative, internal or absolute URL",
"definition": "A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.",
"comment": "Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure \"/[type]/[id]\" then it should be assumed that the reference is to a FHIR RESTful server.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.reference",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"condition": [
"ref-1"
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "ChargeItem.supportingInformation.identifier",
"path": "ChargeItem.supportingInformation.identifier",
"short": "Logical reference, when literal reference is not known",
"definition": "An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.",
"comment": "When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. \n\nWhen both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference\n\nApplications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.identifier",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Identifier"
}
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": ".identifier"
}
]
},
{
"id": "ChargeItem.supportingInformation.display",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
}
],
"path": "ChargeItem.supportingInformation.display",
"short": "Text alternative for the resource",
"definition": "Plain text narrative that identifies the resource in addition to the resource reference.",
"comment": "This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.",
"min": 0,
"max": "1",
"base": {
"path": "Reference.display",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
}
]
},
"differential": {
"element": [
{
"id": "ChargeItem",
"path": "ChargeItem"
},
{
"id": "ChargeItem.meta.extension",
"path": "ChargeItem.meta.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"ordered": false,
"rules": "open"
},
"min": 0,
"max": "*"
},
{
"id": "ChargeItem.meta.extension:meta",
"path": "ChargeItem.meta.extension",
"sliceName": "meta",
"short": "R4B: meta additional types",
"definition": "R4B: `ChargeItem.meta` additional types (Meta) additional types from child elements (lastUpdated, profile, security, source, tag, versionId)",
"comment": "Element `ChargeItem.meta` is mapped to FHIR STU3 element `ChargeItem.meta` as `SourceIsBroaderThanTarget`.\nThe mappings for `ChargeItem.meta` do not cover the following types: Meta.\nThe mappings for `ChargeItem.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, source, tag, versionId.",
"min": 0,
"max": "1",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ChargeItem.meta|0.1.0"
}
]
},
{
"id": "ChargeItem.text.extension",
"path": "ChargeItem.text.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"ordered": false,
"rules": "open"
},
"min": 0,
"max": "*"
},
{
"id": "ChargeItem.text.extension:text",
"path": "ChargeItem.text.extension",
"sliceName": "text",
"short": "R4B: text additional types",
"definition": "R4B: `ChargeItem.text` additional types (Narrative) additional types from child elements (div, status)",
"comment": "Element `ChargeItem.text` is mapped to FHIR STU3 element `ChargeItem.text` as `SourceIsBroaderThanTarget`.\nThe mappings for `ChargeItem.text` do not cover the following types: Narrative.\nThe mappings for `ChargeItem.text` do not cover the following types based on type expansion: div, status.\nContained resources do not have 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.",
"min": 0,
"max": "1",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ChargeItem.text|0.1.0"
}
]
},
{
"id": "ChargeItem.extension",
"path": "ChargeItem.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"ordered": false,
"rules": "open"
},
"min": 0,
"max": "*"
},
{
"id": "ChargeItem.extension:definitionCanonical",
"path": "ChargeItem.extension",
"sliceName": "definitionCanonical",
"short": "R4B: Resource defining the code of this ChargeItem (new)",
"definition": "R4B: `ChargeItem.definitionCanonical` (new:canonical(ChargeItemDefinition))",
"comment": "Element `ChargeItem.definitionCanonical` has a context of ChargeItem based on following the parent source element upwards and mapping to `ChargeItem`.\nElement `ChargeItem.definitionCanonical` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"min": 0,
"max": "*",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ChargeItem.definitionCanonical|0.1.0"
}
]
},
{
"id": "ChargeItem.extension:occurrence",
"path": "ChargeItem.extension",
"sliceName": "occurrence",
"short": "R4B: occurrence additional types",
"definition": "R4B: `ChargeItem.occurrence[x]` additional types (Period, Timing)",
"comment": "Element `ChargeItem.occurrence[x]` is mapped to FHIR STU3 element `ChargeItem.occurrence[x]` as `SourceIsBroaderThanTarget`.\nThe mappings for `ChargeItem.occurrence[x]` do not cover the following types: Period, Timing.\nThe target context `ChargeItem.occurrence[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ChargeItem`.\nThe list of types may be constrained as appropriate for the type of charge item.",
"min": 0,
"max": "1",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ChargeItem.occurrence|0.1.0"
}
]
},
{
"id": "ChargeItem.extension:costCenter",
"path": "ChargeItem.extension",
"sliceName": "costCenter",
"short": "R4B: Organization that has ownership of the (potential, future) revenue (new)",
"definition": "R4B: `ChargeItem.costCenter` (new:Reference(Organization))",
"comment": "Element `ChargeItem.costCenter` has a context of ChargeItem based on following the parent source element upwards and mapping to `ChargeItem`.\nElement `ChargeItem.costCenter` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).\nThe 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.",
"min": 0,
"max": "1",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ChargeItem.costCenter|0.1.0"
}
]
},
{
"id": "ChargeItem.extension:product",
"path": "ChargeItem.extension",
"sliceName": "product",
"short": "R4B: Product charged (new)",
"definition": "R4B: `ChargeItem.product[x]` (new:CodeableConcept, Reference(Device,Medication,Substance))",
"comment": "Element `ChargeItem.product[x]` has a context of ChargeItem based on following the parent source element upwards and mapping to `ChargeItem`.\nElement `ChargeItem.product[x]` has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).",
"min": 0,
"max": "1",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ChargeItem.product|0.1.0"
}
]
},
{
"id": "ChargeItem.identifier.extension",
"path": "ChargeItem.identifier.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"ordered": false,
"rules": "open"
},
"min": 0,
"max": "*"
},
{
"id": "ChargeItem.identifier.extension:identifier",
"path": "ChargeItem.identifier.extension",
"sliceName": "identifier",
"short": "R4B: identifier additional types",
"definition": "R4B: `ChargeItem.identifier` additional types (Identifier) additional types from child elements (assigner, period, system, type, use, value)",
"comment": "Element `ChargeItem.identifier` is mapped to FHIR STU3 element `ChargeItem.identifier` as `SourceIsBroaderThanTarget`.\nThe mappings for `ChargeItem.identifier` do not cover the following types: Identifier.\nThe mappings for `ChargeItem.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value.",
"min": 0,
"max": "*",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ChargeItem.identifier|0.1.0"
}
]
},
{
"id": "ChargeItem.partOf.extension",
"path": "ChargeItem.partOf.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"ordered": false,
"rules": "open"
},
"min": 0,
"max": "*"
},
{
"id": "ChargeItem.partOf.extension:partOf",
"path": "ChargeItem.partOf.extension",
"sliceName": "partOf",
"short": "R4B: partOf additional types",
"definition": "R4B: `ChargeItem.partOf` additional types from child elements (display, identifier, reference, type)",
"comment": "Element `ChargeItem.partOf` is mapped to FHIR STU3 element `ChargeItem.partOf` as `SourceIsBroaderThanTarget`.\nThe mappings for `ChargeItem.partOf` do not cover the following types based on type expansion: display, identifier, reference, type.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ChargeItem.partOf` with unmapped reference targets: ChargeItem.",
"min": 0,
"max": "*",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": "http://hl7.org/fhir/StructureDefinition/alternate-reference"
}
]
},
{
"id": "ChargeItem.subject.extension",
"path": "ChargeItem.subject.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"ordered": false,
"rules": "open"
},
"min": 0,
"max": "*"
},
{
"id": "ChargeItem.subject.extension:subject",
"path": "ChargeItem.subject.extension",
"sliceName": "subject",
"short": "R4B: subject additional types",
"definition": "R4B: `ChargeItem.subject` additional types from child elements (display, identifier, reference, type)",
"comment": "Element `ChargeItem.subject` is mapped to FHIR STU3 element `ChargeItem.subject` as `SourceIsBroaderThanTarget`.\nThe mappings for `ChargeItem.subject` do not cover the following types based on type expansion: display, identifier, reference, type.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ChargeItem.subject` with unmapped reference targets: Group, Patient.",
"min": 0,
"max": "1",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": "http://hl7.org/fhir/StructureDefinition/alternate-reference"
}
]
},
{
"id": "ChargeItem.context.extension",
"path": "ChargeItem.context.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"ordered": false,
"rules": "open"
},
"min": 0,
"max": "*"
},
{
"id": "ChargeItem.context.extension:context",
"path": "ChargeItem.context.extension",
"sliceName": "context",
"short": "R4B: context additional types",
"definition": "R4B: `ChargeItem.context` additional types from child elements (display, identifier, reference, type)",
"comment": "Element `ChargeItem.context` is mapped to FHIR STU3 element `ChargeItem.context` as `SourceIsBroaderThanTarget`.\nThe mappings for `ChargeItem.context` do not cover the following types based on type expansion: display, identifier, reference, type.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ChargeItem.context` with unmapped reference targets: Encounter, EpisodeOfCare.",
"min": 0,
"max": "1",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": "http://hl7.org/fhir/StructureDefinition/alternate-reference"
}
]
},
{
"id": "ChargeItem.participant.actor.extension",
"path": "ChargeItem.participant.actor.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"ordered": false,
"rules": "open"
},
"min": 0,
"max": "*"
},
{
"id": "ChargeItem.participant.actor.extension:actor",
"path": "ChargeItem.participant.actor.extension",
"sliceName": "actor",
"short": "R4B: actor",
"definition": "R4B: `ChargeItem.performer.actor`",
"comment": "Element `ChargeItem.performer.actor` is mapped to FHIR STU3 element `ChargeItem.participant.actor` as `SourceIsBroaderThanTarget`.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ChargeItem.performer.actor` with unmapped reference targets: CareTeam, Device, Organization, Patient, Practitioner, PractitionerRole, RelatedPerson.",
"min": 0,
"max": "1",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": "http://hl7.org/fhir/StructureDefinition/alternate-reference"
}
]
},
{
"id": "ChargeItem.performingOrganization.extension",
"path": "ChargeItem.performingOrganization.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"ordered": false,
"rules": "open"
},
"min": 0,
"max": "*"
},
{
"id": "ChargeItem.performingOrganization.extension:performingOrganization",
"path": "ChargeItem.performingOrganization.extension",
"sliceName": "performingOrganization",
"short": "R4B: Organization providing the charged service additional types",
"definition": "R4B: `ChargeItem.performingOrganization` additional types from child elements (display, identifier, reference, type)",
"comment": "Element `ChargeItem.performingOrganization` is mapped to FHIR STU3 element `ChargeItem.performingOrganization` as `SourceIsBroaderThanTarget`.\nThe mappings for `ChargeItem.performingOrganization` do not cover the following types based on type expansion: display, identifier, reference, type.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ChargeItem.performingOrganization` with unmapped reference targets: Organization.\nPractitioners and Devices can be associated with multiple organizations. It has to be made clear, on behalf of which Organization the services have been rendered.",
"min": 0,
"max": "1",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": "http://hl7.org/fhir/StructureDefinition/alternate-reference"
}
]
},
{
"id": "ChargeItem.requestingOrganization.extension",
"path": "ChargeItem.requestingOrganization.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"ordered": false,
"rules": "open"
},
"min": 0,
"max": "*"
},
{
"id": "ChargeItem.requestingOrganization.extension:requestingOrganization",
"path": "ChargeItem.requestingOrganization.extension",
"sliceName": "requestingOrganization",
"short": "R4B: requestingOrganization additional types",
"definition": "R4B: `ChargeItem.requestingOrganization` additional types from child elements (display, identifier, reference, type)",
"comment": "Element `ChargeItem.requestingOrganization` is mapped to FHIR STU3 element `ChargeItem.requestingOrganization` as `SourceIsBroaderThanTarget`.\nThe mappings for `ChargeItem.requestingOrganization` do not cover the following types based on type expansion: display, identifier, reference, type.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ChargeItem.requestingOrganization` with unmapped reference targets: Organization.\nThe 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).",
"min": 0,
"max": "1",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": "http://hl7.org/fhir/StructureDefinition/alternate-reference"
}
]
},
{
"id": "ChargeItem.enterer.extension",
"path": "ChargeItem.enterer.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"ordered": false,
"rules": "open"
},
"min": 0,
"max": "*"
},
{
"id": "ChargeItem.enterer.extension:enterer",
"path": "ChargeItem.enterer.extension",
"sliceName": "enterer",
"short": "R4B: enterer",
"definition": "R4B: `ChargeItem.enterer`",
"comment": "Element `ChargeItem.enterer` is mapped to FHIR STU3 element `ChargeItem.enterer` as `SourceIsBroaderThanTarget`.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ChargeItem.enterer` with unmapped reference targets: Device, Organization, Patient, Practitioner, PractitionerRole, RelatedPerson.\nThe enterer is also the person considered responsible for factor/price overrides if applicable.",
"min": 0,
"max": "1",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": "http://hl7.org/fhir/StructureDefinition/alternate-reference"
}
]
},
{
"id": "ChargeItem.service.extension",
"path": "ChargeItem.service.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"ordered": false,
"rules": "open"
},
"min": 0,
"max": "*"
},
{
"id": "ChargeItem.service.extension:service",
"path": "ChargeItem.service.extension",
"sliceName": "service",
"short": "R4B: service",
"definition": "R4B: `ChargeItem.service`",
"comment": "Element `ChargeItem.service` is mapped to FHIR STU3 element `ChargeItem.service` as `SourceIsBroaderThanTarget`.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ChargeItem.service` with unmapped reference targets: DiagnosticReport, ImagingStudy, Immunization, MedicationAdministration, MedicationDispense, Observation, Procedure, SupplyDelivery.",
"min": 0,
"max": "*",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": "http://hl7.org/fhir/StructureDefinition/alternate-reference"
}
]
},
{
"id": "ChargeItem.account.extension",
"path": "ChargeItem.account.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"ordered": false,
"rules": "open"
},
"min": 0,
"max": "*"
},
{
"id": "ChargeItem.account.extension:account",
"path": "ChargeItem.account.extension",
"sliceName": "account",
"short": "R4B: account additional types",
"definition": "R4B: `ChargeItem.account` additional types from child elements (display, identifier, reference, type)",
"comment": "Element `ChargeItem.account` is mapped to FHIR STU3 element `ChargeItem.account` as `SourceIsBroaderThanTarget`.\nThe mappings for `ChargeItem.account` do not cover the following types based on type expansion: display, identifier, reference, type.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ChargeItem.account` with unmapped reference targets: Account.\nSystems 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.",
"min": 0,
"max": "*",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": "http://hl7.org/fhir/StructureDefinition/alternate-reference"
}
]
},
{
"id": "ChargeItem.note.extension",
"path": "ChargeItem.note.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"ordered": false,
"rules": "open"
},
"min": 0,
"max": "*"
},
{
"id": "ChargeItem.note.extension:note",
"path": "ChargeItem.note.extension",
"sliceName": "note",
"short": "R4B: note additional types",
"definition": "R4B: `ChargeItem.note` additional types (Annotation) additional types from child elements (author[x], text, time)",
"comment": "Element `ChargeItem.note` is mapped to FHIR STU3 element `ChargeItem.note` as `SourceIsBroaderThanTarget`.\nThe mappings for `ChargeItem.note` do not cover the following types: Annotation.\nThe mappings for `ChargeItem.note` do not cover the following types based on type expansion: author[x], text, time.",
"min": 0,
"max": "*",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": "http://hl7.org/fhir/4.3/StructureDefinition/extension-ChargeItem.note|0.1.0"
}
]
},
{
"id": "ChargeItem.supportingInformation.extension",
"path": "ChargeItem.supportingInformation.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"ordered": false,
"rules": "open"
},
"min": 0,
"max": "*"
},
{
"id": "ChargeItem.supportingInformation.extension:supportingInformation",
"path": "ChargeItem.supportingInformation.extension",
"sliceName": "supportingInformation",
"short": "R4B: Further information supporting this charge additional types",
"definition": "R4B: `ChargeItem.supportingInformation` additional types from child elements (display, identifier, reference, type)",
"comment": "Element `ChargeItem.supportingInformation` is mapped to FHIR STU3 element `ChargeItem.supportingInformation` as `SourceIsBroaderThanTarget`.\nThe mappings for `ChargeItem.supportingInformation` do not cover the following types based on type expansion: display, identifier, reference, type.\nThe standard extension `alternate-reference` has been mapped as the representation of FHIR R4B element `ChargeItem.supportingInformation` with unmapped reference targets: Resource.",
"min": 0,
"max": "*",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension",
"profile": "http://hl7.org/fhir/StructureDefinition/alternate-reference"
}
]
}
]
}
}