German Practice Management FHIR Profiles (R4)
Version 0.99.1 - release

Extension: Billing Counting Scope Qualifier

Official URL: https://fhir.cognovis.de/praxis/StructureDefinition/billing-counting-scope-qualifier Version: 0.99.1
Active as of 2026-08-22 Computable Name: BillingCountingScopeQualifier
Other Identifiers: OID:2.16.840.1.113883.3.7985.42.46

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Typed instance parameters of a declared billing counting scope. As a modifier extension it must be understood before a counting result is asserted: ignoring an anchor, a sameness selector, or a window multiple silently widens the scope the count was taken over.

Context of Use

This extension may be used on the following element(s):

  • Element ID ChargeItemDefinition.applicability

Usage info

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Extension Content

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

This structure is derived from Extension

Summary

Complex Extension: Typed instance parameters of a declared billing counting scope. As a modifier extension it must be understood before a counting result is asserted: ignoring an anchor, a sameness selector, or a window multiple silently widens the scope the count was taken over.

  • anchorCode: Coding: Declared anchor service. The anchor is always an instance parameter so that anchored windows stay free of issuer code lists.
  • anchorDirection: code: An Extension
  • anchorSection: string: Identifier of the catalog section whose services anchor the window, used when a rule anchors to a section rather than to individual services.
  • sameSelector: CodeableConcept: Declared aspect that two occurrences must share to be counted together, such as the same site, the same session, or the same material.
  • windowMultiple: positiveInt: Number of unit counting windows the scope spans. Quantity is a parameter and never mints a separate window concept.

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension ?!C 0..* Extension Billing Counting Scope Qualifier
This is a modifier extension
Constraints: billing-counting-scope-has-parameter, billing-counting-scope-anchor-direction-requires-anchor
... Slices for extension Content/Rules for all slices
.... extension:anchorCode 0..* Extension Service that anchors the counting window
..... extension 0..0 Extension
..... url 1..1 uri "anchorCode"
..... value[x] 0..1 Coding Value of extension
.... extension:anchorDirection 0..1 Extension Direction of the window relative to the anchor
..... extension 0..0 Extension
..... url 1..1 uri "anchorDirection"
..... value[x] 0..1 code Value of extension
Binding: Billing Counting Anchor Direction (required)
.... extension:anchorSection 0..1 Extension Catalog section the anchor is drawn from
..... extension 0..0 Extension
..... url 1..1 uri "anchorSection"
..... value[x] 0..1 string Value of extension
.... extension:sameSelector 0..1 Extension Sameness selector the count is partitioned by
..... extension 0..0 Extension
..... url 1..1 uri "sameSelector"
..... value[x] 0..1 CodeableConcept Value of extension
.... extension:windowMultiple 0..1 Extension Number of unit windows the scope spans
..... extension 0..0 Extension
..... url 1..1 uri "windowMultiple"
..... value[x] 0..1 positiveInt Value of extension
... url 1..1 uri "https://fhir.cognovis.de/praxis/StructureDefinition/billing-counting-scope-qualifier"
... value[x] 0..0 Value of extension

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension ?!C 0..* Extension Billing Counting Scope Qualifier
This is a modifier extension
Constraints: billing-counting-scope-has-parameter, billing-counting-scope-anchor-direction-requires-anchor
... id 0..1 string Unique id for inter-element referencing
... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... extension:anchorCode 0..* Extension Service that anchors the counting window
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "anchorCode"
..... value[x] 0..1 Coding Value of extension
.... extension:anchorDirection 0..1 Extension Direction of the window relative to the anchor
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "anchorDirection"
..... value[x] 0..1 code Value of extension
Binding: Billing Counting Anchor Direction (required)
.... extension:anchorSection 0..1 Extension Catalog section the anchor is drawn from
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "anchorSection"
..... value[x] 0..1 string Value of extension
.... extension:sameSelector 0..1 Extension Sameness selector the count is partitioned by
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "sameSelector"
..... value[x] 0..1 CodeableConcept Value of extension
.... extension:windowMultiple 0..1 Extension Number of unit windows the scope spans
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "windowMultiple"
..... value[x] 0..1 positiveInt Value of extension
... url 1..1 uri "https://fhir.cognovis.de/praxis/StructureDefinition/billing-counting-scope-qualifier"

doco Documentation for this format

This structure is derived from Extension

Summary

Complex Extension: Typed instance parameters of a declared billing counting scope. As a modifier extension it must be understood before a counting result is asserted: ignoring an anchor, a sameness selector, or a window multiple silently widens the scope the count was taken over.

  • anchorCode: Coding: Declared anchor service. The anchor is always an instance parameter so that anchored windows stay free of issuer code lists.
  • anchorDirection: code: An Extension
  • anchorSection: string: Identifier of the catalog section whose services anchor the window, used when a rule anchors to a section rather than to individual services.
  • sameSelector: CodeableConcept: Declared aspect that two occurrences must share to be counted together, such as the same site, the same session, or the same material.
  • windowMultiple: positiveInt: Number of unit counting windows the scope spans. Quantity is a parameter and never mints a separate window concept.

Differential View

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension ?!C 0..* Extension Billing Counting Scope Qualifier
This is a modifier extension
Constraints: billing-counting-scope-has-parameter, billing-counting-scope-anchor-direction-requires-anchor
... Slices for extension Content/Rules for all slices
.... extension:anchorCode 0..* Extension Service that anchors the counting window
..... extension 0..0 Extension
..... url 1..1 uri "anchorCode"
..... value[x] 0..1 Coding Value of extension
.... extension:anchorDirection 0..1 Extension Direction of the window relative to the anchor
..... extension 0..0 Extension
..... url 1..1 uri "anchorDirection"
..... value[x] 0..1 code Value of extension
Binding: Billing Counting Anchor Direction (required)
.... extension:anchorSection 0..1 Extension Catalog section the anchor is drawn from
..... extension 0..0 Extension
..... url 1..1 uri "anchorSection"
..... value[x] 0..1 string Value of extension
.... extension:sameSelector 0..1 Extension Sameness selector the count is partitioned by
..... extension 0..0 Extension
..... url 1..1 uri "sameSelector"
..... value[x] 0..1 CodeableConcept Value of extension
.... extension:windowMultiple 0..1 Extension Number of unit windows the scope spans
..... extension 0..0 Extension
..... url 1..1 uri "windowMultiple"
..... value[x] 0..1 positiveInt Value of extension
... url 1..1 uri "https://fhir.cognovis.de/praxis/StructureDefinition/billing-counting-scope-qualifier"
... value[x] 0..0 Value of extension

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension ?!C 0..* Extension Billing Counting Scope Qualifier
This is a modifier extension
Constraints: billing-counting-scope-has-parameter, billing-counting-scope-anchor-direction-requires-anchor
... id 0..1 string Unique id for inter-element referencing
... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... extension:anchorCode 0..* Extension Service that anchors the counting window
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "anchorCode"
..... value[x] 0..1 Coding Value of extension
.... extension:anchorDirection 0..1 Extension Direction of the window relative to the anchor
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "anchorDirection"
..... value[x] 0..1 code Value of extension
Binding: Billing Counting Anchor Direction (required)
.... extension:anchorSection 0..1 Extension Catalog section the anchor is drawn from
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "anchorSection"
..... value[x] 0..1 string Value of extension
.... extension:sameSelector 0..1 Extension Sameness selector the count is partitioned by
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "sameSelector"
..... value[x] 0..1 CodeableConcept Value of extension
.... extension:windowMultiple 0..1 Extension Number of unit windows the scope spans
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "windowMultiple"
..... value[x] 0..1 positiveInt Value of extension
... url 1..1 uri "https://fhir.cognovis.de/praxis/StructureDefinition/billing-counting-scope-qualifier"

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

Path Status Usage ValueSet Version Source
Extension.extension:anchorDirection.​value[x] Base required Billing Counting Anchor Direction 📦0.99.1 This IG

Constraints

Id Grade Path(s) Description Expression
billing-counting-scope-anchor-direction-requires-anchor error Extension An anchor direction is only meaningful together with a declared anchor code or anchor section. extension.where(url = 'anchorDirection').exists() implies extension.where(url = 'anchorCode' or url = 'anchorSection').exists()
billing-counting-scope-has-parameter error Extension A counting-scope qualifier must declare at least one typed counting parameter. extension.where(url = 'anchorCode' or url = 'anchorDirection' or url = 'anchorSection' or url = 'sameSelector' or url = 'windowMultiple').exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()