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

Extension: Billing Patient Attribute Rule

Official URL: https://fhir.cognovis.de/praxis/StructureDefinition/billing-patient-attribute-rule Version: 0.99.1
Active as of 2026-08-22 Computable Name: BillingPatientAttributeRule
Other Identifiers: OID:2.16.840.1.113883.3.7985.42.55

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Typed declarative patient-attribute billing rule. As a modifier extension it must be understood before billability is asserted.

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 declarative patient-attribute billing rule. As a modifier extension it must be understood before billability is asserted.

  • ruleId: string: An Extension
  • ruleClass: Coding: An Extension
  • effect: Coding: An Extension
  • minimumAge: integer: An Extension
  • maximumAge: integer: An Extension
  • gender: code: An Extension
  • status: Coding: An Extension

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension ?!C 0..* Extension Billing Patient Attribute Rule
This is a modifier extension
Constraints: billing-patient-attribute-has-parameter, billing-rule-class-semantic-version
... extension 3..* Extension Extension
... Slices for extension Content/Rules for all slices
.... extension:ruleId 1..1 Extension Extension
..... extension 0..0 Extension
..... url 1..1 uri "ruleId"
..... value[x] 0..1 string Value of extension
.... extension:ruleClass 1..1 Extension Extension
..... extension 0..0 Extension
..... url 1..1 uri "ruleClass"
..... value[x] 0..1 Coding Value of extension
...... system 0..1 uri Identity of the terminology system
Fixed Value: https://fhir.cognovis.de/praxis/CodeSystem/billing-rule-class
...... version 1..1 string Version of the system - if relevant
Fixed Value: 1
...... code 0..1 code Symbol in syntax defined by the system
Fixed Value: patient-attribute-constraint
.... extension:effect 1..1 Extension Extension
..... extension 0..0 Extension
..... url 1..1 uri "effect"
..... value[x] 0..1 Coding Value of extension
Binding: Billing Rule Effect (required)
.... extension:minimumAge 0..1 Extension Extension
..... extension 0..0 Extension
..... url 1..1 uri "minimumAge"
..... value[x] 0..1 integer Value of extension
.... extension:maximumAge 0..1 Extension Extension
..... extension 0..0 Extension
..... url 1..1 uri "maximumAge"
..... value[x] 0..1 integer Value of extension
.... extension:gender 0..* Extension Extension
..... extension 0..0 Extension
..... url 1..1 uri "gender"
..... value[x] 0..1 code Value of extension
Binding: AdministrativeGender (required)
.... extension:status 0..* Extension Extension
..... extension 0..0 Extension
..... url 1..1 uri "status"
..... value[x] 0..1 Coding Value of extension
... url 1..1 uri "https://fhir.cognovis.de/praxis/StructureDefinition/billing-patient-attribute-rule"

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension ?!C 0..* Extension Billing Patient Attribute Rule
This is a modifier extension
Constraints: billing-patient-attribute-has-parameter, billing-rule-class-semantic-version
... id 0..1 string Unique id for inter-element referencing
... Slices for extension 3..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:ruleId 1..1 Extension Extension
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "ruleId"
..... value[x] 0..1 string Value of extension
.... extension:ruleClass 1..1 Extension Extension
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "ruleClass"
..... value[x] 0..1 Coding Value of extension
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 0..1 uri Identity of the terminology system
Fixed Value: https://fhir.cognovis.de/praxis/CodeSystem/billing-rule-class
...... version Σ 1..1 string Version of the system - if relevant
Fixed Value: 1
...... code Σ 0..1 code Symbol in syntax defined by the system
Fixed Value: patient-attribute-constraint
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... extension:effect 1..1 Extension Extension
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "effect"
..... value[x] 0..1 Coding Value of extension
Binding: Billing Rule Effect (required)
.... extension:minimumAge 0..1 Extension Extension
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "minimumAge"
..... value[x] 0..1 integer Value of extension
.... extension:maximumAge 0..1 Extension Extension
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "maximumAge"
..... value[x] 0..1 integer Value of extension
.... extension:gender 0..* Extension Extension
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "gender"
..... value[x] 0..1 code Value of extension
Binding: AdministrativeGender (required)
.... extension:status 0..* Extension Extension
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "status"
..... value[x] 0..1 Coding Value of extension
... url 1..1 uri "https://fhir.cognovis.de/praxis/StructureDefinition/billing-patient-attribute-rule"

doco Documentation for this format

This structure is derived from Extension

Summary

Complex Extension: Typed declarative patient-attribute billing rule. As a modifier extension it must be understood before billability is asserted.

  • ruleId: string: An Extension
  • ruleClass: Coding: An Extension
  • effect: Coding: An Extension
  • minimumAge: integer: An Extension
  • maximumAge: integer: An Extension
  • gender: code: An Extension
  • status: Coding: An Extension

Differential View

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension ?!C 0..* Extension Billing Patient Attribute Rule
This is a modifier extension
Constraints: billing-patient-attribute-has-parameter, billing-rule-class-semantic-version
... extension 3..* Extension Extension
... Slices for extension Content/Rules for all slices
.... extension:ruleId 1..1 Extension Extension
..... extension 0..0 Extension
..... url 1..1 uri "ruleId"
..... value[x] 0..1 string Value of extension
.... extension:ruleClass 1..1 Extension Extension
..... extension 0..0 Extension
..... url 1..1 uri "ruleClass"
..... value[x] 0..1 Coding Value of extension
...... system 0..1 uri Identity of the terminology system
Fixed Value: https://fhir.cognovis.de/praxis/CodeSystem/billing-rule-class
...... version 1..1 string Version of the system - if relevant
Fixed Value: 1
...... code 0..1 code Symbol in syntax defined by the system
Fixed Value: patient-attribute-constraint
.... extension:effect 1..1 Extension Extension
..... extension 0..0 Extension
..... url 1..1 uri "effect"
..... value[x] 0..1 Coding Value of extension
Binding: Billing Rule Effect (required)
.... extension:minimumAge 0..1 Extension Extension
..... extension 0..0 Extension
..... url 1..1 uri "minimumAge"
..... value[x] 0..1 integer Value of extension
.... extension:maximumAge 0..1 Extension Extension
..... extension 0..0 Extension
..... url 1..1 uri "maximumAge"
..... value[x] 0..1 integer Value of extension
.... extension:gender 0..* Extension Extension
..... extension 0..0 Extension
..... url 1..1 uri "gender"
..... value[x] 0..1 code Value of extension
Binding: AdministrativeGender (required)
.... extension:status 0..* Extension Extension
..... extension 0..0 Extension
..... url 1..1 uri "status"
..... value[x] 0..1 Coding Value of extension
... url 1..1 uri "https://fhir.cognovis.de/praxis/StructureDefinition/billing-patient-attribute-rule"

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Extension ?!C 0..* Extension Billing Patient Attribute Rule
This is a modifier extension
Constraints: billing-patient-attribute-has-parameter, billing-rule-class-semantic-version
... id 0..1 string Unique id for inter-element referencing
... Slices for extension 3..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:ruleId 1..1 Extension Extension
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "ruleId"
..... value[x] 0..1 string Value of extension
.... extension:ruleClass 1..1 Extension Extension
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "ruleClass"
..... value[x] 0..1 Coding Value of extension
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 0..1 uri Identity of the terminology system
Fixed Value: https://fhir.cognovis.de/praxis/CodeSystem/billing-rule-class
...... version Σ 1..1 string Version of the system - if relevant
Fixed Value: 1
...... code Σ 0..1 code Symbol in syntax defined by the system
Fixed Value: patient-attribute-constraint
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... extension:effect 1..1 Extension Extension
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "effect"
..... value[x] 0..1 Coding Value of extension
Binding: Billing Rule Effect (required)
.... extension:minimumAge 0..1 Extension Extension
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "minimumAge"
..... value[x] 0..1 integer Value of extension
.... extension:maximumAge 0..1 Extension Extension
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "maximumAge"
..... value[x] 0..1 integer Value of extension
.... extension:gender 0..* Extension Extension
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "gender"
..... value[x] 0..1 code Value of extension
Binding: AdministrativeGender (required)
.... extension:status 0..* Extension Extension
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0 Extension
Slice: Unordered, Open by value:url
..... url 1..1 uri "status"
..... value[x] 0..1 Coding Value of extension
... url 1..1 uri "https://fhir.cognovis.de/praxis/StructureDefinition/billing-patient-attribute-rule"

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

Path Status Usage ValueSet Version Source
Extension.extension:effect.​value[x] Base required Billing Rule Effect 📦0.99.1 This IG
Extension.extension:gender.​value[x] Base required AdministrativeGender 📦4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
billing-patient-attribute-has-parameter error Extension A patient-attribute rule must declare at least one typed patient attribute parameter. extension.where(url = 'minimumAge' or url = 'maximumAge' or url = 'gender' or url = 'status').exists()
billing-rule-class-semantic-version error Extension A typed billing rule must declare semantic major 1 for the BillingRuleClass CodeSystem. extension.where(url = 'ruleClass').value.ofType(Coding).version = '1'
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()