| Official URL: https://fhir.cognovis.de/praxis/StructureDefinition/praxis-billing-rule-chargeitemdefinition | Version: 0.99.1 | |||
| Active as of 2026-08-22 | Computable Name: PraxisBillingRuleChargeItemDefinition | |||
| Other Identifiers: OID:2.16.840.1.113883.3.7985.42.223 | ||||
Copyright/Legal: Copyright 2026+ cognovis GmbH. Cognovis-authored material is licensed under Apache-2.0; third-party material retains its own terms as documented in THIRD_PARTY_NOTICES.md. |
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Versioned billing catalog entry with source provenance and typed declarative code-local rules.
Code-local applicability is represented only by the closed set of must-understand modifier extensions defined by this IG. Executable expressions are forbidden. Relational and aggregate rules belong in PraxisBillingRuleSetLibrary instead.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
C | 0..* | PraxisChargeItemDefinitionDE | Definition of properties and rules about how the price and the applicability of a ChargeItem can be determined Constraints: cid-0 |
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
![]() ![]() ![]() |
SC | 1..1 | (Complex) | Billing Source Manifest URL: https://fhir.cognovis.de/praxis/StructureDefinition/billing-source-manifest Constraints: billing-source-manifest-digest |
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() |
SΣ | 1..1 | uri | Canonical identifier for this charge item definition, represented as a URI (globally unique) |
![]() ![]() |
SΣ | 1..1 | string | Business version of the charge item definition |
![]() ![]() |
SΣ | 1..1 | string | Name for this charge item definition (human friendly) |
![]() ![]() |
?!SΣ | 1..1 | code | draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact. Required Pattern: active |
![]() ![]() |
SΣ | 0..1 | markdown | Natural language description of the charge item definition |
![]() ![]() |
SΣ | 1..1 | Period | When the charge item definition is expected to be used |
![]() ![]() ![]() |
SΣC | 1..1 | dateTime | Starting time with inclusive boundary |
![]() ![]() ![]() |
SΣC | 1..1 | dateTime | End time with inclusive boundary, if not ongoing |
![]() ![]() |
SΣ | 1..1 | CodeableConcept | Billing codes or product types this definition applies to Binding: ChargeItemCode (example): Billing Code defined by this ChargeItemDefinition. |
![]() ![]() |
S | 0..* | BackboneElement | Whether or not the billing code is applicable |
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extension Slice: Unordered, Closed by value:url |
![]() ![]() ![]() ![]() |
?!SΣC | 0..* | (Complex) | Billing Patient Attribute Rule URL: https://fhir.cognovis.de/praxis/StructureDefinition/billing-patient-attribute-rule Constraints: billing-patient-attribute-has-parameter, billing-rule-class-semantic-version |
![]() ![]() ![]() ![]() |
?!SΣC | 0..* | (Complex) | Billing Provider Eligibility Rule URL: https://fhir.cognovis.de/praxis/StructureDefinition/billing-provider-eligibility-rule Constraints: billing-provider-eligibility-has-parameter, billing-rule-class-semantic-version |
![]() ![]() ![]() ![]() |
?!SΣC | 0..* | (Complex) | Billing Setting Constraint Rule URL: https://fhir.cognovis.de/praxis/StructureDefinition/billing-setting-constraint-rule Constraints: billing-setting-constraint-has-parameter, billing-rule-class-semantic-version |
![]() ![]() ![]() ![]() |
?!SΣC | 0..* | (Complex) | Billing Factor Bound Rule URL: https://fhir.cognovis.de/praxis/StructureDefinition/billing-factor-bound-rule Constraints: billing-rule-class-semantic-version |
![]() ![]() ![]() ![]() |
?!SΣC | 0..1 | (Complex) | Billing Counting Scope Qualifier URL: https://fhir.cognovis.de/praxis/StructureDefinition/billing-counting-scope-qualifier Constraints: billing-counting-scope-has-parameter, billing-counting-scope-anchor-direction-requires-anchor |
![]() ![]() |
S | 0..* | BackboneElement | Group of properties which are applicable under the same conditions |
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() |
S | 0..* | BackboneElement | Components of total line item price |
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() |
S | 1..1 | code | base | surcharge | deduction | discount | tax | informational Binding: InvoicePriceComponentType (required): Codes indicating the kind of the price component. |
![]() ![]() ![]() ![]() |
S | 0..1 | CodeableConcept | Code identifying the specific component |
![]() ![]() ![]() ![]() |
S | 0..1 | decimal | Factor used for calculating this component |
![]() ![]() ![]() ![]() |
S | 0..1 | Money | Monetary amount associated with this component |
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| ChargeItemDefinition.status | Base | required | PublicationStatus | 📍4.0.1 | FHIR Std. |
| ChargeItemDefinition.code | Base | example | ChargeItemCode | 📍4.0.1 | FHIR Std. |
| ChargeItemDefinition.propertyGroup.priceComponent.type | Base | required | InvoicePriceComponentType | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| billing-counting-scope-anchor-direction-requires-anchor | error | ChargeItemDefinition.applicability.modifierExtension:countingScopeQualifier | 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 | ChargeItemDefinition.applicability.modifierExtension:countingScopeQualifier | 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()
|
| billing-patient-attribute-has-parameter | error | ChargeItemDefinition.applicability.modifierExtension:patientAttribute | 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-provider-eligibility-has-parameter | error | ChargeItemDefinition.applicability.modifierExtension:providerEligibility | A provider-eligibility rule must declare at least one typed provider parameter. |
extension.where(url = 'specialty' or url = 'authorization' or url = 'relationship').exists()
|
| billing-rule-class-semantic-version | error | ChargeItemDefinition.applicability.modifierExtension:patientAttribute, ChargeItemDefinition.applicability.modifierExtension:providerEligibility, ChargeItemDefinition.applicability.modifierExtension:settingConstraint, ChargeItemDefinition.applicability.modifierExtension:factorBound | A typed billing rule must declare semantic major 1 for the BillingRuleClass CodeSystem. |
extension.where(url = 'ruleClass').value.ofType(Coding).version = '1'
|
| billing-setting-constraint-has-parameter | error | ChargeItemDefinition.applicability.modifierExtension:settingConstraint | A setting-constraint rule must declare at least one typed setting parameter. |
extension.where(url = 'careSetting' or url = 'billingCase' or url = 'startTime' or url = 'endTime' or url = 'treatmentKind').exists()
|
| billing-source-manifest-digest | error | ChargeItemDefinition.extension:sourceManifest | The source digest must be a lowercase SHA-256 value prefixed with sha256:. |
extension.where(url = 'sourceDigest').value.ofType(string).matches('^sha256:[0-9a-f]{64}$')
|
| cid-0 | warning | ChargeItemDefinition | Name should be usable as an identifier for the module by machine processing applications such as code generation |
name.matches('[A-Z]([A-Za-z0-9_]){0,254}')
|
| dom-2 | error | ChargeItemDefinition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | ChargeItemDefinition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | ChargeItemDefinition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | ChargeItemDefinition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | ChargeItemDefinition | A resource should have narrative for robust management |
text.`div`.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()
|
This structure is derived from PraxisChargeItemDefinitionDE
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
|---|---|---|---|---|---|---|---|---|
![]() |
C | 0..* | PraxisChargeItemDefinitionDE | Definition of properties and rules about how the price and the applicability of a ChargeItem can be determined Constraints: cid-0 | ||||
![]() ![]() |
Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]() |
Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
![]() ![]() |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
![]() ![]() |
0..* | Resource | Contained, inline Resources | |||||
![]() ![]() |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() |
SC | 1..1 | (Complex) | Billing Source Manifest URL: https://fhir.cognovis.de/praxis/StructureDefinition/billing-source-manifest Constraints: billing-source-manifest-digest | ||||
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]() |
SΣ | 1..1 | uri | Canonical identifier for this charge item definition, represented as a URI (globally unique) | ||||
![]() ![]() |
Σ | 0..* | Identifier | Additional identifier for the charge item definition | ||||
![]() ![]() |
SΣ | 1..1 | string | Business version of the charge item definition | ||||
![]() ![]() |
SΣ | 1..1 | string | Name for this charge item definition (human friendly) | ||||
![]() ![]() |
Σ | 0..* | uri | Underlying externally-defined charge item definition | ||||
![]() ![]() |
Σ | 0..* | canonical(ChargeItemDefinition) | A larger definition of which this particular definition is a component or step | ||||
![]() ![]() |
Σ | 0..* | canonical(ChargeItemDefinition) | Completed or terminated request(s) whose function is taken by this new request | ||||
![]() ![]() |
?!SΣ | 1..1 | code | draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact. Required Pattern: active | ||||
![]() ![]() |
Σ | 0..1 | boolean | For testing purposes, not real usage | ||||
![]() ![]() |
Σ | 0..1 | dateTime | Date last changed | ||||
![]() ![]() |
Σ | 0..1 | string | Name of the publisher (organization or individual) | ||||
![]() ![]() |
Σ | 0..* | ContactDetail | Contact details for the publisher | ||||
![]() ![]() |
SΣ | 0..1 | markdown | Natural language description of the charge item definition | ||||
![]() ![]() |
Σ | 0..* | UsageContext | The context that the content is intended to support | ||||
![]() ![]() |
Σ | 0..* | CodeableConcept | Intended jurisdiction for charge item definition (if applicable) Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use. | ||||
![]() ![]() |
0..1 | markdown | Use and/or publishing restrictions | |||||
![]() ![]() |
0..1 | date | When the charge item definition was approved by publisher | |||||
![]() ![]() |
0..1 | date | When the charge item definition was last reviewed | |||||
![]() ![]() |
SΣ | 1..1 | Period | When the charge item definition is expected to be used | ||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() |
SΣC | 1..1 | dateTime | Starting time with inclusive boundary | ||||
![]() ![]() ![]() |
SΣC | 1..1 | dateTime | End time with inclusive boundary, if not ongoing | ||||
![]() ![]() |
SΣ | 1..1 | CodeableConcept | Billing codes or product types this definition applies to Binding: ChargeItemCode (example): Billing Code defined by this ChargeItemDefinition. | ||||
![]() ![]() |
0..* | Reference(Medication | Substance | Device) | Instances this definition applies to | |||||
![]() ![]() |
S | 0..* | BackboneElement | Whether or not the billing code is applicable | ||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extension Slice: Unordered, Closed by value:url | ||||
![]() ![]() ![]() ![]() |
?!SΣC | 0..* | (Complex) | Billing Patient Attribute Rule URL: https://fhir.cognovis.de/praxis/StructureDefinition/billing-patient-attribute-rule Constraints: billing-patient-attribute-has-parameter, billing-rule-class-semantic-version | ||||
![]() ![]() ![]() ![]() |
?!SΣC | 0..* | (Complex) | Billing Provider Eligibility Rule URL: https://fhir.cognovis.de/praxis/StructureDefinition/billing-provider-eligibility-rule Constraints: billing-provider-eligibility-has-parameter, billing-rule-class-semantic-version | ||||
![]() ![]() ![]() ![]() |
?!SΣC | 0..* | (Complex) | Billing Setting Constraint Rule URL: https://fhir.cognovis.de/praxis/StructureDefinition/billing-setting-constraint-rule Constraints: billing-setting-constraint-has-parameter, billing-rule-class-semantic-version | ||||
![]() ![]() ![]() ![]() |
?!SΣC | 0..* | (Complex) | Billing Factor Bound Rule URL: https://fhir.cognovis.de/praxis/StructureDefinition/billing-factor-bound-rule Constraints: billing-rule-class-semantic-version | ||||
![]() ![]() ![]() ![]() |
?!SΣC | 0..1 | (Complex) | Billing Counting Scope Qualifier URL: https://fhir.cognovis.de/praxis/StructureDefinition/billing-counting-scope-qualifier Constraints: billing-counting-scope-has-parameter, billing-counting-scope-anchor-direction-requires-anchor | ||||
![]() ![]() ![]() |
0..1 | string | Natural language description of the condition | |||||
![]() ![]() |
S | 0..* | BackboneElement | Group of properties which are applicable under the same conditions | ||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() |
0..* | See applicability (ChargeItemDefinition) | Conditions under which the priceComponent is applicable | |||||
![]() ![]() ![]() |
S | 0..* | BackboneElement | Components of total line item price | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
S | 1..1 | code | base | surcharge | deduction | discount | tax | informational Binding: InvoicePriceComponentType (required): Codes indicating the kind of the price component. | ||||
![]() ![]() ![]() ![]() |
S | 0..1 | CodeableConcept | Code identifying the specific component | ||||
![]() ![]() ![]() ![]() |
S | 0..1 | decimal | Factor used for calculating this component | ||||
![]() ![]() ![]() ![]() |
S | 0..1 | Money | Monetary amount associated with this component | ||||
Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| ChargeItemDefinition.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| ChargeItemDefinition.status | Base | required | PublicationStatus | 📍4.0.1 | FHIR Std. |
| ChargeItemDefinition.jurisdiction | Base | extensible | Jurisdiction | 📍4.0.1 | FHIR Std. |
| ChargeItemDefinition.code | Base | example | ChargeItemCode | 📍4.0.1 | FHIR Std. |
| ChargeItemDefinition.propertyGroup.priceComponent.type | Base | required | InvoicePriceComponentType | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| billing-counting-scope-anchor-direction-requires-anchor | error | ChargeItemDefinition.applicability.modifierExtension:countingScopeQualifier | 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 | ChargeItemDefinition.applicability.modifierExtension:countingScopeQualifier | 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()
|
| billing-patient-attribute-has-parameter | error | ChargeItemDefinition.applicability.modifierExtension:patientAttribute | 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-provider-eligibility-has-parameter | error | ChargeItemDefinition.applicability.modifierExtension:providerEligibility | A provider-eligibility rule must declare at least one typed provider parameter. |
extension.where(url = 'specialty' or url = 'authorization' or url = 'relationship').exists()
|
| billing-rule-class-semantic-version | error | ChargeItemDefinition.applicability.modifierExtension:patientAttribute, ChargeItemDefinition.applicability.modifierExtension:providerEligibility, ChargeItemDefinition.applicability.modifierExtension:settingConstraint, ChargeItemDefinition.applicability.modifierExtension:factorBound | A typed billing rule must declare semantic major 1 for the BillingRuleClass CodeSystem. |
extension.where(url = 'ruleClass').value.ofType(Coding).version = '1'
|
| billing-setting-constraint-has-parameter | error | ChargeItemDefinition.applicability.modifierExtension:settingConstraint | A setting-constraint rule must declare at least one typed setting parameter. |
extension.where(url = 'careSetting' or url = 'billingCase' or url = 'startTime' or url = 'endTime' or url = 'treatmentKind').exists()
|
| billing-source-manifest-digest | error | ChargeItemDefinition.extension:sourceManifest | The source digest must be a lowercase SHA-256 value prefixed with sha256:. |
extension.where(url = 'sourceDigest').value.ofType(string).matches('^sha256:[0-9a-f]{64}$')
|
| cid-0 | warning | ChargeItemDefinition | Name should be usable as an identifier for the module by machine processing applications such as code generation |
name.matches('[A-Z]([A-Za-z0-9_]){0,254}')
|
| dom-2 | error | ChargeItemDefinition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | ChargeItemDefinition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | ChargeItemDefinition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | ChargeItemDefinition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | ChargeItemDefinition | A resource should have narrative for robust management |
text.`div`.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()
|
This structure is derived from PraxisChargeItemDefinitionDE
Summary
Mandatory: 6 elements
Must-Support: 11 elements
Prohibited: 2 elements
Extensions
This structure refers to these extensions:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
C | 0..* | PraxisChargeItemDefinitionDE | Definition of properties and rules about how the price and the applicability of a ChargeItem can be determined Constraints: cid-0 |
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
![]() ![]() ![]() |
SC | 1..1 | (Complex) | Billing Source Manifest URL: https://fhir.cognovis.de/praxis/StructureDefinition/billing-source-manifest Constraints: billing-source-manifest-digest |
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() |
SΣ | 1..1 | uri | Canonical identifier for this charge item definition, represented as a URI (globally unique) |
![]() ![]() |
SΣ | 1..1 | string | Business version of the charge item definition |
![]() ![]() |
SΣ | 1..1 | string | Name for this charge item definition (human friendly) |
![]() ![]() |
?!SΣ | 1..1 | code | draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact. Required Pattern: active |
![]() ![]() |
SΣ | 0..1 | markdown | Natural language description of the charge item definition |
![]() ![]() |
SΣ | 1..1 | Period | When the charge item definition is expected to be used |
![]() ![]() ![]() |
SΣC | 1..1 | dateTime | Starting time with inclusive boundary |
![]() ![]() ![]() |
SΣC | 1..1 | dateTime | End time with inclusive boundary, if not ongoing |
![]() ![]() |
SΣ | 1..1 | CodeableConcept | Billing codes or product types this definition applies to Binding: ChargeItemCode (example): Billing Code defined by this ChargeItemDefinition. |
![]() ![]() |
S | 0..* | BackboneElement | Whether or not the billing code is applicable |
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extension Slice: Unordered, Closed by value:url |
![]() ![]() ![]() ![]() |
?!SΣC | 0..* | (Complex) | Billing Patient Attribute Rule URL: https://fhir.cognovis.de/praxis/StructureDefinition/billing-patient-attribute-rule Constraints: billing-patient-attribute-has-parameter, billing-rule-class-semantic-version |
![]() ![]() ![]() ![]() |
?!SΣC | 0..* | (Complex) | Billing Provider Eligibility Rule URL: https://fhir.cognovis.de/praxis/StructureDefinition/billing-provider-eligibility-rule Constraints: billing-provider-eligibility-has-parameter, billing-rule-class-semantic-version |
![]() ![]() ![]() ![]() |
?!SΣC | 0..* | (Complex) | Billing Setting Constraint Rule URL: https://fhir.cognovis.de/praxis/StructureDefinition/billing-setting-constraint-rule Constraints: billing-setting-constraint-has-parameter, billing-rule-class-semantic-version |
![]() ![]() ![]() ![]() |
?!SΣC | 0..* | (Complex) | Billing Factor Bound Rule URL: https://fhir.cognovis.de/praxis/StructureDefinition/billing-factor-bound-rule Constraints: billing-rule-class-semantic-version |
![]() ![]() ![]() ![]() |
?!SΣC | 0..1 | (Complex) | Billing Counting Scope Qualifier URL: https://fhir.cognovis.de/praxis/StructureDefinition/billing-counting-scope-qualifier Constraints: billing-counting-scope-has-parameter, billing-counting-scope-anchor-direction-requires-anchor |
![]() ![]() |
S | 0..* | BackboneElement | Group of properties which are applicable under the same conditions |
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() |
S | 0..* | BackboneElement | Components of total line item price |
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() |
S | 1..1 | code | base | surcharge | deduction | discount | tax | informational Binding: InvoicePriceComponentType (required): Codes indicating the kind of the price component. |
![]() ![]() ![]() ![]() |
S | 0..1 | CodeableConcept | Code identifying the specific component |
![]() ![]() ![]() ![]() |
S | 0..1 | decimal | Factor used for calculating this component |
![]() ![]() ![]() ![]() |
S | 0..1 | Money | Monetary amount associated with this component |
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| ChargeItemDefinition.status | Base | required | PublicationStatus | 📍4.0.1 | FHIR Std. |
| ChargeItemDefinition.code | Base | example | ChargeItemCode | 📍4.0.1 | FHIR Std. |
| ChargeItemDefinition.propertyGroup.priceComponent.type | Base | required | InvoicePriceComponentType | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| billing-counting-scope-anchor-direction-requires-anchor | error | ChargeItemDefinition.applicability.modifierExtension:countingScopeQualifier | 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 | ChargeItemDefinition.applicability.modifierExtension:countingScopeQualifier | 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()
|
| billing-patient-attribute-has-parameter | error | ChargeItemDefinition.applicability.modifierExtension:patientAttribute | 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-provider-eligibility-has-parameter | error | ChargeItemDefinition.applicability.modifierExtension:providerEligibility | A provider-eligibility rule must declare at least one typed provider parameter. |
extension.where(url = 'specialty' or url = 'authorization' or url = 'relationship').exists()
|
| billing-rule-class-semantic-version | error | ChargeItemDefinition.applicability.modifierExtension:patientAttribute, ChargeItemDefinition.applicability.modifierExtension:providerEligibility, ChargeItemDefinition.applicability.modifierExtension:settingConstraint, ChargeItemDefinition.applicability.modifierExtension:factorBound | A typed billing rule must declare semantic major 1 for the BillingRuleClass CodeSystem. |
extension.where(url = 'ruleClass').value.ofType(Coding).version = '1'
|
| billing-setting-constraint-has-parameter | error | ChargeItemDefinition.applicability.modifierExtension:settingConstraint | A setting-constraint rule must declare at least one typed setting parameter. |
extension.where(url = 'careSetting' or url = 'billingCase' or url = 'startTime' or url = 'endTime' or url = 'treatmentKind').exists()
|
| billing-source-manifest-digest | error | ChargeItemDefinition.extension:sourceManifest | The source digest must be a lowercase SHA-256 value prefixed with sha256:. |
extension.where(url = 'sourceDigest').value.ofType(string).matches('^sha256:[0-9a-f]{64}$')
|
| cid-0 | warning | ChargeItemDefinition | Name should be usable as an identifier for the module by machine processing applications such as code generation |
name.matches('[A-Z]([A-Za-z0-9_]){0,254}')
|
| dom-2 | error | ChargeItemDefinition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | ChargeItemDefinition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | ChargeItemDefinition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | ChargeItemDefinition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | ChargeItemDefinition | A resource should have narrative for robust management |
text.`div`.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()
|
Differential View
This structure is derived from PraxisChargeItemDefinitionDE
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
|---|---|---|---|---|---|---|---|---|
![]() |
C | 0..* | PraxisChargeItemDefinitionDE | Definition of properties and rules about how the price and the applicability of a ChargeItem can be determined Constraints: cid-0 | ||||
![]() ![]() |
Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]() |
Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
![]() ![]() |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
![]() ![]() |
0..* | Resource | Contained, inline Resources | |||||
![]() ![]() |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() |
SC | 1..1 | (Complex) | Billing Source Manifest URL: https://fhir.cognovis.de/praxis/StructureDefinition/billing-source-manifest Constraints: billing-source-manifest-digest | ||||
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]() |
SΣ | 1..1 | uri | Canonical identifier for this charge item definition, represented as a URI (globally unique) | ||||
![]() ![]() |
Σ | 0..* | Identifier | Additional identifier for the charge item definition | ||||
![]() ![]() |
SΣ | 1..1 | string | Business version of the charge item definition | ||||
![]() ![]() |
SΣ | 1..1 | string | Name for this charge item definition (human friendly) | ||||
![]() ![]() |
Σ | 0..* | uri | Underlying externally-defined charge item definition | ||||
![]() ![]() |
Σ | 0..* | canonical(ChargeItemDefinition) | A larger definition of which this particular definition is a component or step | ||||
![]() ![]() |
Σ | 0..* | canonical(ChargeItemDefinition) | Completed or terminated request(s) whose function is taken by this new request | ||||
![]() ![]() |
?!SΣ | 1..1 | code | draft | active | retired | unknown Binding: PublicationStatus (required): The lifecycle status of an artifact. Required Pattern: active | ||||
![]() ![]() |
Σ | 0..1 | boolean | For testing purposes, not real usage | ||||
![]() ![]() |
Σ | 0..1 | dateTime | Date last changed | ||||
![]() ![]() |
Σ | 0..1 | string | Name of the publisher (organization or individual) | ||||
![]() ![]() |
Σ | 0..* | ContactDetail | Contact details for the publisher | ||||
![]() ![]() |
SΣ | 0..1 | markdown | Natural language description of the charge item definition | ||||
![]() ![]() |
Σ | 0..* | UsageContext | The context that the content is intended to support | ||||
![]() ![]() |
Σ | 0..* | CodeableConcept | Intended jurisdiction for charge item definition (if applicable) Binding: Jurisdiction ValueSet (extensible): Countries and regions within which this artifact is targeted for use. | ||||
![]() ![]() |
0..1 | markdown | Use and/or publishing restrictions | |||||
![]() ![]() |
0..1 | date | When the charge item definition was approved by publisher | |||||
![]() ![]() |
0..1 | date | When the charge item definition was last reviewed | |||||
![]() ![]() |
SΣ | 1..1 | Period | When the charge item definition is expected to be used | ||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() |
SΣC | 1..1 | dateTime | Starting time with inclusive boundary | ||||
![]() ![]() ![]() |
SΣC | 1..1 | dateTime | End time with inclusive boundary, if not ongoing | ||||
![]() ![]() |
SΣ | 1..1 | CodeableConcept | Billing codes or product types this definition applies to Binding: ChargeItemCode (example): Billing Code defined by this ChargeItemDefinition. | ||||
![]() ![]() |
0..* | Reference(Medication | Substance | Device) | Instances this definition applies to | |||||
![]() ![]() |
S | 0..* | BackboneElement | Whether or not the billing code is applicable | ||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extension Slice: Unordered, Closed by value:url | ||||
![]() ![]() ![]() ![]() |
?!SΣC | 0..* | (Complex) | Billing Patient Attribute Rule URL: https://fhir.cognovis.de/praxis/StructureDefinition/billing-patient-attribute-rule Constraints: billing-patient-attribute-has-parameter, billing-rule-class-semantic-version | ||||
![]() ![]() ![]() ![]() |
?!SΣC | 0..* | (Complex) | Billing Provider Eligibility Rule URL: https://fhir.cognovis.de/praxis/StructureDefinition/billing-provider-eligibility-rule Constraints: billing-provider-eligibility-has-parameter, billing-rule-class-semantic-version | ||||
![]() ![]() ![]() ![]() |
?!SΣC | 0..* | (Complex) | Billing Setting Constraint Rule URL: https://fhir.cognovis.de/praxis/StructureDefinition/billing-setting-constraint-rule Constraints: billing-setting-constraint-has-parameter, billing-rule-class-semantic-version | ||||
![]() ![]() ![]() ![]() |
?!SΣC | 0..* | (Complex) | Billing Factor Bound Rule URL: https://fhir.cognovis.de/praxis/StructureDefinition/billing-factor-bound-rule Constraints: billing-rule-class-semantic-version | ||||
![]() ![]() ![]() ![]() |
?!SΣC | 0..1 | (Complex) | Billing Counting Scope Qualifier URL: https://fhir.cognovis.de/praxis/StructureDefinition/billing-counting-scope-qualifier Constraints: billing-counting-scope-has-parameter, billing-counting-scope-anchor-direction-requires-anchor | ||||
![]() ![]() ![]() |
0..1 | string | Natural language description of the condition | |||||
![]() ![]() |
S | 0..* | BackboneElement | Group of properties which are applicable under the same conditions | ||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() |
0..* | See applicability (ChargeItemDefinition) | Conditions under which the priceComponent is applicable | |||||
![]() ![]() ![]() |
S | 0..* | BackboneElement | Components of total line item price | ||||
![]() ![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() |
S | 1..1 | code | base | surcharge | deduction | discount | tax | informational Binding: InvoicePriceComponentType (required): Codes indicating the kind of the price component. | ||||
![]() ![]() ![]() ![]() |
S | 0..1 | CodeableConcept | Code identifying the specific component | ||||
![]() ![]() ![]() ![]() |
S | 0..1 | decimal | Factor used for calculating this component | ||||
![]() ![]() ![]() ![]() |
S | 0..1 | Money | Monetary amount associated with this component | ||||
Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| ChargeItemDefinition.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| ChargeItemDefinition.status | Base | required | PublicationStatus | 📍4.0.1 | FHIR Std. |
| ChargeItemDefinition.jurisdiction | Base | extensible | Jurisdiction | 📍4.0.1 | FHIR Std. |
| ChargeItemDefinition.code | Base | example | ChargeItemCode | 📍4.0.1 | FHIR Std. |
| ChargeItemDefinition.propertyGroup.priceComponent.type | Base | required | InvoicePriceComponentType | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| billing-counting-scope-anchor-direction-requires-anchor | error | ChargeItemDefinition.applicability.modifierExtension:countingScopeQualifier | 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 | ChargeItemDefinition.applicability.modifierExtension:countingScopeQualifier | 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()
|
| billing-patient-attribute-has-parameter | error | ChargeItemDefinition.applicability.modifierExtension:patientAttribute | 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-provider-eligibility-has-parameter | error | ChargeItemDefinition.applicability.modifierExtension:providerEligibility | A provider-eligibility rule must declare at least one typed provider parameter. |
extension.where(url = 'specialty' or url = 'authorization' or url = 'relationship').exists()
|
| billing-rule-class-semantic-version | error | ChargeItemDefinition.applicability.modifierExtension:patientAttribute, ChargeItemDefinition.applicability.modifierExtension:providerEligibility, ChargeItemDefinition.applicability.modifierExtension:settingConstraint, ChargeItemDefinition.applicability.modifierExtension:factorBound | A typed billing rule must declare semantic major 1 for the BillingRuleClass CodeSystem. |
extension.where(url = 'ruleClass').value.ofType(Coding).version = '1'
|
| billing-setting-constraint-has-parameter | error | ChargeItemDefinition.applicability.modifierExtension:settingConstraint | A setting-constraint rule must declare at least one typed setting parameter. |
extension.where(url = 'careSetting' or url = 'billingCase' or url = 'startTime' or url = 'endTime' or url = 'treatmentKind').exists()
|
| billing-source-manifest-digest | error | ChargeItemDefinition.extension:sourceManifest | The source digest must be a lowercase SHA-256 value prefixed with sha256:. |
extension.where(url = 'sourceDigest').value.ofType(string).matches('^sha256:[0-9a-f]{64}$')
|
| cid-0 | warning | ChargeItemDefinition | Name should be usable as an identifier for the module by machine processing applications such as code generation |
name.matches('[A-Z]([A-Za-z0-9_]){0,254}')
|
| dom-2 | error | ChargeItemDefinition | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | ChargeItemDefinition | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | ChargeItemDefinition | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | ChargeItemDefinition | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | ChargeItemDefinition | A resource should have narrative for robust management |
text.`div`.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()
|
This structure is derived from PraxisChargeItemDefinitionDE
Summary
Mandatory: 6 elements
Must-Support: 11 elements
Prohibited: 2 elements
Extensions
This structure refers to these extensions:
Other representations of profile: CSV, Excel, Schematron