Order Catalog Implementation Guide
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Order Catalog Implementation Guide, published by HL7 International - Orders and Observations Work Group. This is not an authorized publication; it is the continuous build for version current). This version is based on the current content of https://github.com/HL7/fhir-order-catalog/ and changes regularly. See the Directory of published versions

Extension: BillingSummary Extension

Official URL: http://hl7.org/fhir/uv/order-catalog/StructureDefinition/BillingSummary Version: current
Draft as of 2023-07-08 Computable Name: BillingSummary

This extension to PlanDefinition conveys the textual summary of the billing of the laboratory procedure represented by the PlanDefinition instance

Context of Use

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

  • Element ID PlanDefinition

Usage info

Usage:

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: This extension to PlanDefinition conveys the textual summary of the billing of the laboratory procedure represented by the PlanDefinition instance

  • textualSummary: markdown: Summarizes in a human-readable manner the billing, claims and reimbursement dispositions defined for the laboratory service defined by the PlanDefinition
  • reimbursabilitySummary: code: code summarizing the reimbursability of the laboratory service

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..1ExtensionExtension
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... extension:textualSummary 0..1Extensionbilling textual summary
.... url 1..1uri"textualSummary"
.... value[x] 0..1markdownValue of extension
... extension:reimbursabilitySummary 0..*Extensioncoded reimbursability summary of the service
.... url 1..1uri"reimbursabilitySummary"
.... value[x] 0..1codeValue of extension
Binding: Kinds of reibursability coarse categories for a laboratory service (extensible): Coarse categories of reimbursement dispositions for a laboratory service

... value[x] 0..0

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..1ExtensionExtension
... id 0..1idUnique id for inter-element referencing
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... extension:textualSummary 0..1Extensionbilling textual summary
.... id 0..1idUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... url 1..1uri"textualSummary"
.... value[x] 0..1markdownValue of extension
.... id 0..1idUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... url 1..1uri"reimbursabilitySummary"
.... value[x] 0..1codeValue of extension
Binding: Kinds of reibursability coarse categories for a laboratory service (extensible): Coarse categories of reimbursement dispositions for a laboratory service

... url 1..1uri"http://hl7.org/fhir/uv/order-catalog/StructureDefinition/BillingSummary"

doco Documentation for this format

This structure is derived from Extension

Summary

Complex Extension: This extension to PlanDefinition conveys the textual summary of the billing of the laboratory procedure represented by the PlanDefinition instance

  • textualSummary: markdown: Summarizes in a human-readable manner the billing, claims and reimbursement dispositions defined for the laboratory service defined by the PlanDefinition
  • reimbursabilitySummary: code: code summarizing the reimbursability of the laboratory service

Differential View

This structure is derived from Extension

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..1ExtensionExtension
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... extension:textualSummary 0..1Extensionbilling textual summary
.... url 1..1uri"textualSummary"
.... value[x] 0..1markdownValue of extension
... extension:reimbursabilitySummary 0..*Extensioncoded reimbursability summary of the service
.... url 1..1uri"reimbursabilitySummary"
.... value[x] 0..1codeValue of extension
Binding: Kinds of reibursability coarse categories for a laboratory service (extensible): Coarse categories of reimbursement dispositions for a laboratory service

... value[x] 0..0

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Extension 0..1ExtensionExtension
... id 0..1idUnique id for inter-element referencing
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... extension:textualSummary 0..1Extensionbilling textual summary
.... id 0..1idUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... url 1..1uri"textualSummary"
.... value[x] 0..1markdownValue of extension
.... id 0..1idUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... url 1..1uri"reimbursabilitySummary"
.... value[x] 0..1codeValue of extension
Binding: Kinds of reibursability coarse categories for a laboratory service (extensible): Coarse categories of reimbursement dispositions for a laboratory service

... url 1..1uri"http://hl7.org/fhir/uv/order-catalog/StructureDefinition/BillingSummary"

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSet
Extension.extension:reimbursabilitySummary.value[x]extensibleLaboratoryServiceReimbursabilityVS

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()