Order Catalog Implementation Guide
1.0.0 - STU 1

Order Catalog Implementation Guide, published by HL7 International / Orders and Observations. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. 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: 1.0.0
Standards status: Trial-use | Maturity Level: 2 | Computable Name: BillingSummary
Other Identifiers: OID:2.16.840.1.113883.4.642.40.55.42.5

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

Usages:

- Use this Extension: Laboratory Service Definition
- Examples for this Extension: Bundle/example-lab-test-creation-transaction-request, Bundle/example-lab-test-creation-transaction-response, BloodElectrolytePanel, UrineCreatinineClearancePanel... Show 4 more, UrineCreatininePanel, PotassiumSerumMeasurement, VitaminDMeasurement and SerumCreatinineTest

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.

- Differential Table
- Snapshot Table
- Statistics/References
- All

This structure is derived from Extension

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  | 0..1 | Extension | Extension
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:textualSummary |  | 0..1 | Extension | billing textual summary
url |  | 1..1 | uri | "textualSummary"
value[x] |  | 0..1 | markdown | Value of extension
extension:reimbursabilitySummary |  | 0..* | Extension | coded reimbursability summary of the service
url |  | 1..1 | uri | "reimbursabilitySummary"
value[x] |  | 0..1 | code | Value of extension Binding: Kinds of reibursability coarse categories for a laboratory service (extensible): Coarse categories of reimbursement dispositions for a laboratory service
url |  | 1..1 | uri | "http://hl7.org/fhir/uv/order-catalog/StructureDefinition/BillingSummary"
value[x] |  | 0..0 |  | Value of extension
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  | 0..1 | Extension | Extension
id |  | 0..1 | id | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:textualSummary |  | 0..1 | Extension | billing textual summary
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "textualSummary"
value[x] |  | 0..1 | markdown | Value of extension
extension:reimbursabilitySummary |  | 0..* | Extension | coded reimbursability summary of the service
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "reimbursabilitySummary"
value[x] |  | 0..1 | code | Value of extension Binding: Kinds of reibursability coarse categories for a laboratory service (extensible): Coarse categories of reimbursement dispositions for a laboratory service
url |  | 1..1 | uri | "http://hl7.org/fhir/uv/order-catalog/StructureDefinition/BillingSummary"
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

Maturity: 2

Differential View

This structure is derived from Extension

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  | 0..1 | Extension | Extension
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:textualSummary |  | 0..1 | Extension | billing textual summary
url |  | 1..1 | uri | "textualSummary"
value[x] |  | 0..1 | markdown | Value of extension
extension:reimbursabilitySummary |  | 0..* | Extension | coded reimbursability summary of the service
url |  | 1..1 | uri | "reimbursabilitySummary"
value[x] |  | 0..1 | code | Value of extension Binding: Kinds of reibursability coarse categories for a laboratory service (extensible): Coarse categories of reimbursement dispositions for a laboratory service
url |  | 1..1 | uri | "http://hl7.org/fhir/uv/order-catalog/StructureDefinition/BillingSummary"
value[x] |  | 0..0 |  | Value of extension
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension |  | 0..1 | Extension | Extension
id |  | 0..1 | id | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:textualSummary |  | 0..1 | Extension | billing textual summary
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "textualSummary"
value[x] |  | 0..1 | markdown | Value of extension
extension:reimbursabilitySummary |  | 0..* | Extension | coded reimbursability summary of the service
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "reimbursabilitySummary"
value[x] |  | 0..1 | code | Value of extension Binding: Kinds of reibursability coarse categories for a laboratory service (extensible): Coarse categories of reimbursement dispositions for a laboratory service
url |  | 1..1 | uri | "http://hl7.org/fhir/uv/order-catalog/StructureDefinition/BillingSummary"
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

Maturity: 2

Other representations of profile: CSV, Excel, Schematron

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Extension.extension:reimbursabilitySummary.​value[x] | Base | extensible | Kinds of reibursability coarse categories for a laboratory service | 📦1.0.0 | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
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()`