FHIR R6 FM Incubator
0.1.0 - ci-build World

FHIR R6 FM Incubator, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fm-incubator/ and changes regularly. See the Directory of published versions

Resource Profile: Invoice - Detailed Descriptions

Page standards status: Trial-use Maturity Level: 0

Definitions for the Invoice resource profile.

Guidance on how to interpret the contents of this table can be foundhere

0. Invoice
Definition

Invoice containing collected ChargeItems from an Account with calculated individual and total price for Billing purpose.


A resource that includes narrative, extensions, and contained resources.

ShortInvoice containing ChargeItems from an AccountA resource with narrative, extensions, and contained resources
Control0..*
Is Modifierfalse
Must Supportfalse
Summaryfalse
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: 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.trace('id') in %resource.descendants().select(reference | as(uri))) or descendants().where(reference='#' | as(uri)='#').exists()).not()).trace('unmatched', id).empty())
dom-4: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. Invoice.id
Definition

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

ShortLogical id of this artifact
Comments

Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resource id depends on the given use case.

Control0..1
Typeid
Is Modifierfalse
Must Supportfalse
Summarytrue
4. Invoice.meta
Definition

The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

ShortMetadata about the resource
Control0..1
TypeMeta
Is Modifierfalse
Must Supportfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
6. Invoice.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. For DomainResources, if more than one implicitRules policy applies, additional policies may be conveyed using the additionalImplicitRules extension.

ShortA set of rules under which this content was created
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.

Control0..1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supportfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. Invoice.language
Definition

The base language in which the resource is written.

ShortLanguage of the resource content
Comments

Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

Control0..1
BindingThe codes SHALL be taken from AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot5
(required to http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot5)

IETF language tag for a human language

Typecode
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supportfalse
Summaryfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. Invoice.text
Definition

A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

ShortText summary of the resource, for human interpretation
Comments

Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

Control0..1
This element is affected by the following invariants: dom-6
TypeNarrative
Is Modifierfalse
Must Supportfalse
Summaryfalse
Alternate Namesnarrative, html, xhtml, display
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. Invoice.contained
Definition

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.

ShortContained, inline Resources
Comments

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels. Contained resources may be a resource type defined in the FHIR specification, or an additional resource.

Control0..*
This element is affected by the following invariants: dom-2, dom-4, dom-3, dom-5
TypeResource
Is Modifierfalse
Must Supportfalse
Summaryfalse
Alternate Namesinline resources, anonymous resources, contained resources
14. Invoice.extension
Definition

May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

ShortAdditional content defined by implementations
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifierfalse
Must Supportfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
SlicingThis element introduces a set of slices on Invoice.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 16. Invoice.modifierExtension
    Definition

    May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

    ShortExtensions that cannot be ignored
    Comments

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
    Must Supportfalse
    Summarytrue
    Requirements

    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    SlicingThis element introduces a set of slices on Invoice.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 18. Invoice.identifier
      Definition

      Identifier of this Invoice, often used for reference in correspondence about this invoice or for tracking of payments.

      ShortBusiness Identifier for item
      NoteThis is a business identifier, not a resource identifier (see discussion)
      Control0..*
      TypeIdentifier
      Summarytrue
      Requirements

      Allows Identification of this Invoice instance.

      20. Invoice.status
      Definition

      The current state of the Invoice.

      Shortdraft | issued | balanced | cancelled | entered-in-error
      Control1..1
      BindingThe codes SHALL be taken from InvoiceStatushttp://hl7.org/fhir/ValueSet/invoice-status
      (required to http://hl7.org/fhir/ValueSet/invoice-status)

      Codes identifying the lifecycle stage of an Invoice.

      Typecode
      Is Modifiertrue because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      22. Invoice.cancelledReason
      Definition

      In case of Invoice cancellation a reason must be given (entered in error, superseded by corrected invoice etc.).

      ShortReason for cancellation of this Invoice
      Comments

      Derived Profiles may choose to add invariants requiring this field to be populated if either priceOverride or factorOverride have been filled.

      Control0..1
      Typestring
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summaryfalse
      24. Invoice.type
      Definition

      Type of Invoice depending on domain, realm an usage (e.g. internal/external, dental, preliminary).

      ShortType of Invoice
      Control0..1
      TypeCodeableConcept
      Summarytrue
      Alternate Namestype
      26. Invoice.subject
      Definition

      The individual or set of individuals receiving the goods and services billed in this invoice.

      ShortRecipient(s) of goods and services
      Control0..1
      TypeReference(Patient, Group)
      Summarytrue
      Requirements

      Links the event to the Patient context.

      Alternate Namespatient
      28. Invoice.recipient
      Definition

      The individual or Organization responsible for balancing of this invoice.

      ShortRecipient of this invoice
      Control0..1
      TypeReference(Organization, Patient, RelatedPerson)
      Summarytrue
      30. Invoice.creation
      Definition

      Date/time(s) of when this Invoice was posted.

      ShortWhen posted
      Comments

      The list of types may be constrained as appropriate for the type of charge item.

      Control0..1
      TypedateTime
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      32. Invoice.period[x]
      Definition

      Date/time(s) range of services included in this invoice.

      ShortBilling date or period
      Control0..1
      TypeChoice of: date, Period
      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      34. Invoice.participant
      Definition

      Indicates who or what performed or participated in the charged service.

      ShortParticipant in creation of this Invoice
      Control0..*
      TypeBackboneElement
      Summaryfalse
      Invariantsele-1: All FHIR elements must have a @value or children or both (hasValue() or (children().count() > id.count()))
      36. Invoice.participant.id
      Definition

      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

      ShortUnique id for inter-element referencing
      Control0..1
      This element is affected by the following invariants: ele-1
      Typestring
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      38. Invoice.participant.extension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

      ShortAdditional content defined by implementations
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Alternate Namesextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      SlicingThis element introduces a set of slices on Invoice.participant.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 40. Invoice.participant.modifierExtension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

        ShortExtensions that cannot be ignored even if unrecognized
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Summarytrue
        Requirements

        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

        Alternate Namesextensions, user content, modifiers
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        SlicingThis element introduces a set of slices on Invoice.participant.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 42. Invoice.participant.role
          Definition

          Describes the type of involvement (e.g. transcriptionist, creator etc.). If the invoice has been created automatically, the Participant may be a billing engine or another kind of device.

          ShortType of involvement in creation of this Invoice
          Control0..1
          TypeCodeableConcept
          Summaryfalse
          44. Invoice.participant.actor
          Definition

          The device, practitioner, etc. who performed or participated in the service.

          ShortIndividual who was involved
          Control1..1
          TypeReference(Practitioner, Organization, Patient, PractitionerRole, Device, RelatedPerson)
          Summaryfalse
          46. Invoice.issuer
          Definition

          The organizationissuing the Invoice.

          ShortIssuing entity
          Comments

          Practitioners and Devices can be associated with multiple organizations. It has to be made clear, on behalf of which Organization the services have been rendered.

          Control0..1
          TypeReference(Organization, Practitioner, PractitionerRole)
          Summaryfalse
          48. Invoice.account
          Definition

          Account which is supposed to be balanced with this Invoice.

          ShortAccount that is being balanced
          Comments

          Systems posting the ChargeItems might not always be able to determine, which accounts the Items need to be places into. It is up to the potprocessing Financial System to apply internal rules to decide based on the Encounter/EpisodeOfCare/Patient/Coverage context and the type of ChargeItem, which Account is appropriate.

          Control0..1
          TypeReference(Account)
          Summaryfalse
          50. Invoice.lineItem
          Definition

          Each line item represents one charge for goods and services rendered. Details such.ofType(date), code and amount are found in the referenced ChargeItem resource.

          ShortLine items of this Invoice
          Control0..*
          TypeBackboneElement
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children or both (hasValue() or (children().count() > id.count()))
          52. Invoice.lineItem.id
          Definition

          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

          ShortUnique id for inter-element referencing
          Control0..1
          This element is affected by the following invariants: ele-1
          Typestring
          Is Modifierfalse
          XML FormatIn the XML format, this property is represented as an attribute.
          Summaryfalse
          54. Invoice.lineItem.extension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

          ShortAdditional content defined by implementations
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Alternate Namesextensions, user content
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          SlicingThis element introduces a set of slices on Invoice.lineItem.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 56. Invoice.lineItem.modifierExtension
            Definition

            May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

            ShortExtensions that cannot be ignored even if unrecognized
            Comments

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Control0..*
            TypeExtension
            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
            Summarytrue
            Requirements

            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

            Alternate Namesextensions, user content, modifiers
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            SlicingThis element introduces a set of slices on Invoice.lineItem.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 58. Invoice.lineItem.sequence
              Definition

              Sequence in which the items appear on the invoice.

              ShortSequence number of line item
              Control0..1
              TypepositiveInt
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summaryfalse
              60. Invoice.lineItem.serviced[x]
              Definition

              Date/time(s) range when this service was delivered or completed.

              ShortService data or period
              Control0..1
              TypeChoice of: date, Period
              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summaryfalse
              62. Invoice.lineItem.chargeItem[x]
              Definition

              The ChargeItem contains information such as the billing code, date, amount etc. If no further details are required for the lineItem, inline billing codes can be added using the CodeableConcept data type instead of the Reference.

              ShortReference to ChargeItem containing details of this line item or an inline billing code
              Control1..1
              TypeChoice of: Reference, CodeableConcept
              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
              Summaryfalse
              64. Invoice.lineItem.priceComponent
              Definition

              The price for a ChargeItem may be calculated as a base price with surcharges/deductions that apply in certain conditions. A ChargeItemDefinition resource that defines the prices, factors and conditions that apply to a billing code is currently under development. The priceComponent element can be used to offer transparency to the recipient of the Invoice as to how the prices have been calculated.

              ShortComponents of total line item price
              Control0..*
              TypeMonetaryComponent
              Summaryfalse
              66. Invoice.totalPriceComponent
              Definition

              The total amount for the Invoice may be calculated as the sum of the line items with surcharges/deductions that apply in certain conditions. The priceComponent element can be used to offer transparency to the recipient of the Invoice of how the total price was calculated.

              ShortComponents of Invoice total
              Control0..*
              TypeMonetaryComponent
              Summaryfalse
              68. Invoice.totalNet
              Definition

              Invoice total , taxes excluded.

              ShortNet total of this Invoice
              Comments

              There is no reason to carry the price in the instance of a ChargeItem unless circumstances require a manual override. The list prices or are usually defined in a back catalogue of the billing codes (see ChargeItem.definition). Derived profiles may require a ChargeItem.overrideReason to be provided if either factor or price are manually overridden.

              Control0..1
              TypeMoney
              Summarytrue
              70. Invoice.totalGross
              Definition

              Invoice total, tax included.

              ShortGross total of this Invoice
              Comments

              There is no reason to carry the price in the instance of a ChargeItem unless circumstances require a manual override. The list prices or are usually defined in a back catalogue of the billing codes (see ChargeItem.definition). Derived profiles may require a ChargeItem.overrideReason to be provided if either factor or price are manually overridden.

              Control0..1
              TypeMoney
              Summarytrue
              72. Invoice.paymentTerms
              Definition

              Payment details such as banking details, period of payment, deductibles, methods of payment.

              ShortPayment details
              Comments

              Derived Profiles may chose to add invariants requiring this field to be populated if either priceOverride or factorOverride have been filled.

              Control0..1
              Typemarkdown
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summaryfalse
              74. Invoice.note
              Definition

              Comments made about the invoice by the issuer, subject, or other participants.

              ShortComments made about the invoice
              Control0..*
              TypeAnnotation
              Summaryfalse

              Guidance on how to interpret the contents of this table can be foundhere

              0. Invoice
              Definition

              Invoice containing collected ChargeItems from an Account with calculated individual and total price for Billing purpose.

              ShortInvoice containing ChargeItems from an Account
              Control0..*
              2. Invoice.identifier
              Definition

              Identifier of this Invoice, often used for reference in correspondence about this invoice or for tracking of payments.

              ShortBusiness Identifier for item
              NoteThis is a business identifier, not a resource identifier (see discussion)
              Control0..*
              TypeIdentifier
              Requirements

              Allows Identification of this Invoice instance.

              4. Invoice.status
              Definition

              The current state of the Invoice.

              Shortdraft | issued | balanced | cancelled | entered-in-error
              Control1..1
              BindingThe codes SHALL be taken from InvoiceStatus
              (required to http://hl7.org/fhir/ValueSet/invoice-status)

              Codes identifying the lifecycle stage of an Invoice.

              Typecode
              Is Modifiertrue because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              6. Invoice.cancelledReason
              Definition

              In case of Invoice cancellation a reason must be given (entered in error, superseded by corrected invoice etc.).

              ShortReason for cancellation of this Invoice
              Comments

              Derived Profiles may choose to add invariants requiring this field to be populated if either priceOverride or factorOverride have been filled.

              Control0..1
              Typestring
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              8. Invoice.type
              Definition

              Type of Invoice depending on domain, realm an usage (e.g. internal/external, dental, preliminary).

              ShortType of Invoice
              Control0..1
              TypeCodeableConcept
              Alternate Namestype
              10. Invoice.subject
              Definition

              The individual or set of individuals receiving the goods and services billed in this invoice.

              ShortRecipient(s) of goods and services
              Control0..1
              TypeReference(Patient, Group)
              Requirements

              Links the event to the Patient context.

              Alternate Namespatient
              12. Invoice.recipient
              Definition

              The individual or Organization responsible for balancing of this invoice.

              ShortRecipient of this invoice
              Control0..1
              TypeReference(Organization, Patient, RelatedPerson)
              14. Invoice.creation
              Definition

              Date/time(s) of when this Invoice was posted.

              ShortWhen posted
              Comments

              The list of types may be constrained as appropriate for the type of charge item.

              Control0..1
              TypedateTime
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              16. Invoice.period[x]
              Definition

              Date/time(s) range of services included in this invoice.

              ShortBilling date or period
              Control0..1
              TypeChoice of: date, Period
              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              18. Invoice.participant
              Definition

              Indicates who or what performed or participated in the charged service.

              ShortParticipant in creation of this Invoice
              Control0..*
              TypeBackboneElement
              20. Invoice.participant.role
              Definition

              Describes the type of involvement (e.g. transcriptionist, creator etc.). If the invoice has been created automatically, the Participant may be a billing engine or another kind of device.

              ShortType of involvement in creation of this Invoice
              Control0..1
              TypeCodeableConcept
              22. Invoice.participant.actor
              Definition

              The device, practitioner, etc. who performed or participated in the service.

              ShortIndividual who was involved
              Control1..1
              TypeReference(Practitioner, Organization, Patient, PractitionerRole, Device, RelatedPerson)
              24. Invoice.issuer
              Definition

              The organizationissuing the Invoice.

              ShortIssuing entity
              Comments

              Practitioners and Devices can be associated with multiple organizations. It has to be made clear, on behalf of which Organization the services have been rendered.

              Control0..1
              TypeReference(Organization, Practitioner, PractitionerRole)
              26. Invoice.account
              Definition

              Account which is supposed to be balanced with this Invoice.

              ShortAccount that is being balanced
              Comments

              Systems posting the ChargeItems might not always be able to determine, which accounts the Items need to be places into. It is up to the potprocessing Financial System to apply internal rules to decide based on the Encounter/EpisodeOfCare/Patient/Coverage context and the type of ChargeItem, which Account is appropriate.

              Control0..1
              TypeReference(Account)
              28. Invoice.lineItem
              Definition

              Each line item represents one charge for goods and services rendered. Details such.ofType(date), code and amount are found in the referenced ChargeItem resource.

              ShortLine items of this Invoice
              Control0..*
              TypeBackboneElement
              30. Invoice.lineItem.sequence
              Definition

              Sequence in which the items appear on the invoice.

              ShortSequence number of line item
              Control0..1
              TypepositiveInt
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              32. Invoice.lineItem.serviced[x]
              Definition

              Date/time(s) range when this service was delivered or completed.

              ShortService data or period
              Control0..1
              TypeChoice of: date, Period
              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              34. Invoice.lineItem.chargeItem[x]
              Definition

              The ChargeItem contains information such as the billing code, date, amount etc. If no further details are required for the lineItem, inline billing codes can be added using the CodeableConcept data type instead of the Reference.

              ShortReference to ChargeItem containing details of this line item or an inline billing code
              Control1..1
              TypeChoice of: Reference, CodeableConcept
              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
              36. Invoice.lineItem.priceComponent
              Definition

              The price for a ChargeItem may be calculated as a base price with surcharges/deductions that apply in certain conditions. A ChargeItemDefinition resource that defines the prices, factors and conditions that apply to a billing code is currently under development. The priceComponent element can be used to offer transparency to the recipient of the Invoice as to how the prices have been calculated.

              ShortComponents of total line item price
              Control0..*
              TypeMonetaryComponent
              38. Invoice.totalPriceComponent
              Definition

              The total amount for the Invoice may be calculated as the sum of the line items with surcharges/deductions that apply in certain conditions. The priceComponent element can be used to offer transparency to the recipient of the Invoice of how the total price was calculated.

              ShortComponents of Invoice total
              Control0..*
              TypeMonetaryComponent
              40. Invoice.totalNet
              Definition

              Invoice total , taxes excluded.

              ShortNet total of this Invoice
              Comments

              There is no reason to carry the price in the instance of a ChargeItem unless circumstances require a manual override. The list prices or are usually defined in a back catalogue of the billing codes (see ChargeItem.definition). Derived profiles may require a ChargeItem.overrideReason to be provided if either factor or price are manually overridden.

              Control0..1
              TypeMoney
              42. Invoice.totalGross
              Definition

              Invoice total, tax included.

              ShortGross total of this Invoice
              Comments

              There is no reason to carry the price in the instance of a ChargeItem unless circumstances require a manual override. The list prices or are usually defined in a back catalogue of the billing codes (see ChargeItem.definition). Derived profiles may require a ChargeItem.overrideReason to be provided if either factor or price are manually overridden.

              Control0..1
              TypeMoney
              44. Invoice.paymentTerms
              Definition

              Payment details such as banking details, period of payment, deductibles, methods of payment.

              ShortPayment details
              Comments

              Derived Profiles may chose to add invariants requiring this field to be populated if either priceOverride or factorOverride have been filled.

              Control0..1
              Typemarkdown
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              46. Invoice.note
              Definition

              Comments made about the invoice by the issuer, subject, or other participants.

              ShortComments made about the invoice
              Control0..*
              TypeAnnotation

              Guidance on how to interpret the contents of this table can be foundhere

              0. Invoice
              Definition

              Invoice containing collected ChargeItems from an Account with calculated individual and total price for Billing purpose.

              ShortInvoice containing ChargeItems from an Account
              Control0..*
              Is Modifierfalse
              Must Supportfalse
              Summaryfalse
              Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
              dom-3: 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.trace('id') in %resource.descendants().select(reference | as(uri))) or descendants().where(reference='#' | as(uri)='#').exists()).not()).trace('unmatched', id).empty())
              dom-4: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
              dom-6: A resource should have narrative for robust management (text.`div`.exists())
              2. Invoice.id
              Definition

              The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

              ShortLogical id of this artifact
              Comments

              Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resource id depends on the given use case.

              Control0..1
              Typeid
              Is Modifierfalse
              Must Supportfalse
              Summarytrue
              4. Invoice.meta
              Definition

              The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

              ShortMetadata about the resource
              Control0..1
              TypeMeta
              Is Modifierfalse
              Must Supportfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              6. Invoice.implicitRules
              Definition

              A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. For DomainResources, if more than one implicitRules policy applies, additional policies may be conveyed using the additionalImplicitRules extension.

              ShortA set of rules under which this content was created
              Comments

              Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.

              Control0..1
              Typeuri
              Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Must Supportfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              8. Invoice.language
              Definition

              The base language in which the resource is written.

              ShortLanguage of the resource content
              Comments

              Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

              Control0..1
              BindingThe codes SHALL be taken from AllLanguages
              (required to http://hl7.org/fhir/ValueSet/all-languages|6.0.0-ballot5)

              IETF language tag for a human language

              Typecode
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Must Supportfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              10. Invoice.text
              Definition

              A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

              ShortText summary of the resource, for human interpretation
              Comments

              Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

              Control0..1
              This element is affected by the following invariants: dom-6
              TypeNarrative
              Is Modifierfalse
              Must Supportfalse
              Summaryfalse
              Alternate Namesnarrative, html, xhtml, display
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              12. Invoice.contained
              Definition

              These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.

              ShortContained, inline Resources
              Comments

              This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels. Contained resources may be a resource type defined in the FHIR specification, or an additional resource.

              Control0..*
              This element is affected by the following invariants: dom-2, dom-4, dom-3, dom-5
              TypeResource
              Is Modifierfalse
              Must Supportfalse
              Summaryfalse
              Alternate Namesinline resources, anonymous resources, contained resources
              14. Invoice.extension
              Definition

              May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

              ShortAdditional content defined by implementations
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifierfalse
              Must Supportfalse
              Summaryfalse
              Alternate Namesextensions, user content
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              SlicingThis element introduces a set of slices on Invoice.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ url
              • 16. Invoice.modifierExtension
                Definition

                May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                ShortExtensions that cannot be ignored
                Comments

                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                Control0..*
                TypeExtension
                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
                Must Supportfalse
                Summarytrue
                Requirements

                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                Alternate Namesextensions, user content
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                SlicingThis element introduces a set of slices on Invoice.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • value @ url
                • 18. Invoice.identifier
                  Definition

                  Identifier of this Invoice, often used for reference in correspondence about this invoice or for tracking of payments.

                  ShortBusiness Identifier for item
                  NoteThis is a business identifier, not a resource identifier (see discussion)
                  Control0..*
                  TypeIdentifier
                  Summarytrue
                  Requirements

                  Allows Identification of this Invoice instance.

                  20. Invoice.status
                  Definition

                  The current state of the Invoice.

                  Shortdraft | issued | balanced | cancelled | entered-in-error
                  Control1..1
                  BindingThe codes SHALL be taken from InvoiceStatus
                  (required to http://hl7.org/fhir/ValueSet/invoice-status)

                  Codes identifying the lifecycle stage of an Invoice.

                  Typecode
                  Is Modifiertrue because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  22. Invoice.cancelledReason
                  Definition

                  In case of Invoice cancellation a reason must be given (entered in error, superseded by corrected invoice etc.).

                  ShortReason for cancellation of this Invoice
                  Comments

                  Derived Profiles may choose to add invariants requiring this field to be populated if either priceOverride or factorOverride have been filled.

                  Control0..1
                  Typestring
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summaryfalse
                  24. Invoice.type
                  Definition

                  Type of Invoice depending on domain, realm an usage (e.g. internal/external, dental, preliminary).

                  ShortType of Invoice
                  Control0..1
                  TypeCodeableConcept
                  Summarytrue
                  Alternate Namestype
                  26. Invoice.subject
                  Definition

                  The individual or set of individuals receiving the goods and services billed in this invoice.

                  ShortRecipient(s) of goods and services
                  Control0..1
                  TypeReference(Patient, Group)
                  Summarytrue
                  Requirements

                  Links the event to the Patient context.

                  Alternate Namespatient
                  28. Invoice.recipient
                  Definition

                  The individual or Organization responsible for balancing of this invoice.

                  ShortRecipient of this invoice
                  Control0..1
                  TypeReference(Organization, Patient, RelatedPerson)
                  Summarytrue
                  30. Invoice.creation
                  Definition

                  Date/time(s) of when this Invoice was posted.

                  ShortWhen posted
                  Comments

                  The list of types may be constrained as appropriate for the type of charge item.

                  Control0..1
                  TypedateTime
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  32. Invoice.period[x]
                  Definition

                  Date/time(s) range of services included in this invoice.

                  ShortBilling date or period
                  Control0..1
                  TypeChoice of: date, Period
                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  Summarytrue
                  34. Invoice.participant
                  Definition

                  Indicates who or what performed or participated in the charged service.

                  ShortParticipant in creation of this Invoice
                  Control0..*
                  TypeBackboneElement
                  Summaryfalse
                  Invariantsele-1: All FHIR elements must have a @value or children or both (hasValue() or (children().count() > id.count()))
                  36. Invoice.participant.id
                  Definition

                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                  ShortUnique id for inter-element referencing
                  Control0..1
                  This element is affected by the following invariants: ele-1
                  Typestring
                  Is Modifierfalse
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Summaryfalse
                  38. Invoice.participant.extension
                  Definition

                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                  ShortAdditional content defined by implementations
                  Comments

                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                  Control0..*
                  TypeExtension
                  Is Modifierfalse
                  Summaryfalse
                  Alternate Namesextensions, user content
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  SlicingThis element introduces a set of slices on Invoice.participant.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                  • value @ url
                  • 40. Invoice.participant.modifierExtension
                    Definition

                    May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                    Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                    ShortExtensions that cannot be ignored even if unrecognized
                    Comments

                    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                    Control0..*
                    TypeExtension
                    Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                    Summarytrue
                    Requirements

                    Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                    Alternate Namesextensions, user content, modifiers
                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    SlicingThis element introduces a set of slices on Invoice.participant.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                    • value @ url
                    • 42. Invoice.participant.role
                      Definition

                      Describes the type of involvement (e.g. transcriptionist, creator etc.). If the invoice has been created automatically, the Participant may be a billing engine or another kind of device.

                      ShortType of involvement in creation of this Invoice
                      Control0..1
                      TypeCodeableConcept
                      Summaryfalse
                      44. Invoice.participant.actor
                      Definition

                      The device, practitioner, etc. who performed or participated in the service.

                      ShortIndividual who was involved
                      Control1..1
                      TypeReference(Practitioner, Organization, Patient, PractitionerRole, Device, RelatedPerson)
                      Summaryfalse
                      46. Invoice.issuer
                      Definition

                      The organizationissuing the Invoice.

                      ShortIssuing entity
                      Comments

                      Practitioners and Devices can be associated with multiple organizations. It has to be made clear, on behalf of which Organization the services have been rendered.

                      Control0..1
                      TypeReference(Organization, Practitioner, PractitionerRole)
                      Summaryfalse
                      48. Invoice.account
                      Definition

                      Account which is supposed to be balanced with this Invoice.

                      ShortAccount that is being balanced
                      Comments

                      Systems posting the ChargeItems might not always be able to determine, which accounts the Items need to be places into. It is up to the potprocessing Financial System to apply internal rules to decide based on the Encounter/EpisodeOfCare/Patient/Coverage context and the type of ChargeItem, which Account is appropriate.

                      Control0..1
                      TypeReference(Account)
                      Summaryfalse
                      50. Invoice.lineItem
                      Definition

                      Each line item represents one charge for goods and services rendered. Details such.ofType(date), code and amount are found in the referenced ChargeItem resource.

                      ShortLine items of this Invoice
                      Control0..*
                      TypeBackboneElement
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children or both (hasValue() or (children().count() > id.count()))
                      52. Invoice.lineItem.id
                      Definition

                      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                      ShortUnique id for inter-element referencing
                      Control0..1
                      This element is affected by the following invariants: ele-1
                      Typestring
                      Is Modifierfalse
                      XML FormatIn the XML format, this property is represented as an attribute.
                      Summaryfalse
                      54. Invoice.lineItem.extension
                      Definition

                      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                      ShortAdditional content defined by implementations
                      Comments

                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                      Control0..*
                      TypeExtension
                      Is Modifierfalse
                      Summaryfalse
                      Alternate Namesextensions, user content
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      SlicingThis element introduces a set of slices on Invoice.lineItem.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                      • value @ url
                      • 56. Invoice.lineItem.modifierExtension
                        Definition

                        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                        ShortExtensions that cannot be ignored even if unrecognized
                        Comments

                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                        Control0..*
                        TypeExtension
                        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                        Summarytrue
                        Requirements

                        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                        Alternate Namesextensions, user content, modifiers
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        SlicingThis element introduces a set of slices on Invoice.lineItem.modifierExtension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                        • value @ url
                        • 58. Invoice.lineItem.sequence
                          Definition

                          Sequence in which the items appear on the invoice.

                          ShortSequence number of line item
                          Control0..1
                          TypepositiveInt
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summaryfalse
                          60. Invoice.lineItem.serviced[x]
                          Definition

                          Date/time(s) range when this service was delivered or completed.

                          ShortService data or period
                          Control0..1
                          TypeChoice of: date, Period
                          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summaryfalse
                          62. Invoice.lineItem.chargeItem[x]
                          Definition

                          The ChargeItem contains information such as the billing code, date, amount etc. If no further details are required for the lineItem, inline billing codes can be added using the CodeableConcept data type instead of the Reference.

                          ShortReference to ChargeItem containing details of this line item or an inline billing code
                          Control1..1
                          TypeChoice of: Reference, CodeableConcept
                          [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                          Summaryfalse
                          64. Invoice.lineItem.priceComponent
                          Definition

                          The price for a ChargeItem may be calculated as a base price with surcharges/deductions that apply in certain conditions. A ChargeItemDefinition resource that defines the prices, factors and conditions that apply to a billing code is currently under development. The priceComponent element can be used to offer transparency to the recipient of the Invoice as to how the prices have been calculated.

                          ShortComponents of total line item price
                          Control0..*
                          TypeMonetaryComponent
                          Summaryfalse
                          66. Invoice.totalPriceComponent
                          Definition

                          The total amount for the Invoice may be calculated as the sum of the line items with surcharges/deductions that apply in certain conditions. The priceComponent element can be used to offer transparency to the recipient of the Invoice of how the total price was calculated.

                          ShortComponents of Invoice total
                          Control0..*
                          TypeMonetaryComponent
                          Summaryfalse
                          68. Invoice.totalNet
                          Definition

                          Invoice total , taxes excluded.

                          ShortNet total of this Invoice
                          Comments

                          There is no reason to carry the price in the instance of a ChargeItem unless circumstances require a manual override. The list prices or are usually defined in a back catalogue of the billing codes (see ChargeItem.definition). Derived profiles may require a ChargeItem.overrideReason to be provided if either factor or price are manually overridden.

                          Control0..1
                          TypeMoney
                          Summarytrue
                          70. Invoice.totalGross
                          Definition

                          Invoice total, tax included.

                          ShortGross total of this Invoice
                          Comments

                          There is no reason to carry the price in the instance of a ChargeItem unless circumstances require a manual override. The list prices or are usually defined in a back catalogue of the billing codes (see ChargeItem.definition). Derived profiles may require a ChargeItem.overrideReason to be provided if either factor or price are manually overridden.

                          Control0..1
                          TypeMoney
                          Summarytrue
                          72. Invoice.paymentTerms
                          Definition

                          Payment details such as banking details, period of payment, deductibles, methods of payment.

                          ShortPayment details
                          Comments

                          Derived Profiles may chose to add invariants requiring this field to be populated if either priceOverride or factorOverride have been filled.

                          Control0..1
                          Typemarkdown
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Summaryfalse
                          74. Invoice.note
                          Definition

                          Comments made about the invoice by the issuer, subject, or other participants.

                          ShortComments made about the invoice
                          Control0..*
                          TypeAnnotation
                          Summaryfalse