TIFlow - Abrechnungsinformationen
Version 2.0.0-ballot.1 - ci-build

## Resource Profile: GEM_ERPCHRG_PR_ChargeItem

Official URL: https://gematik.de/fhir/erpchrg/StructureDefinition/GEM_ERPCHRG_PR_ChargeItem | Version: 2.0.0-ballot.1
Active as of 2028-04-01 | Computable Name: GEM_ERPCHRG_PR_ChargeItem
Copyright/Legal: gematik GmbH / Dieses Artefakt ist lizenziert unter Apache License, Version 2.0.

Usages:

- Refer to this Profile: Reply on change Request on ChargeItem from pharmacy to Patient and Request for Modification on ChargeItem
- Examples for this Profile: ChargeItem/ChargeItem-GET-Completed and ChargeItem/ChargeItem-POST-Binary
- CapabilityStatements using this Profile: ERPCHRG CapabilityStatement für den E-Rezept-Fachdienst

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ChargeItem |  | 0..* | ChargeItem | Item containing charge code(s) associated with the provision of healthcare provider products Constraints: dom-2, dom-3, dom-4, dom-5, dom-6
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Closed by value:url
extension:markingFlag | S | 0..1 | (Complex) | Flag list whether submitted Abrechnungsinformationen for PKV, Taxes, Subsidy URL: https://gematik.de/fhir/erpchrg/StructureDefinition/GEM_ERPCHRG_EX_MarkingFlag
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url
Slices for identifier | Σ | 1..* | Identifier | Business Identifier for item Slice: Unordered, Closed by value:system
identifier:PrescriptionID | Σ | 1..1 | Identifier | Prescription Identifier
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system | Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: https://gematik.de/fhir/erp/NamingSystem/GEM_ERP_NS_PrescriptionId
value | Σ | 1..1 | string | The value that is unique Example General: 123456
identifier:AccessCode | Σ | 0..1 | Identifier | AccessCode Identifier
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system | Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: https://gematik.de/fhir/erp/NamingSystem/GEM_ERP_NS_AccessCode
value | Σ | 1..1 | string | The value that is unique Example General: 123456
status | ?!Σ | 1..1 | code | planned | billable | not-billable | aborted | billed | entered-in-error | unknown Binding: ChargeItemStatus (required): Codes identifying the lifecycle stage of a ChargeItem. Fixed Value: billable
code | Σ | 1..1 | CodeableConcept | A code that identifies the charge, like a billing code Binding: ChargeItemCode (example): Example set of codes that can be used for billing purposes.
subject | Σ C | 1..1 | Reference(Patient | Group) | Individual service was done for/to Constraints: ref-1
identifier | Σ | 1..1 | IdentifierKvid10 | Logical reference, when literal reference is not known
enterer | Σ C | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson) | Pharmacy that initially provided the Abgabedaten in ChargeItem Constraints: ref-1
identifier | Σ | 1..1 | IdentifierTelematikId | Logical reference, when literal reference is not known
Slices for supportingInformation | S C | 0..4 | Reference(Resource) | Further information supporting this charge Slice: Unordered, Closed by value:display Constraints: ref-1
supportingInformation:prescriptionItemBundle | C | 0..1 | Reference(Bundle) | Further information supporting this charge Constraints: ref-1
display | Σ | 1..1 | string | Text alternative for the resource Fixed Value: https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Bundle
supportingInformation:dispenseItemBinary | C | 0..1 | Reference(Binary) | Further information supporting this charge Constraints: ref-1
display | Σ | 1..1 | string | Text alternative for the resource Fixed Value: Binary
supportingInformation:dispenseItemBundle | C | 0..1 | Reference(Bundle) | Further information supporting this charge Constraints: ref-1
display | Σ | 1..1 | string | Text alternative for the resource Fixed Value: http://fhir.abda.de/eRezeptAbgabedaten/StructureDefinition/DAV-PKV-PR-ERP-AbgabedatenBundle
supportingInformation:receiptBundle | C | 0..1 | Reference(Bundle) | Further information supporting this charge Constraints: ref-1
display | Σ | 1..1 | string | Text alternative for the resource Fixed Value: https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_PR_Bundle
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
ChargeItem.identifier:PrescriptionID.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
ChargeItem.identifier:AccessCode.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
ChargeItem.status | Base | required | ChargeItemStatus | 📍4.0.1 | FHIR Std.
ChargeItem.code | Base | example | ChargeItemCode | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | ChargeItem | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | ChargeItem | 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 | ChargeItem | 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 | ChargeItem | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | ChargeItem | 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()`
ref-1 | error | ChargeItem.subject, ChargeItem.enterer, ChargeItem.supportingInformation, ChargeItem.supportingInformation:prescriptionItemBundle, ChargeItem.supportingInformation:dispenseItemBinary, ChargeItem.supportingInformation:dispenseItemBundle, ChargeItem.supportingInformation:receiptBundle | SHALL have a contained resource if a local reference is provided | `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))`

This structure is derived from ChargeItem

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ChargeItem |  | 0..* | ChargeItem | Item containing charge code(s) associated with the provision of healthcare provider products
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Closed by value:url
extension:markingFlag | S | 0..1 | (Complex) | Flag list whether submitted Abrechnungsinformationen for PKV, Taxes, Subsidy URL: https://gematik.de/fhir/erpchrg/StructureDefinition/GEM_ERPCHRG_EX_MarkingFlag
Slices for identifier |  | 1..* | Identifier | Business Identifier for item Slice: Unordered, Closed by value:system
identifier:PrescriptionID |  | 1..1 | Identifier | Prescription Identifier
system |  | 1..1 | uri | The namespace for the identifier value Fixed Value: https://gematik.de/fhir/erp/NamingSystem/GEM_ERP_NS_PrescriptionId
value |  | 1..1 | string | The value that is unique
identifier:AccessCode |  | 0..1 | Identifier | AccessCode Identifier
system |  | 1..1 | uri | The namespace for the identifier value Fixed Value: https://gematik.de/fhir/erp/NamingSystem/GEM_ERP_NS_AccessCode
value |  | 1..1 | string | The value that is unique
status |  | 1..1 | code | planned | billable | not-billable | aborted | billed | entered-in-error | unknown Fixed Value: billable
code |  |  |  |
coding |  |  |  |
system |  | 0..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
code |  | 0..1 | code | Symbol in syntax defined by the system Fixed Value: not-applicable
subject |  |  |  |
identifier |  | 1..1 | IdentifierKvid10 | Logical reference, when literal reference is not known
enterer |  | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson) | Pharmacy that initially provided the Abgabedaten in ChargeItem
identifier |  | 1..1 | IdentifierTelematikId | Logical reference, when literal reference is not known
Slices for supportingInformation | S | 0..4 | Reference(Resource) | Further information supporting this charge Slice: Unordered, Closed by value:display
supportingInformation:prescriptionItemBundle |  | 0..1 | Reference(Bundle) | Further information supporting this charge
display |  | 1..1 | string | Text alternative for the resource Fixed Value: https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Bundle
supportingInformation:dispenseItemBinary |  | 0..1 | Reference(Binary) | Further information supporting this charge
display |  | 1..1 | string | Text alternative for the resource Fixed Value: Binary
supportingInformation:dispenseItemBundle |  | 0..1 | Reference(Bundle) | Further information supporting this charge
display |  | 1..1 | string | Text alternative for the resource Fixed Value: http://fhir.abda.de/eRezeptAbgabedaten/StructureDefinition/DAV-PKV-PR-ERP-AbgabedatenBundle
supportingInformation:receiptBundle |  | 0..1 | Reference(Bundle) | Further information supporting this charge
display |  | 1..1 | string | Text alternative for the resource Fixed Value: https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_PR_Bundle
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ChargeItem |  | 0..* | ChargeItem | Item containing charge code(s) associated with the provision of healthcare provider products Constraints: dom-2, dom-3, dom-4, dom-5, dom-6
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 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
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Closed by value:url
extension:markingFlag | S | 0..1 | (Complex) | Flag list whether submitted Abrechnungsinformationen for PKV, Taxes, Subsidy URL: https://gematik.de/fhir/erpchrg/StructureDefinition/GEM_ERPCHRG_EX_MarkingFlag
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url
Slices for identifier | Σ | 1..* | Identifier | Business Identifier for item Slice: Unordered, Closed by value:system
identifier:PrescriptionID | Σ | 1..1 | Identifier | Prescription Identifier
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system | Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: https://gematik.de/fhir/erp/NamingSystem/GEM_ERP_NS_PrescriptionId
value | Σ | 1..1 | string | The value that is unique Example General: 123456
period | Σ C | 0..1 | Period | Time period when id is/was valid for use Constraints: per-1
assigner | Σ C | 0..1 | Reference(Organization) | Organization that issued id (may be just text) Constraints: ref-1
identifier:AccessCode | Σ | 0..1 | Identifier | AccessCode Identifier
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system | Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: https://gematik.de/fhir/erp/NamingSystem/GEM_ERP_NS_AccessCode
value | Σ | 1..1 | string | The value that is unique Example General: 123456
period | Σ C | 0..1 | Period | Time period when id is/was valid for use Constraints: per-1
assigner | Σ C | 0..1 | Reference(Organization) | Organization that issued id (may be just text) Constraints: ref-1
definitionUri |  | 0..* | uri | Defining information about the code of this charge item
definitionCanonical |  | 0..* | canonical(ChargeItemDefinition) | Resource defining the code of this ChargeItem
status | ?!Σ | 1..1 | code | planned | billable | not-billable | aborted | billed | entered-in-error | unknown Binding: ChargeItemStatus (required): Codes identifying the lifecycle stage of a ChargeItem. Fixed Value: billable
partOf | C | 0..* | Reference(ChargeItem) | Part of referenced ChargeItem Constraints: ref-1
code | Σ | 1..1 | CodeableConcept | A code that identifies the charge, like a billing code Binding: ChargeItemCode (example): Example set of codes that can be used for billing purposes.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | Σ | 0..* | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 0..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system Fixed Value: not-applicable
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
subject | Σ C | 1..1 | Reference(Patient | Group) | Individual service was done for/to Constraints: ref-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 1..1 | IdentifierKvid10 | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
context | Σ C | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with event Constraints: ref-1
occurrence[x] | Σ | 0..1 |  | When the charged service was applied
occurrenceDateTime |  |  | dateTime |
occurrencePeriod |  |  | Period |
occurrenceTiming |  |  | Timing |
performer |  | 0..* | BackboneElement | Who performed charged service
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
function |  | 0..1 | CodeableConcept | What type of performance was done Binding: ProcedurePerformerRoleCodes (example): Codes describing the types of functional roles performers can take on when performing events.
actor | C | 1..1 | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson) | Individual who was performing Constraints: ref-1
performingOrganization | C | 0..1 | Reference(Organization) | Organization providing the charged service Constraints: ref-1
requestingOrganization | C | 0..1 | Reference(Organization) | Organization requesting the charged service Constraints: ref-1
costCenter | C | 0..1 | Reference(Organization) | Organization that has ownership of the (potential, future) revenue Constraints: ref-1
quantity | Σ C | 0..1 | Quantity | Quantity of which the charge item has been serviced Constraints: qty-3
bodysite | Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
factorOverride |  | 0..1 | decimal | Factor overriding the associated rules
priceOverride |  | 0..1 | Money | Price overriding the associated rules
overrideReason |  | 0..1 | string | Reason for overriding the list price/factor
enterer | Σ C | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson) | Pharmacy that initially provided the Abgabedaten in ChargeItem Constraints: ref-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 1..1 | IdentifierTelematikId | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
enteredDate | Σ | 0..1 | dateTime | Date the charge item was entered
reason |  | 0..* | CodeableConcept | Why was the charged service rendered? Binding: ICD-10Codes (example): Example binding for reason.
service | C | 0..* | Reference(DiagnosticReport | ImagingStudy | Immunization | MedicationAdministration | MedicationDispense | Observation | Procedure | SupplyDelivery) | Which rendered service is being charged? Constraints: ref-1
product[x] |  | 0..1 |  | Product charged Binding: FHIRDeviceTypes (example): Example binding for product type.
productReference |  |  | Reference(Device | Medication | Substance) |
productCodeableConcept |  |  | CodeableConcept |
account | Σ C | 0..* | Reference(Account) | Account to place this charge Constraints: ref-1
note |  | 0..* | Annotation | Comments made about the ChargeItem
Slices for supportingInformation | S C | 0..4 | Reference(Resource) | Further information supporting this charge Slice: Unordered, Closed by value:display Constraints: ref-1
supportingInformation:prescriptionItemBundle | C | 0..1 | Reference(Bundle) | Further information supporting this charge Constraints: ref-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 1..1 | string | Text alternative for the resource Fixed Value: https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Bundle
supportingInformation:dispenseItemBinary | C | 0..1 | Reference(Binary) | Further information supporting this charge Constraints: ref-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 1..1 | string | Text alternative for the resource Fixed Value: Binary
supportingInformation:dispenseItemBundle | C | 0..1 | Reference(Bundle) | Further information supporting this charge Constraints: ref-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 1..1 | string | Text alternative for the resource Fixed Value: http://fhir.abda.de/eRezeptAbgabedaten/StructureDefinition/DAV-PKV-PR-ERP-AbgabedatenBundle
supportingInformation:receiptBundle | C | 0..1 | Reference(Bundle) | Further information supporting this charge Constraints: ref-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 1..1 | string | Text alternative for the resource Fixed Value: https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_PR_Bundle
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
ChargeItem.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
ChargeItem.identifier:PrescriptionID.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
ChargeItem.identifier:PrescriptionID.​type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std.
ChargeItem.identifier:AccessCode.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
ChargeItem.identifier:AccessCode.​type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std.
ChargeItem.status | Base | required | ChargeItemStatus | 📍4.0.1 | FHIR Std.
ChargeItem.code | Base | example | ChargeItemCode | 📍4.0.1 | FHIR Std.
ChargeItem.subject.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
ChargeItem.performer.​function | Base | example | Procedure Performer Role Codes | 📍4.0.1 | FHIR Std.
ChargeItem.bodysite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std.
ChargeItem.enterer.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
ChargeItem.reason | Base | example | ICD-10 Codes | 📍4.0.1 | FHIR Std.
ChargeItem.product[x] | Base | example | FHIR Device Types | 📍4.0.1 | FHIR Std.
ChargeItem.supportingInformation:prescriptionItemBundle.​type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
ChargeItem.supportingInformation:dispenseItemBinary.​type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
ChargeItem.supportingInformation:dispenseItemBundle.​type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
ChargeItem.supportingInformation:receiptBundle.​type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | ChargeItem | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | ChargeItem | 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 | ChargeItem | 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 | ChargeItem | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | ChargeItem | 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()`
per-1 | error | ChargeItem.identifier:PrescriptionID.period, ChargeItem.identifier:AccessCode.period | If present, start SHALL have a lower value than end | `start.hasValue().not() or end.hasValue().not() or (start <= end)`
qty-3 | error | ChargeItem.quantity | If a code for the unit is present, the system SHALL also be present | `code.empty() or system.exists()`
ref-1 | error | ChargeItem.identifier:PrescriptionID.assigner, ChargeItem.identifier:AccessCode.assigner, ChargeItem.partOf, ChargeItem.subject, ChargeItem.context, ChargeItem.performer.actor, ChargeItem.performingOrganization, ChargeItem.requestingOrganization, ChargeItem.costCenter, ChargeItem.enterer, ChargeItem.service, ChargeItem.account, ChargeItem.supportingInformation, ChargeItem.supportingInformation:prescriptionItemBundle, ChargeItem.supportingInformation:dispenseItemBinary, ChargeItem.supportingInformation:dispenseItemBundle, ChargeItem.supportingInformation:receiptBundle | SHALL have a contained resource if a local reference is provided | `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))`

This structure is derived from ChargeItem

Summary

Mandatory: 5 elements(7 nested mandatory elements)
Must-Support: 2 elements
Fixed: 9 elements

Structures

This structure refers to these other structures:

- Identifier-Profil für die 10-stellige Krankenversichertennummer (http://fhir.de/StructureDefinition/identifier-kvid-10)
- Identifier-Profil für die Telematik-ID (http://fhir.de/StructureDefinition/identifier-telematik-id)

Extensions

This structure refers to these extensions:

- https://gematik.de/fhir/erpchrg/StructureDefinition/GEM_ERPCHRG_EX_MarkingFlag

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of ChargeItem.identifier (Closed)
- The element 1 is sliced based on the value of ChargeItem.supportingInformation (Closed)

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ChargeItem |  | 0..* | ChargeItem | Item containing charge code(s) associated with the provision of healthcare provider products Constraints: dom-2, dom-3, dom-4, dom-5, dom-6
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Closed by value:url
extension:markingFlag | S | 0..1 | (Complex) | Flag list whether submitted Abrechnungsinformationen for PKV, Taxes, Subsidy URL: https://gematik.de/fhir/erpchrg/StructureDefinition/GEM_ERPCHRG_EX_MarkingFlag
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url
Slices for identifier | Σ | 1..* | Identifier | Business Identifier for item Slice: Unordered, Closed by value:system
identifier:PrescriptionID | Σ | 1..1 | Identifier | Prescription Identifier
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system | Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: https://gematik.de/fhir/erp/NamingSystem/GEM_ERP_NS_PrescriptionId
value | Σ | 1..1 | string | The value that is unique Example General: 123456
identifier:AccessCode | Σ | 0..1 | Identifier | AccessCode Identifier
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system | Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: https://gematik.de/fhir/erp/NamingSystem/GEM_ERP_NS_AccessCode
value | Σ | 1..1 | string | The value that is unique Example General: 123456
status | ?!Σ | 1..1 | code | planned | billable | not-billable | aborted | billed | entered-in-error | unknown Binding: ChargeItemStatus (required): Codes identifying the lifecycle stage of a ChargeItem. Fixed Value: billable
code | Σ | 1..1 | CodeableConcept | A code that identifies the charge, like a billing code Binding: ChargeItemCode (example): Example set of codes that can be used for billing purposes.
subject | Σ C | 1..1 | Reference(Patient | Group) | Individual service was done for/to Constraints: ref-1
identifier | Σ | 1..1 | IdentifierKvid10 | Logical reference, when literal reference is not known
enterer | Σ C | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson) | Pharmacy that initially provided the Abgabedaten in ChargeItem Constraints: ref-1
identifier | Σ | 1..1 | IdentifierTelematikId | Logical reference, when literal reference is not known
Slices for supportingInformation | S C | 0..4 | Reference(Resource) | Further information supporting this charge Slice: Unordered, Closed by value:display Constraints: ref-1
supportingInformation:prescriptionItemBundle | C | 0..1 | Reference(Bundle) | Further information supporting this charge Constraints: ref-1
display | Σ | 1..1 | string | Text alternative for the resource Fixed Value: https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Bundle
supportingInformation:dispenseItemBinary | C | 0..1 | Reference(Binary) | Further information supporting this charge Constraints: ref-1
display | Σ | 1..1 | string | Text alternative for the resource Fixed Value: Binary
supportingInformation:dispenseItemBundle | C | 0..1 | Reference(Bundle) | Further information supporting this charge Constraints: ref-1
display | Σ | 1..1 | string | Text alternative for the resource Fixed Value: http://fhir.abda.de/eRezeptAbgabedaten/StructureDefinition/DAV-PKV-PR-ERP-AbgabedatenBundle
supportingInformation:receiptBundle | C | 0..1 | Reference(Bundle) | Further information supporting this charge Constraints: ref-1
display | Σ | 1..1 | string | Text alternative for the resource Fixed Value: https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_PR_Bundle
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
ChargeItem.identifier:PrescriptionID.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
ChargeItem.identifier:AccessCode.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
ChargeItem.status | Base | required | ChargeItemStatus | 📍4.0.1 | FHIR Std.
ChargeItem.code | Base | example | ChargeItemCode | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | ChargeItem | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | ChargeItem | 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 | ChargeItem | 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 | ChargeItem | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | ChargeItem | 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()`
ref-1 | error | ChargeItem.subject, ChargeItem.enterer, ChargeItem.supportingInformation, ChargeItem.supportingInformation:prescriptionItemBundle, ChargeItem.supportingInformation:dispenseItemBinary, ChargeItem.supportingInformation:dispenseItemBundle, ChargeItem.supportingInformation:receiptBundle | SHALL have a contained resource if a local reference is provided | `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))`

Differential View

This structure is derived from ChargeItem

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ChargeItem |  | 0..* | ChargeItem | Item containing charge code(s) associated with the provision of healthcare provider products
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Closed by value:url
extension:markingFlag | S | 0..1 | (Complex) | Flag list whether submitted Abrechnungsinformationen for PKV, Taxes, Subsidy URL: https://gematik.de/fhir/erpchrg/StructureDefinition/GEM_ERPCHRG_EX_MarkingFlag
Slices for identifier |  | 1..* | Identifier | Business Identifier for item Slice: Unordered, Closed by value:system
identifier:PrescriptionID |  | 1..1 | Identifier | Prescription Identifier
system |  | 1..1 | uri | The namespace for the identifier value Fixed Value: https://gematik.de/fhir/erp/NamingSystem/GEM_ERP_NS_PrescriptionId
value |  | 1..1 | string | The value that is unique
identifier:AccessCode |  | 0..1 | Identifier | AccessCode Identifier
system |  | 1..1 | uri | The namespace for the identifier value Fixed Value: https://gematik.de/fhir/erp/NamingSystem/GEM_ERP_NS_AccessCode
value |  | 1..1 | string | The value that is unique
status |  | 1..1 | code | planned | billable | not-billable | aborted | billed | entered-in-error | unknown Fixed Value: billable
code |  |  |  |
coding |  |  |  |
system |  | 0..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
code |  | 0..1 | code | Symbol in syntax defined by the system Fixed Value: not-applicable
subject |  |  |  |
identifier |  | 1..1 | IdentifierKvid10 | Logical reference, when literal reference is not known
enterer |  | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson) | Pharmacy that initially provided the Abgabedaten in ChargeItem
identifier |  | 1..1 | IdentifierTelematikId | Logical reference, when literal reference is not known
Slices for supportingInformation | S | 0..4 | Reference(Resource) | Further information supporting this charge Slice: Unordered, Closed by value:display
supportingInformation:prescriptionItemBundle |  | 0..1 | Reference(Bundle) | Further information supporting this charge
display |  | 1..1 | string | Text alternative for the resource Fixed Value: https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Bundle
supportingInformation:dispenseItemBinary |  | 0..1 | Reference(Binary) | Further information supporting this charge
display |  | 1..1 | string | Text alternative for the resource Fixed Value: Binary
supportingInformation:dispenseItemBundle |  | 0..1 | Reference(Bundle) | Further information supporting this charge
display |  | 1..1 | string | Text alternative for the resource Fixed Value: http://fhir.abda.de/eRezeptAbgabedaten/StructureDefinition/DAV-PKV-PR-ERP-AbgabedatenBundle
supportingInformation:receiptBundle |  | 0..1 | Reference(Bundle) | Further information supporting this charge
display |  | 1..1 | string | Text alternative for the resource Fixed Value: https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_PR_Bundle
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
ChargeItem |  | 0..* | ChargeItem | Item containing charge code(s) associated with the provision of healthcare provider products Constraints: dom-2, dom-3, dom-4, dom-5, dom-6
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 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
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Closed by value:url
extension:markingFlag | S | 0..1 | (Complex) | Flag list whether submitted Abrechnungsinformationen for PKV, Taxes, Subsidy URL: https://gematik.de/fhir/erpchrg/StructureDefinition/GEM_ERPCHRG_EX_MarkingFlag
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url
Slices for identifier | Σ | 1..* | Identifier | Business Identifier for item Slice: Unordered, Closed by value:system
identifier:PrescriptionID | Σ | 1..1 | Identifier | Prescription Identifier
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system | Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: https://gematik.de/fhir/erp/NamingSystem/GEM_ERP_NS_PrescriptionId
value | Σ | 1..1 | string | The value that is unique Example General: 123456
period | Σ C | 0..1 | Period | Time period when id is/was valid for use Constraints: per-1
assigner | Σ C | 0..1 | Reference(Organization) | Organization that issued id (may be just text) Constraints: ref-1
identifier:AccessCode | Σ | 0..1 | Identifier | AccessCode Identifier
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system | Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: https://gematik.de/fhir/erp/NamingSystem/GEM_ERP_NS_AccessCode
value | Σ | 1..1 | string | The value that is unique Example General: 123456
period | Σ C | 0..1 | Period | Time period when id is/was valid for use Constraints: per-1
assigner | Σ C | 0..1 | Reference(Organization) | Organization that issued id (may be just text) Constraints: ref-1
definitionUri |  | 0..* | uri | Defining information about the code of this charge item
definitionCanonical |  | 0..* | canonical(ChargeItemDefinition) | Resource defining the code of this ChargeItem
status | ?!Σ | 1..1 | code | planned | billable | not-billable | aborted | billed | entered-in-error | unknown Binding: ChargeItemStatus (required): Codes identifying the lifecycle stage of a ChargeItem. Fixed Value: billable
partOf | C | 0..* | Reference(ChargeItem) | Part of referenced ChargeItem Constraints: ref-1
code | Σ | 1..1 | CodeableConcept | A code that identifies the charge, like a billing code Binding: ChargeItemCode (example): Example set of codes that can be used for billing purposes.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | Σ | 0..* | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 0..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/data-absent-reason
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system Fixed Value: not-applicable
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
subject | Σ C | 1..1 | Reference(Patient | Group) | Individual service was done for/to Constraints: ref-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 1..1 | IdentifierKvid10 | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
context | Σ C | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with event Constraints: ref-1
occurrence[x] | Σ | 0..1 |  | When the charged service was applied
occurrenceDateTime |  |  | dateTime |
occurrencePeriod |  |  | Period |
occurrenceTiming |  |  | Timing |
performer |  | 0..* | BackboneElement | Who performed charged service
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
function |  | 0..1 | CodeableConcept | What type of performance was done Binding: ProcedurePerformerRoleCodes (example): Codes describing the types of functional roles performers can take on when performing events.
actor | C | 1..1 | Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson) | Individual who was performing Constraints: ref-1
performingOrganization | C | 0..1 | Reference(Organization) | Organization providing the charged service Constraints: ref-1
requestingOrganization | C | 0..1 | Reference(Organization) | Organization requesting the charged service Constraints: ref-1
costCenter | C | 0..1 | Reference(Organization) | Organization that has ownership of the (potential, future) revenue Constraints: ref-1
quantity | Σ C | 0..1 | Quantity | Quantity of which the charge item has been serviced Constraints: qty-3
bodysite | Σ | 0..* | CodeableConcept | Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
factorOverride |  | 0..1 | decimal | Factor overriding the associated rules
priceOverride |  | 0..1 | Money | Price overriding the associated rules
overrideReason |  | 0..1 | string | Reason for overriding the list price/factor
enterer | Σ C | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson) | Pharmacy that initially provided the Abgabedaten in ChargeItem Constraints: ref-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 1..1 | IdentifierTelematikId | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
enteredDate | Σ | 0..1 | dateTime | Date the charge item was entered
reason |  | 0..* | CodeableConcept | Why was the charged service rendered? Binding: ICD-10Codes (example): Example binding for reason.
service | C | 0..* | Reference(DiagnosticReport | ImagingStudy | Immunization | MedicationAdministration | MedicationDispense | Observation | Procedure | SupplyDelivery) | Which rendered service is being charged? Constraints: ref-1
product[x] |  | 0..1 |  | Product charged Binding: FHIRDeviceTypes (example): Example binding for product type.
productReference |  |  | Reference(Device | Medication | Substance) |
productCodeableConcept |  |  | CodeableConcept |
account | Σ C | 0..* | Reference(Account) | Account to place this charge Constraints: ref-1
note |  | 0..* | Annotation | Comments made about the ChargeItem
Slices for supportingInformation | S C | 0..4 | Reference(Resource) | Further information supporting this charge Slice: Unordered, Closed by value:display Constraints: ref-1
supportingInformation:prescriptionItemBundle | C | 0..1 | Reference(Bundle) | Further information supporting this charge Constraints: ref-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 1..1 | string | Text alternative for the resource Fixed Value: https://fhir.kbv.de/StructureDefinition/KBV_PR_ERP_Bundle
supportingInformation:dispenseItemBinary | C | 0..1 | Reference(Binary) | Further information supporting this charge Constraints: ref-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 1..1 | string | Text alternative for the resource Fixed Value: Binary
supportingInformation:dispenseItemBundle | C | 0..1 | Reference(Bundle) | Further information supporting this charge Constraints: ref-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 1..1 | string | Text alternative for the resource Fixed Value: http://fhir.abda.de/eRezeptAbgabedaten/StructureDefinition/DAV-PKV-PR-ERP-AbgabedatenBundle
supportingInformation:receiptBundle | C | 0..1 | Reference(Bundle) | Further information supporting this charge Constraints: ref-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 1..1 | string | Text alternative for the resource Fixed Value: https://gematik.de/fhir/erp/StructureDefinition/GEM_ERP_PR_Bundle
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
ChargeItem.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
ChargeItem.identifier:PrescriptionID.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
ChargeItem.identifier:PrescriptionID.​type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std.
ChargeItem.identifier:AccessCode.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
ChargeItem.identifier:AccessCode.​type | Base | extensible | IdentifierType | 📍4.0.1 | FHIR Std.
ChargeItem.status | Base | required | ChargeItemStatus | 📍4.0.1 | FHIR Std.
ChargeItem.code | Base | example | ChargeItemCode | 📍4.0.1 | FHIR Std.
ChargeItem.subject.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
ChargeItem.performer.​function | Base | example | Procedure Performer Role Codes | 📍4.0.1 | FHIR Std.
ChargeItem.bodysite | Base | example | SNOMED CT Body Structures | 📍4.0.1 | FHIR Std.
ChargeItem.enterer.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
ChargeItem.reason | Base | example | ICD-10 Codes | 📍4.0.1 | FHIR Std.
ChargeItem.product[x] | Base | example | FHIR Device Types | 📍4.0.1 | FHIR Std.
ChargeItem.supportingInformation:prescriptionItemBundle.​type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
ChargeItem.supportingInformation:dispenseItemBinary.​type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
ChargeItem.supportingInformation:dispenseItemBundle.​type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
ChargeItem.supportingInformation:receiptBundle.​type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | ChargeItem | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | ChargeItem | 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 | ChargeItem | 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 | ChargeItem | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | ChargeItem | 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()`
per-1 | error | ChargeItem.identifier:PrescriptionID.period, ChargeItem.identifier:AccessCode.period | If present, start SHALL have a lower value than end | `start.hasValue().not() or end.hasValue().not() or (start <= end)`
qty-3 | error | ChargeItem.quantity | If a code for the unit is present, the system SHALL also be present | `code.empty() or system.exists()`
ref-1 | error | ChargeItem.identifier:PrescriptionID.assigner, ChargeItem.identifier:AccessCode.assigner, ChargeItem.partOf, ChargeItem.subject, ChargeItem.context, ChargeItem.performer.actor, ChargeItem.performingOrganization, ChargeItem.requestingOrganization, ChargeItem.costCenter, ChargeItem.enterer, ChargeItem.service, ChargeItem.account, ChargeItem.supportingInformation, ChargeItem.supportingInformation:prescriptionItemBundle, ChargeItem.supportingInformation:dispenseItemBinary, ChargeItem.supportingInformation:dispenseItemBundle, ChargeItem.supportingInformation:receiptBundle | SHALL have a contained resource if a local reference is provided | `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))`

This structure is derived from ChargeItem

Summary

Mandatory: 5 elements(7 nested mandatory elements)
Must-Support: 2 elements
Fixed: 9 elements

Structures

This structure refers to these other structures:

- Identifier-Profil für die 10-stellige Krankenversichertennummer (http://fhir.de/StructureDefinition/identifier-kvid-10)
- Identifier-Profil für die Telematik-ID (http://fhir.de/StructureDefinition/identifier-telematik-id)

Extensions

This structure refers to these extensions:

- https://gematik.de/fhir/erpchrg/StructureDefinition/GEM_ERPCHRG_EX_MarkingFlag

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of ChargeItem.identifier (Closed)
- The element 1 is sliced based on the value of ChargeItem.supportingInformation (Closed)

Other representations of profile: CSV, Excel, Schematron