Appointment Invoiced Extension¶
| Canonical | ../StructureDefinition/appointment-invoiced |
|---|---|
| Status | draft · 1.26.0 |
| Base | Extension (constraint) |
| Context | Appointment (element) |
| Source | FSH · JSON |
That an invoice covering this appointment's visit has been observed at the billing vendor, and the instant it was observed.
Elements / Details
Every element this profile touches, with its full definition. Element names in the tables link here.
Extension¶
| Short | Appointment Invoiced Extension |
|---|---|
| Definition | That an invoice covering this appointment's visit has been observed at the billing vendor, and the
instant it was observed.
An observation, not a workflow state. Appointment.status carries the states a clinic sets by
hand; this carries only what a read-back of the vendor confirmed. Neither can be derived from the
other, and a status that reads as billed is not evidence that this extension would be present.
Absence means the observation has not been made -- NOT that the visit was not invoiced. The
extension is written only when an invoice was seen. It is absent while a read-back has not run,
while it has run without finding one, and wherever no read-back exists. Rendering absence as "not
invoiced" in a user interface is a defensible choice; counting it as "no invoice exists" is not, and
a report built that way under-states billing coverage. Treat absence as unknown.
The instant is when the invoice was observed, not when it was raised and not when the service
was delivered. The observation is not rewritten once stored, so the instant names the first
confirmation rather than the most recent check.
Written at most once per appointment. A reader encountering more than one copy should take the
first rather than merge them.
MIGRATION. Nexus EMR writes this extension today at
http://services.well.com/fhir/StructureDefinition/appointment-invoiced (FHIR-378). That address is
live in stored appointments and in code, and is under migration to the canonical declared here.
Write the canonical; when reading, match on the URL suffix appointment-invoiced so that
appointments filed under either address are seen. |
| Cardinality | 0..* |
| Invariants | ele-1, ext-1 |
Extension.id¶
| Short | Unique id for inter-element referencing |
|---|---|
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Cardinality | 0..1 |
| Type | http://hl7.org/fhirpath/System.String |
Extension.extension¶
| Short | Additional content defined by implementations |
|---|---|
| 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 manageable, 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. |
| 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. |
| Cardinality | 2..* |
| Type | Extension |
| Invariants | ele-1, ext-1 |
| Also called | extensions, user content |
Extension.extension:invoiced¶
| Short | The observed fact: an invoice for this visit exists |
|---|---|
| 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 manageable, 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. |
| 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. |
| Cardinality | 1..1 |
| Type | Extension |
| Must Support | yes |
| Invariants | ele-1, ext-1 |
| Also called | extensions, user content |
Extension.extension:invoiced.id¶
| Short | Unique id for inter-element referencing |
|---|---|
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Cardinality | 0..1 |
| Type | http://hl7.org/fhirpath/System.String |
Extension.extension:invoiced.extension¶
| Short | Additional content defined by implementations |
|---|---|
| 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 manageable, 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. |
| 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. |
| Cardinality | 0..0 |
| Type | Extension |
| Invariants | ele-1, ext-1 |
| Also called | extensions, user content |
Extension.extension:invoiced.url¶
| Short | identifies the meaning of the extension |
|---|---|
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
| Cardinality | 1..1 |
| Type | http://hl7.org/fhirpath/System.String |
| Fixed value | invoiced |
Extension.extension:invoiced.value[x]¶
| Short | Value of extension |
|---|---|
| Definition | The observed fact. Only true is written: the extension records a positive observation and is absent otherwise. A reader MUST require true and treat any other value, or a missing child, as no observation at all rather than as a statement that no invoice exists. |
| Cardinality | 1..1 |
| Type | boolean |
| Must Support | yes |
| Invariants | ele-1 |
Extension.extension:observedAt¶
| Short | When the invoice was observed at the vendor |
|---|---|
| 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 manageable, 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. |
| 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. |
| Cardinality | 1..1 |
| Type | Extension |
| Must Support | yes |
| Invariants | ele-1, ext-1 |
| Also called | extensions, user content |
Extension.extension:observedAt.id¶
| Short | Unique id for inter-element referencing |
|---|---|
| Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
| Cardinality | 0..1 |
| Type | http://hl7.org/fhirpath/System.String |
Extension.extension:observedAt.extension¶
| Short | Additional content defined by implementations |
|---|---|
| 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 manageable, 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. |
| 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. |
| Cardinality | 0..0 |
| Type | Extension |
| Invariants | ele-1, ext-1 |
| Also called | extensions, user content |
Extension.extension:observedAt.url¶
| Short | identifies the meaning of the extension |
|---|---|
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
| Cardinality | 1..1 |
| Type | http://hl7.org/fhirpath/System.String |
| Fixed value | observedAt |
Extension.extension:observedAt.value[x]¶
| Short | Value of extension |
|---|---|
| Definition | When the read-back observed the invoice. NOT when the invoice was raised, when the service was delivered, or when the appointment was marked billed. Required: an observation with no instant cannot be aged, and a reader should treat one lacking a usable instant as no observation. |
| Cardinality | 1..1 |
| Type | instant |
| Must Support | yes |
| Invariants | ele-1 |
Extension.url¶
| Short | identifies the meaning of the extension |
|---|---|
| Definition | Source of the definition for the extension code - a logical name or a URL. |
| Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
| Cardinality | 1..1 |
| Type | http://hl7.org/fhirpath/System.String |
| Fixed value | ../StructureDefinition/appointment-invoiced |
Extension.value[x]¶
| Short | Value of extension |
|---|---|
| Definition | Value of extension - must be one of a constrained set of the data types (see Extensibility for a list). |
| Cardinality | 0..0 |
| Type | base64Binary, boolean, canonical, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, url, uuid, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, ContactDetail, Contributor, DataRequirement, Expression, ParameterDefinition, RelatedArtifact, TriggerDefinition, UsageContext, Dosage, Meta |
| Invariants | ele-1 |