v2+ Details
0.3.2 - Working Draft to present the concept ideas (FO)

v2+ Details - Local Development build (v0.3.2). See the Directory of published versions

Logical Model: PSL - Detailed Descriptions

Draft as of 2023-08-09

Definitions for the PSL logical model.

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

0. PSL
Definition

Product/Service Line Item

Control1..1
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. PSL.providerProductServiceLineItemNumber
Definition

Provider ProductService Line Item Number

ShortproviderProductServiceLineItemNumber
Control1..1
TypeEI
Must Supporttrue
4. PSL.payerProductServiceLineItemNumber
Definition

Payer ProductService Line Item Number

ShortpayerProductServiceLineItemNumber
Control0..1
TypeEI
6. PSL.productServiceLineItemSequenceNumber
Definition

ProductService Line Item Sequence Number

ShortproductServiceLineItemSequenceNumber
Control1..1
TypeSI
Must Supporttrue
Max Length4
8. PSL.providerTrackingID
Definition

Provider Tracking ID

ShortproviderTrackingID
Control0..1
TypeEI
10. PSL.payerTrackingID
Definition

Payer Tracking ID

ShortpayerTrackingID
Control0..1
TypeEI
12. PSL.productServiceLineItemStatus
Definition

ProductService Line Item Status

ShortproductServiceLineItemStatus
Control1..1
TypeCWE
Must Supporttrue
14. PSL.productServiceCode
Definition

ProductService Code

ShortproductServiceCode
Control1..1
TypeCWE
Must Supporttrue
16. PSL.productServiceCodeModifier
Definition

ProductService Code Modifier

ShortproductServiceCodeModifier
Control0..1
TypeCWE
18. PSL.productServiceCodeDescription
Definition

ProductService Code Description

ShortproductServiceCodeDescription
Control0..1
TypeST
20. PSL.productServiceEffectiveDate
Definition

ProductService Effective Date

ShortproductServiceEffectiveDate
Control0..1
TypeDTM
22. PSL.productServiceExpirationDate
Definition

ProductService Expiration Date

ShortproductServiceExpirationDate
Control0..1
TypeDTM
24. PSL.productServiceQuantity
Definition

ProductService Quantity

ShortproductServiceQuantity
Control0..1
TypeCQ
26. PSL.productServiceUnitCost
Definition

ProductService Unit Cost

ShortproductServiceUnitCost
Control0..1
TypeCP
28. PSL.numberofItemsperUnit
Definition

Number of Items per Unit

ShortnumberofItemsperUnit
Control0..1
TypeNM
30. PSL.productServiceGrossAmount
Definition

ProductService Gross Amount

ShortproductServiceGrossAmount
Control0..1
TypeCP
32. PSL.productServiceBilledAmount
Definition

ProductService Billed Amount

ShortproductServiceBilledAmount
Control0..1
TypeCP
34. PSL.productServiceClarificationCodeType
Definition

ProductService Clarification Code Type

ShortproductServiceClarificationCodeType
Control0..1
TypeCWE
36. PSL.productServiceClarificationCodeValue
Definition

ProductService Clarification Code Value

ShortproductServiceClarificationCodeValue
Control0..1
TypeST
38. PSL.healthDocumentReferenceIdentifier
Definition

Health Document Reference Identifier

ShorthealthDocumentReferenceIdentifier
Control0..1
TypeEI
40. PSL.processingConsiderationCode
Definition

Processing Consideration Code

ShortprocessingConsiderationCode
Control0..1
TypeCWE
42. PSL.restrictedDisclosureIndicator
Definition

Restricted Disclosure Indicator

ShortrestrictedDisclosureIndicator
Control1..1
TypeID
Must Supporttrue
Max Length4
44. PSL.relatedProductServiceCodeIndicator
Definition

Related ProductService Code Indicator

ShortrelatedProductServiceCodeIndicator
Control0..1
TypeCWE
46. PSL.productServiceAmountforPhysician
Definition

ProductService Amount for Physician

ShortproductServiceAmountforPhysician
Control0..1
TypeCP
48. PSL.productServiceCostFactor
Definition

ProductService Cost Factor

ShortproductServiceCostFactor
Control0..1
TypeNM
50. PSL.costCenter
Definition

Cost Center

ShortcostCenter
Control0..1
TypeCX
52. PSL.billingPeriod
Definition

Billing Period

ShortbillingPeriod
Control0..1
TypeDR
54. PSL.dayswithoutBilling
Definition

Days without Billing

ShortdayswithoutBilling
Control0..1
TypeNM
56. PSL.session-No
Definition

Session-No

Shortsession-No
Control0..1
TypeNM
Max Length4
58. PSL.executingPhysicianID
Definition

Executing Physician ID

ShortexecutingPhysicianID
Control0..1
TypeXCN
60. PSL.responsiblePhysicianID
Definition

Responsible Physician ID

ShortresponsiblePhysicianID
Control0..1
TypeXCN
62. PSL.roleExecutingPhysician
Definition

Role Executing Physician

ShortroleExecutingPhysician
Control0..1
TypeCWE
64. PSL.medicalRoleExecutingPhysician
Definition

Medical Role Executing Physician

ShortmedicalRoleExecutingPhysician
Control0..1
TypeCWE
66. PSL.sideofbody
Definition

Side of body

Shortsideofbody
Control0..1
TypeCWE
68. PSL.numberofTPsPP
Definition

Number of TP's PP

ShortnumberofTPsPP
Control0..1
TypeNM
70. PSL.tP-ValuePP
Definition

TP-Value PP

ShorttP-ValuePP
Control0..1
TypeCP
72. PSL.internalScalingFactorPP
Definition

Internal Scaling Factor PP

ShortinternalScalingFactorPP
Control0..1
TypeNM
74. PSL.externalScalingFactorPP
Definition

External Scaling Factor PP

ShortexternalScalingFactorPP
Control0..1
TypeNM
76. PSL.amountPP
Definition

Amount PP

ShortamountPP
Control0..1
TypeCP
78. PSL.numberofTPsTechnicalPart
Definition

Number of TP's Technical Part

ShortnumberofTPsTechnicalPart
Control0..1
TypeNM
80. PSL.tP-ValueTechnicalPart
Definition

TP-Value Technical Part

ShorttP-ValueTechnicalPart
Control0..1
TypeCP
82. PSL.internalScalingFactorTechnicalPart
Definition

Internal Scaling Factor Technical Part

ShortinternalScalingFactorTechnicalPart
Control0..1
TypeNM
84. PSL.externalScalingFactorTechnicalPart
Definition

External Scaling Factor Technical Part

ShortexternalScalingFactorTechnicalPart
Control0..1
TypeNM
86. PSL.amountTechnicalPart
Definition

Amount Technical Part

ShortamountTechnicalPart
Control0..1
TypeCP
88. PSL.totalAmountProfessionalPart+TechnicalPart
Definition

Total Amount Professional Part + Technical Part

ShorttotalAmountProfessionalPart+TechnicalPart
Control0..1
TypeCP
90. PSL.vAT-Rate
Definition

VAT-Rate

ShortvAT-Rate
Control0..1
TypeNM
92. PSL.main-Service
Definition

Main-Service

Shortmain-Service
Control0..1
TypeID
Max Length20
94. PSL.validation
Definition

Validation

Shortvalidation
Control0..1
TypeID
Max Length1
96. PSL.comment
Definition

Comment

Shortcomment
Control0..1
TypeST

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

0. PSL
Definition

Product/Service Line Item


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

ShortA resource with narrative, extensions, and contained resources
Control10..1*
Is Modifierfalse
Must Supportfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
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 in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').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. PSL.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.

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()))
4. PSL.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.

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
6. PSL.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()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on PSL.modifierExtension. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators:
  • value @ url
8. PSL.providerProductServiceLineItemNumber
Definition

Provider ProductService Line Item Number

ShortproviderProductServiceLineItemNumber
Control1..1
TypeEI
Must Supporttrue
10. PSL.payerProductServiceLineItemNumber
Definition

Payer ProductService Line Item Number

ShortpayerProductServiceLineItemNumber
Control0..1
TypeEI
12. PSL.productServiceLineItemSequenceNumber
Definition

ProductService Line Item Sequence Number

ShortproductServiceLineItemSequenceNumber
Control1..1
TypeSI
Must Supporttrue
Max Length4
14. PSL.providerTrackingID
Definition

Provider Tracking ID

ShortproviderTrackingID
Control0..1
TypeEI
16. PSL.payerTrackingID
Definition

Payer Tracking ID

ShortpayerTrackingID
Control0..1
TypeEI
18. PSL.productServiceLineItemStatus
Definition

ProductService Line Item Status

ShortproductServiceLineItemStatus
Control1..1
TypeCWE
Must Supporttrue
20. PSL.productServiceCode
Definition

ProductService Code

ShortproductServiceCode
Control1..1
TypeCWE
Must Supporttrue
22. PSL.productServiceCodeModifier
Definition

ProductService Code Modifier

ShortproductServiceCodeModifier
Control0..1
TypeCWE
24. PSL.productServiceCodeDescription
Definition

ProductService Code Description

ShortproductServiceCodeDescription
Control0..1
TypeST
26. PSL.productServiceEffectiveDate
Definition

ProductService Effective Date

ShortproductServiceEffectiveDate
Control0..1
TypeDTM
28. PSL.productServiceExpirationDate
Definition

ProductService Expiration Date

ShortproductServiceExpirationDate
Control0..1
TypeDTM
30. PSL.productServiceQuantity
Definition

ProductService Quantity

ShortproductServiceQuantity
Control0..1
TypeCQ
32. PSL.productServiceUnitCost
Definition

ProductService Unit Cost

ShortproductServiceUnitCost
Control0..1
TypeCP
34. PSL.numberofItemsperUnit
Definition

Number of Items per Unit

ShortnumberofItemsperUnit
Control0..1
TypeNM
36. PSL.productServiceGrossAmount
Definition

ProductService Gross Amount

ShortproductServiceGrossAmount
Control0..1
TypeCP
38. PSL.productServiceBilledAmount
Definition

ProductService Billed Amount

ShortproductServiceBilledAmount
Control0..1
TypeCP
40. PSL.productServiceClarificationCodeType
Definition

ProductService Clarification Code Type

ShortproductServiceClarificationCodeType
Control0..1
TypeCWE
42. PSL.productServiceClarificationCodeValue
Definition

ProductService Clarification Code Value

ShortproductServiceClarificationCodeValue
Control0..1
TypeST
44. PSL.healthDocumentReferenceIdentifier
Definition

Health Document Reference Identifier

ShorthealthDocumentReferenceIdentifier
Control0..1
TypeEI
46. PSL.processingConsiderationCode
Definition

Processing Consideration Code

ShortprocessingConsiderationCode
Control0..1
TypeCWE
48. PSL.restrictedDisclosureIndicator
Definition

Restricted Disclosure Indicator

ShortrestrictedDisclosureIndicator
Control1..1
TypeID
Must Supporttrue
Max Length4
50. PSL.relatedProductServiceCodeIndicator
Definition

Related ProductService Code Indicator

ShortrelatedProductServiceCodeIndicator
Control0..1
TypeCWE
52. PSL.productServiceAmountforPhysician
Definition

ProductService Amount for Physician

ShortproductServiceAmountforPhysician
Control0..1
TypeCP
54. PSL.productServiceCostFactor
Definition

ProductService Cost Factor

ShortproductServiceCostFactor
Control0..1
TypeNM
56. PSL.costCenter
Definition

Cost Center

ShortcostCenter
Control0..1
TypeCX
58. PSL.billingPeriod
Definition

Billing Period

ShortbillingPeriod
Control0..1
TypeDR
60. PSL.dayswithoutBilling
Definition

Days without Billing

ShortdayswithoutBilling
Control0..1
TypeNM
62. PSL.session-No
Definition

Session-No

Shortsession-No
Control0..1
TypeNM
Max Length4
64. PSL.executingPhysicianID
Definition

Executing Physician ID

ShortexecutingPhysicianID
Control0..1
TypeXCN
66. PSL.responsiblePhysicianID
Definition

Responsible Physician ID

ShortresponsiblePhysicianID
Control0..1
TypeXCN
68. PSL.roleExecutingPhysician
Definition

Role Executing Physician

ShortroleExecutingPhysician
Control0..1
TypeCWE
70. PSL.medicalRoleExecutingPhysician
Definition

Medical Role Executing Physician

ShortmedicalRoleExecutingPhysician
Control0..1
TypeCWE
72. PSL.sideofbody
Definition

Side of body

Shortsideofbody
Control0..1
TypeCWE
74. PSL.numberofTPsPP
Definition

Number of TP's PP

ShortnumberofTPsPP
Control0..1
TypeNM
76. PSL.tP-ValuePP
Definition

TP-Value PP

ShorttP-ValuePP
Control0..1
TypeCP
78. PSL.internalScalingFactorPP
Definition

Internal Scaling Factor PP

ShortinternalScalingFactorPP
Control0..1
TypeNM
80. PSL.externalScalingFactorPP
Definition

External Scaling Factor PP

ShortexternalScalingFactorPP
Control0..1
TypeNM
82. PSL.amountPP
Definition

Amount PP

ShortamountPP
Control0..1
TypeCP
84. PSL.numberofTPsTechnicalPart
Definition

Number of TP's Technical Part

ShortnumberofTPsTechnicalPart
Control0..1
TypeNM
86. PSL.tP-ValueTechnicalPart
Definition

TP-Value Technical Part

ShorttP-ValueTechnicalPart
Control0..1
TypeCP
88. PSL.internalScalingFactorTechnicalPart
Definition

Internal Scaling Factor Technical Part

ShortinternalScalingFactorTechnicalPart
Control0..1
TypeNM
90. PSL.externalScalingFactorTechnicalPart
Definition

External Scaling Factor Technical Part

ShortexternalScalingFactorTechnicalPart
Control0..1
TypeNM
92. PSL.amountTechnicalPart
Definition

Amount Technical Part

ShortamountTechnicalPart
Control0..1
TypeCP
94. PSL.totalAmountProfessionalPart+TechnicalPart
Definition

Total Amount Professional Part + Technical Part

ShorttotalAmountProfessionalPart+TechnicalPart
Control0..1
TypeCP
96. PSL.vAT-Rate
Definition

VAT-Rate

ShortvAT-Rate
Control0..1
TypeNM
98. PSL.main-Service
Definition

Main-Service

Shortmain-Service
Control0..1
TypeID
Max Length20
100. PSL.validation
Definition

Validation

Shortvalidation
Control0..1
TypeID
Max Length1
102. PSL.comment
Definition

Comment

Shortcomment
Control0..1
TypeST

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

0. PSL
Definition

Product/Service Line Item

ShortA resource with narrative, extensions, and contained resources
Control1..1
Is Modifierfalse
Must Supportfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
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 in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').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. PSL.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 resouce id depends on the given use case.

Control0..1
Typeid
Is Modifierfalse
Must Supportfalse
Summarytrue
4. PSL.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. PSL.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.

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. PSL.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: 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. PSL.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. PSL.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.

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. PSL.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()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on PSL.extension. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators:
  • value @ url
16. PSL.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.

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()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on PSL.modifierExtension. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators:
  • value @ url
18. PSL.providerProductServiceLineItemNumber
Definition

Provider ProductService Line Item Number

ShortproviderProductServiceLineItemNumber
Control1..1
TypeEI
Must Supporttrue
20. PSL.payerProductServiceLineItemNumber
Definition

Payer ProductService Line Item Number

ShortpayerProductServiceLineItemNumber
Control0..1
TypeEI
22. PSL.productServiceLineItemSequenceNumber
Definition

ProductService Line Item Sequence Number

ShortproductServiceLineItemSequenceNumber
Control1..1
TypeSI
Must Supporttrue
Max Length4
24. PSL.providerTrackingID
Definition

Provider Tracking ID

ShortproviderTrackingID
Control0..1
TypeEI
26. PSL.payerTrackingID
Definition

Payer Tracking ID

ShortpayerTrackingID
Control0..1
TypeEI
28. PSL.productServiceLineItemStatus
Definition

ProductService Line Item Status

ShortproductServiceLineItemStatus
Control1..1
TypeCWE
Must Supporttrue
30. PSL.productServiceCode
Definition

ProductService Code

ShortproductServiceCode
Control1..1
TypeCWE
Must Supporttrue
32. PSL.productServiceCodeModifier
Definition

ProductService Code Modifier

ShortproductServiceCodeModifier
Control0..1
TypeCWE
34. PSL.productServiceCodeDescription
Definition

ProductService Code Description

ShortproductServiceCodeDescription
Control0..1
TypeST
36. PSL.productServiceEffectiveDate
Definition

ProductService Effective Date

ShortproductServiceEffectiveDate
Control0..1
TypeDTM
38. PSL.productServiceExpirationDate
Definition

ProductService Expiration Date

ShortproductServiceExpirationDate
Control0..1
TypeDTM
40. PSL.productServiceQuantity
Definition

ProductService Quantity

ShortproductServiceQuantity
Control0..1
TypeCQ
42. PSL.productServiceUnitCost
Definition

ProductService Unit Cost

ShortproductServiceUnitCost
Control0..1
TypeCP
44. PSL.numberofItemsperUnit
Definition

Number of Items per Unit

ShortnumberofItemsperUnit
Control0..1
TypeNM
46. PSL.productServiceGrossAmount
Definition

ProductService Gross Amount

ShortproductServiceGrossAmount
Control0..1
TypeCP
48. PSL.productServiceBilledAmount
Definition

ProductService Billed Amount

ShortproductServiceBilledAmount
Control0..1
TypeCP
50. PSL.productServiceClarificationCodeType
Definition

ProductService Clarification Code Type

ShortproductServiceClarificationCodeType
Control0..1
TypeCWE
52. PSL.productServiceClarificationCodeValue
Definition

ProductService Clarification Code Value

ShortproductServiceClarificationCodeValue
Control0..1
TypeST
54. PSL.healthDocumentReferenceIdentifier
Definition

Health Document Reference Identifier

ShorthealthDocumentReferenceIdentifier
Control0..1
TypeEI
56. PSL.processingConsiderationCode
Definition

Processing Consideration Code

ShortprocessingConsiderationCode
Control0..1
TypeCWE
58. PSL.restrictedDisclosureIndicator
Definition

Restricted Disclosure Indicator

ShortrestrictedDisclosureIndicator
Control1..1
TypeID
Must Supporttrue
Max Length4
60. PSL.relatedProductServiceCodeIndicator
Definition

Related ProductService Code Indicator

ShortrelatedProductServiceCodeIndicator
Control0..1
TypeCWE
62. PSL.productServiceAmountforPhysician
Definition

ProductService Amount for Physician

ShortproductServiceAmountforPhysician
Control0..1
TypeCP
64. PSL.productServiceCostFactor
Definition

ProductService Cost Factor

ShortproductServiceCostFactor
Control0..1
TypeNM
66. PSL.costCenter
Definition

Cost Center

ShortcostCenter
Control0..1
TypeCX
68. PSL.billingPeriod
Definition

Billing Period

ShortbillingPeriod
Control0..1
TypeDR
70. PSL.dayswithoutBilling
Definition

Days without Billing

ShortdayswithoutBilling
Control0..1
TypeNM
72. PSL.session-No
Definition

Session-No

Shortsession-No
Control0..1
TypeNM
Max Length4
74. PSL.executingPhysicianID
Definition

Executing Physician ID

ShortexecutingPhysicianID
Control0..1
TypeXCN
76. PSL.responsiblePhysicianID
Definition

Responsible Physician ID

ShortresponsiblePhysicianID
Control0..1
TypeXCN
78. PSL.roleExecutingPhysician
Definition

Role Executing Physician

ShortroleExecutingPhysician
Control0..1
TypeCWE
80. PSL.medicalRoleExecutingPhysician
Definition

Medical Role Executing Physician

ShortmedicalRoleExecutingPhysician
Control0..1
TypeCWE
82. PSL.sideofbody
Definition

Side of body

Shortsideofbody
Control0..1
TypeCWE
84. PSL.numberofTPsPP
Definition

Number of TP's PP

ShortnumberofTPsPP
Control0..1
TypeNM
86. PSL.tP-ValuePP
Definition

TP-Value PP

ShorttP-ValuePP
Control0..1
TypeCP
88. PSL.internalScalingFactorPP
Definition

Internal Scaling Factor PP

ShortinternalScalingFactorPP
Control0..1
TypeNM
90. PSL.externalScalingFactorPP
Definition

External Scaling Factor PP

ShortexternalScalingFactorPP
Control0..1
TypeNM
92. PSL.amountPP
Definition

Amount PP

ShortamountPP
Control0..1
TypeCP
94. PSL.numberofTPsTechnicalPart
Definition

Number of TP's Technical Part

ShortnumberofTPsTechnicalPart
Control0..1
TypeNM
96. PSL.tP-ValueTechnicalPart
Definition

TP-Value Technical Part

ShorttP-ValueTechnicalPart
Control0..1
TypeCP
98. PSL.internalScalingFactorTechnicalPart
Definition

Internal Scaling Factor Technical Part

ShortinternalScalingFactorTechnicalPart
Control0..1
TypeNM
100. PSL.externalScalingFactorTechnicalPart
Definition

External Scaling Factor Technical Part

ShortexternalScalingFactorTechnicalPart
Control0..1
TypeNM
102. PSL.amountTechnicalPart
Definition

Amount Technical Part

ShortamountTechnicalPart
Control0..1
TypeCP
104. PSL.totalAmountProfessionalPart+TechnicalPart
Definition

Total Amount Professional Part + Technical Part

ShorttotalAmountProfessionalPart+TechnicalPart
Control0..1
TypeCP
106. PSL.vAT-Rate
Definition

VAT-Rate

ShortvAT-Rate
Control0..1
TypeNM
108. PSL.main-Service
Definition

Main-Service

Shortmain-Service
Control0..1
TypeID
Max Length20
110. PSL.validation
Definition

Validation

Shortvalidation
Control0..1
TypeID
Max Length1
112. PSL.comment
Definition

Comment

Shortcomment
Control0..1
TypeST