Implementation Guide
23.1.0 - R4 APIs

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Logical Model: Adjustment - Detailed Descriptions

Active as of 2023-03-01

Definitions for the athena-adjustment-profile logical model.

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

0. athena-adjustment-profile
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. athena-adjustment-profile.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

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Control1..1
Typeid
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
4. athena-adjustment-profile.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
Comments

Unique Id for this particular athena-adjustment-profile.

Control0..1
TypeMeta
Is Modifierfalse
Must Supportfalse
6. athena-adjustment-profile.pid
Definition

PatientId for the adjustment

ShortPID is internal numeric value used in the Chart module and clinical data. This will be the same as the resource id in the Patient resource.
Comments

PID is internal numeric value used in the Chart module and clinical data. This will be the same as the resource id in the Patient resource.

Control1..1
Typeinteger
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
8. athena-adjustment-profile.patient
Definition

Who or what the Adjustment is about. The Adjustment can be about a person.

ShortWho/what is the patient for the Adjustment
Control1..1
TypeReference(Patient)
10. athena-adjustment-profile.patient.reference
Definition

Who or what the Adjustment is about. The Adjustment can be about a person.

ShortReference to the Patient
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
12. athena-adjustment-profile.patient.display
Definition

Patient name for the Adjustment is about.

ShortPatient name
Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
14. athena-adjustment-profile.patientProfileId
Definition

Internal ID of patient used in non-clinical practice management data.

ShortPatient specific id for practice management data including financial information
Comments

Patient profile ID

Control1..1
TypeunsignedInt
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
16. athena-adjustment-profile.ticketNumber
Definition

The ticket number for this visit.

ShortThe ticket number associated to the visit.
Comments

The ticket number for this visit.

Control0..1
TypeunsignedInt
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
18. athena-adjustment-profile.procedureCode
Definition

Code of the Procedure

ShortProcedure code
Control0..1
Typeinteger
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
20. athena-adjustment-profile.payer
Definition

Name of the payor.

ShortInformation of Payor
Comments

Payer information

Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
22. athena-adjustment-profile.paymentSource
Definition

Contains a string that identifies the type of payor (Insurance, InsuranceGroup, Patient, OtherInsured, Other, or Guarantor)

ShortPayor type indentification
Comments

supported payor infrmation for Adjustment-profile

Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
24. athena-adjustment-profile.dateOfEntry
Definition

The date of entry for the batch.

ShortThe date of entry for the batch.
Comments

The date of entry for for the batch on the patient visit.

Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
26. athena-adjustment-profile.batchName
Definition

Adjustment batch name

ShortBatch Name
Comments

The name of the batch.

Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
28. athena-adjustment-profile.dateOfServiceFrom
Definition

Start date of service for the procedure.

ShortThe start date of service for the procedure.
Comments

Service start for the patient visit

Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
30. athena-adjustment-profile.dateOfServiceTo
Definition

Stop date of service for the procedure.

ShortThe stop date of service for the procedure.
Comments

Procedure service stop date

Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
32. athena-adjustment-profile.checkNumber
Definition

Eligibility of cardnumber for payment processing

ShortEligibility of cardnumber for payment processing
Comments

Eligibility of cardnumber for payment processing

Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
34. athena-adjustment-profile.checkDate
Definition

Electronic payment dates

ShortReference the payment date.
Comments

Reference the payment date.

Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
36. athena-adjustment-profile.notes
Definition

The note associated with the transaction

ShortThe note associated with the transaction.
Comments

The note associated with the transaction.

Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
38. athena-adjustment-profile.financialClass
Definition

Financial Class associated Adjustment

ShortFinancial Class associated Adjustment
Comments

The actual contents of this electronic Adjustment file.

Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
40. athena-adjustment-profile.insuranceCarrier
Definition

Reference to Organization

ShortReference to Organization
Control0..1
TypeReference(Organization)
42. athena-adjustment-profile.insuranceCarrier.reference
Definition

Reference to Organization

ShortInsurance Carrier Id refering to Organization
Comments

Insurance Carrier Id refering to Organization

Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
44. athena-adjustment-profile.insuranceCarrier.display
Definition

Insurance Carrier

ShortInsurance carrier Name
Comments

Insurance carrier Name

Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
46. athena-adjustment-profile.insuranceAdjustment
Definition

The Adjustment amount of the distribution from when the source is insurance

ShortThe Adjustment amount distribution from insurance
Comments

The amount distribution from insurance

Control0..1
TypeMoney
48. athena-adjustment-profile.insuranceAdjustment.value
Definition

Adjustment amount

ShortAdjustment amount
Comments

The sum of the Adjustment amount

Control0..1
Typedecimal
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
50. athena-adjustment-profile.insuranceAdjustment.currency
Definition

Currency

ShortCurrency
Comments

Currency in which the Adjustment payment has to been done.

Control0..1
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
52. athena-adjustment-profile.patientAdjustment
Definition

The total amount of the distribution when the source is patient

ShortThe total amount of the distribution when the source is patient
Comments

Adjustment payment from patient.

Control0..1
TypeMoney
54. athena-adjustment-profile.patientAdjustment.value
Definition

Amount of money for patient

ShortMoney value
Comments

Adjustment amount.

Control0..1
Typedecimal
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
56. athena-adjustment-profile.patientAdjustment.currency
Definition

Currency

ShortCurrency
Comments

Currency in which the Adjustment payment has to been done.

Control0..1
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension

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

0. athena-adjustment-profile
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. athena-adjustment-profile.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

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Control1..1
Typeid
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
4. athena-adjustment-profile.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
Comments

Unique Id for this particular athena-adjustment-profile.

Control0..1
TypeMeta
Is Modifierfalse
Must Supportfalse
Summarytrue
6. athena-adjustment-profile.pid
Definition

PatientId for the adjustment

ShortPID is internal numeric value used in the Chart module and clinical data. This will be the same as the resource id in the Patient resource.
Comments

PID is internal numeric value used in the Chart module and clinical data. This will be the same as the resource id in the Patient resource.

Control1..1
Typeinteger
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
8. athena-adjustment-profile.patient
Definition

Who or what the Adjustment is about. The Adjustment can be about a person.

ShortWho/what is the patient for the Adjustment
Control1..1
TypeReference(Patient)
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ref-1: 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')))
10. athena-adjustment-profile.patient.reference
Definition

Who or what the Adjustment is about. The Adjustment can be about a person.


A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

ShortReference to the PatientLiteral reference, Relative, internal or absolute URL
Comments

Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

Control0..1
This element is affected by the following invariants: ref-1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. athena-adjustment-profile.patient.display
Definition

Patient name for the Adjustment is about.


Plain text narrative that identifies the resource in addition to the resource reference.

ShortPatient nameText alternative for the resource
Comments

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

Control0..1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
14. athena-adjustment-profile.patientProfileId
Definition

Internal ID of patient used in non-clinical practice management data.

ShortPatient specific id for practice management data including financial information
Comments

Patient profile ID

Control1..1
TypeunsignedInt
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
16. athena-adjustment-profile.ticketNumber
Definition

The ticket number for this visit.

ShortThe ticket number associated to the visit.
Comments

The ticket number for this visit.

Control0..1
TypeunsignedInt
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
18. athena-adjustment-profile.procedureCode
Definition

Code of the Procedure

ShortProcedure code
Control0..1
Typeinteger
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
20. athena-adjustment-profile.payer
Definition

Name of the payor.

ShortInformation of Payor
Comments

Payer information

Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
22. athena-adjustment-profile.paymentSource
Definition

Contains a string that identifies the type of payor (Insurance, InsuranceGroup, Patient, OtherInsured, Other, or Guarantor)

ShortPayor type indentification
Comments

supported payor infrmation for Adjustment-profile

Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
24. athena-adjustment-profile.dateOfEntry
Definition

The date of entry for the batch.

ShortThe date of entry for the batch.
Comments

The date of entry for for the batch on the patient visit.

Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
26. athena-adjustment-profile.batchName
Definition

Adjustment batch name

ShortBatch Name
Comments

The name of the batch.

Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
28. athena-adjustment-profile.dateOfServiceFrom
Definition

Start date of service for the procedure.

ShortThe start date of service for the procedure.
Comments

Service start for the patient visit

Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
30. athena-adjustment-profile.dateOfServiceTo
Definition

Stop date of service for the procedure.

ShortThe stop date of service for the procedure.
Comments

Procedure service stop date

Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
32. athena-adjustment-profile.checkNumber
Definition

Eligibility of cardnumber for payment processing

ShortEligibility of cardnumber for payment processing
Comments

Eligibility of cardnumber for payment processing

Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
34. athena-adjustment-profile.checkDate
Definition

Electronic payment dates

ShortReference the payment date.
Comments

Reference the payment date.

Control0..1
TypedateTime
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
36. athena-adjustment-profile.notes
Definition

The note associated with the transaction

ShortThe note associated with the transaction.
Comments

The note associated with the transaction.

Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
38. athena-adjustment-profile.financialClass
Definition

Financial Class associated Adjustment

ShortFinancial Class associated Adjustment
Comments

The actual contents of this electronic Adjustment file.

Control0..1
Typestring
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
40. athena-adjustment-profile.insuranceCarrier
Definition

Reference to Organization

ShortReference to Organization
Control0..1
TypeReference(Organization)
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ref-1: 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')))
42. athena-adjustment-profile.insuranceCarrier.reference
Definition

Reference to Organization


A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

ShortInsurance Carrier Id refering to OrganizationLiteral reference, Relative, internal or absolute URL
Comments

Insurance Carrier Id refering to Organization


Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

Control0..1
This element is affected by the following invariants: ref-1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
44. athena-adjustment-profile.insuranceCarrier.display
Definition

Insurance Carrier


Plain text narrative that identifies the resource in addition to the resource reference.

ShortInsurance carrier NameText alternative for the resource
Comments

Insurance carrier Name


This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

Control0..1
Typestring
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
46. athena-adjustment-profile.insuranceAdjustment
Definition

The Adjustment amount of the distribution from when the source is insurance

ShortThe Adjustment amount distribution from insurance
Comments

The amount distribution from insurance

Control0..1
TypeMoney
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
48. athena-adjustment-profile.insuranceAdjustment.value
Definition

Adjustment amount


Numerical value (with implicit precision).

ShortAdjustment amountNumerical value (with implicit precision)
Comments

The sum of the Adjustment amount


Monetary values have their own rules for handling precision (refer to standard accounting text books).

Control0..1
Typedecimal
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Requirements

The amount of the currency. The value includes an implicit precision in the presentation of the value.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
50. athena-adjustment-profile.insuranceAdjustment.currency
Definition

Currency


ISO 4217 Currency Code.

ShortCurrencyISO 4217 Currency Code
Comments

Currency in which the Adjustment payment has to been done.

Control0..1
BindingThe codes SHALL be taken from Currencieshttp://hl7.org/fhir/ValueSet/currencies|4.0.1
(required to http://hl7.org/fhir/ValueSet/currencies|4.0.1)

A code indicating the currency, taken from ISO 4217.

Typecode
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Requirements

A code indicating the currency, taken from ISO 4217.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
52. athena-adjustment-profile.patientAdjustment
Definition

The total amount of the distribution when the source is patient

ShortThe total amount of the distribution when the source is patient
Comments

Adjustment payment from patient.

Control0..1
TypeMoney
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
54. athena-adjustment-profile.patientAdjustment.value
Definition

Amount of money for patient


Numerical value (with implicit precision).

ShortMoney valueNumerical value (with implicit precision)
Comments

Adjustment amount.


Monetary values have their own rules for handling precision (refer to standard accounting text books).

Control0..1
Typedecimal
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Requirements

The amount of the currency. The value includes an implicit precision in the presentation of the value.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
56. athena-adjustment-profile.patientAdjustment.currency
Definition

Currency


ISO 4217 Currency Code.

ShortCurrencyISO 4217 Currency Code
Comments

Currency in which the Adjustment payment has to been done.

Control0..1
BindingThe codes SHALL be taken from Currencieshttp://hl7.org/fhir/ValueSet/currencies|4.0.1
(required to http://hl7.org/fhir/ValueSet/currencies|4.0.1)

A code indicating the currency, taken from ISO 4217.

Typecode
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Requirements

A code indicating the currency, taken from ISO 4217.

Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

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

0. athena-adjustment-profile
Control0..*
Is Modifierfalse
Logical ModelInstances of this logical model are not marked to be the target of a Reference
2. athena-adjustment-profile.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

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Control1..1
Typeid
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
4. athena-adjustment-profile.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
Comments

Unique Id for this particular athena-adjustment-profile.

Control0..1
TypeMeta
Is Modifierfalse
Must Supportfalse
Summarytrue
6. athena-adjustment-profile.pid
Definition

PatientId for the adjustment

ShortPID is internal numeric value used in the Chart module and clinical data. This will be the same as the resource id in the Patient resource.
Comments

PID is internal numeric value used in the Chart module and clinical data. This will be the same as the resource id in the Patient resource.

Control1..1
Typeinteger
Is Modifierfalse
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Must Supporttrue
Summarytrue
8. athena-adjustment-profile.patient
Definition

Who or what the Adjustment is about. The Adjustment can be about a person.

ShortWho/what is the patient for the Adjustment
Control1..1
TypeReference(Patient)
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ref-1: 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')))
10. athena-adjustment-profile.patient.id
Definition

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

ShortUnique id for inter-element referencing
Control0..1
Typestring
Is Modifierfalse
XML FormatIn the XML format, this property is represented as an attribute.
Summaryfalse
12. athena-adjustment-profile.patient.extension
Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and 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.

ShortAdditional content defined by implementations
Comments

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

Control0..*
TypeExtension
Is Modifierfalse
Summaryfalse
Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingThis element introduces a set of slices on athena-adjustment-profile.patient.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 14. athena-adjustment-profile.patient.reference
    Definition

    Who or what the Adjustment is about. The Adjustment can be about a person.

    ShortReference to the Patient
    Comments

    Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

    Control0..1
    This element is affected by the following invariants: ref-1
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    16. athena-adjustment-profile.patient.type
    Definition

    The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

    The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

    ShortType the reference refers to (e.g. "Patient")
    Comments

    This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

    Control0..1
    BindingUnless not suitable, these codes SHALL be taken from ResourceType
    (extensible to http://hl7.org/fhir/ValueSet/resource-types)

    Aa resource (or, for logical models, the URI of the logical model).

    Typeuri
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    18. athena-adjustment-profile.patient.identifier
    Definition

    An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

    ShortLogical reference, when literal reference is not known
    Comments

    When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

    When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

    Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

    Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control0..1
    TypeIdentifier
    Is Modifierfalse
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    20. athena-adjustment-profile.patient.display
    Definition

    Patient name for the Adjustment is about.

    ShortPatient name
    Comments

    This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

    Control0..1
    Typestring
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Summarytrue
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    22. athena-adjustment-profile.patientProfileId
    Definition

    Internal ID of patient used in non-clinical practice management data.

    ShortPatient specific id for practice management data including financial information
    Comments

    Patient profile ID

    Control1..1
    TypeunsignedInt
    Is Modifierfalse
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    Must Supporttrue
    Summarytrue
    24. athena-adjustment-profile.ticketNumber
    Definition

    The ticket number for this visit.

    ShortThe ticket number associated to the visit.
    Comments

    The ticket number for this visit.

    Control0..1
    TypeunsignedInt
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    26. athena-adjustment-profile.procedureCode
    Definition

    Code of the Procedure

    ShortProcedure code
    Control0..1
    Typeinteger
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    28. athena-adjustment-profile.payer
    Definition

    Name of the payor.

    ShortInformation of Payor
    Comments

    Payer information

    Control0..1
    Typestring
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    30. athena-adjustment-profile.paymentSource
    Definition

    Contains a string that identifies the type of payor (Insurance, InsuranceGroup, Patient, OtherInsured, Other, or Guarantor)

    ShortPayor type indentification
    Comments

    supported payor infrmation for Adjustment-profile

    Control0..1
    Typestring
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    32. athena-adjustment-profile.dateOfEntry
    Definition

    The date of entry for the batch.

    ShortThe date of entry for the batch.
    Comments

    The date of entry for for the batch on the patient visit.

    Control0..1
    TypedateTime
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    34. athena-adjustment-profile.batchName
    Definition

    Adjustment batch name

    ShortBatch Name
    Comments

    The name of the batch.

    Control0..1
    Typestring
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    36. athena-adjustment-profile.dateOfServiceFrom
    Definition

    Start date of service for the procedure.

    ShortThe start date of service for the procedure.
    Comments

    Service start for the patient visit

    Control0..1
    TypedateTime
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    38. athena-adjustment-profile.dateOfServiceTo
    Definition

    Stop date of service for the procedure.

    ShortThe stop date of service for the procedure.
    Comments

    Procedure service stop date

    Control0..1
    TypedateTime
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    40. athena-adjustment-profile.checkNumber
    Definition

    Eligibility of cardnumber for payment processing

    ShortEligibility of cardnumber for payment processing
    Comments

    Eligibility of cardnumber for payment processing

    Control0..1
    Typestring
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    42. athena-adjustment-profile.checkDate
    Definition

    Electronic payment dates

    ShortReference the payment date.
    Comments

    Reference the payment date.

    Control0..1
    TypedateTime
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    44. athena-adjustment-profile.notes
    Definition

    The note associated with the transaction

    ShortThe note associated with the transaction.
    Comments

    The note associated with the transaction.

    Control0..1
    Typestring
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    46. athena-adjustment-profile.financialClass
    Definition

    Financial Class associated Adjustment

    ShortFinancial Class associated Adjustment
    Comments

    The actual contents of this electronic Adjustment file.

    Control0..1
    Typestring
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    48. athena-adjustment-profile.insuranceCarrier
    Definition

    Reference to Organization

    ShortReference to Organization
    Control0..1
    TypeReference(Organization)
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ref-1: 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')))
    50. athena-adjustment-profile.insuranceCarrier.id
    Definition

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

    ShortUnique id for inter-element referencing
    Control0..1
    Typestring
    Is Modifierfalse
    XML FormatIn the XML format, this property is represented as an attribute.
    Summaryfalse
    52. athena-adjustment-profile.insuranceCarrier.extension
    Definition

    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and 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.

    ShortAdditional content defined by implementations
    Comments

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

    Control0..*
    TypeExtension
    Is Modifierfalse
    Summaryfalse
    Alternate Namesextensions, user content
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    SlicingThis element introduces a set of slices on athena-adjustment-profile.insuranceCarrier.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ url
    • 54. athena-adjustment-profile.insuranceCarrier.reference
      Definition

      Reference to Organization

      ShortInsurance Carrier Id refering to Organization
      Comments

      Insurance Carrier Id refering to Organization

      Control0..1
      This element is affected by the following invariants: ref-1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      56. athena-adjustment-profile.insuranceCarrier.type
      Definition

      The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

      The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

      ShortType the reference refers to (e.g. "Patient")
      Comments

      This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

      Control0..1
      BindingUnless not suitable, these codes SHALL be taken from ResourceType
      (extensible to http://hl7.org/fhir/ValueSet/resource-types)

      Aa resource (or, for logical models, the URI of the logical model).

      Typeuri
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      58. athena-adjustment-profile.insuranceCarrier.identifier
      Definition

      An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

      ShortLogical reference, when literal reference is not known
      Comments

      When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

      When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

      Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

      Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

      NoteThis is a business identifier, not a resource identifier (see discussion)
      Control0..1
      TypeIdentifier
      Is Modifierfalse
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      60. athena-adjustment-profile.insuranceCarrier.display
      Definition

      Insurance Carrier

      ShortInsurance carrier Name
      Comments

      Insurance carrier Name

      Control0..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      62. athena-adjustment-profile.insuranceAdjustment
      Definition

      The Adjustment amount of the distribution from when the source is insurance

      ShortThe Adjustment amount distribution from insurance
      Comments

      The amount distribution from insurance

      Control0..1
      TypeMoney
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      64. athena-adjustment-profile.insuranceAdjustment.id
      Definition

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

      ShortUnique id for inter-element referencing
      Control0..1
      Typestring
      Is Modifierfalse
      XML FormatIn the XML format, this property is represented as an attribute.
      Summaryfalse
      66. athena-adjustment-profile.insuranceAdjustment.extension
      Definition

      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and 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.

      ShortAdditional content defined by implementations
      Comments

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

      Control0..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Alternate Namesextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      SlicingThis element introduces a set of slices on athena-adjustment-profile.insuranceAdjustment.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 68. athena-adjustment-profile.insuranceAdjustment.value
        Definition

        Adjustment amount

        ShortAdjustment amount
        Comments

        The sum of the Adjustment amount

        Control0..1
        Typedecimal
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        Requirements

        The amount of the currency. The value includes an implicit precision in the presentation of the value.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        70. athena-adjustment-profile.insuranceAdjustment.currency
        Definition

        Currency

        ShortCurrency
        Comments

        Currency in which the Adjustment payment has to been done.

        Control0..1
        BindingThe codes SHALL be taken from Currencies
        (required to http://hl7.org/fhir/ValueSet/currencies|4.0.1)

        A code indicating the currency, taken from ISO 4217.

        Typecode
        Is Modifierfalse
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Summarytrue
        Requirements

        A code indicating the currency, taken from ISO 4217.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        72. athena-adjustment-profile.patientAdjustment
        Definition

        The total amount of the distribution when the source is patient

        ShortThe total amount of the distribution when the source is patient
        Comments

        Adjustment payment from patient.

        Control0..1
        TypeMoney
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        74. athena-adjustment-profile.patientAdjustment.id
        Definition

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

        ShortUnique id for inter-element referencing
        Control0..1
        Typestring
        Is Modifierfalse
        XML FormatIn the XML format, this property is represented as an attribute.
        Summaryfalse
        76. athena-adjustment-profile.patientAdjustment.extension
        Definition

        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and 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.

        ShortAdditional content defined by implementations
        Comments

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

        Control0..*
        TypeExtension
        Is Modifierfalse
        Summaryfalse
        Alternate Namesextensions, user content
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        SlicingThis element introduces a set of slices on athena-adjustment-profile.patientAdjustment.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ url
        • 78. athena-adjustment-profile.patientAdjustment.value
          Definition

          Amount of money for patient

          ShortMoney value
          Comments

          Adjustment amount.

          Control0..1
          Typedecimal
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

          The amount of the currency. The value includes an implicit precision in the presentation of the value.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          80. athena-adjustment-profile.patientAdjustment.currency
          Definition

          Currency

          ShortCurrency
          Comments

          Currency in which the Adjustment payment has to been done.

          Control0..1
          BindingThe codes SHALL be taken from Currencies
          (required to http://hl7.org/fhir/ValueSet/currencies|4.0.1)

          A code indicating the currency, taken from ISO 4217.

          Typecode
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Requirements

          A code indicating the currency, taken from ISO 4217.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))