{
  "resourceType" : "ChargeItem",
  "id" : "a1b2c3d4-1e24-41c8-b71b-0e701af7583d",
  "meta" : {
    "profile" : ["https://fhir.xealth.io/StructureDefinition/xealth-chargeitem"]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ChargeItem a1b2c3d4-1e24-41c8-b71b-0e701af7583d</b></p><a name=\"a1b2c3d4-1e24-41c8-b71b-0e701af7583d\"> </a><a name=\"hca1b2c3d4-1e24-41c8-b71b-0e701af7583d\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-xealth-chargeitem.html\">Xealth ChargeItem</a></p></div><p><b>Ehr Order Id</b>: 12345</p><p><b>identifier</b>: <code>https://fhir.xealth.io/CodeSystem/xealth-deployment/example-deployment/fhir-r4-id</code>/12345</p><p><b>status</b>: Billable</p><p><b>code</b>: <span title=\"Codes:{http://www.ama-assn.org/go/cpt 99454}\">REM MNTR PHYSIOL PARAM 1ST DEV SUPPLY EA 30 D</span></p><p><b>subject</b>: <a href=\"Patient-ExampleXealthPatient.html\">Xealth Profile Test  Male, DoB: 1986-07-13 ( XPID:\u00a0xealth-17328-1732489-17846492-3128691\u00a0(use:\u00a0official,\u00a0))</a></p><p><b>occurrence</b>: 2026-03-31</p><h3>Performers</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Function</b></td><td><b>Actor</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v2-0912 OP}\">Ordering Provider</span></td><td>Dr. Xealth Test (Identifier: <a href=\"http://terminology.hl7.org/7.2.0/NamingSystem-npi.html\" title=\"National Provider Identifier\">United States National Provider Identifier</a>/1234567890)</td></tr></table><p><b>performingOrganization</b>: <a href=\"Organization-ExampleOrganization.html\">Organization Health Level Seven International</a></p><p><b>quantity</b>: 1</p><p><b>supportingInformation</b>: <a href=\"ServiceRequest-ExampleServiceRequest.html\">ServiceRequest: status = active; intent = plan</a></p></div>"
  },
  "extension" : [{
    "url" : "https://fhir.xealth.io/StructureDefinition/extension-ehr-order-id",
    "valueString" : "12345"
  }],
  "identifier" : [{
    "system" : "https://fhir.xealth.io/CodeSystem/xealth-deployment/example-deployment/fhir-r4-id",
    "value" : "12345"
  }],
  "status" : "billable",
  "code" : {
    "coding" : [{
      "system" : "http://www.ama-assn.org/go/cpt",
      "code" : "99454",
      "display" : "REM MNTR PHYSIOL PARAM 1ST DEV SUPPLY EA 30 D"
    }]
  },
  "subject" : {
    "reference" : "Patient/ExampleXealthPatient"
  },
  "occurrenceDateTime" : "2026-03-31",
  "performer" : [{
    "function" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/v2-0912",
        "code" : "OP"
      }],
      "text" : "Ordering Provider"
    },
    "actor" : {
      "type" : "Practitioner",
      "identifier" : {
        "system" : "http://hl7.org/fhir/sid/us-npi",
        "value" : "1234567890"
      },
      "display" : "Dr. Xealth Test"
    }
  }],
  "performingOrganization" : {
    "reference" : "Organization/ExampleOrganization"
  },
  "quantity" : {
    "value" : 1
  },
  "supportingInformation" : [{
    "reference" : "ServiceRequest/ExampleServiceRequest"
  }]
}