https://fhir.xealth.io/ChargeItem/a1b2c3d4-1e24-41c8-b71b-0e701af7583d
type: ChargeItem
node role: treeRoot
resource.meta:
  meta.profile:
    value: https://fhir.xealth.io/StructureDefinition/xealth-chargeitem
    index: 0
    link: https://fhir.xealth.io/StructureDefinition/xealth-chargeitem
domain resource.text:
  narrative.status:
    value: extensions
  narrative.div: Generated Narrative: ChargeItem a1b2c3d4-1e24-41c8-b71b-0e701af7583d Profile: Xealth ChargeItem Ehr Order Id: 12345 identifier: https://fhir.xealth.io/CodeSystem/xealth-deployment/example-deployment/fhir-r4-id/12345 status: Billable code: REM MNTR PHYSIOL PARAM 1ST DEV SUPPLY EA 30 D subject: Xealth Profile Test Male, DoB: 1986-07-13 ( XPID: xealth-17328-1732489-17846492-3128691 (use: official, )) occurrence: 2026-03-31 Performers - Function Actor * Ordering Provider Dr. Xealth Test (Identifier: United States National Provider Identifier/1234567890) performingOrganization: Organization Health Level Seven International quantity: 1 supportingInformation: ServiceRequest: status = active; intent = plan
domain resource.extension:
  index: 0
  extension.url:
    value: https://fhir.xealth.io/StructureDefinition/extension-ehr-order-id
  extension.value string:
    value: 12345
charge item.identifier:
  index: 0
  identifier.system:
    value: https://fhir.xealth.io/CodeSystem/xealth-deployment/example-deployment/fhir-r4-id
  identifier.value:
    value: 12345
charge item.status:
  value: billable
charge item.code:
  codeable concept.coding:
    index: 0
    coding.system:
      value: http://www.ama-assn.org/go/cpt
    coding.code:
      value: 99454
    coding.display:
      value: REM MNTR PHYSIOL PARAM 1ST DEV SUPPLY EA 30 D
charge item.subject:
  link: https://fhir.xealth.io/Patient/ExampleXealthPatient
  reference.reference:
    value: Patient/ExampleXealthPatient
charge item.occurrence date time:
  value: 2026-03-31
charge item.performer:
  index: 0
  charge item.performer.function:
    codeable concept.coding:
      index: 0
      coding.system:
        value: http://terminology.hl7.org/CodeSystem/v2-0912
      coding.code:
        value: OP
    codeable concept.text:
      value: Ordering Provider
  charge item.performer.actor:
    reference.type:
      value: Practitioner
    reference.identifier:
      identifier.system:
        value: http://hl7.org/fhir/sid/us-npi
      identifier.value:
        value: 1234567890
    reference.display:
      value: Dr. Xealth Test
charge item.performing organization:
  link: https://fhir.xealth.io/Organization/ExampleOrganization
  reference.reference:
    value: Organization/ExampleOrganization
charge item.quantity:
  quantity.value:
    value: 1
charge item.supporting information:
  index: 0
  link: https://fhir.xealth.io/ServiceRequest/ExampleServiceRequest
  reference.reference:
    value: ServiceRequest/ExampleServiceRequest