<status value="draft" /> <publisher value="Ministry of Health Indonesia" /> <description value="Extension containing pricing information for charge item responses." /> <fhirVersion value="4.0.1" /> <kind value="complex-type" /> <abstract value="false" /> <context> <type value="element" /> <expression value="Element" /> </context> <type value="Extension" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" /> <derivation value="constraint" /> <differential> <element id="Extension"> <path value="Extension" /> <short value="Charge Item Response" /> <definition value="Extension containing pricing information for charge item responses." /> </element> <element id="Extension.extension:sequence"> <path value="Extension.extension" /> <sliceName value="sequence" /> <short value="Sequence" /> <definition value="Berisi data urutan terkait respon persetujuan tindakan dan layanan dengan tipe data positiveInt." /> <min value="0" /> <max value="1" /> </element> <element id="Extension.extension:sequence.extension"> <path value="Extension.extension.extension" /> <max value="0" /> </element> <element id="Extension.extension:sequence.url"> <path value="Extension.extension.url" /> <fixedUri value="sequence" /> </element> <element id="Extension.extension:sequence.value[x]"> <path value="Extension.extension.value[x]" /> <type> <code value="integer" /> </type> </element> <element id="Extension.extension:payor"> <path value="Extension.extension" /> <sliceName value="payor" /> <short value="Payor" /> <definition value="Berisi data penjamin yang menyetujui tindakan dan layanan dengan tipe data Reference yang direferensikan ke data yang tersimpan di resource Organization." /> <min value="0" /> <max value="1" /> </element> <element id="Extension.extension:payor.extension"> <path value="Extension.extension.extension" /> <max value="0" /> </element> <element id="Extension.extension:payor.url"> <path value="Extension.extension.url" /> <fixedUri value="payor" /> </element> <element id="Extension.extension:payor.value[x]"> <path value="Extension.extension.value[x]" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization" /> </type> </element> <element id="Extension.extension:identifier"> <path value="Extension.extension" /> <sliceName value="identifier" /> <short value="Identifier" /> <definition value="Berisi data ID lokal terkait program yang dijalankan dengan tipe data Identifier." /> <min value="0" /> <max value="1" /> </element> <element id="Extension.extension:identifier.extension"> <path value="Extension.extension.extension" /> <max value="0" /> </element> <element id="Extension.extension:identifier.url"> <path value="Extension.extension.url" /> <fixedUri value="identifier" /> </element> <element id="Extension.extension:identifier.value[x]"> <path value="Extension.extension.value[x]" /> <type> <code value="string" /> </type> </element> <element id="Extension.extension:coverage"> <path value="Extension.extension" /> <sliceName value="coverage" /> <short value="Coverage" /> <definition value="Berisi data kepesertaan asuransi dengan tipe data Reference yang direferensikan ke data yang tersimpan di resource Coverage." /> <min value="0" /> <max value="1" /> </element> <element id="Extension.extension:coverage.extension"> <path value="Extension.extension.extension" /> <max value="0" /> </element> <element id="Extension.extension:coverage.url"> <path value="Extension.extension.url" /> <fixedUri value="coverage" /> </element> <element id="Extension.extension:coverage.value[x]"> <path value="Extension.extension.value[x]" /> <type> <code value="Reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Coverage" /> </type> </element> <element id="Extension.extension:status"> <path value="Extension.extension" /> <sliceName value="status" /> <short value="Status" /> <definition value="Berisi data yang menyatakan status persetujuan tindakan dan layanan dengan tipe data CodeableConcept." /> <min value="0" /> <max value="1" /> </element> <element id="Extension.extension:status.extension"> <path value="Extension.extension.extension" /> <max value="0" /> </element> <element id="Extension.extension:status.url"> <path value="Extension.extension.url" /> <fixedUri value="status" /> </element> <element id="Extension.extension:status.value[x]"> <path value="Extension.extension.value[x]" /> <type> <code value="CodeableConcept" /> </type> </element> <element id="Extension.extension:unitPriceOverride"> <path value="Extension.extension" /> <sliceName value="unitPriceOverride" /> <short value="Unit Price Override" /> <definition value="Berisi data biaya yang disetujui per unit dengan tipe data Money." /> <min value="0" /> <max value="1" /> </element> <element id="Extension.extension:unitPriceOverride.extension"> <path value="Extension.extension.extension" /> <max value="0" /> </element> <element id="Extension.extension:unitPriceOverride.url"> <path value="Extension.extension.url" /> <fixedUri value="unitPriceOverride" /> </element> <element id="Extension.extension:unitPriceOverride.value[x]"> <path value="Extension.extension.value[x]" /> <type> <code value="Money" /> </type> </element> <element id="Extension.extension:factorOverride"> <path value="Extension.extension" /> <sliceName value="factorOverride" /> <short value="Factor Override" /> <definition value="Berisi data jumlah dari biaya yang disetujui per unit dengan tipe data decimal." /> <min value="0" /> <max value="1" /> </element> <element id="Extension.extension:factorOverride.extension"> <path value="Extension.extension.extension" /> <max value="0" /> </element> <element id="Extension.extension:factorOverride.url"> <path value="Extension.extension.url" /> <fixedUri value="factorOverride" /> </element> <element id="Extension.extension:factorOverride.value[x]"> <path value="Extension.extension.value[x]" /> <type> <code value="decimal" /> </type> </element> <element id="Extension.extension:overrideReason"> <path value="Extension.extension" /> <sliceName value="overrideReason" /> <short value="Override Reason" /> <definition value="Berisi data untuk menyatakan keterangan maupun alasan dengan tipe data string." /> <min value="0" /> <max value="1" /> </element> <element id="Extension.extension:overrideReason.extension"> <path value="Extension.extension.extension" /> <max value="0" /> </element> <element id="Extension.extension:overrideReason.url"> <path value="Extension.extension.url" /> <fixedUri value="overrideReason" /> </element> <element id="Extension.extension:overrideReason.value[x]"> <path value="Extension.extension.value[x]" /> <type> <code value="string" /> </type> </element> <element id="Extension.extension:quantity"> <path value="Extension.extension" /> <sliceName value="quantity" /> <short value="Quantity" /> <definition value="Berisi data jumlah tindakan dan layanan yang disetujui dengan tipe data decimal." /> <min value="0" /> <max value="1" /> </element> <element id="Extension.extension:quantity.extension"> <path value="Extension.extension.extension" /> <max value="0" /> </element> <element id="Extension.extension:quantity.url"> <path value="Extension.extension.url" /> <fixedUri value="quantity" /> </element> <element id="Extension.extension:quantity.value[x]"> <path value="Extension.extension.value[x]" /> <type> <code value="decimal" /> </type> </element> <element id="Extension.extension:total"> <path value="Extension.extension" /> <sliceName value="total" /> <short value="Total" /> <definition value="Berisi data total biaya yang disetujui dengan tipe data Money." /> <min value="0" /> <max value="1" /> </element> <element id="Extension.extension:total.extension"> <path value="Extension.extension.extension" /> <max value="0" /> </element> <element id="Extension.extension:total.url"> <path value="Extension.extension.url" /> <fixedUri value="total" /> </element> <element id="Extension.extension:total.value[x]"> <path value="Extension.extension.value[x]" /> <type> <code value="Money" /> </type> </element> <element id="Extension.extension:excess"> <path value="Extension.extension" /> <sliceName value="excess" /> <short value="Excess" /> <definition value="Berisi data nilai excess dengan tipe data Money." /> <min value="0" /> <max value="1" /> </element> <element id="Extension.extension:excess.extension"> <path value="Extension.extension.extension" /> <max value="0" /> </element> <element id="Extension.extension:excess.url"> <path value="Extension.extension.url" /> <fixedUri value="excess" /> </element> <element id="Extension.extension:excess.value[x]"> <path value="Extension.extension.value[x]" /> <type> <code value="Money" /> </type> </element> <element id="Extension.extension:unitPrice"> <path value="Extension.extension" /> <sliceName value="unitPrice" /> <min value="0" /> <max value="*" /> <type> <code value="Extension" /> <profile value="https://fhir.kemkes.go.id/r4/StructureDefinition/UnitPrice" /> </type> </element> <element id="Extension.extension:unitPrice.url"> <path value="Extension.extension.url" /> <fixedUri value="unitPrice" /> </element> <element id="Extension.extension:totalPrice"> <path value="Extension.extension" /> <sliceName value="totalPrice" /> <min value="0" /> <max value="*" /> <type> <code value="Extension" /> <profile value="https://fhir.kemkes.go.id/r4/StructureDefinition/TotalPrice" /> </type> </element> <element id="Extension.extension:totalPrice.url"> <path value="Extension.extension.url" /> <fixedUri value="totalPrice" /> </element> <element id="Extension.url"> <path value="Extension.url" /> <fixedUri value="https://fhir.kemkes.go.id/r4/StructureDefinition/ChargeItemResponse" /> </element> <element id="Extension.value[x]"> <path value="Extension.value[x]" /> <max value="0" /> </element> </differential> </StructureDefinition>