Guia de Implementação do AnHealth
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Guia de Implementação do AnHealth - Local Development build (v0.2.0). See the Directory of published versions

Resource Profile: ChargeItem

Official URL: https://ancode.app/fhir/StructureDefinition/ChargeItem Version: 0.2.0
Draft as of 2021-12-02 Computable Name: ChargeItem

Usage:

  • This Resource Profile is not used by any profiles in this Implementation Guide

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from ChargeItem

NameFlagsCard.TypeDescription & Constraintsdoco
.. ChargeItem 0..*ChargeItemItem containing charge code(s) associated with the provision of healthcare provider products
... definitionCanonical 0..1canonical(ChargeItemDefinition)Resource defining the code of this ChargeItem
... subject 1..1Reference(Patient)Individual service was done for/to
... context 1..1Reference(Encounter)Encounter / Episode associated with event
.... start 1..1dateTimeStarting time with inclusive boundary
... quantity 1..1QuantityQuantity of which the charge item has been serviced
... priceOverride 1..1MoneyPrice overriding the associated rules
... enterer 1..1Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson)Individual who was entering
... enteredDate 1..1dateTimeDate the charge item was entered
... service 1..1Reference(Procedure)Which rendered service is being charged?
... product[x] 0..1Reference(Device | Medication | DeviceDefinition | HealthcareService)Product charged
Binding: (unbound) (example)
... account 1..1Reference(Account)Account to place this charge

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
ChargeItem.product[x]example
NameFlagsCard.TypeDescription & Constraintsdoco
.. ChargeItem 0..*ChargeItemItem containing charge code(s) associated with the provision of healthcare provider products
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... definitionCanonical 0..1canonical(ChargeItemDefinition)Resource defining the code of this ChargeItem
... code Σ1..1CodeableConceptA code that identifies the charge, like a billing code
Binding: ChargeItemCode (example): Example codes for billing purposes

... subject Σ1..1Reference(Patient)Individual service was done for/to
... context Σ1..1Reference(Encounter)Encounter / Episode associated with event
... occurrence[x] Σ1..1PeriodWhen the charged service was applied
.... start ΣC1..1dateTimeStarting time with inclusive boundary
... quantity Σ1..1QuantityQuantity of which the charge item has been serviced
... priceOverride 1..1MoneyPrice overriding the associated rules
... enterer Σ1..1Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson)Individual who was entering
... enteredDate Σ1..1dateTimeDate the charge item was entered
... service 1..1Reference(Procedure)Which rendered service is being charged?
... product[x] 0..1Reference(Device | Medication | DeviceDefinition | HealthcareService)Product charged
... account Σ1..1Reference(Account)Account to place this charge

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
ChargeItem.statusrequiredChargeItemStatus
ChargeItem.codeexampleChargeItemCode

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorChargeItemIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorChargeItemIf 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.exists() and ('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url)))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(uri) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorChargeItemIf 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-5errorChargeItemIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceChargeItemA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. ChargeItem 0..*ChargeItemItem containing charge code(s) associated with the provision of healthcare provider products
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): IETF language tag

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness Identifier for item
... definitionUri 0..*uriDefining information about the code of this charge item
... definitionCanonical 0..1canonical(ChargeItemDefinition)Resource defining the code of this ChargeItem
... status ?!Σ1..1codeplanned | billable | not-billable | aborted | billed | entered-in-error | unknown
Binding: ChargeItemStatus (required): Codes identifying the lifecycle stage of a ChargeItem.

... partOf 0..*Reference(ChargeItem)Part of referenced ChargeItem
... code Σ1..1CodeableConceptA code that identifies the charge, like a billing code
Binding: ChargeItemCode (example): Example codes for billing purposes

... subject Σ1..1Reference(Patient)Individual service was done for/to
... context Σ1..1Reference(Encounter)Encounter / Episode associated with event
... occurrence[x] Σ1..1PeriodWhen the charged service was applied
.... id 0..1idUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... start ΣC1..1dateTimeStarting time with inclusive boundary
.... end ΣC0..1dateTimeEnd time with inclusive boundary, if not ongoing
... performer 0..*BackboneElementWho performed charged service
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... function 0..1CodeableConceptWhat type of performance was done
Binding: ProcedurePerformerRoleCodes (example): Codes describing the types of functional roles performers can take on when performing events.

.... actor 1..1Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson)Individual who was performing
... performingOrganization 0..1Reference(Organization)Organization providing the charged service
... requestingOrganization 0..1Reference(Organization)Organization requesting the charged service
... costCenter 0..1Reference(Organization)Organization that has ownership of the (potential, future) revenue
... quantity Σ1..1QuantityQuantity of which the charge item has been serviced
... bodysite Σ0..*CodeableConceptAnatomical location, if relevant
Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts


... factorOverride 0..1decimalFactor overriding the associated rules
... priceOverride 1..1MoneyPrice overriding the associated rules
... overrideReason 0..1stringReason for overriding the list price/factor
... enterer Σ1..1Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson)Individual who was entering
... enteredDate Σ1..1dateTimeDate the charge item was entered
... reason 0..*CodeableConceptWhy was the charged service rendered?
Binding: ICD-10Codes (example): ICD 10 diagnosis codes


... service 1..1Reference(Procedure)Which rendered service is being charged?
... product[x] 0..1Reference(Device | Medication | DeviceDefinition | HealthcareService)Product charged
... account Σ1..1Reference(Account)Account to place this charge
... note 0..*AnnotationComments made about the ChargeItem
... supportingInformation 0..*Reference(Resource)Further information supporting this charge

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
ChargeItem.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
ChargeItem.statusrequiredChargeItemStatus
ChargeItem.codeexampleChargeItemCode
ChargeItem.performer.functionexampleProcedurePerformerRoleCodes
ChargeItem.bodysiteexampleSNOMEDCTBodyStructures
ChargeItem.reasonexampleICD-10Codes

Constraints

IdGradePath(s)DetailsRequirements
dom-r4bwarningChargeItem.containedContaining new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems
: ($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefinition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorization or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource is SubscriptionTopic)
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from ChargeItem

Summary

Mandatory: 9 elements

Differential View

This structure is derived from ChargeItem

NameFlagsCard.TypeDescription & Constraintsdoco
.. ChargeItem 0..*ChargeItemItem containing charge code(s) associated with the provision of healthcare provider products
... definitionCanonical 0..1canonical(ChargeItemDefinition)Resource defining the code of this ChargeItem
... subject 1..1Reference(Patient)Individual service was done for/to
... context 1..1Reference(Encounter)Encounter / Episode associated with event
.... start 1..1dateTimeStarting time with inclusive boundary
... quantity 1..1QuantityQuantity of which the charge item has been serviced
... priceOverride 1..1MoneyPrice overriding the associated rules
... enterer 1..1Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson)Individual who was entering
... enteredDate 1..1dateTimeDate the charge item was entered
... service 1..1Reference(Procedure)Which rendered service is being charged?
... product[x] 0..1Reference(Device | Medication | DeviceDefinition | HealthcareService)Product charged
Binding: (unbound) (example)
... account 1..1Reference(Account)Account to place this charge

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
ChargeItem.product[x]example

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ChargeItem 0..*ChargeItemItem containing charge code(s) associated with the provision of healthcare provider products
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... definitionCanonical 0..1canonical(ChargeItemDefinition)Resource defining the code of this ChargeItem
... code Σ1..1CodeableConceptA code that identifies the charge, like a billing code
Binding: ChargeItemCode (example): Example codes for billing purposes

... subject Σ1..1Reference(Patient)Individual service was done for/to
... context Σ1..1Reference(Encounter)Encounter / Episode associated with event
... occurrence[x] Σ1..1PeriodWhen the charged service was applied
.... start ΣC1..1dateTimeStarting time with inclusive boundary
... quantity Σ1..1QuantityQuantity of which the charge item has been serviced
... priceOverride 1..1MoneyPrice overriding the associated rules
... enterer Σ1..1Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson)Individual who was entering
... enteredDate Σ1..1dateTimeDate the charge item was entered
... service 1..1Reference(Procedure)Which rendered service is being charged?
... product[x] 0..1Reference(Device | Medication | DeviceDefinition | HealthcareService)Product charged
... account Σ1..1Reference(Account)Account to place this charge

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
ChargeItem.statusrequiredChargeItemStatus
ChargeItem.codeexampleChargeItemCode

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorChargeItemIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorChargeItemIf 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.exists() and ('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url)))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(uri) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorChargeItemIf 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-5errorChargeItemIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceChargeItemA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ChargeItem 0..*ChargeItemItem containing charge code(s) associated with the provision of healthcare provider products
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): IETF language tag

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierBusiness Identifier for item
... definitionUri 0..*uriDefining information about the code of this charge item
... definitionCanonical 0..1canonical(ChargeItemDefinition)Resource defining the code of this ChargeItem
... status ?!Σ1..1codeplanned | billable | not-billable | aborted | billed | entered-in-error | unknown
Binding: ChargeItemStatus (required): Codes identifying the lifecycle stage of a ChargeItem.

... partOf 0..*Reference(ChargeItem)Part of referenced ChargeItem
... code Σ1..1CodeableConceptA code that identifies the charge, like a billing code
Binding: ChargeItemCode (example): Example codes for billing purposes

... subject Σ1..1Reference(Patient)Individual service was done for/to
... context Σ1..1Reference(Encounter)Encounter / Episode associated with event
... occurrence[x] Σ1..1PeriodWhen the charged service was applied
.... id 0..1idUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... start ΣC1..1dateTimeStarting time with inclusive boundary
.... end ΣC0..1dateTimeEnd time with inclusive boundary, if not ongoing
... performer 0..*BackboneElementWho performed charged service
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... function 0..1CodeableConceptWhat type of performance was done
Binding: ProcedurePerformerRoleCodes (example): Codes describing the types of functional roles performers can take on when performing events.

.... actor 1..1Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson)Individual who was performing
... performingOrganization 0..1Reference(Organization)Organization providing the charged service
... requestingOrganization 0..1Reference(Organization)Organization requesting the charged service
... costCenter 0..1Reference(Organization)Organization that has ownership of the (potential, future) revenue
... quantity Σ1..1QuantityQuantity of which the charge item has been serviced
... bodysite Σ0..*CodeableConceptAnatomical location, if relevant
Binding: SNOMEDCTBodyStructures (example): SNOMED CT Body site concepts


... factorOverride 0..1decimalFactor overriding the associated rules
... priceOverride 1..1MoneyPrice overriding the associated rules
... overrideReason 0..1stringReason for overriding the list price/factor
... enterer Σ1..1Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson)Individual who was entering
... enteredDate Σ1..1dateTimeDate the charge item was entered
... reason 0..*CodeableConceptWhy was the charged service rendered?
Binding: ICD-10Codes (example): ICD 10 diagnosis codes


... service 1..1Reference(Procedure)Which rendered service is being charged?
... product[x] 0..1Reference(Device | Medication | DeviceDefinition | HealthcareService)Product charged
... account Σ1..1Reference(Account)Account to place this charge
... note 0..*AnnotationComments made about the ChargeItem
... supportingInformation 0..*Reference(Resource)Further information supporting this charge

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
ChargeItem.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
ChargeItem.statusrequiredChargeItemStatus
ChargeItem.codeexampleChargeItemCode
ChargeItem.performer.functionexampleProcedurePerformerRoleCodes
ChargeItem.bodysiteexampleSNOMEDCTBodyStructures
ChargeItem.reasonexampleICD-10Codes

Constraints

IdGradePath(s)DetailsRequirements
dom-r4bwarningChargeItem.containedContaining new R4B resources within R4 resources may cause interoperability issues if instances are shared with R4 systems
: ($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefinition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorization or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource is SubscriptionTopic)
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from ChargeItem

Summary

Mandatory: 9 elements

 

Other representations of profile: CSV, Excel, Schematron