FHIR Implementation Guide for ABDM
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FHIR Implementation Guide for ABDM - Local Development build (v6.5.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: ChargeItem

Official URL: https://nrces.in/ndhm/fhir/r4/StructureDefinition/ChargeItem Version: 6.5.0
Draft as of 2025-03-18 Computable Name: ChargeItem

This profile sets the minimum expectations for the ChargeItem resource in order to store various details about the items under invoice which are being charged.

ChargeItem resource defines the details regarding the services, medications or medicinal devices provided during an encounter or visit for a patient. It’s mainly to be used to provide additional info such as date, times, amounts and participating organizations if any.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ChargeItem 0..* ChargeItem Item containing charge code(s) associated with the provision of healthcare provider products
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code planned | billable | not-billable | aborted | billed | entered-in-error | unknown
Binding: ChargeItemStatus (required): Codes identifying the lifecycle stage of a ChargeItem.
... code Σ 1..1 CodeableConcept A code that identifies the charge, like a billing code
Binding: ChargeItem Type (extensible)
.... coding Σ 1..1 Coding Code defined by a terminology system
..... system Σ 1..1 uri Identity of the terminology system
..... code Σ 1..1 code Symbol in syntax defined by the system
..... display Σ 1..1 string Representation defined by the system
.... text SΣ 0..1 string Plain text representation of the concept
... subject Σ 1..1 Reference(Group | Patient) Individual service was done for/to
... context Σ 0..1 Reference(EpisodeOfCare | Encounter) Encounter / Episode associated with event
... occurrence[x] SΣ 0..1 When the charged service was applied
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrenceTiming Timing
... performingOrganization 0..1 Reference(Organization) Organization providing the charged service
... requestingOrganization 0..1 Reference(Organization) Organization requesting the charged service
... costCenter 0..1 Reference(Organization) Organization that has ownership of the (potential, future) revenue
... quantity Σ 1..1 Quantity Quantity of which the charge item has been serviced. Indicates the total quantity of medicines or medical devices bought.
... enterer Σ 0..1 Reference(Device | RelatedPerson | Practitioner | PractitionerRole | Organization | Patient) Individual who was entering
... service 0..* Reference(DiagnosticReport | MedicationAdministration | MedicationDispense | SupplyDelivery | ImagingStudy | Immunization | Observation | Procedure) Which rendered service is being charged?
... product[x] 1..1 Product charged. In case of invoice for pharmacy the medication resource will be populated containing the relevant details for the medicines mentioned in the prescription. For other cases of invoice such as for consultation, in patient details the codeableconcept must be populated.
Binding: FHIRDeviceTypes (example): Example binding for product type.
.... productReference Reference(Device | Substance | Medication)
.... productCodeableConcept CodeableConcept

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
ChargeItem.statusrequiredChargeItemStatus
http://hl7.org/fhir/ValueSet/chargeitem-status|4.0.1
From the FHIR Standard
ChargeItem.codeextensibleChargeItemType(a valid code from Billing Code)
https://nrces.in/ndhm/fhir/r4/ValueSet/ndhm-chargeitem-types
From this IG
ChargeItem.product[x]exampleFHIRDeviceTypes
http://hl7.org/fhir/ValueSet/device-kind|4.0.1
From the FHIR Standard

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 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(canonical) = '#').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()

This structure is derived from ChargeItem

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ChargeItem 0..* ChargeItem Item containing charge code(s) associated with the provision of healthcare provider products
... partOf 0..* Reference(ChargeItem) Part of referenced ChargeItem
... code 1..1 CodeableConcept A code that identifies the charge, like a billing code
Binding: ChargeItem Type (extensible)
.... coding 1..1 Coding Code defined by a terminology system
..... system 1..1 uri Identity of the terminology system
..... code 1..1 code Symbol in syntax defined by the system
..... display 1..1 string Representation defined by the system
.... text S 0..1 string Plain text representation of the concept
... subject 1..1 Reference(Group | Patient) Individual service was done for/to
... occurrence[x] S 0..1 dateTime, Period, Timing When the charged service was applied
... performer
.... actor 1..1 Reference(CareTeam | Device | RelatedPerson | Practitioner | PractitionerRole | Organization) Individual who was performing
... performingOrganization 0..1 Reference(Organization) Organization providing the charged service
... requestingOrganization 0..1 Reference(Organization) Organization requesting the charged service
... costCenter 0..1 Reference(Organization) Organization that has ownership of the (potential, future) revenue
... quantity 1..1 Quantity Quantity of which the charge item has been serviced. Indicates the total quantity of medicines or medical devices bought.
... enterer 0..1 Reference(Device | RelatedPerson | Practitioner | PractitionerRole | Organization | Patient) Individual who was entering
... service 0..* Reference(DiagnosticReport | MedicationAdministration | MedicationDispense | SupplyDelivery | ImagingStudy | Immunization | Observation | Procedure) Which rendered service is being charged?
... product[x] 1..1 Product charged. In case of invoice for pharmacy the medication resource will be populated containing the relevant details for the medicines mentioned in the prescription. For other cases of invoice such as for consultation, in patient details the codeableconcept must be populated.
.... productReference Reference(Device | Substance | Medication)
.... productCodeableConcept CodeableConcept

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
ChargeItem.codeextensibleChargeItemType(a valid code from Billing Code)
https://nrces.in/ndhm/fhir/r4/ValueSet/ndhm-chargeitem-types
From this IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ChargeItem 0..* ChargeItem Item containing charge code(s) associated with the provision of healthcare provider products
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business Identifier for item
... definitionUri 0..* uri Defining information about the code of this charge item
... definitionCanonical 0..* canonical(ChargeItemDefinition) Resource defining the code of this ChargeItem
... status ?!Σ 1..1 code planned | 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 Σ 1..1 CodeableConcept A code that identifies the charge, like a billing code
Binding: ChargeItem Type (extensible)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 1..1 Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ 1..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code Σ 1..1 code Symbol in syntax defined by the system
..... display Σ 1..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text SΣ 0..1 string Plain text representation of the concept
... subject Σ 1..1 Reference(Group | Patient) Individual service was done for/to
... context Σ 0..1 Reference(EpisodeOfCare | Encounter) Encounter / Episode associated with event
... occurrence[x] SΣ 0..1 When the charged service was applied
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrenceTiming Timing
... performer 0..* BackboneElement Who performed charged service
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... function 0..1 CodeableConcept What type of performance was done
Binding: ProcedurePerformerRoleCodes (example): Codes describing the types of functional roles performers can take on when performing events.
.... actor 1..1 Reference(CareTeam | Device | RelatedPerson | Practitioner | PractitionerRole | Organization) Individual who was performing
... performingOrganization 0..1 Reference(Organization) Organization providing the charged service
... requestingOrganization 0..1 Reference(Organization) Organization requesting the charged service
... costCenter 0..1 Reference(Organization) Organization that has ownership of the (potential, future) revenue
... quantity Σ 1..1 Quantity Quantity of which the charge item has been serviced. Indicates the total quantity of medicines or medical devices bought.
... bodysite Σ 0..* CodeableConcept Anatomical location, if relevant
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... factorOverride 0..1 decimal Factor overriding the associated rules
... priceOverride 0..1 Money Price overriding the associated rules
... overrideReason 0..1 string Reason for overriding the list price/factor
... enterer Σ 0..1 Reference(Device | RelatedPerson | Practitioner | PractitionerRole | Organization | Patient) Individual who was entering
... enteredDate Σ 0..1 dateTime Date the charge item was entered
... reason 0..* CodeableConcept Why was the charged service rendered?
Binding: ICD-10Codes (example): Example binding for reason.
... service 0..* Reference(DiagnosticReport | MedicationAdministration | MedicationDispense | SupplyDelivery | ImagingStudy | Immunization | Observation | Procedure) Which rendered service is being charged?
... product[x] 1..1 Product charged. In case of invoice for pharmacy the medication resource will be populated containing the relevant details for the medicines mentioned in the prescription. For other cases of invoice such as for consultation, in patient details the codeableconcept must be populated.
Binding: FHIRDeviceTypes (example): Example binding for product type.
.... productReference Reference(Device | Substance | Medication)
.... productCodeableConcept CodeableConcept
... account Σ 0..* Reference(Account) Account to place this charge
... note 0..* Annotation Comments made about the ChargeItem
... supportingInformation 0..* Reference(Resource) Further information supporting this charge

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
ChargeItem.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages|4.0.1
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
ChargeItem.statusrequiredChargeItemStatus
http://hl7.org/fhir/ValueSet/chargeitem-status|4.0.1
From the FHIR Standard
ChargeItem.codeextensibleChargeItemType(a valid code from Billing Code)
https://nrces.in/ndhm/fhir/r4/ValueSet/ndhm-chargeitem-types
From this IG
ChargeItem.performer.functionexampleProcedurePerformerRoleCodes
http://hl7.org/fhir/ValueSet/performer-role|4.0.1
From the FHIR Standard
ChargeItem.bodysiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site|4.0.1
From the FHIR Standard
ChargeItem.reasonexampleICD-10Codes
http://hl7.org/fhir/ValueSet/icd-10|4.0.1
From the FHIR Standard
ChargeItem.product[x]exampleFHIRDeviceTypes
http://hl7.org/fhir/ValueSet/device-kind|4.0.1
From the FHIR Standard

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 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(canonical) = '#').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()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ChargeItem 0..* ChargeItem Item containing charge code(s) associated with the provision of healthcare provider products
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code planned | billable | not-billable | aborted | billed | entered-in-error | unknown
Binding: ChargeItemStatus (required): Codes identifying the lifecycle stage of a ChargeItem.
... code Σ 1..1 CodeableConcept A code that identifies the charge, like a billing code
Binding: ChargeItem Type (extensible)
.... coding Σ 1..1 Coding Code defined by a terminology system
..... system Σ 1..1 uri Identity of the terminology system
..... code Σ 1..1 code Symbol in syntax defined by the system
..... display Σ 1..1 string Representation defined by the system
.... text SΣ 0..1 string Plain text representation of the concept
... subject Σ 1..1 Reference(Group | Patient) Individual service was done for/to
... context Σ 0..1 Reference(EpisodeOfCare | Encounter) Encounter / Episode associated with event
... occurrence[x] SΣ 0..1 When the charged service was applied
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrenceTiming Timing
... performingOrganization 0..1 Reference(Organization) Organization providing the charged service
... requestingOrganization 0..1 Reference(Organization) Organization requesting the charged service
... costCenter 0..1 Reference(Organization) Organization that has ownership of the (potential, future) revenue
... quantity Σ 1..1 Quantity Quantity of which the charge item has been serviced. Indicates the total quantity of medicines or medical devices bought.
... enterer Σ 0..1 Reference(Device | RelatedPerson | Practitioner | PractitionerRole | Organization | Patient) Individual who was entering
... service 0..* Reference(DiagnosticReport | MedicationAdministration | MedicationDispense | SupplyDelivery | ImagingStudy | Immunization | Observation | Procedure) Which rendered service is being charged?
... product[x] 1..1 Product charged. In case of invoice for pharmacy the medication resource will be populated containing the relevant details for the medicines mentioned in the prescription. For other cases of invoice such as for consultation, in patient details the codeableconcept must be populated.
Binding: FHIRDeviceTypes (example): Example binding for product type.
.... productReference Reference(Device | Substance | Medication)
.... productCodeableConcept CodeableConcept

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
ChargeItem.statusrequiredChargeItemStatus
http://hl7.org/fhir/ValueSet/chargeitem-status|4.0.1
From the FHIR Standard
ChargeItem.codeextensibleChargeItemType(a valid code from Billing Code)
https://nrces.in/ndhm/fhir/r4/ValueSet/ndhm-chargeitem-types
From this IG
ChargeItem.product[x]exampleFHIRDeviceTypes
http://hl7.org/fhir/ValueSet/device-kind|4.0.1
From the FHIR Standard

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 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(canonical) = '#').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()

Differential View

This structure is derived from ChargeItem

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ChargeItem 0..* ChargeItem Item containing charge code(s) associated with the provision of healthcare provider products
... partOf 0..* Reference(ChargeItem) Part of referenced ChargeItem
... code 1..1 CodeableConcept A code that identifies the charge, like a billing code
Binding: ChargeItem Type (extensible)
.... coding 1..1 Coding Code defined by a terminology system
..... system 1..1 uri Identity of the terminology system
..... code 1..1 code Symbol in syntax defined by the system
..... display 1..1 string Representation defined by the system
.... text S 0..1 string Plain text representation of the concept
... subject 1..1 Reference(Group | Patient) Individual service was done for/to
... occurrence[x] S 0..1 dateTime, Period, Timing When the charged service was applied
... performer
.... actor 1..1 Reference(CareTeam | Device | RelatedPerson | Practitioner | PractitionerRole | Organization) Individual who was performing
... performingOrganization 0..1 Reference(Organization) Organization providing the charged service
... requestingOrganization 0..1 Reference(Organization) Organization requesting the charged service
... costCenter 0..1 Reference(Organization) Organization that has ownership of the (potential, future) revenue
... quantity 1..1 Quantity Quantity of which the charge item has been serviced. Indicates the total quantity of medicines or medical devices bought.
... enterer 0..1 Reference(Device | RelatedPerson | Practitioner | PractitionerRole | Organization | Patient) Individual who was entering
... service 0..* Reference(DiagnosticReport | MedicationAdministration | MedicationDispense | SupplyDelivery | ImagingStudy | Immunization | Observation | Procedure) Which rendered service is being charged?
... product[x] 1..1 Product charged. In case of invoice for pharmacy the medication resource will be populated containing the relevant details for the medicines mentioned in the prescription. For other cases of invoice such as for consultation, in patient details the codeableconcept must be populated.
.... productReference Reference(Device | Substance | Medication)
.... productCodeableConcept CodeableConcept

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
ChargeItem.codeextensibleChargeItemType(a valid code from Billing Code)
https://nrces.in/ndhm/fhir/r4/ValueSet/ndhm-chargeitem-types
From this IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. ChargeItem 0..* ChargeItem Item containing charge code(s) associated with the provision of healthcare provider products
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Business Identifier for item
... definitionUri 0..* uri Defining information about the code of this charge item
... definitionCanonical 0..* canonical(ChargeItemDefinition) Resource defining the code of this ChargeItem
... status ?!Σ 1..1 code planned | 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 Σ 1..1 CodeableConcept A code that identifies the charge, like a billing code
Binding: ChargeItem Type (extensible)
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 1..1 Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system Σ 1..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code Σ 1..1 code Symbol in syntax defined by the system
..... display Σ 1..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text SΣ 0..1 string Plain text representation of the concept
... subject Σ 1..1 Reference(Group | Patient) Individual service was done for/to
... context Σ 0..1 Reference(EpisodeOfCare | Encounter) Encounter / Episode associated with event
... occurrence[x] SΣ 0..1 When the charged service was applied
.... occurrenceDateTime dateTime
.... occurrencePeriod Period
.... occurrenceTiming Timing
... performer 0..* BackboneElement Who performed charged service
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... function 0..1 CodeableConcept What type of performance was done
Binding: ProcedurePerformerRoleCodes (example): Codes describing the types of functional roles performers can take on when performing events.
.... actor 1..1 Reference(CareTeam | Device | RelatedPerson | Practitioner | PractitionerRole | Organization) Individual who was performing
... performingOrganization 0..1 Reference(Organization) Organization providing the charged service
... requestingOrganization 0..1 Reference(Organization) Organization requesting the charged service
... costCenter 0..1 Reference(Organization) Organization that has ownership of the (potential, future) revenue
... quantity Σ 1..1 Quantity Quantity of which the charge item has been serviced. Indicates the total quantity of medicines or medical devices bought.
... bodysite Σ 0..* CodeableConcept Anatomical location, if relevant
Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
... factorOverride 0..1 decimal Factor overriding the associated rules
... priceOverride 0..1 Money Price overriding the associated rules
... overrideReason 0..1 string Reason for overriding the list price/factor
... enterer Σ 0..1 Reference(Device | RelatedPerson | Practitioner | PractitionerRole | Organization | Patient) Individual who was entering
... enteredDate Σ 0..1 dateTime Date the charge item was entered
... reason 0..* CodeableConcept Why was the charged service rendered?
Binding: ICD-10Codes (example): Example binding for reason.
... service 0..* Reference(DiagnosticReport | MedicationAdministration | MedicationDispense | SupplyDelivery | ImagingStudy | Immunization | Observation | Procedure) Which rendered service is being charged?
... product[x] 1..1 Product charged. In case of invoice for pharmacy the medication resource will be populated containing the relevant details for the medicines mentioned in the prescription. For other cases of invoice such as for consultation, in patient details the codeableconcept must be populated.
Binding: FHIRDeviceTypes (example): Example binding for product type.
.... productReference Reference(Device | Substance | Medication)
.... productCodeableConcept CodeableConcept
... account Σ 0..* Reference(Account) Account to place this charge
... note 0..* Annotation Comments made about the ChargeItem
... supportingInformation 0..* Reference(Resource) Further information supporting this charge

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
ChargeItem.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages|4.0.1
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
ChargeItem.statusrequiredChargeItemStatus
http://hl7.org/fhir/ValueSet/chargeitem-status|4.0.1
From the FHIR Standard
ChargeItem.codeextensibleChargeItemType(a valid code from Billing Code)
https://nrces.in/ndhm/fhir/r4/ValueSet/ndhm-chargeitem-types
From this IG
ChargeItem.performer.functionexampleProcedurePerformerRoleCodes
http://hl7.org/fhir/ValueSet/performer-role|4.0.1
From the FHIR Standard
ChargeItem.bodysiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site|4.0.1
From the FHIR Standard
ChargeItem.reasonexampleICD-10Codes
http://hl7.org/fhir/ValueSet/icd-10|4.0.1
From the FHIR Standard
ChargeItem.product[x]exampleFHIRDeviceTypes
http://hl7.org/fhir/ValueSet/device-kind|4.0.1
From the FHIR Standard

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 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(canonical) = '#').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()

 

Other representations of profile: CSV, Excel, Schematron