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8.27 Resource ChargeItem - Content

Patient Administration

Work Group

Maturity Level: 0

Draft

Compartments: Device, Encounter, Patient, Practitioner, RelatedPerson

The resource ChargeItem describes the provision of healthcare provider products for a certain patient, therefore referring not only to the product, but containing in addition details of the provision, like date, time, amounts and participating organizations and persons. Main Usage of the ChargeItem is to enable the billing process and internal cost allocation.

8.27.1 Scope and Usage

Tracking Financial information is vital in Patient Administration and Finance systems in most Healthcare Organizations. The resource ChargeItem describes the charge for provision of healthcare provider products for a certain patient, therefore referring not only to the product, but containing in addition details of the provision, like date, time, amounts and participating organizations and persons. Main Usage of the ChargeItem is to enable the billing process and internal cost allocation. They are created as soon as the products are planned or provisioned, references to Encounters and/or Accounts can be maintained in a later process step.

The target of ChargeItem.definition may provide information on the Charge code such as pricing and inclusion/exclusion rules as well as factors that apply under certain conditions. In many cases however this information may been drawn from sources outside of FHIR depending on the distribution format of the code catalogue. The ChargeItem assumes that such information is either implicitly known by the communicating systems or explicitly shared through the ChargeItem.definition. Therefore explicit pricing information is not shared within the ChargeItem resource. Also, the systems posting the ChargeItems are not expected to apply the rules associated with the charge codes as they may not know the whole context of the patient/encounter to evaluate such rules. It lies within the responsibity of a billing engine, to collect the ChargeItems in the context of an Account or Encounter at a certain point in time (e.g. discharge of the patient) and to evaluate the associated rules resulting in some of the ChargeItems to be set to the status "not billable" in case the rules exclude them from being billed, or to create financial transactions according to base price and factors. Additional references to Encounter/EpisodeOfCare, Patient/Group and Services provide further context to help billing systems determine the appropriate account and establish the clinical/financial context to evaluate the rules associated with the charge codes.

8.27.2 Boundaries and Relationships

This resource is not an actual financial transaction (such as an item on an invoice or any concise monetary amount being transferred from one Account to another), but is the base administrative data that may be used by a billing engine to create the financial transactions based on rules, factors and base prices associated with the charge code.

Unlike the Financial Transaction the ChargeItem primarily describes the provision, whereas the Financial Transaction documents cash flow. Therefore, the Financial Transaction results from ChargeItems created via the subsequent billing- or cost allocation process.

The actual financial transaction resulting from the evaluation of these rules against the clinical and financial context may be represented in formats appropriate to the financial realm. These are considered out of scope for the FHIR Standard, as they are not specific to the healthcare domain. The FHIR Claim resource does contain line items, and this ChargeItem resource provides the source material for the billing engine to create the items on the claim (which may be different due to business rules).

This resource is referenced by invoice

Structure

Name	Flags	Card.	Type	Description & Constraints
ChargeItem	D		DomainResource	Item containing charge code(s) associated with the provision of healthcare provider products Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
identifier	Σ	0..1	Identifier	Business Identifier for item
definition		0..*	uri	Defining information about the code of this charge item
status	?!Σ	1..1	code	planned \| billable \| not-billable \| aborted \| billed \| entered-in-error \| unknown ChargeItemStatus (Required)
partOf		0..*	Reference(ChargeItem)	Part of referenced ChargeItem
code	Σ	1..1	CodeableConcept	A code that identifies the charge, like a billing code ChargeItemCode (Example)
subject	Σ	1..1	Reference(Patient \| Group)	Individual service was done for/to
context	Σ	0..1	Reference(Encounter \| EpisodeOfCare)	Encounter / Episode associated with event
occurrence[x]	Σ	0..1		When the charged service was applied
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
participant		0..*	BackboneElement	Who performed charged service
role		0..1	CodeableConcept	What type of performance was done Procedure Performer Role Codes (Example)
actor		1..1	Reference(Practitioner \| Organization \| Patient \| Device \| RelatedPerson)	Individual who was performing
performingOrganization		0..1	Reference(Organization)	Organization providing the charged sevice
requestingOrganization		0..1	Reference(Organization)	Organization requesting the charged service
quantity	Σ	0..1	Quantity	Quantity of which the charge item has been serviced
bodysite	Σ	0..*	CodeableConcept	Anatomical location, if relevant SNOMED CT Body Structures (Example)
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(Practitioner \| Organization \| Patient \| Device \| RelatedPerson)	Individual who was entering
enteredDate	Σ	0..1	dateTime	Date the charge item was entered
reason		0..*	CodeableConcept	Why was the charged service rendered? ICD-10 Codes (Example)
service		0..*	Reference(DiagnosticReport \| ImagingStudy \| Immunization \| MedicationAdministration \| MedicationDispense \| Observation \| Procedure \| SupplyDelivery)	Which rendered service is being charged?
account	Σ	0..*	Reference(Account)	Account to place this charge
note		0..*	Annotation	Comments made about the ChargeItem
supportingInformation		0..*	Reference(Any)	Further information supporting the this charge
Documentation for this format

UML Diagram (Legend)

XML Template

<ChargeItem xmlns="http://hl7.org/fhir"> 
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <identifier><!-- 0..1 Identifier Business Identifier for item --></identifier>
 <definition value="[uri]"/><!-- 0..* Defining information about the code of this charge item -->
 <status value="[code]"/><!-- 1..1 planned | billable | not-billable | aborted | billed | entered-in-error | unknown -->
 <partOf><!-- 0..* Reference(ChargeItem) Part of referenced ChargeItem --></partOf>
 <code><!-- 1..1 CodeableConcept A code that identifies the charge, like a billing code --></code>
 <subject><!-- 1..1 Reference(Patient|Group) Individual service was done for/to --></subject>
 <context><!-- 0..1 Reference(Encounter|EpisodeOfCare) Encounter / Episode associated with event --></context>
 <occurrence[x]><!-- 0..1 dateTime|Period|Timing When the charged service was applied --></occurrence[x]>
 <participant>  <!-- 0..* Who performed charged service -->
  <role><!-- 0..1 CodeableConcept What type of performance was done --></role>
  <actor><!-- 1..1 Reference(Practitioner|Organization|Patient|Device|
    RelatedPerson) Individual who was performing --></actor>
 </participant>
 <performingOrganization><!-- 0..1 Reference(Organization) Organization providing the charged sevice --></performingOrganization>
 <requestingOrganization><!-- 0..1 Reference(Organization) Organization requesting the charged service --></requestingOrganization>
 <quantity><!-- 0..1 Quantity Quantity of which the charge item has been serviced --></quantity>
 <bodysite><!-- 0..* CodeableConcept Anatomical location, if relevant --></bodysite>
 <factorOverride value="[decimal]"/><!-- 0..1 Factor overriding the associated rules -->
 <priceOverride><!-- 0..1 Money Price overriding the associated rules --></priceOverride>
 <overrideReason value="[string]"/><!-- 0..1 Reason for overriding the list price/factor -->
 <enterer><!-- 0..1 Reference(Practitioner|Organization|Patient|Device|
   RelatedPerson) Individual who was entering --></enterer>
 <enteredDate value="[dateTime]"/><!-- 0..1 Date the charge item was entered -->
 <reason><!-- 0..* CodeableConcept Why was the charged  service rendered? --></reason>
 <service><!-- 0..* Reference(DiagnosticReport|ImagingStudy|Immunization|
   MedicationAdministration|MedicationDispense|Observation|Procedure|
   SupplyDelivery) Which rendered service is being charged? --></service>
 <account><!-- 0..* Reference(Account) Account to place this charge --></account>
 <note><!-- 0..* Annotation Comments made about the ChargeItem --></note>
 <supportingInformation><!-- 0..* Reference(Any) Further information supporting the this charge --></supportingInformation>
</ChargeItem>

JSON Template

{
  "resourceType" : "ChargeItem",
  // from Resource: id, meta, implicitRules, and language
  // from DomainResource: text, contained, extension, and modifierExtension
  "identifier" : { Identifier }, // Business Identifier for item
  "definition" : ["<uri>"], // Defining information about the code of this charge item
  "status" : "<code>", // R!  planned | billable | not-billable | aborted | billed | entered-in-error | unknown
  "partOf" : [{ Reference(ChargeItem) }], // Part of referenced ChargeItem
  "code" : { CodeableConcept }, // R!  A code that identifies the charge, like a billing code
  "subject" : { Reference(Patient|Group) }, // R!  Individual service was done for/to
  "context" : { Reference(Encounter|EpisodeOfCare) }, // Encounter / Episode associated with event
  // occurrence[x]: When the charged service was applied. One of these 3:
  "occurrenceDateTime" : "<dateTime>",
  "occurrencePeriod" : { Period },
  "occurrenceTiming" : { Timing },
  "participant" : [{ // Who performed charged service
    "role" : { CodeableConcept }, // What type of performance was done
    "actor" : { Reference(Practitioner|Organization|Patient|Device|
    RelatedPerson) } // R!  Individual who was performing
  }],
  "performingOrganization" : { Reference(Organization) }, // Organization providing the charged sevice
  "requestingOrganization" : { Reference(Organization) }, // Organization requesting the charged service
  "quantity" : { Quantity }, // Quantity of which the charge item has been serviced
  "bodysite" : [{ CodeableConcept }], // Anatomical location, if relevant
  "factorOverride" : <decimal>, // Factor overriding the associated rules
  "priceOverride" : { Money }, // Price overriding the associated rules
  "overrideReason" : "<string>", // Reason for overriding the list price/factor
  "enterer" : { Reference(Practitioner|Organization|Patient|Device|
   RelatedPerson) }, // Individual who was entering
  "enteredDate" : "<dateTime>", // Date the charge item was entered
  "reason" : [{ CodeableConcept }], // Why was the charged  service rendered?
  "service" : [{ Reference(DiagnosticReport|ImagingStudy|Immunization|
   MedicationAdministration|MedicationDispense|Observation|Procedure|
   SupplyDelivery) }], // Which rendered service is being charged?
  "account" : [{ Reference(Account) }], // Account to place this charge
  "note" : [{ Annotation }], // Comments made about the ChargeItem
  "supportingInformation" : [{ Reference(Any) }] // Further information supporting the this charge
}

Turtle Template

@prefix fhir: <http://hl7.org/fhir/> .


[ a fhir:ChargeItem;
  fhir:nodeRole fhir:treeRoot; # if this is the parser root

  # from Resource: .id, .meta, .implicitRules, and .language
  # from DomainResource: .text, .contained, .extension, and .modifierExtension
  fhir:ChargeItem.identifier [ Identifier ]; # 0..1 Business Identifier for item
  fhir:ChargeItem.definition [ uri ], ... ; # 0..* Defining information about the code of this charge item
  fhir:ChargeItem.status [ code ]; # 1..1 planned | billable | not-billable | aborted | billed | entered-in-error | unknown
  fhir:ChargeItem.partOf [ Reference(ChargeItem) ], ... ; # 0..* Part of referenced ChargeItem
  fhir:ChargeItem.code [ CodeableConcept ]; # 1..1 A code that identifies the charge, like a billing code
  fhir:ChargeItem.subject [ Reference(Patient|Group) ]; # 1..1 Individual service was done for/to
  fhir:ChargeItem.context [ Reference(Encounter|EpisodeOfCare) ]; # 0..1 Encounter / Episode associated with event
  # ChargeItem.occurrence[x] : 0..1 When the charged service was applied. One of these 3
    fhir:ChargeItem.occurrenceDateTime [ dateTime ]
    fhir:ChargeItem.occurrencePeriod [ Period ]
    fhir:ChargeItem.occurrenceTiming [ Timing ]
  fhir:ChargeItem.participant [ # 0..* Who performed charged service
    fhir:ChargeItem.participant.role [ CodeableConcept ]; # 0..1 What type of performance was done
    fhir:ChargeItem.participant.actor [ Reference(Practitioner|Organization|Patient|Device|RelatedPerson) ]; # 1..1 Individual who was performing
  ], ...;
  fhir:ChargeItem.performingOrganization [ Reference(Organization) ]; # 0..1 Organization providing the charged sevice
  fhir:ChargeItem.requestingOrganization [ Reference(Organization) ]; # 0..1 Organization requesting the charged service
  fhir:ChargeItem.quantity [ Quantity ]; # 0..1 Quantity of which the charge item has been serviced
  fhir:ChargeItem.bodysite [ CodeableConcept ], ... ; # 0..* Anatomical location, if relevant
  fhir:ChargeItem.factorOverride [ decimal ]; # 0..1 Factor overriding the associated rules
  fhir:ChargeItem.priceOverride [ Money ]; # 0..1 Price overriding the associated rules
  fhir:ChargeItem.overrideReason [ string ]; # 0..1 Reason for overriding the list price/factor
  fhir:ChargeItem.enterer [ Reference(Practitioner|Organization|Patient|Device|RelatedPerson) ]; # 0..1 Individual who was entering
  fhir:ChargeItem.enteredDate [ dateTime ]; # 0..1 Date the charge item was entered
  fhir:ChargeItem.reason [ CodeableConcept ], ... ; # 0..* Why was the charged  service rendered?
  fhir:ChargeItem.service [ Reference(DiagnosticReport|ImagingStudy|Immunization|MedicationAdministration|
  MedicationDispense|Observation|Procedure|SupplyDelivery) ], ... ; # 0..* Which rendered service is being charged?
  fhir:ChargeItem.account [ Reference(Account) ], ... ; # 0..* Account to place this charge
  fhir:ChargeItem.note [ Annotation ], ... ; # 0..* Comments made about the ChargeItem
  fhir:ChargeItem.supportingInformation [ Reference(Any) ], ... ; # 0..* Further information supporting the this charge
]

Changes since DSTU2

This resource did not exist in Release 2

This analysis is available as XML or JSON.

Structure

Name	Flags	Card.	Type	Description & Constraints
ChargeItem	D		DomainResource	Item containing charge code(s) associated with the provision of healthcare provider products Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
identifier	Σ	0..1	Identifier	Business Identifier for item
definition		0..*	uri	Defining information about the code of this charge item
status	?!Σ	1..1	code	planned \| billable \| not-billable \| aborted \| billed \| entered-in-error \| unknown ChargeItemStatus (Required)
partOf		0..*	Reference(ChargeItem)	Part of referenced ChargeItem
code	Σ	1..1	CodeableConcept	A code that identifies the charge, like a billing code ChargeItemCode (Example)
subject	Σ	1..1	Reference(Patient \| Group)	Individual service was done for/to
context	Σ	0..1	Reference(Encounter \| EpisodeOfCare)	Encounter / Episode associated with event
occurrence[x]	Σ	0..1		When the charged service was applied
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
participant		0..*	BackboneElement	Who performed charged service
role		0..1	CodeableConcept	What type of performance was done Procedure Performer Role Codes (Example)
actor		1..1	Reference(Practitioner \| Organization \| Patient \| Device \| RelatedPerson)	Individual who was performing
performingOrganization		0..1	Reference(Organization)	Organization providing the charged sevice
requestingOrganization		0..1	Reference(Organization)	Organization requesting the charged service
quantity	Σ	0..1	Quantity	Quantity of which the charge item has been serviced
bodysite	Σ	0..*	CodeableConcept	Anatomical location, if relevant SNOMED CT Body Structures (Example)
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(Practitioner \| Organization \| Patient \| Device \| RelatedPerson)	Individual who was entering
enteredDate	Σ	0..1	dateTime	Date the charge item was entered
reason		0..*	CodeableConcept	Why was the charged service rendered? ICD-10 Codes (Example)
service		0..*	Reference(DiagnosticReport \| ImagingStudy \| Immunization \| MedicationAdministration \| MedicationDispense \| Observation \| Procedure \| SupplyDelivery)	Which rendered service is being charged?
account	Σ	0..*	Reference(Account)	Account to place this charge
note		0..*	Annotation	Comments made about the ChargeItem
supportingInformation		0..*	Reference(Any)	Further information supporting the this charge
Documentation for this format

UML Diagram (Legend)

XML Template

<ChargeItem xmlns="http://hl7.org/fhir"> 
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <identifier><!-- 0..1 Identifier Business Identifier for item --></identifier>
 <definition value="[uri]"/><!-- 0..* Defining information about the code of this charge item -->
 <status value="[code]"/><!-- 1..1 planned | billable | not-billable | aborted | billed | entered-in-error | unknown -->
 <partOf><!-- 0..* Reference(ChargeItem) Part of referenced ChargeItem --></partOf>
 <code><!-- 1..1 CodeableConcept A code that identifies the charge, like a billing code --></code>
 <subject><!-- 1..1 Reference(Patient|Group) Individual service was done for/to --></subject>
 <context><!-- 0..1 Reference(Encounter|EpisodeOfCare) Encounter / Episode associated with event --></context>
 <occurrence[x]><!-- 0..1 dateTime|Period|Timing When the charged service was applied --></occurrence[x]>
 <participant>  <!-- 0..* Who performed charged service -->
  <role><!-- 0..1 CodeableConcept What type of performance was done --></role>
  <actor><!-- 1..1 Reference(Practitioner|Organization|Patient|Device|
    RelatedPerson) Individual who was performing --></actor>
 </participant>
 <performingOrganization><!-- 0..1 Reference(Organization) Organization providing the charged sevice --></performingOrganization>
 <requestingOrganization><!-- 0..1 Reference(Organization) Organization requesting the charged service --></requestingOrganization>
 <quantity><!-- 0..1 Quantity Quantity of which the charge item has been serviced --></quantity>
 <bodysite><!-- 0..* CodeableConcept Anatomical location, if relevant --></bodysite>
 <factorOverride value="[decimal]"/><!-- 0..1 Factor overriding the associated rules -->
 <priceOverride><!-- 0..1 Money Price overriding the associated rules --></priceOverride>
 <overrideReason value="[string]"/><!-- 0..1 Reason for overriding the list price/factor -->
 <enterer><!-- 0..1 Reference(Practitioner|Organization|Patient|Device|
   RelatedPerson) Individual who was entering --></enterer>
 <enteredDate value="[dateTime]"/><!-- 0..1 Date the charge item was entered -->
 <reason><!-- 0..* CodeableConcept Why was the charged  service rendered? --></reason>
 <service><!-- 0..* Reference(DiagnosticReport|ImagingStudy|Immunization|
   MedicationAdministration|MedicationDispense|Observation|Procedure|
   SupplyDelivery) Which rendered service is being charged? --></service>
 <account><!-- 0..* Reference(Account) Account to place this charge --></account>
 <note><!-- 0..* Annotation Comments made about the ChargeItem --></note>
 <supportingInformation><!-- 0..* Reference(Any) Further information supporting the this charge --></supportingInformation>
</ChargeItem>

JSON Template

{
  "resourceType" : "ChargeItem",
  // from Resource: id, meta, implicitRules, and language
  // from DomainResource: text, contained, extension, and modifierExtension
  "identifier" : { Identifier }, // Business Identifier for item
  "definition" : ["<uri>"], // Defining information about the code of this charge item
  "status" : "<code>", // R!  planned | billable | not-billable | aborted | billed | entered-in-error | unknown
  "partOf" : [{ Reference(ChargeItem) }], // Part of referenced ChargeItem
  "code" : { CodeableConcept }, // R!  A code that identifies the charge, like a billing code
  "subject" : { Reference(Patient|Group) }, // R!  Individual service was done for/to
  "context" : { Reference(Encounter|EpisodeOfCare) }, // Encounter / Episode associated with event
  // occurrence[x]: When the charged service was applied. One of these 3:
  "occurrenceDateTime" : "<dateTime>",
  "occurrencePeriod" : { Period },
  "occurrenceTiming" : { Timing },
  "participant" : [{ // Who performed charged service
    "role" : { CodeableConcept }, // What type of performance was done
    "actor" : { Reference(Practitioner|Organization|Patient|Device|
    RelatedPerson) } // R!  Individual who was performing
  }],
  "performingOrganization" : { Reference(Organization) }, // Organization providing the charged sevice
  "requestingOrganization" : { Reference(Organization) }, // Organization requesting the charged service
  "quantity" : { Quantity }, // Quantity of which the charge item has been serviced
  "bodysite" : [{ CodeableConcept }], // Anatomical location, if relevant
  "factorOverride" : <decimal>, // Factor overriding the associated rules
  "priceOverride" : { Money }, // Price overriding the associated rules
  "overrideReason" : "<string>", // Reason for overriding the list price/factor
  "enterer" : { Reference(Practitioner|Organization|Patient|Device|
   RelatedPerson) }, // Individual who was entering
  "enteredDate" : "<dateTime>", // Date the charge item was entered
  "reason" : [{ CodeableConcept }], // Why was the charged  service rendered?
  "service" : [{ Reference(DiagnosticReport|ImagingStudy|Immunization|
   MedicationAdministration|MedicationDispense|Observation|Procedure|
   SupplyDelivery) }], // Which rendered service is being charged?
  "account" : [{ Reference(Account) }], // Account to place this charge
  "note" : [{ Annotation }], // Comments made about the ChargeItem
  "supportingInformation" : [{ Reference(Any) }] // Further information supporting the this charge
}

Turtle Template

@prefix fhir: <http://hl7.org/fhir/> .


[ a fhir:ChargeItem;
  fhir:nodeRole fhir:treeRoot; # if this is the parser root

  # from Resource: .id, .meta, .implicitRules, and .language
  # from DomainResource: .text, .contained, .extension, and .modifierExtension
  fhir:ChargeItem.identifier [ Identifier ]; # 0..1 Business Identifier for item
  fhir:ChargeItem.definition [ uri ], ... ; # 0..* Defining information about the code of this charge item
  fhir:ChargeItem.status [ code ]; # 1..1 planned | billable | not-billable | aborted | billed | entered-in-error | unknown
  fhir:ChargeItem.partOf [ Reference(ChargeItem) ], ... ; # 0..* Part of referenced ChargeItem
  fhir:ChargeItem.code [ CodeableConcept ]; # 1..1 A code that identifies the charge, like a billing code
  fhir:ChargeItem.subject [ Reference(Patient|Group) ]; # 1..1 Individual service was done for/to
  fhir:ChargeItem.context [ Reference(Encounter|EpisodeOfCare) ]; # 0..1 Encounter / Episode associated with event
  # ChargeItem.occurrence[x] : 0..1 When the charged service was applied. One of these 3
    fhir:ChargeItem.occurrenceDateTime [ dateTime ]
    fhir:ChargeItem.occurrencePeriod [ Period ]
    fhir:ChargeItem.occurrenceTiming [ Timing ]
  fhir:ChargeItem.participant [ # 0..* Who performed charged service
    fhir:ChargeItem.participant.role [ CodeableConcept ]; # 0..1 What type of performance was done
    fhir:ChargeItem.participant.actor [ Reference(Practitioner|Organization|Patient|Device|RelatedPerson) ]; # 1..1 Individual who was performing
  ], ...;
  fhir:ChargeItem.performingOrganization [ Reference(Organization) ]; # 0..1 Organization providing the charged sevice
  fhir:ChargeItem.requestingOrganization [ Reference(Organization) ]; # 0..1 Organization requesting the charged service
  fhir:ChargeItem.quantity [ Quantity ]; # 0..1 Quantity of which the charge item has been serviced
  fhir:ChargeItem.bodysite [ CodeableConcept ], ... ; # 0..* Anatomical location, if relevant
  fhir:ChargeItem.factorOverride [ decimal ]; # 0..1 Factor overriding the associated rules
  fhir:ChargeItem.priceOverride [ Money ]; # 0..1 Price overriding the associated rules
  fhir:ChargeItem.overrideReason [ string ]; # 0..1 Reason for overriding the list price/factor
  fhir:ChargeItem.enterer [ Reference(Practitioner|Organization|Patient|Device|RelatedPerson) ]; # 0..1 Individual who was entering
  fhir:ChargeItem.enteredDate [ dateTime ]; # 0..1 Date the charge item was entered
  fhir:ChargeItem.reason [ CodeableConcept ], ... ; # 0..* Why was the charged  service rendered?
  fhir:ChargeItem.service [ Reference(DiagnosticReport|ImagingStudy|Immunization|MedicationAdministration|
  MedicationDispense|Observation|Procedure|SupplyDelivery) ], ... ; # 0..* Which rendered service is being charged?
  fhir:ChargeItem.account [ Reference(Account) ], ... ; # 0..* Account to place this charge
  fhir:ChargeItem.note [ Annotation ], ... ; # 0..* Comments made about the ChargeItem
  fhir:ChargeItem.supportingInformation [ Reference(Any) ], ... ; # 0..* Further information supporting the this charge
]

Changes since DSTU2

This resource did not exist in Release 2

This analysis is available as XML or JSON.

Alternate definitions: Master Definition (XML, JSON), XML Schema/Schematron + JSON Schema, ShEx (for Turtle) + see the extensions & the dependency analysis

8.27.3.1 Terminology Bindings

Path	Definition	Type	Reference
ChargeItem.status	Codes identifying the stage lifecycle stage of a ChargeItem	Required	ChargeItemStatus
ChargeItem.code	Example set of codes that can be used for billing purposes	Example	ChargeItemCode
ChargeItem.participant.role	Codes describing the types of functional roles performers can take on when performing events	Example	Procedure Performer Role Codes
ChargeItem.bodysite	Codes describing anatomical locations. May include laterality.	Example	SNOMED CT Body Structures
ChargeItem.reason	Example binding for reason	Example	ICD-10 Codes

Path

Definition

Type

Reference

ChargeItem.status

Codes identifying the stage lifecycle stage of a ChargeItem

Required

ChargeItemStatus

ChargeItem.code

Example set of codes that can be used for billing purposes

Example

ChargeItemCode

ChargeItem.participant.role

Codes describing the types of functional roles performers can take on when performing events

Example

Procedure Performer Role Codes

ChargeItem.bodysite

Codes describing anatomical locations. May include laterality.

Example

SNOMED CT Body Structures

ChargeItem.reason

Example binding for reason

Example

ICD-10 Codes

8.27.4 Search Parameters

Search parameters for this resource. The common parameters also apply. See Searching for more information about searching in REST, messaging, and services.

Name	Type	Description	Expression	In Common
account	reference	Account to place this charge	ChargeItem.account (Account)
code	token	A code that identifies the charge, like a billing code	ChargeItem.code
context	reference	Encounter / Episode associated with event	ChargeItem.context (EpisodeOfCare, Encounter)
entered-date	date	Date the charge item was entered	ChargeItem.enteredDate
enterer	reference	Individual who was entering	ChargeItem.enterer (Practitioner, Organization, Device, Patient, RelatedPerson)
factor-override	number	Factor overriding the associated rules	ChargeItem.factorOverride
identifier	token	Business Identifier for item	ChargeItem.identifier
occurrence	date	When the charged service was applied	ChargeItem.occurrence
participant-actor	reference	Individual who was performing	ChargeItem.participant.actor (Practitioner, Organization, Device, Patient, RelatedPerson)
participant-role	token	What type of performance was done	ChargeItem.participant.role
patient	reference	Individual service was done for/to	ChargeItem.subject (Patient)
performing-organization	reference	Organization providing the charged sevice	ChargeItem.performingOrganization (Organization)
price-override	quantity	Price overriding the associated rules	ChargeItem.priceOverride
quantity	quantity	Quantity of which the charge item has been serviced	ChargeItem.quantity
requesting-organization	reference	Organization requesting the charged service	ChargeItem.requestingOrganization (Organization)
service	reference	Which rendered service is being charged?	ChargeItem.service (Immunization, MedicationDispense, SupplyDelivery, Observation, DiagnosticReport, ImagingStudy, MedicationAdministration, Procedure)
subject	reference	Individual service was done for/to	ChargeItem.subject (Group, Patient)