This page is part of the FHIR Specification v6.0.0-ballot1: Release 6 Ballot (1st Draft) (see Ballot Notes). The current version is 5.0.0. For a full list of available versions, see the Directory of published versions
Patient Administration Work Group | Maturity Level: 1 | Trial Use | Security Category: Business | Compartments: No defined compartments |
The ChargeItemDefinition resource provides the properties that apply to the (billing) codes necessary to calculate costs and prices. The properties may differ largely depending on type and realm, therefore this resource gives only a rough structure and requires profiling for each type of billing code system.
The ChargeItemDefinition holds all relevant billing information pertaining to a billing code or a product.
Many billing systems have rules associated with the code which may define whether a billing code is applicable in a specific context or whether certain billing details (surcharges, discounts) apply. ChargeItemDefinitions may also be used to hold pricing information pertaining to only one specific instance of a product (e.g. Device, Medication or Substance) which may be a requirement for custom made devices or medications or other products where prices vary by instance. Rules for applicability may include
A billing engine will apply the ChargeItemDefinitions to all ChargeItems within a specific Account in order to select all billable items an acquire the pricing details to create an Invoice. However, ChargeItems may be validated against a ChargeItemDefinition at any point in time, using the $apply-Operation
While the ChargeItem resource represents the occurrence of a billing code (for services rendered or products supplied to a specific patient), the ChargeItemDefinition represents the properties and rules that a billing engine needs to determine the pricing and applicability of a billing code in the context of a specific setting.
Billing Codes may be defined in a CodeSystem Resource, however, each of these codes - if it is used in a financial context - can have a large number of business rules and properties associated with it, that lay outside the scope of CodeSystem and may change in time independently from the underlying Code's validity period. Even though CodeSystem can associate a concept with any number of additional properties, such a construct would be very hard to maintain. This is why the ChargItemDefinition has been introduced. It allows to maintain the attributes of each billing code independently and has a wider scope to also include business rules.
In most use cases, billing codes will be both defined as semantical concepts in a CodeSystem and as a financial artifact in ChargeItemDefinition.
ChargeItemDefinitions that pertain to codes from the same CodeSystem may be aggregated using the Catalog profile for Composition.
Resources representing products that can be sold or billed (Device, Medication, Substance...), do not specify financial details for the product instance. Most of the time, such products are not billed seperately but are a part of a generic billing code that covers both the product and the service rendered. In some occasions however, product prices may vary depending on type or manufactuer or even on instance (e.g. custom made products). For these cases, ChargeItemDefinitions may be created to specify the financial details for a product kind, type or instance.
Structure
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
ChargeItemDefinition | TU | DomainResource | Definition of properties and rules about how the price and the applicability of a ChargeItem can be determined + Warning: Name should be usable as an identifier for the module by machine processing applications such as code generation Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension Interfaces Implemented: MetadataResource | |
url | ΣC | 0..1 | uri | Canonical identifier for this charge item definition, represented as a URI (globally unique) + Warning: URL should not contain | or # - these characters make processing canonical references problematic |
identifier | Σ | 0..* | Identifier | Additional identifier for the charge item definition |
version | Σ | 0..1 | string | Business version of the charge item definition |
versionAlgorithm[x] | Σ | 0..1 | How to compare versions Binding: Version Algorithm (Extensible) | |
versionAlgorithmString | string | |||
versionAlgorithmCoding | Coding | |||
name | ΣC | 0..1 | string | Name for this charge item definition (computer friendly) |
title | ΣT | 0..1 | string | Name for this charge item definition (human friendly) |
derivedFromUri | Σ | 0..* | uri | Underlying externally-defined charge item definition |
partOf | Σ | 0..* | canonical(ChargeItemDefinition) | A larger definition of which this particular definition is a component or step |
replaces | Σ | 0..* | canonical(ChargeItemDefinition) | Completed or terminated request(s) whose function is taken by this new request |
status | ?!Σ | 1..1 | code | draft | active | retired | unknown Binding: PublicationStatus (Required) |
experimental | Σ | 0..1 | boolean | For testing purposes, not real usage |
date | Σ | 0..1 | dateTime | Date last changed |
publisher | ΣT | 0..1 | string | Name of the publisher/steward (organization or individual) |
contact | Σ | 0..* | ContactDetail | Contact details for the publisher |
description | ΣT | 0..1 | markdown | Natural language description of the charge item definition |
useContext | Σ | 0..* | UsageContext | The context that the content is intended to support |
jurisdiction | ΣXD | 0..* | CodeableConcept | Intended jurisdiction for charge item definition (if applicable) Binding: Jurisdiction ValueSet (Extensible) |
purpose | T | 0..1 | markdown | Why this charge item definition is defined |
copyright | T | 0..1 | markdown | Use and/or publishing restrictions |
copyrightLabel | T | 0..1 | string | Copyright holder and year(s) |
approvalDate | 0..1 | date | When the charge item definition was approved by publisher | |
lastReviewDate | 0..1 | date | When the charge item definition was last reviewed by the publisher | |
code | Σ | 0..1 | CodeableConcept | Billing code or product type this definition applies to Binding: Charge Item Code (Example) |
instance | 0..* | Reference(Medication | Substance | Device | DeviceDefinition | ActivityDefinition | PlanDefinition | HealthcareService) | Instances this definition applies to | |
applicability | 0..* | BackboneElement | Whether or not the billing code is applicable | |
condition | 0..1 | Expression | Boolean-valued expression | |
effectivePeriod | Σ | 0..1 | Period | When the charge item definition is expected to be used |
relatedArtifact | 0..1 | RelatedArtifact | Reference to / quotation of the external source of the group of properties | |
propertyGroup | 0..* | BackboneElement | Group of properties which are applicable under the same conditions | |
applicability | 0..* | see applicability | Conditions under which the priceComponent is applicable | |
priceComponent | 0..* | MonetaryComponent | Components of total line item price | |
Documentation for this format |
See the Extensions for this resource
UML Diagram (Legend)
XML Template
<ChargeItemDefinition xmlns="http://hl7.org/fhir"> <!-- from Resource: id, meta, implicitRules, and language --> <!-- from DomainResource: text, contained, extension, and modifierExtension --> <url value="[uri]"/><!-- 0..1 Canonical identifier for this charge item definition, represented as a URI (globally unique) --> <identifier><!-- 0..* Identifier Additional identifier for the charge item definition --></identifier> <version value="[string]"/><!-- 0..1 Business version of the charge item definition --> <versionAlgorithm[x]><!-- 0..1 string|Coding How to compare versions --></versionAlgorithm[x]> <name value="[string]"/><!-- I 0..1 Name for this charge item definition (computer friendly) --> <title value="[string]"/><!-- 0..1 Name for this charge item definition (human friendly) --> <derivedFromUri value="[uri]"/><!-- 0..* Underlying externally-defined charge item definition --> <partOf><!-- 0..* canonical(ChargeItemDefinition) A larger definition of which this particular definition is a component or step --></partOf> <replaces><!-- 0..* canonical(ChargeItemDefinition) Completed or terminated request(s) whose function is taken by this new request --></replaces> <status value="[code]"/><!-- 1..1 draft | active | retired | unknown --> <experimental value="[boolean]"/><!-- 0..1 For testing purposes, not real usage --> <date value="[dateTime]"/><!-- 0..1 Date last changed --> <publisher value="[string]"/><!-- 0..1 Name of the publisher/steward (organization or individual) --> <contact><!-- 0..* ContactDetail Contact details for the publisher --></contact> <description value="[markdown]"/><!-- 0..1 Natural language description of the charge item definition --> <useContext><!-- 0..* UsageContext The context that the content is intended to support --></useContext> <jurisdiction><!-- 0..* CodeableConcept Intended jurisdiction for charge item definition (if applicable) --></jurisdiction> <purpose value="[markdown]"/><!-- 0..1 Why this charge item definition is defined --> <copyright value="[markdown]"/><!-- 0..1 Use and/or publishing restrictions --> <copyrightLabel value="[string]"/><!-- 0..1 Copyright holder and year(s) --> <approvalDate value="[date]"/><!-- 0..1 When the charge item definition was approved by publisher --> <lastReviewDate value="[date]"/><!-- 0..1 When the charge item definition was last reviewed by the publisher --> <code><!-- 0..1 CodeableConcept Billing code or product type this definition applies to --></code> <instance><!-- 0..* Reference(ActivityDefinition|Device|DeviceDefinition| HealthcareService|Medication|PlanDefinition|Substance) Instances this definition applies to --></instance> <applicability> <!-- 0..* Whether or not the billing code is applicable --> <condition><!-- 0..1 Expression Boolean-valued expression --></condition> <effectivePeriod><!-- 0..1 Period When the charge item definition is expected to be used --></effectivePeriod> <relatedArtifact><!-- 0..1 RelatedArtifact Reference to / quotation of the external source of the group of properties --></relatedArtifact> </applicability> <propertyGroup> <!-- 0..* Group of properties which are applicable under the same conditions --> <applicability><!-- 0..* Content as for ChargeItemDefinition.applicability Conditions under which the priceComponent is applicable --></applicability> <priceComponent><!-- 0..* MonetaryComponent Components of total line item price --></priceComponent> </propertyGroup> </ChargeItemDefinition>
JSON Template
{ "resourceType" : "ChargeItemDefinition", // from Resource: id, meta, implicitRules, and language // from DomainResource: text, contained, extension, and modifierExtension "url" : "<uri>", // Canonical identifier for this charge item definition, represented as a URI (globally unique) "identifier" : [{ Identifier }], // Additional identifier for the charge item definition "version" : "<string>", // Business version of the charge item definition // versionAlgorithm[x]: How to compare versions. One of these 2: "versionAlgorithmString" : "<string>", "versionAlgorithmCoding" : { Coding }, "name" : "<string>", // I Name for this charge item definition (computer friendly) "title" : "<string>", // Name for this charge item definition (human friendly) "derivedFromUri" : ["<uri>"], // Underlying externally-defined charge item definition "partOf" : ["<canonical(ChargeItemDefinition)>"], // A larger definition of which this particular definition is a component or step "replaces" : ["<canonical(ChargeItemDefinition)>"], // Completed or terminated request(s) whose function is taken by this new request "status" : "<code>", // R! draft | active | retired | unknown "experimental" : <boolean>, // For testing purposes, not real usage "date" : "<dateTime>", // Date last changed "publisher" : "<string>", // Name of the publisher/steward (organization or individual) "contact" : [{ ContactDetail }], // Contact details for the publisher "description" : "<markdown>", // Natural language description of the charge item definition "useContext" : [{ UsageContext }], // The context that the content is intended to support "jurisdiction" : [{ CodeableConcept }], // Intended jurisdiction for charge item definition (if applicable) "purpose" : "<markdown>", // Why this charge item definition is defined "copyright" : "<markdown>", // Use and/or publishing restrictions "copyrightLabel" : "<string>", // Copyright holder and year(s) "approvalDate" : "<date>", // When the charge item definition was approved by publisher "lastReviewDate" : "<date>", // When the charge item definition was last reviewed by the publisher "code" : { CodeableConcept }, // Billing code or product type this definition applies to "instance" : [{ Reference(ActivityDefinition|Device|DeviceDefinition| HealthcareService|Medication|PlanDefinition|Substance) }], // Instances this definition applies to "applicability" : [{ // Whether or not the billing code is applicable "condition" : { Expression }, // Boolean-valued expression "effectivePeriod" : { Period }, // When the charge item definition is expected to be used "relatedArtifact" : { RelatedArtifact } // Reference to / quotation of the external source of the group of properties }], "propertyGroup" : [{ // Group of properties which are applicable under the same conditions "applicability" : [{ Content as for ChargeItemDefinition.applicability }], // Conditions under which the priceComponent is applicable "priceComponent" : [{ MonetaryComponent }] // Components of total line item price }] }
Turtle Template
@prefix fhir: <http://hl7.org/fhir/> . [ a fhir:ChargeItemDefinition; 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:url [ uri ] ; # 0..1 Canonical identifier for this charge item definition, represented as a URI (globally unique) fhir:identifier ( [ Identifier ] ... ) ; # 0..* Additional identifier for the charge item definition fhir:version [ string ] ; # 0..1 Business version of the charge item definition # versionAlgorithm[x] : 0..1 How to compare versions. One of these 2 fhir:versionAlgorithm [ a fhir:string ; string ] fhir:versionAlgorithm [ a fhir:Coding ; Coding ] fhir:name [ string ] ; # 0..1 I Name for this charge item definition (computer friendly) fhir:title [ string ] ; # 0..1 Name for this charge item definition (human friendly) fhir:derivedFromUri ( [ uri ] ... ) ; # 0..* Underlying externally-defined charge item definition fhir:partOf ( [ canonical(ChargeItemDefinition) ] ... ) ; # 0..* A larger definition of which this particular definition is a component or step fhir:replaces ( [ canonical(ChargeItemDefinition) ] ... ) ; # 0..* Completed or terminated request(s) whose function is taken by this new request fhir:status [ code ] ; # 1..1 draft | active | retired | unknown fhir:experimental [ boolean ] ; # 0..1 For testing purposes, not real usage fhir:date [ dateTime ] ; # 0..1 Date last changed fhir:publisher [ string ] ; # 0..1 Name of the publisher/steward (organization or individual) fhir:contact ( [ ContactDetail ] ... ) ; # 0..* Contact details for the publisher fhir:description [ markdown ] ; # 0..1 Natural language description of the charge item definition fhir:useContext ( [ UsageContext ] ... ) ; # 0..* The context that the content is intended to support fhir:jurisdiction ( [ CodeableConcept ] ... ) ; # 0..* Intended jurisdiction for charge item definition (if applicable) fhir:purpose [ markdown ] ; # 0..1 Why this charge item definition is defined fhir:copyright [ markdown ] ; # 0..1 Use and/or publishing restrictions fhir:copyrightLabel [ string ] ; # 0..1 Copyright holder and year(s) fhir:approvalDate [ date ] ; # 0..1 When the charge item definition was approved by publisher fhir:lastReviewDate [ date ] ; # 0..1 When the charge item definition was last reviewed by the publisher fhir:code [ CodeableConcept ] ; # 0..1 Billing code or product type this definition applies to fhir:instance ( [ Reference(ActivityDefinition|Device|DeviceDefinition|HealthcareService|Medication| PlanDefinition|Substance) ] ... ) ; # 0..* Instances this definition applies to fhir:applicability ( [ # 0..* Whether or not the billing code is applicable fhir:condition [ Expression ] ; # 0..1 Boolean-valued expression fhir:effectivePeriod [ Period ] ; # 0..1 When the charge item definition is expected to be used fhir:relatedArtifact [ RelatedArtifact ] ; # 0..1 Reference to / quotation of the external source of the group of properties ] ... ) ; fhir:propertyGroup ( [ # 0..* Group of properties which are applicable under the same conditions fhir:applicability ( [ See ChargeItemDefinition.applicability ] ... ) ; # 0..* Conditions under which the priceComponent is applicable fhir:priceComponent ( [ MonetaryComponent ] ... ) ; # 0..* Components of total line item price ] ... ) ; ]
Changes from both R4 and R4B
ChargeItemDefinition | |
ChargeItemDefinition.url |
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ChargeItemDefinition.versionAlgorithm[x] |
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ChargeItemDefinition.name |
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ChargeItemDefinition.purpose |
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ChargeItemDefinition.copyrightLabel |
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ChargeItemDefinition.instance |
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ChargeItemDefinition.applicability.condition |
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ChargeItemDefinition.applicability.effectivePeriod |
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ChargeItemDefinition.applicability.relatedArtifact |
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ChargeItemDefinition.propertyGroup.priceComponent |
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ChargeItemDefinition.effectivePeriod |
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ChargeItemDefinition.applicability.description |
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ChargeItemDefinition.applicability.language |
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ChargeItemDefinition.applicability.expression |
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ChargeItemDefinition.propertyGroup.priceComponent.type |
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ChargeItemDefinition.propertyGroup.priceComponent.code |
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ChargeItemDefinition.propertyGroup.priceComponent.factor |
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ChargeItemDefinition.propertyGroup.priceComponent.amount |
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See the Full Difference for further information
This analysis is available for R4 as XML or JSON and for R4B as XML or JSON.
Structure
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
ChargeItemDefinition | TU | DomainResource | Definition of properties and rules about how the price and the applicability of a ChargeItem can be determined + Warning: Name should be usable as an identifier for the module by machine processing applications such as code generation Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension Interfaces Implemented: MetadataResource | |
url | ΣC | 0..1 | uri | Canonical identifier for this charge item definition, represented as a URI (globally unique) + Warning: URL should not contain | or # - these characters make processing canonical references problematic |
identifier | Σ | 0..* | Identifier | Additional identifier for the charge item definition |
version | Σ | 0..1 | string | Business version of the charge item definition |
versionAlgorithm[x] | Σ | 0..1 | How to compare versions Binding: Version Algorithm (Extensible) | |
versionAlgorithmString | string | |||
versionAlgorithmCoding | Coding | |||
name | ΣC | 0..1 | string | Name for this charge item definition (computer friendly) |
title | ΣT | 0..1 | string | Name for this charge item definition (human friendly) |
derivedFromUri | Σ | 0..* | uri | Underlying externally-defined charge item definition |
partOf | Σ | 0..* | canonical(ChargeItemDefinition) | A larger definition of which this particular definition is a component or step |
replaces | Σ | 0..* | canonical(ChargeItemDefinition) | Completed or terminated request(s) whose function is taken by this new request |
status | ?!Σ | 1..1 | code | draft | active | retired | unknown Binding: PublicationStatus (Required) |
experimental | Σ | 0..1 | boolean | For testing purposes, not real usage |
date | Σ | 0..1 | dateTime | Date last changed |
publisher | ΣT | 0..1 | string | Name of the publisher/steward (organization or individual) |
contact | Σ | 0..* | ContactDetail | Contact details for the publisher |
description | ΣT | 0..1 | markdown | Natural language description of the charge item definition |
useContext | Σ | 0..* | UsageContext | The context that the content is intended to support |
jurisdiction | ΣXD | 0..* | CodeableConcept | Intended jurisdiction for charge item definition (if applicable) Binding: Jurisdiction ValueSet (Extensible) |
purpose | T | 0..1 | markdown | Why this charge item definition is defined |
copyright | T | 0..1 | markdown | Use and/or publishing restrictions |
copyrightLabel | T | 0..1 | string | Copyright holder and year(s) |
approvalDate | 0..1 | date | When the charge item definition was approved by publisher | |
lastReviewDate | 0..1 | date | When the charge item definition was last reviewed by the publisher | |
code | Σ | 0..1 | CodeableConcept | Billing code or product type this definition applies to Binding: Charge Item Code (Example) |
instance | 0..* | Reference(Medication | Substance | Device | DeviceDefinition | ActivityDefinition | PlanDefinition | HealthcareService) | Instances this definition applies to | |
applicability | 0..* | BackboneElement | Whether or not the billing code is applicable | |
condition | 0..1 | Expression | Boolean-valued expression | |
effectivePeriod | Σ | 0..1 | Period | When the charge item definition is expected to be used |
relatedArtifact | 0..1 | RelatedArtifact | Reference to / quotation of the external source of the group of properties | |
propertyGroup | 0..* | BackboneElement | Group of properties which are applicable under the same conditions | |
applicability | 0..* | see applicability | Conditions under which the priceComponent is applicable | |
priceComponent | 0..* | MonetaryComponent | Components of total line item price | |
Documentation for this format |
See the Extensions for this resource
XML Template
<ChargeItemDefinition xmlns="http://hl7.org/fhir"> <!-- from Resource: id, meta, implicitRules, and language --> <!-- from DomainResource: text, contained, extension, and modifierExtension --> <url value="[uri]"/><!-- 0..1 Canonical identifier for this charge item definition, represented as a URI (globally unique) --> <identifier><!-- 0..* Identifier Additional identifier for the charge item definition --></identifier> <version value="[string]"/><!-- 0..1 Business version of the charge item definition --> <versionAlgorithm[x]><!-- 0..1 string|Coding How to compare versions --></versionAlgorithm[x]> <name value="[string]"/><!-- I 0..1 Name for this charge item definition (computer friendly) --> <title value="[string]"/><!-- 0..1 Name for this charge item definition (human friendly) --> <derivedFromUri value="[uri]"/><!-- 0..* Underlying externally-defined charge item definition --> <partOf><!-- 0..* canonical(ChargeItemDefinition) A larger definition of which this particular definition is a component or step --></partOf> <replaces><!-- 0..* canonical(ChargeItemDefinition) Completed or terminated request(s) whose function is taken by this new request --></replaces> <status value="[code]"/><!-- 1..1 draft | active | retired | unknown --> <experimental value="[boolean]"/><!-- 0..1 For testing purposes, not real usage --> <date value="[dateTime]"/><!-- 0..1 Date last changed --> <publisher value="[string]"/><!-- 0..1 Name of the publisher/steward (organization or individual) --> <contact><!-- 0..* ContactDetail Contact details for the publisher --></contact> <description value="[markdown]"/><!-- 0..1 Natural language description of the charge item definition --> <useContext><!-- 0..* UsageContext The context that the content is intended to support --></useContext> <jurisdiction><!-- 0..* CodeableConcept Intended jurisdiction for charge item definition (if applicable) --></jurisdiction> <purpose value="[markdown]"/><!-- 0..1 Why this charge item definition is defined --> <copyright value="[markdown]"/><!-- 0..1 Use and/or publishing restrictions --> <copyrightLabel value="[string]"/><!-- 0..1 Copyright holder and year(s) --> <approvalDate value="[date]"/><!-- 0..1 When the charge item definition was approved by publisher --> <lastReviewDate value="[date]"/><!-- 0..1 When the charge item definition was last reviewed by the publisher --> <code><!-- 0..1 CodeableConcept Billing code or product type this definition applies to --></code> <instance><!-- 0..* Reference(ActivityDefinition|Device|DeviceDefinition| HealthcareService|Medication|PlanDefinition|Substance) Instances this definition applies to --></instance> <applicability> <!-- 0..* Whether or not the billing code is applicable --> <condition><!-- 0..1 Expression Boolean-valued expression --></condition> <effectivePeriod><!-- 0..1 Period When the charge item definition is expected to be used --></effectivePeriod> <relatedArtifact><!-- 0..1 RelatedArtifact Reference to / quotation of the external source of the group of properties --></relatedArtifact> </applicability> <propertyGroup> <!-- 0..* Group of properties which are applicable under the same conditions --> <applicability><!-- 0..* Content as for ChargeItemDefinition.applicability Conditions under which the priceComponent is applicable --></applicability> <priceComponent><!-- 0..* MonetaryComponent Components of total line item price --></priceComponent> </propertyGroup> </ChargeItemDefinition>
JSON Template
{ "resourceType" : "ChargeItemDefinition", // from Resource: id, meta, implicitRules, and language // from DomainResource: text, contained, extension, and modifierExtension "url" : "<uri>", // Canonical identifier for this charge item definition, represented as a URI (globally unique) "identifier" : [{ Identifier }], // Additional identifier for the charge item definition "version" : "<string>", // Business version of the charge item definition // versionAlgorithm[x]: How to compare versions. One of these 2: "versionAlgorithmString" : "<string>", "versionAlgorithmCoding" : { Coding }, "name" : "<string>", // I Name for this charge item definition (computer friendly) "title" : "<string>", // Name for this charge item definition (human friendly) "derivedFromUri" : ["<uri>"], // Underlying externally-defined charge item definition "partOf" : ["<canonical(ChargeItemDefinition)>"], // A larger definition of which this particular definition is a component or step "replaces" : ["<canonical(ChargeItemDefinition)>"], // Completed or terminated request(s) whose function is taken by this new request "status" : "<code>", // R! draft | active | retired | unknown "experimental" : <boolean>, // For testing purposes, not real usage "date" : "<dateTime>", // Date last changed "publisher" : "<string>", // Name of the publisher/steward (organization or individual) "contact" : [{ ContactDetail }], // Contact details for the publisher "description" : "<markdown>", // Natural language description of the charge item definition "useContext" : [{ UsageContext }], // The context that the content is intended to support "jurisdiction" : [{ CodeableConcept }], // Intended jurisdiction for charge item definition (if applicable) "purpose" : "<markdown>", // Why this charge item definition is defined "copyright" : "<markdown>", // Use and/or publishing restrictions "copyrightLabel" : "<string>", // Copyright holder and year(s) "approvalDate" : "<date>", // When the charge item definition was approved by publisher "lastReviewDate" : "<date>", // When the charge item definition was last reviewed by the publisher "code" : { CodeableConcept }, // Billing code or product type this definition applies to "instance" : [{ Reference(ActivityDefinition|Device|DeviceDefinition| HealthcareService|Medication|PlanDefinition|Substance) }], // Instances this definition applies to "applicability" : [{ // Whether or not the billing code is applicable "condition" : { Expression }, // Boolean-valued expression "effectivePeriod" : { Period }, // When the charge item definition is expected to be used "relatedArtifact" : { RelatedArtifact } // Reference to / quotation of the external source of the group of properties }], "propertyGroup" : [{ // Group of properties which are applicable under the same conditions "applicability" : [{ Content as for ChargeItemDefinition.applicability }], // Conditions under which the priceComponent is applicable "priceComponent" : [{ MonetaryComponent }] // Components of total line item price }] }
Turtle Template
@prefix fhir: <http://hl7.org/fhir/> . [ a fhir:ChargeItemDefinition; 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:url [ uri ] ; # 0..1 Canonical identifier for this charge item definition, represented as a URI (globally unique) fhir:identifier ( [ Identifier ] ... ) ; # 0..* Additional identifier for the charge item definition fhir:version [ string ] ; # 0..1 Business version of the charge item definition # versionAlgorithm[x] : 0..1 How to compare versions. One of these 2 fhir:versionAlgorithm [ a fhir:string ; string ] fhir:versionAlgorithm [ a fhir:Coding ; Coding ] fhir:name [ string ] ; # 0..1 I Name for this charge item definition (computer friendly) fhir:title [ string ] ; # 0..1 Name for this charge item definition (human friendly) fhir:derivedFromUri ( [ uri ] ... ) ; # 0..* Underlying externally-defined charge item definition fhir:partOf ( [ canonical(ChargeItemDefinition) ] ... ) ; # 0..* A larger definition of which this particular definition is a component or step fhir:replaces ( [ canonical(ChargeItemDefinition) ] ... ) ; # 0..* Completed or terminated request(s) whose function is taken by this new request fhir:status [ code ] ; # 1..1 draft | active | retired | unknown fhir:experimental [ boolean ] ; # 0..1 For testing purposes, not real usage fhir:date [ dateTime ] ; # 0..1 Date last changed fhir:publisher [ string ] ; # 0..1 Name of the publisher/steward (organization or individual) fhir:contact ( [ ContactDetail ] ... ) ; # 0..* Contact details for the publisher fhir:description [ markdown ] ; # 0..1 Natural language description of the charge item definition fhir:useContext ( [ UsageContext ] ... ) ; # 0..* The context that the content is intended to support fhir:jurisdiction ( [ CodeableConcept ] ... ) ; # 0..* Intended jurisdiction for charge item definition (if applicable) fhir:purpose [ markdown ] ; # 0..1 Why this charge item definition is defined fhir:copyright [ markdown ] ; # 0..1 Use and/or publishing restrictions fhir:copyrightLabel [ string ] ; # 0..1 Copyright holder and year(s) fhir:approvalDate [ date ] ; # 0..1 When the charge item definition was approved by publisher fhir:lastReviewDate [ date ] ; # 0..1 When the charge item definition was last reviewed by the publisher fhir:code [ CodeableConcept ] ; # 0..1 Billing code or product type this definition applies to fhir:instance ( [ Reference(ActivityDefinition|Device|DeviceDefinition|HealthcareService|Medication| PlanDefinition|Substance) ] ... ) ; # 0..* Instances this definition applies to fhir:applicability ( [ # 0..* Whether or not the billing code is applicable fhir:condition [ Expression ] ; # 0..1 Boolean-valued expression fhir:effectivePeriod [ Period ] ; # 0..1 When the charge item definition is expected to be used fhir:relatedArtifact [ RelatedArtifact ] ; # 0..1 Reference to / quotation of the external source of the group of properties ] ... ) ; fhir:propertyGroup ( [ # 0..* Group of properties which are applicable under the same conditions fhir:applicability ( [ See ChargeItemDefinition.applicability ] ... ) ; # 0..* Conditions under which the priceComponent is applicable fhir:priceComponent ( [ MonetaryComponent ] ... ) ; # 0..* Components of total line item price ] ... ) ; ]
Changes from both R4 and R4B
ChargeItemDefinition | |
ChargeItemDefinition.url |
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ChargeItemDefinition.versionAlgorithm[x] |
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ChargeItemDefinition.name |
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ChargeItemDefinition.purpose |
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ChargeItemDefinition.copyrightLabel |
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ChargeItemDefinition.instance |
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ChargeItemDefinition.applicability.condition |
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ChargeItemDefinition.applicability.effectivePeriod |
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ChargeItemDefinition.applicability.relatedArtifact |
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ChargeItemDefinition.propertyGroup.priceComponent |
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ChargeItemDefinition.effectivePeriod |
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ChargeItemDefinition.applicability.description |
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ChargeItemDefinition.applicability.language |
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ChargeItemDefinition.applicability.expression |
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ChargeItemDefinition.propertyGroup.priceComponent.type |
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ChargeItemDefinition.propertyGroup.priceComponent.code |
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ChargeItemDefinition.propertyGroup.priceComponent.factor |
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ChargeItemDefinition.propertyGroup.priceComponent.amount |
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See the Full Difference for further information
This analysis is available for R4 as XML or JSON and for R4B as XML or JSON.
Additional definitions: Master Definition XML + JSON, XML Schema/Schematron + JSON Schema, ShEx (for Turtle) , the spreadsheet version & the dependency analysis
Path | ValueSet | Type | Documentation |
---|---|---|---|
ChargeItemDefinition.versionAlgorithm[x] | VersionAlgorithm | Extensible | Indicates the mechanism used to compare versions to determine which is more current. |
ChargeItemDefinition.status | PublicationStatus | Required | The lifecycle status of an artifact. |
ChargeItemDefinition.jurisdiction | JurisdictionValueSet | Extensible | This value set defines a base set of codes for country, country subdivision and region for indicating where a resource is intended to be used. Note: The codes for countries and country subdivisions are taken from ISO 3166 while the codes for "supra-national" regions are from UN Standard country or area codes for statistical use (M49) . |
ChargeItemDefinition.code | ChargeItemCode | Example | Example set of codes that can be used for billing purposes. |
UniqueKey | Level | Location | Description | Expression |
cnl-0 | Warning | (base) | Name should be usable as an identifier for the module by machine processing applications such as code generation | name.exists() implies name.matches('^[A-Z]([A-Za-z0-9_]){1,254}$') |
cnl-1 | Warning | ChargeItemDefinition.url | URL should not contain | or # - these characters make processing canonical references problematic | exists() implies matches('^[^|# ]+$') |
Search parameters for this resource. See also the full list of search parameters for this resource, and check the Extensions registry for search parameters on extensions related to 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 |
context | token | A use context assigned to the charge item definition | (ChargeItemDefinition.useContext.value.ofType(CodeableConcept)) | 30 Resources |
context-quantity | quantity | A quantity- or range-valued use context assigned to the charge item definition | (ChargeItemDefinition.useContext.value.ofType(Quantity)) | (ChargeItemDefinition.useContext.value.ofType(Range)) | 30 Resources |
context-type | token | A type of use context assigned to the charge item definition | ChargeItemDefinition.useContext.code | 30 Resources |
context-type-quantity | composite | A use context type and quantity- or range-based value assigned to the charge item definition | On ChargeItemDefinition.useContext: context-type: code context-quantity: value.ofType(Quantity) | value.ofType(Range) | 30 Resources |
context-type-value | composite | A use context type and value assigned to the charge item definition | On ChargeItemDefinition.useContext: context-type: code context: value.ofType(CodeableConcept) | 30 Resources |
date | date | The charge item definition publication date | ChargeItemDefinition.date | 30 Resources |
description | string | The description of the charge item definition | ChargeItemDefinition.description | 28 Resources |
effective | date | The time during which the charge item definition is intended to be in use | ChargeItemDefinition.applicability.effectivePeriod | 12 Resources |
identifier | token | External identifier for the charge item definition | ChargeItemDefinition.identifier | 35 Resources |
jurisdiction | token | Intended jurisdiction for the charge item definition | ChargeItemDefinition.jurisdiction | 26 Resources |
publisher | string | Name of the publisher of the charge item definition | ChargeItemDefinition.publisher | 30 Resources |
status | token | The current status of the charge item definition | ChargeItemDefinition.status | 36 Resources |
title | string | The human-friendly name of the charge item definition | ChargeItemDefinition.title | 27 Resources |
url | uri | The uri that identifies the charge item definition | ChargeItemDefinition.url | 35 Resources |
version | token | The business version of the charge item definition | ChargeItemDefinition.version | 30 Resources |