FHIR to OMOP FHIR IG
1.0.0-ballot - INFORMATIVE 1 - Ballot International flag

This page is part of the Vulcan FHIR to OMOP FHIR Implementation Guide (v1.0.0-ballot: INFORMATIVE 1 Ballot 1) based on FHIR (HL7® FHIR® Standard) v5.0.0. No current official version has been published yet. For a full list of available versions, see the Directory of published versions

Logical Model: Cost OMOP Table

Official URL: http://hl7.org/fhir/uv/omop/StructureDefinition/Cost Version: 1.0.0-ballot
Standards status: Informative Maturity Level: 1 Computable Name: Cost

The COST table captures records containing the cost of any medical event recorded in one of the OMOP clinical event tables such as DRUG_EXPOSURE, PROCEDURE_OCCURRENCE, VISIT_OCCURRENCE, VISIT_DETAIL, DEVICE_OCCURRENCE, OBSERVATION or MEASUREMENT.

Each record in the cost table account for the amount of money transacted for the clinical event. So, the COST table may be used to represent both receivables (charges) and payments (paid), each transaction type represented by its COST_CONCEPT_ID. The COST_TYPE_CONCEPT_ID field will use concepts in the Standardized Vocabularies to designate the source (provenance) of the cost data. A reference to the health plan information in the PAYER_PLAN_PERIOD table is stored in the record for information used for the adjudication system to determine the persons benefit for the clinical event.

Usages:

  • This Logical Model is not used by any profiles in this Implementation Guide

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
.. Cost 0..* Base Cost OMOP Table
Instances of this logical model can be the target of a Reference
... cost_id 1..1 code Cost Identifier
... cost_event_id 1..1 integer Cost Event Identifier
... cost_domain_id 1..1 string Cost Domain Identifier
... currency_concept_id 0..1 code Currency
... total_charge 0..1 integer Total Charge
... total_cost 0..1 integer Total Cost
... total_paid 0..1 integer Total Paid
... paid_by_payer 0..1 integer Paid by Payer
... paid_by_patient 0..1 integer Paid by Patient
... paid_patient_copay 0..1 integer Paid Patient Copay
... paid_patient_coinsurance 0..1 integer Paid Patient Coinsurance
... paid_patient_deductible 0..1 integer Paid Patient Deductible
... paid_by_primary 0..1 integer Paid by Primary
... paid_ingredient_cost 0..1 integer Paid Ingredent Cost
... paid_dispensing_fee 0..1 integer Paid Dispensing Fee
... payer_plan_period_id 0..1 Reference(Payer Plan Period OMOP Table) Payer Plan Period
... amount_allowed 0..1 integer Amount Allowed
... revenue_code_concept_id 0..1 code Revenue Code
... revenue_code_source_value 0..1 string Revenue Code Source Value
... drg_concept_id 0..1 integer Diagnosis Related Groups
... drg_source_value 0..1 string Diagnosis Related Groups Source Value

doco Documentation for this format

This structure is derived from Base

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Cost 0..* Base Cost OMOP Table
Instances of this logical model can be the target of a Reference
... cost_id 1..1 code Cost Identifier
... cost_event_id 1..1 integer Cost Event Identifier
... cost_domain_id 1..1 string Cost Domain Identifier
... currency_concept_id 0..1 code Currency
... total_charge 0..1 integer Total Charge
... total_cost 0..1 integer Total Cost
... total_paid 0..1 integer Total Paid
... paid_by_payer 0..1 integer Paid by Payer
... paid_by_patient 0..1 integer Paid by Patient
... paid_patient_copay 0..1 integer Paid Patient Copay
... paid_patient_coinsurance 0..1 integer Paid Patient Coinsurance
... paid_patient_deductible 0..1 integer Paid Patient Deductible
... paid_by_primary 0..1 integer Paid by Primary
... paid_ingredient_cost 0..1 integer Paid Ingredent Cost
... paid_dispensing_fee 0..1 integer Paid Dispensing Fee
... payer_plan_period_id 0..1 Reference(Payer Plan Period OMOP Table) Payer Plan Period
... amount_allowed 0..1 integer Amount Allowed
... revenue_code_concept_id 0..1 code Revenue Code
... revenue_code_source_value 0..1 string Revenue Code Source Value
... drg_concept_id 0..1 integer Diagnosis Related Groups
... drg_source_value 0..1 string Diagnosis Related Groups Source Value

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Cost 0..* Base Cost OMOP Table
Instances of this logical model can be the target of a Reference
... cost_id 1..1 code Cost Identifier
... cost_event_id 1..1 integer Cost Event Identifier
... cost_domain_id 1..1 string Cost Domain Identifier
... currency_concept_id 0..1 code Currency
... total_charge 0..1 integer Total Charge
... total_cost 0..1 integer Total Cost
... total_paid 0..1 integer Total Paid
... paid_by_payer 0..1 integer Paid by Payer
... paid_by_patient 0..1 integer Paid by Patient
... paid_patient_copay 0..1 integer Paid Patient Copay
... paid_patient_coinsurance 0..1 integer Paid Patient Coinsurance
... paid_patient_deductible 0..1 integer Paid Patient Deductible
... paid_by_primary 0..1 integer Paid by Primary
... paid_ingredient_cost 0..1 integer Paid Ingredent Cost
... paid_dispensing_fee 0..1 integer Paid Dispensing Fee
... payer_plan_period_id 0..1 Reference(Payer Plan Period OMOP Table) Payer Plan Period
... amount_allowed 0..1 integer Amount Allowed
... revenue_code_concept_id 0..1 code Revenue Code
... revenue_code_source_value 0..1 string Revenue Code Source Value
... drg_concept_id 0..1 integer Diagnosis Related Groups
... drg_source_value 0..1 string Diagnosis Related Groups Source Value

doco Documentation for this format

This structure is derived from Base

Summary

Mandatory: 0 element(4 nested mandatory elements)

Structures

This structure refers to these other structures:

Maturity: 1

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Cost 0..* Base Cost OMOP Table
Instances of this logical model can be the target of a Reference
... cost_id 1..1 code Cost Identifier
... cost_event_id 1..1 integer Cost Event Identifier
... cost_domain_id 1..1 string Cost Domain Identifier
... currency_concept_id 0..1 code Currency
... total_charge 0..1 integer Total Charge
... total_cost 0..1 integer Total Cost
... total_paid 0..1 integer Total Paid
... paid_by_payer 0..1 integer Paid by Payer
... paid_by_patient 0..1 integer Paid by Patient
... paid_patient_copay 0..1 integer Paid Patient Copay
... paid_patient_coinsurance 0..1 integer Paid Patient Coinsurance
... paid_patient_deductible 0..1 integer Paid Patient Deductible
... paid_by_primary 0..1 integer Paid by Primary
... paid_ingredient_cost 0..1 integer Paid Ingredent Cost
... paid_dispensing_fee 0..1 integer Paid Dispensing Fee
... payer_plan_period_id 0..1 Reference(Payer Plan Period OMOP Table) Payer Plan Period
... amount_allowed 0..1 integer Amount Allowed
... revenue_code_concept_id 0..1 code Revenue Code
... revenue_code_source_value 0..1 string Revenue Code Source Value
... drg_concept_id 0..1 integer Diagnosis Related Groups
... drg_source_value 0..1 string Diagnosis Related Groups Source Value

doco Documentation for this format

Differential View

This structure is derived from Base

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Cost 0..* Base Cost OMOP Table
Instances of this logical model can be the target of a Reference
... cost_id 1..1 code Cost Identifier
... cost_event_id 1..1 integer Cost Event Identifier
... cost_domain_id 1..1 string Cost Domain Identifier
... currency_concept_id 0..1 code Currency
... total_charge 0..1 integer Total Charge
... total_cost 0..1 integer Total Cost
... total_paid 0..1 integer Total Paid
... paid_by_payer 0..1 integer Paid by Payer
... paid_by_patient 0..1 integer Paid by Patient
... paid_patient_copay 0..1 integer Paid Patient Copay
... paid_patient_coinsurance 0..1 integer Paid Patient Coinsurance
... paid_patient_deductible 0..1 integer Paid Patient Deductible
... paid_by_primary 0..1 integer Paid by Primary
... paid_ingredient_cost 0..1 integer Paid Ingredent Cost
... paid_dispensing_fee 0..1 integer Paid Dispensing Fee
... payer_plan_period_id 0..1 Reference(Payer Plan Period OMOP Table) Payer Plan Period
... amount_allowed 0..1 integer Amount Allowed
... revenue_code_concept_id 0..1 code Revenue Code
... revenue_code_source_value 0..1 string Revenue Code Source Value
... drg_concept_id 0..1 integer Diagnosis Related Groups
... drg_source_value 0..1 string Diagnosis Related Groups Source Value

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Cost 0..* Base Cost OMOP Table
Instances of this logical model can be the target of a Reference
... cost_id 1..1 code Cost Identifier
... cost_event_id 1..1 integer Cost Event Identifier
... cost_domain_id 1..1 string Cost Domain Identifier
... currency_concept_id 0..1 code Currency
... total_charge 0..1 integer Total Charge
... total_cost 0..1 integer Total Cost
... total_paid 0..1 integer Total Paid
... paid_by_payer 0..1 integer Paid by Payer
... paid_by_patient 0..1 integer Paid by Patient
... paid_patient_copay 0..1 integer Paid Patient Copay
... paid_patient_coinsurance 0..1 integer Paid Patient Coinsurance
... paid_patient_deductible 0..1 integer Paid Patient Deductible
... paid_by_primary 0..1 integer Paid by Primary
... paid_ingredient_cost 0..1 integer Paid Ingredent Cost
... paid_dispensing_fee 0..1 integer Paid Dispensing Fee
... payer_plan_period_id 0..1 Reference(Payer Plan Period OMOP Table) Payer Plan Period
... amount_allowed 0..1 integer Amount Allowed
... revenue_code_concept_id 0..1 code Revenue Code
... revenue_code_source_value 0..1 string Revenue Code Source Value
... drg_concept_id 0..1 integer Diagnosis Related Groups
... drg_source_value 0..1 string Diagnosis Related Groups Source Value

doco Documentation for this format

This structure is derived from Base

Summary

Mandatory: 0 element(4 nested mandatory elements)

Structures

This structure refers to these other structures:

Maturity: 1

 

Other representations of profile: CSV, Excel