This page is part of the FHIR Specification (v4.3.0: R4B - STU). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3

8.24 Resource ChargeItem - Content

Patient Administration

Work Group

Maturity Level: 0

Trial Use

Security Category: Patient

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.

8.24.1 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 have 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 responsibility 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.

8.24.2 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).

8.24.3 References

This resource is referenced by itself and Invoice.

This resource implements the Event pattern.

Structure

Name	Flags	Card.	Type	Description & Constraints
ChargeItem	TU		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..*	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 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
performer		0..*	BackboneElement	Who performed charged service
function		0..1	CodeableConcept	What type of performance was done Procedure Performer Role Codes (Example)
actor		1..1	Reference(Practitioner \| PractitionerRole \| Organization \| CareTeam \| Patient \| Device \| RelatedPerson)	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	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 \| PractitionerRole \| 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?
product[x]		0..1		Product charged FHIR Device Types (Example)
productReference			Reference(Device \| Medication \| Substance)
productCodeableConcept			CodeableConcept
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 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..* Identifier Business Identifier for item --></identifier>
 <definitionUri value="[uri]"/><!-- 0..* Defining information about the code of this charge item -->
 <definitionCanonical><!-- 0..* canonical(ChargeItemDefinition) Resource defining the code of this ChargeItem --></definitionCanonical>
 <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(Group|Patient) 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]>
 <performer>  <!-- 0..* Who performed charged service -->
  <function><!-- 0..1 CodeableConcept What type of performance was done --></function>
  <actor><!-- 1..1 Reference(CareTeam|Device|Organization|Patient|Practitioner|
    PractitionerRole|RelatedPerson) Individual who was performing --></actor>
 </performer>
 <performingOrganization><!-- 0..1 Reference(Organization) Organization providing the charged service --></performingOrganization>
 <requestingOrganization><!-- 0..1 Reference(Organization) Organization requesting the charged service --></requestingOrganization>
 <costCenter><!-- 0..1 Reference(Organization) Organization that has ownership of the (potential, future) revenue --></costCenter>
 <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(Device|Organization|Patient|Practitioner|
   PractitionerRole|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>
 <product[x]><!-- 0..1 Reference(Device|Medication|Substance)|CodeableConcept Product charged --></product[x]>
 <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 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
  "definitionUri" : ["<uri>"], // Defining information about the code of this charge item
  "definitionCanonical" : [{ canonical(ChargeItemDefinition) }], // Resource defining the code of this ChargeItem
  "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(Group|Patient) }, // 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 },
  "performer" : [{ // Who performed charged service
    "function" : { CodeableConcept }, // What type of performance was done
    "actor" : { Reference(CareTeam|Device|Organization|Patient|Practitioner|
    PractitionerRole|RelatedPerson) } // R!  Individual who was performing
  }],
  "performingOrganization" : { Reference(Organization) }, // Organization providing the charged service
  "requestingOrganization" : { Reference(Organization) }, // Organization requesting the charged service
  "costCenter" : { Reference(Organization) }, // Organization that has ownership of the (potential, future) revenue
  "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(Device|Organization|Patient|Practitioner|
   PractitionerRole|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?
  // product[x]: Product charged. One of these 2:
  "productReference" : { Reference(Device|Medication|Substance) },
  "productCodeableConcept" : { CodeableConcept },
  "account" : [{ Reference(Account) }], // Account to place this charge
  "note" : [{ Annotation }], // Comments made about the ChargeItem
  "supportingInformation" : [{ Reference(Any) }] // Further information supporting 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..* Business Identifier for item
  fhir:ChargeItem.definitionUri [ uri ], ... ; # 0..* Defining information about the code of this charge item
  fhir:ChargeItem.definitionCanonical [ canonical(ChargeItemDefinition) ], ... ; # 0..* Resource defining the code of this ChargeItem
  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(Group|Patient) ]; # 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.performer [ # 0..* Who performed charged service
    fhir:ChargeItem.performer.function [ CodeableConcept ]; # 0..1 What type of performance was done
    fhir:ChargeItem.performer.actor [ Reference(CareTeam|Device|Organization|Patient|Practitioner|PractitionerRole|RelatedPerson) ]; # 1..1 Individual who was performing
  ], ...;
  fhir:ChargeItem.performingOrganization [ Reference(Organization) ]; # 0..1 Organization providing the charged service
  fhir:ChargeItem.requestingOrganization [ Reference(Organization) ]; # 0..1 Organization requesting the charged service
  fhir:ChargeItem.costCenter [ Reference(Organization) ]; # 0..1 Organization that has ownership of the (potential, future) revenue
  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(Device|Organization|Patient|Practitioner|PractitionerRole|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?
  # ChargeItem.product[x] : 0..1 Product charged. One of these 2
    fhir:ChargeItem.productReference [ Reference(Device|Medication|Substance) ]
    fhir:ChargeItem.productCodeableConcept [ CodeableConcept ]
  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 this charge
]

Changes since R4

ChargeItem

No Changes

See the Full Difference for further information

This analysis is available as XML or JSON.

Conversions between R3 and R4

See R3 <--> R4 Conversion Maps (status = 1 test that all execute ok. All tests pass round-trip testing and all r3 resources are valid.)

Structure

Name	Flags	Card.	Type	Description & Constraints
ChargeItem	TU		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..*	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 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
performer		0..*	BackboneElement	Who performed charged service
function		0..1	CodeableConcept	What type of performance was done Procedure Performer Role Codes (Example)
actor		1..1	Reference(Practitioner \| PractitionerRole \| Organization \| CareTeam \| Patient \| Device \| RelatedPerson)	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	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 \| PractitionerRole \| 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?
product[x]		0..1		Product charged FHIR Device Types (Example)
productReference			Reference(Device \| Medication \| Substance)
productCodeableConcept			CodeableConcept
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 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..* Identifier Business Identifier for item --></identifier>
 <definitionUri value="[uri]"/><!-- 0..* Defining information about the code of this charge item -->
 <definitionCanonical><!-- 0..* canonical(ChargeItemDefinition) Resource defining the code of this ChargeItem --></definitionCanonical>
 <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(Group|Patient) 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]>
 <performer>  <!-- 0..* Who performed charged service -->
  <function><!-- 0..1 CodeableConcept What type of performance was done --></function>
  <actor><!-- 1..1 Reference(CareTeam|Device|Organization|Patient|Practitioner|
    PractitionerRole|RelatedPerson) Individual who was performing --></actor>
 </performer>
 <performingOrganization><!-- 0..1 Reference(Organization) Organization providing the charged service --></performingOrganization>
 <requestingOrganization><!-- 0..1 Reference(Organization) Organization requesting the charged service --></requestingOrganization>
 <costCenter><!-- 0..1 Reference(Organization) Organization that has ownership of the (potential, future) revenue --></costCenter>
 <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(Device|Organization|Patient|Practitioner|
   PractitionerRole|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>
 <product[x]><!-- 0..1 Reference(Device|Medication|Substance)|CodeableConcept Product charged --></product[x]>
 <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 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
  "definitionUri" : ["<uri>"], // Defining information about the code of this charge item
  "definitionCanonical" : [{ canonical(ChargeItemDefinition) }], // Resource defining the code of this ChargeItem
  "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(Group|Patient) }, // 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 },
  "performer" : [{ // Who performed charged service
    "function" : { CodeableConcept }, // What type of performance was done
    "actor" : { Reference(CareTeam|Device|Organization|Patient|Practitioner|
    PractitionerRole|RelatedPerson) } // R!  Individual who was performing
  }],
  "performingOrganization" : { Reference(Organization) }, // Organization providing the charged service
  "requestingOrganization" : { Reference(Organization) }, // Organization requesting the charged service
  "costCenter" : { Reference(Organization) }, // Organization that has ownership of the (potential, future) revenue
  "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(Device|Organization|Patient|Practitioner|
   PractitionerRole|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?
  // product[x]: Product charged. One of these 2:
  "productReference" : { Reference(Device|Medication|Substance) },
  "productCodeableConcept" : { CodeableConcept },
  "account" : [{ Reference(Account) }], // Account to place this charge
  "note" : [{ Annotation }], // Comments made about the ChargeItem
  "supportingInformation" : [{ Reference(Any) }] // Further information supporting 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..* Business Identifier for item
  fhir:ChargeItem.definitionUri [ uri ], ... ; # 0..* Defining information about the code of this charge item
  fhir:ChargeItem.definitionCanonical [ canonical(ChargeItemDefinition) ], ... ; # 0..* Resource defining the code of this ChargeItem
  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(Group|Patient) ]; # 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.performer [ # 0..* Who performed charged service
    fhir:ChargeItem.performer.function [ CodeableConcept ]; # 0..1 What type of performance was done
    fhir:ChargeItem.performer.actor [ Reference(CareTeam|Device|Organization|Patient|Practitioner|PractitionerRole|RelatedPerson) ]; # 1..1 Individual who was performing
  ], ...;
  fhir:ChargeItem.performingOrganization [ Reference(Organization) ]; # 0..1 Organization providing the charged service
  fhir:ChargeItem.requestingOrganization [ Reference(Organization) ]; # 0..1 Organization requesting the charged service
  fhir:ChargeItem.costCenter [ Reference(Organization) ]; # 0..1 Organization that has ownership of the (potential, future) revenue
  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(Device|Organization|Patient|Practitioner|PractitionerRole|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?
  # ChargeItem.product[x] : 0..1 Product charged. One of these 2
    fhir:ChargeItem.productReference [ Reference(Device|Medication|Substance) ]
    fhir:ChargeItem.productCodeableConcept [ CodeableConcept ]
  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 this charge
]

Changes since Release 4

ChargeItem

No Changes

See the Full Difference for further information

This analysis is available as XML or JSON.

Conversions between R3 and R4

See R3 <--> R4 Conversion Maps (status = 1 test that all execute ok. All tests pass round-trip testing and all r3 resources are valid.)

See the Profiles & Extensions and the alternate definitions: Master Definition XML + JSON, XML Schema/Schematron + JSON Schema, ShEx (for Turtle) + see the extensions & the dependency analysis

8.24.4.1 Terminology Bindings

Path	Type	Reference
ChargeItem.status	Required	ChargeItemStatus
ChargeItem.code	Example	ChargeItemCode
ChargeItem.performer.function	Example	ProcedurePerformerRoleCodes
ChargeItem.bodysite	Example	SNOMEDCTBodyStructures
ChargeItem.reason	Example	ICD-10Codes
ChargeItem.product[x]	Example	FHIRDeviceTypes

Path

Definition

Type

Reference

ChargeItem.status

ChargeItem.code

ChargeItem.performer.function

Example

ProcedurePerformerRoleCodes

ChargeItem.bodysite

Example

SNOMEDCTBodyStructures

ChargeItem.reason

Example

ICD-10Codes

ChargeItem.product[x]

Example

FHIRDeviceTypes

8.24.5 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, PractitionerRole, 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
patient	reference	Individual service was done for/to	ChargeItem.subject.where(resolve() is Patient) (Patient)
performer-actor	reference	Individual who was performing	ChargeItem.performer.actor (Practitioner, Organization, CareTeam, Device, Patient, PractitionerRole, RelatedPerson)
performer-function	token	What type of performance was done	ChargeItem.performer.function
performing-organization	reference	Organization providing the charged service	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)