This page is part of the 國家級人體生物資料庫整合平台共同資料模式實作指引(NBCT Common Data Model IG) (v1.0.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

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Resource Profile: ChargeItem TOTFA、TOTFB、LABM-費用年月

用於描述門診醫療申報檔(TOTFA)、住院醫療申報檔案(TOTFB)與檢驗檢查資料檔每月格式(LABM)中的費用年月

Usage:

• Use this Resource Profile: Bundle LABM, Bundle TOTFA and Bundle TOTFB
• Refer to this Resource Profile: Composition LABM, Composition TOTFA and Composition TOTFB
• Examples for this Resource Profile: ChargeItem/cha-CDM
• CapabilityStatements using this Resource Profile: 國家級人體生物資料庫整合平台共同資料模式-用戶端 and 國家級人體生物資料庫整合平台共同資料模式-伺服端

Formal Views of Profile Content

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

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints
ChargeItem		0..*	ChargeItem	Item containing charge code(s) associated with the provision of healthcare provider products dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-6: A resource should have narrative for robust management dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status	?!SΣ	1..1	code	planned | billable | not-billable | aborted | billed | entered-in-error | unknown Binding: ChargeItemStatus (required): Codes identifying the lifecycle stage of a ChargeItem. ele-1: All FHIR elements must have a @value or children
code	SΣN	1..1	CodeableConcept	A code that identifies the charge, like a billing code Binding: ChargeItemCode (example): Example set of codes that can be used for billing purposes. ele-1: All FHIR elements must have a @value or children
coding	SΣN	1..*	Coding	Code defined by a terminology system Binding: 申報類別值集 (required): 申報類別；應填入所綁定值集中的其中一個代碼。 ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children
code	SΣ	1..1	code	申報類別。[TOTFA.t5/TOTFB.t5/LABM.h5] ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	申報類別。[TOTFA.t5/TOTFB.t5/LABM.h5] ele-1: All FHIR elements must have a @value or children
subject	SΣCN	1..1	Reference(Patient TOTFA、TOTFB、LABD、LAM、CASE-病患基本資料)	Individual service was done for/to ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
reference	SΣC	1..1	string	患者Resource Link ele-1: All FHIR elements must have a @value or children
occurrence[x]	SΣN	0..1		申報日期。[TOTFA.t6/TOTFB.t6/LABM.h6]，自費此欄位為必填。 ele-1: All FHIR elements must have a @value or children
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
enteredDate	SΣ	0..1	dateTime	費用年月[TOTFA.t3/TOTFB.t3] ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ChargeItem.status	required	ChargeItemStatus http://hl7.org/fhir/ValueSet/chargeitem-status|4.0.1 from the FHIR Standard
ChargeItem.code	example	ChargeItemCode http://hl7.org/fhir/ValueSet/chargeitem-billingcodes from the FHIR Standard
ChargeItem.code.coding	required	DeclarationCategory (a valid code from 申報類別) https://www.ghd.tw/cdm-fhir/ValueSet/DeclarationCategory from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	ChargeItem	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ChargeItem	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	ChargeItem	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ChargeItem	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ChargeItem	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ref-1	error	ChargeItem.subject	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

This structure is derived from ChargeItem

Name	Flags	Card.	Type	Description & Constraints
ChargeItem			ChargeItem
status	S
code	S
coding	S	1..		Binding: 申報類別值集 (required): 申報類別；應填入所綁定值集中的其中一個代碼。
system	S	1..
code	S	1..		申報類別。[TOTFA.t5/TOTFB.t5/LABM.h5]
text	S			申報類別。[TOTFA.t5/TOTFB.t5/LABM.h5]
subject	S		Reference(Patient TOTFA、TOTFB、LABD、LAM、CASE-病患基本資料)
reference	S	1..		患者Resource Link
occurrence[x]	S			申報日期。[TOTFA.t6/TOTFB.t6/LABM.h6]，自費此欄位為必填。
enteredDate	S			費用年月[TOTFA.t3/TOTFB.t3]
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
ChargeItem.code.coding	required	DeclarationCategory (a valid code from 申報類別) https://www.ghd.tw/cdm-fhir/ValueSet/DeclarationCategory from this IG

Name	Flags	Card.	Type	Description & Constraints
ChargeItem		0..*	ChargeItem	Item containing charge code(s) associated with the provision of healthcare provider products
id	Σ	0..1	string	Logical id of this artifact
meta	ΣN	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text	N	0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier	ΣN	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	?!SΣ	1..1	code	planned | billable | not-billable | aborted | billed | entered-in-error | unknown Binding: ChargeItemStatus (required): Codes identifying the lifecycle stage of a ChargeItem.
partOf	CN	0..*	Reference(ChargeItem)	Part of referenced ChargeItem ref-1: SHALL have a contained resource if a local reference is provided
code	SΣN	1..1	CodeableConcept	A code that identifies the charge, like a billing code Binding: ChargeItemCode (example): Example set of codes that can be used for billing purposes.
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣN	1..*	Coding	Code defined by a terminology system Binding: 申報類別值集 (required): 申報類別；應填入所綁定值集中的其中一個代碼。
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	申報類別。[TOTFA.t5/TOTFB.t5/LABM.h5]
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	申報類別。[TOTFA.t5/TOTFB.t5/LABM.h5]
subject	SΣCN	1..1	Reference(Patient TOTFA、TOTFB、LABD、LAM、CASE-病患基本資料)	Individual service was done for/to ref-1: SHALL have a contained resource if a local reference is provided
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	患者Resource Link
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣN	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
context	ΣCN	0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with event ref-1: SHALL have a contained resource if a local reference is provided
occurrence[x]	SΣN	0..1		申報日期。[TOTFA.t6/TOTFB.t6/LABM.h6]，自費此欄位為必填。
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
performer	N	0..*	BackboneElement	Who performed charged service
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!ΣN	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	N	0..1	CodeableConcept	What type of performance was done Binding: ProcedurePerformerRoleCodes (example): Codes describing the types of functional roles performers can take on when performing events.
actor	CN	1..1	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson)	Individual who was performing ref-1: SHALL have a contained resource if a local reference is provided
performingOrganization	CN	0..1	Reference(Organization)	Organization providing the charged service ref-1: SHALL have a contained resource if a local reference is provided
requestingOrganization	CN	0..1	Reference(Organization)	Organization requesting the charged service ref-1: SHALL have a contained resource if a local reference is provided
costCenter	CN	0..1	Reference(Organization)	Organization that has ownership of the (potential, future) revenue ref-1: SHALL have a contained resource if a local reference is provided
quantity	ΣCN	0..1	Quantity	Quantity of which the charge item has been serviced qty-3: If a code for the unit is present, the system SHALL also be present
bodysite	ΣN	0..*	CodeableConcept	Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
factorOverride		0..1	decimal	Factor overriding the associated rules
priceOverride	N	0..1	Money	Price overriding the associated rules
overrideReason		0..1	string	Reason for overriding the list price/factor
enterer	ΣCN	0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson)	Individual who was entering ref-1: SHALL have a contained resource if a local reference is provided
enteredDate	SΣ	0..1	dateTime	費用年月[TOTFA.t3/TOTFB.t3]
reason	N	0..*	CodeableConcept	Why was the charged service rendered? Binding: ICD-10Codes (example): Example binding for reason.
service	CN	0..*	Reference(DiagnosticReport | ImagingStudy | Immunization | MedicationAdministration | MedicationDispense | Observation | Procedure | SupplyDelivery)	Which rendered service is being charged? ref-1: SHALL have a contained resource if a local reference is provided
product[x]	N	0..1		Product charged Binding: FHIRDeviceTypes (example): Example binding for product type.
productReference			Reference(Device | Medication | Substance)
productCodeableConcept			CodeableConcept
account	ΣCN	0..*	Reference(Account)	Account to place this charge ref-1: SHALL have a contained resource if a local reference is provided
note	N	0..*	Annotation	Comments made about the ChargeItem
supportingInformation	CN	0..*	Reference(Resource)	Further information supporting this charge ref-1: SHALL have a contained resource if a local reference is provided
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ChargeItem.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
ChargeItem.status	required	ChargeItemStatus http://hl7.org/fhir/ValueSet/chargeitem-status|4.0.1 from the FHIR Standard
ChargeItem.code	example	ChargeItemCode http://hl7.org/fhir/ValueSet/chargeitem-billingcodes from the FHIR Standard
ChargeItem.code.coding	required	DeclarationCategory (a valid code from 申報類別) https://www.ghd.tw/cdm-fhir/ValueSet/DeclarationCategory from this IG
ChargeItem.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
ChargeItem.performer.function	example	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard
ChargeItem.bodysite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
ChargeItem.reason	example	ICD-10Codes http://hl7.org/fhir/ValueSet/icd-10 from the FHIR Standard
ChargeItem.product[x]	example	FHIRDeviceTypes http://hl7.org/fhir/ValueSet/device-kind from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	ChargeItem	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ChargeItem	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	ChargeItem	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ChargeItem	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ChargeItem	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
qty-3	error	ChargeItem.quantity	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
ref-1	error	ChargeItem.partOf, ChargeItem.subject, ChargeItem.context, ChargeItem.performer.actor, ChargeItem.performingOrganization, ChargeItem.requestingOrganization, ChargeItem.costCenter, ChargeItem.enterer, ChargeItem.service, ChargeItem.account, ChargeItem.supportingInformation	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

This structure is derived from ChargeItem

Summary

Mandatory: 0 element(4 nested mandatory elements)
Must-Support: 10 elements

Structures

This structure refers to these other structures:

• Patient TOTFA、TOTFB、LABD、LAM、CASE-病患基本資料 (https://www.ghd.tw/cdm-fhir/StructureDefinition/PatientCDM)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
ChargeItem		0..*	ChargeItem	Item containing charge code(s) associated with the provision of healthcare provider products dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-6: A resource should have narrative for robust management dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status	?!SΣ	1..1	code	planned | billable | not-billable | aborted | billed | entered-in-error | unknown Binding: ChargeItemStatus (required): Codes identifying the lifecycle stage of a ChargeItem. ele-1: All FHIR elements must have a @value or children
code	SΣN	1..1	CodeableConcept	A code that identifies the charge, like a billing code Binding: ChargeItemCode (example): Example set of codes that can be used for billing purposes. ele-1: All FHIR elements must have a @value or children
coding	SΣN	1..*	Coding	Code defined by a terminology system Binding: 申報類別值集 (required): 申報類別；應填入所綁定值集中的其中一個代碼。 ele-1: All FHIR elements must have a @value or children
system	SΣ	1..1	uri	Identity of the terminology system ele-1: All FHIR elements must have a @value or children
code	SΣ	1..1	code	申報類別。[TOTFA.t5/TOTFB.t5/LABM.h5] ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	申報類別。[TOTFA.t5/TOTFB.t5/LABM.h5] ele-1: All FHIR elements must have a @value or children
subject	SΣCN	1..1	Reference(Patient TOTFA、TOTFB、LABD、LAM、CASE-病患基本資料)	Individual service was done for/to ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
reference	SΣC	1..1	string	患者Resource Link ele-1: All FHIR elements must have a @value or children
occurrence[x]	SΣN	0..1		申報日期。[TOTFA.t6/TOTFB.t6/LABM.h6]，自費此欄位為必填。 ele-1: All FHIR elements must have a @value or children
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
enteredDate	SΣ	0..1	dateTime	費用年月[TOTFA.t3/TOTFB.t3] ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ChargeItem.status	required	ChargeItemStatus http://hl7.org/fhir/ValueSet/chargeitem-status|4.0.1 from the FHIR Standard
ChargeItem.code	example	ChargeItemCode http://hl7.org/fhir/ValueSet/chargeitem-billingcodes from the FHIR Standard
ChargeItem.code.coding	required	DeclarationCategory (a valid code from 申報類別) https://www.ghd.tw/cdm-fhir/ValueSet/DeclarationCategory from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	ChargeItem	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ChargeItem	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	ChargeItem	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ChargeItem	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ChargeItem	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ref-1	error	ChargeItem.subject	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Differential View

This structure is derived from ChargeItem

Name	Flags	Card.	Type	Description & Constraints
ChargeItem			ChargeItem
status	S
code	S
coding	S	1..		Binding: 申報類別值集 (required): 申報類別；應填入所綁定值集中的其中一個代碼。
system	S	1..
code	S	1..		申報類別。[TOTFA.t5/TOTFB.t5/LABM.h5]
text	S			申報類別。[TOTFA.t5/TOTFB.t5/LABM.h5]
subject	S		Reference(Patient TOTFA、TOTFB、LABD、LAM、CASE-病患基本資料)
reference	S	1..		患者Resource Link
occurrence[x]	S			申報日期。[TOTFA.t6/TOTFB.t6/LABM.h6]，自費此欄位為必填。
enteredDate	S			費用年月[TOTFA.t3/TOTFB.t3]
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
ChargeItem.code.coding	required	DeclarationCategory (a valid code from 申報類別) https://www.ghd.tw/cdm-fhir/ValueSet/DeclarationCategory from this IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
ChargeItem		0..*	ChargeItem	Item containing charge code(s) associated with the provision of healthcare provider products
id	Σ	0..1	string	Logical id of this artifact
meta	ΣN	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text	N	0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier	ΣN	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	?!SΣ	1..1	code	planned | billable | not-billable | aborted | billed | entered-in-error | unknown Binding: ChargeItemStatus (required): Codes identifying the lifecycle stage of a ChargeItem.
partOf	CN	0..*	Reference(ChargeItem)	Part of referenced ChargeItem ref-1: SHALL have a contained resource if a local reference is provided
code	SΣN	1..1	CodeableConcept	A code that identifies the charge, like a billing code Binding: ChargeItemCode (example): Example set of codes that can be used for billing purposes.
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣN	1..*	Coding	Code defined by a terminology system Binding: 申報類別值集 (required): 申報類別；應填入所綁定值集中的其中一個代碼。
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SΣ	1..1	code	申報類別。[TOTFA.t5/TOTFB.t5/LABM.h5]
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	SΣ	0..1	string	申報類別。[TOTFA.t5/TOTFB.t5/LABM.h5]
subject	SΣCN	1..1	Reference(Patient TOTFA、TOTFB、LABD、LAM、CASE-病患基本資料)	Individual service was done for/to ref-1: SHALL have a contained resource if a local reference is provided
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SΣC	1..1	string	患者Resource Link
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣN	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
context	ΣCN	0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with event ref-1: SHALL have a contained resource if a local reference is provided
occurrence[x]	SΣN	0..1		申報日期。[TOTFA.t6/TOTFB.t6/LABM.h6]，自費此欄位為必填。
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
performer	N	0..*	BackboneElement	Who performed charged service
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!ΣN	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function	N	0..1	CodeableConcept	What type of performance was done Binding: ProcedurePerformerRoleCodes (example): Codes describing the types of functional roles performers can take on when performing events.
actor	CN	1..1	Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | Device | RelatedPerson)	Individual who was performing ref-1: SHALL have a contained resource if a local reference is provided
performingOrganization	CN	0..1	Reference(Organization)	Organization providing the charged service ref-1: SHALL have a contained resource if a local reference is provided
requestingOrganization	CN	0..1	Reference(Organization)	Organization requesting the charged service ref-1: SHALL have a contained resource if a local reference is provided
costCenter	CN	0..1	Reference(Organization)	Organization that has ownership of the (potential, future) revenue ref-1: SHALL have a contained resource if a local reference is provided
quantity	ΣCN	0..1	Quantity	Quantity of which the charge item has been serviced qty-3: If a code for the unit is present, the system SHALL also be present
bodysite	ΣN	0..*	CodeableConcept	Anatomical location, if relevant Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
factorOverride		0..1	decimal	Factor overriding the associated rules
priceOverride	N	0..1	Money	Price overriding the associated rules
overrideReason		0..1	string	Reason for overriding the list price/factor
enterer	ΣCN	0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson)	Individual who was entering ref-1: SHALL have a contained resource if a local reference is provided
enteredDate	SΣ	0..1	dateTime	費用年月[TOTFA.t3/TOTFB.t3]
reason	N	0..*	CodeableConcept	Why was the charged service rendered? Binding: ICD-10Codes (example): Example binding for reason.
service	CN	0..*	Reference(DiagnosticReport | ImagingStudy | Immunization | MedicationAdministration | MedicationDispense | Observation | Procedure | SupplyDelivery)	Which rendered service is being charged? ref-1: SHALL have a contained resource if a local reference is provided
product[x]	N	0..1		Product charged Binding: FHIRDeviceTypes (example): Example binding for product type.
productReference			Reference(Device | Medication | Substance)
productCodeableConcept			CodeableConcept
account	ΣCN	0..*	Reference(Account)	Account to place this charge ref-1: SHALL have a contained resource if a local reference is provided
note	N	0..*	Annotation	Comments made about the ChargeItem
supportingInformation	CN	0..*	Reference(Resource)	Further information supporting this charge ref-1: SHALL have a contained resource if a local reference is provided
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ChargeItem.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
ChargeItem.status	required	ChargeItemStatus http://hl7.org/fhir/ValueSet/chargeitem-status|4.0.1 from the FHIR Standard
ChargeItem.code	example	ChargeItemCode http://hl7.org/fhir/ValueSet/chargeitem-billingcodes from the FHIR Standard
ChargeItem.code.coding	required	DeclarationCategory (a valid code from 申報類別) https://www.ghd.tw/cdm-fhir/ValueSet/DeclarationCategory from this IG
ChargeItem.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
ChargeItem.performer.function	example	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard
ChargeItem.bodysite	example	SNOMEDCTBodyStructures http://hl7.org/fhir/ValueSet/body-site from the FHIR Standard
ChargeItem.reason	example	ICD-10Codes http://hl7.org/fhir/ValueSet/icd-10 from the FHIR Standard
ChargeItem.product[x]	example	FHIRDeviceTypes http://hl7.org/fhir/ValueSet/device-kind from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	ChargeItem	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	ChargeItem	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	ChargeItem	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	ChargeItem	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	ChargeItem	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
qty-3	error	ChargeItem.quantity	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
ref-1	error	ChargeItem.partOf, ChargeItem.subject, ChargeItem.context, ChargeItem.performer.actor, ChargeItem.performingOrganization, ChargeItem.requestingOrganization, ChargeItem.costCenter, ChargeItem.enterer, ChargeItem.service, ChargeItem.account, ChargeItem.supportingInformation	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

This structure is derived from ChargeItem

Summary

Mandatory: 0 element(4 nested mandatory elements)
Must-Support: 10 elements

Structures

This structure refers to these other structures:

• Patient TOTFA、TOTFB、LABD、LAM、CASE-病患基本資料 (https://www.ghd.tw/cdm-fhir/StructureDefinition/PatientCDM)

Other representations of profile: CSV, Excel, Schematron