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 醫令清單段

用於描述計價相關資訊之醫令清單段，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)需視資料內容決定是否需要使用此Profile

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-LABM-Order, ChargeItem/cha-TOTFA-Order and ChargeItem/cha-TOTFB-Order
• 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
identifier	SΣN	1..1	Identifier	Business Identifier for item ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	SΣ	0..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	醫令序。[TOTFA.p13/TOTFB.p1/LABM.h17] ele-1: All FHIR elements must have a @value or children Example General: 123456
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	醫令類別 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	0..*	Coding	Code defined by a terminology system Binding: 醫令類別值集 (required): 醫令類別；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	醫令類別。[TOTFA.p3/TOTFB.p2] ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	醫令類別。[TOTFA.p3/TOTFB.p2] 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
Slices for occurrence[x]	SΣN	0..1		When the charged service was applied Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
occurrence[x]:occurrencePeriod	SΣN	0..1	Period	執行時間起/迄 ele-1: All FHIR elements must have a @value or children
start	SΣC	1..1	dateTime	執行時間-起。[TOTFA.p14/TOTFB.p14] ele-1: All FHIR elements must have a @value or children
end	SΣC	0..1	dateTime	執行時間-迄。[TOTFA.p15/TOTFB.p15] ele-1: All FHIR elements must have a @value or children
bodysite	SΣN	0..*	CodeableConcept	診療之部位 Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. ele-1: All FHIR elements must have a @value or children
coding	SΣN	0..*	Coding	Code defined by a terminology system 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	診療之部位代碼。[TOTFA.p6] ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	診療之部位。[TOTFA.p6] ele-1: All FHIR elements must have a @value or children
reason	SN	0..*	CodeableConcept	醫令代碼 Binding: ICD-10Codes (example): Example binding for reason. ele-1: All FHIR elements must have a @value or children
coding	SΣN	0..*	Coding	Code defined by a terminology system 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	醫令代碼。[TOTFB.p3//LABM.h18] ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	醫令代碼。[TOTFB.p3/LABM.h18] ele-1: All FHIR elements must have a @value or children
note	SN	0..*	Annotation	Comments made about the ChargeItem ele-1: All FHIR elements must have a @value or children
text	SΣ	1..1	markdown	會診科別、總量或其他補充說明。[TOTFA.p10/TOTFB.p8/TOTFB.p16] ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ChargeItem.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
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	OrderType (a valid code from 醫令類別) https://www.ghd.tw/cdm-fhir/ValueSet/OrderType from this IG
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

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
identifier	S	1..1
system	S
value	S	1..		醫令序。[TOTFA.p13/TOTFB.p1/LABM.h17]
status	S
code	S			醫令類別
coding	S			Binding: 醫令類別值集 (required): 醫令類別；應填入所綁定值集中的其中一個代碼。
system	S	1..
code	S	1..		醫令類別。[TOTFA.p3/TOTFB.p2]
text	S			醫令類別。[TOTFA.p3/TOTFB.p2]
subject	S		Reference(Patient TOTFA、TOTFB、LABD、LAM、CASE-病患基本資料)
reference	S	1..		患者Resource Link
Slices for occurrence[x]	S			Slice: Unordered, Open by type:$this
occurrence[x]:occurrencePeriod	S		Period	執行時間起/迄
start	S	1..		執行時間-起。[TOTFA.p14/TOTFB.p14]
end	S			執行時間-迄。[TOTFA.p15/TOTFB.p15]
bodysite	S			診療之部位
coding	S
system	S	1..
code	S	1..		診療之部位代碼。[TOTFA.p6]
text	S			診療之部位。[TOTFA.p6]
reason	S			醫令代碼
coding	S
system	S	1..
code	S	1..		醫令代碼。[TOTFB.p3//LABM.h18]
text	S			醫令代碼。[TOTFB.p3/LABM.h18]
note	S
text	S			會診科別、總量或其他補充說明。[TOTFA.p10/TOTFB.p8/TOTFB.p16]
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
ChargeItem.code.coding	required	OrderType (a valid code from 醫令類別) https://www.ghd.tw/cdm-fhir/ValueSet/OrderType 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	SΣN	1..1	Identifier	Business Identifier for item
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
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	ΣN	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	醫令序。[TOTFA.p13/TOTFB.p1/LABM.h17] Example General: 123456
period	ΣCN	0..1	Period	Time period when id is/was valid for use per-1: If present, start SHALL have a lower value than end
assigner	ΣCN	0..1	Reference(Organization)	Organization that issued id (may be just text) ref-1: SHALL have a contained resource if a local reference is provided
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	醫令類別 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	0..*	Coding	Code defined by a terminology system Binding: 醫令類別值集 (required): 醫令類別；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	醫令類別。[TOTFA.p3/TOTFB.p2]
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	醫令類別。[TOTFA.p3/TOTFB.p2]
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
Slices for occurrence[x]	SΣN	0..1		When the charged service was applied Slice: Unordered, Open by type:$this
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
occurrence[x]:occurrencePeriod	SΣN	0..1	Period	執行時間起/迄
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
start	SΣC	1..1	dateTime	執行時間-起。[TOTFA.p14/TOTFB.p14]
end	SΣC	0..1	dateTime	執行時間-迄。[TOTFA.p15/TOTFB.p15]
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	SΣN	0..*	CodeableConcept	診療之部位 Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
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	0..*	Coding	Code defined by a terminology system
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	診療之部位代碼。[TOTFA.p6]
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	診療之部位。[TOTFA.p6]
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	Σ	0..1	dateTime	Date the charge item was entered
reason	SN	0..*	CodeableConcept	醫令代碼 Binding: ICD-10Codes (example): Example binding for reason.
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	0..*	Coding	Code defined by a terminology system
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	醫令代碼。[TOTFB.p3//LABM.h18]
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	醫令代碼。[TOTFB.p3/LABM.h18]
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	SN	0..*	Annotation	Comments made about the ChargeItem
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
author[x]	ΣN	0..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | Patient | RelatedPerson | Organization)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text	SΣ	1..1	markdown	會診科別、總量或其他補充說明。[TOTFA.p10/TOTFB.p8/TOTFB.p16]
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.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
ChargeItem.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
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	OrderType (a valid code from 醫令類別) https://www.ghd.tw/cdm-fhir/ValueSet/OrderType 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()
per-1	error	ChargeItem.identifier.period	If present, start SHALL have a lower value than end : start.hasValue().not() or end.hasValue().not() or (start <= end)
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.identifier.assigner, 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(10 nested mandatory elements)
Must-Support: 27 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)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of ChargeItem.occurrence[x]

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
identifier	SΣN	1..1	Identifier	Business Identifier for item ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	SΣ	0..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	醫令序。[TOTFA.p13/TOTFB.p1/LABM.h17] ele-1: All FHIR elements must have a @value or children Example General: 123456
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	醫令類別 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	0..*	Coding	Code defined by a terminology system Binding: 醫令類別值集 (required): 醫令類別；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	醫令類別。[TOTFA.p3/TOTFB.p2] ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	醫令類別。[TOTFA.p3/TOTFB.p2] 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
Slices for occurrence[x]	SΣN	0..1		When the charged service was applied Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
occurrence[x]:occurrencePeriod	SΣN	0..1	Period	執行時間起/迄 ele-1: All FHIR elements must have a @value or children
start	SΣC	1..1	dateTime	執行時間-起。[TOTFA.p14/TOTFB.p14] ele-1: All FHIR elements must have a @value or children
end	SΣC	0..1	dateTime	執行時間-迄。[TOTFA.p15/TOTFB.p15] ele-1: All FHIR elements must have a @value or children
bodysite	SΣN	0..*	CodeableConcept	診療之部位 Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality. ele-1: All FHIR elements must have a @value or children
coding	SΣN	0..*	Coding	Code defined by a terminology system 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	診療之部位代碼。[TOTFA.p6] ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	診療之部位。[TOTFA.p6] ele-1: All FHIR elements must have a @value or children
reason	SN	0..*	CodeableConcept	醫令代碼 Binding: ICD-10Codes (example): Example binding for reason. ele-1: All FHIR elements must have a @value or children
coding	SΣN	0..*	Coding	Code defined by a terminology system 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	醫令代碼。[TOTFB.p3//LABM.h18] ele-1: All FHIR elements must have a @value or children
text	SΣ	0..1	string	醫令代碼。[TOTFB.p3/LABM.h18] ele-1: All FHIR elements must have a @value or children
note	SN	0..*	Annotation	Comments made about the ChargeItem ele-1: All FHIR elements must have a @value or children
text	SΣ	1..1	markdown	會診科別、總量或其他補充說明。[TOTFA.p10/TOTFB.p8/TOTFB.p16] ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
ChargeItem.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
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	OrderType (a valid code from 醫令類別) https://www.ghd.tw/cdm-fhir/ValueSet/OrderType from this IG
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

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
identifier	S	1..1
system	S
value	S	1..		醫令序。[TOTFA.p13/TOTFB.p1/LABM.h17]
status	S
code	S			醫令類別
coding	S			Binding: 醫令類別值集 (required): 醫令類別；應填入所綁定值集中的其中一個代碼。
system	S	1..
code	S	1..		醫令類別。[TOTFA.p3/TOTFB.p2]
text	S			醫令類別。[TOTFA.p3/TOTFB.p2]
subject	S		Reference(Patient TOTFA、TOTFB、LABD、LAM、CASE-病患基本資料)
reference	S	1..		患者Resource Link
Slices for occurrence[x]	S			Slice: Unordered, Open by type:$this
occurrence[x]:occurrencePeriod	S		Period	執行時間起/迄
start	S	1..		執行時間-起。[TOTFA.p14/TOTFB.p14]
end	S			執行時間-迄。[TOTFA.p15/TOTFB.p15]
bodysite	S			診療之部位
coding	S
system	S	1..
code	S	1..		診療之部位代碼。[TOTFA.p6]
text	S			診療之部位。[TOTFA.p6]
reason	S			醫令代碼
coding	S
system	S	1..
code	S	1..		醫令代碼。[TOTFB.p3//LABM.h18]
text	S			醫令代碼。[TOTFB.p3/LABM.h18]
note	S
text	S			會診科別、總量或其他補充說明。[TOTFA.p10/TOTFB.p8/TOTFB.p16]
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
ChargeItem.code.coding	required	OrderType (a valid code from 醫令類別) https://www.ghd.tw/cdm-fhir/ValueSet/OrderType 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	SΣN	1..1	Identifier	Business Identifier for item
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
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	ΣN	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	SΣ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	SΣ	1..1	string	醫令序。[TOTFA.p13/TOTFB.p1/LABM.h17] Example General: 123456
period	ΣCN	0..1	Period	Time period when id is/was valid for use per-1: If present, start SHALL have a lower value than end
assigner	ΣCN	0..1	Reference(Organization)	Organization that issued id (may be just text) ref-1: SHALL have a contained resource if a local reference is provided
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	醫令類別 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	0..*	Coding	Code defined by a terminology system Binding: 醫令類別值集 (required): 醫令類別；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	醫令類別。[TOTFA.p3/TOTFB.p2]
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	醫令類別。[TOTFA.p3/TOTFB.p2]
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
Slices for occurrence[x]	SΣN	0..1		When the charged service was applied Slice: Unordered, Open by type:$this
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
occurrence[x]:occurrencePeriod	SΣN	0..1	Period	執行時間起/迄
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
start	SΣC	1..1	dateTime	執行時間-起。[TOTFA.p14/TOTFB.p14]
end	SΣC	0..1	dateTime	執行時間-迄。[TOTFA.p15/TOTFB.p15]
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	SΣN	0..*	CodeableConcept	診療之部位 Binding: SNOMEDCTBodyStructures (example): Codes describing anatomical locations. May include laterality.
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	0..*	Coding	Code defined by a terminology system
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	診療之部位代碼。[TOTFA.p6]
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	診療之部位。[TOTFA.p6]
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	Σ	0..1	dateTime	Date the charge item was entered
reason	SN	0..*	CodeableConcept	醫令代碼 Binding: ICD-10Codes (example): Example binding for reason.
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	0..*	Coding	Code defined by a terminology system
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	醫令代碼。[TOTFB.p3//LABM.h18]
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	醫令代碼。[TOTFB.p3/LABM.h18]
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	SN	0..*	Annotation	Comments made about the ChargeItem
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
author[x]	ΣN	0..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | Patient | RelatedPerson | Organization)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text	SΣ	1..1	markdown	會診科別、總量或其他補充說明。[TOTFA.p10/TOTFB.p8/TOTFB.p16]
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.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
ChargeItem.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
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	OrderType (a valid code from 醫令類別) https://www.ghd.tw/cdm-fhir/ValueSet/OrderType 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()
per-1	error	ChargeItem.identifier.period	If present, start SHALL have a lower value than end : start.hasValue().not() or end.hasValue().not() or (start <= end)
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.identifier.assigner, 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(10 nested mandatory elements)
Must-Support: 27 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)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of ChargeItem.occurrence[x]

Other representations of profile: CSV, Excel, Schematron