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) (v0.1.0: Releases) 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 LABD, Bundle LABM, Bundle TOTFA and Bundle TOTFB
• Refer to this Resource Profile: Composition LABD, Composition LABM, Composition TOTFA and Composition TOTFB
• Examples for this Resource Profile: ChargeItem/cha-TOTFA-Order and ChargeItem/cha-TOTFBLABM-Order

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-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-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
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	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	SΣ	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	SΣ	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	SΣ	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	SΣ	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
reference	SΣC	1..1	string	患者Resource Link ele-1: All FHIR elements must have a @value or children
Slices for occurrence[x]	SΣ	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	SΣ	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	SΣ	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	SΣ	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	S	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	SΣ	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	S	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/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()

This structure is derived from ChargeItem

Name	Flags	Card.	Type	Description & Constraints
ChargeItem		0..*	ChargeItem	Item containing charge code(s) associated with the provision of healthcare provider products
identifier	S	1..1	Identifier	Business Identifier for item
system	S	0..1	uri	The namespace for the identifier value
value	S	1..1	string	醫令序。[TOTFA.p13/TOTFB.p1/LABM.h17]
status	S	1..1	code	planned | billable | not-billable | aborted | billed | entered-in-error | unknown
code	S	1..1	CodeableConcept	醫令類別
coding	S	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。
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	醫令類別。[TOTFA.p3/TOTFB.p2]
text	S	0..1	string	醫令類別。[TOTFA.p3/TOTFB.p2]
subject	S	1..1	Reference(Patient TOTFA、TOTFB、LABD、LAM、CASE-病患基本資料)	Individual service was done for/to
reference	S	1..1	string	患者Resource Link
Slices for occurrence[x]	S	0..1	dateTime, Period, Timing	When the charged service was applied Slice: Unordered, Open by type:$this
occurrence[x]:occurrencePeriod	S	0..1	Period	執行時間起/迄
start	S	1..1	dateTime	執行時間-起。[TOTFA.p14/TOTFB.p14]
end	S	0..1	dateTime	執行時間-迄。[TOTFA.p15/TOTFB.p15]
bodysite	S	0..*	CodeableConcept	診療之部位
coding	S	0..*	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	診療之部位代碼。[TOTFA.p6]
text	S	0..1	string	診療之部位。[TOTFA.p6]
reason	S	0..*	CodeableConcept	醫令代碼
coding	S	0..*	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	醫令代碼。[TOTFB.p3//LABM.h18]
text	S	0..1	string	醫令代碼。[TOTFB.p3/LABM.h18]
note	S	0..*	Annotation	Comments made about the ChargeItem
text	S	1..1	markdown	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/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	id	Logical id of this artifact
meta	Σ	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		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..1	Identifier	Business Identifier for item
id		0..1	string	Unique id for inter-element referencing
extension		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	Σ	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	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
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		0..*	Reference(ChargeItem)	Part of referenced ChargeItem
code	SΣ	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		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	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		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	SΣ	1..1	Reference(Patient TOTFA、TOTFB、LABD、LAM、CASE-病患基本資料)	Individual service was done for/to
id		0..1	string	Unique id for inter-element referencing
extension		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	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
context	Σ	0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with event
Slices for occurrence[x]	SΣ	0..1		When the charged service was applied Slice: Unordered, Open by type:$this
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
occurrence[x]:occurrencePeriod	SΣ	0..1	Period	執行時間起/迄
id		0..1	string	Unique id for inter-element referencing
extension		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		0..*	BackboneElement	Who performed charged service
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function		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		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	SΣ	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		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		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		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	S	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		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		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		0..*	Reference(DiagnosticReport | ImagingStudy | Immunization | MedicationAdministration | MedicationDispense | Observation | Procedure | SupplyDelivery)	Which rendered service is being charged?
product[x]		0..1		Product charged Binding: FHIRDeviceTypes (example): Example binding for product type.
productReference			Reference(Device | Medication | Substance)
productCodeableConcept			CodeableConcept
account	Σ	0..*	Reference(Account)	Account to place this charge
note	S	0..*	Annotation	Comments made about the ChargeItem
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
author[x]	Σ	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		0..*	Reference(Resource)	Further information supporting this charge
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/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()

This structure is derived from ChargeItem

Summary

Mandatory: 3 elements(7 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/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-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-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
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	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	SΣ	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	SΣ	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	SΣ	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	SΣ	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
reference	SΣC	1..1	string	患者Resource Link ele-1: All FHIR elements must have a @value or children
Slices for occurrence[x]	SΣ	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	SΣ	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	SΣ	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	SΣ	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	S	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	SΣ	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	S	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/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()

Differential View

This structure is derived from ChargeItem

Name	Flags	Card.	Type	Description & Constraints
ChargeItem		0..*	ChargeItem	Item containing charge code(s) associated with the provision of healthcare provider products
identifier	S	1..1	Identifier	Business Identifier for item
system	S	0..1	uri	The namespace for the identifier value
value	S	1..1	string	醫令序。[TOTFA.p13/TOTFB.p1/LABM.h17]
status	S	1..1	code	planned | billable | not-billable | aborted | billed | entered-in-error | unknown
code	S	1..1	CodeableConcept	醫令類別
coding	S	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。
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	醫令類別。[TOTFA.p3/TOTFB.p2]
text	S	0..1	string	醫令類別。[TOTFA.p3/TOTFB.p2]
subject	S	1..1	Reference(Patient TOTFA、TOTFB、LABD、LAM、CASE-病患基本資料)	Individual service was done for/to
reference	S	1..1	string	患者Resource Link
Slices for occurrence[x]	S	0..1	dateTime, Period, Timing	When the charged service was applied Slice: Unordered, Open by type:$this
occurrence[x]:occurrencePeriod	S	0..1	Period	執行時間起/迄
start	S	1..1	dateTime	執行時間-起。[TOTFA.p14/TOTFB.p14]
end	S	0..1	dateTime	執行時間-迄。[TOTFA.p15/TOTFB.p15]
bodysite	S	0..*	CodeableConcept	診療之部位
coding	S	0..*	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	診療之部位代碼。[TOTFA.p6]
text	S	0..1	string	診療之部位。[TOTFA.p6]
reason	S	0..*	CodeableConcept	醫令代碼
coding	S	0..*	Coding	Code defined by a terminology system
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	醫令代碼。[TOTFB.p3//LABM.h18]
text	S	0..1	string	醫令代碼。[TOTFB.p3/LABM.h18]
note	S	0..*	Annotation	Comments made about the ChargeItem
text	S	1..1	markdown	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/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	id	Logical id of this artifact
meta	Σ	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		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..1	Identifier	Business Identifier for item
id		0..1	string	Unique id for inter-element referencing
extension		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	Σ	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	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
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		0..*	Reference(ChargeItem)	Part of referenced ChargeItem
code	SΣ	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		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	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		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	SΣ	1..1	Reference(Patient TOTFA、TOTFB、LABD、LAM、CASE-病患基本資料)	Individual service was done for/to
id		0..1	string	Unique id for inter-element referencing
extension		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	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
context	Σ	0..1	Reference(Encounter | EpisodeOfCare)	Encounter / Episode associated with event
Slices for occurrence[x]	SΣ	0..1		When the charged service was applied Slice: Unordered, Open by type:$this
occurrenceDateTime			dateTime
occurrencePeriod			Period
occurrenceTiming			Timing
occurrence[x]:occurrencePeriod	SΣ	0..1	Period	執行時間起/迄
id		0..1	string	Unique id for inter-element referencing
extension		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		0..*	BackboneElement	Who performed charged service
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function		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		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	SΣ	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		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		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		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	S	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		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		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		0..*	Reference(DiagnosticReport | ImagingStudy | Immunization | MedicationAdministration | MedicationDispense | Observation | Procedure | SupplyDelivery)	Which rendered service is being charged?
product[x]		0..1		Product charged Binding: FHIRDeviceTypes (example): Example binding for product type.
productReference			Reference(Device | Medication | Substance)
productCodeableConcept			CodeableConcept
account	Σ	0..*	Reference(Account)	Account to place this charge
note	S	0..*	Annotation	Comments made about the ChargeItem
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
author[x]	Σ	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		0..*	Reference(Resource)	Further information supporting this charge
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/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()

This structure is derived from ChargeItem

Summary

Mandatory: 3 elements(7 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/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