電子病歷交換單張實作指引(EMR-IG)
0.1.0 - ci-build
This page is part of the 電子病歷交換單張實作指引(EMR-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
Official URL: https://twcore.mohw.gov.tw/ig/emr/StructureDefinition/ChargeItem-DS | Version: 0.1.0 | |||
Draft as of 2024-01-02 | Computable Name: ChargeItemDS |
此Profile用於描述調劑單張之藥物服務代碼
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
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 | |
code | S | 1..1 | CodeableConcept | A code that identifies the charge, like a billing code。[應填入藥事服務代碼] |
coding | S | 0..* | Coding | Code defined by a terminology system |
system | S | 0..1 | uri | Identity of the terminology system |
code | S | 0..1 | code | Symbol in syntax defined by the system |
display | S | 0..1 | string | Representation defined by the system |
text | S | 0..1 | string | Plain text representation of the concept |
subject | S | 1..1 | Reference(Group | 調劑單張-病人基本資料) | Individual service was done for/to |
Documentation for this format |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
ChargeItem | 0..* | ChargeItem | Item containing charge code(s) associated with the provision of healthcare provider products | |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
status | ?!Σ | 1..1 | code | planned | billable | not-billable | aborted | billed | entered-in-error | unknown Binding: ChargeItemStatus (required): Codes identifying the lifecycle stage of a ChargeItem. |
code | SΣ | 1..1 | CodeableConcept | A code that identifies the charge, like a billing code。[應填入藥事服務代碼] Binding: ChargeItemCode (example): Example set of codes that can be used for billing purposes. |
coding | SΣ | 0..* | Coding | Code defined by a terminology system |
system | SΣ | 0..1 | uri | Identity of the terminology system |
code | SΣ | 0..1 | code | Symbol in syntax defined by the system |
display | SΣ | 0..1 | string | Representation defined by the system |
text | SΣ | 0..1 | string | Plain text representation of the concept |
subject | SΣ | 1..1 | Reference(Group | 調劑單張-病人基本資料) | Individual service was done for/to |
Documentation for this format |
Path | Conformance | ValueSet | URI |
ChargeItem.status | required | ChargeItemStatushttp://hl7.org/fhir/ValueSet/chargeitem-status|4.0.1 from the FHIR Standard | |
ChargeItem.code | example | ChargeItemCodehttp://hl7.org/fhir/ValueSet/chargeitem-billingcodes from the FHIR Standard |
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() |
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.
| |||||
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 | Σ | 0..* | Identifier | Business Identifier for item | ||||
definitionUri | 0..* | uri | Defining information about the code of this charge item | |||||
definitionCanonical | 0..* | canonical(ChargeItemDefinition) | Resource defining the code of this ChargeItem | |||||
status | ?!Σ | 1..1 | code | planned | billable | not-billable | aborted | billed | entered-in-error | unknown Binding: ChargeItemStatus (required): Codes identifying the lifecycle stage of a ChargeItem. | ||||
partOf | 0..* | Reference(ChargeItem) | Part of referenced ChargeItem | |||||
code | SΣ | 1..1 | CodeableConcept | A code that identifies the charge, like a billing code。[應填入藥事服務代碼] 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 | ||||
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 | 0..1 | uri | Identity of the terminology system | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | SΣ | 0..1 | code | Symbol in syntax defined by the system | ||||
display | SΣ | 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 | Plain text representation of the concept | ||||
subject | SΣ | 1..1 | Reference(Group | 調劑單張-病人基本資料) | Individual service was done for/to | ||||
context | Σ | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with event | ||||
occurrence[x] | Σ | 0..1 | When the charged service was applied | |||||
occurrenceDateTime | dateTime | |||||||
occurrencePeriod | Period | |||||||
occurrenceTiming | Timing | |||||||
performer | 0..* | BackboneElement | Who performed charged service | |||||
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 | Σ | 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 | 0..1 | Money | Price overriding the associated rules | |||||
overrideReason | 0..1 | string | Reason for overriding the list price/factor | |||||
enterer | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson) | Individual who was entering | ||||
enteredDate | Σ | 0..1 | dateTime | Date the charge item was entered | ||||
reason | 0..* | CodeableConcept | Why was the charged service rendered? Binding: ICD-10Codes (example): Example binding for reason. | |||||
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 | 0..* | Annotation | Comments made about the ChargeItem | |||||
supportingInformation | 0..* | Reference(Resource) | Further information supporting this charge | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
ChargeItem.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
ChargeItem.status | required | ChargeItemStatushttp://hl7.org/fhir/ValueSet/chargeitem-status|4.0.1 from the FHIR Standard | ||||
ChargeItem.code | example | ChargeItemCodehttp://hl7.org/fhir/ValueSet/chargeitem-billingcodes from the FHIR Standard | ||||
ChargeItem.performer.function | example | ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard | ||||
ChargeItem.bodysite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard | ||||
ChargeItem.reason | example | ICD-10Codeshttp://hl7.org/fhir/ValueSet/icd-10 from the FHIR Standard | ||||
ChargeItem.product[x] | example | FHIRDeviceTypeshttp://hl7.org/fhir/ValueSet/device-kind from the FHIR Standard |
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
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 | |
code | S | 1..1 | CodeableConcept | A code that identifies the charge, like a billing code。[應填入藥事服務代碼] |
coding | S | 0..* | Coding | Code defined by a terminology system |
system | S | 0..1 | uri | Identity of the terminology system |
code | S | 0..1 | code | Symbol in syntax defined by the system |
display | S | 0..1 | string | Representation defined by the system |
text | S | 0..1 | string | Plain text representation of the concept |
subject | S | 1..1 | Reference(Group | 調劑單張-病人基本資料) | Individual service was done for/to |
Documentation for this format |
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 | |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
status | ?!Σ | 1..1 | code | planned | billable | not-billable | aborted | billed | entered-in-error | unknown Binding: ChargeItemStatus (required): Codes identifying the lifecycle stage of a ChargeItem. |
code | SΣ | 1..1 | CodeableConcept | A code that identifies the charge, like a billing code。[應填入藥事服務代碼] Binding: ChargeItemCode (example): Example set of codes that can be used for billing purposes. |
coding | SΣ | 0..* | Coding | Code defined by a terminology system |
system | SΣ | 0..1 | uri | Identity of the terminology system |
code | SΣ | 0..1 | code | Symbol in syntax defined by the system |
display | SΣ | 0..1 | string | Representation defined by the system |
text | SΣ | 0..1 | string | Plain text representation of the concept |
subject | SΣ | 1..1 | Reference(Group | 調劑單張-病人基本資料) | Individual service was done for/to |
Documentation for this format |
Path | Conformance | ValueSet | URI |
ChargeItem.status | required | ChargeItemStatushttp://hl7.org/fhir/ValueSet/chargeitem-status|4.0.1 from the FHIR Standard | |
ChargeItem.code | example | ChargeItemCodehttp://hl7.org/fhir/ValueSet/chargeitem-billingcodes from the FHIR Standard |
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() |
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.
| |||||
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 | Σ | 0..* | Identifier | Business Identifier for item | ||||
definitionUri | 0..* | uri | Defining information about the code of this charge item | |||||
definitionCanonical | 0..* | canonical(ChargeItemDefinition) | Resource defining the code of this ChargeItem | |||||
status | ?!Σ | 1..1 | code | planned | billable | not-billable | aborted | billed | entered-in-error | unknown Binding: ChargeItemStatus (required): Codes identifying the lifecycle stage of a ChargeItem. | ||||
partOf | 0..* | Reference(ChargeItem) | Part of referenced ChargeItem | |||||
code | SΣ | 1..1 | CodeableConcept | A code that identifies the charge, like a billing code。[應填入藥事服務代碼] 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 | ||||
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 | 0..1 | uri | Identity of the terminology system | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | SΣ | 0..1 | code | Symbol in syntax defined by the system | ||||
display | SΣ | 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 | Plain text representation of the concept | ||||
subject | SΣ | 1..1 | Reference(Group | 調劑單張-病人基本資料) | Individual service was done for/to | ||||
context | Σ | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter / Episode associated with event | ||||
occurrence[x] | Σ | 0..1 | When the charged service was applied | |||||
occurrenceDateTime | dateTime | |||||||
occurrencePeriod | Period | |||||||
occurrenceTiming | Timing | |||||||
performer | 0..* | BackboneElement | Who performed charged service | |||||
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 | Σ | 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 | 0..1 | Money | Price overriding the associated rules | |||||
overrideReason | 0..1 | string | Reason for overriding the list price/factor | |||||
enterer | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson) | Individual who was entering | ||||
enteredDate | Σ | 0..1 | dateTime | Date the charge item was entered | ||||
reason | 0..* | CodeableConcept | Why was the charged service rendered? Binding: ICD-10Codes (example): Example binding for reason. | |||||
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 | 0..* | Annotation | Comments made about the ChargeItem | |||||
supportingInformation | 0..* | Reference(Resource) | Further information supporting this charge | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
ChargeItem.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
ChargeItem.status | required | ChargeItemStatushttp://hl7.org/fhir/ValueSet/chargeitem-status|4.0.1 from the FHIR Standard | ||||
ChargeItem.code | example | ChargeItemCodehttp://hl7.org/fhir/ValueSet/chargeitem-billingcodes from the FHIR Standard | ||||
ChargeItem.performer.function | example | ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard | ||||
ChargeItem.bodysite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-site from the FHIR Standard | ||||
ChargeItem.reason | example | ICD-10Codeshttp://hl7.org/fhir/ValueSet/icd-10 from the FHIR Standard | ||||
ChargeItem.product[x] | example | FHIRDeviceTypeshttp://hl7.org/fhir/ValueSet/device-kind from the FHIR Standard |
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
Other representations of profile: CSV, Excel, Schematron