Others titles
- FHIR Charge Item Definition Resource
- Electronic Health Records Exchange Through FHIR
Keywords
- FHIR
- HL7
- Medical Terminology
- Processes Data
- Processes Information
- Processes Documentation
- Health Information Exchange
- Electronic Health Records
- FHIR Smart
- Smart on FHIR
Charge Item Definition

The Charge Item Definition resource provides the properties that apply to the (billing) codes necessary to calculate costs and prices. The properties may differ largely depending on type and realm, therefore this resource gives only a rough structure and requires profiling for each type of billing code system.
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Description
The Charge Item Definition holds all relevant billing information pertaining to a billing code or a product. Many billing systems have rules associated with the code which may define whether a billing code is applicable in a specific context or whether certain billing details (surcharges, discounts) apply. Charge Item Definitions may also be used to hold pricing information pertaining to only one specific instance of a product (e.g. Device, Medication or Substance) which may be a requirement for custom made devices or medications or other products where prices vary by instance. Rules for applicability may include
– A billing code is only applicable in an outpatient setting
– A surcharge that applies only to services provided outside regular business hours
– A discount that applies only to patients up to the age of 14
– A billing code that may only be charged once per Encounter
– A billing code that can only be charged in combination with another code from the same billing system
A billing engine will apply the Charge Item Definitions to all Charge Items within a specific Account in order to select all billable items an acquire the pricing details to create an Invoice. However, Charge Items may be validated against a Charge Item Definition at any point in time, using the $apply-Operation.
Fast Healthcare Interoperability Resources (FHIR) is a draft standard describing data formats and elements (known as “resources”) and an application programming interface (API) for exchanging electronic health records. The standard was created by the Health Level Seven International (HL7) health-care standards organization.
Its goal is to facilitate interoperation between legacy healthcare systems, to make it easy to provide healthcare information to healthcare providers and individuals on a wide variety of devices from computers to tablets to cell phones, and to allow third-party application developers to provide medical applications which can be easily integrated into existing systems.
FHIR provides an alternative to document-centric approaches by directly exposing discrete data elements as services. For example, basic elements of healthcare like patients, admissions, diagnostic reports and medications can each be retrieved and manipulated via their own resource URLs (Uniform Resource Locators). FHIR was supported at an American Medical Informatics Association meeting by many EHR (Electronic Health Record) vendors which value its open and extensible nature.
About this Dataset
Data Info
Date Created | 2018-09-20 |
---|---|
Last Modified | 2023-03-26 |
Version | 5.0.0 |
Update Frequency |
Annual |
Temporal Coverage |
N/A |
Spatial Coverage |
United States |
Source | John Snow Labs; Health Level Seven International; |
Source License URL | |
Source License Requirements |
N/A |
Source Citation |
N/A |
Keywords | FHIR, HL7, Medical Terminology, Processes Data, Processes Information, Processes Documentation, Health Information Exchange, Electronic Health Records, FHIR Smart, Smart on FHIR |
Other Titles | FHIR Charge Item Definition Resource, Electronic Health Records Exchange Through FHIR |
Data Fields
Name | Description | Type | Constraints |
---|---|---|---|
Concept_Name | Name of the concept in the FHIR structure | string | required : 1 |
Computer_Ready_Name | A Computer-ready name (e.g. a token) that identifies the structure - suitable for code generation. Note that this name (and other names relevant for code generation, including element & slice names, codes etc) may collide with reserved words in the relevant target language, and code generators will need to handle this. | string | - |
Type | The type the structure describes. | string | - |
Dollar_Ref | The Dollar_Ref ($ref) string value contains a Uniform Resource Identifier (URI) which identifies the location of the JSON (JavaScript Object Notation) value being referenced. | string | - |
Description | A free text natural language description of the structure and its use | string | - |
Items | The value of the keyword should be an object or an array of objects. If the keyword value is an object, then for the data array to be valid each item of the array should be valid according to the schema in this value. | string | - |
Enum | The enum is used to restrict a value to a fixed set of values. It must be an array with at least one element, where each element is unique. | string | - |
Required | The value of the keyword should be an array of unique strings. The data object to be valid should contain all properties with names equal to the elements in the keyword value. | string | - |
Const | The value of this keyword can be anything. The data is valid if it is deeply equal to the value of the keyword. | string | - |
Data Preview
Concept Name | Computer Ready Name | Type | Dollar Ref | Description | Items | Enum | Required | Const |
ChargeItemDefinition | resourceType | This is a ChargeItemDefinition resource | ChargeItemDefinition | |||||
ChargeItemDefinition | id | #/definitions/id | The logical id of the resource | |||||
ChargeItemDefinition | meta | #/definitions/Meta | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource. | |||||
ChargeItemDefinition | implicitRules | #/definitions/uri | A reference to a set of rules that were followed when the resource was constructed | |||||
ChargeItemDefinition | _implicitRules | #/definitions/Element | Extensions for implicitRules | |||||
ChargeItemDefinition | language | #/definitions/code | The base language in which the resource is written. | |||||
ChargeItemDefinition | _language | #/definitions/Element | Extensions for language | |||||
ChargeItemDefinition | text | #/definitions/Narrative | A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data | |||||
ChargeItemDefinition | contained | array | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently | |||||
ChargeItemDefinition | extension | array | May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and managable |