ChargeItem

Financial

The resource ChargeItem describes the provision of healthcare provider products for a certain patient, therefore referring not only to the product, but containing in addition details of the provision, like date, time, amounts and participating organizations and persons. Main Usage of the ChargeItem is to enable the billing process and internal cost allocation.

ChargeItem is a FHIR R4 Financial resource — item containing charge code(s) associated with the provision of healthcare provider. It defines 40 elements and supports 26 search parameters, and is referenced from 2 elements across other resources.

Official spec

Path	Card.	Type	Description & Constraints
ChargeItem	0..*	—	Item containing charge code(s) associated with the provision of healthcare provider products
.idΣ	0..1	String	Logical id of this artifact
.metaΣ	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 Bindinglanguages(preferred)
.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
.identifierΣ	0..*	Identifier	Business Identifier for item
.definitionUri	0..*	uri	Defining information about the code of this charge item
.definitionCanonical	0..*	canonical	Resource defining the code of this ChargeItem
.status?!Σ	1..1	code	planned \| billable \| not-billable \| aborted \| billed \| entered-in-error \| unknown Bindingchargeitem-status(required)
.partOf	0..*	Reference(ChargeItem)	Part of referenced ChargeItem
.codeΣ	1..1	CodeableConcept	A code that identifies the charge, like a billing code Bindingchargeitem-billingcodes(example)
.subjectΣ	1..1	Reference(Patient \| Group)	Individual service was done for/to
.contextΣ	0..1	Reference(Encounter \| EpisodeOfCare)	Encounter / Episode associated with event
.occurrence[x]Σ	0..1	dateTime \| Period \| Timing	When the charged service was applied
.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 Bindingperformer-role(example)
.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
.quantityΣ	0..1	Quantity	Quantity of which the charge item has been serviced
.bodysiteΣ	0..*	CodeableConcept	Anatomical location, if relevant Bindingbody-site(example)
.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
.entererΣ	0..1	Reference(Practitioner \| PractitionerRole \| Organization \| Patient \| Device \| RelatedPerson)	Individual who was entering
.enteredDateΣ	0..1	dateTime	Date the charge item was entered
.reason	0..*	CodeableConcept	Why was the charged service rendered? Bindingicd-10(example)
.service	0..*	Reference(DiagnosticReport \| ImagingStudy \| Immunization \| MedicationAdministration \| MedicationDispense \| Observation \| Procedure \| SupplyDelivery)	Which rendered service is being charged?
.product[x]	0..1	Reference(Device \| Medication \| Substance) \| CodeableConcept	Product charged Bindingdevice-kind(example)
.accountΣ	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

More Financial resources

Account ChargeItemDefinition Claim ClaimResponse Contract Coverage CoverageEligibilityRequest CoverageEligibilityResponse EnrollmentRequest EnrollmentResponse ExplanationOfBenefit InsurancePlan Invoice PaymentNotice PaymentReconciliation

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