ImplementationGuide for Malaysia Core (MY Core)
0.0.1 - CI Build

ImplementationGuide for Malaysia Core (MY Core), published by Malaysia Healthcare Nexus (MHN). This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/nhphong245/my-core-ig-r4/ and changes regularly. See the Directory of published versions

Resource Profile: ChargeItem (MY Core)

Official URL: http://fhir.hie.moh.gov.my/StructureDefinition/ChargeItem-my-core Version: 0.0.1
Active as of 2024-03-13 Responsible: Malaysia Healthcare Nexus (MHN) Realm: International flag Computable Name: ChargeItemMyCore

Usage:

  • This Resource Profile is not used by any profiles in this Implementation Guide

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from ChargeItem

NameFlagsCard.TypeDescription & Constraintsdoco
.. ChargeItem 0..* ChargeItem Item containing charge code(s) associated with the provision of healthcare provider products
... Slices for extension Content/Rules for all slices
.... chargeItemDefinitionReference 0..* Reference(ChargeItemDefinition) Extension for a ChargeItem to reference a ChargeItemDefinition
URL: http://fhir.hie.moh.gov.my/StructureDefinition/chargeitem-cid-reference-my-core
.... priceComponentMyCore 0..* (Complex) extension about the details of a line item in ChargeItem
URL: http://fhir.hie.moh.gov.my/StructureDefinition/price-component-my-core
.... useContextMyCore 0..* UsageContext Extension to determine the use context
URL: http://fhir.hie.moh.gov.my/StructureDefinition/use-context-my-core
... code 1..1 CodeableConcept A code that identifies the charge, like a billing code
Binding: ChargeItemCode (example): Set of codes that can be used for billing purposes.


doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
ChargeItem.codeexampleChargeItemCode
NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... Slices for extension Content/Rules for all slices
.... chargeItemDefinitionReference 0..* Reference(ChargeItemDefinition) Extension for a ChargeItem to reference a ChargeItemDefinition
URL: http://fhir.hie.moh.gov.my/StructureDefinition/chargeitem-cid-reference-my-core
.... priceComponentMyCore 0..* (Complex) extension about the details of a line item in ChargeItem
URL: http://fhir.hie.moh.gov.my/StructureDefinition/price-component-my-core
.... useContextMyCore 0..* UsageContext Extension to determine the use context
URL: http://fhir.hie.moh.gov.my/StructureDefinition/use-context-my-core
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... code Σ 1..1 CodeableConcept A code that identifies the charge, like a billing code
Binding: ChargeItemCode (example): Set of codes that can be used for billing purposes.

... subject Σ 1..1 Reference(Patient | Group) Individual service was done for/to

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
ChargeItem.statusrequiredChargeItemStatus
http://hl7.org/fhir/ValueSet/chargeitem-status|4.0.1
from the FHIR Standard
ChargeItem.codeexampleChargeItemCode
http://hl7.org/fhir/ValueSet/chargeitem-billingcodes
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorChargeItemIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorChargeItemIf 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-4errorChargeItemIf 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-5errorChargeItemIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceChargeItemA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. 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 BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... chargeItemDefinitionReference 0..* Reference(ChargeItemDefinition) Extension for a ChargeItem to reference a ChargeItemDefinition
URL: http://fhir.hie.moh.gov.my/StructureDefinition/chargeitem-cid-reference-my-core
.... priceComponentMyCore 0..* (Complex) extension about the details of a line item in ChargeItem
URL: http://fhir.hie.moh.gov.my/StructureDefinition/price-component-my-core
.... useContextMyCore 0..* UsageContext Extension to determine the use context
URL: http://fhir.hie.moh.gov.my/StructureDefinition/use-context-my-core
... 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 Σ 1..1 CodeableConcept A code that identifies the charge, like a billing code
Binding: ChargeItemCode (example): Set of codes that can be used for billing purposes.

... subject Σ 1..1 Reference(Patient | Group) 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
ChargeItem.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
ChargeItem.statusrequiredChargeItemStatus
http://hl7.org/fhir/ValueSet/chargeitem-status|4.0.1
from the FHIR Standard
ChargeItem.codeexampleChargeItemCode
http://hl7.org/fhir/ValueSet/chargeitem-billingcodes
from the FHIR Standard
ChargeItem.performer.functionexampleProcedurePerformerRoleCodes
http://hl7.org/fhir/ValueSet/performer-role
from the FHIR Standard
ChargeItem.bodysiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
ChargeItem.reasonexampleICD-10Codes
http://hl7.org/fhir/ValueSet/icd-10
from the FHIR Standard
ChargeItem.product[x]exampleFHIRDeviceTypes
http://hl7.org/fhir/ValueSet/device-kind
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorChargeItemIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorChargeItemIf 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-4errorChargeItemIf 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-5errorChargeItemIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceChargeItemA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Differential View

This structure is derived from ChargeItem

NameFlagsCard.TypeDescription & Constraintsdoco
.. ChargeItem 0..* ChargeItem Item containing charge code(s) associated with the provision of healthcare provider products
... Slices for extension Content/Rules for all slices
.... chargeItemDefinitionReference 0..* Reference(ChargeItemDefinition) Extension for a ChargeItem to reference a ChargeItemDefinition
URL: http://fhir.hie.moh.gov.my/StructureDefinition/chargeitem-cid-reference-my-core
.... priceComponentMyCore 0..* (Complex) extension about the details of a line item in ChargeItem
URL: http://fhir.hie.moh.gov.my/StructureDefinition/price-component-my-core
.... useContextMyCore 0..* UsageContext Extension to determine the use context
URL: http://fhir.hie.moh.gov.my/StructureDefinition/use-context-my-core
... code 1..1 CodeableConcept A code that identifies the charge, like a billing code
Binding: ChargeItemCode (example): Set of codes that can be used for billing purposes.


doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
ChargeItem.codeexampleChargeItemCode

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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
... Slices for extension Content/Rules for all slices
.... chargeItemDefinitionReference 0..* Reference(ChargeItemDefinition) Extension for a ChargeItem to reference a ChargeItemDefinition
URL: http://fhir.hie.moh.gov.my/StructureDefinition/chargeitem-cid-reference-my-core
.... priceComponentMyCore 0..* (Complex) extension about the details of a line item in ChargeItem
URL: http://fhir.hie.moh.gov.my/StructureDefinition/price-component-my-core
.... useContextMyCore 0..* UsageContext Extension to determine the use context
URL: http://fhir.hie.moh.gov.my/StructureDefinition/use-context-my-core
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... code Σ 1..1 CodeableConcept A code that identifies the charge, like a billing code
Binding: ChargeItemCode (example): Set of codes that can be used for billing purposes.

... subject Σ 1..1 Reference(Patient | Group) Individual service was done for/to

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
ChargeItem.statusrequiredChargeItemStatus
http://hl7.org/fhir/ValueSet/chargeitem-status|4.0.1
from the FHIR Standard
ChargeItem.codeexampleChargeItemCode
http://hl7.org/fhir/ValueSet/chargeitem-billingcodes
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorChargeItemIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorChargeItemIf 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-4errorChargeItemIf 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-5errorChargeItemIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceChargeItemA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. 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 BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... chargeItemDefinitionReference 0..* Reference(ChargeItemDefinition) Extension for a ChargeItem to reference a ChargeItemDefinition
URL: http://fhir.hie.moh.gov.my/StructureDefinition/chargeitem-cid-reference-my-core
.... priceComponentMyCore 0..* (Complex) extension about the details of a line item in ChargeItem
URL: http://fhir.hie.moh.gov.my/StructureDefinition/price-component-my-core
.... useContextMyCore 0..* UsageContext Extension to determine the use context
URL: http://fhir.hie.moh.gov.my/StructureDefinition/use-context-my-core
... 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 Σ 1..1 CodeableConcept A code that identifies the charge, like a billing code
Binding: ChargeItemCode (example): Set of codes that can be used for billing purposes.

... subject Σ 1..1 Reference(Patient | Group) 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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
ChargeItem.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
ChargeItem.statusrequiredChargeItemStatus
http://hl7.org/fhir/ValueSet/chargeitem-status|4.0.1
from the FHIR Standard
ChargeItem.codeexampleChargeItemCode
http://hl7.org/fhir/ValueSet/chargeitem-billingcodes
from the FHIR Standard
ChargeItem.performer.functionexampleProcedurePerformerRoleCodes
http://hl7.org/fhir/ValueSet/performer-role
from the FHIR Standard
ChargeItem.bodysiteexampleSNOMEDCTBodyStructures
http://hl7.org/fhir/ValueSet/body-site
from the FHIR Standard
ChargeItem.reasonexampleICD-10Codes
http://hl7.org/fhir/ValueSet/icd-10
from the FHIR Standard
ChargeItem.product[x]exampleFHIRDeviceTypes
http://hl7.org/fhir/ValueSet/device-kind
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorChargeItemIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorChargeItemIf 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-4errorChargeItemIf 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-5errorChargeItemIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceChargeItemA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

 

Other representations of profile: CSV, Excel, Schematron