HL7® FHIR® Malaysia Core (MY Core) Implementation Guide
2.0.1 - ci-build
HL7® FHIR® Malaysia Core (MY Core) Implementation Guide
2.0.1 - ci-build
HL7® FHIR® Malaysia Core (MY Core) Implementation Guide - Local Development build (v2.0.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: http://fhir.hie.moh.gov.my/StructureDefinition/ChargeItem-my-core | Version: 2.0.1 | |||
| Active as of 2024-03-13 | Computable Name: ChargeItemMyCore | |||
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.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  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 |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
   extension: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 | |
| extension: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 | |
 extension: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 |
| 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 |
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 |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| ChargeItem.status | required | ChargeItemStatushttp://hl7.org/fhir/ValueSet/chargeitem-status|4.0.1From the FHIR Standard | |
| ChargeItem.code | example | ChargeItemCodehttp://hl7.org/fhir/ValueSet/chargeitem-billingcodesFrom 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
| Path | Conformance | ValueSet | URI |
| ChargeItem.code | example | ChargeItemCodehttp://hl7.org/fhir/ValueSet/chargeitem-billingcodesFrom the FHIR Standard |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| 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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension: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 | |||||
| extension: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 | |||||
| extension: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 | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| ChargeItem.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesFrom the FHIR Standard
| ||||
| ChargeItem.status | required | ChargeItemStatushttp://hl7.org/fhir/ValueSet/chargeitem-status|4.0.1From the FHIR Standard | ||||
| ChargeItem.code | example | ChargeItemCodehttp://hl7.org/fhir/ValueSet/chargeitem-billingcodesFrom the FHIR Standard | ||||
| ChargeItem.performer.function | example | ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-roleFrom the FHIR Standard | ||||
| ChargeItem.bodysite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-siteFrom the FHIR Standard | ||||
| ChargeItem.reason | example | ICD-10Codeshttp://hl7.org/fhir/ValueSet/icd-10From the FHIR Standard | ||||
| ChargeItem.product[x] | example | FHIRDeviceTypeshttp://hl7.org/fhir/ValueSet/device-kindFrom 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
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| 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 |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension: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 | |
| extension: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 | |
| extension: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 |
| 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 |
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 |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| ChargeItem.status | required | ChargeItemStatushttp://hl7.org/fhir/ValueSet/chargeitem-status|4.0.1From the FHIR Standard | |
| ChargeItem.code | example | ChargeItemCodehttp://hl7.org/fhir/ValueSet/chargeitem-billingcodesFrom 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() |
Differential View
This structure is derived from ChargeItem
| Path | Conformance | ValueSet | URI |
| ChargeItem.code | example | ChargeItemCodehttp://hl7.org/fhir/ValueSet/chargeitem-billingcodesFrom the FHIR Standard |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| 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 This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension: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 | |||||
| extension: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 | |||||
| extension: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 | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| ChargeItem.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesFrom the FHIR Standard
| ||||
| ChargeItem.status | required | ChargeItemStatushttp://hl7.org/fhir/ValueSet/chargeitem-status|4.0.1From the FHIR Standard | ||||
| ChargeItem.code | example | ChargeItemCodehttp://hl7.org/fhir/ValueSet/chargeitem-billingcodesFrom the FHIR Standard | ||||
| ChargeItem.performer.function | example | ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-roleFrom the FHIR Standard | ||||
| ChargeItem.bodysite | example | SNOMEDCTBodyStructureshttp://hl7.org/fhir/ValueSet/body-siteFrom the FHIR Standard | ||||
| ChargeItem.reason | example | ICD-10Codeshttp://hl7.org/fhir/ValueSet/icd-10From the FHIR Standard | ||||
| ChargeItem.product[x] | example | FHIRDeviceTypeshttp://hl7.org/fhir/ValueSet/device-kindFrom 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
This structure defines these elements as mandatory data fields:
| Element | Description |
|---|---|
ChargeItem.status
|
Status of the ChargeItem e.g. planned, billable, aborted. |
ChargeItem.code
|
Code of the ChargeItem to identify the charge, like a billing code . |
ChargeItem.subject
|
References the Patient or Group who is the subject of the ChargeItem. |
IG © 2022+ MHNexus Sdn Bhd. Package hl7.fhir.MyCore#2.0.1 based on FHIR 4.0.1. Generated 2025-08-27
Links: Table of Contents |
QA Report
| Version History |
|
Propose a change
