Atrius India Core FHIR Implementation Guide
0.1.0 - ci-build

Atrius India Core FHIR Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: Example AtriusIn ChargeItem — ICU bed day with room-rent deduction

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/ChargeItem/atrius-in-chargeitem-bed-day-example> a fhir:ChargeItem ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "atrius-in-chargeitem-bed-day-example"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-chargeitem" ;
       fhir:index -1 ;
       fhir:link <https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-chargeitem>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ChargeItem atrius-in-chargeitem-bed-day-example</b></p><a name=\"atrius-in-chargeitem-bed-day-example\"> </a><a name=\"hcatrius-in-chargeitem-bed-day-example\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-atrius-in-chargeitem.html\">Atrius India Core ChargeItem</a></p></div><p><b>Atrius GST Rate Class</b>: exempt</p><p><b>Atrius Billing Item Type</b>: bed-day</p><p><b>Atrius Schedule of Charges Reference</b>: soc-cash-ip</p><p><b>Atrius Bed Category Extension</b>: icu</p><p><b>Atrius Rate Schedule Version</b>: 3</p><p><b>Atrius Contract Version</b>: 2</p><p><b>Atrius Discount Rule Sequence</b>: 0</p><p><b>Atrius Pricing Explanation</b>: ICU rate v3; entitled general under cap-delta-to-patient</p><p><b>Atrius Professional Amount</b>: <span title=\"Indian Rupee\">₹0.00</span> (INR)</p><p><b>Atrius Facility Amount</b>: <span title=\"Indian Rupee\">₹8,000.00</span> (INR)</p><p><b>Atrius Tariff Source Extension</b>: contract-row</p><p><b>Atrius Charge Liability Extension</b>: payer</p><p><b>Atrius Claimable Amount</b>: <span title=\"Indian Rupee\">₹4,500.00</span> (INR)</p><blockquote><p><b>Atrius Room-Rent Deduction</b></p><ul><li>policy: cap-delta-to-patient</li><li>actualBedRate: <span title=\"Indian Rupee\">₹8,000.00</span> (INR)</li><li>payerUnitAmount: <span title=\"Indian Rupee\">₹4,500.00</span> (INR)</li><li>patientDelta: <span title=\"Indian Rupee\">₹3,500.00</span> (INR)</li><li>reason: Occupied ICU above entitled general; room-rent cap 4500</li><li>occupiedCategory: icu</li><li>entitledCategory: general</li><li>entitledBedRate: <span title=\"Indian Rupee\">₹2,500.00</span> (INR)</li><li>roomRentCap: <span title=\"Indian Rupee\">₹4,500.00</span> (INR)</li></ul></blockquote><p><b>definitionUri</b>: <a href=\"ChargeItemDefinition-atrius-in-chargeitemdefinition-bed-day-example.html\">ChargeItemDefinition ICU bed day</a></p><p><b>status</b>: Billable</p><p><b>code</b>: <span title=\"Codes:{https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-billing-codes 02}\">ICU bed day</span></p><p><b>subject</b>: <a href=\"Patient-atrius-in-patient-example.html\">Priya Sharma(official) Female, DoB: 1985-03-15 ( Ayushman Bharat Health Account (ABHA) ID: NDHMHealthId#ABHA-1234-5678-9012 (use: official, ))</a></p><p><b>context</b>: <a href=\"Encounter-atrius-in-encounter-inpatient-example.html\">Encounter: status = in-progress; class = inpatient encounter (ActCode#IMP); type = ; period = 2026-07-03 10:00:00+0530 --&gt; (ongoing); reasonCode = </a></p><p><b>occurrence</b>: 2026-07-04 12:00:00+0530</p><p><b>performingOrganization</b>: <a href=\"Organization-atrius-in-organization-example.html\">Organization AtriusIn General Hospital</a></p><p><b>quantity</b>: 1</p><p><b>product</b>: <span title=\"Codes:\">ICU bed day</span></p></div>"
  ] ;
  fhir:DomainResource.extension [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-gst-rate-class" ] ;
     fhir:Extension.valueCode [ fhir:value "exempt" ]
  ], [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-billing-item-type" ] ;
     fhir:Extension.valueCode [ fhir:value "bed-day" ]
  ], [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-schedule-of-charges-ref" ] ;
     fhir:Extension.valueString [ fhir:value "soc-cash-ip" ]
  ], [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-bed-category" ] ;
     fhir:Extension.valueCode [ fhir:value "icu" ]
  ], [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-rate-version" ] ;
     fhir:Extension.valueInteger [ fhir:value "3"^^xsd:integer ]
  ], [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-contract-version" ] ;
     fhir:Extension.valueInteger [ fhir:value "2"^^xsd:integer ]
  ], [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-discount-rule-seq" ] ;
     fhir:Extension.valueInteger [ fhir:value "0"^^xsd:integer ]
  ], [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-pricing-explanation" ] ;
     fhir:Extension.valueString [ fhir:value "ICU rate v3; entitled general under cap-delta-to-patient" ]
  ], [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-professional-amount" ] ;
     fhir:Extension.valueMoney [
       fhir:Money.value [ fhir:value "0"^^xsd:decimal ] ;
       fhir:Money.currency [ fhir:value "INR" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-facility-amount" ] ;
     fhir:Extension.valueMoney [
       fhir:Money.value [ fhir:value "8000"^^xsd:decimal ] ;
       fhir:Money.currency [ fhir:value "INR" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-tariff-source" ] ;
     fhir:Extension.valueCode [ fhir:value "contract-row" ]
  ], [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-charge-liability" ] ;
     fhir:Extension.valueCode [ fhir:value "payer" ]
  ], [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-claimable-amount" ] ;
     fhir:Extension.valueMoney [
       fhir:Money.value [ fhir:value "4500"^^xsd:decimal ] ;
       fhir:Money.currency [ fhir:value "INR" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Element.extension [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "policy" ] ;
       fhir:Extension.valueCode [ fhir:value "cap-delta-to-patient" ]
     ], [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "actualBedRate" ] ;
       fhir:Extension.valueMoney [
         fhir:Money.value [ fhir:value "8000"^^xsd:decimal ] ;
         fhir:Money.currency [ fhir:value "INR" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "payerUnitAmount" ] ;
       fhir:Extension.valueMoney [
         fhir:Money.value [ fhir:value "4500"^^xsd:decimal ] ;
         fhir:Money.currency [ fhir:value "INR" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "patientDelta" ] ;
       fhir:Extension.valueMoney [
         fhir:Money.value [ fhir:value "3500"^^xsd:decimal ] ;
         fhir:Money.currency [ fhir:value "INR" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "reason" ] ;
       fhir:Extension.valueString [ fhir:value "Occupied ICU above entitled general; room-rent cap 4500" ]
     ], [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "occupiedCategory" ] ;
       fhir:Extension.valueCode [ fhir:value "icu" ]
     ], [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "entitledCategory" ] ;
       fhir:Extension.valueCode [ fhir:value "general" ]
     ], [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "entitledBedRate" ] ;
       fhir:Extension.valueMoney [
         fhir:Money.value [ fhir:value "2500"^^xsd:decimal ] ;
         fhir:Money.currency [ fhir:value "INR" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "roomRentCap" ] ;
       fhir:Extension.valueMoney [
         fhir:Money.value [ fhir:value "4500"^^xsd:decimal ] ;
         fhir:Money.currency [ fhir:value "INR" ]
       ]
     ] ;
     fhir:Extension.url [ fhir:value "https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-room-rent-deduction" ]
  ] ;
  fhir:ChargeItem.definitionUri [
     fhir:value "https://atrius.in/fhir/r4/atrius-in/ChargeItemDefinition/atrius-in-chargeitemdefinition-bed-day-example" ;
     fhir:index -1
  ] ;
  fhir:ChargeItem.status [ fhir:value "billable"] ;
  fhir:ChargeItem.code [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "https://nrces.in/ndhm/fhir/r4/CodeSystem/ndhm-billing-codes" ] ;
       fhir:Coding.code [ fhir:value "02" ] ;
       fhir:Coding.display [ fhir:value "IPD" ]
     ] ;
     fhir:CodeableConcept.text [ fhir:value "ICU bed day" ]
  ] ;
  fhir:ChargeItem.subject [
     fhir:link <http://hl7.org/fhir/Patient/atrius-in-patient-example> ;
     fhir:Reference.reference [ fhir:value "Patient/atrius-in-patient-example" ]
  ] ;
  fhir:ChargeItem.context [
     fhir:link <http://hl7.org/fhir/Encounter/atrius-in-encounter-inpatient-example> ;
     fhir:Reference.reference [ fhir:value "Encounter/atrius-in-encounter-inpatient-example" ]
  ] ;
  fhir:ChargeItem.occurrenceDateTime [ fhir:value "2026-07-04T12:00:00+05:30"^^xsd:dateTime] ;
  fhir:ChargeItem.performingOrganization [
     fhir:link <http://hl7.org/fhir/Organization/atrius-in-organization-example> ;
     fhir:Reference.reference [ fhir:value "Organization/atrius-in-organization-example" ]
  ] ;
  fhir:ChargeItem.quantity [
     fhir:Quantity.value [ fhir:value "1"^^xsd:decimal ]
  ] ;
  fhir:ChargeItem.productCodeableConcept [
     fhir:CodeableConcept.text [ fhir:value "ICU bed day" ]
  ] .

<http://hl7.org/fhir/Patient/atrius-in-patient-example> a fhir:Patient .

<http://hl7.org/fhir/Encounter/atrius-in-encounter-inpatient-example> a fhir:Encounter .

<http://hl7.org/fhir/Organization/atrius-in-organization-example> a fhir:Organization .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/ChargeItem/atrius-in-chargeitem-bed-day-example.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/ChargeItem/atrius-in-chargeitem-bed-day-example.ttl> .