Data Management with FHIR
0.1.0 - ci-build

Data Management with FHIR - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Logical Model: Cost OMOP Table

Official URL: https://interop.aphp.fr/ig/fhir/dm/StructureDefinition/OMOPCost | Version: 0.1.0
Draft as of 2025-10-23 | Computable Name: OMOPCost

The COST table captures records containing the cost of any medical event recorded in one of the OMOP clinical event tables such as DRUG_EXPOSURE, PROCEDURE_OCCURRENCE, VISIT_OCCURRENCE, VISIT_DETAIL, DEVICE_OCCURRENCE, OBSERVATION or MEASUREMENT.

Each record in the cost table account for the amount of money transacted for the clinical event. So, the COST table may be used to represent both receivables (charges) and payments (paid), each transaction type represented by its COST_CONCEPT_ID. The COST_TYPE_CONCEPT_ID field will use concepts in the Standardized Vocabularies to designate the source (provenance) of the cost data. A reference to the health plan information in the PAYER_PLAN_PERIOD table is stored in the record for information used for the adjudication system to determine the persons benefit for the clinical event.

Usages:

- This Logical Model is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
OMOPCost |  | 0..* | Base | Cost OMOP Table Instances of this logical model can be the target of a Reference
cost_id |  | 1..1 | integer | Cost Identifier
cost_event_id |  | 1..1 | integer | Cost Event Identifier
cost_domain_id |  | 1..1 | string | Cost Domain Identifier
cost_type_concept_id |  | 1..1 | Reference(Concept OMOP Table) | Cost Type
currency_concept_id |  | 0..1 | Reference(Concept OMOP Table) | Currency
total_charge |  | 0..1 | integer | Total Charge
total_cost |  | 0..1 | integer | Total Cost
total_paid |  | 0..1 | integer | Total Paid
paid_by_payer |  | 0..1 | integer | Paid by Payer
paid_by_patient |  | 0..1 | integer | Paid by Patient
paid_patient_copay |  | 0..1 | integer | Paid Patient Copay
paid_patient_coinsurance |  | 0..1 | integer | Paid Patient Coinsurance
paid_patient_deductible |  | 0..1 | integer | Paid Patient Deductible
paid_by_primary |  | 0..1 | integer | Paid by Primary
paid_ingredient_cost |  | 0..1 | integer | Paid Ingredent Cost
paid_dispensing_fee |  | 0..1 | integer | Paid Dispensing Fee
payer_plan_period_id |  | 0..1 | Reference(Payer Plan Period OMOP Table) | Payer Plan Period
amount_allowed |  | 0..1 | integer | Amount Allowed
revenue_code_concept_id |  | 0..1 | Reference(Concept OMOP Table) | Revenue Code
revenue_code_source_value |  | 0..1 | string | Revenue Code Source Value
drg_concept_id |  | 0..1 | integer | Diagnosis Related Groups
drg_source_value |  | 0..1 | string | Diagnosis Related Groups Source Value
Documentation for this format

This structure is derived from Base

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
OMOPCost |  | 0..* | Base | Cost OMOP Table Instances of this logical model can be the target of a Reference
cost_id |  | 1..1 | integer | Cost Identifier
cost_event_id |  | 1..1 | integer | Cost Event Identifier
cost_domain_id |  | 1..1 | string | Cost Domain Identifier
cost_type_concept_id |  | 1..1 | Reference(Concept OMOP Table) | Cost Type
currency_concept_id |  | 0..1 | Reference(Concept OMOP Table) | Currency
total_charge |  | 0..1 | integer | Total Charge
total_cost |  | 0..1 | integer | Total Cost
total_paid |  | 0..1 | integer | Total Paid
paid_by_payer |  | 0..1 | integer | Paid by Payer
paid_by_patient |  | 0..1 | integer | Paid by Patient
paid_patient_copay |  | 0..1 | integer | Paid Patient Copay
paid_patient_coinsurance |  | 0..1 | integer | Paid Patient Coinsurance
paid_patient_deductible |  | 0..1 | integer | Paid Patient Deductible
paid_by_primary |  | 0..1 | integer | Paid by Primary
paid_ingredient_cost |  | 0..1 | integer | Paid Ingredent Cost
paid_dispensing_fee |  | 0..1 | integer | Paid Dispensing Fee
payer_plan_period_id |  | 0..1 | Reference(Payer Plan Period OMOP Table) | Payer Plan Period
amount_allowed |  | 0..1 | integer | Amount Allowed
revenue_code_concept_id |  | 0..1 | Reference(Concept OMOP Table) | Revenue Code
revenue_code_source_value |  | 0..1 | string | Revenue Code Source Value
drg_concept_id |  | 0..1 | integer | Diagnosis Related Groups
drg_source_value |  | 0..1 | string | Diagnosis Related Groups Source Value
Documentation for this format

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
OMOPCost |  | 0..* | Base | Cost OMOP Table Instances of this logical model can be the target of a Reference
cost_id |  | 1..1 | integer | Cost Identifier
cost_event_id |  | 1..1 | integer | Cost Event Identifier
cost_domain_id |  | 1..1 | string | Cost Domain Identifier
cost_type_concept_id |  | 1..1 | Reference(Concept OMOP Table) | Cost Type
currency_concept_id |  | 0..1 | Reference(Concept OMOP Table) | Currency
total_charge |  | 0..1 | integer | Total Charge
total_cost |  | 0..1 | integer | Total Cost
total_paid |  | 0..1 | integer | Total Paid
paid_by_payer |  | 0..1 | integer | Paid by Payer
paid_by_patient |  | 0..1 | integer | Paid by Patient
paid_patient_copay |  | 0..1 | integer | Paid Patient Copay
paid_patient_coinsurance |  | 0..1 | integer | Paid Patient Coinsurance
paid_patient_deductible |  | 0..1 | integer | Paid Patient Deductible
paid_by_primary |  | 0..1 | integer | Paid by Primary
paid_ingredient_cost |  | 0..1 | integer | Paid Ingredent Cost
paid_dispensing_fee |  | 0..1 | integer | Paid Dispensing Fee
payer_plan_period_id |  | 0..1 | Reference(Payer Plan Period OMOP Table) | Payer Plan Period
amount_allowed |  | 0..1 | integer | Amount Allowed
revenue_code_concept_id |  | 0..1 | Reference(Concept OMOP Table) | Revenue Code
revenue_code_source_value |  | 0..1 | string | Revenue Code Source Value
drg_concept_id |  | 0..1 | integer | Diagnosis Related Groups
drg_source_value |  | 0..1 | string | Diagnosis Related Groups Source Value
Documentation for this format

This structure is derived from Base

Résumé

Mandatory: 0 element(4 nested mandatory elements)

Structures

This structure refers to these other structures:

- Concept OMOP Table (https://interop.aphp.fr/ig/fhir/dm/StructureDefinition/OMOPConcept)
- Payer Plan Period OMOP Table (https://interop.aphp.fr/ig/fhir/dm/StructureDefinition/OMOPPayerPlanPeriod)

Key Elements View

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
OMOPCost |  | 0..* | Base | Cost OMOP Table Instances of this logical model can be the target of a Reference
cost_id |  | 1..1 | integer | Cost Identifier
cost_event_id |  | 1..1 | integer | Cost Event Identifier
cost_domain_id |  | 1..1 | string | Cost Domain Identifier
cost_type_concept_id |  | 1..1 | Reference(Concept OMOP Table) | Cost Type
currency_concept_id |  | 0..1 | Reference(Concept OMOP Table) | Currency
total_charge |  | 0..1 | integer | Total Charge
total_cost |  | 0..1 | integer | Total Cost
total_paid |  | 0..1 | integer | Total Paid
paid_by_payer |  | 0..1 | integer | Paid by Payer
paid_by_patient |  | 0..1 | integer | Paid by Patient
paid_patient_copay |  | 0..1 | integer | Paid Patient Copay
paid_patient_coinsurance |  | 0..1 | integer | Paid Patient Coinsurance
paid_patient_deductible |  | 0..1 | integer | Paid Patient Deductible
paid_by_primary |  | 0..1 | integer | Paid by Primary
paid_ingredient_cost |  | 0..1 | integer | Paid Ingredent Cost
paid_dispensing_fee |  | 0..1 | integer | Paid Dispensing Fee
payer_plan_period_id |  | 0..1 | Reference(Payer Plan Period OMOP Table) | Payer Plan Period
amount_allowed |  | 0..1 | integer | Amount Allowed
revenue_code_concept_id |  | 0..1 | Reference(Concept OMOP Table) | Revenue Code
revenue_code_source_value |  | 0..1 | string | Revenue Code Source Value
drg_concept_id |  | 0..1 | integer | Diagnosis Related Groups
drg_source_value |  | 0..1 | string | Diagnosis Related Groups Source Value
Documentation for this format

Differential View

This structure is derived from Base

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
OMOPCost |  | 0..* | Base | Cost OMOP Table Instances of this logical model can be the target of a Reference
cost_id |  | 1..1 | integer | Cost Identifier
cost_event_id |  | 1..1 | integer | Cost Event Identifier
cost_domain_id |  | 1..1 | string | Cost Domain Identifier
cost_type_concept_id |  | 1..1 | Reference(Concept OMOP Table) | Cost Type
currency_concept_id |  | 0..1 | Reference(Concept OMOP Table) | Currency
total_charge |  | 0..1 | integer | Total Charge
total_cost |  | 0..1 | integer | Total Cost
total_paid |  | 0..1 | integer | Total Paid
paid_by_payer |  | 0..1 | integer | Paid by Payer
paid_by_patient |  | 0..1 | integer | Paid by Patient
paid_patient_copay |  | 0..1 | integer | Paid Patient Copay
paid_patient_coinsurance |  | 0..1 | integer | Paid Patient Coinsurance
paid_patient_deductible |  | 0..1 | integer | Paid Patient Deductible
paid_by_primary |  | 0..1 | integer | Paid by Primary
paid_ingredient_cost |  | 0..1 | integer | Paid Ingredent Cost
paid_dispensing_fee |  | 0..1 | integer | Paid Dispensing Fee
payer_plan_period_id |  | 0..1 | Reference(Payer Plan Period OMOP Table) | Payer Plan Period
amount_allowed |  | 0..1 | integer | Amount Allowed
revenue_code_concept_id |  | 0..1 | Reference(Concept OMOP Table) | Revenue Code
revenue_code_source_value |  | 0..1 | string | Revenue Code Source Value
drg_concept_id |  | 0..1 | integer | Diagnosis Related Groups
drg_source_value |  | 0..1 | string | Diagnosis Related Groups Source Value
Documentation for this format

Snapshot View

Nom | Drapeaux | Card. | Type | Description et contraintes Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
OMOPCost |  | 0..* | Base | Cost OMOP Table Instances of this logical model can be the target of a Reference
cost_id |  | 1..1 | integer | Cost Identifier
cost_event_id |  | 1..1 | integer | Cost Event Identifier
cost_domain_id |  | 1..1 | string | Cost Domain Identifier
cost_type_concept_id |  | 1..1 | Reference(Concept OMOP Table) | Cost Type
currency_concept_id |  | 0..1 | Reference(Concept OMOP Table) | Currency
total_charge |  | 0..1 | integer | Total Charge
total_cost |  | 0..1 | integer | Total Cost
total_paid |  | 0..1 | integer | Total Paid
paid_by_payer |  | 0..1 | integer | Paid by Payer
paid_by_patient |  | 0..1 | integer | Paid by Patient
paid_patient_copay |  | 0..1 | integer | Paid Patient Copay
paid_patient_coinsurance |  | 0..1 | integer | Paid Patient Coinsurance
paid_patient_deductible |  | 0..1 | integer | Paid Patient Deductible
paid_by_primary |  | 0..1 | integer | Paid by Primary
paid_ingredient_cost |  | 0..1 | integer | Paid Ingredent Cost
paid_dispensing_fee |  | 0..1 | integer | Paid Dispensing Fee
payer_plan_period_id |  | 0..1 | Reference(Payer Plan Period OMOP Table) | Payer Plan Period
amount_allowed |  | 0..1 | integer | Amount Allowed
revenue_code_concept_id |  | 0..1 | Reference(Concept OMOP Table) | Revenue Code
revenue_code_source_value |  | 0..1 | string | Revenue Code Source Value
drg_concept_id |  | 0..1 | integer | Diagnosis Related Groups
drg_source_value |  | 0..1 | string | Diagnosis Related Groups Source Value
Documentation for this format

This structure is derived from Base

Résumé

Mandatory: 0 element(4 nested mandatory elements)

Structures

This structure refers to these other structures:

- Concept OMOP Table (https://interop.aphp.fr/ig/fhir/dm/StructureDefinition/OMOPConcept)
- Payer Plan Period OMOP Table (https://interop.aphp.fr/ig/fhir/dm/StructureDefinition/OMOPPayerPlanPeriod)

Other representations of profile: CSV, Excel