Release 4B 5 Ballot

This page is part of the FHIR Specification (v4.3.0: R4B (v5.0.0-ballot: R5 Ballot - STU see ballot notes ). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4

Chargeitemdefinition.profile.xml

Example StructureDefinition/ChargeItemDefinition (XML)

Patient Administration Work Group Maturity Level : N/A Standards Status : Informative Compartments : Not linked to any defined compartments

Raw XML ( canonical form + also see XML Format Specification )

Jump past Narrative

StructureDefinition for chargeitemdefinition

<?xml version="1.0" encoding="UTF-8"?>

<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="ChargeItemDefinition"/> 
  <meta> 
    

    <lastUpdated value="2022-09-10T04:52:37.223+10:00"/> 
  </meta> 
  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
      
        
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           padding:0px 4px 0px 4px

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        <tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align:

         top">
          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">

            <a href="formats.html#table" title="The logical name of the element">Name</a> 
          </th> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">

            <a href="formats.html#table" title="Information about the use of the element">Flags</a> 
          </th> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">

            <a href="formats.html#table" title="Minimum and Maximum # of times the the element can appear in the instance">Card.</a> 
          </th> 
          <th class="hierarchy" style="width: 100px">
            <a href="formats.html#table" title="Reference to the type of the element">Type</a> 
          </th> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

          <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">

            <a href="formats.html#table" title="Additional information about the element">Description &amp; Constraints</a> 
            <span style="float: right">
              <a href="formats.html#table" title="Legend for this format">
                <img alt="doco" src="help16.png" style="background-color: inherit"/> 
              </a> 
            </span> 
          </th> 
        </tr> 
        
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            ABJRU5ErkJggg== 
            ChargeItemDefinition : The ChargeItemDefinition resource provides the properties that
             apply to the (billing) codes necessary to calculate costs and prices. The properties may
             differ largely depending on type and realm, therefore this resource gives only a rough
             structure and requires profiling for each type of billing code system.

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

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            qAeSFSduL9Akj7qPF64jnALS5VTPwdgPwwJ+uog9Qcx4kRZiPKqxgAAAABJRU5ErkJggg==" style="background-color: white; background-color: inherit" title="Resource"/>  
            <span title="ChargeItemDefinition : The ChargeItemDefinition resource provides the properties

             that apply to the (billing) codes necessary to calculate costs and prices. The
             properties may differ largely depending on type and realm, therefore this resource
             gives only a rough structure and requires profiling for each type of billing code
             system.">ChargeItemDefinition</span> 

            <a name="ChargeItemDefinition"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            padding-left: 3px; padding-right: 3px; border: 1px grey solid; font-weight: bold; color:
             black; background-color: #fff5e6

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="versions.html#std-process" style="padding-left: 3px; padding-right: 3px; border: 1px grey solid; font-weight: bold;

             color: black; background-color: #fff5e6" title="Standards Status = Trial Use">TU</a> 

          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">

            <a href="domainresource.html">DomainResource</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxDefinition of properties and rules about how the price and the applicability of a ChargeItem
             can be determined

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Definition of properties and rules about how the price and the applicability of
             a ChargeItem can be determined

            <br/>  
            + Warning: Name should be usable as an identifier for the module by machine processing

            <span style="font-style: italic" title="cnl-0">+ Warning: Name should be usable as an identifier for the module by machine processing
               applications such as code generation</span> 
            <br/>  
            <br/>  Elements defined in Ancestors: 
            The logical id of the resource, as used in the URL for the resource. Once assigned, this
             value never changes., 

            <a href="resource.html#Resource" title="The logical id of the resource, as used in the URL for the resource. Once assigned,
             this value never changes.">id</a> , 

            <a href="resource.html#Resource" title="The metadata about the resource. This is content that is maintained by the infrastructure.
             Changes to the content might not always be associated with version changes to the resource., 
            A reference to a set of rules that were followed when the resource was constructed, and
             which must be understood when processing the content. Often, this is a reference to an
             implementation guide that defines the special rules along with other profiles etc., 

             Changes to the content might not always be associated with version changes to the
             resource.">meta</a> , 
            <a href="resource.html#Resource" title="A reference to a set of rules that were followed when the resource was constructed,

             and which must be understood when processing the content. Often, this is a reference
             to an implementation guide that defines the special rules along with other profiles
             etc.">implicitRules</a> , 

            <a href="resource.html#Resource" title="The base language in which the resource is written.">language</a> , 
            A human-readable narrative that contains a summary of the resource and can be used to
             represent the content of the resource to a human. The narrative need not encode all the
             structured data, but is required to contain sufficient detail to make it &quot;clinically
             safe&quot; for a human to just read the narrative. Resource definitions may define what
             content should be represented in the narrative to ensure clinical safety., 
            These resources do not have an independent existence apart from the resource that contains
             them - they cannot be identified independently, and nor can they have their own independent
             transaction scope., 

            <a href="domainresource.html#DomainResource" title="A human-readable narrative that contains a summary of the resource and can be used
             to represent the content of the resource to a human. The narrative need not encode
             all the structured data, but is required to contain sufficient detail to make it
             &quot;clinically safe&quot; for a human to just read the narrative. Resource definitions
             may define what content should be represented in the narrative to ensure clinical
             safety.">text</a> , 
            <a href="domainresource.html#DomainResource" title="These resources do not have an independent existence apart from the resource that

             contains them - they cannot be identified independently, nor can they have their
             own independent transaction scope. This is allowed to be a Parameters resource
             if and only if it is referenced by a resource that provides context/meaning.">contained</a> , 

            <a href="domainresource.html#DomainResource" title="May be used to represent additional information that is not part of the basic definition
             of the resource. To make the use of extensions safe and manageable, there is a strict
             set of governance  applied to the definition and use of extensions. Though any implementer
             can define an extension, there is a set of requirements that SHALL be met as part of the
             definition of the extension., 

             of the resource. To make the use of extensions safe and manageable, there is a
             strict set of governance  applied to the definition and use of extensions. Though
             any implementer can define an extension, there is a set of requirements that SHALL
             be met as part of the definition of the extension.">extension</a> , 

            <a href="domainresource.html#DomainResource" title="May be used to represent additional information that is not part of the basic definition
             of the resource and that modifies the understanding of the element that contains it and/or
             the understanding of the containing element's descendants. Usually modifier elements provide
             negation or qualification. To make the use of extensions safe and manageable, there is
             a strict set of governance applied to the definition and use of extensions. Though any
             implementer is allowed to define an extension, there is a set of requirements that SHALL
             be met as part of the definition of the extension. Applications processing a resource
             are required to check for modifier extensions.

             of the resource and that modifies the understanding of the element that contains
             it and/or the understanding of the containing element's descendants. Usually modifier
             elements provide negation or qualification. To make the use of extensions safe
             and manageable, there is a strict set of governance applied to the definition and
             use of extensions. Though any implementer is allowed to define an extension, there
             is a set of requirements that SHALL be met as part of the definition of the extension.
             Applications processing a resource are required to check for modifier extensions.


Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
             (including cannot change the meaning of modifierExtension itself).

Modifier extensions SHALL NOT change the meaning of any elements on Resource or
             DomainResource (including cannot change the meaning of modifierExtension itself).">modifierExtension</a> 
            <br/>  
            <span title="uml.html#interfaces">Interfaces Implemented: </span> 
            <a href="metadataresource.html#MetadataResource" title="Common Interface declaration for conformance and knowledge artifact resources.">MetadataResource</a> 
          </td> 
        </tr> 

        
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            ChargeItemDefinition.url : An absolute URI that is used to identify this charge item definition
             when it is referenced in a specification, model, design or an instance; also called its
             canonical identifier. This SHOULD be globally unique and SHOULD be a literal address at
             which at which an authoritative instance of this charge item definition is (or will be)
             published. This URL can be the target of a canonical reference. It SHALL remain the same
             when the charge item definition is stored on different servers.

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7">
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpw

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            uYFBgCNmhP4OvTRgwAAAABJRU5ErkJggg==" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>  
            <span title="ChargeItemDefinition.url : An absolute URI that is used to identify this charge

             item definition when it is referenced in a specification, model, design or an instance;
             also called its canonical identifier. This SHOULD be globally unique and SHOULD
             be a literal address at which an authoritative instance of this charge item definition
             is (or will be) published. This URL can be the target of a canonical reference.
             It SHALL remain the same when the charge item definition is stored on different
             servers.">url</span> 

            <a name="ChargeItemDefinition.url"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;
             color: #301212; background-color: #fdf4f4;" title="This element has or is affected by some invariants">C</a> 

          </td> 
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">

            <a href="datatypes.html#uri">uri</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">Canonical identifier for this charge item definition, represented as a URI (globally
             unique)
            <br/>  
            <span style="font-style: italic" title="cnl-1">+ Warning: URL should not contain | or # - these characters make processing canonical

               references problematic</span> 
            <br/>  
          </td> 
        </tr> 

        
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            ChargeItemDefinition.identifier : A formal identifier that is used to identify this charge
             item definition when it is represented in other formats, or referenced in a specification,
             model, design or an instance.

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            <span title="ChargeItemDefinition.identifier : A formal identifier that is used to identify

             this charge item definition when it is represented in other formats, or referenced
             in a specification, model, design or an instance.">identifier</span> 

            <a name="ChargeItemDefinition.identifier"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px">

            <a href="datatypes.html#Identifier">Identifier</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxAdditional identifier for the charge item definition

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Additional identifier for the charge item definition
            <br/>  
            <br/>  
          </td> 
        </tr> 

        
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            ChargeItemDefinition.version : The identifier that is used to identify this version of
             the charge item definition when it is referenced in a specification, model, design or
             instance. This is an arbitrary value managed by the charge item definition author and
             is not expected to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd)
             if a managed version is not available. There is also no expectation that versions can
             be placed in a lexicographical sequence. To provide a version consistent with the Decision
             Support Service specification, use the format Major.Minor.Revision (e.g. 1.0.0). For more
             information on versioning knowledge assets, refer to the Decision Support Service specification.
             Note that a version is required for non-experimental active assets.

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            <span title="ChargeItemDefinition.version : The identifier that is used to identify this version

             of the charge item definition when it is referenced in a specification, model,
             design or instance. This is an arbitrary value managed by the charge item definition
             author and is not expected to be globally unique. For example, it might be a timestamp
             (e.g. yyyymmdd) if a managed version is not available. There is also no expectation
             that versions can be placed in a lexicographical sequence. To provide a version
             consistent with the Decision Support Service specification, use the format Major.Minor.Revisi
            on (e.g. 1.0.0). For more information on versioning knowledge assets, refer to the
             Decision Support Service specification. Note that a version is required for non-experimental
             active assets.">version</span> 

            <a name="ChargeItemDefinition.version"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#string">string</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">Business version of the charge item definition
            <br/>  
          </td> 
        </tr> 


        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:

         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

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            <span title="ChargeItemDefinition.name : A natural language name identifying the ChargeItemDefinition.

             This name should be usable as an identifier for the module by machine processing
             applications such as code generation.">name</span> 
            <a name="ChargeItemDefinition.name"> </a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
            <a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;
             color: #301212; background-color: #fdf4f4;" title="This element has or is affected by some invariants">C</a> 

          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <a href="datatypes.html#string">string</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Name for this charge item definition (computer friendly)
            <br/>  
          </td> 
        </tr> 

        
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            ChargeItemDefinition.title : A short, descriptive, user-friendly title for the charge
             item definition.

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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw

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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpw

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            <span title="ChargeItemDefinition.title : A short, descriptive, user-friendly title for the

             charge item definition.">title</span> 

            <a name="ChargeItemDefinition.title"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">

            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">

            <a href="datatypes.html#string">string</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">Name for this charge item definition (human friendly)
            <br/>  
          </td> 
        </tr> 

        
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVB
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          EQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)
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            RgwAAAABJRU5ErkJggg== 
            ChargeItemDefinition.derivedFromUri : The URL pointing to an externally-defined charge
             item definition that is adhered to in whole or in part by this definition.

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJ
          La+OltBwAAYP6EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw

            YAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI1
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw

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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpw

            YAAAARklEQVQ4y2P8//8/AyWAhYFCMAgMuHjx4n+KXaCv+I0szW8WpCG8kFO1lGFKW/SIjAUYgxz/MzAwMDC+nqhDUTQyj
            uYFBgCNmhP4OvTRgwAAAABJRU5ErkJggg==" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>  
            <span title="ChargeItemDefinition.derivedFromUri : The URL pointing to an externally-defined

             charge item definition that is adhered to in whole or in part by this definition.">derivedFromUri</span> 

            <a name="ChargeItemDefinition.derivedFromUri"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">0..*</td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#uri">uri</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Underlying externally-defined charge item definition
            <br/>  
            <br/>  
          </td> 
        </tr> 

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVBORw0KGg
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1

            BAACxjwv8YQUAAAAJcEhZcwAADsMAAA7DAcdvqGQAAAAadEVYdFNvZnR3YXJlAFBhaW50Lk5FVCB2My41LjEwMPRyoQAAA
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            <span title="ChargeItemDefinition.partOf : A larger definition of which this particular definition
             is a component or step.">partOf</span> 
            <a name="ChargeItemDefinition.partOf"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">

            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">

            <a href="datatypes.html#canonical">canonical</a> (
            <a href="chargeitemdefinition.html">ChargeItemDefinition</a> )
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxA larger definition of which this particular definition is a component or step

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">A larger definition of which this particular definition is a component or step
            <br/>  
            <br/>  
          </td> 
        </tr> 

        
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVB
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            ChargeItemDefinition.replaces : As new versions of a protocol or guideline are defined,
             allows identification of what versions are replaced by a new instance.

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw

            YAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1

            BAACxjwv8YQUAAAAJcEhZcwAADsMAAA7DAcdvqGQAAAAadEVYdFNvZnR3YXJlAFBhaW50Lk5FVCB2My41LjEwMPRyoQAAA
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            6TFi6cHULyz8KOjC7OIQKlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>  
            <span title="ChargeItemDefinition.replaces : As new versions of a protocol or guideline are

             defined, allows identification of what versions are replaced by a new instance.">replaces</span> 

            <a name="ChargeItemDefinition.replaces"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">0..*</td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#canonical">canonical</a> (
            <a href="chargeitemdefinition.html">ChargeItemDefinition</a> )
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Completed or terminated request(s) whose function is taken by this new request
            <br/>  
            <br/>  
          </td> 
        </tr> 

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVBORw0KGg
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            RgwAAAABJRU5ErkJggg== 

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw

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            <span title="ChargeItemDefinition.status : The current state of the ChargeItemDefinition.">status</span> 
            <a name="ChargeItemDefinition.status"> </a> 
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           padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <a href="conformance-rules.html#isModifier" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is a modifier element">?!</a> 
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">

            <a href="datatypes.html#code">code</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxdraft | active | retired | unknown

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">draft | active | retired | unknown

            <br/>  
            <a href="valueset-publication-status.html">PublicationStatus</a>  (
            )

            <a href="terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value
             set.">Required</a> )
            <br/>  
          </td> 
        </tr> 

        
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           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVB
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            ChargeItemDefinition.experimental : A Boolean value to indicate that this charge item
             definition is authored for testing purposes (or education/evaluation/marketing) and is
             not intended to be used for genuine usage.

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw

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            <span title="ChargeItemDefinition.experimental : A Boolean value to indicate that this charge

             item definition is authored for testing purposes (or education/evaluation/marketing)
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            <a name="ChargeItemDefinition.experimental"> </a> 
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">0..1</td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <a href="datatypes.html#boolean">boolean</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">For testing purposes, not real usage
            <br/>  
          </td> 
        </tr> 

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVBORw0KGg
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            ChargeItemDefinition.date : The date  (and optionally time) when the charge item definition
             was published. The date must change when the business version changes and it must change
             if the status code changes. In addition, it should change when the substantive content
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        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpw

            YAAAARklEQVQ4y2P8//8/AyWAhYFCMAgMuHjx4n+KXaCv+I0szW8WpCG8kFO1lGFKW/SIjAUYgxz/MzAwMDC+nqhDUTQyj
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            <span title="ChargeItemDefinition.date : The date  (and optionally time) when the charge item

             definition was published. The date must change when the business version changes
             and it must change if the status code changes. In addition, it should change when
             the substantive content of the charge item definition changes.">date</span> 

            <a name="ChargeItemDefinition.date"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">

            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">

            <a href="datatypes.html#dateTime">dateTime</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <br/>  
          </td> 
        </tr> 

        
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVB
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            ChargeItemDefinition.publisher : The name of the organization or individual that published
             the charge item definition.

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw

            YAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI1
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw

            YAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpw

            YAAAARklEQVQ4y2P8//8/AyWAhYFCMAgMuHjx4n+KXaCv+I0szW8WpCG8kFO1lGFKW/SIjAUYgxz/MzAwMDC+nqhDUTQyj
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            <span title="ChargeItemDefinition.publisher : The name of the organization or individual responsible

             for the release and ongoing maintenance of the charge item definition.">publisher</span> 

            <a name="ChargeItemDefinition.publisher"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">0..1</td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <a href="datatypes.html#string">string</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Name of the publisher/steward (organization or individual)
            <br/>  
          </td> 
        </tr> 

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          PVYVAgIJrA/sAAAAASUVORK5CYII=)
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            <span title="ChargeItemDefinition.contact : Contact details to assist a user in finding and

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            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <br/>  
            <br/>  
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            ChargeItemDefinition.description : A free text natural language description of the charge
             item definition from a consumer's perspective.

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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

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            <span title="ChargeItemDefinition.description : A free text natural language description of

             the charge item definition from a consumer's perspective.">description</span> 

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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <a href="datatypes.html#markdown">markdown</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Natural language description of the charge item definition
            <br/>  
          </td> 
        </tr> 

        
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw

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            <span title="ChargeItemDefinition.useContext : The content was developed with a focus and intent

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             (gender, age, ...) or may be references to specific programs (insurance plans,
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            <a name="ChargeItemDefinition.useContext"> </a> 
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           padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            <a href="metadatatypes.html#UsageContext">UsageContext</a> 
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxThe context that the content is intended to support

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <br/>  
            <br/>  
          </td> 
        </tr> 

        
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            ChargeItemDefinition.jurisdiction : A legal or geographic region in which the charge item
             definition is intended to be used.

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

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            <span title="ChargeItemDefinition.jurisdiction : A legal or geographic region in which the charge

             item definition is intended to be used.">jurisdiction</span> 

            <a name="ChargeItemDefinition.jurisdiction"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">0..*</td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Intended jurisdiction for charge item definition (if applicable)
            <br/>  
            <a href="valueset-jurisdiction.html">Jurisdiction</a>  (
            To be conformant, the concept in this element SHALL be from the specified value set if
             any of the codes within the value set can apply to the concept being communicated.  If
             the value set does not cover the concept (based on human review), alternate codings (or,
             data type allowing, text) may be included instead.)

            <a href="terminologies.html#extensible" title="To be conformant, the concept in this element SHALL be from the specified value
             set if any of the codes within the value set can apply to the concept being communicated.
              If the value set does not cover the concept (based on human review), alternate
             codings (or, data type allowing, text) may be included instead.">Extensible</a> )
            <br/>  
            <br/>  
          </td> 
        </tr> 

        
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           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVBORw0KGg
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            RgwAAAABJRU5ErkJggg== 
            ChargeItemDefinition.copyright : A copyright statement relating to the charge item definition
             and/or its contents. Copyright statements are generally legal restrictions on the use
             and publishing of the charge item definition.
            

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw

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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpw

            YAAAARklEQVQ4y2P8//8/AyWAhYFCMAgMuHjx4n+KXaCv+I0szW8WpCG8kFO1lGFKW/SIjAUYgxz/MzAwMDC+nqhDUTQyj
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            <span title="ChargeItemDefinition.purpose : Explanation of why this charge item definition is

             needed and why it has been designed as it has.">purpose</span> 
            <a name="ChargeItemDefinition.purpose"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">

            <a href="datatypes.html#markdown">markdown</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">Why this charge item definition is defined
            <br/>  
          </td> 
        </tr> 

        
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVB
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            RgwAAAABJRU5ErkJggg== 
            ChargeItemDefinition.approvalDate : The date on which the resource content was approved
             by the publisher. Approval happens once when the content is officially approved for usage.
            

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw

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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw

            YAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpw

            YAAAARklEQVQ4y2P8//8/AyWAhYFCMAgMuHjx4n+KXaCv+I0szW8WpCG8kFO1lGFKW/SIjAUYgxz/MzAwMDC+nqhDUTQyj
            uYFBgCNmhP4OvTRgwAAAABJRU5ErkJggg==" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>  
            <span title="ChargeItemDefinition.copyright : A copyright statement relating to the charge item

             definition and/or its contents. Copyright statements are generally legal restrictions
             on the use and publishing of the charge item definition.">copyright</span> 
            <a name="ChargeItemDefinition.copyright"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px"/> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">0..1</td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            

            <a href="datatypes.html#markdown">markdown</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Use and/or publishing restrictions
            <br/>  
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px

        </tr> 

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVBORw0KGg
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          PVYVAgIJrA/sAAAAASUVORK5CYII=)
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            dCABMPwMo2ctnoQAAAABJRU5ErkJggg==
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            RgwAAAABJRU5ErkJggg== 
            ChargeItemDefinition.lastReviewDate : The date on which the resource content was last
             reviewed. Review happens periodically after approval but does not change the original
             approval date.
            

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
           url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAg
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw

            YAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI1
            2P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" style="background-color: inherit"/> 
            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw

            YAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpw

            YAAAARklEQVQ4y2P8//8/AyWAhYFCMAgMuHjx4n+KXaCv+I0szW8WpCG8kFO1lGFKW/SIjAUYgxz/MzAwMDC+nqhDUTQyj
            uYFBgCNmhP4OvTRgwAAAABJRU5ErkJggg==" style="background-color: #F7F7F7; background-color: inherit" title="Primitive Data Type"/>  
            <span title="ChargeItemDefinition.approvalDate : The date on which the resource content was

             approved by the publisher. Approval happens once when the content is officially
             approved for usage.">approvalDate</span> 
            <a name="ChargeItemDefinition.approvalDate"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">

            <a href="datatypes.html#date">date</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">When the charge item definition was approved by publisher
            <br/>  
          </td> 
        </tr> 

        
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVB
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          EQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)
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            ChargeItemDefinition.effectivePeriod : The period during which the charge item definition
             content was or is planned to be in active use.
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJ
          La+OltBwAAYP6EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw

            YAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI1
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw

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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpw

            YAAAARklEQVQ4y2P8//8/AyWAhYFCMAgMuHjx4n+KXaCv+I0szW8WpCG8kFO1lGFKW/SIjAUYgxz/MzAwMDC+nqhDUTQyj
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            <span title="ChargeItemDefinition.lastReviewDate : The date on which the resource content was

             last reviewed. Review happens periodically after approval but does not change the
             original approval date.">lastReviewDate</span> 
            <a name="ChargeItemDefinition.lastReviewDate"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">0..1</td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            

            <a href="datatypes.html#date">date</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">When the charge item definition was last reviewed
            <br/>  
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px

        </tr> 

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          PVYVAgIJrA/sAAAAASUVORK5CYII=)
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            ChargeItemDefinition.code : The defined billing details in this resource pertain to the
             given billing code.

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw

            YAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI1
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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw

            YAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y
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            <img alt="." class="hierarchy" src="data:image/png;base64,R0lGODlhEAAQAPZ/APrkusOiYvvfqbiXWaV2G+jGhdq1b8GgYf3v1frw3vTUlsWkZNewbcS

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            PbPgrqZW+/QlPz48K2EMv36866OUPvowat8Ivvgq/Pbrvzgq/PguvrgrqN0Gda2evfYm9+7d/rpw9q6e/LSku/Rl/XVl/L
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            AAAAAAQABAAAAemgH+CgxeFF4OIhBdKGwFChYl/hYwbdkoBPnaQkosbG3d3VEpSUlonUoY1Gzo6QkI8SrGxWBOFG4uySgY
            5ZWR3PFy2hnaWZXC/PHcPwkpJk1ShoHcxhQEXSUmtFy6+0iSFVResrjoTPDzdcoU+F65CduVU6KAhhQa3F8Tx8nchBoYuq
            oTLZoAKFRIhqGwqJAULFx0GYpBQeChRIR4TJm6KJMhQRUSBAAA7" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>  
            <span title="ChargeItemDefinition.code : The defined billing details in this resource pertain

             to the given billing code.">code</span> 

            <a name="ChargeItemDefinition.code"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">

            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">

            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxBilling codes or product types this definition applies to

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">Billing code or product type this definition applies to

            <br/>  
            <a href="valueset-chargeitem-billingcodes.html">ChargeItemCode</a>  (
            Instances are not expected or even encouraged to draw from the specified value set.  The
             value set merely provides examples of the types of concepts intended to be included.)

            <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value
             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>  
          </td> 
        </tr> 

        
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVB
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            data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3
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            OACEIA/0o/38GGw+agoXYeNnDJDCUDnd/gkoFKhWozJiZI3gLwY6rAgxhsPKTPUzycTl8lAryMyMsVQG6TFi6cHULyz8KOjC7OIQK
            lQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC 
            ChargeItemDefinition.instance : The defined billing details in this resource pertain to
             the given product instance(s).

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
          e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3XsQ0AQAgCQHdl/xn8jxvYWB3JlTR0VJ
          La+OltBwAAYP6EEQAAgCsPVYVAgIJrA/sAAAAASUVORK5CYII=)">
            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw

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            <span title="ChargeItemDefinition.instance : The defined billing details in this resource pertain

             to the given product instance(s).">instance</span> 

            <a name="ChargeItemDefinition.instance"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px"/> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">0..*</td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            <a href="references.html#Reference">Reference</a> (
            <a href="medication.html">Medication</a>  | 
            <a href="substance.html">Substance</a>  | 
            )

            <a href="device.html">Device</a>  | 
            <a href="devicedefinition.html">DeviceDefinition</a>  | 
            <a href="activitydefinition.html">ActivityDefinition</a>  | 
            <a href="plandefinition.html">PlanDefinition</a>  | 
            <a href="healthcareservice.html">HealthcareService</a> )
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Instances this definition applies to
            <br/>  
            <br/>  
          </td> 
        </tr> 

        
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            <span title="ChargeItemDefinition.applicability : Expressions that describe applicability criteria
             for the billing code.">applicability</span> 
            <a name="ChargeItemDefinition.applicability"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="types.html#BackBoneElement">BackboneElement</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxWhether or not the billing code is applicable

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">Whether or not the billing code is applicable
            <br/>  
            <br/>  
          </td> 
        </tr> 

        
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            ChargeItemDefinition.applicability.description : A brief, natural language description
             of the condition that effectively communicates the intended semantics.
            

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

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            <span title="ChargeItemDefinition.applicability.condition : An expression that returns true

             or false, indicating whether the condition is satisfied. When using FHIRPath expressions,
             the %context environment variable must be replaced at runtime with the ChargeItem
             resource to which this definition is applied.">condition</span> 
            <a name="ChargeItemDefinition.applicability.condition"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px"/> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">0..1</td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            

            <a href="metadatatypes.html#Expression">Expression</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Boolean-valued expression
            <br/>  
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px

        </tr> 

        
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            ChargeItemDefinition.applicability.language : The media type of the language for the expression,
             e.g. &quot;text/cql&quot; for Clinical Query Language expressions or &quot;text/fhirpath&quot;
             for FHIRPath expressions.
            

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            <span title="ChargeItemDefinition.applicability.effectivePeriod : The period during which the

             charge item definition content was or is planned to be in active use.">effectivePeriod</span> 
            <a name="ChargeItemDefinition.applicability.effectivePeriod"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="datatypes.html#Period">Period</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">When the charge item definition is expected to be used
            <br/>  
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

        </tr> 

        
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            ChargeItemDefinition.applicability.expression : An expression that returns true or false,
             indicating whether the condition is satisfied. When using FHIRPath expressions, the %context
             environment variable must be replaced at runtime with the ChargeItem resource to which
             this definition is applied.
            

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
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            <img alt="." class="hierarchy" src="data:image/png;base64,R0lGODlhEAAQAPZ/APrkusOiYvvfqbiXWaV2G+jGhdq1b8GgYf3v1frw3vTUlsWkZNewbcS

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            <span title="ChargeItemDefinition.applicability.relatedArtifact : Reference to / quotation of

             the external source of the group of properties.">relatedArtifact</span> 
            <a name="ChargeItemDefinition.applicability.relatedArtifact"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px"/> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">0..1</td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">
            

            <a href="metadatatypes.html#RelatedArtifact">RelatedArtifact</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Reference to / quotation of the external source of the group of properties
            <br/>  
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px

        </tr> 

        
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            ChargeItemDefinition.propertyGroup : Group of properties which are applicable under the
             same conditions. If no applicability rules are established for the group, then all properties
             always apply.

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

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            <img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw

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            <span title="ChargeItemDefinition.propertyGroup : Group of properties which are applicable under

             the same conditions. If no applicability rules are established for the group, then
             all properties always apply.">propertyGroup</span> 

            <a name="ChargeItemDefinition.propertyGroup"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="types.html#BackBoneElement">BackboneElement</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxGroup of properties which are applicable under the same conditions

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">Group of properties which are applicable under the same conditions
            <br/>  
            <br/>  
          </td> 
        </tr> 

        
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            <span title="ChargeItemDefinition.propertyGroup.applicability : Expressions that describe applicability
             criteria for the priceComponent.">applicability</span> 
            <a name="ChargeItemDefinition.propertyGroup.applicability"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px"/> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">0..*</td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">see 
            <a href="#ChargeItemDefinition.applicability" title="ChargeItemDefinition.applicability">applicability</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Conditions under which the priceComponent is applicable
            <br/>  
            <br/>  
          </td> 
        </tr> 

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            ChargeItemDefinition.propertyGroup.priceComponent : The price for a ChargeItem may be
             calculated as a base price with surcharges/deductions that apply in certain conditions.
             A ChargeItemDefinition resource that defines the prices, factors and conditions that apply
             to a billing code is currently under development. The priceComponent element can be used
             to offer transparency to the recipient of the Invoice of how the prices have been calculated.

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         #F7F7F7">
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            <span title="ChargeItemDefinition.propertyGroup.priceComponent : The price for a ChargeItem

             may be calculated as a base price with surcharges/deductions that apply in certain
             conditions. A ChargeItemDefinition resource that defines the prices, factors and
             conditions that apply to a billing code is currently under development. The priceComponent
             element can be used to offer transparency to the recipient of the Invoice of how
             the prices have been calculated.">priceComponent</span> 

            <a name="ChargeItemDefinition.propertyGroup.priceComponent"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px"/> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

           #F0F0F0 solid; padding:0px 4px 0px 4px">
            <a href="metadatatypes.html#MonetaryComponent">MonetaryComponent</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxComponents of total line item price

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">Components of total line item price

            <br/>  
          
        

        
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVB
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            ChargeItemDefinition.propertyGroup.priceComponent.type : This code identifies the type
             of the component.
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxbase | surcharge | deduction | discount | tax | informational

            <br/>  
             (
            )
          
        

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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            ChargeItemDefinition.propertyGroup.priceComponent.code : A code that identifies the component.
             Codes may be used to differentiate between kinds of taxes, surcharges, discounts etc.
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            

          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
        

        
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVB
          ORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3WsQkAQAgDQHfN/jO8Fs7wIFzg+pAqlaQumbxrnQEAgP3z
          RgAAAH5paoVAgEFM+GgAAAAASUVORK5CYII=)
            data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3
            RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwN
            dCABMPwMo2ctnoQAAAABJRU5ErkJggg==
            data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3
            RJTUUH3wYeFzIZgEiYEgAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAIElEQVQ4y2P8//8/AyWAiYF
            CMGrAqAGjBowaMGoAAgAALL0DKYQ0DPIAAAAASUVORK5CYII=
            data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3
            RJTUUH3wYeFzIZgEiYEgAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAIElEQVQ4y2P8//8/AyWAiYF
            CMGrAqAGjBowaMGoAAgAALL0DKYQ0DPIAAAAASUVORK5CYII=
            data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3
            RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+2RsQ0AIAzDav7
            /2VzQwoCY4iWbZSmo1QGoUgNMghvWaIejPQW/CrrNCylIwcOCDYfLNRcNer4SAAAAAElFTkSuQmCC
            data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpwYAAAARk
            lEQVQ4y2P8//8/AyWAhYFCMAgMuHjx4n+KXaCv+I0szW8WpCG8kFO1lGFKW/SIjAUYgxz/MzAwMDC+nqhDUTQyjuYFBgCNmhP4OvT
            RgwAAAABJRU5ErkJggg== 
            ChargeItemDefinition.propertyGroup.priceComponent.factor : The factor that has been applied
             on the base price for calculating this component.
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
        

        
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVBORw0KGg
          oAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAL0lEQVR42u3WQQkAMAwDwHqNfw1rVZRBL3ACklcqSV0yedc6AwDAN3/cCAAAwJY
          GdQVAgLmrCkUAAAAASUVORK5CYII=)
            data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3
            RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI12P4//8/AxMDAwN
            dCABMPwMo2ctnoQAAAABJRU5ErkJggg==
            data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3
            RJTUUH3wYeFzIZgEiYEgAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAIElEQVQ4y2P8//8/AyWAiYF
            CMGrAqAGjBowaMGoAAgAALL0DKYQ0DPIAAAAASUVORK5CYII=
            data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3
            RJTUUH3wYeFzIZgEiYEgAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAIElEQVQ4y2P8//8/AyWAiYF
            CMGrAqAGjBowaMGoAAgAALL0DKYQ0DPIAAAAASUVORK5CYII=
            data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpwYAAAAB3
            RJTUUH3wYeFzME+lXFigAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y+3OsRUAIAjEUOL
            +O8cJABttJM11/x1qZAGqRBEVcNIqdWj1efDqQbb3HwwwwEfABmQUHSPM9dtDAAAAAElFTkSuQmCC
            data:image/png;base64,R0lGODlhEAAQAPZ/APrkusOiYvvfqbiXWaV2G+jGhdq1b8GgYf3v1frw3vTUlsWkZNewbcSjY/DQka
            d4Hb6dXv3u0f3v1ObEgfPTlerJiP3w1v79+e7OkPrfrfnjuNOtZPrpydaxa+/YrvvdpP779ZxvFPvnwKKBQaFyF/369M2vdaqHRPz
            58/HNh/vowufFhfroxO3OkPrluv779tK0e6JzGProwvrow9m4eOnIifPTlPDPkP78+Naxaf3v0/zowfXRi+bFhLWUVv379/rnwPvs
            zv3rye3LiPvnv+3MjPDasKiIS/789/3x2f747eXDg+7Mifvu0tu7f+/QkfDTnPXWmPrjsvrjtPbPgrqZW+/QlPz48K2EMv36866OU
            Pvowat8Ivvgq/Pbrvzgq/PguvrgrqN0Gda2evfYm9+7d/rpw9q6e/LSku/Rl/XVl/LSlfrkt+zVqe7Wqv3x1/bNffbOf59wFdS6if
            3u0vrqyP3owPvepfXQivDQkO/PkKh9K7STVf779P///wD/ACH5BAEKAH8ALAAAAAAQABAAAAemgH+CgxeFF4OIhBdKGwFChYl/hYw
            bdkoBPnaQkosbG3d3VEpSUlonUoY1Gzo6QkI8SrGxWBOFG4uySgY5ZWR3PFy2hnaWZXC/PHcPwkpJk1ShoHcxhQEXSUmtFy6+0iSF
            VResrjoTPDzdcoU+F65CduVU6KAhhQa3F8Tx8nchBoYuqoTLZoAKFRIhqGwqJAULFx0GYpBQeChRIR4TJm6KJMhQRUSBAAA7 
            ChargeItemDefinition.propertyGroup.priceComponent.amount : The amount calculated for this
             component.
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            
          
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

        </tr> 

        <tr> 
          <td class="hierarchy" colspan="5">
            <br/>  
            <a href="formats.html#table" title="Legend for this format">
              <img alt="doco" src="help16.png" style="background-color: inherit"/>  Documentation for this format
            </a> 
          </td> 
        </tr> 
      </table> 
    </div> 
  </text> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-category">
    <valueString value="Financial.General"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-implements">
    <valueUri value="http://hl7.org/fhir/StructureDefinition/MetadataResource"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="trial-use"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="0"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category">
    <valueCode value="business"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="pa"/> 
  </extension> 
  <url value="http://hl7.org/fhir/StructureDefinition/ChargeItemDefinition"/> 
  

  <version value="5.0.0-ballot"/> 
  <name value="ChargeItemDefinition"/> 
  <status value="draft"/> 
  
  

  <experimental value="true"/> 
  <date value="2022-09-10T04:52:37+10:00"/> 
  <publisher value="Health Level Seven International (Patient Administration)"/> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="http://hl7.org/fhir"/> 
    </telecom> 
  </contact> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="http://www.hl7.org/Special/committees/pafm/index.cfm"/> 
    </telecom> 
  </contact> 
  <description value="The ChargeItemDefinition resource provides the properties that apply to the (billing)
   codes necessary to calculate costs and prices. The properties may differ largely depending
   on type and realm, therefore this resource gives only a rough structure and requires profiling
   for each type of billing code system.
  

   codes necessary to calculate costs and prices. The properties may differ largely
   depending on type and realm, therefore this resource gives only a rough structure
   and requires profiling for each type of billing code system."/> 
  <fhirVersion value="5.0.0-ballot"/> 
  <mapping> 
    <identity value="workflow"/> 
    <uri value="http://hl7.org/fhir/workflow"/> 
    <name value="Workflow Pattern"/> 
  </mapping> 
  <mapping> 
    <identity value="rim"/> 
    <uri value="http://hl7.org/v3"/> 
    <name value="RIM Mapping"/> 
  </mapping> 
  <mapping> 
    <identity value="w5"/> 
    <uri value="http://hl7.org/fhir/fivews"/> 
    <name value="FiveWs Pattern Mapping"/> 
  </mapping> 
  <mapping> 
    
    
    
  
  

    <identity value="objimpl"/> 
    <uri value="http://hl7.org/fhir/object-implementation"/> 
    <name value="Object Implementation Information"/> 
  </mapping> 
  <kind value="resource"/> 
  <abstract value="false"/> 
  <type value="ChargeItemDefinition"/> 
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> 
  <derivation value="specialization"/> 
  <snapshot> 
    <element id="ChargeItemDefinition">
      <path value="ChargeItemDefinition"/> 
      Definition of properties and rules about how the price and the applicability of a ChargeItem
       can be determined

      <short value="Definition of properties and rules about how the price and the applicability of
       a ChargeItem can be determined"/> 

      <definition value="The ChargeItemDefinition resource provides the properties that apply to the (billing)
       codes necessary to calculate costs and prices. The properties may differ largely depending
       on type and realm, therefore this resource gives only a rough structure and requires profiling
       for each type of billing code system.

       codes necessary to calculate costs and prices. The properties may differ largely
       depending on type and realm, therefore this resource gives only a rough structure
       and requires profiling for each type of billing code system."/> 

      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ChargeItemDefinition"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <constraint> 
        

        <key value="cnl-0"/> 
        <severity value="warning"/> 
        <human value="Name should be usable as an identifier for the module by machine processing applications
         such as code generation"/> 
        
        

        <expression value="name.exists() implies name.matches('[A-Z]([A-Za-z0-9_]){1,254}')"/> 
        <xpath value="not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){1,254}')"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ChargeItemDefinition"/> 
      </constraint> 
      
        
        
        
        
        
        
      
      
        
        
        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.exists() and ('#'+id in (%resource.descendants().reference | %resource.descenda
        nts().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(uri) = '#').exists()).not()).trace('unmatched',
         id).empty()
        not(exists(for $contained in f:contained return $contained[not(exists(parent::*/descendant::f:refere
        nce/@value=concat('#', $contained/*/f:id/@value)) or exists(descendant::f:reference[@value='#']))]))
        
      
      
        
        
        If a resource is contained in another resource, it SHALL NOT have a meta.versionId or
         a meta.lastUpdated
        
        
        
      
      
        
        
        
        
        
        
      
      
        
          
        
        
          When a resource has no narrative, only systems that fully understand the data can display
           the resource to a human safely. Including a human readable representation in the resource
           makes for a much more robust eco-system and cheaper handling of resources by intermediary
           systems. Some ecosystems restrict distribution of resources to only those systems that
           do fully understand the resources, and as a consequence implementers may believe that
           the narrative is superfluous. However experience shows that such eco-systems often open
           up to new participants over time.
        
        
        
        
        
        
        
      

      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        
        

        <identity value="workflow"/> 
        <map value="Definition"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="financial.support"/> 
      </mapping> 
    </element> 
    <element id="ChargeItemDefinition.id">
      <path value="ChargeItemDefinition.id"/> 
      <short value="Logical id of this artifact"/> 
      The logical id of the resource, as used in the URL for the resource. Once assigned, this
       value never changes.
      The only time that a resource does not have an id is when it is being submitted to the
       server using a create operation.

      <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned,
       this value never changes."/> 
      <comment value="Within the context of the FHIR RESTful interactions, the resource has an id except

       for cases like the create and conditional update. Otherwise, the use of the resouce
       id depends on the given use case."/> 

      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
    <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler
       magic (j)  -->

      <type> 
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="id"/> 
        </extension> 
        <code value="http://hl7.org/fhirpath/System.String"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="ChargeItemDefinition.meta">
      <path value="ChargeItemDefinition.meta"/> 
      <short value="Metadata about the resource"/> 
      <definition value="The metadata about the resource. This is content that is maintained by the infrastructure.
       Changes to the content might not always be associated with version changes to the resource.

       Changes to the content might not always be associated with version changes to the
       resource."/> 

      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.meta"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Meta"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="ChargeItemDefinition.implicitRules">
      <path value="ChargeItemDefinition.implicitRules"/> 
      <short value="A set of rules under which this content was created"/> 
      A reference to a set of rules that were followed when the resource was constructed, and
       which must be understood when processing the content. Often, this is a reference to an
       implementation guide that defines the special rules along with other profiles etc.
      Asserting this rule set restricts the content to be only understood by a limited set of
       trading partners. This inherently limits the usefulness of the data in the long term.
       However, the existing health eco-system is highly fractured, and not yet ready to define,
       collect, and exchange data in a generally computable sense. Wherever possible, implementers
       and/or specification writers should avoid using this element. Often, when used, the URL
       is a reference to an implementation guide that defines these special rules as part of
       it's narrative along with other profiles, value sets, etc.

      <definition value="A reference to a set of rules that were followed when the resource was constructed,
       and which must be understood when processing the content. Often, this is a reference
       to an implementation guide that defines the special rules along with other profiles
       etc."/> 
      <comment value="Asserting this rule set restricts the content to be only understood by a limited

       set of trading partners. This inherently limits the usefulness of the data in the
       long term. However, the existing health eco-system is highly fractured, and not
       yet ready to define, collect, and exchange data in a generally computable sense.
       Wherever possible, implementers and/or specification writers should avoid using
       this element. Often, when used, the URL is a reference to an implementation guide
       that defines these special rules as part of it's narrative along with other profiles,
       value sets, etc."/> 

      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.implicitRules"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="uri"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="true"/> 
      <isModifierReason value="This element is labeled as a modifier because the implicit rules may provide additional
       knowledge about the resource that modifies it's meaning or interpretation"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="ChargeItemDefinition.language">
      <path value="ChargeItemDefinition.language"/> 
      <short value="Language of the resource content"/> 
      <definition value="The base language in which the resource is written."/> 
      Language is provided to support indexing and accessibility (typically, services such as
       text to speech use the language tag). The html language tag in the narrative applies 
       to the narrative. The language tag on the resource may be used to specify the language
       of other presentations generated from the data in the resource. Not all the content has
       to be in the base language. The Resource.language should not be assumed to apply to the
       narrative automatically. If a language is specified, it should it also be specified on
       the div element in the html (see rules in HTML5 for information about the relationship
       between xml:lang and the html lang attribute).

      <comment value="Language is provided to support indexing and accessibility (typically, services
       such as text to speech use the language tag). The html language tag in the narrative
       applies  to the narrative. The language tag on the resource may be used to specify
       the language of other presentations generated from the data in the resource. Not
       all the content has to be in the base language. The Resource.language should not
       be assumed to apply to the narrative automatically. If a language is specified,
       it should it also be specified on the div element in the html (see rules in HTML5
       for information about the relationship between xml:lang and the html lang attribute)."/> 

      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.language"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
          <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="Language"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/> 
        </extension> 
        <strength value="preferred"/> 
        <description value="IETF language tag"/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/languages"/> 
      </binding> 
    </element> 
    <element id="ChargeItemDefinition.text">
      <path value="ChargeItemDefinition.text"/> 
      <short value="Text summary of the resource, for human interpretation"/> 
      A human-readable narrative that contains a summary of the resource and can be used to
       represent the content of the resource to a human. The narrative need not encode all the
       structured data, but is required to contain sufficient detail to make it &quot;clinically
       safe&quot; for a human to just read the narrative. Resource definitions may define what
       content should be represented in the narrative to ensure clinical safety.
      Contained resources do not have narrative. Resources that are not contained SHOULD have
       a narrative. In some cases, a resource may only have text with little or no additional
       discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary
       for data from legacy systems where information is captured as a &quot;text blob&quot;
       or where text is additionally entered raw or narrated and encoded information is added
       later.

      <definition value="A human-readable narrative that contains a summary of the resource and can be used
       to represent the content of the resource to a human. The narrative need not encode
       all the structured data, but is required to contain sufficient detail to make it
       &quot;clinically safe&quot; for a human to just read the narrative. Resource definitions
       may define what content should be represented in the narrative to ensure clinical
       safety."/> 
      <comment value="Contained resources do not have a narrative. Resources that are not contained SHOULD

       have a narrative. In some cases, a resource may only have text with little or no
       additional discrete data (as long as all minOccurs=1 elements are satisfied). 
       This may be necessary for data from legacy systems where information is captured
       as a &quot;text blob&quot; or where text is additionally entered raw or narrated
       and encoded information is added later."/> 

      <alias value="narrative"/> 
      <alias value="html"/> 
      <alias value="xhtml"/> 
      <alias value="display"/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="DomainResource.text"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Narrative"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Act.text?"/> 
      </mapping> 
    </element> 
    <element id="ChargeItemDefinition.contained">
      <path value="ChargeItemDefinition.contained"/> 
      <short value="Contained, inline Resources"/> 
      These resources do not have an independent existence apart from the resource that contains
       them - they cannot be identified independently, and nor can they have their own independent
       transaction scope.
      This should never be done when the content can be identified properly, as once identification
       is lost, it is extremely difficult (and context dependent) to restore it again. Contained
       resources may have profiles and tags In their meta elements, but SHALL NOT have security
       labels.

      <definition value="These resources do not have an independent existence apart from the resource that
       contains them - they cannot be identified independently, nor can they have their
       own independent transaction scope. This is allowed to be a Parameters resource
       if and only if it is referenced by a resource that provides context/meaning."/> 
      <comment value="This should never be done when the content can be identified properly, as once

       identification is lost, it is extremely difficult (and context dependent) to restore
       it again. Contained resources may have profiles and tags in their meta elements,
       but SHALL NOT have security labels."/> 

      <alias value="inline resources"/> 
      <alias value="anonymous resources"/> 
      <alias value="contained resources"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DomainResource.contained"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Resource"/> 
      </type> 
      
        
        
        Containing new R4B resources within R4 resources may cause interoperability issues if
         instances are shared with R4 systems
        ($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable
         or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this
         is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition
         or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus
         or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence
         or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefi
        nition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition
         or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorizat
        ion or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource
         is SubscriptionTopic)
        not(f:Citation|f:Evidence|f:EvidenceReport|f:EvidenceVariable|f:MedicinalProductDefinition|f:Package
        dProductDefinition|f:AdministrableProductDefinition|f:Ingredient|f:ClinicalUseDefinition|f:RegulatedA
        uthorization|f:SubstanceDefinition|f:SubscriptionStatus|f:SubscriptionTopic) or not(parent::f:Citatio
        n|parent::f:Evidence|parent::f:EvidenceReport|parent::f:EvidenceVariable|parent::f:MedicinalProductDe
        finition|parent::f:PackagedProductDefinition|parent::f:AdministrableProductDefinition|parent::f:Ingre
        dient|parent::f:ClinicalUseDefinition|parent::f:RegulatedAuthorization|parent::f:SubstanceDefinition|
        f:SubscriptionStatus|f:SubscriptionTopic)
        
      

      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ChargeItemDefinition.extension">
      <path value="ChargeItemDefinition.extension"/> 
      <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the resource. To make the use of extensions safe and manageable, there is a strict
       set of governance  applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part of the
       definition of the extension.
      There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone.

       of the resource. To make the use of extensions safe and manageable, there is a
       strict set of governance  applied to the definition and use of extensions. Though
       any implementer can define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,

       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 

      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DomainResource.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ChargeItemDefinition.modifierExtension">
      <path value="ChargeItemDefinition.modifierExtension"/> 
      <short value="Extensions that cannot be ignored"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the resource and that modifies the understanding of the element that contains it and/or
       the understanding of the containing element's descendants. Usually modifier elements provide
       negation or qualification. To make the use of extensions safe and manageable, there is
       a strict set of governance applied to the definition and use of extensions. Though any
       implementer is allowed to define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension. Applications processing a resource
       are required to check for modifier extensions.

       of the resource and that modifies the understanding of the element that contains
       it and/or the understanding of the containing element's descendants. Usually modifier
       elements provide negation or qualification. To make the use of extensions safe
       and manageable, there is a strict set of governance applied to the definition and
       use of extensions. Though any implementer is allowed to define an extension, there
       is a set of requirements that SHALL be met as part of the definition of the extension.
       Applications processing a resource are required to check for modifier extensions.


Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
       (including cannot change the meaning of modifierExtension itself).
      There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone.
      Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly
       distinguished from the vast majority of extensions which can be safely ignored.  This
       promotes interoperability by eliminating the need for implementers to prohibit the presence
       of extensions. For further information, see the [definition of modifier extensions](extensibility.ht
      ml#modifierExtension).

Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,

       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be

       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition
       of modifier extensions](extensibility.html#modifierExtension)."/> 

      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DomainResource.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="true"/> 
      Modifier extensions are expected to modify the meaning or interpretation of the resource
       that contains them
      

      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the
       resource that contains them"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ChargeItemDefinition.url">
      <path value="ChargeItemDefinition.url"/> 
      
      An absolute URI that is used to identify this charge item definition when it is referenced
       in a specification, model, design or an instance; also called its canonical identifier.
       This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative
       instance of this charge item definition is (or will be) published. This URL can be the
       target of a canonical reference. It SHALL remain the same when the charge item definition
       is stored on different servers.
      Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances
       may share the same URL if they have a distinct version.

      <short value="Canonical identifier for this charge item definition, represented as a URI (globally
       unique)"/> 
      <definition value="An absolute URI that is used to identify this charge item definition when it is

       referenced in a specification, model, design or an instance; also called its canonical
       identifier. This SHOULD be globally unique and SHOULD be a literal address at which
       an authoritative instance of this charge item definition is (or will be) published.
       This URL can be the target of a canonical reference. It SHALL remain the same when
       the charge item definition is stored on different servers."/> 
      <comment value="Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple

       instances may share the same URL if they have a distinct version.


The determination of when to create a new version of a resource (same url, new version)
       vs. defining a new artifact is up to the author.  Considerations for making this decision
       are found in [Technical and Business Versions](resource.html#versions). 

The determination of when to create a new version of a resource (same url, new
       version) vs. defining a new artifact is up to the author.  Considerations for making
       this decision are found in [Technical and Business Versions](resource.html#versions).
       


In some cases, the resource can no longer be found at the stated url, but the url itself
       cannot change. Implementations can use the [meta.source](resource.html#meta) element to
       indicate where the current master source of the resource can be found.
      

In some cases, the resource can no longer be found at the stated url, but the url
       itself cannot change. Implementations can use the [meta.source](resource.html#meta)
       element to indicate where the current master source of the resource can be found."/> 
      <requirements value="Allows the charge item definition to be referenced by a single globally unique

       identifier."/> 

      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="ChargeItemDefinition.url"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="uri"/> 
      </type> 
      <constraint> 
        <key value="cnl-1"/> 
        <severity value="warning"/> 
        <human value="URL should not contain | or # - these characters make processing canonical references
         problematic"/> 
        <expression value="url.matches('([^|#])*')"/> 
        <xpath value="not(exists(@value)) or matches(@value, '([^|#])*')"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ChargeItemDefinition"/> 
      </constraint> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Definition.url"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.identifier"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ChargeItemDefinition.identifier">
      <path value="ChargeItemDefinition.identifier"/> 
      <short value="Additional identifier for the charge item definition"/> 
      A formal identifier that is used to identify this charge item definition when it is represented
       in other formats, or referenced in a specification, model, design or an instance.

      <definition value="A formal identifier that is used to identify this charge item definition when it
       is represented in other formats, or referenced in a specification, model, design
       or an instance."/> 

      <comment value="Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier)
       data type, and can then identify this charge item definition outside of FHIR, where it
       is not possible to use the logical URI.

       data type, and can then identify this charge item definition outside of FHIR, where
       it is not possible to use the logical URI."/> 

      <requirements value="Allows externally provided and/or usable business identifiers to be easily associated
       with the module."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ChargeItemDefinition.identifier"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Identifier"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Definition.identifier"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.identifier"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
      <mapping> 
        <identity value="objimpl"/> 
        <map value="no-gen-base"/> 
      </mapping> 
    </element> 
    <element id="ChargeItemDefinition.version">
      <path value="ChargeItemDefinition.version"/> 
      <short value="Business version of the charge item definition"/> 
      The identifier that is used to identify this version of the charge item definition when
       it is referenced in a specification, model, design or instance. This is an arbitrary value
       managed by the charge item definition author and is not expected to be globally unique.
       For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available.
       There is also no expectation that versions can be placed in a lexicographical sequence.
       To provide a version consistent with the Decision Support Service specification, use the
       format Major.Minor.Revision (e.g. 1.0.0). For more information on versioning knowledge
       assets, refer to the Decision Support Service specification. Note that a version is required
       for non-experimental active assets.

      <definition value="The identifier that is used to identify this version of the charge item definition
       when it is referenced in a specification, model, design or instance. This is an
       arbitrary value managed by the charge item definition author and is not expected
       to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if
       a managed version is not available. There is also no expectation that versions
       can be placed in a lexicographical sequence. To provide a version consistent with
       the Decision Support Service specification, use the format Major.Minor.Revision
       (e.g. 1.0.0). For more information on versioning knowledge assets, refer to the
       Decision Support Service specification. Note that a version is required for non-experimental
       active assets."/> 

      <comment value="There may be different charge item definition instances that have the same identifier
       but different versions.  The version can be appended to the url in a reference to allow
       a reference to a particular business version of the charge item definition with the format
       [url]|[version].

       but different versions.  The version can be appended to the url in a reference
       to allow a reference to a particular business version of the charge item definition
       with the format [url]|[version]. The version SHOULD NOT contain a '#' - see [Business
       Version](resource.html#bv-format)."/> 

      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ChargeItemDefinition.version"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Definition.version"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.version"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ChargeItemDefinition.name">
      <path value="ChargeItemDefinition.name"/> 
      <short value="Name for this charge item definition (computer friendly)"/> 
      <definition value="A natural language name identifying the ChargeItemDefinition. This name should
       be usable as an identifier for the module by machine processing applications such
       as code generation."/> 
      <comment value="The name is not expected to be globally unique. The name should be a simple alphanumeric

       type name to ensure that it is machine-processing friendly."/> 
      <requirements value="Support human navigation and code generation."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ChargeItemDefinition.name"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <condition value="cnl-0"/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Definition.name"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ChargeItemDefinition.title">
      <path value="ChargeItemDefinition.title"/> 
      <short value="Name for this charge item definition (human friendly)"/> 
      <definition value="A short, descriptive, user-friendly title for the charge item definition."/> 
      <comment value="This name does not need to be machine-processing friendly and may contain punctuation,
       white-space, etc."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ChargeItemDefinition.title"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Definition.title"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ChargeItemDefinition.derivedFromUri">
      <path value="ChargeItemDefinition.derivedFromUri"/> 
      <short value="Underlying externally-defined charge item definition"/> 
      The URL pointing to an externally-defined charge item definition that is adhered to in
       whole or in part by this definition.

      <definition value="The URL pointing to an externally-defined charge item definition that is adhered
       to in whole or in part by this definition."/> 

      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ChargeItemDefinition.derivedFromUri"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="uri"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ChargeItemDefinition.partOf">
      <path value="ChargeItemDefinition.partOf"/> 
      <short value="A larger definition of which this particular definition is a component or step"/> 
      <definition value="A larger definition of which this particular definition is a component or step."/> 
      <alias value="container"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ChargeItemDefinition.partOf"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="canonical"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ChargeItemDefinition"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ChargeItemDefinition.replaces">
      <path value="ChargeItemDefinition.replaces"/> 
      <short value="Completed or terminated request(s) whose function is taken by this new request"/> 
      As new versions of a protocol or guideline are defined, allows identification of what
       versions are replaced by a new instance.

      <definition value="As new versions of a protocol or guideline are defined, allows identification of
       what versions are replaced by a new instance."/> 

      <alias value="supersedes"/> 
      <alias value="prior"/> 
      <alias value="renewed order"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ChargeItemDefinition.replaces"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="canonical"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ChargeItemDefinition"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ChargeItemDefinition.status">
      <path value="ChargeItemDefinition.status"/> 
      <short value="draft | active | retired | unknown"/> 
      <definition value="The current state of the ChargeItemDefinition."/> 
      

      <comment value="Allows filtering of charge item definitions that are appropriate for use versus
       not."/> 

      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="ChargeItemDefinition.status"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="true"/> 
      This is labeled as &quot;Is Modifier&quot; because applications should not use a retired
       {{title}} without due consideration

      <isModifierReason value="This is labeled as &quot;Is Modifier&quot; because applications should not use
       a retired {{title}} without due consideration"/> 

      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="PublicationStatus"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/> 
        </extension> 
        <strength value="required"/> 
        <description value="The lifecycle status of an artifact."/> 
        

        <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|5.0.0-ballot"/> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Definition.status {different ValueSet}"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.status"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ChargeItemDefinition.experimental">
      <path value="ChargeItemDefinition.experimental"/> 
      <short value="For testing purposes, not real usage"/> 
      A Boolean value to indicate that this charge item definition is authored for testing purposes
       (or education/evaluation/marketing) and is not intended to be used for genuine usage.
      
      Enables experimental content to be developed following the same lifecycle that would be
       used for a production-level charge item definition.

      <definition value="A Boolean value to indicate that this charge item definition is authored for testing
       purposes (or education/evaluation/marketing) and is not intended to be used for
       genuine usage."/> 
      <comment value="Allows filtering of charge item definitions that are appropriate for use versus

       not."/> 
      <requirements value="Enables experimental content to be developed following the same lifecycle that

       would be used for a production-level charge item definition."/> 

      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ChargeItemDefinition.experimental"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="boolean"/> 
      </type> 
      <meaningWhenMissing value="If absent, this resource is treated as though it is not experimental."/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Definition.experimental"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.class"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ChargeItemDefinition.date">
      <path value="ChargeItemDefinition.date"/> 
      <short value="Date last changed"/> 
      The date  (and optionally time) when the charge item definition was published. The date
       must change when the business version changes and it must change if the status code changes.
       In addition, it should change when the substantive content of the charge item definition
       changes.

      <definition value="The date  (and optionally time) when the charge item definition was published.
       The date must change when the business version changes and it must change if the
       status code changes. In addition, it should change when the substantive content
       of the charge item definition changes."/> 

      <comment value="Note that this is not the same as the resource last-modified-date, since the resource
       may be a secondary representation of the charge item definition. Additional specific dates
       may be added as extensions or be found by consulting Provenances associated with past
       versions of the resource.

       may be a secondary representation of the charge item definition. Additional specific
       dates may be added as extensions or be found by consulting Provenances associated
       with past versions of the resource."/> 

      <alias value="Revision Date"/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ChargeItemDefinition.date"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="dateTime"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Definition.date"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.recorded"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ChargeItemDefinition.publisher">
      <path value="ChargeItemDefinition.publisher"/> 
      
      
      Usually an organization but may be an individual. The publisher (or steward) of the charge
       item definition is the organization or individual primarily responsible for the maintenance
       and upkeep of the charge item definition. This is not necessarily the same individual
       or organization that developed and initially authored the content. The publisher is the
       primary point of contact for questions or issues with the charge item definition. This
       item SHOULD be populated unless the information is available from context.
      Helps establish the &quot;authority/credibility&quot; of the charge item definition. 
       May also allow for contact.

      <short value="Name of the publisher/steward (organization or individual)"/> 
      <definition value="The name of the organization or individual responsible for the release and ongoing
       maintenance of the charge item definition."/> 
      <comment value="Usually an organization but may be an individual. The publisher (or steward) of

       the charge item definition is the organization or individual primarily responsible
       for the maintenance and upkeep of the charge item definition. This is not necessarily
       the same individual or organization that developed and initially authored the content.
       The publisher is the primary point of contact for questions or issues with the
       charge item definition. This item SHOULD be populated unless the information is
       available from context."/> 
      <requirements value="Helps establish the &quot;authority/credibility&quot; of the charge item definition.

        May also allow for contact."/> 

      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ChargeItemDefinition.publisher"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Definition.publisher {as string instead of CodeableConcept}"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.witness"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ChargeItemDefinition.contact">
      <path value="ChargeItemDefinition.contact"/> 
      <short value="Contact details for the publisher"/> 
      <definition value="Contact details to assist a user in finding and communicating with the publisher."/> 
      <comment value="May be a web site, an email address, a telephone number, etc."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ChargeItemDefinition.contact"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="ContactDetail"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Definition.contact"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ChargeItemDefinition.description">
      <path value="ChargeItemDefinition.description"/> 
      <short value="Natural language description of the charge item definition"/> 
      <definition value="A free text natural language description of the charge item definition from a consumer's
       perspective."/> 
      This description can be used to capture details such as why the charge item definition
       was built, comments about misuse, instructions for clinical use and interpretation, literature
       references, examples from the paper world, etc. It is not a rendering of the charge item
       definition as conveyed in the 'text' field of the resource itself. This item SHOULD be
       populated unless the information is available from context (e.g. the language of the charge
       item definition is presumed to be the predominant language in the place the charge item
       definition was created).

      <comment value="This description can be used to capture details such as comments about misuse,
       instructions for clinical use and interpretation, literature references, examples
       from the paper world, etc. It is not a rendering of the charge item definition
       as conveyed in the 'text' field of the resource itself. This item SHOULD be populated
       unless the information is available from context (e.g. the language of the charge
       item definition is presumed to be the predominant language in the place the charge
       item definition was created)."/> 

      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ChargeItemDefinition.description"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="markdown"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Definition.description"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ChargeItemDefinition.useContext">
      <path value="ChargeItemDefinition.useContext"/> 
      <short value="The context that the content is intended to support"/> 
      The content was developed with a focus and intent of supporting the contexts that are
       listed. These contexts may be general categories (gender, age, ...) or may be references
       to specific programs (insurance plans, studies, ...) and may be used to assist with indexing
       and searching for appropriate charge item definition instances.
      When multiple useContexts are specified, there is no expectation that all or any of the
       contexts apply.

      <definition value="The content was developed with a focus and intent of supporting the contexts that
       are listed. These contexts may be general categories (gender, age, ...) or may
       be references to specific programs (insurance plans, studies, ...) and may be used
       to assist with indexing and searching for appropriate charge item definition instances."/> 
      <comment value="When multiple useContexts are specified, there is no expectation that all or any

       of the contexts apply."/> 

      <requirements value="Assist in searching for appropriate content."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ChargeItemDefinition.useContext"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="UsageContext"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Definition.useContext"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ChargeItemDefinition.jurisdiction">
      <path value="ChargeItemDefinition.jurisdiction"/> 
      <short value="Intended jurisdiction for charge item definition (if applicable)"/> 
      
      It may be possible for the charge item definition to be used in jurisdictions other than
       those for which it was originally designed or intended.

      <definition value="A legal or geographic region in which the charge item definition is intended to
       be used."/> 
      <comment value="It may be possible for the charge item definition to be used in jurisdictions other

       than those for which it was originally designed or intended."/> 

      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ChargeItemDefinition.jurisdiction"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="Jurisdiction"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/> 
        </extension> 
        <strength value="extensible"/> 
        <description value="Countries and regions within which this artifact is targeted for use."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/jurisdiction"/> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Definition.jurisdiction"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    
      
      
      A copyright statement relating to the charge item definition and/or its contents. Copyright
       statements are generally legal restrictions on the use and publishing of the charge item
       definition.
      Consumers must be able to determine any legal restrictions on the use of the charge item
       definition and/or its content.
      
      

    <element id="ChargeItemDefinition.purpose">
      <path value="ChargeItemDefinition.purpose"/> 
      <short value="Why this charge item definition is defined"/> 
      <definition value="Explanation of why this charge item definition is needed and why it has been designed
       as it has."/> 
      <comment value="This element does not describe the usage of the charge item definition. Instead,

       it provides traceability of ''why'' the resource is either needed or ''why'' it
       is defined as it is.  This may be used to point to source materials or specifications
       that drove the structure of this charge item definition."/> 

      <min value="0"/> 
      <max value="1"/> 
      <base> 
        

        <path value="ChargeItemDefinition.purpose"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="markdown"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="workflow"/> 
        

        <map value="Definition.purpose"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.why[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        

        <map value=".reasonCode.text"/> 
      </mapping> 
      <mapping> 
        <identity value="objimpl"/> 
        <map value="no-gen-base"/> 
      </mapping> 
    </element> 
    
      
      
      The date on which the resource content was approved by the publisher. Approval happens
       once when the content is officially approved for usage.
      The 'date' element may be more recent than the approval date because of minor changes
       or editorial corrections.

    <element id="ChargeItemDefinition.copyright">
      <path value="ChargeItemDefinition.copyright"/> 
      <short value="Use and/or publishing restrictions"/> 
      <definition value="A copyright statement relating to the charge item definition and/or its contents.
       Copyright statements are generally legal restrictions on the use and publishing
       of the charge item definition."/> 
      <requirements value="Consumers must be able to determine any legal restrictions on the use of the charge

       item definition and/or its content."/> 
      <alias value="License"/> 
      <alias value="Restrictions"/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        

        <path value="ChargeItemDefinition.copyright"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        

        <code value="markdown"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="workflow"/> 
        

        <map value="Definition.copyright"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
      <mapping> 
        <identity value="objimpl"/> 
        <map value="no-gen-base"/> 
      </mapping> 
    </element> 
    
      
      
      The date on which the resource content was last reviewed. Review happens periodically
       after approval but does not change the original approval date.
      
      Gives a sense of how &quot;current&quot; the content is.  Resources that have not been
       reviewed in a long time may have a risk of being less appropriate/relevant.

    <element id="ChargeItemDefinition.approvalDate">
      <path value="ChargeItemDefinition.approvalDate"/> 
      <short value="When the charge item definition was approved by publisher"/> 
      <definition value="The date on which the resource content was approved by the publisher. Approval
       happens once when the content is officially approved for usage."/> 
      <comment value="The 'date' element may be more recent than the approval date because of minor changes

       or editorial corrections."/> 

      <min value="0"/> 
      <max value="1"/> 
      <base> 
        

        <path value="ChargeItemDefinition.approvalDate"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="date"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="workflow"/> 
        

        <map value="Definition.approvalDate"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
      <mapping> 
        <identity value="objimpl"/> 
        <map value="no-gen-base"/> 
      </mapping> 
    </element> 
    
      
      
      The period during which the charge item definition content was or is planned to be in
       active use.
      The effective period for a charge item definition  determines when the content is applicable
       for usage and is independent of publication and review dates. For example, a measure intended
       to be used for the year 2016 might be published in 2015.
      Allows establishing a transition before a resource comes into effect and also allows for
       a sunsetting  process when new versions of the charge item definition are or are expected
       to be used instead.

    <element id="ChargeItemDefinition.lastReviewDate">
      <path value="ChargeItemDefinition.lastReviewDate"/> 
      <short value="When the charge item definition was last reviewed"/> 
      <definition value="The date on which the resource content was last reviewed. Review happens periodically
       after approval but does not change the original approval date."/> 
      <comment value="If specified, this date follows the original approval date."/> 
      <requirements value="Gives a sense of how &quot;current&quot; the content is.  Resources that have not

       been reviewed in a long time may have a risk of being less appropriate/relevant."/> 

      <min value="0"/> 
      <max value="1"/> 
      <base> 
        

        <path value="ChargeItemDefinition.lastReviewDate"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        

        <code value="date"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      

      <isSummary value="false"/> 
      <mapping> 
        <identity value="workflow"/> 
        

        <map value="Definition.lastReviewDate"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
      <mapping> 
        <identity value="objimpl"/> 
        <map value="no-gen-base"/> 
      </mapping> 
    </element> 
    <element id="ChargeItemDefinition.code">
      <path value="ChargeItemDefinition.code"/> 
      

      <short value="Billing code or product type this definition applies to"/> 
      <definition value="The defined billing details in this resource pertain to the given billing code."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="ChargeItemDefinition.code"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ChargeItemDefinitionCode"/> 
        </extension> 
        <strength value="example"/> 
        <description value="Billing Code defined by this ChargeItemDefinition."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/chargeitem-billingcodes"/> 
      </binding> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ChargeItemDefinition.instance">
      <path value="ChargeItemDefinition.instance"/> 
      <short value="Instances this definition applies to"/> 
      <definition value="The defined billing details in this resource pertain to the given product instance(s)."/> 
      In case of highly customized, individually produced or fitted devices/substances, the
       pricing information may be different for each instance of the product. This reference
       links pricing details to specific product instances.

      <comment value="In case of highly customized, individually produced or fitted devices/substances,
       the pricing information may be different for each instance of the product. This
       reference links pricing details to specific product instances."/> 

      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ChargeItemDefinition.instance"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Medication"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Substance"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/DeviceDefinition"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ActivityDefinition"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/PlanDefinition"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/HealthcareService"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ChargeItemDefinition.applicability">
      <path value="ChargeItemDefinition.applicability"/> 
      <short value="Whether or not the billing code is applicable"/> 
      <definition value="Expressions that describe applicability criteria for the billing code."/> 
      The applicability conditions can be used to ascertain whether a billing item is allowed
       in a specific context. E.g. some billing codes may only be applicable in out-patient settings,
       only to male/female patients or only to children.

      <comment value="The applicability conditions can be used to ascertain whether a billing item is
       allowed in a specific context. E.g. some billing codes may only be applicable in
       out-patient settings, only to male/female patients or only to children."/> 

      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ChargeItemDefinition.applicability"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        
        
        

        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ChargeItemDefinition.applicability.id">
      <path value="ChargeItemDefinition.applicability.id"/> 
      <representation value="xmlAttr"/> 
      <short value="Unique id for inter-element referencing"/> 
      Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces.

      <definition value="Unique id for the element within a resource (for internal references). This may
       be any string value that does not contain spaces."/> 

      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
    <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler
       magic (j)  -->

      <type> 
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/> 
        </extension> 
        <code value="http://hl7.org/fhirpath/System.String"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ChargeItemDefinition.applicability.extension">
      <path value="ChargeItemDefinition.applicability.extension"/> 
      <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. To make the use of extensions safe and manageable, there is a strict set
       of governance  applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part of the
       definition of the extension.
      There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone.

       of the element. To make the use of extensions safe and manageable, there is a strict
       set of governance  applied to the definition and use of extensions. Though any
       implementer can define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,

       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 

      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ChargeItemDefinition.applicability.modifierExtension">
      <path value="ChargeItemDefinition.applicability.modifierExtension"/> 
      <short value="Extensions that cannot be ignored even if unrecognized"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element and that modifies the understanding of the element in which it is contained
       and/or the understanding of the containing element's descendants. Usually modifier elements
       provide negation or qualification. To make the use of extensions safe and manageable,
       there is a strict set of governance applied to the definition and use of extensions. Though
       any implementer can define an extension, there is a set of requirements that SHALL be
       met as part of the definition of the extension. Applications processing a resource are
       required to check for modifier extensions.

       of the element and that modifies the understanding of the element in which it is
       contained and/or the understanding of the containing element's descendants. Usually
       modifier elements provide negation or qualification. To make the use of extensions
       safe and manageable, there is a strict set of governance applied to the definition
       and use of extensions. Though any implementer can define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension.
       Applications processing a resource are required to check for modifier extensions.


Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
       (including cannot change the meaning of modifierExtension itself).
      There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone.
      Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly
       distinguished from the vast majority of extensions which can be safely ignored.  This
       promotes interoperability by eliminating the need for implementers to prohibit the presence
       of extensions. For further information, see the [definition of modifier extensions](extensibility.ht
      ml#modifierExtension).

Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,

       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be

       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition
       of modifier extensions](extensibility.html#modifierExtension)."/> 

      <alias value="extensions"/> 
      <alias value="user content"/> 
      <alias value="modifiers"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="BackboneElement.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="true"/> 
      Modifier extensions are expected to modify the meaning or interpretation of the element
       that contains them

      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the
       element that contains them"/> 

      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    
      
      
      A brief, natural language description of the condition that effectively communicates the
       intended semantics.

    <element id="ChargeItemDefinition.applicability.condition">
      <path value="ChargeItemDefinition.applicability.condition"/> 
      <short value="Boolean-valued expression"/> 
      <definition value="An expression that returns true or false, indicating whether the condition is satisfied.
       When using FHIRPath expressions, the %context environment variable must be replaced
       at runtime with the ChargeItem resource to which this definition is applied."/> 
      <comment value="Please note that FHIRPath Expressions can only be evaluated in the scope of the

       current ChargeItem resource to which this definition is being applied.
FHIRPath expressions can traverse into other resources linked from the ChargeItem
       resource, however, testing rules such as that a billing code may be billed only
       once per encounter need a wider scope. In such scenarios, CQL may be the appropriate
       choice."/> 

      <min value="0"/> 
      <max value="1"/> 
      <base> 
        

        <path value="ChargeItemDefinition.applicability.condition"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        

        <code value="Expression"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    
      
      
      The media type of the language for the expression, e.g. &quot;text/cql&quot; for Clinical
       Query Language expressions or &quot;text/fhirpath&quot; for FHIRPath expressions.

    <element id="ChargeItemDefinition.applicability.effectivePeriod">
      <path value="ChargeItemDefinition.applicability.effectivePeriod"/> 
      <short value="When the charge item definition is expected to be used"/> 
      <definition value="The period during which the charge item definition content was or is planned to
       be in active use."/> 
      <comment value="The effective period for a charge item definition  determines when the content

       is applicable for usage and is independent of publication and review dates. For
       example, a measure intended to be used for the year 2016 might be published in
       2015."/> 
      <requirements value="Allows establishing a transition before a resource comes into effect and also allows

       for a sunsetting  process when new versions of the charge item definition are or
       are expected to be used instead."/> 

      <min value="0"/> 
      <max value="1"/> 
      <base> 
        

        <path value="ChargeItemDefinition.applicability.effectivePeriod"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        

        <code value="Period"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      

      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Definition.effectivePeriod"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
      <mapping> 
        <identity value="objimpl"/> 
        <map value="no-gen-base"/> 
      </mapping> 
    </element> 
    
      
      
      An expression that returns true or false, indicating whether the condition is satisfied.
       When using FHIRPath expressions, the %context environment variable must be replaced at
       runtime with the ChargeItem resource to which this definition is applied.
      Please note that FHIRPath Expressions can only be evaluated in the scope of the current
       ChargeItem resource to which this definition is being applied.
FHIRPath expressions can traverse into other resources linked from the ChargeItem resource,
       however, testing rules such as that a billing code may be billed only once per encounter
       need a wider scope. In such scenarios, CQL may be the appropriate choice.

    <element id="ChargeItemDefinition.applicability.relatedArtifact">
      <path value="ChargeItemDefinition.applicability.relatedArtifact"/> 
      <short value="Reference to / quotation of the external source of the group of properties"/> 
      <definition value="Reference to / quotation of the external source of the group of properties."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        

        <path value="ChargeItemDefinition.applicability.relatedArtifact"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        

        <code value="RelatedArtifact"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ChargeItemDefinition.propertyGroup">
      <path value="ChargeItemDefinition.propertyGroup"/> 
      <short value="Group of properties which are applicable under the same conditions"/> 
      <definition value="Group of properties which are applicable under the same conditions. If no applicability
       rules are established for the group, then all properties always apply."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ChargeItemDefinition.propertyGroup"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        
        
        

        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ChargeItemDefinition.propertyGroup.id">
      <path value="ChargeItemDefinition.propertyGroup.id"/> 
      <representation value="xmlAttr"/> 
      <short value="Unique id for inter-element referencing"/> 
      Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces.

      <definition value="Unique id for the element within a resource (for internal references). This may
       be any string value that does not contain spaces."/> 

      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
    <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler
       magic (j)  -->

      <type> 
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/> 
        </extension> 
        <code value="http://hl7.org/fhirpath/System.String"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ChargeItemDefinition.propertyGroup.extension">
      <path value="ChargeItemDefinition.propertyGroup.extension"/> 
      <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. To make the use of extensions safe and manageable, there is a strict set
       of governance  applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part of the
       definition of the extension.
      There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone.

       of the element. To make the use of extensions safe and manageable, there is a strict
       set of governance  applied to the definition and use of extensions. Though any
       implementer can define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,

       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 

      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="ChargeItemDefinition.propertyGroup.modifierExtension">
      <path value="ChargeItemDefinition.propertyGroup.modifierExtension"/> 
      <short value="Extensions that cannot be ignored even if unrecognized"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element and that modifies the understanding of the element in which it is contained
       and/or the understanding of the containing element's descendants. Usually modifier elements
       provide negation or qualification. To make the use of extensions safe and manageable,
       there is a strict set of governance applied to the definition and use of extensions. Though
       any implementer can define an extension, there is a set of requirements that SHALL be
       met as part of the definition of the extension. Applications processing a resource are
       required to check for modifier extensions.

       of the element and that modifies the understanding of the element in which it is
       contained and/or the understanding of the containing element's descendants. Usually
       modifier elements provide negation or qualification. To make the use of extensions
       safe and manageable, there is a strict set of governance applied to the definition
       and use of extensions. Though any implementer can define an extension, there is
       a set of requirements that SHALL be met as part of the definition of the extension.
       Applications processing a resource are required to check for modifier extensions.


Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
       (including cannot change the meaning of modifierExtension itself).
      There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone.
      Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly
       distinguished from the vast majority of extensions which can be safely ignored.  This
       promotes interoperability by eliminating the need for implementers to prohibit the presence
       of extensions. For further information, see the [definition of modifier extensions](extensibility.ht
      ml#modifierExtension).

Modifier extensions SHALL NOT change the meaning of any elements on Resource or
       DomainResource (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application,

       project, or standard - regardless of the institution or jurisdiction that uses
       or defines the extensions.  The use of extensions is what allows the FHIR specification
       to retain a core level of simplicity for everyone."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be

       clearly distinguished from the vast majority of extensions which can be safely
       ignored.  This promotes interoperability by eliminating the need for implementers
       to prohibit the presence of extensions. For further information, see the [definition
       of modifier extensions](extensibility.html#modifierExtension)."/> 

      <alias value="extensions"/> 
      <alias value="user content"/> 
      <alias value="modifiers"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="BackboneElement.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="true"/> 
      Modifier extensions are expected to modify the meaning or interpretation of the element
       that contains them

      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the
       element that contains them"/> 

      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ChargeItemDefinition.propertyGroup.applicability">
      <path value="ChargeItemDefinition.propertyGroup.applicability"/> 
      <short value="Conditions under which the priceComponent is applicable"/> 
      <definition value="Expressions that describe applicability criteria for the priceComponent."/> 
      The applicability conditions can be used to ascertain whether a billing item is allowed
       in a specific context. E.g. some billing codes may only be applicable in out-patient settings,
       only to male/female patients or only to children.

      <comment value="The applicability conditions can be used to ascertain whether a billing item is
       allowed in a specific context. E.g. some billing codes may only be applicable in
       out-patient settings, only to male/female patients or only to children."/> 

      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ChargeItemDefinition.propertyGroup.applicability"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <contentReference value="#ChargeItemDefinition.applicability"/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ChargeItemDefinition.propertyGroup.priceComponent">
      <path value="ChargeItemDefinition.propertyGroup.priceComponent"/> 
      <short value="Components of total line item price"/> 
      <definition value="The price for a ChargeItem may be calculated as a base price with surcharges/deductions
       that apply in certain conditions. A ChargeItemDefinition resource that defines the prices,
       factors and conditions that apply to a billing code is currently under development. The
       priceComponent element can be used to offer transparency to the recipient of the Invoice
       of how the prices have been calculated.

       that apply in certain conditions. A ChargeItemDefinition resource that defines
       the prices, factors and conditions that apply to a billing code is currently under
       development. The priceComponent element can be used to offer transparency to the
       recipient of the Invoice of how the prices have been calculated."/> 

      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="ChargeItemDefinition.propertyGroup.priceComponent"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
        
      
    
    
      
      
      
      Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces.
      
      
      
        
        
        
      
      
        
          
        
        
      
      
      
      
        
        
      
    
    
      
      
      May be used to represent additional information that is not part of the basic definition
       of the element. To make the use of extensions safe and manageable, there is a strict set
       of governance  applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part of the
       definition of the extension.
      There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone.
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      
      
        
        
      
    
    
      
      
      May be used to represent additional information that is not part of the basic definition
       of the element and that modifies the understanding of the element in which it is contained
       and/or the understanding of the containing element's descendants. Usually modifier elements
       provide negation or qualification. To make the use of extensions safe and manageable,
       there is a strict set of governance applied to the definition and use of extensions. Though
       any implementer can define an extension, there is a set of requirements that SHALL be
       met as part of the definition of the extension. Applications processing a resource are
       required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
       (including cannot change the meaning of modifierExtension itself).
      There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone.
      Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly
       distinguished from the vast majority of extensions which can be safely ignored.  This
       promotes interoperability by eliminating the need for implementers to prohibit the presence
       of extensions. For further information, see the [definition of modifier extensions](extensibility.ht
      ml#modifierExtension).
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
        
        
        
        
        
        
      
      
      Modifier extensions are expected to modify the meaning or interpretation of the element
       that contains them
      
      
        
        
      
    
    
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
          
        
        
        
        
      
      
        
        
      
    
    
      
      
      A code that identifies the component. Codes may be used to differentiate between kinds
       of taxes, surcharges, discounts etc.
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
        
      
    
    
      
      
      
      
      
      
        
        
        
      
      
        
      
      
        
        
        
        
        
        
      
      
      
      
      
        
        
      
    
    
      
      
      
      
      
      
        
        
        
      
      
        

        <code value="MonetaryComponent"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
  </snapshot> 
  <differential> 
    <element id="ChargeItemDefinition">
      <path value="ChargeItemDefinition"/> 
      Definition of properties and rules about how the price and the applicability of a ChargeItem
       can be determined

      <short value="Definition of properties and rules about how the price and the applicability of
       a ChargeItem can be determined"/> 

      <definition value="The ChargeItemDefinition resource provides the properties that apply to the (billing)
       codes necessary to calculate costs and prices. The properties may differ largely depending
       on type and realm, therefore this resource gives only a rough structure and requires profiling
       for each type of billing code system.

       codes necessary to calculate costs and prices. The properties may differ largely
       depending on type and realm, therefore this resource gives only a rough structure
       and requires profiling for each type of billing code system."/> 

      <min value="0"/> 
      <max value="*"/> 
      <constraint> 
        

        <key value="cnl-0"/> 
        <severity value="warning"/> 
        <human value="Name should be usable as an identifier for the module by machine processing applications
         such as code generation"/> 
        
        

        <expression value="name.exists() implies name.matches('[A-Z]([A-Za-z0-9_]){1,254}')"/> 
        <xpath value="not(exists(f:name/@value)) or matches(f:name/@value, '[A-Z]([A-Za-z0-9_]){1,254}')"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ChargeItemDefinition"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Definition"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="financial.support"/> 
      </mapping> 
    </element> 
    <element id="ChargeItemDefinition.url">
      <path value="ChargeItemDefinition.url"/> 
      
      An absolute URI that is used to identify this charge item definition when it is referenced
       in a specification, model, design or an instance; also called its canonical identifier.
       This SHOULD be globally unique and SHOULD be a literal address at which at which an authoritative
       instance of this charge item definition is (or will be) published. This URL can be the
       target of a canonical reference. It SHALL remain the same when the charge item definition
       is stored on different servers.
      Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple instances
       may share the same URL if they have a distinct version.

      <short value="Canonical identifier for this charge item definition, represented as a URI (globally
       unique)"/> 
      <definition value="An absolute URI that is used to identify this charge item definition when it is

       referenced in a specification, model, design or an instance; also called its canonical
       identifier. This SHOULD be globally unique and SHOULD be a literal address at which
       an authoritative instance of this charge item definition is (or will be) published.
       This URL can be the target of a canonical reference. It SHALL remain the same when
       the charge item definition is stored on different servers."/> 
      <comment value="Can be a urn:uuid: or a urn:oid: but real http: addresses are preferred.  Multiple

       instances may share the same URL if they have a distinct version.


The determination of when to create a new version of a resource (same url, new version)
       vs. defining a new artifact is up to the author.  Considerations for making this decision
       are found in [Technical and Business Versions](resource.html#versions). 

The determination of when to create a new version of a resource (same url, new
       version) vs. defining a new artifact is up to the author.  Considerations for making
       this decision are found in [Technical and Business Versions](resource.html#versions).
       


In some cases, the resource can no longer be found at the stated url, but the url itself
       cannot change. Implementations can use the [meta.source](resource.html#meta) element to
       indicate where the current master source of the resource can be found.
      

In some cases, the resource can no longer be found at the stated url, but the url
       itself cannot change. Implementations can use the [meta.source](resource.html#meta)
       element to indicate where the current master source of the resource can be found."/> 
      <requirements value="Allows the charge item definition to be referenced by a single globally unique

       identifier."/> 

      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="uri"/> 
      </type> 
      <constraint> 
        <key value="cnl-1"/> 
        <severity value="warning"/> 
        <human value="URL should not contain | or # - these characters make processing canonical references
         problematic"/> 
        <expression value="url.matches('([^|#])*')"/> 
        <xpath value="not(exists(@value)) or matches(@value, '([^|#])*')"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/ChargeItemDefinition"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Definition.url"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.identifier"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ChargeItemDefinition.identifier">
      <path value="ChargeItemDefinition.identifier"/> 
      <short value="Additional identifier for the charge item definition"/> 
      A formal identifier that is used to identify this charge item definition when it is represented
       in other formats, or referenced in a specification, model, design or an instance.

      <definition value="A formal identifier that is used to identify this charge item definition when it
       is represented in other formats, or referenced in a specification, model, design
       or an instance."/> 

      <comment value="Typically, this is used for identifiers that can go in an HL7 V3 II (instance identifier)
       data type, and can then identify this charge item definition outside of FHIR, where it
       is not possible to use the logical URI.

       data type, and can then identify this charge item definition outside of FHIR, where
       it is not possible to use the logical URI."/> 

      <requirements value="Allows externally provided and/or usable business identifiers to be easily associated
       with the module."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Identifier"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Definition.identifier"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.identifier"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
      <mapping> 
        <identity value="objimpl"/> 
        <map value="no-gen-base"/> 
      </mapping> 
    </element> 
    <element id="ChargeItemDefinition.version">
      <path value="ChargeItemDefinition.version"/> 
      <short value="Business version of the charge item definition"/> 
      The identifier that is used to identify this version of the charge item definition when
       it is referenced in a specification, model, design or instance. This is an arbitrary value
       managed by the charge item definition author and is not expected to be globally unique.
       For example, it might be a timestamp (e.g. yyyymmdd) if a managed version is not available.
       There is also no expectation that versions can be placed in a lexicographical sequence.
       To provide a version consistent with the Decision Support Service specification, use the
       format Major.Minor.Revision (e.g. 1.0.0). For more information on versioning knowledge
       assets, refer to the Decision Support Service specification. Note that a version is required
       for non-experimental active assets.

      <definition value="The identifier that is used to identify this version of the charge item definition
       when it is referenced in a specification, model, design or instance. This is an
       arbitrary value managed by the charge item definition author and is not expected
       to be globally unique. For example, it might be a timestamp (e.g. yyyymmdd) if
       a managed version is not available. There is also no expectation that versions
       can be placed in a lexicographical sequence. To provide a version consistent with
       the Decision Support Service specification, use the format Major.Minor.Revision
       (e.g. 1.0.0). For more information on versioning knowledge assets, refer to the
       Decision Support Service specification. Note that a version is required for non-experimental
       active assets."/> 

      <comment value="There may be different charge item definition instances that have the same identifier
       but different versions.  The version can be appended to the url in a reference to allow
       a reference to a particular business version of the charge item definition with the format
       [url]|[version].

       but different versions.  The version can be appended to the url in a reference
       to allow a reference to a particular business version of the charge item definition
       with the format [url]|[version]. The version SHOULD NOT contain a '#' - see [Business
       Version](resource.html#bv-format)."/> 

      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="string"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Definition.version"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.version"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ChargeItemDefinition.name">
      <path value="ChargeItemDefinition.name"/> 
      <short value="Name for this charge item definition (computer friendly)"/> 
      <definition value="A natural language name identifying the ChargeItemDefinition. This name should
       be usable as an identifier for the module by machine processing applications such
       as code generation."/> 
      <comment value="The name is not expected to be globally unique. The name should be a simple alphanumeric

       type name to ensure that it is machine-processing friendly."/> 
      <requirements value="Support human navigation and code generation."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="string"/> 
      </type> 
      <condition value="cnl-0"/> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Definition.name"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ChargeItemDefinition.title">
      <path value="ChargeItemDefinition.title"/> 
      <short value="Name for this charge item definition (human friendly)"/> 
      <definition value="A short, descriptive, user-friendly title for the charge item definition."/> 
      <comment value="This name does not need to be machine-processing friendly and may contain punctuation,
       white-space, etc."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="string"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Definition.title"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ChargeItemDefinition.derivedFromUri">
      <path value="ChargeItemDefinition.derivedFromUri"/> 
      <short value="Underlying externally-defined charge item definition"/> 
      The URL pointing to an externally-defined charge item definition that is adhered to in
       whole or in part by this definition.

      <definition value="The URL pointing to an externally-defined charge item definition that is adhered
       to in whole or in part by this definition."/> 

      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="uri"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ChargeItemDefinition.partOf">
      <path value="ChargeItemDefinition.partOf"/> 
      <short value="A larger definition of which this particular definition is a component or step"/> 
      <definition value="A larger definition of which this particular definition is a component or step."/> 
      <alias value="container"/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="canonical"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ChargeItemDefinition"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ChargeItemDefinition.replaces">
      <path value="ChargeItemDefinition.replaces"/> 
      <short value="Completed or terminated request(s) whose function is taken by this new request"/> 
      As new versions of a protocol or guideline are defined, allows identification of what
       versions are replaced by a new instance.

      <definition value="As new versions of a protocol or guideline are defined, allows identification of
       what versions are replaced by a new instance."/> 

      <alias value="supersedes"/> 
      <alias value="prior"/> 
      <alias value="renewed order"/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="canonical"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ChargeItemDefinition"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ChargeItemDefinition.status">
      <path value="ChargeItemDefinition.status"/> 
      <short value="draft | active | retired | unknown"/> 
      <definition value="The current state of the ChargeItemDefinition."/> 
      

      <comment value="Allows filtering of charge item definitions that are appropriate for use versus
       not."/> 

      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="code"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="true"/> 
      This is labeled as &quot;Is Modifier&quot; because applications should not use a retired
       {{title}} without due consideration

      <isModifierReason value="This is labeled as &quot;Is Modifier&quot; because applications should not use
       a retired {{title}} without due consideration"/> 

      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="PublicationStatus"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/> 
        </extension> 
        <strength value="required"/> 
        <description value="The lifecycle status of an artifact."/> 
        

        <valueSet value="http://hl7.org/fhir/ValueSet/publication-status|5.0.0-ballot"/> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Definition.status {different ValueSet}"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.status"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ChargeItemDefinition.experimental">
      <path value="ChargeItemDefinition.experimental"/> 
      <short value="For testing purposes, not real usage"/> 
      A Boolean value to indicate that this charge item definition is authored for testing purposes
       (or education/evaluation/marketing) and is not intended to be used for genuine usage.
      
      Enables experimental content to be developed following the same lifecycle that would be
       used for a production-level charge item definition.

      <definition value="A Boolean value to indicate that this charge item definition is authored for testing
       purposes (or education/evaluation/marketing) and is not intended to be used for
       genuine usage."/> 
      <comment value="Allows filtering of charge item definitions that are appropriate for use versus

       not."/> 
      <requirements value="Enables experimental content to be developed following the same lifecycle that

       would be used for a production-level charge item definition."/> 

      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="boolean"/> 
      </type> 
      <meaningWhenMissing value="If absent, this resource is treated as though it is not experimental."/> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Definition.experimental"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.class"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ChargeItemDefinition.date">
      <path value="ChargeItemDefinition.date"/> 
      <short value="Date last changed"/> 
      The date  (and optionally time) when the charge item definition was published. The date
       must change when the business version changes and it must change if the status code changes.
       In addition, it should change when the substantive content of the charge item definition
       changes.

      <definition value="The date  (and optionally time) when the charge item definition was published.
       The date must change when the business version changes and it must change if the
       status code changes. In addition, it should change when the substantive content
       of the charge item definition changes."/> 

      <comment value="Note that this is not the same as the resource last-modified-date, since the resource
       may be a secondary representation of the charge item definition. Additional specific dates
       may be added as extensions or be found by consulting Provenances associated with past
       versions of the resource.

       may be a secondary representation of the charge item definition. Additional specific
       dates may be added as extensions or be found by consulting Provenances associated
       with past versions of the resource."/> 

      <alias value="Revision Date"/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="dateTime"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Definition.date"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.recorded"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ChargeItemDefinition.publisher">
      <path value="ChargeItemDefinition.publisher"/> 
      
      
      Usually an organization but may be an individual. The publisher (or steward) of the charge
       item definition is the organization or individual primarily responsible for the maintenance
       and upkeep of the charge item definition. This is not necessarily the same individual
       or organization that developed and initially authored the content. The publisher is the
       primary point of contact for questions or issues with the charge item definition. This
       item SHOULD be populated unless the information is available from context.
      Helps establish the &quot;authority/credibility&quot; of the charge item definition. 
       May also allow for contact.

      <short value="Name of the publisher/steward (organization or individual)"/> 
      <definition value="The name of the organization or individual responsible for the release and ongoing
       maintenance of the charge item definition."/> 
      <comment value="Usually an organization but may be an individual. The publisher (or steward) of

       the charge item definition is the organization or individual primarily responsible
       for the maintenance and upkeep of the charge item definition. This is not necessarily
       the same individual or organization that developed and initially authored the content.
       The publisher is the primary point of contact for questions or issues with the
       charge item definition. This item SHOULD be populated unless the information is
       available from context."/> 
      <requirements value="Helps establish the &quot;authority/credibility&quot; of the charge item definition.

        May also allow for contact."/> 

      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="string"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Definition.publisher {as string instead of CodeableConcept}"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.witness"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ChargeItemDefinition.contact">
      <path value="ChargeItemDefinition.contact"/> 
      <short value="Contact details for the publisher"/> 
      <definition value="Contact details to assist a user in finding and communicating with the publisher."/> 
      <comment value="May be a web site, an email address, a telephone number, etc."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="ContactDetail"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Definition.contact"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ChargeItemDefinition.description">
      <path value="ChargeItemDefinition.description"/> 
      <short value="Natural language description of the charge item definition"/> 
      <definition value="A free text natural language description of the charge item definition from a consumer's
       perspective."/> 
      This description can be used to capture details such as why the charge item definition
       was built, comments about misuse, instructions for clinical use and interpretation, literature
       references, examples from the paper world, etc. It is not a rendering of the charge item
       definition as conveyed in the 'text' field of the resource itself. This item SHOULD be
       populated unless the information is available from context (e.g. the language of the charge
       item definition is presumed to be the predominant language in the place the charge item
       definition was created).

      <comment value="This description can be used to capture details such as comments about misuse,
       instructions for clinical use and interpretation, literature references, examples
       from the paper world, etc. It is not a rendering of the charge item definition
       as conveyed in the 'text' field of the resource itself. This item SHOULD be populated
       unless the information is available from context (e.g. the language of the charge
       item definition is presumed to be the predominant language in the place the charge
       item definition was created)."/> 

      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="markdown"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Definition.description"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ChargeItemDefinition.useContext">
      <path value="ChargeItemDefinition.useContext"/> 
      <short value="The context that the content is intended to support"/> 
      The content was developed with a focus and intent of supporting the contexts that are
       listed. These contexts may be general categories (gender, age, ...) or may be references
       to specific programs (insurance plans, studies, ...) and may be used to assist with indexing
       and searching for appropriate charge item definition instances.
      When multiple useContexts are specified, there is no expectation that all or any of the
       contexts apply.

      <definition value="The content was developed with a focus and intent of supporting the contexts that
       are listed. These contexts may be general categories (gender, age, ...) or may
       be references to specific programs (insurance plans, studies, ...) and may be used
       to assist with indexing and searching for appropriate charge item definition instances."/> 
      <comment value="When multiple useContexts are specified, there is no expectation that all or any

       of the contexts apply."/> 

      <requirements value="Assist in searching for appropriate content."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="UsageContext"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Definition.useContext"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ChargeItemDefinition.jurisdiction">
      <path value="ChargeItemDefinition.jurisdiction"/> 
      <short value="Intended jurisdiction for charge item definition (if applicable)"/> 
      
      It may be possible for the charge item definition to be used in jurisdictions other than
       those for which it was originally designed or intended.

      <definition value="A legal or geographic region in which the charge item definition is intended to
       be used."/> 
      <comment value="It may be possible for the charge item definition to be used in jurisdictions other

       than those for which it was originally designed or intended."/> 

      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="Jurisdiction"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/> 
        </extension> 
        <strength value="extensible"/> 
        <description value="Countries and regions within which this artifact is targeted for use."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/jurisdiction"/> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Definition.jurisdiction"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ChargeItemDefinition.purpose">
      <path value="ChargeItemDefinition.purpose"/> 
      <short value="Why this charge item definition is defined"/> 
      <definition value="Explanation of why this charge item definition is needed and why it has been designed
       as it has."/> 
      <comment value="This element does not describe the usage of the charge item definition. Instead,

       it provides traceability of ''why'' the resource is either needed or ''why'' it
       is defined as it is.  This may be used to point to source materials or specifications
       that drove the structure of this charge item definition."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="markdown"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Definition.purpose"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.why[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".reasonCode.text"/> 
      </mapping> 
      <mapping> 
        <identity value="objimpl"/> 
        <map value="no-gen-base"/> 
      </mapping> 
    </element> 
    <element id="ChargeItemDefinition.copyright">
      <path value="ChargeItemDefinition.copyright"/> 
      <short value="Use and/or publishing restrictions"/> 
      A copyright statement relating to the charge item definition and/or its contents. Copyright
       statements are generally legal restrictions on the use and publishing of the charge item
       definition.
      Consumers must be able to determine any legal restrictions on the use of the charge item
       definition and/or its content.

      <definition value="A copyright statement relating to the charge item definition and/or its contents.
       Copyright statements are generally legal restrictions on the use and publishing
       of the charge item definition."/> 
      <requirements value="Consumers must be able to determine any legal restrictions on the use of the charge

       item definition and/or its content."/> 

      <alias value="License"/> 
      <alias value="Restrictions"/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="markdown"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Definition.copyright"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
      <mapping> 
        <identity value="objimpl"/> 
        <map value="no-gen-base"/> 
      </mapping> 
    </element> 
    <element id="ChargeItemDefinition.approvalDate">
      <path value="ChargeItemDefinition.approvalDate"/> 
      <short value="When the charge item definition was approved by publisher"/> 
      The date on which the resource content was approved by the publisher. Approval happens
       once when the content is officially approved for usage.

      <definition value="The date on which the resource content was approved by the publisher. Approval
       happens once when the content is officially approved for usage."/> 

      <comment value="The 'date' element may be more recent than the approval date because of minor changes
       or editorial corrections."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="date"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Definition.approvalDate"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
      <mapping> 
        <identity value="objimpl"/> 
        <map value="no-gen-base"/> 
      </mapping> 
    </element> 
    <element id="ChargeItemDefinition.lastReviewDate">
      <path value="ChargeItemDefinition.lastReviewDate"/> 
      <short value="When the charge item definition was last reviewed"/> 
      <definition value="The date on which the resource content was last reviewed. Review happens periodically
       after approval but does not change the original approval date."/> 
      <comment value="If specified, this date follows the original approval date."/> 
      Gives a sense of how &quot;current&quot; the content is.  Resources that have not been
       reviewed in a long time may have a risk of being less appropriate/relevant.

      <requirements value="Gives a sense of how &quot;current&quot; the content is.  Resources that have not
       been reviewed in a long time may have a risk of being less appropriate/relevant."/> 

      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="date"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Definition.lastReviewDate"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
      <mapping> 
        <identity value="objimpl"/> 
        <map value="no-gen-base"/> 
      </mapping> 
    </element> 
    
      
      
      The period during which the charge item definition content was or is planned to be in
       active use.
      The effective period for a charge item definition  determines when the content is applicable
       for usage and is independent of publication and review dates. For example, a measure intended
       to be used for the year 2016 might be published in 2015.
      Allows establishing a transition before a resource comes into effect and also allows for
       a sunsetting  process when new versions of the charge item definition are or are expected
       to be used instead.
      
      
      
        
      
      
      
      
      
        
        
      
      
        
        
      
      
        
        
      
    

    <element id="ChargeItemDefinition.code">
      <path value="ChargeItemDefinition.code"/> 
      

      <short value="Billing code or product type this definition applies to"/> 
      <definition value="The defined billing details in this resource pertain to the given billing code."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ChargeItemDefinitionCode"/> 
        </extension> 
        <strength value="example"/> 
        <description value="Billing Code defined by this ChargeItemDefinition."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/chargeitem-billingcodes"/> 
      </binding> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ChargeItemDefinition.instance">
      <path value="ChargeItemDefinition.instance"/> 
      <short value="Instances this definition applies to"/> 
      <definition value="The defined billing details in this resource pertain to the given product instance(s)."/> 
      In case of highly customized, individually produced or fitted devices/substances, the
       pricing information may be different for each instance of the product. This reference
       links pricing details to specific product instances.

      <comment value="In case of highly customized, individually produced or fitted devices/substances,
       the pricing information may be different for each instance of the product. This
       reference links pricing details to specific product instances."/> 

      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Medication"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Substance"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/DeviceDefinition"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ActivityDefinition"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/PlanDefinition"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/HealthcareService"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ChargeItemDefinition.applicability">
      <path value="ChargeItemDefinition.applicability"/> 
      <short value="Whether or not the billing code is applicable"/> 
      <definition value="Expressions that describe applicability criteria for the billing code."/> 
      The applicability conditions can be used to ascertain whether a billing item is allowed
       in a specific context. E.g. some billing codes may only be applicable in out-patient settings,
       only to male/female patients or only to children.

      <comment value="The applicability conditions can be used to ascertain whether a billing item is
       allowed in a specific context. E.g. some billing codes may only be applicable in
       out-patient settings, only to male/female patients or only to children."/> 

      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    
      
      
      A brief, natural language description of the condition that effectively communicates the
       intended semantics.

    <element id="ChargeItemDefinition.applicability.condition">
      <path value="ChargeItemDefinition.applicability.condition"/> 
      <short value="Boolean-valued expression"/> 
      <definition value="An expression that returns true or false, indicating whether the condition is satisfied.
       When using FHIRPath expressions, the %context environment variable must be replaced
       at runtime with the ChargeItem resource to which this definition is applied."/> 
      <comment value="Please note that FHIRPath Expressions can only be evaluated in the scope of the

       current ChargeItem resource to which this definition is being applied.
FHIRPath expressions can traverse into other resources linked from the ChargeItem
       resource, however, testing rules such as that a billing code may be billed only
       once per encounter need a wider scope. In such scenarios, CQL may be the appropriate
       choice."/> 

      <min value="0"/> 
      <max value="1"/> 
      <type> 
        

        <code value="Expression"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    
      
      
      The media type of the language for the expression, e.g. &quot;text/cql&quot; for Clinical
       Query Language expressions or &quot;text/fhirpath&quot; for FHIRPath expressions.

    <element id="ChargeItemDefinition.applicability.effectivePeriod">
      <path value="ChargeItemDefinition.applicability.effectivePeriod"/> 
      <short value="When the charge item definition is expected to be used"/> 
      <definition value="The period during which the charge item definition content was or is planned to
       be in active use."/> 
      <comment value="The effective period for a charge item definition  determines when the content

       is applicable for usage and is independent of publication and review dates. For
       example, a measure intended to be used for the year 2016 might be published in
       2015."/> 
      <requirements value="Allows establishing a transition before a resource comes into effect and also allows

       for a sunsetting  process when new versions of the charge item definition are or
       are expected to be used instead."/> 

      <min value="0"/> 
      <max value="1"/> 
      <type> 
        

        <code value="Period"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      

      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Definition.effectivePeriod"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
      <mapping> 
        <identity value="objimpl"/> 
        <map value="no-gen-base"/> 
      </mapping> 
    </element> 
    
      
      
      An expression that returns true or false, indicating whether the condition is satisfied.
       When using FHIRPath expressions, the %context environment variable must be replaced at
       runtime with the ChargeItem resource to which this definition is applied.
      Please note that FHIRPath Expressions can only be evaluated in the scope of the current
       ChargeItem resource to which this definition is being applied.
FHIRPath expressions can traverse into other resources linked from the ChargeItem resource,
       however, testing rules such as that a billing code may be billed only once per encounter
       need a wider scope. In such scenarios, CQL may be the appropriate choice.

    <element id="ChargeItemDefinition.applicability.relatedArtifact">
      <path value="ChargeItemDefinition.applicability.relatedArtifact"/> 
      <short value="Reference to / quotation of the external source of the group of properties"/> 
      <definition value="Reference to / quotation of the external source of the group of properties."/> 
      <min value="0"/> 
      <max value="1"/> 
      <type> 
        

        <code value="RelatedArtifact"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ChargeItemDefinition.propertyGroup">
      <path value="ChargeItemDefinition.propertyGroup"/> 
      <short value="Group of properties which are applicable under the same conditions"/> 
      <definition value="Group of properties which are applicable under the same conditions. If no applicability
       rules are established for the group, then all properties always apply."/> 
      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ChargeItemDefinition.propertyGroup.applicability">
      <path value="ChargeItemDefinition.propertyGroup.applicability"/> 
      <short value="Conditions under which the priceComponent is applicable"/> 
      <definition value="Expressions that describe applicability criteria for the priceComponent."/> 
      The applicability conditions can be used to ascertain whether a billing item is allowed
       in a specific context. E.g. some billing codes may only be applicable in out-patient settings,
       only to male/female patients or only to children.

      <comment value="The applicability conditions can be used to ascertain whether a billing item is
       allowed in a specific context. E.g. some billing codes may only be applicable in
       out-patient settings, only to male/female patients or only to children."/> 

      <min value="0"/> 
      <max value="*"/> 
      <contentReference value="#ChargeItemDefinition.applicability"/> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="ChargeItemDefinition.propertyGroup.priceComponent">
      <path value="ChargeItemDefinition.propertyGroup.priceComponent"/> 
      <short value="Components of total line item price"/> 
      <definition value="The price for a ChargeItem may be calculated as a base price with surcharges/deductions
       that apply in certain conditions. A ChargeItemDefinition resource that defines the prices,
       factors and conditions that apply to a billing code is currently under development. The
       priceComponent element can be used to offer transparency to the recipient of the Invoice
       of how the prices have been calculated.

       that apply in certain conditions. A ChargeItemDefinition resource that defines
       the prices, factors and conditions that apply to a billing code is currently under
       development. The priceComponent element can be used to offer transparency to the
       recipient of the Invoice of how the prices have been calculated."/> 

      <min value="0"/> 
      <max value="*"/> 
      <type> 
        
      
      
      
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
      
      
      
        
          
        
        
        
        
      
      
        
        
      
    
    
      
      
      A code that identifies the component. Codes may be used to differentiate between kinds
       of taxes, surcharges, discounts etc.
      
      
      
        
      
      
      
      
      
        
        
      
    
    
      
      
      
      
      
      
        
      
      
      
      
      
        
        
      
    
    
      
      
      
      
      
      
        

        <code value="MonetaryComponent"/> 
      </type> 
      <mustSupport value="false"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
  </differential> 


</

StructureDefinition

>



Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.