IGUHealth
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    Interface ExplanationOfBenefitAddItem

    interface ExplanationOfBenefitAddItem {
        _detailSequence?: Element[];
        _factor?: Element;
        _itemSequence?: Element[];
        _noteNumber?: Element[];
        _servicedDate?: Element;
        _subDetailSequence?: Element[];
        adjudication?: ExplanationOfBenefitItemAdjudication[];
        bodySite?: CodeableConcept;
        detail?: ExplanationOfBenefitAddItemDetail[];
        detailSequence?: positiveInt[];
        extension?: Extension[];
        factor?: decimal;
        id?: id;
        itemSequence?: positiveInt[];
        locationAddress?: Address;
        locationCodeableConcept?: CodeableConcept;
        locationReference?: Reference;
        modifier?: CodeableConcept[];
        modifierExtension?: Extension[];
        net?: Money;
        noteNumber?: positiveInt[];
        productOrService: CodeableConcept;
        programCode?: CodeableConcept[];
        provider?: Reference[];
        quantity?: Quantity;
        servicedDate?: date;
        servicedPeriod?: Period;
        subDetailSequence?: positiveInt[];
        subSite?: CodeableConcept[];
        unitPrice?: Money;
    }
    Index

    Properties

    _detailSequence? _factor? _itemSequence? _noteNumber? _servicedDate? _subDetailSequence? adjudication? bodySite? detail? detailSequence? extension? factor? id? itemSequence? locationAddress? locationCodeableConcept? locationReference? modifier? modifierExtension? net? noteNumber? productOrService programCode? provider? quantity? servicedDate? servicedPeriod? subDetailSequence? subSite? unitPrice?

    Properties

    Optional_detailSequence

    _detailSequence?: Element[]

    Detail sequence number

    Optional_factor

    _factor?: Element

    Price scaling factor

    Optional_itemSequence

    _itemSequence?: Element[]

    Item sequence number

    Optional_noteNumber

    _noteNumber?: Element[]

    Applicable note numbers

    Optional_servicedDate

    _servicedDate?: Element

    Date or dates of service or product delivery

    Optional_subDetailSequence

    _subDetailSequence?: Element[]

    Subdetail sequence number

    adjudication?: ExplanationOfBenefitItemAdjudication[]

    Added items adjudication

    bodySite?: CodeableConcept

    Anatomical location

    detail?: ExplanationOfBenefitAddItemDetail[]

    Insurer added line items

    detailSequence?: positiveInt[]

    Detail sequence number

    extension?: Extension[]

    Additional content defined by implementations

    factor?: decimal

    Price scaling factor

    id?: id

    Unique id for inter-element referencing

    itemSequence?: positiveInt[]

    Item sequence number

    locationAddress?: Address

    Place of service or where product was supplied

    locationCodeableConcept?: CodeableConcept

    Place of service or where product was supplied

    locationReference?: Reference

    Place of service or where product was supplied

    modifier?: CodeableConcept[]

    Service/Product billing modifiers

    modifierExtension?: Extension[]

    Extensions that cannot be ignored even if unrecognized

    net?: Money

    Total item cost

    noteNumber?: positiveInt[]

    Applicable note numbers

    productOrService: CodeableConcept

    Billing, service, product, or drug code

    programCode?: CodeableConcept[]

    Program the product or service is provided under

    provider?: Reference[]

    Authorized providers

    quantity?: Quantity

    Count of products or services

    servicedDate?: date

    Date or dates of service or product delivery

    servicedPeriod?: Period

    Date or dates of service or product delivery

    subDetailSequence?: positiveInt[]

    Subdetail sequence number

    subSite?: CodeableConcept[]

    Anatomical sub-location

    unitPrice?: Money

    Fee, charge or cost per item

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