IGUHealth
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    Interface ExplanationOfBenefitItem

    interface ExplanationOfBenefitItem {
        _careTeamSequence?: Element[];
        _diagnosisSequence?: Element[];
        _factor?: Element;
        _informationSequence?: Element[];
        _noteNumber?: Element[];
        _procedureSequence?: Element[];
        _sequence?: Element;
        _servicedDate?: Element;
        adjudication?: ExplanationOfBenefitItemAdjudication[];
        bodySite?: CodeableConcept;
        careTeamSequence?: positiveInt[];
        category?: CodeableConcept;
        detail?: ExplanationOfBenefitItemDetail[];
        diagnosisSequence?: positiveInt[];
        encounter?: Reference[];
        extension?: Extension[];
        factor?: decimal;
        id?: id;
        informationSequence?: positiveInt[];
        locationAddress?: Address;
        locationCodeableConcept?: CodeableConcept;
        locationReference?: Reference;
        modifier?: CodeableConcept[];
        modifierExtension?: Extension[];
        net?: Money;
        noteNumber?: positiveInt[];
        procedureSequence?: positiveInt[];
        productOrService: CodeableConcept;
        programCode?: CodeableConcept[];
        quantity?: Quantity;
        revenue?: CodeableConcept;
        sequence: positiveInt;
        servicedDate?: date;
        servicedPeriod?: Period;
        subSite?: CodeableConcept[];
        udi?: Reference[];
        unitPrice?: Money;
    }
    Index

    Properties

    _careTeamSequence? _diagnosisSequence? _factor? _informationSequence? _noteNumber? _procedureSequence? _sequence? _servicedDate? adjudication? bodySite? careTeamSequence? category? detail? diagnosisSequence? encounter? extension? factor? id? informationSequence? locationAddress? locationCodeableConcept? locationReference? modifier? modifierExtension? net? noteNumber? procedureSequence? productOrService programCode? quantity? revenue? sequence servicedDate? servicedPeriod? subSite? udi? unitPrice?

    Properties

    Optional_careTeamSequence

    _careTeamSequence?: Element[]

    Applicable care team members

    Optional_diagnosisSequence

    _diagnosisSequence?: Element[]

    Applicable diagnoses

    Optional_factor

    _factor?: Element

    Price scaling factor

    Optional_informationSequence

    _informationSequence?: Element[]

    Applicable exception and supporting information

    Optional_noteNumber

    _noteNumber?: Element[]

    Applicable note numbers

    Optional_procedureSequence

    _procedureSequence?: Element[]

    Applicable procedures

    Optional_sequence

    _sequence?: Element

    Item instance identifier

    Optional_servicedDate

    _servicedDate?: Element

    Date or dates of service or product delivery

    adjudication?: ExplanationOfBenefitItemAdjudication[]

    Adjudication details

    bodySite?: CodeableConcept

    Anatomical location

    careTeamSequence?: positiveInt[]

    Applicable care team members

    category?: CodeableConcept

    Benefit classification

    detail?: ExplanationOfBenefitItemDetail[]

    Additional items

    diagnosisSequence?: positiveInt[]

    Applicable diagnoses

    encounter?: Reference[]

    Encounters related to this billed item

    extension?: Extension[]

    Additional content defined by implementations

    factor?: decimal

    Price scaling factor

    id?: id

    Unique id for inter-element referencing

    informationSequence?: positiveInt[]

    Applicable exception and supporting information

    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[]

    Product or service billing modifiers

    modifierExtension?: Extension[]

    Extensions that cannot be ignored even if unrecognized

    net?: Money

    Total item cost

    noteNumber?: positiveInt[]

    Applicable note numbers

    procedureSequence?: positiveInt[]

    Applicable procedures

    productOrService: CodeableConcept

    Billing, service, product, or drug code

    programCode?: CodeableConcept[]

    Program the product or service is provided under

    quantity?: Quantity

    Count of products or services

    revenue?: CodeableConcept

    Revenue or cost center code

    sequence: positiveInt

    Item instance identifier

    servicedDate?: date

    Date or dates of service or product delivery

    servicedPeriod?: Period

    Date or dates of service or product delivery

    subSite?: CodeableConcept[]

    Anatomical sub-location

    udi?: Reference[]

    Unique device identifier

    unitPrice?: Money

    Fee, charge or cost per item

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