Optional_Optional_Item instance identifier
OptionalcategoryBenefit classification
OptionalextensionAdditional content defined by implementations
OptionalfactorPrice scaling factor
OptionalidUnique id for inter-element referencing
OptionalmodifierService/Product billing modifiers
OptionalmodifierExtensions that cannot be ignored even if unrecognized
OptionalnetTotal item cost
Billing, service, product, or drug code
OptionalprogramProgram the product or service is provided under
OptionalquantityCount of products or services
OptionalrevenueRevenue or cost center code
Item instance identifier
OptionalsubProduct or service provided
OptionaludiUnique device identifier
OptionalunitFee, charge or cost per item
Price scaling factor