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;
}

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

Optionaladjudication

adjudication?: ExplanationOfBenefitItemAdjudication[]

Adjudication details

OptionalbodySite

bodySite?: CodeableConcept

Anatomical location

OptionalcareTeamSequence

careTeamSequence?: positiveInt[]

Applicable care team members

Optionalcategory

category?: CodeableConcept

Benefit classification

Optionaldetail

detail?: ExplanationOfBenefitItemDetail[]

Additional items

OptionaldiagnosisSequence

diagnosisSequence?: positiveInt[]

Applicable diagnoses

Optionalencounter

encounter?: Reference[]

Encounters related to this billed item

Optionalextension

extension?: Extension[]

Additional content defined by implementations

Optionalfactor

factor?: decimal

Price scaling factor

Optionalid

id?: id

Unique id for inter-element referencing

OptionalinformationSequence

informationSequence?: positiveInt[]

Applicable exception and supporting information

OptionallocationAddress

locationAddress?: Address

Place of service or where product was supplied

OptionallocationCodeableConcept

locationCodeableConcept?: CodeableConcept

Place of service or where product was supplied

OptionallocationReference

locationReference?: Reference

Place of service or where product was supplied

Optionalmodifier

modifier?: CodeableConcept[]

Product or service billing modifiers

OptionalmodifierExtension

modifierExtension?: Extension[]

Extensions that cannot be ignored even if unrecognized

Optionalnet

net?: Money

Total item cost

OptionalnoteNumber

noteNumber?: positiveInt[]

Applicable note numbers

OptionalprocedureSequence

procedureSequence?: positiveInt[]

Applicable procedures

productOrService

productOrService: CodeableConcept

Billing, service, product, or drug code

OptionalprogramCode

programCode?: CodeableConcept[]

Program the product or service is provided under

Optionalquantity

quantity?: Quantity

Count of products or services

Optionalrevenue

revenue?: CodeableConcept

Revenue or cost center code

sequence

sequence: positiveInt

Item instance identifier

OptionalservicedDate

servicedDate?: date

Date or dates of service or product delivery

OptionalservicedPeriod

servicedPeriod?: Period

Date or dates of service or product delivery

OptionalsubSite

subSite?: CodeableConcept[]

Anatomical sub-location

Optionaludi

udi?: Reference[]

Unique device identifier

OptionalunitPrice

unitPrice?: Money

Fee, charge or cost per item

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