Optional
_supportingOptional
categoryBenefit classification
Optional
detailProduct or service details
Optional
diagnosisApplicable diagnosis
Optional
extensionAdditional content defined by implementations
Optional
facilityServicing facility
Optional
idUnique id for inter-element referencing
Optional
modifierProduct or service billing modifiers
Optional
modifierExtensions that cannot be ignored even if unrecognized
Optional
productBilling, service, product, or drug code
Optional
providerPerfoming practitioner
Optional
quantityCount of products or services
Optional
supportingApplicable exception or supporting information
Optional
unitFee, charge or cost per item
Applicable exception or supporting information