Interface ExplanationOfBenefitAddItem

interface ExplanationOfBenefitAddItem {
    _detailSequence?: Element[];
    _factor?: Element;
    _itemSequence?: Element[];
    _noteNumber?: Element[];
    _servicedDate?: Element;
    _subDetailSequence?: Element[];
    adjudication?: ExplanationOfBenefitItemAdjudication[];
    bodySite?: CodeableConcept;
    detail?: ExplanationOfBenefitAddItemDetail[];
    detailSequence?: never[];
    extension?: Extension[];
    factor?: decimal;
    id?: id;
    itemSequence?: never[];
    locationAddress?: Address;
    locationCodeableConcept?: CodeableConcept;
    locationReference?: Reference;
    modifier?: CodeableConcept[];
    modifierExtension?: Extension[];
    net?: Money;
    noteNumber?: never[];
    productOrService: CodeableConcept;
    programCode?: CodeableConcept[];
    provider?: Reference[];
    quantity?: Quantity;
    servicedDate?: date;
    servicedPeriod?: Period;
    subDetailSequence?: never[];
    subSite?: CodeableConcept[];
    unitPrice?: Money;
}

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

Optionaladjudication

adjudication?: ExplanationOfBenefitItemAdjudication[]

Added items adjudication

OptionalbodySite

bodySite?: CodeableConcept

Anatomical location

Optionaldetail

detail?: ExplanationOfBenefitAddItemDetail[]

Insurer added line items

OptionaldetailSequence

detailSequence?: never[]

Detail sequence number

Optionalextension

extension?: Extension[]

Additional content defined by implementations

Optionalfactor

factor?: decimal

Price scaling factor

Optionalid

id?: id

Unique id for inter-element referencing

OptionalitemSequence

itemSequence?: never[]

Item sequence number

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[]

Service/Product billing modifiers

OptionalmodifierExtension

modifierExtension?: Extension[]

Extensions that cannot be ignored even if unrecognized

Optionalnet

net?: Money

Total item cost

OptionalnoteNumber

noteNumber?: never[]

Applicable note numbers

productOrService

productOrService: CodeableConcept

Billing, service, product, or drug code

OptionalprogramCode

programCode?: CodeableConcept[]

Program the product or service is provided under

Optionalprovider

provider?: Reference[]

Authorized providers

Optionalquantity

quantity?: Quantity

Count of products or services

OptionalservicedDate

servicedDate?: date

Date or dates of service or product delivery

OptionalservicedPeriod

servicedPeriod?: Period

Date or dates of service or product delivery

OptionalsubDetailSequence

subDetailSequence?: never[]

Subdetail sequence number

OptionalsubSite

subSite?: CodeableConcept[]

Anatomical sub-location

OptionalunitPrice

unitPrice?: Money

Fee, charge or cost per item

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