ExplanationOfBenefitItemCreateInput
No description
input ExplanationOfBenefitItemCreateInput {
sequence: Int!
careTeamSequence: [Int!]
diagnosisSequence: [Int!]
procedureSequence: [Int!]
informationSequence: [Int!]
revenue: CodeableConceptCreateInput
category: CodeableConceptCreateInput
productOrService: CodeableConceptCreateInput!
modifier: [CodeableConceptCreateInput!]
programCode: [CodeableConceptCreateInput!]
servicedDate: Date
servicedPeriod: PeriodCreateInput
locationCodeableConcept: CodeableConceptCreateInput
locationAddress: AddressCreateInput
locationReference: ReferenceCreateInput
quantity: QuantityCreateInput
unitPrice: MoneyCreateInput
factor: String
net: MoneyCreateInput
udi: [ReferenceCreateInput!]
bodySite: CodeableConceptCreateInput
subSite: [CodeableConceptCreateInput!]
encounter: [ReferenceCreateInput!]
noteNumber: [Int!]
adjudication: [ExplanationOfBenefitAdjudicationCreateInput!]
detail: [ExplanationOfBenefitDetailCreateInput!]
modifierExtension: [FhirExtensionCreateInput!]
extension: [FhirExtensionCreateInput!]
id: String
}
Fields
ExplanationOfBenefitItemCreateInput.sequence ● Int! non-null scalar
A number to uniquely identify item entries.
ExplanationOfBenefitItemCreateInput.careTeamSequence ● [Int!] list scalar
Care team members related to this service or product.
ExplanationOfBenefitItemCreateInput.diagnosisSequence ● [Int!] list scalar
Diagnoses applicable for this service or product.
ExplanationOfBenefitItemCreateInput.procedureSequence ● [Int!] list scalar
Procedures applicable for this service or product.
ExplanationOfBenefitItemCreateInput.informationSequence ● [Int!] list scalar
Exceptions, special conditions and supporting information applicable for this service or product.
ExplanationOfBenefitItemCreateInput.revenue ● CodeableConceptCreateInput input
The type of revenue or cost center providing the product and/or service.
ExplanationOfBenefitItemCreateInput.category ● CodeableConceptCreateInput input
Code to identify the general type of benefits under which products and services are provided.
ExplanationOfBenefitItemCreateInput.productOrService ● CodeableConceptCreateInput! non-null input
When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.
ExplanationOfBenefitItemCreateInput.modifier ● [CodeableConceptCreateInput!] list input
Item typification or modifiers codes to convey additional context for the product or service.
ExplanationOfBenefitItemCreateInput.programCode ● [CodeableConceptCreateInput!] list input
Identifies the program under which this may be recovered.
ExplanationOfBenefitItemCreateInput.servicedDate ● Date scalar
The date or dates when the service or product was supplied, performed or completed. (choose any one of serviced*, but only one)
ExplanationOfBenefitItemCreateInput.servicedPeriod ● PeriodCreateInput input
The date or dates when the service or product was supplied, performed or completed. (choose any one of serviced*, but only one)
ExplanationOfBenefitItemCreateInput.locationCodeableConcept ● CodeableConceptCreateInput input
Where the product or service was provided. (choose any one of location*, but only one)
ExplanationOfBenefitItemCreateInput.locationAddress ● AddressCreateInput input
Where the product or service was provided. (choose any one of location*, but only one)
ExplanationOfBenefitItemCreateInput.locationReference ● ReferenceCreateInput input
Where the product or service was provided. (choose any one of location*, but only one)
ExplanationOfBenefitItemCreateInput.quantity ● QuantityCreateInput input
The number of repetitions of a service or product.
ExplanationOfBenefitItemCreateInput.unitPrice ● MoneyCreateInput input
If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.
ExplanationOfBenefitItemCreateInput.factor ● String scalar
A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.
ExplanationOfBenefitItemCreateInput.net ● MoneyCreateInput input
The quantity times the unit price for an additional service or product or charge.
ExplanationOfBenefitItemCreateInput.udi ● [ReferenceCreateInput!] list input
Unique Device Identifiers associated with this line item.
ExplanationOfBenefitItemCreateInput.bodySite ● CodeableConceptCreateInput input
Physical service site on the patient (limb, tooth, etc.).
ExplanationOfBenefitItemCreateInput.subSite ● [CodeableConceptCreateInput!] list input
A region or surface of the bodySite, e.g. limb region or tooth surface(s).
ExplanationOfBenefitItemCreateInput.encounter ● [ReferenceCreateInput!] list input
A billed item may include goods or services provided in multiple encounters.
ExplanationOfBenefitItemCreateInput.noteNumber ● [Int!] list scalar
The numbers associated with notes below which apply to the adjudication of this item.
ExplanationOfBenefitItemCreateInput.adjudication ● [ExplanationOfBenefitAdjudicationCreateInput!] list input
If this item is a group then the values here are a summary of the adjudication of the detail items. If this item is a simple product or service then this is the result of the adjudication of this item.
ExplanationOfBenefitItemCreateInput.detail ● [ExplanationOfBenefitDetailCreateInput!] list input
Second-tier of goods and services.
ExplanationOfBenefitItemCreateInput.modifierExtension ● [FhirExtensionCreateInput!] list input
May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element s descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
ExplanationOfBenefitItemCreateInput.extension ● [FhirExtensionCreateInput!] list input
May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
ExplanationOfBenefitItemCreateInput.id ● String scalar
null