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ExplanationOfBenefitProcedure

This resource provides: the claim details; adjudication details from the processing of a Claim; and optionally account balance information, for informing the subscriber of the benefits provided.

type ExplanationOfBenefitProcedure implements Element {
  sequence: Int
  type: [CodeableConcept]
  date: Date
  procedureCodeableConcept: CodeableConcept
  procedureReference: Reference
  udi: [Reference]
  modifierExtension: [Extension]
  extension: [Extension]
  id: String
}

Fields​

ExplanationOfBenefitProcedure.sequence ● Int scalar​

A number to uniquely identify procedure entries.

ExplanationOfBenefitProcedure.type ● [CodeableConcept] list object​

When the condition was observed or the relative ranking.

ExplanationOfBenefitProcedure.date ● Date scalar​

Date and optionally time the procedure was performed.

ExplanationOfBenefitProcedure.procedureCodeableConcept ● CodeableConcept object​

The code or reference to a Procedure resource which identifies the clinical intervention performed. (choose any one of procedure*, but only one)

ExplanationOfBenefitProcedure.procedureReference ● Reference object​

The code or reference to a Procedure resource which identifies the clinical intervention performed. (choose any one of procedure*, but only one)

ExplanationOfBenefitProcedure.udi ● [Reference] list object​

Unique Device Identifiers associated with this line item.

ExplanationOfBenefitProcedure.modifierExtension ● [Extension] list object​

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).

ExplanationOfBenefitProcedure.extension ● [Extension] list object​

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.

ExplanationOfBenefitProcedure.id ● String scalar​

Interfaces​

Element interface​

Base definition for all elements in a resource. If the element is present, it must have a value for at least one of the defined elements, an @id referenced from the Narrative, or extensions

Member Of​

ExplanationOfBenefit object