Skip to main content

ExplanationOfBenefitItemDetail

No description

type ExplanationOfBenefitItemDetail {
id: String
extension: [Extension]
modifierExtension: [Extension]
sequence: positiveInt
_sequence: ElementBase
revenue: CodeableConcept
category: CodeableConcept
productOrService: CodeableConcept!
modifier: [CodeableConcept]
programCode: [CodeableConcept]
quantity: Quantity
unitPrice: Money
factor: decimal
_factor: ElementBase
net: Money
udi: [Reference]
noteNumber: [positiveInt]
_noteNumber: [ElementBase]
adjudication: [ExplanationOfBenefitItemAdjudication]
subDetail: [ExplanationOfBenefitItemDetailSubDetail]
}

Fields

ExplanationOfBenefitItemDetail.id ● String scalar

ExplanationOfBenefitItemDetail.extension ● [Extension] list object

ExplanationOfBenefitItemDetail.modifierExtension ● [Extension] list object

ExplanationOfBenefitItemDetail.sequence ● positiveInt scalar

ExplanationOfBenefitItemDetail._sequence ● ElementBase object

ExplanationOfBenefitItemDetail.revenue ● CodeableConcept object

ExplanationOfBenefitItemDetail.category ● CodeableConcept object

ExplanationOfBenefitItemDetail.productOrService ● CodeableConcept! non-null object

ExplanationOfBenefitItemDetail.modifier ● [CodeableConcept] list object

ExplanationOfBenefitItemDetail.programCode ● [CodeableConcept] list object

ExplanationOfBenefitItemDetail.quantity ● Quantity object

ExplanationOfBenefitItemDetail.unitPrice ● Money object

ExplanationOfBenefitItemDetail.factor ● decimal scalar

ExplanationOfBenefitItemDetail._factor ● ElementBase object

ExplanationOfBenefitItemDetail.net ● Money object

ExplanationOfBenefitItemDetail.udi ● [Reference] list object

ExplanationOfBenefitItemDetail.noteNumber ● [positiveInt] list scalar

ExplanationOfBenefitItemDetail._noteNumber ● [ElementBase] list object

ExplanationOfBenefitItemDetail.adjudication ● [ExplanationOfBenefitItemAdjudication] list object

ExplanationOfBenefitItemDetail.subDetail ● [ExplanationOfBenefitItemDetailSubDetail] list object

Member Of

ExplanationOfBenefitAddItem object ● ExplanationOfBenefitItem object