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