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ExplanationOfBenefitItemDetailSubDetail

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type ExplanationOfBenefitItemDetailSubDetail {
  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]
}

Fields​

ExplanationOfBenefitItemDetailSubDetail.id ● String scalar​

ExplanationOfBenefitItemDetailSubDetail.extension ● [Extension] list object​

ExplanationOfBenefitItemDetailSubDetail.modifierExtension ● [Extension] list object​

ExplanationOfBenefitItemDetailSubDetail.sequence ● positiveInt scalar​

ExplanationOfBenefitItemDetailSubDetail._sequence ● ElementBase object​

ExplanationOfBenefitItemDetailSubDetail.revenue ● CodeableConcept object​

ExplanationOfBenefitItemDetailSubDetail.category ● CodeableConcept object​

ExplanationOfBenefitItemDetailSubDetail.productOrService ● CodeableConcept! non-null object​

ExplanationOfBenefitItemDetailSubDetail.modifier ● [CodeableConcept] list object​

ExplanationOfBenefitItemDetailSubDetail.programCode ● [CodeableConcept] list object​

ExplanationOfBenefitItemDetailSubDetail.quantity ● Quantity object​

ExplanationOfBenefitItemDetailSubDetail.unitPrice ● Money object​

ExplanationOfBenefitItemDetailSubDetail.factor ● decimal scalar​

ExplanationOfBenefitItemDetailSubDetail._factor ● ElementBase object​

ExplanationOfBenefitItemDetailSubDetail.net ● Money object​

ExplanationOfBenefitItemDetailSubDetail.udi ● [Reference] list object​

ExplanationOfBenefitItemDetailSubDetail.noteNumber ● [positiveInt] list scalar​

ExplanationOfBenefitItemDetailSubDetail._noteNumber ● [ElementBase] list object​

ExplanationOfBenefitItemDetailSubDetail.adjudication ● [ExplanationOfBenefitItemAdjudication] list object​

Member Of​

ExplanationOfBenefitItemDetail object