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ExplanationOfBenefitItemDetail

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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