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fhirtypes

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import { IBackboneElement, IElement } from '../base'; import { ICodeableConcept, IReference } from '../datatypes'; import { ICoverageEligibilityResponseBenefit } from './ICoverageEligibilityResponseBenefit'; /** * @name ICoverageEligibilityResponseItem * @description This resource provides eligibility and plan details from the processing of an CoverageEligibilityRequest resource. * @see <a href="https://hl7.org/fhir/R4/coverageeligibilityresponse-definitions.html#CoverageEligibilityResponse.insurance.item">CoverageEligibilityResponseItem</a> * @version R4 * @extends {IBackboneElement} * @author Claudia Alarcón Lazo */ export interface ICoverageEligibilityResponseItem extends IBackboneElement { /** * @description Code to identify the general type of benefits under which products and services are provided. */ category?: ICodeableConcept; /** * @description This contains the product, service, drug or other billing code for the item. */ productOrService?: ICodeableConcept; /** * @description Item typification or modifiers codes to convey additional context for the product or service. */ modifier?: ICodeableConcept[]; /** * @description The practitioner who is eligible for the provision of the product or service. */ provider?: IReference; /** * @description True if the indicated class of service is excluded from the plan, missing or False indicates the product or service is included in the coverage. */ excluded?: boolean; /** * @description Extensions for excluded */ _excluded?: IElement; /** * @description A short name or tag for the benefit. */ name?: string; /** * @description Extensions for name */ _name?: IElement; /** * @description A richer description of the benefit or services covered. */ description?: string; /** * @description Extensions for description */ _description?: IElement; /** * @description Is a flag to indicate whether the benefits refer to in-network providers or out-of-network providers. */ network?: ICodeableConcept; /** * @description Indicates if the benefits apply to an individual or to the family. */ unit?: ICodeableConcept; /** * @description The term or period of the values such as \u0027maximum lifetime benefit\u0027 or \u0027maximum annual visits\u0027. */ term?: ICodeableConcept; /** * @description Benefits used to date. */ benefit?: ICoverageEligibilityResponseBenefit[]; /** * @description A boolean flag indicating whether a preauthorization is required prior to actual service delivery. */ authorizationRequired?: boolean; /** * @description Extensions for authorizationRequired */ _authorizationRequired?: IElement; /** * @description Codes or comments regarding information or actions associated with the preauthorization. */ authorizationSupporting?: ICodeableConcept[]; /** * @description A web location for obtaining requirements or descriptive information regarding the preauthorization. */ authorizationUrl?: string; /** * @description Extensions for authorizationUrl */ _authorizationUrl?: IElement; }