fhirtypes
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TypeScript
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;
}