fhirtypes/dist/r4/backbones/IExplanationOfBenefitItem.d.ts

FHIR Types

import { IBackboneElement, IElement } from '../base';
import { IAddress, ICodeableConcept, IMoney, IPeriod, IReference, ISimpleQuantity } from '../datatypes';
import { IExplanationOfBenefitAdjudication } from './IExplanationOfBenefitAdjudication';
import { IExplanationOfBenefitDetail } from './IExplanationOfBenefitDetail';
/**
 * @name IExplanationOfBenefitItem
 * @description This resource provides: the claim details; adjudication details from the processing of a Claim; and optionally account balance information, for informing the subscriber of the benefits provided.
 * @see <a href="https://hl7.org/fhir/R4/explanationofbenefit-definitions.html#ExplanationOfBenefit.item">ExplanationOfBenefitItem</a>
 * @version R4
 * @extends {IBackboneElement}
 * @author Claudia Alarcón Lazo
 */
export interface IExplanationOfBenefitItem extends IBackboneElement {
    /**
     * @description A number to uniquely identify item entries.
     */
    sequence: number;
    /**
     * @description Extensions for sequence
     */
    _sequence?: IElement;
    /**
     * @description Care team members related to this service or product.
     */
    careTeamSequence?: number[];
    /**
     * @description Extensions for careTeamSequence
     */
    _careTeamSequence?: IElement[];
    /**
     * @description Diagnoses applicable for this service or product.
     */
    diagnosisSequence?: number[];
    /**
     * @description Extensions for diagnosisSequence
     */
    _diagnosisSequence?: IElement[];
    /**
     * @description Procedures applicable for this service or product.
     */
    procedureSequence?: number[];
    /**
     * @description Extensions for procedureSequence
     */
    _procedureSequence?: IElement[];
    /**
     * @description Exceptions, special conditions and supporting information applicable for this service or product.
     */
    informationSequence?: number[];
    /**
     * @description Extensions for informationSequence
     */
    _informationSequence?: IElement[];
    /**
     * @description The type of revenue or cost center providing the product and/or service.
     */
    revenue?: ICodeableConcept;
    /**
     * @description Code to identify the general type of benefits under which products and services are provided.
     */
    category?: ICodeableConcept;
    /**
     * @description When the value is a group code then this item collects a set of related claim details, otherwise 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 Identifies the program under which this may be recovered.
     */
    programCode?: ICodeableConcept[];
    /**
     * @description The date or dates when the service or product was supplied, performed or completed.
     */
    servicedDate?: string;
    /**
     * @description Extensions for servicedDate
     */
    _servicedDate?: IElement;
    /**
     * @description The date or dates when the service or product was supplied, performed or completed.
     */
    servicedPeriod?: IPeriod;
    /**
     * @description Where the product or service was provided.
     */
    locationCodeableConcept?: ICodeableConcept;
    /**
     * @description Where the product or service was provided.
     */
    locationAddress?: IAddress;
    /**
     * @description Where the product or service was provided.
     */
    locationReference?: IReference;
    /**
     * @description The number of repetitions of a service or product.
     */
    quantity?: ISimpleQuantity;
    /**
     * @description If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.
     */
    unitPrice?: IMoney;
    /**
     * @description A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.
     */
    factor?: number;
    /**
     * @description Extensions for factor
     */
    _factor?: IElement;
    /**
     * @description The quantity times the unit price for an additional service or product or charge.
     */
    net?: IMoney;
    /**
     * @description Unique Device Identifiers associated with this line item.
     */
    udi?: IReference[];
    /**
     * @description Physical service site on the patient (limb, tooth, etc.)
     */
    bodySite?: ICodeableConcept;
    /**
     * @description A region or surface of the bodySite, e.g. limb region or tooth surface(s).
     */
    subSite?: ICodeableConcept[];
    /**
     * @description A billed item may include goods or services provided in multiple encounters.
     */
    encounter?: IReference[];
    /**
     * @description The numbers associated with notes below which apply to the adjudication of this item.
     */
    noteNumber?: number[];
    /**
     * @description Extensions for noteNumber
     */
    _noteNumber?: IElement[];
    /**
     * @description If this item is a group then the values here are a summary of the adjudication of the detail items. If this item is a simple product or service then this is the result of the adjudication of this item.
     */
    adjudication?: IExplanationOfBenefitAdjudication[];
    /**
     * @description Second-tier of goods and services.
     */
    detail?: IExplanationOfBenefitDetail[];
}