@medplum/core 0.2.2 → 0.3.0

This diff represents the content of publicly available package versions that have been released to one of the supported registries. The information contained in this diff is provided for informational purposes only and reflects changes between package versions as they appear in their respective public registries.
Files changed (640) hide show
  1. package/README.md +29 -25
  2. package/dist/cache.d.ts +1 -0
  3. package/dist/cache.js +3 -0
  4. package/dist/cache.js.map +1 -1
  5. package/dist/client.d.ts +66 -54
  6. package/dist/client.js +153 -122
  7. package/dist/client.js.map +1 -1
  8. package/dist/eventtarget.js +1 -1
  9. package/dist/eventtarget.js.map +1 -1
  10. package/dist/format.d.ts +1 -1
  11. package/dist/format.js.map +1 -1
  12. package/dist/index.d.ts +0 -2
  13. package/dist/index.js +0 -2
  14. package/dist/index.js.map +1 -1
  15. package/dist/jwt.js.map +1 -1
  16. package/dist/outcomes.d.ts +1 -1
  17. package/dist/outcomes.js +42 -28
  18. package/dist/outcomes.js.map +1 -1
  19. package/dist/search.js +4 -4
  20. package/dist/search.js.map +1 -1
  21. package/dist/searchparams.d.ts +1 -1
  22. package/dist/searchparams.js +1 -2
  23. package/dist/searchparams.js.map +1 -1
  24. package/dist/storage.js.map +1 -1
  25. package/dist/types.d.ts +1 -1
  26. package/dist/types.js +6 -6
  27. package/dist/types.js.map +1 -1
  28. package/dist/utils.d.ts +1 -1
  29. package/dist/utils.js +11 -6
  30. package/dist/utils.js.map +1 -1
  31. package/package.json +5 -6
  32. package/dist/fhir/AccessPolicy.d.ts +0 -75
  33. package/dist/fhir/AccessPolicy.js +0 -7
  34. package/dist/fhir/AccessPolicy.js.map +0 -1
  35. package/dist/fhir/Account.d.ts +0 -247
  36. package/dist/fhir/Account.js +0 -7
  37. package/dist/fhir/Account.js.map +0 -1
  38. package/dist/fhir/ActivityDefinition.d.ts +0 -500
  39. package/dist/fhir/ActivityDefinition.js +0 -7
  40. package/dist/fhir/ActivityDefinition.js.map +0 -1
  41. package/dist/fhir/Address.d.ts +0 -75
  42. package/dist/fhir/Address.js +0 -7
  43. package/dist/fhir/Address.js.map +0 -1
  44. package/dist/fhir/AdverseEvent.d.ts +0 -303
  45. package/dist/fhir/AdverseEvent.js +0 -7
  46. package/dist/fhir/AdverseEvent.js.map +0 -1
  47. package/dist/fhir/Age.d.ts +0 -47
  48. package/dist/fhir/Age.js +0 -7
  49. package/dist/fhir/Age.js.map +0 -1
  50. package/dist/fhir/AllergyIntolerance.d.ts +0 -283
  51. package/dist/fhir/AllergyIntolerance.js +0 -7
  52. package/dist/fhir/AllergyIntolerance.js.map +0 -1
  53. package/dist/fhir/Annotation.d.ts +0 -42
  54. package/dist/fhir/Annotation.js +0 -7
  55. package/dist/fhir/Annotation.js.map +0 -1
  56. package/dist/fhir/Appointment.d.ts +0 -284
  57. package/dist/fhir/Appointment.js +0 -7
  58. package/dist/fhir/Appointment.js.map +0 -1
  59. package/dist/fhir/AppointmentResponse.d.ts +0 -131
  60. package/dist/fhir/AppointmentResponse.js +0 -7
  61. package/dist/fhir/AppointmentResponse.js.map +0 -1
  62. package/dist/fhir/Attachment.d.ts +0 -58
  63. package/dist/fhir/Attachment.js +0 -7
  64. package/dist/fhir/Attachment.js.map +0 -1
  65. package/dist/fhir/AuditEvent.d.ts +0 -458
  66. package/dist/fhir/AuditEvent.js +0 -7
  67. package/dist/fhir/AuditEvent.js.map +0 -1
  68. package/dist/fhir/Basic.d.ts +0 -110
  69. package/dist/fhir/Basic.js +0 -7
  70. package/dist/fhir/Basic.js.map +0 -1
  71. package/dist/fhir/Binary.d.ts +0 -59
  72. package/dist/fhir/Binary.js +0 -7
  73. package/dist/fhir/Binary.js.map +0 -1
  74. package/dist/fhir/BiologicallyDerivedProduct.d.ts +0 -358
  75. package/dist/fhir/BiologicallyDerivedProduct.js +0 -7
  76. package/dist/fhir/BiologicallyDerivedProduct.js.map +0 -1
  77. package/dist/fhir/BodyStructure.d.ts +0 -119
  78. package/dist/fhir/BodyStructure.js +0 -7
  79. package/dist/fhir/BodyStructure.js.map +0 -1
  80. package/dist/fhir/Bot.d.ts +0 -49
  81. package/dist/fhir/Bot.js +0 -7
  82. package/dist/fhir/Bot.js.map +0 -1
  83. package/dist/fhir/Bundle.d.ts +0 -379
  84. package/dist/fhir/Bundle.js +0 -7
  85. package/dist/fhir/Bundle.js.map +0 -1
  86. package/dist/fhir/CapabilityStatement.d.ts +0 -1044
  87. package/dist/fhir/CapabilityStatement.js +0 -7
  88. package/dist/fhir/CapabilityStatement.js.map +0 -1
  89. package/dist/fhir/CarePlan.d.ts +0 -446
  90. package/dist/fhir/CarePlan.js +0 -7
  91. package/dist/fhir/CarePlan.js.map +0 -1
  92. package/dist/fhir/CareTeam.d.ts +0 -211
  93. package/dist/fhir/CareTeam.js +0 -7
  94. package/dist/fhir/CareTeam.js.map +0 -1
  95. package/dist/fhir/CatalogEntry.d.ts +0 -195
  96. package/dist/fhir/CatalogEntry.js +0 -7
  97. package/dist/fhir/CatalogEntry.js.map +0 -1
  98. package/dist/fhir/ChargeItem.d.ts +0 -287
  99. package/dist/fhir/ChargeItem.js +0 -7
  100. package/dist/fhir/ChargeItem.js.map +0 -1
  101. package/dist/fhir/ChargeItemDefinition.d.ts +0 -401
  102. package/dist/fhir/ChargeItemDefinition.js +0 -7
  103. package/dist/fhir/ChargeItemDefinition.js.map +0 -1
  104. package/dist/fhir/Claim.d.ts +0 -1092
  105. package/dist/fhir/Claim.js +0 -7
  106. package/dist/fhir/Claim.js.map +0 -1
  107. package/dist/fhir/ClaimResponse.d.ts +0 -1040
  108. package/dist/fhir/ClaimResponse.js +0 -7
  109. package/dist/fhir/ClaimResponse.js.map +0 -1
  110. package/dist/fhir/ClientApplication.d.ts +0 -46
  111. package/dist/fhir/ClientApplication.js +0 -7
  112. package/dist/fhir/ClientApplication.js.map +0 -1
  113. package/dist/fhir/ClinicalImpression.d.ts +0 -306
  114. package/dist/fhir/ClinicalImpression.js +0 -7
  115. package/dist/fhir/ClinicalImpression.js.map +0 -1
  116. package/dist/fhir/CodeSystem.d.ts +0 -541
  117. package/dist/fhir/CodeSystem.js +0 -7
  118. package/dist/fhir/CodeSystem.js.map +0 -1
  119. package/dist/fhir/CodeableConcept.d.ts +0 -33
  120. package/dist/fhir/CodeableConcept.js +0 -7
  121. package/dist/fhir/CodeableConcept.js.map +0 -1
  122. package/dist/fhir/Coding.d.ts +0 -50
  123. package/dist/fhir/Coding.js +0 -7
  124. package/dist/fhir/Coding.js.map +0 -1
  125. package/dist/fhir/Communication.d.ts +0 -264
  126. package/dist/fhir/Communication.js +0 -7
  127. package/dist/fhir/Communication.js.map +0 -1
  128. package/dist/fhir/CommunicationRequest.d.ts +0 -261
  129. package/dist/fhir/CommunicationRequest.js +0 -7
  130. package/dist/fhir/CommunicationRequest.js.map +0 -1
  131. package/dist/fhir/CompartmentDefinition.d.ts +0 -217
  132. package/dist/fhir/CompartmentDefinition.js +0 -7
  133. package/dist/fhir/CompartmentDefinition.js.map +0 -1
  134. package/dist/fhir/Composition.d.ts +0 -429
  135. package/dist/fhir/Composition.js +0 -7
  136. package/dist/fhir/Composition.js.map +0 -1
  137. package/dist/fhir/ConceptMap.d.ts +0 -518
  138. package/dist/fhir/ConceptMap.js +0 -7
  139. package/dist/fhir/ConceptMap.js.map +0 -1
  140. package/dist/fhir/Condition.d.ts +0 -326
  141. package/dist/fhir/Condition.js +0 -7
  142. package/dist/fhir/Condition.js.map +0 -1
  143. package/dist/fhir/Consent.d.ts +0 -460
  144. package/dist/fhir/Consent.js +0 -7
  145. package/dist/fhir/Consent.js.map +0 -1
  146. package/dist/fhir/ContactDetail.d.ts +0 -31
  147. package/dist/fhir/ContactDetail.js +0 -7
  148. package/dist/fhir/ContactDetail.js.map +0 -1
  149. package/dist/fhir/ContactPoint.d.ts +0 -47
  150. package/dist/fhir/ContactPoint.js +0 -7
  151. package/dist/fhir/ContactPoint.js.map +0 -1
  152. package/dist/fhir/Contract.d.ts +0 -1452
  153. package/dist/fhir/Contract.js +0 -7
  154. package/dist/fhir/Contract.js.map +0 -1
  155. package/dist/fhir/Contributor.d.ts +0 -37
  156. package/dist/fhir/Contributor.js +0 -7
  157. package/dist/fhir/Contributor.js.map +0 -1
  158. package/dist/fhir/Count.d.ts +0 -49
  159. package/dist/fhir/Count.js +0 -7
  160. package/dist/fhir/Count.js.map +0 -1
  161. package/dist/fhir/Coverage.d.ts +0 -327
  162. package/dist/fhir/Coverage.js +0 -7
  163. package/dist/fhir/Coverage.js.map +0 -1
  164. package/dist/fhir/CoverageEligibilityRequest.d.ts +0 -404
  165. package/dist/fhir/CoverageEligibilityRequest.js +0 -7
  166. package/dist/fhir/CoverageEligibilityRequest.js.map +0 -1
  167. package/dist/fhir/CoverageEligibilityResponse.d.ts +0 -434
  168. package/dist/fhir/CoverageEligibilityResponse.js +0 -7
  169. package/dist/fhir/CoverageEligibilityResponse.js.map +0 -1
  170. package/dist/fhir/DataRequirement.d.ts +0 -239
  171. package/dist/fhir/DataRequirement.js +0 -7
  172. package/dist/fhir/DataRequirement.js.map +0 -1
  173. package/dist/fhir/DetectedIssue.d.ts +0 -252
  174. package/dist/fhir/DetectedIssue.js +0 -7
  175. package/dist/fhir/DetectedIssue.js.map +0 -1
  176. package/dist/fhir/Device.d.ts +0 -493
  177. package/dist/fhir/Device.js +0 -7
  178. package/dist/fhir/Device.js.map +0 -1
  179. package/dist/fhir/DeviceDefinition.d.ts +0 -486
  180. package/dist/fhir/DeviceDefinition.js +0 -7
  181. package/dist/fhir/DeviceDefinition.js.map +0 -1
  182. package/dist/fhir/DeviceMetric.d.ts +0 -199
  183. package/dist/fhir/DeviceMetric.js +0 -7
  184. package/dist/fhir/DeviceMetric.js.map +0 -1
  185. package/dist/fhir/DeviceRequest.d.ts +0 -296
  186. package/dist/fhir/DeviceRequest.js +0 -7
  187. package/dist/fhir/DeviceRequest.js.map +0 -1
  188. package/dist/fhir/DeviceUseStatement.d.ts +0 -168
  189. package/dist/fhir/DeviceUseStatement.js +0 -7
  190. package/dist/fhir/DeviceUseStatement.js.map +0 -1
  191. package/dist/fhir/DiagnosticReport.d.ts +0 -254
  192. package/dist/fhir/DiagnosticReport.js +0 -7
  193. package/dist/fhir/DiagnosticReport.js.map +0 -1
  194. package/dist/fhir/Distance.d.ts +0 -47
  195. package/dist/fhir/Distance.js +0 -7
  196. package/dist/fhir/Distance.js.map +0 -1
  197. package/dist/fhir/DocumentManifest.d.ts +0 -196
  198. package/dist/fhir/DocumentManifest.js +0 -7
  199. package/dist/fhir/DocumentManifest.js.map +0 -1
  200. package/dist/fhir/DocumentReference.d.ts +0 -349
  201. package/dist/fhir/DocumentReference.js +0 -7
  202. package/dist/fhir/DocumentReference.js.map +0 -1
  203. package/dist/fhir/Dosage.d.ts +0 -152
  204. package/dist/fhir/Dosage.js +0 -7
  205. package/dist/fhir/Dosage.js.map +0 -1
  206. package/dist/fhir/Duration.d.ts +0 -46
  207. package/dist/fhir/Duration.js +0 -7
  208. package/dist/fhir/Duration.js.map +0 -1
  209. package/dist/fhir/EffectEvidenceSynthesis.d.ts +0 -591
  210. package/dist/fhir/EffectEvidenceSynthesis.js +0 -7
  211. package/dist/fhir/EffectEvidenceSynthesis.js.map +0 -1
  212. package/dist/fhir/Element.d.ts +0 -21
  213. package/dist/fhir/Element.js +0 -7
  214. package/dist/fhir/Element.js.map +0 -1
  215. package/dist/fhir/ElementDefinition.d.ts +0 -2701
  216. package/dist/fhir/ElementDefinition.js +0 -7
  217. package/dist/fhir/ElementDefinition.js.map +0 -1
  218. package/dist/fhir/Encounter.d.ts +0 -558
  219. package/dist/fhir/Encounter.js +0 -7
  220. package/dist/fhir/Encounter.js.map +0 -1
  221. package/dist/fhir/Endpoint.d.ts +0 -140
  222. package/dist/fhir/Endpoint.js +0 -7
  223. package/dist/fhir/Endpoint.js.map +0 -1
  224. package/dist/fhir/EnrollmentRequest.d.ts +0 -113
  225. package/dist/fhir/EnrollmentRequest.js +0 -7
  226. package/dist/fhir/EnrollmentRequest.js.map +0 -1
  227. package/dist/fhir/EnrollmentResponse.d.ts +0 -117
  228. package/dist/fhir/EnrollmentResponse.js +0 -7
  229. package/dist/fhir/EnrollmentResponse.js.map +0 -1
  230. package/dist/fhir/EpisodeOfCare.d.ts +0 -246
  231. package/dist/fhir/EpisodeOfCare.js +0 -7
  232. package/dist/fhir/EpisodeOfCare.js.map +0 -1
  233. package/dist/fhir/EventDefinition.d.ts +0 -253
  234. package/dist/fhir/EventDefinition.js +0 -7
  235. package/dist/fhir/EventDefinition.js.map +0 -1
  236. package/dist/fhir/Evidence.d.ts +0 -252
  237. package/dist/fhir/Evidence.js +0 -7
  238. package/dist/fhir/Evidence.js.map +0 -1
  239. package/dist/fhir/EvidenceVariable.d.ts +0 -370
  240. package/dist/fhir/EvidenceVariable.js +0 -7
  241. package/dist/fhir/EvidenceVariable.js.map +0 -1
  242. package/dist/fhir/ExampleScenario.d.ts +0 -628
  243. package/dist/fhir/ExampleScenario.js +0 -7
  244. package/dist/fhir/ExampleScenario.js.map +0 -1
  245. package/dist/fhir/ExplanationOfBenefit.d.ts +0 -1841
  246. package/dist/fhir/ExplanationOfBenefit.js +0 -7
  247. package/dist/fhir/ExplanationOfBenefit.js.map +0 -1
  248. package/dist/fhir/Expression.d.ts +0 -45
  249. package/dist/fhir/Expression.js +0 -7
  250. package/dist/fhir/Expression.js.map +0 -1
  251. package/dist/fhir/Extension.d.ts +0 -306
  252. package/dist/fhir/Extension.js +0 -7
  253. package/dist/fhir/Extension.js.map +0 -1
  254. package/dist/fhir/FamilyMemberHistory.d.ts +0 -306
  255. package/dist/fhir/FamilyMemberHistory.js +0 -7
  256. package/dist/fhir/FamilyMemberHistory.js.map +0 -1
  257. package/dist/fhir/Flag.d.ts +0 -132
  258. package/dist/fhir/Flag.js +0 -7
  259. package/dist/fhir/Flag.js.map +0 -1
  260. package/dist/fhir/Goal.d.ts +0 -299
  261. package/dist/fhir/Goal.js +0 -7
  262. package/dist/fhir/Goal.js.map +0 -1
  263. package/dist/fhir/GraphDefinition.d.ts +0 -350
  264. package/dist/fhir/GraphDefinition.js +0 -7
  265. package/dist/fhir/GraphDefinition.js.map +0 -1
  266. package/dist/fhir/Group.d.ts +0 -271
  267. package/dist/fhir/Group.js +0 -7
  268. package/dist/fhir/Group.js.map +0 -1
  269. package/dist/fhir/GuidanceResponse.d.ts +0 -196
  270. package/dist/fhir/GuidanceResponse.js +0 -7
  271. package/dist/fhir/GuidanceResponse.js.map +0 -1
  272. package/dist/fhir/HealthcareService.d.ts +0 -356
  273. package/dist/fhir/HealthcareService.js +0 -7
  274. package/dist/fhir/HealthcareService.js.map +0 -1
  275. package/dist/fhir/HumanName.d.ts +0 -58
  276. package/dist/fhir/HumanName.js +0 -7
  277. package/dist/fhir/HumanName.js.map +0 -1
  278. package/dist/fhir/Identifier.d.ts +0 -53
  279. package/dist/fhir/Identifier.js +0 -7
  280. package/dist/fhir/Identifier.js.map +0 -1
  281. package/dist/fhir/ImagingStudy.d.ts +0 -407
  282. package/dist/fhir/ImagingStudy.js +0 -7
  283. package/dist/fhir/ImagingStudy.js.map +0 -1
  284. package/dist/fhir/Immunization.d.ts +0 -444
  285. package/dist/fhir/Immunization.js +0 -7
  286. package/dist/fhir/Immunization.js.map +0 -1
  287. package/dist/fhir/ImmunizationEvaluation.d.ts +0 -149
  288. package/dist/fhir/ImmunizationEvaluation.js +0 -7
  289. package/dist/fhir/ImmunizationEvaluation.js.map +0 -1
  290. package/dist/fhir/ImmunizationRecommendation.d.ts +0 -254
  291. package/dist/fhir/ImmunizationRecommendation.js +0 -7
  292. package/dist/fhir/ImmunizationRecommendation.js.map +0 -1
  293. package/dist/fhir/ImplementationGuide.d.ts +0 -824
  294. package/dist/fhir/ImplementationGuide.js +0 -7
  295. package/dist/fhir/ImplementationGuide.js.map +0 -1
  296. package/dist/fhir/InsurancePlan.d.ts +0 -624
  297. package/dist/fhir/InsurancePlan.js +0 -7
  298. package/dist/fhir/InsurancePlan.js.map +0 -1
  299. package/dist/fhir/Invoice.d.ts +0 -346
  300. package/dist/fhir/Invoice.js +0 -7
  301. package/dist/fhir/Invoice.js.map +0 -1
  302. package/dist/fhir/JsonWebKey.d.ts +0 -99
  303. package/dist/fhir/JsonWebKey.js +0 -7
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  305. package/dist/fhir/Library.d.ts +0 -277
  306. package/dist/fhir/Library.js +0 -7
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  308. package/dist/fhir/Linkage.d.ts +0 -146
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  311. package/dist/fhir/List.d.ts +0 -200
  312. package/dist/fhir/List.js +0 -7
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  314. package/dist/fhir/Location.d.ts +0 -277
  315. package/dist/fhir/Location.js +0 -7
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  317. package/dist/fhir/Login.d.ts +0 -119
  318. package/dist/fhir/Login.js +0 -7
  319. package/dist/fhir/Login.js.map +0 -1
  320. package/dist/fhir/MarketingStatus.d.ts +0 -82
  321. package/dist/fhir/MarketingStatus.js +0 -7
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  323. package/dist/fhir/Measure.d.ts +0 -620
  324. package/dist/fhir/Measure.js +0 -7
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  326. package/dist/fhir/MeasureReport.d.ts +0 -463
  327. package/dist/fhir/MeasureReport.js +0 -7
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  329. package/dist/fhir/Media.d.ts +0 -205
  330. package/dist/fhir/Media.js +0 -7
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  332. package/dist/fhir/Medication.d.ts +0 -230
  333. package/dist/fhir/Medication.js +0 -7
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  335. package/dist/fhir/MedicationAdministration.d.ts +0 -352
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  338. package/dist/fhir/MedicationDispense.d.ts +0 -343
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  341. package/dist/fhir/MedicationKnowledge.d.ts +0 -992
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  344. package/dist/fhir/MedicationRequest.d.ts +0 -481
  345. package/dist/fhir/MedicationRequest.js +0 -7
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  347. package/dist/fhir/MedicationStatement.d.ts +0 -228
  348. package/dist/fhir/MedicationStatement.js +0 -7
  349. package/dist/fhir/MedicationStatement.js.map +0 -1
  350. package/dist/fhir/MedicinalProduct.d.ts +0 -453
  351. package/dist/fhir/MedicinalProduct.js +0 -7
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  353. package/dist/fhir/MedicinalProductAuthorization.d.ts +0 -271
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  356. package/dist/fhir/MedicinalProductContraindication.d.ts +0 -170
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  359. package/dist/fhir/MedicinalProductIndication.d.ts +0 -179
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  362. package/dist/fhir/MedicinalProductIngredient.d.ts +0 -336
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  365. package/dist/fhir/MedicinalProductInteraction.d.ts +0 -158
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  368. package/dist/fhir/MedicinalProductManufactured.d.ts +0 -113
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  371. package/dist/fhir/MedicinalProductPackaged.d.ts +0 -259
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@@ -1,1841 +0,0 @@
1
- import { Address } from './Address';
2
- import { Attachment } from './Attachment';
3
- import { Claim } from './Claim';
4
- import { ClaimResponse } from './ClaimResponse';
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- import { CodeableConcept } from './CodeableConcept';
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- import { Coding } from './Coding';
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- import { Condition } from './Condition';
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- import { Coverage } from './Coverage';
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- import { Device } from './Device';
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- import { Encounter } from './Encounter';
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- import { Extension } from './Extension';
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- import { Identifier } from './Identifier';
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- import { Location } from './Location';
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- import { MedicationRequest } from './MedicationRequest';
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- import { Meta } from './Meta';
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- import { Money } from './Money';
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- import { Narrative } from './Narrative';
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- import { Organization } from './Organization';
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- import { Patient } from './Patient';
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- import { Period } from './Period';
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- import { Practitioner } from './Practitioner';
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- import { PractitionerRole } from './PractitionerRole';
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- import { Procedure } from './Procedure';
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- import { Quantity } from './Quantity';
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- import { Reference } from './Reference';
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- import { RelatedPerson } from './RelatedPerson';
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- import { Resource } from './Resource';
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- import { ServiceRequest } from './ServiceRequest';
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- import { VisionPrescription } from './VisionPrescription';
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- /**
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- * This resource provides: the claim details; adjudication details from
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- * the processing of a Claim; and optionally account balance information,
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- * for informing the subscriber of the benefits provided.
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- */
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- export interface ExplanationOfBenefit {
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- /**
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- * This is a ExplanationOfBenefit resource
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- */
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- readonly resourceType: 'ExplanationOfBenefit';
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- /**
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- * The logical id of the resource, as used in the URL for the resource.
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- * Once assigned, this value never changes.
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- */
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- readonly id?: string;
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- /**
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- * The metadata about the resource. This is content that is maintained by
47
- * the infrastructure. Changes to the content might not always be
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- * associated with version changes to the resource.
49
- */
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- readonly meta?: Meta;
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- /**
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- * A reference to a set of rules that were followed when the resource was
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- * constructed, and which must be understood when processing the content.
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- * Often, this is a reference to an implementation guide that defines the
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- * special rules along with other profiles etc.
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- */
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- readonly implicitRules?: string;
58
- /**
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- * The base language in which the resource is written.
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- */
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- readonly language?: string;
62
- /**
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- * A human-readable narrative that contains a summary of the resource and
64
- * can be used to represent the content of the resource to a human. The
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- * narrative need not encode all the structured data, but is required to
66
- * contain sufficient detail to make it "clinically safe" for a human to
67
- * just read the narrative. Resource definitions may define what content
68
- * should be represented in the narrative to ensure clinical safety.
69
- */
70
- readonly text?: Narrative;
71
- /**
72
- * These resources do not have an independent existence apart from the
73
- * resource that contains them - they cannot be identified independently,
74
- * and nor can they have their own independent transaction scope.
75
- */
76
- readonly contained?: Resource[];
77
- /**
78
- * May be used to represent additional information that is not part of
79
- * the basic definition of the resource. To make the use of extensions
80
- * safe and manageable, there is a strict set of governance applied to
81
- * the definition and use of extensions. Though any implementer can
82
- * define an extension, there is a set of requirements that SHALL be met
83
- * as part of the definition of the extension.
84
- */
85
- readonly extension?: Extension[];
86
- /**
87
- * May be used to represent additional information that is not part of
88
- * the basic definition of the resource and that modifies the
89
- * understanding of the element that contains it and/or the understanding
90
- * of the containing element's descendants. Usually modifier elements
91
- * provide negation or qualification. To make the use of extensions safe
92
- * and manageable, there is a strict set of governance applied to the
93
- * definition and use of extensions. Though any implementer is allowed to
94
- * define an extension, there is a set of requirements that SHALL be met
95
- * as part of the definition of the extension. Applications processing a
96
- * resource are required to check for modifier extensions.
97
- *
98
- * Modifier extensions SHALL NOT change the meaning of any elements on
99
- * Resource or DomainResource (including cannot change the meaning of
100
- * modifierExtension itself).
101
- */
102
- readonly modifierExtension?: Extension[];
103
- /**
104
- * A unique identifier assigned to this explanation of benefit.
105
- */
106
- readonly identifier?: Identifier[];
107
- /**
108
- * The status of the resource instance.
109
- */
110
- readonly status?: string;
111
- /**
112
- * The category of claim, e.g. oral, pharmacy, vision, institutional,
113
- * professional.
114
- */
115
- readonly type?: CodeableConcept;
116
- /**
117
- * A finer grained suite of claim type codes which may convey additional
118
- * information such as Inpatient vs Outpatient and/or a specialty
119
- * service.
120
- */
121
- readonly subType?: CodeableConcept;
122
- /**
123
- * A code to indicate whether the nature of the request is: to request
124
- * adjudication of products and services previously rendered; or
125
- * requesting authorization and adjudication for provision in the future;
126
- * or requesting the non-binding adjudication of the listed products and
127
- * services which could be provided in the future.
128
- */
129
- readonly use?: string;
130
- /**
131
- * The party to whom the professional services and/or products have been
132
- * supplied or are being considered and for whom actual for forecast
133
- * reimbursement is sought.
134
- */
135
- readonly patient?: Reference<Patient>;
136
- /**
137
- * The period for which charges are being submitted.
138
- */
139
- readonly billablePeriod?: Period;
140
- /**
141
- * The date this resource was created.
142
- */
143
- readonly created?: string;
144
- /**
145
- * Individual who created the claim, predetermination or
146
- * preauthorization.
147
- */
148
- readonly enterer?: Reference<Practitioner | PractitionerRole>;
149
- /**
150
- * The party responsible for authorization, adjudication and
151
- * reimbursement.
152
- */
153
- readonly insurer?: Reference<Organization>;
154
- /**
155
- * The provider which is responsible for the claim, predetermination or
156
- * preauthorization.
157
- */
158
- readonly provider?: Reference<Practitioner | PractitionerRole | Organization>;
159
- /**
160
- * The provider-required urgency of processing the request. Typical
161
- * values include: stat, routine deferred.
162
- */
163
- readonly priority?: CodeableConcept;
164
- /**
165
- * A code to indicate whether and for whom funds are to be reserved for
166
- * future claims.
167
- */
168
- readonly fundsReserveRequested?: CodeableConcept;
169
- /**
170
- * A code, used only on a response to a preauthorization, to indicate
171
- * whether the benefits payable have been reserved and for whom.
172
- */
173
- readonly fundsReserve?: CodeableConcept;
174
- /**
175
- * Other claims which are related to this claim such as prior submissions
176
- * or claims for related services or for the same event.
177
- */
178
- readonly related?: ExplanationOfBenefitRelated[];
179
- /**
180
- * Prescription to support the dispensing of pharmacy, device or vision
181
- * products.
182
- */
183
- readonly prescription?: Reference<MedicationRequest | VisionPrescription>;
184
- /**
185
- * Original prescription which has been superseded by this prescription
186
- * to support the dispensing of pharmacy services, medications or
187
- * products.
188
- */
189
- readonly originalPrescription?: Reference<MedicationRequest>;
190
- /**
191
- * The party to be reimbursed for cost of the products and services
192
- * according to the terms of the policy.
193
- */
194
- readonly payee?: ExplanationOfBenefitPayee;
195
- /**
196
- * A reference to a referral resource.
197
- */
198
- readonly referral?: Reference<ServiceRequest>;
199
- /**
200
- * Facility where the services were provided.
201
- */
202
- readonly facility?: Reference<Location>;
203
- /**
204
- * The business identifier for the instance of the adjudication request:
205
- * claim predetermination or preauthorization.
206
- */
207
- readonly claim?: Reference<Claim>;
208
- /**
209
- * The business identifier for the instance of the adjudication response:
210
- * claim, predetermination or preauthorization response.
211
- */
212
- readonly claimResponse?: Reference<ClaimResponse>;
213
- /**
214
- * The outcome of the claim, predetermination, or preauthorization
215
- * processing.
216
- */
217
- readonly outcome?: string;
218
- /**
219
- * A human readable description of the status of the adjudication.
220
- */
221
- readonly disposition?: string;
222
- /**
223
- * Reference from the Insurer which is used in later communications which
224
- * refers to this adjudication.
225
- */
226
- readonly preAuthRef?: string[];
227
- /**
228
- * The timeframe during which the supplied preauthorization reference may
229
- * be quoted on claims to obtain the adjudication as provided.
230
- */
231
- readonly preAuthRefPeriod?: Period[];
232
- /**
233
- * The members of the team who provided the products and services.
234
- */
235
- readonly careTeam?: ExplanationOfBenefitCareTeam[];
236
- /**
237
- * Additional information codes regarding exceptions, special
238
- * considerations, the condition, situation, prior or concurrent issues.
239
- */
240
- readonly supportingInfo?: ExplanationOfBenefitSupportingInfo[];
241
- /**
242
- * Information about diagnoses relevant to the claim items.
243
- */
244
- readonly diagnosis?: ExplanationOfBenefitDiagnosis[];
245
- /**
246
- * Procedures performed on the patient relevant to the billing items with
247
- * the claim.
248
- */
249
- readonly procedure?: ExplanationOfBenefitProcedure[];
250
- /**
251
- * This indicates the relative order of a series of EOBs related to
252
- * different coverages for the same suite of services.
253
- */
254
- readonly precedence?: number;
255
- /**
256
- * Financial instruments for reimbursement for the health care products
257
- * and services specified on the claim.
258
- */
259
- readonly insurance?: ExplanationOfBenefitInsurance[];
260
- /**
261
- * Details of a accident which resulted in injuries which required the
262
- * products and services listed in the claim.
263
- */
264
- readonly accident?: ExplanationOfBenefitAccident;
265
- /**
266
- * A claim line. Either a simple (a product or service) or a 'group' of
267
- * details which can also be a simple items or groups of sub-details.
268
- */
269
- readonly item?: ExplanationOfBenefitItem[];
270
- /**
271
- * The first-tier service adjudications for payor added product or
272
- * service lines.
273
- */
274
- readonly addItem?: ExplanationOfBenefitAddItem[];
275
- /**
276
- * The adjudication results which are presented at the header level
277
- * rather than at the line-item or add-item levels.
278
- */
279
- readonly adjudication?: ExplanationOfBenefitItemAdjudication[];
280
- /**
281
- * Categorized monetary totals for the adjudication.
282
- */
283
- readonly total?: ExplanationOfBenefitTotal[];
284
- /**
285
- * Payment details for the adjudication of the claim.
286
- */
287
- readonly payment?: ExplanationOfBenefitPayment;
288
- /**
289
- * A code for the form to be used for printing the content.
290
- */
291
- readonly formCode?: CodeableConcept;
292
- /**
293
- * The actual form, by reference or inclusion, for printing the content
294
- * or an EOB.
295
- */
296
- readonly form?: Attachment;
297
- /**
298
- * A note that describes or explains adjudication results in a human
299
- * readable form.
300
- */
301
- readonly processNote?: ExplanationOfBenefitProcessNote[];
302
- /**
303
- * The term of the benefits documented in this response.
304
- */
305
- readonly benefitPeriod?: Period;
306
- /**
307
- * Balance by Benefit Category.
308
- */
309
- readonly benefitBalance?: ExplanationOfBenefitBenefitBalance[];
310
- }
311
- /**
312
- * Details of a accident which resulted in injuries which required the
313
- * products and services listed in the claim.
314
- */
315
- export interface ExplanationOfBenefitAccident {
316
- /**
317
- * Unique id for the element within a resource (for internal references).
318
- * This may be any string value that does not contain spaces.
319
- */
320
- readonly id?: string;
321
- /**
322
- * May be used to represent additional information that is not part of
323
- * the basic definition of the element. To make the use of extensions
324
- * safe and manageable, there is a strict set of governance applied to
325
- * the definition and use of extensions. Though any implementer can
326
- * define an extension, there is a set of requirements that SHALL be met
327
- * as part of the definition of the extension.
328
- */
329
- readonly extension?: Extension[];
330
- /**
331
- * May be used to represent additional information that is not part of
332
- * the basic definition of the element and that modifies the
333
- * understanding of the element in which it is contained and/or the
334
- * understanding of the containing element's descendants. Usually
335
- * modifier elements provide negation or qualification. To make the use
336
- * of extensions safe and manageable, there is a strict set of governance
337
- * applied to the definition and use of extensions. Though any
338
- * implementer can define an extension, there is a set of requirements
339
- * that SHALL be met as part of the definition of the extension.
340
- * Applications processing a resource are required to check for modifier
341
- * extensions.
342
- *
343
- * Modifier extensions SHALL NOT change the meaning of any elements on
344
- * Resource or DomainResource (including cannot change the meaning of
345
- * modifierExtension itself).
346
- */
347
- readonly modifierExtension?: Extension[];
348
- /**
349
- * Date of an accident event related to the products and services
350
- * contained in the claim.
351
- */
352
- readonly date?: string;
353
- /**
354
- * The type or context of the accident event for the purposes of
355
- * selection of potential insurance coverages and determination of
356
- * coordination between insurers.
357
- */
358
- readonly type?: CodeableConcept;
359
- /**
360
- * The physical location of the accident event.
361
- */
362
- readonly locationAddress?: Address;
363
- /**
364
- * The physical location of the accident event.
365
- */
366
- readonly locationReference?: Reference<Location>;
367
- }
368
- /**
369
- * The first-tier service adjudications for payor added product or
370
- * service lines.
371
- */
372
- export interface ExplanationOfBenefitAddItem {
373
- /**
374
- * Unique id for the element within a resource (for internal references).
375
- * This may be any string value that does not contain spaces.
376
- */
377
- readonly id?: string;
378
- /**
379
- * May be used to represent additional information that is not part of
380
- * the basic definition of the element. To make the use of extensions
381
- * safe and manageable, there is a strict set of governance applied to
382
- * the definition and use of extensions. Though any implementer can
383
- * define an extension, there is a set of requirements that SHALL be met
384
- * as part of the definition of the extension.
385
- */
386
- readonly extension?: Extension[];
387
- /**
388
- * May be used to represent additional information that is not part of
389
- * the basic definition of the element and that modifies the
390
- * understanding of the element in which it is contained and/or the
391
- * understanding of the containing element's descendants. Usually
392
- * modifier elements provide negation or qualification. To make the use
393
- * of extensions safe and manageable, there is a strict set of governance
394
- * applied to the definition and use of extensions. Though any
395
- * implementer can define an extension, there is a set of requirements
396
- * that SHALL be met as part of the definition of the extension.
397
- * Applications processing a resource are required to check for modifier
398
- * extensions.
399
- *
400
- * Modifier extensions SHALL NOT change the meaning of any elements on
401
- * Resource or DomainResource (including cannot change the meaning of
402
- * modifierExtension itself).
403
- */
404
- readonly modifierExtension?: Extension[];
405
- /**
406
- * Claim items which this service line is intended to replace.
407
- */
408
- readonly itemSequence?: number[];
409
- /**
410
- * The sequence number of the details within the claim item which this
411
- * line is intended to replace.
412
- */
413
- readonly detailSequence?: number[];
414
- /**
415
- * The sequence number of the sub-details woithin the details within the
416
- * claim item which this line is intended to replace.
417
- */
418
- readonly subDetailSequence?: number[];
419
- /**
420
- * The providers who are authorized for the services rendered to the
421
- * patient.
422
- */
423
- readonly provider?: Reference<Practitioner | PractitionerRole | Organization>[];
424
- /**
425
- * When the value is a group code then this item collects a set of
426
- * related claim details, otherwise this contains the product, service,
427
- * drug or other billing code for the item.
428
- */
429
- readonly productOrService?: CodeableConcept;
430
- /**
431
- * Item typification or modifiers codes to convey additional context for
432
- * the product or service.
433
- */
434
- readonly modifier?: CodeableConcept[];
435
- /**
436
- * Identifies the program under which this may be recovered.
437
- */
438
- readonly programCode?: CodeableConcept[];
439
- /**
440
- * The date or dates when the service or product was supplied, performed
441
- * or completed.
442
- */
443
- readonly servicedDate?: string;
444
- /**
445
- * The date or dates when the service or product was supplied, performed
446
- * or completed.
447
- */
448
- readonly servicedPeriod?: Period;
449
- /**
450
- * Where the product or service was provided.
451
- */
452
- readonly locationCodeableConcept?: CodeableConcept;
453
- /**
454
- * Where the product or service was provided.
455
- */
456
- readonly locationAddress?: Address;
457
- /**
458
- * Where the product or service was provided.
459
- */
460
- readonly locationReference?: Reference<Location>;
461
- /**
462
- * The number of repetitions of a service or product.
463
- */
464
- readonly quantity?: Quantity;
465
- /**
466
- * If the item is not a group then this is the fee for the product or
467
- * service, otherwise this is the total of the fees for the details of
468
- * the group.
469
- */
470
- readonly unitPrice?: Money;
471
- /**
472
- * A real number that represents a multiplier used in determining the
473
- * overall value of services delivered and/or goods received. The concept
474
- * of a Factor allows for a discount or surcharge multiplier to be
475
- * applied to a monetary amount.
476
- */
477
- readonly factor?: number;
478
- /**
479
- * The quantity times the unit price for an additional service or product
480
- * or charge.
481
- */
482
- readonly net?: Money;
483
- /**
484
- * Physical service site on the patient (limb, tooth, etc.).
485
- */
486
- readonly bodySite?: CodeableConcept;
487
- /**
488
- * A region or surface of the bodySite, e.g. limb region or tooth
489
- * surface(s).
490
- */
491
- readonly subSite?: CodeableConcept[];
492
- /**
493
- * The numbers associated with notes below which apply to the
494
- * adjudication of this item.
495
- */
496
- readonly noteNumber?: number[];
497
- /**
498
- * The adjudication results.
499
- */
500
- readonly adjudication?: ExplanationOfBenefitItemAdjudication[];
501
- /**
502
- * The second-tier service adjudications for payor added services.
503
- */
504
- readonly detail?: ExplanationOfBenefitAddItemDetail[];
505
- }
506
- /**
507
- * The second-tier service adjudications for payor added services.
508
- */
509
- export interface ExplanationOfBenefitAddItemDetail {
510
- /**
511
- * Unique id for the element within a resource (for internal references).
512
- * This may be any string value that does not contain spaces.
513
- */
514
- readonly id?: string;
515
- /**
516
- * May be used to represent additional information that is not part of
517
- * the basic definition of the element. To make the use of extensions
518
- * safe and manageable, there is a strict set of governance applied to
519
- * the definition and use of extensions. Though any implementer can
520
- * define an extension, there is a set of requirements that SHALL be met
521
- * as part of the definition of the extension.
522
- */
523
- readonly extension?: Extension[];
524
- /**
525
- * May be used to represent additional information that is not part of
526
- * the basic definition of the element and that modifies the
527
- * understanding of the element in which it is contained and/or the
528
- * understanding of the containing element's descendants. Usually
529
- * modifier elements provide negation or qualification. To make the use
530
- * of extensions safe and manageable, there is a strict set of governance
531
- * applied to the definition and use of extensions. Though any
532
- * implementer can define an extension, there is a set of requirements
533
- * that SHALL be met as part of the definition of the extension.
534
- * Applications processing a resource are required to check for modifier
535
- * extensions.
536
- *
537
- * Modifier extensions SHALL NOT change the meaning of any elements on
538
- * Resource or DomainResource (including cannot change the meaning of
539
- * modifierExtension itself).
540
- */
541
- readonly modifierExtension?: Extension[];
542
- /**
543
- * When the value is a group code then this item collects a set of
544
- * related claim details, otherwise this contains the product, service,
545
- * drug or other billing code for the item.
546
- */
547
- readonly productOrService?: CodeableConcept;
548
- /**
549
- * Item typification or modifiers codes to convey additional context for
550
- * the product or service.
551
- */
552
- readonly modifier?: CodeableConcept[];
553
- /**
554
- * The number of repetitions of a service or product.
555
- */
556
- readonly quantity?: Quantity;
557
- /**
558
- * If the item is not a group then this is the fee for the product or
559
- * service, otherwise this is the total of the fees for the details of
560
- * the group.
561
- */
562
- readonly unitPrice?: Money;
563
- /**
564
- * A real number that represents a multiplier used in determining the
565
- * overall value of services delivered and/or goods received. The concept
566
- * of a Factor allows for a discount or surcharge multiplier to be
567
- * applied to a monetary amount.
568
- */
569
- readonly factor?: number;
570
- /**
571
- * The quantity times the unit price for an additional service or product
572
- * or charge.
573
- */
574
- readonly net?: Money;
575
- /**
576
- * The numbers associated with notes below which apply to the
577
- * adjudication of this item.
578
- */
579
- readonly noteNumber?: number[];
580
- /**
581
- * The adjudication results.
582
- */
583
- readonly adjudication?: ExplanationOfBenefitItemAdjudication[];
584
- /**
585
- * The third-tier service adjudications for payor added services.
586
- */
587
- readonly subDetail?: ExplanationOfBenefitAddItemDetailSubDetail[];
588
- }
589
- /**
590
- * The third-tier service adjudications for payor added services.
591
- */
592
- export interface ExplanationOfBenefitAddItemDetailSubDetail {
593
- /**
594
- * Unique id for the element within a resource (for internal references).
595
- * This may be any string value that does not contain spaces.
596
- */
597
- readonly id?: string;
598
- /**
599
- * May be used to represent additional information that is not part of
600
- * the basic definition of the element. To make the use of extensions
601
- * safe and manageable, there is a strict set of governance applied to
602
- * the definition and use of extensions. Though any implementer can
603
- * define an extension, there is a set of requirements that SHALL be met
604
- * as part of the definition of the extension.
605
- */
606
- readonly extension?: Extension[];
607
- /**
608
- * May be used to represent additional information that is not part of
609
- * the basic definition of the element and that modifies the
610
- * understanding of the element in which it is contained and/or the
611
- * understanding of the containing element's descendants. Usually
612
- * modifier elements provide negation or qualification. To make the use
613
- * of extensions safe and manageable, there is a strict set of governance
614
- * applied to the definition and use of extensions. Though any
615
- * implementer can define an extension, there is a set of requirements
616
- * that SHALL be met as part of the definition of the extension.
617
- * Applications processing a resource are required to check for modifier
618
- * extensions.
619
- *
620
- * Modifier extensions SHALL NOT change the meaning of any elements on
621
- * Resource or DomainResource (including cannot change the meaning of
622
- * modifierExtension itself).
623
- */
624
- readonly modifierExtension?: Extension[];
625
- /**
626
- * When the value is a group code then this item collects a set of
627
- * related claim details, otherwise this contains the product, service,
628
- * drug or other billing code for the item.
629
- */
630
- readonly productOrService?: CodeableConcept;
631
- /**
632
- * Item typification or modifiers codes to convey additional context for
633
- * the product or service.
634
- */
635
- readonly modifier?: CodeableConcept[];
636
- /**
637
- * The number of repetitions of a service or product.
638
- */
639
- readonly quantity?: Quantity;
640
- /**
641
- * If the item is not a group then this is the fee for the product or
642
- * service, otherwise this is the total of the fees for the details of
643
- * the group.
644
- */
645
- readonly unitPrice?: Money;
646
- /**
647
- * A real number that represents a multiplier used in determining the
648
- * overall value of services delivered and/or goods received. The concept
649
- * of a Factor allows for a discount or surcharge multiplier to be
650
- * applied to a monetary amount.
651
- */
652
- readonly factor?: number;
653
- /**
654
- * The quantity times the unit price for an additional service or product
655
- * or charge.
656
- */
657
- readonly net?: Money;
658
- /**
659
- * The numbers associated with notes below which apply to the
660
- * adjudication of this item.
661
- */
662
- readonly noteNumber?: number[];
663
- /**
664
- * The adjudication results.
665
- */
666
- readonly adjudication?: ExplanationOfBenefitItemAdjudication[];
667
- }
668
- /**
669
- * Balance by Benefit Category.
670
- */
671
- export interface ExplanationOfBenefitBenefitBalance {
672
- /**
673
- * Unique id for the element within a resource (for internal references).
674
- * This may be any string value that does not contain spaces.
675
- */
676
- readonly id?: string;
677
- /**
678
- * May be used to represent additional information that is not part of
679
- * the basic definition of the element. To make the use of extensions
680
- * safe and manageable, there is a strict set of governance applied to
681
- * the definition and use of extensions. Though any implementer can
682
- * define an extension, there is a set of requirements that SHALL be met
683
- * as part of the definition of the extension.
684
- */
685
- readonly extension?: Extension[];
686
- /**
687
- * May be used to represent additional information that is not part of
688
- * the basic definition of the element and that modifies the
689
- * understanding of the element in which it is contained and/or the
690
- * understanding of the containing element's descendants. Usually
691
- * modifier elements provide negation or qualification. To make the use
692
- * of extensions safe and manageable, there is a strict set of governance
693
- * applied to the definition and use of extensions. Though any
694
- * implementer can define an extension, there is a set of requirements
695
- * that SHALL be met as part of the definition of the extension.
696
- * Applications processing a resource are required to check for modifier
697
- * extensions.
698
- *
699
- * Modifier extensions SHALL NOT change the meaning of any elements on
700
- * Resource or DomainResource (including cannot change the meaning of
701
- * modifierExtension itself).
702
- */
703
- readonly modifierExtension?: Extension[];
704
- /**
705
- * Code to identify the general type of benefits under which products and
706
- * services are provided.
707
- */
708
- readonly category?: CodeableConcept;
709
- /**
710
- * True if the indicated class of service is excluded from the plan,
711
- * missing or False indicates the product or service is included in the
712
- * coverage.
713
- */
714
- readonly excluded?: boolean;
715
- /**
716
- * A short name or tag for the benefit.
717
- */
718
- readonly name?: string;
719
- /**
720
- * A richer description of the benefit or services covered.
721
- */
722
- readonly description?: string;
723
- /**
724
- * Is a flag to indicate whether the benefits refer to in-network
725
- * providers or out-of-network providers.
726
- */
727
- readonly network?: CodeableConcept;
728
- /**
729
- * Indicates if the benefits apply to an individual or to the family.
730
- */
731
- readonly unit?: CodeableConcept;
732
- /**
733
- * The term or period of the values such as 'maximum lifetime benefit' or
734
- * 'maximum annual visits'.
735
- */
736
- readonly term?: CodeableConcept;
737
- /**
738
- * Benefits Used to date.
739
- */
740
- readonly financial?: ExplanationOfBenefitBenefitBalanceFinancial[];
741
- }
742
- /**
743
- * Benefits Used to date.
744
- */
745
- export interface ExplanationOfBenefitBenefitBalanceFinancial {
746
- /**
747
- * Unique id for the element within a resource (for internal references).
748
- * This may be any string value that does not contain spaces.
749
- */
750
- readonly id?: string;
751
- /**
752
- * May be used to represent additional information that is not part of
753
- * the basic definition of the element. To make the use of extensions
754
- * safe and manageable, there is a strict set of governance applied to
755
- * the definition and use of extensions. Though any implementer can
756
- * define an extension, there is a set of requirements that SHALL be met
757
- * as part of the definition of the extension.
758
- */
759
- readonly extension?: Extension[];
760
- /**
761
- * May be used to represent additional information that is not part of
762
- * the basic definition of the element and that modifies the
763
- * understanding of the element in which it is contained and/or the
764
- * understanding of the containing element's descendants. Usually
765
- * modifier elements provide negation or qualification. To make the use
766
- * of extensions safe and manageable, there is a strict set of governance
767
- * applied to the definition and use of extensions. Though any
768
- * implementer can define an extension, there is a set of requirements
769
- * that SHALL be met as part of the definition of the extension.
770
- * Applications processing a resource are required to check for modifier
771
- * extensions.
772
- *
773
- * Modifier extensions SHALL NOT change the meaning of any elements on
774
- * Resource or DomainResource (including cannot change the meaning of
775
- * modifierExtension itself).
776
- */
777
- readonly modifierExtension?: Extension[];
778
- /**
779
- * Classification of benefit being provided.
780
- */
781
- readonly type?: CodeableConcept;
782
- /**
783
- * The quantity of the benefit which is permitted under the coverage.
784
- */
785
- readonly allowedUnsignedInt?: number;
786
- /**
787
- * The quantity of the benefit which is permitted under the coverage.
788
- */
789
- readonly allowedString?: string;
790
- /**
791
- * The quantity of the benefit which is permitted under the coverage.
792
- */
793
- readonly allowedMoney?: Money;
794
- /**
795
- * The quantity of the benefit which have been consumed to date.
796
- */
797
- readonly usedUnsignedInt?: number;
798
- /**
799
- * The quantity of the benefit which have been consumed to date.
800
- */
801
- readonly usedMoney?: Money;
802
- }
803
- /**
804
- * The members of the team who provided the products and services.
805
- */
806
- export interface ExplanationOfBenefitCareTeam {
807
- /**
808
- * Unique id for the element within a resource (for internal references).
809
- * This may be any string value that does not contain spaces.
810
- */
811
- readonly id?: string;
812
- /**
813
- * May be used to represent additional information that is not part of
814
- * the basic definition of the element. To make the use of extensions
815
- * safe and manageable, there is a strict set of governance applied to
816
- * the definition and use of extensions. Though any implementer can
817
- * define an extension, there is a set of requirements that SHALL be met
818
- * as part of the definition of the extension.
819
- */
820
- readonly extension?: Extension[];
821
- /**
822
- * May be used to represent additional information that is not part of
823
- * the basic definition of the element and that modifies the
824
- * understanding of the element in which it is contained and/or the
825
- * understanding of the containing element's descendants. Usually
826
- * modifier elements provide negation or qualification. To make the use
827
- * of extensions safe and manageable, there is a strict set of governance
828
- * applied to the definition and use of extensions. Though any
829
- * implementer can define an extension, there is a set of requirements
830
- * that SHALL be met as part of the definition of the extension.
831
- * Applications processing a resource are required to check for modifier
832
- * extensions.
833
- *
834
- * Modifier extensions SHALL NOT change the meaning of any elements on
835
- * Resource or DomainResource (including cannot change the meaning of
836
- * modifierExtension itself).
837
- */
838
- readonly modifierExtension?: Extension[];
839
- /**
840
- * A number to uniquely identify care team entries.
841
- */
842
- readonly sequence?: number;
843
- /**
844
- * Member of the team who provided the product or service.
845
- */
846
- readonly provider?: Reference<Practitioner | PractitionerRole | Organization>;
847
- /**
848
- * The party who is billing and/or responsible for the claimed products
849
- * or services.
850
- */
851
- readonly responsible?: boolean;
852
- /**
853
- * The lead, assisting or supervising practitioner and their discipline
854
- * if a multidisciplinary team.
855
- */
856
- readonly role?: CodeableConcept;
857
- /**
858
- * The qualification of the practitioner which is applicable for this
859
- * service.
860
- */
861
- readonly qualification?: CodeableConcept;
862
- }
863
- /**
864
- * Information about diagnoses relevant to the claim items.
865
- */
866
- export interface ExplanationOfBenefitDiagnosis {
867
- /**
868
- * Unique id for the element within a resource (for internal references).
869
- * This may be any string value that does not contain spaces.
870
- */
871
- readonly id?: string;
872
- /**
873
- * May be used to represent additional information that is not part of
874
- * the basic definition of the element. To make the use of extensions
875
- * safe and manageable, there is a strict set of governance applied to
876
- * the definition and use of extensions. Though any implementer can
877
- * define an extension, there is a set of requirements that SHALL be met
878
- * as part of the definition of the extension.
879
- */
880
- readonly extension?: Extension[];
881
- /**
882
- * May be used to represent additional information that is not part of
883
- * the basic definition of the element and that modifies the
884
- * understanding of the element in which it is contained and/or the
885
- * understanding of the containing element's descendants. Usually
886
- * modifier elements provide negation or qualification. To make the use
887
- * of extensions safe and manageable, there is a strict set of governance
888
- * applied to the definition and use of extensions. Though any
889
- * implementer can define an extension, there is a set of requirements
890
- * that SHALL be met as part of the definition of the extension.
891
- * Applications processing a resource are required to check for modifier
892
- * extensions.
893
- *
894
- * Modifier extensions SHALL NOT change the meaning of any elements on
895
- * Resource or DomainResource (including cannot change the meaning of
896
- * modifierExtension itself).
897
- */
898
- readonly modifierExtension?: Extension[];
899
- /**
900
- * A number to uniquely identify diagnosis entries.
901
- */
902
- readonly sequence?: number;
903
- /**
904
- * The nature of illness or problem in a coded form or as a reference to
905
- * an external defined Condition.
906
- */
907
- readonly diagnosisCodeableConcept?: CodeableConcept;
908
- /**
909
- * The nature of illness or problem in a coded form or as a reference to
910
- * an external defined Condition.
911
- */
912
- readonly diagnosisReference?: Reference<Condition>;
913
- /**
914
- * When the condition was observed or the relative ranking.
915
- */
916
- readonly type?: CodeableConcept[];
917
- /**
918
- * Indication of whether the diagnosis was present on admission to a
919
- * facility.
920
- */
921
- readonly onAdmission?: CodeableConcept;
922
- /**
923
- * A package billing code or bundle code used to group products and
924
- * services to a particular health condition (such as heart attack) which
925
- * is based on a predetermined grouping code system.
926
- */
927
- readonly packageCode?: CodeableConcept;
928
- }
929
- /**
930
- * Financial instruments for reimbursement for the health care products
931
- * and services specified on the claim.
932
- */
933
- export interface ExplanationOfBenefitInsurance {
934
- /**
935
- * Unique id for the element within a resource (for internal references).
936
- * This may be any string value that does not contain spaces.
937
- */
938
- readonly id?: string;
939
- /**
940
- * May be used to represent additional information that is not part of
941
- * the basic definition of the element. To make the use of extensions
942
- * safe and manageable, there is a strict set of governance applied to
943
- * the definition and use of extensions. Though any implementer can
944
- * define an extension, there is a set of requirements that SHALL be met
945
- * as part of the definition of the extension.
946
- */
947
- readonly extension?: Extension[];
948
- /**
949
- * May be used to represent additional information that is not part of
950
- * the basic definition of the element and that modifies the
951
- * understanding of the element in which it is contained and/or the
952
- * understanding of the containing element's descendants. Usually
953
- * modifier elements provide negation or qualification. To make the use
954
- * of extensions safe and manageable, there is a strict set of governance
955
- * applied to the definition and use of extensions. Though any
956
- * implementer can define an extension, there is a set of requirements
957
- * that SHALL be met as part of the definition of the extension.
958
- * Applications processing a resource are required to check for modifier
959
- * extensions.
960
- *
961
- * Modifier extensions SHALL NOT change the meaning of any elements on
962
- * Resource or DomainResource (including cannot change the meaning of
963
- * modifierExtension itself).
964
- */
965
- readonly modifierExtension?: Extension[];
966
- /**
967
- * A flag to indicate that this Coverage is to be used for adjudication
968
- * of this claim when set to true.
969
- */
970
- readonly focal?: boolean;
971
- /**
972
- * Reference to the insurance card level information contained in the
973
- * Coverage resource. The coverage issuing insurer will use these details
974
- * to locate the patient's actual coverage within the insurer's
975
- * information system.
976
- */
977
- readonly coverage?: Reference<Coverage>;
978
- /**
979
- * Reference numbers previously provided by the insurer to the provider
980
- * to be quoted on subsequent claims containing services or products
981
- * related to the prior authorization.
982
- */
983
- readonly preAuthRef?: string[];
984
- }
985
- /**
986
- * A claim line. Either a simple (a product or service) or a 'group' of
987
- * details which can also be a simple items or groups of sub-details.
988
- */
989
- export interface ExplanationOfBenefitItem {
990
- /**
991
- * Unique id for the element within a resource (for internal references).
992
- * This may be any string value that does not contain spaces.
993
- */
994
- readonly id?: string;
995
- /**
996
- * May be used to represent additional information that is not part of
997
- * the basic definition of the element. To make the use of extensions
998
- * safe and manageable, there is a strict set of governance applied to
999
- * the definition and use of extensions. Though any implementer can
1000
- * define an extension, there is a set of requirements that SHALL be met
1001
- * as part of the definition of the extension.
1002
- */
1003
- readonly extension?: Extension[];
1004
- /**
1005
- * May be used to represent additional information that is not part of
1006
- * the basic definition of the element and that modifies the
1007
- * understanding of the element in which it is contained and/or the
1008
- * understanding of the containing element's descendants. Usually
1009
- * modifier elements provide negation or qualification. To make the use
1010
- * of extensions safe and manageable, there is a strict set of governance
1011
- * applied to the definition and use of extensions. Though any
1012
- * implementer can define an extension, there is a set of requirements
1013
- * that SHALL be met as part of the definition of the extension.
1014
- * Applications processing a resource are required to check for modifier
1015
- * extensions.
1016
- *
1017
- * Modifier extensions SHALL NOT change the meaning of any elements on
1018
- * Resource or DomainResource (including cannot change the meaning of
1019
- * modifierExtension itself).
1020
- */
1021
- readonly modifierExtension?: Extension[];
1022
- /**
1023
- * A number to uniquely identify item entries.
1024
- */
1025
- readonly sequence?: number;
1026
- /**
1027
- * Care team members related to this service or product.
1028
- */
1029
- readonly careTeamSequence?: number[];
1030
- /**
1031
- * Diagnoses applicable for this service or product.
1032
- */
1033
- readonly diagnosisSequence?: number[];
1034
- /**
1035
- * Procedures applicable for this service or product.
1036
- */
1037
- readonly procedureSequence?: number[];
1038
- /**
1039
- * Exceptions, special conditions and supporting information applicable
1040
- * for this service or product.
1041
- */
1042
- readonly informationSequence?: number[];
1043
- /**
1044
- * The type of revenue or cost center providing the product and/or
1045
- * service.
1046
- */
1047
- readonly revenue?: CodeableConcept;
1048
- /**
1049
- * Code to identify the general type of benefits under which products and
1050
- * services are provided.
1051
- */
1052
- readonly category?: CodeableConcept;
1053
- /**
1054
- * When the value is a group code then this item collects a set of
1055
- * related claim details, otherwise this contains the product, service,
1056
- * drug or other billing code for the item.
1057
- */
1058
- readonly productOrService?: CodeableConcept;
1059
- /**
1060
- * Item typification or modifiers codes to convey additional context for
1061
- * the product or service.
1062
- */
1063
- readonly modifier?: CodeableConcept[];
1064
- /**
1065
- * Identifies the program under which this may be recovered.
1066
- */
1067
- readonly programCode?: CodeableConcept[];
1068
- /**
1069
- * The date or dates when the service or product was supplied, performed
1070
- * or completed.
1071
- */
1072
- readonly servicedDate?: string;
1073
- /**
1074
- * The date or dates when the service or product was supplied, performed
1075
- * or completed.
1076
- */
1077
- readonly servicedPeriod?: Period;
1078
- /**
1079
- * Where the product or service was provided.
1080
- */
1081
- readonly locationCodeableConcept?: CodeableConcept;
1082
- /**
1083
- * Where the product or service was provided.
1084
- */
1085
- readonly locationAddress?: Address;
1086
- /**
1087
- * Where the product or service was provided.
1088
- */
1089
- readonly locationReference?: Reference<Location>;
1090
- /**
1091
- * The number of repetitions of a service or product.
1092
- */
1093
- readonly quantity?: Quantity;
1094
- /**
1095
- * If the item is not a group then this is the fee for the product or
1096
- * service, otherwise this is the total of the fees for the details of
1097
- * the group.
1098
- */
1099
- readonly unitPrice?: Money;
1100
- /**
1101
- * A real number that represents a multiplier used in determining the
1102
- * overall value of services delivered and/or goods received. The concept
1103
- * of a Factor allows for a discount or surcharge multiplier to be
1104
- * applied to a monetary amount.
1105
- */
1106
- readonly factor?: number;
1107
- /**
1108
- * The quantity times the unit price for an additional service or product
1109
- * or charge.
1110
- */
1111
- readonly net?: Money;
1112
- /**
1113
- * Unique Device Identifiers associated with this line item.
1114
- */
1115
- readonly udi?: Reference<Device>[];
1116
- /**
1117
- * Physical service site on the patient (limb, tooth, etc.).
1118
- */
1119
- readonly bodySite?: CodeableConcept;
1120
- /**
1121
- * A region or surface of the bodySite, e.g. limb region or tooth
1122
- * surface(s).
1123
- */
1124
- readonly subSite?: CodeableConcept[];
1125
- /**
1126
- * A billed item may include goods or services provided in multiple
1127
- * encounters.
1128
- */
1129
- readonly encounter?: Reference<Encounter>[];
1130
- /**
1131
- * The numbers associated with notes below which apply to the
1132
- * adjudication of this item.
1133
- */
1134
- readonly noteNumber?: number[];
1135
- /**
1136
- * If this item is a group then the values here are a summary of the
1137
- * adjudication of the detail items. If this item is a simple product or
1138
- * service then this is the result of the adjudication of this item.
1139
- */
1140
- readonly adjudication?: ExplanationOfBenefitItemAdjudication[];
1141
- /**
1142
- * Second-tier of goods and services.
1143
- */
1144
- readonly detail?: ExplanationOfBenefitItemDetail[];
1145
- }
1146
- /**
1147
- * If this item is a group then the values here are a summary of the
1148
- * adjudication of the detail items. If this item is a simple product or
1149
- * service then this is the result of the adjudication of this item.
1150
- */
1151
- export interface ExplanationOfBenefitItemAdjudication {
1152
- /**
1153
- * Unique id for the element within a resource (for internal references).
1154
- * This may be any string value that does not contain spaces.
1155
- */
1156
- readonly id?: string;
1157
- /**
1158
- * May be used to represent additional information that is not part of
1159
- * the basic definition of the element. To make the use of extensions
1160
- * safe and manageable, there is a strict set of governance applied to
1161
- * the definition and use of extensions. Though any implementer can
1162
- * define an extension, there is a set of requirements that SHALL be met
1163
- * as part of the definition of the extension.
1164
- */
1165
- readonly extension?: Extension[];
1166
- /**
1167
- * May be used to represent additional information that is not part of
1168
- * the basic definition of the element and that modifies the
1169
- * understanding of the element in which it is contained and/or the
1170
- * understanding of the containing element's descendants. Usually
1171
- * modifier elements provide negation or qualification. To make the use
1172
- * of extensions safe and manageable, there is a strict set of governance
1173
- * applied to the definition and use of extensions. Though any
1174
- * implementer can define an extension, there is a set of requirements
1175
- * that SHALL be met as part of the definition of the extension.
1176
- * Applications processing a resource are required to check for modifier
1177
- * extensions.
1178
- *
1179
- * Modifier extensions SHALL NOT change the meaning of any elements on
1180
- * Resource or DomainResource (including cannot change the meaning of
1181
- * modifierExtension itself).
1182
- */
1183
- readonly modifierExtension?: Extension[];
1184
- /**
1185
- * A code to indicate the information type of this adjudication record.
1186
- * Information types may include: the value submitted, maximum values or
1187
- * percentages allowed or payable under the plan, amounts that the
1188
- * patient is responsible for in-aggregate or pertaining to this item,
1189
- * amounts paid by other coverages, and the benefit payable for this
1190
- * item.
1191
- */
1192
- readonly category?: CodeableConcept;
1193
- /**
1194
- * A code supporting the understanding of the adjudication result and
1195
- * explaining variance from expected amount.
1196
- */
1197
- readonly reason?: CodeableConcept;
1198
- /**
1199
- * Monetary amount associated with the category.
1200
- */
1201
- readonly amount?: Money;
1202
- /**
1203
- * A non-monetary value associated with the category. Mutually exclusive
1204
- * to the amount element above.
1205
- */
1206
- readonly value?: number;
1207
- }
1208
- /**
1209
- * Second-tier of goods and services.
1210
- */
1211
- export interface ExplanationOfBenefitItemDetail {
1212
- /**
1213
- * Unique id for the element within a resource (for internal references).
1214
- * This may be any string value that does not contain spaces.
1215
- */
1216
- readonly id?: string;
1217
- /**
1218
- * May be used to represent additional information that is not part of
1219
- * the basic definition of the element. To make the use of extensions
1220
- * safe and manageable, there is a strict set of governance applied to
1221
- * the definition and use of extensions. Though any implementer can
1222
- * define an extension, there is a set of requirements that SHALL be met
1223
- * as part of the definition of the extension.
1224
- */
1225
- readonly extension?: Extension[];
1226
- /**
1227
- * May be used to represent additional information that is not part of
1228
- * the basic definition of the element and that modifies the
1229
- * understanding of the element in which it is contained and/or the
1230
- * understanding of the containing element's descendants. Usually
1231
- * modifier elements provide negation or qualification. To make the use
1232
- * of extensions safe and manageable, there is a strict set of governance
1233
- * applied to the definition and use of extensions. Though any
1234
- * implementer can define an extension, there is a set of requirements
1235
- * that SHALL be met as part of the definition of the extension.
1236
- * Applications processing a resource are required to check for modifier
1237
- * extensions.
1238
- *
1239
- * Modifier extensions SHALL NOT change the meaning of any elements on
1240
- * Resource or DomainResource (including cannot change the meaning of
1241
- * modifierExtension itself).
1242
- */
1243
- readonly modifierExtension?: Extension[];
1244
- /**
1245
- * A claim detail line. Either a simple (a product or service) or a
1246
- * 'group' of sub-details which are simple items.
1247
- */
1248
- readonly sequence?: number;
1249
- /**
1250
- * The type of revenue or cost center providing the product and/or
1251
- * service.
1252
- */
1253
- readonly revenue?: CodeableConcept;
1254
- /**
1255
- * Code to identify the general type of benefits under which products and
1256
- * services are provided.
1257
- */
1258
- readonly category?: CodeableConcept;
1259
- /**
1260
- * When the value is a group code then this item collects a set of
1261
- * related claim details, otherwise this contains the product, service,
1262
- * drug or other billing code for the item.
1263
- */
1264
- readonly productOrService?: CodeableConcept;
1265
- /**
1266
- * Item typification or modifiers codes to convey additional context for
1267
- * the product or service.
1268
- */
1269
- readonly modifier?: CodeableConcept[];
1270
- /**
1271
- * Identifies the program under which this may be recovered.
1272
- */
1273
- readonly programCode?: CodeableConcept[];
1274
- /**
1275
- * The number of repetitions of a service or product.
1276
- */
1277
- readonly quantity?: Quantity;
1278
- /**
1279
- * If the item is not a group then this is the fee for the product or
1280
- * service, otherwise this is the total of the fees for the details of
1281
- * the group.
1282
- */
1283
- readonly unitPrice?: Money;
1284
- /**
1285
- * A real number that represents a multiplier used in determining the
1286
- * overall value of services delivered and/or goods received. The concept
1287
- * of a Factor allows for a discount or surcharge multiplier to be
1288
- * applied to a monetary amount.
1289
- */
1290
- readonly factor?: number;
1291
- /**
1292
- * The quantity times the unit price for an additional service or product
1293
- * or charge.
1294
- */
1295
- readonly net?: Money;
1296
- /**
1297
- * Unique Device Identifiers associated with this line item.
1298
- */
1299
- readonly udi?: Reference<Device>[];
1300
- /**
1301
- * The numbers associated with notes below which apply to the
1302
- * adjudication of this item.
1303
- */
1304
- readonly noteNumber?: number[];
1305
- /**
1306
- * The adjudication results.
1307
- */
1308
- readonly adjudication?: ExplanationOfBenefitItemAdjudication[];
1309
- /**
1310
- * Third-tier of goods and services.
1311
- */
1312
- readonly subDetail?: ExplanationOfBenefitItemDetailSubDetail[];
1313
- }
1314
- /**
1315
- * Third-tier of goods and services.
1316
- */
1317
- export interface ExplanationOfBenefitItemDetailSubDetail {
1318
- /**
1319
- * Unique id for the element within a resource (for internal references).
1320
- * This may be any string value that does not contain spaces.
1321
- */
1322
- readonly id?: string;
1323
- /**
1324
- * May be used to represent additional information that is not part of
1325
- * the basic definition of the element. To make the use of extensions
1326
- * safe and manageable, there is a strict set of governance applied to
1327
- * the definition and use of extensions. Though any implementer can
1328
- * define an extension, there is a set of requirements that SHALL be met
1329
- * as part of the definition of the extension.
1330
- */
1331
- readonly extension?: Extension[];
1332
- /**
1333
- * May be used to represent additional information that is not part of
1334
- * the basic definition of the element and that modifies the
1335
- * understanding of the element in which it is contained and/or the
1336
- * understanding of the containing element's descendants. Usually
1337
- * modifier elements provide negation or qualification. To make the use
1338
- * of extensions safe and manageable, there is a strict set of governance
1339
- * applied to the definition and use of extensions. Though any
1340
- * implementer can define an extension, there is a set of requirements
1341
- * that SHALL be met as part of the definition of the extension.
1342
- * Applications processing a resource are required to check for modifier
1343
- * extensions.
1344
- *
1345
- * Modifier extensions SHALL NOT change the meaning of any elements on
1346
- * Resource or DomainResource (including cannot change the meaning of
1347
- * modifierExtension itself).
1348
- */
1349
- readonly modifierExtension?: Extension[];
1350
- /**
1351
- * A claim detail line. Either a simple (a product or service) or a
1352
- * 'group' of sub-details which are simple items.
1353
- */
1354
- readonly sequence?: number;
1355
- /**
1356
- * The type of revenue or cost center providing the product and/or
1357
- * service.
1358
- */
1359
- readonly revenue?: CodeableConcept;
1360
- /**
1361
- * Code to identify the general type of benefits under which products and
1362
- * services are provided.
1363
- */
1364
- readonly category?: CodeableConcept;
1365
- /**
1366
- * When the value is a group code then this item collects a set of
1367
- * related claim details, otherwise this contains the product, service,
1368
- * drug or other billing code for the item.
1369
- */
1370
- readonly productOrService?: CodeableConcept;
1371
- /**
1372
- * Item typification or modifiers codes to convey additional context for
1373
- * the product or service.
1374
- */
1375
- readonly modifier?: CodeableConcept[];
1376
- /**
1377
- * Identifies the program under which this may be recovered.
1378
- */
1379
- readonly programCode?: CodeableConcept[];
1380
- /**
1381
- * The number of repetitions of a service or product.
1382
- */
1383
- readonly quantity?: Quantity;
1384
- /**
1385
- * If the item is not a group then this is the fee for the product or
1386
- * service, otherwise this is the total of the fees for the details of
1387
- * the group.
1388
- */
1389
- readonly unitPrice?: Money;
1390
- /**
1391
- * A real number that represents a multiplier used in determining the
1392
- * overall value of services delivered and/or goods received. The concept
1393
- * of a Factor allows for a discount or surcharge multiplier to be
1394
- * applied to a monetary amount.
1395
- */
1396
- readonly factor?: number;
1397
- /**
1398
- * The quantity times the unit price for an additional service or product
1399
- * or charge.
1400
- */
1401
- readonly net?: Money;
1402
- /**
1403
- * Unique Device Identifiers associated with this line item.
1404
- */
1405
- readonly udi?: Reference<Device>[];
1406
- /**
1407
- * The numbers associated with notes below which apply to the
1408
- * adjudication of this item.
1409
- */
1410
- readonly noteNumber?: number[];
1411
- /**
1412
- * The adjudication results.
1413
- */
1414
- readonly adjudication?: ExplanationOfBenefitItemAdjudication[];
1415
- }
1416
- /**
1417
- * The party to be reimbursed for cost of the products and services
1418
- * according to the terms of the policy.
1419
- */
1420
- export interface ExplanationOfBenefitPayee {
1421
- /**
1422
- * Unique id for the element within a resource (for internal references).
1423
- * This may be any string value that does not contain spaces.
1424
- */
1425
- readonly id?: string;
1426
- /**
1427
- * May be used to represent additional information that is not part of
1428
- * the basic definition of the element. To make the use of extensions
1429
- * safe and manageable, there is a strict set of governance applied to
1430
- * the definition and use of extensions. Though any implementer can
1431
- * define an extension, there is a set of requirements that SHALL be met
1432
- * as part of the definition of the extension.
1433
- */
1434
- readonly extension?: Extension[];
1435
- /**
1436
- * May be used to represent additional information that is not part of
1437
- * the basic definition of the element and that modifies the
1438
- * understanding of the element in which it is contained and/or the
1439
- * understanding of the containing element's descendants. Usually
1440
- * modifier elements provide negation or qualification. To make the use
1441
- * of extensions safe and manageable, there is a strict set of governance
1442
- * applied to the definition and use of extensions. Though any
1443
- * implementer can define an extension, there is a set of requirements
1444
- * that SHALL be met as part of the definition of the extension.
1445
- * Applications processing a resource are required to check for modifier
1446
- * extensions.
1447
- *
1448
- * Modifier extensions SHALL NOT change the meaning of any elements on
1449
- * Resource or DomainResource (including cannot change the meaning of
1450
- * modifierExtension itself).
1451
- */
1452
- readonly modifierExtension?: Extension[];
1453
- /**
1454
- * Type of Party to be reimbursed: Subscriber, provider, other.
1455
- */
1456
- readonly type?: CodeableConcept;
1457
- /**
1458
- * Reference to the individual or organization to whom any payment will
1459
- * be made.
1460
- */
1461
- readonly party?: Reference<Practitioner | PractitionerRole | Organization | Patient | RelatedPerson>;
1462
- }
1463
- /**
1464
- * Payment details for the adjudication of the claim.
1465
- */
1466
- export interface ExplanationOfBenefitPayment {
1467
- /**
1468
- * Unique id for the element within a resource (for internal references).
1469
- * This may be any string value that does not contain spaces.
1470
- */
1471
- readonly id?: string;
1472
- /**
1473
- * May be used to represent additional information that is not part of
1474
- * the basic definition of the element. To make the use of extensions
1475
- * safe and manageable, there is a strict set of governance applied to
1476
- * the definition and use of extensions. Though any implementer can
1477
- * define an extension, there is a set of requirements that SHALL be met
1478
- * as part of the definition of the extension.
1479
- */
1480
- readonly extension?: Extension[];
1481
- /**
1482
- * May be used to represent additional information that is not part of
1483
- * the basic definition of the element and that modifies the
1484
- * understanding of the element in which it is contained and/or the
1485
- * understanding of the containing element's descendants. Usually
1486
- * modifier elements provide negation or qualification. To make the use
1487
- * of extensions safe and manageable, there is a strict set of governance
1488
- * applied to the definition and use of extensions. Though any
1489
- * implementer can define an extension, there is a set of requirements
1490
- * that SHALL be met as part of the definition of the extension.
1491
- * Applications processing a resource are required to check for modifier
1492
- * extensions.
1493
- *
1494
- * Modifier extensions SHALL NOT change the meaning of any elements on
1495
- * Resource or DomainResource (including cannot change the meaning of
1496
- * modifierExtension itself).
1497
- */
1498
- readonly modifierExtension?: Extension[];
1499
- /**
1500
- * Whether this represents partial or complete payment of the benefits
1501
- * payable.
1502
- */
1503
- readonly type?: CodeableConcept;
1504
- /**
1505
- * Total amount of all adjustments to this payment included in this
1506
- * transaction which are not related to this claim's adjudication.
1507
- */
1508
- readonly adjustment?: Money;
1509
- /**
1510
- * Reason for the payment adjustment.
1511
- */
1512
- readonly adjustmentReason?: CodeableConcept;
1513
- /**
1514
- * Estimated date the payment will be issued or the actual issue date of
1515
- * payment.
1516
- */
1517
- readonly date?: string;
1518
- /**
1519
- * Benefits payable less any payment adjustment.
1520
- */
1521
- readonly amount?: Money;
1522
- /**
1523
- * Issuer's unique identifier for the payment instrument.
1524
- */
1525
- readonly identifier?: Identifier;
1526
- }
1527
- /**
1528
- * Procedures performed on the patient relevant to the billing items with
1529
- * the claim.
1530
- */
1531
- export interface ExplanationOfBenefitProcedure {
1532
- /**
1533
- * Unique id for the element within a resource (for internal references).
1534
- * This may be any string value that does not contain spaces.
1535
- */
1536
- readonly id?: string;
1537
- /**
1538
- * May be used to represent additional information that is not part of
1539
- * the basic definition of the element. To make the use of extensions
1540
- * safe and manageable, there is a strict set of governance applied to
1541
- * the definition and use of extensions. Though any implementer can
1542
- * define an extension, there is a set of requirements that SHALL be met
1543
- * as part of the definition of the extension.
1544
- */
1545
- readonly extension?: Extension[];
1546
- /**
1547
- * May be used to represent additional information that is not part of
1548
- * the basic definition of the element and that modifies the
1549
- * understanding of the element in which it is contained and/or the
1550
- * understanding of the containing element's descendants. Usually
1551
- * modifier elements provide negation or qualification. To make the use
1552
- * of extensions safe and manageable, there is a strict set of governance
1553
- * applied to the definition and use of extensions. Though any
1554
- * implementer can define an extension, there is a set of requirements
1555
- * that SHALL be met as part of the definition of the extension.
1556
- * Applications processing a resource are required to check for modifier
1557
- * extensions.
1558
- *
1559
- * Modifier extensions SHALL NOT change the meaning of any elements on
1560
- * Resource or DomainResource (including cannot change the meaning of
1561
- * modifierExtension itself).
1562
- */
1563
- readonly modifierExtension?: Extension[];
1564
- /**
1565
- * A number to uniquely identify procedure entries.
1566
- */
1567
- readonly sequence?: number;
1568
- /**
1569
- * When the condition was observed or the relative ranking.
1570
- */
1571
- readonly type?: CodeableConcept[];
1572
- /**
1573
- * Date and optionally time the procedure was performed.
1574
- */
1575
- readonly date?: string;
1576
- /**
1577
- * The code or reference to a Procedure resource which identifies the
1578
- * clinical intervention performed.
1579
- */
1580
- readonly procedureCodeableConcept?: CodeableConcept;
1581
- /**
1582
- * The code or reference to a Procedure resource which identifies the
1583
- * clinical intervention performed.
1584
- */
1585
- readonly procedureReference?: Reference<Procedure>;
1586
- /**
1587
- * Unique Device Identifiers associated with this line item.
1588
- */
1589
- readonly udi?: Reference<Device>[];
1590
- }
1591
- /**
1592
- * A note that describes or explains adjudication results in a human
1593
- * readable form.
1594
- */
1595
- export interface ExplanationOfBenefitProcessNote {
1596
- /**
1597
- * Unique id for the element within a resource (for internal references).
1598
- * This may be any string value that does not contain spaces.
1599
- */
1600
- readonly id?: string;
1601
- /**
1602
- * May be used to represent additional information that is not part of
1603
- * the basic definition of the element. To make the use of extensions
1604
- * safe and manageable, there is a strict set of governance applied to
1605
- * the definition and use of extensions. Though any implementer can
1606
- * define an extension, there is a set of requirements that SHALL be met
1607
- * as part of the definition of the extension.
1608
- */
1609
- readonly extension?: Extension[];
1610
- /**
1611
- * May be used to represent additional information that is not part of
1612
- * the basic definition of the element and that modifies the
1613
- * understanding of the element in which it is contained and/or the
1614
- * understanding of the containing element's descendants. Usually
1615
- * modifier elements provide negation or qualification. To make the use
1616
- * of extensions safe and manageable, there is a strict set of governance
1617
- * applied to the definition and use of extensions. Though any
1618
- * implementer can define an extension, there is a set of requirements
1619
- * that SHALL be met as part of the definition of the extension.
1620
- * Applications processing a resource are required to check for modifier
1621
- * extensions.
1622
- *
1623
- * Modifier extensions SHALL NOT change the meaning of any elements on
1624
- * Resource or DomainResource (including cannot change the meaning of
1625
- * modifierExtension itself).
1626
- */
1627
- readonly modifierExtension?: Extension[];
1628
- /**
1629
- * A number to uniquely identify a note entry.
1630
- */
1631
- readonly number?: number;
1632
- /**
1633
- * The business purpose of the note text.
1634
- */
1635
- readonly type?: string;
1636
- /**
1637
- * The explanation or description associated with the processing.
1638
- */
1639
- readonly text?: string;
1640
- /**
1641
- * A code to define the language used in the text of the note.
1642
- */
1643
- readonly language?: CodeableConcept;
1644
- }
1645
- /**
1646
- * Other claims which are related to this claim such as prior submissions
1647
- * or claims for related services or for the same event.
1648
- */
1649
- export interface ExplanationOfBenefitRelated {
1650
- /**
1651
- * Unique id for the element within a resource (for internal references).
1652
- * This may be any string value that does not contain spaces.
1653
- */
1654
- readonly id?: string;
1655
- /**
1656
- * May be used to represent additional information that is not part of
1657
- * the basic definition of the element. To make the use of extensions
1658
- * safe and manageable, there is a strict set of governance applied to
1659
- * the definition and use of extensions. Though any implementer can
1660
- * define an extension, there is a set of requirements that SHALL be met
1661
- * as part of the definition of the extension.
1662
- */
1663
- readonly extension?: Extension[];
1664
- /**
1665
- * May be used to represent additional information that is not part of
1666
- * the basic definition of the element and that modifies the
1667
- * understanding of the element in which it is contained and/or the
1668
- * understanding of the containing element's descendants. Usually
1669
- * modifier elements provide negation or qualification. To make the use
1670
- * of extensions safe and manageable, there is a strict set of governance
1671
- * applied to the definition and use of extensions. Though any
1672
- * implementer can define an extension, there is a set of requirements
1673
- * that SHALL be met as part of the definition of the extension.
1674
- * Applications processing a resource are required to check for modifier
1675
- * extensions.
1676
- *
1677
- * Modifier extensions SHALL NOT change the meaning of any elements on
1678
- * Resource or DomainResource (including cannot change the meaning of
1679
- * modifierExtension itself).
1680
- */
1681
- readonly modifierExtension?: Extension[];
1682
- /**
1683
- * Reference to a related claim.
1684
- */
1685
- readonly claim?: Reference<Claim>;
1686
- /**
1687
- * A code to convey how the claims are related.
1688
- */
1689
- readonly relationship?: CodeableConcept;
1690
- /**
1691
- * An alternate organizational reference to the case or file to which
1692
- * this particular claim pertains.
1693
- */
1694
- readonly reference?: Identifier;
1695
- }
1696
- /**
1697
- * Additional information codes regarding exceptions, special
1698
- * considerations, the condition, situation, prior or concurrent issues.
1699
- */
1700
- export interface ExplanationOfBenefitSupportingInfo {
1701
- /**
1702
- * Unique id for the element within a resource (for internal references).
1703
- * This may be any string value that does not contain spaces.
1704
- */
1705
- readonly id?: string;
1706
- /**
1707
- * May be used to represent additional information that is not part of
1708
- * the basic definition of the element. To make the use of extensions
1709
- * safe and manageable, there is a strict set of governance applied to
1710
- * the definition and use of extensions. Though any implementer can
1711
- * define an extension, there is a set of requirements that SHALL be met
1712
- * as part of the definition of the extension.
1713
- */
1714
- readonly extension?: Extension[];
1715
- /**
1716
- * May be used to represent additional information that is not part of
1717
- * the basic definition of the element and that modifies the
1718
- * understanding of the element in which it is contained and/or the
1719
- * understanding of the containing element's descendants. Usually
1720
- * modifier elements provide negation or qualification. To make the use
1721
- * of extensions safe and manageable, there is a strict set of governance
1722
- * applied to the definition and use of extensions. Though any
1723
- * implementer can define an extension, there is a set of requirements
1724
- * that SHALL be met as part of the definition of the extension.
1725
- * Applications processing a resource are required to check for modifier
1726
- * extensions.
1727
- *
1728
- * Modifier extensions SHALL NOT change the meaning of any elements on
1729
- * Resource or DomainResource (including cannot change the meaning of
1730
- * modifierExtension itself).
1731
- */
1732
- readonly modifierExtension?: Extension[];
1733
- /**
1734
- * A number to uniquely identify supporting information entries.
1735
- */
1736
- readonly sequence?: number;
1737
- /**
1738
- * The general class of the information supplied: information; exception;
1739
- * accident, employment; onset, etc.
1740
- */
1741
- readonly category?: CodeableConcept;
1742
- /**
1743
- * System and code pertaining to the specific information regarding
1744
- * special conditions relating to the setting, treatment or patient for
1745
- * which care is sought.
1746
- */
1747
- readonly code?: CodeableConcept;
1748
- /**
1749
- * The date when or period to which this information refers.
1750
- */
1751
- readonly timingDate?: string;
1752
- /**
1753
- * The date when or period to which this information refers.
1754
- */
1755
- readonly timingPeriod?: Period;
1756
- /**
1757
- * Additional data or information such as resources, documents, images
1758
- * etc. including references to the data or the actual inclusion of the
1759
- * data.
1760
- */
1761
- readonly valueBoolean?: boolean;
1762
- /**
1763
- * Additional data or information such as resources, documents, images
1764
- * etc. including references to the data or the actual inclusion of the
1765
- * data.
1766
- */
1767
- readonly valueString?: string;
1768
- /**
1769
- * Additional data or information such as resources, documents, images
1770
- * etc. including references to the data or the actual inclusion of the
1771
- * data.
1772
- */
1773
- readonly valueQuantity?: Quantity;
1774
- /**
1775
- * Additional data or information such as resources, documents, images
1776
- * etc. including references to the data or the actual inclusion of the
1777
- * data.
1778
- */
1779
- readonly valueAttachment?: Attachment;
1780
- /**
1781
- * Additional data or information such as resources, documents, images
1782
- * etc. including references to the data or the actual inclusion of the
1783
- * data.
1784
- */
1785
- readonly valueReference?: Reference<Resource>;
1786
- /**
1787
- * Provides the reason in the situation where a reason code is required
1788
- * in addition to the content.
1789
- */
1790
- readonly reason?: Coding;
1791
- }
1792
- /**
1793
- * Categorized monetary totals for the adjudication.
1794
- */
1795
- export interface ExplanationOfBenefitTotal {
1796
- /**
1797
- * Unique id for the element within a resource (for internal references).
1798
- * This may be any string value that does not contain spaces.
1799
- */
1800
- readonly id?: string;
1801
- /**
1802
- * May be used to represent additional information that is not part of
1803
- * the basic definition of the element. To make the use of extensions
1804
- * safe and manageable, there is a strict set of governance applied to
1805
- * the definition and use of extensions. Though any implementer can
1806
- * define an extension, there is a set of requirements that SHALL be met
1807
- * as part of the definition of the extension.
1808
- */
1809
- readonly extension?: Extension[];
1810
- /**
1811
- * May be used to represent additional information that is not part of
1812
- * the basic definition of the element and that modifies the
1813
- * understanding of the element in which it is contained and/or the
1814
- * understanding of the containing element's descendants. Usually
1815
- * modifier elements provide negation or qualification. To make the use
1816
- * of extensions safe and manageable, there is a strict set of governance
1817
- * applied to the definition and use of extensions. Though any
1818
- * implementer can define an extension, there is a set of requirements
1819
- * that SHALL be met as part of the definition of the extension.
1820
- * Applications processing a resource are required to check for modifier
1821
- * extensions.
1822
- *
1823
- * Modifier extensions SHALL NOT change the meaning of any elements on
1824
- * Resource or DomainResource (including cannot change the meaning of
1825
- * modifierExtension itself).
1826
- */
1827
- readonly modifierExtension?: Extension[];
1828
- /**
1829
- * A code to indicate the information type of this adjudication record.
1830
- * Information types may include: the value submitted, maximum values or
1831
- * percentages allowed or payable under the plan, amounts that the
1832
- * patient is responsible for in aggregate or pertaining to this item,
1833
- * amounts paid by other coverages, and the benefit payable for this
1834
- * item.
1835
- */
1836
- readonly category?: CodeableConcept;
1837
- /**
1838
- * Monetary total amount associated with the category.
1839
- */
1840
- readonly amount?: Money;
1841
- }