@medplum/fhirtypes 0.3.0

package/dist/ExplanationOfBenefit.d.ts

@@ -0,0 +1,2140 @@
+/*
+ * Generated by @medplum/generator
+ * Do not edit manually.
+ */
+
+import { Address } from './Address';
+import { Attachment } from './Attachment';
+import { Claim } from './Claim';
+import { ClaimResponse } from './ClaimResponse';
+import { CodeableConcept } from './CodeableConcept';
+import { Coding } from './Coding';
+import { Condition } from './Condition';
+import { Coverage } from './Coverage';
+import { Device } from './Device';
+import { Encounter } from './Encounter';
+import { Extension } from './Extension';
+import { Identifier } from './Identifier';
+import { Location } from './Location';
+import { MedicationRequest } from './MedicationRequest';
+import { Meta } from './Meta';
+import { Money } from './Money';
+import { Narrative } from './Narrative';
+import { Organization } from './Organization';
+import { Patient } from './Patient';
+import { Period } from './Period';
+import { Practitioner } from './Practitioner';
+import { PractitionerRole } from './PractitionerRole';
+import { Procedure } from './Procedure';
+import { Quantity } from './Quantity';
+import { Reference } from './Reference';
+import { RelatedPerson } from './RelatedPerson';
+import { Resource } from './Resource';
+import { ServiceRequest } from './ServiceRequest';
+import { VisionPrescription } from './VisionPrescription';
+
+/**
+ * This resource provides: the claim details; adjudication details from
+ * the processing of a Claim; and optionally account balance information,
+ * for informing the subscriber of the benefits provided.
+ */
+export interface ExplanationOfBenefit {
+
+  /**
+   * This is a ExplanationOfBenefit resource
+   */
+  readonly resourceType: 'ExplanationOfBenefit';
+
+  /**
+   * The logical id of the resource, as used in the URL for the resource.
+   * Once assigned, this value never changes.
+   */
+  readonly id?: string;
+
+  /**
+   * The metadata about the resource. This is content that is maintained by
+   * the infrastructure. Changes to the content might not always be
+   * associated with version changes to the resource.
+   */
+  readonly meta?: Meta;
+
+  /**
+   * A reference to a set of rules that were followed when the resource was
+   * constructed, and which must be understood when processing the content.
+   * Often, this is a reference to an implementation guide that defines the
+   * special rules along with other profiles etc.
+   */
+  readonly implicitRules?: string;
+
+  /**
+   * The base language in which the resource is written.
+   */
+  readonly language?: string;
+
+  /**
+   * A human-readable narrative that contains a summary of the resource and
+   * can be used to represent the content of the resource to a human. The
+   * narrative need not encode all the structured data, but is required to
+   * contain sufficient detail to make it "clinically safe" for a human to
+   * just read the narrative. Resource definitions may define what content
+   * should be represented in the narrative to ensure clinical safety.
+   */
+  readonly text?: Narrative;
+
+  /**
+   * These resources do not have an independent existence apart from the
+   * resource that contains them - they cannot be identified independently,
+   * and nor can they have their own independent transaction scope.
+   */
+  readonly contained?: Resource[];
+
+  /**
+   * May be used to represent additional information that is not part of
+   * the basic definition of the resource. To make the use of extensions
+   * safe and manageable, there is a strict set of governance  applied to
+   * the definition and use of extensions. Though any implementer can
+   * define an extension, there is a set of requirements that SHALL be met
+   * as part of the definition of the extension.
+   */
+  readonly extension?: Extension[];
+
+  /**
+   * May be used to represent additional information that is not part of
+   * the basic definition of the resource and that modifies the
+   * understanding of the element that contains it and/or the understanding
+   * of the containing element's descendants. Usually modifier elements
+   * provide negation or qualification. To make the use of extensions safe
+   * and manageable, there is a strict set of governance applied to the
+   * definition and use of extensions. Though any implementer is allowed to
+   * define an extension, there is a set of requirements that SHALL be met
+   * as part of the definition of the extension. Applications processing a
+   * resource are required to check for modifier extensions.
+   *
+   * Modifier extensions SHALL NOT change the meaning of any elements on
+   * Resource or DomainResource (including cannot change the meaning of
+   * modifierExtension itself).
+   */
+  readonly modifierExtension?: Extension[];
+
+  /**
+   * A unique identifier assigned to this explanation of benefit.
+   */
+  readonly identifier?: Identifier[];
+
+  /**
+   * The status of the resource instance.
+   */
+  readonly status?: string;
+
+  /**
+   * The category of claim, e.g. oral, pharmacy, vision, institutional,
+   * professional.
+   */
+  readonly type?: CodeableConcept;
+
+  /**
+   * A finer grained suite of claim type codes which may convey additional
+   * information such as Inpatient vs Outpatient and/or a specialty
+   * service.
+   */
+  readonly subType?: CodeableConcept;
+
+  /**
+   * A code to indicate whether the nature of the request is: to request
+   * adjudication of products and services previously rendered; or
+   * requesting authorization and adjudication for provision in the future;
+   * or requesting the non-binding adjudication of the listed products and
+   * services which could be provided in the future.
+   */
+  readonly use?: string;
+
+  /**
+   * The party to whom the professional services and/or products have been
+   * supplied or are being considered and for whom actual for forecast
+   * reimbursement is sought.
+   */
+  readonly patient?: Reference<Patient>;
+
+  /**
+   * The period for which charges are being submitted.
+   */
+  readonly billablePeriod?: Period;
+
+  /**
+   * The date this resource was created.
+   */
+  readonly created?: string;
+
+  /**
+   * Individual who created the claim, predetermination or
+   * preauthorization.
+   */
+  readonly enterer?: Reference<Practitioner | PractitionerRole>;
+
+  /**
+   * The party responsible for authorization, adjudication and
+   * reimbursement.
+   */
+  readonly insurer?: Reference<Organization>;
+
+  /**
+   * The provider which is responsible for the claim, predetermination or
+   * preauthorization.
+   */
+  readonly provider?: Reference<Practitioner | PractitionerRole | Organization>;
+
+  /**
+   * The provider-required urgency of processing the request. Typical
+   * values include: stat, routine deferred.
+   */
+  readonly priority?: CodeableConcept;
+
+  /**
+   * A code to indicate whether and for whom funds are to be reserved for
+   * future claims.
+   */
+  readonly fundsReserveRequested?: CodeableConcept;
+
+  /**
+   * A code, used only on a response to a preauthorization, to indicate
+   * whether the benefits payable have been reserved and for whom.
+   */
+  readonly fundsReserve?: CodeableConcept;
+
+  /**
+   * Other claims which are related to this claim such as prior submissions
+   * or claims for related services or for the same event.
+   */
+  readonly related?: ExplanationOfBenefitRelated[];
+
+  /**
+   * Prescription to support the dispensing of pharmacy, device or vision
+   * products.
+   */
+  readonly prescription?: Reference<MedicationRequest | VisionPrescription>;
+
+  /**
+   * Original prescription which has been superseded by this prescription
+   * to support the dispensing of pharmacy services, medications or
+   * products.
+   */
+  readonly originalPrescription?: Reference<MedicationRequest>;
+
+  /**
+   * The party to be reimbursed for cost of the products and services
+   * according to the terms of the policy.
+   */
+  readonly payee?: ExplanationOfBenefitPayee;
+
+  /**
+   * A reference to a referral resource.
+   */
+  readonly referral?: Reference<ServiceRequest>;
+
+  /**
+   * Facility where the services were provided.
+   */
+  readonly facility?: Reference<Location>;
+
+  /**
+   * The business identifier for the instance of the adjudication request:
+   * claim predetermination or preauthorization.
+   */
+  readonly claim?: Reference<Claim>;
+
+  /**
+   * The business identifier for the instance of the adjudication response:
+   * claim, predetermination or preauthorization response.
+   */
+  readonly claimResponse?: Reference<ClaimResponse>;
+
+  /**
+   * The outcome of the claim, predetermination, or preauthorization
+   * processing.
+   */
+  readonly outcome?: string;
+
+  /**
+   * A human readable description of the status of the adjudication.
+   */
+  readonly disposition?: string;
+
+  /**
+   * Reference from the Insurer which is used in later communications which
+   * refers to this adjudication.
+   */
+  readonly preAuthRef?: string[];
+
+  /**
+   * The timeframe during which the supplied preauthorization reference may
+   * be quoted on claims to obtain the adjudication as provided.
+   */
+  readonly preAuthRefPeriod?: Period[];
+
+  /**
+   * The members of the team who provided the products and services.
+   */
+  readonly careTeam?: ExplanationOfBenefitCareTeam[];
+
+  /**
+   * Additional information codes regarding exceptions, special
+   * considerations, the condition, situation, prior or concurrent issues.
+   */
+  readonly supportingInfo?: ExplanationOfBenefitSupportingInfo[];
+
+  /**
+   * Information about diagnoses relevant to the claim items.
+   */
+  readonly diagnosis?: ExplanationOfBenefitDiagnosis[];
+
+  /**
+   * Procedures performed on the patient relevant to the billing items with
+   * the claim.
+   */
+  readonly procedure?: ExplanationOfBenefitProcedure[];
+
+  /**
+   * This indicates the relative order of a series of EOBs related to
+   * different coverages for the same suite of services.
+   */
+  readonly precedence?: number;
+
+  /**
+   * Financial instruments for reimbursement for the health care products
+   * and services specified on the claim.
+   */
+  readonly insurance?: ExplanationOfBenefitInsurance[];
+
+  /**
+   * Details of a accident which resulted in injuries which required the
+   * products and services listed in the claim.
+   */
+  readonly accident?: ExplanationOfBenefitAccident;
+
+  /**
+   * A claim line. Either a simple (a product or service) or a 'group' of
+   * details which can also be a simple items or groups of sub-details.
+   */
+  readonly item?: ExplanationOfBenefitItem[];
+
+  /**
+   * The first-tier service adjudications for payor added product or
+   * service lines.
+   */
+  readonly addItem?: ExplanationOfBenefitAddItem[];
+
+  /**
+   * The adjudication results which are presented at the header level
+   * rather than at the line-item or add-item levels.
+   */
+  readonly adjudication?: ExplanationOfBenefitItemAdjudication[];
+
+  /**
+   * Categorized monetary totals for the adjudication.
+   */
+  readonly total?: ExplanationOfBenefitTotal[];
+
+  /**
+   * Payment details for the adjudication of the claim.
+   */
+  readonly payment?: ExplanationOfBenefitPayment;
+
+  /**
+   * A code for the form to be used for printing the content.
+   */
+  readonly formCode?: CodeableConcept;
+
+  /**
+   * The actual form, by reference or inclusion, for printing the content
+   * or an EOB.
+   */
+  readonly form?: Attachment;
+
+  /**
+   * A note that describes or explains adjudication results in a human
+   * readable form.
+   */
+  readonly processNote?: ExplanationOfBenefitProcessNote[];
+
+  /**
+   * The term of the benefits documented in this response.
+   */
+  readonly benefitPeriod?: Period;
+
+  /**
+   * Balance by Benefit Category.
+   */
+  readonly benefitBalance?: ExplanationOfBenefitBenefitBalance[];
+}
+
+/**
+ * Details of a accident which resulted in injuries which required the
+ * products and services listed in the claim.
+ */
+export interface ExplanationOfBenefitAccident {
+
+  /**
+   * Unique id for the element within a resource (for internal references).
+   * This may be any string value that does not contain spaces.
+   */
+  readonly id?: string;
+
+  /**
+   * May be used to represent additional information that is not part of
+   * the basic definition of the element. To make the use of extensions
+   * safe and manageable, there is a strict set of governance  applied to
+   * the definition and use of extensions. Though any implementer can
+   * define an extension, there is a set of requirements that SHALL be met
+   * as part of the definition of the extension.
+   */
+  readonly extension?: Extension[];
+
+  /**
+   * May be used to represent additional information that is not part of
+   * the basic definition of the element and that modifies the
+   * understanding of the element in which it is contained and/or the
+   * understanding of the containing element's descendants. Usually
+   * modifier elements provide negation or qualification. To make the use
+   * of extensions safe and manageable, there is a strict set of governance
+   * applied to the definition and use of extensions. Though any
+   * implementer can define an extension, there is a set of requirements
+   * that SHALL be met as part of the definition of the extension.
+   * Applications processing a resource are required to check for modifier
+   * extensions.
+   *
+   * Modifier extensions SHALL NOT change the meaning of any elements on
+   * Resource or DomainResource (including cannot change the meaning of
+   * modifierExtension itself).
+   */
+  readonly modifierExtension?: Extension[];
+
+  /**
+   * Date of an accident event  related to the products and services
+   * contained in the claim.
+   */
+  readonly date?: string;
+
+  /**
+   * The type or context of the accident event for the purposes of
+   * selection of potential insurance coverages and determination of
+   * coordination between insurers.
+   */
+  readonly type?: CodeableConcept;
+
+  /**
+   * The physical location of the accident event.
+   */
+  readonly locationAddress?: Address;
+
+  /**
+   * The physical location of the accident event.
+   */
+  readonly locationReference?: Reference<Location>;
+}
+
+/**
+ * The first-tier service adjudications for payor added product or
+ * service lines.
+ */
+export interface ExplanationOfBenefitAddItem {
+
+  /**
+   * Unique id for the element within a resource (for internal references).
+   * This may be any string value that does not contain spaces.
+   */
+  readonly id?: string;
+
+  /**
+   * May be used to represent additional information that is not part of
+   * the basic definition of the element. To make the use of extensions
+   * safe and manageable, there is a strict set of governance  applied to
+   * the definition and use of extensions. Though any implementer can
+   * define an extension, there is a set of requirements that SHALL be met
+   * as part of the definition of the extension.
+   */
+  readonly extension?: Extension[];
+
+  /**
+   * May be used to represent additional information that is not part of
+   * the basic definition of the element and that modifies the
+   * understanding of the element in which it is contained and/or the
+   * understanding of the containing element's descendants. Usually
+   * modifier elements provide negation or qualification. To make the use
+   * of extensions safe and manageable, there is a strict set of governance
+   * applied to the definition and use of extensions. Though any
+   * implementer can define an extension, there is a set of requirements
+   * that SHALL be met as part of the definition of the extension.
+   * Applications processing a resource are required to check for modifier
+   * extensions.
+   *
+   * Modifier extensions SHALL NOT change the meaning of any elements on
+   * Resource or DomainResource (including cannot change the meaning of
+   * modifierExtension itself).
+   */
+  readonly modifierExtension?: Extension[];
+
+  /**
+   * Claim items which this service line is intended to replace.
+   */
+  readonly itemSequence?: number[];
+
+  /**
+   * The sequence number of the details within the claim item which this
+   * line is intended to replace.
+   */
+  readonly detailSequence?: number[];
+
+  /**
+   * The sequence number of the sub-details woithin the details within the
+   * claim item which this line is intended to replace.
+   */
+  readonly subDetailSequence?: number[];
+
+  /**
+   * The providers who are authorized for the services rendered to the
+   * patient.
+   */
+  readonly provider?: Reference<Practitioner | PractitionerRole | Organization>[];
+
+  /**
+   * When the value is a group code then this item collects a set of
+   * related claim details, otherwise this contains the product, service,
+   * drug or other billing code for the item.
+   */
+  readonly productOrService?: CodeableConcept;
+
+  /**
+   * Item typification or modifiers codes to convey additional context for
+   * the product or service.
+   */
+  readonly modifier?: CodeableConcept[];
+
+  /**
+   * Identifies the program under which this may be recovered.
+   */
+  readonly programCode?: CodeableConcept[];
+
+  /**
+   * The date or dates when the service or product was supplied, performed
+   * or completed.
+   */
+  readonly servicedDate?: string;
+
+  /**
+   * The date or dates when the service or product was supplied, performed
+   * or completed.
+   */
+  readonly servicedPeriod?: Period;
+
+  /**
+   * Where the product or service was provided.
+   */
+  readonly locationCodeableConcept?: CodeableConcept;
+
+  /**
+   * Where the product or service was provided.
+   */
+  readonly locationAddress?: Address;
+
+  /**
+   * Where the product or service was provided.
+   */
+  readonly locationReference?: Reference<Location>;
+
+  /**
+   * The number of repetitions of a service or product.
+   */
+  readonly quantity?: Quantity;
+
+  /**
+   * If the item is not a group then this is the fee for the product or
+   * service, otherwise this is the total of the fees for the details of
+   * the group.
+   */
+  readonly unitPrice?: Money;
+
+  /**
+   * A real number that represents a multiplier used in determining the
+   * overall value of services delivered and/or goods received. The concept
+   * of a Factor allows for a discount or surcharge multiplier to be
+   * applied to a monetary amount.
+   */
+  readonly factor?: number;
+
+  /**
+   * The quantity times the unit price for an additional service or product
+   * or charge.
+   */
+  readonly net?: Money;
+
+  /**
+   * Physical service site on the patient (limb, tooth, etc.).
+   */
+  readonly bodySite?: CodeableConcept;
+
+  /**
+   * A region or surface of the bodySite, e.g. limb region or tooth
+   * surface(s).
+   */
+  readonly subSite?: CodeableConcept[];
+
+  /**
+   * The numbers associated with notes below which apply to the
+   * adjudication of this item.
+   */
+  readonly noteNumber?: number[];
+
+  /**
+   * The adjudication results.
+   */
+  readonly adjudication?: ExplanationOfBenefitItemAdjudication[];
+
+  /**
+   * The second-tier service adjudications for payor added services.
+   */
+  readonly detail?: ExplanationOfBenefitAddItemDetail[];
+}
+
+/**
+ * The second-tier service adjudications for payor added services.
+ */
+export interface ExplanationOfBenefitAddItemDetail {
+
+  /**
+   * Unique id for the element within a resource (for internal references).
+   * This may be any string value that does not contain spaces.
+   */
+  readonly id?: string;
+
+  /**
+   * May be used to represent additional information that is not part of
+   * the basic definition of the element. To make the use of extensions
+   * safe and manageable, there is a strict set of governance  applied to
+   * the definition and use of extensions. Though any implementer can
+   * define an extension, there is a set of requirements that SHALL be met
+   * as part of the definition of the extension.
+   */
+  readonly extension?: Extension[];
+
+  /**
+   * May be used to represent additional information that is not part of
+   * the basic definition of the element and that modifies the
+   * understanding of the element in which it is contained and/or the
+   * understanding of the containing element's descendants. Usually
+   * modifier elements provide negation or qualification. To make the use
+   * of extensions safe and manageable, there is a strict set of governance
+   * applied to the definition and use of extensions. Though any
+   * implementer can define an extension, there is a set of requirements
+   * that SHALL be met as part of the definition of the extension.
+   * Applications processing a resource are required to check for modifier
+   * extensions.
+   *
+   * Modifier extensions SHALL NOT change the meaning of any elements on
+   * Resource or DomainResource (including cannot change the meaning of
+   * modifierExtension itself).
+   */
+  readonly modifierExtension?: Extension[];
+
+  /**
+   * When the value is a group code then this item collects a set of
+   * related claim details, otherwise this contains the product, service,
+   * drug or other billing code for the item.
+   */
+  readonly productOrService?: CodeableConcept;
+
+  /**
+   * Item typification or modifiers codes to convey additional context for
+   * the product or service.
+   */
+  readonly modifier?: CodeableConcept[];
+
+  /**
+   * The number of repetitions of a service or product.
+   */
+  readonly quantity?: Quantity;
+
+  /**
+   * If the item is not a group then this is the fee for the product or
+   * service, otherwise this is the total of the fees for the details of
+   * the group.
+   */
+  readonly unitPrice?: Money;
+
+  /**
+   * A real number that represents a multiplier used in determining the
+   * overall value of services delivered and/or goods received. The concept
+   * of a Factor allows for a discount or surcharge multiplier to be
+   * applied to a monetary amount.
+   */
+  readonly factor?: number;
+
+  /**
+   * The quantity times the unit price for an additional service or product
+   * or charge.
+   */
+  readonly net?: Money;
+
+  /**
+   * The numbers associated with notes below which apply to the
+   * adjudication of this item.
+   */
+  readonly noteNumber?: number[];
+
+  /**
+   * The adjudication results.
+   */
+  readonly adjudication?: ExplanationOfBenefitItemAdjudication[];
+
+  /**
+   * The third-tier service adjudications for payor added services.
+   */
+  readonly subDetail?: ExplanationOfBenefitAddItemDetailSubDetail[];
+}
+
+/**
+ * The third-tier service adjudications for payor added services.
+ */
+export interface ExplanationOfBenefitAddItemDetailSubDetail {
+
+  /**
+   * Unique id for the element within a resource (for internal references).
+   * This may be any string value that does not contain spaces.
+   */
+  readonly id?: string;
+
+  /**
+   * May be used to represent additional information that is not part of
+   * the basic definition of the element. To make the use of extensions
+   * safe and manageable, there is a strict set of governance  applied to
+   * the definition and use of extensions. Though any implementer can
+   * define an extension, there is a set of requirements that SHALL be met
+   * as part of the definition of the extension.
+   */
+  readonly extension?: Extension[];
+
+  /**
+   * May be used to represent additional information that is not part of
+   * the basic definition of the element and that modifies the
+   * understanding of the element in which it is contained and/or the
+   * understanding of the containing element's descendants. Usually
+   * modifier elements provide negation or qualification. To make the use
+   * of extensions safe and manageable, there is a strict set of governance
+   * applied to the definition and use of extensions. Though any
+   * implementer can define an extension, there is a set of requirements
+   * that SHALL be met as part of the definition of the extension.
+   * Applications processing a resource are required to check for modifier
+   * extensions.
+   *
+   * Modifier extensions SHALL NOT change the meaning of any elements on
+   * Resource or DomainResource (including cannot change the meaning of
+   * modifierExtension itself).
+   */
+  readonly modifierExtension?: Extension[];
+
+  /**
+   * When the value is a group code then this item collects a set of
+   * related claim details, otherwise this contains the product, service,
+   * drug or other billing code for the item.
+   */
+  readonly productOrService?: CodeableConcept;
+
+  /**
+   * Item typification or modifiers codes to convey additional context for
+   * the product or service.
+   */
+  readonly modifier?: CodeableConcept[];
+
+  /**
+   * The number of repetitions of a service or product.
+   */
+  readonly quantity?: Quantity;
+
+  /**
+   * If the item is not a group then this is the fee for the product or
+   * service, otherwise this is the total of the fees for the details of
+   * the group.
+   */
+  readonly unitPrice?: Money;
+
+  /**
+   * A real number that represents a multiplier used in determining the
+   * overall value of services delivered and/or goods received. The concept
+   * of a Factor allows for a discount or surcharge multiplier to be
+   * applied to a monetary amount.
+   */
+  readonly factor?: number;
+
+  /**
+   * The quantity times the unit price for an additional service or product
+   * or charge.
+   */
+  readonly net?: Money;
+
+  /**
+   * The numbers associated with notes below which apply to the
+   * adjudication of this item.
+   */
+  readonly noteNumber?: number[];
+
+  /**
+   * The adjudication results.
+   */
+  readonly adjudication?: ExplanationOfBenefitItemAdjudication[];
+}
+
+/**
+ * Balance by Benefit Category.
+ */
+export interface ExplanationOfBenefitBenefitBalance {
+
+  /**
+   * Unique id for the element within a resource (for internal references).
+   * This may be any string value that does not contain spaces.
+   */
+  readonly id?: string;
+
+  /**
+   * May be used to represent additional information that is not part of
+   * the basic definition of the element. To make the use of extensions
+   * safe and manageable, there is a strict set of governance  applied to
+   * the definition and use of extensions. Though any implementer can
+   * define an extension, there is a set of requirements that SHALL be met
+   * as part of the definition of the extension.
+   */
+  readonly extension?: Extension[];
+
+  /**
+   * May be used to represent additional information that is not part of
+   * the basic definition of the element and that modifies the
+   * understanding of the element in which it is contained and/or the
+   * understanding of the containing element's descendants. Usually
+   * modifier elements provide negation or qualification. To make the use
+   * of extensions safe and manageable, there is a strict set of governance
+   * applied to the definition and use of extensions. Though any
+   * implementer can define an extension, there is a set of requirements
+   * that SHALL be met as part of the definition of the extension.
+   * Applications processing a resource are required to check for modifier
+   * extensions.
+   *
+   * Modifier extensions SHALL NOT change the meaning of any elements on
+   * Resource or DomainResource (including cannot change the meaning of
+   * modifierExtension itself).
+   */
+  readonly modifierExtension?: Extension[];
+
+  /**
+   * Code to identify the general type of benefits under which products and
+   * services are provided.
+   */
+  readonly category?: CodeableConcept;
+
+  /**
+   * True if the indicated class of service is excluded from the plan,
+   * missing or False indicates the product or service is included in the
+   * coverage.
+   */
+  readonly excluded?: boolean;
+
+  /**
+   * A short name or tag for the benefit.
+   */
+  readonly name?: string;
+
+  /**
+   * A richer description of the benefit or services covered.
+   */
+  readonly description?: string;
+
+  /**
+   * Is a flag to indicate whether the benefits refer to in-network
+   * providers or out-of-network providers.
+   */
+  readonly network?: CodeableConcept;
+
+  /**
+   * Indicates if the benefits apply to an individual or to the family.
+   */
+  readonly unit?: CodeableConcept;
+
+  /**
+   * The term or period of the values such as 'maximum lifetime benefit' or
+   * 'maximum annual visits'.
+   */
+  readonly term?: CodeableConcept;
+
+  /**
+   * Benefits Used to date.
+   */
+  readonly financial?: ExplanationOfBenefitBenefitBalanceFinancial[];
+}
+
+/**
+ * Benefits Used to date.
+ */
+export interface ExplanationOfBenefitBenefitBalanceFinancial {
+
+  /**
+   * Unique id for the element within a resource (for internal references).
+   * This may be any string value that does not contain spaces.
+   */
+  readonly id?: string;
+
+  /**
+   * May be used to represent additional information that is not part of
+   * the basic definition of the element. To make the use of extensions
+   * safe and manageable, there is a strict set of governance  applied to
+   * the definition and use of extensions. Though any implementer can
+   * define an extension, there is a set of requirements that SHALL be met
+   * as part of the definition of the extension.
+   */
+  readonly extension?: Extension[];
+
+  /**
+   * May be used to represent additional information that is not part of
+   * the basic definition of the element and that modifies the
+   * understanding of the element in which it is contained and/or the
+   * understanding of the containing element's descendants. Usually
+   * modifier elements provide negation or qualification. To make the use
+   * of extensions safe and manageable, there is a strict set of governance
+   * applied to the definition and use of extensions. Though any
+   * implementer can define an extension, there is a set of requirements
+   * that SHALL be met as part of the definition of the extension.
+   * Applications processing a resource are required to check for modifier
+   * extensions.
+   *
+   * Modifier extensions SHALL NOT change the meaning of any elements on
+   * Resource or DomainResource (including cannot change the meaning of
+   * modifierExtension itself).
+   */
+  readonly modifierExtension?: Extension[];
+
+  /**
+   * Classification of benefit being provided.
+   */
+  readonly type?: CodeableConcept;
+
+  /**
+   * The quantity of the benefit which is permitted under the coverage.
+   */
+  readonly allowedUnsignedInt?: number;
+
+  /**
+   * The quantity of the benefit which is permitted under the coverage.
+   */
+  readonly allowedString?: string;
+
+  /**
+   * The quantity of the benefit which is permitted under the coverage.
+   */
+  readonly allowedMoney?: Money;
+
+  /**
+   * The quantity of the benefit which have been consumed to date.
+   */
+  readonly usedUnsignedInt?: number;
+
+  /**
+   * The quantity of the benefit which have been consumed to date.
+   */
+  readonly usedMoney?: Money;
+}
+
+/**
+ * The members of the team who provided the products and services.
+ */
+export interface ExplanationOfBenefitCareTeam {
+
+  /**
+   * Unique id for the element within a resource (for internal references).
+   * This may be any string value that does not contain spaces.
+   */
+  readonly id?: string;
+
+  /**
+   * May be used to represent additional information that is not part of
+   * the basic definition of the element. To make the use of extensions
+   * safe and manageable, there is a strict set of governance  applied to
+   * the definition and use of extensions. Though any implementer can
+   * define an extension, there is a set of requirements that SHALL be met
+   * as part of the definition of the extension.
+   */
+  readonly extension?: Extension[];
+
+  /**
+   * May be used to represent additional information that is not part of
+   * the basic definition of the element and that modifies the
+   * understanding of the element in which it is contained and/or the
+   * understanding of the containing element's descendants. Usually
+   * modifier elements provide negation or qualification. To make the use
+   * of extensions safe and manageable, there is a strict set of governance
+   * applied to the definition and use of extensions. Though any
+   * implementer can define an extension, there is a set of requirements
+   * that SHALL be met as part of the definition of the extension.
+   * Applications processing a resource are required to check for modifier
+   * extensions.
+   *
+   * Modifier extensions SHALL NOT change the meaning of any elements on
+   * Resource or DomainResource (including cannot change the meaning of
+   * modifierExtension itself).
+   */
+  readonly modifierExtension?: Extension[];
+
+  /**
+   * A number to uniquely identify care team entries.
+   */
+  readonly sequence?: number;
+
+  /**
+   * Member of the team who provided the product or service.
+   */
+  readonly provider?: Reference<Practitioner | PractitionerRole | Organization>;
+
+  /**
+   * The party who is billing and/or responsible for the claimed products
+   * or services.
+   */
+  readonly responsible?: boolean;
+
+  /**
+   * The lead, assisting or supervising practitioner and their discipline
+   * if a multidisciplinary team.
+   */
+  readonly role?: CodeableConcept;
+
+  /**
+   * The qualification of the practitioner which is applicable for this
+   * service.
+   */
+  readonly qualification?: CodeableConcept;
+}
+
+/**
+ * Information about diagnoses relevant to the claim items.
+ */
+export interface ExplanationOfBenefitDiagnosis {
+
+  /**
+   * Unique id for the element within a resource (for internal references).
+   * This may be any string value that does not contain spaces.
+   */
+  readonly id?: string;
+
+  /**
+   * May be used to represent additional information that is not part of
+   * the basic definition of the element. To make the use of extensions
+   * safe and manageable, there is a strict set of governance  applied to
+   * the definition and use of extensions. Though any implementer can
+   * define an extension, there is a set of requirements that SHALL be met
+   * as part of the definition of the extension.
+   */
+  readonly extension?: Extension[];
+
+  /**
+   * May be used to represent additional information that is not part of
+   * the basic definition of the element and that modifies the
+   * understanding of the element in which it is contained and/or the
+   * understanding of the containing element's descendants. Usually
+   * modifier elements provide negation or qualification. To make the use
+   * of extensions safe and manageable, there is a strict set of governance
+   * applied to the definition and use of extensions. Though any
+   * implementer can define an extension, there is a set of requirements
+   * that SHALL be met as part of the definition of the extension.
+   * Applications processing a resource are required to check for modifier
+   * extensions.
+   *
+   * Modifier extensions SHALL NOT change the meaning of any elements on
+   * Resource or DomainResource (including cannot change the meaning of
+   * modifierExtension itself).
+   */
+  readonly modifierExtension?: Extension[];
+
+  /**
+   * A number to uniquely identify diagnosis entries.
+   */
+  readonly sequence?: number;
+
+  /**
+   * The nature of illness or problem in a coded form or as a reference to
+   * an external defined Condition.
+   */
+  readonly diagnosisCodeableConcept?: CodeableConcept;
+
+  /**
+   * The nature of illness or problem in a coded form or as a reference to
+   * an external defined Condition.
+   */
+  readonly diagnosisReference?: Reference<Condition>;
+
+  /**
+   * When the condition was observed or the relative ranking.
+   */
+  readonly type?: CodeableConcept[];
+
+  /**
+   * Indication of whether the diagnosis was present on admission to a
+   * facility.
+   */
+  readonly onAdmission?: CodeableConcept;
+
+  /**
+   * A package billing code or bundle code used to group products and
+   * services to a particular health condition (such as heart attack) which
+   * is based on a predetermined grouping code system.
+   */
+  readonly packageCode?: CodeableConcept;
+}
+
+/**
+ * Financial instruments for reimbursement for the health care products
+ * and services specified on the claim.
+ */
+export interface ExplanationOfBenefitInsurance {
+
+  /**
+   * Unique id for the element within a resource (for internal references).
+   * This may be any string value that does not contain spaces.
+   */
+  readonly id?: string;
+
+  /**
+   * May be used to represent additional information that is not part of
+   * the basic definition of the element. To make the use of extensions
+   * safe and manageable, there is a strict set of governance  applied to
+   * the definition and use of extensions. Though any implementer can
+   * define an extension, there is a set of requirements that SHALL be met
+   * as part of the definition of the extension.
+   */
+  readonly extension?: Extension[];
+
+  /**
+   * May be used to represent additional information that is not part of
+   * the basic definition of the element and that modifies the
+   * understanding of the element in which it is contained and/or the
+   * understanding of the containing element's descendants. Usually
+   * modifier elements provide negation or qualification. To make the use
+   * of extensions safe and manageable, there is a strict set of governance
+   * applied to the definition and use of extensions. Though any
+   * implementer can define an extension, there is a set of requirements
+   * that SHALL be met as part of the definition of the extension.
+   * Applications processing a resource are required to check for modifier
+   * extensions.
+   *
+   * Modifier extensions SHALL NOT change the meaning of any elements on
+   * Resource or DomainResource (including cannot change the meaning of
+   * modifierExtension itself).
+   */
+  readonly modifierExtension?: Extension[];
+
+  /**
+   * A flag to indicate that this Coverage is to be used for adjudication
+   * of this claim when set to true.
+   */
+  readonly focal?: boolean;
+
+  /**
+   * Reference to the insurance card level information contained in the
+   * Coverage resource. The coverage issuing insurer will use these details
+   * to locate the patient's actual coverage within the insurer's
+   * information system.
+   */
+  readonly coverage?: Reference<Coverage>;
+
+  /**
+   * Reference numbers previously provided by the insurer to the provider
+   * to be quoted on subsequent claims containing services or products
+   * related to the prior authorization.
+   */
+  readonly preAuthRef?: string[];
+}
+
+/**
+ * A claim line. Either a simple (a product or service) or a 'group' of
+ * details which can also be a simple items or groups of sub-details.
+ */
+export interface ExplanationOfBenefitItem {
+
+  /**
+   * Unique id for the element within a resource (for internal references).
+   * This may be any string value that does not contain spaces.
+   */
+  readonly id?: string;
+
+  /**
+   * May be used to represent additional information that is not part of
+   * the basic definition of the element. To make the use of extensions
+   * safe and manageable, there is a strict set of governance  applied to
+   * the definition and use of extensions. Though any implementer can
+   * define an extension, there is a set of requirements that SHALL be met
+   * as part of the definition of the extension.
+   */
+  readonly extension?: Extension[];
+
+  /**
+   * May be used to represent additional information that is not part of
+   * the basic definition of the element and that modifies the
+   * understanding of the element in which it is contained and/or the
+   * understanding of the containing element's descendants. Usually
+   * modifier elements provide negation or qualification. To make the use
+   * of extensions safe and manageable, there is a strict set of governance
+   * applied to the definition and use of extensions. Though any
+   * implementer can define an extension, there is a set of requirements
+   * that SHALL be met as part of the definition of the extension.
+   * Applications processing a resource are required to check for modifier
+   * extensions.
+   *
+   * Modifier extensions SHALL NOT change the meaning of any elements on
+   * Resource or DomainResource (including cannot change the meaning of
+   * modifierExtension itself).
+   */
+  readonly modifierExtension?: Extension[];
+
+  /**
+   * A number to uniquely identify item entries.
+   */
+  readonly sequence?: number;
+
+  /**
+   * Care team members related to this service or product.
+   */
+  readonly careTeamSequence?: number[];
+
+  /**
+   * Diagnoses applicable for this service or product.
+   */
+  readonly diagnosisSequence?: number[];
+
+  /**
+   * Procedures applicable for this service or product.
+   */
+  readonly procedureSequence?: number[];
+
+  /**
+   * Exceptions, special conditions and supporting information applicable
+   * for this service or product.
+   */
+  readonly informationSequence?: number[];
+
+  /**
+   * The type of revenue or cost center providing the product and/or
+   * service.
+   */
+  readonly revenue?: CodeableConcept;
+
+  /**
+   * Code to identify the general type of benefits under which products and
+   * services are provided.
+   */
+  readonly category?: CodeableConcept;
+
+  /**
+   * When the value is a group code then this item collects a set of
+   * related claim details, otherwise this contains the product, service,
+   * drug or other billing code for the item.
+   */
+  readonly productOrService?: CodeableConcept;
+
+  /**
+   * Item typification or modifiers codes to convey additional context for
+   * the product or service.
+   */
+  readonly modifier?: CodeableConcept[];
+
+  /**
+   * Identifies the program under which this may be recovered.
+   */
+  readonly programCode?: CodeableConcept[];
+
+  /**
+   * The date or dates when the service or product was supplied, performed
+   * or completed.
+   */
+  readonly servicedDate?: string;
+
+  /**
+   * The date or dates when the service or product was supplied, performed
+   * or completed.
+   */
+  readonly servicedPeriod?: Period;
+
+  /**
+   * Where the product or service was provided.
+   */
+  readonly locationCodeableConcept?: CodeableConcept;
+
+  /**
+   * Where the product or service was provided.
+   */
+  readonly locationAddress?: Address;
+
+  /**
+   * Where the product or service was provided.
+   */
+  readonly locationReference?: Reference<Location>;
+
+  /**
+   * The number of repetitions of a service or product.
+   */
+  readonly quantity?: Quantity;
+
+  /**
+   * If the item is not a group then this is the fee for the product or
+   * service, otherwise this is the total of the fees for the details of
+   * the group.
+   */
+  readonly unitPrice?: Money;
+
+  /**
+   * A real number that represents a multiplier used in determining the
+   * overall value of services delivered and/or goods received. The concept
+   * of a Factor allows for a discount or surcharge multiplier to be
+   * applied to a monetary amount.
+   */
+  readonly factor?: number;
+
+  /**
+   * The quantity times the unit price for an additional service or product
+   * or charge.
+   */
+  readonly net?: Money;
+
+  /**
+   * Unique Device Identifiers associated with this line item.
+   */
+  readonly udi?: Reference<Device>[];
+
+  /**
+   * Physical service site on the patient (limb, tooth, etc.).
+   */
+  readonly bodySite?: CodeableConcept;
+
+  /**
+   * A region or surface of the bodySite, e.g. limb region or tooth
+   * surface(s).
+   */
+  readonly subSite?: CodeableConcept[];
+
+  /**
+   * A billed item may include goods or services provided in multiple
+   * encounters.
+   */
+  readonly encounter?: Reference<Encounter>[];
+
+  /**
+   * The numbers associated with notes below which apply to the
+   * adjudication of this item.
+   */
+  readonly noteNumber?: number[];
+
+  /**
+   * If this item is a group then the values here are a summary of the
+   * adjudication of the detail items. If this item is a simple product or
+   * service then this is the result of the adjudication of this item.
+   */
+  readonly adjudication?: ExplanationOfBenefitItemAdjudication[];
+
+  /**
+   * Second-tier of goods and services.
+   */
+  readonly detail?: ExplanationOfBenefitItemDetail[];
+}
+
+/**
+ * If this item is a group then the values here are a summary of the
+ * adjudication of the detail items. If this item is a simple product or
+ * service then this is the result of the adjudication of this item.
+ */
+export interface ExplanationOfBenefitItemAdjudication {
+
+  /**
+   * Unique id for the element within a resource (for internal references).
+   * This may be any string value that does not contain spaces.
+   */
+  readonly id?: string;
+
+  /**
+   * May be used to represent additional information that is not part of
+   * the basic definition of the element. To make the use of extensions
+   * safe and manageable, there is a strict set of governance  applied to
+   * the definition and use of extensions. Though any implementer can
+   * define an extension, there is a set of requirements that SHALL be met
+   * as part of the definition of the extension.
+   */
+  readonly extension?: Extension[];
+
+  /**
+   * May be used to represent additional information that is not part of
+   * the basic definition of the element and that modifies the
+   * understanding of the element in which it is contained and/or the
+   * understanding of the containing element's descendants. Usually
+   * modifier elements provide negation or qualification. To make the use
+   * of extensions safe and manageable, there is a strict set of governance
+   * applied to the definition and use of extensions. Though any
+   * implementer can define an extension, there is a set of requirements
+   * that SHALL be met as part of the definition of the extension.
+   * Applications processing a resource are required to check for modifier
+   * extensions.
+   *
+   * Modifier extensions SHALL NOT change the meaning of any elements on
+   * Resource or DomainResource (including cannot change the meaning of
+   * modifierExtension itself).
+   */
+  readonly modifierExtension?: Extension[];
+
+  /**
+   * A code to indicate the information type of this adjudication record.
+   * Information types may include: the value submitted, maximum values or
+   * percentages allowed or payable under the plan, amounts that the
+   * patient is responsible for in-aggregate or pertaining to this item,
+   * amounts paid by other coverages, and the benefit payable for this
+   * item.
+   */
+  readonly category?: CodeableConcept;
+
+  /**
+   * A code supporting the understanding of the adjudication result and
+   * explaining variance from expected amount.
+   */
+  readonly reason?: CodeableConcept;
+
+  /**
+   * Monetary amount associated with the category.
+   */
+  readonly amount?: Money;
+
+  /**
+   * A non-monetary value associated with the category. Mutually exclusive
+   * to the amount element above.
+   */
+  readonly value?: number;
+}
+
+/**
+ * Second-tier of goods and services.
+ */
+export interface ExplanationOfBenefitItemDetail {
+
+  /**
+   * Unique id for the element within a resource (for internal references).
+   * This may be any string value that does not contain spaces.
+   */
+  readonly id?: string;
+
+  /**
+   * May be used to represent additional information that is not part of
+   * the basic definition of the element. To make the use of extensions
+   * safe and manageable, there is a strict set of governance  applied to
+   * the definition and use of extensions. Though any implementer can
+   * define an extension, there is a set of requirements that SHALL be met
+   * as part of the definition of the extension.
+   */
+  readonly extension?: Extension[];
+
+  /**
+   * May be used to represent additional information that is not part of
+   * the basic definition of the element and that modifies the
+   * understanding of the element in which it is contained and/or the
+   * understanding of the containing element's descendants. Usually
+   * modifier elements provide negation or qualification. To make the use
+   * of extensions safe and manageable, there is a strict set of governance
+   * applied to the definition and use of extensions. Though any
+   * implementer can define an extension, there is a set of requirements
+   * that SHALL be met as part of the definition of the extension.
+   * Applications processing a resource are required to check for modifier
+   * extensions.
+   *
+   * Modifier extensions SHALL NOT change the meaning of any elements on
+   * Resource or DomainResource (including cannot change the meaning of
+   * modifierExtension itself).
+   */
+  readonly modifierExtension?: Extension[];
+
+  /**
+   * A claim detail line. Either a simple (a product or service) or a
+   * 'group' of sub-details which are simple items.
+   */
+  readonly sequence?: number;
+
+  /**
+   * The type of revenue or cost center providing the product and/or
+   * service.
+   */
+  readonly revenue?: CodeableConcept;
+
+  /**
+   * Code to identify the general type of benefits under which products and
+   * services are provided.
+   */
+  readonly category?: CodeableConcept;
+
+  /**
+   * When the value is a group code then this item collects a set of
+   * related claim details, otherwise this contains the product, service,
+   * drug or other billing code for the item.
+   */
+  readonly productOrService?: CodeableConcept;
+
+  /**
+   * Item typification or modifiers codes to convey additional context for
+   * the product or service.
+   */
+  readonly modifier?: CodeableConcept[];
+
+  /**
+   * Identifies the program under which this may be recovered.
+   */
+  readonly programCode?: CodeableConcept[];
+
+  /**
+   * The number of repetitions of a service or product.
+   */
+  readonly quantity?: Quantity;
+
+  /**
+   * If the item is not a group then this is the fee for the product or
+   * service, otherwise this is the total of the fees for the details of
+   * the group.
+   */
+  readonly unitPrice?: Money;
+
+  /**
+   * A real number that represents a multiplier used in determining the
+   * overall value of services delivered and/or goods received. The concept
+   * of a Factor allows for a discount or surcharge multiplier to be
+   * applied to a monetary amount.
+   */
+  readonly factor?: number;
+
+  /**
+   * The quantity times the unit price for an additional service or product
+   * or charge.
+   */
+  readonly net?: Money;
+
+  /**
+   * Unique Device Identifiers associated with this line item.
+   */
+  readonly udi?: Reference<Device>[];
+
+  /**
+   * The numbers associated with notes below which apply to the
+   * adjudication of this item.
+   */
+  readonly noteNumber?: number[];
+
+  /**
+   * The adjudication results.
+   */
+  readonly adjudication?: ExplanationOfBenefitItemAdjudication[];
+
+  /**
+   * Third-tier of goods and services.
+   */
+  readonly subDetail?: ExplanationOfBenefitItemDetailSubDetail[];
+}
+
+/**
+ * Third-tier of goods and services.
+ */
+export interface ExplanationOfBenefitItemDetailSubDetail {
+
+  /**
+   * Unique id for the element within a resource (for internal references).
+   * This may be any string value that does not contain spaces.
+   */
+  readonly id?: string;
+
+  /**
+   * May be used to represent additional information that is not part of
+   * the basic definition of the element. To make the use of extensions
+   * safe and manageable, there is a strict set of governance  applied to
+   * the definition and use of extensions. Though any implementer can
+   * define an extension, there is a set of requirements that SHALL be met
+   * as part of the definition of the extension.
+   */
+  readonly extension?: Extension[];
+
+  /**
+   * May be used to represent additional information that is not part of
+   * the basic definition of the element and that modifies the
+   * understanding of the element in which it is contained and/or the
+   * understanding of the containing element's descendants. Usually
+   * modifier elements provide negation or qualification. To make the use
+   * of extensions safe and manageable, there is a strict set of governance
+   * applied to the definition and use of extensions. Though any
+   * implementer can define an extension, there is a set of requirements
+   * that SHALL be met as part of the definition of the extension.
+   * Applications processing a resource are required to check for modifier
+   * extensions.
+   *
+   * Modifier extensions SHALL NOT change the meaning of any elements on
+   * Resource or DomainResource (including cannot change the meaning of
+   * modifierExtension itself).
+   */
+  readonly modifierExtension?: Extension[];
+
+  /**
+   * A claim detail line. Either a simple (a product or service) or a
+   * 'group' of sub-details which are simple items.
+   */
+  readonly sequence?: number;
+
+  /**
+   * The type of revenue or cost center providing the product and/or
+   * service.
+   */
+  readonly revenue?: CodeableConcept;
+
+  /**
+   * Code to identify the general type of benefits under which products and
+   * services are provided.
+   */
+  readonly category?: CodeableConcept;
+
+  /**
+   * When the value is a group code then this item collects a set of
+   * related claim details, otherwise this contains the product, service,
+   * drug or other billing code for the item.
+   */
+  readonly productOrService?: CodeableConcept;
+
+  /**
+   * Item typification or modifiers codes to convey additional context for
+   * the product or service.
+   */
+  readonly modifier?: CodeableConcept[];
+
+  /**
+   * Identifies the program under which this may be recovered.
+   */
+  readonly programCode?: CodeableConcept[];
+
+  /**
+   * The number of repetitions of a service or product.
+   */
+  readonly quantity?: Quantity;
+
+  /**
+   * If the item is not a group then this is the fee for the product or
+   * service, otherwise this is the total of the fees for the details of
+   * the group.
+   */
+  readonly unitPrice?: Money;
+
+  /**
+   * A real number that represents a multiplier used in determining the
+   * overall value of services delivered and/or goods received. The concept
+   * of a Factor allows for a discount or surcharge multiplier to be
+   * applied to a monetary amount.
+   */
+  readonly factor?: number;
+
+  /**
+   * The quantity times the unit price for an additional service or product
+   * or charge.
+   */
+  readonly net?: Money;
+
+  /**
+   * Unique Device Identifiers associated with this line item.
+   */
+  readonly udi?: Reference<Device>[];
+
+  /**
+   * The numbers associated with notes below which apply to the
+   * adjudication of this item.
+   */
+  readonly noteNumber?: number[];
+
+  /**
+   * The adjudication results.
+   */
+  readonly adjudication?: ExplanationOfBenefitItemAdjudication[];
+}
+
+/**
+ * The party to be reimbursed for cost of the products and services
+ * according to the terms of the policy.
+ */
+export interface ExplanationOfBenefitPayee {
+
+  /**
+   * Unique id for the element within a resource (for internal references).
+   * This may be any string value that does not contain spaces.
+   */
+  readonly id?: string;
+
+  /**
+   * May be used to represent additional information that is not part of
+   * the basic definition of the element. To make the use of extensions
+   * safe and manageable, there is a strict set of governance  applied to
+   * the definition and use of extensions. Though any implementer can
+   * define an extension, there is a set of requirements that SHALL be met
+   * as part of the definition of the extension.
+   */
+  readonly extension?: Extension[];
+
+  /**
+   * May be used to represent additional information that is not part of
+   * the basic definition of the element and that modifies the
+   * understanding of the element in which it is contained and/or the
+   * understanding of the containing element's descendants. Usually
+   * modifier elements provide negation or qualification. To make the use
+   * of extensions safe and manageable, there is a strict set of governance
+   * applied to the definition and use of extensions. Though any
+   * implementer can define an extension, there is a set of requirements
+   * that SHALL be met as part of the definition of the extension.
+   * Applications processing a resource are required to check for modifier
+   * extensions.
+   *
+   * Modifier extensions SHALL NOT change the meaning of any elements on
+   * Resource or DomainResource (including cannot change the meaning of
+   * modifierExtension itself).
+   */
+  readonly modifierExtension?: Extension[];
+
+  /**
+   * Type of Party to be reimbursed: Subscriber, provider, other.
+   */
+  readonly type?: CodeableConcept;
+
+  /**
+   * Reference to the individual or organization to whom any payment will
+   * be made.
+   */
+  readonly party?: Reference<Practitioner | PractitionerRole | Organization | Patient | RelatedPerson>;
+}
+
+/**
+ * Payment details for the adjudication of the claim.
+ */
+export interface ExplanationOfBenefitPayment {
+
+  /**
+   * Unique id for the element within a resource (for internal references).
+   * This may be any string value that does not contain spaces.
+   */
+  readonly id?: string;
+
+  /**
+   * May be used to represent additional information that is not part of
+   * the basic definition of the element. To make the use of extensions
+   * safe and manageable, there is a strict set of governance  applied to
+   * the definition and use of extensions. Though any implementer can
+   * define an extension, there is a set of requirements that SHALL be met
+   * as part of the definition of the extension.
+   */
+  readonly extension?: Extension[];
+
+  /**
+   * May be used to represent additional information that is not part of
+   * the basic definition of the element and that modifies the
+   * understanding of the element in which it is contained and/or the
+   * understanding of the containing element's descendants. Usually
+   * modifier elements provide negation or qualification. To make the use
+   * of extensions safe and manageable, there is a strict set of governance
+   * applied to the definition and use of extensions. Though any
+   * implementer can define an extension, there is a set of requirements
+   * that SHALL be met as part of the definition of the extension.
+   * Applications processing a resource are required to check for modifier
+   * extensions.
+   *
+   * Modifier extensions SHALL NOT change the meaning of any elements on
+   * Resource or DomainResource (including cannot change the meaning of
+   * modifierExtension itself).
+   */
+  readonly modifierExtension?: Extension[];
+
+  /**
+   * Whether this represents partial or complete payment of the benefits
+   * payable.
+   */
+  readonly type?: CodeableConcept;
+
+  /**
+   * Total amount of all adjustments to this payment included in this
+   * transaction which are not related to this claim's adjudication.
+   */
+  readonly adjustment?: Money;
+
+  /**
+   * Reason for the payment adjustment.
+   */
+  readonly adjustmentReason?: CodeableConcept;
+
+  /**
+   * Estimated date the payment will be issued or the actual issue date of
+   * payment.
+   */
+  readonly date?: string;
+
+  /**
+   * Benefits payable less any payment adjustment.
+   */
+  readonly amount?: Money;
+
+  /**
+   * Issuer's unique identifier for the payment instrument.
+   */
+  readonly identifier?: Identifier;
+}
+
+/**
+ * Procedures performed on the patient relevant to the billing items with
+ * the claim.
+ */
+export interface ExplanationOfBenefitProcedure {
+
+  /**
+   * Unique id for the element within a resource (for internal references).
+   * This may be any string value that does not contain spaces.
+   */
+  readonly id?: string;
+
+  /**
+   * May be used to represent additional information that is not part of
+   * the basic definition of the element. To make the use of extensions
+   * safe and manageable, there is a strict set of governance  applied to
+   * the definition and use of extensions. Though any implementer can
+   * define an extension, there is a set of requirements that SHALL be met
+   * as part of the definition of the extension.
+   */
+  readonly extension?: Extension[];
+
+  /**
+   * May be used to represent additional information that is not part of
+   * the basic definition of the element and that modifies the
+   * understanding of the element in which it is contained and/or the
+   * understanding of the containing element's descendants. Usually
+   * modifier elements provide negation or qualification. To make the use
+   * of extensions safe and manageable, there is a strict set of governance
+   * applied to the definition and use of extensions. Though any
+   * implementer can define an extension, there is a set of requirements
+   * that SHALL be met as part of the definition of the extension.
+   * Applications processing a resource are required to check for modifier
+   * extensions.
+   *
+   * Modifier extensions SHALL NOT change the meaning of any elements on
+   * Resource or DomainResource (including cannot change the meaning of
+   * modifierExtension itself).
+   */
+  readonly modifierExtension?: Extension[];
+
+  /**
+   * A number to uniquely identify procedure entries.
+   */
+  readonly sequence?: number;
+
+  /**
+   * When the condition was observed or the relative ranking.
+   */
+  readonly type?: CodeableConcept[];
+
+  /**
+   * Date and optionally time the procedure was performed.
+   */
+  readonly date?: string;
+
+  /**
+   * The code or reference to a Procedure resource which identifies the
+   * clinical intervention performed.
+   */
+  readonly procedureCodeableConcept?: CodeableConcept;
+
+  /**
+   * The code or reference to a Procedure resource which identifies the
+   * clinical intervention performed.
+   */
+  readonly procedureReference?: Reference<Procedure>;
+
+  /**
+   * Unique Device Identifiers associated with this line item.
+   */
+  readonly udi?: Reference<Device>[];
+}
+
+/**
+ * A note that describes or explains adjudication results in a human
+ * readable form.
+ */
+export interface ExplanationOfBenefitProcessNote {
+
+  /**
+   * Unique id for the element within a resource (for internal references).
+   * This may be any string value that does not contain spaces.
+   */
+  readonly id?: string;
+
+  /**
+   * May be used to represent additional information that is not part of
+   * the basic definition of the element. To make the use of extensions
+   * safe and manageable, there is a strict set of governance  applied to
+   * the definition and use of extensions. Though any implementer can
+   * define an extension, there is a set of requirements that SHALL be met
+   * as part of the definition of the extension.
+   */
+  readonly extension?: Extension[];
+
+  /**
+   * May be used to represent additional information that is not part of
+   * the basic definition of the element and that modifies the
+   * understanding of the element in which it is contained and/or the
+   * understanding of the containing element's descendants. Usually
+   * modifier elements provide negation or qualification. To make the use
+   * of extensions safe and manageable, there is a strict set of governance
+   * applied to the definition and use of extensions. Though any
+   * implementer can define an extension, there is a set of requirements
+   * that SHALL be met as part of the definition of the extension.
+   * Applications processing a resource are required to check for modifier
+   * extensions.
+   *
+   * Modifier extensions SHALL NOT change the meaning of any elements on
+   * Resource or DomainResource (including cannot change the meaning of
+   * modifierExtension itself).
+   */
+  readonly modifierExtension?: Extension[];
+
+  /**
+   * A number to uniquely identify a note entry.
+   */
+  readonly number?: number;
+
+  /**
+   * The business purpose of the note text.
+   */
+  readonly type?: string;
+
+  /**
+   * The explanation or description associated with the processing.
+   */
+  readonly text?: string;
+
+  /**
+   * A code to define the language used in the text of the note.
+   */
+  readonly language?: CodeableConcept;
+}
+
+/**
+ * Other claims which are related to this claim such as prior submissions
+ * or claims for related services or for the same event.
+ */
+export interface ExplanationOfBenefitRelated {
+
+  /**
+   * Unique id for the element within a resource (for internal references).
+   * This may be any string value that does not contain spaces.
+   */
+  readonly id?: string;
+
+  /**
+   * May be used to represent additional information that is not part of
+   * the basic definition of the element. To make the use of extensions
+   * safe and manageable, there is a strict set of governance  applied to
+   * the definition and use of extensions. Though any implementer can
+   * define an extension, there is a set of requirements that SHALL be met
+   * as part of the definition of the extension.
+   */
+  readonly extension?: Extension[];
+
+  /**
+   * May be used to represent additional information that is not part of
+   * the basic definition of the element and that modifies the
+   * understanding of the element in which it is contained and/or the
+   * understanding of the containing element's descendants. Usually
+   * modifier elements provide negation or qualification. To make the use
+   * of extensions safe and manageable, there is a strict set of governance
+   * applied to the definition and use of extensions. Though any
+   * implementer can define an extension, there is a set of requirements
+   * that SHALL be met as part of the definition of the extension.
+   * Applications processing a resource are required to check for modifier
+   * extensions.
+   *
+   * Modifier extensions SHALL NOT change the meaning of any elements on
+   * Resource or DomainResource (including cannot change the meaning of
+   * modifierExtension itself).
+   */
+  readonly modifierExtension?: Extension[];
+
+  /**
+   * Reference to a related claim.
+   */
+  readonly claim?: Reference<Claim>;
+
+  /**
+   * A code to convey how the claims are related.
+   */
+  readonly relationship?: CodeableConcept;
+
+  /**
+   * An alternate organizational reference to the case or file to which
+   * this particular claim pertains.
+   */
+  readonly reference?: Identifier;
+}
+
+/**
+ * Additional information codes regarding exceptions, special
+ * considerations, the condition, situation, prior or concurrent issues.
+ */
+export interface ExplanationOfBenefitSupportingInfo {
+
+  /**
+   * Unique id for the element within a resource (for internal references).
+   * This may be any string value that does not contain spaces.
+   */
+  readonly id?: string;
+
+  /**
+   * May be used to represent additional information that is not part of
+   * the basic definition of the element. To make the use of extensions
+   * safe and manageable, there is a strict set of governance  applied to
+   * the definition and use of extensions. Though any implementer can
+   * define an extension, there is a set of requirements that SHALL be met
+   * as part of the definition of the extension.
+   */
+  readonly extension?: Extension[];
+
+  /**
+   * May be used to represent additional information that is not part of
+   * the basic definition of the element and that modifies the
+   * understanding of the element in which it is contained and/or the
+   * understanding of the containing element's descendants. Usually
+   * modifier elements provide negation or qualification. To make the use
+   * of extensions safe and manageable, there is a strict set of governance
+   * applied to the definition and use of extensions. Though any
+   * implementer can define an extension, there is a set of requirements
+   * that SHALL be met as part of the definition of the extension.
+   * Applications processing a resource are required to check for modifier
+   * extensions.
+   *
+   * Modifier extensions SHALL NOT change the meaning of any elements on
+   * Resource or DomainResource (including cannot change the meaning of
+   * modifierExtension itself).
+   */
+  readonly modifierExtension?: Extension[];
+
+  /**
+   * A number to uniquely identify supporting information entries.
+   */
+  readonly sequence?: number;
+
+  /**
+   * The general class of the information supplied: information; exception;
+   * accident, employment; onset, etc.
+   */
+  readonly category?: CodeableConcept;
+
+  /**
+   * System and code pertaining to the specific information regarding
+   * special conditions relating to the setting, treatment or patient  for
+   * which care is sought.
+   */
+  readonly code?: CodeableConcept;
+
+  /**
+   * The date when or period to which this information refers.
+   */
+  readonly timingDate?: string;
+
+  /**
+   * The date when or period to which this information refers.
+   */
+  readonly timingPeriod?: Period;
+
+  /**
+   * Additional data or information such as resources, documents, images
+   * etc. including references to the data or the actual inclusion of the
+   * data.
+   */
+  readonly valueBoolean?: boolean;
+
+  /**
+   * Additional data or information such as resources, documents, images
+   * etc. including references to the data or the actual inclusion of the
+   * data.
+   */
+  readonly valueString?: string;
+
+  /**
+   * Additional data or information such as resources, documents, images
+   * etc. including references to the data or the actual inclusion of the
+   * data.
+   */
+  readonly valueQuantity?: Quantity;
+
+  /**
+   * Additional data or information such as resources, documents, images
+   * etc. including references to the data or the actual inclusion of the
+   * data.
+   */
+  readonly valueAttachment?: Attachment;
+
+  /**
+   * Additional data or information such as resources, documents, images
+   * etc. including references to the data or the actual inclusion of the
+   * data.
+   */
+  readonly valueReference?: Reference<Resource>;
+
+  /**
+   * Provides the reason in the situation where a reason code is required
+   * in addition to the content.
+   */
+  readonly reason?: Coding;
+}
+
+/**
+ * Categorized monetary totals for the adjudication.
+ */
+export interface ExplanationOfBenefitTotal {
+
+  /**
+   * Unique id for the element within a resource (for internal references).
+   * This may be any string value that does not contain spaces.
+   */
+  readonly id?: string;
+
+  /**
+   * May be used to represent additional information that is not part of
+   * the basic definition of the element. To make the use of extensions
+   * safe and manageable, there is a strict set of governance  applied to
+   * the definition and use of extensions. Though any implementer can
+   * define an extension, there is a set of requirements that SHALL be met
+   * as part of the definition of the extension.
+   */
+  readonly extension?: Extension[];
+
+  /**
+   * May be used to represent additional information that is not part of
+   * the basic definition of the element and that modifies the
+   * understanding of the element in which it is contained and/or the
+   * understanding of the containing element's descendants. Usually
+   * modifier elements provide negation or qualification. To make the use
+   * of extensions safe and manageable, there is a strict set of governance
+   * applied to the definition and use of extensions. Though any
+   * implementer can define an extension, there is a set of requirements
+   * that SHALL be met as part of the definition of the extension.
+   * Applications processing a resource are required to check for modifier
+   * extensions.
+   *
+   * Modifier extensions SHALL NOT change the meaning of any elements on
+   * Resource or DomainResource (including cannot change the meaning of
+   * modifierExtension itself).
+   */
+  readonly modifierExtension?: Extension[];
+
+  /**
+   * A code to indicate the information type of this adjudication record.
+   * Information types may include: the value submitted, maximum values or
+   * percentages allowed or payable under the plan, amounts that the
+   * patient is responsible for in aggregate or pertaining to this item,
+   * amounts paid by other coverages, and the benefit payable for this
+   * item.
+   */
+  readonly category?: CodeableConcept;
+
+  /**
+   * Monetary total amount associated with the category.
+   */
+  readonly amount?: Money;
+}