@medplum/fhirtypes 0.5.2 → 0.9.2
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.
- package/README.md +9 -3
- package/dist/AccessPolicy.d.ts +19 -13
- package/dist/Account.d.ts +30 -30
- package/dist/ActivityDefinition.d.ts +71 -71
- package/dist/Address.d.ts +12 -12
- package/dist/AdverseEvent.d.ts +41 -41
- package/dist/Age.d.ts +7 -7
- package/dist/AllergyIntolerance.d.ts +38 -38
- package/dist/Annotation.d.ts +6 -6
- package/dist/Appointment.d.ts +38 -38
- package/dist/AppointmentResponse.d.ts +16 -16
- package/dist/Attachment.d.ts +10 -10
- package/dist/AuditEvent.d.ts +62 -62
- package/dist/Basic.d.ts +13 -13
- package/dist/Binary.d.ts +8 -8
- package/dist/BiologicallyDerivedProduct.d.ts +47 -47
- package/dist/BodyStructure.d.ts +16 -16
- package/dist/Bot.d.ts +19 -8
- package/dist/Bundle.d.ts +47 -47
- package/dist/CapabilityStatement.d.ts +129 -129
- package/dist/CarePlan.d.ts +63 -63
- package/dist/CareTeam.d.ts +28 -28
- package/dist/CatalogEntry.d.ts +27 -27
- package/dist/ChargeItem.d.ts +43 -43
- package/dist/ChargeItemDefinition.d.ts +49 -49
- package/dist/Claim.d.ts +159 -159
- package/dist/ClaimResponse.d.ts +145 -145
- package/dist/ClientApplication.d.ts +8 -8
- package/dist/ClinicalImpression.d.ts +40 -40
- package/dist/CodeSystem.d.ts +74 -74
- package/dist/CodeableConcept.d.ts +4 -4
- package/dist/Coding.d.ts +7 -7
- package/dist/Communication.d.ts +37 -37
- package/dist/CommunicationRequest.d.ts +37 -37
- package/dist/CompartmentDefinition.d.ts +28 -28
- package/dist/Composition.d.ts +54 -54
- package/dist/ConceptMap.d.ts +66 -66
- package/dist/Condition.d.ts +44 -44
- package/dist/Consent.d.ts +57 -57
- package/dist/ContactDetail.d.ts +4 -4
- package/dist/ContactPoint.d.ts +7 -7
- package/dist/Contract.d.ts +202 -202
- package/dist/Contributor.d.ts +5 -5
- package/dist/Count.d.ts +7 -7
- package/dist/Coverage.d.ts +43 -43
- package/dist/CoverageEligibilityRequest.d.ts +53 -53
- package/dist/CoverageEligibilityResponse.d.ts +62 -62
- package/dist/DataRequirement.d.ts +28 -28
- package/dist/DetectedIssue.d.ts +32 -32
- package/dist/Device.d.ts +65 -65
- package/dist/DeviceDefinition.d.ts +64 -64
- package/dist/DeviceMetric.d.ts +24 -24
- package/dist/DeviceRequest.d.ts +43 -43
- package/dist/DeviceUseStatement.d.ts +23 -23
- package/dist/DiagnosticReport.d.ts +32 -32
- package/dist/Distance.d.ts +7 -7
- package/dist/DocumentManifest.d.ts +25 -25
- package/dist/DocumentReference.d.ts +44 -44
- package/dist/Dosage.d.ts +25 -25
- package/dist/Duration.d.ts +7 -7
- package/dist/EffectEvidenceSynthesis.d.ts +82 -82
- package/dist/Element.d.ts +2 -2
- package/dist/ElementDefinition.d.ts +295 -295
- package/dist/Encounter.d.ts +72 -72
- package/dist/Endpoint.d.ts +19 -19
- package/dist/EnrollmentRequest.d.ts +15 -15
- package/dist/EnrollmentResponse.d.ts +16 -16
- package/dist/EpisodeOfCare.d.ts +31 -31
- package/dist/EventDefinition.d.ts +37 -37
- package/dist/Evidence.d.ts +36 -36
- package/dist/EvidenceVariable.d.ts +53 -53
- package/dist/ExampleScenario.d.ts +85 -85
- package/dist/ExplanationOfBenefit.d.ts +272 -272
- package/dist/Expression.d.ts +7 -7
- package/dist/Extension.d.ts +53 -53
- package/dist/FamilyMemberHistory.d.ts +45 -45
- package/dist/Flag.d.ts +16 -16
- package/dist/Goal.d.ts +38 -38
- package/dist/GraphDefinition.d.ts +48 -48
- package/dist/Group.d.ts +35 -35
- package/dist/GuidanceResponse.d.ts +25 -25
- package/dist/HealthcareService.d.ts +49 -49
- package/dist/HumanName.d.ts +9 -9
- package/dist/Identifier.d.ts +8 -8
- package/dist/ImagingStudy.d.ts +55 -55
- package/dist/Immunization.d.ts +65 -65
- package/dist/ImmunizationEvaluation.d.ts +23 -23
- package/dist/ImmunizationRecommendation.d.ts +35 -35
- package/dist/ImplementationGuide.d.ts +102 -102
- package/dist/InsurancePlan.d.ts +79 -79
- package/dist/Invoice.d.ts +43 -43
- package/dist/JsonWebKey.d.ts +20 -20
- package/dist/Library.d.ts +40 -40
- package/dist/Linkage.d.ts +16 -16
- package/dist/List.d.ts +28 -28
- package/dist/Location.d.ts +38 -38
- package/dist/Login.d.ts +21 -21
- package/dist/MarketingStatus.d.ts +8 -8
- package/dist/Measure.d.ts +83 -83
- package/dist/MeasureReport.d.ts +55 -55
- package/dist/Media.d.ts +31 -31
- package/dist/Medication.d.ts +28 -28
- package/dist/MedicationAdministration.d.ts +44 -44
- package/dist/MedicationDispense.d.ts +46 -46
- package/dist/MedicationKnowledge.d.ts +121 -121
- package/dist/MedicationRequest.d.ts +63 -63
- package/dist/MedicationStatement.d.ts +27 -27
- package/dist/MedicinalProduct.d.ts +65 -65
- package/dist/MedicinalProductAuthorization.d.ts +40 -40
- package/dist/MedicinalProductContraindication.d.ts +21 -21
- package/dist/MedicinalProductIndication.d.ts +23 -23
- package/dist/MedicinalProductIngredient.d.ts +44 -44
- package/dist/MedicinalProductInteraction.d.ts +20 -20
- package/dist/MedicinalProductManufactured.d.ts +15 -15
- package/dist/MedicinalProductPackaged.d.ts +37 -37
- package/dist/MedicinalProductPharmaceutical.d.ts +41 -41
- package/dist/MedicinalProductUndesirableEffect.d.ts +13 -13
- package/dist/MessageDefinition.d.ts +45 -45
- package/dist/MessageHeader.d.ts +41 -41
- package/dist/Meta.d.ts +11 -11
- package/dist/MolecularSequence.d.ts +100 -100
- package/dist/Money.d.ts +4 -4
- package/dist/NamingSystem.d.ts +29 -29
- package/dist/Narrative.d.ts +4 -4
- package/dist/NutritionOrder.d.ts +71 -71
- package/dist/Observation.d.ts +72 -72
- package/dist/ObservationDefinition.d.ts +39 -39
- package/dist/OperationDefinition.d.ts +63 -63
- package/dist/OperationOutcome.d.ts +18 -18
- package/dist/Organization.d.ts +25 -25
- package/dist/OrganizationAffiliation.d.ts +20 -20
- package/dist/ParameterDefinition.d.ts +9 -9
- package/dist/Parameters.d.ts +61 -61
- package/dist/PasswordChangeRequest.d.ts +8 -8
- package/dist/Patient.d.ts +46 -46
- package/dist/PaymentNotice.d.ts +20 -20
- package/dist/PaymentReconciliation.d.ts +41 -41
- package/dist/Period.d.ts +4 -4
- package/dist/Person.d.ts +23 -23
- package/dist/PlanDefinition.d.ts +117 -117
- package/dist/Population.d.ts +8 -8
- package/dist/Practitioner.d.ts +25 -25
- package/dist/PractitionerRole.d.ts +34 -34
- package/dist/Procedure.d.ts +51 -51
- package/dist/ProdCharacteristic.d.ts +14 -14
- package/dist/ProductShelfLife.d.ts +7 -7
- package/dist/Project.d.ts +9 -9
- package/dist/ProjectMembership.d.ts +11 -10
- package/dist/Provenance.d.ts +32 -32
- package/dist/Quantity.d.ts +7 -7
- package/dist/Questionnaire.d.ts +89 -89
- package/dist/QuestionnaireResponse.d.ts +43 -43
- package/dist/Range.d.ts +4 -4
- package/dist/Ratio.d.ts +4 -4
- package/dist/Reference.d.ts +7 -7
- package/dist/RelatedArtifact.d.ts +9 -9
- package/dist/RelatedPerson.d.ts +25 -25
- package/dist/RequestGroup.d.ts +65 -65
- package/dist/ResearchDefinition.d.ts +43 -43
- package/dist/ResearchElementDefinition.d.ts +66 -66
- package/dist/ResearchStudy.d.ts +43 -43
- package/dist/ResearchSubject.d.ts +16 -16
- package/dist/RiskAssessment.d.ts +37 -37
- package/dist/RiskEvidenceSynthesis.d.ts +74 -74
- package/dist/SampledData.d.ts +9 -9
- package/dist/Schedule.d.ts +16 -16
- package/dist/SearchParameter.d.ts +39 -39
- package/dist/ServiceRequest.d.ts +46 -46
- package/dist/Signature.d.ts +9 -9
- package/dist/Slot.d.ts +19 -19
- package/dist/Specimen.d.ts +51 -51
- package/dist/SpecimenDefinition.d.ts +49 -49
- package/dist/StructureDefinition.d.ts +55 -55
- package/dist/StructureMap.d.ts +145 -145
- package/dist/Subscription.d.ts +22 -22
- package/dist/Substance.d.ts +27 -27
- package/dist/SubstanceAmount.d.ts +13 -13
- package/dist/SubstanceNucleicAcid.d.ts +37 -37
- package/dist/SubstancePolymer.d.ts +52 -52
- package/dist/SubstanceProtein.d.ts +23 -23
- package/dist/SubstanceReferenceInformation.d.ts +45 -45
- package/dist/SubstanceSourceMaterial.d.ts +62 -62
- package/dist/SubstanceSpecification.d.ts +121 -121
- package/dist/SupplyDelivery.d.ts +27 -27
- package/dist/SupplyRequest.d.ts +34 -34
- package/dist/Task.d.ts +153 -153
- package/dist/TerminologyCapabilities.d.ts +87 -87
- package/dist/TestReport.d.ts +66 -66
- package/dist/TestScript.d.ts +157 -157
- package/dist/Timing.d.ts +25 -25
- package/dist/TriggerDefinition.d.ts +10 -10
- package/dist/UsageContext.d.ts +7 -7
- package/dist/User.d.ts +7 -7
- package/dist/UserConfiguration.d.ts +20 -20
- package/dist/ValueSet.d.ts +90 -90
- package/dist/VerificationResult.d.ts +49 -49
- package/dist/VisionPrescription.d.ts +38 -38
- package/package.json +1 -1
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@@ -49,14 +49,14 @@ export interface ExplanationOfBenefit {
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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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id?: string;
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/**
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* The metadata about the resource. This is content that is maintained by
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* the infrastructure. Changes to the content might not always be
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* associated with version changes to the resource.
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*/
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-
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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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* 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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implicitRules?: string;
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/**
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* The base language in which the resource is written.
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*/
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language?: string;
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/**
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* A human-readable narrative that contains a summary of the resource and
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* just read the narrative. Resource definitions may define what content
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* should be represented in the narrative to ensure clinical safety.
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*/
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text?: Narrative;
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/**
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* These resources do not have an independent existence apart from the
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* resource that contains them - they cannot be identified independently,
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* and nor can they have their own independent transaction scope.
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*/
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contained?: Resource[];
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/**
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* May be used to represent additional information that is not part of
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* define an extension, there is a set of requirements that SHALL be met
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* as part of the definition of the extension.
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*/
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extension?: Extension[];
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/**
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* May be used to represent additional information that is not part of
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* Resource or DomainResource (including cannot change the meaning of
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* modifierExtension itself).
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*/
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modifierExtension?: Extension[];
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/**
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* A unique identifier assigned to this explanation of benefit.
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*/
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identifier?: Identifier[];
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/**
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* The status of the resource instance.
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*/
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status?: string;
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/**
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* The category of claim, e.g. oral, pharmacy, vision, institutional,
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* professional.
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*/
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type?: CodeableConcept;
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/**
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* A finer grained suite of claim type codes which may convey additional
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* information such as Inpatient vs Outpatient and/or a specialty
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* service.
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*/
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subType?: CodeableConcept;
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/**
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* A code to indicate whether the nature of the request is: to request
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* or requesting the non-binding adjudication of the listed products and
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* services which could be provided in the future.
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*/
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use?: string;
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/**
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* The party to whom the professional services and/or products have been
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* supplied or are being considered and for whom actual for forecast
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* reimbursement is sought.
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*/
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patient?: Reference<Patient>;
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/**
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* The period for which charges are being submitted.
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*/
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billablePeriod?: Period;
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* The date this resource was created.
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created?: string;
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* Individual who created the claim, predetermination or
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* preauthorization.
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*/
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enterer?: Reference<Practitioner | PractitionerRole>;
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* The party responsible for authorization, adjudication and
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* reimbursement.
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*/
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insurer?: Reference<Organization>;
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* The provider which is responsible for the claim, predetermination or
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* preauthorization.
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provider?: Reference<Practitioner | PractitionerRole | Organization>;
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/**
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* The provider-required urgency of processing the request. Typical
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* values include: stat, routine deferred.
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*/
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priority?: CodeableConcept;
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* future claims.
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* A code, used only on a response to a preauthorization, to indicate
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/**
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* Other claims which are related to this claim such as prior submissions
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* Prescription to support the dispensing of pharmacy, device or vision
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* products.
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251
|
/**
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252
252
|
* The outcome of the claim, predetermination, or preauthorization
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253
253
|
* processing.
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254
254
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*/
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255
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-
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+
outcome?: string;
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256
256
|
|
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257
257
|
/**
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258
|
* A human readable description of the status of the adjudication.
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259
259
|
*/
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260
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-
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260
|
+
disposition?: string;
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261
261
|
|
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262
262
|
/**
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263
263
|
* Reference from the Insurer which is used in later communications which
|
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264
264
|
* refers to this adjudication.
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265
265
|
*/
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266
|
-
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|
+
preAuthRef?: string[];
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267
|
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268
268
|
/**
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269
269
|
* The timeframe during which the supplied preauthorization reference may
|
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270
270
|
* be quoted on claims to obtain the adjudication as provided.
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271
271
|
*/
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272
|
-
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|
+
preAuthRefPeriod?: Period[];
|
|
273
273
|
|
|
274
274
|
/**
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275
|
* The members of the team who provided the products and services.
|
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276
276
|
*/
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277
|
-
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|
+
careTeam?: ExplanationOfBenefitCareTeam[];
|
|
278
278
|
|
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279
279
|
/**
|
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280
280
|
* Additional information codes regarding exceptions, special
|
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281
281
|
* considerations, the condition, situation, prior or concurrent issues.
|
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282
282
|
*/
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283
|
-
|
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283
|
+
supportingInfo?: ExplanationOfBenefitSupportingInfo[];
|
|
284
284
|
|
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285
285
|
/**
|
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286
286
|
* Information about diagnoses relevant to the claim items.
|
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287
287
|
*/
|
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288
|
-
|
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288
|
+
diagnosis?: ExplanationOfBenefitDiagnosis[];
|
|
289
289
|
|
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290
290
|
/**
|
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291
291
|
* Procedures performed on the patient relevant to the billing items with
|
|
292
292
|
* the claim.
|
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293
293
|
*/
|
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294
|
-
|
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294
|
+
procedure?: ExplanationOfBenefitProcedure[];
|
|
295
295
|
|
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296
296
|
/**
|
|
297
297
|
* This indicates the relative order of a series of EOBs related to
|
|
298
298
|
* different coverages for the same suite of services.
|
|
299
299
|
*/
|
|
300
|
-
|
|
300
|
+
precedence?: number;
|
|
301
301
|
|
|
302
302
|
/**
|
|
303
303
|
* Financial instruments for reimbursement for the health care products
|
|
304
304
|
* and services specified on the claim.
|
|
305
305
|
*/
|
|
306
|
-
|
|
306
|
+
insurance?: ExplanationOfBenefitInsurance[];
|
|
307
307
|
|
|
308
308
|
/**
|
|
309
309
|
* Details of a accident which resulted in injuries which required the
|
|
310
310
|
* products and services listed in the claim.
|
|
311
311
|
*/
|
|
312
|
-
|
|
312
|
+
accident?: ExplanationOfBenefitAccident;
|
|
313
313
|
|
|
314
314
|
/**
|
|
315
315
|
* A claim line. Either a simple (a product or service) or a 'group' of
|
|
316
316
|
* details which can also be a simple items or groups of sub-details.
|
|
317
317
|
*/
|
|
318
|
-
|
|
318
|
+
item?: ExplanationOfBenefitItem[];
|
|
319
319
|
|
|
320
320
|
/**
|
|
321
321
|
* The first-tier service adjudications for payor added product or
|
|
322
322
|
* service lines.
|
|
323
323
|
*/
|
|
324
|
-
|
|
324
|
+
addItem?: ExplanationOfBenefitAddItem[];
|
|
325
325
|
|
|
326
326
|
/**
|
|
327
327
|
* The adjudication results which are presented at the header level
|
|
328
328
|
* rather than at the line-item or add-item levels.
|
|
329
329
|
*/
|
|
330
|
-
|
|
330
|
+
adjudication?: ExplanationOfBenefitItemAdjudication[];
|
|
331
331
|
|
|
332
332
|
/**
|
|
333
333
|
* Categorized monetary totals for the adjudication.
|
|
334
334
|
*/
|
|
335
|
-
|
|
335
|
+
total?: ExplanationOfBenefitTotal[];
|
|
336
336
|
|
|
337
337
|
/**
|
|
338
338
|
* Payment details for the adjudication of the claim.
|
|
339
339
|
*/
|
|
340
|
-
|
|
340
|
+
payment?: ExplanationOfBenefitPayment;
|
|
341
341
|
|
|
342
342
|
/**
|
|
343
343
|
* A code for the form to be used for printing the content.
|
|
344
344
|
*/
|
|
345
|
-
|
|
345
|
+
formCode?: CodeableConcept;
|
|
346
346
|
|
|
347
347
|
/**
|
|
348
348
|
* The actual form, by reference or inclusion, for printing the content
|
|
349
349
|
* or an EOB.
|
|
350
350
|
*/
|
|
351
|
-
|
|
351
|
+
form?: Attachment;
|
|
352
352
|
|
|
353
353
|
/**
|
|
354
354
|
* A note that describes or explains adjudication results in a human
|
|
355
355
|
* readable form.
|
|
356
356
|
*/
|
|
357
|
-
|
|
357
|
+
processNote?: ExplanationOfBenefitProcessNote[];
|
|
358
358
|
|
|
359
359
|
/**
|
|
360
360
|
* The term of the benefits documented in this response.
|
|
361
361
|
*/
|
|
362
|
-
|
|
362
|
+
benefitPeriod?: Period;
|
|
363
363
|
|
|
364
364
|
/**
|
|
365
365
|
* Balance by Benefit Category.
|
|
366
366
|
*/
|
|
367
|
-
|
|
367
|
+
benefitBalance?: ExplanationOfBenefitBenefitBalance[];
|
|
368
368
|
}
|
|
369
369
|
|
|
370
370
|
/**
|
|
@@ -377,7 +377,7 @@ export interface ExplanationOfBenefitAccident {
|
|
|
377
377
|
* Unique id for the element within a resource (for internal references).
|
|
378
378
|
* This may be any string value that does not contain spaces.
|
|
379
379
|
*/
|
|
380
|
-
|
|
380
|
+
id?: string;
|
|
381
381
|
|
|
382
382
|
/**
|
|
383
383
|
* May be used to represent additional information that is not part of
|
|
@@ -387,7 +387,7 @@ export interface ExplanationOfBenefitAccident {
|
|
|
387
387
|
* define an extension, there is a set of requirements that SHALL be met
|
|
388
388
|
* as part of the definition of the extension.
|
|
389
389
|
*/
|
|
390
|
-
|
|
390
|
+
extension?: Extension[];
|
|
391
391
|
|
|
392
392
|
/**
|
|
393
393
|
* May be used to represent additional information that is not part of
|
|
@@ -406,30 +406,30 @@ export interface ExplanationOfBenefitAccident {
|
|
|
406
406
|
* Resource or DomainResource (including cannot change the meaning of
|
|
407
407
|
* modifierExtension itself).
|
|
408
408
|
*/
|
|
409
|
-
|
|
409
|
+
modifierExtension?: Extension[];
|
|
410
410
|
|
|
411
411
|
/**
|
|
412
412
|
* Date of an accident event related to the products and services
|
|
413
413
|
* contained in the claim.
|
|
414
414
|
*/
|
|
415
|
-
|
|
415
|
+
date?: string;
|
|
416
416
|
|
|
417
417
|
/**
|
|
418
418
|
* The type or context of the accident event for the purposes of
|
|
419
419
|
* selection of potential insurance coverages and determination of
|
|
420
420
|
* coordination between insurers.
|
|
421
421
|
*/
|
|
422
|
-
|
|
422
|
+
type?: CodeableConcept;
|
|
423
423
|
|
|
424
424
|
/**
|
|
425
425
|
* The physical location of the accident event.
|
|
426
426
|
*/
|
|
427
|
-
|
|
427
|
+
locationAddress?: Address;
|
|
428
428
|
|
|
429
429
|
/**
|
|
430
430
|
* The physical location of the accident event.
|
|
431
431
|
*/
|
|
432
|
-
|
|
432
|
+
locationReference?: Reference<Location>;
|
|
433
433
|
}
|
|
434
434
|
|
|
435
435
|
/**
|
|
@@ -442,7 +442,7 @@ export interface ExplanationOfBenefitAddItem {
|
|
|
442
442
|
* Unique id for the element within a resource (for internal references).
|
|
443
443
|
* This may be any string value that does not contain spaces.
|
|
444
444
|
*/
|
|
445
|
-
|
|
445
|
+
id?: string;
|
|
446
446
|
|
|
447
447
|
/**
|
|
448
448
|
* May be used to represent additional information that is not part of
|
|
@@ -452,7 +452,7 @@ export interface ExplanationOfBenefitAddItem {
|
|
|
452
452
|
* define an extension, there is a set of requirements that SHALL be met
|
|
453
453
|
* as part of the definition of the extension.
|
|
454
454
|
*/
|
|
455
|
-
|
|
455
|
+
extension?: Extension[];
|
|
456
456
|
|
|
457
457
|
/**
|
|
458
458
|
* May be used to represent additional information that is not part of
|
|
@@ -471,87 +471,87 @@ export interface ExplanationOfBenefitAddItem {
|
|
|
471
471
|
* Resource or DomainResource (including cannot change the meaning of
|
|
472
472
|
* modifierExtension itself).
|
|
473
473
|
*/
|
|
474
|
-
|
|
474
|
+
modifierExtension?: Extension[];
|
|
475
475
|
|
|
476
476
|
/**
|
|
477
477
|
* Claim items which this service line is intended to replace.
|
|
478
478
|
*/
|
|
479
|
-
|
|
479
|
+
itemSequence?: number[];
|
|
480
480
|
|
|
481
481
|
/**
|
|
482
482
|
* The sequence number of the details within the claim item which this
|
|
483
483
|
* line is intended to replace.
|
|
484
484
|
*/
|
|
485
|
-
|
|
485
|
+
detailSequence?: number[];
|
|
486
486
|
|
|
487
487
|
/**
|
|
488
488
|
* The sequence number of the sub-details woithin the details within the
|
|
489
489
|
* claim item which this line is intended to replace.
|
|
490
490
|
*/
|
|
491
|
-
|
|
491
|
+
subDetailSequence?: number[];
|
|
492
492
|
|
|
493
493
|
/**
|
|
494
494
|
* The providers who are authorized for the services rendered to the
|
|
495
495
|
* patient.
|
|
496
496
|
*/
|
|
497
|
-
|
|
497
|
+
provider?: Reference<Practitioner | PractitionerRole | Organization>[];
|
|
498
498
|
|
|
499
499
|
/**
|
|
500
500
|
* When the value is a group code then this item collects a set of
|
|
501
501
|
* related claim details, otherwise this contains the product, service,
|
|
502
502
|
* drug or other billing code for the item.
|
|
503
503
|
*/
|
|
504
|
-
|
|
504
|
+
productOrService?: CodeableConcept;
|
|
505
505
|
|
|
506
506
|
/**
|
|
507
507
|
* Item typification or modifiers codes to convey additional context for
|
|
508
508
|
* the product or service.
|
|
509
509
|
*/
|
|
510
|
-
|
|
510
|
+
modifier?: CodeableConcept[];
|
|
511
511
|
|
|
512
512
|
/**
|
|
513
513
|
* Identifies the program under which this may be recovered.
|
|
514
514
|
*/
|
|
515
|
-
|
|
515
|
+
programCode?: CodeableConcept[];
|
|
516
516
|
|
|
517
517
|
/**
|
|
518
518
|
* The date or dates when the service or product was supplied, performed
|
|
519
519
|
* or completed.
|
|
520
520
|
*/
|
|
521
|
-
|
|
521
|
+
servicedDate?: string;
|
|
522
522
|
|
|
523
523
|
/**
|
|
524
524
|
* The date or dates when the service or product was supplied, performed
|
|
525
525
|
* or completed.
|
|
526
526
|
*/
|
|
527
|
-
|
|
527
|
+
servicedPeriod?: Period;
|
|
528
528
|
|
|
529
529
|
/**
|
|
530
530
|
* Where the product or service was provided.
|
|
531
531
|
*/
|
|
532
|
-
|
|
532
|
+
locationCodeableConcept?: CodeableConcept;
|
|
533
533
|
|
|
534
534
|
/**
|
|
535
535
|
* Where the product or service was provided.
|
|
536
536
|
*/
|
|
537
|
-
|
|
537
|
+
locationAddress?: Address;
|
|
538
538
|
|
|
539
539
|
/**
|
|
540
540
|
* Where the product or service was provided.
|
|
541
541
|
*/
|
|
542
|
-
|
|
542
|
+
locationReference?: Reference<Location>;
|
|
543
543
|
|
|
544
544
|
/**
|
|
545
545
|
* The number of repetitions of a service or product.
|
|
546
546
|
*/
|
|
547
|
-
|
|
547
|
+
quantity?: Quantity;
|
|
548
548
|
|
|
549
549
|
/**
|
|
550
550
|
* If the item is not a group then this is the fee for the product or
|
|
551
551
|
* service, otherwise this is the total of the fees for the details of
|
|
552
552
|
* the group.
|
|
553
553
|
*/
|
|
554
|
-
|
|
554
|
+
unitPrice?: Money;
|
|
555
555
|
|
|
556
556
|
/**
|
|
557
557
|
* A real number that represents a multiplier used in determining the
|
|
@@ -559,40 +559,40 @@ export interface ExplanationOfBenefitAddItem {
|
|
|
559
559
|
* of a Factor allows for a discount or surcharge multiplier to be
|
|
560
560
|
* applied to a monetary amount.
|
|
561
561
|
*/
|
|
562
|
-
|
|
562
|
+
factor?: number;
|
|
563
563
|
|
|
564
564
|
/**
|
|
565
565
|
* The quantity times the unit price for an additional service or product
|
|
566
566
|
* or charge.
|
|
567
567
|
*/
|
|
568
|
-
|
|
568
|
+
net?: Money;
|
|
569
569
|
|
|
570
570
|
/**
|
|
571
571
|
* Physical service site on the patient (limb, tooth, etc.).
|
|
572
572
|
*/
|
|
573
|
-
|
|
573
|
+
bodySite?: CodeableConcept;
|
|
574
574
|
|
|
575
575
|
/**
|
|
576
576
|
* A region or surface of the bodySite, e.g. limb region or tooth
|
|
577
577
|
* surface(s).
|
|
578
578
|
*/
|
|
579
|
-
|
|
579
|
+
subSite?: CodeableConcept[];
|
|
580
580
|
|
|
581
581
|
/**
|
|
582
582
|
* The numbers associated with notes below which apply to the
|
|
583
583
|
* adjudication of this item.
|
|
584
584
|
*/
|
|
585
|
-
|
|
585
|
+
noteNumber?: number[];
|
|
586
586
|
|
|
587
587
|
/**
|
|
588
588
|
* The adjudication results.
|
|
589
589
|
*/
|
|
590
|
-
|
|
590
|
+
adjudication?: ExplanationOfBenefitItemAdjudication[];
|
|
591
591
|
|
|
592
592
|
/**
|
|
593
593
|
* The second-tier service adjudications for payor added services.
|
|
594
594
|
*/
|
|
595
|
-
|
|
595
|
+
detail?: ExplanationOfBenefitAddItemDetail[];
|
|
596
596
|
}
|
|
597
597
|
|
|
598
598
|
/**
|
|
@@ -604,7 +604,7 @@ export interface ExplanationOfBenefitAddItemDetail {
|
|
|
604
604
|
* Unique id for the element within a resource (for internal references).
|
|
605
605
|
* This may be any string value that does not contain spaces.
|
|
606
606
|
*/
|
|
607
|
-
|
|
607
|
+
id?: string;
|
|
608
608
|
|
|
609
609
|
/**
|
|
610
610
|
* May be used to represent additional information that is not part of
|
|
@@ -614,7 +614,7 @@ export interface ExplanationOfBenefitAddItemDetail {
|
|
|
614
614
|
* define an extension, there is a set of requirements that SHALL be met
|
|
615
615
|
* as part of the definition of the extension.
|
|
616
616
|
*/
|
|
617
|
-
|
|
617
|
+
extension?: Extension[];
|
|
618
618
|
|
|
619
619
|
/**
|
|
620
620
|
* May be used to represent additional information that is not part of
|
|
@@ -633,32 +633,32 @@ export interface ExplanationOfBenefitAddItemDetail {
|
|
|
633
633
|
* Resource or DomainResource (including cannot change the meaning of
|
|
634
634
|
* modifierExtension itself).
|
|
635
635
|
*/
|
|
636
|
-
|
|
636
|
+
modifierExtension?: Extension[];
|
|
637
637
|
|
|
638
638
|
/**
|
|
639
639
|
* When the value is a group code then this item collects a set of
|
|
640
640
|
* related claim details, otherwise this contains the product, service,
|
|
641
641
|
* drug or other billing code for the item.
|
|
642
642
|
*/
|
|
643
|
-
|
|
643
|
+
productOrService?: CodeableConcept;
|
|
644
644
|
|
|
645
645
|
/**
|
|
646
646
|
* Item typification or modifiers codes to convey additional context for
|
|
647
647
|
* the product or service.
|
|
648
648
|
*/
|
|
649
|
-
|
|
649
|
+
modifier?: CodeableConcept[];
|
|
650
650
|
|
|
651
651
|
/**
|
|
652
652
|
* The number of repetitions of a service or product.
|
|
653
653
|
*/
|
|
654
|
-
|
|
654
|
+
quantity?: Quantity;
|
|
655
655
|
|
|
656
656
|
/**
|
|
657
657
|
* If the item is not a group then this is the fee for the product or
|
|
658
658
|
* service, otherwise this is the total of the fees for the details of
|
|
659
659
|
* the group.
|
|
660
660
|
*/
|
|
661
|
-
|
|
661
|
+
unitPrice?: Money;
|
|
662
662
|
|
|
663
663
|
/**
|
|
664
664
|
* A real number that represents a multiplier used in determining the
|
|
@@ -666,29 +666,29 @@ export interface ExplanationOfBenefitAddItemDetail {
|
|
|
666
666
|
* of a Factor allows for a discount or surcharge multiplier to be
|
|
667
667
|
* applied to a monetary amount.
|
|
668
668
|
*/
|
|
669
|
-
|
|
669
|
+
factor?: number;
|
|
670
670
|
|
|
671
671
|
/**
|
|
672
672
|
* The quantity times the unit price for an additional service or product
|
|
673
673
|
* or charge.
|
|
674
674
|
*/
|
|
675
|
-
|
|
675
|
+
net?: Money;
|
|
676
676
|
|
|
677
677
|
/**
|
|
678
678
|
* The numbers associated with notes below which apply to the
|
|
679
679
|
* adjudication of this item.
|
|
680
680
|
*/
|
|
681
|
-
|
|
681
|
+
noteNumber?: number[];
|
|
682
682
|
|
|
683
683
|
/**
|
|
684
684
|
* The adjudication results.
|
|
685
685
|
*/
|
|
686
|
-
|
|
686
|
+
adjudication?: ExplanationOfBenefitItemAdjudication[];
|
|
687
687
|
|
|
688
688
|
/**
|
|
689
689
|
* The third-tier service adjudications for payor added services.
|
|
690
690
|
*/
|
|
691
|
-
|
|
691
|
+
subDetail?: ExplanationOfBenefitAddItemDetailSubDetail[];
|
|
692
692
|
}
|
|
693
693
|
|
|
694
694
|
/**
|
|
@@ -700,7 +700,7 @@ export interface ExplanationOfBenefitAddItemDetailSubDetail {
|
|
|
700
700
|
* Unique id for the element within a resource (for internal references).
|
|
701
701
|
* This may be any string value that does not contain spaces.
|
|
702
702
|
*/
|
|
703
|
-
|
|
703
|
+
id?: string;
|
|
704
704
|
|
|
705
705
|
/**
|
|
706
706
|
* May be used to represent additional information that is not part of
|
|
@@ -710,7 +710,7 @@ export interface ExplanationOfBenefitAddItemDetailSubDetail {
|
|
|
710
710
|
* define an extension, there is a set of requirements that SHALL be met
|
|
711
711
|
* as part of the definition of the extension.
|
|
712
712
|
*/
|
|
713
|
-
|
|
713
|
+
extension?: Extension[];
|
|
714
714
|
|
|
715
715
|
/**
|
|
716
716
|
* May be used to represent additional information that is not part of
|
|
@@ -729,32 +729,32 @@ export interface ExplanationOfBenefitAddItemDetailSubDetail {
|
|
|
729
729
|
* Resource or DomainResource (including cannot change the meaning of
|
|
730
730
|
* modifierExtension itself).
|
|
731
731
|
*/
|
|
732
|
-
|
|
732
|
+
modifierExtension?: Extension[];
|
|
733
733
|
|
|
734
734
|
/**
|
|
735
735
|
* When the value is a group code then this item collects a set of
|
|
736
736
|
* related claim details, otherwise this contains the product, service,
|
|
737
737
|
* drug or other billing code for the item.
|
|
738
738
|
*/
|
|
739
|
-
|
|
739
|
+
productOrService?: CodeableConcept;
|
|
740
740
|
|
|
741
741
|
/**
|
|
742
742
|
* Item typification or modifiers codes to convey additional context for
|
|
743
743
|
* the product or service.
|
|
744
744
|
*/
|
|
745
|
-
|
|
745
|
+
modifier?: CodeableConcept[];
|
|
746
746
|
|
|
747
747
|
/**
|
|
748
748
|
* The number of repetitions of a service or product.
|
|
749
749
|
*/
|
|
750
|
-
|
|
750
|
+
quantity?: Quantity;
|
|
751
751
|
|
|
752
752
|
/**
|
|
753
753
|
* If the item is not a group then this is the fee for the product or
|
|
754
754
|
* service, otherwise this is the total of the fees for the details of
|
|
755
755
|
* the group.
|
|
756
756
|
*/
|
|
757
|
-
|
|
757
|
+
unitPrice?: Money;
|
|
758
758
|
|
|
759
759
|
/**
|
|
760
760
|
* A real number that represents a multiplier used in determining the
|
|
@@ -762,24 +762,24 @@ export interface ExplanationOfBenefitAddItemDetailSubDetail {
|
|
|
762
762
|
* of a Factor allows for a discount or surcharge multiplier to be
|
|
763
763
|
* applied to a monetary amount.
|
|
764
764
|
*/
|
|
765
|
-
|
|
765
|
+
factor?: number;
|
|
766
766
|
|
|
767
767
|
/**
|
|
768
768
|
* The quantity times the unit price for an additional service or product
|
|
769
769
|
* or charge.
|
|
770
770
|
*/
|
|
771
|
-
|
|
771
|
+
net?: Money;
|
|
772
772
|
|
|
773
773
|
/**
|
|
774
774
|
* The numbers associated with notes below which apply to the
|
|
775
775
|
* adjudication of this item.
|
|
776
776
|
*/
|
|
777
|
-
|
|
777
|
+
noteNumber?: number[];
|
|
778
778
|
|
|
779
779
|
/**
|
|
780
780
|
* The adjudication results.
|
|
781
781
|
*/
|
|
782
|
-
|
|
782
|
+
adjudication?: ExplanationOfBenefitItemAdjudication[];
|
|
783
783
|
}
|
|
784
784
|
|
|
785
785
|
/**
|
|
@@ -791,7 +791,7 @@ export interface ExplanationOfBenefitBenefitBalance {
|
|
|
791
791
|
* Unique id for the element within a resource (for internal references).
|
|
792
792
|
* This may be any string value that does not contain spaces.
|
|
793
793
|
*/
|
|
794
|
-
|
|
794
|
+
id?: string;
|
|
795
795
|
|
|
796
796
|
/**
|
|
797
797
|
* May be used to represent additional information that is not part of
|
|
@@ -801,7 +801,7 @@ export interface ExplanationOfBenefitBenefitBalance {
|
|
|
801
801
|
* define an extension, there is a set of requirements that SHALL be met
|
|
802
802
|
* as part of the definition of the extension.
|
|
803
803
|
*/
|
|
804
|
-
|
|
804
|
+
extension?: Extension[];
|
|
805
805
|
|
|
806
806
|
/**
|
|
807
807
|
* May be used to represent additional information that is not part of
|
|
@@ -820,52 +820,52 @@ export interface ExplanationOfBenefitBenefitBalance {
|
|
|
820
820
|
* Resource or DomainResource (including cannot change the meaning of
|
|
821
821
|
* modifierExtension itself).
|
|
822
822
|
*/
|
|
823
|
-
|
|
823
|
+
modifierExtension?: Extension[];
|
|
824
824
|
|
|
825
825
|
/**
|
|
826
826
|
* Code to identify the general type of benefits under which products and
|
|
827
827
|
* services are provided.
|
|
828
828
|
*/
|
|
829
|
-
|
|
829
|
+
category?: CodeableConcept;
|
|
830
830
|
|
|
831
831
|
/**
|
|
832
832
|
* True if the indicated class of service is excluded from the plan,
|
|
833
833
|
* missing or False indicates the product or service is included in the
|
|
834
834
|
* coverage.
|
|
835
835
|
*/
|
|
836
|
-
|
|
836
|
+
excluded?: boolean;
|
|
837
837
|
|
|
838
838
|
/**
|
|
839
839
|
* A short name or tag for the benefit.
|
|
840
840
|
*/
|
|
841
|
-
|
|
841
|
+
name?: string;
|
|
842
842
|
|
|
843
843
|
/**
|
|
844
844
|
* A richer description of the benefit or services covered.
|
|
845
845
|
*/
|
|
846
|
-
|
|
846
|
+
description?: string;
|
|
847
847
|
|
|
848
848
|
/**
|
|
849
849
|
* Is a flag to indicate whether the benefits refer to in-network
|
|
850
850
|
* providers or out-of-network providers.
|
|
851
851
|
*/
|
|
852
|
-
|
|
852
|
+
network?: CodeableConcept;
|
|
853
853
|
|
|
854
854
|
/**
|
|
855
855
|
* Indicates if the benefits apply to an individual or to the family.
|
|
856
856
|
*/
|
|
857
|
-
|
|
857
|
+
unit?: CodeableConcept;
|
|
858
858
|
|
|
859
859
|
/**
|
|
860
860
|
* The term or period of the values such as 'maximum lifetime benefit' or
|
|
861
861
|
* 'maximum annual visits'.
|
|
862
862
|
*/
|
|
863
|
-
|
|
863
|
+
term?: CodeableConcept;
|
|
864
864
|
|
|
865
865
|
/**
|
|
866
866
|
* Benefits Used to date.
|
|
867
867
|
*/
|
|
868
|
-
|
|
868
|
+
financial?: ExplanationOfBenefitBenefitBalanceFinancial[];
|
|
869
869
|
}
|
|
870
870
|
|
|
871
871
|
/**
|
|
@@ -877,7 +877,7 @@ export interface ExplanationOfBenefitBenefitBalanceFinancial {
|
|
|
877
877
|
* Unique id for the element within a resource (for internal references).
|
|
878
878
|
* This may be any string value that does not contain spaces.
|
|
879
879
|
*/
|
|
880
|
-
|
|
880
|
+
id?: string;
|
|
881
881
|
|
|
882
882
|
/**
|
|
883
883
|
* May be used to represent additional information that is not part of
|
|
@@ -887,7 +887,7 @@ export interface ExplanationOfBenefitBenefitBalanceFinancial {
|
|
|
887
887
|
* define an extension, there is a set of requirements that SHALL be met
|
|
888
888
|
* as part of the definition of the extension.
|
|
889
889
|
*/
|
|
890
|
-
|
|
890
|
+
extension?: Extension[];
|
|
891
891
|
|
|
892
892
|
/**
|
|
893
893
|
* May be used to represent additional information that is not part of
|
|
@@ -906,37 +906,37 @@ export interface ExplanationOfBenefitBenefitBalanceFinancial {
|
|
|
906
906
|
* Resource or DomainResource (including cannot change the meaning of
|
|
907
907
|
* modifierExtension itself).
|
|
908
908
|
*/
|
|
909
|
-
|
|
909
|
+
modifierExtension?: Extension[];
|
|
910
910
|
|
|
911
911
|
/**
|
|
912
912
|
* Classification of benefit being provided.
|
|
913
913
|
*/
|
|
914
|
-
|
|
914
|
+
type?: CodeableConcept;
|
|
915
915
|
|
|
916
916
|
/**
|
|
917
917
|
* The quantity of the benefit which is permitted under the coverage.
|
|
918
918
|
*/
|
|
919
|
-
|
|
919
|
+
allowedUnsignedInt?: number;
|
|
920
920
|
|
|
921
921
|
/**
|
|
922
922
|
* The quantity of the benefit which is permitted under the coverage.
|
|
923
923
|
*/
|
|
924
|
-
|
|
924
|
+
allowedString?: string;
|
|
925
925
|
|
|
926
926
|
/**
|
|
927
927
|
* The quantity of the benefit which is permitted under the coverage.
|
|
928
928
|
*/
|
|
929
|
-
|
|
929
|
+
allowedMoney?: Money;
|
|
930
930
|
|
|
931
931
|
/**
|
|
932
932
|
* The quantity of the benefit which have been consumed to date.
|
|
933
933
|
*/
|
|
934
|
-
|
|
934
|
+
usedUnsignedInt?: number;
|
|
935
935
|
|
|
936
936
|
/**
|
|
937
937
|
* The quantity of the benefit which have been consumed to date.
|
|
938
938
|
*/
|
|
939
|
-
|
|
939
|
+
usedMoney?: Money;
|
|
940
940
|
}
|
|
941
941
|
|
|
942
942
|
/**
|
|
@@ -948,7 +948,7 @@ export interface ExplanationOfBenefitCareTeam {
|
|
|
948
948
|
* Unique id for the element within a resource (for internal references).
|
|
949
949
|
* This may be any string value that does not contain spaces.
|
|
950
950
|
*/
|
|
951
|
-
|
|
951
|
+
id?: string;
|
|
952
952
|
|
|
953
953
|
/**
|
|
954
954
|
* May be used to represent additional information that is not part of
|
|
@@ -958,7 +958,7 @@ export interface ExplanationOfBenefitCareTeam {
|
|
|
958
958
|
* define an extension, there is a set of requirements that SHALL be met
|
|
959
959
|
* as part of the definition of the extension.
|
|
960
960
|
*/
|
|
961
|
-
|
|
961
|
+
extension?: Extension[];
|
|
962
962
|
|
|
963
963
|
/**
|
|
964
964
|
* May be used to represent additional information that is not part of
|
|
@@ -977,35 +977,35 @@ export interface ExplanationOfBenefitCareTeam {
|
|
|
977
977
|
* Resource or DomainResource (including cannot change the meaning of
|
|
978
978
|
* modifierExtension itself).
|
|
979
979
|
*/
|
|
980
|
-
|
|
980
|
+
modifierExtension?: Extension[];
|
|
981
981
|
|
|
982
982
|
/**
|
|
983
983
|
* A number to uniquely identify care team entries.
|
|
984
984
|
*/
|
|
985
|
-
|
|
985
|
+
sequence?: number;
|
|
986
986
|
|
|
987
987
|
/**
|
|
988
988
|
* Member of the team who provided the product or service.
|
|
989
989
|
*/
|
|
990
|
-
|
|
990
|
+
provider?: Reference<Practitioner | PractitionerRole | Organization>;
|
|
991
991
|
|
|
992
992
|
/**
|
|
993
993
|
* The party who is billing and/or responsible for the claimed products
|
|
994
994
|
* or services.
|
|
995
995
|
*/
|
|
996
|
-
|
|
996
|
+
responsible?: boolean;
|
|
997
997
|
|
|
998
998
|
/**
|
|
999
999
|
* The lead, assisting or supervising practitioner and their discipline
|
|
1000
1000
|
* if a multidisciplinary team.
|
|
1001
1001
|
*/
|
|
1002
|
-
|
|
1002
|
+
role?: CodeableConcept;
|
|
1003
1003
|
|
|
1004
1004
|
/**
|
|
1005
1005
|
* The qualification of the practitioner which is applicable for this
|
|
1006
1006
|
* service.
|
|
1007
1007
|
*/
|
|
1008
|
-
|
|
1008
|
+
qualification?: CodeableConcept;
|
|
1009
1009
|
}
|
|
1010
1010
|
|
|
1011
1011
|
/**
|
|
@@ -1017,7 +1017,7 @@ export interface ExplanationOfBenefitDiagnosis {
|
|
|
1017
1017
|
* Unique id for the element within a resource (for internal references).
|
|
1018
1018
|
* This may be any string value that does not contain spaces.
|
|
1019
1019
|
*/
|
|
1020
|
-
|
|
1020
|
+
id?: string;
|
|
1021
1021
|
|
|
1022
1022
|
/**
|
|
1023
1023
|
* May be used to represent additional information that is not part of
|
|
@@ -1027,7 +1027,7 @@ export interface ExplanationOfBenefitDiagnosis {
|
|
|
1027
1027
|
* define an extension, there is a set of requirements that SHALL be met
|
|
1028
1028
|
* as part of the definition of the extension.
|
|
1029
1029
|
*/
|
|
1030
|
-
|
|
1030
|
+
extension?: Extension[];
|
|
1031
1031
|
|
|
1032
1032
|
/**
|
|
1033
1033
|
* May be used to represent additional information that is not part of
|
|
@@ -1046,42 +1046,42 @@ export interface ExplanationOfBenefitDiagnosis {
|
|
|
1046
1046
|
* Resource or DomainResource (including cannot change the meaning of
|
|
1047
1047
|
* modifierExtension itself).
|
|
1048
1048
|
*/
|
|
1049
|
-
|
|
1049
|
+
modifierExtension?: Extension[];
|
|
1050
1050
|
|
|
1051
1051
|
/**
|
|
1052
1052
|
* A number to uniquely identify diagnosis entries.
|
|
1053
1053
|
*/
|
|
1054
|
-
|
|
1054
|
+
sequence?: number;
|
|
1055
1055
|
|
|
1056
1056
|
/**
|
|
1057
1057
|
* The nature of illness or problem in a coded form or as a reference to
|
|
1058
1058
|
* an external defined Condition.
|
|
1059
1059
|
*/
|
|
1060
|
-
|
|
1060
|
+
diagnosisCodeableConcept?: CodeableConcept;
|
|
1061
1061
|
|
|
1062
1062
|
/**
|
|
1063
1063
|
* The nature of illness or problem in a coded form or as a reference to
|
|
1064
1064
|
* an external defined Condition.
|
|
1065
1065
|
*/
|
|
1066
|
-
|
|
1066
|
+
diagnosisReference?: Reference<Condition>;
|
|
1067
1067
|
|
|
1068
1068
|
/**
|
|
1069
1069
|
* When the condition was observed or the relative ranking.
|
|
1070
1070
|
*/
|
|
1071
|
-
|
|
1071
|
+
type?: CodeableConcept[];
|
|
1072
1072
|
|
|
1073
1073
|
/**
|
|
1074
1074
|
* Indication of whether the diagnosis was present on admission to a
|
|
1075
1075
|
* facility.
|
|
1076
1076
|
*/
|
|
1077
|
-
|
|
1077
|
+
onAdmission?: CodeableConcept;
|
|
1078
1078
|
|
|
1079
1079
|
/**
|
|
1080
1080
|
* A package billing code or bundle code used to group products and
|
|
1081
1081
|
* services to a particular health condition (such as heart attack) which
|
|
1082
1082
|
* is based on a predetermined grouping code system.
|
|
1083
1083
|
*/
|
|
1084
|
-
|
|
1084
|
+
packageCode?: CodeableConcept;
|
|
1085
1085
|
}
|
|
1086
1086
|
|
|
1087
1087
|
/**
|
|
@@ -1094,7 +1094,7 @@ export interface ExplanationOfBenefitInsurance {
|
|
|
1094
1094
|
* Unique id for the element within a resource (for internal references).
|
|
1095
1095
|
* This may be any string value that does not contain spaces.
|
|
1096
1096
|
*/
|
|
1097
|
-
|
|
1097
|
+
id?: string;
|
|
1098
1098
|
|
|
1099
1099
|
/**
|
|
1100
1100
|
* May be used to represent additional information that is not part of
|
|
@@ -1104,7 +1104,7 @@ export interface ExplanationOfBenefitInsurance {
|
|
|
1104
1104
|
* define an extension, there is a set of requirements that SHALL be met
|
|
1105
1105
|
* as part of the definition of the extension.
|
|
1106
1106
|
*/
|
|
1107
|
-
|
|
1107
|
+
extension?: Extension[];
|
|
1108
1108
|
|
|
1109
1109
|
/**
|
|
1110
1110
|
* May be used to represent additional information that is not part of
|
|
@@ -1123,13 +1123,13 @@ export interface ExplanationOfBenefitInsurance {
|
|
|
1123
1123
|
* Resource or DomainResource (including cannot change the meaning of
|
|
1124
1124
|
* modifierExtension itself).
|
|
1125
1125
|
*/
|
|
1126
|
-
|
|
1126
|
+
modifierExtension?: Extension[];
|
|
1127
1127
|
|
|
1128
1128
|
/**
|
|
1129
1129
|
* A flag to indicate that this Coverage is to be used for adjudication
|
|
1130
1130
|
* of this claim when set to true.
|
|
1131
1131
|
*/
|
|
1132
|
-
|
|
1132
|
+
focal?: boolean;
|
|
1133
1133
|
|
|
1134
1134
|
/**
|
|
1135
1135
|
* Reference to the insurance card level information contained in the
|
|
@@ -1137,14 +1137,14 @@ export interface ExplanationOfBenefitInsurance {
|
|
|
1137
1137
|
* to locate the patient's actual coverage within the insurer's
|
|
1138
1138
|
* information system.
|
|
1139
1139
|
*/
|
|
1140
|
-
|
|
1140
|
+
coverage?: Reference<Coverage>;
|
|
1141
1141
|
|
|
1142
1142
|
/**
|
|
1143
1143
|
* Reference numbers previously provided by the insurer to the provider
|
|
1144
1144
|
* to be quoted on subsequent claims containing services or products
|
|
1145
1145
|
* related to the prior authorization.
|
|
1146
1146
|
*/
|
|
1147
|
-
|
|
1147
|
+
preAuthRef?: string[];
|
|
1148
1148
|
}
|
|
1149
1149
|
|
|
1150
1150
|
/**
|
|
@@ -1157,7 +1157,7 @@ export interface ExplanationOfBenefitItem {
|
|
|
1157
1157
|
* Unique id for the element within a resource (for internal references).
|
|
1158
1158
|
* This may be any string value that does not contain spaces.
|
|
1159
1159
|
*/
|
|
1160
|
-
|
|
1160
|
+
id?: string;
|
|
1161
1161
|
|
|
1162
1162
|
/**
|
|
1163
1163
|
* May be used to represent additional information that is not part of
|
|
@@ -1167,7 +1167,7 @@ export interface ExplanationOfBenefitItem {
|
|
|
1167
1167
|
* define an extension, there is a set of requirements that SHALL be met
|
|
1168
1168
|
* as part of the definition of the extension.
|
|
1169
1169
|
*/
|
|
1170
|
-
|
|
1170
|
+
extension?: Extension[];
|
|
1171
1171
|
|
|
1172
1172
|
/**
|
|
1173
1173
|
* May be used to represent additional information that is not part of
|
|
@@ -1186,102 +1186,102 @@ export interface ExplanationOfBenefitItem {
|
|
|
1186
1186
|
* Resource or DomainResource (including cannot change the meaning of
|
|
1187
1187
|
* modifierExtension itself).
|
|
1188
1188
|
*/
|
|
1189
|
-
|
|
1189
|
+
modifierExtension?: Extension[];
|
|
1190
1190
|
|
|
1191
1191
|
/**
|
|
1192
1192
|
* A number to uniquely identify item entries.
|
|
1193
1193
|
*/
|
|
1194
|
-
|
|
1194
|
+
sequence?: number;
|
|
1195
1195
|
|
|
1196
1196
|
/**
|
|
1197
1197
|
* Care team members related to this service or product.
|
|
1198
1198
|
*/
|
|
1199
|
-
|
|
1199
|
+
careTeamSequence?: number[];
|
|
1200
1200
|
|
|
1201
1201
|
/**
|
|
1202
1202
|
* Diagnoses applicable for this service or product.
|
|
1203
1203
|
*/
|
|
1204
|
-
|
|
1204
|
+
diagnosisSequence?: number[];
|
|
1205
1205
|
|
|
1206
1206
|
/**
|
|
1207
1207
|
* Procedures applicable for this service or product.
|
|
1208
1208
|
*/
|
|
1209
|
-
|
|
1209
|
+
procedureSequence?: number[];
|
|
1210
1210
|
|
|
1211
1211
|
/**
|
|
1212
1212
|
* Exceptions, special conditions and supporting information applicable
|
|
1213
1213
|
* for this service or product.
|
|
1214
1214
|
*/
|
|
1215
|
-
|
|
1215
|
+
informationSequence?: number[];
|
|
1216
1216
|
|
|
1217
1217
|
/**
|
|
1218
1218
|
* The type of revenue or cost center providing the product and/or
|
|
1219
1219
|
* service.
|
|
1220
1220
|
*/
|
|
1221
|
-
|
|
1221
|
+
revenue?: CodeableConcept;
|
|
1222
1222
|
|
|
1223
1223
|
/**
|
|
1224
1224
|
* Code to identify the general type of benefits under which products and
|
|
1225
1225
|
* services are provided.
|
|
1226
1226
|
*/
|
|
1227
|
-
|
|
1227
|
+
category?: CodeableConcept;
|
|
1228
1228
|
|
|
1229
1229
|
/**
|
|
1230
1230
|
* When the value is a group code then this item collects a set of
|
|
1231
1231
|
* related claim details, otherwise this contains the product, service,
|
|
1232
1232
|
* drug or other billing code for the item.
|
|
1233
1233
|
*/
|
|
1234
|
-
|
|
1234
|
+
productOrService?: CodeableConcept;
|
|
1235
1235
|
|
|
1236
1236
|
/**
|
|
1237
1237
|
* Item typification or modifiers codes to convey additional context for
|
|
1238
1238
|
* the product or service.
|
|
1239
1239
|
*/
|
|
1240
|
-
|
|
1240
|
+
modifier?: CodeableConcept[];
|
|
1241
1241
|
|
|
1242
1242
|
/**
|
|
1243
1243
|
* Identifies the program under which this may be recovered.
|
|
1244
1244
|
*/
|
|
1245
|
-
|
|
1245
|
+
programCode?: CodeableConcept[];
|
|
1246
1246
|
|
|
1247
1247
|
/**
|
|
1248
1248
|
* The date or dates when the service or product was supplied, performed
|
|
1249
1249
|
* or completed.
|
|
1250
1250
|
*/
|
|
1251
|
-
|
|
1251
|
+
servicedDate?: string;
|
|
1252
1252
|
|
|
1253
1253
|
/**
|
|
1254
1254
|
* The date or dates when the service or product was supplied, performed
|
|
1255
1255
|
* or completed.
|
|
1256
1256
|
*/
|
|
1257
|
-
|
|
1257
|
+
servicedPeriod?: Period;
|
|
1258
1258
|
|
|
1259
1259
|
/**
|
|
1260
1260
|
* Where the product or service was provided.
|
|
1261
1261
|
*/
|
|
1262
|
-
|
|
1262
|
+
locationCodeableConcept?: CodeableConcept;
|
|
1263
1263
|
|
|
1264
1264
|
/**
|
|
1265
1265
|
* Where the product or service was provided.
|
|
1266
1266
|
*/
|
|
1267
|
-
|
|
1267
|
+
locationAddress?: Address;
|
|
1268
1268
|
|
|
1269
1269
|
/**
|
|
1270
1270
|
* Where the product or service was provided.
|
|
1271
1271
|
*/
|
|
1272
|
-
|
|
1272
|
+
locationReference?: Reference<Location>;
|
|
1273
1273
|
|
|
1274
1274
|
/**
|
|
1275
1275
|
* The number of repetitions of a service or product.
|
|
1276
1276
|
*/
|
|
1277
|
-
|
|
1277
|
+
quantity?: Quantity;
|
|
1278
1278
|
|
|
1279
1279
|
/**
|
|
1280
1280
|
* If the item is not a group then this is the fee for the product or
|
|
1281
1281
|
* service, otherwise this is the total of the fees for the details of
|
|
1282
1282
|
* the group.
|
|
1283
1283
|
*/
|
|
1284
|
-
|
|
1284
|
+
unitPrice?: Money;
|
|
1285
1285
|
|
|
1286
1286
|
/**
|
|
1287
1287
|
* A real number that represents a multiplier used in determining the
|
|
@@ -1289,53 +1289,53 @@ export interface ExplanationOfBenefitItem {
|
|
|
1289
1289
|
* of a Factor allows for a discount or surcharge multiplier to be
|
|
1290
1290
|
* applied to a monetary amount.
|
|
1291
1291
|
*/
|
|
1292
|
-
|
|
1292
|
+
factor?: number;
|
|
1293
1293
|
|
|
1294
1294
|
/**
|
|
1295
1295
|
* The quantity times the unit price for an additional service or product
|
|
1296
1296
|
* or charge.
|
|
1297
1297
|
*/
|
|
1298
|
-
|
|
1298
|
+
net?: Money;
|
|
1299
1299
|
|
|
1300
1300
|
/**
|
|
1301
1301
|
* Unique Device Identifiers associated with this line item.
|
|
1302
1302
|
*/
|
|
1303
|
-
|
|
1303
|
+
udi?: Reference<Device>[];
|
|
1304
1304
|
|
|
1305
1305
|
/**
|
|
1306
1306
|
* Physical service site on the patient (limb, tooth, etc.).
|
|
1307
1307
|
*/
|
|
1308
|
-
|
|
1308
|
+
bodySite?: CodeableConcept;
|
|
1309
1309
|
|
|
1310
1310
|
/**
|
|
1311
1311
|
* A region or surface of the bodySite, e.g. limb region or tooth
|
|
1312
1312
|
* surface(s).
|
|
1313
1313
|
*/
|
|
1314
|
-
|
|
1314
|
+
subSite?: CodeableConcept[];
|
|
1315
1315
|
|
|
1316
1316
|
/**
|
|
1317
1317
|
* A billed item may include goods or services provided in multiple
|
|
1318
1318
|
* encounters.
|
|
1319
1319
|
*/
|
|
1320
|
-
|
|
1320
|
+
encounter?: Reference<Encounter>[];
|
|
1321
1321
|
|
|
1322
1322
|
/**
|
|
1323
1323
|
* The numbers associated with notes below which apply to the
|
|
1324
1324
|
* adjudication of this item.
|
|
1325
1325
|
*/
|
|
1326
|
-
|
|
1326
|
+
noteNumber?: number[];
|
|
1327
1327
|
|
|
1328
1328
|
/**
|
|
1329
1329
|
* If this item is a group then the values here are a summary of the
|
|
1330
1330
|
* adjudication of the detail items. If this item is a simple product or
|
|
1331
1331
|
* service then this is the result of the adjudication of this item.
|
|
1332
1332
|
*/
|
|
1333
|
-
|
|
1333
|
+
adjudication?: ExplanationOfBenefitItemAdjudication[];
|
|
1334
1334
|
|
|
1335
1335
|
/**
|
|
1336
1336
|
* Second-tier of goods and services.
|
|
1337
1337
|
*/
|
|
1338
|
-
|
|
1338
|
+
detail?: ExplanationOfBenefitItemDetail[];
|
|
1339
1339
|
}
|
|
1340
1340
|
|
|
1341
1341
|
/**
|
|
@@ -1349,7 +1349,7 @@ export interface ExplanationOfBenefitItemAdjudication {
|
|
|
1349
1349
|
* Unique id for the element within a resource (for internal references).
|
|
1350
1350
|
* This may be any string value that does not contain spaces.
|
|
1351
1351
|
*/
|
|
1352
|
-
|
|
1352
|
+
id?: string;
|
|
1353
1353
|
|
|
1354
1354
|
/**
|
|
1355
1355
|
* May be used to represent additional information that is not part of
|
|
@@ -1359,7 +1359,7 @@ export interface ExplanationOfBenefitItemAdjudication {
|
|
|
1359
1359
|
* define an extension, there is a set of requirements that SHALL be met
|
|
1360
1360
|
* as part of the definition of the extension.
|
|
1361
1361
|
*/
|
|
1362
|
-
|
|
1362
|
+
extension?: Extension[];
|
|
1363
1363
|
|
|
1364
1364
|
/**
|
|
1365
1365
|
* May be used to represent additional information that is not part of
|
|
@@ -1378,7 +1378,7 @@ export interface ExplanationOfBenefitItemAdjudication {
|
|
|
1378
1378
|
* Resource or DomainResource (including cannot change the meaning of
|
|
1379
1379
|
* modifierExtension itself).
|
|
1380
1380
|
*/
|
|
1381
|
-
|
|
1381
|
+
modifierExtension?: Extension[];
|
|
1382
1382
|
|
|
1383
1383
|
/**
|
|
1384
1384
|
* A code to indicate the information type of this adjudication record.
|
|
@@ -1388,24 +1388,24 @@ export interface ExplanationOfBenefitItemAdjudication {
|
|
|
1388
1388
|
* amounts paid by other coverages, and the benefit payable for this
|
|
1389
1389
|
* item.
|
|
1390
1390
|
*/
|
|
1391
|
-
|
|
1391
|
+
category?: CodeableConcept;
|
|
1392
1392
|
|
|
1393
1393
|
/**
|
|
1394
1394
|
* A code supporting the understanding of the adjudication result and
|
|
1395
1395
|
* explaining variance from expected amount.
|
|
1396
1396
|
*/
|
|
1397
|
-
|
|
1397
|
+
reason?: CodeableConcept;
|
|
1398
1398
|
|
|
1399
1399
|
/**
|
|
1400
1400
|
* Monetary amount associated with the category.
|
|
1401
1401
|
*/
|
|
1402
|
-
|
|
1402
|
+
amount?: Money;
|
|
1403
1403
|
|
|
1404
1404
|
/**
|
|
1405
1405
|
* A non-monetary value associated with the category. Mutually exclusive
|
|
1406
1406
|
* to the amount element above.
|
|
1407
1407
|
*/
|
|
1408
|
-
|
|
1408
|
+
value?: number;
|
|
1409
1409
|
}
|
|
1410
1410
|
|
|
1411
1411
|
/**
|
|
@@ -1417,7 +1417,7 @@ export interface ExplanationOfBenefitItemDetail {
|
|
|
1417
1417
|
* Unique id for the element within a resource (for internal references).
|
|
1418
1418
|
* This may be any string value that does not contain spaces.
|
|
1419
1419
|
*/
|
|
1420
|
-
|
|
1420
|
+
id?: string;
|
|
1421
1421
|
|
|
1422
1422
|
/**
|
|
1423
1423
|
* May be used to represent additional information that is not part of
|
|
@@ -1427,7 +1427,7 @@ export interface ExplanationOfBenefitItemDetail {
|
|
|
1427
1427
|
* define an extension, there is a set of requirements that SHALL be met
|
|
1428
1428
|
* as part of the definition of the extension.
|
|
1429
1429
|
*/
|
|
1430
|
-
|
|
1430
|
+
extension?: Extension[];
|
|
1431
1431
|
|
|
1432
1432
|
/**
|
|
1433
1433
|
* May be used to represent additional information that is not part of
|
|
@@ -1446,55 +1446,55 @@ export interface ExplanationOfBenefitItemDetail {
|
|
|
1446
1446
|
* Resource or DomainResource (including cannot change the meaning of
|
|
1447
1447
|
* modifierExtension itself).
|
|
1448
1448
|
*/
|
|
1449
|
-
|
|
1449
|
+
modifierExtension?: Extension[];
|
|
1450
1450
|
|
|
1451
1451
|
/**
|
|
1452
1452
|
* A claim detail line. Either a simple (a product or service) or a
|
|
1453
1453
|
* 'group' of sub-details which are simple items.
|
|
1454
1454
|
*/
|
|
1455
|
-
|
|
1455
|
+
sequence?: number;
|
|
1456
1456
|
|
|
1457
1457
|
/**
|
|
1458
1458
|
* The type of revenue or cost center providing the product and/or
|
|
1459
1459
|
* service.
|
|
1460
1460
|
*/
|
|
1461
|
-
|
|
1461
|
+
revenue?: CodeableConcept;
|
|
1462
1462
|
|
|
1463
1463
|
/**
|
|
1464
1464
|
* Code to identify the general type of benefits under which products and
|
|
1465
1465
|
* services are provided.
|
|
1466
1466
|
*/
|
|
1467
|
-
|
|
1467
|
+
category?: CodeableConcept;
|
|
1468
1468
|
|
|
1469
1469
|
/**
|
|
1470
1470
|
* When the value is a group code then this item collects a set of
|
|
1471
1471
|
* related claim details, otherwise this contains the product, service,
|
|
1472
1472
|
* drug or other billing code for the item.
|
|
1473
1473
|
*/
|
|
1474
|
-
|
|
1474
|
+
productOrService?: CodeableConcept;
|
|
1475
1475
|
|
|
1476
1476
|
/**
|
|
1477
1477
|
* Item typification or modifiers codes to convey additional context for
|
|
1478
1478
|
* the product or service.
|
|
1479
1479
|
*/
|
|
1480
|
-
|
|
1480
|
+
modifier?: CodeableConcept[];
|
|
1481
1481
|
|
|
1482
1482
|
/**
|
|
1483
1483
|
* Identifies the program under which this may be recovered.
|
|
1484
1484
|
*/
|
|
1485
|
-
|
|
1485
|
+
programCode?: CodeableConcept[];
|
|
1486
1486
|
|
|
1487
1487
|
/**
|
|
1488
1488
|
* The number of repetitions of a service or product.
|
|
1489
1489
|
*/
|
|
1490
|
-
|
|
1490
|
+
quantity?: Quantity;
|
|
1491
1491
|
|
|
1492
1492
|
/**
|
|
1493
1493
|
* If the item is not a group then this is the fee for the product or
|
|
1494
1494
|
* service, otherwise this is the total of the fees for the details of
|
|
1495
1495
|
* the group.
|
|
1496
1496
|
*/
|
|
1497
|
-
|
|
1497
|
+
unitPrice?: Money;
|
|
1498
1498
|
|
|
1499
1499
|
/**
|
|
1500
1500
|
* A real number that represents a multiplier used in determining the
|
|
@@ -1502,34 +1502,34 @@ export interface ExplanationOfBenefitItemDetail {
|
|
|
1502
1502
|
* of a Factor allows for a discount or surcharge multiplier to be
|
|
1503
1503
|
* applied to a monetary amount.
|
|
1504
1504
|
*/
|
|
1505
|
-
|
|
1505
|
+
factor?: number;
|
|
1506
1506
|
|
|
1507
1507
|
/**
|
|
1508
1508
|
* The quantity times the unit price for an additional service or product
|
|
1509
1509
|
* or charge.
|
|
1510
1510
|
*/
|
|
1511
|
-
|
|
1511
|
+
net?: Money;
|
|
1512
1512
|
|
|
1513
1513
|
/**
|
|
1514
1514
|
* Unique Device Identifiers associated with this line item.
|
|
1515
1515
|
*/
|
|
1516
|
-
|
|
1516
|
+
udi?: Reference<Device>[];
|
|
1517
1517
|
|
|
1518
1518
|
/**
|
|
1519
1519
|
* The numbers associated with notes below which apply to the
|
|
1520
1520
|
* adjudication of this item.
|
|
1521
1521
|
*/
|
|
1522
|
-
|
|
1522
|
+
noteNumber?: number[];
|
|
1523
1523
|
|
|
1524
1524
|
/**
|
|
1525
1525
|
* The adjudication results.
|
|
1526
1526
|
*/
|
|
1527
|
-
|
|
1527
|
+
adjudication?: ExplanationOfBenefitItemAdjudication[];
|
|
1528
1528
|
|
|
1529
1529
|
/**
|
|
1530
1530
|
* Third-tier of goods and services.
|
|
1531
1531
|
*/
|
|
1532
|
-
|
|
1532
|
+
subDetail?: ExplanationOfBenefitItemDetailSubDetail[];
|
|
1533
1533
|
}
|
|
1534
1534
|
|
|
1535
1535
|
/**
|
|
@@ -1541,7 +1541,7 @@ export interface ExplanationOfBenefitItemDetailSubDetail {
|
|
|
1541
1541
|
* Unique id for the element within a resource (for internal references).
|
|
1542
1542
|
* This may be any string value that does not contain spaces.
|
|
1543
1543
|
*/
|
|
1544
|
-
|
|
1544
|
+
id?: string;
|
|
1545
1545
|
|
|
1546
1546
|
/**
|
|
1547
1547
|
* May be used to represent additional information that is not part of
|
|
@@ -1551,7 +1551,7 @@ export interface ExplanationOfBenefitItemDetailSubDetail {
|
|
|
1551
1551
|
* define an extension, there is a set of requirements that SHALL be met
|
|
1552
1552
|
* as part of the definition of the extension.
|
|
1553
1553
|
*/
|
|
1554
|
-
|
|
1554
|
+
extension?: Extension[];
|
|
1555
1555
|
|
|
1556
1556
|
/**
|
|
1557
1557
|
* May be used to represent additional information that is not part of
|
|
@@ -1570,55 +1570,55 @@ export interface ExplanationOfBenefitItemDetailSubDetail {
|
|
|
1570
1570
|
* Resource or DomainResource (including cannot change the meaning of
|
|
1571
1571
|
* modifierExtension itself).
|
|
1572
1572
|
*/
|
|
1573
|
-
|
|
1573
|
+
modifierExtension?: Extension[];
|
|
1574
1574
|
|
|
1575
1575
|
/**
|
|
1576
1576
|
* A claim detail line. Either a simple (a product or service) or a
|
|
1577
1577
|
* 'group' of sub-details which are simple items.
|
|
1578
1578
|
*/
|
|
1579
|
-
|
|
1579
|
+
sequence?: number;
|
|
1580
1580
|
|
|
1581
1581
|
/**
|
|
1582
1582
|
* The type of revenue or cost center providing the product and/or
|
|
1583
1583
|
* service.
|
|
1584
1584
|
*/
|
|
1585
|
-
|
|
1585
|
+
revenue?: CodeableConcept;
|
|
1586
1586
|
|
|
1587
1587
|
/**
|
|
1588
1588
|
* Code to identify the general type of benefits under which products and
|
|
1589
1589
|
* services are provided.
|
|
1590
1590
|
*/
|
|
1591
|
-
|
|
1591
|
+
category?: CodeableConcept;
|
|
1592
1592
|
|
|
1593
1593
|
/**
|
|
1594
1594
|
* When the value is a group code then this item collects a set of
|
|
1595
1595
|
* related claim details, otherwise this contains the product, service,
|
|
1596
1596
|
* drug or other billing code for the item.
|
|
1597
1597
|
*/
|
|
1598
|
-
|
|
1598
|
+
productOrService?: CodeableConcept;
|
|
1599
1599
|
|
|
1600
1600
|
/**
|
|
1601
1601
|
* Item typification or modifiers codes to convey additional context for
|
|
1602
1602
|
* the product or service.
|
|
1603
1603
|
*/
|
|
1604
|
-
|
|
1604
|
+
modifier?: CodeableConcept[];
|
|
1605
1605
|
|
|
1606
1606
|
/**
|
|
1607
1607
|
* Identifies the program under which this may be recovered.
|
|
1608
1608
|
*/
|
|
1609
|
-
|
|
1609
|
+
programCode?: CodeableConcept[];
|
|
1610
1610
|
|
|
1611
1611
|
/**
|
|
1612
1612
|
* The number of repetitions of a service or product.
|
|
1613
1613
|
*/
|
|
1614
|
-
|
|
1614
|
+
quantity?: Quantity;
|
|
1615
1615
|
|
|
1616
1616
|
/**
|
|
1617
1617
|
* If the item is not a group then this is the fee for the product or
|
|
1618
1618
|
* service, otherwise this is the total of the fees for the details of
|
|
1619
1619
|
* the group.
|
|
1620
1620
|
*/
|
|
1621
|
-
|
|
1621
|
+
unitPrice?: Money;
|
|
1622
1622
|
|
|
1623
1623
|
/**
|
|
1624
1624
|
* A real number that represents a multiplier used in determining the
|
|
@@ -1626,29 +1626,29 @@ export interface ExplanationOfBenefitItemDetailSubDetail {
|
|
|
1626
1626
|
* of a Factor allows for a discount or surcharge multiplier to be
|
|
1627
1627
|
* applied to a monetary amount.
|
|
1628
1628
|
*/
|
|
1629
|
-
|
|
1629
|
+
factor?: number;
|
|
1630
1630
|
|
|
1631
1631
|
/**
|
|
1632
1632
|
* The quantity times the unit price for an additional service or product
|
|
1633
1633
|
* or charge.
|
|
1634
1634
|
*/
|
|
1635
|
-
|
|
1635
|
+
net?: Money;
|
|
1636
1636
|
|
|
1637
1637
|
/**
|
|
1638
1638
|
* Unique Device Identifiers associated with this line item.
|
|
1639
1639
|
*/
|
|
1640
|
-
|
|
1640
|
+
udi?: Reference<Device>[];
|
|
1641
1641
|
|
|
1642
1642
|
/**
|
|
1643
1643
|
* The numbers associated with notes below which apply to the
|
|
1644
1644
|
* adjudication of this item.
|
|
1645
1645
|
*/
|
|
1646
|
-
|
|
1646
|
+
noteNumber?: number[];
|
|
1647
1647
|
|
|
1648
1648
|
/**
|
|
1649
1649
|
* The adjudication results.
|
|
1650
1650
|
*/
|
|
1651
|
-
|
|
1651
|
+
adjudication?: ExplanationOfBenefitItemAdjudication[];
|
|
1652
1652
|
}
|
|
1653
1653
|
|
|
1654
1654
|
/**
|
|
@@ -1661,7 +1661,7 @@ export interface ExplanationOfBenefitPayee {
|
|
|
1661
1661
|
* Unique id for the element within a resource (for internal references).
|
|
1662
1662
|
* This may be any string value that does not contain spaces.
|
|
1663
1663
|
*/
|
|
1664
|
-
|
|
1664
|
+
id?: string;
|
|
1665
1665
|
|
|
1666
1666
|
/**
|
|
1667
1667
|
* May be used to represent additional information that is not part of
|
|
@@ -1671,7 +1671,7 @@ export interface ExplanationOfBenefitPayee {
|
|
|
1671
1671
|
* define an extension, there is a set of requirements that SHALL be met
|
|
1672
1672
|
* as part of the definition of the extension.
|
|
1673
1673
|
*/
|
|
1674
|
-
|
|
1674
|
+
extension?: Extension[];
|
|
1675
1675
|
|
|
1676
1676
|
/**
|
|
1677
1677
|
* May be used to represent additional information that is not part of
|
|
@@ -1690,18 +1690,18 @@ export interface ExplanationOfBenefitPayee {
|
|
|
1690
1690
|
* Resource or DomainResource (including cannot change the meaning of
|
|
1691
1691
|
* modifierExtension itself).
|
|
1692
1692
|
*/
|
|
1693
|
-
|
|
1693
|
+
modifierExtension?: Extension[];
|
|
1694
1694
|
|
|
1695
1695
|
/**
|
|
1696
1696
|
* Type of Party to be reimbursed: Subscriber, provider, other.
|
|
1697
1697
|
*/
|
|
1698
|
-
|
|
1698
|
+
type?: CodeableConcept;
|
|
1699
1699
|
|
|
1700
1700
|
/**
|
|
1701
1701
|
* Reference to the individual or organization to whom any payment will
|
|
1702
1702
|
* be made.
|
|
1703
1703
|
*/
|
|
1704
|
-
|
|
1704
|
+
party?: Reference<Practitioner | PractitionerRole | Organization | Patient | RelatedPerson>;
|
|
1705
1705
|
}
|
|
1706
1706
|
|
|
1707
1707
|
/**
|
|
@@ -1713,7 +1713,7 @@ export interface ExplanationOfBenefitPayment {
|
|
|
1713
1713
|
* Unique id for the element within a resource (for internal references).
|
|
1714
1714
|
* This may be any string value that does not contain spaces.
|
|
1715
1715
|
*/
|
|
1716
|
-
|
|
1716
|
+
id?: string;
|
|
1717
1717
|
|
|
1718
1718
|
/**
|
|
1719
1719
|
* May be used to represent additional information that is not part of
|
|
@@ -1723,7 +1723,7 @@ export interface ExplanationOfBenefitPayment {
|
|
|
1723
1723
|
* define an extension, there is a set of requirements that SHALL be met
|
|
1724
1724
|
* as part of the definition of the extension.
|
|
1725
1725
|
*/
|
|
1726
|
-
|
|
1726
|
+
extension?: Extension[];
|
|
1727
1727
|
|
|
1728
1728
|
/**
|
|
1729
1729
|
* May be used to represent additional information that is not part of
|
|
@@ -1742,40 +1742,40 @@ export interface ExplanationOfBenefitPayment {
|
|
|
1742
1742
|
* Resource or DomainResource (including cannot change the meaning of
|
|
1743
1743
|
* modifierExtension itself).
|
|
1744
1744
|
*/
|
|
1745
|
-
|
|
1745
|
+
modifierExtension?: Extension[];
|
|
1746
1746
|
|
|
1747
1747
|
/**
|
|
1748
1748
|
* Whether this represents partial or complete payment of the benefits
|
|
1749
1749
|
* payable.
|
|
1750
1750
|
*/
|
|
1751
|
-
|
|
1751
|
+
type?: CodeableConcept;
|
|
1752
1752
|
|
|
1753
1753
|
/**
|
|
1754
1754
|
* Total amount of all adjustments to this payment included in this
|
|
1755
1755
|
* transaction which are not related to this claim's adjudication.
|
|
1756
1756
|
*/
|
|
1757
|
-
|
|
1757
|
+
adjustment?: Money;
|
|
1758
1758
|
|
|
1759
1759
|
/**
|
|
1760
1760
|
* Reason for the payment adjustment.
|
|
1761
1761
|
*/
|
|
1762
|
-
|
|
1762
|
+
adjustmentReason?: CodeableConcept;
|
|
1763
1763
|
|
|
1764
1764
|
/**
|
|
1765
1765
|
* Estimated date the payment will be issued or the actual issue date of
|
|
1766
1766
|
* payment.
|
|
1767
1767
|
*/
|
|
1768
|
-
|
|
1768
|
+
date?: string;
|
|
1769
1769
|
|
|
1770
1770
|
/**
|
|
1771
1771
|
* Benefits payable less any payment adjustment.
|
|
1772
1772
|
*/
|
|
1773
|
-
|
|
1773
|
+
amount?: Money;
|
|
1774
1774
|
|
|
1775
1775
|
/**
|
|
1776
1776
|
* Issuer's unique identifier for the payment instrument.
|
|
1777
1777
|
*/
|
|
1778
|
-
|
|
1778
|
+
identifier?: Identifier;
|
|
1779
1779
|
}
|
|
1780
1780
|
|
|
1781
1781
|
/**
|
|
@@ -1788,7 +1788,7 @@ export interface ExplanationOfBenefitProcedure {
|
|
|
1788
1788
|
* Unique id for the element within a resource (for internal references).
|
|
1789
1789
|
* This may be any string value that does not contain spaces.
|
|
1790
1790
|
*/
|
|
1791
|
-
|
|
1791
|
+
id?: string;
|
|
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1792
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1793
|
/**
|
|
1794
1794
|
* May be used to represent additional information that is not part of
|
|
@@ -1798,7 +1798,7 @@ export interface ExplanationOfBenefitProcedure {
|
|
|
1798
1798
|
* define an extension, there is a set of requirements that SHALL be met
|
|
1799
1799
|
* as part of the definition of the extension.
|
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1800
1800
|
*/
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1801
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-
|
|
1801
|
+
extension?: Extension[];
|
|
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1802
|
|
|
1803
1803
|
/**
|
|
1804
1804
|
* May be used to represent additional information that is not part of
|
|
@@ -1817,39 +1817,39 @@ export interface ExplanationOfBenefitProcedure {
|
|
|
1817
1817
|
* Resource or DomainResource (including cannot change the meaning of
|
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1818
1818
|
* modifierExtension itself).
|
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|
*/
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-
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|
+
modifierExtension?: Extension[];
|
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1821
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|
1822
1822
|
/**
|
|
1823
1823
|
* A number to uniquely identify procedure entries.
|
|
1824
1824
|
*/
|
|
1825
|
-
|
|
1825
|
+
sequence?: number;
|
|
1826
1826
|
|
|
1827
1827
|
/**
|
|
1828
1828
|
* When the condition was observed or the relative ranking.
|
|
1829
1829
|
*/
|
|
1830
|
-
|
|
1830
|
+
type?: CodeableConcept[];
|
|
1831
1831
|
|
|
1832
1832
|
/**
|
|
1833
1833
|
* Date and optionally time the procedure was performed.
|
|
1834
1834
|
*/
|
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1835
|
-
|
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1835
|
+
date?: string;
|
|
1836
1836
|
|
|
1837
1837
|
/**
|
|
1838
1838
|
* The code or reference to a Procedure resource which identifies the
|
|
1839
1839
|
* clinical intervention performed.
|
|
1840
1840
|
*/
|
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1841
|
-
|
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1841
|
+
procedureCodeableConcept?: CodeableConcept;
|
|
1842
1842
|
|
|
1843
1843
|
/**
|
|
1844
1844
|
* The code or reference to a Procedure resource which identifies the
|
|
1845
1845
|
* clinical intervention performed.
|
|
1846
1846
|
*/
|
|
1847
|
-
|
|
1847
|
+
procedureReference?: Reference<Procedure>;
|
|
1848
1848
|
|
|
1849
1849
|
/**
|
|
1850
1850
|
* Unique Device Identifiers associated with this line item.
|
|
1851
1851
|
*/
|
|
1852
|
-
|
|
1852
|
+
udi?: Reference<Device>[];
|
|
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1853
|
}
|
|
1854
1854
|
|
|
1855
1855
|
/**
|
|
@@ -1862,7 +1862,7 @@ export interface ExplanationOfBenefitProcessNote {
|
|
|
1862
1862
|
* Unique id for the element within a resource (for internal references).
|
|
1863
1863
|
* This may be any string value that does not contain spaces.
|
|
1864
1864
|
*/
|
|
1865
|
-
|
|
1865
|
+
id?: string;
|
|
1866
1866
|
|
|
1867
1867
|
/**
|
|
1868
1868
|
* May be used to represent additional information that is not part of
|
|
@@ -1872,7 +1872,7 @@ export interface ExplanationOfBenefitProcessNote {
|
|
|
1872
1872
|
* define an extension, there is a set of requirements that SHALL be met
|
|
1873
1873
|
* as part of the definition of the extension.
|
|
1874
1874
|
*/
|
|
1875
|
-
|
|
1875
|
+
extension?: Extension[];
|
|
1876
1876
|
|
|
1877
1877
|
/**
|
|
1878
1878
|
* May be used to represent additional information that is not part of
|
|
@@ -1891,27 +1891,27 @@ export interface ExplanationOfBenefitProcessNote {
|
|
|
1891
1891
|
* Resource or DomainResource (including cannot change the meaning of
|
|
1892
1892
|
* modifierExtension itself).
|
|
1893
1893
|
*/
|
|
1894
|
-
|
|
1894
|
+
modifierExtension?: Extension[];
|
|
1895
1895
|
|
|
1896
1896
|
/**
|
|
1897
1897
|
* A number to uniquely identify a note entry.
|
|
1898
1898
|
*/
|
|
1899
|
-
|
|
1899
|
+
number?: number;
|
|
1900
1900
|
|
|
1901
1901
|
/**
|
|
1902
1902
|
* The business purpose of the note text.
|
|
1903
1903
|
*/
|
|
1904
|
-
|
|
1904
|
+
type?: string;
|
|
1905
1905
|
|
|
1906
1906
|
/**
|
|
1907
1907
|
* The explanation or description associated with the processing.
|
|
1908
1908
|
*/
|
|
1909
|
-
|
|
1909
|
+
text?: string;
|
|
1910
1910
|
|
|
1911
1911
|
/**
|
|
1912
1912
|
* A code to define the language used in the text of the note.
|
|
1913
1913
|
*/
|
|
1914
|
-
|
|
1914
|
+
language?: CodeableConcept;
|
|
1915
1915
|
}
|
|
1916
1916
|
|
|
1917
1917
|
/**
|
|
@@ -1924,7 +1924,7 @@ export interface ExplanationOfBenefitRelated {
|
|
|
1924
1924
|
* Unique id for the element within a resource (for internal references).
|
|
1925
1925
|
* This may be any string value that does not contain spaces.
|
|
1926
1926
|
*/
|
|
1927
|
-
|
|
1927
|
+
id?: string;
|
|
1928
1928
|
|
|
1929
1929
|
/**
|
|
1930
1930
|
* May be used to represent additional information that is not part of
|
|
@@ -1934,7 +1934,7 @@ export interface ExplanationOfBenefitRelated {
|
|
|
1934
1934
|
* define an extension, there is a set of requirements that SHALL be met
|
|
1935
1935
|
* as part of the definition of the extension.
|
|
1936
1936
|
*/
|
|
1937
|
-
|
|
1937
|
+
extension?: Extension[];
|
|
1938
1938
|
|
|
1939
1939
|
/**
|
|
1940
1940
|
* May be used to represent additional information that is not part of
|
|
@@ -1953,23 +1953,23 @@ export interface ExplanationOfBenefitRelated {
|
|
|
1953
1953
|
* Resource or DomainResource (including cannot change the meaning of
|
|
1954
1954
|
* modifierExtension itself).
|
|
1955
1955
|
*/
|
|
1956
|
-
|
|
1956
|
+
modifierExtension?: Extension[];
|
|
1957
1957
|
|
|
1958
1958
|
/**
|
|
1959
1959
|
* Reference to a related claim.
|
|
1960
1960
|
*/
|
|
1961
|
-
|
|
1961
|
+
claim?: Reference<Claim>;
|
|
1962
1962
|
|
|
1963
1963
|
/**
|
|
1964
1964
|
* A code to convey how the claims are related.
|
|
1965
1965
|
*/
|
|
1966
|
-
|
|
1966
|
+
relationship?: CodeableConcept;
|
|
1967
1967
|
|
|
1968
1968
|
/**
|
|
1969
1969
|
* An alternate organizational reference to the case or file to which
|
|
1970
1970
|
* this particular claim pertains.
|
|
1971
1971
|
*/
|
|
1972
|
-
|
|
1972
|
+
reference?: Identifier;
|
|
1973
1973
|
}
|
|
1974
1974
|
|
|
1975
1975
|
/**
|
|
@@ -1982,7 +1982,7 @@ export interface ExplanationOfBenefitSupportingInfo {
|
|
|
1982
1982
|
* Unique id for the element within a resource (for internal references).
|
|
1983
1983
|
* This may be any string value that does not contain spaces.
|
|
1984
1984
|
*/
|
|
1985
|
-
|
|
1985
|
+
id?: string;
|
|
1986
1986
|
|
|
1987
1987
|
/**
|
|
1988
1988
|
* May be used to represent additional information that is not part of
|
|
@@ -1992,7 +1992,7 @@ export interface ExplanationOfBenefitSupportingInfo {
|
|
|
1992
1992
|
* define an extension, there is a set of requirements that SHALL be met
|
|
1993
1993
|
* as part of the definition of the extension.
|
|
1994
1994
|
*/
|
|
1995
|
-
|
|
1995
|
+
extension?: Extension[];
|
|
1996
1996
|
|
|
1997
1997
|
/**
|
|
1998
1998
|
* May be used to represent additional information that is not part of
|
|
@@ -2011,76 +2011,76 @@ export interface ExplanationOfBenefitSupportingInfo {
|
|
|
2011
2011
|
* Resource or DomainResource (including cannot change the meaning of
|
|
2012
2012
|
* modifierExtension itself).
|
|
2013
2013
|
*/
|
|
2014
|
-
|
|
2014
|
+
modifierExtension?: Extension[];
|
|
2015
2015
|
|
|
2016
2016
|
/**
|
|
2017
2017
|
* A number to uniquely identify supporting information entries.
|
|
2018
2018
|
*/
|
|
2019
|
-
|
|
2019
|
+
sequence?: number;
|
|
2020
2020
|
|
|
2021
2021
|
/**
|
|
2022
2022
|
* The general class of the information supplied: information; exception;
|
|
2023
2023
|
* accident, employment; onset, etc.
|
|
2024
2024
|
*/
|
|
2025
|
-
|
|
2025
|
+
category?: CodeableConcept;
|
|
2026
2026
|
|
|
2027
2027
|
/**
|
|
2028
2028
|
* System and code pertaining to the specific information regarding
|
|
2029
2029
|
* special conditions relating to the setting, treatment or patient for
|
|
2030
2030
|
* which care is sought.
|
|
2031
2031
|
*/
|
|
2032
|
-
|
|
2032
|
+
code?: CodeableConcept;
|
|
2033
2033
|
|
|
2034
2034
|
/**
|
|
2035
2035
|
* The date when or period to which this information refers.
|
|
2036
2036
|
*/
|
|
2037
|
-
|
|
2037
|
+
timingDate?: string;
|
|
2038
2038
|
|
|
2039
2039
|
/**
|
|
2040
2040
|
* The date when or period to which this information refers.
|
|
2041
2041
|
*/
|
|
2042
|
-
|
|
2042
|
+
timingPeriod?: Period;
|
|
2043
2043
|
|
|
2044
2044
|
/**
|
|
2045
2045
|
* Additional data or information such as resources, documents, images
|
|
2046
2046
|
* etc. including references to the data or the actual inclusion of the
|
|
2047
2047
|
* data.
|
|
2048
2048
|
*/
|
|
2049
|
-
|
|
2049
|
+
valueBoolean?: boolean;
|
|
2050
2050
|
|
|
2051
2051
|
/**
|
|
2052
2052
|
* Additional data or information such as resources, documents, images
|
|
2053
2053
|
* etc. including references to the data or the actual inclusion of the
|
|
2054
2054
|
* data.
|
|
2055
2055
|
*/
|
|
2056
|
-
|
|
2056
|
+
valueString?: string;
|
|
2057
2057
|
|
|
2058
2058
|
/**
|
|
2059
2059
|
* Additional data or information such as resources, documents, images
|
|
2060
2060
|
* etc. including references to the data or the actual inclusion of the
|
|
2061
2061
|
* data.
|
|
2062
2062
|
*/
|
|
2063
|
-
|
|
2063
|
+
valueQuantity?: Quantity;
|
|
2064
2064
|
|
|
2065
2065
|
/**
|
|
2066
2066
|
* Additional data or information such as resources, documents, images
|
|
2067
2067
|
* etc. including references to the data or the actual inclusion of the
|
|
2068
2068
|
* data.
|
|
2069
2069
|
*/
|
|
2070
|
-
|
|
2070
|
+
valueAttachment?: Attachment;
|
|
2071
2071
|
|
|
2072
2072
|
/**
|
|
2073
2073
|
* Additional data or information such as resources, documents, images
|
|
2074
2074
|
* etc. including references to the data or the actual inclusion of the
|
|
2075
2075
|
* data.
|
|
2076
2076
|
*/
|
|
2077
|
-
|
|
2077
|
+
valueReference?: Reference<Resource>;
|
|
2078
2078
|
|
|
2079
2079
|
/**
|
|
2080
2080
|
* Provides the reason in the situation where a reason code is required
|
|
2081
2081
|
* in addition to the content.
|
|
2082
2082
|
*/
|
|
2083
|
-
|
|
2083
|
+
reason?: Coding;
|
|
2084
2084
|
}
|
|
2085
2085
|
|
|
2086
2086
|
/**
|
|
@@ -2092,7 +2092,7 @@ export interface ExplanationOfBenefitTotal {
|
|
|
2092
2092
|
* Unique id for the element within a resource (for internal references).
|
|
2093
2093
|
* This may be any string value that does not contain spaces.
|
|
2094
2094
|
*/
|
|
2095
|
-
|
|
2095
|
+
id?: string;
|
|
2096
2096
|
|
|
2097
2097
|
/**
|
|
2098
2098
|
* May be used to represent additional information that is not part of
|
|
@@ -2102,7 +2102,7 @@ export interface ExplanationOfBenefitTotal {
|
|
|
2102
2102
|
* define an extension, there is a set of requirements that SHALL be met
|
|
2103
2103
|
* as part of the definition of the extension.
|
|
2104
2104
|
*/
|
|
2105
|
-
|
|
2105
|
+
extension?: Extension[];
|
|
2106
2106
|
|
|
2107
2107
|
/**
|
|
2108
2108
|
* May be used to represent additional information that is not part of
|
|
@@ -2121,7 +2121,7 @@ export interface ExplanationOfBenefitTotal {
|
|
|
2121
2121
|
* Resource or DomainResource (including cannot change the meaning of
|
|
2122
2122
|
* modifierExtension itself).
|
|
2123
2123
|
*/
|
|
2124
|
-
|
|
2124
|
+
modifierExtension?: Extension[];
|
|
2125
2125
|
|
|
2126
2126
|
/**
|
|
2127
2127
|
* A code to indicate the information type of this adjudication record.
|
|
@@ -2131,10 +2131,10 @@ export interface ExplanationOfBenefitTotal {
|
|
|
2131
2131
|
* amounts paid by other coverages, and the benefit payable for this
|
|
2132
2132
|
* item.
|
|
2133
2133
|
*/
|
|
2134
|
-
|
|
2134
|
+
category?: CodeableConcept;
|
|
2135
2135
|
|
|
2136
2136
|
/**
|
|
2137
2137
|
* Monetary total amount associated with the category.
|
|
2138
2138
|
*/
|
|
2139
|
-
|
|
2139
|
+
amount?: Money;
|
|
2140
2140
|
}
|