Claim.item 
A claim line. Either a simple product or service or a 'group' of details which can each be a simple items or groups of sub-details.
= Must Support, = Is Modifier, = QiCore defined extension
| Field | Card. | Type | Description |
|---|---|---|---|
| sequence | 1..1 | Integer | A number to uniquely identify item entries. |
| careTeamSequence | 0..* | List<Integer> | CareTeam members related to this service or product. |
| diagnosisSequence | 0..* | List<Integer> | Diagnosis applicable for this service or product. |
| procedureSequence | 0..* | List<Integer> | Procedures applicable for this service or product. |
| informationSequence | 0..* | List<Integer> | Exceptions, special conditions and supporting information applicable for this service or product. |
| revenue | 0..1 | Concept | The type of revenue or cost center providing the product and/or service. Binding: Codes for the revenue or cost centers supplying the service and/or products. (example) |
| category | 0..1 | Concept | Code to identify the general type of benefits under which products and services are provided. Binding: Benefit categories such as: oral-basic, major, glasses. (example) |
| productOrService | 1..1 | Concept | 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. Binding: Allowable service and product codes. (example) |
| modifier | 0..* | List<Concept> | Item typification or modifiers codes to convey additional context for the product or service. Binding: Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen. (example) |
| programCode | 0..* | List<Concept> | Identifies the program under which this may be recovered. Binding: Program specific reason codes. (example) |
| serviced[x] | 0..1 | DateTime | Interval<DateTime> | The date or dates when the service or product was supplied, performed or completed. |
| location[x] | 0..1 | Concept | Address | QICoreLocation | Where the product or service was provided. Binding: Place of service: pharmacy, school, prison, etc. (example) |
| quantity | 0..1 | Quantity | The number of repetitions of a service or product. |
| unitPrice | 0..1 | Money | 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. |
| factor | 0..1 | Decimal | 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. |
| net | 0..1 | Money | The quantity times the unit price for an additional service or product or charge. |
| udi | 0..* | List<QICoreDevice> | Unique Device Identifiers associated with this line item. |
| bodySite | 0..1 | Concept | Physical service site on the patient (limb, tooth, etc.). Binding: The code for the teeth, quadrant, sextant and arch. (example) |
| subSite | 0..* | List<Concept> | A region or surface of the bodySite, e.g. limb region or tooth surface(s). Binding: The code for the tooth surface and surface combinations. (example) |
| encounter | 0..* | List<QICoreEncounter> | The Encounters during which this Claim was created or to which the creation of this record is tightly associated. |
| detail | 0..* | List<item.detail> | A claim detail line. Either a simple (a product or service) or a 'group' of sub-details which are simple items. |