Extensions for Using Data Elements from FHIR R5 in FHIR STU3 - Downloaded Version null See the Directory of published versions
| Official URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.detail.subDetail | Version: 0.1.0 | |||
| Standards status: Trial-use | Maturity Level: 0 | Computable Name: ExtensionExplanationOfBenefit_AddItem_Detail_SubDetail | ||
R5: ExplanationOfBenefit.addItem.detail.subDetail (new:BackboneElement)
This extension is part of the cross-version definitions generated to enable use of the
element ExplanationOfBenefit.addItem.detail.subDetail as defined in FHIR R5
in FHIR STU3.
The source element is defined as:
ExplanationOfBenefit.addItem.detail.subDetail 0..* BackboneElement
Across FHIR versions, the element set has been mapped as:
ExplanationOfBenefit.addItem.detail.subDetail 0..* BackboneElementExplanationOfBenefit.addItem.detail.subDetail 0..* BackboneElementExplanationOfBenefit.addItem.detail.subDetail 0..* BackboneElementFollowing are the generation technical comments:
Element ExplanationOfBenefit.addItem.detail.subDetail has a context of ExplanationOfBenefit.addItem.detail based on following the parent source element upwards and mapping to ExplanationOfBenefit.
Element ExplanationOfBenefit.addItem.detail.subDetail has no mapping targets in FHIR STU3. Typically, this is because the element has been added (is a new element).
Context of Use
This extension may be used on the following element(s)
ExplanationOfBenefit.addItem.detail
Usage info
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.
This structure is derived from Extension
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
0..* | Extension | R5: Insurer added line items (new) | |
![]() ![]() |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
![]() ![]() ![]() |
0..* | Extension | R5: Number for tracking (new) | |
![]() ![]() ![]() ![]() |
1..1 | uri | "traceNumber" | |
![]() ![]() ![]() ![]() |
0..1 | Identifier | Number for tracking | |
![]() ![]() ![]() |
0..1 | Extension | R5: Revenue or cost center code (new) | |
![]() ![]() ![]() ![]() |
1..1 | uri | "revenue" | |
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Revenue or cost center code Binding: Example Revenue Center Codes (example): Codes for the revenue or cost centers supplying the service and/or products. | |
![]() ![]() ![]() |
0..1 | Extension | R5: Billing, service, product, or drug code (new) | |
![]() ![]() ![]() ![]() |
1..1 | uri | "productOrService" | |
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Billing, service, product, or drug code Binding: USCLS Codes (example): Allowable service and product codes. | |
![]() ![]() ![]() |
0..1 | Extension | R5: End of a range of codes (new) | |
![]() ![]() ![]() ![]() |
1..1 | uri | "productOrServiceEnd" | |
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | End of a range of codes Binding: USCLS Codes (example) | |
![]() ![]() ![]() |
0..* | Extension | R5: Service/Product billing modifiers (new) | |
![]() ![]() ![]() ![]() |
1..1 | uri | "modifier" | |
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Service/Product billing modifiers Binding: Modifier type Codes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen. | |
![]() ![]() ![]() |
0..1 | Extension | R5: Paid by the patient (new) | |
![]() ![]() ![]() ![]() |
1..1 | uri | "patientPaid" | |
![]() ![]() ![]() ![]() |
0..1 | Money | Paid by the patient | |
![]() ![]() ![]() |
0..1 | Extension | R5: Count of products or services (new) | |
![]() ![]() ![]() ![]() |
1..1 | uri | "quantity" | |
![]() ![]() ![]() ![]() |
0..1 | SimpleQuantity | Count of products or services | |
![]() ![]() ![]() |
0..1 | Extension | R5: Fee, charge or cost per item (new) | |
![]() ![]() ![]() ![]() |
1..1 | uri | "unitPrice" | |
![]() ![]() ![]() ![]() |
0..1 | Money | Fee, charge or cost per item | |
![]() ![]() ![]() |
0..1 | Extension | R5: Price scaling factor (new) | |
![]() ![]() ![]() ![]() |
1..1 | uri | "factor" | |
![]() ![]() ![]() ![]() |
0..1 | decimal | Price scaling factor | |
![]() ![]() ![]() |
0..1 | Extension | R5: Total tax (new) | |
![]() ![]() ![]() ![]() |
1..1 | uri | "tax" | |
![]() ![]() ![]() ![]() |
0..1 | Money | Total tax | |
![]() ![]() ![]() |
0..1 | Extension | R5: Total item cost (new) | |
![]() ![]() ![]() ![]() |
1..1 | uri | "net" | |
![]() ![]() ![]() ![]() |
0..1 | Money | Total item cost | |
![]() ![]() ![]() |
0..* | Extension | R5: Applicable note numbers (new) | |
![]() ![]() ![]() ![]() |
1..1 | uri | "noteNumber" | |
![]() ![]() ![]() ![]() |
0..1 | positiveInt | Applicable note numbers | |
![]() ![]() ![]() |
0..1 | Extension | R5: Additem subdetail level adjudication results (new) | |
![]() ![]() ![]() ![]() |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.item.reviewOutcome" | |
![]() ![]() ![]() ![]() |
0..0 | Value of extension | ||
![]() ![]() ![]() |
0..* | Extension | R5: Added items adjudication (new) | |
![]() ![]() ![]() ![]() |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.item.adjudication" | |
![]() ![]() ![]() ![]() |
0..0 | Value of extension | ||
![]() ![]() |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.detail.subDetail" | |
![]() ![]() |
0..0 | Value of extension | ||
Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
0..* | Extension | R5: Insurer added line items (new) | |
![]() ![]() |
0..1 | string | xml:id (or equivalent in JSON) | |
![]() ![]() |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
![]() ![]() ![]() |
0..* | Extension | R5: Number for tracking (new) | |
![]() ![]() ![]() ![]() |
0..1 | string | xml:id (or equivalent in JSON) | |
![]() ![]() ![]() ![]() |
0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
![]() ![]() ![]() ![]() |
1..1 | uri | "traceNumber" | |
![]() ![]() ![]() ![]() |
0..1 | Identifier | Number for tracking | |
![]() ![]() ![]() |
0..1 | Extension | R5: Revenue or cost center code (new) | |
![]() ![]() ![]() ![]() |
0..1 | string | xml:id (or equivalent in JSON) | |
![]() ![]() ![]() ![]() |
0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
![]() ![]() ![]() ![]() |
1..1 | uri | "revenue" | |
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Revenue or cost center code Binding: Example Revenue Center Codes (example): Codes for the revenue or cost centers supplying the service and/or products. | |
![]() ![]() ![]() |
0..1 | Extension | R5: Billing, service, product, or drug code (new) | |
![]() ![]() ![]() ![]() |
0..1 | string | xml:id (or equivalent in JSON) | |
![]() ![]() ![]() ![]() |
0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
![]() ![]() ![]() ![]() |
1..1 | uri | "productOrService" | |
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Billing, service, product, or drug code Binding: USCLS Codes (example): Allowable service and product codes. | |
![]() ![]() ![]() |
0..1 | Extension | R5: End of a range of codes (new) | |
![]() ![]() ![]() ![]() |
0..1 | string | xml:id (or equivalent in JSON) | |
![]() ![]() ![]() ![]() |
0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
![]() ![]() ![]() ![]() |
1..1 | uri | "productOrServiceEnd" | |
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | End of a range of codes Binding: USCLS Codes (example) | |
![]() ![]() ![]() |
0..* | Extension | R5: Service/Product billing modifiers (new) | |
![]() ![]() ![]() ![]() |
0..1 | string | xml:id (or equivalent in JSON) | |
![]() ![]() ![]() ![]() |
0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
![]() ![]() ![]() ![]() |
1..1 | uri | "modifier" | |
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Service/Product billing modifiers Binding: Modifier type Codes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen. | |
![]() ![]() ![]() |
0..1 | Extension | R5: Paid by the patient (new) | |
![]() ![]() ![]() ![]() |
0..1 | string | xml:id (or equivalent in JSON) | |
![]() ![]() ![]() ![]() |
0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
![]() ![]() ![]() ![]() |
1..1 | uri | "patientPaid" | |
![]() ![]() ![]() ![]() |
0..1 | Money | Paid by the patient | |
![]() ![]() ![]() |
0..1 | Extension | R5: Count of products or services (new) | |
![]() ![]() ![]() ![]() |
0..1 | string | xml:id (or equivalent in JSON) | |
![]() ![]() ![]() ![]() |
0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
![]() ![]() ![]() ![]() |
1..1 | uri | "quantity" | |
![]() ![]() ![]() ![]() |
0..1 | SimpleQuantity | Count of products or services | |
![]() ![]() ![]() |
0..1 | Extension | R5: Fee, charge or cost per item (new) | |
![]() ![]() ![]() ![]() |
0..1 | string | xml:id (or equivalent in JSON) | |
![]() ![]() ![]() ![]() |
0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
![]() ![]() ![]() ![]() |
1..1 | uri | "unitPrice" | |
![]() ![]() ![]() ![]() |
0..1 | Money | Fee, charge or cost per item | |
![]() ![]() ![]() |
0..1 | Extension | R5: Price scaling factor (new) | |
![]() ![]() ![]() ![]() |
0..1 | string | xml:id (or equivalent in JSON) | |
![]() ![]() ![]() ![]() |
0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
![]() ![]() ![]() ![]() |
1..1 | uri | "factor" | |
![]() ![]() ![]() ![]() |
0..1 | decimal | Price scaling factor | |
![]() ![]() ![]() |
0..1 | Extension | R5: Total tax (new) | |
![]() ![]() ![]() ![]() |
0..1 | string | xml:id (or equivalent in JSON) | |
![]() ![]() ![]() ![]() |
0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
![]() ![]() ![]() ![]() |
1..1 | uri | "tax" | |
![]() ![]() ![]() ![]() |
0..1 | Money | Total tax | |
![]() ![]() ![]() |
0..1 | Extension | R5: Total item cost (new) | |
![]() ![]() ![]() ![]() |
0..1 | string | xml:id (or equivalent in JSON) | |
![]() ![]() ![]() ![]() |
0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
![]() ![]() ![]() ![]() |
1..1 | uri | "net" | |
![]() ![]() ![]() ![]() |
0..1 | Money | Total item cost | |
![]() ![]() ![]() |
0..* | Extension | R5: Applicable note numbers (new) | |
![]() ![]() ![]() ![]() |
0..1 | string | xml:id (or equivalent in JSON) | |
![]() ![]() ![]() ![]() |
0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
![]() ![]() ![]() ![]() |
1..1 | uri | "noteNumber" | |
![]() ![]() ![]() ![]() |
0..1 | positiveInt | Applicable note numbers | |
![]() ![]() ![]() |
0..1 | Extension | R5: Additem subdetail level adjudication results (new) | |
![]() ![]() ![]() ![]() |
0..1 | string | xml:id (or equivalent in JSON) | |
![]() ![]() ![]() ![]() |
0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
![]() ![]() ![]() ![]() |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.item.reviewOutcome" | |
![]() ![]() ![]() |
0..* | Extension | R5: Added items adjudication (new) | |
![]() ![]() ![]() ![]() |
0..1 | string | xml:id (or equivalent in JSON) | |
![]() ![]() ![]() ![]() |
0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
![]() ![]() ![]() ![]() |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.item.adjudication" | |
![]() ![]() |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.detail.subDetail" | |
Documentation for this format | ||||
This structure is derived from Extension
Summary
Complex Extension: R5: ExplanationOfBenefit.addItem.detail.subDetail (new:BackboneElement)
ExplanationOfBenefit.addItem.detail.subDetail.traceNumber (new:Identifier)ExplanationOfBenefit.addItem.detail.subDetail.revenue (new:CodeableConcept)ExplanationOfBenefit.addItem.detail.subDetail.productOrService (new:CodeableConcept)ExplanationOfBenefit.addItem.detail.subDetail.productOrServiceEnd (new:CodeableConcept)ExplanationOfBenefit.addItem.detail.subDetail.modifier (new:CodeableConcept)ExplanationOfBenefit.addItem.detail.subDetail.patientPaid (new:Money)ExplanationOfBenefit.addItem.detail.subDetail.quantity (new:Quantity[SimpleQuantity])ExplanationOfBenefit.addItem.detail.subDetail.unitPrice (new:Money)ExplanationOfBenefit.addItem.detail.subDetail.factor (new:decimal)ExplanationOfBenefit.addItem.detail.subDetail.tax (new:Money)ExplanationOfBenefit.addItem.detail.subDetail.net (new:Money)ExplanationOfBenefit.addItem.detail.subDetail.noteNumber (new:positiveInt)ExplanationOfBenefit.addItem.detail.subDetail.reviewOutcome (new:ExplanationOfBenefit.item.reviewOutcome)ExplanationOfBenefit.addItem.detail.subDetail.adjudication (new:ExplanationOfBenefit.item.adjudication)Maturity: 0
Differential View
This structure is derived from Extension
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
0..* | Extension | R5: Insurer added line items (new) | |
![]() ![]() |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
![]() ![]() ![]() |
0..* | Extension | R5: Number for tracking (new) | |
![]() ![]() ![]() ![]() |
1..1 | uri | "traceNumber" | |
![]() ![]() ![]() ![]() |
0..1 | Identifier | Number for tracking | |
![]() ![]() ![]() |
0..1 | Extension | R5: Revenue or cost center code (new) | |
![]() ![]() ![]() ![]() |
1..1 | uri | "revenue" | |
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Revenue or cost center code Binding: Example Revenue Center Codes (example): Codes for the revenue or cost centers supplying the service and/or products. | |
![]() ![]() ![]() |
0..1 | Extension | R5: Billing, service, product, or drug code (new) | |
![]() ![]() ![]() ![]() |
1..1 | uri | "productOrService" | |
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Billing, service, product, or drug code Binding: USCLS Codes (example): Allowable service and product codes. | |
![]() ![]() ![]() |
0..1 | Extension | R5: End of a range of codes (new) | |
![]() ![]() ![]() ![]() |
1..1 | uri | "productOrServiceEnd" | |
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | End of a range of codes Binding: USCLS Codes (example) | |
![]() ![]() ![]() |
0..* | Extension | R5: Service/Product billing modifiers (new) | |
![]() ![]() ![]() ![]() |
1..1 | uri | "modifier" | |
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Service/Product billing modifiers Binding: Modifier type Codes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen. | |
![]() ![]() ![]() |
0..1 | Extension | R5: Paid by the patient (new) | |
![]() ![]() ![]() ![]() |
1..1 | uri | "patientPaid" | |
![]() ![]() ![]() ![]() |
0..1 | Money | Paid by the patient | |
![]() ![]() ![]() |
0..1 | Extension | R5: Count of products or services (new) | |
![]() ![]() ![]() ![]() |
1..1 | uri | "quantity" | |
![]() ![]() ![]() ![]() |
0..1 | SimpleQuantity | Count of products or services | |
![]() ![]() ![]() |
0..1 | Extension | R5: Fee, charge or cost per item (new) | |
![]() ![]() ![]() ![]() |
1..1 | uri | "unitPrice" | |
![]() ![]() ![]() ![]() |
0..1 | Money | Fee, charge or cost per item | |
![]() ![]() ![]() |
0..1 | Extension | R5: Price scaling factor (new) | |
![]() ![]() ![]() ![]() |
1..1 | uri | "factor" | |
![]() ![]() ![]() ![]() |
0..1 | decimal | Price scaling factor | |
![]() ![]() ![]() |
0..1 | Extension | R5: Total tax (new) | |
![]() ![]() ![]() ![]() |
1..1 | uri | "tax" | |
![]() ![]() ![]() ![]() |
0..1 | Money | Total tax | |
![]() ![]() ![]() |
0..1 | Extension | R5: Total item cost (new) | |
![]() ![]() ![]() ![]() |
1..1 | uri | "net" | |
![]() ![]() ![]() ![]() |
0..1 | Money | Total item cost | |
![]() ![]() ![]() |
0..* | Extension | R5: Applicable note numbers (new) | |
![]() ![]() ![]() ![]() |
1..1 | uri | "noteNumber" | |
![]() ![]() ![]() ![]() |
0..1 | positiveInt | Applicable note numbers | |
![]() ![]() ![]() |
0..1 | Extension | R5: Additem subdetail level adjudication results (new) | |
![]() ![]() ![]() ![]() |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.item.reviewOutcome" | |
![]() ![]() ![]() ![]() |
0..0 | Value of extension | ||
![]() ![]() ![]() |
0..* | Extension | R5: Added items adjudication (new) | |
![]() ![]() ![]() ![]() |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.item.adjudication" | |
![]() ![]() ![]() ![]() |
0..0 | Value of extension | ||
![]() ![]() |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.detail.subDetail" | |
![]() ![]() |
0..0 | Value of extension | ||
Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
0..* | Extension | R5: Insurer added line items (new) | |
![]() ![]() |
0..1 | string | xml:id (or equivalent in JSON) | |
![]() ![]() |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
![]() ![]() ![]() |
0..* | Extension | R5: Number for tracking (new) | |
![]() ![]() ![]() ![]() |
0..1 | string | xml:id (or equivalent in JSON) | |
![]() ![]() ![]() ![]() |
0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
![]() ![]() ![]() ![]() |
1..1 | uri | "traceNumber" | |
![]() ![]() ![]() ![]() |
0..1 | Identifier | Number for tracking | |
![]() ![]() ![]() |
0..1 | Extension | R5: Revenue or cost center code (new) | |
![]() ![]() ![]() ![]() |
0..1 | string | xml:id (or equivalent in JSON) | |
![]() ![]() ![]() ![]() |
0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
![]() ![]() ![]() ![]() |
1..1 | uri | "revenue" | |
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Revenue or cost center code Binding: Example Revenue Center Codes (example): Codes for the revenue or cost centers supplying the service and/or products. | |
![]() ![]() ![]() |
0..1 | Extension | R5: Billing, service, product, or drug code (new) | |
![]() ![]() ![]() ![]() |
0..1 | string | xml:id (or equivalent in JSON) | |
![]() ![]() ![]() ![]() |
0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
![]() ![]() ![]() ![]() |
1..1 | uri | "productOrService" | |
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Billing, service, product, or drug code Binding: USCLS Codes (example): Allowable service and product codes. | |
![]() ![]() ![]() |
0..1 | Extension | R5: End of a range of codes (new) | |
![]() ![]() ![]() ![]() |
0..1 | string | xml:id (or equivalent in JSON) | |
![]() ![]() ![]() ![]() |
0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
![]() ![]() ![]() ![]() |
1..1 | uri | "productOrServiceEnd" | |
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | End of a range of codes Binding: USCLS Codes (example) | |
![]() ![]() ![]() |
0..* | Extension | R5: Service/Product billing modifiers (new) | |
![]() ![]() ![]() ![]() |
0..1 | string | xml:id (or equivalent in JSON) | |
![]() ![]() ![]() ![]() |
0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
![]() ![]() ![]() ![]() |
1..1 | uri | "modifier" | |
![]() ![]() ![]() ![]() |
0..1 | CodeableConcept | Service/Product billing modifiers Binding: Modifier type Codes (example): Item type or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen. | |
![]() ![]() ![]() |
0..1 | Extension | R5: Paid by the patient (new) | |
![]() ![]() ![]() ![]() |
0..1 | string | xml:id (or equivalent in JSON) | |
![]() ![]() ![]() ![]() |
0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
![]() ![]() ![]() ![]() |
1..1 | uri | "patientPaid" | |
![]() ![]() ![]() ![]() |
0..1 | Money | Paid by the patient | |
![]() ![]() ![]() |
0..1 | Extension | R5: Count of products or services (new) | |
![]() ![]() ![]() ![]() |
0..1 | string | xml:id (or equivalent in JSON) | |
![]() ![]() ![]() ![]() |
0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
![]() ![]() ![]() ![]() |
1..1 | uri | "quantity" | |
![]() ![]() ![]() ![]() |
0..1 | SimpleQuantity | Count of products or services | |
![]() ![]() ![]() |
0..1 | Extension | R5: Fee, charge or cost per item (new) | |
![]() ![]() ![]() ![]() |
0..1 | string | xml:id (or equivalent in JSON) | |
![]() ![]() ![]() ![]() |
0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
![]() ![]() ![]() ![]() |
1..1 | uri | "unitPrice" | |
![]() ![]() ![]() ![]() |
0..1 | Money | Fee, charge or cost per item | |
![]() ![]() ![]() |
0..1 | Extension | R5: Price scaling factor (new) | |
![]() ![]() ![]() ![]() |
0..1 | string | xml:id (or equivalent in JSON) | |
![]() ![]() ![]() ![]() |
0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
![]() ![]() ![]() ![]() |
1..1 | uri | "factor" | |
![]() ![]() ![]() ![]() |
0..1 | decimal | Price scaling factor | |
![]() ![]() ![]() |
0..1 | Extension | R5: Total tax (new) | |
![]() ![]() ![]() ![]() |
0..1 | string | xml:id (or equivalent in JSON) | |
![]() ![]() ![]() ![]() |
0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
![]() ![]() ![]() ![]() |
1..1 | uri | "tax" | |
![]() ![]() ![]() ![]() |
0..1 | Money | Total tax | |
![]() ![]() ![]() |
0..1 | Extension | R5: Total item cost (new) | |
![]() ![]() ![]() ![]() |
0..1 | string | xml:id (or equivalent in JSON) | |
![]() ![]() ![]() ![]() |
0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
![]() ![]() ![]() ![]() |
1..1 | uri | "net" | |
![]() ![]() ![]() ![]() |
0..1 | Money | Total item cost | |
![]() ![]() ![]() |
0..* | Extension | R5: Applicable note numbers (new) | |
![]() ![]() ![]() ![]() |
0..1 | string | xml:id (or equivalent in JSON) | |
![]() ![]() ![]() ![]() |
0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
![]() ![]() ![]() ![]() |
1..1 | uri | "noteNumber" | |
![]() ![]() ![]() ![]() |
0..1 | positiveInt | Applicable note numbers | |
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0..1 | Extension | R5: Additem subdetail level adjudication results (new) | |
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0..1 | string | xml:id (or equivalent in JSON) | |
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0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
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1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.item.reviewOutcome" | |
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0..* | Extension | R5: Added items adjudication (new) | |
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0..1 | string | xml:id (or equivalent in JSON) | |
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0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
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1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.item.adjudication" | |
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1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-ExplanationOfBenefit.addItem.detail.subDetail" | |
Documentation for this format | ||||
This structure is derived from Extension
Summary
Complex Extension: R5: ExplanationOfBenefit.addItem.detail.subDetail (new:BackboneElement)
ExplanationOfBenefit.addItem.detail.subDetail.traceNumber (new:Identifier)ExplanationOfBenefit.addItem.detail.subDetail.revenue (new:CodeableConcept)ExplanationOfBenefit.addItem.detail.subDetail.productOrService (new:CodeableConcept)ExplanationOfBenefit.addItem.detail.subDetail.productOrServiceEnd (new:CodeableConcept)ExplanationOfBenefit.addItem.detail.subDetail.modifier (new:CodeableConcept)ExplanationOfBenefit.addItem.detail.subDetail.patientPaid (new:Money)ExplanationOfBenefit.addItem.detail.subDetail.quantity (new:Quantity[SimpleQuantity])ExplanationOfBenefit.addItem.detail.subDetail.unitPrice (new:Money)ExplanationOfBenefit.addItem.detail.subDetail.factor (new:decimal)ExplanationOfBenefit.addItem.detail.subDetail.tax (new:Money)ExplanationOfBenefit.addItem.detail.subDetail.net (new:Money)ExplanationOfBenefit.addItem.detail.subDetail.noteNumber (new:positiveInt)ExplanationOfBenefit.addItem.detail.subDetail.reviewOutcome (new:ExplanationOfBenefit.item.reviewOutcome)ExplanationOfBenefit.addItem.detail.subDetail.adjudication (new:ExplanationOfBenefit.item.adjudication)Maturity: 0
Other representations of profile: CSV, Excel, Schematron
| Path | Status | Usage | ValueSet | Version | Source |
| Extension.extension:revenue.value[x] | Base | example | Example Revenue Center Codes | 📍3.0.2 | FHIR Std. |
| Extension.extension:productOrService.value[x] | Base | example | USCLS Codes | 📍3.0.2 | FHIR Std. |
| Extension.extension:productOrServiceEnd.value[x] | Base | example | USCLS Codes | 📍3.0.2 | FHIR Std. |
| Extension.extension:modifier.value[x] | Base | example | Modifier type Codes | 📍3.0.2 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() | (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|