Class TExplanationOfBenefitItem
Unit
bsFhir_r4
Declaration
type TExplanationOfBenefitItem = class(TBackboneElement)
Description
This resource provides: the claim details; adjudication details from the processing of a Claim; and optionally account balance information, for informing the subscriber of the benefits provided.
Hierarchy
Overview
Methods
Properties
Description
Methods
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constructor Create; override; |
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Properties
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property sequence : Int64 read Getsequence write Setsequence; |
A number to uniquely identify item entries.
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property sequenceElement : TpositiveInt read GetsequenceElement write SetsequenceElement; |
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property careTeamSequence : TBSFHIRPrimitiveStringArray read GetcareTeamSequenceArray; |
Care team members related to this service or product.
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property diagnosisSequence : TBSFHIRPrimitiveStringArray read GetdiagnosisSequenceArray; |
Diagnoses applicable for this service or product.
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property procedureSequence : TBSFHIRPrimitiveStringArray read GetprocedureSequenceArray; |
Procedures applicable for this service or product.
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property informationSequence : TBSFHIRPrimitiveStringArray read GetinformationSequenceArray; |
Exceptions, special conditions and supporting information applicable for this service or product.
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property revenue : TCodeableConcept read Getrevenue write Setrevenue; |
The type of revenue or cost center providing the product and/or service.
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property category : TCodeableConcept read Getcategory write Setcategory; |
Code to identify the general type of benefits under which products and services are provided.
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property productOrService : TCodeableConcept read GetproductOrService write SetproductOrService; |
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.
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property modifier : TCodeableConceptArray read GetmodifierArray; |
Item typification or modifiers codes to convey additional context for the product or service.
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property programCode : TCodeableConceptArray read GetprogramCodeArray; |
Identifies the program under which this may be recovered.
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property serviced : TElement read Getserviced write Setserviced; |
The date or dates when the service or product was supplied, performed or completed.
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property location : TElement read Getlocation write Setlocation; |
Where the product or service was provided.
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property quantity : TQuantity read Getquantity write Setquantity; |
The number of repetitions of a service or product.
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property unitPrice : TMoney read GetunitPrice write SetunitPrice; |
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.
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property factor : Double read Getfactor write Setfactor; |
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.
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property factorElement : Tdecimal read GetfactorElement write SetfactorElement; |
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property net : TMoney read Getnet write Setnet; |
The quantity times the unit price for an additional service or product or charge.
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property udi : TReferenceArray read GetudiArray; |
Unique Device Identifiers associated with this line item.
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property bodySite : TCodeableConcept read GetbodySite write SetbodySite; |
Physical service site on the patient (limb, tooth, etc.).
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property subSite : TCodeableConceptArray read GetsubSiteArray; |
A region or surface of the bodySite, e.g. limb region or tooth surface(s).
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property encounter : TReferenceArray read GetencounterArray; |
A billed item may include goods or services provided in multiple encounters.
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property noteNumber : TBSFHIRPrimitiveStringArray read GetnoteNumberArray; |
The numbers associated with notes below which apply to the adjudication of this item.
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property adjudication : TExplanationOfBenefitAdjudicationArray read GetadjudicationArray; |
If this item is a group then the values here are a summary of the adjudication of the detail items. If this item is a simple product or service then this is the result of the adjudication of this item.
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