- Additional items Third tier of goods and services.
-
-
Key: = Must support, = QICore-defined extension, = Is-Modifier
Field Card. Type and Description 
category 0..1ConceptHealth Care Service Type Codes to identify the classification of service or benefits.Binding: Benefit SubCategory Codes (Example)
factor 0..1DecimalA 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.id 0..1Stringunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.modifier 0..*List<Concept>Item typification or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or for medical whether the treatment was outside the clinic or out of office hours.Binding: Modifier type Codes (Example)
net 0..1MoneyThe quantity times the unit price for an addittional service or product or charge. For example, the formula: unit Quantity * unit Price (Cost per Point) * factor Number * points = net Amount. Quantity, factor and points are assumed to be 1 if not supplied.programCode 0..*List<Concept>For programs which require reson codes for the inclusion, covering, of this billed item under the program or sub-program.Binding: Example Program Reason Codes (Example)
quantity 0..1QuantityThe number of repetitions of a service or product.revenue 0..1ConceptThe type of reveneu or cost center providing the product and/or service.Binding: Example Revenue Center Codes (Example)
sequence 1..1IntegerA service line number.service 0..1ConceptA code to indicate the Professional Service or Product supplied (eg. CTP, HCPCS,USCLS,ICD10, NCPDP,DIN,ACHI,CCI).Binding: USCLS Codes (Example)
udi 0..1ReferenceList of Unique Device Identifiers associated with this line item.unitPrice 0..1MoneyThe fee for an addittional service or product or charge.Key: = Must support, = QICore-defined extension, = Is-Modifier
-