
Class Claim
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- All Implemented Interfaces:
ca.uhn.fhir.model.api.IElement
,Serializable
,org.hl7.fhir.instance.model.api.IAnyResource
,org.hl7.fhir.instance.model.api.IBase
,org.hl7.fhir.instance.model.api.IBaseHasExtensions
,org.hl7.fhir.instance.model.api.IBaseHasModifierExtensions
,org.hl7.fhir.instance.model.api.IBaseResource
,org.hl7.fhir.instance.model.api.IDomainResource
public class Claim extends DomainResource
A provider issued list of services and products provided, or to be provided, to a patient which is provided to an insurer for payment recovery.- See Also:
- Serialized Form
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Nested Class Summary
Nested Classes Modifier and Type Class Description static class
Claim.AccidentComponent
static class
Claim.CareTeamComponent
static class
Claim.ClaimStatus
static class
Claim.ClaimStatusEnumFactory
static class
Claim.DetailComponent
static class
Claim.DiagnosisComponent
static class
Claim.InsuranceComponent
static class
Claim.ItemComponent
static class
Claim.PayeeComponent
static class
Claim.ProcedureComponent
static class
Claim.RelatedClaimComponent
static class
Claim.SpecialConditionComponent
static class
Claim.SubDetailComponent
static class
Claim.Use
static class
Claim.UseEnumFactory
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Field Summary
Fields Modifier and Type Field Description protected Claim.AccidentComponent
accident
An accident which resulted in the need for healthcare services.protected Period
billablePeriod
The billable period for which charges are being submitted.static ca.uhn.fhir.rest.gclient.ReferenceClientParam
CARE_TEAM
Fluent Client search parameter constant for care-teamprotected List<Claim.CareTeamComponent>
careTeam
The members of the team who provided the overall service as well as their role and whether responsible and qualifications.protected DateTimeType
created
The date when the enclosed suite of services were performed or completed.static ca.uhn.fhir.rest.gclient.DateClientParam
CREATED
Fluent Client search parameter constant for createdprotected List<Claim.DiagnosisComponent>
diagnosis
List of patient diagnosis for which care is sought.protected Period
employmentImpacted
The start and optional end dates of when the patient was precluded from working due to the treatable condition(s).static ca.uhn.fhir.rest.gclient.ReferenceClientParam
ENCOUNTER
Fluent Client search parameter constant for encounterprotected Reference
enterer
Person who created the invoice/claim/pre-determination or pre-authorization.static ca.uhn.fhir.rest.gclient.ReferenceClientParam
ENTERER
Fluent Client search parameter constant for entererprotected Practitioner
entererTarget
The actual object that is the target of the reference (Person who created the invoice/claim/pre-determination or pre-authorization.)protected Reference
facility
Facility where the services were provided.static ca.uhn.fhir.rest.gclient.ReferenceClientParam
FACILITY
Fluent Client search parameter constant for facilityprotected Location
facilityTarget
The actual object that is the target of the reference (Facility where the services were provided.)protected CodeableConcept
fundsReserve
In the case of a Pre-Determination/Pre-Authorization the provider may request that funds in the amount of the expected Benefit be reserved ('Patient' or 'Provider') to pay for the Benefits determined on the subsequent claim(s).protected Period
hospitalization
The start and optional end dates of when the patient was confined to a treatment center.protected List<Identifier>
identifier
The business identifier for the instance: claim number, pre-determination or pre-authorization number.static ca.uhn.fhir.rest.gclient.TokenClientParam
IDENTIFIER
Fluent Client search parameter constant for identifierstatic ca.uhn.fhir.model.api.Include
INCLUDE_CARE_TEAM
Constant for fluent queries to be used to add include statements.static ca.uhn.fhir.model.api.Include
INCLUDE_ENCOUNTER
Constant for fluent queries to be used to add include statements.static ca.uhn.fhir.model.api.Include
INCLUDE_ENTERER
Constant for fluent queries to be used to add include statements.static ca.uhn.fhir.model.api.Include
INCLUDE_FACILITY
Constant for fluent queries to be used to add include statements.static ca.uhn.fhir.model.api.Include
INCLUDE_INSURER
Constant for fluent queries to be used to add include statements.static ca.uhn.fhir.model.api.Include
INCLUDE_ORGANIZATION
Constant for fluent queries to be used to add include statements.static ca.uhn.fhir.model.api.Include
INCLUDE_PATIENT
Constant for fluent queries to be used to add include statements.static ca.uhn.fhir.model.api.Include
INCLUDE_PAYEE
Constant for fluent queries to be used to add include statements.static ca.uhn.fhir.model.api.Include
INCLUDE_PROVIDER
Constant for fluent queries to be used to add include statements.protected List<Claim.SpecialConditionComponent>
information
Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues.protected List<Claim.InsuranceComponent>
insurance
Financial instrument by which payment information for health care.protected Reference
insurer
The Insurer who is target of the request.static ca.uhn.fhir.rest.gclient.ReferenceClientParam
INSURER
Fluent Client search parameter constant for insurerprotected Organization
insurerTarget
The actual object that is the target of the reference (The Insurer who is target of the request.)protected List<Claim.ItemComponent>
item
First tier of goods and services.protected Reference
organization
The organization which is responsible for the bill, claim pre-determination, pre-authorization.static ca.uhn.fhir.rest.gclient.ReferenceClientParam
ORGANIZATION
Fluent Client search parameter constant for organizationprotected Organization
organizationTarget
The actual object that is the target of the reference (The organization which is responsible for the bill, claim pre-determination, pre-authorization.)protected Reference
originalPrescription
Original prescription which has been superceded by this prescription to support the dispensing of pharmacy services, medications or products.protected MedicationRequest
originalPrescriptionTarget
The actual object that is the target of the reference (Original prescription which has been superceded by this prescription to support the dispensing of pharmacy services, medications or products.protected Reference
patient
Patient Resource.static ca.uhn.fhir.rest.gclient.ReferenceClientParam
PATIENT
Fluent Client search parameter constant for patientprotected Patient
patientTarget
The actual object that is the target of the reference (Patient Resource.)protected Claim.PayeeComponent
payee
The party to be reimbursed for the services.static ca.uhn.fhir.rest.gclient.ReferenceClientParam
PAYEE
Fluent Client search parameter constant for payeeprotected Reference
prescription
Prescription to support the dispensing of Pharmacy or Vision products.protected Resource
prescriptionTarget
The actual object that is the target of the reference (Prescription to support the dispensing of Pharmacy or Vision products.)protected CodeableConcept
priority
Immediate (STAT), best effort (NORMAL), deferred (DEFER).static ca.uhn.fhir.rest.gclient.TokenClientParam
PRIORITY
Fluent Client search parameter constant for priorityprotected List<Claim.ProcedureComponent>
procedure
Ordered list of patient procedures performed to support the adjudication.protected Reference
provider
The provider which is responsible for the bill, claim pre-determination, pre-authorization.static ca.uhn.fhir.rest.gclient.ReferenceClientParam
PROVIDER
Fluent Client search parameter constant for providerprotected Practitioner
providerTarget
The actual object that is the target of the reference (The provider which is responsible for the bill, claim pre-determination, pre-authorization.)protected Reference
referral
The referral resource which lists the date, practitioner, reason and other supporting information.protected ReferralRequest
referralTarget
The actual object that is the target of the reference (The referral resource which lists the date, practitioner, reason and other supporting information.)protected List<Claim.RelatedClaimComponent>
related
Other claims which are related to this claim such as prior claim versions or for related services.static String
SP_CARE_TEAM
Search parameter: care-teamstatic String
SP_CREATED
Search parameter: createdstatic String
SP_ENCOUNTER
Search parameter: encounterstatic String
SP_ENTERER
Search parameter: entererstatic String
SP_FACILITY
Search parameter: facilitystatic String
SP_IDENTIFIER
Search parameter: identifierstatic String
SP_INSURER
Search parameter: insurerstatic String
SP_ORGANIZATION
Search parameter: organizationstatic String
SP_PATIENT
Search parameter: patientstatic String
SP_PAYEE
Search parameter: payeestatic String
SP_PRIORITY
Search parameter: prioritystatic String
SP_PROVIDER
Search parameter: providerstatic String
SP_USE
Search parameter: useprotected Enumeration<Claim.ClaimStatus>
status
The status of the resource instance.protected List<CodeableConcept>
subType
A finer grained suite of claim subtype codes which may convey Inpatient vs Outpatient and/or a specialty service.protected Money
total
The total value of the claim.protected CodeableConcept
type
The category of claim, eg, oral, pharmacy, vision, insitutional, professional.protected Enumeration<Claim.Use>
use
Complete (Bill or Claim), Proposed (Pre-Authorization), Exploratory (Pre-determination).static ca.uhn.fhir.rest.gclient.TokenClientParam
USE
Fluent Client search parameter constant for use-
Fields inherited from class org.hl7.fhir.dstu3.model.DomainResource
contained, extension, modifierExtension, text
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Fields inherited from class org.hl7.fhir.dstu3.model.Resource
id, implicitRules, language, meta
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Constructor Summary
Constructors Constructor Description Claim()
Constructor
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Method Summary
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Methods inherited from class org.hl7.fhir.dstu3.model.DomainResource
addContained, addExtension, addExtension, addModifierExtension, addModifierExtension, copyValues, getContained, getExtension, getExtensionsByUrl, getModifierExtension, getModifierExtensionsByUrl, getText, hasContained, hasExtension, hasModifierExtension, hasText, setContained, setExtension, setModifierExtension, setText
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Methods inherited from class org.hl7.fhir.dstu3.model.Resource
copyValues, getId, getIdBase, getIdElement, getImplicitRules, getImplicitRulesElement, getLanguage, getLanguageElement, getMeta, hasId, hasIdElement, hasImplicitRules, hasImplicitRulesElement, hasLanguage, hasLanguageElement, hasMeta, setId, setIdBase, setIdElement, setImplicitRules, setImplicitRulesElement, setLanguage, setLanguageElement, setMeta
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Methods inherited from class org.hl7.fhir.dstu3.model.BaseResource
getStructureFhirVersionEnum, isResource, setId
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Methods inherited from class org.hl7.fhir.dstu3.model.Base
castToAddress, castToAnnotation, castToAttachment, castToBase64Binary, castToBoolean, castToCode, castToCodeableConcept, castToCoding, castToContactDetail, castToContactPoint, castToContributor, castToDataRequirement, castToDate, castToDateTime, castToDecimal, castToDosage, castToDuration, castToElementDefinition, castToExtension, castToHumanName, castToId, castToIdentifier, castToInstant, castToInteger, castToMarkdown, castToMeta, castToMoney, castToNarrative, castToOid, castToParameterDefinition, castToPeriod, castToPositiveInt, castToQuantity, castToRange, castToRatio, castToReference, castToRelatedArtifact, castToResource, castToSampledData, castToSignature, castToSimpleQuantity, castToString, castToTime, castToTiming, castToTriggerDefinition, castToType, castToUnsignedInt, castToUri, castToUsageContext, castToXhtml, castToXhtmlString, children, clearUserData, compareDeep, compareDeep, compareDeep, compareValues, compareValues, equals, getChildByName, getFormatCommentsPost, getFormatCommentsPre, getNamedProperty, getUserData, getUserInt, getUserString, hasFormatComment, hasPrimitiveValue, hasType, hasUserData, isBooleanPrimitive, isMetadataBased, isPrimitive, listChildrenByName, listChildrenByName, primitiveValue, setUserData, setUserDataINN
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Methods inherited from class java.lang.Object
clone, equals, finalize, getClass, hashCode, notify, notifyAll, toString, wait, wait, wait
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Methods inherited from interface org.hl7.fhir.instance.model.api.IAnyResource
getId, getIdElement, getLanguageElement, getUserData, setId, setUserData
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Field Detail
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identifier
protected List<Identifier> identifier
The business identifier for the instance: claim number, pre-determination or pre-authorization number.
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status
protected Enumeration<Claim.ClaimStatus> status
The status of the resource instance.
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type
protected CodeableConcept type
The category of claim, eg, oral, pharmacy, vision, insitutional, professional.
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subType
protected List<CodeableConcept> subType
A finer grained suite of claim subtype codes which may convey Inpatient vs Outpatient and/or a specialty service. In the US the BillType.
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use
protected Enumeration<Claim.Use> use
Complete (Bill or Claim), Proposed (Pre-Authorization), Exploratory (Pre-determination).
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patientTarget
protected Patient patientTarget
The actual object that is the target of the reference (Patient Resource.)
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billablePeriod
protected Period billablePeriod
The billable period for which charges are being submitted.
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created
protected DateTimeType created
The date when the enclosed suite of services were performed or completed.
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enterer
protected Reference enterer
Person who created the invoice/claim/pre-determination or pre-authorization.
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entererTarget
protected Practitioner entererTarget
The actual object that is the target of the reference (Person who created the invoice/claim/pre-determination or pre-authorization.)
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insurerTarget
protected Organization insurerTarget
The actual object that is the target of the reference (The Insurer who is target of the request.)
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provider
protected Reference provider
The provider which is responsible for the bill, claim pre-determination, pre-authorization.
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providerTarget
protected Practitioner providerTarget
The actual object that is the target of the reference (The provider which is responsible for the bill, claim pre-determination, pre-authorization.)
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organization
protected Reference organization
The organization which is responsible for the bill, claim pre-determination, pre-authorization.
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organizationTarget
protected Organization organizationTarget
The actual object that is the target of the reference (The organization which is responsible for the bill, claim pre-determination, pre-authorization.)
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priority
protected CodeableConcept priority
Immediate (STAT), best effort (NORMAL), deferred (DEFER).
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fundsReserve
protected CodeableConcept fundsReserve
In the case of a Pre-Determination/Pre-Authorization the provider may request that funds in the amount of the expected Benefit be reserved ('Patient' or 'Provider') to pay for the Benefits determined on the subsequent claim(s). 'None' explicitly indicates no funds reserving is requested.
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related
protected List<Claim.RelatedClaimComponent> related
Other claims which are related to this claim such as prior claim versions or for related services.
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prescription
protected Reference prescription
Prescription to support the dispensing of Pharmacy or Vision products.
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prescriptionTarget
protected Resource prescriptionTarget
The actual object that is the target of the reference (Prescription to support the dispensing of Pharmacy or Vision products.)
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originalPrescription
protected Reference originalPrescription
Original prescription which has been superceded by this prescription to support the dispensing of pharmacy services, medications or products. For example, a physician may prescribe a medication which the pharmacy determines is contraindicated, or for which the patient has an intolerance, and therefor issues a new precription for an alternate medication which has the same theraputic intent. The prescription from the pharmacy becomes the 'prescription' and that from the physician becomes the 'original prescription'.
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originalPrescriptionTarget
protected MedicationRequest originalPrescriptionTarget
The actual object that is the target of the reference (Original prescription which has been superceded by this prescription to support the dispensing of pharmacy services, medications or products. For example, a physician may prescribe a medication which the pharmacy determines is contraindicated, or for which the patient has an intolerance, and therefor issues a new precription for an alternate medication which has the same theraputic intent. The prescription from the pharmacy becomes the 'prescription' and that from the physician becomes the 'original prescription'.)
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payee
protected Claim.PayeeComponent payee
The party to be reimbursed for the services.
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referral
protected Reference referral
The referral resource which lists the date, practitioner, reason and other supporting information.
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referralTarget
protected ReferralRequest referralTarget
The actual object that is the target of the reference (The referral resource which lists the date, practitioner, reason and other supporting information.)
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facilityTarget
protected Location facilityTarget
The actual object that is the target of the reference (Facility where the services were provided.)
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careTeam
protected List<Claim.CareTeamComponent> careTeam
The members of the team who provided the overall service as well as their role and whether responsible and qualifications.
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information
protected List<Claim.SpecialConditionComponent> information
Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues. Often there are mutiple jurisdiction specific valuesets which are required.
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diagnosis
protected List<Claim.DiagnosisComponent> diagnosis
List of patient diagnosis for which care is sought.
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procedure
protected List<Claim.ProcedureComponent> procedure
Ordered list of patient procedures performed to support the adjudication.
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insurance
protected List<Claim.InsuranceComponent> insurance
Financial instrument by which payment information for health care.
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accident
protected Claim.AccidentComponent accident
An accident which resulted in the need for healthcare services.
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employmentImpacted
protected Period employmentImpacted
The start and optional end dates of when the patient was precluded from working due to the treatable condition(s).
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hospitalization
protected Period hospitalization
The start and optional end dates of when the patient was confined to a treatment center.
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item
protected List<Claim.ItemComponent> item
First tier of goods and services.
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SP_CARE_TEAM
public static final String SP_CARE_TEAM
Search parameter: care-teamDescription: Member of the CareTeam
Type: reference
Path: Claim.careTeam.provider
- See Also:
- Constant Field Values
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CARE_TEAM
public static final ca.uhn.fhir.rest.gclient.ReferenceClientParam CARE_TEAM
Fluent Client search parameter constant for care-teamDescription: Member of the CareTeam
Type: reference
Path: Claim.careTeam.provider
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INCLUDE_CARE_TEAM
public static final ca.uhn.fhir.model.api.Include INCLUDE_CARE_TEAM
Constant for fluent queries to be used to add include statements. Specifies the path value of "Claim:care-team".
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SP_IDENTIFIER
public static final String SP_IDENTIFIER
Search parameter: identifierDescription: The primary identifier of the financial resource
Type: token
Path: Claim.identifier
- See Also:
- Constant Field Values
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IDENTIFIER
public static final ca.uhn.fhir.rest.gclient.TokenClientParam IDENTIFIER
Fluent Client search parameter constant for identifierDescription: The primary identifier of the financial resource
Type: token
Path: Claim.identifier
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SP_USE
public static final String SP_USE
Search parameter: useDescription: The kind of financial resource
Type: token
Path: Claim.use
- See Also:
- Constant Field Values
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USE
public static final ca.uhn.fhir.rest.gclient.TokenClientParam USE
Fluent Client search parameter constant for useDescription: The kind of financial resource
Type: token
Path: Claim.use
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SP_CREATED
public static final String SP_CREATED
Search parameter: createdDescription: The creation date for the Claim
Type: date
Path: Claim.created
- See Also:
- Constant Field Values
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CREATED
public static final ca.uhn.fhir.rest.gclient.DateClientParam CREATED
Fluent Client search parameter constant for createdDescription: The creation date for the Claim
Type: date
Path: Claim.created
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SP_ENCOUNTER
public static final String SP_ENCOUNTER
Search parameter: encounterDescription: Encounters associated with a billed line item
Type: reference
Path: Claim.item.encounter
- See Also:
- Constant Field Values
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ENCOUNTER
public static final ca.uhn.fhir.rest.gclient.ReferenceClientParam ENCOUNTER
Fluent Client search parameter constant for encounterDescription: Encounters associated with a billed line item
Type: reference
Path: Claim.item.encounter
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INCLUDE_ENCOUNTER
public static final ca.uhn.fhir.model.api.Include INCLUDE_ENCOUNTER
Constant for fluent queries to be used to add include statements. Specifies the path value of "Claim:encounter".
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SP_PRIORITY
public static final String SP_PRIORITY
Search parameter: priorityDescription: Processing priority requested
Type: token
Path: Claim.priority
- See Also:
- Constant Field Values
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PRIORITY
public static final ca.uhn.fhir.rest.gclient.TokenClientParam PRIORITY
Fluent Client search parameter constant for priorityDescription: Processing priority requested
Type: token
Path: Claim.priority
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SP_PAYEE
public static final String SP_PAYEE
Search parameter: payeeDescription: The party receiving any payment for the Claim
Type: reference
Path: Claim.payee.party
- See Also:
- Constant Field Values
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PAYEE
public static final ca.uhn.fhir.rest.gclient.ReferenceClientParam PAYEE
Fluent Client search parameter constant for payeeDescription: The party receiving any payment for the Claim
Type: reference
Path: Claim.payee.party
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INCLUDE_PAYEE
public static final ca.uhn.fhir.model.api.Include INCLUDE_PAYEE
Constant for fluent queries to be used to add include statements. Specifies the path value of "Claim:payee".
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SP_PROVIDER
public static final String SP_PROVIDER
Search parameter: providerDescription: Provider responsible for the Claim
Type: reference
Path: Claim.provider
- See Also:
- Constant Field Values
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PROVIDER
public static final ca.uhn.fhir.rest.gclient.ReferenceClientParam PROVIDER
Fluent Client search parameter constant for providerDescription: Provider responsible for the Claim
Type: reference
Path: Claim.provider
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INCLUDE_PROVIDER
public static final ca.uhn.fhir.model.api.Include INCLUDE_PROVIDER
Constant for fluent queries to be used to add include statements. Specifies the path value of "Claim:provider".
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SP_PATIENT
public static final String SP_PATIENT
Search parameter: patientDescription: Patient receiving the services
Type: reference
Path: Claim.patient
- See Also:
- Constant Field Values
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PATIENT
public static final ca.uhn.fhir.rest.gclient.ReferenceClientParam PATIENT
Fluent Client search parameter constant for patientDescription: Patient receiving the services
Type: reference
Path: Claim.patient
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INCLUDE_PATIENT
public static final ca.uhn.fhir.model.api.Include INCLUDE_PATIENT
Constant for fluent queries to be used to add include statements. Specifies the path value of "Claim:patient".
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SP_INSURER
public static final String SP_INSURER
Search parameter: insurerDescription: The target payor/insurer for the Claim
Type: reference
Path: Claim.insurer
- See Also:
- Constant Field Values
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INSURER
public static final ca.uhn.fhir.rest.gclient.ReferenceClientParam INSURER
Fluent Client search parameter constant for insurerDescription: The target payor/insurer for the Claim
Type: reference
Path: Claim.insurer
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INCLUDE_INSURER
public static final ca.uhn.fhir.model.api.Include INCLUDE_INSURER
Constant for fluent queries to be used to add include statements. Specifies the path value of "Claim:insurer".
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SP_ORGANIZATION
public static final String SP_ORGANIZATION
Search parameter: organizationDescription: The reference to the providing organization
Type: reference
Path: Claim.organization
- See Also:
- Constant Field Values
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ORGANIZATION
public static final ca.uhn.fhir.rest.gclient.ReferenceClientParam ORGANIZATION
Fluent Client search parameter constant for organizationDescription: The reference to the providing organization
Type: reference
Path: Claim.organization
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INCLUDE_ORGANIZATION
public static final ca.uhn.fhir.model.api.Include INCLUDE_ORGANIZATION
Constant for fluent queries to be used to add include statements. Specifies the path value of "Claim:organization".
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SP_ENTERER
public static final String SP_ENTERER
Search parameter: entererDescription: The party responsible for the entry of the Claim
Type: reference
Path: Claim.enterer
- See Also:
- Constant Field Values
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ENTERER
public static final ca.uhn.fhir.rest.gclient.ReferenceClientParam ENTERER
Fluent Client search parameter constant for entererDescription: The party responsible for the entry of the Claim
Type: reference
Path: Claim.enterer
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INCLUDE_ENTERER
public static final ca.uhn.fhir.model.api.Include INCLUDE_ENTERER
Constant for fluent queries to be used to add include statements. Specifies the path value of "Claim:enterer".
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SP_FACILITY
public static final String SP_FACILITY
Search parameter: facilityDescription: Facility responsible for the goods and services
Type: reference
Path: Claim.facility
- See Also:
- Constant Field Values
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FACILITY
public static final ca.uhn.fhir.rest.gclient.ReferenceClientParam FACILITY
Fluent Client search parameter constant for facilityDescription: Facility responsible for the goods and services
Type: reference
Path: Claim.facility
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INCLUDE_FACILITY
public static final ca.uhn.fhir.model.api.Include INCLUDE_FACILITY
Constant for fluent queries to be used to add include statements. Specifies the path value of "Claim:facility".
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Constructor Detail
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Claim
public Claim()
Constructor
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Method Detail
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getIdentifier
public List<Identifier> getIdentifier()
- Returns:
identifier
(The business identifier for the instance: claim number, pre-determination or pre-authorization number.)
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setIdentifier
public Claim setIdentifier(List<Identifier> theIdentifier)
- Returns:
- Returns a reference to
this
for easy method chaining
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hasIdentifier
public boolean hasIdentifier()
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addIdentifier
public Identifier addIdentifier()
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addIdentifier
public Claim addIdentifier(Identifier t)
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getIdentifierFirstRep
public Identifier getIdentifierFirstRep()
- Returns:
- The first repetition of repeating field
identifier
, creating it if it does not already exist
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getStatusElement
public Enumeration<Claim.ClaimStatus> getStatusElement()
- Returns:
status
(The status of the resource instance.). This is the underlying object with id, value and extensions. The accessor "getStatus" gives direct access to the value
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hasStatusElement
public boolean hasStatusElement()
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hasStatus
public boolean hasStatus()
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setStatusElement
public Claim setStatusElement(Enumeration<Claim.ClaimStatus> value)
- Parameters:
value
-status
(The status of the resource instance.). This is the underlying object with id, value and extensions. The accessor "getStatus" gives direct access to the value
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getStatus
public Claim.ClaimStatus getStatus()
- Returns:
- The status of the resource instance.
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setStatus
public Claim setStatus(Claim.ClaimStatus value)
- Parameters:
value
- The status of the resource instance.
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getType
public CodeableConcept getType()
- Returns:
type
(The category of claim, eg, oral, pharmacy, vision, insitutional, professional.)
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hasType
public boolean hasType()
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setType
public Claim setType(CodeableConcept value)
- Parameters:
value
-type
(The category of claim, eg, oral, pharmacy, vision, insitutional, professional.)
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getSubType
public List<CodeableConcept> getSubType()
- Returns:
subType
(A finer grained suite of claim subtype codes which may convey Inpatient vs Outpatient and/or a specialty service. In the US the BillType.)
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setSubType
public Claim setSubType(List<CodeableConcept> theSubType)
- Returns:
- Returns a reference to
this
for easy method chaining
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hasSubType
public boolean hasSubType()
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addSubType
public CodeableConcept addSubType()
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addSubType
public Claim addSubType(CodeableConcept t)
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getSubTypeFirstRep
public CodeableConcept getSubTypeFirstRep()
- Returns:
- The first repetition of repeating field
subType
, creating it if it does not already exist
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getUseElement
public Enumeration<Claim.Use> getUseElement()
- Returns:
use
(Complete (Bill or Claim), Proposed (Pre-Authorization), Exploratory (Pre-determination).). This is the underlying object with id, value and extensions. The accessor "getUse" gives direct access to the value
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hasUseElement
public boolean hasUseElement()
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hasUse
public boolean hasUse()
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setUseElement
public Claim setUseElement(Enumeration<Claim.Use> value)
- Parameters:
value
-use
(Complete (Bill or Claim), Proposed (Pre-Authorization), Exploratory (Pre-determination).). This is the underlying object with id, value and extensions. The accessor "getUse" gives direct access to the value
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getUse
public Claim.Use getUse()
- Returns:
- Complete (Bill or Claim), Proposed (Pre-Authorization), Exploratory (Pre-determination).
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setUse
public Claim setUse(Claim.Use value)
- Parameters:
value
- Complete (Bill or Claim), Proposed (Pre-Authorization), Exploratory (Pre-determination).
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getPatient
public Reference getPatient()
- Returns:
patient
(Patient Resource.)
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hasPatient
public boolean hasPatient()
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setPatient
public Claim setPatient(Reference value)
- Parameters:
value
-patient
(Patient Resource.)
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getPatientTarget
public Patient getPatientTarget()
- Returns:
patient
The actual object that is the target of the reference. The reference library doesn't populate this, but you can use it to hold the resource if you resolve it. (Patient Resource.)
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setPatientTarget
public Claim setPatientTarget(Patient value)
- Parameters:
value
-patient
The actual object that is the target of the reference. The reference library doesn't use these, but you can use it to hold the resource if you resolve it. (Patient Resource.)
-
getBillablePeriod
public Period getBillablePeriod()
- Returns:
billablePeriod
(The billable period for which charges are being submitted.)
-
hasBillablePeriod
public boolean hasBillablePeriod()
-
setBillablePeriod
public Claim setBillablePeriod(Period value)
- Parameters:
value
-billablePeriod
(The billable period for which charges are being submitted.)
-
getCreatedElement
public DateTimeType getCreatedElement()
- Returns:
created
(The date when the enclosed suite of services were performed or completed.). This is the underlying object with id, value and extensions. The accessor "getCreated" gives direct access to the value
-
hasCreatedElement
public boolean hasCreatedElement()
-
hasCreated
public boolean hasCreated()
-
setCreatedElement
public Claim setCreatedElement(DateTimeType value)
- Parameters:
value
-created
(The date when the enclosed suite of services were performed or completed.). This is the underlying object with id, value and extensions. The accessor "getCreated" gives direct access to the value
-
getCreated
public Date getCreated()
- Returns:
- The date when the enclosed suite of services were performed or completed.
-
setCreated
public Claim setCreated(Date value)
- Parameters:
value
- The date when the enclosed suite of services were performed or completed.
-
getEnterer
public Reference getEnterer()
- Returns:
enterer
(Person who created the invoice/claim/pre-determination or pre-authorization.)
-
hasEnterer
public boolean hasEnterer()
-
setEnterer
public Claim setEnterer(Reference value)
- Parameters:
value
-enterer
(Person who created the invoice/claim/pre-determination or pre-authorization.)
-
getEntererTarget
public Practitioner getEntererTarget()
- Returns:
enterer
The actual object that is the target of the reference. The reference library doesn't populate this, but you can use it to hold the resource if you resolve it. (Person who created the invoice/claim/pre-determination or pre-authorization.)
-
setEntererTarget
public Claim setEntererTarget(Practitioner value)
- Parameters:
value
-enterer
The actual object that is the target of the reference. The reference library doesn't use these, but you can use it to hold the resource if you resolve it. (Person who created the invoice/claim/pre-determination or pre-authorization.)
-
getInsurer
public Reference getInsurer()
- Returns:
insurer
(The Insurer who is target of the request.)
-
hasInsurer
public boolean hasInsurer()
-
setInsurer
public Claim setInsurer(Reference value)
- Parameters:
value
-insurer
(The Insurer who is target of the request.)
-
getInsurerTarget
public Organization getInsurerTarget()
- Returns:
insurer
The actual object that is the target of the reference. The reference library doesn't populate this, but you can use it to hold the resource if you resolve it. (The Insurer who is target of the request.)
-
setInsurerTarget
public Claim setInsurerTarget(Organization value)
- Parameters:
value
-insurer
The actual object that is the target of the reference. The reference library doesn't use these, but you can use it to hold the resource if you resolve it. (The Insurer who is target of the request.)
-
getProvider
public Reference getProvider()
- Returns:
provider
(The provider which is responsible for the bill, claim pre-determination, pre-authorization.)
-
hasProvider
public boolean hasProvider()
-
setProvider
public Claim setProvider(Reference value)
- Parameters:
value
-provider
(The provider which is responsible for the bill, claim pre-determination, pre-authorization.)
-
getProviderTarget
public Practitioner getProviderTarget()
- Returns:
provider
The actual object that is the target of the reference. The reference library doesn't populate this, but you can use it to hold the resource if you resolve it. (The provider which is responsible for the bill, claim pre-determination, pre-authorization.)
-
setProviderTarget
public Claim setProviderTarget(Practitioner value)
- Parameters:
value
-provider
The actual object that is the target of the reference. The reference library doesn't use these, but you can use it to hold the resource if you resolve it. (The provider which is responsible for the bill, claim pre-determination, pre-authorization.)
-
getOrganization
public Reference getOrganization()
- Returns:
organization
(The organization which is responsible for the bill, claim pre-determination, pre-authorization.)
-
hasOrganization
public boolean hasOrganization()
-
setOrganization
public Claim setOrganization(Reference value)
- Parameters:
value
-organization
(The organization which is responsible for the bill, claim pre-determination, pre-authorization.)
-
getOrganizationTarget
public Organization getOrganizationTarget()
- Returns:
organization
The actual object that is the target of the reference. The reference library doesn't populate this, but you can use it to hold the resource if you resolve it. (The organization which is responsible for the bill, claim pre-determination, pre-authorization.)
-
setOrganizationTarget
public Claim setOrganizationTarget(Organization value)
- Parameters:
value
-organization
The actual object that is the target of the reference. The reference library doesn't use these, but you can use it to hold the resource if you resolve it. (The organization which is responsible for the bill, claim pre-determination, pre-authorization.)
-
getPriority
public CodeableConcept getPriority()
- Returns:
priority
(Immediate (STAT), best effort (NORMAL), deferred (DEFER).)
-
hasPriority
public boolean hasPriority()
-
setPriority
public Claim setPriority(CodeableConcept value)
- Parameters:
value
-priority
(Immediate (STAT), best effort (NORMAL), deferred (DEFER).)
-
getFundsReserve
public CodeableConcept getFundsReserve()
- Returns:
fundsReserve
(In the case of a Pre-Determination/Pre-Authorization the provider may request that funds in the amount of the expected Benefit be reserved ('Patient' or 'Provider') to pay for the Benefits determined on the subsequent claim(s). 'None' explicitly indicates no funds reserving is requested.)
-
hasFundsReserve
public boolean hasFundsReserve()
-
setFundsReserve
public Claim setFundsReserve(CodeableConcept value)
- Parameters:
value
-fundsReserve
(In the case of a Pre-Determination/Pre-Authorization the provider may request that funds in the amount of the expected Benefit be reserved ('Patient' or 'Provider') to pay for the Benefits determined on the subsequent claim(s). 'None' explicitly indicates no funds reserving is requested.)
-
getRelated
public List<Claim.RelatedClaimComponent> getRelated()
- Returns:
related
(Other claims which are related to this claim such as prior claim versions or for related services.)
-
setRelated
public Claim setRelated(List<Claim.RelatedClaimComponent> theRelated)
- Returns:
- Returns a reference to
this
for easy method chaining
-
hasRelated
public boolean hasRelated()
-
addRelated
public Claim.RelatedClaimComponent addRelated()
-
addRelated
public Claim addRelated(Claim.RelatedClaimComponent t)
-
getRelatedFirstRep
public Claim.RelatedClaimComponent getRelatedFirstRep()
- Returns:
- The first repetition of repeating field
related
, creating it if it does not already exist
-
getPrescription
public Reference getPrescription()
- Returns:
prescription
(Prescription to support the dispensing of Pharmacy or Vision products.)
-
hasPrescription
public boolean hasPrescription()
-
setPrescription
public Claim setPrescription(Reference value)
- Parameters:
value
-prescription
(Prescription to support the dispensing of Pharmacy or Vision products.)
-
getPrescriptionTarget
public Resource getPrescriptionTarget()
- Returns:
prescription
The actual object that is the target of the reference. The reference library doesn't populate this, but you can use it to hold the resource if you resolve it. (Prescription to support the dispensing of Pharmacy or Vision products.)
-
setPrescriptionTarget
public Claim setPrescriptionTarget(Resource value)
- Parameters:
value
-prescription
The actual object that is the target of the reference. The reference library doesn't use these, but you can use it to hold the resource if you resolve it. (Prescription to support the dispensing of Pharmacy or Vision products.)
-
getOriginalPrescription
public Reference getOriginalPrescription()
- Returns:
originalPrescription
(Original prescription which has been superceded by this prescription to support the dispensing of pharmacy services, medications or products. For example, a physician may prescribe a medication which the pharmacy determines is contraindicated, or for which the patient has an intolerance, and therefor issues a new precription for an alternate medication which has the same theraputic intent. The prescription from the pharmacy becomes the 'prescription' and that from the physician becomes the 'original prescription'.)
-
hasOriginalPrescription
public boolean hasOriginalPrescription()
-
setOriginalPrescription
public Claim setOriginalPrescription(Reference value)
- Parameters:
value
-originalPrescription
(Original prescription which has been superceded by this prescription to support the dispensing of pharmacy services, medications or products. For example, a physician may prescribe a medication which the pharmacy determines is contraindicated, or for which the patient has an intolerance, and therefor issues a new precription for an alternate medication which has the same theraputic intent. The prescription from the pharmacy becomes the 'prescription' and that from the physician becomes the 'original prescription'.)
-
getOriginalPrescriptionTarget
public MedicationRequest getOriginalPrescriptionTarget()
- Returns:
originalPrescription
The actual object that is the target of the reference. The reference library doesn't populate this, but you can use it to hold the resource if you resolve it. (Original prescription which has been superceded by this prescription to support the dispensing of pharmacy services, medications or products. For example, a physician may prescribe a medication which the pharmacy determines is contraindicated, or for which the patient has an intolerance, and therefor issues a new precription for an alternate medication which has the same theraputic intent. The prescription from the pharmacy becomes the 'prescription' and that from the physician becomes the 'original prescription'.)
-
setOriginalPrescriptionTarget
public Claim setOriginalPrescriptionTarget(MedicationRequest value)
- Parameters:
value
-originalPrescription
The actual object that is the target of the reference. The reference library doesn't use these, but you can use it to hold the resource if you resolve it. (Original prescription which has been superceded by this prescription to support the dispensing of pharmacy services, medications or products. For example, a physician may prescribe a medication which the pharmacy determines is contraindicated, or for which the patient has an intolerance, and therefor issues a new precription for an alternate medication which has the same theraputic intent. The prescription from the pharmacy becomes the 'prescription' and that from the physician becomes the 'original prescription'.)
-
getPayee
public Claim.PayeeComponent getPayee()
- Returns:
payee
(The party to be reimbursed for the services.)
-
hasPayee
public boolean hasPayee()
-
setPayee
public Claim setPayee(Claim.PayeeComponent value)
- Parameters:
value
-payee
(The party to be reimbursed for the services.)
-
getReferral
public Reference getReferral()
- Returns:
referral
(The referral resource which lists the date, practitioner, reason and other supporting information.)
-
hasReferral
public boolean hasReferral()
-
setReferral
public Claim setReferral(Reference value)
- Parameters:
value
-referral
(The referral resource which lists the date, practitioner, reason and other supporting information.)
-
getReferralTarget
public ReferralRequest getReferralTarget()
- Returns:
referral
The actual object that is the target of the reference. The reference library doesn't populate this, but you can use it to hold the resource if you resolve it. (The referral resource which lists the date, practitioner, reason and other supporting information.)
-
setReferralTarget
public Claim setReferralTarget(ReferralRequest value)
- Parameters:
value
-referral
The actual object that is the target of the reference. The reference library doesn't use these, but you can use it to hold the resource if you resolve it. (The referral resource which lists the date, practitioner, reason and other supporting information.)
-
getFacility
public Reference getFacility()
- Returns:
facility
(Facility where the services were provided.)
-
hasFacility
public boolean hasFacility()
-
setFacility
public Claim setFacility(Reference value)
- Parameters:
value
-facility
(Facility where the services were provided.)
-
getFacilityTarget
public Location getFacilityTarget()
- Returns:
facility
The actual object that is the target of the reference. The reference library doesn't populate this, but you can use it to hold the resource if you resolve it. (Facility where the services were provided.)
-
setFacilityTarget
public Claim setFacilityTarget(Location value)
- Parameters:
value
-facility
The actual object that is the target of the reference. The reference library doesn't use these, but you can use it to hold the resource if you resolve it. (Facility where the services were provided.)
-
getCareTeam
public List<Claim.CareTeamComponent> getCareTeam()
- Returns:
careTeam
(The members of the team who provided the overall service as well as their role and whether responsible and qualifications.)
-
setCareTeam
public Claim setCareTeam(List<Claim.CareTeamComponent> theCareTeam)
- Returns:
- Returns a reference to
this
for easy method chaining
-
hasCareTeam
public boolean hasCareTeam()
-
addCareTeam
public Claim.CareTeamComponent addCareTeam()
-
addCareTeam
public Claim addCareTeam(Claim.CareTeamComponent t)
-
getCareTeamFirstRep
public Claim.CareTeamComponent getCareTeamFirstRep()
- Returns:
- The first repetition of repeating field
careTeam
, creating it if it does not already exist
-
getInformation
public List<Claim.SpecialConditionComponent> getInformation()
- Returns:
information
(Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues. Often there are mutiple jurisdiction specific valuesets which are required.)
-
setInformation
public Claim setInformation(List<Claim.SpecialConditionComponent> theInformation)
- Returns:
- Returns a reference to
this
for easy method chaining
-
hasInformation
public boolean hasInformation()
-
addInformation
public Claim.SpecialConditionComponent addInformation()
-
addInformation
public Claim addInformation(Claim.SpecialConditionComponent t)
-
getInformationFirstRep
public Claim.SpecialConditionComponent getInformationFirstRep()
- Returns:
- The first repetition of repeating field
information
, creating it if it does not already exist
-
getDiagnosis
public List<Claim.DiagnosisComponent> getDiagnosis()
- Returns:
diagnosis
(List of patient diagnosis for which care is sought.)
-
setDiagnosis
public Claim setDiagnosis(List<Claim.DiagnosisComponent> theDiagnosis)
- Returns:
- Returns a reference to
this
for easy method chaining
-
hasDiagnosis
public boolean hasDiagnosis()
-
addDiagnosis
public Claim.DiagnosisComponent addDiagnosis()
-
addDiagnosis
public Claim addDiagnosis(Claim.DiagnosisComponent t)
-
getDiagnosisFirstRep
public Claim.DiagnosisComponent getDiagnosisFirstRep()
- Returns:
- The first repetition of repeating field
diagnosis
, creating it if it does not already exist
-
getProcedure
public List<Claim.ProcedureComponent> getProcedure()
- Returns:
procedure
(Ordered list of patient procedures performed to support the adjudication.)
-
setProcedure
public Claim setProcedure(List<Claim.ProcedureComponent> theProcedure)
- Returns:
- Returns a reference to
this
for easy method chaining
-
hasProcedure
public boolean hasProcedure()
-
addProcedure
public Claim.ProcedureComponent addProcedure()
-
addProcedure
public Claim addProcedure(Claim.ProcedureComponent t)
-
getProcedureFirstRep
public Claim.ProcedureComponent getProcedureFirstRep()
- Returns:
- The first repetition of repeating field
procedure
, creating it if it does not already exist
-
getInsurance
public List<Claim.InsuranceComponent> getInsurance()
- Returns:
insurance
(Financial instrument by which payment information for health care.)
-
setInsurance
public Claim setInsurance(List<Claim.InsuranceComponent> theInsurance)
- Returns:
- Returns a reference to
this
for easy method chaining
-
hasInsurance
public boolean hasInsurance()
-
addInsurance
public Claim.InsuranceComponent addInsurance()
-
addInsurance
public Claim addInsurance(Claim.InsuranceComponent t)
-
getInsuranceFirstRep
public Claim.InsuranceComponent getInsuranceFirstRep()
- Returns:
- The first repetition of repeating field
insurance
, creating it if it does not already exist
-
getAccident
public Claim.AccidentComponent getAccident()
- Returns:
accident
(An accident which resulted in the need for healthcare services.)
-
hasAccident
public boolean hasAccident()
-
setAccident
public Claim setAccident(Claim.AccidentComponent value)
- Parameters:
value
-accident
(An accident which resulted in the need for healthcare services.)
-
getEmploymentImpacted
public Period getEmploymentImpacted()
- Returns:
employmentImpacted
(The start and optional end dates of when the patient was precluded from working due to the treatable condition(s).)
-
hasEmploymentImpacted
public boolean hasEmploymentImpacted()
-
setEmploymentImpacted
public Claim setEmploymentImpacted(Period value)
- Parameters:
value
-employmentImpacted
(The start and optional end dates of when the patient was precluded from working due to the treatable condition(s).)
-
getHospitalization
public Period getHospitalization()
- Returns:
hospitalization
(The start and optional end dates of when the patient was confined to a treatment center.)
-
hasHospitalization
public boolean hasHospitalization()
-
setHospitalization
public Claim setHospitalization(Period value)
- Parameters:
value
-hospitalization
(The start and optional end dates of when the patient was confined to a treatment center.)
-
getItem
public List<Claim.ItemComponent> getItem()
- Returns:
item
(First tier of goods and services.)
-
setItem
public Claim setItem(List<Claim.ItemComponent> theItem)
- Returns:
- Returns a reference to
this
for easy method chaining
-
hasItem
public boolean hasItem()
-
addItem
public Claim.ItemComponent addItem()
-
addItem
public Claim addItem(Claim.ItemComponent t)
-
getItemFirstRep
public Claim.ItemComponent getItemFirstRep()
- Returns:
- The first repetition of repeating field
item
, creating it if it does not already exist
-
hasTotal
public boolean hasTotal()
-
setTotal
public Claim setTotal(Money value)
- Parameters:
value
-total
(The total value of the claim.)
-
listChildren
protected void listChildren(List<Property> children)
- Overrides:
listChildren
in classDomainResource
-
getNamedProperty
public Property getNamedProperty(int _hash, String _name, boolean _checkValid) throws org.hl7.fhir.exceptions.FHIRException
- Overrides:
getNamedProperty
in classDomainResource
- Throws:
org.hl7.fhir.exceptions.FHIRException
-
getProperty
public Base[] getProperty(int hash, String name, boolean checkValid) throws org.hl7.fhir.exceptions.FHIRException
- Overrides:
getProperty
in classDomainResource
- Throws:
org.hl7.fhir.exceptions.FHIRException
-
setProperty
public Base setProperty(int hash, String name, Base value) throws org.hl7.fhir.exceptions.FHIRException
- Overrides:
setProperty
in classDomainResource
- Throws:
org.hl7.fhir.exceptions.FHIRException
-
setProperty
public Base setProperty(String name, Base value) throws org.hl7.fhir.exceptions.FHIRException
- Overrides:
setProperty
in classDomainResource
- Throws:
org.hl7.fhir.exceptions.FHIRException
-
makeProperty
public Base makeProperty(int hash, String name) throws org.hl7.fhir.exceptions.FHIRException
- Overrides:
makeProperty
in classDomainResource
- Throws:
org.hl7.fhir.exceptions.FHIRException
-
getTypesForProperty
public String[] getTypesForProperty(int hash, String name) throws org.hl7.fhir.exceptions.FHIRException
- Overrides:
getTypesForProperty
in classDomainResource
- Throws:
org.hl7.fhir.exceptions.FHIRException
-
addChild
public Base addChild(String name) throws org.hl7.fhir.exceptions.FHIRException
- Overrides:
addChild
in classDomainResource
- Throws:
org.hl7.fhir.exceptions.FHIRException
-
fhirType
public String fhirType()
- Specified by:
fhirType
in interfaceorg.hl7.fhir.instance.model.api.IBase
- Overrides:
fhirType
in classDomainResource
-
copy
public Claim copy()
- Specified by:
copy
in classDomainResource
-
equalsDeep
public boolean equalsDeep(Base other_)
- Overrides:
equalsDeep
in classDomainResource
-
equalsShallow
public boolean equalsShallow(Base other_)
- Overrides:
equalsShallow
in classDomainResource
-
isEmpty
public boolean isEmpty()
- Specified by:
isEmpty
in interfaceorg.hl7.fhir.instance.model.api.IBase
- Overrides:
isEmpty
in classDomainResource
-
getResourceType
public ResourceType getResourceType()
- Specified by:
getResourceType
in classResource
-
-