Package org.hl7.fhir.dstu3.model

Class ExplanationOfBenefit

java.lang.Object

org.hl7.fhir.dstu3.model.Base

org.hl7.fhir.dstu3.model.BaseResource

org.hl7.fhir.dstu3.model.Resource

org.hl7.fhir.dstu3.model.DomainResource

org.hl7.fhir.dstu3.model.ExplanationOfBenefit

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 ExplanationOfBenefit
extends DomainResource

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.

See Also:

• Serialized Form

Nested Class Summary

Nested Classes

Modifier and Type	Class	Description
static class	ExplanationOfBenefit.AccidentComponent
static class	ExplanationOfBenefit.AddedItemComponent
static class	ExplanationOfBenefit.AddedItemsDetailComponent
static class	ExplanationOfBenefit.AdjudicationComponent
static class	ExplanationOfBenefit.BenefitBalanceComponent
static class	ExplanationOfBenefit.BenefitComponent
static class	ExplanationOfBenefit.CareTeamComponent
static class	ExplanationOfBenefit.DetailComponent
static class	ExplanationOfBenefit.DiagnosisComponent
static enum	ExplanationOfBenefit.ExplanationOfBenefitStatus
static class	ExplanationOfBenefit.ExplanationOfBenefitStatusEnumFactory
static class	ExplanationOfBenefit.InsuranceComponent
static class	ExplanationOfBenefit.ItemComponent
static class	ExplanationOfBenefit.NoteComponent
static class	ExplanationOfBenefit.PayeeComponent
static class	ExplanationOfBenefit.PaymentComponent
static class	ExplanationOfBenefit.ProcedureComponent
static class	ExplanationOfBenefit.RelatedClaimComponent
static class	ExplanationOfBenefit.SubDetailComponent
static class	ExplanationOfBenefit.SupportingInformationComponent

Field Summary

Fields

Modifier and Type	Field	Description
protected ExplanationOfBenefit.AccidentComponent	accident	An accident which resulted in the need for healthcare services.
protected List<ExplanationOfBenefit.AddedItemComponent>	addItem	The first tier service adjudications for payor added services.
protected List<ExplanationOfBenefit.BenefitBalanceComponent>	benefitBalance	Balance by Benefit Category.
protected Period	billablePeriod	The billable period for which charges are being submitted.
static final ca.uhn.fhir.rest.gclient.ReferenceClientParam	CARE_TEAM	Fluent Client search parameter constant for care-team
protected List<ExplanationOfBenefit.CareTeamComponent>	careTeam	The members of the team who provided the overall service as well as their role and whether responsible and qualifications.
protected Reference	claim	The business identifier for the instance: invoice number, claim number, pre-determination or pre-authorization number.
static final ca.uhn.fhir.rest.gclient.ReferenceClientParam	CLAIM	Fluent Client search parameter constant for claim
protected Reference	claimResponse	The business identifier for the instance: invoice number, claim number, pre-determination or pre-authorization number.
protected ClaimResponse	claimResponseTarget	The actual object that is the target of the reference (The business identifier for the instance: invoice number, claim number, pre-determination or pre-authorization number.)
protected Claim	claimTarget	The actual object that is the target of the reference (The business identifier for the instance: invoice number, claim number, pre-determination or pre-authorization number.)
static final ca.uhn.fhir.rest.gclient.ReferenceClientParam	COVERAGE	Fluent Client search parameter constant for coverage
protected DateTimeType	created	The date when the EOB was created.
static final ca.uhn.fhir.rest.gclient.DateClientParam	CREATED	Fluent Client search parameter constant for created
protected List<ExplanationOfBenefit.DiagnosisComponent>	diagnosis	Ordered list of patient diagnosis for which care is sought.
protected StringType	disposition	A description of the status of the adjudication.
static final ca.uhn.fhir.rest.gclient.StringClientParam	DISPOSITION	Fluent Client search parameter constant for disposition
protected Period	employmentImpacted	The start and optional end dates of when the patient was precluded from working due to the treatable condition(s).
static final ca.uhn.fhir.rest.gclient.ReferenceClientParam	ENCOUNTER	Fluent Client search parameter constant for encounter
protected Reference	enterer	The person who created the explanation of benefit.
static final ca.uhn.fhir.rest.gclient.ReferenceClientParam	ENTERER	Fluent Client search parameter constant for enterer
protected Practitioner	entererTarget	The actual object that is the target of the reference (The person who created the explanation of benefit.)
protected Reference	facility	Facility where the services were provided.
static final ca.uhn.fhir.rest.gclient.ReferenceClientParam	FACILITY	Fluent Client search parameter constant for facility
protected Location	facilityTarget	The actual object that is the target of the reference (Facility where the services were provided.)
protected CodeableConcept	form	The form to be used for printing the content.
protected Period	hospitalization	The start and optional end dates of when the patient was confined to a treatment center.
protected List<Identifier>	identifier	The EOB Business Identifier.
static final ca.uhn.fhir.rest.gclient.TokenClientParam	IDENTIFIER	Fluent Client search parameter constant for identifier
static final ca.uhn.fhir.model.api.Include	INCLUDE_CARE_TEAM	Constant for fluent queries to be used to add include statements.
static final ca.uhn.fhir.model.api.Include	INCLUDE_CLAIM	Constant for fluent queries to be used to add include statements.
static final ca.uhn.fhir.model.api.Include	INCLUDE_COVERAGE	Constant for fluent queries to be used to add include statements.
static final ca.uhn.fhir.model.api.Include	INCLUDE_ENCOUNTER	Constant for fluent queries to be used to add include statements.
static final ca.uhn.fhir.model.api.Include	INCLUDE_ENTERER	Constant for fluent queries to be used to add include statements.
static final ca.uhn.fhir.model.api.Include	INCLUDE_FACILITY	Constant for fluent queries to be used to add include statements.
static final ca.uhn.fhir.model.api.Include	INCLUDE_ORGANIZATION	Constant for fluent queries to be used to add include statements.
static final ca.uhn.fhir.model.api.Include	INCLUDE_PATIENT	Constant for fluent queries to be used to add include statements.
static final ca.uhn.fhir.model.api.Include	INCLUDE_PAYEE	Constant for fluent queries to be used to add include statements.
static final ca.uhn.fhir.model.api.Include	INCLUDE_PROVIDER	Constant for fluent queries to be used to add include statements.
protected List<ExplanationOfBenefit.SupportingInformationComponent>	information	Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues.
protected ExplanationOfBenefit.InsuranceComponent	insurance	Financial instrument by which payment information for health care.
protected Reference	insurer	The insurer which is responsible for the explanation of benefit.
protected Organization	insurerTarget	The actual object that is the target of the reference (The insurer which is responsible for the explanation of benefit.)
protected List<ExplanationOfBenefit.ItemComponent>	item	First tier of goods and services.
protected Reference	organization	The provider which is responsible for the claim.
static final ca.uhn.fhir.rest.gclient.ReferenceClientParam	ORGANIZATION	Fluent Client search parameter constant for organization
protected Organization	organizationTarget	The actual object that is the target of the reference (The provider which is responsible for the claim.)
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 CodeableConcept	outcome	Processing outcome errror, partial or complete processing.
protected Reference	patient	Patient Resource.
static final ca.uhn.fhir.rest.gclient.ReferenceClientParam	PATIENT	Fluent Client search parameter constant for patient
protected Patient	patientTarget	The actual object that is the target of the reference (Patient Resource.)
protected ExplanationOfBenefit.PayeeComponent	payee	The party to be reimbursed for the services.
static final ca.uhn.fhir.rest.gclient.ReferenceClientParam	PAYEE	Fluent Client search parameter constant for payee
protected ExplanationOfBenefit.PaymentComponent	payment	Payment details for the claim if the claim has been paid.
protected PositiveIntType	precedence	Precedence (primary, secondary, etc.).
protected 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 List<ExplanationOfBenefit.ProcedureComponent>	procedure	Ordered list of patient procedures performed to support the adjudication.
protected List<ExplanationOfBenefit.NoteComponent>	processNote	Note text.
protected Reference	provider	The provider which is responsible for the claim.
static final ca.uhn.fhir.rest.gclient.ReferenceClientParam	PROVIDER	Fluent Client search parameter constant for provider
protected Practitioner	providerTarget	The actual object that is the target of the reference (The provider which is responsible for the claim.)
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<ExplanationOfBenefit.RelatedClaimComponent>	related	Other claims which are related to this claim such as prior claim versions or for related services.
static final String	SP_CARE_TEAM	Search parameter: care-team
static final String	SP_CLAIM	Search parameter: claim
static final String	SP_COVERAGE	Search parameter: coverage
static final String	SP_CREATED	Search parameter: created
static final String	SP_DISPOSITION	Search parameter: disposition
static final String	SP_ENCOUNTER	Search parameter: encounter
static final String	SP_ENTERER	Search parameter: enterer
static final String	SP_FACILITY	Search parameter: facility
static final String	SP_IDENTIFIER	Search parameter: identifier
static final String	SP_ORGANIZATION	Search parameter: organization
static final String	SP_PATIENT	Search parameter: patient
static final String	SP_PAYEE	Search parameter: payee
static final String	SP_PROVIDER	Search parameter: provider
protected Enumeration<ExplanationOfBenefit.ExplanationOfBenefitStatus>	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	totalBenefit	Total amount of benefit payable (Equal to sum of the Benefit amounts from all detail lines and additions less the Unallocated Deductable).
protected Money	totalCost	The total cost of the services reported.
protected CodeableConcept	type	The category of claim, eg, oral, pharmacy, vision, insitutional, professional.
protected Money	unallocDeductable	The amount of deductable applied which was not allocated to any particular service line.

Fields inherited from class org.hl7.fhir.dstu3.model.DomainResource

contained, extension, modifierExtension, text

Fields inherited from class org.hl7.fhir.dstu3.model.Resource

id, implicitRules, language, meta

Fields inherited from interface org.hl7.fhir.instance.model.api.IAnyResource

RES_ID, SP_RES_ID

Fields inherited from interface org.hl7.fhir.instance.model.api.IBaseResource

INCLUDE_ALL, WILDCARD_ALL_SET

Constructor Summary

Constructors

Constructor	Description
ExplanationOfBenefit()	Constructor

Method Summary

Modifier and Type	Method	Description
ExplanationOfBenefit.AddedItemComponent	addAddItem()
ExplanationOfBenefit	addAddItem(ExplanationOfBenefit.AddedItemComponent t)
ExplanationOfBenefit.BenefitBalanceComponent	addBenefitBalance()
ExplanationOfBenefit	addBenefitBalance(ExplanationOfBenefit.BenefitBalanceComponent t)
ExplanationOfBenefit.CareTeamComponent	addCareTeam()
ExplanationOfBenefit	addCareTeam(ExplanationOfBenefit.CareTeamComponent t)
Base	addChild(String name)
ExplanationOfBenefit.DiagnosisComponent	addDiagnosis()
ExplanationOfBenefit	addDiagnosis(ExplanationOfBenefit.DiagnosisComponent t)
Identifier	addIdentifier()
ExplanationOfBenefit	addIdentifier(Identifier t)
ExplanationOfBenefit.SupportingInformationComponent	addInformation()
ExplanationOfBenefit	addInformation(ExplanationOfBenefit.SupportingInformationComponent t)
ExplanationOfBenefit.ItemComponent	addItem()
ExplanationOfBenefit	addItem(ExplanationOfBenefit.ItemComponent t)
ExplanationOfBenefit.ProcedureComponent	addProcedure()
ExplanationOfBenefit	addProcedure(ExplanationOfBenefit.ProcedureComponent t)
ExplanationOfBenefit.NoteComponent	addProcessNote()
ExplanationOfBenefit	addProcessNote(ExplanationOfBenefit.NoteComponent t)
ExplanationOfBenefit.RelatedClaimComponent	addRelated()
ExplanationOfBenefit	addRelated(ExplanationOfBenefit.RelatedClaimComponent t)
CodeableConcept	addSubType()
ExplanationOfBenefit	addSubType(CodeableConcept t)
ExplanationOfBenefit	copy()
boolean	equalsDeep(Base other_)
boolean	equalsShallow(Base other_)
String	fhirType()
ExplanationOfBenefit.AccidentComponent	getAccident()
List<ExplanationOfBenefit.AddedItemComponent>	getAddItem()
ExplanationOfBenefit.AddedItemComponent	getAddItemFirstRep()
List<ExplanationOfBenefit.BenefitBalanceComponent>	getBenefitBalance()
ExplanationOfBenefit.BenefitBalanceComponent	getBenefitBalanceFirstRep()
Period	getBillablePeriod()
List<ExplanationOfBenefit.CareTeamComponent>	getCareTeam()
ExplanationOfBenefit.CareTeamComponent	getCareTeamFirstRep()
Reference	getClaim()
Reference	getClaimResponse()
ClaimResponse	getClaimResponseTarget()
Claim	getClaimTarget()
Date	getCreated()
DateTimeType	getCreatedElement()
List<ExplanationOfBenefit.DiagnosisComponent>	getDiagnosis()
ExplanationOfBenefit.DiagnosisComponent	getDiagnosisFirstRep()
String	getDisposition()
StringType	getDispositionElement()
Period	getEmploymentImpacted()
Reference	getEnterer()
Practitioner	getEntererTarget()
Reference	getFacility()
Location	getFacilityTarget()
CodeableConcept	getForm()
Period	getHospitalization()
List<Identifier>	getIdentifier()
Identifier	getIdentifierFirstRep()
List<ExplanationOfBenefit.SupportingInformationComponent>	getInformation()
ExplanationOfBenefit.SupportingInformationComponent	getInformationFirstRep()
ExplanationOfBenefit.InsuranceComponent	getInsurance()
Reference	getInsurer()
Organization	getInsurerTarget()
List<ExplanationOfBenefit.ItemComponent>	getItem()
ExplanationOfBenefit.ItemComponent	getItemFirstRep()
Property	getNamedProperty(int _hash, String _name, boolean _checkValid)
Reference	getOrganization()
Organization	getOrganizationTarget()
Reference	getOriginalPrescription()
MedicationRequest	getOriginalPrescriptionTarget()
CodeableConcept	getOutcome()
Reference	getPatient()
Patient	getPatientTarget()
ExplanationOfBenefit.PayeeComponent	getPayee()
ExplanationOfBenefit.PaymentComponent	getPayment()
int	getPrecedence()
PositiveIntType	getPrecedenceElement()
Reference	getPrescription()
Resource	getPrescriptionTarget()
List<ExplanationOfBenefit.ProcedureComponent>	getProcedure()
ExplanationOfBenefit.ProcedureComponent	getProcedureFirstRep()
List<ExplanationOfBenefit.NoteComponent>	getProcessNote()
ExplanationOfBenefit.NoteComponent	getProcessNoteFirstRep()
Base[]	getProperty(int hash, String name, boolean checkValid)
Reference	getProvider()
Practitioner	getProviderTarget()
Reference	getReferral()
ReferralRequest	getReferralTarget()
List<ExplanationOfBenefit.RelatedClaimComponent>	getRelated()
ExplanationOfBenefit.RelatedClaimComponent	getRelatedFirstRep()
ResourceType	getResourceType()
ExplanationOfBenefit.ExplanationOfBenefitStatus	getStatus()
Enumeration<ExplanationOfBenefit.ExplanationOfBenefitStatus>	getStatusElement()
List<CodeableConcept>	getSubType()
CodeableConcept	getSubTypeFirstRep()
Money	getTotalBenefit()
Money	getTotalCost()
CodeableConcept	getType()
String[]	getTypesForProperty(int hash, String name)
Money	getUnallocDeductable()
boolean	hasAccident()
boolean	hasAddItem()
boolean	hasBenefitBalance()
boolean	hasBillablePeriod()
boolean	hasCareTeam()
boolean	hasClaim()
boolean	hasClaimResponse()
boolean	hasCreated()
boolean	hasCreatedElement()
boolean	hasDiagnosis()
boolean	hasDisposition()
boolean	hasDispositionElement()
boolean	hasEmploymentImpacted()
boolean	hasEnterer()
boolean	hasFacility()
boolean	hasForm()
boolean	hasHospitalization()
boolean	hasIdentifier()
boolean	hasInformation()
boolean	hasInsurance()
boolean	hasInsurer()
boolean	hasItem()
boolean	hasOrganization()
boolean	hasOriginalPrescription()
boolean	hasOutcome()
boolean	hasPatient()
boolean	hasPayee()
boolean	hasPayment()
boolean	hasPrecedence()
boolean	hasPrecedenceElement()
boolean	hasPrescription()
boolean	hasProcedure()
boolean	hasProcessNote()
boolean	hasProvider()
boolean	hasReferral()
boolean	hasRelated()
boolean	hasStatus()
boolean	hasStatusElement()
boolean	hasSubType()
boolean	hasTotalBenefit()
boolean	hasTotalCost()
boolean	hasType()
boolean	hasUnallocDeductable()
boolean	isEmpty()
protected void	listChildren(List<Property> children)
Base	makeProperty(int hash, String name)
ExplanationOfBenefit	setAccident(ExplanationOfBenefit.AccidentComponent value)
ExplanationOfBenefit	setAddItem(List<ExplanationOfBenefit.AddedItemComponent> theAddItem)
ExplanationOfBenefit	setBenefitBalance(List<ExplanationOfBenefit.BenefitBalanceComponent> theBenefitBalance)
ExplanationOfBenefit	setBillablePeriod(Period value)
ExplanationOfBenefit	setCareTeam(List<ExplanationOfBenefit.CareTeamComponent> theCareTeam)
ExplanationOfBenefit	setClaim(Reference value)
ExplanationOfBenefit	setClaimResponse(Reference value)
ExplanationOfBenefit	setClaimResponseTarget(ClaimResponse value)
ExplanationOfBenefit	setClaimTarget(Claim value)
ExplanationOfBenefit	setCreated(Date value)
ExplanationOfBenefit	setCreatedElement(DateTimeType value)
ExplanationOfBenefit	setDiagnosis(List<ExplanationOfBenefit.DiagnosisComponent> theDiagnosis)
ExplanationOfBenefit	setDisposition(String value)
ExplanationOfBenefit	setDispositionElement(StringType value)
ExplanationOfBenefit	setEmploymentImpacted(Period value)
ExplanationOfBenefit	setEnterer(Reference value)
ExplanationOfBenefit	setEntererTarget(Practitioner value)
ExplanationOfBenefit	setFacility(Reference value)
ExplanationOfBenefit	setFacilityTarget(Location value)
ExplanationOfBenefit	setForm(CodeableConcept value)
ExplanationOfBenefit	setHospitalization(Period value)
ExplanationOfBenefit	setIdentifier(List<Identifier> theIdentifier)
ExplanationOfBenefit	setInformation(List<ExplanationOfBenefit.SupportingInformationComponent> theInformation)
ExplanationOfBenefit	setInsurance(ExplanationOfBenefit.InsuranceComponent value)
ExplanationOfBenefit	setInsurer(Reference value)
ExplanationOfBenefit	setInsurerTarget(Organization value)
ExplanationOfBenefit	setItem(List<ExplanationOfBenefit.ItemComponent> theItem)
ExplanationOfBenefit	setOrganization(Reference value)
ExplanationOfBenefit	setOrganizationTarget(Organization value)
ExplanationOfBenefit	setOriginalPrescription(Reference value)
ExplanationOfBenefit	setOriginalPrescriptionTarget(MedicationRequest value)
ExplanationOfBenefit	setOutcome(CodeableConcept value)
ExplanationOfBenefit	setPatient(Reference value)
ExplanationOfBenefit	setPatientTarget(Patient value)
ExplanationOfBenefit	setPayee(ExplanationOfBenefit.PayeeComponent value)
ExplanationOfBenefit	setPayment(ExplanationOfBenefit.PaymentComponent value)
ExplanationOfBenefit	setPrecedence(int value)
ExplanationOfBenefit	setPrecedenceElement(PositiveIntType value)
ExplanationOfBenefit	setPrescription(Reference value)
ExplanationOfBenefit	setPrescriptionTarget(Resource value)
ExplanationOfBenefit	setProcedure(List<ExplanationOfBenefit.ProcedureComponent> theProcedure)
ExplanationOfBenefit	setProcessNote(List<ExplanationOfBenefit.NoteComponent> theProcessNote)
Base	setProperty(int hash, String name, Base value)
Base	setProperty(String name, Base value)
ExplanationOfBenefit	setProvider(Reference value)
ExplanationOfBenefit	setProviderTarget(Practitioner value)
ExplanationOfBenefit	setReferral(Reference value)
ExplanationOfBenefit	setReferralTarget(ReferralRequest value)
ExplanationOfBenefit	setRelated(List<ExplanationOfBenefit.RelatedClaimComponent> theRelated)
ExplanationOfBenefit	setStatus(ExplanationOfBenefit.ExplanationOfBenefitStatus value)
ExplanationOfBenefit	setStatusElement(Enumeration<ExplanationOfBenefit.ExplanationOfBenefitStatus> value)
ExplanationOfBenefit	setSubType(List<CodeableConcept> theSubType)
ExplanationOfBenefit	setTotalBenefit(Money value)
ExplanationOfBenefit	setTotalCost(Money value)
ExplanationOfBenefit	setType(CodeableConcept value)
ExplanationOfBenefit	setUnallocDeductable(Money value)
protected ExplanationOfBenefit	typedCopy()

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

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

Methods inherited from class org.hl7.fhir.dstu3.model.BaseResource

getStructureFhirVersionEnum, isResource, setId

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

Methods inherited from class java.lang.Object

clone, equals, finalize, getClass, hashCode, notify, notifyAll, toString, wait, wait, wait

Methods inherited from interface org.hl7.fhir.instance.model.api.IAnyResource

getId, getIdElement, getLanguageElement, getUserData, setId, setUserData

Methods inherited from interface org.hl7.fhir.instance.model.api.IBase

getFormatCommentsPost, getFormatCommentsPre, hasFormatComment

Methods inherited from interface org.hl7.fhir.instance.model.api.IBaseResource

getMeta, getStructureFhirVersionEnum, setId

Field Details

identifier

protected List<Identifier> identifier

The EOB Business Identifier.

status

protected Enumeration<ExplanationOfBenefit.ExplanationOfBenefitStatus> status

The status of the resource instance.

type

protected CodeableConcept type

The category of claim, eg, oral, pharmacy, vision, insitutional, professional.

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.

patient

protected Reference patient

Patient Resource.

patientTarget

protected Patient patientTarget

The actual object that is the target of the reference (Patient Resource.)

billablePeriod

protected Period billablePeriod

The billable period for which charges are being submitted.

created

protected DateTimeType created

The date when the EOB was created.

enterer

protected Reference enterer

The person who created the explanation of benefit.

entererTarget

protected Practitioner entererTarget

The actual object that is the target of the reference (The person who created the explanation of benefit.)

insurer

protected Reference insurer

The insurer which is responsible for the explanation of benefit.

insurerTarget

protected Organization insurerTarget

The actual object that is the target of the reference (The insurer which is responsible for the explanation of benefit.)

provider

protected Reference provider

The provider which is responsible for the claim.

providerTarget

protected Practitioner providerTarget

The actual object that is the target of the reference (The provider which is responsible for the claim.)

organization

protected Reference organization

The provider which is responsible for the claim.

organizationTarget

protected Organization organizationTarget

The actual object that is the target of the reference (The provider which is responsible for the claim.)

referral

protected Reference referral

The referral resource which lists the date, practitioner, reason and other supporting information.

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.)

facility

protected Reference facility

Facility where the services were provided.

facilityTarget

protected Location facilityTarget

The actual object that is the target of the reference (Facility where the services were provided.)

claim

protected Reference claim

The business identifier for the instance: invoice number, claim number, pre-determination or pre-authorization number.

claimTarget

protected Claim claimTarget

The actual object that is the target of the reference (The business identifier for the instance: invoice number, claim number, pre-determination or pre-authorization number.)

claimResponse

protected Reference claimResponse

The business identifier for the instance: invoice number, claim number, pre-determination or pre-authorization number.

claimResponseTarget

protected ClaimResponse claimResponseTarget

The actual object that is the target of the reference (The business identifier for the instance: invoice number, claim number, pre-determination or pre-authorization number.)

outcome

protected CodeableConcept outcome

Processing outcome errror, partial or complete processing.

disposition

protected StringType disposition

A description of the status of the adjudication.

related

protected List<ExplanationOfBenefit.RelatedClaimComponent> related

Other claims which are related to this claim such as prior claim versions or for related services.

prescription

protected Reference prescription

Prescription to support the dispensing of Pharmacy or Vision products.

prescriptionTarget

protected Resource prescriptionTarget

The actual object that is the target of the reference (Prescription to support the dispensing of Pharmacy or Vision products.)

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'.

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'.)

payee

protected ExplanationOfBenefit.PayeeComponent payee

The party to be reimbursed for the services.

information

protected List<ExplanationOfBenefit.SupportingInformationComponent> 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.

careTeam

protected List<ExplanationOfBenefit.CareTeamComponent> careTeam

The members of the team who provided the overall service as well as their role and whether responsible and qualifications.

diagnosis

protected List<ExplanationOfBenefit.DiagnosisComponent> diagnosis

Ordered list of patient diagnosis for which care is sought.

procedure

protected List<ExplanationOfBenefit.ProcedureComponent> procedure

Ordered list of patient procedures performed to support the adjudication.

precedence

protected PositiveIntType precedence

Precedence (primary, secondary, etc.).

insurance

protected ExplanationOfBenefit.InsuranceComponent insurance

Financial instrument by which payment information for health care.

accident

protected ExplanationOfBenefit.AccidentComponent accident

An accident which resulted in the need for healthcare services.

employmentImpacted

protected Period employmentImpacted

The start and optional end dates of when the patient was precluded from working due to the treatable condition(s).

hospitalization

protected Period hospitalization

The start and optional end dates of when the patient was confined to a treatment center.

item

protected List<ExplanationOfBenefit.ItemComponent> item

First tier of goods and services.

addItem

protected List<ExplanationOfBenefit.AddedItemComponent> addItem

The first tier service adjudications for payor added services.

totalCost

protected Money totalCost

The total cost of the services reported.

unallocDeductable

protected Money unallocDeductable

The amount of deductable applied which was not allocated to any particular service line.

totalBenefit

protected Money totalBenefit

Total amount of benefit payable (Equal to sum of the Benefit amounts from all detail lines and additions less the Unallocated Deductable).

payment

protected ExplanationOfBenefit.PaymentComponent payment

Payment details for the claim if the claim has been paid.

form

protected CodeableConcept form

The form to be used for printing the content.

processNote

protected List<ExplanationOfBenefit.NoteComponent> processNote

Note text.

benefitBalance

protected List<ExplanationOfBenefit.BenefitBalanceComponent> benefitBalance

Balance by Benefit Category.

SP_COVERAGE

public static final String SP_COVERAGE

Search parameter: coverage

Description: The plan under which the claim was adjudicated
Type: reference
Path: ExplanationOfBenefit.insurance.coverage

See Also:

• Constant Field Values

COVERAGE

public static final ca.uhn.fhir.rest.gclient.ReferenceClientParam COVERAGE

Fluent Client search parameter constant for coverage

Description: The plan under which the claim was adjudicated
Type: reference
Path: ExplanationOfBenefit.insurance.coverage

INCLUDE_COVERAGE

public static final ca.uhn.fhir.model.api.Include INCLUDE_COVERAGE

Constant for fluent queries to be used to add include statements. Specifies the path value of "ExplanationOfBenefit:coverage".

SP_CARE_TEAM

public static final String SP_CARE_TEAM

Search parameter: care-team

Description: Member of the CareTeam
Type: reference
Path: ExplanationOfBenefit.careTeam.provider

See Also:

• Constant Field Values

CARE_TEAM

public static final ca.uhn.fhir.rest.gclient.ReferenceClientParam CARE_TEAM

Fluent Client search parameter constant for care-team

Description: Member of the CareTeam
Type: reference
Path: ExplanationOfBenefit.careTeam.provider

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 "ExplanationOfBenefit:care-team".

SP_IDENTIFIER

public static final String SP_IDENTIFIER

Search parameter: identifier

Description: The business identifier of the Explanation of Benefit
Type: token
Path: ExplanationOfBenefit.identifier

See Also:

• Constant Field Values

IDENTIFIER

public static final ca.uhn.fhir.rest.gclient.TokenClientParam IDENTIFIER

Fluent Client search parameter constant for identifier

Description: The business identifier of the Explanation of Benefit
Type: token
Path: ExplanationOfBenefit.identifier

SP_CREATED

public static final String SP_CREATED

Search parameter: created

Description: The creation date for the EOB
Type: date
Path: ExplanationOfBenefit.created

See Also:

• Constant Field Values

CREATED

public static final ca.uhn.fhir.rest.gclient.DateClientParam CREATED

Fluent Client search parameter constant for created

Description: The creation date for the EOB
Type: date
Path: ExplanationOfBenefit.created

SP_ENCOUNTER

public static final String SP_ENCOUNTER

Search parameter: encounter

Description: Encounters associated with a billed line item
Type: reference
Path: ExplanationOfBenefit.item.encounter

See Also:

• Constant Field Values

ENCOUNTER

public static final ca.uhn.fhir.rest.gclient.ReferenceClientParam ENCOUNTER

Fluent Client search parameter constant for encounter

Description: Encounters associated with a billed line item
Type: reference
Path: ExplanationOfBenefit.item.encounter

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 "ExplanationOfBenefit:encounter".

SP_PAYEE

public static final String SP_PAYEE

Search parameter: payee

Description: The party receiving any payment for the Claim
Type: reference
Path: ExplanationOfBenefit.payee.party

See Also:

• Constant Field Values

PAYEE

public static final ca.uhn.fhir.rest.gclient.ReferenceClientParam PAYEE

Fluent Client search parameter constant for payee

Description: The party receiving any payment for the Claim
Type: reference
Path: ExplanationOfBenefit.payee.party

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 "ExplanationOfBenefit:payee".

SP_DISPOSITION

public static final String SP_DISPOSITION

Search parameter: disposition

Description: The contents of the disposition message
Type: string
Path: ExplanationOfBenefit.disposition

See Also:

• Constant Field Values

DISPOSITION

public static final ca.uhn.fhir.rest.gclient.StringClientParam DISPOSITION

Fluent Client search parameter constant for disposition

Description: The contents of the disposition message
Type: string
Path: ExplanationOfBenefit.disposition

SP_PROVIDER

public static final String SP_PROVIDER

Search parameter: provider

Description: The reference to the provider
Type: reference
Path: ExplanationOfBenefit.provider

See Also:

• Constant Field Values

PROVIDER

public static final ca.uhn.fhir.rest.gclient.ReferenceClientParam PROVIDER

Fluent Client search parameter constant for provider

Description: The reference to the provider
Type: reference
Path: ExplanationOfBenefit.provider

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 "ExplanationOfBenefit:provider".

SP_PATIENT

public static final String SP_PATIENT

Search parameter: patient

Description: The reference to the patient
Type: reference
Path: ExplanationOfBenefit.patient

See Also:

• Constant Field Values

PATIENT

public static final ca.uhn.fhir.rest.gclient.ReferenceClientParam PATIENT

Fluent Client search parameter constant for patient

Description: The reference to the patient
Type: reference
Path: ExplanationOfBenefit.patient

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 "ExplanationOfBenefit:patient".

SP_ORGANIZATION

public static final String SP_ORGANIZATION

Search parameter: organization

Description: The reference to the providing organization
Type: reference
Path: ExplanationOfBenefit.organization

See Also:

• Constant Field Values

ORGANIZATION

public static final ca.uhn.fhir.rest.gclient.ReferenceClientParam ORGANIZATION

Fluent Client search parameter constant for organization

Description: The reference to the providing organization
Type: reference
Path: ExplanationOfBenefit.organization

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 "ExplanationOfBenefit:organization".

SP_CLAIM

public static final String SP_CLAIM

Search parameter: claim

Description: The reference to the claim
Type: reference
Path: ExplanationOfBenefit.claim

See Also:

• Constant Field Values

CLAIM

public static final ca.uhn.fhir.rest.gclient.ReferenceClientParam CLAIM

Fluent Client search parameter constant for claim

Description: The reference to the claim
Type: reference
Path: ExplanationOfBenefit.claim

INCLUDE_CLAIM

public static final ca.uhn.fhir.model.api.Include INCLUDE_CLAIM

Constant for fluent queries to be used to add include statements. Specifies the path value of "ExplanationOfBenefit:claim".

SP_ENTERER

public static final String SP_ENTERER

Search parameter: enterer

Description: The party responsible for the entry of the Claim
Type: reference
Path: ExplanationOfBenefit.enterer

See Also:

• Constant Field Values

ENTERER

public static final ca.uhn.fhir.rest.gclient.ReferenceClientParam ENTERER

Fluent Client search parameter constant for enterer

Description: The party responsible for the entry of the Claim
Type: reference
Path: ExplanationOfBenefit.enterer

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 "ExplanationOfBenefit:enterer".

SP_FACILITY

public static final String SP_FACILITY

Search parameter: facility

Description: Facility responsible for the goods and services
Type: reference
Path: ExplanationOfBenefit.facility

See Also:

• Constant Field Values

FACILITY

public static final ca.uhn.fhir.rest.gclient.ReferenceClientParam FACILITY

Fluent Client search parameter constant for facility

Description: Facility responsible for the goods and services
Type: reference
Path: ExplanationOfBenefit.facility

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 "ExplanationOfBenefit:facility".

Constructor Details

ExplanationOfBenefit

public ExplanationOfBenefit()

Constructor

Method Details

getIdentifier

public List<Identifier> getIdentifier()

Returns:

identifier (The EOB Business Identifier.)

setIdentifier

public ExplanationOfBenefit setIdentifier(List<Identifier> theIdentifier)

Returns:

Returns a reference to this for easy method chaining

hasIdentifier

public boolean hasIdentifier()

addIdentifier

public Identifier addIdentifier()

addIdentifier

public ExplanationOfBenefit addIdentifier(Identifier t)

getIdentifierFirstRep

public Identifier getIdentifierFirstRep()

Returns:

The first repetition of repeating field identifier, creating it if it does not already exist

getStatusElement

public Enumeration<ExplanationOfBenefit.ExplanationOfBenefitStatus> 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

hasStatusElement

public boolean hasStatusElement()

hasStatus

public boolean hasStatus()

setStatusElement

public ExplanationOfBenefit setStatusElement(Enumeration<ExplanationOfBenefit.ExplanationOfBenefitStatus> 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

getStatus

public ExplanationOfBenefit.ExplanationOfBenefitStatus getStatus()

Returns:

The status of the resource instance.

setStatus

public ExplanationOfBenefit setStatus(ExplanationOfBenefit.ExplanationOfBenefitStatus value)

Parameters:

value - The status of the resource instance.

getType

public CodeableConcept getType()

Returns:

type (The category of claim, eg, oral, pharmacy, vision, insitutional, professional.)

hasType

public boolean hasType()

setType

public ExplanationOfBenefit setType(CodeableConcept value)

Parameters:

value - type (The category of claim, eg, oral, pharmacy, vision, insitutional, professional.)

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.)

setSubType

public ExplanationOfBenefit setSubType(List<CodeableConcept> theSubType)

Returns:

Returns a reference to this for easy method chaining

hasSubType

public boolean hasSubType()

addSubType

public CodeableConcept addSubType()

addSubType

public ExplanationOfBenefit addSubType(CodeableConcept t)

getSubTypeFirstRep

public CodeableConcept getSubTypeFirstRep()

Returns:

The first repetition of repeating field subType, creating it if it does not already exist

getPatient

public Reference getPatient()

Returns:

patient (Patient Resource.)

hasPatient

public boolean hasPatient()

setPatient

public ExplanationOfBenefit setPatient(Reference value)

Parameters:

value - patient (Patient Resource.)

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.)

setPatientTarget

public ExplanationOfBenefit 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 ExplanationOfBenefit 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 EOB was created.). 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 ExplanationOfBenefit setCreatedElement(DateTimeType value)

Parameters:

value - created (The date when the EOB was created.). 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 EOB was created.

setCreated

public ExplanationOfBenefit setCreated(Date value)

Parameters:

value - The date when the EOB was created.

getEnterer

public Reference getEnterer()

Returns:

enterer (The person who created the explanation of benefit.)

hasEnterer

public boolean hasEnterer()

setEnterer

public ExplanationOfBenefit setEnterer(Reference value)

Parameters:

value - enterer (The person who created the explanation of benefit.)

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. (The person who created the explanation of benefit.)

setEntererTarget

public ExplanationOfBenefit 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. (The person who created the explanation of benefit.)

getInsurer

public Reference getInsurer()

Returns:

insurer (The insurer which is responsible for the explanation of benefit.)

hasInsurer

public boolean hasInsurer()

setInsurer

public ExplanationOfBenefit setInsurer(Reference value)

Parameters:

value - insurer (The insurer which is responsible for the explanation of benefit.)

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 which is responsible for the explanation of benefit.)

setInsurerTarget

public ExplanationOfBenefit 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 which is responsible for the explanation of benefit.)

getProvider

public Reference getProvider()

Returns:

provider (The provider which is responsible for the claim.)

hasProvider

public boolean hasProvider()

setProvider

public ExplanationOfBenefit setProvider(Reference value)

Parameters:

value - provider (The provider which is responsible for the claim.)

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 claim.)

setProviderTarget

public ExplanationOfBenefit 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 claim.)

getOrganization

public Reference getOrganization()

Returns:

organization (The provider which is responsible for the claim.)

hasOrganization

public boolean hasOrganization()

setOrganization

public ExplanationOfBenefit setOrganization(Reference value)

Parameters:

value - organization (The provider which is responsible for the claim.)

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 provider which is responsible for the claim.)

setOrganizationTarget

public ExplanationOfBenefit 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 provider which is responsible for the claim.)

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 ExplanationOfBenefit 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 ExplanationOfBenefit 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 ExplanationOfBenefit 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 ExplanationOfBenefit 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.)

getClaim

public Reference getClaim()

Returns:

claim (The business identifier for the instance: invoice number, claim number, pre-determination or pre-authorization number.)

hasClaim

public boolean hasClaim()

setClaim

public ExplanationOfBenefit setClaim(Reference value)

Parameters:

value - claim (The business identifier for the instance: invoice number, claim number, pre-determination or pre-authorization number.)

getClaimTarget

public Claim getClaimTarget()

Returns:

claim 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 business identifier for the instance: invoice number, claim number, pre-determination or pre-authorization number.)

setClaimTarget

public ExplanationOfBenefit setClaimTarget(Claim value)

Parameters:

value - claim 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 business identifier for the instance: invoice number, claim number, pre-determination or pre-authorization number.)

getClaimResponse

public Reference getClaimResponse()

Returns:

claimResponse (The business identifier for the instance: invoice number, claim number, pre-determination or pre-authorization number.)

hasClaimResponse

public boolean hasClaimResponse()

setClaimResponse

public ExplanationOfBenefit setClaimResponse(Reference value)

Parameters:

value - claimResponse (The business identifier for the instance: invoice number, claim number, pre-determination or pre-authorization number.)

getClaimResponseTarget

public ClaimResponse getClaimResponseTarget()

Returns:

claimResponse 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 business identifier for the instance: invoice number, claim number, pre-determination or pre-authorization number.)

setClaimResponseTarget

public ExplanationOfBenefit setClaimResponseTarget(ClaimResponse value)

Parameters:

value - claimResponse 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 business identifier for the instance: invoice number, claim number, pre-determination or pre-authorization number.)

getOutcome

public CodeableConcept getOutcome()

Returns:

outcome (Processing outcome errror, partial or complete processing.)

hasOutcome

public boolean hasOutcome()

setOutcome

public ExplanationOfBenefit setOutcome(CodeableConcept value)

Parameters:

value - outcome (Processing outcome errror, partial or complete processing.)

getDispositionElement

public StringType getDispositionElement()

Returns:

disposition (A description of the status of the adjudication.). This is the underlying object with id, value and extensions. The accessor "getDisposition" gives direct access to the value

hasDispositionElement

public boolean hasDispositionElement()

hasDisposition

public boolean hasDisposition()

setDispositionElement

public ExplanationOfBenefit setDispositionElement(StringType value)

Parameters:

value - disposition (A description of the status of the adjudication.). This is the underlying object with id, value and extensions. The accessor "getDisposition" gives direct access to the value

getDisposition

public String getDisposition()

Returns:

A description of the status of the adjudication.

setDisposition

public ExplanationOfBenefit setDisposition(String value)

Parameters:

value - A description of the status of the adjudication.

getRelated

public List<ExplanationOfBenefit.RelatedClaimComponent> getRelated()

Returns:

related (Other claims which are related to this claim such as prior claim versions or for related services.)

setRelated

public ExplanationOfBenefit setRelated(List<ExplanationOfBenefit.RelatedClaimComponent> theRelated)

Returns:

Returns a reference to this for easy method chaining

hasRelated

public boolean hasRelated()

addRelated

public ExplanationOfBenefit.RelatedClaimComponent addRelated()

addRelated

public ExplanationOfBenefit addRelated(ExplanationOfBenefit.RelatedClaimComponent t)

getRelatedFirstRep

public ExplanationOfBenefit.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 ExplanationOfBenefit 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 ExplanationOfBenefit 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 ExplanationOfBenefit 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 ExplanationOfBenefit 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 ExplanationOfBenefit.PayeeComponent getPayee()

Returns:

payee (The party to be reimbursed for the services.)

hasPayee

public boolean hasPayee()

setPayee

public ExplanationOfBenefit setPayee(ExplanationOfBenefit.PayeeComponent value)

Parameters:

value - payee (The party to be reimbursed for the services.)

getInformation

public List<ExplanationOfBenefit.SupportingInformationComponent> 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 ExplanationOfBenefit setInformation(List<ExplanationOfBenefit.SupportingInformationComponent> theInformation)

Returns:

Returns a reference to this for easy method chaining

hasInformation

public boolean hasInformation()

addInformation

public ExplanationOfBenefit.SupportingInformationComponent addInformation()

addInformation

public ExplanationOfBenefit addInformation(ExplanationOfBenefit.SupportingInformationComponent t)

getInformationFirstRep

public ExplanationOfBenefit.SupportingInformationComponent getInformationFirstRep()

Returns:

The first repetition of repeating field information, creating it if it does not already exist

getCareTeam

public List<ExplanationOfBenefit.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 ExplanationOfBenefit setCareTeam(List<ExplanationOfBenefit.CareTeamComponent> theCareTeam)

Returns:

Returns a reference to this for easy method chaining

hasCareTeam

public boolean hasCareTeam()

addCareTeam

public ExplanationOfBenefit.CareTeamComponent addCareTeam()

addCareTeam

public ExplanationOfBenefit addCareTeam(ExplanationOfBenefit.CareTeamComponent t)

getCareTeamFirstRep

public ExplanationOfBenefit.CareTeamComponent getCareTeamFirstRep()

Returns:

The first repetition of repeating field careTeam, creating it if it does not already exist

getDiagnosis

public List<ExplanationOfBenefit.DiagnosisComponent> getDiagnosis()

Returns:

diagnosis (Ordered list of patient diagnosis for which care is sought.)

setDiagnosis

public ExplanationOfBenefit setDiagnosis(List<ExplanationOfBenefit.DiagnosisComponent> theDiagnosis)

Returns:

Returns a reference to this for easy method chaining

hasDiagnosis

public boolean hasDiagnosis()

addDiagnosis

public ExplanationOfBenefit.DiagnosisComponent addDiagnosis()

addDiagnosis

public ExplanationOfBenefit addDiagnosis(ExplanationOfBenefit.DiagnosisComponent t)

getDiagnosisFirstRep

public ExplanationOfBenefit.DiagnosisComponent getDiagnosisFirstRep()

Returns:

The first repetition of repeating field diagnosis, creating it if it does not already exist

getProcedure

public List<ExplanationOfBenefit.ProcedureComponent> getProcedure()

Returns:

procedure (Ordered list of patient procedures performed to support the adjudication.)

setProcedure

public ExplanationOfBenefit setProcedure(List<ExplanationOfBenefit.ProcedureComponent> theProcedure)

Returns:

Returns a reference to this for easy method chaining

hasProcedure

public boolean hasProcedure()

addProcedure

public ExplanationOfBenefit.ProcedureComponent addProcedure()

addProcedure

public ExplanationOfBenefit addProcedure(ExplanationOfBenefit.ProcedureComponent t)

getProcedureFirstRep

public ExplanationOfBenefit.ProcedureComponent getProcedureFirstRep()

Returns:

The first repetition of repeating field procedure, creating it if it does not already exist

getPrecedenceElement

public PositiveIntType getPrecedenceElement()

Returns:

precedence (Precedence (primary, secondary, etc.).). This is the underlying object with id, value and extensions. The accessor "getPrecedence" gives direct access to the value

hasPrecedenceElement

public boolean hasPrecedenceElement()

hasPrecedence

public boolean hasPrecedence()

setPrecedenceElement

public ExplanationOfBenefit setPrecedenceElement(PositiveIntType value)

Parameters:

value - precedence (Precedence (primary, secondary, etc.).). This is the underlying object with id, value and extensions. The accessor "getPrecedence" gives direct access to the value

getPrecedence

public int getPrecedence()

Returns:

Precedence (primary, secondary, etc.).

setPrecedence

public ExplanationOfBenefit setPrecedence(int value)

Parameters:

value - Precedence (primary, secondary, etc.).

getInsurance

public ExplanationOfBenefit.InsuranceComponent getInsurance()

Returns:

insurance (Financial instrument by which payment information for health care.)

hasInsurance

public boolean hasInsurance()

setInsurance

public ExplanationOfBenefit setInsurance(ExplanationOfBenefit.InsuranceComponent value)

Parameters:

value - insurance (Financial instrument by which payment information for health care.)

getAccident

public ExplanationOfBenefit.AccidentComponent getAccident()

Returns:

accident (An accident which resulted in the need for healthcare services.)

hasAccident

public boolean hasAccident()

setAccident

public ExplanationOfBenefit setAccident(ExplanationOfBenefit.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 ExplanationOfBenefit 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 ExplanationOfBenefit 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<ExplanationOfBenefit.ItemComponent> getItem()

Returns:

item (First tier of goods and services.)

setItem

public ExplanationOfBenefit setItem(List<ExplanationOfBenefit.ItemComponent> theItem)

Returns:

Returns a reference to this for easy method chaining

hasItem

public boolean hasItem()

addItem

public ExplanationOfBenefit.ItemComponent addItem()

addItem

public ExplanationOfBenefit addItem(ExplanationOfBenefit.ItemComponent t)

getItemFirstRep

public ExplanationOfBenefit.ItemComponent getItemFirstRep()

Returns:

The first repetition of repeating field item, creating it if it does not already exist

getAddItem

public List<ExplanationOfBenefit.AddedItemComponent> getAddItem()

Returns:

addItem (The first tier service adjudications for payor added services.)

setAddItem

public ExplanationOfBenefit setAddItem(List<ExplanationOfBenefit.AddedItemComponent> theAddItem)

Returns:

Returns a reference to this for easy method chaining

hasAddItem

public boolean hasAddItem()

addAddItem

public ExplanationOfBenefit.AddedItemComponent addAddItem()

addAddItem

public ExplanationOfBenefit addAddItem(ExplanationOfBenefit.AddedItemComponent t)

getAddItemFirstRep

public ExplanationOfBenefit.AddedItemComponent getAddItemFirstRep()

Returns:

The first repetition of repeating field addItem, creating it if it does not already exist

getTotalCost

public Money getTotalCost()

Returns:

totalCost (The total cost of the services reported.)

hasTotalCost

public boolean hasTotalCost()

setTotalCost

public ExplanationOfBenefit setTotalCost(Money value)

Parameters:

value - totalCost (The total cost of the services reported.)

getUnallocDeductable

public Money getUnallocDeductable()

Returns:

unallocDeductable (The amount of deductable applied which was not allocated to any particular service line.)

hasUnallocDeductable

public boolean hasUnallocDeductable()

setUnallocDeductable

public ExplanationOfBenefit setUnallocDeductable(Money value)

Parameters:

value - unallocDeductable (The amount of deductable applied which was not allocated to any particular service line.)

getTotalBenefit

public Money getTotalBenefit()

Returns:

totalBenefit (Total amount of benefit payable (Equal to sum of the Benefit amounts from all detail lines and additions less the Unallocated Deductable).)

hasTotalBenefit

public boolean hasTotalBenefit()

setTotalBenefit

public ExplanationOfBenefit setTotalBenefit(Money value)

Parameters:

value - totalBenefit (Total amount of benefit payable (Equal to sum of the Benefit amounts from all detail lines and additions less the Unallocated Deductable).)

getPayment

public ExplanationOfBenefit.PaymentComponent getPayment()

Returns:

payment (Payment details for the claim if the claim has been paid.)

hasPayment

public boolean hasPayment()

setPayment

public ExplanationOfBenefit setPayment(ExplanationOfBenefit.PaymentComponent value)

Parameters:

value - payment (Payment details for the claim if the claim has been paid.)

getForm

public CodeableConcept getForm()

Returns:

form (The form to be used for printing the content.)

hasForm

public boolean hasForm()

setForm

public ExplanationOfBenefit setForm(CodeableConcept value)

Parameters:

value - form (The form to be used for printing the content.)

getProcessNote

public List<ExplanationOfBenefit.NoteComponent> getProcessNote()

Returns:

processNote (Note text.)

setProcessNote

public ExplanationOfBenefit setProcessNote(List<ExplanationOfBenefit.NoteComponent> theProcessNote)

Returns:

Returns a reference to this for easy method chaining

hasProcessNote

public boolean hasProcessNote()

addProcessNote

public ExplanationOfBenefit.NoteComponent addProcessNote()

addProcessNote

public ExplanationOfBenefit addProcessNote(ExplanationOfBenefit.NoteComponent t)

getProcessNoteFirstRep

public ExplanationOfBenefit.NoteComponent getProcessNoteFirstRep()

Returns:

The first repetition of repeating field processNote, creating it if it does not already exist

getBenefitBalance

public List<ExplanationOfBenefit.BenefitBalanceComponent> getBenefitBalance()

Returns:

benefitBalance (Balance by Benefit Category.)

setBenefitBalance

public ExplanationOfBenefit setBenefitBalance(List<ExplanationOfBenefit.BenefitBalanceComponent> theBenefitBalance)

Returns:

Returns a reference to this for easy method chaining

hasBenefitBalance

public boolean hasBenefitBalance()

addBenefitBalance

public ExplanationOfBenefit.BenefitBalanceComponent addBenefitBalance()

addBenefitBalance

public ExplanationOfBenefit addBenefitBalance(ExplanationOfBenefit.BenefitBalanceComponent t)

getBenefitBalanceFirstRep

public ExplanationOfBenefit.BenefitBalanceComponent getBenefitBalanceFirstRep()

Returns:

The first repetition of repeating field benefitBalance, creating it if it does not already exist

listChildren

protected void listChildren(List<Property> children)

Overrides:

listChildren in class DomainResource

getNamedProperty

public Property getNamedProperty(int _hash,
 String _name,
 boolean _checkValid)
                          throws org.hl7.fhir.exceptions.FHIRException

Overrides:

getNamedProperty in class DomainResource

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 class DomainResource

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 class DomainResource

Throws:

org.hl7.fhir.exceptions.FHIRException

setProperty

public Base setProperty(String name,
 Base value)
                 throws org.hl7.fhir.exceptions.FHIRException

Overrides:

setProperty in class DomainResource

Throws:

org.hl7.fhir.exceptions.FHIRException

makeProperty

public Base makeProperty(int hash,
 String name)
                  throws org.hl7.fhir.exceptions.FHIRException

Overrides:

makeProperty in class DomainResource

Throws:

org.hl7.fhir.exceptions.FHIRException

getTypesForProperty

public String[] getTypesForProperty(int hash,
 String name)
                             throws org.hl7.fhir.exceptions.FHIRException

Overrides:

getTypesForProperty in class DomainResource

Throws:

org.hl7.fhir.exceptions.FHIRException

addChild

public Base addChild(String name)
              throws org.hl7.fhir.exceptions.FHIRException

Overrides:

addChild in class DomainResource

Throws:

org.hl7.fhir.exceptions.FHIRException

fhirType

public String fhirType()

Specified by:

fhirType in interface org.hl7.fhir.instance.model.api.IBase

Overrides:

fhirType in class DomainResource

copy

public ExplanationOfBenefit copy()

Specified by:

copy in class DomainResource

typedCopy

protected ExplanationOfBenefit typedCopy()

equalsDeep

public boolean equalsDeep(Base other_)

Overrides:

equalsDeep in class DomainResource

equalsShallow

public boolean equalsShallow(Base other_)

Overrides:

equalsShallow in class DomainResource

isEmpty

public boolean isEmpty()

Specified by:

isEmpty in interface org.hl7.fhir.instance.model.api.IBase

Overrides:

isEmpty in class DomainResource

getResourceType

public ResourceType getResourceType()

Specified by:

getResourceType in class Resource