
Class ClaimResponse
- 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
- See Also:
-
Nested Class Summary
Nested ClassesModifier and TypeClassDescriptionstatic classstatic classstatic classstatic classstatic classstatic classstatic classstatic classstatic classstatic classstatic classstatic classstatic classstatic classstatic classNested classes/interfaces inherited from class org.hl7.fhir.r5.model.Base
Base.ProfileSource, Base.ValidationInfo, Base.ValidationMode, Base.ValidationReason -
Field Summary
FieldsModifier and TypeFieldDescriptionprotected List<ClaimResponse.AddedItemComponent> The first-tier service adjudications for payor added product or service lines.protected List<ClaimResponse.AdjudicationComponent> The adjudication results which are presented at the header level rather than at the line-item or add-item levels.Request for additional supporting or authorizing information.protected DateTimeTypeThe date this resource was created.static final ca.uhn.fhir.rest.gclient.DateClientParamFluent Client search parameter constant for createdprotected CodeableConceptThe result of the claim, predetermination, or preauthorization adjudication.protected CodeableConceptA package billing code or bundle code used to group products and services to a particular health condition (such as heart attack) which is based on a predetermined grouping code system.protected StringTypeA human readable description of the status of the adjudication.static final ca.uhn.fhir.rest.gclient.StringClientParamFluent Client search parameter constant for dispositionHealthcare encounters related to this claim.protected List<ClaimResponse.ErrorComponent> Errors encountered during the processing of the adjudication.protected List<ClaimResponse.ClaimResponseEventComponent> Information code for an event with a corresponding date or period.protected AttachmentThe actual form, by reference or inclusion, for printing the content or an EOB.protected CodeableConceptA code for the form to be used for printing the content.protected CodeableConceptA code, used only on a response to a preauthorization, to indicate whether the benefits payable have been reserved and for whom.protected List<Identifier> A unique identifier assigned to this claim response.static final ca.uhn.fhir.rest.gclient.TokenClientParamFluent Client search parameter constant for identifierstatic final ca.uhn.fhir.model.api.IncludeConstant for fluent queries to be used to add include statements.static final ca.uhn.fhir.model.api.IncludeConstant for fluent queries to be used to add include statements.static final ca.uhn.fhir.model.api.IncludeConstant for fluent queries to be used to add include statements.static final ca.uhn.fhir.model.api.IncludeConstant for fluent queries to be used to add include statements.protected List<ClaimResponse.InsuranceComponent> Financial instruments for reimbursement for the health care products and services specified on the claim.protected ReferenceThe party responsible for authorization, adjudication and reimbursement.static final ca.uhn.fhir.rest.gclient.ReferenceClientParamFluent Client search parameter constant for insurerprotected List<ClaimResponse.ItemComponent> A claim line.protected Enumeration<Enumerations.ClaimProcessingCodes> The outcome of the claim, predetermination, or preauthorization processing.static final ca.uhn.fhir.rest.gclient.TokenClientParamFluent Client search parameter constant for outcomeprotected ReferenceThe party to whom the professional services and/or products have been supplied or are being considered and for whom actual for facast reimbursement is sought.static final ca.uhn.fhir.rest.gclient.ReferenceClientParamFluent Client search parameter constant for patientprotected CodeableConceptType of Party to be reimbursed: subscriber, provider, other.protected ClaimResponse.PaymentComponentPayment details for the adjudication of the claim.static final ca.uhn.fhir.rest.gclient.DateClientParamFluent Client search parameter constant for payment-dateprotected PeriodThe time frame during which this authorization is effective.protected StringTypeReference from the Insurer which is used in later communications which refers to this adjudication.protected List<ClaimResponse.NoteComponent> A note that describes or explains adjudication results in a human readable form.protected ReferenceOriginal request resource reference.static final ca.uhn.fhir.rest.gclient.ReferenceClientParamFluent Client search parameter constant for requestprotected ReferenceThe provider which is responsible for the claim, predetermination or preauthorization.static final ca.uhn.fhir.rest.gclient.ReferenceClientParamFluent Client search parameter constant for requestorstatic final StringSearch parameter: createdstatic final StringSearch parameter: dispositionstatic final StringSearch parameter: identifierstatic final StringSearch parameter: insurerstatic final StringSearch parameter: outcomestatic final StringSearch parameter: patientstatic final StringSearch parameter: payment-datestatic final StringSearch parameter: requeststatic final StringSearch parameter: requestorstatic final StringSearch parameter: statusstatic final StringSearch parameter: useThe status of the resource instance.static final ca.uhn.fhir.rest.gclient.TokenClientParamFluent Client search parameter constant for statusprotected CodeableConceptA finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service.protected List<ClaimResponse.TotalComponent> Categorized monetary totals for the adjudication.protected List<Identifier> Trace number for tracking purposes.protected CodeableConceptA finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service.protected Enumeration<Enumerations.Use> A code to indicate whether the nature of the request is: Claim - A request to an Insurer to adjudicate the supplied charges for health care goods and services under the identified policy and to pay the determined Benefit amount, if any; Preauthorization - A request to an Insurer to adjudicate the supplied proposed future charges for health care goods and services under the identified policy and to approve the services and provide the expected benefit amounts and potentially to reserve funds to pay the benefits when Claims for the indicated services are later submitted; or, Pre-determination - A request to an Insurer to adjudicate the supplied 'what if' charges for health care goods and services under the identified policy and report back what the Benefit payable would be had the services actually been provided.static final ca.uhn.fhir.rest.gclient.TokenClientParamFluent Client search parameter constant for useFields inherited from class org.hl7.fhir.r5.model.DomainResource
contained, extension, modifierExtension, SP_TEXT, text, TEXTFields inherited from class org.hl7.fhir.r5.model.Resource
id, implicitRules, language, metaFields inherited from interface org.hl7.fhir.instance.model.api.IAnyResource
RES_ID, RES_LAST_UPDATED, RES_PROFILE, RES_SECURITY, RES_TAG, SP_RES_ID, SP_RES_LAST_UPDATED, SP_RES_PROFILE, SP_RES_SECURITY, SP_RES_TAGFields inherited from interface org.hl7.fhir.instance.model.api.IBaseResource
INCLUDE_ALL, WILDCARD_ALL_SET -
Constructor Summary
ConstructorsConstructorDescriptionConstructorClaimResponse(Enumerations.FinancialResourceStatusCodes status, CodeableConcept type, Enumerations.Use use, Reference patient, Date created, Enumerations.ClaimProcessingCodes outcome) Constructor -
Method Summary
Modifier and TypeMethodDescriptionaddError()addEvent()addItem()addTotal()copy()voidcopyValues(ClaimResponse dst) booleanequalsDeep(Base other_) booleanequalsShallow(Base other_) fhirType()getError()getEvent()getForm()getItem()getNamedProperty(int _hash, String _name, boolean _checkValid) Base[]getProperty(int hash, String name, boolean checkValid) getTotal()getType()String[]getTypesForProperty(int hash, String name) getUse()booleanbooleanbooleanbooleanbooleanbooleanbooleanbooleanbooleanbooleanbooleanhasError()booleanhasEvent()booleanhasForm()booleanbooleanbooleanbooleanbooleanbooleanhasItem()booleanbooleanbooleanbooleanbooleanbooleanbooleanbooleanbooleanbooleanbooleanbooleanbooleanbooleanbooleanhasTotal()booleanbooleanhasType()booleanhasUse()booleanbooleanisEmpty()protected voidlistChildren(List<Property> children) makeProperty(int hash, String name) voidremoveChild(String name, Base value) setAddItem(List<ClaimResponse.AddedItemComponent> theAddItem) setAdjudication(List<ClaimResponse.AdjudicationComponent> theAdjudication) setCommunicationRequest(List<Reference> theCommunicationRequest) setCreated(Date value) setCreatedElement(DateTimeType value) setDecision(CodeableConcept value) setDisposition(String value) setDispositionElement(StringType value) setEncounter(List<Reference> theEncounter) setError(List<ClaimResponse.ErrorComponent> theError) setForm(Attachment value) setFormCode(CodeableConcept value) setFundsReserve(CodeableConcept value) setIdentifier(List<Identifier> theIdentifier) setInsurance(List<ClaimResponse.InsuranceComponent> theInsurance) setInsurer(Reference value) setItem(List<ClaimResponse.ItemComponent> theItem) setPatient(Reference value) setPayeeType(CodeableConcept value) setPreAuthPeriod(Period value) setPreAuthRef(String value) setPreAuthRefElement(StringType value) setProcessNote(List<ClaimResponse.NoteComponent> theProcessNote) setProperty(int hash, String name, Base value) setProperty(String name, Base value) setRequest(Reference value) setRequestor(Reference value) setSubType(CodeableConcept value) setTotal(List<ClaimResponse.TotalComponent> theTotal) setTraceNumber(List<Identifier> theTraceNumber) setType(CodeableConcept value) setUse(Enumerations.Use value) setUseElement(Enumeration<Enumerations.Use> value) protected ClaimResponseMethods inherited from class org.hl7.fhir.r5.model.DomainResource
addContained, addExtension, addExtension, addExtension, addModifierExtension, addModifierExtension, checkNoModifiers, copyValues, getContained, getContained, getExtension, getExtensionByUrl, getExtensionsByUrl, getExtensionsByUrl, getExtensionString, getExtensionString, getModifierExtension, getModifierExtensionsByUrl, getStandardsStatus, getText, hasContained, hasExtension, hasExtension, hasExtension, hasModifierExtension, hasPrimitiveExtension, hasText, setContained, setExtension, setModifierExtension, setStandardsStatus, setTextMethods inherited from class org.hl7.fhir.r5.model.Resource
copyValues, getFHIRPublicationVersion, getId, getIdBase, getIdElement, getIdPart, getImplicitRules, getImplicitRulesElement, getLanguage, getLanguage, getLanguageElement, getMeta, getSourcePackage, getWebPath, hasId, hasIdElement, hasImplicitRules, hasImplicitRulesElement, hasLanguage, hasLanguageElement, hasMeta, hasSourcePackage, hasWebPath, setId, setIdBase, setIdElement, setImplicitRules, setImplicitRulesElement, setLanguage, setLanguageElement, setMeta, setSourcePackage, setWebPathMethods inherited from class org.hl7.fhir.r5.model.BaseResource
getStructureFhirVersionEnum, isResource, setIdMethods inherited from class org.hl7.fhir.r5.model.Base
addDefinition, addFormatCommentsPost, addFormatCommentsPre, addValidationMessage, canHavePrimitiveValue, children, clearUserData, compareDeep, compareDeep, compareDeep, compareDeep, compareValues, compareValues, copyFormatComments, copyUserData, copyValues, dateTimeValue, equals, executeFunction, getChildByName, getChildValueByName, getFormatCommentsPost, getFormatCommentsPre, getNamedProperty, getUserData, getUserInt, getUserString, getValidationInfo, getValidationMessages, getXhtml, hasFormatComment, hasFormatCommentPost, hasFormatCommentPre, hasPrimitiveValue, hasType, hasUserData, hasValidated, hasValidationInfo, hasValidationMessages, isBooleanPrimitive, isCopyUserData, isDateTime, isMetadataBased, isPrimitive, listChildrenByName, listChildrenByName, primitiveValue, setCopyUserData, setUserData, setUserDataINN, setXhtmlMethods inherited from class java.lang.Object
clone, equals, finalize, getClass, hashCode, notify, notifyAll, toString, wait, wait, waitMethods inherited from interface org.hl7.fhir.instance.model.api.IAnyResource
getId, getIdElement, getLanguageElement, getUserData, setId, setUserDataMethods inherited from interface org.hl7.fhir.instance.model.api.IBase
getFormatCommentsPost, getFormatCommentsPre, hasFormatCommentMethods inherited from interface org.hl7.fhir.instance.model.api.IBaseResource
getMeta, getStructureFhirVersionEnum, isDeleted, setId
-
Field Details
-
identifier
A unique identifier assigned to this claim response. -
traceNumber
Trace number for tracking purposes. May be defined at the jurisdiction level or between trading partners. -
status
The status of the resource instance. -
type
A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service. -
subType
A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service. -
use
A code to indicate whether the nature of the request is: Claim - A request to an Insurer to adjudicate the supplied charges for health care goods and services under the identified policy and to pay the determined Benefit amount, if any; Preauthorization - A request to an Insurer to adjudicate the supplied proposed future charges for health care goods and services under the identified policy and to approve the services and provide the expected benefit amounts and potentially to reserve funds to pay the benefits when Claims for the indicated services are later submitted; or, Pre-determination - A request to an Insurer to adjudicate the supplied 'what if' charges for health care goods and services under the identified policy and report back what the Benefit payable would be had the services actually been provided. -
patient
The party to whom the professional services and/or products have been supplied or are being considered and for whom actual for facast reimbursement is sought. -
created
The date this resource was created. -
insurer
The party responsible for authorization, adjudication and reimbursement. -
requestor
The provider which is responsible for the claim, predetermination or preauthorization. -
request
Original request resource reference. -
outcome
The outcome of the claim, predetermination, or preauthorization processing. -
decision
The result of the claim, predetermination, or preauthorization adjudication. -
disposition
A human readable description of the status of the adjudication. -
preAuthRef
Reference from the Insurer which is used in later communications which refers to this adjudication. -
preAuthPeriod
The time frame during which this authorization is effective. -
event
Information code for an event with a corresponding date or period. -
payeeType
Type of Party to be reimbursed: subscriber, provider, other. -
encounter
Healthcare encounters related to this claim. -
diagnosisRelatedGroup
A package billing code or bundle code used to group products and services to a particular health condition (such as heart attack) which is based on a predetermined grouping code system. -
item
A claim line. Either a simple (a product or service) or a 'group' of details which can also be a simple items or groups of sub-details. -
addItem
The first-tier service adjudications for payor added product or service lines. -
adjudication
The adjudication results which are presented at the header level rather than at the line-item or add-item levels. -
total
Categorized monetary totals for the adjudication. -
payment
Payment details for the adjudication of the claim. -
fundsReserve
A code, used only on a response to a preauthorization, to indicate whether the benefits payable have been reserved and for whom. -
formCode
A code for the form to be used for printing the content. -
form
The actual form, by reference or inclusion, for printing the content or an EOB. -
processNote
A note that describes or explains adjudication results in a human readable form. -
communicationRequest
Request for additional supporting or authorizing information. -
insurance
Financial instruments for reimbursement for the health care products and services specified on the claim. -
error
Errors encountered during the processing of the adjudication. -
SP_CREATED
Search parameter: createdDescription: The creation date
Type: date
Path: ClaimResponse.created
- See Also:
-
CREATED
Fluent Client search parameter constant for createdDescription: The creation date
Type: date
Path: ClaimResponse.created
-
SP_DISPOSITION
Search parameter: dispositionDescription: The contents of the disposition message
Type: string
Path: ClaimResponse.disposition
- See Also:
-
DISPOSITION
Fluent Client search parameter constant for dispositionDescription: The contents of the disposition message
Type: string
Path: ClaimResponse.disposition
-
SP_INSURER
Search parameter: insurerDescription: The organization which generated this resource
Type: reference
Path: ClaimResponse.insurer
- See Also:
-
INSURER
Fluent Client search parameter constant for insurerDescription: The organization which generated this resource
Type: reference
Path: ClaimResponse.insurer
-
INCLUDE_INSURER
Constant for fluent queries to be used to add include statements. Specifies the path value of "ClaimResponse:insurer". -
SP_OUTCOME
Search parameter: outcomeDescription: The processing outcome
Type: token
Path: ClaimResponse.outcome
- See Also:
-
OUTCOME
Fluent Client search parameter constant for outcomeDescription: The processing outcome
Type: token
Path: ClaimResponse.outcome
-
SP_PAYMENT_DATE
Search parameter: payment-dateDescription: The expected payment date
Type: date
Path: ClaimResponse.payment.date
- See Also:
-
PAYMENT_DATE
Fluent Client search parameter constant for payment-dateDescription: The expected payment date
Type: date
Path: ClaimResponse.payment.date
-
SP_REQUEST
Search parameter: requestDescription: The claim reference
Type: reference
Path: ClaimResponse.request
- See Also:
-
REQUEST
Fluent Client search parameter constant for requestDescription: The claim reference
Type: reference
Path: ClaimResponse.request
-
INCLUDE_REQUEST
Constant for fluent queries to be used to add include statements. Specifies the path value of "ClaimResponse:request". -
SP_REQUESTOR
Search parameter: requestorDescription: The Provider of the claim
Type: reference
Path: ClaimResponse.requestor
- See Also:
-
REQUESTOR
Fluent Client search parameter constant for requestorDescription: The Provider of the claim
Type: reference
Path: ClaimResponse.requestor
-
INCLUDE_REQUESTOR
Constant for fluent queries to be used to add include statements. Specifies the path value of "ClaimResponse:requestor". -
SP_STATUS
Search parameter: statusDescription: The status of the ClaimResponse
Type: token
Path: ClaimResponse.status
- See Also:
-
STATUS
Fluent Client search parameter constant for statusDescription: The status of the ClaimResponse
Type: token
Path: ClaimResponse.status
-
SP_USE
Search parameter: useDescription: The type of claim
Type: token
Path: ClaimResponse.use
- See Also:
-
USE
Fluent Client search parameter constant for useDescription: The type of claim
Type: token
Path: ClaimResponse.use
-
SP_IDENTIFIER
Search parameter: identifierDescription: Multiple Resources: [Account](account.html): Account number [AdverseEvent](adverseevent.html): Business identifier for the event [AllergyIntolerance](allergyintolerance.html): External ids for this item [Appointment](appointment.html): An Identifier of the Appointment [AppointmentResponse](appointmentresponse.html): An Identifier in this appointment response [Basic](basic.html): Business identifier [BodyStructure](bodystructure.html): Bodystructure identifier [CarePlan](careplan.html): External Ids for this plan [CareTeam](careteam.html): External Ids for this team [ChargeItem](chargeitem.html): Business Identifier for item [Claim](claim.html): The primary identifier of the financial resource [ClaimResponse](claimresponse.html): The identity of the ClaimResponse [ClinicalImpression](clinicalimpression.html): Business identifier [Communication](communication.html): Unique identifier [CommunicationRequest](communicationrequest.html): Unique identifier [Composition](composition.html): Version-independent identifier for the Composition [Condition](condition.html): A unique identifier of the condition record [Consent](consent.html): Identifier for this record (external references) [Contract](contract.html): The identity of the contract [Coverage](coverage.html): The primary identifier of the insured and the coverage [CoverageEligibilityRequest](coverageeligibilityrequest.html): The business identifier of the Eligibility [CoverageEligibilityResponse](coverageeligibilityresponse.html): The business identifier [DetectedIssue](detectedissue.html): Unique id for the detected issue [DeviceRequest](devicerequest.html): Business identifier for request/order [DeviceUsage](deviceusage.html): Search by identifier [DiagnosticReport](diagnosticreport.html): An identifier for the report [DocumentReference](documentreference.html): Identifier of the attachment binary [Encounter](encounter.html): Identifier(s) by which this encounter is known [EnrollmentRequest](enrollmentrequest.html): The business identifier of the Enrollment [EpisodeOfCare](episodeofcare.html): Business Identifier(s) relevant for this EpisodeOfCare [ExplanationOfBenefit](explanationofbenefit.html): The business identifier of the Explanation of Benefit [FamilyMemberHistory](familymemberhistory.html): A search by a record identifier [Flag](flag.html): Business identifier [Goal](goal.html): External Ids for this goal [GuidanceResponse](guidanceresponse.html): The identifier of the guidance response [ImagingSelection](imagingselection.html): Identifiers for the imaging selection [ImagingStudy](imagingstudy.html): Identifiers for the Study, such as DICOM Study Instance UID [Immunization](immunization.html): Business identifier [ImmunizationEvaluation](immunizationevaluation.html): ID of the evaluation [ImmunizationRecommendation](immunizationrecommendation.html): Business identifier [Invoice](invoice.html): Business Identifier for item [List](list.html): Business identifier [MeasureReport](measurereport.html): External identifier of the measure report to be returned [Medication](medication.html): Returns medications with this external identifier [MedicationAdministration](medicationadministration.html): Return administrations with this external identifier [MedicationDispense](medicationdispense.html): Returns dispenses with this external identifier [MedicationRequest](medicationrequest.html): Return prescriptions with this external identifier [MedicationStatement](medicationstatement.html): Return statements with this external identifier [MolecularSequence](molecularsequence.html): The unique identity for a particular sequence [NutritionIntake](nutritionintake.html): Return statements with this external identifier [NutritionOrder](nutritionorder.html): Return nutrition orders with this external identifier [Observation](observation.html): The unique id for a particular observation [Person](person.html): A person Identifier [Procedure](procedure.html): A unique identifier for a procedure [QuestionnaireResponse](questionnaireresponse.html): The unique identifier for the questionnaire response [RelatedPerson](relatedperson.html): An Identifier of the RelatedPerson [RequestOrchestration](requestorchestration.html): External identifiers for the request orchestration [ResearchSubject](researchsubject.html): Business Identifier for research subject in a study [RiskAssessment](riskassessment.html): Unique identifier for the assessment [ServiceRequest](servicerequest.html): Identifiers assigned to this order [Specimen](specimen.html): The unique identifier associated with the specimen [SupplyDelivery](supplydelivery.html): External identifier [SupplyRequest](supplyrequest.html): Business Identifier for SupplyRequest [Task](task.html): Search for a task instance by its business identifier [VisionPrescription](visionprescription.html): Return prescriptions with this external identifier
Type: token
Path: Account.identifier | AdverseEvent.identifier | AllergyIntolerance.identifier | Appointment.identifier | AppointmentResponse.identifier | Basic.identifier | BodyStructure.identifier | CarePlan.identifier | CareTeam.identifier | ChargeItem.identifier | Claim.identifier | ClaimResponse.identifier | ClinicalImpression.identifier | Communication.identifier | CommunicationRequest.identifier | Composition.identifier | Condition.identifier | Consent.identifier | Contract.identifier | Coverage.identifier | CoverageEligibilityRequest.identifier | CoverageEligibilityResponse.identifier | DetectedIssue.identifier | DeviceRequest.identifier | DeviceUsage.identifier | DiagnosticReport.identifier | DocumentReference.identifier | Encounter.identifier | EnrollmentRequest.identifier | EpisodeOfCare.identifier | ExplanationOfBenefit.identifier | FamilyMemberHistory.identifier | Flag.identifier | Goal.identifier | GuidanceResponse.identifier | ImagingSelection.identifier | ImagingStudy.identifier | Immunization.identifier | ImmunizationEvaluation.identifier | ImmunizationRecommendation.identifier | Invoice.identifier | List.identifier | MeasureReport.identifier | Medication.identifier | MedicationAdministration.identifier | MedicationDispense.identifier | MedicationRequest.identifier | MedicationStatement.identifier | MolecularSequence.identifier | NutritionIntake.identifier | NutritionOrder.identifier | Observation.identifier | Person.identifier | Procedure.identifier | QuestionnaireResponse.identifier | RelatedPerson.identifier | RequestOrchestration.identifier | ResearchSubject.identifier | RiskAssessment.identifier | ServiceRequest.identifier | Specimen.identifier | SupplyDelivery.identifier | SupplyRequest.identifier | Task.identifier | VisionPrescription.identifier
- See Also:
-
IDENTIFIER
Fluent Client search parameter constant for identifierDescription: Multiple Resources: [Account](account.html): Account number [AdverseEvent](adverseevent.html): Business identifier for the event [AllergyIntolerance](allergyintolerance.html): External ids for this item [Appointment](appointment.html): An Identifier of the Appointment [AppointmentResponse](appointmentresponse.html): An Identifier in this appointment response [Basic](basic.html): Business identifier [BodyStructure](bodystructure.html): Bodystructure identifier [CarePlan](careplan.html): External Ids for this plan [CareTeam](careteam.html): External Ids for this team [ChargeItem](chargeitem.html): Business Identifier for item [Claim](claim.html): The primary identifier of the financial resource [ClaimResponse](claimresponse.html): The identity of the ClaimResponse [ClinicalImpression](clinicalimpression.html): Business identifier [Communication](communication.html): Unique identifier [CommunicationRequest](communicationrequest.html): Unique identifier [Composition](composition.html): Version-independent identifier for the Composition [Condition](condition.html): A unique identifier of the condition record [Consent](consent.html): Identifier for this record (external references) [Contract](contract.html): The identity of the contract [Coverage](coverage.html): The primary identifier of the insured and the coverage [CoverageEligibilityRequest](coverageeligibilityrequest.html): The business identifier of the Eligibility [CoverageEligibilityResponse](coverageeligibilityresponse.html): The business identifier [DetectedIssue](detectedissue.html): Unique id for the detected issue [DeviceRequest](devicerequest.html): Business identifier for request/order [DeviceUsage](deviceusage.html): Search by identifier [DiagnosticReport](diagnosticreport.html): An identifier for the report [DocumentReference](documentreference.html): Identifier of the attachment binary [Encounter](encounter.html): Identifier(s) by which this encounter is known [EnrollmentRequest](enrollmentrequest.html): The business identifier of the Enrollment [EpisodeOfCare](episodeofcare.html): Business Identifier(s) relevant for this EpisodeOfCare [ExplanationOfBenefit](explanationofbenefit.html): The business identifier of the Explanation of Benefit [FamilyMemberHistory](familymemberhistory.html): A search by a record identifier [Flag](flag.html): Business identifier [Goal](goal.html): External Ids for this goal [GuidanceResponse](guidanceresponse.html): The identifier of the guidance response [ImagingSelection](imagingselection.html): Identifiers for the imaging selection [ImagingStudy](imagingstudy.html): Identifiers for the Study, such as DICOM Study Instance UID [Immunization](immunization.html): Business identifier [ImmunizationEvaluation](immunizationevaluation.html): ID of the evaluation [ImmunizationRecommendation](immunizationrecommendation.html): Business identifier [Invoice](invoice.html): Business Identifier for item [List](list.html): Business identifier [MeasureReport](measurereport.html): External identifier of the measure report to be returned [Medication](medication.html): Returns medications with this external identifier [MedicationAdministration](medicationadministration.html): Return administrations with this external identifier [MedicationDispense](medicationdispense.html): Returns dispenses with this external identifier [MedicationRequest](medicationrequest.html): Return prescriptions with this external identifier [MedicationStatement](medicationstatement.html): Return statements with this external identifier [MolecularSequence](molecularsequence.html): The unique identity for a particular sequence [NutritionIntake](nutritionintake.html): Return statements with this external identifier [NutritionOrder](nutritionorder.html): Return nutrition orders with this external identifier [Observation](observation.html): The unique id for a particular observation [Person](person.html): A person Identifier [Procedure](procedure.html): A unique identifier for a procedure [QuestionnaireResponse](questionnaireresponse.html): The unique identifier for the questionnaire response [RelatedPerson](relatedperson.html): An Identifier of the RelatedPerson [RequestOrchestration](requestorchestration.html): External identifiers for the request orchestration [ResearchSubject](researchsubject.html): Business Identifier for research subject in a study [RiskAssessment](riskassessment.html): Unique identifier for the assessment [ServiceRequest](servicerequest.html): Identifiers assigned to this order [Specimen](specimen.html): The unique identifier associated with the specimen [SupplyDelivery](supplydelivery.html): External identifier [SupplyRequest](supplyrequest.html): Business Identifier for SupplyRequest [Task](task.html): Search for a task instance by its business identifier [VisionPrescription](visionprescription.html): Return prescriptions with this external identifier
Type: token
Path: Account.identifier | AdverseEvent.identifier | AllergyIntolerance.identifier | Appointment.identifier | AppointmentResponse.identifier | Basic.identifier | BodyStructure.identifier | CarePlan.identifier | CareTeam.identifier | ChargeItem.identifier | Claim.identifier | ClaimResponse.identifier | ClinicalImpression.identifier | Communication.identifier | CommunicationRequest.identifier | Composition.identifier | Condition.identifier | Consent.identifier | Contract.identifier | Coverage.identifier | CoverageEligibilityRequest.identifier | CoverageEligibilityResponse.identifier | DetectedIssue.identifier | DeviceRequest.identifier | DeviceUsage.identifier | DiagnosticReport.identifier | DocumentReference.identifier | Encounter.identifier | EnrollmentRequest.identifier | EpisodeOfCare.identifier | ExplanationOfBenefit.identifier | FamilyMemberHistory.identifier | Flag.identifier | Goal.identifier | GuidanceResponse.identifier | ImagingSelection.identifier | ImagingStudy.identifier | Immunization.identifier | ImmunizationEvaluation.identifier | ImmunizationRecommendation.identifier | Invoice.identifier | List.identifier | MeasureReport.identifier | Medication.identifier | MedicationAdministration.identifier | MedicationDispense.identifier | MedicationRequest.identifier | MedicationStatement.identifier | MolecularSequence.identifier | NutritionIntake.identifier | NutritionOrder.identifier | Observation.identifier | Person.identifier | Procedure.identifier | QuestionnaireResponse.identifier | RelatedPerson.identifier | RequestOrchestration.identifier | ResearchSubject.identifier | RiskAssessment.identifier | ServiceRequest.identifier | Specimen.identifier | SupplyDelivery.identifier | SupplyRequest.identifier | Task.identifier | VisionPrescription.identifier
-
SP_PATIENT
Search parameter: patientDescription: Multiple Resources: [Account](account.html): The entity that caused the expenses [AdverseEvent](adverseevent.html): Subject impacted by event [AllergyIntolerance](allergyintolerance.html): Who the sensitivity is for [Appointment](appointment.html): One of the individuals of the appointment is this patient [AppointmentResponse](appointmentresponse.html): This Response is for this Patient [AuditEvent](auditevent.html): Where the activity involved patient data [Basic](basic.html): Identifies the focus of this resource [BodyStructure](bodystructure.html): Who this is about [CarePlan](careplan.html): Who the care plan is for [CareTeam](careteam.html): Who care team is for [ChargeItem](chargeitem.html): Individual service was done for/to [Claim](claim.html): Patient receiving the products or services [ClaimResponse](claimresponse.html): The subject of care [ClinicalImpression](clinicalimpression.html): Patient assessed [Communication](communication.html): Focus of message [CommunicationRequest](communicationrequest.html): Focus of message [Composition](composition.html): Who and/or what the composition is about [Condition](condition.html): Who has the condition? [Consent](consent.html): Who the consent applies to [Contract](contract.html): The identity of the subject of the contract (if a patient) [Coverage](coverage.html): Retrieve coverages for a patient [CoverageEligibilityRequest](coverageeligibilityrequest.html): The reference to the patient [CoverageEligibilityResponse](coverageeligibilityresponse.html): The reference to the patient [DetectedIssue](detectedissue.html): Associated patient [DeviceRequest](devicerequest.html): Individual the service is ordered for [DeviceUsage](deviceusage.html): Search by patient who used / uses the device [DiagnosticReport](diagnosticreport.html): The subject of the report if a patient [DocumentReference](documentreference.html): Who/what is the subject of the document [Encounter](encounter.html): The patient present at the encounter [EnrollmentRequest](enrollmentrequest.html): The party to be enrolled [EpisodeOfCare](episodeofcare.html): The patient who is the focus of this episode of care [ExplanationOfBenefit](explanationofbenefit.html): The reference to the patient [FamilyMemberHistory](familymemberhistory.html): The identity of a subject to list family member history items for [Flag](flag.html): The identity of a subject to list flags for [Goal](goal.html): Who this goal is intended for [GuidanceResponse](guidanceresponse.html): The identity of a patient to search for guidance response results [ImagingSelection](imagingselection.html): Who the study is about [ImagingStudy](imagingstudy.html): Who the study is about [Immunization](immunization.html): The patient for the vaccination record [ImmunizationEvaluation](immunizationevaluation.html): The patient being evaluated [ImmunizationRecommendation](immunizationrecommendation.html): Who this profile is for [Invoice](invoice.html): Recipient(s) of goods and services [List](list.html): If all resources have the same subject [MeasureReport](measurereport.html): The identity of a patient to search for individual measure report results for [MedicationAdministration](medicationadministration.html): The identity of a patient to list administrations for [MedicationDispense](medicationdispense.html): The identity of a patient to list dispenses for [MedicationRequest](medicationrequest.html): Returns prescriptions for a specific patient [MedicationStatement](medicationstatement.html): Returns statements for a specific patient. [MolecularSequence](molecularsequence.html): The subject that the sequence is about [NutritionIntake](nutritionintake.html): Returns statements for a specific patient. [NutritionOrder](nutritionorder.html): The identity of the individual or set of individuals who requires the diet, formula or nutritional supplement [Observation](observation.html): The subject that the observation is about (if patient) [Person](person.html): The Person links to this Patient [Procedure](procedure.html): Search by subject - a patient [Provenance](provenance.html): Where the activity involved patient data [QuestionnaireResponse](questionnaireresponse.html): The patient that is the subject of the questionnaire response [RelatedPerson](relatedperson.html): The patient this related person is related to [RequestOrchestration](requestorchestration.html): The identity of a patient to search for request orchestrations [ResearchSubject](researchsubject.html): Who or what is part of study [RiskAssessment](riskassessment.html): Who/what does assessment apply to? [ServiceRequest](servicerequest.html): Search by subject - a patient [Specimen](specimen.html): The patient the specimen comes from [SupplyDelivery](supplydelivery.html): Patient for whom the item is supplied [SupplyRequest](supplyrequest.html): The patient or subject for whom the supply is destined [Task](task.html): Search by patient [VisionPrescription](visionprescription.html): The identity of a patient to list dispenses for
Type: reference
Path: Account.subject.where(resolve() is Patient) | AdverseEvent.subject.where(resolve() is Patient) | AllergyIntolerance.patient | Appointment.participant.actor.where(resolve() is Patient) | Appointment.subject.where(resolve() is Patient) | AppointmentResponse.actor.where(resolve() is Patient) | AuditEvent.patient | Basic.subject.where(resolve() is Patient) | BodyStructure.patient | CarePlan.subject.where(resolve() is Patient) | CareTeam.subject.where(resolve() is Patient) | ChargeItem.subject.where(resolve() is Patient) | Claim.patient | ClaimResponse.patient | ClinicalImpression.subject.where(resolve() is Patient) | Communication.subject.where(resolve() is Patient) | CommunicationRequest.subject.where(resolve() is Patient) | Composition.subject.where(resolve() is Patient) | Condition.subject.where(resolve() is Patient) | Consent.subject.where(resolve() is Patient) | Contract.subject.where(resolve() is Patient) | Coverage.beneficiary | CoverageEligibilityRequest.patient | CoverageEligibilityResponse.patient | DetectedIssue.subject.where(resolve() is Patient) | DeviceRequest.subject.where(resolve() is Patient) | DeviceUsage.patient | DiagnosticReport.subject.where(resolve() is Patient) | DocumentReference.subject.where(resolve() is Patient) | Encounter.subject.where(resolve() is Patient) | EnrollmentRequest.candidate | EpisodeOfCare.patient | ExplanationOfBenefit.patient | FamilyMemberHistory.patient | Flag.subject.where(resolve() is Patient) | Goal.subject.where(resolve() is Patient) | GuidanceResponse.subject.where(resolve() is Patient) | ImagingSelection.subject.where(resolve() is Patient) | ImagingStudy.subject.where(resolve() is Patient) | Immunization.patient | ImmunizationEvaluation.patient | ImmunizationRecommendation.patient | Invoice.subject.where(resolve() is Patient) | List.subject.where(resolve() is Patient) | MeasureReport.subject.where(resolve() is Patient) | MedicationAdministration.subject.where(resolve() is Patient) | MedicationDispense.subject.where(resolve() is Patient) | MedicationRequest.subject.where(resolve() is Patient) | MedicationStatement.subject.where(resolve() is Patient) | MolecularSequence.subject.where(resolve() is Patient) | NutritionIntake.subject.where(resolve() is Patient) | NutritionOrder.subject.where(resolve() is Patient) | Observation.subject.where(resolve() is Patient) | Person.link.target.where(resolve() is Patient) | Procedure.subject.where(resolve() is Patient) | Provenance.patient | QuestionnaireResponse.subject.where(resolve() is Patient) | RelatedPerson.patient | RequestOrchestration.subject.where(resolve() is Patient) | ResearchSubject.subject.where(resolve() is Patient) | RiskAssessment.subject.where(resolve() is Patient) | ServiceRequest.subject.where(resolve() is Patient) | Specimen.subject.where(resolve() is Patient) | SupplyDelivery.patient | SupplyRequest.deliverFor | Task.for.where(resolve() is Patient) | VisionPrescription.patient
- See Also:
-
PATIENT
Fluent Client search parameter constant for patientDescription: Multiple Resources: [Account](account.html): The entity that caused the expenses [AdverseEvent](adverseevent.html): Subject impacted by event [AllergyIntolerance](allergyintolerance.html): Who the sensitivity is for [Appointment](appointment.html): One of the individuals of the appointment is this patient [AppointmentResponse](appointmentresponse.html): This Response is for this Patient [AuditEvent](auditevent.html): Where the activity involved patient data [Basic](basic.html): Identifies the focus of this resource [BodyStructure](bodystructure.html): Who this is about [CarePlan](careplan.html): Who the care plan is for [CareTeam](careteam.html): Who care team is for [ChargeItem](chargeitem.html): Individual service was done for/to [Claim](claim.html): Patient receiving the products or services [ClaimResponse](claimresponse.html): The subject of care [ClinicalImpression](clinicalimpression.html): Patient assessed [Communication](communication.html): Focus of message [CommunicationRequest](communicationrequest.html): Focus of message [Composition](composition.html): Who and/or what the composition is about [Condition](condition.html): Who has the condition? [Consent](consent.html): Who the consent applies to [Contract](contract.html): The identity of the subject of the contract (if a patient) [Coverage](coverage.html): Retrieve coverages for a patient [CoverageEligibilityRequest](coverageeligibilityrequest.html): The reference to the patient [CoverageEligibilityResponse](coverageeligibilityresponse.html): The reference to the patient [DetectedIssue](detectedissue.html): Associated patient [DeviceRequest](devicerequest.html): Individual the service is ordered for [DeviceUsage](deviceusage.html): Search by patient who used / uses the device [DiagnosticReport](diagnosticreport.html): The subject of the report if a patient [DocumentReference](documentreference.html): Who/what is the subject of the document [Encounter](encounter.html): The patient present at the encounter [EnrollmentRequest](enrollmentrequest.html): The party to be enrolled [EpisodeOfCare](episodeofcare.html): The patient who is the focus of this episode of care [ExplanationOfBenefit](explanationofbenefit.html): The reference to the patient [FamilyMemberHistory](familymemberhistory.html): The identity of a subject to list family member history items for [Flag](flag.html): The identity of a subject to list flags for [Goal](goal.html): Who this goal is intended for [GuidanceResponse](guidanceresponse.html): The identity of a patient to search for guidance response results [ImagingSelection](imagingselection.html): Who the study is about [ImagingStudy](imagingstudy.html): Who the study is about [Immunization](immunization.html): The patient for the vaccination record [ImmunizationEvaluation](immunizationevaluation.html): The patient being evaluated [ImmunizationRecommendation](immunizationrecommendation.html): Who this profile is for [Invoice](invoice.html): Recipient(s) of goods and services [List](list.html): If all resources have the same subject [MeasureReport](measurereport.html): The identity of a patient to search for individual measure report results for [MedicationAdministration](medicationadministration.html): The identity of a patient to list administrations for [MedicationDispense](medicationdispense.html): The identity of a patient to list dispenses for [MedicationRequest](medicationrequest.html): Returns prescriptions for a specific patient [MedicationStatement](medicationstatement.html): Returns statements for a specific patient. [MolecularSequence](molecularsequence.html): The subject that the sequence is about [NutritionIntake](nutritionintake.html): Returns statements for a specific patient. [NutritionOrder](nutritionorder.html): The identity of the individual or set of individuals who requires the diet, formula or nutritional supplement [Observation](observation.html): The subject that the observation is about (if patient) [Person](person.html): The Person links to this Patient [Procedure](procedure.html): Search by subject - a patient [Provenance](provenance.html): Where the activity involved patient data [QuestionnaireResponse](questionnaireresponse.html): The patient that is the subject of the questionnaire response [RelatedPerson](relatedperson.html): The patient this related person is related to [RequestOrchestration](requestorchestration.html): The identity of a patient to search for request orchestrations [ResearchSubject](researchsubject.html): Who or what is part of study [RiskAssessment](riskassessment.html): Who/what does assessment apply to? [ServiceRequest](servicerequest.html): Search by subject - a patient [Specimen](specimen.html): The patient the specimen comes from [SupplyDelivery](supplydelivery.html): Patient for whom the item is supplied [SupplyRequest](supplyrequest.html): The patient or subject for whom the supply is destined [Task](task.html): Search by patient [VisionPrescription](visionprescription.html): The identity of a patient to list dispenses for
Type: reference
Path: Account.subject.where(resolve() is Patient) | AdverseEvent.subject.where(resolve() is Patient) | AllergyIntolerance.patient | Appointment.participant.actor.where(resolve() is Patient) | Appointment.subject.where(resolve() is Patient) | AppointmentResponse.actor.where(resolve() is Patient) | AuditEvent.patient | Basic.subject.where(resolve() is Patient) | BodyStructure.patient | CarePlan.subject.where(resolve() is Patient) | CareTeam.subject.where(resolve() is Patient) | ChargeItem.subject.where(resolve() is Patient) | Claim.patient | ClaimResponse.patient | ClinicalImpression.subject.where(resolve() is Patient) | Communication.subject.where(resolve() is Patient) | CommunicationRequest.subject.where(resolve() is Patient) | Composition.subject.where(resolve() is Patient) | Condition.subject.where(resolve() is Patient) | Consent.subject.where(resolve() is Patient) | Contract.subject.where(resolve() is Patient) | Coverage.beneficiary | CoverageEligibilityRequest.patient | CoverageEligibilityResponse.patient | DetectedIssue.subject.where(resolve() is Patient) | DeviceRequest.subject.where(resolve() is Patient) | DeviceUsage.patient | DiagnosticReport.subject.where(resolve() is Patient) | DocumentReference.subject.where(resolve() is Patient) | Encounter.subject.where(resolve() is Patient) | EnrollmentRequest.candidate | EpisodeOfCare.patient | ExplanationOfBenefit.patient | FamilyMemberHistory.patient | Flag.subject.where(resolve() is Patient) | Goal.subject.where(resolve() is Patient) | GuidanceResponse.subject.where(resolve() is Patient) | ImagingSelection.subject.where(resolve() is Patient) | ImagingStudy.subject.where(resolve() is Patient) | Immunization.patient | ImmunizationEvaluation.patient | ImmunizationRecommendation.patient | Invoice.subject.where(resolve() is Patient) | List.subject.where(resolve() is Patient) | MeasureReport.subject.where(resolve() is Patient) | MedicationAdministration.subject.where(resolve() is Patient) | MedicationDispense.subject.where(resolve() is Patient) | MedicationRequest.subject.where(resolve() is Patient) | MedicationStatement.subject.where(resolve() is Patient) | MolecularSequence.subject.where(resolve() is Patient) | NutritionIntake.subject.where(resolve() is Patient) | NutritionOrder.subject.where(resolve() is Patient) | Observation.subject.where(resolve() is Patient) | Person.link.target.where(resolve() is Patient) | Procedure.subject.where(resolve() is Patient) | Provenance.patient | QuestionnaireResponse.subject.where(resolve() is Patient) | RelatedPerson.patient | RequestOrchestration.subject.where(resolve() is Patient) | ResearchSubject.subject.where(resolve() is Patient) | RiskAssessment.subject.where(resolve() is Patient) | ServiceRequest.subject.where(resolve() is Patient) | Specimen.subject.where(resolve() is Patient) | SupplyDelivery.patient | SupplyRequest.deliverFor | Task.for.where(resolve() is Patient) | VisionPrescription.patient
-
INCLUDE_PATIENT
Constant for fluent queries to be used to add include statements. Specifies the path value of "ClaimResponse:patient".
-
-
Constructor Details
-
ClaimResponse
public ClaimResponse()Constructor -
ClaimResponse
public ClaimResponse(Enumerations.FinancialResourceStatusCodes status, CodeableConcept type, Enumerations.Use use, Reference patient, Date created, Enumerations.ClaimProcessingCodes outcome) Constructor
-
-
Method Details
-
getIdentifier
- Returns:
identifier(A unique identifier assigned to this claim response.)
-
setIdentifier
- Returns:
- Returns a reference to
thisfor easy method chaining
-
hasIdentifier
-
addIdentifier
-
addIdentifier
-
getIdentifierFirstRep
- Returns:
- The first repetition of repeating field
identifier, creating it if it does not already exist {3}
-
getTraceNumber
- Returns:
traceNumber(Trace number for tracking purposes. May be defined at the jurisdiction level or between trading partners.)
-
setTraceNumber
- Returns:
- Returns a reference to
thisfor easy method chaining
-
hasTraceNumber
-
addTraceNumber
-
addTraceNumber
-
getTraceNumberFirstRep
- Returns:
- The first repetition of repeating field
traceNumber, creating it if it does not already exist {3}
-
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
-
hasStatus
-
setStatusElement
- 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
- Returns:
- The status of the resource instance.
-
setStatus
- Parameters:
value- The status of the resource instance.
-
getType
- Returns:
type(A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service.)
-
hasType
-
setType
- Parameters:
value-type(A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service.)
-
getSubType
- Returns:
subType(A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service.)
-
hasSubType
-
setSubType
- Parameters:
value-subType(A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service.)
-
getUseElement
- Returns:
use(A code to indicate whether the nature of the request is: Claim - A request to an Insurer to adjudicate the supplied charges for health care goods and services under the identified policy and to pay the determined Benefit amount, if any; Preauthorization - A request to an Insurer to adjudicate the supplied proposed future charges for health care goods and services under the identified policy and to approve the services and provide the expected benefit amounts and potentially to reserve funds to pay the benefits when Claims for the indicated services are later submitted; or, Pre-determination - A request to an Insurer to adjudicate the supplied 'what if' charges for health care goods and services under the identified policy and report back what the Benefit payable would be had the services actually been provided.). This is the underlying object with id, value and extensions. The accessor "getUse" gives direct access to the value
-
hasUseElement
-
hasUse
-
setUseElement
- Parameters:
value-use(A code to indicate whether the nature of the request is: Claim - A request to an Insurer to adjudicate the supplied charges for health care goods and services under the identified policy and to pay the determined Benefit amount, if any; Preauthorization - A request to an Insurer to adjudicate the supplied proposed future charges for health care goods and services under the identified policy and to approve the services and provide the expected benefit amounts and potentially to reserve funds to pay the benefits when Claims for the indicated services are later submitted; or, Pre-determination - A request to an Insurer to adjudicate the supplied 'what if' charges for health care goods and services under the identified policy and report back what the Benefit payable would be had the services actually been provided.). This is the underlying object with id, value and extensions. The accessor "getUse" gives direct access to the value
-
getUse
- Returns:
- A code to indicate whether the nature of the request is: Claim - A request to an Insurer to adjudicate the supplied charges for health care goods and services under the identified policy and to pay the determined Benefit amount, if any; Preauthorization - A request to an Insurer to adjudicate the supplied proposed future charges for health care goods and services under the identified policy and to approve the services and provide the expected benefit amounts and potentially to reserve funds to pay the benefits when Claims for the indicated services are later submitted; or, Pre-determination - A request to an Insurer to adjudicate the supplied 'what if' charges for health care goods and services under the identified policy and report back what the Benefit payable would be had the services actually been provided.
-
setUse
- Parameters:
value- A code to indicate whether the nature of the request is: Claim - A request to an Insurer to adjudicate the supplied charges for health care goods and services under the identified policy and to pay the determined Benefit amount, if any; Preauthorization - A request to an Insurer to adjudicate the supplied proposed future charges for health care goods and services under the identified policy and to approve the services and provide the expected benefit amounts and potentially to reserve funds to pay the benefits when Claims for the indicated services are later submitted; or, Pre-determination - A request to an Insurer to adjudicate the supplied 'what if' charges for health care goods and services under the identified policy and report back what the Benefit payable would be had the services actually been provided.
-
getPatient
- Returns:
patient(The party to whom the professional services and/or products have been supplied or are being considered and for whom actual for facast reimbursement is sought.)
-
hasPatient
-
setPatient
- Parameters:
value-patient(The party to whom the professional services and/or products have been supplied or are being considered and for whom actual for facast reimbursement is sought.)
-
getCreatedElement
- Returns:
created(The date this resource was created.). This is the underlying object with id, value and extensions. The accessor "getCreated" gives direct access to the value
-
hasCreatedElement
-
hasCreated
-
setCreatedElement
- Parameters:
value-created(The date this resource was created.). This is the underlying object with id, value and extensions. The accessor "getCreated" gives direct access to the value
-
getCreated
- Returns:
- The date this resource was created.
-
setCreated
- Parameters:
value- The date this resource was created.
-
getInsurer
- Returns:
insurer(The party responsible for authorization, adjudication and reimbursement.)
-
hasInsurer
-
setInsurer
- Parameters:
value-insurer(The party responsible for authorization, adjudication and reimbursement.)
-
getRequestor
- Returns:
requestor(The provider which is responsible for the claim, predetermination or preauthorization.)
-
hasRequestor
-
setRequestor
- Parameters:
value-requestor(The provider which is responsible for the claim, predetermination or preauthorization.)
-
getRequest
- Returns:
request(Original request resource reference.)
-
hasRequest
-
setRequest
- Parameters:
value-request(Original request resource reference.)
-
getOutcomeElement
- Returns:
outcome(The outcome of the claim, predetermination, or preauthorization processing.). This is the underlying object with id, value and extensions. The accessor "getOutcome" gives direct access to the value
-
hasOutcomeElement
-
hasOutcome
-
setOutcomeElement
- Parameters:
value-outcome(The outcome of the claim, predetermination, or preauthorization processing.). This is the underlying object with id, value and extensions. The accessor "getOutcome" gives direct access to the value
-
getOutcome
- Returns:
- The outcome of the claim, predetermination, or preauthorization processing.
-
setOutcome
- Parameters:
value- The outcome of the claim, predetermination, or preauthorization processing.
-
getDecision
- Returns:
decision(The result of the claim, predetermination, or preauthorization adjudication.)
-
hasDecision
-
setDecision
- Parameters:
value-decision(The result of the claim, predetermination, or preauthorization adjudication.)
-
getDispositionElement
- Returns:
disposition(A human readable 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
-
hasDisposition
-
setDispositionElement
- Parameters:
value-disposition(A human readable 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
- Returns:
- A human readable description of the status of the adjudication.
-
setDisposition
- Parameters:
value- A human readable description of the status of the adjudication.
-
getPreAuthRefElement
- Returns:
preAuthRef(Reference from the Insurer which is used in later communications which refers to this adjudication.). This is the underlying object with id, value and extensions. The accessor "getPreAuthRef" gives direct access to the value
-
hasPreAuthRefElement
-
hasPreAuthRef
-
setPreAuthRefElement
- Parameters:
value-preAuthRef(Reference from the Insurer which is used in later communications which refers to this adjudication.). This is the underlying object with id, value and extensions. The accessor "getPreAuthRef" gives direct access to the value
-
getPreAuthRef
- Returns:
- Reference from the Insurer which is used in later communications which refers to this adjudication.
-
setPreAuthRef
- Parameters:
value- Reference from the Insurer which is used in later communications which refers to this adjudication.
-
getPreAuthPeriod
- Returns:
preAuthPeriod(The time frame during which this authorization is effective.)
-
hasPreAuthPeriod
-
setPreAuthPeriod
- Parameters:
value-preAuthPeriod(The time frame during which this authorization is effective.)
-
getEvent
- Returns:
event(Information code for an event with a corresponding date or period.)
-
setEvent
- Returns:
- Returns a reference to
thisfor easy method chaining
-
hasEvent
-
addEvent
-
addEvent
-
getEventFirstRep
- Returns:
- The first repetition of repeating field
event, creating it if it does not already exist {3}
-
getPayeeType
- Returns:
payeeType(Type of Party to be reimbursed: subscriber, provider, other.)
-
hasPayeeType
-
setPayeeType
- Parameters:
value-payeeType(Type of Party to be reimbursed: subscriber, provider, other.)
-
getEncounter
- Returns:
encounter(Healthcare encounters related to this claim.)
-
setEncounter
- Returns:
- Returns a reference to
thisfor easy method chaining
-
hasEncounter
-
addEncounter
-
addEncounter
-
getEncounterFirstRep
- Returns:
- The first repetition of repeating field
encounter, creating it if it does not already exist {3}
-
getDiagnosisRelatedGroup
- Returns:
diagnosisRelatedGroup(A package billing code or bundle code used to group products and services to a particular health condition (such as heart attack) which is based on a predetermined grouping code system.)
-
hasDiagnosisRelatedGroup
-
setDiagnosisRelatedGroup
- Parameters:
value-diagnosisRelatedGroup(A package billing code or bundle code used to group products and services to a particular health condition (such as heart attack) which is based on a predetermined grouping code system.)
-
getItem
- Returns:
item(A claim line. Either a simple (a product or service) or a 'group' of details which can also be a simple items or groups of sub-details.)
-
setItem
- Returns:
- Returns a reference to
thisfor easy method chaining
-
hasItem
-
addItem
-
addItem
-
getItemFirstRep
- Returns:
- The first repetition of repeating field
item, creating it if it does not already exist {3}
-
getAddItem
- Returns:
addItem(The first-tier service adjudications for payor added product or service lines.)
-
setAddItem
- Returns:
- Returns a reference to
thisfor easy method chaining
-
hasAddItem
-
addAddItem
-
addAddItem
-
getAddItemFirstRep
- Returns:
- The first repetition of repeating field
addItem, creating it if it does not already exist {3}
-
getAdjudication
- Returns:
adjudication(The adjudication results which are presented at the header level rather than at the line-item or add-item levels.)
-
setAdjudication
- Returns:
- Returns a reference to
thisfor easy method chaining
-
hasAdjudication
-
addAdjudication
-
addAdjudication
-
getAdjudicationFirstRep
- Returns:
- The first repetition of repeating field
adjudication, creating it if it does not already exist {3}
-
getTotal
- Returns:
total(Categorized monetary totals for the adjudication.)
-
setTotal
- Returns:
- Returns a reference to
thisfor easy method chaining
-
hasTotal
-
addTotal
-
addTotal
-
getTotalFirstRep
- Returns:
- The first repetition of repeating field
total, creating it if it does not already exist {3}
-
getPayment
- Returns:
payment(Payment details for the adjudication of the claim.)
-
hasPayment
-
setPayment
- Parameters:
value-payment(Payment details for the adjudication of the claim.)
-
getFundsReserve
- Returns:
fundsReserve(A code, used only on a response to a preauthorization, to indicate whether the benefits payable have been reserved and for whom.)
-
hasFundsReserve
-
setFundsReserve
- Parameters:
value-fundsReserve(A code, used only on a response to a preauthorization, to indicate whether the benefits payable have been reserved and for whom.)
-
getFormCode
- Returns:
formCode(A code for the form to be used for printing the content.)
-
hasFormCode
-
setFormCode
- Parameters:
value-formCode(A code for the form to be used for printing the content.)
-
getForm
- Returns:
form(The actual form, by reference or inclusion, for printing the content or an EOB.)
-
hasForm
-
setForm
- Parameters:
value-form(The actual form, by reference or inclusion, for printing the content or an EOB.)
-
getProcessNote
- Returns:
processNote(A note that describes or explains adjudication results in a human readable form.)
-
setProcessNote
- Returns:
- Returns a reference to
thisfor easy method chaining
-
hasProcessNote
-
addProcessNote
-
addProcessNote
-
getProcessNoteFirstRep
- Returns:
- The first repetition of repeating field
processNote, creating it if it does not already exist {3}
-
getCommunicationRequest
- Returns:
communicationRequest(Request for additional supporting or authorizing information.)
-
setCommunicationRequest
- Returns:
- Returns a reference to
thisfor easy method chaining
-
hasCommunicationRequest
-
addCommunicationRequest
-
addCommunicationRequest
-
getCommunicationRequestFirstRep
- Returns:
- The first repetition of repeating field
communicationRequest, creating it if it does not already exist {3}
-
getInsurance
- Returns:
insurance(Financial instruments for reimbursement for the health care products and services specified on the claim.)
-
setInsurance
- Returns:
- Returns a reference to
thisfor easy method chaining
-
hasInsurance
-
addInsurance
-
addInsurance
-
getInsuranceFirstRep
- Returns:
- The first repetition of repeating field
insurance, creating it if it does not already exist {3}
-
getError
- Returns:
error(Errors encountered during the processing of the adjudication.)
-
setError
- Returns:
- Returns a reference to
thisfor easy method chaining
-
hasError
-
addError
-
addError
-
getErrorFirstRep
- Returns:
- The first repetition of repeating field
error, creating it if it does not already exist {3}
-
listChildren
- Overrides:
listChildrenin classDomainResource
-
getNamedProperty
public Property getNamedProperty(int _hash, String _name, boolean _checkValid) throws org.hl7.fhir.exceptions.FHIRException - Overrides:
getNamedPropertyin classDomainResource- Throws:
org.hl7.fhir.exceptions.FHIRException
-
getProperty
public Base[] getProperty(int hash, String name, boolean checkValid) throws org.hl7.fhir.exceptions.FHIRException - Overrides:
getPropertyin classDomainResource- Throws:
org.hl7.fhir.exceptions.FHIRException
-
setProperty
public Base setProperty(int hash, String name, Base value) throws org.hl7.fhir.exceptions.FHIRException - Overrides:
setPropertyin classDomainResource- Throws:
org.hl7.fhir.exceptions.FHIRException
-
setProperty
- Overrides:
setPropertyin classDomainResource- Throws:
org.hl7.fhir.exceptions.FHIRException
-
removeChild
- Overrides:
removeChildin classDomainResource- Throws:
org.hl7.fhir.exceptions.FHIRException
-
makeProperty
- Overrides:
makePropertyin classDomainResource- Throws:
org.hl7.fhir.exceptions.FHIRException
-
getTypesForProperty
public String[] getTypesForProperty(int hash, String name) throws org.hl7.fhir.exceptions.FHIRException - Overrides:
getTypesForPropertyin classDomainResource- Throws:
org.hl7.fhir.exceptions.FHIRException
-
addChild
- Overrides:
addChildin classDomainResource- Throws:
org.hl7.fhir.exceptions.FHIRException
-
fhirType
- Specified by:
fhirTypein interfaceorg.hl7.fhir.instance.model.api.IBase- Overrides:
fhirTypein classDomainResource- Returns:
- the FHIR type name of the instance (not the java class name)
-
copy
- Specified by:
copyin classDomainResource
-
copyValues
-
typedCopy
-
equalsDeep
- Overrides:
equalsDeepin classDomainResource
-
equalsShallow
- Overrides:
equalsShallowin classDomainResource
-
isEmpty
- Specified by:
isEmptyin interfaceorg.hl7.fhir.instance.model.api.IBase- Overrides:
isEmptyin classDomainResource
-
getResourceType
- Specified by:
getResourceTypein classResource
-