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HS.FHIR.DTL.vSTU3.Model.Resource.Claim

class HS.FHIR.DTL.vSTU3.Model.Resource.Claim extends HS.FHIR.DTL.vSTU3.Model.Base.DomainResource

A provider issued list of services and products provided, or to be provided, to a patient which is provided to an insurer for payment recovery.

Property Inventory

Parameters

parameter ELEMENTQUALIFIED = 1;
Inherited description: ELEMENTQUALIFIED controls the format of exported XML. The ELEMENTQUALIFIED specification should be based on the elementFormDefault attribute of the schema that defines the type. To maintain compatibility, ELEMENTQUALIFIED will default to 1 (true) for literal format export and will default to 0 (false) for encoded or encoded12 format export. These were the values always previously assumed for the elementFormDefault attribute.

NOTE: Direct use of XMLExport method does not support the ELEMENTQUALIFIED. The export must be done using %XML.Writer or SOAP support.

parameter XMLNAME = Claim;
Inherited description: This parameter provides the default XMLNAME for the class. If it is empty then the class name will be used to construct a default XML name. The default XMLNAME is used as the top level tag when exporting objects and the export context did not provide an XML container name.
parameter XMLPROJECTION = ELEMENT;
parameter XMLSEQUENCE = 1;
Inherited description: If the XMLSEQUENCE = 1, then the order of the XML elements must match the order of the class properties. This allows us to deal with XML where the same field appears multiple times and is distinguished by the order.
parameter XMLTYPE = Claim;
Inherited description: This parameter provides the default XMLTYPE for the class. If it is empty then the class name will be used to construct a default XML type.

The default XMLTYPE is used when naming and referencing this type in a schema and the schema context did not provide an XML type name.

Properties

property accident as HS.FHIR.DTL.vSTU3.Model.Element.Claim.accident (XMLNAME = "accident", XMLPROJECTION = "ELEMENT");
BackboneElement

Details about an accident.

Property methods: accidentGet(), accidentGetSwizzled(), accidentIsValid(), accidentNewObject(), accidentSet()
property billablePeriod as HS.FHIR.DTL.vSTU3.Model.Datatype.Period (XMLNAME = "billablePeriod", XMLPROJECTION = "ELEMENT");
Period

Period for charge submission.

Property methods: billablePeriodGet(), billablePeriodGetSwizzled(), billablePeriodIsValid(), billablePeriodNewObject(), billablePeriodSet()
property careTeam as list of HS.FHIR.DTL.vSTU3.Model.Element.Claim.careTeam (XMLNAME = "careTeam", XMLPROJECTION = "ELEMENT");
BackboneElement

Members of the care team.

Property methods: careTeamBuildValueArray(), careTeamCollectionToDisplay(), careTeamCollectionToOdbc(), careTeamDisplayToCollection(), careTeamGet(), careTeamGetObject(), careTeamGetObjectId(), careTeamGetSwizzled(), careTeamIsValid(), careTeamOdbcToCollection(), careTeamSet(), careTeamSetObject(), careTeamSetObjectId()
property created as %String (MAXLEN = 1000000, XMLNAME = "created", XMLPROJECTION = "ATTRIBUTE");
dateTime

Creation date.

Property methods: createdDisplayToLogical(), createdGet(), createdIsValid(), createdLogicalToDisplay(), createdLogicalToOdbc(), createdNormalize(), createdSet()
property diagnosis as list of HS.FHIR.DTL.vSTU3.Model.Element.Claim.diagnosis (XMLNAME = "diagnosis", XMLPROJECTION = "ELEMENT");
BackboneElement

List of Diagnosis.

Property methods: diagnosisBuildValueArray(), diagnosisCollectionToDisplay(), diagnosisCollectionToOdbc(), diagnosisDisplayToCollection(), diagnosisGet(), diagnosisGetObject(), diagnosisGetObjectId(), diagnosisGetSwizzled(), diagnosisIsValid(), diagnosisOdbcToCollection(), diagnosisSet(), diagnosisSetObject(), diagnosisSetObjectId()
property employmentImpacted as HS.FHIR.DTL.vSTU3.Model.Datatype.Period (XMLNAME = "employmentImpacted", XMLPROJECTION = "ELEMENT");
Period

Period unable to work.

Property methods: employmentImpactedGet(), employmentImpactedGetSwizzled(), employmentImpactedIsValid(), employmentImpactedNewObject(), employmentImpactedSet()
property enterer as HS.FHIR.DTL.vSTU3.Model.Base.Reference (XMLNAME = "enterer", XMLPROJECTION = "ELEMENT");
Reference

Author.

Practitioner

Property methods: entererGet(), entererGetSwizzled(), entererIsValid(), entererNewObject(), entererSet()
property facility as HS.FHIR.DTL.vSTU3.Model.Base.Reference (XMLNAME = "facility", XMLPROJECTION = "ELEMENT");
Reference

Servicing Facility.

Location

Property methods: facilityGet(), facilityGetSwizzled(), facilityIsValid(), facilityNewObject(), facilitySet()
property fundsReserve as HS.FHIR.DTL.vSTU3.Model.Datatype.CodeableConcept (XMLNAME = "fundsReserve", XMLPROJECTION = "ELEMENT");
CodeableConcept

Funds requested to be reserved.

any FHIR3 code may be used; fundsreserve shows EXAMPLE codes, but you may use codes from any ValueSet.

Property methods: fundsReserveGet(), fundsReserveGetSwizzled(), fundsReserveIsValid(), fundsReserveNewObject(), fundsReserveSet()
property hospitalization as HS.FHIR.DTL.vSTU3.Model.Datatype.Period (XMLNAME = "hospitalization", XMLPROJECTION = "ELEMENT");
Period

Period in hospital.

Property methods: hospitalizationGet(), hospitalizationGetSwizzled(), hospitalizationIsValid(), hospitalizationNewObject(), hospitalizationSet()
property identifier as list of HS.FHIR.DTL.vSTU3.Model.Datatype.Identifier (XMLNAME = "identifier", XMLPROJECTION = "ELEMENT");
Identifier

Claim number.

Property methods: identifierBuildValueArray(), identifierCollectionToDisplay(), identifierCollectionToOdbc(), identifierDisplayToCollection(), identifierGet(), identifierGetObject(), identifierGetObjectId(), identifierGetSwizzled(), identifierIsValid(), identifierOdbcToCollection(), identifierSet(), identifierSetObject(), identifierSetObjectId()
property information as list of HS.FHIR.DTL.vSTU3.Model.Element.Claim.information (XMLNAME = "information", XMLPROJECTION = "ELEMENT");
BackboneElement

Exceptions, special considerations, the condition, situation, prior or concurrent issues.

Property methods: informationBuildValueArray(), informationCollectionToDisplay(), informationCollectionToOdbc(), informationDisplayToCollection(), informationGet(), informationGetObject(), informationGetObjectId(), informationGetSwizzled(), informationIsValid(), informationOdbcToCollection(), informationSet(), informationSetObject(), informationSetObjectId()
property insurance as list of HS.FHIR.DTL.vSTU3.Model.Element.Claim.insurance (XMLNAME = "insurance", XMLPROJECTION = "ELEMENT");
BackboneElement

Insurance or medical plan.

Property methods: insuranceBuildValueArray(), insuranceCollectionToDisplay(), insuranceCollectionToOdbc(), insuranceDisplayToCollection(), insuranceGet(), insuranceGetObject(), insuranceGetObjectId(), insuranceGetSwizzled(), insuranceIsValid(), insuranceOdbcToCollection(), insuranceSet(), insuranceSetObject(), insuranceSetObjectId()
property insurer as HS.FHIR.DTL.vSTU3.Model.Base.Reference (XMLNAME = "insurer", XMLPROJECTION = "ELEMENT");
Reference

Target.

Organization

Property methods: insurerGet(), insurerGetSwizzled(), insurerIsValid(), insurerNewObject(), insurerSet()
property item as list of HS.FHIR.DTL.vSTU3.Model.Element.Claim.item (XMLNAME = "item", XMLPROJECTION = "ELEMENT");
BackboneElement

Goods and Services.

Property methods: itemBuildValueArray(), itemCollectionToDisplay(), itemCollectionToOdbc(), itemDisplayToCollection(), itemGet(), itemGetObject(), itemGetObjectId(), itemGetSwizzled(), itemIsValid(), itemOdbcToCollection(), itemSet(), itemSetObject(), itemSetObjectId()
property organization as HS.FHIR.DTL.vSTU3.Model.Base.Reference (XMLNAME = "organization", XMLPROJECTION = "ELEMENT");
Reference

Responsible organization.

Organization

Property methods: organizationGet(), organizationGetSwizzled(), organizationIsValid(), organizationNewObject(), organizationSet()
property originalPrescription as HS.FHIR.DTL.vSTU3.Model.Base.Reference (XMLNAME = "originalPrescription", XMLPROJECTION = "ELEMENT");
Reference

Original prescription if superceded by fulfiller.

MedicationRequest

Property methods: originalPrescriptionGet(), originalPrescriptionGetSwizzled(), originalPrescriptionIsValid(), originalPrescriptionNewObject(), originalPrescriptionSet()
property patient as HS.FHIR.DTL.vSTU3.Model.Base.Reference (XMLNAME = "patient", XMLPROJECTION = "ELEMENT");
Reference

The subject of the Products and Services.

Patient

Property methods: patientGet(), patientGetSwizzled(), patientIsValid(), patientNewObject(), patientSet()
property payee as HS.FHIR.DTL.vSTU3.Model.Element.Claim.payee (XMLNAME = "payee", XMLPROJECTION = "ELEMENT");
BackboneElement

Party to be paid any benefits payable.

Property methods: payeeGet(), payeeGetSwizzled(), payeeIsValid(), payeeNewObject(), payeeSet()
property prescription as HS.FHIR.DTL.vSTU3.Model.Base.Reference (XMLNAME = "prescription", XMLPROJECTION = "ELEMENT");
Reference

Prescription authorizing services or products.

MedicationRequest | VisionPrescription

Property methods: prescriptionGet(), prescriptionGetSwizzled(), prescriptionIsValid(), prescriptionNewObject(), prescriptionSet()
property priority as HS.FHIR.DTL.vSTU3.Model.Datatype.CodeableConcept (XMLNAME = "priority", XMLPROJECTION = "ELEMENT");
CodeableConcept

Desired processing priority.

any FHIR3 code may be used; process-priority shows EXAMPLE codes, but you may use codes from any ValueSet.

Property methods: priorityGet(), priorityGetSwizzled(), priorityIsValid(), priorityNewObject(), prioritySet()
property procedure as list of HS.FHIR.DTL.vSTU3.Model.Element.Claim.procedure (XMLNAME = "procedure", XMLPROJECTION = "ELEMENT");
BackboneElement

Procedures performed.

Property methods: procedureBuildValueArray(), procedureCollectionToDisplay(), procedureCollectionToOdbc(), procedureDisplayToCollection(), procedureGet(), procedureGetObject(), procedureGetObjectId(), procedureGetSwizzled(), procedureIsValid(), procedureOdbcToCollection(), procedureSet(), procedureSetObject(), procedureSetObjectId()
property provider as HS.FHIR.DTL.vSTU3.Model.Base.Reference (XMLNAME = "provider", XMLPROJECTION = "ELEMENT");
Reference

Responsible provider.

Practitioner

Property methods: providerGet(), providerGetSwizzled(), providerIsValid(), providerNewObject(), providerSet()
property referral as HS.FHIR.DTL.vSTU3.Model.Base.Reference (XMLNAME = "referral", XMLPROJECTION = "ELEMENT");
Reference

Treatment Referral.

ReferralRequest

Property methods: referralGet(), referralGetSwizzled(), referralIsValid(), referralNewObject(), referralSet()
BackboneElement

Related Claims which may be revelant to processing this claimn.

Property methods: relatedBuildValueArray(), relatedCollectionToDisplay(), relatedCollectionToOdbc(), relatedDisplayToCollection(), relatedGet(), relatedGetObject(), relatedGetObjectId(), relatedGetSwizzled(), relatedIsValid(), relatedOdbcToCollection(), relatedSet(), relatedSetObject(), relatedSetObjectId()
property status as %String (MAXLEN = 1000000, XMLNAME = "status", XMLPROJECTION = "ATTRIBUTE");
code

active | cancelled | draft | entered-in-error

fm-status is the REQUIRED FHIR3 ValueSet for codes; you may NOT extend fm-status and you may NOT use codes from other ValueSets.

Property methods: statusDisplayToLogical(), statusGet(), statusIsValid(), statusLogicalToDisplay(), statusLogicalToOdbc(), statusNormalize(), statusSet()
property subType as list of HS.FHIR.DTL.vSTU3.Model.Datatype.CodeableConcept (XMLNAME = "subType", XMLPROJECTION = "ELEMENT");
CodeableConcept

Finer grained claim type information.

any FHIR3 code may be used; claim-subtype shows EXAMPLE codes, but you may use codes from any ValueSet.

Property methods: subTypeBuildValueArray(), subTypeCollectionToDisplay(), subTypeCollectionToOdbc(), subTypeDisplayToCollection(), subTypeGet(), subTypeGetObject(), subTypeGetObjectId(), subTypeGetSwizzled(), subTypeIsValid(), subTypeOdbcToCollection(), subTypeSet(), subTypeSetObject(), subTypeSetObjectId()
property total as HS.FHIR.DTL.vSTU3.Model.Datatype.Money (XMLNAME = "total", XMLPROJECTION = "ELEMENT");
Money

Total claim cost.

Property methods: totalGet(), totalGetSwizzled(), totalIsValid(), totalNewObject(), totalSet()
property type as HS.FHIR.DTL.vSTU3.Model.Datatype.CodeableConcept (XMLNAME = "type", XMLPROJECTION = "ELEMENT");
CodeableConcept

Type or discipline.

claim-type is the REQUIRED FHIR3 ValueSet for codes; you may NOT extend claim-type and you may NOT use codes from other ValueSets.

Property methods: typeGet(), typeGetSwizzled(), typeIsValid(), typeNewObject(), typeSet()
property use as %String (MAXLEN = 1000000, XMLNAME = "use", XMLPROJECTION = "ATTRIBUTE");
code

complete | proposed | exploratory | other

claim-use is the REQUIRED FHIR3 ValueSet for codes; you may NOT extend claim-use and you may NOT use codes from other ValueSets.

Property methods: useDisplayToLogical(), useGet(), useIsValid(), useLogicalToDisplay(), useLogicalToOdbc(), useNormalize(), useSet()

Inherited Members

Inherited Properties

Inherited Methods

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