| /** |
| */ |
| package org.hl7.fhir; |
| |
| import org.eclipse.emf.common.util.EList; |
| |
| /** |
| * <!-- begin-user-doc --> |
| * A representation of the model object '<em><b>Eligibility Request</b></em>'. |
| * <!-- end-user-doc --> |
| * |
| * <!-- begin-model-doc --> |
| * This resource provides the insurance eligibility details from the insurer regarding a specified coverage and optionally some class of service. |
| * If the element is present, it must have either a @value, an @id, or extensions |
| * <!-- end-model-doc --> |
| * |
| * <p> |
| * The following features are supported: |
| * </p> |
| * <ul> |
| * <li>{@link org.hl7.fhir.EligibilityRequest#getIdentifier <em>Identifier</em>}</li> |
| * <li>{@link org.hl7.fhir.EligibilityRequest#getRuleset <em>Ruleset</em>}</li> |
| * <li>{@link org.hl7.fhir.EligibilityRequest#getOriginalRuleset <em>Original Ruleset</em>}</li> |
| * <li>{@link org.hl7.fhir.EligibilityRequest#getCreated <em>Created</em>}</li> |
| * <li>{@link org.hl7.fhir.EligibilityRequest#getTarget <em>Target</em>}</li> |
| * <li>{@link org.hl7.fhir.EligibilityRequest#getProvider <em>Provider</em>}</li> |
| * <li>{@link org.hl7.fhir.EligibilityRequest#getOrganization <em>Organization</em>}</li> |
| * <li>{@link org.hl7.fhir.EligibilityRequest#getPriority <em>Priority</em>}</li> |
| * <li>{@link org.hl7.fhir.EligibilityRequest#getEnterer <em>Enterer</em>}</li> |
| * <li>{@link org.hl7.fhir.EligibilityRequest#getFacility <em>Facility</em>}</li> |
| * <li>{@link org.hl7.fhir.EligibilityRequest#getPatient <em>Patient</em>}</li> |
| * <li>{@link org.hl7.fhir.EligibilityRequest#getCoverage <em>Coverage</em>}</li> |
| * <li>{@link org.hl7.fhir.EligibilityRequest#getBusinessArrangement <em>Business Arrangement</em>}</li> |
| * <li>{@link org.hl7.fhir.EligibilityRequest#getRelationship <em>Relationship</em>}</li> |
| * <li>{@link org.hl7.fhir.EligibilityRequest#getServicedDate <em>Serviced Date</em>}</li> |
| * <li>{@link org.hl7.fhir.EligibilityRequest#getServicedPeriod <em>Serviced Period</em>}</li> |
| * <li>{@link org.hl7.fhir.EligibilityRequest#getBenefitCategory <em>Benefit Category</em>}</li> |
| * <li>{@link org.hl7.fhir.EligibilityRequest#getBenefitSubCategory <em>Benefit Sub Category</em>}</li> |
| * </ul> |
| * |
| * @see org.hl7.fhir.FhirPackage#getEligibilityRequest() |
| * @model extendedMetaData="name='EligibilityRequest' kind='elementOnly'" |
| * @generated |
| */ |
| public interface EligibilityRequest extends DomainResource { |
| /** |
| * Returns the value of the '<em><b>Identifier</b></em>' containment reference list. |
| * The list contents are of type {@link org.hl7.fhir.Identifier}. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * <!-- begin-model-doc --> |
| * The Response business identifier. |
| * <!-- end-model-doc --> |
| * @return the value of the '<em>Identifier</em>' containment reference list. |
| * @see org.hl7.fhir.FhirPackage#getEligibilityRequest_Identifier() |
| * @model containment="true" |
| * extendedMetaData="kind='element' name='identifier' namespace='##targetNamespace'" |
| * @generated |
| */ |
| EList<Identifier> getIdentifier(); |
| |
| /** |
| * Returns the value of the '<em><b>Ruleset</b></em>' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * <!-- begin-model-doc --> |
| * The version of the style of resource contents. This should be mapped to the allowable profiles for this and supporting resources. |
| * <!-- end-model-doc --> |
| * @return the value of the '<em>Ruleset</em>' containment reference. |
| * @see #setRuleset(Coding) |
| * @see org.hl7.fhir.FhirPackage#getEligibilityRequest_Ruleset() |
| * @model containment="true" |
| * extendedMetaData="kind='element' name='ruleset' namespace='##targetNamespace'" |
| * @generated |
| */ |
| Coding getRuleset(); |
| |
| /** |
| * Sets the value of the '{@link org.hl7.fhir.EligibilityRequest#getRuleset <em>Ruleset</em>}' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * @param value the new value of the '<em>Ruleset</em>' containment reference. |
| * @see #getRuleset() |
| * @generated |
| */ |
| void setRuleset(Coding value); |
| |
| /** |
| * Returns the value of the '<em><b>Original Ruleset</b></em>' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * <!-- begin-model-doc --> |
| * The style (standard) and version of the original material which was converted into this resource. |
| * <!-- end-model-doc --> |
| * @return the value of the '<em>Original Ruleset</em>' containment reference. |
| * @see #setOriginalRuleset(Coding) |
| * @see org.hl7.fhir.FhirPackage#getEligibilityRequest_OriginalRuleset() |
| * @model containment="true" |
| * extendedMetaData="kind='element' name='originalRuleset' namespace='##targetNamespace'" |
| * @generated |
| */ |
| Coding getOriginalRuleset(); |
| |
| /** |
| * Sets the value of the '{@link org.hl7.fhir.EligibilityRequest#getOriginalRuleset <em>Original Ruleset</em>}' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * @param value the new value of the '<em>Original Ruleset</em>' containment reference. |
| * @see #getOriginalRuleset() |
| * @generated |
| */ |
| void setOriginalRuleset(Coding value); |
| |
| /** |
| * Returns the value of the '<em><b>Created</b></em>' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * <!-- begin-model-doc --> |
| * The date when this resource was created. |
| * <!-- end-model-doc --> |
| * @return the value of the '<em>Created</em>' containment reference. |
| * @see #setCreated(DateTime) |
| * @see org.hl7.fhir.FhirPackage#getEligibilityRequest_Created() |
| * @model containment="true" |
| * extendedMetaData="kind='element' name='created' namespace='##targetNamespace'" |
| * @generated |
| */ |
| DateTime getCreated(); |
| |
| /** |
| * Sets the value of the '{@link org.hl7.fhir.EligibilityRequest#getCreated <em>Created</em>}' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * @param value the new value of the '<em>Created</em>' containment reference. |
| * @see #getCreated() |
| * @generated |
| */ |
| void setCreated(DateTime value); |
| |
| /** |
| * Returns the value of the '<em><b>Target</b></em>' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * <!-- begin-model-doc --> |
| * The Insurer who is target of the request. |
| * <!-- end-model-doc --> |
| * @return the value of the '<em>Target</em>' containment reference. |
| * @see #setTarget(Reference) |
| * @see org.hl7.fhir.FhirPackage#getEligibilityRequest_Target() |
| * @model containment="true" |
| * extendedMetaData="kind='element' name='target' namespace='##targetNamespace'" |
| * @generated |
| */ |
| Reference getTarget(); |
| |
| /** |
| * Sets the value of the '{@link org.hl7.fhir.EligibilityRequest#getTarget <em>Target</em>}' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * @param value the new value of the '<em>Target</em>' containment reference. |
| * @see #getTarget() |
| * @generated |
| */ |
| void setTarget(Reference value); |
| |
| /** |
| * Returns the value of the '<em><b>Provider</b></em>' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * <!-- begin-model-doc --> |
| * The practitioner who is responsible for the services rendered to the patient. |
| * <!-- end-model-doc --> |
| * @return the value of the '<em>Provider</em>' containment reference. |
| * @see #setProvider(Reference) |
| * @see org.hl7.fhir.FhirPackage#getEligibilityRequest_Provider() |
| * @model containment="true" |
| * extendedMetaData="kind='element' name='provider' namespace='##targetNamespace'" |
| * @generated |
| */ |
| Reference getProvider(); |
| |
| /** |
| * Sets the value of the '{@link org.hl7.fhir.EligibilityRequest#getProvider <em>Provider</em>}' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * @param value the new value of the '<em>Provider</em>' containment reference. |
| * @see #getProvider() |
| * @generated |
| */ |
| void setProvider(Reference value); |
| |
| /** |
| * Returns the value of the '<em><b>Organization</b></em>' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * <!-- begin-model-doc --> |
| * The organization which is responsible for the services rendered to the patient. |
| * <!-- end-model-doc --> |
| * @return the value of the '<em>Organization</em>' containment reference. |
| * @see #setOrganization(Reference) |
| * @see org.hl7.fhir.FhirPackage#getEligibilityRequest_Organization() |
| * @model containment="true" |
| * extendedMetaData="kind='element' name='organization' namespace='##targetNamespace'" |
| * @generated |
| */ |
| Reference getOrganization(); |
| |
| /** |
| * Sets the value of the '{@link org.hl7.fhir.EligibilityRequest#getOrganization <em>Organization</em>}' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * @param value the new value of the '<em>Organization</em>' containment reference. |
| * @see #getOrganization() |
| * @generated |
| */ |
| void setOrganization(Reference value); |
| |
| /** |
| * Returns the value of the '<em><b>Priority</b></em>' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * <!-- begin-model-doc --> |
| * Immediate (STAT), best effort (NORMAL), deferred (DEFER). |
| * <!-- end-model-doc --> |
| * @return the value of the '<em>Priority</em>' containment reference. |
| * @see #setPriority(Coding) |
| * @see org.hl7.fhir.FhirPackage#getEligibilityRequest_Priority() |
| * @model containment="true" |
| * extendedMetaData="kind='element' name='priority' namespace='##targetNamespace'" |
| * @generated |
| */ |
| Coding getPriority(); |
| |
| /** |
| * Sets the value of the '{@link org.hl7.fhir.EligibilityRequest#getPriority <em>Priority</em>}' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * @param value the new value of the '<em>Priority</em>' containment reference. |
| * @see #getPriority() |
| * @generated |
| */ |
| void setPriority(Coding value); |
| |
| /** |
| * Returns the value of the '<em><b>Enterer</b></em>' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * <!-- begin-model-doc --> |
| * Person who created the invoice/claim/pre-determination or pre-authorization. |
| * <!-- end-model-doc --> |
| * @return the value of the '<em>Enterer</em>' containment reference. |
| * @see #setEnterer(Reference) |
| * @see org.hl7.fhir.FhirPackage#getEligibilityRequest_Enterer() |
| * @model containment="true" |
| * extendedMetaData="kind='element' name='enterer' namespace='##targetNamespace'" |
| * @generated |
| */ |
| Reference getEnterer(); |
| |
| /** |
| * Sets the value of the '{@link org.hl7.fhir.EligibilityRequest#getEnterer <em>Enterer</em>}' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * @param value the new value of the '<em>Enterer</em>' containment reference. |
| * @see #getEnterer() |
| * @generated |
| */ |
| void setEnterer(Reference value); |
| |
| /** |
| * Returns the value of the '<em><b>Facility</b></em>' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * <!-- begin-model-doc --> |
| * Facility where the services were provided. |
| * <!-- end-model-doc --> |
| * @return the value of the '<em>Facility</em>' containment reference. |
| * @see #setFacility(Reference) |
| * @see org.hl7.fhir.FhirPackage#getEligibilityRequest_Facility() |
| * @model containment="true" |
| * extendedMetaData="kind='element' name='facility' namespace='##targetNamespace'" |
| * @generated |
| */ |
| Reference getFacility(); |
| |
| /** |
| * Sets the value of the '{@link org.hl7.fhir.EligibilityRequest#getFacility <em>Facility</em>}' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * @param value the new value of the '<em>Facility</em>' containment reference. |
| * @see #getFacility() |
| * @generated |
| */ |
| void setFacility(Reference value); |
| |
| /** |
| * Returns the value of the '<em><b>Patient</b></em>' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * <!-- begin-model-doc --> |
| * Patient Resource. |
| * <!-- end-model-doc --> |
| * @return the value of the '<em>Patient</em>' containment reference. |
| * @see #setPatient(Reference) |
| * @see org.hl7.fhir.FhirPackage#getEligibilityRequest_Patient() |
| * @model containment="true" |
| * extendedMetaData="kind='element' name='patient' namespace='##targetNamespace'" |
| * @generated |
| */ |
| Reference getPatient(); |
| |
| /** |
| * Sets the value of the '{@link org.hl7.fhir.EligibilityRequest#getPatient <em>Patient</em>}' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * @param value the new value of the '<em>Patient</em>' containment reference. |
| * @see #getPatient() |
| * @generated |
| */ |
| void setPatient(Reference value); |
| |
| /** |
| * Returns the value of the '<em><b>Coverage</b></em>' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * <!-- begin-model-doc --> |
| * Financial instrument by which payment information for health care. |
| * <!-- end-model-doc --> |
| * @return the value of the '<em>Coverage</em>' containment reference. |
| * @see #setCoverage(Reference) |
| * @see org.hl7.fhir.FhirPackage#getEligibilityRequest_Coverage() |
| * @model containment="true" |
| * extendedMetaData="kind='element' name='coverage' namespace='##targetNamespace'" |
| * @generated |
| */ |
| Reference getCoverage(); |
| |
| /** |
| * Sets the value of the '{@link org.hl7.fhir.EligibilityRequest#getCoverage <em>Coverage</em>}' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * @param value the new value of the '<em>Coverage</em>' containment reference. |
| * @see #getCoverage() |
| * @generated |
| */ |
| void setCoverage(Reference value); |
| |
| /** |
| * Returns the value of the '<em><b>Business Arrangement</b></em>' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * <!-- begin-model-doc --> |
| * The contract number of a business agreement which describes the terms and conditions. |
| * <!-- end-model-doc --> |
| * @return the value of the '<em>Business Arrangement</em>' containment reference. |
| * @see #setBusinessArrangement(org.hl7.fhir.String) |
| * @see org.hl7.fhir.FhirPackage#getEligibilityRequest_BusinessArrangement() |
| * @model containment="true" |
| * extendedMetaData="kind='element' name='businessArrangement' namespace='##targetNamespace'" |
| * @generated |
| */ |
| org.hl7.fhir.String getBusinessArrangement(); |
| |
| /** |
| * Sets the value of the '{@link org.hl7.fhir.EligibilityRequest#getBusinessArrangement <em>Business Arrangement</em>}' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * @param value the new value of the '<em>Business Arrangement</em>' containment reference. |
| * @see #getBusinessArrangement() |
| * @generated |
| */ |
| void setBusinessArrangement(org.hl7.fhir.String value); |
| |
| /** |
| * Returns the value of the '<em><b>Relationship</b></em>' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * <!-- begin-model-doc --> |
| * The relationship of the patient to the subscriber. |
| * <!-- end-model-doc --> |
| * @return the value of the '<em>Relationship</em>' containment reference. |
| * @see #setRelationship(Coding) |
| * @see org.hl7.fhir.FhirPackage#getEligibilityRequest_Relationship() |
| * @model containment="true" |
| * extendedMetaData="kind='element' name='relationship' namespace='##targetNamespace'" |
| * @generated |
| */ |
| Coding getRelationship(); |
| |
| /** |
| * Sets the value of the '{@link org.hl7.fhir.EligibilityRequest#getRelationship <em>Relationship</em>}' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * @param value the new value of the '<em>Relationship</em>' containment reference. |
| * @see #getRelationship() |
| * @generated |
| */ |
| void setRelationship(Coding value); |
| |
| /** |
| * Returns the value of the '<em><b>Serviced Date</b></em>' containment reference. |
| * <!-- begin-user-doc --> |
| * <p> |
| * If the meaning of the '<em>Serviced Date</em>' containment reference isn't clear, |
| * there really should be more of a description here... |
| * </p> |
| * <!-- end-user-doc --> |
| * @return the value of the '<em>Serviced Date</em>' containment reference. |
| * @see #setServicedDate(Date) |
| * @see org.hl7.fhir.FhirPackage#getEligibilityRequest_ServicedDate() |
| * @model containment="true" |
| * extendedMetaData="kind='element' name='servicedDate' namespace='##targetNamespace'" |
| * @generated |
| */ |
| Date getServicedDate(); |
| |
| /** |
| * Sets the value of the '{@link org.hl7.fhir.EligibilityRequest#getServicedDate <em>Serviced Date</em>}' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * @param value the new value of the '<em>Serviced Date</em>' containment reference. |
| * @see #getServicedDate() |
| * @generated |
| */ |
| void setServicedDate(Date value); |
| |
| /** |
| * Returns the value of the '<em><b>Serviced Period</b></em>' containment reference. |
| * <!-- begin-user-doc --> |
| * <p> |
| * If the meaning of the '<em>Serviced Period</em>' containment reference isn't clear, |
| * there really should be more of a description here... |
| * </p> |
| * <!-- end-user-doc --> |
| * @return the value of the '<em>Serviced Period</em>' containment reference. |
| * @see #setServicedPeriod(Period) |
| * @see org.hl7.fhir.FhirPackage#getEligibilityRequest_ServicedPeriod() |
| * @model containment="true" |
| * extendedMetaData="kind='element' name='servicedPeriod' namespace='##targetNamespace'" |
| * @generated |
| */ |
| Period getServicedPeriod(); |
| |
| /** |
| * Sets the value of the '{@link org.hl7.fhir.EligibilityRequest#getServicedPeriod <em>Serviced Period</em>}' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * @param value the new value of the '<em>Serviced Period</em>' containment reference. |
| * @see #getServicedPeriod() |
| * @generated |
| */ |
| void setServicedPeriod(Period value); |
| |
| /** |
| * Returns the value of the '<em><b>Benefit Category</b></em>' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * <!-- begin-model-doc --> |
| * Dental, Vision, Medical, Pharmacy, Rehab etc. |
| * <!-- end-model-doc --> |
| * @return the value of the '<em>Benefit Category</em>' containment reference. |
| * @see #setBenefitCategory(Coding) |
| * @see org.hl7.fhir.FhirPackage#getEligibilityRequest_BenefitCategory() |
| * @model containment="true" |
| * extendedMetaData="kind='element' name='benefitCategory' namespace='##targetNamespace'" |
| * @generated |
| */ |
| Coding getBenefitCategory(); |
| |
| /** |
| * Sets the value of the '{@link org.hl7.fhir.EligibilityRequest#getBenefitCategory <em>Benefit Category</em>}' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * @param value the new value of the '<em>Benefit Category</em>' containment reference. |
| * @see #getBenefitCategory() |
| * @generated |
| */ |
| void setBenefitCategory(Coding value); |
| |
| /** |
| * Returns the value of the '<em><b>Benefit Sub Category</b></em>' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * <!-- begin-model-doc --> |
| * Dental: basic, major, ortho; Vision exam, glasses, contacts; etc. |
| * <!-- end-model-doc --> |
| * @return the value of the '<em>Benefit Sub Category</em>' containment reference. |
| * @see #setBenefitSubCategory(Coding) |
| * @see org.hl7.fhir.FhirPackage#getEligibilityRequest_BenefitSubCategory() |
| * @model containment="true" |
| * extendedMetaData="kind='element' name='benefitSubCategory' namespace='##targetNamespace'" |
| * @generated |
| */ |
| Coding getBenefitSubCategory(); |
| |
| /** |
| * Sets the value of the '{@link org.hl7.fhir.EligibilityRequest#getBenefitSubCategory <em>Benefit Sub Category</em>}' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * @param value the new value of the '<em>Benefit Sub Category</em>' containment reference. |
| * @see #getBenefitSubCategory() |
| * @generated |
| */ |
| void setBenefitSubCategory(Coding value); |
| |
| } // EligibilityRequest |
