| /** |
| */ |
| package org.hl7.fhir; |
| |
| import org.eclipse.emf.common.util.EList; |
| |
| /** |
| * <!-- begin-user-doc --> |
| * A representation of the model object '<em><b>Claim Item</b></em>'. |
| * <!-- end-user-doc --> |
| * |
| * <!-- begin-model-doc --> |
| * 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. |
| * <!-- end-model-doc --> |
| * |
| * <p> |
| * The following features are supported: |
| * </p> |
| * <ul> |
| * <li>{@link org.hl7.fhir.ClaimItem#getSequence <em>Sequence</em>}</li> |
| * <li>{@link org.hl7.fhir.ClaimItem#getType <em>Type</em>}</li> |
| * <li>{@link org.hl7.fhir.ClaimItem#getProvider <em>Provider</em>}</li> |
| * <li>{@link org.hl7.fhir.ClaimItem#getDiagnosisLinkId <em>Diagnosis Link Id</em>}</li> |
| * <li>{@link org.hl7.fhir.ClaimItem#getService <em>Service</em>}</li> |
| * <li>{@link org.hl7.fhir.ClaimItem#getServicedDate <em>Serviced Date</em>}</li> |
| * <li>{@link org.hl7.fhir.ClaimItem#getServicedPeriod <em>Serviced Period</em>}</li> |
| * <li>{@link org.hl7.fhir.ClaimItem#getPlace <em>Place</em>}</li> |
| * <li>{@link org.hl7.fhir.ClaimItem#getQuantity <em>Quantity</em>}</li> |
| * <li>{@link org.hl7.fhir.ClaimItem#getUnitPrice <em>Unit Price</em>}</li> |
| * <li>{@link org.hl7.fhir.ClaimItem#getFactor <em>Factor</em>}</li> |
| * <li>{@link org.hl7.fhir.ClaimItem#getPoints <em>Points</em>}</li> |
| * <li>{@link org.hl7.fhir.ClaimItem#getNet <em>Net</em>}</li> |
| * <li>{@link org.hl7.fhir.ClaimItem#getUdi <em>Udi</em>}</li> |
| * <li>{@link org.hl7.fhir.ClaimItem#getBodySite <em>Body Site</em>}</li> |
| * <li>{@link org.hl7.fhir.ClaimItem#getSubSite <em>Sub Site</em>}</li> |
| * <li>{@link org.hl7.fhir.ClaimItem#getModifier <em>Modifier</em>}</li> |
| * <li>{@link org.hl7.fhir.ClaimItem#getDetail <em>Detail</em>}</li> |
| * <li>{@link org.hl7.fhir.ClaimItem#getProsthesis <em>Prosthesis</em>}</li> |
| * </ul> |
| * |
| * @see org.hl7.fhir.FhirPackage#getClaimItem() |
| * @model extendedMetaData="name='Claim.Item' kind='elementOnly'" |
| * @generated |
| */ |
| public interface ClaimItem extends BackboneElement { |
| /** |
| * Returns the value of the '<em><b>Sequence</b></em>' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * <!-- begin-model-doc --> |
| * A service line number. |
| * <!-- end-model-doc --> |
| * @return the value of the '<em>Sequence</em>' containment reference. |
| * @see #setSequence(PositiveInt) |
| * @see org.hl7.fhir.FhirPackage#getClaimItem_Sequence() |
| * @model containment="true" required="true" |
| * extendedMetaData="kind='element' name='sequence' namespace='##targetNamespace'" |
| * @generated |
| */ |
| PositiveInt getSequence(); |
| |
| /** |
| * Sets the value of the '{@link org.hl7.fhir.ClaimItem#getSequence <em>Sequence</em>}' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * @param value the new value of the '<em>Sequence</em>' containment reference. |
| * @see #getSequence() |
| * @generated |
| */ |
| void setSequence(PositiveInt value); |
| |
| /** |
| * Returns the value of the '<em><b>Type</b></em>' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * <!-- begin-model-doc --> |
| * The type of product or service. |
| * <!-- end-model-doc --> |
| * @return the value of the '<em>Type</em>' containment reference. |
| * @see #setType(Coding) |
| * @see org.hl7.fhir.FhirPackage#getClaimItem_Type() |
| * @model containment="true" required="true" |
| * extendedMetaData="kind='element' name='type' namespace='##targetNamespace'" |
| * @generated |
| */ |
| Coding getType(); |
| |
| /** |
| * Sets the value of the '{@link org.hl7.fhir.ClaimItem#getType <em>Type</em>}' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * @param value the new value of the '<em>Type</em>' containment reference. |
| * @see #getType() |
| * @generated |
| */ |
| void setType(Coding 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#getClaimItem_Provider() |
| * @model containment="true" |
| * extendedMetaData="kind='element' name='provider' namespace='##targetNamespace'" |
| * @generated |
| */ |
| Reference getProvider(); |
| |
| /** |
| * Sets the value of the '{@link org.hl7.fhir.ClaimItem#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>Diagnosis Link Id</b></em>' containment reference list. |
| * The list contents are of type {@link org.hl7.fhir.PositiveInt}. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * <!-- begin-model-doc --> |
| * Diagnosis applicable for this service or product line. |
| * <!-- end-model-doc --> |
| * @return the value of the '<em>Diagnosis Link Id</em>' containment reference list. |
| * @see org.hl7.fhir.FhirPackage#getClaimItem_DiagnosisLinkId() |
| * @model containment="true" |
| * extendedMetaData="kind='element' name='diagnosisLinkId' namespace='##targetNamespace'" |
| * @generated |
| */ |
| EList<PositiveInt> getDiagnosisLinkId(); |
| |
| /** |
| * Returns the value of the '<em><b>Service</b></em>' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * <!-- begin-model-doc --> |
| * If a grouping item then 'GROUP' otherwise it is a node therefore a code to indicate the Professional Service or Product supplied. |
| * <!-- end-model-doc --> |
| * @return the value of the '<em>Service</em>' containment reference. |
| * @see #setService(Coding) |
| * @see org.hl7.fhir.FhirPackage#getClaimItem_Service() |
| * @model containment="true" required="true" |
| * extendedMetaData="kind='element' name='service' namespace='##targetNamespace'" |
| * @generated |
| */ |
| Coding getService(); |
| |
| /** |
| * Sets the value of the '{@link org.hl7.fhir.ClaimItem#getService <em>Service</em>}' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * @param value the new value of the '<em>Service</em>' containment reference. |
| * @see #getService() |
| * @generated |
| */ |
| void setService(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#getClaimItem_ServicedDate() |
| * @model containment="true" |
| * extendedMetaData="kind='element' name='servicedDate' namespace='##targetNamespace'" |
| * @generated |
| */ |
| Date getServicedDate(); |
| |
| /** |
| * Sets the value of the '{@link org.hl7.fhir.ClaimItem#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#getClaimItem_ServicedPeriod() |
| * @model containment="true" |
| * extendedMetaData="kind='element' name='servicedPeriod' namespace='##targetNamespace'" |
| * @generated |
| */ |
| Period getServicedPeriod(); |
| |
| /** |
| * Sets the value of the '{@link org.hl7.fhir.ClaimItem#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>Place</b></em>' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * <!-- begin-model-doc --> |
| * Where the service was provided. |
| * <!-- end-model-doc --> |
| * @return the value of the '<em>Place</em>' containment reference. |
| * @see #setPlace(Coding) |
| * @see org.hl7.fhir.FhirPackage#getClaimItem_Place() |
| * @model containment="true" |
| * extendedMetaData="kind='element' name='place' namespace='##targetNamespace'" |
| * @generated |
| */ |
| Coding getPlace(); |
| |
| /** |
| * Sets the value of the '{@link org.hl7.fhir.ClaimItem#getPlace <em>Place</em>}' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * @param value the new value of the '<em>Place</em>' containment reference. |
| * @see #getPlace() |
| * @generated |
| */ |
| void setPlace(Coding value); |
| |
| /** |
| * Returns the value of the '<em><b>Quantity</b></em>' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * <!-- begin-model-doc --> |
| * The number of repetitions of a service or product. |
| * <!-- end-model-doc --> |
| * @return the value of the '<em>Quantity</em>' containment reference. |
| * @see #setQuantity(SimpleQuantity) |
| * @see org.hl7.fhir.FhirPackage#getClaimItem_Quantity() |
| * @model containment="true" |
| * extendedMetaData="kind='element' name='quantity' namespace='##targetNamespace'" |
| * @generated |
| */ |
| SimpleQuantity getQuantity(); |
| |
| /** |
| * Sets the value of the '{@link org.hl7.fhir.ClaimItem#getQuantity <em>Quantity</em>}' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * @param value the new value of the '<em>Quantity</em>' containment reference. |
| * @see #getQuantity() |
| * @generated |
| */ |
| void setQuantity(SimpleQuantity value); |
| |
| /** |
| * Returns the value of the '<em><b>Unit Price</b></em>' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * <!-- begin-model-doc --> |
| * If the item is a node then this is the fee for the product or service, otherwise this is the total of the fees for the children of the group. |
| * <!-- end-model-doc --> |
| * @return the value of the '<em>Unit Price</em>' containment reference. |
| * @see #setUnitPrice(Money) |
| * @see org.hl7.fhir.FhirPackage#getClaimItem_UnitPrice() |
| * @model containment="true" |
| * extendedMetaData="kind='element' name='unitPrice' namespace='##targetNamespace'" |
| * @generated |
| */ |
| Money getUnitPrice(); |
| |
| /** |
| * Sets the value of the '{@link org.hl7.fhir.ClaimItem#getUnitPrice <em>Unit Price</em>}' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * @param value the new value of the '<em>Unit Price</em>' containment reference. |
| * @see #getUnitPrice() |
| * @generated |
| */ |
| void setUnitPrice(Money value); |
| |
| /** |
| * Returns the value of the '<em><b>Factor</b></em>' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * <!-- begin-model-doc --> |
| * A real number that represents a multiplier used in determining the overall value of services delivered and/or goods received. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount. |
| * <!-- end-model-doc --> |
| * @return the value of the '<em>Factor</em>' containment reference. |
| * @see #setFactor(Decimal) |
| * @see org.hl7.fhir.FhirPackage#getClaimItem_Factor() |
| * @model containment="true" |
| * extendedMetaData="kind='element' name='factor' namespace='##targetNamespace'" |
| * @generated |
| */ |
| Decimal getFactor(); |
| |
| /** |
| * Sets the value of the '{@link org.hl7.fhir.ClaimItem#getFactor <em>Factor</em>}' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * @param value the new value of the '<em>Factor</em>' containment reference. |
| * @see #getFactor() |
| * @generated |
| */ |
| void setFactor(Decimal value); |
| |
| /** |
| * Returns the value of the '<em><b>Points</b></em>' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * <!-- begin-model-doc --> |
| * An amount that expresses the weighting (based on difficulty, cost and/or resource intensiveness) associated with the good or service delivered. The concept of Points allows for assignment of point values for services and/or goods, such that a monetary amount can be assigned to each point. |
| * <!-- end-model-doc --> |
| * @return the value of the '<em>Points</em>' containment reference. |
| * @see #setPoints(Decimal) |
| * @see org.hl7.fhir.FhirPackage#getClaimItem_Points() |
| * @model containment="true" |
| * extendedMetaData="kind='element' name='points' namespace='##targetNamespace'" |
| * @generated |
| */ |
| Decimal getPoints(); |
| |
| /** |
| * Sets the value of the '{@link org.hl7.fhir.ClaimItem#getPoints <em>Points</em>}' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * @param value the new value of the '<em>Points</em>' containment reference. |
| * @see #getPoints() |
| * @generated |
| */ |
| void setPoints(Decimal value); |
| |
| /** |
| * Returns the value of the '<em><b>Net</b></em>' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * <!-- begin-model-doc --> |
| * The quantity times the unit price for an addittional service or product or charge. For example, the formula: unit Quantity * unit Price (Cost per Point) * factor Number * points = net Amount. Quantity, factor and points are assumed to be 1 if not supplied. |
| * <!-- end-model-doc --> |
| * @return the value of the '<em>Net</em>' containment reference. |
| * @see #setNet(Money) |
| * @see org.hl7.fhir.FhirPackage#getClaimItem_Net() |
| * @model containment="true" |
| * extendedMetaData="kind='element' name='net' namespace='##targetNamespace'" |
| * @generated |
| */ |
| Money getNet(); |
| |
| /** |
| * Sets the value of the '{@link org.hl7.fhir.ClaimItem#getNet <em>Net</em>}' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * @param value the new value of the '<em>Net</em>' containment reference. |
| * @see #getNet() |
| * @generated |
| */ |
| void setNet(Money value); |
| |
| /** |
| * Returns the value of the '<em><b>Udi</b></em>' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * <!-- begin-model-doc --> |
| * List of Unique Device Identifiers associated with this line item. |
| * <!-- end-model-doc --> |
| * @return the value of the '<em>Udi</em>' containment reference. |
| * @see #setUdi(Coding) |
| * @see org.hl7.fhir.FhirPackage#getClaimItem_Udi() |
| * @model containment="true" |
| * extendedMetaData="kind='element' name='udi' namespace='##targetNamespace'" |
| * @generated |
| */ |
| Coding getUdi(); |
| |
| /** |
| * Sets the value of the '{@link org.hl7.fhir.ClaimItem#getUdi <em>Udi</em>}' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * @param value the new value of the '<em>Udi</em>' containment reference. |
| * @see #getUdi() |
| * @generated |
| */ |
| void setUdi(Coding value); |
| |
| /** |
| * Returns the value of the '<em><b>Body Site</b></em>' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * <!-- begin-model-doc --> |
| * Physical service site on the patient (limb, tooth, etc). |
| * <!-- end-model-doc --> |
| * @return the value of the '<em>Body Site</em>' containment reference. |
| * @see #setBodySite(Coding) |
| * @see org.hl7.fhir.FhirPackage#getClaimItem_BodySite() |
| * @model containment="true" |
| * extendedMetaData="kind='element' name='bodySite' namespace='##targetNamespace'" |
| * @generated |
| */ |
| Coding getBodySite(); |
| |
| /** |
| * Sets the value of the '{@link org.hl7.fhir.ClaimItem#getBodySite <em>Body Site</em>}' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * @param value the new value of the '<em>Body Site</em>' containment reference. |
| * @see #getBodySite() |
| * @generated |
| */ |
| void setBodySite(Coding value); |
| |
| /** |
| * Returns the value of the '<em><b>Sub Site</b></em>' containment reference list. |
| * The list contents are of type {@link org.hl7.fhir.Coding}. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * <!-- begin-model-doc --> |
| * A region or surface of the site, eg. limb region or tooth surface(s). |
| * <!-- end-model-doc --> |
| * @return the value of the '<em>Sub Site</em>' containment reference list. |
| * @see org.hl7.fhir.FhirPackage#getClaimItem_SubSite() |
| * @model containment="true" |
| * extendedMetaData="kind='element' name='subSite' namespace='##targetNamespace'" |
| * @generated |
| */ |
| EList<Coding> getSubSite(); |
| |
| /** |
| * Returns the value of the '<em><b>Modifier</b></em>' containment reference list. |
| * The list contents are of type {@link org.hl7.fhir.Coding}. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * <!-- begin-model-doc --> |
| * Item typification or modifiers codes, eg for Oral whether the treatment is cosmetic or associated with TMJ, or an appliance was lost or stolen. |
| * <!-- end-model-doc --> |
| * @return the value of the '<em>Modifier</em>' containment reference list. |
| * @see org.hl7.fhir.FhirPackage#getClaimItem_Modifier() |
| * @model containment="true" |
| * extendedMetaData="kind='element' name='modifier' namespace='##targetNamespace'" |
| * @generated |
| */ |
| EList<Coding> getModifier(); |
| |
| /** |
| * Returns the value of the '<em><b>Detail</b></em>' containment reference list. |
| * The list contents are of type {@link org.hl7.fhir.ClaimDetail}. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * <!-- begin-model-doc --> |
| * Second tier of goods and services. |
| * <!-- end-model-doc --> |
| * @return the value of the '<em>Detail</em>' containment reference list. |
| * @see org.hl7.fhir.FhirPackage#getClaimItem_Detail() |
| * @model containment="true" |
| * extendedMetaData="kind='element' name='detail' namespace='##targetNamespace'" |
| * @generated |
| */ |
| EList<ClaimDetail> getDetail(); |
| |
| /** |
| * Returns the value of the '<em><b>Prosthesis</b></em>' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * <!-- begin-model-doc --> |
| * The materials and placement date of prior fixed prosthesis. |
| * <!-- end-model-doc --> |
| * @return the value of the '<em>Prosthesis</em>' containment reference. |
| * @see #setProsthesis(ClaimProsthesis) |
| * @see org.hl7.fhir.FhirPackage#getClaimItem_Prosthesis() |
| * @model containment="true" |
| * extendedMetaData="kind='element' name='prosthesis' namespace='##targetNamespace'" |
| * @generated |
| */ |
| ClaimProsthesis getProsthesis(); |
| |
| /** |
| * Sets the value of the '{@link org.hl7.fhir.ClaimItem#getProsthesis <em>Prosthesis</em>}' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * @param value the new value of the '<em>Prosthesis</em>' containment reference. |
| * @see #getProsthesis() |
| * @generated |
| */ |
| void setProsthesis(ClaimProsthesis value); |
| |
| } // ClaimItem |
