| /** |
| */ |
| package org.hl7.fhir; |
| |
| |
| /** |
| * <!-- begin-user-doc --> |
| * A representation of the model object '<em><b>Explanation Of Benefit Adjudication</b></em>'. |
| * <!-- end-user-doc --> |
| * |
| * <!-- begin-model-doc --> |
| * This resource provides: the claim details; adjudication details from the processing of a Claim; and optionally account balance information, for informing the subscriber of the benefits provided. |
| * <!-- end-model-doc --> |
| * |
| * <p> |
| * The following features are supported: |
| * </p> |
| * <ul> |
| * <li>{@link org.hl7.fhir.ExplanationOfBenefitAdjudication#getCategory <em>Category</em>}</li> |
| * <li>{@link org.hl7.fhir.ExplanationOfBenefitAdjudication#getReason <em>Reason</em>}</li> |
| * <li>{@link org.hl7.fhir.ExplanationOfBenefitAdjudication#getAmount <em>Amount</em>}</li> |
| * <li>{@link org.hl7.fhir.ExplanationOfBenefitAdjudication#getValue <em>Value</em>}</li> |
| * </ul> |
| * |
| * @see org.hl7.fhir.FhirPackage#getExplanationOfBenefitAdjudication() |
| * @model extendedMetaData="name='ExplanationOfBenefit.Adjudication' kind='elementOnly'" |
| * @generated |
| */ |
| public interface ExplanationOfBenefitAdjudication extends BackboneElement { |
| /** |
| * Returns the value of the '<em><b>Category</b></em>' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * <!-- begin-model-doc --> |
| * Code indicating: Co-Pay, deductable, elegible, benefit, tax, etc. |
| * <!-- end-model-doc --> |
| * @return the value of the '<em>Category</em>' containment reference. |
| * @see #setCategory(Coding) |
| * @see org.hl7.fhir.FhirPackage#getExplanationOfBenefitAdjudication_Category() |
| * @model containment="true" required="true" |
| * extendedMetaData="kind='element' name='category' namespace='##targetNamespace'" |
| * @generated |
| */ |
| Coding getCategory(); |
| |
| /** |
| * Sets the value of the '{@link org.hl7.fhir.ExplanationOfBenefitAdjudication#getCategory <em>Category</em>}' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * @param value the new value of the '<em>Category</em>' containment reference. |
| * @see #getCategory() |
| * @generated |
| */ |
| void setCategory(Coding value); |
| |
| /** |
| * Returns the value of the '<em><b>Reason</b></em>' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * <!-- begin-model-doc --> |
| * Adjudication reason such as limit reached. |
| * <!-- end-model-doc --> |
| * @return the value of the '<em>Reason</em>' containment reference. |
| * @see #setReason(Coding) |
| * @see org.hl7.fhir.FhirPackage#getExplanationOfBenefitAdjudication_Reason() |
| * @model containment="true" |
| * extendedMetaData="kind='element' name='reason' namespace='##targetNamespace'" |
| * @generated |
| */ |
| Coding getReason(); |
| |
| /** |
| * Sets the value of the '{@link org.hl7.fhir.ExplanationOfBenefitAdjudication#getReason <em>Reason</em>}' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * @param value the new value of the '<em>Reason</em>' containment reference. |
| * @see #getReason() |
| * @generated |
| */ |
| void setReason(Coding value); |
| |
| /** |
| * Returns the value of the '<em><b>Amount</b></em>' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * <!-- begin-model-doc --> |
| * Monitory amount associated with the code. |
| * <!-- end-model-doc --> |
| * @return the value of the '<em>Amount</em>' containment reference. |
| * @see #setAmount(Money) |
| * @see org.hl7.fhir.FhirPackage#getExplanationOfBenefitAdjudication_Amount() |
| * @model containment="true" |
| * extendedMetaData="kind='element' name='amount' namespace='##targetNamespace'" |
| * @generated |
| */ |
| Money getAmount(); |
| |
| /** |
| * Sets the value of the '{@link org.hl7.fhir.ExplanationOfBenefitAdjudication#getAmount <em>Amount</em>}' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * @param value the new value of the '<em>Amount</em>' containment reference. |
| * @see #getAmount() |
| * @generated |
| */ |
| void setAmount(Money value); |
| |
| /** |
| * Returns the value of the '<em><b>Value</b></em>' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * <!-- begin-model-doc --> |
| * A non-monetary value for example a percentage. Mutually exclusive to the amount element above. |
| * <!-- end-model-doc --> |
| * @return the value of the '<em>Value</em>' containment reference. |
| * @see #setValue(Decimal) |
| * @see org.hl7.fhir.FhirPackage#getExplanationOfBenefitAdjudication_Value() |
| * @model containment="true" |
| * extendedMetaData="kind='element' name='value' namespace='##targetNamespace'" |
| * @generated |
| */ |
| Decimal getValue(); |
| |
| /** |
| * Sets the value of the '{@link org.hl7.fhir.ExplanationOfBenefitAdjudication#getValue <em>Value</em>}' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * @param value the new value of the '<em>Value</em>' containment reference. |
| * @see #getValue() |
| * @generated |
| */ |
| void setValue(Decimal value); |
| |
| } // ExplanationOfBenefitAdjudication |
