| /** |
| */ |
| package org.hl7.fhir; |
| |
| import org.eclipse.emf.common.util.EList; |
| |
| /** |
| * <!-- begin-user-doc --> |
| * A representation of the model object '<em><b>Explanation Of Benefit Coverage</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.ExplanationOfBenefitCoverage#getCoverage <em>Coverage</em>}</li> |
| * <li>{@link org.hl7.fhir.ExplanationOfBenefitCoverage#getRelationship <em>Relationship</em>}</li> |
| * <li>{@link org.hl7.fhir.ExplanationOfBenefitCoverage#getPreAuthRef <em>Pre Auth Ref</em>}</li> |
| * </ul> |
| * |
| * @see org.hl7.fhir.FhirPackage#getExplanationOfBenefitCoverage() |
| * @model extendedMetaData="name='ExplanationOfBenefit.Coverage' kind='elementOnly'" |
| * @generated |
| */ |
| public interface ExplanationOfBenefitCoverage extends BackboneElement { |
| /** |
| * Returns the value of the '<em><b>Coverage</b></em>' containment reference. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * <!-- begin-model-doc --> |
| * Reference to the program or plan identification, underwriter or payor. |
| * <!-- end-model-doc --> |
| * @return the value of the '<em>Coverage</em>' containment reference. |
| * @see #setCoverage(Reference) |
| * @see org.hl7.fhir.FhirPackage#getExplanationOfBenefitCoverage_Coverage() |
| * @model containment="true" required="true" |
| * extendedMetaData="kind='element' name='coverage' namespace='##targetNamespace'" |
| * @generated |
| */ |
| Reference getCoverage(); |
| |
| /** |
| * Sets the value of the '{@link org.hl7.fhir.ExplanationOfBenefitCoverage#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>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#getExplanationOfBenefitCoverage_Relationship() |
| * @model containment="true" required="true" |
| * extendedMetaData="kind='element' name='relationship' namespace='##targetNamespace'" |
| * @generated |
| */ |
| Coding getRelationship(); |
| |
| /** |
| * Sets the value of the '{@link org.hl7.fhir.ExplanationOfBenefitCoverage#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>Pre Auth Ref</b></em>' containment reference list. |
| * The list contents are of type {@link org.hl7.fhir.String}. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * <!-- begin-model-doc --> |
| * A list of references from the Insurer to which these services pertain. |
| * <!-- end-model-doc --> |
| * @return the value of the '<em>Pre Auth Ref</em>' containment reference list. |
| * @see org.hl7.fhir.FhirPackage#getExplanationOfBenefitCoverage_PreAuthRef() |
| * @model containment="true" |
| * extendedMetaData="kind='element' name='preAuthRef' namespace='##targetNamespace'" |
| * @generated |
| */ |
| EList<org.hl7.fhir.String> getPreAuthRef(); |
| |
| } // ExplanationOfBenefitCoverage |
