| /** |
| */ |
| 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 Detail</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.ExplanationOfBenefitDetail#getSequence <em>Sequence</em>}</li> |
| * <li>{@link org.hl7.fhir.ExplanationOfBenefitDetail#getType <em>Type</em>}</li> |
| * <li>{@link org.hl7.fhir.ExplanationOfBenefitDetail#getService <em>Service</em>}</li> |
| * <li>{@link org.hl7.fhir.ExplanationOfBenefitDetail#getQuantity <em>Quantity</em>}</li> |
| * <li>{@link org.hl7.fhir.ExplanationOfBenefitDetail#getUnitPrice <em>Unit Price</em>}</li> |
| * <li>{@link org.hl7.fhir.ExplanationOfBenefitDetail#getFactor <em>Factor</em>}</li> |
| * <li>{@link org.hl7.fhir.ExplanationOfBenefitDetail#getPoints <em>Points</em>}</li> |
| * <li>{@link org.hl7.fhir.ExplanationOfBenefitDetail#getNet <em>Net</em>}</li> |
| * <li>{@link org.hl7.fhir.ExplanationOfBenefitDetail#getUdi <em>Udi</em>}</li> |
| * <li>{@link org.hl7.fhir.ExplanationOfBenefitDetail#getAdjudication <em>Adjudication</em>}</li> |
| * <li>{@link org.hl7.fhir.ExplanationOfBenefitDetail#getSubDetail <em>Sub Detail</em>}</li> |
| * </ul> |
| * |
| * @see org.hl7.fhir.FhirPackage#getExplanationOfBenefitDetail() |
| * @model extendedMetaData="name='ExplanationOfBenefit.Detail' kind='elementOnly'" |
| * @generated |
| */ |
| public interface ExplanationOfBenefitDetail 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#getExplanationOfBenefitDetail_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.ExplanationOfBenefitDetail#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#getExplanationOfBenefitDetail_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.ExplanationOfBenefitDetail#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>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#getExplanationOfBenefitDetail_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.ExplanationOfBenefitDetail#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>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#getExplanationOfBenefitDetail_Quantity() |
| * @model containment="true" |
| * extendedMetaData="kind='element' name='quantity' namespace='##targetNamespace'" |
| * @generated |
| */ |
| SimpleQuantity getQuantity(); |
| |
| /** |
| * Sets the value of the '{@link org.hl7.fhir.ExplanationOfBenefitDetail#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#getExplanationOfBenefitDetail_UnitPrice() |
| * @model containment="true" |
| * extendedMetaData="kind='element' name='unitPrice' namespace='##targetNamespace'" |
| * @generated |
| */ |
| Money getUnitPrice(); |
| |
| /** |
| * Sets the value of the '{@link org.hl7.fhir.ExplanationOfBenefitDetail#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#getExplanationOfBenefitDetail_Factor() |
| * @model containment="true" |
| * extendedMetaData="kind='element' name='factor' namespace='##targetNamespace'" |
| * @generated |
| */ |
| Decimal getFactor(); |
| |
| /** |
| * Sets the value of the '{@link org.hl7.fhir.ExplanationOfBenefitDetail#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#getExplanationOfBenefitDetail_Points() |
| * @model containment="true" |
| * extendedMetaData="kind='element' name='points' namespace='##targetNamespace'" |
| * @generated |
| */ |
| Decimal getPoints(); |
| |
| /** |
| * Sets the value of the '{@link org.hl7.fhir.ExplanationOfBenefitDetail#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#getExplanationOfBenefitDetail_Net() |
| * @model containment="true" |
| * extendedMetaData="kind='element' name='net' namespace='##targetNamespace'" |
| * @generated |
| */ |
| Money getNet(); |
| |
| /** |
| * Sets the value of the '{@link org.hl7.fhir.ExplanationOfBenefitDetail#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#getExplanationOfBenefitDetail_Udi() |
| * @model containment="true" |
| * extendedMetaData="kind='element' name='udi' namespace='##targetNamespace'" |
| * @generated |
| */ |
| Coding getUdi(); |
| |
| /** |
| * Sets the value of the '{@link org.hl7.fhir.ExplanationOfBenefitDetail#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>Adjudication</b></em>' containment reference list. |
| * The list contents are of type {@link org.hl7.fhir.ExplanationOfBenefitAdjudication1}. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * <!-- begin-model-doc --> |
| * The adjudications results. |
| * <!-- end-model-doc --> |
| * @return the value of the '<em>Adjudication</em>' containment reference list. |
| * @see org.hl7.fhir.FhirPackage#getExplanationOfBenefitDetail_Adjudication() |
| * @model containment="true" |
| * extendedMetaData="kind='element' name='adjudication' namespace='##targetNamespace'" |
| * @generated |
| */ |
| EList<ExplanationOfBenefitAdjudication1> getAdjudication(); |
| |
| /** |
| * Returns the value of the '<em><b>Sub Detail</b></em>' containment reference list. |
| * The list contents are of type {@link org.hl7.fhir.ExplanationOfBenefitSubDetail}. |
| * <!-- begin-user-doc --> |
| * <!-- end-user-doc --> |
| * <!-- begin-model-doc --> |
| * Third tier of goods and services. |
| * <!-- end-model-doc --> |
| * @return the value of the '<em>Sub Detail</em>' containment reference list. |
| * @see org.hl7.fhir.FhirPackage#getExplanationOfBenefitDetail_SubDetail() |
| * @model containment="true" |
| * extendedMetaData="kind='element' name='subDetail' namespace='##targetNamespace'" |
| * @generated |
| */ |
| EList<ExplanationOfBenefitSubDetail> getSubDetail(); |
| |
| } // ExplanationOfBenefitDetail |
