Class Claim

  • All Implemented Interfaces:
    ca.uhn.fhir.model.api.IElement, Serializable, org.hl7.fhir.instance.model.api.IAnyResource, org.hl7.fhir.instance.model.api.IBase, org.hl7.fhir.instance.model.api.IBaseHasExtensions, org.hl7.fhir.instance.model.api.IBaseHasModifierExtensions, org.hl7.fhir.instance.model.api.IBaseResource, org.hl7.fhir.instance.model.api.IDomainResource

    public class Claim
    extends DomainResource
    A provider issued list of professional services and products which have been provided, or are to be provided, to a patient which is sent to an insurer for reimbursement.
    See Also:
    Serialized Form
    • Field Detail

      • type

        protected CodeableConcept type
        The category of claim, e.g. oral, pharmacy, vision, institutional, professional.
      • subType

        protected CodeableConcept subType
        A finer grained suite of claim type codes which may convey additional information such as Inpatient vs Outpatient and/or a specialty service.
      • use

        protected Enumeration<Claim.Use> use
        A code to indicate whether the nature of the request is: to request adjudication of products and services previously rendered; or requesting authorization and adjudication for provision in the future; or requesting the non-binding adjudication of the listed products and services which could be provided in the future.
      • patient

        protected Reference patient
        The party to whom the professional services and/or products have been supplied or are being considered and for whom actual or forecast reimbursement is sought.
      • patientTarget

        protected Patient patientTarget
        The actual object that is the target of the reference (The party to whom the professional services and/or products have been supplied or are being considered and for whom actual or forecast reimbursement is sought.)
      • enterer

        protected Reference enterer
        Individual who created the claim, predetermination or preauthorization.
      • entererTarget

        protected Resource entererTarget
        The actual object that is the target of the reference (Individual who created the claim, predetermination or preauthorization.)
      • insurer

        protected Reference insurer
        The Insurer who is target of the request.
      • insurerTarget

        protected Organization insurerTarget
        The actual object that is the target of the reference (The Insurer who is target of the request.)
      • provider

        protected Reference provider
        The provider which is responsible for the claim, predetermination or preauthorization.
      • providerTarget

        protected Resource providerTarget
        The actual object that is the target of the reference (The provider which is responsible for the claim, predetermination or preauthorization.)
      • priority

        protected CodeableConcept priority
        The provider-required urgency of processing the request. Typical values include: stat, routine deferred.
      • fundsReserve

        protected CodeableConcept fundsReserve
        A code to indicate whether and for whom funds are to be reserved for future claims.
      • prescription

        protected Reference prescription
        Prescription to support the dispensing of pharmacy, device or vision products.
      • prescriptionTarget

        protected Resource prescriptionTarget
        The actual object that is the target of the reference (Prescription to support the dispensing of pharmacy, device or vision products.)
      • originalPrescription

        protected Reference originalPrescription
        Original prescription which has been superseded by this prescription to support the dispensing of pharmacy services, medications or products.
      • originalPrescriptionTarget

        protected Resource originalPrescriptionTarget
        The actual object that is the target of the reference (Original prescription which has been superseded by this prescription to support the dispensing of pharmacy services, medications or products.)
      • payee

        protected Claim.PayeeComponent payee
        The party to be reimbursed for cost of the products and services according to the terms of the policy.
      • referralTarget

        protected ServiceRequest referralTarget
        The actual object that is the target of the reference (A reference to a referral resource.)
      • facilityTarget

        protected Location facilityTarget
        The actual object that is the target of the reference (Facility where the services were provided.)
      • accident

        protected Claim.AccidentComponent accident
        Details of an accident which resulted in injuries which required the products and services listed in the claim.
      • item

        protected List<Claim.ItemComponent> item
        A claim line. Either a simple product or service or a 'group' of details which can each be a simple items or groups of sub-details.
      • total

        protected Money total
        The total value of the all the items in the claim.
      • SP_CARE_TEAM

        public static final String SP_CARE_TEAM
        Search parameter: care-team

        Description: Member of the CareTeam
        Type: reference
        Path: Claim.careTeam.provider

        See Also:
        Constant Field Values
      • CARE_TEAM

        public static final ca.uhn.fhir.rest.gclient.ReferenceClientParam CARE_TEAM
        Fluent Client search parameter constant for care-team

        Description: Member of the CareTeam
        Type: reference
        Path: Claim.careTeam.provider

      • INCLUDE_CARE_TEAM

        public static final ca.uhn.fhir.model.api.Include INCLUDE_CARE_TEAM
        Constant for fluent queries to be used to add include statements. Specifies the path value of "Claim:care-team".
      • SP_IDENTIFIER

        public static final String SP_IDENTIFIER
        Search parameter: identifier

        Description: The primary identifier of the financial resource
        Type: token
        Path: Claim.identifier

        See Also:
        Constant Field Values
      • IDENTIFIER

        public static final ca.uhn.fhir.rest.gclient.TokenClientParam IDENTIFIER
        Fluent Client search parameter constant for identifier

        Description: The primary identifier of the financial resource
        Type: token
        Path: Claim.identifier

      • SP_USE

        public static final String SP_USE
        Search parameter: use

        Description: The kind of financial resource
        Type: token
        Path: Claim.use

        See Also:
        Constant Field Values
      • USE

        public static final ca.uhn.fhir.rest.gclient.TokenClientParam USE
        Fluent Client search parameter constant for use

        Description: The kind of financial resource
        Type: token
        Path: Claim.use

      • SP_CREATED

        public static final String SP_CREATED
        Search parameter: created

        Description: The creation date for the Claim
        Type: date
        Path: Claim.created

        See Also:
        Constant Field Values
      • CREATED

        public static final ca.uhn.fhir.rest.gclient.DateClientParam CREATED
        Fluent Client search parameter constant for created

        Description: The creation date for the Claim
        Type: date
        Path: Claim.created

      • SP_ENCOUNTER

        public static final String SP_ENCOUNTER
        Search parameter: encounter

        Description: Encounters associated with a billed line item
        Type: reference
        Path: Claim.item.encounter

        See Also:
        Constant Field Values
      • ENCOUNTER

        public static final ca.uhn.fhir.rest.gclient.ReferenceClientParam ENCOUNTER
        Fluent Client search parameter constant for encounter

        Description: Encounters associated with a billed line item
        Type: reference
        Path: Claim.item.encounter

      • INCLUDE_ENCOUNTER

        public static final ca.uhn.fhir.model.api.Include INCLUDE_ENCOUNTER
        Constant for fluent queries to be used to add include statements. Specifies the path value of "Claim:encounter".
      • PRIORITY

        public static final ca.uhn.fhir.rest.gclient.TokenClientParam PRIORITY
        Fluent Client search parameter constant for priority

        Description: Processing priority requested
        Type: token
        Path: Claim.priority

      • SP_PAYEE

        public static final String SP_PAYEE
        Search parameter: payee

        Description: The party receiving any payment for the Claim
        Type: reference
        Path: Claim.payee.party

        See Also:
        Constant Field Values
      • PAYEE

        public static final ca.uhn.fhir.rest.gclient.ReferenceClientParam PAYEE
        Fluent Client search parameter constant for payee

        Description: The party receiving any payment for the Claim
        Type: reference
        Path: Claim.payee.party

      • INCLUDE_PAYEE

        public static final ca.uhn.fhir.model.api.Include INCLUDE_PAYEE
        Constant for fluent queries to be used to add include statements. Specifies the path value of "Claim:payee".
      • SP_PROVIDER

        public static final String SP_PROVIDER
        Search parameter: provider

        Description: Provider responsible for the Claim
        Type: reference
        Path: Claim.provider

        See Also:
        Constant Field Values
      • PROVIDER

        public static final ca.uhn.fhir.rest.gclient.ReferenceClientParam PROVIDER
        Fluent Client search parameter constant for provider

        Description: Provider responsible for the Claim
        Type: reference
        Path: Claim.provider

      • INCLUDE_PROVIDER

        public static final ca.uhn.fhir.model.api.Include INCLUDE_PROVIDER
        Constant for fluent queries to be used to add include statements. Specifies the path value of "Claim:provider".
      • SP_PATIENT

        public static final String SP_PATIENT
        Search parameter: patient

        Description: Patient receiving the products or services
        Type: reference
        Path: Claim.patient

        See Also:
        Constant Field Values
      • PATIENT

        public static final ca.uhn.fhir.rest.gclient.ReferenceClientParam PATIENT
        Fluent Client search parameter constant for patient

        Description: Patient receiving the products or services
        Type: reference
        Path: Claim.patient

      • INCLUDE_PATIENT

        public static final ca.uhn.fhir.model.api.Include INCLUDE_PATIENT
        Constant for fluent queries to be used to add include statements. Specifies the path value of "Claim:patient".
      • SP_INSURER

        public static final String SP_INSURER
        Search parameter: insurer

        Description: The target payor/insurer for the Claim
        Type: reference
        Path: Claim.insurer

        See Also:
        Constant Field Values
      • INSURER

        public static final ca.uhn.fhir.rest.gclient.ReferenceClientParam INSURER
        Fluent Client search parameter constant for insurer

        Description: The target payor/insurer for the Claim
        Type: reference
        Path: Claim.insurer

      • INCLUDE_INSURER

        public static final ca.uhn.fhir.model.api.Include INCLUDE_INSURER
        Constant for fluent queries to be used to add include statements. Specifies the path value of "Claim:insurer".
      • SP_DETAIL_UDI

        public static final String SP_DETAIL_UDI
        Search parameter: detail-udi

        Description: UDI associated with a line item, detail product or service
        Type: reference
        Path: Claim.item.detail.udi

        See Also:
        Constant Field Values
      • DETAIL_UDI

        public static final ca.uhn.fhir.rest.gclient.ReferenceClientParam DETAIL_UDI
        Fluent Client search parameter constant for detail-udi

        Description: UDI associated with a line item, detail product or service
        Type: reference
        Path: Claim.item.detail.udi

      • INCLUDE_DETAIL_UDI

        public static final ca.uhn.fhir.model.api.Include INCLUDE_DETAIL_UDI
        Constant for fluent queries to be used to add include statements. Specifies the path value of "Claim:detail-udi".
      • SP_ENTERER

        public static final String SP_ENTERER
        Search parameter: enterer

        Description: The party responsible for the entry of the Claim
        Type: reference
        Path: Claim.enterer

        See Also:
        Constant Field Values
      • ENTERER

        public static final ca.uhn.fhir.rest.gclient.ReferenceClientParam ENTERER
        Fluent Client search parameter constant for enterer

        Description: The party responsible for the entry of the Claim
        Type: reference
        Path: Claim.enterer

      • INCLUDE_ENTERER

        public static final ca.uhn.fhir.model.api.Include INCLUDE_ENTERER
        Constant for fluent queries to be used to add include statements. Specifies the path value of "Claim:enterer".
      • PROCEDURE_UDI

        public static final ca.uhn.fhir.rest.gclient.ReferenceClientParam PROCEDURE_UDI
        Fluent Client search parameter constant for procedure-udi

        Description: UDI associated with a procedure
        Type: reference
        Path: Claim.procedure.udi

      • INCLUDE_PROCEDURE_UDI

        public static final ca.uhn.fhir.model.api.Include INCLUDE_PROCEDURE_UDI
        Constant for fluent queries to be used to add include statements. Specifies the path value of "Claim:procedure-udi".
      • SP_SUBDETAIL_UDI

        public static final String SP_SUBDETAIL_UDI
        Search parameter: subdetail-udi

        Description: UDI associated with a line item, detail, subdetail product or service
        Type: reference
        Path: Claim.item.detail.subDetail.udi

        See Also:
        Constant Field Values
      • SUBDETAIL_UDI

        public static final ca.uhn.fhir.rest.gclient.ReferenceClientParam SUBDETAIL_UDI
        Fluent Client search parameter constant for subdetail-udi

        Description: UDI associated with a line item, detail, subdetail product or service
        Type: reference
        Path: Claim.item.detail.subDetail.udi

      • INCLUDE_SUBDETAIL_UDI

        public static final ca.uhn.fhir.model.api.Include INCLUDE_SUBDETAIL_UDI
        Constant for fluent queries to be used to add include statements. Specifies the path value of "Claim:subdetail-udi".
      • SP_FACILITY

        public static final String SP_FACILITY
        Search parameter: facility

        Description: Facility where the products or services have been or will be provided
        Type: reference
        Path: Claim.facility

        See Also:
        Constant Field Values
      • FACILITY

        public static final ca.uhn.fhir.rest.gclient.ReferenceClientParam FACILITY
        Fluent Client search parameter constant for facility

        Description: Facility where the products or services have been or will be provided
        Type: reference
        Path: Claim.facility

      • INCLUDE_FACILITY

        public static final ca.uhn.fhir.model.api.Include INCLUDE_FACILITY
        Constant for fluent queries to be used to add include statements. Specifies the path value of "Claim:facility".
      • SP_ITEM_UDI

        public static final String SP_ITEM_UDI
        Search parameter: item-udi

        Description: UDI associated with a line item product or service
        Type: reference
        Path: Claim.item.udi

        See Also:
        Constant Field Values
      • ITEM_UDI

        public static final ca.uhn.fhir.rest.gclient.ReferenceClientParam ITEM_UDI
        Fluent Client search parameter constant for item-udi

        Description: UDI associated with a line item product or service
        Type: reference
        Path: Claim.item.udi

      • INCLUDE_ITEM_UDI

        public static final ca.uhn.fhir.model.api.Include INCLUDE_ITEM_UDI
        Constant for fluent queries to be used to add include statements. Specifies the path value of "Claim:item-udi".
      • SP_STATUS

        public static final String SP_STATUS
        Search parameter: status

        Description: The status of the Claim instance.
        Type: token
        Path: Claim.status

        See Also:
        Constant Field Values
      • STATUS

        public static final ca.uhn.fhir.rest.gclient.TokenClientParam STATUS
        Fluent Client search parameter constant for status

        Description: The status of the Claim instance.
        Type: token
        Path: Claim.status