fhir_models 0.3.0 → 0.3.1
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- checksums.yaml +4 -4
- data/.gitignore +1 -0
- data/.travis.yml +0 -1
- data/Gemfile.lock +1 -1
- data/Rakefile +0 -1
- data/fhir_models.gemspec +1 -1
- data/lib/fhir/metadata.rb +25 -0
- data/lib/fhir/resources/Account.rb +54 -0
- data/lib/fhir/resources/AllergyIntolerance.rb +92 -0
- data/lib/fhir/resources/Appointment.rb +88 -0
- data/lib/fhir/resources/AppointmentResponse.rb +48 -0
- data/lib/fhir/resources/AuditEvent.rb +188 -0
- data/lib/fhir/resources/Basic.rb +42 -0
- data/lib/fhir/resources/Binary.rb +28 -0
- data/lib/fhir/resources/BodySite.rb +44 -0
- data/lib/fhir/resources/Bundle.rb +154 -0
- data/lib/fhir/resources/CarePlan.rb +184 -0
- data/lib/fhir/resources/CareTeam.rb +70 -0
- data/lib/fhir/resources/Claim.rb +490 -0
- data/lib/fhir/resources/ClaimResponse.rb +421 -0
- data/lib/fhir/resources/ClinicalImpression.rb +131 -0
- data/lib/fhir/resources/CodeSystem.rb +225 -0
- data/lib/fhir/resources/Communication.rb +83 -0
- data/lib/fhir/resources/CommunicationRequest.rb +90 -0
- data/lib/fhir/resources/CompartmentDefinition.rb +98 -0
- data/lib/fhir/resources/Composition.rb +136 -0
- data/lib/fhir/resources/ConceptMap.rb +168 -0
- data/lib/fhir/resources/Condition.rb +126 -0
- data/lib/fhir/resources/Conformance.rb +442 -0
- data/lib/fhir/resources/Contract.rb +320 -0
- data/lib/fhir/resources/Coverage.rb +77 -0
- data/lib/fhir/resources/DataElement.rb +104 -0
- data/lib/fhir/resources/DecisionSupportRule.rb +42 -0
- data/lib/fhir/resources/DecisionSupportServiceModule.rb +40 -0
- data/lib/fhir/resources/DetectedIssue.rb +74 -0
- data/lib/fhir/resources/Device.rb +64 -0
- data/lib/fhir/resources/DeviceComponent.rb +74 -0
- data/lib/fhir/resources/DeviceMetric.rb +74 -0
- data/lib/fhir/resources/DeviceUseRequest.rb +68 -0
- data/lib/fhir/resources/DeviceUseStatement.rb +60 -0
- data/lib/fhir/resources/DiagnosticOrder.rb +106 -0
- data/lib/fhir/resources/DiagnosticReport.rb +91 -0
- data/lib/fhir/resources/DocumentManifest.rb +99 -0
- data/lib/fhir/resources/DocumentReference.rb +156 -0
- data/lib/fhir/resources/DomainResource.rb +32 -0
- data/lib/fhir/resources/EligibilityRequest.rb +90 -0
- data/lib/fhir/resources/EligibilityResponse.rb +152 -0
- data/lib/fhir/resources/Encounter.rb +172 -0
- data/lib/fhir/resources/EnrollmentRequest.rb +52 -0
- data/lib/fhir/resources/EnrollmentResponse.rb +52 -0
- data/lib/fhir/resources/EpisodeOfCare.rb +74 -0
- data/lib/fhir/resources/ExpansionProfile.rb +284 -0
- data/lib/fhir/resources/ExplanationOfBenefit.rb +764 -0
- data/lib/fhir/resources/FamilyMemberHistory.rb +110 -0
- data/lib/fhir/resources/Flag.rb +48 -0
- data/lib/fhir/resources/Goal.rb +91 -0
- data/lib/fhir/resources/Group.rb +105 -0
- data/lib/fhir/resources/GuidanceResponse.rb +139 -0
- data/lib/fhir/resources/HealthcareService.rb +122 -0
- data/lib/fhir/resources/ImagingExcerpt.rb +210 -0
- data/lib/fhir/resources/ImagingObjectSelection.rb +136 -0
- data/lib/fhir/resources/ImagingStudy.rb +130 -0
- data/lib/fhir/resources/Immunization.rb +148 -0
- data/lib/fhir/resources/ImmunizationRecommendation.rb +114 -0
- data/lib/fhir/resources/ImplementationGuide.rb +211 -0
- data/lib/fhir/resources/Library.rb +145 -0
- data/lib/fhir/resources/Linkage.rb +56 -0
- data/lib/fhir/resources/List.rb +82 -0
- data/lib/fhir/resources/Location.rb +78 -0
- data/lib/fhir/resources/Measure.rb +160 -0
- data/lib/fhir/resources/MeasureReport.rb +204 -0
- data/lib/fhir/resources/Media.rb +56 -0
- data/lib/fhir/resources/Medication.rb +154 -0
- data/lib/fhir/resources/MedicationAdministration.rb +104 -0
- data/lib/fhir/resources/MedicationDispense.rb +141 -0
- data/lib/fhir/resources/MedicationOrder.rb +172 -0
- data/lib/fhir/resources/MedicationStatement.rb +117 -0
- data/lib/fhir/resources/MessageHeader.rb +124 -0
- data/lib/fhir/resources/ModuleDefinition.rb +249 -0
- data/lib/fhir/resources/NamingSystem.rb +102 -0
- data/lib/fhir/resources/NutritionOrder.rb +211 -0
- data/lib/fhir/resources/Observation.rb +187 -0
- data/lib/fhir/resources/OperationDefinition.rb +153 -0
- data/lib/fhir/resources/OperationOutcome.rb +62 -0
- data/lib/fhir/resources/Order.rb +73 -0
- data/lib/fhir/resources/OrderResponse.rb +46 -0
- data/lib/fhir/resources/OrderSet.rb +38 -0
- data/lib/fhir/resources/Organization.rb +72 -0
- data/lib/fhir/resources/Parameters.rb +117 -0
- data/lib/fhir/resources/Patient.rb +166 -0
- data/lib/fhir/resources/PaymentNotice.rb +71 -0
- data/lib/fhir/resources/PaymentReconciliation.rb +140 -0
- data/lib/fhir/resources/Person.rb +72 -0
- data/lib/fhir/resources/Practitioner.rb +110 -0
- data/lib/fhir/resources/PractitionerRole.rb +102 -0
- data/lib/fhir/resources/Procedure.rb +122 -0
- data/lib/fhir/resources/ProcedureRequest.rb +73 -0
- data/lib/fhir/resources/ProcessRequest.rb +99 -0
- data/lib/fhir/resources/ProcessResponse.rb +92 -0
- data/lib/fhir/resources/Protocol.rb +242 -0
- data/lib/fhir/resources/Provenance.rb +122 -0
- data/lib/fhir/resources/Questionnaire.rb +205 -0
- data/lib/fhir/resources/QuestionnaireResponse.rb +123 -0
- data/lib/fhir/resources/ReferralRequest.rb +68 -0
- data/lib/fhir/resources/RelatedPerson.rb +52 -0
- data/lib/fhir/resources/Resource.rb +24 -0
- data/lib/fhir/resources/RiskAssessment.rb +88 -0
- data/lib/fhir/resources/Schedule.rb +46 -0
- data/lib/fhir/resources/SearchParameter.rb +86 -0
- data/lib/fhir/resources/Sequence.rb +238 -0
- data/lib/fhir/resources/Slot.rb +54 -0
- data/lib/fhir/resources/Specimen.rb +140 -0
- data/lib/fhir/resources/StructureDefinition.rb +164 -0
- data/lib/fhir/resources/StructureMap.rb +297 -0
- data/lib/fhir/resources/Subscription.rb +72 -0
- data/lib/fhir/resources/Substance.rb +86 -0
- data/lib/fhir/resources/SupplyDelivery.rb +54 -0
- data/lib/fhir/resources/SupplyRequest.rb +77 -0
- data/lib/fhir/resources/Task.rb +240 -0
- data/lib/fhir/resources/TestScript.rb +692 -0
- data/lib/fhir/resources/ValueSet.rb +289 -0
- data/lib/fhir/resources/VisionPrescription.rb +97 -0
- data/lib/fhir/types/ActionDefinition.rb +109 -0
- data/lib/fhir/types/Address.rb +36 -0
- data/lib/fhir/types/Annotation.rb +27 -0
- data/lib/fhir/types/Attachment.rb +32 -0
- data/lib/fhir/types/BackboneElement.rb +18 -0
- data/lib/fhir/types/CodeableConcept.rb +20 -0
- data/lib/fhir/types/Coding.rb +26 -0
- data/lib/fhir/types/ContactPoint.rb +26 -0
- data/lib/fhir/types/DataRequirement.rb +78 -0
- data/lib/fhir/types/Element.rb +16 -0
- data/lib/fhir/types/ElementDefinition.rb +605 -0
- data/lib/fhir/types/Extension.rb +87 -0
- data/lib/fhir/types/HumanName.rb +30 -0
- data/lib/fhir/types/Identifier.rb +28 -0
- data/lib/fhir/types/Meta.rb +26 -0
- data/lib/fhir/types/ModuleMetadata.rb +152 -0
- data/lib/fhir/types/Narrative.rb +20 -0
- data/lib/fhir/types/ParameterDefinition.rb +30 -0
- data/lib/fhir/types/Period.rb +20 -0
- data/lib/fhir/types/Quantity.rb +26 -0
- data/lib/fhir/types/Range.rb +20 -0
- data/lib/fhir/types/Ratio.rb +20 -0
- data/lib/fhir/types/Reference.rb +20 -0
- data/lib/fhir/types/SampledData.rb +30 -0
- data/lib/fhir/types/Signature.rb +31 -0
- data/lib/fhir/types/Timing.rb +69 -0
- data/lib/fhir/types/TriggerDefinition.rb +33 -0
- data/lib/fhir_models.rb +2 -2
- data/lib/tasks/tasks.rake +29 -0
- metadata +145 -2
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module FHIR
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class ExplanationOfBenefit < FHIR::Model
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include FHIR::Hashable
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include FHIR::Json
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include FHIR::Xml
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MULTIPLE_TYPES = {
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'claim' => ['Identifier', 'Reference'],
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'claimResponse' => ['Identifier', 'Reference'],
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'provider' => ['Identifier', 'Reference'],
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'organization' => ['Identifier', 'Reference'],
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'facility' => ['Identifier', 'Reference'],
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'prescription' => ['Identifier', 'Reference'],
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'originalPrescription' => ['Identifier', 'Reference'],
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'referral' => ['Identifier', 'Reference'],
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'patient' => ['Identifier', 'Reference'],
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'accidentLocation' => ['Address', 'Reference']
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}
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SEARCH_PARAMS = ["claimindentifier", "claimreference", "created", "disposition", "facilityidentifier", "facilityreference", "identifier", "organizationidentifier", "organizationreference", "patientidentifier", "patientreference", "provideridentifier", "providerreference"]
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METADATA = {
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'id' => {'type'=>'id', 'path'=>'ExplanationOfBenefit.id', 'min'=>0, 'max'=>1},
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'meta' => {'type'=>'Meta', 'path'=>'ExplanationOfBenefit.meta', 'min'=>0, 'max'=>1},
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'implicitRules' => {'type'=>'uri', 'path'=>'ExplanationOfBenefit.implicitRules', 'min'=>0, 'max'=>1},
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'language' => {'type'=>'code', 'path'=>'ExplanationOfBenefit.language', 'min'=>0, 'max'=>1, 'binding'=>{'strength'=>'required', 'uri'=>'http://tools.ietf.org/html/bcp47'}},
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'text' => {'type'=>'Narrative', 'path'=>'ExplanationOfBenefit.text', 'min'=>0, 'max'=>1},
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'contained' => {'type'=>'Resource', 'path'=>'ExplanationOfBenefit.contained', 'min'=>0, 'max'=>Float::INFINITY},
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'extension' => {'type'=>'Extension', 'path'=>'ExplanationOfBenefit.extension', 'min'=>0, 'max'=>Float::INFINITY},
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'modifierExtension' => {'type'=>'Extension', 'path'=>'ExplanationOfBenefit.modifierExtension', 'min'=>0, 'max'=>Float::INFINITY},
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'identifier' => {'type'=>'Identifier', 'path'=>'ExplanationOfBenefit.identifier', 'min'=>0, 'max'=>Float::INFINITY},
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'claimIdentifier' => {'type'=>'Identifier', 'path'=>'ExplanationOfBenefit.claim[x]', 'min'=>0, 'max'=>1},
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'claimReference' => {'type_profiles'=>['http://hl7.org/fhir/StructureDefinition/Claim'], 'type'=>'Reference', 'path'=>'ExplanationOfBenefit.claim[x]', 'min'=>0, 'max'=>1},
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'claimResponseIdentifier' => {'type'=>'Identifier', 'path'=>'ExplanationOfBenefit.claimResponse[x]', 'min'=>0, 'max'=>1},
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'claimResponseReference' => {'type_profiles'=>['http://hl7.org/fhir/StructureDefinition/ClaimResponse'], 'type'=>'Reference', 'path'=>'ExplanationOfBenefit.claimResponse[x]', 'min'=>0, 'max'=>1},
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'subType' => {'valid_codes'=>{'http://hl7.org/fhir/ex-claimsubtype'=>['ortho', 'emergency']}, 'type'=>'Coding', 'path'=>'ExplanationOfBenefit.subType', 'min'=>0, 'max'=>Float::INFINITY, 'binding'=>{'strength'=>'example', 'uri'=>'http://hl7.org/fhir/ValueSet/claim-subtype'}},
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'ruleset' => {'valid_codes'=>{'http://hl7.org/fhir/ruleset'=>['x12-4010', 'x12-5010', 'x12-7010', 'cdanet-v2', 'cdanet-v4', 'cpha-3']}, 'type'=>'Coding', 'path'=>'ExplanationOfBenefit.ruleset', 'min'=>0, 'max'=>1, 'binding'=>{'strength'=>'example', 'uri'=>'http://hl7.org/fhir/ValueSet/ruleset'}},
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'originalRuleset' => {'valid_codes'=>{'http://hl7.org/fhir/ruleset'=>['x12-4010', 'x12-5010', 'x12-7010', 'cdanet-v2', 'cdanet-v4', 'cpha-3']}, 'type'=>'Coding', 'path'=>'ExplanationOfBenefit.originalRuleset', 'min'=>0, 'max'=>1, 'binding'=>{'strength'=>'example', 'uri'=>'http://hl7.org/fhir/ValueSet/ruleset'}},
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'created' => {'type'=>'dateTime', 'path'=>'ExplanationOfBenefit.created', 'min'=>0, 'max'=>1},
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'billablePeriod' => {'type'=>'Period', 'path'=>'ExplanationOfBenefit.billablePeriod', 'min'=>0, 'max'=>1},
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'disposition' => {'type'=>'string', 'path'=>'ExplanationOfBenefit.disposition', 'min'=>0, 'max'=>1},
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'providerIdentifier' => {'type'=>'Identifier', 'path'=>'ExplanationOfBenefit.provider[x]', 'min'=>0, 'max'=>1},
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'providerReference' => {'type_profiles'=>['http://hl7.org/fhir/StructureDefinition/Practitioner'], 'type'=>'Reference', 'path'=>'ExplanationOfBenefit.provider[x]', 'min'=>0, 'max'=>1},
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'organizationIdentifier' => {'type'=>'Identifier', 'path'=>'ExplanationOfBenefit.organization[x]', 'min'=>0, 'max'=>1},
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'organizationReference' => {'type_profiles'=>['http://hl7.org/fhir/StructureDefinition/Organization'], 'type'=>'Reference', 'path'=>'ExplanationOfBenefit.organization[x]', 'min'=>0, 'max'=>1},
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'facilityIdentifier' => {'type'=>'Identifier', 'path'=>'ExplanationOfBenefit.facility[x]', 'min'=>0, 'max'=>1},
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'facilityReference' => {'type_profiles'=>['http://hl7.org/fhir/StructureDefinition/Location'], 'type'=>'Reference', 'path'=>'ExplanationOfBenefit.facility[x]', 'min'=>0, 'max'=>1},
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'related' => {'type'=>'ExplanationOfBenefit::Related', 'path'=>'ExplanationOfBenefit.related', 'min'=>0, 'max'=>Float::INFINITY},
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'prescriptionIdentifier' => {'type'=>'Identifier', 'path'=>'ExplanationOfBenefit.prescription[x]', 'min'=>0, 'max'=>1},
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'prescriptionReference' => {'type_profiles'=>['http://hl7.org/fhir/StructureDefinition/MedicationOrder', 'http://hl7.org/fhir/StructureDefinition/VisionPrescription'], 'type'=>'Reference', 'path'=>'ExplanationOfBenefit.prescription[x]', 'min'=>0, 'max'=>1},
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'originalPrescriptionIdentifier' => {'type'=>'Identifier', 'path'=>'ExplanationOfBenefit.originalPrescription[x]', 'min'=>0, 'max'=>1},
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'originalPrescriptionReference' => {'type_profiles'=>['http://hl7.org/fhir/StructureDefinition/MedicationOrder'], 'type'=>'Reference', 'path'=>'ExplanationOfBenefit.originalPrescription[x]', 'min'=>0, 'max'=>1},
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'payee' => {'type'=>'ExplanationOfBenefit::Payee', 'path'=>'ExplanationOfBenefit.payee', 'min'=>0, 'max'=>1},
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'referralIdentifier' => {'type'=>'Identifier', 'path'=>'ExplanationOfBenefit.referral[x]', 'min'=>0, 'max'=>1},
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'referralReference' => {'type_profiles'=>['http://hl7.org/fhir/StructureDefinition/ReferralRequest'], 'type'=>'Reference', 'path'=>'ExplanationOfBenefit.referral[x]', 'min'=>0, 'max'=>1},
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'occurrenceCode' => {'valid_codes'=>{'http://hl7.org/fhir/ex-claimoccurrance'=>['1001', '1002']}, 'type'=>'Coding', 'path'=>'ExplanationOfBenefit.occurrenceCode', 'min'=>0, 'max'=>Float::INFINITY, 'binding'=>{'strength'=>'example', 'uri'=>'http://hl7.org/fhir/ValueSet/occurrence-codes'}},
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'occurenceSpanCode' => {'valid_codes'=>{'http://hl7.org/fhir/ex-claimoccurrancespan'=>['1001', '1002']}, 'type'=>'Coding', 'path'=>'ExplanationOfBenefit.occurenceSpanCode', 'min'=>0, 'max'=>Float::INFINITY, 'binding'=>{'strength'=>'example', 'uri'=>'http://hl7.org/fhir/ValueSet/occurrence-span-codes'}},
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'valueCode' => {'valid_codes'=>{'http://hl7.org/fhir/ex-claimvalue'=>['1001', '1002']}, 'type'=>'Coding', 'path'=>'ExplanationOfBenefit.valueCode', 'min'=>0, 'max'=>Float::INFINITY, 'binding'=>{'strength'=>'example', 'uri'=>'http://hl7.org/fhir/ValueSet/value-codes'}},
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'diagnosis' => {'type'=>'ExplanationOfBenefit::Diagnosis', 'path'=>'ExplanationOfBenefit.diagnosis', 'min'=>0, 'max'=>Float::INFINITY},
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'procedure' => {'type'=>'ExplanationOfBenefit::Procedure', 'path'=>'ExplanationOfBenefit.procedure', 'min'=>0, 'max'=>Float::INFINITY},
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'specialCondition' => {'valid_codes'=>{'http://hl7.org/fhir/fm-conditions'=>['123987']}, 'type'=>'Coding', 'path'=>'ExplanationOfBenefit.specialCondition', 'min'=>0, 'max'=>Float::INFINITY, 'binding'=>{'strength'=>'example', 'uri'=>'http://hl7.org/fhir/ValueSet/fm-conditions'}},
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'patientIdentifier' => {'type'=>'Identifier', 'path'=>'ExplanationOfBenefit.patient[x]', 'min'=>1, 'max'=>1},
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'patientReference' => {'type_profiles'=>['http://hl7.org/fhir/StructureDefinition/Patient'], 'type'=>'Reference', 'path'=>'ExplanationOfBenefit.patient[x]', 'min'=>1, 'max'=>1},
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'precedence' => {'type'=>'positiveInt', 'path'=>'ExplanationOfBenefit.precedence', 'min'=>0, 'max'=>1},
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'coverage' => {'type'=>'ExplanationOfBenefit::Coverage', 'path'=>'ExplanationOfBenefit.coverage', 'min'=>1, 'max'=>1},
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'accidentDate' => {'type'=>'date', 'path'=>'ExplanationOfBenefit.accidentDate', 'min'=>0, 'max'=>1},
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'accidentType' => {'valid_codes'=>{'http://hl7.org/fhir/v3/ActCode'=>['MVA', 'SCHOOL', 'SPT', 'WPA']}, 'type'=>'Coding', 'path'=>'ExplanationOfBenefit.accidentType', 'min'=>0, 'max'=>1, 'binding'=>{'strength'=>'required', 'uri'=>'http://hl7.org/fhir/ValueSet/v3-ActIncidentCode'}},
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'accidentLocationAddress' => {'type'=>'Address', 'path'=>'ExplanationOfBenefit.accidentLocation[x]', 'min'=>0, 'max'=>1},
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'accidentLocationReference' => {'type_profiles'=>['http://hl7.org/fhir/StructureDefinition/Location'], 'type'=>'Reference', 'path'=>'ExplanationOfBenefit.accidentLocation[x]', 'min'=>0, 'max'=>1},
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'interventionException' => {'valid_codes'=>{'http://hl7.org/fhir/intervention'=>['unknown', 'other']}, 'type'=>'Coding', 'path'=>'ExplanationOfBenefit.interventionException', 'min'=>0, 'max'=>Float::INFINITY, 'binding'=>{'strength'=>'example', 'uri'=>'http://hl7.org/fhir/ValueSet/intervention'}},
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'onset' => {'type'=>'ExplanationOfBenefit::Onset', 'path'=>'ExplanationOfBenefit.onset', 'min'=>0, 'max'=>Float::INFINITY},
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'employmentImpacted' => {'type'=>'Period', 'path'=>'ExplanationOfBenefit.employmentImpacted', 'min'=>0, 'max'=>1},
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'hospitalization' => {'type'=>'Period', 'path'=>'ExplanationOfBenefit.hospitalization', 'min'=>0, 'max'=>1},
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'item' => {'type'=>'ExplanationOfBenefit::Item', 'path'=>'ExplanationOfBenefit.item', 'min'=>0, 'max'=>Float::INFINITY},
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'addItem' => {'type'=>'ExplanationOfBenefit::Additem', 'path'=>'ExplanationOfBenefit.addItem', 'min'=>0, 'max'=>Float::INFINITY},
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'missingTeeth' => {'type'=>'ExplanationOfBenefit::Missingteeth', 'path'=>'ExplanationOfBenefit.missingTeeth', 'min'=>0, 'max'=>Float::INFINITY},
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'totalCost' => {'type'=>'Quantity', 'path'=>'ExplanationOfBenefit.totalCost', 'min'=>0, 'max'=>1},
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'unallocDeductable' => {'type'=>'Quantity', 'path'=>'ExplanationOfBenefit.unallocDeductable', 'min'=>0, 'max'=>1},
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'totalBenefit' => {'type'=>'Quantity', 'path'=>'ExplanationOfBenefit.totalBenefit', 'min'=>0, 'max'=>1},
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'paymentAdjustment' => {'type'=>'Quantity', 'path'=>'ExplanationOfBenefit.paymentAdjustment', 'min'=>0, 'max'=>1},
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'paymentAdjustmentReason' => {'valid_codes'=>{'http://hl7.org/fhir/payment-adjustment-reason'=>['a001', 'a002']}, 'type'=>'Coding', 'path'=>'ExplanationOfBenefit.paymentAdjustmentReason', 'min'=>0, 'max'=>1, 'binding'=>{'strength'=>'extensible', 'uri'=>'http://hl7.org/fhir/ValueSet/payment-adjustment-reason'}},
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'paymentDate' => {'type'=>'date', 'path'=>'ExplanationOfBenefit.paymentDate', 'min'=>0, 'max'=>1},
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'paymentAmount' => {'type'=>'Quantity', 'path'=>'ExplanationOfBenefit.paymentAmount', 'min'=>0, 'max'=>1},
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'paymentRef' => {'type'=>'Identifier', 'path'=>'ExplanationOfBenefit.paymentRef', 'min'=>0, 'max'=>1},
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'reserved' => {'valid_codes'=>{'http://hl7.org/fhir/fundsreserve'=>['patient', 'provider', 'none']}, 'type'=>'Coding', 'path'=>'ExplanationOfBenefit.reserved', 'min'=>0, 'max'=>1, 'binding'=>{'strength'=>'example', 'uri'=>'http://hl7.org/fhir/ValueSet/fundsreserve'}},
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'form' => {'valid_codes'=>{'http://hl7.org/fhir/forms-codes'=>['1', '2']}, 'type'=>'Coding', 'path'=>'ExplanationOfBenefit.form', 'min'=>0, 'max'=>1, 'binding'=>{'strength'=>'required', 'uri'=>'http://hl7.org/fhir/ValueSet/forms'}},
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'note' => {'type'=>'ExplanationOfBenefit::Note', 'path'=>'ExplanationOfBenefit.note', 'min'=>0, 'max'=>Float::INFINITY},
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'benefitBalance' => {'type'=>'ExplanationOfBenefit::Benefitbalance', 'path'=>'ExplanationOfBenefit.benefitBalance', 'min'=>0, 'max'=>Float::INFINITY}
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}
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|
+
class Related < FHIR::Model
|
90
|
+
include FHIR::Hashable
|
91
|
+
include FHIR::Json
|
92
|
+
include FHIR::Xml
|
93
|
+
|
94
|
+
MULTIPLE_TYPES = {
|
95
|
+
'claim' => ['Identifier', 'Reference']
|
96
|
+
}
|
97
|
+
METADATA = {
|
98
|
+
'id' => {'type'=>'id', 'path'=>'Related.id', 'min'=>0, 'max'=>1},
|
99
|
+
'extension' => {'type'=>'Extension', 'path'=>'Related.extension', 'min'=>0, 'max'=>Float::INFINITY},
|
100
|
+
'modifierExtension' => {'type'=>'Extension', 'path'=>'Related.modifierExtension', 'min'=>0, 'max'=>Float::INFINITY},
|
101
|
+
'claimIdentifier' => {'type'=>'Identifier', 'path'=>'Related.claim[x]', 'min'=>0, 'max'=>1},
|
102
|
+
'claimReference' => {'type_profiles'=>['http://hl7.org/fhir/StructureDefinition/Claim'], 'type'=>'Reference', 'path'=>'Related.claim[x]', 'min'=>0, 'max'=>1},
|
103
|
+
'relationship' => {'valid_codes'=>{'http://hl7.org/fhir/ex-relatedclaimrelationship'=>['prior', 'associated']}, 'type'=>'Coding', 'path'=>'Related.relationship', 'min'=>0, 'max'=>1, 'binding'=>{'strength'=>'example', 'uri'=>'http://hl7.org/fhir/ValueSet/related-claim-relationship'}},
|
104
|
+
'reference' => {'type'=>'Identifier', 'path'=>'Related.reference', 'min'=>0, 'max'=>1}
|
105
|
+
}
|
106
|
+
|
107
|
+
attr_accessor :id # 0-1 id
|
108
|
+
attr_accessor :extension # 0-* [ Extension ]
|
109
|
+
attr_accessor :modifierExtension # 0-* [ Extension ]
|
110
|
+
attr_accessor :claimIdentifier # 0-1 Identifier
|
111
|
+
attr_accessor :claimReference # 0-1 Reference(Claim)
|
112
|
+
attr_accessor :relationship # 0-1 Coding
|
113
|
+
attr_accessor :reference # 0-1 Identifier
|
114
|
+
end
|
115
|
+
|
116
|
+
class Payee < FHIR::Model
|
117
|
+
include FHIR::Hashable
|
118
|
+
include FHIR::Json
|
119
|
+
include FHIR::Xml
|
120
|
+
|
121
|
+
MULTIPLE_TYPES = {
|
122
|
+
'party' => ['Identifier', 'Reference']
|
123
|
+
}
|
124
|
+
METADATA = {
|
125
|
+
'id' => {'type'=>'id', 'path'=>'Payee.id', 'min'=>0, 'max'=>1},
|
126
|
+
'extension' => {'type'=>'Extension', 'path'=>'Payee.extension', 'min'=>0, 'max'=>Float::INFINITY},
|
127
|
+
'modifierExtension' => {'type'=>'Extension', 'path'=>'Payee.modifierExtension', 'min'=>0, 'max'=>Float::INFINITY},
|
128
|
+
'type' => {'valid_codes'=>{'http://hl7.org/fhir/payeetype'=>['subscriber', 'provider', 'other']}, 'type'=>'Coding', 'path'=>'Payee.type', 'min'=>0, 'max'=>1, 'binding'=>{'strength'=>'example', 'uri'=>'http://hl7.org/fhir/ValueSet/payeetype'}},
|
129
|
+
'partyIdentifier' => {'type'=>'Identifier', 'path'=>'Payee.party[x]', 'min'=>0, 'max'=>1},
|
130
|
+
'partyReference' => {'type_profiles'=>['http://hl7.org/fhir/StructureDefinition/Practitioner', 'http://hl7.org/fhir/StructureDefinition/Organization', 'http://hl7.org/fhir/StructureDefinition/Patient', 'http://hl7.org/fhir/StructureDefinition/RelatedPerson'], 'type'=>'Reference', 'path'=>'Payee.party[x]', 'min'=>0, 'max'=>1}
|
131
|
+
}
|
132
|
+
|
133
|
+
attr_accessor :id # 0-1 id
|
134
|
+
attr_accessor :extension # 0-* [ Extension ]
|
135
|
+
attr_accessor :modifierExtension # 0-* [ Extension ]
|
136
|
+
attr_accessor :type # 0-1 Coding
|
137
|
+
attr_accessor :partyIdentifier # 0-1 Identifier
|
138
|
+
attr_accessor :partyReference # 0-1 Reference(Practitioner|Organization|Patient|RelatedPerson)
|
139
|
+
end
|
140
|
+
|
141
|
+
class Diagnosis < FHIR::Model
|
142
|
+
include FHIR::Hashable
|
143
|
+
include FHIR::Json
|
144
|
+
include FHIR::Xml
|
145
|
+
|
146
|
+
METADATA = {
|
147
|
+
'id' => {'type'=>'id', 'path'=>'Diagnosis.id', 'min'=>0, 'max'=>1},
|
148
|
+
'extension' => {'type'=>'Extension', 'path'=>'Diagnosis.extension', 'min'=>0, 'max'=>Float::INFINITY},
|
149
|
+
'modifierExtension' => {'type'=>'Extension', 'path'=>'Diagnosis.modifierExtension', 'min'=>0, 'max'=>Float::INFINITY},
|
150
|
+
'sequence' => {'type'=>'positiveInt', 'path'=>'Diagnosis.sequence', 'min'=>1, 'max'=>1},
|
151
|
+
'diagnosis' => {'type'=>'Coding', 'path'=>'Diagnosis.diagnosis', 'min'=>1, 'max'=>1, 'binding'=>{'strength'=>'example', 'uri'=>'http://hl7.org/fhir/ValueSet/icd-10'}}
|
152
|
+
}
|
153
|
+
|
154
|
+
attr_accessor :id # 0-1 id
|
155
|
+
attr_accessor :extension # 0-* [ Extension ]
|
156
|
+
attr_accessor :modifierExtension # 0-* [ Extension ]
|
157
|
+
attr_accessor :sequence # 1-1 positiveInt
|
158
|
+
attr_accessor :diagnosis # 1-1 Coding
|
159
|
+
end
|
160
|
+
|
161
|
+
class Procedure < FHIR::Model
|
162
|
+
include FHIR::Hashable
|
163
|
+
include FHIR::Json
|
164
|
+
include FHIR::Xml
|
165
|
+
|
166
|
+
MULTIPLE_TYPES = {
|
167
|
+
'procedure' => ['Coding', 'Reference']
|
168
|
+
}
|
169
|
+
METADATA = {
|
170
|
+
'id' => {'type'=>'id', 'path'=>'Procedure.id', 'min'=>0, 'max'=>1},
|
171
|
+
'extension' => {'type'=>'Extension', 'path'=>'Procedure.extension', 'min'=>0, 'max'=>Float::INFINITY},
|
172
|
+
'modifierExtension' => {'type'=>'Extension', 'path'=>'Procedure.modifierExtension', 'min'=>0, 'max'=>Float::INFINITY},
|
173
|
+
'sequence' => {'type'=>'positiveInt', 'path'=>'Procedure.sequence', 'min'=>1, 'max'=>1},
|
174
|
+
'date' => {'type'=>'dateTime', 'path'=>'Procedure.date', 'min'=>0, 'max'=>1},
|
175
|
+
'procedureCoding' => {'valid_codes'=>{'http://hl7.org/fhir/sid/ex-icd-10-procedures'=>['123001', '123002', '123003']}, 'type'=>'Coding', 'path'=>'Procedure.procedure[x]', 'min'=>1, 'max'=>1, 'binding'=>{'strength'=>'example', 'uri'=>'http://hl7.org/fhir/ValueSet/icd-10-procedures'}},
|
176
|
+
'procedureReference' => {'type_profiles'=>['http://hl7.org/fhir/StructureDefinition/Procedure'], 'type'=>'Reference', 'path'=>'Procedure.procedure[x]', 'min'=>1, 'max'=>1}
|
177
|
+
}
|
178
|
+
|
179
|
+
attr_accessor :id # 0-1 id
|
180
|
+
attr_accessor :extension # 0-* [ Extension ]
|
181
|
+
attr_accessor :modifierExtension # 0-* [ Extension ]
|
182
|
+
attr_accessor :sequence # 1-1 positiveInt
|
183
|
+
attr_accessor :date # 0-1 dateTime
|
184
|
+
attr_accessor :procedureCoding # 1-1 Coding
|
185
|
+
attr_accessor :procedureReference # 1-1 Reference(Procedure)
|
186
|
+
end
|
187
|
+
|
188
|
+
class Coverage < FHIR::Model
|
189
|
+
include FHIR::Hashable
|
190
|
+
include FHIR::Json
|
191
|
+
include FHIR::Xml
|
192
|
+
|
193
|
+
MULTIPLE_TYPES = {
|
194
|
+
'coverage' => ['Identifier', 'Reference']
|
195
|
+
}
|
196
|
+
METADATA = {
|
197
|
+
'id' => {'type'=>'id', 'path'=>'Coverage.id', 'min'=>0, 'max'=>1},
|
198
|
+
'extension' => {'type'=>'Extension', 'path'=>'Coverage.extension', 'min'=>0, 'max'=>Float::INFINITY},
|
199
|
+
'modifierExtension' => {'type'=>'Extension', 'path'=>'Coverage.modifierExtension', 'min'=>0, 'max'=>Float::INFINITY},
|
200
|
+
'coverageIdentifier' => {'type'=>'Identifier', 'path'=>'Coverage.coverage[x]', 'min'=>1, 'max'=>1},
|
201
|
+
'coverageReference' => {'type_profiles'=>['http://hl7.org/fhir/StructureDefinition/Coverage'], 'type'=>'Reference', 'path'=>'Coverage.coverage[x]', 'min'=>1, 'max'=>1},
|
202
|
+
'preAuthRef' => {'type'=>'string', 'path'=>'Coverage.preAuthRef', 'min'=>0, 'max'=>Float::INFINITY}
|
203
|
+
}
|
204
|
+
|
205
|
+
attr_accessor :id # 0-1 id
|
206
|
+
attr_accessor :extension # 0-* [ Extension ]
|
207
|
+
attr_accessor :modifierExtension # 0-* [ Extension ]
|
208
|
+
attr_accessor :coverageIdentifier # 1-1 Identifier
|
209
|
+
attr_accessor :coverageReference # 1-1 Reference(Coverage)
|
210
|
+
attr_accessor :preAuthRef # 0-* [ string ]
|
211
|
+
end
|
212
|
+
|
213
|
+
class Onset < FHIR::Model
|
214
|
+
include FHIR::Hashable
|
215
|
+
include FHIR::Json
|
216
|
+
include FHIR::Xml
|
217
|
+
|
218
|
+
MULTIPLE_TYPES = {
|
219
|
+
'time' => ['date', 'Period']
|
220
|
+
}
|
221
|
+
METADATA = {
|
222
|
+
'id' => {'type'=>'id', 'path'=>'Onset.id', 'min'=>0, 'max'=>1},
|
223
|
+
'extension' => {'type'=>'Extension', 'path'=>'Onset.extension', 'min'=>0, 'max'=>Float::INFINITY},
|
224
|
+
'modifierExtension' => {'type'=>'Extension', 'path'=>'Onset.modifierExtension', 'min'=>0, 'max'=>Float::INFINITY},
|
225
|
+
'timeDate' => {'type'=>'date', 'path'=>'Onset.time[x]', 'min'=>0, 'max'=>1},
|
226
|
+
'timePeriod' => {'type'=>'Period', 'path'=>'Onset.time[x]', 'min'=>0, 'max'=>1},
|
227
|
+
'type' => {'valid_codes'=>{'http://hl7.org/fhir/ex-onsettype'=>['LXM', 'SYM', 'LMN']}, 'type'=>'Coding', 'path'=>'Onset.type', 'min'=>0, 'max'=>1, 'binding'=>{'strength'=>'example', 'uri'=>'http://hl7.org/fhir/ValueSet/ex-onsettype'}}
|
228
|
+
}
|
229
|
+
|
230
|
+
attr_accessor :id # 0-1 id
|
231
|
+
attr_accessor :extension # 0-* [ Extension ]
|
232
|
+
attr_accessor :modifierExtension # 0-* [ Extension ]
|
233
|
+
attr_accessor :timeDate # 0-1 date
|
234
|
+
attr_accessor :timePeriod # 0-1 Period
|
235
|
+
attr_accessor :type # 0-1 Coding
|
236
|
+
end
|
237
|
+
|
238
|
+
class Item < FHIR::Model
|
239
|
+
include FHIR::Hashable
|
240
|
+
include FHIR::Json
|
241
|
+
include FHIR::Xml
|
242
|
+
|
243
|
+
MULTIPLE_TYPES = {
|
244
|
+
'provider' => ['Identifier', 'Reference'],
|
245
|
+
'supervisor' => ['Identifier', 'Reference'],
|
246
|
+
'serviced' => ['date', 'Period']
|
247
|
+
}
|
248
|
+
METADATA = {
|
249
|
+
'id' => {'type'=>'id', 'path'=>'Item.id', 'min'=>0, 'max'=>1},
|
250
|
+
'extension' => {'type'=>'Extension', 'path'=>'Item.extension', 'min'=>0, 'max'=>Float::INFINITY},
|
251
|
+
'modifierExtension' => {'type'=>'Extension', 'path'=>'Item.modifierExtension', 'min'=>0, 'max'=>Float::INFINITY},
|
252
|
+
'sequence' => {'type'=>'positiveInt', 'path'=>'Item.sequence', 'min'=>1, 'max'=>1},
|
253
|
+
'type' => {'valid_codes'=>{'http://hl7.org/fhir/v3/ActCode'=>['_ActInvoiceInterGroupCode', 'CPNDDRGING', 'CPNDINDING', 'CPNDSUPING', 'DRUGING', 'FRAMEING', 'LENSING', 'PRDING', '_ActInvoiceRootGroupCode', 'CPINV', 'CSINV', 'CSPINV', 'FININV', 'OHSINV', 'PAINV', 'RXCINV', 'RXDINV', 'SBFINV', 'VRXINV']}, 'type'=>'Coding', 'path'=>'Item.type', 'min'=>1, 'max'=>1, 'binding'=>{'strength'=>'required', 'uri'=>'http://hl7.org/fhir/ValueSet/v3-ActInvoiceGroupCode'}},
|
254
|
+
'providerIdentifier' => {'type'=>'Identifier', 'path'=>'Item.provider[x]', 'min'=>0, 'max'=>1},
|
255
|
+
'providerReference' => {'type_profiles'=>['http://hl7.org/fhir/StructureDefinition/Practitioner'], 'type'=>'Reference', 'path'=>'Item.provider[x]', 'min'=>0, 'max'=>1},
|
256
|
+
'supervisorIdentifier' => {'type'=>'Identifier', 'path'=>'Item.supervisor[x]', 'min'=>0, 'max'=>1},
|
257
|
+
'supervisorReference' => {'type_profiles'=>['http://hl7.org/fhir/StructureDefinition/Practitioner'], 'type'=>'Reference', 'path'=>'Item.supervisor[x]', 'min'=>0, 'max'=>1},
|
258
|
+
'providerQualification' => {'valid_codes'=>{'http://hl7.org/fhir/ex-providerqualification'=>['311405', '604215', '604210']}, 'type'=>'Coding', 'path'=>'Item.providerQualification', 'min'=>0, 'max'=>1, 'binding'=>{'strength'=>'example', 'uri'=>'http://hl7.org/fhir/ValueSet/provider-qualification'}},
|
259
|
+
'diagnosisLinkId' => {'type'=>'positiveInt', 'path'=>'Item.diagnosisLinkId', 'min'=>0, 'max'=>Float::INFINITY},
|
260
|
+
'service' => {'valid_codes'=>{'http://hl7.org/fhir/ex-USCLS'=>['1101', '1102', '1103', '1201', '1205', '2101', '2102', '2141', '2601', '11101', '11102', '11103', '11104', '21211', '21212', '27211', '99111', '99333', '99555']}, 'type'=>'Coding', 'path'=>'Item.service', 'min'=>1, 'max'=>1, 'binding'=>{'strength'=>'example', 'uri'=>'http://hl7.org/fhir/ValueSet/service-uscls'}},
|
261
|
+
'serviceModifier' => {'valid_codes'=>{'http://hl7.org/fhir/ex-servicemodifier'=>['SR', 'AH']}, 'type'=>'Coding', 'path'=>'Item.serviceModifier', 'min'=>0, 'max'=>Float::INFINITY, 'binding'=>{'strength'=>'example', 'uri'=>'http://hl7.org/fhir/ValueSet/service-modifiers'}},
|
262
|
+
'modifier' => {'valid_codes'=>{'http://hl7.org/fhir/modifiers'=>['A', 'B', 'C', 'E', 'X']}, 'type'=>'Coding', 'path'=>'Item.modifier', 'min'=>0, 'max'=>Float::INFINITY, 'binding'=>{'strength'=>'example', 'uri'=>'http://hl7.org/fhir/ValueSet/claim-modifiers'}},
|
263
|
+
'programCode' => {'valid_codes'=>{'http://hl7.org/fhir/ex-programcode'=>['AS', 'HD', 'AUSCR']}, 'type'=>'Coding', 'path'=>'Item.programCode', 'min'=>0, 'max'=>Float::INFINITY, 'binding'=>{'strength'=>'example', 'uri'=>'http://hl7.org/fhir/ValueSet/ex-program-code'}},
|
264
|
+
'servicedDate' => {'type'=>'date', 'path'=>'Item.serviced[x]', 'min'=>0, 'max'=>1},
|
265
|
+
'servicedPeriod' => {'type'=>'Period', 'path'=>'Item.serviced[x]', 'min'=>0, 'max'=>1},
|
266
|
+
'place' => {'valid_codes'=>{'http://hl7.org/fhir/ex-serviceplace'=>['emergency', 'clinic']}, 'type'=>'Coding', 'path'=>'Item.place', 'min'=>0, 'max'=>1, 'binding'=>{'strength'=>'example', 'uri'=>'http://hl7.org/fhir/ValueSet/service-place'}},
|
267
|
+
'quantity' => {'type'=>'Quantity', 'path'=>'Item.quantity', 'min'=>0, 'max'=>1},
|
268
|
+
'unitPrice' => {'type'=>'Quantity', 'path'=>'Item.unitPrice', 'min'=>0, 'max'=>1},
|
269
|
+
'factor' => {'type'=>'decimal', 'path'=>'Item.factor', 'min'=>0, 'max'=>1},
|
270
|
+
'points' => {'type'=>'decimal', 'path'=>'Item.points', 'min'=>0, 'max'=>1},
|
271
|
+
'net' => {'type'=>'Quantity', 'path'=>'Item.net', 'min'=>0, 'max'=>1},
|
272
|
+
'udi' => {'type_profiles'=>['http://hl7.org/fhir/StructureDefinition/Device'], 'type'=>'Reference', 'path'=>'Item.udi', 'min'=>0, 'max'=>Float::INFINITY},
|
273
|
+
'bodySite' => {'valid_codes'=>{'http://hl7.org/fhir/ex-tooth'=>['0', '1', '2', '3', '4', '5', '6', '7', '8', '11', '12', '13', '14', '15', '16', '17', '18', '21', '22', '23', '24', '25', '26', '27', '28', '31', '32', '33', '34', '35', '36', '37', '38', '41', '42', '43', '44', '45', '46', '47', '48']}, 'type'=>'Coding', 'path'=>'Item.bodySite', 'min'=>0, 'max'=>1, 'binding'=>{'strength'=>'example', 'uri'=>'http://hl7.org/fhir/ValueSet/tooth'}},
|
274
|
+
'subSite' => {'valid_codes'=>{'http://hl7.org/fhir/FDI-surface'=>['M', 'O', 'I', 'D', 'B', 'V', 'L', 'MO', 'DO', 'DI', 'MOD']}, 'type'=>'Coding', 'path'=>'Item.subSite', 'min'=>0, 'max'=>Float::INFINITY, 'binding'=>{'strength'=>'example', 'uri'=>'http://hl7.org/fhir/ValueSet/surface'}},
|
275
|
+
'noteNumber' => {'type'=>'positiveInt', 'path'=>'Item.noteNumber', 'min'=>0, 'max'=>Float::INFINITY},
|
276
|
+
'adjudication' => {'type'=>'ExplanationOfBenefit::Item::Adjudication', 'path'=>'Item.adjudication', 'min'=>0, 'max'=>Float::INFINITY},
|
277
|
+
'detail' => {'type'=>'ExplanationOfBenefit::Item::Detail', 'path'=>'Item.detail', 'min'=>0, 'max'=>Float::INFINITY},
|
278
|
+
'prosthesis' => {'type'=>'ExplanationOfBenefit::Item::Prosthesis', 'path'=>'Item.prosthesis', 'min'=>0, 'max'=>1}
|
279
|
+
}
|
280
|
+
|
281
|
+
class Adjudication < FHIR::Model
|
282
|
+
include FHIR::Hashable
|
283
|
+
include FHIR::Json
|
284
|
+
include FHIR::Xml
|
285
|
+
|
286
|
+
METADATA = {
|
287
|
+
'id' => {'type'=>'id', 'path'=>'Adjudication.id', 'min'=>0, 'max'=>1},
|
288
|
+
'extension' => {'type'=>'Extension', 'path'=>'Adjudication.extension', 'min'=>0, 'max'=>Float::INFINITY},
|
289
|
+
'modifierExtension' => {'type'=>'Extension', 'path'=>'Adjudication.modifierExtension', 'min'=>0, 'max'=>Float::INFINITY},
|
290
|
+
'category' => {'valid_codes'=>{'http://hl7.org/fhir/adjudication'=>['total', 'copay', 'eligible', 'deductible', 'eligpercent', 'tax', 'benefit']}, 'type'=>'Coding', 'path'=>'Adjudication.category', 'min'=>1, 'max'=>1, 'binding'=>{'strength'=>'extensible', 'uri'=>'http://hl7.org/fhir/ValueSet/adjudication'}},
|
291
|
+
'reason' => {'valid_codes'=>{'http://hl7.org/fhir/adjudication-reason'=>['ar001', 'ar002']}, 'type'=>'Coding', 'path'=>'Adjudication.reason', 'min'=>0, 'max'=>1, 'binding'=>{'strength'=>'extensible', 'uri'=>'http://hl7.org/fhir/ValueSet/adjudication-reason'}},
|
292
|
+
'amount' => {'type'=>'Quantity', 'path'=>'Adjudication.amount', 'min'=>0, 'max'=>1},
|
293
|
+
'value' => {'type'=>'decimal', 'path'=>'Adjudication.value', 'min'=>0, 'max'=>1}
|
294
|
+
}
|
295
|
+
|
296
|
+
attr_accessor :id # 0-1 id
|
297
|
+
attr_accessor :extension # 0-* [ Extension ]
|
298
|
+
attr_accessor :modifierExtension # 0-* [ Extension ]
|
299
|
+
attr_accessor :category # 1-1 Coding
|
300
|
+
attr_accessor :reason # 0-1 Coding
|
301
|
+
attr_accessor :amount # 0-1 Quantity
|
302
|
+
attr_accessor :value # 0-1 decimal
|
303
|
+
end
|
304
|
+
|
305
|
+
class Detail < FHIR::Model
|
306
|
+
include FHIR::Hashable
|
307
|
+
include FHIR::Json
|
308
|
+
include FHIR::Xml
|
309
|
+
|
310
|
+
METADATA = {
|
311
|
+
'id' => {'type'=>'id', 'path'=>'Detail.id', 'min'=>0, 'max'=>1},
|
312
|
+
'extension' => {'type'=>'Extension', 'path'=>'Detail.extension', 'min'=>0, 'max'=>Float::INFINITY},
|
313
|
+
'modifierExtension' => {'type'=>'Extension', 'path'=>'Detail.modifierExtension', 'min'=>0, 'max'=>Float::INFINITY},
|
314
|
+
'sequence' => {'type'=>'positiveInt', 'path'=>'Detail.sequence', 'min'=>1, 'max'=>1},
|
315
|
+
'type' => {'valid_codes'=>{'http://hl7.org/fhir/v3/ActCode'=>['_ActInvoiceInterGroupCode', 'CPNDDRGING', 'CPNDINDING', 'CPNDSUPING', 'DRUGING', 'FRAMEING', 'LENSING', 'PRDING', '_ActInvoiceRootGroupCode', 'CPINV', 'CSINV', 'CSPINV', 'FININV', 'OHSINV', 'PAINV', 'RXCINV', 'RXDINV', 'SBFINV', 'VRXINV']}, 'type'=>'Coding', 'path'=>'Detail.type', 'min'=>1, 'max'=>1, 'binding'=>{'strength'=>'required', 'uri'=>'http://hl7.org/fhir/ValueSet/v3-ActInvoiceGroupCode'}},
|
316
|
+
'service' => {'valid_codes'=>{'http://hl7.org/fhir/ex-USCLS'=>['1101', '1102', '1103', '1201', '1205', '2101', '2102', '2141', '2601', '11101', '11102', '11103', '11104', '21211', '21212', '27211', '99111', '99333', '99555']}, 'type'=>'Coding', 'path'=>'Detail.service', 'min'=>1, 'max'=>1, 'binding'=>{'strength'=>'example', 'uri'=>'http://hl7.org/fhir/ValueSet/service-uscls'}},
|
317
|
+
'programCode' => {'valid_codes'=>{'http://hl7.org/fhir/ex-programcode'=>['AS', 'HD', 'AUSCR']}, 'type'=>'Coding', 'path'=>'Detail.programCode', 'min'=>0, 'max'=>Float::INFINITY, 'binding'=>{'strength'=>'example', 'uri'=>'http://hl7.org/fhir/ValueSet/ex-program-code'}},
|
318
|
+
'quantity' => {'type'=>'Quantity', 'path'=>'Detail.quantity', 'min'=>0, 'max'=>1},
|
319
|
+
'unitPrice' => {'type'=>'Quantity', 'path'=>'Detail.unitPrice', 'min'=>0, 'max'=>1},
|
320
|
+
'factor' => {'type'=>'decimal', 'path'=>'Detail.factor', 'min'=>0, 'max'=>1},
|
321
|
+
'points' => {'type'=>'decimal', 'path'=>'Detail.points', 'min'=>0, 'max'=>1},
|
322
|
+
'net' => {'type'=>'Quantity', 'path'=>'Detail.net', 'min'=>0, 'max'=>1},
|
323
|
+
'udi' => {'type_profiles'=>['http://hl7.org/fhir/StructureDefinition/Device'], 'type'=>'Reference', 'path'=>'Detail.udi', 'min'=>0, 'max'=>Float::INFINITY},
|
324
|
+
'adjudication' => {'type'=>'ExplanationOfBenefit::Item::Detail::Adjudication', 'path'=>'Detail.adjudication', 'min'=>0, 'max'=>Float::INFINITY},
|
325
|
+
'subDetail' => {'type'=>'ExplanationOfBenefit::Item::Detail::Subdetail', 'path'=>'Detail.subDetail', 'min'=>0, 'max'=>Float::INFINITY}
|
326
|
+
}
|
327
|
+
|
328
|
+
class Adjudication < FHIR::Model
|
329
|
+
include FHIR::Hashable
|
330
|
+
include FHIR::Json
|
331
|
+
include FHIR::Xml
|
332
|
+
|
333
|
+
METADATA = {
|
334
|
+
'id' => {'type'=>'id', 'path'=>'Adjudication.id', 'min'=>0, 'max'=>1},
|
335
|
+
'extension' => {'type'=>'Extension', 'path'=>'Adjudication.extension', 'min'=>0, 'max'=>Float::INFINITY},
|
336
|
+
'modifierExtension' => {'type'=>'Extension', 'path'=>'Adjudication.modifierExtension', 'min'=>0, 'max'=>Float::INFINITY},
|
337
|
+
'category' => {'valid_codes'=>{'http://hl7.org/fhir/adjudication'=>['total', 'copay', 'eligible', 'deductible', 'eligpercent', 'tax', 'benefit']}, 'type'=>'Coding', 'path'=>'Adjudication.category', 'min'=>1, 'max'=>1, 'binding'=>{'strength'=>'extensible', 'uri'=>'http://hl7.org/fhir/ValueSet/adjudication'}},
|
338
|
+
'reason' => {'valid_codes'=>{'http://hl7.org/fhir/adjudication-reason'=>['ar001', 'ar002']}, 'type'=>'Coding', 'path'=>'Adjudication.reason', 'min'=>0, 'max'=>1, 'binding'=>{'strength'=>'extensible', 'uri'=>'http://hl7.org/fhir/ValueSet/adjudication-reason'}},
|
339
|
+
'amount' => {'type'=>'Quantity', 'path'=>'Adjudication.amount', 'min'=>0, 'max'=>1},
|
340
|
+
'value' => {'type'=>'decimal', 'path'=>'Adjudication.value', 'min'=>0, 'max'=>1}
|
341
|
+
}
|
342
|
+
|
343
|
+
attr_accessor :id # 0-1 id
|
344
|
+
attr_accessor :extension # 0-* [ Extension ]
|
345
|
+
attr_accessor :modifierExtension # 0-* [ Extension ]
|
346
|
+
attr_accessor :category # 1-1 Coding
|
347
|
+
attr_accessor :reason # 0-1 Coding
|
348
|
+
attr_accessor :amount # 0-1 Quantity
|
349
|
+
attr_accessor :value # 0-1 decimal
|
350
|
+
end
|
351
|
+
|
352
|
+
class Subdetail < FHIR::Model
|
353
|
+
include FHIR::Hashable
|
354
|
+
include FHIR::Json
|
355
|
+
include FHIR::Xml
|
356
|
+
|
357
|
+
METADATA = {
|
358
|
+
'id' => {'type'=>'id', 'path'=>'Subdetail.id', 'min'=>0, 'max'=>1},
|
359
|
+
'extension' => {'type'=>'Extension', 'path'=>'Subdetail.extension', 'min'=>0, 'max'=>Float::INFINITY},
|
360
|
+
'modifierExtension' => {'type'=>'Extension', 'path'=>'Subdetail.modifierExtension', 'min'=>0, 'max'=>Float::INFINITY},
|
361
|
+
'sequence' => {'type'=>'positiveInt', 'path'=>'Subdetail.sequence', 'min'=>1, 'max'=>1},
|
362
|
+
'type' => {'valid_codes'=>{'http://hl7.org/fhir/v3/ActCode'=>['_ActInvoiceInterGroupCode', 'CPNDDRGING', 'CPNDINDING', 'CPNDSUPING', 'DRUGING', 'FRAMEING', 'LENSING', 'PRDING', '_ActInvoiceRootGroupCode', 'CPINV', 'CSINV', 'CSPINV', 'FININV', 'OHSINV', 'PAINV', 'RXCINV', 'RXDINV', 'SBFINV', 'VRXINV']}, 'type'=>'Coding', 'path'=>'Subdetail.type', 'min'=>1, 'max'=>1, 'binding'=>{'strength'=>'required', 'uri'=>'http://hl7.org/fhir/ValueSet/v3-ActInvoiceGroupCode'}},
|
363
|
+
'service' => {'valid_codes'=>{'http://hl7.org/fhir/ex-USCLS'=>['1101', '1102', '1103', '1201', '1205', '2101', '2102', '2141', '2601', '11101', '11102', '11103', '11104', '21211', '21212', '27211', '99111', '99333', '99555']}, 'type'=>'Coding', 'path'=>'Subdetail.service', 'min'=>1, 'max'=>1, 'binding'=>{'strength'=>'example', 'uri'=>'http://hl7.org/fhir/ValueSet/service-uscls'}},
|
364
|
+
'programCode' => {'valid_codes'=>{'http://hl7.org/fhir/ex-programcode'=>['AS', 'HD', 'AUSCR']}, 'type'=>'Coding', 'path'=>'Subdetail.programCode', 'min'=>0, 'max'=>Float::INFINITY, 'binding'=>{'strength'=>'example', 'uri'=>'http://hl7.org/fhir/ValueSet/ex-program-code'}},
|
365
|
+
'quantity' => {'type'=>'Quantity', 'path'=>'Subdetail.quantity', 'min'=>0, 'max'=>1},
|
366
|
+
'unitPrice' => {'type'=>'Quantity', 'path'=>'Subdetail.unitPrice', 'min'=>0, 'max'=>1},
|
367
|
+
'factor' => {'type'=>'decimal', 'path'=>'Subdetail.factor', 'min'=>0, 'max'=>1},
|
368
|
+
'points' => {'type'=>'decimal', 'path'=>'Subdetail.points', 'min'=>0, 'max'=>1},
|
369
|
+
'net' => {'type'=>'Quantity', 'path'=>'Subdetail.net', 'min'=>0, 'max'=>1},
|
370
|
+
'udi' => {'type_profiles'=>['http://hl7.org/fhir/StructureDefinition/Device'], 'type'=>'Reference', 'path'=>'Subdetail.udi', 'min'=>0, 'max'=>Float::INFINITY},
|
371
|
+
'adjudication' => {'type'=>'ExplanationOfBenefit::Item::Detail::Subdetail::Adjudication', 'path'=>'Subdetail.adjudication', 'min'=>0, 'max'=>Float::INFINITY}
|
372
|
+
}
|
373
|
+
|
374
|
+
class Adjudication < FHIR::Model
|
375
|
+
include FHIR::Hashable
|
376
|
+
include FHIR::Json
|
377
|
+
include FHIR::Xml
|
378
|
+
|
379
|
+
METADATA = {
|
380
|
+
'id' => {'type'=>'id', 'path'=>'Adjudication.id', 'min'=>0, 'max'=>1},
|
381
|
+
'extension' => {'type'=>'Extension', 'path'=>'Adjudication.extension', 'min'=>0, 'max'=>Float::INFINITY},
|
382
|
+
'modifierExtension' => {'type'=>'Extension', 'path'=>'Adjudication.modifierExtension', 'min'=>0, 'max'=>Float::INFINITY},
|
383
|
+
'category' => {'valid_codes'=>{'http://hl7.org/fhir/adjudication'=>['total', 'copay', 'eligible', 'deductible', 'eligpercent', 'tax', 'benefit']}, 'type'=>'Coding', 'path'=>'Adjudication.category', 'min'=>1, 'max'=>1, 'binding'=>{'strength'=>'extensible', 'uri'=>'http://hl7.org/fhir/ValueSet/adjudication'}},
|
384
|
+
'reason' => {'valid_codes'=>{'http://hl7.org/fhir/adjudication-reason'=>['ar001', 'ar002']}, 'type'=>'Coding', 'path'=>'Adjudication.reason', 'min'=>0, 'max'=>1, 'binding'=>{'strength'=>'extensible', 'uri'=>'http://hl7.org/fhir/ValueSet/adjudication-reason'}},
|
385
|
+
'amount' => {'type'=>'Quantity', 'path'=>'Adjudication.amount', 'min'=>0, 'max'=>1},
|
386
|
+
'value' => {'type'=>'decimal', 'path'=>'Adjudication.value', 'min'=>0, 'max'=>1}
|
387
|
+
}
|
388
|
+
|
389
|
+
attr_accessor :id # 0-1 id
|
390
|
+
attr_accessor :extension # 0-* [ Extension ]
|
391
|
+
attr_accessor :modifierExtension # 0-* [ Extension ]
|
392
|
+
attr_accessor :category # 1-1 Coding
|
393
|
+
attr_accessor :reason # 0-1 Coding
|
394
|
+
attr_accessor :amount # 0-1 Quantity
|
395
|
+
attr_accessor :value # 0-1 decimal
|
396
|
+
end
|
397
|
+
|
398
|
+
attr_accessor :id # 0-1 id
|
399
|
+
attr_accessor :extension # 0-* [ Extension ]
|
400
|
+
attr_accessor :modifierExtension # 0-* [ Extension ]
|
401
|
+
attr_accessor :sequence # 1-1 positiveInt
|
402
|
+
attr_accessor :type # 1-1 Coding
|
403
|
+
attr_accessor :service # 1-1 Coding
|
404
|
+
attr_accessor :programCode # 0-* [ Coding ]
|
405
|
+
attr_accessor :quantity # 0-1 Quantity
|
406
|
+
attr_accessor :unitPrice # 0-1 Quantity
|
407
|
+
attr_accessor :factor # 0-1 decimal
|
408
|
+
attr_accessor :points # 0-1 decimal
|
409
|
+
attr_accessor :net # 0-1 Quantity
|
410
|
+
attr_accessor :udi # 0-* [ Reference(Device) ]
|
411
|
+
attr_accessor :adjudication # 0-* [ ExplanationOfBenefit::Item::Detail::Subdetail::Adjudication ]
|
412
|
+
end
|
413
|
+
|
414
|
+
class Subadjudication < FHIR::Model
|
415
|
+
include FHIR::Hashable
|
416
|
+
include FHIR::Json
|
417
|
+
include FHIR::Xml
|
418
|
+
|
419
|
+
|
420
|
+
end
|
421
|
+
|
422
|
+
attr_accessor :id # 0-1 id
|
423
|
+
attr_accessor :extension # 0-* [ Extension ]
|
424
|
+
attr_accessor :modifierExtension # 0-* [ Extension ]
|
425
|
+
attr_accessor :sequence # 1-1 positiveInt
|
426
|
+
attr_accessor :type # 1-1 Coding
|
427
|
+
attr_accessor :service # 1-1 Coding
|
428
|
+
attr_accessor :programCode # 0-* [ Coding ]
|
429
|
+
attr_accessor :quantity # 0-1 Quantity
|
430
|
+
attr_accessor :unitPrice # 0-1 Quantity
|
431
|
+
attr_accessor :factor # 0-1 decimal
|
432
|
+
attr_accessor :points # 0-1 decimal
|
433
|
+
attr_accessor :net # 0-1 Quantity
|
434
|
+
attr_accessor :udi # 0-* [ Reference(Device) ]
|
435
|
+
attr_accessor :adjudication # 0-* [ ExplanationOfBenefit::Item::Detail::Adjudication ]
|
436
|
+
attr_accessor :subDetail # 0-* [ ExplanationOfBenefit::Item::Detail::Subdetail ]
|
437
|
+
end
|
438
|
+
|
439
|
+
class Prosthesis < FHIR::Model
|
440
|
+
include FHIR::Hashable
|
441
|
+
include FHIR::Json
|
442
|
+
include FHIR::Xml
|
443
|
+
|
444
|
+
METADATA = {
|
445
|
+
'id' => {'type'=>'id', 'path'=>'Prosthesis.id', 'min'=>0, 'max'=>1},
|
446
|
+
'extension' => {'type'=>'Extension', 'path'=>'Prosthesis.extension', 'min'=>0, 'max'=>Float::INFINITY},
|
447
|
+
'modifierExtension' => {'type'=>'Extension', 'path'=>'Prosthesis.modifierExtension', 'min'=>0, 'max'=>Float::INFINITY},
|
448
|
+
'initial' => {'type'=>'boolean', 'path'=>'Prosthesis.initial', 'min'=>0, 'max'=>1},
|
449
|
+
'priorDate' => {'type'=>'date', 'path'=>'Prosthesis.priorDate', 'min'=>0, 'max'=>1},
|
450
|
+
'priorMaterial' => {'valid_codes'=>{'http://hl7.org/fhir/ex-oralprostho'=>['1', '2', '3', '4']}, 'type'=>'Coding', 'path'=>'Prosthesis.priorMaterial', 'min'=>0, 'max'=>1, 'binding'=>{'strength'=>'example', 'uri'=>'http://hl7.org/fhir/ValueSet/oral-prosthodontic-material'}}
|
451
|
+
}
|
452
|
+
|
453
|
+
attr_accessor :id # 0-1 id
|
454
|
+
attr_accessor :extension # 0-* [ Extension ]
|
455
|
+
attr_accessor :modifierExtension # 0-* [ Extension ]
|
456
|
+
attr_accessor :initial # 0-1 boolean
|
457
|
+
attr_accessor :priorDate # 0-1 date
|
458
|
+
attr_accessor :priorMaterial # 0-1 Coding
|
459
|
+
end
|
460
|
+
|
461
|
+
attr_accessor :id # 0-1 id
|
462
|
+
attr_accessor :extension # 0-* [ Extension ]
|
463
|
+
attr_accessor :modifierExtension # 0-* [ Extension ]
|
464
|
+
attr_accessor :sequence # 1-1 positiveInt
|
465
|
+
attr_accessor :type # 1-1 Coding
|
466
|
+
attr_accessor :providerIdentifier # 0-1 Identifier
|
467
|
+
attr_accessor :providerReference # 0-1 Reference(Practitioner)
|
468
|
+
attr_accessor :supervisorIdentifier # 0-1 Identifier
|
469
|
+
attr_accessor :supervisorReference # 0-1 Reference(Practitioner)
|
470
|
+
attr_accessor :providerQualification # 0-1 Coding
|
471
|
+
attr_accessor :diagnosisLinkId # 0-* [ positiveInt ]
|
472
|
+
attr_accessor :service # 1-1 Coding
|
473
|
+
attr_accessor :serviceModifier # 0-* [ Coding ]
|
474
|
+
attr_accessor :modifier # 0-* [ Coding ]
|
475
|
+
attr_accessor :programCode # 0-* [ Coding ]
|
476
|
+
attr_accessor :servicedDate # 0-1 date
|
477
|
+
attr_accessor :servicedPeriod # 0-1 Period
|
478
|
+
attr_accessor :place # 0-1 Coding
|
479
|
+
attr_accessor :quantity # 0-1 Quantity
|
480
|
+
attr_accessor :unitPrice # 0-1 Quantity
|
481
|
+
attr_accessor :factor # 0-1 decimal
|
482
|
+
attr_accessor :points # 0-1 decimal
|
483
|
+
attr_accessor :net # 0-1 Quantity
|
484
|
+
attr_accessor :udi # 0-* [ Reference(Device) ]
|
485
|
+
attr_accessor :bodySite # 0-1 Coding
|
486
|
+
attr_accessor :subSite # 0-* [ Coding ]
|
487
|
+
attr_accessor :noteNumber # 0-* [ positiveInt ]
|
488
|
+
attr_accessor :adjudication # 0-* [ ExplanationOfBenefit::Item::Adjudication ]
|
489
|
+
attr_accessor :detail # 0-* [ ExplanationOfBenefit::Item::Detail ]
|
490
|
+
attr_accessor :prosthesis # 0-1 ExplanationOfBenefit::Item::Prosthesis
|
491
|
+
end
|
492
|
+
|
493
|
+
class Additem < FHIR::Model
|
494
|
+
include FHIR::Hashable
|
495
|
+
include FHIR::Json
|
496
|
+
include FHIR::Xml
|
497
|
+
|
498
|
+
METADATA = {
|
499
|
+
'id' => {'type'=>'id', 'path'=>'Additem.id', 'min'=>0, 'max'=>1},
|
500
|
+
'extension' => {'type'=>'Extension', 'path'=>'Additem.extension', 'min'=>0, 'max'=>Float::INFINITY},
|
501
|
+
'modifierExtension' => {'type'=>'Extension', 'path'=>'Additem.modifierExtension', 'min'=>0, 'max'=>Float::INFINITY},
|
502
|
+
'sequenceLinkId' => {'type'=>'positiveInt', 'path'=>'Additem.sequenceLinkId', 'min'=>0, 'max'=>Float::INFINITY},
|
503
|
+
'service' => {'valid_codes'=>{'http://hl7.org/fhir/ex-USCLS'=>['1101', '1102', '1103', '1201', '1205', '2101', '2102', '2141', '2601', '11101', '11102', '11103', '11104', '21211', '21212', '27211', '99111', '99333', '99555']}, 'type'=>'Coding', 'path'=>'Additem.service', 'min'=>1, 'max'=>1, 'binding'=>{'strength'=>'example', 'uri'=>'http://hl7.org/fhir/ValueSet/service-uscls'}},
|
504
|
+
'fee' => {'type'=>'Quantity', 'path'=>'Additem.fee', 'min'=>0, 'max'=>1},
|
505
|
+
'noteNumberLinkId' => {'type'=>'positiveInt', 'path'=>'Additem.noteNumberLinkId', 'min'=>0, 'max'=>Float::INFINITY},
|
506
|
+
'adjudication' => {'type'=>'ExplanationOfBenefit::Additem::Adjudication', 'path'=>'Additem.adjudication', 'min'=>0, 'max'=>Float::INFINITY},
|
507
|
+
'detail' => {'type'=>'ExplanationOfBenefit::Additem::Detail', 'path'=>'Additem.detail', 'min'=>0, 'max'=>Float::INFINITY}
|
508
|
+
}
|
509
|
+
|
510
|
+
class Adjudication < FHIR::Model
|
511
|
+
include FHIR::Hashable
|
512
|
+
include FHIR::Json
|
513
|
+
include FHIR::Xml
|
514
|
+
|
515
|
+
METADATA = {
|
516
|
+
'id' => {'type'=>'id', 'path'=>'Adjudication.id', 'min'=>0, 'max'=>1},
|
517
|
+
'extension' => {'type'=>'Extension', 'path'=>'Adjudication.extension', 'min'=>0, 'max'=>Float::INFINITY},
|
518
|
+
'modifierExtension' => {'type'=>'Extension', 'path'=>'Adjudication.modifierExtension', 'min'=>0, 'max'=>Float::INFINITY},
|
519
|
+
'category' => {'valid_codes'=>{'http://hl7.org/fhir/adjudication'=>['total', 'copay', 'eligible', 'deductible', 'eligpercent', 'tax', 'benefit']}, 'type'=>'Coding', 'path'=>'Adjudication.category', 'min'=>1, 'max'=>1, 'binding'=>{'strength'=>'extensible', 'uri'=>'http://hl7.org/fhir/ValueSet/adjudication'}},
|
520
|
+
'reason' => {'valid_codes'=>{'http://hl7.org/fhir/adjudication-reason'=>['ar001', 'ar002']}, 'type'=>'Coding', 'path'=>'Adjudication.reason', 'min'=>0, 'max'=>1, 'binding'=>{'strength'=>'extensible', 'uri'=>'http://hl7.org/fhir/ValueSet/adjudication-reason'}},
|
521
|
+
'amount' => {'type'=>'Quantity', 'path'=>'Adjudication.amount', 'min'=>0, 'max'=>1},
|
522
|
+
'value' => {'type'=>'decimal', 'path'=>'Adjudication.value', 'min'=>0, 'max'=>1}
|
523
|
+
}
|
524
|
+
|
525
|
+
attr_accessor :id # 0-1 id
|
526
|
+
attr_accessor :extension # 0-* [ Extension ]
|
527
|
+
attr_accessor :modifierExtension # 0-* [ Extension ]
|
528
|
+
attr_accessor :category # 1-1 Coding
|
529
|
+
attr_accessor :reason # 0-1 Coding
|
530
|
+
attr_accessor :amount # 0-1 Quantity
|
531
|
+
attr_accessor :value # 0-1 decimal
|
532
|
+
end
|
533
|
+
|
534
|
+
class Detail < FHIR::Model
|
535
|
+
include FHIR::Hashable
|
536
|
+
include FHIR::Json
|
537
|
+
include FHIR::Xml
|
538
|
+
|
539
|
+
METADATA = {
|
540
|
+
'id' => {'type'=>'id', 'path'=>'Detail.id', 'min'=>0, 'max'=>1},
|
541
|
+
'extension' => {'type'=>'Extension', 'path'=>'Detail.extension', 'min'=>0, 'max'=>Float::INFINITY},
|
542
|
+
'modifierExtension' => {'type'=>'Extension', 'path'=>'Detail.modifierExtension', 'min'=>0, 'max'=>Float::INFINITY},
|
543
|
+
'service' => {'valid_codes'=>{'http://hl7.org/fhir/ex-USCLS'=>['1101', '1102', '1103', '1201', '1205', '2101', '2102', '2141', '2601', '11101', '11102', '11103', '11104', '21211', '21212', '27211', '99111', '99333', '99555']}, 'type'=>'Coding', 'path'=>'Detail.service', 'min'=>1, 'max'=>1, 'binding'=>{'strength'=>'example', 'uri'=>'http://hl7.org/fhir/ValueSet/service-uscls'}},
|
544
|
+
'fee' => {'type'=>'Quantity', 'path'=>'Detail.fee', 'min'=>0, 'max'=>1},
|
545
|
+
'adjudication' => {'type'=>'ExplanationOfBenefit::Additem::Detail::Adjudication', 'path'=>'Detail.adjudication', 'min'=>0, 'max'=>Float::INFINITY}
|
546
|
+
}
|
547
|
+
|
548
|
+
class Adjudication < FHIR::Model
|
549
|
+
include FHIR::Hashable
|
550
|
+
include FHIR::Json
|
551
|
+
include FHIR::Xml
|
552
|
+
|
553
|
+
METADATA = {
|
554
|
+
'id' => {'type'=>'id', 'path'=>'Adjudication.id', 'min'=>0, 'max'=>1},
|
555
|
+
'extension' => {'type'=>'Extension', 'path'=>'Adjudication.extension', 'min'=>0, 'max'=>Float::INFINITY},
|
556
|
+
'modifierExtension' => {'type'=>'Extension', 'path'=>'Adjudication.modifierExtension', 'min'=>0, 'max'=>Float::INFINITY},
|
557
|
+
'category' => {'valid_codes'=>{'http://hl7.org/fhir/adjudication'=>['total', 'copay', 'eligible', 'deductible', 'eligpercent', 'tax', 'benefit']}, 'type'=>'Coding', 'path'=>'Adjudication.category', 'min'=>1, 'max'=>1, 'binding'=>{'strength'=>'extensible', 'uri'=>'http://hl7.org/fhir/ValueSet/adjudication'}},
|
558
|
+
'reason' => {'valid_codes'=>{'http://hl7.org/fhir/adjudication-reason'=>['ar001', 'ar002']}, 'type'=>'Coding', 'path'=>'Adjudication.reason', 'min'=>0, 'max'=>1, 'binding'=>{'strength'=>'extensible', 'uri'=>'http://hl7.org/fhir/ValueSet/adjudication-reason'}},
|
559
|
+
'amount' => {'type'=>'Quantity', 'path'=>'Adjudication.amount', 'min'=>0, 'max'=>1},
|
560
|
+
'value' => {'type'=>'decimal', 'path'=>'Adjudication.value', 'min'=>0, 'max'=>1}
|
561
|
+
}
|
562
|
+
|
563
|
+
attr_accessor :id # 0-1 id
|
564
|
+
attr_accessor :extension # 0-* [ Extension ]
|
565
|
+
attr_accessor :modifierExtension # 0-* [ Extension ]
|
566
|
+
attr_accessor :category # 1-1 Coding
|
567
|
+
attr_accessor :reason # 0-1 Coding
|
568
|
+
attr_accessor :amount # 0-1 Quantity
|
569
|
+
attr_accessor :value # 0-1 decimal
|
570
|
+
end
|
571
|
+
|
572
|
+
attr_accessor :id # 0-1 id
|
573
|
+
attr_accessor :extension # 0-* [ Extension ]
|
574
|
+
attr_accessor :modifierExtension # 0-* [ Extension ]
|
575
|
+
attr_accessor :service # 1-1 Coding
|
576
|
+
attr_accessor :fee # 0-1 Quantity
|
577
|
+
attr_accessor :adjudication # 0-* [ ExplanationOfBenefit::Additem::Detail::Adjudication ]
|
578
|
+
end
|
579
|
+
|
580
|
+
attr_accessor :id # 0-1 id
|
581
|
+
attr_accessor :extension # 0-* [ Extension ]
|
582
|
+
attr_accessor :modifierExtension # 0-* [ Extension ]
|
583
|
+
attr_accessor :sequenceLinkId # 0-* [ positiveInt ]
|
584
|
+
attr_accessor :service # 1-1 Coding
|
585
|
+
attr_accessor :fee # 0-1 Quantity
|
586
|
+
attr_accessor :noteNumberLinkId # 0-* [ positiveInt ]
|
587
|
+
attr_accessor :adjudication # 0-* [ ExplanationOfBenefit::Additem::Adjudication ]
|
588
|
+
attr_accessor :detail # 0-* [ ExplanationOfBenefit::Additem::Detail ]
|
589
|
+
end
|
590
|
+
|
591
|
+
class Missingteeth < FHIR::Model
|
592
|
+
include FHIR::Hashable
|
593
|
+
include FHIR::Json
|
594
|
+
include FHIR::Xml
|
595
|
+
|
596
|
+
METADATA = {
|
597
|
+
'id' => {'type'=>'id', 'path'=>'Missingteeth.id', 'min'=>0, 'max'=>1},
|
598
|
+
'extension' => {'type'=>'Extension', 'path'=>'Missingteeth.extension', 'min'=>0, 'max'=>Float::INFINITY},
|
599
|
+
'modifierExtension' => {'type'=>'Extension', 'path'=>'Missingteeth.modifierExtension', 'min'=>0, 'max'=>Float::INFINITY},
|
600
|
+
'tooth' => {'valid_codes'=>{'http://hl7.org/fhir/ex-fdi'=>['11', '12', '13', '14', '15', '16', '17', '18', '21', '22', '23', '24', '25', '26', '27', '28', '31', '32', '33', '34', '35', '36', '37', '38', '41', '42', '43', '44', '45', '46', '47', '48']}, 'type'=>'Coding', 'path'=>'Missingteeth.tooth', 'min'=>1, 'max'=>1, 'binding'=>{'strength'=>'example', 'uri'=>'http://hl7.org/fhir/ValueSet/teeth'}},
|
601
|
+
'reason' => {'valid_codes'=>{'http://hl7.org/fhir/missingtoothreason'=>['E', 'C', 'U', 'O']}, 'type'=>'Coding', 'path'=>'Missingteeth.reason', 'min'=>0, 'max'=>1, 'binding'=>{'strength'=>'example', 'uri'=>'http://hl7.org/fhir/ValueSet/missing-tooth-reason'}},
|
602
|
+
'extractionDate' => {'type'=>'date', 'path'=>'Missingteeth.extractionDate', 'min'=>0, 'max'=>1}
|
603
|
+
}
|
604
|
+
|
605
|
+
attr_accessor :id # 0-1 id
|
606
|
+
attr_accessor :extension # 0-* [ Extension ]
|
607
|
+
attr_accessor :modifierExtension # 0-* [ Extension ]
|
608
|
+
attr_accessor :tooth # 1-1 Coding
|
609
|
+
attr_accessor :reason # 0-1 Coding
|
610
|
+
attr_accessor :extractionDate # 0-1 date
|
611
|
+
end
|
612
|
+
|
613
|
+
class Note < FHIR::Model
|
614
|
+
include FHIR::Hashable
|
615
|
+
include FHIR::Json
|
616
|
+
include FHIR::Xml
|
617
|
+
|
618
|
+
METADATA = {
|
619
|
+
'id' => {'type'=>'id', 'path'=>'Note.id', 'min'=>0, 'max'=>1},
|
620
|
+
'extension' => {'type'=>'Extension', 'path'=>'Note.extension', 'min'=>0, 'max'=>Float::INFINITY},
|
621
|
+
'modifierExtension' => {'type'=>'Extension', 'path'=>'Note.modifierExtension', 'min'=>0, 'max'=>Float::INFINITY},
|
622
|
+
'number' => {'type'=>'positiveInt', 'path'=>'Note.number', 'min'=>0, 'max'=>1},
|
623
|
+
'type' => {'valid_codes'=>{'http://hl7.org/fhir/note-type'=>['display', 'print', 'printoper']}, 'type'=>'Coding', 'path'=>'Note.type', 'min'=>0, 'max'=>1, 'binding'=>{'strength'=>'required', 'uri'=>'http://hl7.org/fhir/ValueSet/note-type'}},
|
624
|
+
'text' => {'type'=>'string', 'path'=>'Note.text', 'min'=>0, 'max'=>1}
|
625
|
+
}
|
626
|
+
|
627
|
+
attr_accessor :id # 0-1 id
|
628
|
+
attr_accessor :extension # 0-* [ Extension ]
|
629
|
+
attr_accessor :modifierExtension # 0-* [ Extension ]
|
630
|
+
attr_accessor :number # 0-1 positiveInt
|
631
|
+
attr_accessor :type # 0-1 Coding
|
632
|
+
attr_accessor :text # 0-1 string
|
633
|
+
end
|
634
|
+
|
635
|
+
class Benefitbalance < FHIR::Model
|
636
|
+
include FHIR::Hashable
|
637
|
+
include FHIR::Json
|
638
|
+
include FHIR::Xml
|
639
|
+
|
640
|
+
METADATA = {
|
641
|
+
'id' => {'type'=>'id', 'path'=>'Benefitbalance.id', 'min'=>0, 'max'=>1},
|
642
|
+
'extension' => {'type'=>'Extension', 'path'=>'Benefitbalance.extension', 'min'=>0, 'max'=>Float::INFINITY},
|
643
|
+
'modifierExtension' => {'type'=>'Extension', 'path'=>'Benefitbalance.modifierExtension', 'min'=>0, 'max'=>Float::INFINITY},
|
644
|
+
'category' => {'valid_codes'=>{'http://hl7.org/fhir/benefit-category'=>['oral', 'vision', 'medical', 'pharmacy']}, 'type'=>'Coding', 'path'=>'Benefitbalance.category', 'min'=>1, 'max'=>1, 'binding'=>{'strength'=>'example', 'uri'=>'http://hl7.org/fhir/ValueSet/benefit-category'}},
|
645
|
+
'subCategory' => {'valid_codes'=>{'http://hl7.org/fhir/benefit-subcategory'=>['oral-basic', 'oral-major', 'oral-ortho', 'vision-exam', 'vision-glasses', 'vision-contacts', 'medical-primarycare', 'pharmacy-dispense']}, 'type'=>'Coding', 'path'=>'Benefitbalance.subCategory', 'min'=>0, 'max'=>1, 'binding'=>{'strength'=>'example', 'uri'=>'http://hl7.org/fhir/ValueSet/benefit-subcategory'}},
|
646
|
+
'network' => {'valid_codes'=>{'http://hl7.org/fhir/benefit-network'=>['in', 'out']}, 'type'=>'Coding', 'path'=>'Benefitbalance.network', 'min'=>0, 'max'=>1, 'binding'=>{'strength'=>'example', 'uri'=>'http://hl7.org/fhir/ValueSet/benefit-network'}},
|
647
|
+
'unit' => {'valid_codes'=>{'http://hl7.org/fhir/benefit-unit'=>['individual', 'family']}, 'type'=>'Coding', 'path'=>'Benefitbalance.unit', 'min'=>0, 'max'=>1, 'binding'=>{'strength'=>'example', 'uri'=>'http://hl7.org/fhir/ValueSet/benefit-unit'}},
|
648
|
+
'term' => {'valid_codes'=>{'http://hl7.org/fhir/benefit-term'=>['annual', 'lifetime']}, 'type'=>'Coding', 'path'=>'Benefitbalance.term', 'min'=>0, 'max'=>1, 'binding'=>{'strength'=>'example', 'uri'=>'http://hl7.org/fhir/ValueSet/benefit-term'}},
|
649
|
+
'financial' => {'type'=>'ExplanationOfBenefit::Benefitbalance::Financial', 'path'=>'Benefitbalance.financial', 'min'=>0, 'max'=>Float::INFINITY}
|
650
|
+
}
|
651
|
+
|
652
|
+
class Financial < FHIR::Model
|
653
|
+
include FHIR::Hashable
|
654
|
+
include FHIR::Json
|
655
|
+
include FHIR::Xml
|
656
|
+
|
657
|
+
MULTIPLE_TYPES = {
|
658
|
+
'benefit' => ['unsignedInt', 'Quantity'],
|
659
|
+
'benefitUsed' => ['unsignedInt', 'Quantity']
|
660
|
+
}
|
661
|
+
METADATA = {
|
662
|
+
'id' => {'type'=>'id', 'path'=>'Financial.id', 'min'=>0, 'max'=>1},
|
663
|
+
'extension' => {'type'=>'Extension', 'path'=>'Financial.extension', 'min'=>0, 'max'=>Float::INFINITY},
|
664
|
+
'modifierExtension' => {'type'=>'Extension', 'path'=>'Financial.modifierExtension', 'min'=>0, 'max'=>Float::INFINITY},
|
665
|
+
'type' => {'valid_codes'=>{'http://hl7.org/fhir/benefit-type'=>['deductable', 'visit', 'copay', 'vision-exam', 'vision-glasses', 'vision-contacts', 'medical-primarycare', 'pharmacy-dispense']}, 'type'=>'Coding', 'path'=>'Financial.type', 'min'=>1, 'max'=>1, 'binding'=>{'strength'=>'example', 'uri'=>'http://hl7.org/fhir/ValueSet/benefit-type'}},
|
666
|
+
'benefitUnsignedInt' => {'type'=>'unsignedInt', 'path'=>'Financial.benefit[x]', 'min'=>0, 'max'=>1},
|
667
|
+
'benefitQuantity' => {'type'=>'Quantity', 'path'=>'Financial.benefit[x]', 'min'=>0, 'max'=>1},
|
668
|
+
'benefitUsedUnsignedInt' => {'type'=>'unsignedInt', 'path'=>'Financial.benefitUsed[x]', 'min'=>0, 'max'=>1},
|
669
|
+
'benefitUsedQuantity' => {'type'=>'Quantity', 'path'=>'Financial.benefitUsed[x]', 'min'=>0, 'max'=>1}
|
670
|
+
}
|
671
|
+
|
672
|
+
attr_accessor :id # 0-1 id
|
673
|
+
attr_accessor :extension # 0-* [ Extension ]
|
674
|
+
attr_accessor :modifierExtension # 0-* [ Extension ]
|
675
|
+
attr_accessor :type # 1-1 Coding
|
676
|
+
attr_accessor :benefitUnsignedInt # 0-1 unsignedInt
|
677
|
+
attr_accessor :benefitQuantity # 0-1 Quantity
|
678
|
+
attr_accessor :benefitUsedUnsignedInt # 0-1 unsignedInt
|
679
|
+
attr_accessor :benefitUsedQuantity # 0-1 Quantity
|
680
|
+
end
|
681
|
+
|
682
|
+
attr_accessor :id # 0-1 id
|
683
|
+
attr_accessor :extension # 0-* [ Extension ]
|
684
|
+
attr_accessor :modifierExtension # 0-* [ Extension ]
|
685
|
+
attr_accessor :category # 1-1 Coding
|
686
|
+
attr_accessor :subCategory # 0-1 Coding
|
687
|
+
attr_accessor :network # 0-1 Coding
|
688
|
+
attr_accessor :unit # 0-1 Coding
|
689
|
+
attr_accessor :term # 0-1 Coding
|
690
|
+
attr_accessor :financial # 0-* [ ExplanationOfBenefit::Benefitbalance::Financial ]
|
691
|
+
end
|
692
|
+
|
693
|
+
attr_accessor :id # 0-1 id
|
694
|
+
attr_accessor :meta # 0-1 Meta
|
695
|
+
attr_accessor :implicitRules # 0-1 uri
|
696
|
+
attr_accessor :language # 0-1 code
|
697
|
+
attr_accessor :text # 0-1 Narrative
|
698
|
+
attr_accessor :contained # 0-* [ Resource ]
|
699
|
+
attr_accessor :extension # 0-* [ Extension ]
|
700
|
+
attr_accessor :modifierExtension # 0-* [ Extension ]
|
701
|
+
attr_accessor :identifier # 0-* [ Identifier ]
|
702
|
+
attr_accessor :claimIdentifier # 0-1 Identifier
|
703
|
+
attr_accessor :claimReference # 0-1 Reference(Claim)
|
704
|
+
attr_accessor :claimResponseIdentifier # 0-1 Identifier
|
705
|
+
attr_accessor :claimResponseReference # 0-1 Reference(ClaimResponse)
|
706
|
+
attr_accessor :subType # 0-* [ Coding ]
|
707
|
+
attr_accessor :ruleset # 0-1 Coding
|
708
|
+
attr_accessor :originalRuleset # 0-1 Coding
|
709
|
+
attr_accessor :created # 0-1 dateTime
|
710
|
+
attr_accessor :billablePeriod # 0-1 Period
|
711
|
+
attr_accessor :disposition # 0-1 string
|
712
|
+
attr_accessor :providerIdentifier # 0-1 Identifier
|
713
|
+
attr_accessor :providerReference # 0-1 Reference(Practitioner)
|
714
|
+
attr_accessor :organizationIdentifier # 0-1 Identifier
|
715
|
+
attr_accessor :organizationReference # 0-1 Reference(Organization)
|
716
|
+
attr_accessor :facilityIdentifier # 0-1 Identifier
|
717
|
+
attr_accessor :facilityReference # 0-1 Reference(Location)
|
718
|
+
attr_accessor :related # 0-* [ ExplanationOfBenefit::Related ]
|
719
|
+
attr_accessor :prescriptionIdentifier # 0-1 Identifier
|
720
|
+
attr_accessor :prescriptionReference # 0-1 Reference(MedicationOrder|VisionPrescription)
|
721
|
+
attr_accessor :originalPrescriptionIdentifier # 0-1 Identifier
|
722
|
+
attr_accessor :originalPrescriptionReference # 0-1 Reference(MedicationOrder)
|
723
|
+
attr_accessor :payee # 0-1 ExplanationOfBenefit::Payee
|
724
|
+
attr_accessor :referralIdentifier # 0-1 Identifier
|
725
|
+
attr_accessor :referralReference # 0-1 Reference(ReferralRequest)
|
726
|
+
attr_accessor :occurrenceCode # 0-* [ Coding ]
|
727
|
+
attr_accessor :occurenceSpanCode # 0-* [ Coding ]
|
728
|
+
attr_accessor :valueCode # 0-* [ Coding ]
|
729
|
+
attr_accessor :diagnosis # 0-* [ ExplanationOfBenefit::Diagnosis ]
|
730
|
+
attr_accessor :procedure # 0-* [ ExplanationOfBenefit::Procedure ]
|
731
|
+
attr_accessor :specialCondition # 0-* [ Coding ]
|
732
|
+
attr_accessor :patientIdentifier # 1-1 Identifier
|
733
|
+
attr_accessor :patientReference # 1-1 Reference(Patient)
|
734
|
+
attr_accessor :precedence # 0-1 positiveInt
|
735
|
+
attr_accessor :coverage # 1-1 ExplanationOfBenefit::Coverage
|
736
|
+
attr_accessor :accidentDate # 0-1 date
|
737
|
+
attr_accessor :accidentType # 0-1 Coding
|
738
|
+
attr_accessor :accidentLocationAddress # 0-1 Address
|
739
|
+
attr_accessor :accidentLocationReference # 0-1 Reference(Location)
|
740
|
+
attr_accessor :interventionException # 0-* [ Coding ]
|
741
|
+
attr_accessor :onset # 0-* [ ExplanationOfBenefit::Onset ]
|
742
|
+
attr_accessor :employmentImpacted # 0-1 Period
|
743
|
+
attr_accessor :hospitalization # 0-1 Period
|
744
|
+
attr_accessor :item # 0-* [ ExplanationOfBenefit::Item ]
|
745
|
+
attr_accessor :addItem # 0-* [ ExplanationOfBenefit::Additem ]
|
746
|
+
attr_accessor :missingTeeth # 0-* [ ExplanationOfBenefit::Missingteeth ]
|
747
|
+
attr_accessor :totalCost # 0-1 Quantity
|
748
|
+
attr_accessor :unallocDeductable # 0-1 Quantity
|
749
|
+
attr_accessor :totalBenefit # 0-1 Quantity
|
750
|
+
attr_accessor :paymentAdjustment # 0-1 Quantity
|
751
|
+
attr_accessor :paymentAdjustmentReason # 0-1 Coding
|
752
|
+
attr_accessor :paymentDate # 0-1 date
|
753
|
+
attr_accessor :paymentAmount # 0-1 Quantity
|
754
|
+
attr_accessor :paymentRef # 0-1 Identifier
|
755
|
+
attr_accessor :reserved # 0-1 Coding
|
756
|
+
attr_accessor :form # 0-1 Coding
|
757
|
+
attr_accessor :note # 0-* [ ExplanationOfBenefit::Note ]
|
758
|
+
attr_accessor :benefitBalance # 0-* [ ExplanationOfBenefit::Benefitbalance ]
|
759
|
+
|
760
|
+
def resourceType
|
761
|
+
'ExplanationOfBenefit'
|
762
|
+
end
|
763
|
+
end
|
764
|
+
end
|