Package com.ibm.fhir.model.resource

Class ExplanationOfBenefit.Item

  • All Implemented Interfaces:
    Visitable
    Enclosing class:
    ExplanationOfBenefit
    public static class ExplanationOfBenefit.Item
extends BackboneElement
    A claim line. Either a simple (a product or service) or a 'group' of details which can also be a simple items or groups of sub-details.

    • Method Detail

      • getSequence

        public PositiveInt getSequence()
        A number to uniquely identify item entries.
        Returns:
        An immutable object of type PositiveInt that is non-null.

      • getCareTeamSequence

        public java.util.List<PositiveInt> getCareTeamSequence()
        Care team members related to this service or product.
        Returns:
        An unmodifiable list containing immutable objects of type PositiveInt that may be empty.

      • getDiagnosisSequence

        public java.util.List<PositiveInt> getDiagnosisSequence()
        Diagnoses applicable for this service or product.
        Returns:
        An unmodifiable list containing immutable objects of type PositiveInt that may be empty.

      • getProcedureSequence

        public java.util.List<PositiveInt> getProcedureSequence()
        Procedures applicable for this service or product.
        Returns:
        An unmodifiable list containing immutable objects of type PositiveInt that may be empty.

      • getInformationSequence

        public java.util.List<PositiveInt> getInformationSequence()
        Exceptions, special conditions and supporting information applicable for this service or product.
        Returns:
        An unmodifiable list containing immutable objects of type PositiveInt that may be empty.

      • getRevenue

        public CodeableConcept getRevenue()
        The type of revenue or cost center providing the product and/or service.
        Returns:
        An immutable object of type CodeableConcept that may be null.

      • getCategory

        public CodeableConcept getCategory()
        Code to identify the general type of benefits under which products and services are provided.
        Returns:
        An immutable object of type CodeableConcept that may be null.

      • getProductOrService

        public CodeableConcept getProductOrService()
        When the value is a group code then this item collects a set of related claim details, otherwise this contains the product, service, drug or other billing code for the item.
        Returns:
        An immutable object of type CodeableConcept that is non-null.

      • getModifier

        public java.util.List<CodeableConcept> getModifier()
        Item typification or modifiers codes to convey additional context for the product or service.
        Returns:
        An unmodifiable list containing immutable objects of type CodeableConcept that may be empty.

      • getProgramCode

        public java.util.List<CodeableConcept> getProgramCode()
        Identifies the program under which this may be recovered.
        Returns:
        An unmodifiable list containing immutable objects of type CodeableConcept that may be empty.

      • getServiced

        public Element getServiced()
        The date or dates when the service or product was supplied, performed or completed.
        Returns:
        An immutable object of type Date or Period that may be null.

      • getQuantity

        public SimpleQuantity getQuantity()
        The number of repetitions of a service or product.
        Returns:
        An immutable object of type SimpleQuantity that may be null.

      • getUnitPrice

        public Money getUnitPrice()
        If the item is not a group then this is the fee for the product or service, otherwise this is the total of the fees for the details of the group.
        Returns:
        An immutable object of type Money that may be null.

      • getFactor

        public Decimal getFactor()
        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.
        Returns:
        An immutable object of type Decimal that may be null.

      • getNet

        public Money getNet()
        The quantity times the unit price for an additional service or product or charge.
        Returns:
        An immutable object of type Money that may be null.

      • getUdi

        public java.util.List<Reference> getUdi()
        Unique Device Identifiers associated with this line item.
        Returns:
        An unmodifiable list containing immutable objects of type Reference that may be empty.

      • getBodySite

        public CodeableConcept getBodySite()
        Physical service site on the patient (limb, tooth, etc.).
        Returns:
        An immutable object of type CodeableConcept that may be null.

      • getSubSite

        public java.util.List<CodeableConcept> getSubSite()
        A region or surface of the bodySite, e.g. limb region or tooth surface(s).
        Returns:
        An unmodifiable list containing immutable objects of type CodeableConcept that may be empty.

      • getEncounter

        public java.util.List<Reference> getEncounter()
        A billed item may include goods or services provided in multiple encounters.
        Returns:
        An unmodifiable list containing immutable objects of type Reference that may be empty.

      • getNoteNumber

        public java.util.List<PositiveInt> getNoteNumber()
        The numbers associated with notes below which apply to the adjudication of this item.
        Returns:
        An unmodifiable list containing immutable objects of type PositiveInt that may be empty.

      • getAdjudication

        public java.util.List<ExplanationOfBenefit.Item.Adjudication> getAdjudication()
        If this item is a group then the values here are a summary of the adjudication of the detail items. If this item is a simple product or service then this is the result of the adjudication of this item.
        Returns:
        An unmodifiable list containing immutable objects of type ExplanationOfBenefit.Item.Adjudication that may be empty.

      • accept

        public void accept​(java.lang.String elementName,
                   int elementIndex,
                   Visitor visitor)
        Description copied from interface: Visitable
        Accept a Visitor and invoke the appropriate visit methods. A typical implementation would look like this: 
         if (visitor.preVisit(this)) {
     visitor.visitStart(elementName, elementIndex, this);
     if (visitor.visit(elementName, elementIndex, this)) {
         // visit children
     }
     visitor.visitEnd(elementName, elementIndex, this);
     visitor.postVisit(this);
 }
        Specified by:
        accept in interface Visitable
        Specified by:
        accept in class AbstractVisitable
        Parameters:
        elementName - the name of the element in the context of this visit
        elementIndex - the index of the element in a list or -1 if it is not contained within a List
        visitor - the visitor to use

      • equals

        public boolean equals​(java.lang.Object obj)
        Overrides:
        equals in class java.lang.Object

      • hashCode

        public int hashCode()
        Overrides:
        hashCode in class java.lang.Object