Besa Fhir Help File

Getting Started

Units

Class Hierarchy

Classes, Interfaces, Objects and Records

Types

Variables

Constants

Functions and Procedures

Identifiers

Class TClaim

Description
Hierarchy
Fields
Methods
Properties

Unit

bsFhir_r4

Declaration

type TClaim = class(TDomainResource)

Description

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. If the element is present, it must have either a @value, an @id, or extensions

Hierarchy

Overview

Methods

Public constructor Create; override;

Properties

Public property identifier : TIdentifierArray read GetidentifierArray;
Public property status : string read Getstatus write Setstatus;
Public property statusElement : TFinancialResourceStatusCodes read GetstatusElement write SetstatusElement;
Public property type_ : TCodeableConcept read Gettype_ write Settype_;
Public property subType : TCodeableConcept read GetsubType write SetsubType;
Public property use : string read Getuse write Setuse;
Public property useElement : TUse read GetuseElement write SetuseElement;
Public property patient : TReference read Getpatient write Setpatient;
Public property billablePeriod : TPeriod read GetbillablePeriod write SetbillablePeriod;
Public property created : string read Getcreated write Setcreated;
Public property createdElement : TdateTime_ read GetcreatedElement write SetcreatedElement;
Public property enterer : TReference read Getenterer write Setenterer;
Public property insurer : TReference read Getinsurer write Setinsurer;
Public property provider : TReference read Getprovider write Setprovider;
Public property priority : TCodeableConcept read Getpriority write Setpriority;
Public property fundsReserve : TCodeableConcept read GetfundsReserve write SetfundsReserve;
Public property related : TClaimRelatedArray read GetrelatedArray;
Public property prescription : TReference read Getprescription write Setprescription;
Public property originalPrescription : TReference read GetoriginalPrescription write SetoriginalPrescription;
Public property payee : TClaimPayee read Getpayee write Setpayee;
Public property referral : TReference read Getreferral write Setreferral;
Public property facility : TReference read Getfacility write Setfacility;
Public property careTeam : TClaimCareTeamArray read GetcareTeamArray;
Public property supportingInfo : TClaimSupportingInfoArray read GetsupportingInfoArray;
Public property diagnosis : TClaimDiagnosisArray read GetdiagnosisArray;
Public property procedure_ : TClaimProcedureArray read Getprocedure_Array;
Public property insurance : TClaimInsuranceArray read GetinsuranceArray;
Public property accident : TClaimAccident read Getaccident write Setaccident;
Public property item : TClaimItemArray read GetitemArray;
Public property total : TMoney read Gettotal write Settotal;

Description

Methods

Public constructor Create; override;
 

Properties

Public property identifier : TIdentifierArray read GetidentifierArray;

A unique identifier assigned to this claim.

Public property status : string read Getstatus write Setstatus;

The status of the resource instance.

Public property statusElement : TFinancialResourceStatusCodes read GetstatusElement write SetstatusElement;
 
Public property type_ : TCodeableConcept read Gettype_ write Settype_;

The category of claim, e.g. oral, pharmacy, vision, institutional, professional.

Public property subType : TCodeableConcept read GetsubType write SetsubType;

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

Public property use : string read Getuse write Setuse;

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.

Public property useElement : TUse read GetuseElement write SetuseElement;
 
Public property patient : TReference read Getpatient write Setpatient;

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.

Public property billablePeriod : TPeriod read GetbillablePeriod write SetbillablePeriod;

The period for which charges are being submitted.

Public property created : string read Getcreated write Setcreated;

The date this resource was created.

Public property createdElement : TdateTime_ read GetcreatedElement write SetcreatedElement;
 
Public property enterer : TReference read Getenterer write Setenterer;

Individual who created the claim, predetermination or preauthorization.

Public property insurer : TReference read Getinsurer write Setinsurer;

The Insurer who is target of the request.

Public property provider : TReference read Getprovider write Setprovider;

The provider which is responsible for the claim, predetermination or preauthorization.

Public property priority : TCodeableConcept read Getpriority write Setpriority;

The provider-required urgency of processing the request. Typical values include: stat, routine deferred.

Public property fundsReserve : TCodeableConcept read GetfundsReserve write SetfundsReserve;

A code to indicate whether and for whom funds are to be reserved for future claims.

Public property related : TClaimRelatedArray read GetrelatedArray;

Other claims which are related to this claim such as prior submissions or claims for related services or for the same event.

Public property prescription : TReference read Getprescription write Setprescription;

Prescription to support the dispensing of pharmacy, device or vision products.

Public property originalPrescription : TReference read GetoriginalPrescription write SetoriginalPrescription;

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

Public property payee : TClaimPayee read Getpayee write Setpayee;

The party to be reimbursed for cost of the products and services according to the terms of the policy.

Public property referral : TReference read Getreferral write Setreferral;

A reference to a referral resource.

Public property facility : TReference read Getfacility write Setfacility;

Facility where the services were provided.

Public property careTeam : TClaimCareTeamArray read GetcareTeamArray;

The members of the team who provided the products and services.

Public property supportingInfo : TClaimSupportingInfoArray read GetsupportingInfoArray;

Additional information codes regarding exceptions, special considerations, the condition, situation, prior or concurrent issues.

Public property diagnosis : TClaimDiagnosisArray read GetdiagnosisArray;

Information about diagnoses relevant to the claim items.

Public property procedure_ : TClaimProcedureArray read Getprocedure_Array;

Procedures performed on the patient relevant to the billing items with the claim.

Public property insurance : TClaimInsuranceArray read GetinsuranceArray;

Financial instruments for reimbursement for the health care products and services specified on the claim.

Public property accident : TClaimAccident read Getaccident write Setaccident;

Details of an accident which resulted in injuries which required the products and services listed in the claim.

Public property item : TClaimItemArray read GetitemArray;

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.

Public property total : TMoney read Gettotal write Settotal;

The total value of the all the items in the claim.

Generated by PasDoc 0.15.0.