Class ClaimResponseInsuranceComponent

ClaimResponseInsuranceComponent Class

Remarks

FHIR Specification

Short: Patient insurance information
Definition: Financial instruments for reimbursement for the health care products and services specified on the claim.
Comment: All insurance coverages for the patient which may be applicable for reimbursement, of the products and services listed in the claim, are typically provided in the claim to allow insurers to confirm the ordering of the insurance coverages relative to local 'coordination of benefit' rules. One coverage (and only one) with 'focal=true' is to be used in the adjudication of this claim. Coverages appearing before the focal Coverage in the list, and where 'subrogation=false', should provide a reference to the ClaimResponse containing the adjudication results of the prior claim.
Requirements: At least one insurer is required for a claim to be a claim.

See

FHIR ClaimResponse

Hierarchy (View Summary)

BackboneElement
- ClaimResponseInsuranceComponent

Implements

IBackboneElement

Index

Constructors

constructor

new ClaimResponseInsuranceComponent(
    sequence?: null | number | PositiveIntType,
    focal?: null | boolean | BooleanType,
    coverage?: null | Reference,
): ClaimResponseInsuranceComponent
Parameters
- sequence: null | number | PositiveIntType = null
- focal: null | boolean | BooleanType = null
- coverage: null | Reference = null
Returns ClaimResponseInsuranceComponent
Overrides BackboneElement.constructor
- Defined in packages/r4-datamodels/src/resources/ClaimResponse.ts:9888

Properties

`Private`sequence

sequence: null | PositiveIntType

ClaimResponse.insurance.sequence Element

Remarks

FHIR Specification

Short: Insurance instance identifier
Definition: A number to uniquely identify insurance entries and provide a sequence of coverages to convey coordination of benefit order.
Requirements: To maintain order of the coverages.
FHIR Type: positiveInt
Cardinality: 1..1
isModifier: false
isSummary: false

`Private`focal

focal: null | BooleanType

ClaimResponse.insurance.focal Element

Remarks

FHIR Specification

Short: Coverage to be used for adjudication
Definition: A flag to indicate that this Coverage is to be used for adjudication of this claim when set to true.
Comment: A patient may (will) have multiple insurance policies which provide reimbursement for healthcare services and products. For example a person may also be covered by their spouse's policy and both appear in the list (and may be from the same insurer). This flag will be set to true for only one of the listed policies and that policy will be used for adjudicating this claim. Other claims would be created to request adjudication against the other listed policies.
Requirements: To identify which coverage in the list is being used to adjudicate this claim.
FHIR Type: boolean
Cardinality: 1..1
isModifier: false
isSummary: false

`Private`coverage

coverage: null | Reference

ClaimResponse.insurance.coverage Element

Remarks

FHIR Specification

Short: Insurance information
Definition: Reference to the insurance card level information contained in the Coverage resource. The coverage issuing insurer will use these details to locate the patient's actual coverage within the insurer's information system.
Requirements: Required to allow the adjudicator to locate the correct policy and history within their information system.
FHIR Type: Reference
- TargetProfiles: [ 'http://hl7.org/fhir/StructureDefinition/Coverage', ]
Cardinality: 1..1
isModifier: false
isSummary: false

`Private` `Optional`businessArrangement

businessArrangement?: StringType

ClaimResponse.insurance.businessArrangement Element

Remarks

FHIR Specification

Short: Additional provider contract number
Definition: A business agreement number established between the provider and the insurer for special business processing purposes.
Requirements: Providers may have multiple business arrangements with a given insurer and must supply the specific contract number for adjudication.
FHIR Type: string
Cardinality: 0..1
isModifier: false
isSummary: false

`Private` `Optional`claimResponse

claimResponse?: Reference

ClaimResponse.insurance.claimResponse Element

Remarks

FHIR Specification

Short: Adjudication results
Definition: The result of the adjudication of the line items for the Coverage specified in this insurance.
Comment: Must not be specified when 'focal=true' for this insurance.
Requirements: An insurer need the adjudication results from prior insurers to determine the outstanding balance remaining by item for the items in the curent claim.
FHIR Type: Reference
- TargetProfiles: [ 'http://hl7.org/fhir/StructureDefinition/ClaimResponse', ]
Cardinality: 0..1
isModifier: false
isSummary: false

Methods

`Static`parse

parse(
sourceJson: Value,
optSourceField?: string,
): undefined | ClaimResponseInsuranceComponent
Parse the provided ClaimResponseInsuranceComponent JSON to instantiate the ClaimResponseInsuranceComponent data model.
Parameters
- sourceJson: Value
  JSON representing FHIR ClaimResponseInsuranceComponent
- OptionaloptSourceField: string
  Optional data source field (e.g. <complexTypeName>.<complexTypeFieldName>); defaults to ClaimResponseInsuranceComponent
Returns undefined | ClaimResponseInsuranceComponent
ClaimResponseInsuranceComponent data model or undefined for ClaimResponseInsuranceComponent

Throws
JsonError if the provided JSON is not a valid JSON object
- Defined in packages/r4-datamodels/src/resources/ClaimResponse.ts:9923

getSequenceElement

getSequenceElement(): PositiveIntType
Returns PositiveIntType
the sequence property value as a PositiveIntType object if defined; else an empty PositiveIntType object
- Defined in packages/r4-datamodels/src/resources/ClaimResponse.ts:10091

setSequenceElement

setSequenceElement(element: undefined | null | PositiveIntType): this
Assigns the provided PrimitiveType value to the sequence property.
Parameters
- element: undefined | null | PositiveIntType
  the sequence value
Returns this
this

Throws
InvalidTypeError for invalid data types

Throws
PrimitiveTypeError for invalid primitive types
- Defined in packages/r4-datamodels/src/resources/ClaimResponse.ts:10103

hasSequenceElement

hasSequenceElement(): boolean
Returns boolean
true if the sequence property exists and has a value; false otherwise
- Defined in packages/r4-datamodels/src/resources/ClaimResponse.ts:10117

getSequence

getSequence(): null | number
Returns null | number
the sequence property value as a fhirPositiveInt if defined; else null
- Defined in packages/r4-datamodels/src/resources/ClaimResponse.ts:10124

setSequence

setSequence(value: undefined | null | number): this
Assigns the provided primitive value to the sequence property.
Parameters
- value: undefined | null | number
  the sequence value
Returns this
this

Throws
PrimitiveTypeError for invalid primitive types
- Defined in packages/r4-datamodels/src/resources/ClaimResponse.ts:10139

hasSequence

hasSequence(): boolean
Returns boolean
true if the sequence property exists and has a value; false otherwise
- Defined in packages/r4-datamodels/src/resources/ClaimResponse.ts:10152

getFocalElement

getFocalElement(): BooleanType
Returns BooleanType
the focal property value as a BooleanType object if defined; else an empty BooleanType object
- Defined in packages/r4-datamodels/src/resources/ClaimResponse.ts:10159

setFocalElement

setFocalElement(element: undefined | null | BooleanType): this
Assigns the provided PrimitiveType value to the focal property.
Parameters
- element: undefined | null | BooleanType
  the focal value
Returns this
this

Throws
InvalidTypeError for invalid data types

Throws
PrimitiveTypeError for invalid primitive types
- Defined in packages/r4-datamodels/src/resources/ClaimResponse.ts:10171

hasFocalElement

hasFocalElement(): boolean
Returns boolean
true if the focal property exists and has a value; false otherwise
- Defined in packages/r4-datamodels/src/resources/ClaimResponse.ts:10185

getFocal

getFocal(): null | boolean
Returns null | boolean
the focal property value as a fhirBoolean if defined; else null
- Defined in packages/r4-datamodels/src/resources/ClaimResponse.ts:10192

setFocal

setFocal(value: undefined | null | boolean): this
Assigns the provided primitive value to the focal property.
Parameters
- value: undefined | null | boolean
  the focal value
Returns this
this

Throws
PrimitiveTypeError for invalid primitive types
- Defined in packages/r4-datamodels/src/resources/ClaimResponse.ts:10207

hasFocal

hasFocal(): boolean
Returns boolean
true if the focal property exists and has a value; false otherwise
- Defined in packages/r4-datamodels/src/resources/ClaimResponse.ts:10220

getCoverage

getCoverage(): Reference
Returns Reference
the coverage property value as a Reference object if defined; else an empty Reference object
- Defined in packages/r4-datamodels/src/resources/ClaimResponse.ts:10227

setCoverage

setCoverage(value: undefined | null | Reference): this
Assigns the provided Coverage object value to the coverage property.
Parameters
- value: undefined | null | Reference
  the coverage object value
Returns this
this

Decorator
@ReferenceTargets('ClaimResponse.insurance.coverage', ['Coverage',])

Throws
InvalidTypeError for invalid data type or reference value
- Defined in packages/r4-datamodels/src/resources/ClaimResponse.ts:10243

hasCoverage

hasCoverage(): boolean
Returns boolean
true if the coverage property exists and has a value; false otherwise
- Defined in packages/r4-datamodels/src/resources/ClaimResponse.ts:10256

getBusinessArrangementElement

getBusinessArrangementElement(): StringType
Returns StringType
the businessArrangement property value as a StringType object if defined; else an empty StringType object
- Defined in packages/r4-datamodels/src/resources/ClaimResponse.ts:10263

setBusinessArrangementElement

setBusinessArrangementElement(element: undefined | StringType): this
Assigns the provided PrimitiveType value to the businessArrangement property.
Parameters
- element: undefined | StringType
  the businessArrangement value
Returns this
this

Throws
InvalidTypeError for invalid data types

Throws
PrimitiveTypeError for invalid primitive types
- Defined in packages/r4-datamodels/src/resources/ClaimResponse.ts:10275

hasBusinessArrangementElement

hasBusinessArrangementElement(): boolean
Returns boolean
true if the businessArrangement property exists and has a value; false otherwise
- Defined in packages/r4-datamodels/src/resources/ClaimResponse.ts:10289

getBusinessArrangement

getBusinessArrangement(): undefined | string
Returns undefined | string
the businessArrangement property value as a fhirString if defined; else undefined
- Defined in packages/r4-datamodels/src/resources/ClaimResponse.ts:10296

setBusinessArrangement

setBusinessArrangement(value: undefined | string): this
Assigns the provided primitive value to the businessArrangement property.
Parameters
- value: undefined | string
  the businessArrangement value
Returns this
this

Throws
PrimitiveTypeError for invalid primitive types
- Defined in packages/r4-datamodels/src/resources/ClaimResponse.ts:10307

hasBusinessArrangement

hasBusinessArrangement(): boolean
Returns boolean
true if the businessArrangement property exists and has a value; false otherwise
- Defined in packages/r4-datamodels/src/resources/ClaimResponse.ts:10320

getClaimResponse

getClaimResponse(): Reference
Returns Reference
the claimResponse property value as a Reference object; else an empty Reference object
- Defined in packages/r4-datamodels/src/resources/ClaimResponse.ts:10327

setClaimResponse

setClaimResponse(value: undefined | Reference): this
Assigns the provided ClaimResponse object value to the claimResponse property.
Parameters
- value: undefined | Reference
  the claimResponse object value
Returns this
this

Decorator
@ReferenceTargets('ClaimResponse.insurance.claimResponse', ['ClaimResponse',])

Throws
InvalidTypeError for invalid data type or reference value
- Defined in packages/r4-datamodels/src/resources/ClaimResponse.ts:10343

hasClaimResponse

hasClaimResponse(): boolean
Returns boolean
true if the claimResponse property exists and has a value; false otherwise
- Defined in packages/r4-datamodels/src/resources/ClaimResponse.ts:10356

fhirType

fhirType(): string
Returns string
the FHIR type defined in the FHIR standard
Implementation of IBackboneElement.fhirType
Overrides BackboneElement.fhirType
- Defined in packages/r4-datamodels/src/resources/ClaimResponse.ts:10365

isEmpty

isEmpty(): boolean
Returns boolean
true if the instance is empty; false otherwise
Implementation of IBackboneElement.isEmpty
Overrides BackboneElement.isEmpty
- Defined in packages/r4-datamodels/src/resources/ClaimResponse.ts:10372

isRequiredFieldsEmpty

isRequiredFieldsEmpty(): boolean
Returns boolean
true if and only if the data model has required fields (min cardinality > 0) and at least one of those required fields in the instance is empty; false otherwise
Implementation of IBackboneElement.isRequiredFieldsEmpty
Overrides BackboneElement.isRequiredFieldsEmpty
- Defined in packages/r4-datamodels/src/resources/ClaimResponse.ts:10386

copy

copy(): ClaimResponseInsuranceComponent
Creates a copy of the current instance.

Returns ClaimResponseInsuranceComponent
the a new instance copied from the current instance
Implementation of IBackboneElement.copy
Overrides BackboneElement.copy
- Defined in packages/r4-datamodels/src/resources/ClaimResponse.ts:10397

toJSON

toJSON(): undefined | Value
Returns undefined | Value
the JSON value or undefined if the instance is empty
Implementation of IBackboneElement.toJSON
Overrides BackboneElement.toJSON
- Defined in packages/r4-datamodels/src/resources/ClaimResponse.ts:10421

getModifierExtension

getModifierExtension(): IExtension[]
Returns IExtension[]
the array of modifierExtension values
Implementation of IBackboneElement.getModifierExtension
Inherited from BackboneElement.getModifierExtension
- Defined in packages/fhir-core/lib/base-models/core-fhir-models.d.ts:195

setModifierExtension

setModifierExtension(extension: undefined | IExtension[]): this
Assigns the provided array of Extension values to the modifierExtension property.
Parameters
- extension: undefined | IExtension[]
  array of Extensions
Returns this
this
Implementation of IBackboneElement.setModifierExtension
Inherited from BackboneElement.setModifierExtension
- Defined in packages/fhir-core/lib/base-models/core-fhir-models.d.ts:202

hasModifierExtension

hasModifierExtension(url?: string): boolean
Determines if the modifierExtension property exists.
Parameters
- Optionalurl: string
  the url that identifies a specific Extension
Returns boolean
true if an Extension has the provided url; false otherwise

Remarks
If the url is provided, determines if an Extension having the provided url exists. If the url is not provided, determines if the modifierExtension property exists and has any values.

Throws
AssertionError for invalid url
Implementation of IBackboneElement.hasModifierExtension
Inherited from BackboneElement.hasModifierExtension
- Defined in packages/fhir-core/lib/base-models/core-fhir-models.d.ts:214

getModifierExtensionByUrl

getModifierExtensionByUrl(url: string): undefined | IExtension
Returns the Extension having the provided url.
Parameters
- url: string
  the url that identifies a specific Extension
Returns undefined | IExtension
the Extension having the provided url

Throws
AssertionError for invalid url
Implementation of IBackboneElement.getModifierExtensionByUrl
Inherited from BackboneElement.getModifierExtensionByUrl
- Defined in packages/fhir-core/lib/base-models/core-fhir-models.d.ts:222

addModifierExtension

addModifierExtension(extension: undefined | IExtension): this
Adds the provided Extension to the modifierExtension property array.
Parameters
- extension: undefined | IExtension
  the Extension value to add to the modifierExtension property array
Returns this
this
Implementation of IBackboneElement.addModifierExtension
Inherited from BackboneElement.addModifierExtension
- Defined in packages/fhir-core/lib/base-models/core-fhir-models.d.ts:229

removeModifierExtension

removeModifierExtension(url: string): void
Removes the Extension having the provided url from the modifierExtension property array.
Parameters
- url: string
  the url that identifies a specific Extension to remove
Returns void
Throws
AssertionError for invalid url
Implementation of IBackboneElement.removeModifierExtension
Inherited from BackboneElement.removeModifierExtension
- Defined in packages/fhir-core/lib/base-models/core-fhir-models.d.ts:236

getId

getId(): undefined | string
Returns undefined | string
the id property value
Implementation of IBackboneElement.getId
Inherited from BackboneElement.getId
- Defined in packages/fhir-core/lib/base-models/core-fhir-models.d.ts:59

setId

setId(value: undefined | string): this
Assigns the provided value to the id property.
Parameters
- value: undefined | string
  the id value
Returns this
this

Throws
PrimitiveTypeError for invalid value
Implementation of IBackboneElement.setId
Inherited from BackboneElement.setId
- Defined in packages/fhir-core/lib/base-models/core-fhir-models.d.ts:67

hasId

hasId(): boolean
Returns boolean
true if id exists and has a value; false otherwise
Implementation of IBackboneElement.hasId
Inherited from BackboneElement.hasId
- Defined in packages/fhir-core/lib/base-models/core-fhir-models.d.ts:71

getExtension

getExtension(): IExtension[]
Returns IExtension[]
the array of extension values
Implementation of IBackboneElement.getExtension
Inherited from BackboneElement.getExtension
- Defined in packages/fhir-core/lib/base-models/core-fhir-models.d.ts:75

setExtension

setExtension(extension: undefined | IExtension[]): this
Assigns the provided array of Extension values to the extension property.
Parameters
- extension: undefined | IExtension[]
  array of Extensions
Returns this
this
Implementation of IBackboneElement.setExtension
Inherited from BackboneElement.setExtension
- Defined in packages/fhir-core/lib/base-models/core-fhir-models.d.ts:82

hasExtension

hasExtension(url?: string): boolean
Determines if the extension property exists.
Parameters
- Optionalurl: string
  the url that identifies a specific Extension
Returns boolean
true if an Extension has the provided url; false otherwise

Remarks
If the url is provided, determines if an Extension having the provided url exists. If the url is not provided, determines if the extension property exists and has any values.

Throws
AssertionError for invalid url
Implementation of IBackboneElement.hasExtension
Inherited from BackboneElement.hasExtension
- Defined in packages/fhir-core/lib/base-models/core-fhir-models.d.ts:94

getExtensionByUrl

getExtensionByUrl(url: string): undefined | IExtension
Determines if the extension property exists.
Parameters
- url: string
  the url that identifies a specific Extension
Returns undefined | IExtension
an Extension having the provided url

Remarks
If the url is provided, determines if an Extension having the provided url exists. If the url is not provided, determines if the extension property exists and has any values.

Throws
AssertionError for invalid url
Implementation of IBackboneElement.getExtensionByUrl
Inherited from BackboneElement.getExtensionByUrl
- Defined in packages/fhir-core/lib/base-models/core-fhir-models.d.ts:106

addExtension

addExtension(extension: undefined | IExtension): this
Adds the provided Extension to the extension property array.
Parameters
- extension: undefined | IExtension
  the Extension value to add to the extension property array
Returns this
this
Implementation of IBackboneElement.addExtension
Inherited from BackboneElement.addExtension
- Defined in packages/fhir-core/lib/base-models/core-fhir-models.d.ts:113

removeExtension

removeExtension(url: string): void
Removes the Extension having the provided url from the extension property array.
Parameters
- url: string
  the url that identifies a specific Extension to remove
Returns void
Throws
AssertionError for invalid url
Implementation of IBackboneElement.removeExtension
Inherited from BackboneElement.removeExtension
- Defined in packages/fhir-core/lib/base-models/core-fhir-models.d.ts:120

isResource

isResource(): boolean
Returns boolean
true if the instance is a FHIR resource; false otherwise
Implementation of IBackboneElement.isResource
Inherited from BackboneElement.isResource
- Defined in packages/fhir-core/lib/base-models/Base.d.ts:67

isDataType

isDataType(): boolean
Returns boolean
true if the instance is a FHIR complex or primitive datatype; false otherwise
Implementation of IBackboneElement.isDataType
Inherited from BackboneElement.isDataType
- Defined in packages/fhir-core/lib/base-models/Base.d.ts:71

isComplexDataType

isComplexDataType(): boolean
Returns boolean
true if the instance is a FHIR complex datatype; false otherwise
Implementation of IBackboneElement.isComplexDataType
Inherited from BackboneElement.isComplexDataType
- Defined in packages/fhir-core/lib/base-models/Base.d.ts:75

isPrimitive

isPrimitive(): boolean
Returns boolean
true if the instance is a FHIR primitive datatype; false otherwise
Implementation of IBackboneElement.isPrimitive
Inherited from BackboneElement.isPrimitive
- Defined in packages/fhir-core/lib/base-models/Base.d.ts:79

isBooleanPrimitive

isBooleanPrimitive(): boolean
Returns boolean
true if the instance is a FHIR primitive boolean datatype; false otherwise
Implementation of IBackboneElement.isBooleanPrimitive
Inherited from BackboneElement.isBooleanPrimitive
- Defined in packages/fhir-core/lib/base-models/Base.d.ts:83

isStringPrimitive

isStringPrimitive(): boolean
Returns boolean
true if the instance is a FHIR primitive string-based datatype; false otherwise
Implementation of IBackboneElement.isStringPrimitive
Inherited from BackboneElement.isStringPrimitive
- Defined in packages/fhir-core/lib/base-models/Base.d.ts:87

isNumberPrimitive

isNumberPrimitive(): boolean
Returns boolean
true if the instance is a FHIR primitive number-based datatype; false otherwise
Implementation of IBackboneElement.isNumberPrimitive
Inherited from BackboneElement.isNumberPrimitive
- Defined in packages/fhir-core/lib/base-models/Base.d.ts:91

isBigIntPrimitive

isBigIntPrimitive(): boolean
Returns boolean
true if the instance is a FHIR primitive bigint-based datatype; false otherwise
Implementation of IBackboneElement.isBigIntPrimitive
Inherited from BackboneElement.isBigIntPrimitive
- Defined in packages/fhir-core/lib/base-models/Base.d.ts:95

isDateTimePrimitive

isDateTimePrimitive(): boolean
Returns boolean
true if the instance is a FHIR primitive datetime-based datatype; false otherwise
Implementation of IBackboneElement.isDateTimePrimitive
Inherited from BackboneElement.isDateTimePrimitive
- Defined in packages/fhir-core/lib/base-models/Base.d.ts:99

`Protected`copyValues

copyValues(dest: ClaimResponseInsuranceComponent): void
Protected
Copies the current instance's elements into the provided object.
Parameters
- dest: ClaimResponseInsuranceComponent
  the copied instance
Returns void
Overrides BackboneElement.copyValues
- Defined in packages/r4-datamodels/src/resources/ClaimResponse.ts:10409

Class ClaimResponseInsuranceComponent

Remarks

See

Hierarchy (View Summary)

Implements

Index

Constructors

Properties

Methods

Constructors

constructor

Parameters

Returns ClaimResponseInsuranceComponent

Properties

Privatesequence

Remarks

Privatefocal

Remarks

Privatecoverage

Remarks

Private OptionalbusinessArrangement

Remarks

Private OptionalclaimResponse

Remarks

Methods

Staticparse

Parameters

Returns undefined | ClaimResponseInsuranceComponent

Throws

getSequenceElement

Returns PositiveIntType

setSequenceElement

Parameters

Returns this

Throws

Throws

hasSequenceElement

Returns boolean

getSequence

Returns null | number

setSequence

Parameters

Returns this

Throws

hasSequence

Returns boolean

getFocalElement

Returns BooleanType

setFocalElement

Parameters

Returns this

Throws

Throws

hasFocalElement

Returns boolean

getFocal

Returns null | boolean

setFocal

Parameters

Returns this

Throws

hasFocal

Returns boolean

getCoverage

Returns Reference

setCoverage

Parameters

Returns this

Decorator

Throws

hasCoverage

Returns boolean

getBusinessArrangementElement

Returns StringType

setBusinessArrangementElement

Parameters

Returns this

Throws

Throws

hasBusinessArrangementElement

`Private`sequence

`Private`focal

`Private`coverage

`Private` `Optional`businessArrangement

`Private` `Optional`claimResponse

`Static`parse