Data Model Libraries
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    ClaimResponseItemComponent Class

    FHIR Specification

    • Short: Adjudication for claim line items
    • Definition: 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.
    • Requirements: The adjudication for items provided on the claim.

    Hierarchy (View Summary)

    Implements

    Index

    Constructors

    Properties

    itemSequence: null | PositiveIntType

    ClaimResponse.item.itemSequence Element

    FHIR Specification

    • Short: Claim item instance identifier
    • Definition: A number to uniquely reference the claim item entries.
    • Requirements: Necessary to provide a mechanism to link the adjudication result to the submitted claim item.
    • FHIR Type: positiveInt
    • Cardinality: 1..1
    • isModifier: false
    • isSummary: false
    traceNumber?: Identifier[]

    ClaimResponse.item.traceNumber Element

    FHIR Specification

    • Short: Number for tracking
    • Definition: Trace number for tracking purposes. May be defined at the jurisdiction level or between trading partners.
    • Requirements: Allows partners to uniquely identify components for tracking.
    • FHIR Type: Identifier
    • Cardinality: 0..*
    • isModifier: false
    • isSummary: false
    noteNumber?: PositiveIntType[]

    ClaimResponse.item.noteNumber Element

    FHIR Specification

    • Short: Applicable note numbers
    • Definition: The numbers associated with notes below which apply to the adjudication of this item.
    • Requirements: Provides a condensed manner for associating human readable descriptive explanations for adjudications on the line item.
    • FHIR Type: positiveInt
    • Cardinality: 0..*
    • isModifier: false
    • isSummary: false

    ClaimResponse.item.reviewOutcome Element

    FHIR Specification

    • Short: Adjudication results
    • Definition: The high-level results of the adjudication if adjudication has been performed.
    • FHIR Type: BackboneElement
    • Cardinality: 0..1
    • isModifier: false
    • isSummary: false

    ClaimResponse.item.adjudication Element

    FHIR Specification

    • Short: Adjudication details
    • Definition: 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.
    • Requirements: The adjudication results conveys the insurer's assessment of the item provided in the claim under the terms of the patient's insurance coverage.
    • FHIR Type: BackboneElement
    • Cardinality: 0..*
    • isModifier: false
    • isSummary: false

    ClaimResponse.item.detail Element

    FHIR Specification

    • Short: Adjudication for claim details
    • Definition: A claim detail. Either a simple (a product or service) or a 'group' of sub-details which are simple items.
    • Requirements: The adjudication for details provided on the claim.
    • FHIR Type: BackboneElement
    • Cardinality: 0..*
    • isModifier: false
    • isSummary: false

    Methods

    • Parse the provided ClaimResponseItemComponent JSON to instantiate the ClaimResponseItemComponent data model.

      Parameters

      • sourceJson: Value

        JSON representing FHIR ClaimResponseItemComponent

      • OptionaloptSourceField: string

        Optional data source field (e.g. <complexTypeName>.<complexTypeFieldName>); defaults to ClaimResponseItemComponent

      Returns undefined | ClaimResponseItemComponent

      ClaimResponseItemComponent data model or undefined for ClaimResponseItemComponent

      JsonError if the provided JSON is not a valid JSON object

    • 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

      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.

      AssertionError for invalid url

    • Returns undefined | string

      the id property value

    • Assigns the provided value to the id property.

      Parameters

      • value: undefined | string

        the id value

      Returns this

      this

      PrimitiveTypeError for invalid value

    • Returns boolean

      true if id exists and has a value; false otherwise

    • 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

      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.

      AssertionError for invalid url

    • 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

      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.

      AssertionError for invalid url

    • 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

    • 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

      AssertionError for invalid url

    • Returns boolean

      true if the instance is a FHIR complex or primitive datatype; false otherwise