EnrollEligCOB UML Documentation

Element

EnrollEligCOB
Class PaymentReconciliation

"This resource provides payment details and claim references supporting a bulk payment." - HL7 FHIR, PaymentReconciliation

Attributes
«TS» PointInTime	dateCreated	"The date when the enclosed suite of services were performed or completed." - HL7 FHIR, PaymentReconciliation.created
Detail	detail	"List of individual settlement amounts and the corresponding transaction." - HL7 FHIR, PaymentReconciliation.detail
String	disposition	"A description of the status of the adjudication." - HL7 FHIR, PaymentReconciliation.disposition
«CS» Code	form	"The form to be used for printing the content." - HL7 FHIR, PaymentReconciliation.form
«II» Id	identifier	"The Response business identifier." - HL7 FHIR, PaymentReconciliation.identifier
BenefitsProvider	organization	"The Insurer who produced this adjudicated response." - HL7 FHIR, PaymentReconciliation.organization
«CS» Code	outcome	"Transaction status: error, complete." - HL7 FHIR, PaymentReconciliation.outcome
«IVL_TS» Period	period	"The period of time for which payments have been gathered into this bulk payment for settlement." - HL7 FHIR, PaymentReconciliation.period
ProcessNote	processNote	"Suite of notes." - HL7 FHIR, PaymentReconciliation.processNote
«ANY» Any	request	"Original request resource reference." - HL7 FHIR, PaymentReconciliation.request Note that in FHIR, this is a pointer to ANY resource. This is a placeholder to remind us to change this property to an association to the appriopriate FHIM class.
OrganizationalProvider	requestOrganization	"The organization which is responsible for the services rendered to the patient." - HL7 FHIR, PaymentReconciliation.requestOrganization
HealthcareProvider	requestProvider	"The practitioner who is responsible for the services rendered to the patient." - HL7 FHIR, PaymentReconciliation.requestProvider
«CS» Code	status	"The status of the resource instance." - HL7 FHIR, PaymentReconciliation.status
«MO» MonetaryAmount	total	"Total payment amount." - HL7 FHIR, PaymentReconciliation.total

Properties:

Alias
Classifier Behavior
Is Abstract	false
Is Active	false
Is Leaf	false
Keywords
Name	PaymentReconciliation
Name Expression
Namespace	EnrollEligCOB
Owned Template Signature
Owner	EnrollEligCOB
Owning Template Parameter
Package	EnrollEligCOB
Qualified Name	FHIM::EnrollEligCOB::PaymentReconciliation
Representation
Stereotype
Template Parameter
Visibility	Public

Attribute Details

dateCreated

Public «TS» PointInTime dateCreated

"The date when the enclosed suite of services were performed or completed." - HL7 FHIR, PaymentReconciliation.created

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	PaymentReconciliation
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	0..1
Name	dateCreated
Name Expression
Namespace	PaymentReconciliation
Opposite
Owner	PaymentReconciliation
Owning Association
Owning Template Parameter
Qualified Name	FHIM::EnrollEligCOB::PaymentReconciliation::dateCreated
Stereotype
Template Parameter
Type	«TS» PointInTime
Upper	1
Upper Value	(1)
Visibility	Public

detail

Public Detail detail

"List of individual settlement amounts and the corresponding transaction." - HL7 FHIR, PaymentReconciliation.detail

Constraints:

Properties:

Aggregation	None
Alias
Association	paymentReconciliation_detail
Association End
Class	PaymentReconciliation
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	*
Name	detail
Name Expression
Namespace	PaymentReconciliation
Opposite
Owner	PaymentReconciliation
Owning Association
Owning Template Parameter
Qualified Name	FHIM::EnrollEligCOB::PaymentReconciliation::detail
Stereotype
Template Parameter
Type	Detail
Upper	*
Upper Value	(*)
Visibility	Public

disposition

Public String disposition

"A description of the status of the adjudication." - HL7 FHIR, PaymentReconciliation.disposition

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	PaymentReconciliation
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	0..1
Name	disposition
Name Expression
Namespace	PaymentReconciliation
Opposite
Owner	PaymentReconciliation
Owning Association
Owning Template Parameter
Qualified Name	FHIM::EnrollEligCOB::PaymentReconciliation::disposition
Stereotype
Template Parameter
Type	String
Upper	1
Upper Value	(1)
Visibility	Public

form

Public «CS» Code form

"The form to be used for printing the content." - HL7 FHIR, PaymentReconciliation.form

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	PaymentReconciliation
Terminologies	[ HL7_FHIR_R4 Forms http://hl7.org/fhir/ValueSet/forms ]
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	0..1
Name	form
Name Expression
Namespace	PaymentReconciliation
Opposite
Owner	PaymentReconciliation
Owning Association
Owning Template Parameter
Qualified Name	FHIM::EnrollEligCOB::PaymentReconciliation::form
Stereotype	ValueSetConstraints
Template Parameter
Type	«CS» Code
Upper	1
Upper Value	(1)
Visibility	Public

identifier

Public «II» Id identifier

"The Response business identifier." - HL7 FHIR, PaymentReconciliation.identifier

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	PaymentReconciliation
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	*
Name	identifier
Name Expression
Namespace	PaymentReconciliation
Opposite
Owner	PaymentReconciliation
Owning Association
Owning Template Parameter
Qualified Name	FHIM::EnrollEligCOB::PaymentReconciliation::identifier
Stereotype
Template Parameter
Type	«II» Id
Upper	*
Upper Value	(*)
Visibility	Public

organization

Public BenefitsProvider organization

"The Insurer who produced this adjudicated response." - HL7 FHIR, PaymentReconciliation.organization

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	PaymentReconciliation
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	0..1
Name	organization
Name Expression
Namespace	PaymentReconciliation
Opposite
Owner	PaymentReconciliation
Owning Association
Owning Template Parameter
Qualified Name	FHIM::EnrollEligCOB::PaymentReconciliation::organization
Stereotype
Template Parameter
Type	BenefitsProvider
Upper	1
Upper Value	(1)
Visibility	Public

outcome

Public «CS» Code outcome

"Transaction status: error, complete." - HL7 FHIR, PaymentReconciliation.outcome

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	PaymentReconciliation
Terminologies	[ HL7_FHIR_R4 Claim Processing Codes http://hl7.org/fhir/ValueSet/remittance-outcome ]
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	0..1
Name	outcome
Name Expression
Namespace	PaymentReconciliation
Opposite
Owner	PaymentReconciliation
Owning Association
Owning Template Parameter
Qualified Name	FHIM::EnrollEligCOB::PaymentReconciliation::outcome
Stereotype	ValueSetConstraints
Template Parameter
Type	«CS» Code
Upper	1
Upper Value	(1)
Visibility	Public

period

Public «IVL_TS» Period period

"The period of time for which payments have been gathered into this bulk payment for settlement." - HL7 FHIR, PaymentReconciliation.period

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	PaymentReconciliation
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	0..1
Name	period
Name Expression
Namespace	PaymentReconciliation
Opposite
Owner	PaymentReconciliation
Owning Association
Owning Template Parameter
Qualified Name	FHIM::EnrollEligCOB::PaymentReconciliation::period
Stereotype
Template Parameter
Type	«IVL_TS» Period
Upper	1
Upper Value	(1)
Visibility	Public

processNote

Public ProcessNote processNote

"Suite of notes." - HL7 FHIR, PaymentReconciliation.processNote

Constraints:

Properties:

Aggregation	None
Alias
Association	paymentReconciliation_processNote
Association End
Class	PaymentReconciliation
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	*
Name	processNote
Name Expression
Namespace	PaymentReconciliation
Opposite
Owner	PaymentReconciliation
Owning Association
Owning Template Parameter
Qualified Name	FHIM::EnrollEligCOB::PaymentReconciliation::processNote
Stereotype
Template Parameter
Type	ProcessNote
Upper	*
Upper Value	(*)
Visibility	Public

request

Public «ANY» Any request

"Original request resource reference." - HL7 FHIR, PaymentReconciliation.request
Note that in FHIR, this is a pointer to ANY resource. This is a placeholder to remind us to change this property to an association to the appriopriate FHIM class.

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	PaymentReconciliation
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	0..1
Name	request
Name Expression
Namespace	PaymentReconciliation
Opposite
Owner	PaymentReconciliation
Owning Association
Owning Template Parameter
Qualified Name	FHIM::EnrollEligCOB::PaymentReconciliation::request
Stereotype
Template Parameter
Type	«ANY» Any
Upper	1
Upper Value	(1)
Visibility	Public

requestOrganization

Public OrganizationalProvider requestOrganization

"The organization which is responsible for the services rendered to the patient." - HL7 FHIR, PaymentReconciliation.requestOrganization

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	PaymentReconciliation
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	0..1
Name	requestOrganization
Name Expression
Namespace	PaymentReconciliation
Opposite
Owner	PaymentReconciliation
Owning Association
Owning Template Parameter
Qualified Name	FHIM::EnrollEligCOB::PaymentReconciliation::requestOrganization
Stereotype
Template Parameter
Type	OrganizationalProvider
Upper	1
Upper Value	(1)
Visibility	Public

requestProvider

Public HealthcareProvider requestProvider

"The practitioner who is responsible for the services rendered to the patient." - HL7 FHIR, PaymentReconciliation.requestProvider

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	PaymentReconciliation
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	0..1
Name	requestProvider
Name Expression
Namespace	PaymentReconciliation
Opposite
Owner	PaymentReconciliation
Owning Association
Owning Template Parameter
Qualified Name	FHIM::EnrollEligCOB::PaymentReconciliation::requestProvider
Stereotype
Template Parameter
Type	HealthcareProvider
Upper	1
Upper Value	(1)
Visibility	Public

status

Public «CS» Code status

"The status of the resource instance." - HL7 FHIR, PaymentReconciliation.status

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	PaymentReconciliation
Terminologies	[ HL7_FHIR_R4 Financial Resource Status Codes http://hl7.org/fhir/ValueSet/fm-status ]
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	0..1
Name	status
Name Expression
Namespace	PaymentReconciliation
Opposite
Owner	PaymentReconciliation
Owning Association
Owning Template Parameter
Qualified Name	FHIM::EnrollEligCOB::PaymentReconciliation::status
Stereotype	ValueSetConstraints
Template Parameter
Type	«CS» Code
Upper	1
Upper Value	(1)
Visibility	Public

total

Public «MO» MonetaryAmount total

"Total payment amount." - HL7 FHIR, PaymentReconciliation.total

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	PaymentReconciliation
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	0..1
Name	total
Name Expression
Namespace	PaymentReconciliation
Opposite
Owner	PaymentReconciliation
Owning Association
Owning Template Parameter
Qualified Name	FHIM::EnrollEligCOB::PaymentReconciliation::total
Stereotype
Template Parameter
Type	«MO» MonetaryAmount
Upper	1
Upper Value	(1)
Visibility	Public

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EnrollEligCOB UML Documentation

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