| EnrollEligCOB UML Documentation |
EnrollEligCOB
Class PlanCoverage
"Details about the coverage offered by the insurance product." - HL7 FHIR, InsurancePlan.coverage"Specific benefits under this type of coverage." - HL7 FHIR, InsurancePlan.coverage.benefitNote that FHIR uses two classes to categories these concepts, but FHIM uses one.
Attributes |
«CS» Code | benefitType |
"Type of benefit (primary care; speciality care; inpatient; outpatient)." - HL7 FHIR, InsurancePlan.coverage.benefit.type
|
CoverageLimit | coverageLimit |
"The specific limits on the benefit." - HL7 FHIR, InsurancePlan.coverage.benefit.limit
|
«CS» Code | kind |
"Type of coverage (Medical; Dental; Mental Health; Substance Abuse; Vision; Drug; Short Term; Long Term Care; Hospice; Home Health)." - HL7 FHIR, InsurancePlan.coverage.type
|
ProviderNetwork | network |
"Reference to the network that providing the type of coverage." - HL7 FHIR, InsurancePlan.coverage.network
|
String | requirement |
"The referral requirements to have access/coverage for this benefit." - HL7 FHIR, InsurancePlan.coverage.benefit.requirement
|
Properties:
Alias | |
Classifier Behavior | |
Is Abstract | false |
Is Active | false |
Is Leaf | false |
Keywords | |
Name | PlanCoverage |
Name Expression | |
Namespace | EnrollEligCOB |
Owned Template Signature | |
Owner | EnrollEligCOB |
Owning Template Parameter | |
Package | EnrollEligCOB |
Qualified Name | FHIM::EnrollEligCOB::PlanCoverage |
Representation | |
Stereotype | |
Template Parameter | |
Visibility | Public |
benefitType
Public «CS» Code benefitType
-
"Type of benefit (primary care; speciality care; inpatient; outpatient)." - HL7 FHIR, InsurancePlan.coverage.benefit.type
-
Constraints:
-
Properties:
-
Aggregation | None |
Alias | |
Association | |
Association End | |
Class | PlanCoverage |
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 | 1 |
Lower Value | (1) |
Multiplicity | 1 |
Name | benefitType |
Name Expression | |
Namespace | PlanCoverage |
Opposite | |
Owner | PlanCoverage |
Owning Association | |
Owning Template Parameter | |
Qualified Name | FHIM::EnrollEligCOB::PlanCoverage::benefitType |
Stereotype | |
Template Parameter | |
Type | «CS» Code |
Upper | 1 |
Upper Value | (1) |
Visibility | Public |
coverageLimit
Public CoverageLimit coverageLimit
-
"The specific limits on the benefit." - HL7 FHIR, InsurancePlan.coverage.benefit.limit
-
Constraints:
-
Properties:
-
Aggregation | Composite |
Alias | |
Association | healthPlanCoverage_coverageLimit |
Association End | |
Class | PlanCoverage |
Datatype | |
Default | |
Default Value | |
Is Composite | true |
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 | coverageLimit |
Name Expression | |
Namespace | PlanCoverage |
Opposite | |
Owner | PlanCoverage |
Owning Association | |
Owning Template Parameter | |
Qualified Name | FHIM::EnrollEligCOB::PlanCoverage::coverageLimit |
Stereotype | |
Template Parameter | |
Type | CoverageLimit |
Upper | * |
Upper Value | (*) |
Visibility | Public |
kind
Public «CS» Code kind
-
"Type of coverage (Medical; Dental; Mental Health; Substance Abuse; Vision; Drug; Short Term; Long Term Care; Hospice; Home Health)." - HL7 FHIR, InsurancePlan.coverage.type
-
Constraints:
-
Properties:
-
Aggregation | None |
Alias | |
Association | |
Association End | |
Class | PlanCoverage |
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 | 1 |
Lower Value | (1) |
Multiplicity | 1 |
Name | kind |
Name Expression | |
Namespace | PlanCoverage |
Opposite | |
Owner | PlanCoverage |
Owning Association | |
Owning Template Parameter | |
Qualified Name | FHIM::EnrollEligCOB::PlanCoverage::kind |
Stereotype | |
Template Parameter | |
Type | «CS» Code |
Upper | 1 |
Upper Value | (1) |
Visibility | Public |
network
Public ProviderNetwork network
-
"Reference to the network that providing the type of coverage." - HL7 FHIR, InsurancePlan.coverage.network
-
Constraints:
-
Properties:
-
Aggregation | None |
Alias | |
Association | |
Association End | |
Class | PlanCoverage |
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 | network |
Name Expression | |
Namespace | PlanCoverage |
Opposite | |
Owner | PlanCoverage |
Owning Association | |
Owning Template Parameter | |
Qualified Name | FHIM::EnrollEligCOB::PlanCoverage::network |
Stereotype | |
Template Parameter | |
Type | ProviderNetwork |
Upper | * |
Upper Value | (*) |
Visibility | Public |
requirement
Public String requirement
-
"The referral requirements to have access/coverage for this benefit." - HL7 FHIR, InsurancePlan.coverage.benefit.requirement
-
Constraints:
-
Properties:
-
Aggregation | None |
Alias | |
Association | |
Association End | |
Class | PlanCoverage |
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 | requirement |
Name Expression | |
Namespace | PlanCoverage |
Opposite | |
Owner | PlanCoverage |
Owning Association | |
Owning Template Parameter | |
Qualified Name | FHIM::EnrollEligCOB::PlanCoverage::requirement |
Stereotype | |
Template Parameter | |
Type | String |
Upper | 1 |
Upper Value | (1) |
Visibility | Public |
| EnrollEligCOB UML Documentation |