org.openhealthtools.mdht.uml.cda.ccd.PayersSection Maven / Gradle / Ivy
/*******************************************************************************
* Copyright (c) 2009, 2012 IBM Corporation and others.
* All rights reserved. This program and the accompanying materials
* are made available under the terms of the Eclipse Public License v1.0
* which accompanies this distribution, and is available at
* http://www.eclipse.org/legal/epl-v10.html
*
* Contributors:
* IBM Corporation - initial API and implementation
*******************************************************************************/
package org.openhealthtools.mdht.uml.cda.ccd;
import java.util.Map;
import org.eclipse.emf.common.util.DiagnosticChain;
import org.eclipse.emf.common.util.EList;
import org.eclipse.emf.ecore.EObject;
import org.openhealthtools.mdht.emf.runtime.util.Initializer;
import org.openhealthtools.mdht.uml.cda.Section;
/**
*
* A representation of the model object 'Payers Section'.
*
*
*
*
* Payers contains data on the patient's payers, whether a 'third party' insurance,
* self-pay, other payer or guarantor, or some combination of payers, and is used to define which entity is the
* responsible fiduciary for the financial aspects of a patient's care.
*
*
* Each unique
* instance of a payer and all the pertinent data needed to contact, bill to, and collect from that payer should be
* included. Authorization information that can be used to define pertinent referral, authorization tracking number,
* procedure, therapy, intervention, device, or similar authorizations for the patient or provider, or both should be
* included. At a minimum, the patient's pertinent current payment sources should be listed.
*
*
* The CCD
* represents the sources of payment as a coverage act, which identifies all of the insurance policies or government or
* other programs that cover some or all of the patient's healthcare expenses. The policies or programs are sequenced by
* order of preference. Each policy or program identifies the covered party with respect to the payer, so that the
* identifiers can be recorded.
*
*
*
*
* @see org.openhealthtools.mdht.uml.cda.ccd.CCDPackage#getPayersSection()
* @model annotation="http://www.openhealthtools.org/mdht/uml/cda/annotation constraints.validation.error='PayersSectionTemplateId PayersSectionCode PayersSectionTitle PayersSectionText' templateId.root='2.16.840.1.113883.10.20.1.9' code.code='48768-6' code.codeSystem='2.16.840.1.113883.6.1' code.codeSystemName='LOINC' code.displayName='Payment sources' constraints.validation.warning='PayersSectionCoverageActivity'"
* @generated
*/
public interface PayersSection extends Section {
/**
*
*
*
* @param diagnostics The chain of diagnostics to which problems are to be appended.
* @param context The cache of context-specific information.
*
* @model annotation="http://www.eclipse.org/uml2/1.1.0/GenModel body='self.templateId->exists(id : datatypes::II | id.root = \'2.16.840.1.113883.10.20.1.9\')'"
* @generated
*/
boolean validatePayersSectionTemplateId(DiagnosticChain diagnostics, Map context);
/**
*
*
*
* @param diagnostics The chain of diagnostics to which problems are to be appended.
* @param context The cache of context-specific information.
*
* @model annotation="http://www.eclipse.org/uml2/1.1.0/GenModel body='(self.code.oclIsUndefined() or self.code.isNullFlavorUndefined()) implies (not self.code.oclIsUndefined() and self.code.oclIsKindOf(datatypes::CE) and \nlet value : datatypes::CE = self.code.oclAsType(datatypes::CE) in \nvalue.code = \'48768-6\' and value.codeSystem = \'2.16.840.1.113883.6.1\')'"
* @generated
*/
boolean validatePayersSectionCode(DiagnosticChain diagnostics, Map context);
/**
*
*
*
* @param diagnostics The chain of diagnostics to which problems are to be appended.
* @param context The cache of context-specific information.
*
* @model annotation="http://www.eclipse.org/uml2/1.1.0/GenModel body='(self.title.oclIsUndefined() or self.title.isNullFlavorUndefined()) implies (not self.title.oclIsUndefined())'"
* @generated
*/
boolean validatePayersSectionTitle(DiagnosticChain diagnostics, Map context);
/**
*
*
*
* @param diagnostics The chain of diagnostics to which problems are to be appended.
* @param context The cache of context-specific information.
*
* @model annotation="http://www.eclipse.org/uml2/1.1.0/GenModel body='not self.text.oclIsUndefined()'"
* @generated
*/
boolean validatePayersSectionText(DiagnosticChain diagnostics, Map context);
/**
*
*
*
* @param diagnostics The chain of diagnostics to which problems are to be appended.
* @param context The cache of context-specific information.
*
* @model annotation="http://www.eclipse.org/uml2/1.1.0/GenModel body='self.entry->exists(entry : cda::Entry | not entry.act.oclIsUndefined() and entry.act.oclIsKindOf(ccd::CoverageActivity))'"
* @generated
*/
boolean validatePayersSectionCoverageActivity(DiagnosticChain diagnostics, Map context);
/**
*
*
* @model kind="operation" required="true" ordered="false"
* annotation="http://www.eclipse.org/uml2/1.1.0/GenModel body='self.getActs()->select(act : cda::Act | not act.oclIsUndefined() and act.oclIsKindOf(ccd::CoverageActivity)).oclAsType(ccd::CoverageActivity)'"
* @generated
*/
EList getCoverageActivities();
/**
*
*
* @generated
*/
public PayersSection init();
/**
*
*
* @generated
*/
public PayersSection init(Iterable> initializers);
} // PayersSection