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| 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
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| «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
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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
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Constraints:
-
Properties:
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| 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
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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
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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
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"The referral requirements to have access/coverage for this benefit." - HL7 FHIR, InsurancePlan.coverage.benefit.requirement
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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 |
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| EnrollEligCOB UML Documentation |