A policy activity represents the policy or program providing the coverage. The person for whom payment is being provided (i.e. the patient) is the covered party. The subscriber of the policy or program is represented as a participant that is the holder the coverage. The payer is represented as the performer of the policy activity.

Properties

HL7Connect.Cda.Act CDAAct;
   Underlying CDA Act (may not be null)

IList<HL7Connect.Cda.II> IdList;
   identifiers for the Policy

HL7Connect.Cda.CD Code;
   The code for the type of CoverageDetail statement (not the kind - an additional clinical code)

(null if Kind = pkNull, may be null if Kind = cdkAuthorization)

Value set for the code is (AUTOPOL COL UNINSMOT EHCPOL HSAPOL PUBLICPOL DENTPRG DISEASEPRG CANPRG ENDRENAL HIVAIDS MANDPOL MENTPRG SAFNET SUBPRG SUBSIDIZ SUBSIDMC SUBSUPP WCBPOL)

IList<HL7Connect.Cda.II> PayerIdList;
   represent the payer identification number. For pharamacy benefit programs this can be valued using the RxBIN and RxPCN numbers assigned by ANSI and NCPDP respectively. When a nationally recognized payer identification number is available, it would

may be null when reading a document (if non-conformant)

IList<HL7Connect.Cda.II> CoveredPartyIdList;
   the covered party

HL7Connect.Cda.CD CoveredPartyRole;
   the role the covered party plays (choices: FAMDEP HANDIC INJ SELF SPON STUD FSTUD PSTUD CRIMEVIC INJWKR COCBEN DIFFABL WARD COCBEN RETIREE INDIG MIL ACTMIL RETMIL VET WARD)

HL7Connect.Cda.IVL CoverageInterval;
   the time period over which the patient is covered

int Priority;
   -1 is default (not present in the instance)

(Integer cannot be null in some implementations)

IList<HL7Connect.Ccd.AuthorizationActivity> AuthorizationActivityList;
   An authorization activity represents authorizations or pre-authorizations currently active for the patient for the particular payer. Authorizations are represented using an act subordinate to the policy or program that provided it. The policy or program is referred to by the authorization. Authorized treatments can be grouped into an Organizer class, where common properties, such as the reason for the authorization, can be expressed. Subordinate acts represent what was authorized.


Methods


© Kestral Computing P/L 2000 - 2003. HL7Connect v2.00-063 generated on 30-Nov 2015.
Keywords: Code, IdList, CDAAct, AuthorizationActivityList, CoverageInterval, CoveredPartyIdList, CoveredPartyRole, PayerIdList, Priority, HL7Connect.Ccd.PolicyActivity, PolicyActivity