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clsMedicalCondition

clsMedicalCondition represents a medical condition recorded on a claim, including description, diagnosis, contributing-cause flag, request data, decision data, and related condition decisions.

Purpose

  • Store the condition-level fields used to maintain a medical condition on a claim.
  • Expose related ConditionDecisions plus decision, denial, and medically stationary data for the condition.

Context

  • Namespace: SAIF.Business.Claim.Maintenance
  • Assembly/package: SAIF.Business.Claim.Maintenance

Public members

Member Signature Purpose
UpdateUser Public ReadOnly Property UpdateUser() As String Returns update user.
UpdateNum Public ReadOnly Property UpdateNum() As Decimal Returns update num.
UpdateDate Public Property UpdateDate() As Date Gets or sets update date.
MedicalConditionID Public Property MedicalConditionID() As Decimal Gets or sets medical condition i d.
MedicalConditionDescr Public Property MedicalConditionDescr() As String Gets or sets medical condition descr.
ClaimID Public ReadOnly Property ClaimID() As Decimal Returns claim i d.
MedicallyStationaryDate Public Property MedicallyStationaryDate() As Date Gets or sets medically stationary date.
MajorContributingCauseFLCD Public Property MajorContributingCauseFLCD() As String Gets or sets major contributing cause f l c d.
ConditionTypeCode Public Property ConditionTypeCode() As String Gets or sets condition type code.
DecisionCode Public Property DecisionCode() As String Gets or sets decision code.
DecisionDate Public Property DecisionDate() As Date Gets or sets decision date.
DenialStatusCode Public Property DenialStatusCode() As String Gets or sets denial status code.
DenialStatusEffDate Public Property DenialStatusEffDate() As Date Gets or sets denial status eff date.
DenialReasonCode Public Property DenialReasonCode() As String Gets or sets denial reason code.
DenialFinalReasonCode Public Property DenialFinalReasonCode() As String Gets or sets denial final reason code.
RequestDate Public Property RequestDate() As Date Gets or sets request date.
FormallyRequestedCode Public Property FormallyRequestedCode() As String Gets or sets formally requested code.
DiagnosisCode Public Property DiagnosisCode() As String Gets or sets diagnosis code.
ClaimData Public ReadOnly Property ClaimData() As clsClaimData Returns claim data.
ConditionDecisions Public ReadOnly Property ConditionDecisions() As clsConditionDecisionCollection Returns condition decisions.
MyCriteria Public ReadOnly Property MyCriteria() As Criteria Returns my criteria.
IsValid Public Overrides ReadOnly Property IsValid() As Boolean Returns is valid.
IsDirty Public Overrides ReadOnly Property IsDirty() As Boolean Returns is dirty.
savechild Public Overrides Function savechild() As Boolean Executes the savechild operation.
Save Public Overrides Function Save() As Boolean Executes the Save operation.
Equals Public Overloads Shared Function Equals(ByVal objA As Object, ByVal objB As Object) As Boolean Exposes the public member.
Equals Public Overloads Overrides Function Equals(ByVal inObject As Object) As Boolean Exposes the public member.
Equals Public Overloads Function Equals(ByVal inObject As clsMedicalCondition) As Boolean Exposes the public member.
GetHashCode Public Overrides Function GetHashCode() As Integer Retrieves the GetHashCode operation.
ToString Public Overrides Function ToString() As String Exposes the public member.
NewMedicalCondition Public Shared Function NewMedicalCondition(ByVal inDataportal As IDataPortalInfo, ByVal inClaimID As Decimal) As clsMedicalCondition Executes the NewMedicalCondition operation.
GetMedicalCondition Public Shared Function GetMedicalCondition(ByVal inDataportal As IDataPortalInfo, ByVal inClaimID As Decimal) As clsMedicalCondition Retrieves the GetMedicalCondition operation.
ValidConditionType Public Function ValidConditionType(ByVal target As Object, ByVal e As clsRuleArgs) As Boolean Exposes the public member.
ValidDescription Public Function ValidDescription(ByVal target As Object, ByVal e As clsRuleArgs) As Boolean Exposes the public member.
ValidMedStatDate Public Function ValidMedStatDate(ByVal target As Object, ByVal e As clsRuleArgs) As Boolean Exposes the public member.
MedStatDateDOI Public Function MedStatDateDOI(ByVal target As Object, ByVal e As clsRuleArgs) As Boolean Exposes the public member.
ValidMajorContributingCause Public Function ValidMajorContributingCause(ByVal target As Object, ByVal e As clsRuleArgs) As Boolean Exposes the public member.
DiagnosisCodeIsICD9 Public Function DiagnosisCodeIsICD9(ByVal target As Object, ByVal e As clsRuleArgs) As Boolean Exposes the public member.
ValidRequestDate Public Function ValidRequestDate(ByVal target As Object, ByVal e As clsRuleArgs) As Boolean Exposes the public member.
ValidRequestDate2 Public Function ValidRequestDate2(ByVal target As Object, ByVal e As clsRuleArgs) As Boolean Exposes the public member.
ValidFormallyRequestedCode Public Function ValidFormallyRequestedCode(ByVal target As Object, ByVal e As clsRuleArgs) As Boolean Exposes the public member.
ValidDecisionDate Public Function ValidDecisionDate(ByVal target As Object, ByVal e As clsRuleArgs) As Boolean Exposes the public member.
ValidRequestDate3 Public Function ValidRequestDate3(ByVal target As Object, ByVal e As clsRuleArgs) As Boolean Exposes the public member.
DiagnosisCodeIsICD10 Public Function DiagnosisCodeIsICD10(ByVal target As Object, ByVal e As clsRuleArgs) As Boolean Exposes the public member.
DiagnosisCodeIsMedicareReportable Public Function DiagnosisCodeIsMedicareReportable(ByVal target As Object, ByVal e As clsRuleArgs) As Boolean Exposes the public member.

Inherited public members

Member Signature Purpose Origin
MyGuid Public ReadOnly Property MyGuid() As String Returns the object's generated GUID identifier.* Legacy\BusinessObjectFramework — clsBusinessBase
IsNew Public ReadOnly Property IsNew() As Boolean Indicates whether the object represents unsaved data.* Legacy\BusinessObjectFramework — clsBusinessBase
IsDeleted Public ReadOnly Property IsDeleted() As Boolean Indicates whether the object has been marked for deletion.* Legacy\BusinessObjectFramework — clsBusinessBase
SetValueOnChange Public Function SetValueOnChange(Of T)(ByRef inFieldValue As T, ByVal inSetValue As T, Optional ByVal inMarkDirty As Boolean = True) As Boolean Assigns a new field value only when it differs and optionally marks the object dirty.* Legacy\BusinessObjectFramework — clsBusinessBase
Rules Public ReadOnly Property Rules() As clsRulesManager Exposes the BOF rules manager for validation and messages.* Legacy\BusinessObjectFramework — clsBusinessBase
SaveChild Public Overridable Function SaveChild() As Boolean Persists the object as a BOF child object.* Legacy\BusinessObjectFramework — clsBusinessBase
ToXml Public Function ToXml() As String Returns the object's XML representation using the configured default tag name.* Legacy\BusinessObjectFramework — clsBusinessBase

Behavioral notes

  • This type is documented from its source declaration.
  • The type participates in the clsBusinessBase inheritance path used by SAIF.Business.Claim.Maintenance.

Constraints and usage notes

  • Consumers should rely on the public members and BOF lifecycle patterns visible in the source file.

Note: Statements marked with * were inferred from code structure, naming conventions, or contextual evidence where direct confirmation was not available in source artifacts. Statements marked with ** could not be confirmed; treat as unknown until verified.

Sources

  • Business\SAIF.Business.Claim.Maintenance\clsMedicalCondition.vb
  • Legacy\BusinessObjectFramework\clsBusinessBase.vb