From 5a3b2a0b639e2408afe755956d1335b2f27c280e Mon Sep 17 00:00:00 2001 From: =?utf8?q?Nicol=C3=A1s=20Dimov?= Date: Thu, 5 May 2005 17:39:41 +0000 Subject: [PATCH 1/1] me dicen por aca que estos dos no van mas... --- especificaciones/recuperar_historial.rtf | 71 --------------- especificaciones/verificar_cobertura.rtf | 111 ----------------------- impresion.txt | 2 - 3 files changed, 184 deletions(-) delete mode 100644 especificaciones/recuperar_historial.rtf delete mode 100644 especificaciones/verificar_cobertura.rtf diff --git a/especificaciones/recuperar_historial.rtf b/especificaciones/recuperar_historial.rtf deleted file mode 100644 index b89dd9e..0000000 --- a/especificaciones/recuperar_historial.rtf +++ /dev/null @@ -1,71 +0,0 @@ -{\rtf1\ansi\ansicpg1252\uc1\deff0\stshfdbch0\stshfloch0\stshfhich0\stshfbi0\deflang3082\deflangfe3082{\fonttbl{\f0\froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman;} -{\f36\fswiss\fcharset0\fprq2{\*\panose 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\ltrpar\s7\cf0\qj{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\ls1\li360\ri510\lin360\rin510\fi-360\rtlch\af9\afs24\lang255\ltrch\dbch\af7\afs20\langfe255\loch\f2\fs20\lang1033 {\loch\f2\fs20\lang1034\i0\b0 Se verifica que el n\'famero de afiliado sea v\'e1lido. Si no es as\'ed, E1} -\par \pard\plain \intbl{\listtext\pard\plain \li360\ri510\lin360\rin510\fi-360\sa120\f2\fs20\lang1034\f8\fs20\f11\qj 2)}\ilvl0 \ltrpar\s7\cf0\qj{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\ls1\li360\ri510\lin360\rin510\fi-360\rtlch\af9\afs24\lang255\ltrch\dbch\af7\afs20\langfe255\loch\f2\fs20\lang1033 {\loch\f2\fs20\lang1034\i0\b0 Se verifica que el n\'famero de prestaci\'f3n exista. Si no es as\'ed, E2.} -\par \pard\plain \intbl{\listtext\pard\plain \li360\ri510\lin360\rin510\fi-360\sa120\f2\fs20\lang1034\f8\fs20\f11\qj 3)}\ilvl0 \ltrpar\s7\cf0\qj{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\ls1\li360\ri510\lin360\rin510\fi-360\rtlch\af9\afs24\lang255\ltrch\dbch\af7\afs20\langfe255\loch\f2\fs20\lang1033 {\loch\f2\fs20\lang1034\i0\b0 Se verifica si el afiliado cumple con las condiciones necesarias para tomar una prestaci\'f3n, S1.} -\par \pard\plain \intbl\ltrpar\s7\cf0\qj{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\li796\ri510\lin796\rin510\fi-425\rtlch\af9\afs24\lang255\ltrch\dbch\af7\afs20\langfe255\loch\f2\fs20\lang1033 {\loch\f2\fs20\lang1034\i0\b0 4) Con el n\'famero del afiliado se obtiene el plan en el que actualmente est\'e1 inscripto.} -\par \pard\plain \intbl{\listtext\pard\plain \li360\ri510\lin360\rin510\fi-360\sa120\f2\fs20\lang1034\f8\fs20\f11\qj 5)}\ilvl0 \ltrpar\s7\cf0\qj{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\ls0\li360\ri510\lin360\rin510\fi-360\rtlch\af9\afs24\lang255\ltrch\dbch\af7\afs20\langfe255\loch\f2\fs20\lang1033 {\loch\f2\fs20\lang1034\i0\b0 Con el c\'f3digo de plan y el de prestaci\'f3n se busca la cobertura. Si no se obtienen datos, S2.} -\par \pard\plain \intbl{\listtext\pard\plain \li360\ri510\lin360\rin510\fi-360\sa120\f2\fs20\lang1034\f8\fs20\f11\qj 6)}\ilvl0 \ltrpar\s7\cf0\qj{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\ls0\li360\ri510\lin360\rin510\fi-360\rtlch\af9\afs24\lang255\ltrch\dbch\af7\afs20\langfe255\loch\f2\fs20\lang1033 {\loch\f2\fs20\lang1034\i0\b0 Se verifica la permanencia m\'ednima del afiliado en el plan teniendo en cuenta la fecha de ingreso al mismo y el tiempo de permanencia requerido para que se cubra la prestaci\'f3n en cuesti\'f3n. Si el tiempo de permanencia en el plan es menor al requerido para la - cobertura, S3. } -\par \pard\plain \intbl{\listtext\pard\plain \li360\ri510\lin360\rin510\fi-360\sa120\f2\fs20\lang1034\f8\fs20\f11\qj 7)}\ilvl0 \ltrpar\s7\cf0\qj{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\ls0\li360\ri510\lin360\rin510\fi-360\rtlch\af9\afs24\lang255\ltrch\dbch\af7\afs20\langfe255\loch\f2\fs20\lang1033 {\loch\f2\fs20\lang1034\i0\b0 Se buscan todas las autorizaciones (aprobadas o pendientes) realizadas para el afiliado y la prestaci\'f3n requerida en el a\'f1o en curso. Si la cantidad de autorizaciones obtenidas es mayor al l\'edmite anual que provee la obra social para ese plan y esa prestaci -\'f3n, S4.} -\par \pard\plain \intbl{\listtext\pard\plain \li360\ri510\lin360\rin510\fi-360\sa120\f2\fs20\lang1034\f8\fs20\f11\qj 8)}\ilvl0 \ltrpar\s7\cf0\qj{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\ls0\li360\ri510\lin360\rin510\fi-360\rtlch\af9\afs24\lang255\ltrch\dbch\af7\afs20\langfe255\loch\f2\fs20\lang1033 {\loch\f2\fs20\lang1034\i0\b0 Devuelve el porcentaje de cobertura. Fin del caso de uso.} -\par \pard\plain \intbl\ltrpar\s7\cf0\qj{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\li0\ri510\lin0\rin510\fi0\rtlch\af9\afs24\lang255\ab\ltrch\dbch\af7\afs20\langfe255\ab\loch\f2\fs20\lang1033\b -\cell\row\pard \trowd\trql\trrh1785\trpaddft3\trpaddt55\trpaddfl3\trpaddl55\trpaddfb3\trpaddb55\trpaddfr3\trpaddr55\clbrdrl\brdrs\brdrw1\brdrcf1\clbrdrb\brdrs\brdrw1\brdrcf1\clbrdrr\brdrs\brdrw1\brdrcf1\clvertalt\cellx9637 -\pard\intbl\pard\plain \intbl\ltrpar\s7\cf0\qj{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\li0\ri510\lin0\rin510\fi0\rtlch\af9\afs24\lang255\ab\ltrch\dbch\af7\afs20\langfe255\ab\loch\f2\fs20\lang1033\b {\loch\f2\fs20\lang1034\i0\b Flujos Alternativos} -\par \pard\plain \intbl\ltrpar\s1\qj\li0\ri510\lin0\rin510\fi371\rtlch\af11\afs20\lang255\ab\ltrch\dbch\af8\afs20\langfe255\ab\loch\f2\fs20\lang2058\b {\loch\f2\fs20\lang2058\i0\b S1.} -\par \pard\plain \intbl\ltrpar\s12\cf0\qj{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\li1079\ri510\lin1079\rin510\fi-425\rtlch\af9\afs20\lang255\ltrch\dbch\af7\afs20\langfe255\loch\f2\fs20\lang2058 {\loch\f2\fs20\lang2058\i0\b0 S1.1 Se controla si el afiliado pidi\'f3 la baja. Si es as\'ed, devuelve SIN_COBERTURA. Fin del caso de uso. } -\par \pard\plain \intbl\ltrpar\s7\cf0\qj{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\li1079\ri510\lin1079\rin510\fi-1079\rtlch\af9\afs20\lang255\ltrch\dbch\af7\afs20\langfe255\loch\f2\fs20\lang2058 {\loch\f2\fs20\lang2058\i0\b0 S1.2 Si el afiliado a\'fan est\'e1 activo, se verifica si es moroso. En caso de que lo sea (adeuda 3 o m\'e1s cuotas), se devuelve SIN_COBERTURA. Fin del caso de uso. } -\par \pard\plain \intbl\ltrpar\s1\qj\li654\ri510\lin654\rin510\fi-368\rtlch\af11\afs24\lang255\ltrch\dbch\af8\afs24\langfe255\loch\f6\fs24\lang1034{\loch\f2\fs20\lang2058\i0\b\lang2058\fs20\f2{\b S2. }}{\loch\f2\fs20\lang2058\fs20\fs20\lang2058\fs20\f2El plan no brinda cobertura para la prestaci\'f3n requerida por lo que se devuelve SIN_COBERTURA. Fin del caso de uso.} -\par \pard\plain \intbl\ltrpar\s12\cf0\qj{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\li1079\ri510\lin1079\rin510\fi-425\rtlch\af9\afs20\lang255\ltrch\dbch\af7\afs20\langfe255\loch\f2\fs20\lang2058 -\par \pard\plain \intbl\ltrpar\s1\qj\li286\ri510\lin286\rin510\fi0\rtlch\af11\afs20\lang255\ab\ltrch\dbch\af8\afs20\langfe255\ab\loch\f2\fs20\lang2058\b {\loch\f2\fs20\lang2058\i0\b S3. } -\par \pard\plain \intbl\ltrpar\s12\cf0\qj{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\li1079\ri510\lin1079\rin510\fi-425\rtlch\af9\afs20\lang255\ltrch\dbch\af7\afs20\langfe255\loch\f2\fs20\lang2058 {\loch\f2\fs20\lang2058\i0\b0 S3.1 Se busca en el historial de planes el plan anterior en el que estuvo afiliado el cliente.} -\par \pard\plain \intbl\ltrpar\s12\cf0\qj{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\li1646\ri510\lin1646\rin510\fi-708\rtlch\af9\afs20\lang255\ltrch\dbch\af7\afs20\langfe255\loch\f2\fs20\lang2058 {\loch\f2\fs20\lang2058\i0\b0 S3.1.1 Si no existe, se devuelve SIN_COBERTURA. Fin del caso de uso} -\par {\loch\f2\fs20\lang2058\i0\b0 S3.1.2 Teniendo en cuenta el n\'famero de plan actual y el n\'famero del plan anterior, se determina la categor\'eda de cada uno. Si la del plan actual es mejor que la del plan anterior, se devuelve SIN_COBERTURA. Fin del caso de uso.} -\par {\loch\f2\fs20\lang2058\i0\b0 S3.1.3 Se verifica si el plan anterior brinda cobertura para la prestaci\'f3n en cuesti\'f3n (utilizando el nro de dicho plan y el c\'f3digo de prestaci\'f3n). Si no se obtienen datos, se devuelve SIN_COBERTURA. Fin del caso de uso.} -\par {\loch\f2\fs20\lang2058\i0\b0 S3.1.4 Se recalcula el tiempo de permanencia, considerando el del plan actual y el del plan anterior. Si el tiempo de permanencia obtenido al sumarlos es menor al requerido para la cobertura, se devuelve SIN_COBERTURA. Fin del caso de uso.} -\par {\loch\f2\fs20\lang2058\i0\b0 S3.1.5 Se vuelve a 7.} -\par -\par \pard\plain \intbl\ltrpar\s1\qj\li654\ri510\lin654\rin510\fi-368\rtlch\af11\afs24\lang255\ltrch\dbch\af8\afs24\langfe255\loch\f6\fs24\lang1034{\loch\f2\fs20\lang2058\i0\b{\b\lang2058\fs20\f2 S4.}}{\loch\f6\fs24\lang1034 {\lang2058\fs20\f2 Debido a que el l\'edmite anual de prestaciones realizadas por el paciente fue superado, se devuelve SIN_COBERTURA. Fin del caso de uso}.} -\par \pard\plain \intbl\ltrpar\s7\cf0\qj{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\li1079\ri510\lin1079\rin510\fi-1079\rtlch\af9\afs24\lang255\ab\ltrch\dbch\af7\afs20\langfe255\ab\loch\f2\fs20\lang2058\b -\par -\cell\row\pard \trowd\trql\trrh1785\trpaddft3\trpaddt55\trpaddfl3\trpaddl55\trpaddfb3\trpaddb55\trpaddfr3\trpaddr55\clbrdrl\brdrs\brdrw1\brdrcf1\clbrdrb\brdrs\brdrw1\brdrcf1\clbrdrr\brdrs\brdrw1\brdrcf1\clvertalt\cellx9637 -\pard\intbl\pard\plain \intbl\ltrpar\s7\cf0\qj{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\li0\ri510\lin0\rin510\fi0\rtlch\af9\afs24\lang255\ab\ltrch\dbch\af7\afs20\langfe255\ab\loch\f2\fs20\lang1033\b -\par \pard\plain \intbl\ltrpar\s7\cf0\qj{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\li0\ri510\lin0\rin510\fi0\rtlch\af9\afs24\lang255\ltrch\dbch\af7\afs24\langfe255\loch\f0\fs24\lang1033{\loch\f2\fs20\lang1034\i0\b\fs20\f2{\b Flujos de Excepci\'f3n}}{\loch\f2\fs20\lang1034\fs20\fs20\f2:} -\par \pard\plain \intbl\ltrpar\s7\cf0\qj{\*\hyphen2\hyphlead2\hyphtrail2\hyphmax0}\li0\ri510\lin0\rin510\fi0\rtlch\af9\afs24\lang255\ltrch\dbch\af7\afs20\langfe255\loch\f2\fs20\lang1033 {\loch\f2\fs20\lang1034\i0\b0 E1 - Si el n\'famero de afiliado no es v\'e1lido, se devuelve DATOS_INVALIDOS. Fin del caso de uso. } -\par {\loch\f2\fs20\lang1034\i0\b0 E2 \endash Si el c\'f3digo de prestaci\'f3n no existe, se devuelve DATOS_INVALIDOS. Fin del caso de uso. } -\cell\row\pard \trowd\trql\trpaddft3\trpaddt55\trpaddfl3\trpaddl55\trpaddfb3\trpaddb55\trpaddfr3\trpaddr55\clbrdrl\brdrs\brdrw1\brdrcf1\clbrdrr\brdrs\brdrw1\brdrcf1\clvertalt\cellx9637 -\pard\intbl\pard\plain \intbl\ltrpar\s1\ul\qj\li0\ri510\lin0\rin510\fi0\rtlch\af11\afs24\lang255\ab\ltrch\dbch\af8\afs20\langfe255\ab\loch\f2\fs20\lang1034\b {\loch\f2\fs20\lang1034\i0\b Diccionario de Datos:} -\par -\par \pard\plain \intbl\ltrpar\s1\qj\li0\ri510\lin0\rin510\fi0\rtlch\af11\afs24\lang255\ltrch\dbch\af8\afs20\langfe255\loch\f2\fs20\lang1034 {\loch\f2\fs20\lang1034\i0\b0 afiliado \tab \tab = nroAfiliado + activo + moroso + codigoPlan. } -\par {\loch\f2\fs20\lang1034\i0\b0 Historial_Planes = nroPlan + fechaIngreso } -\par {\loch\f2\fs20\lang1034\i0\b0 prestaci\'f3n\tab \tab = codigoPrestacion} -\par {\loch\f2\fs20\lang1034\i0\b0 plan \tab \tab \tab = codigoPlan + permanencia_minima} -\par {\loch\f2\fs20\lang1034\i0\b0 cobertura \tab \tab = tiempo_permanencia + porcentaje + limite_anual } -\par {\loch\f2\fs20\lang1034\i0\b0 autorizaci\'f3n\tab \tab = codigoAutorizacion + nroAfiliado + codigoPrestacion } -\cell\row\pard \trowd\trql\trpaddft3\trpaddt55\trpaddfl3\trpaddl55\trpaddfb3\trpaddb55\trpaddfr3\trpaddr55\clbrdrl\brdrs\brdrw1\brdrcf1\clbrdrr\brdrs\brdrw1\brdrcf1\clvertalt\cellx9637 -\pard\intbl\pard\plain \intbl\ltrpar\s1\ul\qj\li0\ri510\lin0\rin510\fi0\rtlch\af11\afs24\lang255\ab\ltrch\dbch\af8\afs20\langfe255\ab\loch\f2\fs20\lang1034\b -\par -\par {\loch\f2\fs20\lang1034\i0\b Definiciones} -\par \pard\plain \intbl\ltrpar\s1\qj\li0\ri510\lin0\rin510\fi0\rtlch\af11\afs24\lang255\ltrch\dbch\af8\afs20\langfe255\loch\f2\fs20\lang1034 {\loch\f2\fs20\lang1034\i0\b0 SIN_COBERTURA = 0} -\par {\loch\f2\fs20\lang1034\i0\b0 DATOS_INVALIDOS = -1} -\cell\row\pard \pard\plain \ltrpar\s1\qj\rtlch\af11\afs24\lang255\ltrch\dbch\af8\afs24\langfe255\loch\f2\fs24\lang1034 -\par -\par \pard\plain \ltrpar\s1\ul\qj\rtlch\af11\afs24\lang255\ab\ltrch\dbch\af8\afs20\langfe255\ab\loch\f2\fs20\lang1034\b -\par } \ No newline at end of file diff --git a/impresion.txt b/impresion.txt index 5bec956..a7ebbd5 100644 --- a/impresion.txt +++ b/impresion.txt @@ -56,11 +56,9 @@ su seccion! pedir_autorizacion_manual.rtf Actualizar_autorizacion_manual.rtf emitir_hoja_de_ruta.rtf - verificar_cobertura.rtf pedir_autorizacion_automatica.rtf actualizar_morosos.rtf informar_estado_cuenta.rtf - recuperar_historial.rtf ./scripts: clases2spec.py -- 2.43.0