From 871b79a99dbc1d97578047dbfd0dc1e880c84b9d Mon Sep 17 00:00:00 2001 From: Guillermo Rugilo Date: Wed, 20 Apr 2005 14:16:39 +0000 Subject: [PATCH] =?utf8?q?Se=20incluye=20un=20borrador=20de=20la=20especif?= =?utf8?q?icaci=C3=B3n=20de=20los=20datos=20involucrados=20en=20=C3=A9ste?= =?utf8?q?=20CU.=20Falta=20refinarlo.?= MIME-Version: 1.0 Content-Type: text/plain; charset=utf8 Content-Transfer-Encoding: 8bit --- .../analizar_consumos_ y_prestaciones.rtf | 117 ++++++++++-------- 1 file changed, 68 insertions(+), 49 deletions(-) diff --git a/especificaciones/analizar_consumos_ y_prestaciones.rtf b/especificaciones/analizar_consumos_ y_prestaciones.rtf index e88f5a5..35a7ec5 100644 --- a/especificaciones/analizar_consumos_ y_prestaciones.rtf +++ b/especificaciones/analizar_consumos_ y_prestaciones.rtf @@ -1,12 +1,12 @@ {\rtf1\ansi\ansicpg1252\uc1\deff0\stshfdbch0\stshfloch0\stshfhich0\stshfbi0\deflang1033\deflangfe1033{\fonttbl{\f0\froman\fcharset0\fprq2{\*\panose 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Pagos dispone de los reportes de consumo. -\par }\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0\pararsid227399 {\f38\noproof0\insrsid4072389 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f38\noproof0\insrsid4072389 \trowd \irow3\irowband3 +\par }\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0\pararsid227399 {\f37\noproof0\insrsid4072389 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f37\noproof0\insrsid4072389 \trowd \irow3\irowband3 \ts11\trgaph7\trleft-113\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trftsWidth1\trpaddl7\trpaddr7\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb -\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth8936\clshdrawnil \cellx8823\row }\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0\pararsid227399 {\f38\noproof0\insrsid4072389 -\par }{\b\f38\fs20\noproof0\insrsid4072389 Flujo Principal: +\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth8936\clshdrawnil \cellx8823\row }\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0\pararsid227399 {\f37\noproof0\insrsid4072389 +\par }{\b\f37\fs20\noproof0\insrsid4072389 Flujo Principal: \par {\pntext\pard\plain\s15 \intbl\f1\fs20\lang2058\langfe2058\langnp2058\langfenp2058\insrsid9206653 \hich\af1\dbch\af0\loch\f1 1\tab}}\pard\plain \s15\ql \fi-431\li720\ri0\nowidctlpar\intbl{\*\pn \pnlvlbody\ilvl0\ls1\pnrnot0 -\pndec\pnstart1\pnindent360\pnsp120\pnhang }\faauto\ls1\rin0\lin720\pararsid9206653 \fs24\lang2058\langfe2058\cgrid\langnp2058\langfenp2058 {\f1\fs20\insrsid9206653 La Cl\'ednica env\'eda informaci\'f3n de prestaciones e intervenciones de los afiliados.}{ -\f38\insrsid7029692\charrsid9206653 +\pndec\pnstart1\pnindent360\pnsp120\pnhang }\faauto\ls1\rin0\lin720\pararsid9206653 \fs24\lang2058\langfe2058\cgrid\langnp2058\langfenp2058 {\f1\fs20\insrsid9206653 La Cl\'ednica env\'eda }{\b\f1\fs20\insrsid9206653\charrsid1194460 informaci\'f3 +n de prestaciones e intervenciones}{\f1\fs20\insrsid9206653 de los afiliados.}{\f37\insrsid7029692\charrsid9206653 \par {\pntext\pard\plain\s15 \intbl\f1\fs20\lang2058\langfe2058\langnp2058\langfenp2058\insrsid9206653 \hich\af1\dbch\af0\loch\f1 2\tab}}\pard \s15\ql \fi-431\li720\ri0\nowidctlpar\intbl{\*\pn \pnlvlbody\ilvl0\ls1\pnrnot0 -\pndec\pnstart1\pnindent360\pnsp120\pnhang }\faauto\ls1\rin0\lin720\pararsid9206653 {\f1\fs20\insrsid9206653 El Sistema registra la informaci\'f3n recibida}{\f38\insrsid9206653\charrsid9206653 +\pndec\pnstart1\pnindent360\pnsp120\pnhang }\faauto\ls1\rin0\lin720\pararsid9206653 {\f1\fs20\insrsid9206653 El Sistema registra la informaci\'f3n recibida}{\f37\insrsid9206653\charrsid9206653 \par {\pntext\pard\plain\s15 \intbl\f1\fs20\lang2058\langfe2058\langnp2058\langfenp2058\insrsid9206653\charrsid9206653 \hich\af1\dbch\af0\loch\f1 3\tab}}\pard \s15\ql \fi-431\li720\ri0\nowidctlpar\intbl{\*\pn \pnlvlbody\ilvl0\ls1\pnrnot0 -\pndec\pnstart1\pnindent360\pnsp120\pnhang }\faauto\ls1\rin0\lin720\pararsid9206653 {\f1\fs20\insrsid9206653\charrsid9206653 El Sistema, en base a \'e9stos datos, construye un informe de aprobaciones/rechazos de prestaciones y lo env\'eda a Pagos +\pndec\pnstart1\pnindent360\pnsp120\pnhang }\faauto\ls1\rin0\lin720\pararsid9206653 {\f1\fs20\insrsid9206653\charrsid9206653 El Sistema, en base a \'e9stos datos, construye un }{\b\f1\fs20\insrsid9206653\charrsid8981056 informe de aprobaciones/rechazos + de prestaciones}{\f1\fs20\insrsid9206653\charrsid9206653 y lo env\'eda a Pagos \par {\pntext\pard\plain\s15 \intbl\f1\fs20\lang2058\langfe2058\langnp2058\langfenp2058\insrsid9206653 \hich\af1\dbch\af0\loch\f1 4\tab}}\pard \s15\ql \fi-431\li720\ri0\nowidctlpar\intbl{\*\pn \pnlvlbody\ilvl0\ls1\pnrnot0 -\pndec\pnstart1\pnindent360\pnsp120\pnhang }\faauto\ls1\rin0\lin720\pararsid9206653 {\f1\fs20\insrsid9206653 El Sistema genera un reporte de consumo de los afiliados y lo env\'eda a Pagos -\par }\pard \s15\ql \li289\ri0\nowidctlpar\intbl\faauto\rin0\lin289\pararsid9206653 {\f38\insrsid9206653 \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 -\fs24\lang1024\langfe1024\cgrid\noproof\langnp2058\langfenp2058 {\f38\insrsid4072389 \trowd \irow4\irowband4\ts11\trgaph7\trleft-113\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 +\pndec\pnstart1\pnindent360\pnsp120\pnhang }\faauto\ls1\rin0\lin720\pararsid9206653 {\f1\fs20\insrsid9206653 El Sistema genera un }{\b\f1\fs20\insrsid9206653\charrsid8981056 reporte de consumo de los afiliados}{\f1\fs20\insrsid9206653 y lo env\'eda a +Pagos +\par }\pard \s15\ql \li289\ri0\nowidctlpar\intbl\faauto\rin0\lin289\pararsid9206653 {\f37\insrsid9206653 \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 +\fs24\lang1024\langfe1024\cgrid\noproof\langnp2058\langfenp2058 {\f37\insrsid4072389 \trowd \irow4\irowband4\ts11\trgaph7\trleft-113\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trftsWidth1\trpaddl7\trpaddr7\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth8936\clshdrawnil \cellx8823\row }\pard\plain -\s15\ql \li289\ri0\nowidctlpar\intbl\faauto\rin0\lin289\pararsid7029692 \fs24\lang2058\langfe2058\cgrid\langnp2058\langfenp2058 {\f38\insrsid4072389 -\par }\pard\plain \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0\pararsid9206653 \fs24\lang1024\langfe1024\cgrid\noproof\langnp2058\langfenp2058 {\b\f38\fs20\noproof0\insrsid4072389 Flujos Alternativos:}{\b\f38\fs20\noproof0\insrsid7029692\charrsid9206653 -\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f38\noproof0\insrsid4072389 \trowd \irow5\irowband5\ts11\trgaph7\trleft-113\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr +\s15\ql \li289\ri0\nowidctlpar\intbl\faauto\rin0\lin289\pararsid7029692 \fs24\lang2058\langfe2058\cgrid\langnp2058\langfenp2058 {\f37\insrsid4072389 +\par }\pard\plain \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0\pararsid9206653 \fs24\lang1024\langfe1024\cgrid\noproof\langnp2058\langfenp2058 {\b\f37\fs20\noproof0\insrsid4072389 Flujos Alternativos:}{\b\f37\fs20\noproof0\insrsid7029692\charrsid9206653 +\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f37\noproof0\insrsid4072389 \trowd \irow5\irowband5\ts11\trgaph7\trleft-113\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr \brdrs\brdrw10 \trftsWidth1\trpaddl7\trpaddr7\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth8936\clshdrawnil \cellx8823\row -}\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0\pararsid227399 {\f38\noproof0\insrsid4072389 -\par }{\b\f38\fs20\noproof0\insrsid4072389 Flujos de Excepci\'f3n: -\par }\pard \ql \fi-360\li646\ri0\nowidctlpar\intbl\faauto\rin0\lin646\pararsid8586758 {\f38\noproof0\insrsid8586758\charrsid8586758 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f38\noproof0\insrsid4072389 +}\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0\pararsid227399 {\f37\noproof0\insrsid4072389 +\par }{\b\f37\fs20\noproof0\insrsid4072389 Flujos de Excepci\'f3n: +\par }\pard \ql \fi-360\li646\ri0\nowidctlpar\intbl\faauto\rin0\lin646\pararsid8586758 {\f37\noproof0\insrsid8586758\charrsid8586758 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f37\noproof0\insrsid4072389 \trowd \irow6\irowband6\ts11\trgaph7\trleft-113\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trftsWidth1\trpaddl7\trpaddr7\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth8936\clshdrawnil \cellx8823\row }\trowd \irow7\irowband7\lastrow \ts11\trgaph7\trleft-113\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trftsWidth1\trpaddl7\trpaddr7\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth8936\clshdrawnil \cellx8823\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0\pararsid227399 {\f1\noproof0\insrsid4072389\charrsid9206653 -\par }{\b\f1\fs20\noproof0\insrsid4072389\charrsid9206653 Notas:}{\b\f1\fs20\noproof0\insrsid6974674\charrsid9206653 }{\cs16\f1\fs20\insrsid9206653\charrsid9206653 \~\~\~ El reporte de consumo que genera el sistema... \'bflo genera y env\'eda a}{ -\cs16\f1\fs20\insrsid9206653\charrsid9206653 }{\cs16\f1\fs20\insrsid9206653\charrsid9206653 Pagos inmediatamente despu\'e9s de haber recibido la info de la Cl\'ednica? (entra}{\f1\fs20\insrsid9206653\charrsid9206653 }{ -\cs16\f1\fs20\insrsid9206653\charrsid9206653 todo dentro del mismo CU)}{\f1\fs20\insrsid9206653\charrsid9206653 \line }{\cs16\f1\fs20\insrsid9206653\charrsid9206653 \'bf \'f3 el actor Pagos en alg\'fan momento posterior pedir\'e1 el informe? (ser\'edan 2} -{\cs16\f1\fs20\insrsid9206653 }{\cs16\f1\fs20\insrsid9206653\charrsid9206653 Casos de Uso: Recibir info de Cl\'ednica y Generar Reporte de Consumo)}{\f1\fs20\insrsid9206653\charrsid9206653 \line }{\cs16\f1\fs20\insrsid9206653\charrsid9206653 -El enunciado, por supuesto, no lo especifica claramente (ver los \'faltimos}{\cs16\f1\fs20\insrsid9206653 }{\f1\fs20\insrsid9206653 2}{\cs16\f1\fs20\insrsid9206653\charrsid9206653 renglones de la 1er p\'e1gina).}{ -\f1\noproof0\insrsid6974674\charrsid9206653 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f38\noproof0\insrsid4072389 \trowd \irow7\irowband7\lastrow \ts11\trgaph7\trleft-113\trbrdrt\brdrs\brdrw10 \trbrdrl -\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trftsWidth1\trpaddl7\trpaddr7\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 -\cltxlrtb\clftsWidth3\clwWidth8936\clshdrawnil \cellx8823\row }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\insrsid4072389 +\par }{\b\f1\fs20\noproof0\insrsid4072389\charrsid9206653 Notas:}{\b\f1\fs20\noproof0\insrsid6974674\charrsid9206653 }{\cs16\f1\fs20\insrsid9206653\charrsid9206653 \~\~\~ El reporte de consumo que genera el sistema... \'bflo genera y env\'ed +a a Pagos inmediatamente despu\'e9s de haber recibido la info de la Cl\'ednica? (entra}{\f1\fs20\insrsid9206653\charrsid9206653 }{\cs16\f1\fs20\insrsid9206653\charrsid9206653 todo dentro del mismo CU)}{\f1\fs20\insrsid9206653\charrsid9206653 \line }{ +\cs16\f1\fs20\insrsid9206653\charrsid9206653 \'bf \'f3 el actor Pagos en alg\'fan momento posterior pedir\'e1 el informe? (ser\'edan 2}{\cs16\f1\fs20\insrsid9206653 }{\cs16\f1\fs20\insrsid9206653\charrsid9206653 Casos de Uso: Recibir info de Cl\'ed +nica y Generar Reporte de Consumo)}{\f1\fs20\insrsid9206653\charrsid9206653 \line }{\cs16\f1\fs20\insrsid9206653\charrsid9206653 El enunciado, por supuesto, no lo especifica claramente (ver los \'faltimos}{\cs16\f1\fs20\insrsid9206653 }{ +\f1\fs20\insrsid9206653 2}{\cs16\f1\fs20\insrsid9206653\charrsid9206653 renglones de la 1er p\'e1gina).}{\f1\noproof0\insrsid6974674\charrsid9206653 \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 { +\f37\noproof0\insrsid4072389 \trowd \irow7\irowband7\lastrow \ts11\trgaph7\trleft-113\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trftsWidth1\trpaddl7\trpaddr7\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt +\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth8936\clshdrawnil \cellx8823\row }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\insrsid4072389 +\par }{\insrsid15751489 Especificaci\'f3n de Datos:}{\insrsid1194460 +\par }{\insrsid15751489 +\par }{\f1\fs20\insrsid8981056\charrsid8981056 1) }{\b\f1\fs20\insrsid1194460 I}{\b\f1\fs20\insrsid1194460\charrsid1194460 nformaci\'f3n de prestaciones e intervenciones}{\b\f1\fs20\insrsid1194460 +\par }{\insrsid8981056 \tab }{\insrsid3948734 a}{\insrsid8981056 ) }{\insrsid3948734 C\'f3digo de prestaci\'f3n/intervenci\'f3n (\'93Pr\'e1ctica\'94, en el nomenclador)}{\insrsid8981056 +\par }{\insrsid3948734 \tab b) Identificador de prestaci\'f3n Realizada \'f3 Rechazada (flag) +\par \tab c) Fecha de Realizaci\'f3n/Rechazo de la prestaci\'f3n/intervenci\'f3n +\par }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0\pararsid3948734 {\insrsid3948734 \tab d) N\'famero de afiliado +\par +\par 2) }{\b\f1\fs20\insrsid3948734\charrsid986895 I}{\b\f1\fs20\insrsid3948734\charrsid8000756 nforme de aprobaciones/rechazos de prestaciones}{\b\f1\fs20\insrsid3948734 +\par }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0\pararsid15751489 {\b\f1\fs20\insrsid15751489 \tab }{\insrsid15751489 a) C\'f3digo de prestaci\'f3n/intervenci\'f3n (\'93Pr\'e1ctica\'94, en el nomenclador) +\par }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0\pararsid3948734 {\f1\fs20\insrsid15751489\charrsid15751489 \tab b)}{\f1\fs20\insrsid15751489 Cantidad }{\f1\fs20\insrsid16676310 total }{\f1\fs20\insrsid15751489 de aprobaciones}{ +\f1\fs20\insrsid16676310 de la }{\insrsid16676310 prestaci\'f3n/intervenci\'f3n}{\f1\fs20\insrsid15751489 +\par \tab c) Cantidad }{\f1\fs20\insrsid16676310 total }{\f1\fs20\insrsid15751489 de rechazos}{\f1\fs20\insrsid16676310 de la }{\insrsid16676310 prestaci\'f3n/intervenci\'f3n}{\f1\fs20\insrsid15751489\charrsid15751489 +\par }{\b\f1\fs20\insrsid8000756 \tab }{\b\f1\fs20\insrsid3886421 +\par }{\insrsid3886421\charrsid3886421 3)}{\f1\fs20\insrsid3886421 }{\b\f1\fs20\insrsid3886421\charrsid3886421 R}{\b\f1\fs20\insrsid3886421\charrsid8981056 eporte de consumo de los afiliados}{\insrsid3948734 +\par }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\insrsid3886421 \tab a) N\'famero de afiliado}{\insrsid3948734 +\par }{\insrsid3886421 \tab b) C\'f3digo de prestaci\'f3n/intervenci\'f3n REALIZADA}{\insrsid3886421\charrsid8981056 \par }} \ No newline at end of file -- 2.43.0