| COCT_HD290003UV07 A_BillableClinicalService referral |
(Link to Excel View) Derived from RMIM: COCT_RM290003UV07 |
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| BillableClinicalService |
Design Comments: "This is what I intend to do" |
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| classCode [1..1] (M) Act (CS) {CNE:V:ActClassRoot, root= "ACT"} |
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| moodCode [1..1] (M) Act (CS) {CNE:V:ActMoodIntent, root= "INT"} |
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| code [1..1] (M) Act (CD) {CWE:D:ActBillableServiceCode} |
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| effectiveTime [1..1] (M) Act (IVL<TS>) |
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| priorityCode [0..*] Act (DSET<CD>) {CWE:D:ActPriority} |
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| confidentialityCode [0..*] Act (DSET<CD>) {CWE:D:Confidentiality} |
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| repeatNumber [0..1] Act (IVL<INT.NONNEG>) |
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| reasonCode [0..*] Act (DSET<CD>) {CWE:D:ActBillableServiceReason} |
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| subject [0..*] (Subject3) | |||||||||
| reusableDevice [0..1] (ReusableDevice) | |||||||||
| responsibleParty [0..1] (ResponsibleParty) |
Design Comments: Who is the responsible person (e.g. doctor for a public health nurse) for the service. AKA supervisor. If this is the same as the performer, it need not be specified |
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| performer [0..1] (Performer) |
Design Comments: Primary performer - the Provider who did the service. For clinical services such as an office visit, this is mandatory. For some non-clinical services such as wheelchair repair, then this is required. |
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| location [1..1] (Location) |
Design Comments: The location identifier is used for the Diagnostic Approval Number (facility id) and the Claim Centre Number if required |
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| inFulfillmentOf [0..*] (InFulfillmentOf) | |||||||||
| reason1 [0..*] (Reason1) | |||||||||
| reason2 [0..*] (Reason3) | |||||||||
| reason3 [0..*] (Reason6) | |||||||||
| component [0..1] (Component2) | |||||||||
| subjectOf1 [0..*] (Subject2) | |||||||||
| subjectOf2 [0..1] (Subject) | |||||||||
| componentOf [0..*] (Component1) | |||||||||
| Subject3 | |||||||||
| typeCode [1..1] (M) Participation (CS) {CNE:V:ParticipationTargetSubject, root= "SBJ"} |
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| patient [1..1] (R_PatientUniversal) | |||||||||
| ReusableDevice | |||||||||
| typeCode [1..1] (M) Participation (CS) {CNE:V:ParticipationReusableDevice, root= "RDV"} |
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| device [1..1] (Device) | |||||||||
| Device | |||||||||
| classCode [1..1] (M) Role (CS) {CNE:V:RoleClassAssignedEntity, root= "ASSIGNED"} |
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| id [1..1] (M) Role (II) |
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| ResponsibleParty |
Design Comments: Who is the responsible person (e.g. doctor for a public health nurse) for the service. AKA supervisor. If this is the same as the performer, it need not be specified |
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| typeCode [1..1] (M) Participation (CS) {CNE:V:ParticipationResponsibleParty, root= "RESP"} |
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| assignedEntity [1..1] (AssignedEntity) | |||||||||
| Performer |
Design Comments: Primary performer - the Provider who did the service. For clinical services such as an office visit, this is mandatory. For some non-clinical services such as wheelchair repair, then this is required. |
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| typeCode [1..1] (M) Participation (CS) {CNE:V:ParticipationPhysicalPerformer, root= "PRF"} |
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| functionCode [0..1] Participation (CD) {CWE:D:ParticipationFunction} |
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| assignedEntity [1..1] (AssignedEntity) | |||||||||
| Location |
Design Comments: The location identifier is used for the Diagnostic Approval Number (facility id) and the Claim Centre Number if required |
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| typeCode [1..1] (M) Participation (CS) {CNE:V:ParticipationTargetLocation, root= "LOC"} |
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| serviceDeliveryLocation [1..1] (R_ServiceDeliveryLocationContact) | |||||||||
| InFulfillmentOf | |||||||||
| typeCode [1..1] (M) ActRelationship (CS) {CNE:V:ActRelationshipFulfills, root= "FLFS"} |
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| serviceRequest [1..1] (ServiceRequest) | |||||||||
| ServiceRequest | |||||||||
| classCode [1..1] (M) Act (CS) {CNE:V:ActClassRoot, root= "ACT"} |
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| moodCode [1..1] (M) Act (CS) {CNE:V:ActMoodRequest, root= "RQO"} |
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| code [0..1] Act (CD) {CWE:D:ActCode} |
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| author [0..1] (Author1) | |||||||||
| Author1 | |||||||||
| typeCode [1..1] (M) Participation (CS) {CNE:V:ParticipationAuthorOriginator, root= "AUT"} |
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| time [0..1] Participation (TS) |
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| assignedEntity [1..1] (AssignedEntity) | |||||||||
| AssignedEntity | |||||||||
| classCode [1..1] (M) Role (CS) {CNE:V:RoleClassAssignedEntity, root= "ASSIGNED"} |
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| id [0..*] Role (DSET<II>) |
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| indirectAuthority [0..*] (IndirectAuthorithyOver) | |||||||||
| IndirectAuthorithyOver | |||||||||
| typeCode [1..1] (M) RoleLink (CS) {CNE:V:RoleLinkHasIndirectAuthorityOver, root= "INDAUTH"} |
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| healthCareProvider [1..1] (HealthCareProvider) | |||||||||
| HealthCareProvider | |||||||||
| classCode [1..1] (M) LicensedEntity (CS) {CNE:V:RoleClassHealthcareProvider, root= "PROV"} |
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| id [0..*] LicensedEntity (DSET<II>) |
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| code [0..1] LicensedEntity (CD) {CWE:D:HealthcareProviderRoleType} |
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| Reason1 | |||||||||
| typeCode [1..1] (M) ActRelationship (CS) {CNE:V:ActRelationshipReason, root= "RSON"} |
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| sequenceNumber [1..1] (M) ActRelationship (INT.NONNEG) |
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| injury [1..1] (Injury) | |||||||||
| Injury | |||||||||
| classCode [1..1] (M) Observation (CS) {CNE:V:ActClassObservation, root= "OBS"} |
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| moodCode [1..1] (M) Observation (CS) {CNE:V:ActMoodEventOccurrence, root= "EVN"} |
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| code [1..1] (M) Observation (CD) {CWE:D:ActInjuryCode} |
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| priorityCode [0..*] Observation (DSET<CD>) {CWE:D:ActPriority} |
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| value [1..1] (M) Observation (CD) {CWE:D:InjuryObservationValue} |
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| targetSiteCode [1..1] (M) Observation (CD) {CWE:D:InjuryActSite} |
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| Reason3 | |||||||||
| typeCode [1..1] (M) ActRelationship (CS) {CNE:V:ActRelationshipReason, root= "RSON"} |
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| priorityNumber [0..1] ActRelationship (INT) |
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| administrativeDiagnosis [1..1] (AdministrativeDiagnosis) | |||||||||
| AdministrativeDiagnosis | |||||||||
| classCode [1..1] (M) Observation (CS) {CNE:V:ActClassObservation, root= "OBS"} |
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| moodCode [1..1] (M) Observation (CS) {CNE:V:ActMoodEventOccurrence, root= "EVN"} |
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| code [1..1] (M) Observation (CD) {CWE:D:ActCode} |
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| text [0..1] Observation (ST) |
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| effectiveTime [0..1] Observation (QSET<TS>) |
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| value [1..1] (M) Observation (CD) {CWE:D:DiagnosisValue} |
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| Reason6 | |||||||||
| typeCode [1..1] (M) ActRelationship (CS) {CNE:V:ActRelationshipReason, root= "RSON"} |
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| priorityNumber [0..1] ActRelationship (INT) |
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| procedureProcess [1..1] (ProcedureProcess) | |||||||||
| Component2 | |||||||||
| typeCode [1..1] (M) ActRelationship (CS) {CNE:V:ActRelationshipHasComponent, root= "COMP"} |
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| procedureProcess [1..1] (ProcedureProcess) | |||||||||
| ProcedureProcess | |||||||||
| classCode [1..1] (M) Procedure (CS) {CNE:V:ActClassProcedure, root= "PROC"} |
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| moodCode [1..1] (M) Procedure (CS) {CNE:V:x_ActMoodIntentEvent} |
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| product [1..1] (Product2) | |||||||||
| location [1..1] (Location1) | |||||||||
| Product2 | |||||||||
| typeCode [1..1] (M) Participation (CS) {CNE:V:ParticipationProduct, root= "PRD"} |
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| specimen [1..1] (Specimen) | |||||||||
| Specimen | |||||||||
| classCode [1..1] (M) Role (CS) {CNE:V:RoleClassSpecimen, root= "SPEC"} |
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| Location1 | |||||||||
| typeCode [1..1] (M) Participation (CS) {CNE:V:ParticipationTargetLocation, root= "LOC"} |
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| Subject2 | |||||||||
| typeCode [1..1] (M) ActRelationship (CS) {CNE:V:ActRelationshipHasSubject, root= "SUBJ"} |
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| billableModifier [1..1] (BillableModifier) |
Design Comments: ActBillableModifierCode approved Summer Harmonization - may be echoed in any resulting invoice as InvoiceElement.modiferCode |
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| BillableModifier |
Design Comments: ActBillableModifierCode approved Summer Harmonization - may be echoed in any resulting invoice as InvoiceElement.modiferCode |
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| classCode [1..1] (M) Observation (CS) {CNE:V:ActClassObservation, root= "OBS"} |
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| moodCode [1..1] (M) Observation (CS) {CNE:V:ActMoodEventOccurrence, root= "EVN"} |
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| code [0..1] Observation (CD) {CWE:V:ActBillableModifierCode} |
UsageNotes: ERROR - Business name from Visio is too long and was truncated. Full businessName follows. (Codes modifying ActBillableCodes, e.g., CPT Left, Right, which may be incorporated in any resulting Invoice as an InvoiceElement.modiferCode |
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| Subject | |||||||||
| typeCode [1..1] (M) ActRelationship (CS) {CNE:V:ActRelationshipHasSubject, root= "SUBJ"} |
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| substitution [1..1] (Substitution) |
Design Comments: If present, indicates that this service was substituted for another, unspecified service |
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| Substitution |
Design Comments: If present, indicates that this service was substituted for another, unspecified service |
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| classCode [1..1] (M) Act (CS) {CNE:V:ActClassSubstitution, root= "SUBST"} |
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| moodCode [1..1] (M) Act (CS) {CNE:V:ActMoodEventOccurrence, root= "EVN"} |
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| Component1 | |||||||||
| typeCode [1..1] (M) ActRelationship (CS) {CNE:V:ActRelationshipHasComponent, root= "COMP"} |
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| patientEncounter [1..1] (PatientEncounter) | |||||||||
| PatientEncounter | |||||||||
| classCode [1..1] (M) PatientEncounter (CS) {CNE:V:ActClassEncounter, root= "ENC"} |
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| moodCode [1..1] (M) PatientEncounter (CS) {CNE:V:x_ActMoodIntentEvent} |
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| id [0..1] PatientEncounter (II) |
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| effectiveTime [0..1] PatientEncounter (IVL<TS>) |
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| activityTime [0..1] PatientEncounter (IVL<TS>) |
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| reason [0..*] (Reason5) | |||||||||
| Reason5 | |||||||||
| typeCode [1..1] (M) ActRelationship (CS) {CNE:V:ActRelationshipReason, root= "RSON"} |
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| priorityNumber [0..1] ActRelationship (REAL) |
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| presentingIndication [1..1] (PresentingIndication) | |||||||||
| PresentingIndication | |||||||||
| classCode [1..1] (M) Observation (CS) {CNE:V:ActClassObservation, root= "OBS"} |
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| moodCode [1..1] (M) Observation (CS) {CNE:V:ActMoodEventOccurrence, root= "EVN"} |
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| code [0..1] Observation (CD) {CWE:D:ObservationIndicationType} |
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| effectiveTime [0..1] Observation (QSET<TS>) |
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| value [0..1] Observation (ANY) {CWE:D:ObservationValue} |
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