| COCT_HD400100UV07 A_CompositeCharge |
(Link to Excel View) Derived from RMIM: COCT_RM400100UV07 |
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| ChargeGroup | |||||||||
| classCode [1..1] (M) InvoiceElement (CS) {CNE:V:ActClassInvoiceElement, root= "INVE"} |
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| moodCode [1..1] (M) InvoiceElement (CS) {CNE:V:ActMoodEventOccurrence, root= "EVN"} |
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| id [1..*] InvoiceElement (DSET<II>) |
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| code [0..1] InvoiceElement (CD) {CWE:V:ActInvoiceGroupCode} |
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| effectiveTime [0..1] InvoiceElement (IVL<TS>) |
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| confidentialityCode [0..*] InvoiceElement (DSET<CD>) {CWE:D:Confidentiality} |
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| netAmt [0..1] InvoiceElement (MO) |
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| component [1..*] (Component) |
Design Comments: This allows for a ChargeGroup to be composed of one or more ChargeGroups, ChargeDetails and/or FinancialParticipationCharges. There must be one leaf detail. |
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| Component |
Design Comments: This allows for a ChargeGroup to be composed of one or more ChargeGroups, ChargeDetails and/or FinancialParticipationCharges. There must be one leaf detail. |
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| typeCode [1..1] (M) ActRelationship (CS) {CNE:V:ActRelationshipHasComponent, root= "COMP"} |
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| sequenceNumber [0..1] ActRelationship (INT.NONNEG) |
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| chargeChoice [1..1] (ChargeChoice) | |||||||||
| ChargeChoice | |||||||||
| inFulfillmentOf [0..1] (InFulfillmentOf) | |||||||||
| reference [0..*] (Reference) | |||||||||
| coverage [0..*] (Coverage) | |||||||||
| pertinentInformation [1..1] (PertinentInformation) | |||||||||
| choice of ChargeGroup | |||||||||
| or ChargeDetail |
Design Comments: ChargeDetail.id can capture the unique identifier containing the charge description master code. An ActInvoiceDetailCode can be used to capture the charge decription master code as well |
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| InFulfillmentOf | |||||||||
| typeCode [1..1] (M) ActRelationship (CS) {CNE:V:ActRelationshipFulfills, root= "FLFS"} |
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| billingArrangementContract [1..1] (BillingArrangementContract) |
Design Comments: ActBillingArrangementCode maps to v2 fee schedule concepts - may need additional codes |
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| BillingArrangementContract |
Design Comments: ActBillingArrangementCode maps to v2 fee schedule concepts - may need additional codes |
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| classCode [1..1] (M) FinancialContract (CS) {CNE:V:ActClassFinancialContract, root= "FCNTRCT"} |
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| moodCode [1..1] (M) FinancialContract (CS) {CNE:V:ActMoodDefinition, root= "DEF"} |
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| id [0..1] FinancialContract (II) |
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| code [1..1] FinancialContract (CD) {CWE:V:ActBillingArrangementCode} |
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| reference [0..*] (Reference3) | |||||||||
| Reference3 | |||||||||
| typeCode [1..1] (M) ActRelationship (CS) {CNE:V:ActRelationshipRefersTo, root= "REFR"} |
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| feeSchedule [1..1] (FeeSchedule) | |||||||||
| FeeSchedule | |||||||||
| classCode [1..1] (M) InvoiceElement (CS) {CNE:V:ActClassInvoiceElement, root= "INVE"} |
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| moodCode [1..1] (M) InvoiceElement (CS) {CNE:V:ActMoodDefinition, root= "DEF"} |
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| id [0..*] InvoiceElement (DSET<II>) |
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| code [0..1] InvoiceElement (CD) {CWE:D:ActInvoiceElementCode} |
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| unitQuantity [0..1] InvoiceElement (RTO<PQ,PQ>) |
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| unitPriceAmt [0..1] InvoiceElement (RTO<MO,PQ>) |
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| netAmt [0..1] InvoiceElement (MO) |
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| Reference | |||||||||
| typeCode [1..1] (M) ActRelationship (CS) {CNE:V:ActRelationshipRefersTo, root= "REFR"} |
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| previousCharge [1..1] (PreviousCharge) | |||||||||
| PreviousCharge | |||||||||
| classCode [1..1] (M) InvoiceElement (CS) {CNE:V:ActClassInvoiceElement, root= "INVE"} |
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| moodCode [1..1] (M) InvoiceElement (CS) {CNE:V:ActMoodEventOccurrence, root= "EVN"} |
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| id [0..*] InvoiceElement (DSET<II>) |
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| Coverage | |||||||||
| typeCode [1..1] (M) ActRelationship (CS) {CNE:V:ActRelationshipCoveredBy, root= "COVBY"} |
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| priorityNumber [0..1] ActRelationship (INT) |
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| coverageChoice [1..1] (CoverageChoice) | |||||||||
| CoverageChoice | |||||||||
| choice of A_CoverageUniversal | |||||||||
| or PolicyOrProgram | |||||||||
| PolicyOrProgram | |||||||||
| classCode [1..1] (M) FinancialContract (CS) {CNE:V:ActClassCoverage, root= "COV"} |
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| moodCode [1..1] (M) FinancialContract (CS) {CNE:V:ActMoodEventOccurrence, root= "EVN"} |
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| id [0..*] FinancialContract (DSET<II>) |
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| code [0..1] FinancialContract (CD) {CWE:D:ActCoverageType} |
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| PertinentInformation | |||||||||
| typeCode [1..1] (M) ActRelationship (CS) {CNE:V:ActRelationshipPertains, root= "PERT"} |
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| encounter [1..1] (A_EncounterUniversal) | |||||||||
| ChargeDetail |
Design Comments: ChargeDetail.id can capture the unique identifier containing the charge description master code. An ActInvoiceDetailCode can be used to capture the charge decription master code as well |
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| classCode [1..1] (M) InvoiceElement (CS) {CNE:V:ActClassInvoiceElement, root= "INVE"} |
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| moodCode [1..1] (M) InvoiceElement (CS) {CNE:V:ActMoodEventOccurrence, root= "EVN"} |
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| id [1..*] InvoiceElement (DSET<II>) |
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| code [0..1] InvoiceElement (CD) {CWE:D:ActInvoiceDetailCode} |
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| effectiveTime [0..1] InvoiceElement (IVL<TS>) |
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| confidentialityCode [0..*] InvoiceElement (DSET<CD>) {CWE:D:Confidentiality} |
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| modifierCode [0..*] InvoiceElement (DSET<CD>) {CWE:D:InvoiceElementModifier} |
UsageNotes: ERROR - Business name from Visio is too long and was truncated. Full businessName follows. (Designates a modifier to the code attribute to provide additional information about the invoice element |
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| unitQuantity [1..1] InvoiceElement (RTO<PQ,PQ>) |
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| unitPriceAmt [1..1] InvoiceElement (RTO<MO,PQ>) |
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| netAmt [1..1] InvoiceElement (MO) |
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| factorNumber [0..1] InvoiceElement (REAL) |
UsageNotes: ERROR - Business name from Visio is too long and was truncated. Full businessName follows. (multiplier, can be used for Calculated rate or multiplying factor for each service unit of the line item |
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| pointsNumber [0..1] InvoiceElement (REAL) |
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| reason [0..*] (Reason) | |||||||||
| Inherits associations from ChargeChoice | |||||||||
| Reason | |||||||||
| typeCode [1..1] (M) ActRelationship (CS) {CNE:V:ActRelationshipReason, root= "RSON"} |
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| priorityNumber [0..1] ActRelationship (REAL) |
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| billableActChoice1 [1..1] (BillableActChoice) | |||||||||
| BillableActChoice | |||||||||
| choice of A_BillableUniversal | |||||||||
| or A_SupportingClinicalStatementUniversal | |||||||||
| or A_TransportationUniversal | |||||||||