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COCT_HD490000UV04
A_BillableClinicalProduct universal

(Link to Excel View)
Derived from RMIM: COCT_RM490000UV04
 
BillableClinicalProduct

Design Comments: Patient classes are not referenced in the billable acts, as they are noted in the parent model (e.g. Invoice message) as the CoveredPartyAsPatient

classCode [1..1] (M)
Supply (CS) {CNE:V:ActClassSupply, root= "SPLY"}
moodCode [1..1] (M)
Supply (CS) {CNE:V:x_ActMoodIntentEvent}
id [0..1]
Supply (II)
code [1..1] (M)
Supply (CS) {CNE:V:x_ActFinancialProductAcquisitionCode}
effectiveTime [1..1] (M)
Supply (IVL<TS>)
product [1..1] (Product)
referrer [0..1] (Referrer)
consultant [0..1] (Consultant)
origin [0..1] (Origin)

Design Comments: Only used for justifying shipping from 1 location to another.

destination [0..1] (Destination)

Design Comments: Only used for justifying shipping from 1 location to another.

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

pertinentInformation [0..*] (PertinentInformation)
 
Product
typeCode [1..1] (M)
Participation (CS) {CNE:V:ParticipationProduct, root= "PRD"}
manufacturedProduct [1..1] (ManufacturedProduct)

Design Comments: Scoped by Manufacturer

 
ManufacturedProduct
[Constraint: "

Must have Organization if you don’t have UPC/GTIN or pseudo UPC

"]

Design Comments: Scoped by Manufacturer

classCode [1..1] (M)
Role (CS) {CNE:V:RoleClassManufacturedProduct, root= "MANU"}
id [0..1]
Role (II)
code [0..1]
Role (CD) {CNE:D:ProductRoleType}
manufacturedMaterial [1..1] (ManufacturedMaterial)
manufacturerManufacturedProductOrganization [0..1] (ManufacturedProductOrganization)
 
ManufacturedMaterial
classCode [1..1] (M)
ManufacturedMaterial (CS) {CNE:V:EntityClassManufacturedMaterial, root= "MMAT"}
determinerCode [1..1] (M)
ManufacturedMaterial (CS) {CNE:V:x_DeterminerInstanceKind}
code [0..1]
ManufacturedMaterial (CD) {CNE:D:MaterialEntityClassType}
desc [0..1]
ManufacturedMaterial (ST)
asWarrantor [0..*] (Warrantor)
contentPackagedProduct [0..*] (ContentPackagedProduct)

Design Comments: Can be used to include elements within a product such as a battery charger that is part of a wheelchair

 
Warrantor
classCode [1..1] (M)
Role (CS) {CNE:V:RoleClassWarrantedProduct, root= "WRTE"}
effectiveTime [1..1] (M)
Role (IVL<TS>)
warrantingWarrantorOrganization [0..1] (WarrantorOrganization)

Design Comments: Organization that holds warranty

 
WarrantorOrganization

Design Comments: Organization that holds warranty

classCode [1..1] (M)
Organization (CS) {CNE:V:EntityClassOrganization, root= "ORG"}
determinerCode [1..1] (M)
Organization (CS) {CNE:V:EntityDeterminerSpecific, root= "INSTANCE"}
name [1..1] (M)
Organization (ON)
telecom [0..1]
Organization (TEL)
 
ContentPackagedProduct

Design Comments: Can be used to include elements within a product such as a battery charger that is part of a wheelchair

classCode [1..1] (M)
Role (CS) {CNE:V:RoleClassContent, root= "CONT"}
quantity [0..1]
Role (RTO<PQ,PQ>)
containedManufacturedMaterial [0..1] (ManufacturedMaterial)
 
ManufacturedProductOrganization
classCode [1..1] (M)
Organization (CS) {CNE:V:EntityClassOrganization, root= "ORG"}
determinerCode [1..1] (M)
Organization (CS) {CNE:V:EntityDeterminerSpecific, root= "INSTANCE"}
name [1..1] (M)
Organization (ON)
telecom [0..1]
Organization (TEL)
 
Referrer
typeCode [1..1] (M)
Participation (CS) {CNE:V:ParticipationReferrer, root= "REF"}
healthCareProvider [1..1] (HealthCareProvider)
 
Consultant
typeCode [1..1] (M)
Participation (CS) {CNE:V:ParticipationConsultant, root= "CON"}
healthCareProvider [1..1] (HealthCareProvider)

Design Comments: Do not need to know the performer of the sale/rental (e.g. the sales clerk)

 
HealthCareProvider

Design Comments: Do not need to know the performer of the sale/rental (e.g. the sales clerk)

classCode [1..1] (M)
LicensedEntity (CS) {CNE:V:RoleClassHealthcareProvider, root= "PROV"}
id [0..*]
LicensedEntity (DSET<II>)
code [0..1]
LicensedEntity (CD) {CNE:D:PractitionerCertifiedEntityType}
healthCareProviderPerson [0..1] (ProviderPerson)

Design Comments: Telecom, addr are only required if provider is not known to the Payor

 
ProviderPerson
[Constraint: "

Association/ProviderPerson can only be specified for the Referrer for a non-known Provider (e.g. out of jurisdiction).

"]

Design Comments: Telecom, addr are only required if provider is not known to the Payor

classCode [1..1] (M)
Person (CS) {CNE:V:EntityClassPerson, root= "PSN"}
determinerCode [1..1] (M)
Person (CS) {CNE:V:EntityDeterminerSpecific, root= "INSTANCE"}
name [1..1] (M)
Person (PN)
telecom [0..1]
Person (TEL)
addr [0..1]
Person (AD)
 
Origin
[Constraint: "

If origin specified, destination mandatory and vice versa

"]

Design Comments: Only used for justifying shipping from 1 location to another.

typeCode [1..1] (M)
Participation (CS) {CNE:V:ParticipationOrigin, root= "ORG"}
serviceDeliveryLocation [1..1] (R_ServiceDeliveryLocationContact)
 
Destination
[Constraint: "

If origin specified, destination mandatory and vice versa

"]

Design Comments: Only used for justifying shipping from 1 location to another.

typeCode [1..1] (M)
Participation (CS) {CNE:V:ParticipationDestination, root= "DST"}
serviceDeliveryLocation [1..1] (R_ServiceDeliveryLocationContact)
 
Location

Design Comments: The location identifier is used for the Diagnostic Approval Number (facility id) and the Claim Centre Number if required

typeCode [1..1] (M)
Participation (CS) {CNE:V:ParticipationTargetLocation, root= "LOC"}
serviceDeliveryLocation [1..1] (R_ServiceDeliveryLocationContact)
 
PertinentInformation
typeCode [1..1] (M)
ActRelationship (CS) {CNE:V:ActRelationshipPertains, root= "PERT"}
sequenceNumber [0..1]
ActRelationship (INT.NONNEG)
diagnosis [1..1] (Diagnosis)
 
Diagnosis
classCode [1..1] (M)
Observation (CS) {CNE:V:ActClassObservation, root= "OBS"}
moodCode [1..1] (M)
Observation (CS) {CNE:V:ActMoodEventOccurrence, root= "EVN"}
code [1..1] (M)
Observation (CD) {CNE:V:ObservationDiagnosisTypes}
text [0..1]
Observation (ST)
value [1..1] (M)
Observation (CD) {CNE:D:DiagnosisValue}