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COCT_MT400000UV07
A_Charge universal

Derived from RMIM: COCT_RM400000UV07 and HMD: COCT_HD400000UV07
 
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

classCode [1..1] (M)
InvoiceElement (CS) {CNE:V:ActClassInvoiceElement, root= "INVE"}
moodCode [1..1] (M)
InvoiceElement (CS) {CNE:V:ActMoodEventOccurrence, root= "EVN"}
id [1..*]
InvoiceElement (DSET<II>)
code [1..1]
InvoiceElement (CD) {CWE:D:ActInvoiceDetailCode}
effectiveTime [0..1]
InvoiceElement (IVL<TS>)
confidentialityCode [0..*]
InvoiceElement (DSET<CD>) {CWE:D:Confidentiality}
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

unitQuantity [1..1]
InvoiceElement (RTO<PQ,PQ>)
unitPriceAmt [1..1]
InvoiceElement (RTO<MO,PQ>)
netAmt [1..1]
InvoiceElement (MO)
factorNumber [0..1]
InvoiceElement (REAL)

UsageNotes: ERROR - Business name from Visio is too long and was truncated. Full businessName follows. (multiplier - can be used to calculate the rate or multiplying factor for each service/product unit of the line item

pointsNumber [0..1]
InvoiceElement (REAL)
inFulfillmentOf [0..*] (InFulfillmentOf)
reason [0..*] (Reason2)
reference [0..*] (Reference2)
coverage [0..*] (Coverage)
pertinentInformation [1..1] (PertinentInformation)
 
InFulfillmentOf
typeCode [1..1] (M)
ActRelationship (CS) {CNE:V:ActRelationshipFulfills, root= "FLFS"}
billingArrangementContract [1..1] (BillingArrangementContract)

Design Comments: ActBillingArrangementCode maps to v2 fee schedule concepts - may need additional codes

 
BillingArrangementContract

Design Comments: ActBillingArrangementCode maps to v2 fee schedule concepts - may need additional codes

classCode [1..1] (M)
FinancialContract (CS) {CNE:V:ActClassFinancialContract, root= "FCNTRCT"}
moodCode [1..1] (M)
FinancialContract (CS) {CNE:V:ActMoodDefinition, root= "DEF"}
id [0..*]
FinancialContract (DSET<II>)
code [0..1]
FinancialContract (CD) {CWE:V:ActBillingArrangementCode}
reference [0..*] (Reference)
 
Reference
typeCode [1..1] (M)
ActRelationship (CS) {CNE:V:ActRelationshipRefersTo, root= "REFR"}
feeSchedule [1..1] (FeeSchedule)
 
FeeSchedule
classCode [1..1] (M)
InvoiceElement (CS) {CNE:V:ActClassInvoiceElement, root= "INVE"}
moodCode [1..1] (M)
InvoiceElement (CS) {CNE:V:ActMoodDefinition, root= "DEF"}
id [0..*]
InvoiceElement (DSET<II>)
code [0..1]
InvoiceElement (CD) {CWE:D:ActInvoiceElementCode}
unitQuantity [0..1]
InvoiceElement (RTO<PQ,PQ>)
unitPriceAmt [0..1]
InvoiceElement (RTO<MO,PQ>)
netAmt [0..1]
InvoiceElement (MO)
 
Reason2
typeCode [1..1] (M)
ActRelationship (CS) {CNE:V:ActRelationshipReason, root= "RSON"}
priorityNumber [0..1]
ActRelationship (REAL)
billableActChoice1 [1..1] (BillableActChoice)
 
BillableActChoice
choice of A_BillableUniversal
          or A_SupportingClinicalStatementUniversal
          or A_TransportationUniversal
 
Reference2
typeCode [1..1] (M)
ActRelationship (CS) {CNE:V:ActRelationshipRefersTo, root= "REFR"}
previousCharge [1..1] (PreviousCharge)
 
PreviousCharge
classCode [1..1] (M)
InvoiceElement (CS) {CNE:V:ActClassInvoiceElement, root= "INVE"}
moodCode [1..1] (M)
InvoiceElement (CS) {CNE:V:ActMoodEventOccurrence, root= "EVN"}
id [0..*]
InvoiceElement (DSET<II>)
 
Coverage
typeCode [1..1] (M)
ActRelationship (CS) {CNE:V:ActRelationshipCoveredBy, root= "COVBY"}
priorityNumber [0..1]
ActRelationship (INT)
coverageChoice [1..1] (CoverageChoice)
 
CoverageChoice
choice of A_CoverageUniversal
          or PolicyOrProgram
 
PolicyOrProgram
classCode [1..1] (M)
FinancialContract (CS) {CNE:V:ActClassCoverage, root= "COV"}
moodCode [1..1] (M)
FinancialContract (CS) {CNE:V:ActMoodEventOccurrence, root= "EVN"}
id [0..*]
FinancialContract (DSET<II>)
code [0..1]
FinancialContract (CD) {CWE:D:ActCoverageType}
 
PertinentInformation
typeCode [1..1] (M)
ActRelationship (CS) {CNE:V:ActRelationshipPertains, root= "PERT"}
encounter [1..1] (A_EncounterUniversal)