EnrollEligCOB UML Documentation

Element

EnrollEligCOB
Class RequestItem

"Service categories or billable services for which benefit details and/or an authorization prior to service delivery may be required by the payor." - HL7 FHIR, CoverageEligibilityRequest.item

Attributes
«CS» Code	category	"Code to identify the general type of benefits under which products and services are provided." - HL7 FHIR, CoverageEligibilityRequest.item.category
«ANY» Any	detail	"The plan/proposal/order describing the proposed service in detail." - HL7 FHIR, CoverageEligibilityRequest.item.detail
«CS» Code	diagnosisCode	"The nature of illness or problem in a coded form or as a reference to an external defined Condition." - HL7 FHIR, CoverageEligibilityRequest.item.diagnosis.diagnosis[x] In FHIR, this property may have a Code or a pointer to a Condition. In FHIM, we have split this into two properties, diagnosisCode and diagnosisReference.
HealthConcern	diagnosisReference	"The nature of illness or problem in a coded form or as a reference to an external defined Condition." - HL7 FHIR, CoverageEligibilityRequest.item.diagnosis.diagnosis[x] In FHIR, this property may have a Code or a pointer to a Condition. In FHIM, we have split this into two properties, diagnosisCode and diagnosisReference.
ServiceDeliveryLocation	facility	"Facility where the services will be provided." - HL7 FHIR, CoverageEligibilityRequest.item.facility
«CS» Code	modifier	"Item typification or modifiers codes to convey additional context for the product or service." Possible values include: Repair of prior service or installation; Temporary service or installation; TMJ treatment; Implant or associated with an implant; Rush or Outside of office hours; None. - HL7 FHIR, CoverageEligibilityRequest.item.modifier
«CS» Code	productOrService	"This contains the product, service, drug or other billing code for the item." FHIR recommends the use of USCLS codes. - HL7 FHIR, CoverageEligibilityRequest.item.productOrService
HealthcareProvider	provider	"The practitioner who is responsible for the product or service to be rendered to the patient." - HL7 FHIR, CoverageEligibilityRequest.item.provider
«PQ» Quantity	quantity	"The number of repetitions of a service or product." - HL7 FHIR, CoverageEligibilityRequest.item.quantity
Integer	sequence	The order in which instances of this class should be considered or processed. Note that the FHIR definition appears to be in error. "Exceptions, special conditions and supporting information applicable for this service or product line." - HL7 FHIR, CoverageEligibilityRequest.item.supportingInfoSequence
«MO» MonetaryAmount	unitPrice	"The amount charged to the patient by the provider for a single unit." - HL7 FHIR, CoverageEligibilityRequest.item.unitPrice

Properties:

Alias
Classifier Behavior
Is Abstract	false
Is Active	false
Is Leaf	false
Keywords
Name	RequestItem
Name Expression
Namespace	EnrollEligCOB
Owned Template Signature
Owner	EnrollEligCOB
Owning Template Parameter
Package	EnrollEligCOB
Qualified Name	FHIM::EnrollEligCOB::RequestItem
Representation
Stereotype
Template Parameter
Visibility	Public

Attribute Details

category

Public «CS» Code category

"Code to identify the general type of benefits under which products and services are provided." - HL7 FHIR, CoverageEligibilityRequest.item.category

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	RequestItem
Terminologies	[ HL7_FHIR_R4 Benefit Category Codes http://hl7.org/fhir/ValueSet/ex-benefitcategory ]
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	0..1
Name	category
Name Expression
Namespace	RequestItem
Opposite
Owner	RequestItem
Owning Association
Owning Template Parameter
Qualified Name	FHIM::EnrollEligCOB::RequestItem::category
Stereotype	ValueSetConstraints
Template Parameter
Type	«CS» Code
Upper	1
Upper Value	(1)
Visibility	Public

detail

Public «ANY» Any detail

"The plan/proposal/order describing the proposed service in detail." - HL7 FHIR, CoverageEligibilityRequest.item.detail

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	RequestItem
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	0..1
Name	detail
Name Expression
Namespace	RequestItem
Opposite
Owner	RequestItem
Owning Association
Owning Template Parameter
Qualified Name	FHIM::EnrollEligCOB::RequestItem::detail
Stereotype
Template Parameter
Type	«ANY» Any
Upper	1
Upper Value	(1)
Visibility	Public

diagnosisCode

Public «CS» Code diagnosisCode

"The nature of illness or problem in a coded form or as a reference to an external defined Condition." - HL7 FHIR, CoverageEligibilityRequest.item.diagnosis.diagnosis[x]
In FHIR, this property may have a Code or a pointer to a Condition. In FHIM, we have split this into two properties, diagnosisCode and diagnosisReference.

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	RequestItem
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	*
Name	diagnosisCode
Name Expression
Namespace	RequestItem
Opposite
Owner	RequestItem
Owning Association
Owning Template Parameter
Qualified Name	FHIM::EnrollEligCOB::RequestItem::diagnosisCode
Stereotype
Template Parameter
Type	«CS» Code
Upper	*
Upper Value	(*)
Visibility	Public

diagnosisReference

Public HealthConcern diagnosisReference

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	RequestItem
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	*
Name	diagnosisReference
Name Expression
Namespace	RequestItem
Opposite
Owner	RequestItem
Owning Association
Owning Template Parameter
Qualified Name	FHIM::EnrollEligCOB::RequestItem::diagnosisReference
Stereotype
Template Parameter
Type	HealthConcern
Upper	*
Upper Value	(*)
Visibility	Public

facility

Public ServiceDeliveryLocation facility

"Facility where the services will be provided." - HL7 FHIR, CoverageEligibilityRequest.item.facility

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	RequestItem
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	0..1
Name	facility
Name Expression
Namespace	RequestItem
Opposite
Owner	RequestItem
Owning Association
Owning Template Parameter
Qualified Name	FHIM::EnrollEligCOB::RequestItem::facility
Stereotype
Template Parameter
Type	ServiceDeliveryLocation
Upper	1
Upper Value	(1)
Visibility	Public

modifier

Public «CS» Code modifier

"Item typification or modifiers codes to convey additional context for the product or service." Possible values include: Repair of prior service or installation; Temporary service or installation; TMJ treatment; Implant or associated with an implant; Rush or Outside of office hours; None. - HL7 FHIR, CoverageEligibilityRequest.item.modifier

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	RequestItem
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	*
Name	modifier
Name Expression
Namespace	RequestItem
Opposite
Owner	RequestItem
Owning Association
Owning Template Parameter
Qualified Name	FHIM::EnrollEligCOB::RequestItem::modifier
Stereotype
Template Parameter
Type	«CS» Code
Upper	*
Upper Value	(*)
Visibility	Public

productOrService

Public «CS» Code productOrService

"This contains the product, service, drug or other billing code for the item." FHIR recommends the use of USCLS codes. - HL7 FHIR, CoverageEligibilityRequest.item.productOrService

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	RequestItem
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	0..1
Name	productOrService
Name Expression
Namespace	RequestItem
Opposite
Owner	RequestItem
Owning Association
Owning Template Parameter
Qualified Name	FHIM::EnrollEligCOB::RequestItem::productOrService
Stereotype
Template Parameter
Type	«CS» Code
Upper	1
Upper Value	(1)
Visibility	Public

provider

Public HealthcareProvider provider

"The practitioner who is responsible for the product or service to be rendered to the patient." - HL7 FHIR, CoverageEligibilityRequest.item.provider

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	RequestItem
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	0..1
Name	provider
Name Expression
Namespace	RequestItem
Opposite
Owner	RequestItem
Owning Association
Owning Template Parameter
Qualified Name	FHIM::EnrollEligCOB::RequestItem::provider
Stereotype
Template Parameter
Type	HealthcareProvider
Upper	1
Upper Value	(1)
Visibility	Public

quantity

Public «PQ» Quantity quantity

"The number of repetitions of a service or product." - HL7 FHIR, CoverageEligibilityRequest.item.quantity

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	RequestItem
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	0..1
Name	quantity
Name Expression
Namespace	RequestItem
Opposite
Owner	RequestItem
Owning Association
Owning Template Parameter
Qualified Name	FHIM::EnrollEligCOB::RequestItem::quantity
Stereotype
Template Parameter
Type	«PQ» Quantity
Upper	1
Upper Value	(1)
Visibility	Public

sequence

Public Integer sequence

The order in which instances of this class should be considered or processed. Note that the FHIR definition appears to be in error.
"Exceptions, special conditions and supporting information applicable for this service or product line." - HL7 FHIR, CoverageEligibilityRequest.item.supportingInfoSequence

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	RequestItem
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	*
Name	sequence
Name Expression
Namespace	RequestItem
Opposite
Owner	RequestItem
Owning Association
Owning Template Parameter
Qualified Name	FHIM::EnrollEligCOB::RequestItem::sequence
Stereotype
Template Parameter
Type	Integer
Upper	*
Upper Value	(*)
Visibility	Public

unitPrice

Public «MO» MonetaryAmount unitPrice

"The amount charged to the patient by the provider for a single unit." - HL7 FHIR, CoverageEligibilityRequest.item.unitPrice

Constraints:

Properties:

Aggregation	None
Alias
Association
Association End
Class	RequestItem
Datatype
Default
Default Value
Is Composite	false
Is Derived	false
Is Derived Union	false
Is Leaf	false
Is Ordered	false
Is Read Only	false
Is Static	false
Is Unique	true
Keywords
Lower	0
Lower Value	(0)
Multiplicity	0..1
Name	unitPrice
Name Expression
Namespace	RequestItem
Opposite
Owner	RequestItem
Owning Association
Owning Template Parameter
Qualified Name	FHIM::EnrollEligCOB::RequestItem::unitPrice
Stereotype
Template Parameter
Type	«MO» MonetaryAmount
Upper	1
Upper Value	(1)
Visibility	Public

Overview

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Element

EnrollEligCOB UML Documentation

Summary:AttributesProperties

Detail:Attributes