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 category

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

«ANY» Any detail detail

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

«CS» Code diagnosisCode 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 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

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

«CS» Code modifier 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 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 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 quantity

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

Integer sequence 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 unitPrice

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


Properties:

Alias
Classifier Behavior
Is Abstractfalse
Is Activefalse
Is Leaffalse
Keywords
NameRequestItem
Name Expression
NamespaceEnrollEligCOB
Owned Template Signature
OwnerEnrollEligCOB
Owning Template Parameter
PackageEnrollEligCOB
Qualified NameFHIM::EnrollEligCOB::RequestItem
Representation
Stereotype
Template Parameter
VisibilityPublic

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:

AggregationNone
Alias
Association
Association End
ClassRequestItem
Terminologies[
HL7_FHIR_R4 Benefit Category Codes http://hl7.org/fhir/ValueSet/ex-benefitcategory
]
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
Namecategory
Name Expression
NamespaceRequestItem
Opposite
OwnerRequestItem
Owning Association
Owning Template Parameter
Qualified NameFHIM::EnrollEligCOB::RequestItem::category
StereotypeValueSetConstraints
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 detail
Public «ANY» Any detail

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

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassRequestItem
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
Namedetail
Name Expression
NamespaceRequestItem
Opposite
OwnerRequestItem
Owning Association
Owning Template Parameter
Qualified NameFHIM::EnrollEligCOB::RequestItem::detail
Stereotype
Template Parameter
Type«ANY» Any
Upper1
Upper Value(1)
VisibilityPublic


 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:

AggregationNone
Alias
Association
Association End
ClassRequestItem
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity*
NamediagnosisCode
Name Expression
NamespaceRequestItem
Opposite
OwnerRequestItem
Owning Association
Owning Template Parameter
Qualified NameFHIM::EnrollEligCOB::RequestItem::diagnosisCode
Stereotype
Template Parameter
Type«CS» Code
Upper*
Upper Value(*)
VisibilityPublic


 diagnosisReference
Public 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.

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassRequestItem
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity*
NamediagnosisReference
Name Expression
NamespaceRequestItem
Opposite
OwnerRequestItem
Owning Association
Owning Template Parameter
Qualified NameFHIM::EnrollEligCOB::RequestItem::diagnosisReference
Stereotype
Template Parameter
TypeHealthConcern
Upper*
Upper Value(*)
VisibilityPublic


 facility
Public ServiceDeliveryLocation facility

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

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassRequestItem
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
Namefacility
Name Expression
NamespaceRequestItem
Opposite
OwnerRequestItem
Owning Association
Owning Template Parameter
Qualified NameFHIM::EnrollEligCOB::RequestItem::facility
Stereotype
Template Parameter
TypeServiceDeliveryLocation
Upper1
Upper Value(1)
VisibilityPublic


 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:

AggregationNone
Alias
Association
Association End
ClassRequestItem
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity*
Namemodifier
Name Expression
NamespaceRequestItem
Opposite
OwnerRequestItem
Owning Association
Owning Template Parameter
Qualified NameFHIM::EnrollEligCOB::RequestItem::modifier
Stereotype
Template Parameter
Type«CS» Code
Upper*
Upper Value(*)
VisibilityPublic


 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:

AggregationNone
Alias
Association
Association End
ClassRequestItem
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NameproductOrService
Name Expression
NamespaceRequestItem
Opposite
OwnerRequestItem
Owning Association
Owning Template Parameter
Qualified NameFHIM::EnrollEligCOB::RequestItem::productOrService
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 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:

AggregationNone
Alias
Association
Association End
ClassRequestItem
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
Nameprovider
Name Expression
NamespaceRequestItem
Opposite
OwnerRequestItem
Owning Association
Owning Template Parameter
Qualified NameFHIM::EnrollEligCOB::RequestItem::provider
Stereotype
Template Parameter
TypeHealthcareProvider
Upper1
Upper Value(1)
VisibilityPublic


 quantity
Public «PQ» Quantity quantity

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

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassRequestItem
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
Namequantity
Name Expression
NamespaceRequestItem
Opposite
OwnerRequestItem
Owning Association
Owning Template Parameter
Qualified NameFHIM::EnrollEligCOB::RequestItem::quantity
Stereotype
Template Parameter
Type«PQ» Quantity
Upper1
Upper Value(1)
VisibilityPublic


 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:

AggregationNone
Alias
Association
Association End
ClassRequestItem
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity*
Namesequence
Name Expression
NamespaceRequestItem
Opposite
OwnerRequestItem
Owning Association
Owning Template Parameter
Qualified NameFHIM::EnrollEligCOB::RequestItem::sequence
Stereotype
Template Parameter
TypeInteger
Upper*
Upper Value(*)
VisibilityPublic


 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:

AggregationNone
Alias
Association
Association End
ClassRequestItem
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NameunitPrice
Name Expression
NamespaceRequestItem
Opposite
OwnerRequestItem
Owning Association
Owning Template Parameter
Qualified NameFHIM::EnrollEligCOB::RequestItem::unitPrice
Stereotype
Template Parameter
Type«MO» MonetaryAmount
Upper1
Upper Value(1)
VisibilityPublic