Basic policy

Operating range of single module (module granularity)

For a single CLAIM module, only one MML document header (docInfo) is set up. For a single document header, the "document entry date (single date)" and "(single) person making entry" are entered as required items. Thus, the operating range of a single CLAIM module is the information concerning the medical care that was appointed/performed on a single date by a single medical care provider. A conceivable example of such operation, when applied to outpatient care, is the use of a single module for a series of medical care actions that are performed for a single outpatient by the same doctor. When applied to hospitalization, an example might be the use of a single module for a single order that a single doctor performs for a single inpatient.

An exception, as previously mentioned, is that even with the same order issuance date, there must be a separate appointment request module if the expected performance date differs.

Another exception is that there must be a separate module when the utilized health insurance differs, because only one health insurance can be set up for a single CLAIM module.