1.3.6.1.4.1.19376.1.3.10.2.5

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Template:Templatenote

Template CDAparticipantPertinentInsuranceInformation

Template CDA participant (prototype, directly derived from POCD_RM000040 MIF)Header element template for pertinent insurance information of the patient, not intended to provide the whole information about payment details but only basic insurance IDs and address details

Actual version

Id1.3.6.1.4.1.19376.1.3.10.2.5Effective Date2017‑11‑13 16:52:30
Other versions this id:
  • Kblank.png CDAparticipantPertinentInsuranceInformation as of 2017‑11‑13 15:51:57
  • Kblank.png CDAparticipantPertinentInsuranceInformation as of 2017‑11‑13 15:46:20
StatusKyellow.png DraftVersion Label
NameCDAparticipantPertinentInsuranceInformationDisplay NameParticipant Pertinent Insurance Information
Description
Template CDA participant (prototype, directly derived from POCD_RM000040 MIF)

Header element template for pertinent insurance information of the patient, not intended to provide the whole information about payment details but only basic insurance IDs and address details
ContextParent nodes of template element with id 1.3.6.1.4.1.19376.1.3.10.2.5
LabelPaLM Suppl. 2.1‑3:6.3.2.3
ClassificationCDA Header Level Template
Open/ClosedOpen (other than defined elements are allowed)
Uses
Uses 2 templates
Uses as NameVersion
2.16.840.1.113883.10.12.152ContainmentKgreen.png CDA Person2005‑09‑07
2.16.840.1.113883.10.12.151ContainmentKgreen.png CDA Organization2005‑09‑07
RelationshipAdaptation: template 2.16.840.1.113883.10.12.108 CDA participant (2005‑09‑07)
ref
ad1bbr-

Equivalent: template 1.2.276.0.76.3.1.135.8.10.8 (2016‑02‑19)
ref
?
Example
generated example
<participant typeCode="HLD" contextControlCode="OP">
  <templateID root="1.3.6.1.4.1.19376.1.3.10.2.5"/>  <time>
    <high value="20171231"/>  </time>
  <associatedEntity>
    <id root="1.2.3.999" extension="--example only--"/>    <code code="SELF" codeSystem="2.16.840.1.113883.5.111" displayName="self">
      <translation code="1" codeSystem="2.16.840.1.113883.3.7.1.1" displayName="member"/>    </code>
    <addr/>    <telecom value="tel:+1-12345678"/>    <associatedPerson>
      <!-- template 2.16.840.1.113883.10.12.152 'CDA Person' (2005-09-07T00:00:00) -->
    </associatedPerson>
    <scopingOrganization>
      <!-- template 2.16.840.1.113883.10.12.151 'CDA Organization' (2005-09-07T00:00:00) -->
    </scopingOrganization>
  </associatedEntity>
</participant>
ItemDTCardConfDescriptionLabel
hl7:participant
0 … *RInsurance information of the patient in context for reporting to cancer registries (in Germany)PaLM Suppl. 2.1‑3:6.3.2.3
Treetree.png@typeCode
cs1 … 1FHLD
Treetree.pnghl7:templateId
II1 … *MPaLM Suppl. 2.1‑3:6.3.2.3
Treeblank.pngTreetree.png@root
uid1 … 1F1.3.6.1.4.1.19376.1.3.10.2.5
Treetree.pnghl7:time
IVL_TS0 … 1Rtime shows the end of the current insurance period, e.g. end of the quartalPaLM Suppl. 2.1‑3:6.3.2.3
 Example<time>
  <high value="20171231"/></time>
Treetree.pnghl7:associated​Entity
1 … 1MData of the insured personPaLM Suppl. 2.1‑3:6.3.2.3
Treeblank.pngTreetree.png@classCode
cs1 … 1FPOLHOLD
Treeblank.pngTreetree.pnghl7:id
II0 … *RID(s) of the insured person (patient), e.g. ID of the insured, ID of the health card, etc.PaLM Suppl. 2.1‑3:6.3.2.3
Treeblank.pngTreetree.pnghl7:code
CE0 … 1Rstatus of the insured personPaLM Suppl. 2.1‑3:6.3.2.3
Treeblank.pngTreeblank.pngTreetree.png@codeSystem
CONF0 … 1F2.16.840.1.113883.5.111 (Role Code)
 Example<code code="SELF" codeSystem="2.16.840.1.113883.5.111" displayName="self">
  <translation code="1" codeSystem="2.16.840.1.113883.3.7.1.1" displayName="member"/></code>
Treeblank.pngTreeblank.pngTreetree.pnghl7:translation
CV0 … 1Rfurther codes of the status of the insured person,

e.g. for Germany from value set S_KBV_VERSICHERTENSTATUS 1.2.276.0.76.11.162
PaLM Suppl. 2.1‑3:6.3.2.3
Treeblank.pngTreetree.pnghl7:addr
AD0 … 1RPaLM Suppl. 2.1‑3:6.3.2.3
Treeblank.pngTreetree.pnghl7:telecom
TEL0 … *RPaLM Suppl. 2.1‑3:6.3.2.3
Treeblank.pngTreetree.pnghl7:associated​Person
0 … 1RData of the insured person, which may be different from the patient. 
Contains 2.16.840.1.113883.10.12.152 CDA Person (2005‑09‑07)
PaLM Suppl. 2.1‑3:6.3.2.3
Treeblank.pngTreetree.pnghl7:scoping​Organization
1 … 1RData of the Insurance company, including the ID, the address data and the name.
In Germany the ID is formed by the ID itself (@extension = so-called IKNR) and the OID for IKNR  (@root="1.2.276.0.76.4.5") in Germany.
Contains 2.16.840.1.113883.10.12.151 CDA Organization (2005‑09‑07)
PaLM Suppl. 2.1‑3:6.3.2.3


List of all versions of this template