1.3.6.1.4.1.19376.1.3.10.2.5/static-2017-11-13T154620

Id	1.3.6.1.4.1.19376.1.3.10.2.5	Effective Date	valid from 2017‑11‑13 15:46:20 There are versions of templates with this id: CDAparticipantPertinentInsuranceInformation as of 2017‑11‑13 16:52:30 CDAparticipantPertinentInsuranceInformation as of 2017‑11‑13 15:51:57 CDAparticipantPertinentInsuranceInformation as of 2017‑11‑13 15:46:20
Status	Draft	Version Label
Name	CDAparticipantPertinentInsuranceInformation	Display Name	CDA participant 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
Context	Sibling nodes of template element with id 1.3.6.1.4.1.19376.1.3.10.2.5
Classification	CDA Header Level Template
Open/Closed	Open (other than defined elements are allowed)
Used by / Uses	Used by 0 transactions and 0 templates, Uses 2 templates Uses as Name Version 2.16.840.1.113883.10.12.152 Containment CDA Person DYNAMIC 2.16.840.1.113883.10.12.151 Containment CDA Organization DYNAMIC
Relationship	Adaptation: template 2.16.840.1.113883.10.12.108 (2005‑09‑07) Equivalent: template 1.2.276.0.76.10.2022 (2014‑08‑25)
Item DT Card Conf Description Label hl7:templateId II 1 … 1 M (CDA…ion) @root uid 1 … 1 F 1.3.6.1.4.1.19376.1.3.10.2.5 hl7:participant 0 … * (CDA…ion) @typeCode cs 1 … 1 F HLD @context​Control​Code cs 0 … 1 F OP hl7:templateId II 1 … 1 M (CDA…ion) @root uid 1 … 1 F 2.16.840.1.113883.2.6.60.6.10.53 hl7:functionCode CE 0 … 1 (CDA…ion)   CONF The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.10267 ParticipationFunction (DYNAMIC) hl7:time IVL_TS 0 … 1 (CDA…ion) hl7:associated​Entity 1 … 1 R (CDA…ion) @classCode cs 1 … 1 R   CONF The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.19313 RoleClassAssociative (DYNAMIC) hl7:id II 0 … * (CDA…ion) hl7:code CE 0 … 1 (CDA…ion) @codeSystem CONF 1 … 1 F 2.16.840.1.113883.5.111 (Role Code) hl7:addr AD 0 … * (CDA…ion) hl7:telecom TEL 0 … * (CDA…ion) hl7:associated​Person 0 … 1 Contains 2.16.840.1.113883.10.12.152 CDA Person (DYNAMIC) (CDA…ion) hl7:scoping​Organization 0 … 1 Contains 2.16.840.1.113883.10.12.151 CDA Organization (DYNAMIC) (CDA…ion)