1.3.6.1.4.1.19376.1.3.10.2.5/static-2017-11-13T165230

Id	1.3.6.1.4.1.19376.1.3.10.2.5	Effective Date	valid from 2017‑11‑13 16:52:30 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	Parent nodes of template element with id 1.3.6.1.4.1.19376.1.3.10.2.5
Label	PaLM Suppl. 2.0‑3:6.3.6.13
Classification	CDA Header Level Template
Open/Closed	Open (other than defined elements are allowed)
Used by / Uses	Used by 0 transactions and 1 template, Uses 2 templates Used by as Name Version 1.3.6.1.4.1.19376.1.8.1.1.1 Include Anatomic Pathology Structured Report Content Module (2.0) 2014‑05‑13 11:57:57 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 1.2.276.0.76.3.1.135.8.10.8 (2016‑02‑19)
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>
Item DT Card Conf Description Label hl7:participant 0 … * R Insurance information of the patient in context for reporting to cancer registries (in Germany) PaLM Suppl. 2.0‑3:6.3.6.13 @typeCode cs 1 … 1 F HLD hl7:templateId II 1 … * M PaLM Suppl. 2.0‑3:6.3.6.13 @root uid 1 … 1 F 1.3.6.1.4.1.19376.1.3.10.2.5 hl7:time IVL_TS 0 … 1 R time shows the end of the current insurance period, e.g. end of the quartal PaLM Suppl. 2.0‑3:6.3.6.13   Example <time>   <high value="20171231"/></time> hl7:associated​Entity 1 … 1 M Data of the insured person PaLM Suppl. 2.0‑3:6.3.6.13 @classCode cs 1 … 1 F POLHOLD hl7:id II 0 … * R ID(s) of the insured person (patient), e.g. ID of the insured, ID of the health card, etc. PaLM Suppl. 2.0‑3:6.3.6.13 hl7:code CE 0 … 1 R status of the insured person PaLM Suppl. 2.0‑3:6.3.6.13 @codeSystem CONF 0 … 1 F 2.16.840.1.113883.5.111 (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> hl7:translation CV 0 … 1 R further 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. 2.0‑3:6.3.6.13 hl7:addr AD 0 … 1 R PaLM Suppl. 2.0‑3:6.3.6.13 hl7:telecom TEL 0 … * R PaLM Suppl. 2.0‑3:6.3.6.13 hl7:associated​Person 0 … 1 R Data of the insured person, which may be different from the patient.  Contains 2.16.840.1.113883.10.12.152 CDA Person (DYNAMIC) PaLM Suppl. 2.0‑3:6.3.6.13 hl7:scoping​Organization 1 … 1 R Data 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 (DYNAMIC) PaLM Suppl. 2.0‑3:6.3.6.13