1.2.276.0.76.10.3103/static-2016-02-25T185555

Id	1.2.276.0.76.10.3103	Gültigkeit	gültig ab 2016‑02‑25 18:55:55
Status	Entwurf	Versions-Label
Name	InsuranceSection	Anzeigename	Insurance Section
Beschreibung	Abschnitt mit den Versichertendaten, die nicht in den Header passen.
Kontext	Elternknoten des Template-Element mit Id 1.2.276.0.76.10.3103
Klassifikation	CDA Section level template
Offen/Geschlossen	Offen (auch andere als die definierten Elemente sind erlaubt)
Benutzt von / Benutzt	Benutzt von 0 Transactions und 1 Template, Benutzt 1 Template Benutzt von als Name Version 1.2.276.0.76.10.1025 Containment 01: Arbeitsunfähigkeitsbescheinigung 2017‑05‑24 17:21:07 Benutzt als Name Version 1.2.276.0.76.3.1.135.8.10.10 Containment Coverage DYNAMIC
Beziehung	Spezialisierung: Template 2.16.840.1.113883.10.12.201 (2005‑09‑07) Adaptation: Template 2.16.840.1.113883.10.20.22.2.18 (DYNAMIC)
Item DT Kard Konf Beschreibung Label hl7:section (Ins...ion) hl7:templateId II 1 … 1 M (Ins...ion) @root uid 1 … 1 F 1.2.276.0.76.10.3103 hl7:code 1 … 1 M (Ins...ion) @code CONF 1 … 1 F 48768-6 @codeSystem 1 … 1 F 2.16.840.1.113883.6.1 (Logical Observation Identifier Names and Codes) hl7:title ST 1 … 1 (Ins...ion)   CONF Elementinhalt muss "Versicherung" sein hl7:entry 0 … * R Beinhaltet 1.2.276.0.76.3.1.135.8.10.10 Coverage (DYNAMIC) (Ins...ion) wo [hl7:act [hl7:code [(@code='48768-6' and @codeSystem='2.16.840.1.113883.6.1')] and hl7:code [(@code='48768-6' and @codeSystem='2.16.840.1.113883.6.1')]]] Eingefügt 1 … 1 M von 1.2.276.0.76.3.1.135.8.10.10 Coverage (DYNAMIC) hl7:act 1 … 1 M (Ins...ion) @classCode cs 1 … 1 F ACT @moodCode cs 1 … 1 F EVN hl7:templateId II 1 … 1 M (Ins...ion) @root uid 1 … 1 F 1.2.276.0.76.10.4263 hl7:id 1 … * (Ins...ion) hl7:code 1 … 1 M (Ins...ion) @code CONF 1 … 1 F 48768-6 @codeSystem 1 … 1 F 2.16.840.1.113883.6.1 (Logical Observation Identifier Names and Codes) hl7:statusCode 1 … 1 M (Ins...ion) @code CONF 1 … 1 F completed hl7:entryRelationship 1 … * M Beinhaltet 1.2.276.0.76.3.1.135.8.10.11 Versicherungs-Policy (DYNAMIC) (Ins...ion) wo [hl7:act [hl7:code [concat(@code,@codeSystem)=doc('include/voc-2.16.840.1.113883.3.88.12.3221.5.2-DYNAMIC.xml')//valueSet [1]/conceptList/concept/concat(@code,@codeSystem) or @nullFlavor] and hl7:code [concat(@code,@codeSystem)=doc('include/voc-2.16.840.1.113883.3.88.12.3221.5.2-DYNAMIC.xml')//valueSet [1]/conceptList/concept/concat(@code,@codeSystem) or @nullFlavor]]] @typeCode cs 1 … 1 F COMP hl7:sequenceNumber 0 … 1 (Ins...ion) @value 1 … 1 R Eingefügt 1 … 1 M von 1.2.276.0.76.3.1.135.8.10.11 Versicherungs-Policy (DYNAMIC) hl7:act 1 … 1 M (Ins...ion) @classCode cs 1 … 1 F ACT @moodCode cs 1 … 1 F EVN hl7:templateId 1 … 1 M (Ins...ion) @root uid 1 … 1 F 1.2.276.0.76.3.1.135.8.10.11 hl7:id 1 … * (Ins...ion) hl7:code 1 … 1 (Ins...ion)   CONF Der Wert von @code muss gewählt werden aus dem Value Set 2.16.840.1.113883.3.88.12.3221.5.2 Health Insurance Type (DYNAMIC) hl7:translation 1 … * M (Ins...ion)   CONF Der Wert von @code muss gewählt werden aus dem Value Set 2.16.840.1.114222.4.11.3591 Payer (DYNAMIC) hl7:statusCode 1 … 1 M (Ins...ion) @code CONF 1 … 1 F completed hl7:performer 1 … 1 M This performer represents the Payer. (Ins...ion) wo [cda:templateId/@root='2.16.840.1.113883.10.20.22.4.87'] @typeCode cs 1 … 1 F PRF hl7:templateId 1 … 1 M (Ins...ion) @root uid 1 … 1 F 2.16.840.1.113883.10.20.22.4.87 hl7:assignedEntity 1 … 1 M CONF...8908 hl7:id 1 … * healthPlanInsuranceInformationSourceId Kostenträgerkennung CONF...8908 hl7:code 0 … 1 R CONF...8908 hl7:addr AD 0 … 1 R CONF...8908 hl7:telecom 0 … * CONF...8908 hl7:represented​Organization 0 … 1 R CONF...8908 hl7:name 0 … 1 R CONF...8908 hl7:performer 0 … 1 R Es stellt sich die Frage, ob wir Guarantor (Bürge) im deutschen Gesundheitswesen brauchen??? (Ins...ion) wo [cda:templateId/@root='2.16.840.1.113883.10.20.22.4.88'] @typeCode cs 0 … 1 F PRF hl7:templateId 1 … 1 M (Ins...ion) @root uid 1 … 1 F 2.16.840.1.113883.10.20.22.4.88 hl7:time 0 … 1 R (Ins...ion) hl7:assignedEntity 1 … 1 M (Ins...ion) hl7:code 1 … 1 M (Ins...ion) @code CONF 1 … 1 F GUAR @codeSystem 1 … 1 F 2.16.840.1.113883.5.110 (Role Class) hl7:addr AD 0 … 1 R (Ins...ion) hl7:telecom 0 … * R (Ins...ion) hl7:participant 1 … 1 M Versicherung (Ins...ion) wo [@typeCode='COV'] @typeCode cs 1 … 1 F COV hl7:templateId 1 … 1 M (Ins...ion) @root uid 1 … 1 F 2.16.840.1.113883.10.20.22.4.89 hl7:time 0 … 1 R (Ins...ion) hl7:low 0 … 1 R (Ins...ion) hl7:high 0 … 1 R (Ins...ion) hl7:participantRole 1 … 1 M (Ins...ion) hl7:id 1 … * (Ins...ion)   Constraint This id is a unique identifier for the covered party member. Implementers *SHOULD* use the same GUID for each instance of a member identifier from the same health plan hl7:code CD 1 … 1 Versichertenstatus (Ins...ion)   CONF Der Wert von @code muss gewählt werden aus dem Value Set 1.2.276.0.76.11.162 S_KBV_VERSICHERTENSTATUS (DYNAMIC) hl7:addr 0 … 1 R (Ins...ion) hl7:playingEntity 0 … 1 R (Ins...ion) hl7:name 1 … * M If the covered party’s name is recorded differently in the health plan and in the registration/pharmacy benefit summary (due to marriage or for other reasons), use the name as it is recorded in the health plan. (Ins...ion) hl7:participant 0 … 1 R Versicherter (Ins...ion) wo [@typeCode='HLD'] @typeCode cs 1 … 1 F HLD   Constraint When the Subscriber is the patient, the participant element describing the subscriber *SHALL NOT* be present. This information will be recorded instead in the data elements used to record member information hl7:templateId 1 … 1 M (Ins...ion) @root uid 1 … 1 F 2.16.840.1.113883.10.20.22.4.90 hl7:time 0 … 1 (Ins...ion) hl7:participantRole 1 … 1 M (Ins...ion) hl7:id 1 … * (Ins...ion)   Constraint This id is a unique identifier for the subscriber of the coverage hl7:addr 0 … 1 R (Ins...ion) hl7:entryRelationship 1 … * M (Ins...ion) @typeCode cs 1 … 1 F REFR   Constraint The target of a policy activity with act/entryRelationship/@typeCode="REFR" *SHALL* be an authorization activity (templateId 2.16.840.1.113883.10.20.1.19) *OR* an act, with act[@classCode="ACT"] and act[[]@moodCode="DEF"[]], representing a description of the coverage plan. A description of the coverage plan *SHALL* contain one or more act/id, to represent the plan identifier, and an act/text with the name of the plan.