| Id | 1.3.6.1.4.1.19376.1.3.10.2.5 | Effective Date | valid from 2017‑11‑13 15:46:20There 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
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| Status |  Draft | Version Label | |
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| Name | CDAparticipantPertinentInsuranceInformation | Display Name | CDA participant Pertinent Insurance Information |
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| 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 |
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| Context | Sibling nodes of template element with id 1.3.6.1.4.1.19376.1.3.10.2.5 |
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| Classification | CDA Header Level Template |
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| Open/Closed | Open (other than defined elements are allowed) |
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| Used by / Uses | | Used by 0 transactions and 0 templates, Uses 2 templates | | Uses | as | Name | Version |
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| 2.16.840.1.113883.10.12.152 | Containment |  CDA Person | DYNAMIC | | 2.16.840.1.113883.10.12.151 | Containment | CDA Organization | DYNAMIC |
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| 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) |
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| Item | DT | Card | Conf | Description | Label |
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| II | 1 … 1 | M | | (CDA ion) |  | @root
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| uid | 1 … 1 | F | 1.3.6.1.4.1.19376.1.3.10.2.5 | | | 0 … * | | | (CDAion) | | @typeCode
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| cs | 1 … 1 | F | HLD | | @contextControlCode
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| cs | 0 … 1 | F | OP | | hl7:templateId
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| II | 1 … 1 | M | | (CDAion) |  | | @root
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| uid | 1 … 1 | F | 2.16.840.1.113883.2.6.60.6.10.53 | | hl7:functionCode
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| CE | 0 … 1 | | | (CDAion) | | | CONF | | The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.10267 ParticipationFunction (DYNAMIC) |
| | hl7:time
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| IVL_TS | 0 … 1 | | | (CDAion) | | hl7:associatedEntity
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| | 1 … 1 | R | | (CDAion) | | | @classCode
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| 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
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| II | 0 … * | | | (CDAion) | | | hl7:code
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| CE | 0 … 1 | | | (CDAion) | | CONF | 0 … 1 | F | 2.16.840.1.113883.5.111 (Role Code) | | | hl7:addr
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| AD | 0 … * | | | (CDAion) | | | hl7:telecom
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| TEL | 0 … * | | | (CDAion) | | | hl7:associatedPerson
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| | 0 … 1 | | Contains 2.16.840.1.113883.10.12.152 CDA Person (DYNAMIC) | (CDAion) | | | hl7:scopingOrganization
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| | 0 … 1 | | Contains 2.16.840.1.113883.10.12.151 CDA Organization (DYNAMIC) | (CDAion) |
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Draft
