| Id | 1.3.6.1.4.1.19376.1.3.10.2.5 | Effective Date | valid from 2017‑11‑13 16:52:30There 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 | Parent 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 1 template, Uses 2 templates | | Used by | as | Name | Version |
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| 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 |
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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 1.2.276.0.76.3.1.135.8.10.8 (2016‑02‑19) |
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| Item | DT | Card | Conf | Description | Label |
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| | 0 … * | R | Insurance information of the patient in context for reporting to cancer registries (in Germany) | (CDA…ion) |  | @typeCode
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| cs | 1 … 1 | F | HLD | | hl7:templateId
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| II | 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 | | hl7:time
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| IVL_TS | 0 … 1 | R | time shows the end of the current insurance period, e.g. end of the quartal | (CDA…ion) | | | Example | <time>
<high value="20171231"/></time> | | hl7:associatedEntity
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| | 1 … 1 | M | Data of the insured person | (CDA…ion) | | | @classCode
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| cs | 1 … 1 | F | POLHOLD | | | hl7:id
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| II | 0 … * | R | ID(s) of the insured person (patient), e.g. ID of the insured, ID of the health card, etc. | (CDA…ion) | | | hl7:code
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| CE | 0 … 1 | R | status of the insured person | (CDA…ion) | | CONF | 1 … 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> | | CV | 0 … 1 | R | further codes of the status of the insured person,
e.g. for Germany from value set S_KBV_VERSICHERTENSTATUS | (CDA…ion) | | | hl7:addr
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| AD | 0 … 1 | R | | (CDA…ion) | | | hl7:telecom
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| TEL | 0 … * | R | | (CDA…ion) | | | hl7:associatedPerson
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| | 0 … 1 | R | Data of the reporting physician, i.e. the pathologist, including the Health Professional IDs
Contains 2.16.840.1.113883.10.12.152 CDA Person (DYNAMIC) | (CDA…ion) | | | hl7:scopingOrganization
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| | 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 in Germany (@root="1.2.276.0.76.4.5")
Contains 2.16.840.1.113883.10.12.151 CDA Organization (DYNAMIC) | (CDA…ion) |
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Draft
