1.2.276.0.76.10.4264/static-2016-02-25T190754

Id	1.2.276.0.76.10.4264	Gültigkeit	gültig ab 2016‑02‑25 19:07:54
Status	Entwurf	Versions-Label
Name	PolicyActivity	Anzeigename	Policy Activity
Kontext	Elternknoten des Template-Element mit Id 1.2.276.0.76.10.4264
Klassifikation	CDA Entry Level Template
Offen/Geschlossen	Offen (auch andere als die definierten Elemente sind erlaubt)
Benutzt von / Benutzt	Benutzt von 0 Transactions und 1 Template, Benutzt 0 Templates Benutzt von als Name Version 1.2.276.0.76.10.4263 Containment Coverage Activity 2016‑02‑25 19:00:30
Beziehung	Spezialisierung: Template 2.16.840.1.113883.10.12.301 (2005‑09‑07)
Item DT Kard Konf Beschreibung Label hl7:act (Pol...ity) @classCode cs 1 … 1 F ACT @moodCode cs 1 … 1 F EVN hl7:templateId 1 … 1 M (Pol...ity) @root uid 1 … 1 F 1.2.276.0.76.10.4264 hl7:id 1 … * (Pol...ity) hl7:code 1 … 1 (Pol...ity)   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 (Pol...ity)   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 (Pol...ity) @code CONF 1 … 1 F completed hl7:performer 1 … 1 M This performer represents the Payer. (Pol...ity) wo [hl7:templateId/@root='2.16.840.1.113883.10.20.22.4.87'] @typeCode cs 1 … 1 F PRF hl7:templateId 1 … 1 M (Pol...ity) @root uid 1 … 1 F 2.16.840.1.113883.10.20.22.4.87 hl7:assignedEntity 1 … 1 M (Pol...ity) hl7:id 1 … * Kostenträgerkennung (Pol...ity) hl7:code 0 … 1 R (Pol...ity) hl7:addr AD 0 … 1 R (Pol...ity) hl7:telecom 0 … * (Pol...ity) hl7:represented​Organization 0 … 1 R (Pol...ity) hl7:name 0 … 1 R (Pol...ity) hl7:performer 0 … 1 R Es stellt sich die Frage, ob wir Guarantor (Bürge) im deutschen Gesundheitswesen brauchen??? (Pol...ity) wo [hl7:templateId/@root='2.16.840.1.113883.10.20.22.4.88'] @typeCode cs 0 … 1 F PRF hl7:templateId 1 … 1 M (Pol...ity) @root uid 1 … 1 F 2.16.840.1.113883.10.20.22.4.88 hl7:time 0 … 1 R (Pol...ity) hl7:assignedEntity 1 … 1 M (Pol...ity) hl7:code 1 … 1 M (Pol...ity) @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 (Pol...ity) hl7:telecom 0 … * R (Pol...ity) hl7:participant 1 … 1 M Versicherung (Pol...ity) wo [@typeCode='COV'] @typeCode cs 1 … 1 F COV hl7:templateId 1 … 1 M (Pol...ity) @root uid 1 … 1 F 2.16.840.1.113883.10.20.22.4.89 hl7:time 0 … 1 R (Pol...ity) hl7:low 0 … 1 R (Pol...ity) hl7:high 0 … 1 R (Pol...ity) hl7:participantRole 1 … 1 M (Pol...ity) hl7:id 1 … * (Pol...ity)   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 (Pol...ity)   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 (Pol...ity) hl7:playingEntity 0 … 1 R (Pol...ity) 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. (Pol...ity) hl7:participant 0 … 1 R Versicherter (Pol...ity) 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 (Pol...ity) @root uid 1 … 1 F 2.16.840.1.113883.10.20.22.4.90 hl7:time 0 … 1 (Pol...ity) hl7:participantRole 1 … 1 M (Pol...ity) hl7:id 1 … * (Pol...ity)   Constraint This id is a unique identifier for the subscriber of the coverage hl7:addr 0 … 1 R (Pol...ity) hl7:entryRelationship 1 … * M (Pol...ity) @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.