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Template CDA participant Pertinent Insurance Information 2017‑11‑13 15:51:57

Id1.3.6.1.4.1.19376.1.3.10.2.5Effective Date2017‑11‑13 15:51:57
Statusdraft DraftVersion Label
NameCDAparticipantPertinentInsuranceInformationDisplay NameCDA 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
ContextParent nodes of template element with id 1.3.6.1.4.1.19376.1.3.10.2.5
ClassificationCDA Header Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 0 templates, Uses 2 templates
Uses as NameVersion
2.16.840.1.113883.10.12.151Containmentactive CDA OrganizationDYNAMIC
2.16.840.1.113883.10.12.152Containmentactive CDA PersonDYNAMIC
RelationshipAdaptation: template 2.16.840.1.113883.10.12.108 CDA participant (2005‑09‑07)
ref
ad1bbr-

Equivalent: template 1.2.276.0.76.10.2022 CDA participant Kostentraeger (2014‑08‑25)
ref
hl7de-
ItemDTCardConfDescriptionLabel
hl7:participant
0 … *CDApdotstion
@typeCode
cs1 … 1FHLD
@contextControlCode
cs0 … 1FOP
hl7:templateId
II1 … *MCDApdotstion
@root
uid1 … 1F1.3.6.1.4.1.19376.1.3.10.2.5
hl7:functionCode
CE0 … 1CDApdotstion
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.10267 ParticipationFunction (DYNAMIC)
hl7:time
IVL_TS0 … 1CDApdotstion
hl7:associatedEntity
1 … 1RCDApdotstion
@classCode
cs1 … 1R
 CONF
The value of @classCode shall be drawn from value set 2.16.840.1.113883.1.11.19313 RoleClassAssociative (DYNAMIC)
hl7:id
II0 … *CDApdotstion
hl7:code
CE0 … 1CDApdotstion
@codeSystem
CONF0 … 1F2.16.840.1.113883.5.111
hl7:addr
AD0 … *CDApdotstion
hl7:telecom
TEL0 … *CDApdotstion
hl7:associatedPerson
0 … 1Contains 2.16.840.1.113883.10.12.152 CDA Person (DYNAMIC)CDApdotstion
hl7:scopingOrganization
0 … 1Contains 2.16.840.1.113883.10.12.151 CDA Organization (DYNAMIC)CDApdotstion