Template
Show index

Template Insurance - participant 2017‑03‑28 21:10:07

2.16.756.5.30.1.1.10.2.15

ref

hl7chcda-

Effective Date

2017‑03‑28 21:10:07

Status

Draft

Version Label

2017

Name

cdach_header_Insurance

Display Name

Insurance - participant

Description

Information on a patient's insurance. CDA-CH V2 derivatives, i.e. Swiss exchange formats MAY use this template by either reference or specialisation.

Classification

CDA Header Level Template

Open/Closed

Open (other than defined elements are allowed)

Relationship

Version: template 2.16.756.5.30.1.1.10.2.15 (2015‑12‑27)

ref

hl7chcda-

Specialization: template 2.16.840.1.113883.10.12.108 CDA participant (2005‑09‑07)

ref

ad1bbr-

Example

<participant typeCode="COV">
  <templateId root="2.16.756.5.30.1.1.10.2.15"/>  <time>
    <low value="20170910"/>    <high nullFlavor="NASK"/>  </time>  <associatedEntity classCode="PAYOR">
    <id extension="23.253-m" root="2.999"/>    <code code="832.10" codeSystem="2.16.756.5.30.2.1.1.11" codeSystemName="ins-laws" displayName="Federal Act on Health Insurance (HIA)"/>    <scopingOrganization>
      <id extension="7607777777777" root="2.51.1.3"/>      <name>NousPaieronsTous assurances</name>      <telecom nullFlavor="NASK"/>      <addr use="WP">
        <streetName>rue payant</streetName>        <houseNumber>89</houseNumber>        <postalCode>8888</postalCode>        <city>Guérison-ville</city>        <country>CH</country>      </addr>    </scopingOrganization>  </associatedEntity></participant>

Item	DT	Card	Conf	Description	Label
hl7:participant		0 … *		Information on a patient's insurance.	cdacance
@typeCode	cs	1 … 1	F	COV
hl7:templateId	II	1 … 1	M		cdacance
@root	uid	1 … 1	F	2.16.756.5.30.1.1.10.2.15
hl7:time	IVL_TS.CH.TZ	0 … 1		Validity period of the contract.	cdacance
hl7:low	TS.CH.TZ	1 … 1	R	Start of the contract.	cdacance
hl7:high	TS.CH.TZ	1 … 1	R	End of the contract.	cdacance
hl7:associatedEntity		1 … 1	R		cdacance
@classCode	cs	1 … 1	F	PAYOR
hl7:id	II	1 … 1	R	The id of the contract ([ge]: Versichertennummer; [fr]: Numéro d'assuré).	cdacance
@extension	st	1 … 1	R	The id itself. It MUST be unique within the issuing system.
@root	uid	1 … 1	R	The OID of the system that issued the id. OIDs of code systems, which are published in a public OID registry are REQUIRED. Others are NOT ALLOWED.
hl7:code	CE	1 … 1	R	The underlying law for the contract.	cdacance
@nullFlavor	cs	0 … 1	F	NAV
@displayName	st	0 … 1		Federal Act on Health Insurance (HIA), Federal Act on Accident Insurance (AIA), Federal Act on Insurance Policies (Insurance Policies Act, IPA), Federal Act on Military Insurance (MilIA), Federal Act on Invalidity Insurance (InvIA)
@code	cs	0 … 1		832.10, 832.20, 221.229.1, 833.1, 831.20
@codeSystemName	st	0 … 1	F	ins-laws
@codeSystem	oid	0 … 1	F	2.16.756.5.30.2.1.1.11
	Schematron assert	role	error
		test	(@nullFlavor='NAV' and not(@codeSystem or @codeSystemName or @code or @displayName)) or (@codeSystem='2.16.756.5.30.2.1.1.11' and @codeSystemName='ins-laws' and @code and @displayName)
		Message	Either a valid insurance law or nullFlavor="NAV" is REQUIRED.
hl7:associatedPerson		0 … 1		Contact person at the insurance company. Contains 2.16.756.5.30.1.1.10.9.34 Person Name Information Compilation - eCH-0011 (DYNAMIC)	cdacance
hl7:scopingOrganization		1 … 1		The insurance company. Contains 2.16.756.5.30.1.1.10.9.26 Organization Compilation with GLN, name, addr and telecom (DYNAMIC)	cdacance