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ref Template  Insurance Card - participant

Id 2.16.756.5.30.1.1.10.2.14
ref
hl7chcda-
Effective Date 2018‑04‑18
Status active Active Version Label 2017
Name cdach_header_InsuranceCard Display Name Insurance Card - participant
Description Information on a patient's insurance card. CDA-CH V2 derivatives, i.e. Swiss exchange formats MAY use this template by either reference or specialisation.
Context Parent nodes of template element with id 2.16.756.5.30.1.1.10.2.14
Label CDA‑CH V2
Classification CDA Header Level Template
Open/Closed Open (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 2 templates, Uses 2 templates
Used by as Name Version
2.16.756.5.30.1.1.10.9.36 Include active CDA-CH v2.0 Header Template Compilation (2017) 2018‑04‑18
2.16.756.5.30.1.1.10.1.9 link active CDA-CH v2.0 - structuredBody (2017) 2018‑04‑18
Uses as Name Version
2.16.756.5.30.1.1.10.9.34 Containment active Person Name Information Compilation - eCH-0011 (2017) DYNAMIC
2.16.756.5.30.1.1.10.9.24 Containment active Organization Compilation with name (2017) DYNAMIC
Relationship Specialization: template 2.16.840.1.113883.10.12.108 (2005‑09‑07)
Example
Example
<participant typeCode="HLD">
  <templateId root="2.16.756.5.30.1.1.10.2.14"/>  <time>
    <low nullFlavor="NASK"/>    <!-- Expiration date of the insurance card. -->
    <high value="20171231"/>  </time>
  <associatedEntity classCode="POLHOLD">
    <!-- Number of the insurance card. -->
    <id root="2.16.756.5.30.1.123.100.1.1.1" extension="80756123450123456789"/>    <associatedPerson>
      <!-- Family and given name on the insurance card. -->
      <name>
        <given>Specimen</given>        <family>Franz</family>      </name>
    </associatedPerson>
    <scopingOrganization>
      <!-- Name of the issuing insurance. -->
      <name>WirZahlenAlles Versicherungen</name>    </scopingOrganization>
  </associatedEntity>
</participant>
Item DT Card Conf Description Label
hl7:participant
0 … * Information on a patient's insurance card. CDA‑CH V2
@typeCode
cs 1 … 1 F HLD
hl7:templateId
II 1 … 1 M CDA‑CH V2
@root
uid 1 … 1 F 2.16.756.5.30.1.1.10.2.14
hl7:time
IVL_TS.CH.TZ 1 … 1 R Validity period of the insurance card. CDA‑CH V2
hl7:low
TS.CH.TZ 1 … 1 CDA‑CH V2
@nullFlavor
cs 1 … 1 F NASK
hl7:high
TS.CH.TZ 1 … 1 R Expiration date of the insurance card. CDA‑CH V2
hl7:associatedEntity
1 … 1 R CDA‑CH V2
@classCode
cs 1 … 1 F POLHOLD
hl7:id
II 1 … 1 R The insurance card's id. CDA‑CH V2
@root
uid 1 … 1 F 2.16.756.5.30.1.123.100.1.1.1
@extension
st 1 … 1 R Number of the insurance card.
hl7:associatedPerson
0 … 1 Family and given name on the insurance card.
Contains 2.16.756.5.30.1.1.10.9.34 Person Name Information Compilation - eCH-0011 (DYNAMIC)
CDA‑CH V2
hl7:scopingOrganization
0 … 1 The insurance company which issued the insurance card.
Contains 2.16.756.5.30.1.1.10.9.24 Organization Compilation with name (DYNAMIC)
CDA‑CH V2