Template 2.16.756.5.30.1.1.10.2.15 - cdach_header

Template Insurance - participant

2.16.756.5.30.1.1.10.2.15

ref

hl7chcda-

Effective Date

2018‑04‑18

Status

Active

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.

Context

Parent nodes of template element with id 2.16.756.5.30.1.1.10.2.15

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	CDA-CH v2.0 Header Template Compilation (2017)	2018‑04‑18
2.16.756.5.30.1.1.10.1.9		CDA-CH v2.1 - structuredBody (2020)	2019‑10‑17 15:22:41
Uses	as	Name	Version
2.16.756.5.30.1.1.10.9.34	Containment	Person Name Information Compilation - eCH-0011 (2022)	DYNAMIC
2.16.756.5.30.1.1.10.9.26	Containment	Organization Compilation with GLN, name, addr and telecom (2017)	DYNAMIC

Relationship

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 root="2.999" extension="23.253-m"/>    <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 root="2.51.1.3" extension="7607777777777"/>      <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.	CDA‑CH V2
@typeCode	cs	1 … 1	F	COV
hl7:templateId	II	1 … 1	M		CDA‑CH V2
@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.	CDA‑CH V2
hl7:low	TS.CH.TZ	1 … 1	R	Start of the contract.	CDA‑CH V2
hl7:high	TS.CH.TZ	1 … 1	R	End of the contract.	CDA‑CH V2
hl7:associatedEntity		1 … 1	R		CDA‑CH V2
@classCode	cs	1 … 1	F	PAYOR
hl7:id	II	1 … 1	R	The id of the contract ([ge]: Versichertennummer; [fr]: Numéro d'assuré).	CDA‑CH V2
@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.
@extension	st	0 … 1		The id itself. It MUST be unique within the issuing system.
hl7:code	CE	1 … 1	R	The underlying law for the contract.	CDA‑CH V2
@nullFlavor	cs	0 … 1	F	NAV
@code	cs	0 … 1		832.10, 832.20, 221.229.1, 833.1, 831.20
@codeSystem	oid	0 … 1	F	2.16.756.5.30.2.1.1.11
@codeSystemName	st	0 … 1	F	ins-laws
@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)
	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)	CDA‑CH V2
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)	CDA‑CH V2

Template Insurance - participant