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ref Template  Insurance Card - participant

Id 2.16.756.5.30.1.1.10.2.14
ref
(from repository: hl7chcda-)		 Effective Date valid from 2017‑03‑28 21:11:01

There are versions of templates with this id:
  • cdach_header_InsuranceCard as of 2017‑03‑28 21:11:01
  • CDA_CH_HICN as of 2015‑12‑27
Status draft Draft 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.
Classification CDA Header Level Template
Open/Closed Open (other than defined elements are allowed)
Associated with
Associated with 2 concepts
Id Name Data Set
cdachresp-dataelement-486 Nummer Versichertenkarte 1
cdachresp-dataelement-525 Versicherung 1
Used by / Uses
Used by 0 transactions and 3 templates, Uses 2 templates
Used by as Name Version
2.16.756.5.30.1.1.10.9.40 Include draft RESP Header Template Compilation (2017) 2017‑11‑20 13:35:46
2.16.756.5.30.1.1.10.1.2 link draft EmergencyMedicalServiceProtocol (2017) 2017‑06‑13 17:19:29
2.16.756.5.30.1.1.10.1.2 link cancelled EmergencyMedicalServiceProtocol (2017) 2017‑05‑31 17:19:29
Uses as Name Version
2.16.756.5.30.1.1.10.9.34 Containment draft Person Name Information Compilation - eCH-0011 (2017) DYNAMIC
2.16.756.5.30.1.1.10.9.24 Containment draft Organization Compilation with name (2017) DYNAMIC
Relationship Version: template 2.16.756.5.30.1.1.10.2.14 (2015‑12‑27)
Specialization: template 2.16.840.1.113883.10.12.108 (2005‑09‑07)
Example
Example
<participant typeCode="HLD">
  <templateId root="2.16.756.5.30.1.127.10.2.14"/>  <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. (cdadotsard)
@typeCode
 cs 1 … 1 F HLD
hl7:templateId
 II 1 … 1 M (cdadotsard)
@root
 uid 1 … 1 F 2.16.756.5.30.1.127.10.2.14
hl7:time
 IVL_TS.CH.TZ 1 … 1 R Validity period of the insurance card. (cdadotsard)
hl7:low
 TS.CH.TZ 1 … 1 (cdadotsard)
@nullFlavor
 cs 1 … 1 F NASK
hl7:high
 TS.CH.TZ 1 … 1 R Expiration date of the insurance card. (cdadotsard)
hl7:associatedEntity
 1 … 1 R (cdadotsard)
@classCode
 cs 1 … 1 F POLHOLD
hl7:id
 II 1 … 1 R The insurance card's id. (cdadotsard)
@extension
 st 1 … 1 R Number of the insurance card.
 
target cdachresp-dataelement-486 Nummer Versichertenkarte 1
@root
 uid 1 … 1 F 2.16.756.5.30.1.123.100.1.1.1
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) 		(cdadotsard)
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) 		(cdadotsard)
 
target cdachresp-dataelement-525 Versicherung 1