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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 5 templates, Uses 2 templates
Used by as Name Version
2.16.756.5.30.1.1.10.1.15 Include pending Immunization Certificate (2018) 2018‑04‑19
2.16.756.5.30.1.1.10.1.16 Include pending Immunization Administration (2018) 2018‑04‑19
2.16.756.5.30.1.1.10.1.17 Include pending Immunization Recommendation Request (2018) 2018‑04‑19
2.16.756.5.30.1.1.10.1.18 Include pending Immunization Recommendation Response (2018) 2018‑04‑19
2.16.756.5.30.1.1.10.1.19 Include pending Vaccination Record (2018) 2018‑04‑19
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