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# Template Insurance - participant

Id | 2.16.756.5.30.1.1.10.2.15 | 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 |
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