Back To Index << Back To Templates

# Template Insurance Card - participant

Id | 2.16.756.5.30.1.1.10.2.14 | Effective Date | 2018‑04‑18
Status | 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 | 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
2.16.756.5.30.1.1.10.9.24 | Containment | Organization Compilation with name (2017) | DYNAMIC
Relationship | Specialization: template 2.16.840.1.113883.10.12.108 CDA participant (2005‑09‑07) ref ad1bbr-
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