Payer-v3.1(2018EN): verschil tussen versies
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(Een tussenliggende versie door dezelfde gebruiker niet weergegeven) | |||
Regel 8: | Regel 8: | ||
Release<!--hdPublication-->: '''2018''' <br> | Release<!--hdPublication-->: '''2018''' <br> | ||
Release status<!--hdPublicationStatus-->: Prepublished<br> | Release status<!--hdPublicationStatus-->: Prepublished<br> | ||
− | Release date<!--hdPublicationDate-->: | + | Release date<!--hdPublicationDate-->: 26-02-2019 |
----- | ----- | ||
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2018(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2018(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div> | <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2018(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2018(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div> | ||
Regel 47: | Regel 47: | ||
|style="width:250px; "|DCM::Name||nl.zorg.Betaler | |style="width:250px; "|DCM::Name||nl.zorg.Betaler | ||
|- | |- | ||
− | |style="width:250px; "|DCM::PublicationDate|| | + | |style="width:250px; "|DCM::PublicationDate||26-02-2019 |
|- | |- | ||
|style="width:250px; "|DCM::PublicationStatus||Prepublished | |style="width:250px; "|DCM::PublicationStatus||Prepublished | ||
Regel 163: | Regel 163: | ||
==Information Model== | ==Information Model== | ||
<BR> | <BR> | ||
− | <imagemap> Bestand:Payer-v3.1Model( | + | <imagemap> Bestand:Payer-v3.1Model(2018EN).png | center |
− | rect | + | rect 345 433 435 503 [[#11673]] |
− | rect | + | rect 587 269 692 339 [[#11515]] |
− | rect | + | rect 587 350 692 420 [[#11528]] |
− | rect | + | rect 433 54 554 124 [[ContactInformation-v1.0(2018EN)]] |
− | rect | + | rect 262 54 383 124 [[AddressInformation-v1.0(2018EN)]] |
− | rect | + | rect 587 190 692 260 [[#11535]] |
− | rect | + | rect 559 661 717 711 [[#InsuranceTypeCodelist]] |
− | rect | + | rect 698 559 788 629 [[#11531]] |
− | rect | + | rect 739 433 844 503 [[#11521]] |
− | rect | + | rect 177 655 267 725 [[#11523]] |
− | rect | + | rect 234 559 324 629 [[#11532]] |
− | rect | + | rect 116 559 206 629 [[#11516]] |
− | rect | + | rect 177 433 267 503 [[#11517]] |
− | rect | + | rect 264 314 354 384 [[#11529]] |
− | rect | + | rect 443 316 533 386 [[#11533]] |
− | rect | + | rect 587 433 692 503 [[#11522]] |
− | rect | + | rect 559 559 679 629 [[#11519]] |
− | rect | + | rect 328 189 479 269 [[#11527]] |
desc none | desc none | ||
</imagemap> | </imagemap> | ||
Regel 553: | Regel 553: | ||
*[[AddressInformation-v1.0(2018EN)|AddressInformation-v1.0]] | *[[AddressInformation-v1.0(2018EN)|AddressInformation-v1.0]] | ||
*[[ContactInformation-v1.0(2018EN)|ContactInformation-v1.0]] | *[[ContactInformation-v1.0(2018EN)|ContactInformation-v1.0]] | ||
− | ====This | + | ====This information model is used in<!--ftReferredBy-->==== |
:-- | :-- | ||
==Technical specifications in HL7v3 CDA and HL7 FHIR<!--ftHeader-->== | ==Technical specifications in HL7v3 CDA and HL7 FHIR<!--ftHeader-->== | ||
Regel 559: | Regel 559: | ||
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:<!--ftReferenceIntro--> | Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:<!--ftReferenceIntro--> | ||
<ul> | <ul> | ||
− | <li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment<!--ftArtDecorReference--> [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2018bbr-?id=2.16.840.1.113883.2.4.3.11.60.8.4.2.1.1&effectiveDate= | + | <li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment<!--ftArtDecorReference--> [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2018bbr-?id=2.16.840.1.113883.2.4.3.11.60.8.4.2.1.1&effectiveDate=2019-02-26T00:00:00&language=en-US&scenariotree=false [[File:artdecor.jpg|16px|link=]]]</li> |
<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks|2018}}</li> | <li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks|2018}}</li> | ||
</ul> | </ul> | ||
Regel 565: | Regel 565: | ||
This information model is also available as [[Media:nl.zorg.Payer-v3.1(2018EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.Payer-v3.1(2018EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]<!--ftDownloads--> | This information model is also available as [[Media:nl.zorg.Payer-v3.1(2018EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.Payer-v3.1(2018EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]<!--ftDownloads--> | ||
==About this information<!--ftHeader2-->== | ==About this information<!--ftHeader2-->== | ||
− | The information in this wikipage is based on<!--ftInfoBase--> Prerelease 2018 | + | The information in this wikipage is based on<!--ftInfoBase--> Prerelease 2018-2 <BR> |
SNOMED CT and LOINC codes are based on: | SNOMED CT and LOINC codes are based on: | ||
<ul> | <ul> | ||
Regel 572: | Regel 572: | ||
</ul> | </ul> | ||
Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR> | Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR> | ||
− | This page is generated on | + | This page is generated on 12/03/2019 17:28:33 with ZibExtraction v. 3.0.7010.25883<!--ftDate--> <BR> |
----- | ----- | ||
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2018(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2018(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div> | <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2018(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2018(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div> |
Huidige versie van 13 mrt 2019 om 00:52
Inhoud
- 1 General information
- 2 Metadata
- 3 Revision History
- 4 Concept
- 5 Purpose
- 6 Evidence Base
- 7 Information Model
- 8 Example Instances
- 9 Assigning authorities
- 10 Valuesets
- 11 This information model in other releases
- 12 Information model references
- 13 Technical specifications in HL7v3 CDA and HL7 FHIR
- 14 Downloads
- 15 About this information
General information
Name: nl.zorg.Payer
Version: 3.1
HCIM Status:Final
Release: 2018
Release status: Prepublished
Release date: 26-02-2019
Metadata
DCM::CoderList | Kerngroep Registratie aan de Bron |
DCM::ContactInformation.Address | * |
DCM::ContactInformation.Name | * |
DCM::ContactInformation.Telecom | * |
DCM::ContentAuthorList | Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron |
DCM::CreationDate | 23-11-2012 |
DCM::DeprecatedDate | |
DCM::DescriptionLanguage | nl |
DCM::EndorsingAuthority.Address | |
DCM::EndorsingAuthority.Name | PM |
DCM::EndorsingAuthority.Telecom | |
DCM::Id | 2.16.840.1.113883.2.4.3.11.60.40.3.1.1 |
DCM::KeywordList | Verzekeringsgegevens |
DCM::LifecycleStatus | Final |
DCM::ModelerList | Kerngroep Registratie aan de Bron |
DCM::Name | nl.zorg.Betaler |
DCM::PublicationDate | 26-02-2019 |
DCM::PublicationStatus | Prepublished |
DCM::ReviewerList | Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron |
DCM::RevisionDate | 31-12-2017 |
DCM::Superseeds | nl.zorg.Betaler-v3.0 |
DCM::Version | 3.1 |
HCIM::PublicationLanguage | EN |
Revision History
Only available in Dutch
Publicatieversie 1.0 (15-02-2013) -
Publicatieversie 1.1 (01-07-2013)
ZIB-59 | RFC Bouwsteen Betaler |
Publicatieversie 1.2 (01-04-2015)
ZIB-72 | Issue Bouwsteen OverdrachtBetaler - VerzekerdeNummer |
ZIB-216 | Naamgeving DCM:: Valueset VerzekeringsrechtCodeLijst onjuist in klinische bouwsteen OverdrachtBetaler, dit aangepast naar VerzekeringssoortCodeLijst. |
ZIB-217 | In de klinische bouwsteen OverdrachtBetaler DCM::ValueSet UZOVI aangepast naar DCM:AssigningAuthority tagged value. |
ZIB-306 | Aanpassen modellering keuzebox, boundary en cardinaliteit |
ZIB-308 | Prefix Overdracht weggehaald bij de generieke bouwstenen |
ZIB-314 | Naamgeving concept Bank aangepast. |
ZIB-357 | BetalerNaam aangepast naar ST i.p.v. reference. |
Incl. algemene wijzigingsverzoeken:
ZIB-94 | Aanpassen tekst van Disclaimer, Terms of Use & Copyrights |
ZIB-154 | Consequenties opsplitsing Medicatie bouwstenen voor overige bouwstenen. |
ZIB-200 | Naamgeving SNOMED CT in tagged values klinische bouwstenen gelijk getrokken. |
ZIB-201 | Naamgeving OID: in tagged value notes van klinische bouwstenen gelijk getrokken. |
ZIB-309 | EOI aangepast |
ZIB-324 | Codelijsten Name en Description beginnen met een Hoofdletter |
ZIB-326 | Tekstuele aanpassingen conform de kwaliteitsreview kerngroep 2015 |
Publicatieversie 3.0 (01-05-2016)
Publicatieversie 3.1 (04-09-2017)
ZIB-429 | Opsplitsen bouwsteen Patient zodat Naamgegevens, Adresgegevens en Contactgegevens aparte bouwstenen worden. |
ZIB-564 | Aanpassing/harmonisatie Engelse conceptnamen |
ZIB-575 | AWBZ moet uit VerzekeringSoortCodelijst |
ZIB-582 | ZIB betaler: banknaam onnodig verplicht |
ZIB-583 | Cardinaliteit OrganisatieNaam |
Concept
Payers are organizations or individuals that pay for the healthcare supplied to the patient. These organizations or individuals can be: facilities or people who financially guarantee or who are responsible for the patient (such as parents or guardians of minors), organizations with direct financial responsibility, combinations of these or the patient themselves.
Purpose
Recording the information of the paying authorities and people serves to simplify payment of the fees for the supplied care and to provide insight in advance on how these fees are to be paid, especially when it comes to non-insured healthcare.
Evidence Base
Those that developed the model took into account the information exchanged in the ‘Check for Right to Insurance (COV)’. To do so, the COV VZ801/802 message definitions were used, v4 (02-nov-2012).
The structure of the 'European Health Insurance Card (EHIC)' information was taken into account as well.
Information Model
![Payer-v3.1Model(2018EN).png](/images/f/ff/Payer-v3.1Model%282018EN%29.png)
Type | Id | Concept | Card. | Definition | DefinitionCode | Reference | |||||||
![]() |
NL-CM:1.1.1 | ![]() |
Root concept of the Payer information model. This root concept contains all data elements of the Payer information model. | ||||||||||
![]() |
NL-CM:1.1.2 | ![]() |
(0..1) | Container of the PayerPerson concept. This container contains all data elements of the PayerPerson concept. | |||||||||
![]() |
NL-CM:1.1.5 | ![]() |
0..1 | Full name of the paying person or organization (legal entity). | |||||||||
![]() |
NL-CM:1.1.4 | ![]() |
0..* | Container of the BankInformation concept. This container contains all data elements of the BankInformation concept. | |||||||||
![]() |
NL-CM:1.1.9 | ![]() |
0..1 | Name of the financial organization. | |||||||||
![]() |
NL-CM:1.1.10 | ![]() |
0..1 | Code indicating the bank and branch. For European countries, this is the organization’s BIC or SWIFT code. | |||||||||
![]() |
NL-CM:1.1.11 | ![]() |
1 | The payer’s bank account number at the listed organization. For European countries, this is the IBAN. | |||||||||
![]() |
NL-CM:1.1.3 | ![]() |
(0..1) | Container of the InsuranceCompany concept. This container contains all data elements of the InsuranceCompany concept. | |||||||||
![]() |
NL-CM:1.1.8 | ![]() |
1..* | Container of the Insurance concept. This container contains all data elements of the Insurance concept. | |||||||||
![]() |
NL-CM:1.1.13 | ![]() |
0..1 | Date from which the insurance policy coverage applies. | |||||||||
![]() |
NL-CM:1.1.14 | ![]() |
1 | Date until which the insurance policy coverage applies.
This item maps the ‘Expiry date’ on EHIC field 9. |
|||||||||
![]() |
NL-CM:1.1.15 | ![]() |
1 | Type of insurance policy. Codes as returned in the Check for Right to Insurance |
| ||||||||
![]() |
NL-CM:1.1.7 | ![]() |
0..1 | Unique healthcare insurance company identification (the UZOVI number). |
| ||||||||
![]() |
NL-CM:1.1.16 | ![]() |
0..1 | Full, official name of the healthcare insurance company. If the UZOVI number is entered as an identification number, this will be the name as listed in the UZOVI register and the name which is returned in the Check for Right to Insurance (COV). | |||||||||
![]() |
NL-CM:1.1.6 | ![]() |
1 | Number under which the insured person is registered at the insurance company
This item maps the ‘Identification number of the card’ on EHIC field 8 |
|||||||||
![]() |
NL-CM:1.1.17 | ![]() |
0..* | The payer’s address information. |
| ||||||||
![]() |
NL-CM:1.1.12 | ![]() |
0..* | The payer’s telephone number and/or e-mail address. |
|
Columns Concept and DefinitionCode: hover over the values for more information
For explanation of the symbols, please see the legend page
Example Instances
Only available in Dutch
Verzekeraar | |
IdentificatieNummer | 3332 |
OrganisatieNaam | Menzis Zorgverzekeraar N.V. |
VerzekerdeNummer | 12345678 |
Verzekering | |
BeginDatumTijd | 01-01-2012 |
EindDatumTijd | 31-01-2013 |
VerzekeringsSoort | Basis verzekerd |
Adres | |
Straat | Postbus |
Huisnummer | 34000 |
Postcode | 7500 KC |
Woonplaats | Enschede |
Land | Nederland |
TelefoonEmail | |
Telefoonnummer | +31505233333 |
NummerSoort | Zakelijk telefoonnummer |
BetalerPersoon | |
BetalerNaam | J.P.M. van Putten |
Bankgegevens | |
BankNaam | ING |
Bankcode | INGBNL2A |
Rekeningnummer | NL85INGB0001234567 |
Adres | |
Straat | 1e Jacob van Campenstr |
Huisnummer | 15 |
Postcode | 1012 NX |
Woonplaats | Hoogmade |
Gemeente | Kaag en Braassem |
Land | Nederland |
AdresSoort | Woon-/verblijfadres |
TelefoonEmail | |
Telefoonnummer | +311725233111 |
NummerSoort | Privé telefoonnummer |
Assigning authorities
The identifying numbers are issued by the following authorities
UZOVI
Identifying number | ID system OID |
UZOVI | OID: 2.16.840.1.113883.2.4.6.4 |
Valuesets
InsuranceTypeCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.1.1.1 | Binding: Extensible |
Conceptname | Conceptcode | Codesystem name | Codesystem OID | Description |
Basis | B | Verzekeringssoort | 2.16.840.1.113883.2.4.3.11.60.101.5.1 | Basis verzekerd |
Aanvullend verzekerd | A | Verzekeringssoort | 2.16.840.1.113883.2.4.3.11.60.101.5.1 | Aanvullend verzekerd |
Basisverzekering vanuit AWBZ | BZ | Verzekeringssoort | 2.16.840.1.113883.2.4.3.11.60.101.5.1 | Basisverzekering vanuit AWBZ (tegenwoordig uit Wet Langdurige Zorg) |
Hoofdverzekering | H | Verzekeringssoort | 2.16.840.1.113883.2.4.3.11.60.101.5.1 | Een basisverzekering die geen onderdeel uitmaakt van de ZVW of AWBZ (bijvoorbeeld voor expats in het buitenland). |
Tandverzekering (los) | T | Verzekeringssoort | 2.16.840.1.113883.2.4.3.11.60.101.5.1 | Tandverzekering |
Aanvullend + tand | AT | Verzekeringssoort | 2.16.840.1.113883.2.4.3.11.60.101.5.1 | Aanvullend + tand |
This information model in other releases
- Release 2015, (Version 1.2)
- Release 2016, (Version 3.0)
- Release 2017, (Version 3.1)
- Prerelease 2019-2, (Version 3.1)
- Release 2020, (Version 3.1.1)
- Prerelease 2021-2, (Version 3.2)
- Prerelease 2022-1, (Version 3.2)
- Prerelease 2023-1, (Version 4.0)
- Prerelease 2024-1, (Version 4.1)
Information model references
This information model refers to
This information model is used in
- --
Technical specifications in HL7v3 CDA and HL7 FHIR
To exchange information based on health and care information models, additional, more technical specifications are required.
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:
- HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment
- HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR
Downloads
This information model is also available as pdf file or as spreadsheet
About this information
The information in this wikipage is based on Prerelease 2018-2
SNOMED CT and LOINC codes are based on:
- SNOMED Clinical Terms version: 20180731 [R] (July 2018 Release)
- LOINC version 2.64
Conditions for use are located on the mainpage
This page is generated on 12/03/2019 17:28:33 with ZibExtraction v. 3.0.7010.25883