Payer-v3.1(2017EN): verschil tussen versies
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Versie van 21 sep 2017 om 15:26
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General information
Name: nl.zorg.Payer
Version: 3.1
HCIM Status:Final
Publication: 2017
Release status: Prepublished
Publication date: 04-09-2017
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 | 04-09-2017 |
DCM::PublicationStatus | Prepublished |
DCM::ReviewerList | Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron |
DCM::RevisionDate | 04-09-2017 |
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
Type | Id | Concept | Card. | Definition | DefinitionCode | Reference | |||||||
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NL-CM:1.1.1 | ![]() |
Root concept of the Payer information model. This root concept contains all data elements of the Payer information model. | ||||||||||
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NL-CM:1.1.2 | ![]() |
(0..1) | Container of the PayerPerson concept. This container contains all data elements of the PayerPerson concept. | |||||||||
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NL-CM:1.1.5 | ![]() |
0..1 | Full name of the paying person or organization (legal entity). | |||||||||
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NL-CM:1.1.4 | ![]() |
0..* | Container of the BankInformation concept. This container contains all data elements of the BankInformation concept. | |||||||||
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NL-CM:1.1.9 | ![]() |
0..1 | Name of the financial organization. | |||||||||
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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. | |||||||||
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NL-CM:1.1.11 | ![]() |
1 | The payer’s bank account number at the listed organization. For European countries, this is the IBAN. | |||||||||
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NL-CM:1.1.3 | ![]() |
(0..1) | Container of the InsuranceCompany concept. This container contains all data elements of the InsuranceCompany concept. | |||||||||
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NL-CM:1.1.8 | ![]() |
1..* | Container of the Insurance concept. This container contains all data elements of the Insurance concept. | |||||||||
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NL-CM:1.1.13 | ![]() |
0..1 | Date from which the insurance policy coverage applies. | |||||||||
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NL-CM:1.1.14 | ![]() |
1 | Date until which the insurance policy coverage applies.
This item maps the ‘Expiry date’ on EHIC field 9. |
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NL-CM:1.1.15 | ![]() |
1 | Type of insurance policy. Codes as returned in the Check for Right to Insurance |
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NL-CM:1.1.7 | ![]() |
0..1 | Unique healthcare insurance company identification (the UZOVI number). |
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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). | |||||||||
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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 |
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NL-CM:1.1.17 | ![]() |
0..* | The payer’s address information. |
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NL-CM:1.1.12 | ![]() |
0..* | The payer’s telephone number and/or e-mail address. |
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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 |
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 |
More on this information model
More technical information and HL7/XML documentation you can find on the Nictiz Art-Decor page about this information model[1]
This information model is also available as pdf file or as spreadsheet
About this information
The information in this wikipage is based on Prerelease 2017 #1
Conditions for use are located on the mainpage
This page is generated on 21/09/2017 13:50:11