Payer-v4.0(2023EN)
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: 4.0
HCIM Status:Final
Release: 2023
Release status: Prepublished
Release date: 15-10-2023
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 | 15-10-2023 |
| DCM::PublicationStatus | Prepublished |
| DCM::ReviewerList | Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron |
| DCM::RevisionDate | 18-07-2023 |
| DCM::Supersedes | nl.zorg.Betaler-v3.2 |
| DCM::Version | 4.0 |
| 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)
| ZIB-453 | Wijziging naamgeving ZIB's en logo's door andere opzet van beheer |
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 |
Publicatieversie 3.1.1 (01-09-2020)
| ZIB-1008 | Geen informatie |
Publicatieversie 3.2 (01-12-2021)
| ZIB-1196 | Nadere specificatie zib betaler einddatum verzekering vaak niet aanwezig |
Publicatieversie 4.0 (15-10-2023)
| ZIB-1739 | Zib-voorbeeld voor concept "Rekeningnummer" niet geldig |
| ZIB-1834 | Betaler: ContactInformatie kardinaliteit |
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 | |||||||
|
NL-CM:1.1.1 |  Payer
|
Root concept of the Payer information model. This root concept contains all data elements of the Payer information model. | ||||||||||
|
NL-CM:1.1.2 | PayerPerson
|
(0..1) | Container of the PayerPerson concept. This container contains all data elements of the PayerPerson concept.
In this a person is a natural person or a juridical person, such as an organization, municipality, etc. |
|||||||||
|
NL-CM:1.1.5 |  PayerName
|
0..1 | Full name of the paying person or organization (legal entity). | |||||||||
|
|
NL-CM:1.1.4 | BankInformation
|
0..* | Container of the BankInformation concept. This container contains all data elements of the BankInformation concept. | |||||||||
|
|
NL-CM:1.1.9 | BankName
|
0..1 | Name of the financial organization. | |||||||||
|
|
NL-CM:1.1.10 | BankCode
|
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 | AccountNumber
|
1 | The payer’s bank account number at the listed organization. For European countries, this is the IBAN. | |||||||||
|
|
NL-CM:1.1.3 | InsuranceCompany
|
(0..1) | Container of the InsuranceCompany concept. This container contains all data elements of the InsuranceCompany concept. | |||||||||
|
|
NL-CM:1.1.8 | Insurance
|
1..* | Container of the Insurance concept. This container contains all data elements of the Insurance concept. | |||||||||
|
NL-CM:1.1.13 | StartDateTime
|
1 | Date from which the insurance policy coverage applies. | |||||||||
|
|
NL-CM:1.1.14 | EndDateTime
|
1 | Date until which the insurance policy coverage applies.
This item maps the ‘Expiry date’ on EHIC field 9. |
|||||||||
|
NL-CM:1.1.15 | InsuranceType
|
1 | Type of insurance policy. Codes as returned in the Check for Right to Insurance |
| ||||||||
|
NL-CM:1.1.7 | IdentificationNumber
|
0..1 | Unique healthcare insurance company identification (the UZOVI number). |
| ||||||||
|
|
NL-CM:1.1.16 | OrganizationName
|
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 | InsurantNumber
|
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 | AddressInformation
|
0..* | The payer’s address information. |
| ||||||||
|
|
NL-CM:1.1.12 | ContactInformation
|
0..1 | 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 | NL98INGB0003856625 |
| 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: Required |
| 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 2018-2, (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 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 2023-1
SNOMED CT and LOINC codes are based on:
- SNOMED Clinical Terms versie: 20230930 [R] (september 2023-editie)
- LOINC version 2.76
Conditions for use are located on the mainpage
This page is generated on 31/10/2023 18:33:16 with ZibExtraction v. 9.3.8704.31782
