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	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>
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Update bot: Nieuwe pagina aangemaakt met ' {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.1.1(EN)|1|Payer-v4.0(2022EN)}} ==General information== Name: '''nl.zorg.Payer''' link=Zib of versie niet gevonden-v4.0(2022NL)
Version: '''4.0'''
HCIM Status:Final
Release: '''2022'''
Rele...'

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{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.1.1(EN)|1|Payer-v4.0(2022EN)}}

==General information==
Name: '''nl.zorg.Payer''' [[Bestand:NL.png|link=Zib of versie niet gevonden-v4.0(2022NL)]] 
Version: '''4.0''' 
HCIM Status:Final 
Release: '''2022''' 
Release status: Prepublished 
Release date: 15-10-2023

{{ErrataEN|2022|{{PAGENAME}}}}

-----
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==Metadata==
{| class="wikitable" style="font-size:90%; width: 750px"
|-
|style="width:250px; "|DCM::CoderList||Kerngroep Registratie aan de Bron
|-
|style="width:250px; "|DCM::ContactInformation.Address||*
|-
|style="width:250px; "|DCM::ContactInformation.Name||*
|-
|style="width:250px; "|DCM::ContactInformation.Telecom||*
|-
|style="width:250px; "|DCM::ContentAuthorList||Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
|-
|style="width:250px; "|DCM::CreationDate||23-11-2012
|-
|style="width:250px; "|DCM::DeprecatedDate||
|-
|style="width:250px; "|DCM::DescriptionLanguage||nl
|-
|style="width:250px; "|DCM::EndorsingAuthority.Address||
|-
|style="width:250px; "|DCM::EndorsingAuthority.Name||PM
|-
|style="width:250px; "|DCM::EndorsingAuthority.Telecom||
|-
|style="width:250px; "|DCM::Id||2.16.840.1.113883.2.4.3.11.60.40.3.1.1
|-
|style="width:250px; "|DCM::KeywordList||Verzekeringsgegevens
|-
|style="width:250px; "|DCM::LifecycleStatus||Final
|-
|style="width:250px; "|DCM::ModelerList||Kerngroep Registratie aan de Bron
|-
|style="width:250px; "|DCM::Name||nl.zorg.Betaler
|-
|style="width:250px; "|DCM::PublicationDate||15-10-2023
|-
|style="width:250px; "|DCM::PublicationStatus||Prepublished
|-
|style="width:250px; "|DCM::ReviewerList||Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
|-
|style="width:250px; "|DCM::RevisionDate||18-07-2023
|-
|style="width:250px; "|DCM::Supersedes||nl.zorg.Betaler-v3.2
|-
|style="width:250px; "|DCM::Version||4.0
|-
|style="width:250px; "|HCIM::PublicationLanguage||EN
|}

==Revision History==
<div class="mw-collapsible mw-collapsed">
'' Only available in Dutch''

Publicatieversie 1.0 (15-02-2013)
-

Publicatieversie 1.1 (01-07-2013)
{|
Issue summaries niet beschikbaar 
Bevat: ZIB-59.
|}

Publicatieversie 1.2 (01-04-2015)
Bevat: ZIB-72, ZIB-216, ZIB-217, ZIB-306, ZIB-308, ZIB-314, ZIB-357.

Incl. algemene wijzigingsverzoeken:
ZIB-94, ZIB-154, ZIB-200, ZIB-201, ZIB-309, ZIB-324, ZIB-326.

Publicatieversie 3.0 (01-05-2016)
Bevat: ZIB-453.

Publicatieversie 3.1 (04-09-2017)
Bevat: ZIB-429, ZIB-564, ZIB-575, ZIB-582, ZIB-583.

Publicatieversie 3.1.1 (01-09-2020)
Bevat: ZIB-1008.

Publicatieversie 3.2 (01-12-2021)
Bevat: ZIB-1196.

Publicatieversie 4.0 (15-10-2023)
Bevat: ZIB-1739, ZIB-1834.
</div>

==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==
 
<imagemap> Bestand:Payer-v4.0Model(2022EN).png | center
rect 587 269 692 339 [[#365]]
rect 587 350 692 420 [[#809]]
rect 433 54 554 124 [[ContactInformation-v1.3(2022EN)]]
rect 262 54 383 124 [[AddressInformation-v1.1(2022EN)]]
rect 587 190 692 260 [[#676]]
rect 559 661 717 711 [[#InsuranceTypeCodelist]]
rect 698 559 788 629 [[#812]]
rect 739 433 844 503 [[#370]]
rect 177 655 267 725 [[#805]]
rect 234 559 324 629 [[#813]]
rect 116 559 206 629 [[#366]]
rect 177 433 267 503 [[#367]]
rect 264 314 354 384 [[#810]]
rect 443 316 533 386 [[#674]]
rect 587 433 692 503 [[#804]]
rect 559 559 679 629 [[#369]]
rect 328 189 479 269 [[#808]]
rect 345 433 435 503 [[#839]]
desc none
</imagemap>
 
{| border= "1" width="1500px" style = "font-size: 9.5pt; border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px"
|-style="background-color: #1F497D; color: white; font-weight: bold; font-variant: small-caps; "
|style="width:30px;"|Type||style="width:100px;"|Id||colspan="6 " style="width:140px;"|Concept||Card.||style="width: 600px;"|Definition||style="width:200px;"|DefinitionCode||style="width:200px;"|Reference
|-style="vertical-align:top; background-color: #E3E3E3; "
|style = "text-align:center" |[[Bestand: block.png| 20px | link=]]
||NL-CM:1.1.1
|colspan ="6" style ="padding-left: 0px"|[[Bestand: arrowdown.png | 10px | link=]]Payer
|
|Root concept of the Payer information model. This root concept contains all data elements of the Payer information model.
|
|
|-style="vertical-align:top; background-color: #E8D7BE; "
|style = "text-align:center" |[[Bestand: folder.png| 16px | link=]]
||NL-CM:1.1.2
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowdown.png | 10px | link=]]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.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: ST.png| 16px | link=]]
||NL-CM:1.1.5
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="4" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]PayerName
|0..1
|Full name of the paying person or organization (legal entity).
|
|
|-style="vertical-align:top; background-color: #E8D7BE; "
|style = "text-align:center" |[[Bestand: folder.png| 16px | link=]]
||NL-CM:1.1.4
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="4" style ="padding-left: 0px"|[[Bestand: arrowdown.png | 10px | link=]]BankInformation
|0..*
|Container of the BankInformation concept. This container contains all data elements of the BankInformation concept.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: ST.png| 16px | link=]]
||NL-CM:1.1.9
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="3" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]BankName
|0..1
|Name of the financial organization.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: ST.png| 16px | link=]]
||NL-CM:1.1.10
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="3" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]BankCode
|0..1
|Code indicating the bank and branch. For European countries, this is the organization’s BIC or SWIFT code.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: ST.png| 16px | link=]]
||NL-CM:1.1.11
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="3" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]AccountNumber
|1
|The payer’s bank account number at the listed organization. For European countries, this is the IBAN.
|
|
|-style="vertical-align:top; background-color: #E8D7BE; "
|style = "text-align:center" |[[Bestand: folder.png| 16px | link=]]
||NL-CM:1.1.3
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowdown.png | 10px | link=]]InsuranceCompany
|(0..1)
|Container of the InsuranceCompany concept. This container contains all data elements of the InsuranceCompany concept.
|
|
|-style="vertical-align:top; background-color: #E8D7BE; "
|style = "text-align:center" |[[Bestand: folder.png| 16px | link=]]
||NL-CM:1.1.8
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="4" style ="padding-left: 0px"|[[Bestand: arrowdown.png | 10px | link=]]Insurance
|1..*
|Container of the Insurance concept. This container contains all data elements of the Insurance concept.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: TS.png| 16px | link=]]
||NL-CM:1.1.13
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="3" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]StartDateTime
|1
|Date from which the insurance policy coverage applies.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: TS.png| 16px | link=]]
||NL-CM:1.1.14
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="3" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]EndDateTime
|1
|Date until which the insurance policy coverage applies.
This item maps the ‘Expiry date’ on EHIC field 9.

|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]
||NL-CM:1.1.15
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="3" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]InsuranceType
|1
|Type of insurance policy. Codes as returned in the Check for Right to Insurance
|
|
{|
|-
|[[Bestand: List2.png | link=#InsuranceTypeCodelist]]||[[#InsuranceTypeCodelist|InsuranceTypeCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: II.png| 16px | link=]]
||NL-CM:1.1.7
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="4" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]IdentificationNumber
|0..1
|Unique healthcare insurance company identification (the UZOVI number).
|
|
{|
|-
|[[Bestand: AA2.png | link=#UZOVI]]||[[#UZOVI|UZOVI]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: ST.png| 16px | link=]]
||NL-CM:1.1.16
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="4" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]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).
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: ST.png| 16px | link=]]
||NL-CM:1.1.6
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="4" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]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

|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]
||NL-CM:1.1.17
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]AddressInformation
|0..*
|The payer’s address information.
|
|
{|
|-
|[[Bestand: block.png | link=AddressInformation-v1.1(2022EN)]]||[[AddressInformation-v1.1(2022EN) |AddressInformation]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]
||NL-CM:1.1.12
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]ContactInformation
|0..1
|The payer’s telephone number and/or e-mail address.
|
|
{|
|-
|[[Bestand: block.png | link=ContactInformation-v1.3(2022EN)]]||[[ContactInformation-v1.3(2022EN) |ContactInformation]]
|}
|}
Columns Concept and DefinitionCode: hover over the values for more information 
For explanation of the symbols, please see the legend page [[Bestand:list2.png|link=Legend]]

==Example Instances==
''Only available in Dutch''

Voorbeeld file fout: Unable to find the specified file. : nl.zorg.Zib of versie niet gevonden-v4.0(NL)_Voorbeeld.docx
==Assigning authorities==
The identifying numbers are issued by the following authorities 
=== UZOVI===
{| class="wikitable" width="60%"
|-style="background-color: #1F497D; color: white; font-weight: bold;"
|style="width: 50%;"|Identifying number||ID system OID
|-style="vertical-align:top;"
|UZOVI||OID: 2.16.840.1.113883.2.4.6.4
|}

== Valuesets ==
=== InsuranceTypeCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.1.1.1
|Binding: Required
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptcode
|Codesystem name||Codesystem OID
|Description
|-style="vertical-align:top; "
|Basis
|B
|Verzekeringssoort
|2.16.840.1.113883.2.4.3.11.60.101.5.1
|Basis verzekerd
|-style="vertical-align:top; "
|Aanvullend verzekerd
|A
|Verzekeringssoort
|2.16.840.1.113883.2.4.3.11.60.101.5.1
|Aanvullend verzekerd
|-style="vertical-align:top; "
|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)
|-style="vertical-align:top; "
|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).
|-style="vertical-align:top; "
|Tandverzekering (los)
|T
|Verzekeringssoort
|2.16.840.1.113883.2.4.3.11.60.101.5.1
|Tandverzekering
|-style="vertical-align:top; "
|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==

{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.1.1(EN)|2|2022}}

==Information model references==
====This information model refers to====
*[[AddressInformation-v1.1(2022EN)|AddressInformation-v1.1]]
*[[ContactInformation-v1.3(2022EN)|ContactInformation-v1.3]]
====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:
<ul>
<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment {{ArtDecorLinks|2022|1.1}}</li>
<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR {{SimplefierLinks|2022|Betaler}}</li>
</ul>
==Downloads==
This information model is also available as [[Media:nl.zorg.Payer-v4.0(2022EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.Payer-v4.0(2022EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
==About this information==
The information in this wikipage is based on Pre-release 2022-1 
SNOMED CT and LOINC codes are based on:
<ul>
<li>SNOMED Clinical Terms versie: 20230930 [R] (september 2023-editie)</li>
<li>LOINC version 2.76</li>
</ul>
Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]] 
This page is generated on 26/03/2024 11:40:51 with ZibExtraction v. 9.3.8851.20230 
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Payer-v4.0(2022EN) - Bewerkingsoverzicht

Update bot op 27 mrt 2024 om 10:25

Update bot op 27 mrt 2024 om 08:44

Update bot: Nieuwe pagina aangemaakt met ' {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.1.1(EN)|1|Payer-v4.0(2022EN)}} ==General information== Name: '''nl.zorg.Payer''' link=Zib of versie niet gevonden-v4.0(2022NL) Version: '''4.0''' HCIM Status:Final Release: '''2022''' Rele...'

Update bot: Nieuwe pagina aangemaakt met ' {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.1.1(EN)|1|Payer-v4.0(2022EN)}} ==General information== Name: '''nl.zorg.Payer''' link=Zib of versie niet gevonden-v4.0(2022NL)
Version: '''4.0'''
HCIM Status:Final
Release: '''2022'''
Rele...'