Payer-v3.0(2016EN): verschil tussen versies

Versie van 20 dec 2018 13:40

Attention!! This is not the most recent version of this information model. You can find the most recent version ''here''.

General information

Name: nl.zorg.Payer
Version: 3.0
HCIM Status:Final
Release: 2016
Release status: Published
Release date: 1-5-2016

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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	1-5-2016
DCM::PublicationStatus	Published
DCM::ReviewerList	Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate	1-4-2015
DCM::Superseeds	nl.nfu.Betaler-v1.2
DCM::Version	3.0
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)

.

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.

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

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

0..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

InsuranceTypeCodelist

NL-CM:1.1.7

IdentificationNumber

0..1

Unique healthcare insurance company identification (the UZOVI number).

UZOVI

NL-CM:1.1.16

OrganizationName

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

Address::AddressInformation

0..*

The payer’s address information.

Patient

NL-CM:1.1.12

TelephoneE-mail::ContactInformation

0..*

The payer’s telephone number and/or e-mail address.

Patient

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:

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
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

Information model references

This information model refers to

Patient-v3.0

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 Release summer 2016
Conditions for use are located on the mainpage
This page is generated on 20/12/2018 10:14:37 with ZibExtraction v. 3.0.6928.1309

Back to HCIM list

@@ Regel 1: / Regel 1: @@
-==General information==
+<!-- Hieronder wordt een transclude page aangeroepen -->
-Name: '''nl.zorg.Payer''' [[Bestand:NL.png|link=Betaler-v3.0(2016NL)]]<BR>
+{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.1.1(EN)|1|Payer-v3.0(2016EN)}}
-Version: '''3.0''' <br>
+<!-- Tot hier de transclude page -->
-HCIM Status:Final<br>
+==General information<!--hdGeneralInformation-->==
-Release: '''2016''' <br>
+Name<!--hdName-->: '''nl.zorg.Payer''' [[Bestand:NL.png|link=Betaler-v3.0(2016NL)]]<BR>
-Release status: Published<br>
+Version<!--hdVersion-->: '''3.0''' <br>
-Release date: 1-5-2016
+HCIM Status<!--hdStatus-->:Final<br>
+Release<!--hdPublication-->: '''2016''' <br>
+Release status<!--hdPublicationStatus-->: Published<br>
+Release date<!--hdPublicationDate-->: 1-5-2016
 -----
-<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2016(EN)]] [[HCIM_Release_2016(EN) |Back to HCIM list ]]</div>
+<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2016(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2016(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>
 ==Metadata==
@@ Regel 61: / Regel 64: @@
 ==Revision History==
 <div class="mw-collapsible mw-collapsed">
-''Only available in Dutch''
+''Only available in Dutch<!--noTranslation-->''
 <u>Publicatieversie 1.0</u> (15-02-2013)
@@ Regel 143: / Regel 146: @@
 <BR>
 <imagemap> Bestand:Payer-v3.0Model(EN).png | center
-rect 335 425 425 495 [[#11673]]
+rect 345 433 435 503 [[#11673]]
-rect 577 261 682 331 [[#11515]]
+rect 587 269 692 339 [[#11515]]
-rect 577 342 682 412 [[#11528]]
+rect 587 350 692 420 [[#11528]]
-rect 423 46 544 116 [[Patient-v3.0(2016EN)]]
+rect 433 54 554 124 [[Patient-v3.0(2016EN)]]
-rect 252 46 373 116 [[Patient-v3.0(2016EN)]]
+rect 262 54 383 124 [[Patient-v3.0(2016EN)]]
-rect 577 182 682 252 [[#11535]]
+rect 587 190 692 260 [[#11535]]
-rect 549 653 707 703 [[#InsuranceTypeCodelist]]
+rect 559 661 717 711 [[#InsuranceTypeCodelist]]
-rect 688 551 778 621 [[#11531]]
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+rect 328 189 479 269 [[#11527]]
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@@ Regel 166: / Regel 169: @@
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 |-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="width:30px;"|Type<!--imType-->||style="width:100px;"|Id<!--imId-->||colspan="6 " style="width:140px;"|Concept<!--imConcept-->||Card.<!--imCard-->||style="width: 600px;"|Definition<!--imDefinition-->||style="width:200px;"|DefinitionCode<!--imDefinitionCode-->||style="width:200px;"|Reference<!--imReference-->
 |-style="vertical-align:top; background-color: #E3E3E3; "
 |style = "text-align:center" |[[Bestand: block.png| 20px | link=]]
@@ Regel 358: / Regel 361: @@
 |}
 |}
-Columns Concept and DefinitionCode: hover over the values for more information<BR>
+Columns Concept and DefinitionCode: hover over the values for more information<!--imHover--><BR>
-For explanation of the symbols, please see the legend page [[Bestand:list2.png|link=Legend]]
+For explanation of the symbols, please see the legend page<!--imLegend--> [[Bestand:list2.png|link=Legend<!--wikiLegend-->]]
 ==Example Instances==
-''Only available in Dutch''
+''Only available in Dutch<!--noTranslation-->''
 {|class="wikitable" width="462px" style= "font-size: 9.5pt;"
@@ Regel 463: / Regel 466: @@
 |}
-==Assigning authorities==
+==Assigning authorities<!--aaAssigningAuthorities-->==
-The identifying numbers are issued by the following authorities <BR>
+The identifying numbers are issued by the following authorities<!--aaHeader--> <BR>
 === UZOVI===
 {| class="wikitable" width="60%"
 |-style="background-color: #1F497D; color: white; font-weight: bold;"
-|style="width: 50%;"|Identifying number||ID system OID
+|style="width: 50%;"|Identifying number<!--caId-->||ID system OID<!--caSystemOID-->
 |-style="vertical-align:top;"
 |UZOVI||OID: 2.16.840.1.113883.2.4.6.4
@@ Regel 477: / Regel 480: @@
 {| 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
+|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.1.1.1
+|Binding<!--vsBindingTag-->:
 |}
 {| class="wikitable"  width="60% "
 |-style="background-color: #1F497D; color: white; font-weight: bold; "
-|Conceptname
+|Conceptname<!--vsConceptName-->
-|Conceptcode
+|Conceptcode<!--vsConceptCode-->
-|Codesystem name||Codesystem OID
+|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
-|Description
+|Description<!--vsDescription-->
 |-style="vertical-align:top; "
 |Basis
@@ Regel 523: / Regel 527: @@
 |}
+==This information model in other releases<!--ftOtherReleases-->==
-==This information model in other releases==
+<!-- Hieronder wordt een transclude page aangeroepen -->
-<ul>
+{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.1.1(EN)|2|2016}}
-<li>[[Payer-v1.2(2015EN) | Release 2015, (Version 1.2)]]</li>
+<!-- Tot hier de transclude page -->
-<li>[[Payer-v3.1(2017EN) | Release 2017, (Version 3.1)]]</li>
+==Information model references<!--ftReferences-->==
-</ul>
+====This information model refers to<!--ftRefersTo-->====
-==More on this information model==
+*[[Patient-v3.0(2016EN)|Patient-v3.0]]
+====This information model is used in<!--ftReferredBy-->====
+:--
+==Technical specifications in HL7v3 CDA and HL7 FHIR<!--ftHeader-->==
 To exchange information based on health and care information models, additional, more technical specifications are required.<BR>
-Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:
+Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:<!--ftReferenceIntro-->
 <ul>
-<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2016bbr-?id=2.16.840.1.113883.2.4.3.11.60.6.4.2.1.1&effectiveDate=2016-05-01T00:00:00&language=en-US&scenariotree=false [[File:artdecor.jpg|16px|link=]]]</li>
+<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment<!--ftArtDecorReference--> [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2016bbr-?id=2.16.840.1.113883.2.4.3.11.60.6.4.2.1.1&effectiveDate=2016-05-01T00:00:00&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 [https://simplifier.net/NictizSTU3/~resources?text=zib&category=StructureDefinition [[File:fhir.png|link=]]]</li>
+<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks|2016}}</li>
 </ul>
-This information model is also available as [[Media:nl.zorg.Payer-v3.0(2016EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.Payer-v3.0(2016EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
+==Downloads<!--ftDownloadTitle-->==
-==About this information==
+This information model is also available as [[Media:nl.zorg.Payer-v3.0(2016EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.Payer-v3.0(2016EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]<!--ftDownloads-->
-The information in this wikipage is based on Release summer 2016 <BR>
+==About this information<!--ftHeader2-->==
-Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]]<BR>
+The information in this wikipage is based on<!--ftInfoBase--> Release summer 2016 <BR>
-This page is generated on 24/01/2018 23:29:17 <BR>
+Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>
+This page is generated on 20/12/2018 10:14:37 with ZibExtraction v. 3.0.6928.1309<!--ftDate--> <BR>
 -----
-<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2016(EN)]] [[HCIM_Release_2016(EN) |Back to HCIM list ]]</div>
+<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2016(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2016(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>

Payer-v3.0(2016EN): verschil tussen versies

Versie van 20 dec 2018 13:40

Inhoud

General information

Metadata

Revision History

Concept

Purpose

Evidence Base

Information Model

Example Instances