Payer-v4.1(2024EN): verschil tussen versies

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Nieuwe pagina aangemaakt met '<!-- Hieronder wordt een transclude page aangeroepen --> {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.1.1(EN)|1|Payer-v4.1(2024EN)}} <!-- Tot hier de transclude page --> ==General information<!--hdGeneralInformation-->== Name<!--hdName-->: '''nl.zorg.Payer''' link=Betaler-v4.1(2024NL)<BR> Version<!--hdVersion-->: '''4.1''' <br> HCIM Status<!--hdStatus-->:Final<br> Release<!--hdPublication-->: '''2024''' <br> Release status<!--hdPubl...'
 
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Regel 7: Regel 7:
HCIM Status<!--hdStatus-->:Final<br>
HCIM Status<!--hdStatus-->:Final<br>
Release<!--hdPublication-->: '''2024''' <br>
Release<!--hdPublication-->: '''2024''' <br>
Release status<!--hdPublicationStatus-->: Prepublished<br>
Release status<!--hdPublicationStatus-->: Published<br>
Release date<!--hdPublicationDate-->: 15-04-2024
Release date<!--hdPublicationDate-->: 24-04-2024
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{{ErrataEN<!--hdErrata-->|2024|{{PAGENAME}}}}
{{ErrataEN<!--hdErrata-->|2024|{{PAGENAME}}}}
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|style="width:250px; "|DCM::ContactInformation.Telecom||*
|style="width:250px; "|DCM::ContactInformation.Telecom||*
|-  
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|style="width:250px; "|DCM::ContentAuthorList||Projectgroep Generieke Overdrachtsgegevens &amp; Kerngroep Registratie aan de Bron
|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::CreationDate||23-11-2012
Regel 50: Regel 50:
|style="width:250px; "|DCM::Name||nl.zorg.Betaler
|style="width:250px; "|DCM::Name||nl.zorg.Betaler
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|-  
|style="width:250px; "|DCM::PublicationDate||15-04-2024
|style="width:250px; "|DCM::PublicationDate||24-04-2024
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|-  
|style="width:250px; "|DCM::PublicationStatus||Prepublished
|style="width:250px; "|DCM::PublicationStatus||Published
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|-  
|style="width:250px; "|DCM::ReviewerList||Projectgroep Generieke Overdrachtsgegevens &amp; Kerngroep Registratie aan de Bron
|style="width:250px; "|DCM::ReviewerList||Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
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|-  
|style="width:250px; "|DCM::RevisionDate||24-04-2024
|style="width:250px; "|DCM::RevisionDate||24-04-2024
Regel 108: Regel 108:
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|-
|style="width:75px; "|[[ZIBIssues500_0#ZIB-94 | ZIB-94 ]]
|style="width:75px; "|[[ZIBIssues500_0#ZIB-94 | ZIB-94 ]]
|Aanpassen tekst van Disclaimer, Terms of Use &amp; Copyrights
|Aanpassen tekst van Disclaimer, Terms of Use & Copyrights
|-
|-
|style="width:75px; "|[[ZIBIssues500_0#ZIB-154 | ZIB-154 ]]
|style="width:75px; "|[[ZIBIssues500_0#ZIB-154 | ZIB-154 ]]
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|style="width:75px; "|[[ZIBIssues500_0#ZIB-453 | ZIB-453 ]]
|style="width:75px; "|[[ZIBIssues500_0#ZIB-453 | ZIB-453 ]]
|Wijziging naamgeving ZIB&#39;s en logo&#39;s door andere opzet van beheer
|Wijziging naamgeving ZIB's en logo's door andere opzet van beheer
|}
|}


Regel 173: Regel 173:
|-
|-
|style="width:75px; "|[[ZIBIssues500_3#ZIB-1739 | ZIB-1739 ]]
|style="width:75px; "|[[ZIBIssues500_3#ZIB-1739 | ZIB-1739 ]]
|Zib-voorbeeld voor concept &quot;Rekeningnummer&quot; niet geldig
|Zib-voorbeeld voor concept "Rekeningnummer" niet geldig
|-
|-
|style="width:75px; "|[[ZIBIssues500_3#ZIB-1834 | ZIB-1834 ]]
|style="width:75px; "|[[ZIBIssues500_3#ZIB-1834 | ZIB-1834 ]]
Regel 335: Regel 335:
|1
|1
|Date until which the insurance policy coverage applies.  
|Date until which the insurance policy coverage applies.  
This item maps the &lt;i&gt;‘Expiry date’&lt;/i&gt; on EHIC field 9.
This item maps the <i>‘Expiry date’</i> on EHIC field 9.


|
|
Regel 386: Regel 386:
|1
|1
|Number under which the insured person is registered at the insurance company  
|Number under which the insured person is registered at the insurance company  
This item maps the &lt;i&gt;‘Identification number of the card’&lt;/i&gt; on EHIC field 8
This item maps the <i>‘Identification number of the card’</i> on EHIC field 8


|
|
Regel 538: Regel 538:
|Valueset OID<!--vsValuesetOID-->: 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-->: Required
|Binding<!--vsBindingTag-->: Required
|Status<!--vsStatusTag-->: Active
|}
|}
{| class="wikitable"  width="60% "
{| class="wikitable"  width="60% "
Regel 581: Regel 582:
|2.16.840.1.113883.2.4.3.11.60.101.5.1
|2.16.840.1.113883.2.4.3.11.60.101.5.1
|Aanvullend + tand
|Aanvullend + tand
|-style="vertical-align:top; "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Other
|colspan="5"|
|OTH
|-style="vertical-align:top; background-color: #EBF5FB;"
|NullFlavor
|colspan="5"|Value Other (OTH) from codesystem NullFlavor (OID: 2.16.840.1.113883.5.1008) is allowed in this valueset.<!--vsIncludeOTH-->
|2.16.840.1.113883.5.1008
|Anders
|}
|}


Regel 600: Regel 599:
:--
:--
==Technical specifications in HL7v3 CDA and HL7 FHIR<!--ftHeader-->==
==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.&lt;BR&gt;
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:<!--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&#174; version 3 CDA compatible specifications, available through the Nictiz ART-DECOR&#174; environment<!--ftArtDecorReference--> {{ArtDecorLinks|2024|1.1}}</li>
<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment<!--ftArtDecorReference--> {{ArtDecorLinks|2024|1.1}}</li>
<li>HL7&#174; FHIR&#174; compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks|2024|Betaler}}</li>
<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks|2024|Betaler}}</li>
</ul>
</ul>
==Downloads<!--ftDownloadTitle-->==
==Downloads<!--ftDownloadTitle-->==
This information model is also available as [[Media:nl.zorg.Payer-v4.1(2024EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.Payer-v4.1(2024EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]<!--ftDownloads-->
This information model is also available as [[Media:nl.zorg.Payer-v4.1(2024EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.Payer-v4.1(2024EN).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 2024-1 <BR>
The information in this wikipage is based on<!--ftInfoBase--> Release 2024 <BR>
SNOMED CT and LOINC codes are based on:
SNOMED CT and LOINC codes are based on:
<ul>
<ul>
<li>SNOMED Clinical Terms versie: 20240331 [R] (maart 2024-editie)</li>
<li>SNOMED Clinical Terms versie: 20250430 [R] (april 2025-editie)</li>
<li>LOINC version 2.77</li>
<li>LOINC version 2.77</li>
</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 25/04/2024 12:40:19 with ZibExtraction v. 9.3.8880.19756<!--ftDate--> <BR>
This page is generated on 27/05/2025 13:57:58 with ZibExtraction v. 9.5.9242.40707<!--ftDate--> <BR>
-----
-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2024(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2024(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-->_2024(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2024(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>

Huidige versie van 27 mei 2025 om 16:55



General information

Name: nl.zorg.Payer
Version: 4.1
HCIM Status:Final
Release: 2024
Release status: Published
Release date: 24-04-2024

Back to HCIM list

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 24-04-2024
DCM::PublicationStatus Published
DCM::ReviewerList Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate 24-04-2024
DCM::Supersedes nl.zorg.Betaler-v4.0
DCM::Version 4.1
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)

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

Publicatieversie 4.1 (15-04-2024)

ZIB-2218 Oth toevoegen aan Waardenlijsten met een required binding

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


#365#809ContactInformation-v1.3.1(2024EN)AddressInformation-v1.2(2024EN)#676#InsuranceTypeCodelist#812#370#805#813#366#367#810#674#804#369#808#839


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
InsuranceTypeCodelist
NL-CM:1.1.7 IdentificationNumber 0..1 Unique healthcare insurance company identification (the UZOVI number).
UZOVI
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.
AddressInformation
NL-CM:1.1.12 ContactInformation 0..1 The payer’s telephone number and/or e-mail address.
ContactInformation

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 Status: Active
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
Value Other (OTH) from codesystem NullFlavor (OID: 2.16.840.1.113883.5.1008) is allowed in this valueset.

This information model in other releases

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 Release 2024
SNOMED CT and LOINC codes are based on:

  • SNOMED Clinical Terms versie: 20250430 [R] (april 2025-editie)
  • LOINC version 2.77

Conditions for use are located on the mainpage
This page is generated on 27/05/2025 13:57:58 with ZibExtraction v. 9.5.9242.40707

Back to HCIM list
Overgenomen van "https://zibs.test-nictiz.nl/index.php?title=Payer-v4.1(2024EN)&oldid=31803"