Be.en.hd.Payer

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General

Name: be.en.hd.Payer
Version: 0.0.1
Status: Draft

Metadata

DCM::CoderList healthdata.be
DCM::ContactInformation.Address *
DCM::ContactInformation.Name *
DCM::ContactInformation.Telecom *
DCM::ContentAuthorList Clinical Building Blocks Expert Group & healthdata.be
DCM::CreationDate 23-11-2012
DCM::DeprecatedDate
DCM::DescriptionLanguage en
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name healthdata.be
DCM::EndorsingAuthority.Telecom
DCM::Id 2.16.840.1.113883.2.4.3.11.60.40.3.1.1
DCM::KeywordList Verzekeringsgegevens
DCM::LifecycleStatus Draft
DCM::ModelerList Clinical Building Blocks Expert Group & healthdata.be
DCM::Name be.en.hd.Payer
DCM::PublicationDate
DCM::PublicationStatus
DCM::ReviewerList Clinical Building Blocks Expert Group & healthdata.be
DCM::RevisionDate 05-01-2016
DCM::Superseeds
DCM::Version 0.0.1

Revision History

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.

Information model

Be.en.hd.PayerModel.png
Refer to the legend page for more information about the used types and data types

rootconcept Payer
Definition Root concept of the Payer building block. This root concept contains all data elements of the Payer building block.
Type Zib.png
container PayerPerson
Definition Container of the PayerPerson concept. This container contains all data elements of the PayerPerson concept.
Datatype Container.png
data PayerName
Definition Full name of the paying person or organization (legal entity).
Datatype ST.png
container BankInformation
Definition Container of the BankInformation concept. This container contains all data elements of the BankInformation concept.
Datatype Container.png
data BankName
Definition Name of the financial organization.
Datatype ST.png
DCM::ExampleValue ING
data BankCode
Definition Code indicating the bank and branch. For European countries, this is the organization’s BIC or SWIFT code.
Datatype ST.png
DCM::ExampleValue INGBNL2A
data AccountNumber
Definition The payer’s bank account number at the listed organization. For European countries, this is the IBAN.
Datatype ST.png
DCM::ExampleValue NL85INGB0001234567
container InsuranceCompany
Definition Container of the InsuranceCompany concept. This container contains all data elements of the InsuranceCompany concept.
Datatype Container.png
container Insurance
Definition Container of the Insurance concept. This container contains all data elements of the Insurance concept.
Datatype Container.png
data StartDateTime
Definition Date from which the insurance policy coverage applies.
Datatype TS.png
DCM::ExampleValue 01-01-2012
data EndDateTime
Definition Date until which the insurance policy coverage applies.

This item maps the ‘Expiry date’ on EHIC field 9.

Datatype TS.png
DCM::ExampleValue 31-01-2013
data IdentificationNumber
Definition Unique healthcare insurance company identification (the UZOVI number).
Datatype 16px
DCM::AssigningAuthority UZOVI OID: 2.16.840.1.113883.2.4.6.4
DCM::ExampleValue 3312
data OrganizationName
Definition 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).
Datatype ST.png
DCM::ExampleValue MijnZorgverzekering N.V.
data InsurantNumber
Definition 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

Datatype ST.png
DCM::ExampleValue 992298765
data Address::AddressInformation
Definition The payer’s address information.
Datatype Container.png
DCM::ReferencedDefinitionCode NL-CM:0.1.4 Dit is een verwijzing naar het concept Adresgegevens in de bouwsteen Patient
data TelephoneE-mail::ContactInformation
Definition The payer’s telephone number and/or e-mail address.
Datatype Container.png
DCM::ReferencedDefinitionCode NL-CM:0.1.5 Dit is een verwijzing naar het concept Contactgegevens in de bouwsteen Patient
data InsuranceType
Definition Type of insurance policy. Codes as returned in the Check for Right to Insurance
Datatype CD.png
DCM::ExampleValue Basis verzekerd
DCM::ValueSet File:List.png InsuranceTypeCodeList OID: 2.16.840.1.113883.2.4.3.11.60.40.2.1.1.1

Code Lists

InsuranceTypeCodeList

|-|InsuranceTypeCodeList||-|ConceptName|ConceptCode|Codesystem|CodesystemOID|Description|

Concept Name Concept Code Codesystem Codesystem OID Description
To be decided -

References