| Id |
1.3.6.1.4.1.19376.1.5.3.1.4.18
ref
IHE-PCC-
|
Effective Date |
2016‑10‑14 09:06:18 |
| Status |
 Active
|
Version Label |
2014 |
| Name |
IHEPayerEntry |
Display Name |
IHE Payer Entry |
| Description |
The payer entry allows information about the patient's sources of payment to be recorded. |
| Context |
Parent nodes of template element with id 1.3.6.1.4.1.19376.1.5.3.1.4.18 |
| Label |
6.3.4.37
|
| Classification |
CDA Entry Level Template |
| Open/Closed |
Open (other than defined elements are allowed) |
| Used by / Uses |
| Used by 0 transactions and 3 templates, Uses 0 templates |
|
|
|
| Relationship |
Specialization: template 2.16.840.1.113883.10.12.301 CDA Act (2005‑09‑07)
ref
ad1bbr-
Specialization: template 2.16.840.1.113883.10.20.1.26 Policy activity (2007‑04‑01)
ref
ccd1-
|
| Example |
| Example |
<act classCode="ACT" moodCode="EVN">
<templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.18"/> <templateId root="2.16.840.1.113883.10.20.1.26"/> <id root="1.2.3.999" extension="--example only--"/> <code/> <statusCode code="completed"/> <performer typeCode="PRF">
<assignedEntity classCode="ASSIGNED">
<id root="1.2.3.999" extension="--example only--"/> <code/> <addr>addr</addr> <telecom value="tel:+1-12345678"/> <assignedPerson/> <representedOrganization/> </assignedEntity> </performer> <participant typeCode="COV">
<participantRole classCode="PAT">
<id root="1.2.3.999" extension="--example only--"/> <code/> <addr>addr</addr> <telecom value="tel:+1-12345678"/> </participantRole> </participant> <participant typeCode="HLD">
<participantRole classCode="IND">
<id root="1.2.3.999" extension="--example only--"/> <addr>addr</addr> <telecom value="tel:+1-12345678"/> </participantRole> </participant> <entryRelationship typeCode="REFR">
<act classCode="ACT">
<id root="1.2.3.999" extension="--example only--"/> <text/> </act> </entryRelationship></act> |
|
| Item |
DT |
Card |
Conf |
Description |
Label |
hl7:act
|
|
|
|
|
6.3.4.37 |
@classCode
|
cs |
1 … 1 |
F |
ACT |
@moodCode
|
cs |
1 … 1 |
F |
EVN |
hl7:templateId
|
II |
1 … 1 |
M |
|
6.3.4.37 |
@root
|
uid |
1 … 1 |
F |
1.3.6.1.4.1.19376.1.5.3.1.4.18 |
hl7:templateId
|
II |
1 … 1 |
M |
|
6.3.4.37 |
@root
|
uid |
1 … 1 |
F |
2.16.840.1.113883.10.20.1.26 |
hl7:id
|
II |
1 … * |
R |
|
6.3.4.37 |
hl7:code
|
CD |
1 … 1 |
M |
|
6.3.4.37 |
hl7:statusCode
|
CS |
1 … 1 |
M |
|
6.3.4.37 |
@code
|
CONF |
1 … 1 |
F |
completed |
hl7:performer
|
|
1 … 1 |
M |
|
6.3.4.37 |
@typeCode
|
cs |
0 … 1 |
F |
PRF |
hl7:assignedEntity
|
|
1 … 1 |
M |
|
6.3.4.37 |
@classCode
|
cs |
0 … 1 |
F |
ASSIGNED |
hl7:id
|
II |
0 … * |
R |
|
6.3.4.37 |
hl7:code
|
CE |
1 … 1 |
M |
|
6.3.4.37 |
hl7:addr
|
AD |
1 … * |
M |
|
6.3.4.37 |
hl7:telecom
|
TEL |
1 … * |
M |
|
6.3.4.37 |
hl7:assignedPerson
|
|
0 … 1 |
|
|
6.3.4.37 |
hl7:representedOrganization
|
|
0 … 1 |
|
|
6.3.4.37 |
hl7:participant
|
|
1 … 1 |
R |
|
6.3.4.37 |
| where [@typeCode='COV'] |
|
@typeCode
|
cs |
1 … 1 |
F |
COV |
hl7:participantRole
|
|
1 … 1 |
M |
|
6.3.4.37 |
@classCode
|
cs |
1 … 1 |
F |
PAT |
hl7:id
|
II |
0 … * |
|
|
6.3.4.37 |
hl7:code
|
CE |
1 … 1 |
R |
|
6.3.4.37 |
hl7:addr
|
AD |
0 … * |
|
|
6.3.4.37 |
hl7:telecom
|
TEL |
0 … * |
|
|
6.3.4.37 |
hl7:participant
|
|
0 … 1 |
|
|
6.3.4.37 |
| where [@typeCode='HLD'] |
|
@typeCode
|
cs |
1 … 1 |
F |
HLD |
hl7:participantRole
|
|
1 … 1 |
M |
|
6.3.4.37 |
@classCode
|
cs |
1 … 1 |
R |
|
hl7:id
|
II |
1 … * |
R |
|
6.3.4.37 |
hl7:addr
|
AD |
1 … * |
R |
|
6.3.4.37 |
hl7:telecom
|
TEL |
1 … * |
R |
|
6.3.4.37 |
hl7:entryRelationship
|
|
0 … * |
|
|
6.3.4.37 |
@typeCode
|
cs |
1 … 1 |
F |
REFR |
hl7:act
|
|
1 … 1 |
M |
|
6.3.4.37 |
@classCode
|
cs |
1 … 1 |
F |
ACT |
hl7:id
|
II |
1 … * |
R |
|
6.3.4.37 |
hl7:text
|
|
0 … 1 |
|
|
6.3.4.37 |
|
XeH Laboratory Result Report (0.1)