{
  "description": "Payer as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB)  version 3.1, release 2017.",
  "_filename": "zib-Payer.json",
  "package_name": "nictiz.fhir.nl.stu3.zib2017",
  "date": null,
  "derivation": "constraint",
  "publisher": "Nictiz",
  "fhirVersion": "3.0.1",
  "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.",
  "name": "Zib Payer",
  "mapping": [ {
    "uri": "https://zibs.nl/wiki/Payer-v1.2(2015EN)",
    "name": "HCIM Payer-v1.2(2015EN)",
    "identity": "hcim-payer-v1.2-2015EN"
  }, {
    "uri": "https://zibs.nl/wiki/Payer-v3.0(2016EN)",
    "name": "HCIM Payer-v3.0(2016EN)",
    "identity": "hcim-payer-v3.0-2016EN"
  }, {
    "uri": "https://zibs.nl/wiki/Payer-v3.1(2017EN)",
    "name": "HCIM Payer-v3.1(2017EN)",
    "identity": "hcim-payer-v3.1-2017EN"
  }, {
    "uri": "https://zibs.nl/wiki/BasicElements-v1.0(2017EN)",
    "name": "HCIM BasicElements-v1.0(2017EN)",
    "identity": "hcim-basicelements-v1.0-2017EN"
  } ],
  "abstract": false,
  "copyright": "CC0",
  "type": "Coverage",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "HCIM Payer",
  "package_version": "1.2.0",
  "status": "active",
  "id": "edca53aa-706a-4332-b882-c7fc762c238f",
  "kind": "resource",
  "url": "http://nictiz.nl/fhir/StructureDefinition/zib-Payer",
  "version": "2.0.1",
  "differential": {
    "element": [ {
      "id": "Coverage",
      "path": "Coverage",
      "alias": [ "Verzekering" ],
      "short": "Coverage",
      "mapping": [ {
        "map": "NL-CM:1.1.8",
        "comment": "Insurance",
        "identity": "hcim-payer-v1.2-2015EN"
      }, {
        "map": "NL-CM:1.1.8",
        "comment": "Insurance",
        "identity": "hcim-payer-v3.0-2016EN"
      }, {
        "map": "NL-CM:1.1.8",
        "comment": "Insurance",
        "identity": "hcim-payer-v3.1-2017EN"
      }, {
        "map": "NL-CM:1.1.1",
        "comment": "Payer",
        "identity": "hcim-payer-v1.2-2015EN"
      }, {
        "map": "NL-CM:1.1.1",
        "comment": "Payer",
        "identity": "hcim-payer-v3.0-2016EN"
      }, {
        "map": "NL-CM:1.1.1",
        "comment": "Payer",
        "identity": "hcim-payer-v3.1-2017EN"
      } ]
    }, {
      "id": "Coverage.type",
      "path": "Coverage.type",
      "alias": [ "VerzekeringsSoort" ],
      "short": "InsuranceType",
      "binding": {
        "strength": "extensible",
        "description": "InsuranceTypeCodelist",
        "valueSetReference": {
          "display": "VerzekeringssoortCodelijst",
          "reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.1.1.1--20171231000000"
        }
      },
      "mapping": [ {
        "map": "NL-CM:1.1.15",
        "comment": "InsuranceType",
        "identity": "hcim-payer-v1.2-2015EN"
      }, {
        "map": "NL-CM:1.1.15",
        "comment": "InsuranceType",
        "identity": "hcim-payer-v3.0-2016EN"
      }, {
        "map": "NL-CM:1.1.15",
        "comment": "InsuranceType",
        "identity": "hcim-payer-v3.1-2017EN"
      } ],
      "definition": "Type of insurance policy. Codes as returned in the Check for Right to Insurance"
    }, {
      "id": "Coverage.policyHolder",
      "path": "Coverage.policyHolder",
      "type": [ {
        "code": "Reference",
        "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-patient"
      }, {
        "code": "Reference",
        "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson"
      }, {
        "code": "Reference",
        "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-organization"
      } ]
    }, {
      "id": "Coverage.subscriber",
      "path": "Coverage.subscriber",
      "type": [ {
        "code": "Reference",
        "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-patient"
      }, {
        "code": "Reference",
        "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson"
      } ]
    }, {
      "id": "Coverage.subscriberId",
      "path": "Coverage.subscriberId",
      "alias": [ "VerzekerdeNummer" ],
      "short": "InsurantNumber",
      "mapping": [ {
        "map": "NL-CM:1.1.6",
        "comment": "InsurantNumber",
        "identity": "hcim-payer-v1.2-2015EN"
      }, {
        "map": "NL-CM:1.1.6",
        "comment": "InsurantNumber",
        "identity": "hcim-payer-v3.0-2016EN"
      }, {
        "map": "NL-CM:1.1.6",
        "comment": "InsurantNumber",
        "identity": "hcim-payer-v3.1-2017EN"
      } ],
      "definition": "Number under which the insured person is registered at the insurance company\r\nThis item maps the ‘Identification number of the card’ on EHIC field 8"
    }, {
      "id": "Coverage.beneficiary",
      "path": "Coverage.beneficiary",
      "type": [ {
        "code": "Reference",
        "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-patient"
      } ],
      "mapping": [ {
        "map": "NL-CM:0.0.11",
        "comment": "Subject",
        "identity": "hcim-basicelements-v1.0-2017EN"
      } ]
    }, {
      "id": "Coverage.period",
      "path": "Coverage.period",
      "mapping": [ {
        "map": "NL-CM:0.0.14",
        "comment": "DateTime",
        "identity": "hcim-basicelements-v1.0-2017EN"
      } ]
    }, {
      "id": "Coverage.period.start",
      "path": "Coverage.period.start",
      "alias": [ "BeginDatumTijd" ],
      "short": "StartDateTime",
      "mapping": [ {
        "map": "NL-CM:1.1.13",
        "comment": "StartDateTime",
        "identity": "hcim-payer-v1.2-2015EN"
      }, {
        "map": "NL-CM:1.1.13",
        "comment": "StartDateTime",
        "identity": "hcim-payer-v3.0-2016EN"
      }, {
        "map": "NL-CM:1.1.13",
        "comment": "StartDateTime",
        "identity": "hcim-payer-v3.1-2017EN"
      } ],
      "definition": "Date from which the insurance policy coverage applies."
    }, {
      "id": "Coverage.period.end",
      "min": 1,
      "path": "Coverage.period.end",
      "alias": [ "EindDatumTijd" ],
      "short": "EndDateTime",
      "mapping": [ {
        "map": "NL-CM:1.1.14",
        "comment": "EndDateTime",
        "identity": "hcim-payer-v1.2-2015EN"
      }, {
        "map": "NL-CM:1.1.14",
        "comment": "EndDateTime",
        "identity": "hcim-payer-v3.0-2016EN"
      }, {
        "map": "NL-CM:1.1.14",
        "comment": "EndDateTime",
        "identity": "hcim-payer-v3.1-2017EN"
      } ],
      "definition": "Date until which the insurance policy coverage applies.\r\nThis item maps the ‘Expiry date’ on EHIC field 9."
    }, {
      "id": "Coverage.payor",
      "min": 1,
      "path": "Coverage.payor",
      "type": [ {
        "code": "Reference",
        "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-organization"
      }, {
        "code": "Reference",
        "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-patient"
      }, {
        "code": "Reference",
        "targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson"
      } ],
      "alias": [ "Verzekeraar", "BetalerPersoon" ],
      "short": "InsuranceCompany / PayerPerson",
      "mapping": [ {
        "map": "NL-CM:1.1.2",
        "comment": "PayerPerson is Patient or RelatedPerson",
        "identity": "hcim-payer-v1.2-2015EN"
      }, {
        "map": "NL-CM:1.1.2",
        "comment": "PayerPerson",
        "identity": "hcim-payer-v3.0-2016EN"
      }, {
        "map": "NL-CM:1.1.2",
        "comment": "PayerPerson",
        "identity": "hcim-payer-v3.1-2017EN"
      }, {
        "map": "NL-CM:1.1.3",
        "comment": "InsuranceCompany",
        "identity": "hcim-payer-v1.2-2015EN"
      }, {
        "map": "NL-CM:1.1.3",
        "comment": "InsuranceCompany",
        "identity": "hcim-payer-v3.0-2016EN"
      }, {
        "map": "NL-CM:1.1.3",
        "comment": "InsuranceCompany",
        "identity": "hcim-payer-v3.1-2017EN"
      } ]
    }, {
      "id": "Coverage.payor.extension",
      "path": "Coverage.payor.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Coverage.payor.extension:bankInformation",
      "path": "Coverage.payor.extension",
      "type": [ {
        "code": "Extension",
        "profile": "http://nictiz.nl/fhir/StructureDefinition/zib-Payer-BankInformation"
      } ],
      "mapping": [ {
        "map": "NL-CM:1.1.4",
        "comment": "BankInformation",
        "identity": "hcim-payer-v1.2-2015EN"
      }, {
        "map": "NL-CM:1.1.4",
        "comment": "BankInformation",
        "identity": "hcim-payer-v3.0-2016EN"
      }, {
        "map": "NL-CM:1.1.4",
        "comment": "BankInformation",
        "identity": "hcim-payer-v3.1-2017EN"
      } ],
      "sliceName": "bankInformation"
    }, {
      "id": "Coverage.payor.extension:bankInformation.extension:BankName",
      "path": "Coverage.payor.extension.extension",
      "alias": [ "BankNaam" ],
      "short": "BankName",
      "mapping": [ {
        "map": "NL-CM:1.1.9",
        "comment": "BankName",
        "identity": "hcim-payer-v1.2-2015EN"
      }, {
        "map": "NL-CM:1.1.9",
        "comment": "BankName",
        "identity": "hcim-payer-v3.0-2016EN"
      }, {
        "map": "NL-CM:1.1.9",
        "comment": "BankName",
        "identity": "hcim-payer-v3.1-2017EN"
      } ],
      "sliceName": "BankName",
      "definition": "Name of the financial organization."
    }, {
      "id": "Coverage.payor.extension:bankInformation.extension:AccountNumber",
      "path": "Coverage.payor.extension.extension",
      "alias": [ "Rekeningnummer" ],
      "short": "AccountNumber",
      "mapping": [ {
        "map": "NL-CM:1.1.11",
        "comment": "AccountNumber",
        "identity": "hcim-payer-v1.2-2015EN"
      }, {
        "map": "NL-CM:1.1.11",
        "comment": "AccountNumber",
        "identity": "hcim-payer-v3.0-2016EN"
      }, {
        "map": "NL-CM:1.1.11",
        "comment": "AccountNumber",
        "identity": "hcim-payer-v3.1-2017EN"
      } ],
      "sliceName": "AccountNumber",
      "definition": "The payer’s bank account number at the listed organization. For European countries, this is the IBAN."
    }, {
      "id": "Coverage.payor.extension:bankInformation.extension:Bankcode",
      "path": "Coverage.payor.extension.extension",
      "alias": [ "Bankcode" ],
      "short": "Bankcode",
      "mapping": [ {
        "map": "NL-CM:1.1.10",
        "comment": "BankCode",
        "identity": "hcim-payer-v1.2-2015EN"
      }, {
        "map": "NL-CM:1.1.10",
        "comment": "BankCode",
        "identity": "hcim-payer-v3.0-2016EN"
      }, {
        "map": "NL-CM:1.1.10",
        "comment": "BankCode",
        "identity": "hcim-payer-v3.1-2017EN"
      } ],
      "sliceName": "Bankcode",
      "definition": "Code indicating the bank and branch. For European countries, this is the organization’s BIC or SWIFT code."
    }, {
      "id": "Coverage.payor.extension:bankInformation.url",
      "path": "Coverage.payor.extension.url",
      "fixedUri": "http://nictiz.nl/fhir/StructureDefinition/zib-Payer-BankInformation"
    } ]
  },
  "contact": [ {
    "name": "Nictiz",
    "telecom": [ {
      "use": "work",
      "value": "info@nictiz.nl",
      "system": "email"
    } ]
  } ],
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Coverage"
}