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| Original file line number | Diff line number | Diff line change |
|---|---|---|
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| <Organization xmlns="http://hl7.org/fhir"> | ||
| <id value="nl-core-Payer-Organization-01"/> | ||
| <meta> | ||
| <profile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-Payer-Organization"/> | ||
| </meta> | ||
| <text> | ||
| <status value="extensions"/> | ||
| <div xmlns="http://www.w3.org/1999/xhtml"> | ||
| <table> | ||
| <caption>Organisatie. Id: 3332 (UZOVI)</caption> | ||
| <tbody> | ||
| <tr> | ||
| <th>Naam</th> | ||
| <td>Menzis Zorgverzekeraar N.V.</td> | ||
| </tr> | ||
| <tr> | ||
| <th>Contactgegevens</th> | ||
| <td> | ||
| <a href="tel:+3150523333">+3150523333</a> (Tel Werk)</td> | ||
| </tr> | ||
| <tr> | ||
| <th>Adres</th> | ||
| <td>Postbus 34000, 7500 KC Enschede, Nederland</td> | ||
| </tr> | ||
| </tbody> | ||
| </table> | ||
| </div> | ||
| </text> | ||
| <identifier> | ||
| <system value="http://fhir.nl/fhir/NamingSystem/uzovi"/> | ||
| <value value="3332"/> | ||
| </identifier> | ||
| <name value="Menzis Zorgverzekeraar N.V."/> | ||
| <telecom> | ||
| <system value="phone"> | ||
| <extension url="http://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification"> | ||
| <valueCodeableConcept> | ||
|
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| <coding> | ||
| <system value="urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.22.1"/> | ||
| <code value="LL"/> | ||
| <display value="Vaste lijn"/> | ||
| </coding> | ||
| </valueCodeableConcept> | ||
| </extension> | ||
| </system> | ||
| <value value="+3150523333"/> | ||
| <use value="work"/> | ||
| </telecom> | ||
| <address> | ||
| <line value="Postbus 34000"> | ||
| <extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName"> | ||
| <valueString value="Postbus"/> | ||
| </extension> | ||
| <extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber"> | ||
| <valueString value="34000"/> | ||
| </extension> | ||
| </line> | ||
| <city value="Enschede"/> | ||
| <postalCode value="7500 KC"/> | ||
| <country value="Nederland"> | ||
| <extension url="http://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification"> | ||
| <valueCodeableConcept> | ||
| <coding> | ||
| <system value="urn:iso:std:iso:3166"/> | ||
| <code value="NL"/> | ||
| <display value="Nederland"/> | ||
| </coding> | ||
| </valueCodeableConcept> | ||
| </extension> | ||
| </country> | ||
| </address> | ||
| </Organization> | ||
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|---|---|---|
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| <Organization xmlns="http://hl7.org/fhir"> | ||
| <id value="nl-core-Payer-Organization-02"/> | ||
| <meta> | ||
| <profile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-Payer-Organization"/> | ||
| </meta> | ||
| <text> | ||
| <status value="extensions"/> | ||
| <div xmlns="http://www.w3.org/1999/xhtml"> | ||
| <table> | ||
| <caption>Organisatie. </caption> | ||
| <tbody> | ||
| <tr> | ||
| <th>Naam</th> | ||
| <td>J.P.M. van Putten</td> | ||
| </tr> | ||
| <tr> | ||
| <th>Contactgegevens</th> | ||
| <td> | ||
| <a href="tel:+311725233111">+311725233111</a> (Tel Privé)</td> | ||
| </tr> | ||
| <tr> | ||
| <th>Adres</th> | ||
| <td>1e Jacob van Campenstr 15, 1012 NX Hoogmade Kaag en Braassem, Nederland (Privé Post / Bezoek)</td> | ||
| </tr> | ||
| </tbody> | ||
| </table> | ||
| </div> | ||
| </text> | ||
| <name value="J.P.M. van Putten"/> | ||
| <telecom> | ||
|
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| <system value="phone"/> | ||
| <value value="+311725233111"/> | ||
| <use value="home"/> | ||
| </telecom> | ||
| <address> | ||
|
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| <extension url="http://nictiz.nl/fhir/StructureDefinition/ext-AddressInformation.AddressType"> | ||
| <valueCodeableConcept> | ||
| <coding> | ||
| <system value="http://terminology.hl7.org/CodeSystem/v3-AddressUse"/> | ||
| <code value="HP"/> | ||
| <display value="Primary Home"/> | ||
| </coding> | ||
| </valueCodeableConcept> | ||
| </extension> | ||
| <use value="home"/> | ||
| <type value="both"/> | ||
| <line value="1e Jacob van Campenstr 15"> | ||
| <extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-streetName"> | ||
| <valueString value="1e Jacob van Campenstr"/> | ||
| </extension> | ||
| <extension url="http://hl7.org/fhir/StructureDefinition/iso21090-ADXP-houseNumber"> | ||
| <valueString value="15"/> | ||
| </extension> | ||
| </line> | ||
| <city value="Hoogmade"/> | ||
| <district value="Kaag en Braassem"/> | ||
| <postalCode value="1012 NX"/> | ||
| <country value="Nederland"> | ||
| <extension url="http://nictiz.nl/fhir/StructureDefinition/ext-CodeSpecification"> | ||
| <valueCodeableConcept> | ||
| <coding> | ||
| <system value="urn:iso:std:iso:3166"/> | ||
| <code value="NL"/> | ||
| <display value="Nederland"/> | ||
| </coding> | ||
| </valueCodeableConcept> | ||
| </extension> | ||
| </country> | ||
| </address> | ||
| </Organization> | ||
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|---|---|---|
| @@ -0,0 +1,61 @@ | ||
| <Coverage xmlns="http://hl7.org/fhir"> | ||
| <id value="nl-core-Payer.InsuranceCompany-01"/> | ||
| <meta> | ||
| <profile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-Payer.InsuranceCompany"/> | ||
| </meta> | ||
| <text> | ||
| <status value="extensions"/> | ||
| <div xmlns="http://www.w3.org/1999/xhtml"> | ||
| <table> | ||
| <caption>Verzekering/garantstelling. Status: geannuleerd</caption> | ||
| <tbody> | ||
| <tr> | ||
| <th>Type</th> | ||
| <td> | ||
| <span title="Basis (B - 2.16.840.1.113883.2.4.3.11.60.101.5.1)">Basis</span> | ||
| </td> | ||
| </tr> | ||
| <tr> | ||
| <th>Periode</th> | ||
| <td>1 januari 2012 - 31 januari 2013</td> | ||
| </tr> | ||
| <tr> | ||
| <th>Verzekerdenummer</th> | ||
| <td>12345678</td> | ||
| </tr> | ||
| <tr> | ||
| <th>Betaler</th> | ||
| <td>Payer organization, Menzis Zorgverzekeraar N.V., UZOVI 3332</td> | ||
| </tr> | ||
| <tr> | ||
| <th>begunstigde</th> | ||
| <td>Patient, Johanna Petronella Maria (Jo) van Putten-van der Giessen</td> | ||
| </tr> | ||
| </tbody> | ||
| </table> | ||
| </div> | ||
| </text> | ||
| <status value="cancelled"/> | ||
| <type> | ||
|
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| <coding> | ||
| <system value="urn:oid:2.16.840.1.113883.2.4.3.11.60.101.5.1"/> | ||
| <code value="B"/> | ||
| <display value="Basis"/> | ||
| </coding> | ||
| </type> | ||
| <subscriberId value="12345678"/> | ||
| <beneficiary> | ||
| <reference value="Patient/nl-core-Patient-01"/> | ||
| <type value="Patient"/> | ||
| <display value="Patient, Johanna Petronella Maria (Jo) van Putten-van der Giessen"/> | ||
| </beneficiary> | ||
| <period> | ||
| <start value="2012-01-01"/> | ||
| <end value="2013-01-31"/> | ||
| </period> | ||
| <payor> | ||
| <reference value="Organization/nl-core-Payer-Organization-01"/> | ||
| <type value="Organization"/> | ||
| <display value="Payer organization, Menzis Zorgverzekeraar N.V., UZOVI 3332"/> | ||
| </payor> | ||
| </Coverage> | ||
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| Original file line number | Diff line number | Diff line change |
|---|---|---|
| @@ -0,0 +1,59 @@ | ||
| <Coverage xmlns="http://hl7.org/fhir"> | ||
| <id value="nl-core-Payer.PayerPerson-02"/> | ||
| <meta> | ||
| <profile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-Payer.PayerPerson"/> | ||
| </meta> | ||
| <text> | ||
| <status value="extensions"/> | ||
| <div xmlns="http://www.w3.org/1999/xhtml"> | ||
| <table> | ||
| <caption>Verzekering/garantstelling. Status: actief</caption> | ||
| <tbody> | ||
| <tr> | ||
| <th>Type</th> | ||
| <td> | ||
| <span title="Pay (pay - http://terminology.hl7.org/CodeSystem/coverage-selfpay)">Pay</span> | ||
| </td> | ||
| </tr> | ||
| <tr> | ||
| <th>Betaler</th> | ||
| <td>Payer organization, J.P.M. van Putten</td> | ||
| </tr> | ||
| <tr> | ||
| <th>begunstigde</th> | ||
| <td>Patient, Johanna Petronella Maria (Jo) van Putten-van der Giessen</td> | ||
| </tr> | ||
| </tbody> | ||
| </table> | ||
| </div> | ||
| </text> | ||
| <extension url="http://nictiz.nl/fhir/StructureDefinition/ext-Payer.BankInformation"> | ||
| <extension url="bankName"> | ||
| <valueString value="ING"/> | ||
| </extension> | ||
| <extension url="bankCode"> | ||
| <valueString value="INGBNL2A"/> | ||
| </extension> | ||
| <extension url="accountNumber"> | ||
| <valueString value="NL98INGB0003856625"/> | ||
| </extension> | ||
| </extension> | ||
| <status value="active"/> | ||
| <type> | ||
| <coding> | ||
| <system value="http://terminology.hl7.org/CodeSystem/coverage-selfpay"/> | ||
| <code value="pay"/> | ||
| <display value="Pay"/> | ||
| </coding> | ||
| </type> | ||
| <beneficiary> | ||
| <reference value="Patient/nl-core-Patient-01"/> | ||
| <type value="Patient"/> | ||
| <display value="Patient, Johanna Petronella Maria (Jo) van Putten-van der Giessen"/> | ||
| </beneficiary> | ||
| <payor> | ||
| <reference value="Organization/nl-core-Payer-Organization-02"/> | ||
| <type value="Organization"/> | ||
| <display value="Payer organization, J.P.M. van Putten"/> | ||
| </payor> | ||
| </Coverage> |