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DFT Notifications

 

V 2.9 HL7 Proposal

Change Request ID:

 

File Name:

 

Description:

Add new fields to IN3 for verification details

Status:

Proposal for v2.9

HL7-Version

2.9

Chapter/Section

6.5.8

Sponsoring Person

Frank Oemig

Sponsoring Business Unit

HL7 Germany

Date Originated:

03/05/19

Date HL7 approved:

 

Backward Compatible:

Yes

Forward Compatible:

Yes

HL7 Status & Date

To be reviewed during March 2019 Harmonization Meeting and May 2019 WGM

 

Justification Detail

German law requires the verification of insurance information as provided with an insurance card by online services. The result of this verification must be stored and communicated. The best option to represent this information is with new fields in IN3 segment.

 

Links:

https://www.vesta-gematik.de/standards/detail/standards/implementierungsleitfaden-primaersysteme-ti-2/

ftp://ftp.kbv.de/ita-update/Abrechnung/KBV_ITA_VGEX_Datensatzbeschreibung_KVDT.pdf

https://www.vesta-gematik.de/standard/formhandler/64/gemILF_PS_V2_0_0_Aend.pdf

 

IN3

 

SEQ

LEN

C.LEN

DT

OPT

RP/#

TBL#

ITEM#

ELEMENT NAME

 

 

 

 

 

 

 

 

 

28

 

 

DTM

O

N

 

Nnnn1

Online Verification Date/Time

29

 

 

CWE

C(R/X)

N

Nnn1

Nnnn2

Online Verification Result

30

 

 

CWE

C(R/X)

N

Nnn2

Nnnn3

Online Verification Result Error Code

31

 

 

ST

C(R/X)

N

 

Nnnn4

Online Verification Result Check Digit

 

IN3-28   Online Verification Date/Time    (DTM)   nnnn1

Definition:  This field contains the timestamp of the online verification of the insurance information.

IN3-29   Online Verification Result    (CWE)   nnnn2

Components:  <Identifier (ST)> ^ <Text (ST)> ^ <Name of Coding System (ID)> ^ <Alternate Identifier (ST)> ^ <Alternate Text (ST)> ^ <Name of Alternate Coding System (ID)> ^ <Coding System Version ID (ST)> ^ <Alternate Coding System Version ID (ST)> ^ <Original Text (ST)> ^ <Second Alternate Identifier (ST)> ^ <Second Alternate Text (ST)> ^ <Name of Second Alternate Coding System (ID)> ^ <Second Alternate Coding System Version ID (ST)> ^ <Coding System OID (ST)> ^ <Value Set OID (ST)> ^ <Value Set Version ID (DTM)> ^ <Alternate Coding System OID (ST)> ^ <Alternate Value Set OID (ST)> ^ <Alternate Value Set Version ID (DTM)> ^ <Second Alternate Coding System OID (ST)> ^ <Second Alternate Value Set OID (ST)> ^ <Second Alternate Value Set Version ID (DTM)>

Definition:  This field contains the result of the online verification .  Refer to User-defined Table nnn1 – Online Verification Result in Chapter 2C, Code Tables, for suggested values. This field is required if IN3-28 is populated.

IN3-30   Online Verification Result Error Code    (CWE)   nnnn3

Components:  <Identifier (ST)> ^ <Text (ST)> ^ <Name of Coding System (ID)> ^ <Alternate Identifier (ST)> ^ <Alternate Text (ST)> ^ <Name of Alternate Coding System (ID)> ^ <Coding System Version ID (ST)> ^ <Alternate Coding System Version ID (ST)> ^ <Original Text (ST)> ^ <Second Alternate Identifier (ST)> ^ <Second Alternate Text (ST)> ^ <Name of Second Alternate Coding System (ID)> ^ <Second Alternate Coding System Version ID (ST)> ^ <Coding System OID (ST)> ^ <Value Set OID (ST)> ^ <Value Set Version ID (DTM)> ^ <Alternate Coding System OID (ST)> ^ <Alternate Value Set OID (ST)> ^ <Alternate Value Set Version ID (DTM)> ^ <Second Alternate Coding System OID (ST)> ^ <Second Alternate Value Set OID (ST)> ^ <Second Alternate Value Set Version ID (DTM)>

Definition:  This field contains the error code for the result of the online verification.  Refer to User-defined Table nnn2 – Online Verification Result Error Code in Chapter 2C, Code Tables, for suggested values. This field is required if IN3-28 is populated.

IN3-31   Online Verification Result Check Digit    (ST)   nnnn4

Definition:  This field contains the check digit for the online verification of the insurance information. This field is required if IN3-28 is populated.

 

Outstanding Issues

none

V3 Implications

none

V2 Implications

none

v2.xml Implications

none