GAO Ballot Package

This page is part of the FHIR Specification (v1.1.0: STU 3 Ballot 1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

This is a frozen snapshot of the FHIR specification created for the purpose of balloting the GAO implementation Guide. It includes draft changes that may be part of the future DSTU 2.1 release but further change is expected. Readers should focus solely on the GAO implementation content, and FHIR DSTU 2 for other purposes.

7.3.6 Resource Coverage - Mappings

Mappings for the coverage resource.

7.3.6.1 Mappings for RIM (http://hl7.org/v3)

CoverageCoverage
    issuer
    bin
    period
    type
    subscriberId
    identifier
    group
    plan
    subPlan
    dependent
    sequence
    subscriber
    network
    contract

7.3.6.2 Mappings for HL7 v2 (http://hl7.org/v2)

Coverage
    issuerIN1-3
    bin
    periodIN1-12 / IN1-13
    typeIN1-15
    subscriberId
    identifierIN1-2
    groupIN1-8
    planIN1-35
    subPlanIN1-10
    dependent- No exact HL7 v2 equivalent concept seems to exist; instance relationship can be inferred if ( ( PID-3 ??? IN1-49 ) & ( ?? IN2-72 ) )
    sequenceNo HL7 v2 equivalent concept seems to exist
    subscriberIN1-16, 18, 19-name of insured, address, date of birth
    network
    contractIN1-16, 18, 19

7.3.6.3 Mappings for Canadian Dental Association eclaims standard (http://www.cda-adc.ca/en/services/cdanet/)

Coverage
    issuerA05
    bin
    period
    type
    subscriberId
    identifierC02
    groupC11 (Division,Section)
    planC01
    subPlan
    dependentC17
    sequenceD11
    subscriberD01 through D09
    networkD10
    contractD01 through D09

7.3.6.4 Mappings for Canadian Pharmacy Associaiton eclaims standard (http://www.pharmacists.ca/)

Coverage
    issuerC.30
    bin
    period
    type
    subscriberId
    identifierC.32, C.33, C.39
    groupC.31
    plan
    subPlan
    dependent
    sequence
    subscriberC.35
    network
    contractC.35