STU 3 Ballot

This page is part of the FHIR Specification (v1.6.0: STU 3 Ballot 4). 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

13.3.6 Resource Coverage - Mappings

Mappings:

RIM Mapping

HL7 v2 Mapping

Canadian Dental Association eclaims standard

Canadian Pharmacy Associaiton eclaims standard

Mappings for the coverage resource.

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

CoverageCoverage
    status
    issuer[x]
    isAgreement
    bin
    period
    type
    planholder[x]
    beneficiary[x]
    relationship
    identifier
    group
    subGroup
    plan
    subPlan
    class
    dependent
    sequence
    network
    contract

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

Coverage
    status
    issuer[x]IN1-3
    isAgreement
    bin
    periodIN1-12 / IN1-13
    typeIN1-15
    planholder[x]IN1-16, 18, 19-name of insured, address, date of birth
    beneficiary[x]IN1-16, 18, 19-name of insured, address, date of birth
    relationship
    identifierIN1-2
    groupIN1-8
    subGroupIN1-8
    planIN1-35
    subPlanIN1-10
    classIN1-35
    dependent- No exact HL7 v2 equivalent concept seems to exist;
    sequenceNo HL7 v2 equivalent concept seems to exist
    network
    contractIN1-16, 18, 19

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

Coverage
    status
    issuer[x]A05
    isAgreement
    bin
    period
    type
    planholder[x]D01 through D09
    beneficiary[x]D01 through D09
    relationshipC03
    identifierC02
    groupC11 (Division,Section)
    subGroup
    planC01
    subPlan
    classC01
    dependentC17
    sequenceD11
    networkD10
    contractD01 through D09

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

Coverage
    status
    issuer[x]C.30
    isAgreement
    bin
    period
    type
    planholder[x]C.35
    beneficiary[x]C.35
    relationship
    identifierC.32, C.33, C.39
    groupC.31
    subGroup
    plan
    subPlan
    class
    dependent
    sequence
    network
    contractC.35