FHIR Release 3 (STU)

This page is part of the FHIR Specification (v3.0.2: STU 3). 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: R3 R2

13.3.6 Resource EligibilityResponse - Mappings

Financial Management Work GroupMaturity Level: N/ABallot Status: InformativeCompartments: Practitioner

Mappings:

Canadian Dental Association eclaims standard

Workflow Mapping

Mappings for the eligibilityresponse resource.

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

EligibilityResponse
    identifier
    status
    created
    requestProviderB01
    requestOrganization
    requestA02|G01
    outcome
    disposition
    insurer
    inforce
    insurance
        coverage
        contract
        benefitBalance
            category
            subCategory
            excluded
            name
            description
            network
            unit
            term
            financial
                type
                allowed[x]
                used[x]
    formG42
    error
        code

13.3.6.2 Mappings for Workflow Mapping (http://hl7.org/fhir/workflow)

EligibilityResponseEvent
    identifierEvent.identifier
    statusEvent.status
    created
    requestProvider
    requestOrganizationEvent.performer.onBehalfOf
    requestEvent.basedOn
    outcome
    dispositionEvent.note
    insurer
    inforce
    insurance
        coverage
        contract
        benefitBalance
            category
            subCategory
            excluded
            name
            description
            network
            unit
            term
            financial
                type
                allowed[x]
                used[x]
    form
    error
        code