0.3.0 - Second STU ballot

This page is part of a downloaded copy of this specification. This page is part of the Da Vinci Coverage Requirements Discovery (CRD) FHIR IG (v0.3.0: STU 1 Ballot 2) based on FHIR R4. . For a full list of available versions, see the Directory of published versions

## StructureDefinition: CoverageR4 - Mappings

Mappings for the Profile.

### Mappings for Workflow Pattern (http://hl7.org/fhir/workflow)

CoverageR4
Coverage | Event
identifier | Event.identifier
status | Event.status
beneficiary | Event.subject
period | Event.occurrence[x]

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

CoverageR4
Coverage | Entity. Role, or Act
text | Act.text?
contained | N/A
extension | N/A
modifierExtension | N/A
identifier | .id
status | Act.status
period | Act.effectiveTime
class |
id | n/a
extension | n/a
modifierExtension | N/A
contract | n/a

### Mappings for FiveWs Pattern Mapping (http://hl7.org/fhir/fivews)

CoverageR4
Coverage |
identifier | FiveWs.identifier
status | FiveWs.status
type | FiveWs.class
policyHolder | FiveWs.subject[x]
subscriber | FiveWs.subject[x]
subscriberId | FiveWs.subject[x]
beneficiary | FiveWs.subject[x]
period | FiveWs.done[x]
payor | FiveWs.author

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

CoverageR4
Coverage |
identifier | C02
policyHolder | D01 through D09
subscriber | D01 through D09
subscriberId | D01 through D09
beneficiary | D01 through D09
dependent | C17
relationship | C03
payor | A05
class |
value | C11 (Division,Section)
name | C11 (Division,Section)
network | D10
contract | D01 through D09

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

CoverageR4
Coverage |
identifier | IN1-2
type | IN1-15
policyHolder | IN1-16, 18, 19-name of insured, address, date of birth
subscriber | IN1-16, 18, 19-name of insured, address, date of birth
subscriberId | IN1-16, 18, 19-name of insured, address, date of birth
beneficiary | IN1-16, 18, 19-name of insured, address, date of birth
dependent | - No exact HL7 v2 equivalent concept seems to exist;
period | IN1-12 / IN1-13
payor | IN1-3
class |
value | IN1-8
name | IN1-8
order | - No exact HL7 v2 equivalent concept seems to exist;
contract | IN1-16, 18, 19

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

CoverageR4
Coverage |
identifier | C.32, C.33, C.39
policyHolder | C.35
subscriber | C.35
subscriberId | C.35
beneficiary | C.35
payor | C.30
class |
value | C.31
name | C.31
contract | C.35