This page is part of the Risk Based Contracts Member Attribution List FHIR IG (v2.0.0: STU2 Release 1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
Mappings for the atr-coverage resource profile.
| ATRCoverage |
| Coverage | Entity. Role, or Act, Coverage |
| text | Act.text? |
| contained | N/A |
| modifierExtension | N/A |
| identifier | .id |
| identifier (MemberIdentifier) | .id |
| id | n/a |
| extension | n/a |
| use | Role.code or implied by context |
| type | Role.code or implied by context |
| id | n/a |
| extension | n/a |
| coding | union(., ./translation) |
| id | n/a |
| extension | n/a |
| system | ./codeSystem |
| version | ./codeSystemVersion |
| code | ./code |
| display | CV.displayName |
| userSelected | CD.codingRationale |
| text | ./originalText[mediaType/code="text/plain"]/data |
| system | II.root or Role.id.root |
| value | II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) |
| period | Role.effectiveTime or implied by context |
| assigner | II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper |
| status | Act.status |
| period | Act.effectiveTime |
| class | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| type | |
| class (PlanIdentifier) | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| type | |
| id | n/a |
| extension | n/a |
| coding | union(., ./translation) |
| id | n/a |
| extension | n/a |
| system | ./codeSystem |
| version | ./codeSystemVersion |
| code | ./code |
| display | CV.displayName |
| userSelected | CD.codingRationale |
| text | ./originalText[mediaType/code="text/plain"]/data |
| costToBeneficiary | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| exception | |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| contract | n/a |
| ATRCoverage |
| Coverage | |
| identifier | IN1-2 |
| identifier (MemberIdentifier) | IN1-2 |
| use | N/A |
| type | CX.5 |
| coding | C*E.1-8, C*E.10-22 |
| system | C*E.3 |
| version | C*E.7 |
| code | C*E.1 |
| display | C*E.2 - but note this is not well followed |
| userSelected | Sometimes implied by being first |
| text | C*E.9. But note many systems use C*E.2 for this |
| system | CX.4 / EI-2-4 |
| value | CX.1 / EI.1 |
| period | CX.7 + CX.8 |
| assigner | CX.4 / (CX.4,CX.9,CX.10) |
| 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 | |
| type | |
| value | IN1-8 |
| name | IN1-8 |
| class (PlanIdentifier) | |
| type | |
| coding | C*E.1-8, C*E.10-22 |
| system | C*E.3 |
| version | C*E.7 |
| code | C*E.1 |
| display | C*E.2 - but note this is not well followed |
| userSelected | Sometimes implied by being first |
| text | C*E.9. But note many systems use C*E.2 for this |
| value | IN1-8 |
| name | IN1-8 |
| order | - No exact HL7 v2 equivalent concept seems to exist; |
| costToBeneficiary | |
| value[x] | IN1-8 |
| contract | IN1-16, 18, 19 |
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