Da Vinci - Coverage Requirements Discovery
1.1.0-ballot - STU 1.1 US

This page is part of the Da Vinci Coverage Requirements Discovery (CRD) FHIR IG (v1.1.0-ballot: STU 1.1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions

Resource Profile: CoverageDeident - Mappings

Draft as of 2018-07-25

Mappings for the profile-coverage-deident resource profile.

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

CoverageDeident
CoverageEvent
   statusEvent.status
   beneficiaryEvent.subject
   periodEvent.occurrence[x]

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

CoverageDeident
CoverageEntity. Role, or Act, Coverage
   containedN/A
   extensionN/A
   modifierExtensionN/A
   statusAct.status
   periodAct.effectiveTime
   class
      idn/a
      extensionn/a
      modifierExtensionN/A

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

CoverageDeident
Coverage
   statusFiveWs.status
   typeFiveWs.class
   beneficiaryFiveWs.subject[x], FiveWs.subject
   periodFiveWs.done[x]
   payorFiveWs.author

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

CoverageDeident
Coverage
   beneficiaryD01 through D09
   payorA05
   class
      valueC11 (Division,Section)
      nameC11 (Division,Section)

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

CoverageDeident
Coverage
   typeIN1-15
   beneficiaryIN1-16, 18, 19-name of insured, address, date of birth
   periodIN1-12 / IN1-13
   payorIN1-3
   class
      valueIN1-8
      nameIN1-8

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

CoverageDeident
Coverage
   beneficiaryC.35
   payorC.30
   class
      valueC.31
      nameC.31