Da Vinci - Coverage Requirements Discovery
2.1.0 - STU 2.1
Da Vinci - Coverage Requirements Discovery
2.1.0 - STU 2.1
This page is part of the Da Vinci Coverage Requirements Discovery (CRD) FHIR IG (v2.1.0: STU 2.1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
| Page standards status: Trial-use | Maturity Level: 3 |
Mappings for the profile-coverage resource profile.
| CRDCoverage | ||
| Coverage | Event | |
| identifier | Event.identifier | |
| identifier (memberid) | Event.identifier | |
| status | Event.status | |
| beneficiary | Event.subject | |
| period | Event.occurrence[x] | |
| CRDCoverage | ||
| Coverage | Entity. Role, or Act, Coverage | |
| text | Act.text? | |
| contained | N/A | |
| extension | N/A | |
| modifierExtension | N/A | |
| identifier | .id | |
| identifier (memberid) | .id | |
| id | n/a | |
| extension | n/a | |
| use | Role.code or implied by context | |
| type | Role.code or implied by context | |
| 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 | |
| class (group) | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| class (plan) | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| contract | n/a | |
| CRDCoverage | ||
| Coverage | ||
| identifier | FiveWs.identifier | |
| identifier (memberid) | FiveWs.identifier | |
| status | FiveWs.status | |
| type | FiveWs.class | |
| policyHolder | FiveWs.subject[x], FiveWs.subject | |
| subscriber | FiveWs.subject[x], FiveWs.subject | |
| subscriberId | FiveWs.subject[x], FiveWs.subject | |
| beneficiary | FiveWs.subject[x], FiveWs.subject | |
| period | FiveWs.done[x] | |
| payor | FiveWs.author | |
| CRDCoverage | ||
| Coverage | ||
| identifier | C02 | |
| identifier (memberid) | 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) | |
| class (group) | ||
| value | C11 (Division,Section) | |
| name | C11 (Division,Section) | |
| class (plan) | ||
| value | C11 (Division,Section) | |
| name | C11 (Division,Section) | |
| network | D10 | |
| contract | D01 through D09 | |
| CRDCoverage | ||
| Coverage | ||
| identifier | IN1-2 | |
| identifier (memberid) | IN1-2 | |
| use | N/A | |
| type | CX.5 | |
| 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 | ||
| value | IN1-8 | |
| name | IN1-8 | |
| class (group) | ||
| value | IN1-8 | |
| name | IN1-8 | |
| class (plan) | ||
| value | IN1-8 | |
| name | IN1-8 | |
| order | - No exact HL7 v2 equivalent concept seems to exist; | |
| contract | IN1-16, 18, 19 | |
| CRDCoverage | ||
| Coverage | ||
| identifier | C.32, C.33, C.39 | |
| identifier (memberid) | 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 | |
| class (group) | ||
| value | C.31 | |
| name | C.31 | |
| class (plan) | ||
| value | C.31 | |
| name | C.31 | |
| contract | C.35 | |
IG © 2019+ HL7 International / Financial Management. Package hl7.fhir.us.davinci-crd#2.1.0 based on FHIR 4.0.1. Generated 2024-12-11
Links: Table of Contents |
QA Report
| Version History |
|
Propose a change