This page is part of the Quality Improvement Core Framework (v3.1.0: STU 3) based on FHIR R3. The current version which supercedes this version is 4.1.1. For a full list of available versions, see the Directory of published versions
D.4.1.4 StructureDefinition: qicore-coverage - Mappings
Mappings for the StructureDefinition-qicore-coverage Profile.
Mappings for Quality Data Model (http://www.healthit.gov/quality-data-model)
QICore-Coverage |
Coverage | Participation |
id | id |
type | code |
period | participationPeriod |
Mappings for Workflow Mapping (http://hl7.org/fhir/workflow)
QICore-Coverage |
Coverage | Event |
identifier | Event.identifier |
status | Event.status |
beneficiary | Event.subject |
period | Event.occurrence |
Mappings for RIM Mapping (http://hl7.org/v3)
QICore-Coverage |
Coverage | Entity. Role, or Act |
text | Act.text? |
contained | N/A |
extension | N/A |
modifierExtension | N/A |
grouping | |
id | n/a |
extension | n/a |
modifierExtension | N/A |
Mappings for W5 Mapping (http://hl7.org/fhir/w5)
QICore-Coverage |
Coverage | financial.support |
identifier | id |
status | status |
type | class |
policyHolder | who.focus |
subscriber | who.focus |
subscriberId | who.focus |
beneficiary | who.focus |
period | when.done |
payor | who.author |
Mappings for Canadian Dental Association eclaims standard (http://www.cda-adc.ca/en/services/cdanet/)
QICore-Coverage |
Coverage | |
identifier | C02 |
policyHolder | D01 through D09 |
subscriber | D01 through D09 |
subscriberId | D01 through D09 |
beneficiary | D01 through D09 |
relationship | C03 |
payor | A05 |
grouping | |
group | C11 (Division,Section) |
groupDisplay | C11 (Division,Section) |
plan | C01 |
planDisplay | C01 |
class | C01 |
classDisplay | C01 |
subClass | C01 |
subClassDisplay | C01 |
dependent | C17 |
sequence | D11 |
network | D10 |
contract | D01 through D09 |
Mappings for HL7 v2 Mapping (http://hl7.org/v2)
QICore-Coverage |
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 |
period | IN1-12 / IN1-13 |
payor | IN1-3 |
grouping | |
group | IN1-8 |
groupDisplay | IN1-8 |
subGroup | IN1-8 |
subGroupDisplay | IN1-8 |
plan | IN1-35 |
planDisplay | IN1-35 |
subPlan | IN1-10 |
subPlanDisplay | IN1-10 |
class | IN1-35 |
classDisplay | IN1-35 |
subClass | IN1-35 |
subClassDisplay | IN1-35 |
dependent | - No exact HL7 v2 equivalent concept seems to exist; |
sequence | No HL7 v2 equivalent concept seems to exist |
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/)
QICore-Coverage |
Coverage | |
identifier | C.32, C.33, C.39 |
policyHolder | C.35 |
subscriber | C.35 |
subscriberId | C.35 |
beneficiary | C.35 |
payor | C.30 |
grouping | |
group | C.31 |
groupDisplay | C.31 |
contract | C.35 |