Extensions for Using Data Elements from FHIR R5 in FHIR R4
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Extensions for Using Data Elements from FHIR R5 in FHIR R4 - Downloaded Version null See the Directory of published versions

ConceptMap: R5CoverageEligibilityResponseElementMapToR4

Official URL: http://hl7.org/fhir/uv/xver/ConceptMap/R5-CoverageEligibilityResponse-element-map-to-R4 Version: 0.1.0
Standards status: Trial-use Maturity Level: 0 Computable Name: R5CoverageEligibilityResponseElementMapToR4

This ConceptMap represents cross-version mappings for elements from a FHIR R5 CoverageEligibilityResponse to FHIR R4.

Mapping from http://hl7.org/fhir/5.0 to http://hl7.org/fhir/4.0


Group 1 Mapping from http://hl7.org/fhir/StructureDefinition/CoverageEligibilityResponse|5.0.0 to CoverageEligibilityResponseversion: 4.0.1)

Source CodeRelationshipTarget CodeComment
CoverageEligibilityResponse.meta (meta)​is equivalent toCoverageEligibilityResponse.metaElement `CoverageEligibilityResponse.meta` is mapped to FHIR R4 element `CoverageEligibilityResponse.meta` as `Equivalent`.
CoverageEligibilityResponse.implicitRules (implicitRules)​is equivalent toCoverageEligibilityResponse.implicitRulesElement `CoverageEligibilityResponse.implicitRules` is mapped to FHIR R4 element `CoverageEligibilityResponse.implicitRules` as `Equivalent`. Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.
CoverageEligibilityResponse.language (language)​is equivalent toCoverageEligibilityResponse.languageElement `CoverageEligibilityResponse.language` is mapped to FHIR R4 element `CoverageEligibilityResponse.language` as `Equivalent`. Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
CoverageEligibilityResponse.text (text)​is equivalent toCoverageEligibilityResponse.textElement `CoverageEligibilityResponse.text` is mapped to FHIR R4 element `CoverageEligibilityResponse.text` as `Equivalent`. Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
CoverageEligibilityResponse.contained (contained)​is equivalent toCoverageEligibilityResponse.containedElement `CoverageEligibilityResponse.contained` is mapped to FHIR R4 element `CoverageEligibilityResponse.contained` as `Equivalent`. This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels.
CoverageEligibilityResponse.identifier (identifier)​is equivalent toCoverageEligibilityResponse.identifierElement `CoverageEligibilityResponse.identifier` is mapped to FHIR R4 element `CoverageEligibilityResponse.identifier` as `Equivalent`.
CoverageEligibilityResponse.status (status)​is equivalent toCoverageEligibilityResponse.statusElement `CoverageEligibilityResponse.status` is mapped to FHIR R4 element `CoverageEligibilityResponse.status` as `Equivalent`. This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.
CoverageEligibilityResponse.purpose (purpose)​is equivalent toCoverageEligibilityResponse.purposeElement `CoverageEligibilityResponse.purpose` is mapped to FHIR R4 element `CoverageEligibilityResponse.purpose` as `Equivalent`.
CoverageEligibilityResponse.patient (patient)​is equivalent toCoverageEligibilityResponse.patientElement `CoverageEligibilityResponse.patient` is mapped to FHIR R4 element `CoverageEligibilityResponse.patient` as `Equivalent`.
CoverageEligibilityResponse.serviced[x] (serviced[x])​is equivalent toCoverageEligibilityResponse.serviced[x]Element `CoverageEligibilityResponse.serviced[x]` is mapped to FHIR R4 element `CoverageEligibilityResponse.serviced[x]` as `Equivalent`. The target context `CoverageEligibilityResponse.serviced[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `CoverageEligibilityResponse`.
CoverageEligibilityResponse.created (created)​is equivalent toCoverageEligibilityResponse.createdElement `CoverageEligibilityResponse.created` is mapped to FHIR R4 element `CoverageEligibilityResponse.created` as `Equivalent`.
CoverageEligibilityResponse.requestor (requestor)​is equivalent toCoverageEligibilityResponse.requestorElement `CoverageEligibilityResponse.requestor` is mapped to FHIR R4 element `CoverageEligibilityResponse.requestor` as `Equivalent`. This party is responsible for the claim but not necessarily professionally responsible for the provision of the individual products and services listed below. This field is the Billing Provider, for example, a facility, provider group, lab or practitioner.
CoverageEligibilityResponse.request (request)​is equivalent toCoverageEligibilityResponse.requestElement `CoverageEligibilityResponse.request` is mapped to FHIR R4 element `CoverageEligibilityResponse.request` as `Equivalent`.
CoverageEligibilityResponse.outcome (outcome)​is equivalent toCoverageEligibilityResponse.outcomeElement `CoverageEligibilityResponse.outcome` is mapped to FHIR R4 element `CoverageEligibilityResponse.outcome` as `Equivalent`. The resource may be used to indicate that: the request has been held (queued) for processing; that it has been processed and errors found (error); that no errors were found and that some of the adjudication has been undertaken (partial) or that all of the adjudication has been undertaken (complete).
CoverageEligibilityResponse.disposition (disposition)​is equivalent toCoverageEligibilityResponse.dispositionElement `CoverageEligibilityResponse.disposition` is mapped to FHIR R4 element `CoverageEligibilityResponse.disposition` as `Equivalent`.
CoverageEligibilityResponse.insurer (insurer)​is equivalent toCoverageEligibilityResponse.insurerElement `CoverageEligibilityResponse.insurer` is mapped to FHIR R4 element `CoverageEligibilityResponse.insurer` as `Equivalent`.
CoverageEligibilityResponse.insurance (insurance)​maps to wider conceptCoverageEligibilityResponse.insuranceElement `CoverageEligibilityResponse.insurance` is mapped to FHIR R4 element `CoverageEligibilityResponse.insurance` as `Equivalent`. All insurance coverages for the patient which may be applicable for reimbursement, of the products and services listed in the claim, are typically provided in the claim to allow insurers to confirm the ordering of the insurance coverages relative to local 'coordination of benefit' rules. One coverage (and only one) with 'focal=true' is to be used in the adjudication of this claim. Coverages appearing before the focal Coverage in the list, and where 'subrogation=false', should provide a reference to the ClaimResponse containing the adjudication results of the prior claim.
CoverageEligibilityResponse.insurance.coverage (coverage)​is equivalent toCoverageEligibilityResponse.insurance.coverageElement `CoverageEligibilityResponse.insurance.coverage` is mapped to FHIR R4 element `CoverageEligibilityResponse.insurance.coverage` as `Equivalent`.
CoverageEligibilityResponse.insurance.inforce (inforce)​is equivalent toCoverageEligibilityResponse.insurance.inforceElement `CoverageEligibilityResponse.insurance.inforce` is mapped to FHIR R4 element `CoverageEligibilityResponse.insurance.inforce` as `Equivalent`.
CoverageEligibilityResponse.insurance.benefitPeriod (benefitPeriod)​is equivalent toCoverageEligibilityResponse.insurance.benefitPeriodElement `CoverageEligibilityResponse.insurance.benefitPeriod` is mapped to FHIR R4 element `CoverageEligibilityResponse.insurance.benefitPeriod` as `Equivalent`.
CoverageEligibilityResponse.insurance.item (item)​maps to wider conceptCoverageEligibilityResponse.insurance.itemElement `CoverageEligibilityResponse.insurance.item` is mapped to FHIR R4 element `CoverageEligibilityResponse.insurance.item` as `Equivalent`.
CoverageEligibilityResponse.insurance.item.category (category)​is equivalent toCoverageEligibilityResponse.insurance.item.categoryElement `CoverageEligibilityResponse.insurance.item.category` is mapped to FHIR R4 element `CoverageEligibilityResponse.insurance.item.category` as `Equivalent`. Examples include Medical Care, Periodontics, Renal Dialysis, Vision Coverage.
CoverageEligibilityResponse.insurance.item.productOrService (productOrService)​is equivalent toCoverageEligibilityResponse.insurance.item.productOrServiceElement `CoverageEligibilityResponse.insurance.item.productOrService` is mapped to FHIR R4 element `CoverageEligibilityResponse.insurance.item.productOrService` as `Equivalent`. Code to indicate the Professional Service or Product supplied (e.g. CTP, HCPCS, USCLS, ICD10, NCPDP, DIN, RxNorm, ACHI, CCI).
CoverageEligibilityResponse.insurance.item.modifier (modifier)​is equivalent toCoverageEligibilityResponse.insurance.item.modifierElement `CoverageEligibilityResponse.insurance.item.modifier` is mapped to FHIR R4 element `CoverageEligibilityResponse.insurance.item.modifier` as `Equivalent`. For example in Oral whether the treatment is cosmetic or associated with TMJ, or for Medical whether the treatment was outside the clinic or out of office hours.
CoverageEligibilityResponse.insurance.item.provider (provider)​is equivalent toCoverageEligibilityResponse.insurance.item.providerElement `CoverageEligibilityResponse.insurance.item.provider` is mapped to FHIR R4 element `CoverageEligibilityResponse.insurance.item.provider` as `Equivalent`.
CoverageEligibilityResponse.insurance.item.excluded (excluded)​is equivalent toCoverageEligibilityResponse.insurance.item.excludedElement `CoverageEligibilityResponse.insurance.item.excluded` is mapped to FHIR R4 element `CoverageEligibilityResponse.insurance.item.excluded` as `Equivalent`.
CoverageEligibilityResponse.insurance.item.name (name)​is equivalent toCoverageEligibilityResponse.insurance.item.nameElement `CoverageEligibilityResponse.insurance.item.name` is mapped to FHIR R4 element `CoverageEligibilityResponse.insurance.item.name` as `Equivalent`. For example: MED01, or DENT2.
CoverageEligibilityResponse.insurance.item.description (description)​is equivalent toCoverageEligibilityResponse.insurance.item.descriptionElement `CoverageEligibilityResponse.insurance.item.description` is mapped to FHIR R4 element `CoverageEligibilityResponse.insurance.item.description` as `Equivalent`. For example 'DENT2 covers 100% of basic, 50% of major but excludes Ortho, Implants and Cosmetic services'.
CoverageEligibilityResponse.insurance.item.network (network)​is equivalent toCoverageEligibilityResponse.insurance.item.networkElement `CoverageEligibilityResponse.insurance.item.network` is mapped to FHIR R4 element `CoverageEligibilityResponse.insurance.item.network` as `Equivalent`.
CoverageEligibilityResponse.insurance.item.unit (unit)​is equivalent toCoverageEligibilityResponse.insurance.item.unitElement `CoverageEligibilityResponse.insurance.item.unit` is mapped to FHIR R4 element `CoverageEligibilityResponse.insurance.item.unit` as `Equivalent`.
CoverageEligibilityResponse.insurance.item.term (term)​is equivalent toCoverageEligibilityResponse.insurance.item.termElement `CoverageEligibilityResponse.insurance.item.term` is mapped to FHIR R4 element `CoverageEligibilityResponse.insurance.item.term` as `Equivalent`.
CoverageEligibilityResponse.insurance.item.benefit (benefit)​maps to wider conceptCoverageEligibilityResponse.insurance.item.benefitElement `CoverageEligibilityResponse.insurance.item.benefit` is mapped to FHIR R4 element `CoverageEligibilityResponse.insurance.item.benefit` as `Equivalent`.
CoverageEligibilityResponse.insurance.item.benefit.type (type)​is equivalent toCoverageEligibilityResponse.insurance.item.benefit.typeElement `CoverageEligibilityResponse.insurance.item.benefit.type` is mapped to FHIR R4 element `CoverageEligibilityResponse.insurance.item.benefit.type` as `Equivalent`. For example: deductible, visits, benefit amount.
CoverageEligibilityResponse.insurance.item.benefit.allowed[x] (allowed[x])​is equivalent toCoverageEligibilityResponse.insurance.item.benefit.allowed[x]Element `CoverageEligibilityResponse.insurance.item.benefit.allowed[x]` is mapped to FHIR R4 element `CoverageEligibilityResponse.insurance.item.benefit.allowed[x]` as `Equivalent`. The target context `CoverageEligibilityResponse.insurance.item.benefit.allowed[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `CoverageEligibilityResponse.insurance.item.benefit`.
CoverageEligibilityResponse.insurance.item.benefit.used[x] (used[x])​is equivalent toCoverageEligibilityResponse.insurance.item.benefit.used[x]Element `CoverageEligibilityResponse.insurance.item.benefit.used[x]` is mapped to FHIR R4 element `CoverageEligibilityResponse.insurance.item.benefit.used[x]` as `Equivalent`. The target context `CoverageEligibilityResponse.insurance.item.benefit.used[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `CoverageEligibilityResponse.insurance.item.benefit`.
CoverageEligibilityResponse.insurance.item.authorizationRequired (authorizationRequired)​is equivalent toCoverageEligibilityResponse.insurance.item.authorizationRequiredElement `CoverageEligibilityResponse.insurance.item.authorizationRequired` is mapped to FHIR R4 element `CoverageEligibilityResponse.insurance.item.authorizationRequired` as `Equivalent`.
CoverageEligibilityResponse.insurance.item.authorizationSupporting (authorizationSupporting)​is equivalent toCoverageEligibilityResponse.insurance.item.authorizationSupportingElement `CoverageEligibilityResponse.insurance.item.authorizationSupporting` is mapped to FHIR R4 element `CoverageEligibilityResponse.insurance.item.authorizationSupporting` as `Equivalent`.
CoverageEligibilityResponse.insurance.item.authorizationUrl (authorizationUrl)​is equivalent toCoverageEligibilityResponse.insurance.item.authorizationUrlElement `CoverageEligibilityResponse.insurance.item.authorizationUrl` is mapped to FHIR R4 element `CoverageEligibilityResponse.insurance.item.authorizationUrl` as `Equivalent`.
CoverageEligibilityResponse.preAuthRef (preAuthRef)​is equivalent toCoverageEligibilityResponse.preAuthRefElement `CoverageEligibilityResponse.preAuthRef` is mapped to FHIR R4 element `CoverageEligibilityResponse.preAuthRef` as `Equivalent`.
CoverageEligibilityResponse.form (form)​is equivalent toCoverageEligibilityResponse.formElement `CoverageEligibilityResponse.form` is mapped to FHIR R4 element `CoverageEligibilityResponse.form` as `Equivalent`. May be needed to identify specific jurisdictional forms.
CoverageEligibilityResponse.error (error)​maps to wider conceptCoverageEligibilityResponse.errorElement `CoverageEligibilityResponse.error` is mapped to FHIR R4 element `CoverageEligibilityResponse.error` as `Equivalent`.
CoverageEligibilityResponse.error.code (code)​is equivalent toCoverageEligibilityResponse.error.codeElement `CoverageEligibilityResponse.error.code` is mapped to FHIR R4 element `CoverageEligibilityResponse.error.code` as `Equivalent`.

Group 2 Mapping from http://hl7.org/fhir/StructureDefinition/CoverageEligibilityResponse|5.0.0 to R5: Event information (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
CoverageEligibilityResponse.event (event)​maps to wider conceptExtension (R5: Event information (new))Element `CoverageEligibilityResponse.event` has a context of CoverageEligibilityResponse based on following the parent source element upwards and mapping to `CoverageEligibilityResponse`. Element `CoverageEligibilityResponse.event` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
CoverageEligibilityResponse.event.type (type)​maps to wider conceptExtension.extension:type (R5: Specific event (new))Element `CoverageEligibilityResponse.event.type` is part of an existing definition because parent element `CoverageEligibilityResponse.event` requires a cross-version extension. Element `CoverageEligibilityResponse.event.type` has a context of CoverageEligibilityResponse based on following the parent source element upwards and mapping to `CoverageEligibilityResponse`. Element `CoverageEligibilityResponse.event.type` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).
CoverageEligibilityResponse.event.when[x] (when[x])​maps to wider conceptExtension.extension:when (R5: Occurance date or period (new))Element `CoverageEligibilityResponse.event.when[x]` is part of an existing definition because parent element `CoverageEligibilityResponse.event` requires a cross-version extension. Element `CoverageEligibilityResponse.event.when[x]` has a context of CoverageEligibilityResponse based on following the parent source element upwards and mapping to `CoverageEligibilityResponse`. Element `CoverageEligibilityResponse.event.when[x]` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element).

Group 3 Mapping from http://hl7.org/fhir/StructureDefinition/CoverageEligibilityResponse|5.0.0 to R5: FHIRPath of element(s) related to issue (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
CoverageEligibilityResponse.error.expression (expression)​maps to wider conceptExtension (R5: FHIRPath of element(s) related to issue (new))Element `CoverageEligibilityResponse.error.expression` has a context of CoverageEligibilityResponse.error based on following the parent source element upwards and mapping to `CoverageEligibilityResponse`. Element `CoverageEligibilityResponse.error.expression` has no mapping targets in FHIR R4. Typically, this is because the element has been added (is a new element). The root of the FHIRPath is the resource or bundle that generated OperationOutcome. Each FHIRPath SHALL resolve to a single node.