Release 4B Ballot #1

This page is part of the FHIR Specification v4.1.0: R4B Ballot. About the R4B version of FHIR. The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4

13.2.8 Resource CoverageEligibilityRequest - Mappings

Financial Management Work GroupMaturity Level: N/AStandards Status: InformativeSecurity Category: Patient Compartments: Patient, Practitioner

Mappings:

FiveWs Pattern Mapping

Workflow Pattern

HL7 v2 Mapping

Mappings for the coverageeligibilityrequest resource (see Mappings to Other Standards for further information & status).

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

CoverageEligibilityRequest
    identifierFiveWs.identifier
    statusFiveWs.status
    priorityFiveWs.class
    purposeFiveWs.class
    patientFiveWs.subject[x]
    serviced[x]FiveWs.done[x]
    createdFiveWs.recorded
    entererFiveWs.author
    providerFiveWs.source
    insurerFiveWs.who
    facilityFiveWs.where[x]
        providerFiveWs.source

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

CoverageEligibilityRequestRequest
    identifierRequest.identifier
    statusRequest.status
    priorityRequest.priority
    patientRequest.subject
    createdRequest.authoredOn
    providerRequest.requester
    insurerRequest.performer
        providerRequest.requester

13.2.8.3 HL7 v2 Mapping (http://hl7.org/v2 )

CoverageEligibilityRequest
    identifier
    status
    priority
    purpose
    patient
    serviced[x]
    created
    enterer
    provider
    insurer
    facility
    supportingInfo
        sequence
        information
        appliesToAll
    insurance
        focal
        coverage
        businessArrangement
    item
        supportingInfoSequence
        category
        productOrService
        modifier
        provider
        quantity
        unitPrice
        facility
        diagnosisRequest.reasonReference
            diagnosis[x]
        detail