openIMIS FHIR R4 Implementation Guide
1.0.0 - ci-build

openIMIS FHIR R4 Implementation Guide - Local Development build (v1.0.0). See the Directory of published versions

Resource Profile: OpenIMISCoverage - Mappings

Active as of 2022-05-31

Mappings for the openimis-coverage resource profile.

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

OpenIMISCoverage
CoverageEvent
   identifierEvent.identifier
   identifier (UUID)Event.identifier
   statusEvent.status
   beneficiaryEvent.subject
   periodEvent.occurrence[x]

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

OpenIMISCoverage
CoverageEntity. Role, or Act, Coverage
   textAct.text?
   containedN/A
   modifierExtensionN/A
   identifier.id
      idn/a
      extensionn/a
      useRole.code or implied by context
      typeRole.code or implied by context
         idn/a
         extensionn/a
         codingunion(., ./translation)
            idn/a
            extensionn/a
            system./codeSystem
            version./codeSystemVersion
            code./code
            displayCV.displayName
            userSelectedCD.codingRationale
         text./originalText[mediaType/code="text/plain"]/data
      systemII.root or Role.id.root
      valueII.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
      periodRole.effectiveTime or implied by context
      assignerII.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
   identifier (UUID).id
      idn/a
      extensionn/a
      useRole.code or implied by context
      typeRole.code or implied by context
         idn/a
         extensionn/a
         codingunion(., ./translation)
            idn/a
            extensionn/a
            system./codeSystem
            version./codeSystemVersion
            code./code
            displayCV.displayName
            userSelectedCD.codingRationale
         text./originalText[mediaType/code="text/plain"]/data
      systemII.root or Role.id.root
      valueII.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
      periodRole.effectiveTime or implied by context
      assignerII.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
   statusAct.status
   periodAct.effectiveTime
      idn/a
      extensionn/a
      start./low
      end./high
   class
      idn/a
      extensionn/a
      modifierExtensionN/A

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

OpenIMISCoverage
Coverage
   identifierFiveWs.identifier
   identifier (UUID)FiveWs.identifier
   statusFiveWs.status
   policyHolderFiveWs.subject[x], FiveWs.subject
   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/)

OpenIMISCoverage
Coverage
   identifierC02
   identifier (UUID)C02
   policyHolderD01 through D09
   beneficiaryD01 through D09
   payorA05
   class
      valueC11 (Division,Section)
      nameC11 (Division,Section)

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

OpenIMISCoverage
Coverage
   identifierIN1-2
      useN/A
      typeCX.5
         codingC*E.1-8, C*E.10-22
            systemC*E.3
            versionC*E.7
            codeC*E.1
            displayC*E.2 - but note this is not well followed
            userSelectedSometimes implied by being first
         textC*E.9. But note many systems use C*E.2 for this
      systemCX.4 / EI-2-4
      valueCX.1 / EI.1
      periodCX.7 + CX.8
      assignerCX.4 / (CX.4,CX.9,CX.10)
   identifier (UUID)IN1-2
      useN/A
      typeCX.5
         codingC*E.1-8, C*E.10-22
            systemC*E.3
            versionC*E.7
            codeC*E.1
            displayC*E.2 - but note this is not well followed
            userSelectedSometimes implied by being first
         textC*E.9. But note many systems use C*E.2 for this
      systemCX.4 / EI-2-4
      valueCX.1 / EI.1
      periodCX.7 + CX.8
      assignerCX.4 / (CX.4,CX.9,CX.10)
   policyHolderIN1-16, 18, 19-name of insured, address, date of birth
   beneficiaryIN1-16, 18, 19-name of insured, address, date of birth
   periodIN1-12 / IN1-13
      startDR.1
      endDR.2
   payorIN1-3
   class
      valueIN1-8
      nameIN1-8

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

OpenIMISCoverage
Coverage
   identifierC.32, C.33, C.39
   identifier (UUID)C.32, C.33, C.39
   policyHolderC.35
   beneficiaryC.35
   payorC.30
   class
      valueC.31
      nameC.31