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

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Resource Profile: OpenIMISCoverageEligibilityResponse - Mappings

Active as of 2022-05-31

Mappings for the openimis-coverage-eligibility-response resource profile.

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

OpenIMISCoverageEligibilityResponse
CoverageEligibilityResponse	Event
identifier	Event.identifier
identifier (UUID)	Event.identifier
status	Event.status
patient	Event.subject
request	Event.basedOn

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

OpenIMISCoverageEligibilityResponse
CoverageEligibilityResponse
identifier	FiveWs.identifier
identifier (UUID)	FiveWs.identifier
status	FiveWs.status
purpose	FiveWs.class
patient	FiveWs.subject[x], FiveWs.subject
created	FiveWs.recorded
request	FiveWs.why[x]
insurance
item
item (benefit)
provider	FiveWs.source
item (item)
provider	FiveWs.source
item (service)
provider	FiveWs.source

Mappings for Canadian Dental Association eclaims standard (http://www.cda-adc.ca/en/services/cdanet/)

OpenIMISCoverageEligibilityResponse
CoverageEligibilityResponse
patient	C06,C07,C08, C05, C04
request	A02|G01
insurance
item
item (benefit)
provider	B01
item (item)
provider	B01
item (service)
provider	B01

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

OpenIMISCoverageEligibilityResponse
CoverageEligibilityResponse	Entity. Role, or Act
text	Act.text?
contained	N/A
extension	N/A
modifierExtension	N/A
identifier
id	n/a
extension	n/a
use	Role.code or implied by context
type	Role.code or implied by context
id	n/a
extension	n/a
coding	union(., ./translation)
id	n/a
extension	n/a
system	./codeSystem
version	./codeSystemVersion
code	./code
display	CV.displayName
userSelected	CD.codingRationale
text	./originalText[mediaType/code="text/plain"]/data
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
identifier (UUID)
id	n/a
extension	n/a
use	Role.code or implied by context
type	Role.code or implied by context
id	n/a
extension	n/a
coding	union(., ./translation)
id	n/a
extension	n/a
system	./codeSystem
version	./codeSystemVersion
code	./code
display	CV.displayName
userSelected	CD.codingRationale
text	./originalText[mediaType/code="text/plain"]/data
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
insurance
id	n/a
extension	n/a
modifierExtension	N/A
benefitPeriod
id	n/a
extension	n/a
start	./low
end	./high
item
id	n/a
extension	n/a
modifierExtension	N/A
productOrService
benefit
id	n/a
extension	n/a
modifierExtension	N/A
allowed[x]
item (benefit)
id	n/a
extension	n/a
modifierExtension	N/A
benefit
id	n/a
extension	n/a
modifierExtension	N/A
allowed[x]
benefit (total)
id	n/a
extension	n/a
modifierExtension	N/A
allowed[x]
benefit (amount)
id	n/a
extension	n/a
modifierExtension	N/A
allowed[x]
allowed[x] (allowedMoney)
id	n/a
extension	n/a
item (item)
id	n/a
extension	n/a
modifierExtension	N/A
productOrService
id	n/a
extension	n/a
text	./originalText[mediaType/code="text/plain"]/data
benefit
id	n/a
extension	n/a
modifierExtension	N/A
benefit (minDate)
id	n/a
extension	n/a
modifierExtension	N/A
benefit (itemLeft)
id	n/a
extension	n/a
modifierExtension	N/A
item (service)
id	n/a
extension	n/a
modifierExtension	N/A
productOrService
id	n/a
extension	n/a
text	./originalText[mediaType/code="text/plain"]/data
benefit
id	n/a
extension	n/a
modifierExtension	N/A
benefit (minDate)
id	n/a
extension	n/a
modifierExtension	N/A
benefit (itemLeft)
id	n/a
extension	n/a
modifierExtension	N/A