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

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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
Coverage	Event
identifier	Event.identifier
identifier (UUID)	Event.identifier
status	Event.status
beneficiary	Event.subject
period	Event.occurrence[x]

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

OpenIMISCoverage
Coverage	Entity. Role, or Act, Coverage
text	Act.text?
contained	N/A
modifierExtension	N/A
identifier	.id
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
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
status	Act.status
period	Act.effectiveTime
id	n/a
extension	n/a
start	./low
end	./high
class
id	n/a
extension	n/a
modifierExtension	N/A

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

OpenIMISCoverage
Coverage
identifier	FiveWs.identifier
identifier (UUID)	FiveWs.identifier
status	FiveWs.status
policyHolder	FiveWs.subject[x], FiveWs.subject
beneficiary	FiveWs.subject[x], FiveWs.subject
period	FiveWs.done[x]
payor	FiveWs.author

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

OpenIMISCoverage
Coverage
identifier	C02
identifier (UUID)	C02
policyHolder	D01 through D09
beneficiary	D01 through D09
payor	A05
class
value	C11 (Division,Section)
name	C11 (Division,Section)

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

OpenIMISCoverage
Coverage
identifier	IN1-2
use	N/A
type	CX.5
coding	C*E.1-8, C*E.10-22
system	C*E.3
version	C*E.7
code	C*E.1
display	C*E.2 - but note this is not well followed
userSelected	Sometimes implied by being first
text	C*E.9. But note many systems use C*E.2 for this
system	CX.4 / EI-2-4
value	CX.1 / EI.1
period	CX.7 + CX.8
assigner	CX.4 / (CX.4,CX.9,CX.10)
identifier (UUID)	IN1-2
use	N/A
type	CX.5
coding	C*E.1-8, C*E.10-22
system	C*E.3
version	C*E.7
code	C*E.1
display	C*E.2 - but note this is not well followed
userSelected	Sometimes implied by being first
text	C*E.9. But note many systems use C*E.2 for this
system	CX.4 / EI-2-4
value	CX.1 / EI.1
period	CX.7 + CX.8
assigner	CX.4 / (CX.4,CX.9,CX.10)
policyHolder	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
start	DR.1
end	DR.2
payor	IN1-3
class
value	IN1-8
name	IN1-8

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

OpenIMISCoverage
Coverage
identifier	C.32, C.33, C.39
identifier (UUID)	C.32, C.33, C.39
policyHolder	C.35
beneficiary	C.35
payor	C.30
class
value	C.31
name	C.31