Healthcare Financial Services IG Edition 1
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Healthcare Financial Services IG Edition 1 - Local Development build (v0.3.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: NphiesCoverageEligibilityRequest - Mappings

Draft as of 2025-06-23

Mappings for the eligibility-request resource profile.

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

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

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

NphiesCoverageEligibilityRequest
CoverageEligibilityRequest
   identifierFiveWs.identifier
   statusFiveWs.status
   priorityFiveWs.class
   purposeFiveWs.class
   patientFiveWs.subject[x], FiveWs.subject
   serviced[x]FiveWs.done[x]
   serviced[x] (servicedDate)FiveWs.done[x]
   serviced[x] (servicedPeriod)FiveWs.done[x]
   createdFiveWs.recorded
   entererFiveWs.author
   providerFiveWs.source
   insurerFiveWs.who
   facilityFiveWs.where[x]
   item
      providerFiveWs.source

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

NphiesCoverageEligibilityRequest
CoverageEligibilityRequest
   patient
      identifier
         useN/A
         typeCX.5
         systemCX.4 / EI-2-4
         valueCX.1 / EI.1
         periodCX.7 + CX.8
         assignerCX.4 / (CX.4,CX.9,CX.10)
   provider
      identifier
         useN/A
         typeCX.5
         systemCX.4 / EI-2-4
         valueCX.1 / EI.1
         periodCX.7 + CX.8
         assignerCX.4 / (CX.4,CX.9,CX.10)
   insurer
      identifier
         useN/A
         typeCX.5
         systemCX.4 / EI-2-4
         valueCX.1 / EI.1
         periodCX.7 + CX.8
         assignerCX.4 / (CX.4,CX.9,CX.10)
   item
      diagnosisRequest.reasonReference

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

NphiesCoverageEligibilityRequest
CoverageEligibilityRequestEntity. Role, or Act
   meta
      idn/a
      extensionn/a
   textAct.text?
   containedN/A
   modifierExtensionN/A
   patient
      idn/a
      extensionn/a
      referenceN/A
      typeN/A
      identifier.identifier
         idn/a
         extensionn/a
         useRole.code or implied by context
         typeRole.code or implied by context
         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
      displayN/A
   provider
      idn/a
      extensionn/a
      referenceN/A
      typeN/A
      identifier.identifier
         idn/a
         extensionn/a
         useRole.code or implied by context
         typeRole.code or implied by context
         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
      displayN/A
   insurer
      idn/a
      extensionn/a
      referenceN/A
      typeN/A
      identifier.identifier
         idn/a
         extensionn/a
         useRole.code or implied by context
         typeRole.code or implied by context
         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
      displayN/A
   supportingInfo
      idn/a
      extensionn/a
      modifierExtensionN/A
   insurance
      idn/a
      extensionn/a
      modifierExtensionN/A
   item
      idn/a
      extensionn/a
      modifierExtensionN/A
      diagnosis
         idn/a
         extensionn/a
         modifierExtensionN/A