Healthcare Financial Services IG Edition 1
0.3.0 - STU-Ballot Saudi Arabia flag

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: NphiesCoverageEligibilityResponse - Mappings

Draft as of 2025-07-30

Mappings for the eligibility-response resource profile.

Mappings to Structures in this Implementation Guide

No Mappings Found

Mappings to other Structures

No Mappings Found

Other Mappings

NameWorkflow PatternFiveWs Pattern MappingCanadian Dental Association eclaims standardRIM Mappingdoco
.. CoverageEligibilityResponse
Event
  • Entity. Role
  • or Act
... id
... meta
.... id
n/a
.... extension
n/a
.... versionId
.... lastUpdated
.... source
.... profile
.... security
.... tag
... implicitRules
... text
Act.text?
... contained
N/A
... Slices for extension
.... extension:siteEligibility
... modifierExtension
N/A
... identifier
Event.identifier
FiveWs.identifier
.... id
n/a
.... extension
n/a
.... use
Role.code or implied by context
.... type
Role.code or implied by context
.... 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
Event.status
FiveWs.status
... purpose
FiveWs.class
... patient
Event.subject
FiveWs.subject
  • C06
  • C07
  • C08
  • C05
  • C04
.... id
n/a
.... extension
n/a
.... reference
N/A
.... type
N/A
.... identifier
.identifier
..... id
n/a
..... extension
n/a
..... use
Role.code or implied by context
..... type
Role.code or implied by context
..... 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
.... display
N/A
... Slices for serviced[x]
FiveWs.done[x]
F09
.... serviced[x]:servicedDate
FiveWs.done[x]
F09
.... serviced[x]:servicedPeriod
FiveWs.done[x]
F09
... created
FiveWs.recorded
... requestor
FiveWs.source
B01
... request
Event.basedOn
FiveWs.why[x]
A02|G01
... outcome
... disposition
Event.note
... insurer
.... id
n/a
.... extension
n/a
.... reference
N/A
.... type
N/A
.... identifier
.identifier
..... id
n/a
..... extension
n/a
..... use
Role.code or implied by context
..... type
Role.code or implied by context
..... 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
.... display
N/A
... insurance
.... id
n/a
.... Slices for extension
..... extension:siteEligibility
.... modifierExtension
N/A
.... coverage
..... id
n/a
..... extension
n/a
..... reference
N/A
..... type
N/A
..... identifier
.identifier
...... id
n/a
...... extension
n/a
...... use
Role.code or implied by context
...... type
Role.code or implied by context
...... 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
..... display
N/A
.... inforce
.... benefitPeriod
.... item
..... id
n/a
..... extension
n/a
..... modifierExtension
N/A
..... category
..... productOrService
..... modifier
..... provider
FiveWs.source
B01
..... excluded
..... name
..... description
..... network
..... unit
..... term
..... benefit
...... id
n/a
...... extension
n/a
...... modifierExtension
N/A
...... type
...... Slices for allowed[x]
....... allowed[x]:allowedUnsignedInt
....... allowed[x]:allowedString
....... allowed[x]:allowedMoney
...... Slices for used[x]
....... used[x]:usedUnsignedInt
....... used[x]:usedString
....... used[x]:usedMoney
..... authorizationRequired
..... authorizationSupporting
..... authorizationUrl
... preAuthRef
F03
23
... form
G42
... error
.... id
n/a
.... Slices for extension
..... extension:expression
.... modifierExtension
N/A
.... code

doco Documentation for this format