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
Draft as of 2025-06-23 |
Mappings for the eligibility-response resource profile.
NphiesCoverageEligibilityResponse | ||
CoverageEligibilityResponse | Event | |
identifier | Event.identifier | |
status | Event.status | |
patient | Event.subject | |
request | Event.basedOn | |
disposition | Event.note |
NphiesCoverageEligibilityResponse | ||
CoverageEligibilityResponse | ||
identifier | FiveWs.identifier | |
status | FiveWs.status | |
purpose | FiveWs.class | |
patient | FiveWs.subject[x], FiveWs.subject | |
serviced[x] | FiveWs.done[x] | |
serviced[x] (servicedDate) | FiveWs.done[x] | |
serviced[x] (servicedPeriod) | FiveWs.done[x] | |
created | FiveWs.recorded | |
requestor | FiveWs.source | |
request | FiveWs.why[x] | |
insurance | ||
item | ||
provider | FiveWs.source |
NphiesCoverageEligibilityResponse | ||
CoverageEligibilityResponse | ||
patient | C06,C07,C08, C05, C04 | |
serviced[x] | F09 | |
serviced[x] (servicedDate) | F09 | |
serviced[x] (servicedPeriod) | F09 | |
requestor | B01 | |
request | A02|G01 | |
insurance | ||
item | ||
provider | B01 | |
preAuthRef | F03 | |
form | G42 |
NphiesCoverageEligibilityResponse | ||
CoverageEligibilityResponse | Entity. Role, or Act | |
meta | ||
id | n/a | |
extension | n/a | |
text | Act.text? | |
contained | 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 | |
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 | |
patient | ||
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 | |
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 | |
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 | |
item | ||
id | n/a | |
extension | n/a | |
modifierExtension | N/A | |
benefit | ||
id | n/a | |
extension | n/a | |
modifierExtension | N/A | |
preAuthRef | 23 | |
error | ||
id | n/a | |
modifierExtension | N/A |