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13.2.7 13.2.8 Resource CoverageEligibilityRequest - Mappings

Maturity Level : N/A
Responsible Owner: Financial Management icon Work Group Standards Status : Informative Security Category : Patient Compartments : Patient , Practitioner

Mappings:

FiveWs Pattern Mapping

Workflow Pattern

HL7 v2 V2 Mapping

Mappings for the coverageeligibilityrequest CoverageEligibilityRequest resource (see Mappings to Other Standards for further information & status).

13.2.7.1 13.2.8.1 FiveWs Pattern Mapping ( http://hl7.org/fhir/fivews icon )

CoverageEligibilityRequest financial.support
    identifier FiveWs.identifier
    status FiveWs.status
    priority FiveWs.class
    purpose FiveWs.class
    patient FiveWs.subject[x] FiveWs.subject
    serviced[x] FiveWs.done[x]
    created FiveWs.recorded
    enterer FiveWs.author
    provider FiveWs.source
    insurer FiveWs.who
    facility FiveWs.where[x]
        provider FiveWs.source

13.2.7.2 13.2.8.2 Workflow Pattern ( http://hl7.org/fhir/workflow icon )

CoverageEligibilityRequest Request
    identifier Request.identifier
    status Request.status
    priority Request.priority
    patient Request.subject
    created Request.authoredOn
    provider Request.requester
    insurer Request.performer
        provider Request.requester

13.2.7.3 13.2.8.3 HL7 v2 V2 Mapping ( http://hl7.org/v2 icon )

The mappings provided in this tab are indicative of how HL7 v2 fields relate to HL7 FHIR attributes in this resource, but is not complete and without critical HL7 v2 context. The HL7 v2-FHIR Implementation guide, located here icon , provides additional guidance on transforming an HL7 v2 message to FHIR resources for FHIR R4 and FHIR R6.
CoverageEligibilityRequest
    identifier
    status
    statusReason
    priority
    purpose
    patient
    event
    serviced[x]         type
        when[x]
    serviced[x]
    created
    enterer
    provider
    insurer
    facility
    supportingInfo
        sequence
        information
        appliesToAll
    insurance
        focal
        coverage
        businessArrangement
    item
        supportingInfoSequence
        category
        productOrService
        modifier
        provider
        quantity
        unitPrice
        facility
        diagnosis Request.reasonReference
            diagnosis[x]
        detail