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13.3.8 Resource CoverageEligibilityResponse - Mappings

Maturity Level : N/A

Responsible Owner: Financial Management Work Group

Standards Status : Informative

Security Category : Patient

Compartments : Patient , Practitioner

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

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

CoverageEligibilityResponse	financial.support
identifier	FiveWs.identifier
status	FiveWs.status
purpose	FiveWs.class
patient	FiveWs.subject[x] FiveWs.subject
serviced[x]	FiveWs.done[x]
created	FiveWs.recorded
requestor	FiveWs.source
request	FiveWs.why[x]
provider	FiveWs.source

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

CoverageEligibilityResponse	Event
identifier	Event.identifier
status	Event.status
patient	Event.subject
request	Event.basedOn
disposition	Event.note

13.3.8.3 RIM Mapping ( http://hl7.org/v3 )

CoverageEligibilityResponse
preAuthRef	23

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

CoverageEligibilityResponse
identifier
status
statusReason
purpose
patient	C06,C07,C08, C05, C04
event
type
when[x]
serviced[x]	F09
created
requestor	B01
request	A02|G01
outcome
disposition
insurer
insurance
coverage
inforce
benefitPeriod
item
category
productOrService
modifier
provider	B01
excluded
name
description
network
unit
term
benefit
type
allowed[x]
used[x]
authorizationRequired
authorizationSupporting
authorizationUrl
preAuthRef	F03
form	G42
error
code
expression