FHIR Release 3 (STU) R4 Ballot #1 (Mixed Normative/Trial use)

This page is part of the FHIR Specification (v3.0.2: STU 3). (v3.3.0: R4 Ballot 2). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see the Directory of published versions . Page versions: R3 R2

13.2.6 Resource EligibilityRequest - Mappings

Financial Management Work Group Maturity Level : N/A Ballot Status : Informative Compartments : Patient , Practitioner

Mappings:

Canadian Dental Association eclaims standard FiveWs Pattern

Workflow Pattern

HL7 v2 Mapping

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

13.2.6.1 Mappings for Canadian Dental Association eclaims standard (http://www.cda-adc.ca/en/services/cdanet/) FiveWs Pattern (http://hl7.org/fhir/fivews)

EligibilityRequest
    identifier FiveWs.identifier
    status FiveWs.status
    priority FiveWs.class
    patient C06,C07,C08, C05, C04 FiveWs.subject[x]
    serviced[x] F09 FiveWs.done[x]
    created FiveWs.recorded
    enterer FiveWs.author
    provider B01 FiveWs.source
    organization     insurer FiveWs.who
    insurer     facility FiveWs.where[x]

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

    facility EligibilityRequest Request
    coverage     identifier Request.identifier
    businessArrangement     status Request.status
    benefitCategory     priority Request.priority
    benefitSubCategory     patient Request.subject
    created Request.authoredOn
    provider Request.requester
    insurer Request.performer

13.2.6.2 13.2.6.3 Mappings for Workflow HL7 v2 Mapping (http://hl7.org/fhir/workflow) (http://hl7.org/v2)

EligibilityRequest Request
    identifier Request.identifier
    status Request.status
    priority Request.priority
    patient Request.subject
    serviced[x]
    created Request.authoredOn
    enterer
    provider Request.requester.agent
    organization     insurer Request.requester.onBehalfOf
    insurer     facility Request.performer
    facility     coverage
    coverage     businessArrangement
    businessArrangement     benefitCategory
    benefitCategory     benefitSubCategory
    benefitSubCategory     authorization
        sequence
        service
        modifier
        quantity
        unitPrice
        facility
        diagnosis Request.reasonReference
            diagnosis[x]