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

13.3.6 Resource EligibilityResponse - Mappings

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

Mappings:

Canadian Dental Association eclaims standard FiveWs Pattern

Workflow Pattern

RIM Mapping

Canadian Dental Association eclaims standard

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

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

    outcome
EligibilityResponse
    identifier FiveWs.identifier
    status     created FiveWs.status
    requestProvider     created B01 FiveWs.recorded
    requestOrganization     requestProvider FiveWs.source
    request A02|G01 FiveWs.why[x]
    disposition

13.3.6.2 Mappings for Workflow Pattern (http://hl7.org/fhir/workflow)     insurer     inforce

    insurance         coverage EligibilityResponse         contract         benefitBalance Event
            category     identifier             subCategory Event.identifier
            excluded     status             name Event.status
            description     request             network Event.basedOn
            unit     disposition             term Event.note
            financial

13.3.6.3 Mappings for RIM Mapping (http://hl7.org/v3)                 type                 allowed[x]

                used[x] EligibilityResponse     form G42
    error     preAuthRef         code 23

13.3.6.2 13.3.6.4 Mappings for Workflow Mapping (http://hl7.org/fhir/workflow) Canadian Dental Association eclaims standard (http://www.cda-adc.ca/en/services/cdanet/)

EligibilityResponse Event
    identifier Event.identifier
    status Event.status
    created     requestProvider
    requestOrganization     requestProvider Event.performer.onBehalfOf B01
    request Event.basedOn A02|G01
    outcome
    disposition Event.note
    insurer
    inforce
    insurance
        coverage
        contract
        benefitBalance
            category
            subCategory
            excluded
            name
            description
            network
            unit
            term
            financial
                type
                allowed[x]
                used[x]
    preAuthRef F03
    authorization
        authorizationSequence
        required
        note
    form G42
    error
        code