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7.3.6 Resource Coverage - Mappings

Mappings:

RIM

HL7 v2

Canadian Dental Association eclaims standard

Canadian Pharmacy Associaiton eclaims standard

Mappings for the coverage resource.

7.3.6.1 Mappings for RIM (http://hl7.org/v3)

Coverage Coverage
    issuer
    bin
    period
    type
    subscriberId
    identifier
    group
    plan
    subPlan
    dependent
    sequence
    subscriber
    network
    contract

7.3.6.2 Mappings for HL7 v2 (http://hl7.org/v2)

Coverage
    issuer IN1-3-insurance company ID
    bin
    period IN1-12-plan effective date / IN1-13-plan expiration date
    type IN1-15-plan type
    subscriberId
    identifier IN1-2-health plan ID
    group IN1-8-group number
    plan IN1-35-company plan code
    subPlan IN1-10-insured's group emp ID
    dependent - No exact V2.x equivalent concept seems to exist; instance relationship can be inferred if ( ( PID-3-patient ID list ??? IN1-49-insured's ID number ) & ( ?? IN2-72-patient's relationship to insured ) )
    sequence No V2.x equivalent concept seems to exist
    subscriber IN1-16, 18, 19-name of insured, address, date of birth
    network
    contract IN1-16, 18, 19-name of insured, address, date of birth

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

Coverage
    issuer A05
    bin
    period
    type
    subscriberId
    identifier C02
    group C11 (Division,Section)
    plan C01
    subPlan
    dependent C17
    sequence D11
    subscriber D01 through D09
    network D10
    contract D01 through D09

7.3.6.4 Mappings for Canadian Pharmacy Associaiton eclaims standard (http://www.pharmacists.ca/)

Coverage
    issuer C.30
    bin
    period
    type
    subscriberId
    identifier C.32, C.33, C.39
    group C.31
    plan
    subPlan
    dependent
    sequence
    subscriber C.35
    network
    contract C.35