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7.5.6 13.3.6 Resource EligibilityResponse - Mappings

Financial Management Work Group

Maturity Level : N/A

Ballot Status : Informative

Compartments : Practitioner

Mappings for the eligibilityresponse resource.

7.5.6.1 13.3.6.1 Mappings for Canadian Dental Association eclaims standard (http://www.cda-adc.ca/en/services/cdanet/)

EligibilityResponse
identifier     identifier
request     status
created
requestProvider	B01
requestOrganization
request	A02|G01
outcome     outcome
disposition     disposition
ruleset     insurer
originalRuleset     inforce
created     insurance
organization         coverage
requestProvider         contract
B01         benefitBalance
requestOrganization             category
subCategory
excluded
name
description
network
unit
term
financial
type
allowed[x]
used[x]
form	G42
error
code

13.3.6.2 Mappings for Workflow Mapping (http://hl7.org/fhir/workflow)

EligibilityResponse	Event
identifier	Event.identifier
status	Event.status
created
requestProvider
requestOrganization	Event.performer.onBehalfOf
request	Event.basedOn
outcome
disposition	Event.note
insurer
inforce
insurance
coverage
contract
benefitBalance
category
subCategory
excluded
name
description
network
unit
term
financial
type
allowed[x]
used[x]
form
error
code