CH Core (R4)
5.0.0-ballot - ballot
CH Core (R4)
5.0.0-ballot - ballot
This page is part of the CH Core (R4) (v5.0.0-ballot: STU 5 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
| Active as of 2024-05-16 |
Mappings for the ch-core-coverage resource profile.
| CHCoreCoverage | ||
| Coverage | Event | |
| identifier | Event.identifier | |
| status | Event.status | |
| beneficiary | Event.subject | |
| period | Event.occurrence[x] | |
| CHCoreCoverage | ||
| Coverage | Entity. Role, or Act, Coverage | |
| text | Act.text? | |
| contained | N/A | |
| extension | N/A | |
| modifierExtension | N/A | |
| identifier | .id | |
| identifier (insuranceCardNumber) | n/a, II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] | |
| status | Act.status | |
| period | Act.effectiveTime | |
| class | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| costToBeneficiary | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| exception | ||
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| contract | n/a | |
| CHCoreCoverage | ||
| Coverage | ||
| identifier | FiveWs.identifier | |
| status | FiveWs.status | |
| type | FiveWs.class | |
| policyHolder | FiveWs.subject[x], FiveWs.subject | |
| subscriber | FiveWs.subject[x], FiveWs.subject | |
| subscriberId | FiveWs.subject[x], FiveWs.subject | |
| beneficiary | FiveWs.subject[x], FiveWs.subject | |
| period | FiveWs.done[x] | |
| payor | FiveWs.author | |
| CHCoreCoverage | ||
| Coverage | ||
| identifier | C02 | |
| policyHolder | D01 through D09 | |
| subscriber | D01 through D09 | |
| subscriberId | D01 through D09 | |
| beneficiary | D01 through D09 | |
| dependent | C17 | |
| relationship | C03 | |
| payor | A05 | |
| class | ||
| value | C11 (Division,Section) | |
| name | C11 (Division,Section) | |
| network | D10 | |
| costToBeneficiary | ||
| value[x] | C11 (Division,Section) | |
| contract | D01 through D09 | |
| CHCoreCoverage | ||
| Coverage | ||
| identifier | IN1-2 | |
| identifier (insuranceCardNumber) | CX / EI (occasionally, more often EI maps to a resource id or a URL) | |
| type | IN1-15 | |
| policyHolder | IN1-16, 18, 19-name of insured, address, date of birth | |
| subscriber | IN1-16, 18, 19-name of insured, address, date of birth | |
| subscriberId | IN1-16, 18, 19-name of insured, address, date of birth | |
| beneficiary | IN1-16, 18, 19-name of insured, address, date of birth | |
| dependent | - No exact HL7 v2 equivalent concept seems to exist; | |
| period | IN1-12 / IN1-13 | |
| payor | IN1-3 | |
| class | ||
| value | IN1-8 | |
| name | IN1-8 | |
| order | - No exact HL7 v2 equivalent concept seems to exist; | |
| costToBeneficiary | ||
| value[x] | IN1-8 | |
| contract | IN1-16, 18, 19 | |
| CHCoreCoverage | ||
| Coverage | ||
| identifier | C.32, C.33, C.39 | |
| policyHolder | C.35 | |
| subscriber | C.35 | |
| subscriberId | C.35 | |
| beneficiary | C.35 | |
| payor | C.30 | |
| class | ||
| value | C.31 | |
| name | C.31 | |
| costToBeneficiary | ||
| value[x] | C.31 | |
| contract | C.35 | |