This page is part of the HL7 Europe Laboratory Report (v0.1.0: STU 1) based on FHIR (HL7® FHIR® Standard) R4 . The current version which supersedes this version is 0.1.1 . For a full list of available versions, see the Directory of published versions
ConceptMap: A.1.3 - Health insurance and payment information model to this guide
(Experimental)
Official URL : http://hl7.eu/fhir/laboratory/ConceptMap/payer2FHIR-eu-lab
Version :
0.1.0
Standards status:
Informative
Maturity Level : 2
Computable Name : Payer2Fhir
Copyright/Legal : Used by permission of HL7 Europe, all rights reserved Creative Commons License
eHN Payer Model to this guide Map
It shows how the Laboratory Report Payer data set defined by the EU eHN guidelines is mapped into this guide
Mapping from A.1.3 - Health insurance and payment information to Bundle: Laboratory Report
DRAFT (not intended for production usage). Published on 2024-02-26 08:16:21+0100 by HL7 Europe (HL7 Europe: http://hl7.eu ). Used by permission of HL7 Europe, all rights reserved Creative Commons License
eHN Payer Model to this guide Map
Group 1 Mapping from A.1.3 - Health insurance and payment information to ServiceRequest: Laboratory Order
Source Code Relationship Target Code Comment Payer.insurance (A.1.3.1 Health insurance information) ServiceRequest.insurance insurance.ofType(Coverage) Payer.insurance.identifier (A.1.3.1.1 Health insurance code) ServiceRequest.insurance details in Group 2 Payer.insurance.name (A.1.3.1.2 Health insurance name) ServiceRequest.insurance details in Group 2 Payer.insurance.subjectIdentifier (A.1.3.1.3 Health insurance number) ServiceRequest.insurance details in Group 2
Group 2 Mapping from A.1.3 - Health insurance and payment information to Coverage
Source Code Relationship Target Code Comment Payer.insurance (A.1.3.1 Health insurance information) Coverage Payer.insurance.identifier (A.1.3.1.1 Health insurance code) Coverage.payor.identifier payor.ofType(Organization) Payer.insurance.name (A.1.3.1.2 Health insurance name) Coverage.payor.name payor.ofType(Organization) Payer.insurance.subjectIdentifier (A.1.3.1.3 Health insurance number) Coverage.policyHolder.identifier If it refers to the owner of the policy Payer.insurance.subjectIdentifier (A.1.3.1.3 Health insurance number) Coverage.beneficiary.identifier If it refers to the plan beneficiary Payer.insurance.subjectIdentifier (A.1.3.1.3 Health insurance number) Coverage.subscriberId If it is the ID assigned to the subscriber Payer.insurance.subjectIdentifier (A.1.3.1.3 Health insurance number) Coverage.subscriber.identifier If it refers to the subscriber to the policy and the Subscriber is of type Patient
Group 3 Mapping from A.1.3 - Health insurance and payment information to Patient: Person
Source Code Relationship Target Code Comment Payer.insurance (A.1.3.1 Health insurance information) (not mapped) Payer.insurance.identifier (A.1.3.1.1 Health insurance code) (not mapped) Payer.insurance.name (A.1.3.1.2 Health insurance name) (not mapped) Payer.insurance.subjectIdentifier (A.1.3.1.3 Health insurance number) Patient.identifier Sometimes the identifier assigned by the payor (e.g. the SSN) is used as one of the Patient Identifiers