HL7 Europe Laboratory Report
0.1.0 - trial-use 150

This page is part of the HL7 Europe Laboratory Report (v0.1.0: STU 1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. 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 08:44:57+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 1Mapping from A.1.3 - Health insurance and payment information to ServiceRequest: Laboratory Order

Source CodeRelationshipTarget CodeComment
Payer.insurance (A.1.3.1 Health insurance information)ServiceRequest.insuranceinsurance.ofType(Coverage)
Payer.insurance.identifier (A.1.3.1.1 Health insurance code)ServiceRequest.insurancedetails in Group 2
Payer.insurance.name (A.1.3.1.2 Health insurance name)ServiceRequest.insurancedetails in Group 2
Payer.insurance.subjectIdentifier (A.1.3.1.3 Health insurance number)ServiceRequest.insurancedetails in Group 2

Group 2Mapping from A.1.3 - Health insurance and payment information to Coverage

Source CodeRelationshipTarget CodeComment
Payer.insurance (A.1.3.1 Health insurance information)Coverage
Payer.insurance.identifier (A.1.3.1.1 Health insurance code)Coverage.payor.identifierpayor.ofType(Organization)
Payer.insurance.name (A.1.3.1.2 Health insurance name)Coverage.payor.namepayor.ofType(Organization)
Payer.insurance.subjectIdentifier (A.1.3.1.3 Health insurance number)Coverage.policyHolder.identifierIf it refers to the owner of the policy
Payer.insurance.subjectIdentifier (A.1.3.1.3 Health insurance number)Coverage.beneficiary.identifierIf it refers to the plan beneficiary
Payer.insurance.subjectIdentifier (A.1.3.1.3 Health insurance number)Coverage.subscriberIdIf it is the ID assigned to the subscriber
Payer.insurance.subjectIdentifier (A.1.3.1.3 Health insurance number)Coverage.subscriber.identifierIf it refers to the subscriber to the policy and the Subscriber is of type Patient

Group 3Mapping from A.1.3 - Health insurance and payment information to Patient: Person

Source CodeRelationshipTarget CodeComment
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.identifierSometimes the identifier assigned by the payor (e.g. the SSN) is used as one of the Patient Identifiers