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
Page standards status: Informative | Maturity Level: 2 |
{
"resourceType" : "ConceptMap",
"id" : "payer2FHIR-eu-lab",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Mapping from <a href=\"StructureDefinition-Payer.html\">A.1.3 - Health insurance and payment information</a> to <a href=\"StructureDefinition-Bundle-eu-lab.html\">Bundle: Laboratory Report</a></p><p>DRAFT (not intended for production usage). Published on 2024-02-26 08:44:57+0100 by HL7 Europe (HL7 Europe: <a href=\"http://hl7.eu\">http://hl7.eu</a>). Used by permission of HL7 Europe, all rights reserved Creative Commons License</p><div><p>eHN Payer Model to this guide Map</p>\n</div><br/><p><b>Group 1</b>Mapping from <a href=\"StructureDefinition-Payer.html\">A.1.3 - Health insurance and payment information</a> to <a href=\"StructureDefinition-ServiceRequest-eu-lab.html\">ServiceRequest: Laboratory Order</a></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>Payer.insurance (A.1.3.1 Health insurance information)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#null\"/></td><td>ServiceRequest.insurance</td><td>insurance.ofType(Coverage)</td></tr><tr><td>Payer.insurance.identifier (A.1.3.1.1 Health insurance code)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#null\"/></td><td>ServiceRequest.insurance</td><td>details in Group 2</td></tr><tr><td>Payer.insurance.name (A.1.3.1.2 Health insurance name)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#null\"/></td><td>ServiceRequest.insurance</td><td>details in Group 2</td></tr><tr><td>Payer.insurance.subjectIdentifier (A.1.3.1.3 Health insurance number)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#null\"/></td><td>ServiceRequest.insurance</td><td>details in Group 2</td></tr></table><hr/><p><b>Group 2</b>Mapping from <a href=\"StructureDefinition-Payer.html\">A.1.3 - Health insurance and payment information</a> to <a href=\"http://hl7.org/fhir/R4/coverage.html\">Coverage</a></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>Payer.insurance (A.1.3.1 Health insurance information)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#null\"/></td><td>Coverage</td><td/></tr><tr><td>Payer.insurance.identifier (A.1.3.1.1 Health insurance code)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#null\"/></td><td>Coverage.payor.identifier</td><td>payor.ofType(Organization)</td></tr><tr><td>Payer.insurance.name (A.1.3.1.2 Health insurance name)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#null\"/></td><td>Coverage.payor.name</td><td>payor.ofType(Organization)</td></tr><tr><td>Payer.insurance.subjectIdentifier (A.1.3.1.3 Health insurance number)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#null\"/></td><td>Coverage.policyHolder.identifier</td><td>If it refers to the owner of the policy</td></tr><tr><td>Payer.insurance.subjectIdentifier (A.1.3.1.3 Health insurance number)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#null\"/></td><td>Coverage.beneficiary.identifier</td><td>If it refers to the plan beneficiary</td></tr><tr><td>Payer.insurance.subjectIdentifier (A.1.3.1.3 Health insurance number)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#null\"/></td><td>Coverage.subscriberId</td><td>If it is the ID assigned to the subscriber</td></tr><tr><td>Payer.insurance.subjectIdentifier (A.1.3.1.3 Health insurance number)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#null\"/></td><td>Coverage.subscriber.identifier</td><td>If it refers to the subscriber to the policy and the Subscriber is of type Patient</td></tr></table><hr/><p><b>Group 3</b>Mapping from <a href=\"StructureDefinition-Payer.html\">A.1.3 - Health insurance and payment information</a> to <a href=\"StructureDefinition-Patient-eu-lab.html\">Patient: Person</a></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>Payer.insurance (A.1.3.1 Health insurance information)</td><td colspan=\"3\" style=\"background-color: #efefef\">(not mapped)</td></tr><tr><td>Payer.insurance.identifier (A.1.3.1.1 Health insurance code)</td><td colspan=\"3\" style=\"background-color: #efefef\">(not mapped)</td></tr><tr><td>Payer.insurance.name (A.1.3.1.2 Health insurance name)</td><td colspan=\"3\" style=\"background-color: #efefef\">(not mapped)</td></tr><tr><td>Payer.insurance.subjectIdentifier (A.1.3.1.3 Health insurance number)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#null\"/></td><td>Patient.identifier</td><td>Sometimes the identifier assigned by the payor (e.g. the SSN) is used as one of the Patient Identifiers</td></tr></table></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger" : 2
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "informative"
}
],
"url" : "http://hl7.eu/fhir/laboratory/ConceptMap/payer2FHIR-eu-lab",
"version" : "0.1.0",
"name" : "Payer2Fhir",
"title" : "eHN Payer to this guide Map",
"status" : "draft",
"experimental" : true,
"date" : "2024-02-26T08:44:57+01:00",
"publisher" : "HL7 Europe",
"contact" : [
{
"name" : "HL7 Europe",
"telecom" : [
{
"system" : "url",
"value" : "http://hl7.eu"
}
]
}
],
"description" : "eHN Payer Model to this guide Map",
"jurisdiction" : [
{
"coding" : [
{
"system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code" : "150",
"display" : "Europe"
}
]
}
],
"purpose" : "It shows how the Laboratory Report Payer data set defined by the EU eHN guidelines is mapped into this guide",
"copyright" : "Used by permission of HL7 Europe, all rights reserved Creative Commons License",
"sourceUri" : "http://hl7.eu/fhir/laboratory/StructureDefinition/Payer",
"targetUri" : "http://hl7.eu/fhir/laboratory/StructureDefinition/Bundle-eu-lab",
"group" : [
{
"source" : "http://hl7.eu/fhir/laboratory/StructureDefinition/Payer",
"target" : "http://hl7.eu/fhir/laboratory/StructureDefinition/ServiceRequest-eu-lab",
"element" : [
{
"code" : "Payer.insurance",
"display" : "A.1.3.1 Health insurance information",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "relatedto"
}
],
"code" : "ServiceRequest.insurance",
"equivalence" : "relatedto",
"comment" : "insurance.ofType(Coverage)"
}
]
},
{
"code" : "Payer.insurance.identifier",
"display" : "A.1.3.1.1 Health insurance code",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "relatedto"
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],
"code" : "ServiceRequest.insurance",
"equivalence" : "relatedto",
"comment" : "details in Group 2"
}
]
},
{
"code" : "Payer.insurance.name",
"display" : "A.1.3.1.2 Health insurance name",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "relatedto"
}
],
"code" : "ServiceRequest.insurance",
"equivalence" : "relatedto",
"comment" : "details in Group 2"
}
]
},
{
"code" : "Payer.insurance.subjectIdentifier",
"display" : "A.1.3.1.3 Health insurance number",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "relatedto"
}
],
"code" : "ServiceRequest.insurance",
"equivalence" : "relatedto",
"comment" : "details in Group 2"
}
]
}
]
},
{
"source" : "http://hl7.eu/fhir/laboratory/StructureDefinition/Payer",
"target" : "http://hl7.org/fhir/StructureDefinition/Coverage",
"element" : [
{
"code" : "Payer.insurance",
"display" : "A.1.3.1 Health insurance information",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "relatedto"
}
],
"code" : "Coverage",
"equivalence" : "relatedto"
}
]
},
{
"code" : "Payer.insurance.identifier",
"display" : "A.1.3.1.1 Health insurance code",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "equivalent"
}
],
"code" : "Coverage.payor.identifier",
"equivalence" : "equivalent",
"comment" : "payor.ofType(Organization)"
}
]
},
{
"code" : "Payer.insurance.name",
"display" : "A.1.3.1.2 Health insurance name",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "equivalent"
}
],
"code" : "Coverage.payor.name",
"equivalence" : "equivalent",
"comment" : "payor.ofType(Organization)"
}
]
},
{
"code" : "Payer.insurance.subjectIdentifier",
"display" : "A.1.3.1.3 Health insurance number",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "equivalent"
}
],
"code" : "Coverage.policyHolder.identifier",
"equivalence" : "equivalent",
"comment" : "If it refers to the owner of the policy"
}
]
},
{
"code" : "Payer.insurance.subjectIdentifier",
"display" : "A.1.3.1.3 Health insurance number",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "equivalent"
}
],
"code" : "Coverage.beneficiary.identifier",
"equivalence" : "equivalent",
"comment" : "If it refers to the plan beneficiary"
}
]
},
{
"code" : "Payer.insurance.subjectIdentifier",
"display" : "A.1.3.1.3 Health insurance number",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "equivalent"
}
],
"code" : "Coverage.subscriberId",
"equivalence" : "equivalent",
"comment" : "If it is the ID assigned to the subscriber"
}
]
},
{
"code" : "Payer.insurance.subjectIdentifier",
"display" : "A.1.3.1.3 Health insurance number",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "equivalent"
}
],
"code" : "Coverage.subscriber.identifier",
"equivalence" : "equivalent",
"comment" : "If it refers to the subscriber to the policy and the Subscriber is of type Patient"
}
]
}
]
},
{
"source" : "http://hl7.eu/fhir/laboratory/StructureDefinition/Payer",
"target" : "http://hl7.eu/fhir/laboratory/StructureDefinition/Patient-eu-lab",
"element" : [
{
"code" : "Payer.insurance",
"display" : "A.1.3.1 Health insurance information",
"target" : [
{
"equivalence" : "unmatched"
}
]
},
{
"code" : "Payer.insurance.identifier",
"display" : "A.1.3.1.1 Health insurance code",
"target" : [
{
"equivalence" : "unmatched"
}
]
},
{
"code" : "Payer.insurance.name",
"display" : "A.1.3.1.2 Health insurance name",
"target" : [
{
"equivalence" : "unmatched"
}
]
},
{
"code" : "Payer.insurance.subjectIdentifier",
"display" : "A.1.3.1.3 Health insurance number",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "relatedto"
}
],
"code" : "Patient.identifier",
"equivalence" : "relatedto",
"comment" : "Sometimes the identifier assigned by the payor (e.g. the SSN) is used as one of the Patient Identifiers"
}
]
}
]
}
]
}