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 |
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<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>
</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>
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<url value="http://hl7.eu/fhir/laboratory/ConceptMap/payer2FHIR-eu-lab"/>
<version value="0.1.0"/>
<name value="Payer2Fhir"/>
<title value="eHN Payer to this guide Map"/>
<status value="draft"/>
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<date value="2024-02-26T08:44:57+01:00"/>
<publisher value="HL7 Europe"/>
<contact>
<name value="HL7 Europe"/>
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<description value="eHN Payer Model to this guide Map"/>
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<purpose
value="It shows how the Laboratory Report Payer data set defined by the EU eHN guidelines is mapped into this guide"/>
<copyright
value="Used by permission of HL7 Europe, all rights reserved Creative Commons License"/>
<sourceUri value="http://hl7.eu/fhir/laboratory/StructureDefinition/Payer"/>
<targetUri
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<target
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<code value="Payer.insurance"/>
<display value="A.1.3.1 Health insurance information"/>
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<code value="ServiceRequest.insurance"/>
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<code value="Payer.insurance.name"/>
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<comment value="details in Group 2"/>
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<code value="Payer.insurance.subjectIdentifier"/>
<display value="A.1.3.1.3 Health insurance number"/>
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<code value="ServiceRequest.insurance"/>
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<code value="Payer.insurance"/>
<display value="A.1.3.1 Health insurance information"/>
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<code value="Coverage"/>
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<element>
<code value="Payer.insurance.identifier"/>
<display value="A.1.3.1.1 Health insurance code"/>
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<display value="A.1.3.1.2 Health insurance name"/>
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<code value="Coverage.payor.name"/>
<equivalence value="equivalent"/>
<comment value="payor.ofType(Organization)"/>
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<element>
<code value="Payer.insurance.subjectIdentifier"/>
<display value="A.1.3.1.3 Health insurance number"/>
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<code value="Coverage.policyHolder.identifier"/>
<equivalence value="equivalent"/>
<comment value="If it refers to the owner of the policy"/>
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<element>
<code value="Payer.insurance.subjectIdentifier"/>
<display value="A.1.3.1.3 Health insurance number"/>
<target>
<modifierExtension
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<valueCode value="equivalent"/>
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<code value="Coverage.beneficiary.identifier"/>
<equivalence value="equivalent"/>
<comment value="If it refers to the plan beneficiary"/>
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<element>
<code value="Payer.insurance.subjectIdentifier"/>
<display value="A.1.3.1.3 Health insurance number"/>
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<modifierExtension
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<valueCode value="equivalent"/>
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<code value="Coverage.subscriberId"/>
<equivalence value="equivalent"/>
<comment value="If it is the ID assigned to the subscriber"/>
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</element>
<element>
<code value="Payer.insurance.subjectIdentifier"/>
<display value="A.1.3.1.3 Health insurance number"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Coverage.subscriber.identifier"/>
<equivalence value="equivalent"/>
<comment
value="If it refers to the subscriber to the policy and the Subscriber is of type Patient"/>
</target>
</element>
</group>
<group>
<source value="http://hl7.eu/fhir/laboratory/StructureDefinition/Payer"/>
<target
value="http://hl7.eu/fhir/laboratory/StructureDefinition/Patient-eu-lab"/>
<element>
<code value="Payer.insurance"/>
<display value="A.1.3.1 Health insurance information"/>
<target>
<equivalence value="unmatched"/>
</target>
</element>
<element>
<code value="Payer.insurance.identifier"/>
<display value="A.1.3.1.1 Health insurance code"/>
<target>
<equivalence value="unmatched"/>
</target>
</element>
<element>
<code value="Payer.insurance.name"/>
<display value="A.1.3.1.2 Health insurance name"/>
<target>
<equivalence value="unmatched"/>
</target>
</element>
<element>
<code value="Payer.insurance.subjectIdentifier"/>
<display value="A.1.3.1.3 Health insurance number"/>
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<code value="Patient.identifier"/>
<equivalence value="relatedto"/>
<comment
value="Sometimes the identifier assigned by the payor (e.g. the SSN) is used as one of the Patient Identifiers"/>
</target>
</element>
</group>
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