HL7 CZ Laboratory IG
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HL7 CZ Laboratory IG, published by HL7 Czech Republic. This guide is not an authorized publication; it is the continuous build for version 0.5.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-cz/cz-lab/ and changes regularly. See the Directory of published versions

: eHN Payer to this guide Map - XML Representation

Page standards status: Informative Maturity Level: 2

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<ConceptMap xmlns="http://hl7.org/fhir">
  <id value="payer2FHIR-cz-lab"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ConceptMap payer2FHIR-cz-lab</b></p><a name="payer2FHIR-cz-lab"> </a><a name="hcpayer2FHIR-cz-lab"> </a><p>Mapping from (not specified) to (not specified)</p><br/><p><b>Group 1 </b>Mapping from <a href="StructureDefinition-PayerCz.html">A.1.3 - Health insurance and payment information</a> to <a href="StructureDefinition-cz-service-request-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.identifier (A.1.3.1 Health insurance code)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td>ServiceRequest.insurance</td><td>details in Group 2</td></tr><tr><td>Payer.name (A.1.3.2 Health insurance name)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td>ServiceRequest.insurance</td><td>details in Group 2</td></tr><tr><td>Payer.subjectIdentifier (A.1.3.3 Health insurance number)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto" title="relatedto">is related to</a></td><td>ServiceRequest.insurance</td><td>details in Group 2</td></tr></table><hr/><p><b>Group 2 </b>Mapping from <a href="StructureDefinition-PayerCz.html">A.1.3 - Health insurance and payment information</a> to <a href="https://build.fhir.org/ig/HL7-cz/cz-core/StructureDefinition-cz-coverage.html">Coverage (CZ)</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.identifier (A.1.3.1 Health insurance code)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Coverage.payor.identifier</td><td>payor.ofType(Organization)</td></tr><tr><td>Payer.name (A.1.3.2 Health insurance name)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Coverage.payor.name</td><td>payor.ofType(Organization)</td></tr><tr><td>Payer.subjectIdentifier (A.1.3.3 Health insurance number)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Coverage.policyHolder.identifier</td><td>If it refers to the owner of the policy</td></tr><tr><td>Payer.subjectIdentifier (A.1.3.3 Health insurance number)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Coverage.beneficiary.identifier</td><td>If it refers to the plan beneficiary</td></tr><tr><td>Payer.subjectIdentifier (A.1.3.3 Health insurance number)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Coverage.subscriberId</td><td>If it is the ID assigned to the subscriber</td></tr><tr><td>Payer.subjectIdentifier (A.1.3.3 Health insurance number)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></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-PayerCz.html">A.1.3 - Health insurance and payment information</a> to <a href="https://build.fhir.org/ig/HL7-cz/cz-core/StructureDefinition-cz-patient-core.html">Patient (CZ core)</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.identifier (A.1.3.1 Health insurance code)</td><td colspan="3" style="background-color: #efefef">(not mapped)</td></tr><tr><td>Payer.name (A.1.3.2 Health insurance name)</td><td colspan="3" style="background-color: #efefef">(not mapped)</td></tr><tr><td>Payer.subjectIdentifier (A.1.3.3 Health insurance number)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td>Patient.identifier</td><td>If treated as one of the Patient identifiers; this applies in some jurisdictions</td></tr></table></div>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="2"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="informative"/>
  </extension>
  <url value="https://hl7.cz/fhir/lab/ConceptMap/payer2FHIR-cz-lab"/>
  <version value="0.5.0"/>
  <name value="Payer2Fhir"/>
  <title value="eHN Payer to this guide Map"/>
  <status value="draft"/>
  <experimental value="true"/>
  <date value="2025-08-22T10:27:37+00:00"/>
  <publisher value="HL7 Czech Republic"/>
  <contact>
    <name value="HL7 Czech Republic"/>
    <telecom>
      <system value="url"/>
      <value value="https://hl7.cz"/>
    </telecom>
  </contact>
  <description value="eHN Payer Model to this guide Map"/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="CZ"/>
      <display value="Czechia"/>
    </coding>
  </jurisdiction>
  <purpose
           value="It shows how the Laboratory Report Payer data set defined by the EU eHN guidelines is mapped into this guide"/>
  <group>
    <source value="https://hl7.cz/fhir/lab/StructureDefinition/PayerCz"/>
    <target
            value="https://hl7.cz/fhir/lab/StructureDefinition/cz-service-request-lab"/>
    <element>
      <code value="Payer.identifier"/>
      <display value="A.1.3.1 Health insurance code"/>
      <target>
        <code value="ServiceRequest.insurance"/>
        <equivalence value="relatedto"/>
        <comment value="details in Group 2"/>
      </target>
    </element>
    <element>
      <code value="Payer.name"/>
      <display value="A.1.3.2 Health insurance name"/>
      <target>
        <code value="ServiceRequest.insurance"/>
        <equivalence value="relatedto"/>
        <comment value="details in Group 2"/>
      </target>
    </element>
    <element>
      <code value="Payer.subjectIdentifier"/>
      <display value="A.1.3.3 Health insurance number"/>
      <target>
        <code value="ServiceRequest.insurance"/>
        <equivalence value="relatedto"/>
        <comment value="details in Group 2"/>
      </target>
    </element>
  </group>
  <group>
    <source value="https://hl7.cz/fhir/lab/StructureDefinition/PayerCz"/>
    <target value="https://hl7.cz/fhir/core/StructureDefinition/cz-coverage"/>
    <element>
      <code value="Payer.identifier"/>
      <display value="A.1.3.1 Health insurance code"/>
      <target>
        <code value="Coverage.payor.identifier"/>
        <equivalence value="equivalent"/>
        <comment value="payor.ofType(Organization)"/>
      </target>
    </element>
    <element>
      <code value="Payer.name"/>
      <display value="A.1.3.2 Health insurance name"/>
      <target>
        <code value="Coverage.payor.name"/>
        <equivalence value="equivalent"/>
        <comment value="payor.ofType(Organization)"/>
      </target>
    </element>
    <element>
      <code value="Payer.subjectIdentifier"/>
      <display value="A.1.3.3 Health insurance number"/>
      <target>
        <code value="Coverage.policyHolder.identifier"/>
        <equivalence value="equivalent"/>
        <comment value="If it refers to the owner of the policy"/>
      </target>
    </element>
    <element>
      <code value="Payer.subjectIdentifier"/>
      <display value="A.1.3.3 Health insurance number"/>
      <target>
        <code value="Coverage.beneficiary.identifier"/>
        <equivalence value="equivalent"/>
        <comment value="If it refers to the plan beneficiary"/>
      </target>
    </element>
    <element>
      <code value="Payer.subjectIdentifier"/>
      <display value="A.1.3.3 Health insurance number"/>
      <target>
        <code value="Coverage.subscriberId"/>
        <equivalence value="equivalent"/>
        <comment value="If it is the ID assigned to the subscriber"/>
      </target>
    </element>
    <element>
      <code value="Payer.subjectIdentifier"/>
      <display value="A.1.3.3 Health insurance number"/>
      <target>
        <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="https://hl7.cz/fhir/lab/StructureDefinition/PayerCz"/>
    <target
            value="https://hl7.cz/fhir/core/StructureDefinition/cz-patient-core"/>
    <element>
      <code value="Payer.identifier"/>
      <display value="A.1.3.1 Health insurance code"/>
      <target>
        <equivalence value="unmatched"/>
      </target>
    </element>
    <element>
      <code value="Payer.name"/>
      <display value="A.1.3.2 Health insurance name"/>
      <target>
        <equivalence value="unmatched"/>
      </target>
    </element>
    <element>
      <code value="Payer.subjectIdentifier"/>
      <display value="A.1.3.3 Health insurance number"/>
      <target>
        <code value="Patient.identifier"/>
        <equivalence value="equivalent"/>
        <comment
                 value="If treated as one of the Patient identifiers; this applies in some jurisdictions"/>
      </target>
    </element>
  </group>
</ConceptMap>