Consumer Real-Time Pharmacy Benefit Check FHIR IG
2.0.0-ballot - STU 2 Ballot

Consumer Real-Time Pharmacy Benefit Check FHIR IG, published by HL7 International / Pharmacy. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/carin-rtpbc/ and changes regularly. See the Directory of published versions

## Resource Profile: RTPBC Coverage - Mappings

Page standards status: Trial-use | Maturity Level: 2

Mappings for the rtpbc-coverage resource profile.

#### Mappings to Structures in this Implementation Guide

No Mappings Found

#### Mappings to other Structures

No Mappings Found

#### Other Mappings

Name | Workflow Pattern | RIM Mapping | FiveWs Pattern Mapping | Canadian Dental Association eclaims standard | HL7 v2 Mapping | Canadian Pharmacy Associaiton eclaims standard
--- | --- | --- | --- | --- | --- | ---
Coverage | Event | Coverage |  |  |  |
id |  |  |  |  |  |
meta |  |  |  |  |  |
implicitRules |  |  |  |  |  |
language |  |  |  |  |  |
text |  | Act.text? |  |  |  |
contained |  | N/A |  |  |  |
extension |  | N/A |  |  |  |
modifierExtension |  | N/A |  |  |  |
Slices for identifier | Event.identifier | .id | FiveWs.identifier | C02 | IN1-2 | C.32 C.33 C.39
identifier:memberid | Event.identifier | .id | FiveWs.identifier | C02 | IN1-2 | C.32 C.33 C.39
id |  | n/a |  |  |  |
extension |  | n/a |  |  |  |
use |  | Role.code or implied by context |  |  | N/A |
type |  | Role.code or implied by context |  |  | CX.5 |
system |  | II.root or Role.id.root |  |  | CX.4 / EI-2-4 |
value |  | II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) |  |  | CX.1 / EI.1 |
period |  | Role.effectiveTime or implied by context |  |  | CX.7 + CX.8 |
assigner |  | II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper |  |  | CX.4 / (CX.4 CX.9 CX.10) |
status | Event.status | Act.status | FiveWs.status |  |  |
type |  |  | FiveWs.class |  | IN1-15 |
policyHolder |  |  | FiveWs.subject | D01 through D09 | IN1-16 18 19-name of insured address date of birth | C.35
subscriber |  |  | FiveWs.subject | D01 through D09 | IN1-16 18 19-name of insured address date of birth | C.35
subscriberId |  |  | FiveWs.subject | D01 through D09 | IN1-16 18 19-name of insured address date of birth | C.35
beneficiary | Event.subject |  | FiveWs.subject | D01 through D09 | IN1-16 18 19-name of insured address date of birth | C.35
dependent |  |  |  | C17 | - No exact HL7 v2 equivalent concept seems to exist; |
relationship |  |  |  | C03 |  |
period | Event.occurrence[x] | Act.effectiveTime | FiveWs.done[x] |  | IN1-12 / IN1-13 |
payor |  |  | FiveWs.author | A05 | IN1-3 | C.30
id |  | n/a |  |  |  |
extension |  | n/a |  |  |  |
reference |  | N/A |  |  |  |
type |  | N/A |  |  |  |
identifier |  | .identifier |  |  |  |
id |  | n/a |  |  |  |
extension |  | n/a |  |  |  |
use |  | Role.code or implied by context |  |  | N/A |
type |  | Role.code or implied by context |  |  | CX.5 |
system |  | II.root or Role.id.root |  |  | CX.4 / EI-2-4 |
value |  | II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) |  |  | CX.1 / EI.1 |
period |  | Role.effectiveTime or implied by context |  |  | CX.7 + CX.8 |
assigner |  | II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper |  |  | CX.4 / (CX.4 CX.9 CX.10) |
display |  | N/A |  |  |  |
Slices for class |  |  |  |  |  |
class:All Slices |  |  |  |  |  |
id |  | n/a |  |  |  |
extension |  | n/a |  |  |  |
modifierExtension |  | N/A |  |  |  |
type |  |  |  |  |  |
value |  |  |  | C11 (Division Section) | IN1-8 | C.31
name |  |  |  | C11 (Division Section) | IN1-8 | C.31
class:group |  |  |  |  |  |
id |  | n/a |  |  |  |
extension |  | n/a |  |  |  |
modifierExtension |  | N/A |  |  |  |
type |  |  |  |  |  |
value |  |  |  | C11 (Division Section) | IN1-8 | C.31
name |  |  |  | C11 (Division Section) | IN1-8 | C.31
class:plan |  |  |  |  |  |
id |  | n/a |  |  |  |
extension |  | n/a |  |  |  |
modifierExtension |  | N/A |  |  |  |
type |  |  |  |  |  |
value |  |  |  | C11 (Division Section) | IN1-8 | C.31
name |  |  |  | C11 (Division Section) | IN1-8 | C.31
class:bin |  |  |  |  |  |
id |  | n/a |  |  |  |
extension |  | n/a |  |  |  |
modifierExtension |  | N/A |  |  |  |
type |  |  |  |  |  |
value |  |  |  | C11 (Division Section) | IN1-8 | C.31
name |  |  |  | C11 (Division Section) | IN1-8 | C.31
class:pcn |  |  |  |  |  |
id |  | n/a |  |  |  |
extension |  | n/a |  |  |  |
modifierExtension |  | N/A |  |  |  |
type |  |  |  |  |  |
value |  |  |  | C11 (Division Section) | IN1-8 | C.31
name |  |  |  | C11 (Division Section) | IN1-8 | C.31
class:rxgroup-id |  |  |  |  |  |
id |  | n/a |  |  |  |
extension |  | n/a |  |  |  |
modifierExtension |  | N/A |  |  |  |
type |  |  |  |  |  |
value |  |  |  | C11 (Division Section) | IN1-8 | C.31
name |  |  |  | C11 (Division Section) | IN1-8 | C.31
class:pbm-member-id |  |  |  |  |  |
id |  | n/a |  |  |  |
extension |  | n/a |  |  |  |
modifierExtension |  | N/A |  |  |  |
type |  |  |  |  |  |
value |  |  |  | C11 (Division Section) | IN1-8 | C.31
name |  |  |  | C11 (Division Section) | IN1-8 | C.31
order |  |  |  |  | - No exact HL7 v2 equivalent concept seems to exist; |
network |  |  |  | D10 |  |
costToBeneficiary |  |  |  |  |  |
id |  | n/a |  |  |  |
extension |  | n/a |  |  |  |
modifierExtension |  | N/A |  |  |  |
type |  |  |  |  |  |
value[x] |  |  |  | C11 (Division Section) | IN1-8 | C.31
exception |  |  |  |  |  |
id |  | n/a |  |  |  |
extension |  | n/a |  |  |  |
modifierExtension |  | N/A |  |  |  |
type |  |  |  |  |  |
period |  |  |  |  |  |
subrogation |  |  |  |  |  |
contract |  | n/a |  | D01 through D09 | IN1-16 18 19 | C.35
Documentation for this format