Da Vinci - Coverage Requirements Discovery
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Da Vinci - Coverage Requirements Discovery, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-crd/ and changes regularly. See the Directory of published versions

: HL7 Location code to CMS location code - JSON Representation

Page standards status: Trial-use Maturity Level: 3

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{
  "resourceType" : "ConceptMap",
  "id" : "HL7Location-CRDTemp",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ConceptMap HL7Location-CRDTemp</b></p><a name=\"HL7Location-CRDTemp\"> </a><a name=\"hcHL7Location-CRDTemp\"> </a><a name=\"HL7Location-CRDTemp-en-US\"> </a><p>Mapping from <a href=\"http://terminology.hl7.org/5.5.0/ValueSet-v3-ServiceDeliveryLocationRoleType.html\">ServiceDeliveryLocationRoleType</a> to <a href=\"ValueSet-cmslocationcodes.html\">CMS Location Codes Value Set</a></p><br/><p><b>Group 1 </b>Mapping from <a href=\"http://terminology.hl7.org/5.5.0/CodeSystem-v3-RoleCode.html\">RoleCode</a> to <a href=\"CodeSystem-temp.html\">CRD Temporary Codes</a></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td></tr><tr><td>PHARM (Pharmacy)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>1 (Pharmacy **)</td></tr><tr><td>SCHOOL</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>3 (School)</td></tr><tr><td>PROFF (Provider's Office)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>11 (Office)</td></tr><tr><td>MOBL (Mobile Unit)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>15 (Mobile Unit)</td></tr><tr><td>WORK (work site)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>18 (Place of Employment-)</td></tr><tr><td>HOSP (Hospital)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>21 (Inpatient Hospital)</td></tr><tr><td>ER (Emergency room)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>23 (Emergency Room - Hospital)</td></tr><tr><td>SU (Surgery clinic)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>24 (Ambulatory Surgical Center)</td></tr><tr><td>MHSP (Military Hospital)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#wider\" title=\"wider\">maps to wider concept</a></td><td>26 (Military Treatment Facility)</td></tr><tr><td>SNF (Skilled nursing facility)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>31 (Skilled Nursing Facility)</td></tr><tr><td>NCCF (Nursing or custodial care facility)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#wider\" title=\"wider\">maps to wider concept</a></td><td>32 (Nursing Facility)</td></tr><tr><td>NCCF (Nursing or custodial care facility)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#wider\" title=\"wider\">maps to wider concept</a></td><td>33 (Custodial Care Facility)</td></tr><tr><td>AMB (Ambulance)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#wider\" title=\"wider\">maps to wider concept</a></td><td>41 (Ambulance - Land)</td></tr><tr><td>AMB (Ambulance)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#wider\" title=\"wider\">maps to wider concept</a></td><td>42 (Ambulance - Air or Water)</td></tr><tr><td>PHU (Psychiatric hospital unit)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>51 (Inpatient Psychiatric Facility)</td></tr><tr><td>RHII (intellectual impairment center)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>54 (Intermediate Care Facility/ Individuals with Intellectual Disabilities)</td></tr><tr><td>SURF (Substance use rehabilitation facility)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>55 (Residential Substance Abuse Treatment Facility)</td></tr><tr><td>PSYCHF (Psychatric Care Facility)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>56 (Psychiatric Residential Treatment Center)</td></tr><tr><td>RHU (Rehabilitation hospital unit)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>61 (Comprehensive Inpatient Rehabilitation Facility)</td></tr><tr><td>MBL (medical laboratory)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>81 (Independent Laboratory)</td></tr></table></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "fm"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger" : 3,
      "_valueInteger" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://hl7.org/fhir/us/davinci-crd/ImplementationGuide/davinci-crd"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode" : "trial-use",
      "_valueCode" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://hl7.org/fhir/us/davinci-crd/ImplementationGuide/davinci-crd"
          }
        ]
      }
    }
  ],
  "url" : "http://hl7.org/fhir/us/davinci-crd/ConceptMap/HL7Location-CRDTemp",
  "identifier" : {
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:oid:2.16.840.1.113883.4.642.40.18.18.1"
  },
  "version" : "2.1.0",
  "name" : "HL7LocationCRDTempMap",
  "title" : "HL7 Location code to CMS location code",
  "status" : "active",
  "experimental" : false,
  "date" : "2024-12-11T01:38:49+00:00",
  "publisher" : "HL7 International / Financial Management",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/fm"
        }
      ]
    }
  ],
  "description" : "A mapping between the location code mandated by HL7 with the equivalent concepts in the CMS code system (where equivalents exist)",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US"
        }
      ]
    }
  ],
  "sourceCanonical" : "http://terminology.hl7.org/ValueSet/v3-ServiceDeliveryLocationRoleType",
  "targetCanonical" : "http://hl7.org/fhir/us/davinci-crd/ValueSet/cmslocationcodes",
  "group" : [
    {
      "source" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
      "target" : "http://hl7.org/fhir/us/davinci-crd/CodeSystem/temp",
      "element" : [
        {
          "code" : "PHARM",
          "display" : "Pharmacy",
          "target" : [
            {
              "code" : "1",
              "display" : "Pharmacy **",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "SCHOOL",
          "display" : "school",
          "target" : [
            {
              "code" : "3",
              "display" : "School",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "PROFF",
          "display" : "Provider's Office",
          "target" : [
            {
              "code" : "11",
              "display" : "Office",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "MOBL",
          "display" : "Mobile Unit",
          "target" : [
            {
              "code" : "15",
              "display" : "Mobile Unit",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "WORK",
          "display" : "work site",
          "target" : [
            {
              "code" : "18",
              "display" : "Place of Employment-",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "HOSP",
          "display" : "Hospital",
          "target" : [
            {
              "code" : "21",
              "display" : "Inpatient Hospital",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "ER",
          "display" : "Emergency room",
          "target" : [
            {
              "code" : "23",
              "display" : "Emergency Room - Hospital",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "SU",
          "display" : "Surgery clinic",
          "target" : [
            {
              "code" : "24",
              "display" : "Ambulatory Surgical Center",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "MHSP",
          "display" : "Military Hospital",
          "target" : [
            {
              "code" : "26",
              "display" : "Military Treatment Facility",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "SNF",
          "display" : "Skilled nursing facility",
          "target" : [
            {
              "code" : "31",
              "display" : "Skilled Nursing Facility",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "NCCF",
          "display" : "Nursing or custodial care facility",
          "target" : [
            {
              "code" : "32",
              "display" : "Nursing Facility",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "NCCF",
          "display" : "Nursing or custodial care facility",
          "target" : [
            {
              "code" : "33",
              "display" : "Custodial Care Facility",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "AMB",
          "display" : "Ambulance",
          "target" : [
            {
              "code" : "41",
              "display" : "Ambulance - Land",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "AMB",
          "display" : "Ambulance",
          "target" : [
            {
              "code" : "42",
              "display" : "Ambulance - Air or Water",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "PHU",
          "display" : "Psychiatric hospital unit",
          "target" : [
            {
              "code" : "51",
              "display" : "Inpatient Psychiatric Facility",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "RHII",
          "display" : "intellectual impairment center",
          "target" : [
            {
              "code" : "54",
              "display" : "Intermediate Care Facility/ Individuals with Intellectual Disabilities",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "SURF",
          "display" : "Substance use rehabilitation facility",
          "target" : [
            {
              "code" : "55",
              "display" : "Residential Substance Abuse Treatment Facility",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "PSYCHF",
          "display" : "Psychatric Care Facility",
          "target" : [
            {
              "code" : "56",
              "display" : "Psychiatric Residential Treatment Center",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "RHU",
          "display" : "Rehabilitation hospital unit",
          "target" : [
            {
              "code" : "61",
              "display" : "Comprehensive Inpatient Rehabilitation Facility",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "MBL",
          "display" : "medical laboratory",
          "target" : [
            {
              "code" : "81",
              "display" : "Independent Laboratory",
              "equivalence" : "equivalent"
            }
          ]
        }
      ]
    }
  ]
}