National Directory of Healthcare Providers & Services (NDH) Implementation Guide
2.0.0-current - ci-build
US
National Directory of Healthcare Providers & Services (NDH) Implementation Guide
2.0.0-current - ci-build
US
National Directory of Healthcare Providers & Services (NDH) Implementation Guide, published by HL7 International / Patient Administration. This guide is not an authorized publication; it is the continuous build for version 2.0.0-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-us-ndh/ and changes regularly. See the Directory of published versions
| Page standards status: Trial-use | Maturity Level: 4 |
{
"resourceType" : "ConceptMap",
"id" : "PlanNetToNdhInsuranceProductTypeCM",
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ConceptMap PlanNetToNdhInsuranceProductTypeCM</b></p><a name=\"PlanNetToNdhInsuranceProductTypeCM\"> </a><a name=\"hcPlanNetToNdhInsuranceProductTypeCM\"> </a><p>Mapping from <a href=\"http://hl7.org/fhir/us/davinci-pdex-plan-net/STU1.2/ValueSet-InsuranceProductTypeVS.html\">Insurance Product Type VS</a> to <a href=\"http://terminology.hl7.org/7.1.0/ValueSet-insurance-product-type.html\">Insurance Product Type</a></p><br/><p><b>Group 1 </b>Mapping from <a href=\"http://hl7.org/fhir/us/davinci-pdex-plan-net/STU1.2/CodeSystem-InsuranceProductTypeCS.html\">Insurance Product Type</a> to <a href=\"http://terminology.hl7.org/7.1.0/CodeSystem-insurance-product-type.html\">Insurance Product Type</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>commppo (Commercial PPO)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equal\" title=\"equal\">is equal to</a></td><td>commppo (Commercial PPO)</td></tr><tr><td>commhdhp (Commercial HDHP)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equal\" title=\"equal\">is equal to</a></td><td>commhdhp (Commercial HDHP)</td></tr><tr><td>commpos (Commercial POS)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equal\" title=\"equal\">is equal to</a></td><td>commpos (Commercial POS)</td></tr><tr><td>commhmo (Commercial HMO)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equal\" title=\"equal\">is equal to</a></td><td>commhmo (Commercial HMO)</td></tr><tr><td>commepo (Commercial EPO)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equal\" title=\"equal\">is equal to</a></td><td>commepo (Commercial EPO)</td></tr><tr><td>medi (Medicaid)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equal\" title=\"equal\">is equal to</a></td><td>medi (Medicaid)</td></tr><tr><td>medihmo (Medicaid HMO)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equal\" title=\"equal\">is equal to</a></td><td>medihmo (Medicaid HMO)</td></tr><tr><td>mediadv (Medicare Advantage)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equal\" title=\"equal\">is equal to</a></td><td>mediadv (Medicare Advantage)</td></tr><tr><td>mediadvhmo (Medicare Advantage HMO)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equal\" title=\"equal\">is equal to</a></td><td>mediadvhmo (Medicare Advantage HMO)</td></tr><tr><td>media (Medicare Part A)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equal\" title=\"equal\">is equal to</a></td><td>media (Medicare Part A)</td></tr><tr><td>medib (Medicare Part B)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equal\" title=\"equal\">is equal to</a></td><td>medib (Medicare Part B)</td></tr><tr><td>medid (Medicare Part D)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equal\" title=\"equal\">is equal to</a></td><td>medid (Medicare Part D)</td></tr><tr><td>mediab (Medicare A/B)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equal\" title=\"equal\">is equal to</a></td><td>mediab (Medicare A/B)</td></tr><tr><td>qhp (Qualified Health Plan)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equal\" title=\"equal\">is equal to</a></td><td>qhp (Qualified Health Plan)</td></tr><tr><td>ihs (Indian Health Service)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equal\" title=\"equal\">is equal to</a></td><td>ihs (Indian Health Service)</td></tr><tr><td>fep (Federal Employee Program)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equal\" title=\"equal\">is equal to</a></td><td>fep (Federal Employee Program)</td></tr><tr><td>tri (TRICARE)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equal\" title=\"equal\">is equal to</a></td><td>tri (TRICARE)</td></tr><tr><td>va (Veterans Affairs Plan)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equal\" title=\"equal\">is equal to</a></td><td>va (Veterans Affairs Plan)</td></tr><tr><td>dent (Dental Plan)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equal\" title=\"equal\">is equal to</a></td><td>dent (Dental Plan)</td></tr><tr><td>denthmo (Dental HMO)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equal\" title=\"equal\">is equal to</a></td><td>denthmo (Dental HMO)</td></tr><tr><td>vis (Vision Plan)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equal\" title=\"equal\">is equal to</a></td><td>vis (Vision Plan)</td></tr><tr><td>vishmo (Vision HMO)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equal\" title=\"equal\">is equal to</a></td><td>vishmo (Vision HMO)</td></tr></table></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode" : "pa"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger" : 4,
"_valueInteger" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueCanonical" : "http://hl7.org/fhir/us/ndh/ImplementationGuide/hl7.fhir.us.ndh"
}
]
}
},
{
"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/ndh/ImplementationGuide/hl7.fhir.us.ndh"
}
]
}
}
],
"url" : "http://hl7.org/fhir/us/ndh/ConceptMap/PlanNetToNdhInsuranceProductTypeCM",
"version" : "2.0.0-current",
"name" : "PlanNetToNdhInsuranceProductType",
"title" : "Plan-Net to NDH Insurance Product Type ConceptMap",
"status" : "active",
"experimental" : false,
"date" : "2026-05-29T16:56:26+00:00",
"publisher" : "HL7 International / Patient Administration",
"contact" : [
{
"name" : "HL7 International / Patient Administration",
"telecom" : [
{
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/pafm"
},
{
"system" : "email",
"value" : "pafm@lists.hl7.org"
}
]
}
],
"description" : "Maps Plan-Net Insurance Product Type codes to NDH Insurance Product Type codes used from THO.\n\nThis ConceptMap should not be needed, but Plan-Net replicates the codeSystem that is in THO. [FHIR-57453](https://jira.hl7.org/browse/FHIR-57453) requests Plan-Net change. If that is done, then this ConceptMap should be retired.",
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "US",
"display" : "United States of America"
}
]
}
],
"sourceUri" : "http://hl7.org/fhir/us/davinci-pdex-plan-net/ValueSet/InsuranceProductTypeVS",
"targetUri" : "http://terminology.hl7.org/ValueSet/insurance-product-type",
"group" : [
{
"source" : "http://hl7.org/fhir/us/davinci-pdex-plan-net/CodeSystem/InsuranceProductTypeCS",
"target" : "http://terminology.hl7.org/CodeSystem/insurance-product-type",
"element" : [
{
"code" : "commppo",
"target" : [
{
"code" : "commppo",
"equivalence" : "equal"
}
]
},
{
"code" : "commhdhp",
"target" : [
{
"code" : "commhdhp",
"equivalence" : "equal"
}
]
},
{
"code" : "commpos",
"target" : [
{
"code" : "commpos",
"equivalence" : "equal"
}
]
},
{
"code" : "commhmo",
"target" : [
{
"code" : "commhmo",
"equivalence" : "equal"
}
]
},
{
"code" : "commepo",
"target" : [
{
"code" : "commepo",
"equivalence" : "equal"
}
]
},
{
"code" : "medi",
"target" : [
{
"code" : "medi",
"equivalence" : "equal"
}
]
},
{
"code" : "medihmo",
"target" : [
{
"code" : "medihmo",
"equivalence" : "equal"
}
]
},
{
"code" : "mediadv",
"target" : [
{
"code" : "mediadv",
"equivalence" : "equal"
}
]
},
{
"code" : "mediadvhmo",
"target" : [
{
"code" : "mediadvhmo",
"equivalence" : "equal"
}
]
},
{
"code" : "media",
"target" : [
{
"code" : "media",
"equivalence" : "equal"
}
]
},
{
"code" : "medib",
"target" : [
{
"code" : "medib",
"equivalence" : "equal"
}
]
},
{
"code" : "medid",
"target" : [
{
"code" : "medid",
"equivalence" : "equal"
}
]
},
{
"code" : "mediab",
"target" : [
{
"code" : "mediab",
"equivalence" : "equal"
}
]
},
{
"code" : "qhp",
"target" : [
{
"code" : "qhp",
"equivalence" : "equal"
}
]
},
{
"code" : "ihs",
"target" : [
{
"code" : "ihs",
"equivalence" : "equal"
}
]
},
{
"code" : "fep",
"target" : [
{
"code" : "fep",
"equivalence" : "equal"
}
]
},
{
"code" : "tri",
"target" : [
{
"code" : "tri",
"equivalence" : "equal"
}
]
},
{
"code" : "va",
"target" : [
{
"code" : "va",
"equivalence" : "equal"
}
]
},
{
"code" : "dent",
"target" : [
{
"code" : "dent",
"equivalence" : "equal"
}
]
},
{
"code" : "denthmo",
"target" : [
{
"code" : "denthmo",
"equivalence" : "equal"
}
]
},
{
"code" : "vis",
"target" : [
{
"code" : "vis",
"equivalence" : "equal"
}
]
},
{
"code" : "vishmo",
"target" : [
{
"code" : "vishmo",
"equivalence" : "equal"
}
]
}
]
}
]
}
IG © 2023+ HL7 International / Patient Administration.
Package hl7.fhir.us.ndh#2.0.0-current based on FHIR 4.0.1.
Generated
2026-05-29
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