National Directory of Healthcare Providers & Services (NDH) Implementation Guide
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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

: Plan-Net to NDH Insurance Product Type ConceptMap

Page standards status: Trial-use Maturity Level: 4

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/ConceptMap/PlanNetToNdhInsuranceProductTypeCM> a fhir:ConceptMap ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "PlanNetToNdhInsuranceProductTypeCM"] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.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/7.2.0/ValueSet-insurance-product-type.html\">Insurance Product Type</a></p><br/><p>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/7.2.0/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>"
  ] ;
  fhir:DomainResource.extension [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg" ] ;
     fhir:Extension.valueCode [ fhir:value "pa" ]
  ], [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm" ] ;
     fhir:Extension.valueInteger [
       fhir:value "4"^^xsd:integer ;
       fhir:Element.extension [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom" ] ;
         fhir:Extension.valueCanonical [
           fhir:value "http://hl7.org/fhir/us/ndh/ImplementationGuide/hl7.fhir.us.ndh" ;
           fhir:link <http://hl7.org/fhir/us/ndh/ImplementationGuide/hl7.fhir.us.ndh>
         ]
       ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status" ] ;
     fhir:Extension.valueCode [
       fhir:value "trial-use" ;
       fhir:Element.extension [
         fhir:index -1 ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom" ] ;
         fhir:Extension.valueCanonical [
           fhir:value "http://hl7.org/fhir/us/ndh/ImplementationGuide/hl7.fhir.us.ndh" ;
           fhir:link <http://hl7.org/fhir/us/ndh/ImplementationGuide/hl7.fhir.us.ndh>
         ]
       ]
     ]
  ] ;
  fhir:ConceptMap.url [ fhir:value "http://hl7.org/fhir/us/ndh/ConceptMap/PlanNetToNdhInsuranceProductTypeCM"] ;
  fhir:ConceptMap.identifier [
     fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ] ;
     fhir:Identifier.value [ fhir:value "urn:oid:2.999.1.2.3.4.18.6" ]
  ] ;
  fhir:ConceptMap.version [ fhir:value "2.0.0-current"] ;
  fhir:ConceptMap.name [ fhir:value "PlanNetToNdhInsuranceProductType"] ;
  fhir:ConceptMap.title [ fhir:value "Plan-Net to NDH Insurance Product Type ConceptMap"] ;
  fhir:ConceptMap.status [ fhir:value "active"] ;
  fhir:ConceptMap.experimental [ fhir:value "false"^^xsd:boolean] ;
  fhir:ConceptMap.date [ fhir:value "2026-06-25T23:39:34+00:00"^^xsd:dateTime] ;
  fhir:ConceptMap.publisher [ fhir:value "HL7 International / Patient Administration"] ;
  fhir:ConceptMap.contact [
     fhir:index -1 ;
     fhir:ContactDetail.name [ fhir:value "HL7 International / Patient Administration" ] ;
     fhir:ContactDetail.telecom [
       fhir:index -1 ;
       fhir:ContactPoint.system [ fhir:value "url" ] ;
       fhir:ContactPoint.value [ fhir:value "http://www.hl7.org/Special/committees/pafm" ]
     ], [
       fhir:index -1 ;
       fhir:ContactPoint.system [ fhir:value "email" ] ;
       fhir:ContactPoint.value [ fhir:value "pafm@lists.hl7.org" ]
     ]
  ] ;
  fhir:ConceptMap.description [ fhir:value "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."] ;
  fhir:ConceptMap.jurisdiction [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ] ;
       fhir:Coding.code [ fhir:value "US" ] ;
       fhir:Coding.display [ fhir:value "United States of America" ]
     ]
  ] ;
  fhir:ConceptMap.sourceUri [ fhir:value "http://hl7.org/fhir/us/davinci-pdex-plan-net/ValueSet/InsuranceProductTypeVS"] ;
  fhir:ConceptMap.targetUri [ fhir:value "http://terminology.hl7.org/ValueSet/insurance-product-type"] ;
  fhir:ConceptMap.group [
     fhir:index -1 ;
     fhir:ConceptMap.group.source [ fhir:value "http://hl7.org/fhir/us/davinci-pdex-plan-net/CodeSystem/InsuranceProductTypeCS" ] ;
     fhir:ConceptMap.group.target [ fhir:value "http://terminology.hl7.org/CodeSystem/insurance-product-type" ] ;
     fhir:ConceptMap.group.element [
       fhir:index -1 ;
       fhir:ConceptMap.group.element.code [ fhir:value "commppo" ] ;
       fhir:ConceptMap.group.element.target [
         fhir:index -1 ;
         fhir:ConceptMap.group.element.target.code [ fhir:value "commppo" ] ;
         fhir:ConceptMap.group.element.target.equivalence [ fhir:value "equal" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:ConceptMap.group.element.code [ fhir:value "commhdhp" ] ;
       fhir:ConceptMap.group.element.target [
         fhir:index -1 ;
         fhir:ConceptMap.group.element.target.code [ fhir:value "commhdhp" ] ;
         fhir:ConceptMap.group.element.target.equivalence [ fhir:value "equal" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:ConceptMap.group.element.code [ fhir:value "commpos" ] ;
       fhir:ConceptMap.group.element.target [
         fhir:index -1 ;
         fhir:ConceptMap.group.element.target.code [ fhir:value "commpos" ] ;
         fhir:ConceptMap.group.element.target.equivalence [ fhir:value "equal" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:ConceptMap.group.element.code [ fhir:value "commhmo" ] ;
       fhir:ConceptMap.group.element.target [
         fhir:index -1 ;
         fhir:ConceptMap.group.element.target.code [ fhir:value "commhmo" ] ;
         fhir:ConceptMap.group.element.target.equivalence [ fhir:value "equal" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:ConceptMap.group.element.code [ fhir:value "commepo" ] ;
       fhir:ConceptMap.group.element.target [
         fhir:index -1 ;
         fhir:ConceptMap.group.element.target.code [ fhir:value "commepo" ] ;
         fhir:ConceptMap.group.element.target.equivalence [ fhir:value "equal" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:ConceptMap.group.element.code [ fhir:value "medi" ] ;
       fhir:ConceptMap.group.element.target [
         fhir:index -1 ;
         fhir:ConceptMap.group.element.target.code [ fhir:value "medi" ] ;
         fhir:ConceptMap.group.element.target.equivalence [ fhir:value "equal" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:ConceptMap.group.element.code [ fhir:value "medihmo" ] ;
       fhir:ConceptMap.group.element.target [
         fhir:index -1 ;
         fhir:ConceptMap.group.element.target.code [ fhir:value "medihmo" ] ;
         fhir:ConceptMap.group.element.target.equivalence [ fhir:value "equal" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:ConceptMap.group.element.code [ fhir:value "mediadv" ] ;
       fhir:ConceptMap.group.element.target [
         fhir:index -1 ;
         fhir:ConceptMap.group.element.target.code [ fhir:value "mediadv" ] ;
         fhir:ConceptMap.group.element.target.equivalence [ fhir:value "equal" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:ConceptMap.group.element.code [ fhir:value "mediadvhmo" ] ;
       fhir:ConceptMap.group.element.target [
         fhir:index -1 ;
         fhir:ConceptMap.group.element.target.code [ fhir:value "mediadvhmo" ] ;
         fhir:ConceptMap.group.element.target.equivalence [ fhir:value "equal" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:ConceptMap.group.element.code [ fhir:value "media" ] ;
       fhir:ConceptMap.group.element.target [
         fhir:index -1 ;
         fhir:ConceptMap.group.element.target.code [ fhir:value "media" ] ;
         fhir:ConceptMap.group.element.target.equivalence [ fhir:value "equal" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:ConceptMap.group.element.code [ fhir:value "medib" ] ;
       fhir:ConceptMap.group.element.target [
         fhir:index -1 ;
         fhir:ConceptMap.group.element.target.code [ fhir:value "medib" ] ;
         fhir:ConceptMap.group.element.target.equivalence [ fhir:value "equal" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:ConceptMap.group.element.code [ fhir:value "medid" ] ;
       fhir:ConceptMap.group.element.target [
         fhir:index -1 ;
         fhir:ConceptMap.group.element.target.code [ fhir:value "medid" ] ;
         fhir:ConceptMap.group.element.target.equivalence [ fhir:value "equal" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:ConceptMap.group.element.code [ fhir:value "mediab" ] ;
       fhir:ConceptMap.group.element.target [
         fhir:index -1 ;
         fhir:ConceptMap.group.element.target.code [ fhir:value "mediab" ] ;
         fhir:ConceptMap.group.element.target.equivalence [ fhir:value "equal" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:ConceptMap.group.element.code [ fhir:value "qhp" ] ;
       fhir:ConceptMap.group.element.target [
         fhir:index -1 ;
         fhir:ConceptMap.group.element.target.code [ fhir:value "qhp" ] ;
         fhir:ConceptMap.group.element.target.equivalence [ fhir:value "equal" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:ConceptMap.group.element.code [ fhir:value "ihs" ] ;
       fhir:ConceptMap.group.element.target [
         fhir:index -1 ;
         fhir:ConceptMap.group.element.target.code [ fhir:value "ihs" ] ;
         fhir:ConceptMap.group.element.target.equivalence [ fhir:value "equal" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:ConceptMap.group.element.code [ fhir:value "fep" ] ;
       fhir:ConceptMap.group.element.target [
         fhir:index -1 ;
         fhir:ConceptMap.group.element.target.code [ fhir:value "fep" ] ;
         fhir:ConceptMap.group.element.target.equivalence [ fhir:value "equal" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:ConceptMap.group.element.code [ fhir:value "tri" ] ;
       fhir:ConceptMap.group.element.target [
         fhir:index -1 ;
         fhir:ConceptMap.group.element.target.code [ fhir:value "tri" ] ;
         fhir:ConceptMap.group.element.target.equivalence [ fhir:value "equal" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:ConceptMap.group.element.code [ fhir:value "va" ] ;
       fhir:ConceptMap.group.element.target [
         fhir:index -1 ;
         fhir:ConceptMap.group.element.target.code [ fhir:value "va" ] ;
         fhir:ConceptMap.group.element.target.equivalence [ fhir:value "equal" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:ConceptMap.group.element.code [ fhir:value "dent" ] ;
       fhir:ConceptMap.group.element.target [
         fhir:index -1 ;
         fhir:ConceptMap.group.element.target.code [ fhir:value "dent" ] ;
         fhir:ConceptMap.group.element.target.equivalence [ fhir:value "equal" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:ConceptMap.group.element.code [ fhir:value "denthmo" ] ;
       fhir:ConceptMap.group.element.target [
         fhir:index -1 ;
         fhir:ConceptMap.group.element.target.code [ fhir:value "denthmo" ] ;
         fhir:ConceptMap.group.element.target.equivalence [ fhir:value "equal" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:ConceptMap.group.element.code [ fhir:value "vis" ] ;
       fhir:ConceptMap.group.element.target [
         fhir:index -1 ;
         fhir:ConceptMap.group.element.target.code [ fhir:value "vis" ] ;
         fhir:ConceptMap.group.element.target.equivalence [ fhir:value "equal" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:ConceptMap.group.element.code [ fhir:value "vishmo" ] ;
       fhir:ConceptMap.group.element.target [
         fhir:index -1 ;
         fhir:ConceptMap.group.element.target.code [ fhir:value "vishmo" ] ;
         fhir:ConceptMap.group.element.target.equivalence [ fhir:value "equal" ]
       ]
     ]
  ] .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/ConceptMap/PlanNetToNdhInsuranceProductTypeCM.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/ConceptMap/PlanNetToNdhInsuranceProductTypeCM.ttl> .