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

: Plan-Net to NDH Insurance Product Type ConceptMap

Page standards status: Trial-use Maturity Level: 4

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<ConceptMap xmlns="http://hl7.org/fhir">
  <id value="PlanNetToNdhInsuranceProductTypeCM"/>
  <language value="en"/>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="pa"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="4">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueCanonical
                        value="http://hl7.org/fhir/us/ndh/ImplementationGuide/hl7.fhir.us.ndh"/>
      </extension>
    </valueInteger>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="trial-use">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueCanonical
                        value="http://hl7.org/fhir/us/ndh/ImplementationGuide/hl7.fhir.us.ndh"/>
      </extension>
    </valueCode>
  </extension>
  <url
       value="http://hl7.org/fhir/us/ndh/ConceptMap/PlanNetToNdhInsuranceProductTypeCM"/>
  <version value="2.0.0-current"/>
  <name value="PlanNetToNdhInsuranceProductType"/>
  <title value="Plan-Net to NDH Insurance Product Type ConceptMap"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2026-05-29T16:56:26+00:00"/>
  <publisher value="HL7 International / Patient Administration"/>
  <contact>
    <name value="HL7 International / Patient Administration"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/pafm"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="pafm@lists.hl7.org"/>
    </telecom>
  </contact>
  <description
               value="Maps Plan-Net Insurance Product Type codes to NDH Insurance Product Type codes used from THO.

This 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 value="urn:iso:std:iso:3166"/>
      <code value="US"/>
      <display value="United States of America"/>
    </coding>
  </jurisdiction>
  <sourceUri
             value="http://hl7.org/fhir/us/davinci-pdex-plan-net/ValueSet/InsuranceProductTypeVS"/>
  <targetUri
             value="http://terminology.hl7.org/ValueSet/insurance-product-type"/>
  <group>
    <source
            value="http://hl7.org/fhir/us/davinci-pdex-plan-net/CodeSystem/InsuranceProductTypeCS"/>
    <target
            value="http://terminology.hl7.org/CodeSystem/insurance-product-type"/>
    <element>
      <code value="commppo"/>
      <target>
        <code value="commppo"/>
        <equivalence value="equal"/>
      </target>
    </element>
    <element>
      <code value="commhdhp"/>
      <target>
        <code value="commhdhp"/>
        <equivalence value="equal"/>
      </target>
    </element>
    <element>
      <code value="commpos"/>
      <target>
        <code value="commpos"/>
        <equivalence value="equal"/>
      </target>
    </element>
    <element>
      <code value="commhmo"/>
      <target>
        <code value="commhmo"/>
        <equivalence value="equal"/>
      </target>
    </element>
    <element>
      <code value="commepo"/>
      <target>
        <code value="commepo"/>
        <equivalence value="equal"/>
      </target>
    </element>
    <element>
      <code value="medi"/>
      <target>
        <code value="medi"/>
        <equivalence value="equal"/>
      </target>
    </element>
    <element>
      <code value="medihmo"/>
      <target>
        <code value="medihmo"/>
        <equivalence value="equal"/>
      </target>
    </element>
    <element>
      <code value="mediadv"/>
      <target>
        <code value="mediadv"/>
        <equivalence value="equal"/>
      </target>
    </element>
    <element>
      <code value="mediadvhmo"/>
      <target>
        <code value="mediadvhmo"/>
        <equivalence value="equal"/>
      </target>
    </element>
    <element>
      <code value="media"/>
      <target>
        <code value="media"/>
        <equivalence value="equal"/>
      </target>
    </element>
    <element>
      <code value="medib"/>
      <target>
        <code value="medib"/>
        <equivalence value="equal"/>
      </target>
    </element>
    <element>
      <code value="medid"/>
      <target>
        <code value="medid"/>
        <equivalence value="equal"/>
      </target>
    </element>
    <element>
      <code value="mediab"/>
      <target>
        <code value="mediab"/>
        <equivalence value="equal"/>
      </target>
    </element>
    <element>
      <code value="qhp"/>
      <target>
        <code value="qhp"/>
        <equivalence value="equal"/>
      </target>
    </element>
    <element>
      <code value="ihs"/>
      <target>
        <code value="ihs"/>
        <equivalence value="equal"/>
      </target>
    </element>
    <element>
      <code value="fep"/>
      <target>
        <code value="fep"/>
        <equivalence value="equal"/>
      </target>
    </element>
    <element>
      <code value="tri"/>
      <target>
        <code value="tri"/>
        <equivalence value="equal"/>
      </target>
    </element>
    <element>
      <code value="va"/>
      <target>
        <code value="va"/>
        <equivalence value="equal"/>
      </target>
    </element>
    <element>
      <code value="dent"/>
      <target>
        <code value="dent"/>
        <equivalence value="equal"/>
      </target>
    </element>
    <element>
      <code value="denthmo"/>
      <target>
        <code value="denthmo"/>
        <equivalence value="equal"/>
      </target>
    </element>
    <element>
      <code value="vis"/>
      <target>
        <code value="vis"/>
        <equivalence value="equal"/>
      </target>
    </element>
    <element>
      <code value="vishmo"/>
      <target>
        <code value="vishmo"/>
        <equivalence value="equal"/>
      </target>
    </element>
  </group>
</ConceptMap>