Segment IN1 to Coverage Map - HL7 Version 2 to FHIR v1.0.0-ballot

HL7 Version 2 to FHIR
1.0.0-ballot - ballot International flag

HL7 Version 2 to FHIR, published by HL7 International / Orders and Observations. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/v2-to-fhir/ and changes regularly. See the Directory of published versions

ConceptMap: Segment IN1 to Coverage Map (Experimental)

Official URL: http://hl7.org/fhir/uv/v2mappings/segment-in1-to-coverage				Version: 1.0.0-ballot
Active as of 2024-10-30				Computable Name: SegmentIN1ToCoverage
Copyright/Legal: Copyright (c) 2020, HL7 International, Inc., All Rights Reserved.

This ConceptMap represents a mapping from the HL7 V2 Segment IN1 to the FHIR Coverage Resource.

This ConceptMap represents the mapping from the HL7 V2 IN1 Segment to the FHIR Coverage Resource. See also the FHIR Shorthand or the CSV Source.

HL7 v2						Condition (IF True, args)			HL7 FHIR								Comments
Sort Order	Identifier	Name	Data Type	Cardinality - Min	Cardinality - Max	Computable ANTLR	Computable FHIRPath	Narrative	FHIR Attribute	Extension	Data Type	Cardinality - Min	Cardinality - Max	Data Type Mapping	Vocabulary Mapping (IS, ID, CE, CEN, CWE)	Assignment	Comments
1	IN1-1	Set ID - IN1	SI	1	1
2	IN1-2	Health Plan ID	CWE	1	1
3	IN1-3	Insurance Company ID	CX	1	-1
4	IN1-4	Insurance Company Name	XON	0	-1				Coverage.payor(Coverage.Organization)		Reference			XON[Organization]
5	IN1-5	Insurance Company Address	XAD	0	-1				Coverage.payer(Coverage.Organization.address)		Reference			XAD[Address]
6	IN1-6	Insurance Co Contact Person	XPN	0	-1
7	IN1-7	Insurance Co Phone Number	XTN	0	-1
8	IN1-8	Group Number	ST	0	1
9	IN1-9	Group Name	XON	0	-1
10	IN1-10	Insured's Group Emp ID	CX	0	-1	IF CX.5 IS "SN"			Coverage.extension.url		Coverage.uri					"http://hl7.org/fhir/R5/StructureDefinition/extension-subscriberId"
10	IN1-10	Insured's Group Emp ID	CX	0	-1	IF CX.5 IS "SN"			Coverage.extension.valueIdentifier		Coverage.Identifier			CX[Identifier]
10	IN1-10	Insured's Group Emp ID	CX	0	-1			If CX.5 is not SN the implementer must review appropriate mapping.									If one has identifiers of other types, one must determine where it fits best.
11	IN1-11	Insured's Group Emp Name	XON	0	-1				Coverage.policyHolder(Coverage.Organization)		Reference			XON[Organization]
12	IN1-12	Plan Effective Date	DT	0	1				Coverage.period.start		Coverage.dateTime
13	IN1-13	Plan Expiration Date	DT	0	1				Coverage.period.end		Coverage.dateTime
14	IN1-14	Authorization Information	AUI	0	1
15	IN1-15	Plan Type	CWE	0	1				Coverage.type		Coverage.CodeableConcept			CWE[CodeableConcept]	PlanId
16	IN1-16	Name Of Insured	XPN	0	-1	IF IN1-17 IS NOT 'patient'			Coverage.subscriber(Coverage.RelatedPerson)		Reference
16	IN1-16	Name Of Insured	XPN	0	-1	IF IN1-17 IS 'patient'			Coverage.subscriber(Coverage.Patient)		Reference
17	IN1-17	Insured's Relationship To Patient	CWE	0	1				Coverage.relationship		Coverage.CondeableConcept			CWE[CodeableConcept]	Relationship
18	IN1-18	Insured's Date Of Birth	DTM	0	1
19	IN1-19	Insured's Address	XAD	0	-1
20	IN1-20	Assignment Of Benefits	CWE	0	1
21	IN1-21	Coordination Of Benefits	CWE	0	1
22	IN1-22	Coord Of Ben. Priority	ST	0	1
23	IN1-23	Notice Of Admission Flag	ID	0	1
24	IN1-24	Notice Of Admission Date	DT	0	1
25	IN1-25	Report Of Eligibility Flag	ID	0	1
26	IN1-26	Report Of Eligibility Date	DT	0	1
27	IN1-27	Release Information Code	CWE	0	1
28	IN1-28	Pre-Admit Cert (PAC)	ST	0	1
29	IN1-29	Verification Date/Time	DTM	0	1
30	IN1-30	Verification By	XCN	0	-1
31	IN1-31	Type Of Agreement Code	CWE	0	1
32	IN1-32	Billing Status	CWE	0	1
33	IN1-33	Lifetime Reserve Days	NM	0	1
34	IN1-34	Delay Before L.R. Day	NM	0	1
35	IN1-35	Company Plan Code	CWE	0	1
36	IN1-36	Policy Number	ST	0	1
37	IN1-37	Policy Deductible	CP	0	1
38	IN1-38	Policy Limit - Amount
39	IN1-39	Policy Limit - Days	NM	0	1
40	IN1-40	Room Rate - Semi-Private
41	IN1-41	Room Rate - Private
42	IN1-42	Insured's Employment Status	CWE	0	1
43	IN1-43	Insured's Administrative Sex	CWE	0	1
44	IN1-44	Insured's Employer's Address	XAD	0	-1
45	IN1-45	Verification Status	ST	0	1
46	IN1-46	Prior Insurance Plan ID	CWE	0	1
47	IN1-47	Coverage Type	CWE	0	1
48	IN1-48	Handicap	CWE	0	1
49	IN1-49	Insured's ID Number	CX	0	-1				Coverage.extension.url		Coverage.uri					"http://hl7.org/fhir/R5/StructureDefinition/extension-subscriberId"
49	IN1-49	Insured's ID Number	CX	0	-1				Coverage.extension.valueIdentifier		Coverage.Identifier			CX[Identifier]
50	IN1-50	Signature Code	CWE	0	1
51	IN1-51	Signature Code Date	DT	0	1
52	IN1-52	Insured's Birth Place	ST	0	1
53	IN1-53	VIP Indicator	CWE	0	1
54	IN1-54	External Health Plan Identifiers	CX	0	-1
55	IN1-55	Insurance Action Code	ID	0	1