Finance and Insurance Service (FAIS)
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Finance and Insurance Service (FAIS), published by IHE IT Infrastructure Technical Committee. This guide is not an authorized publication; it is the continuous build for version 1.0.0-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IHE/ITI.Finance/ and changes regularly. See the Directory of published versions

Resource Profile: FAISCoverageEligibilityRequest - Mappings

Active as of 2024-10-24

Mappings for the IHE.FAIS.CoverageEligibilityRequest resource profile.

Mappings for Workflow Pattern (http://hl7.org/fhir/workflow)

FAISCoverageEligibilityRequest
CoverageEligibilityRequestRequest
   identifierRequest.identifier
   statusRequest.status
   priorityRequest.priority
   patientRequest.subject
   createdRequest.authoredOn
   providerRequest.requester
   insurerRequest.performer
   item
      providerRequest.requester

Mappings for FiveWs Pattern Mapping (http://hl7.org/fhir/fivews)

FAISCoverageEligibilityRequest
CoverageEligibilityRequest
   identifierFiveWs.identifier
   statusFiveWs.status
   priorityFiveWs.class
   purposeFiveWs.class
   patientFiveWs.subject[x], FiveWs.subject
   serviced[x]FiveWs.done[x]
   createdFiveWs.recorded
   entererFiveWs.author
   providerFiveWs.source
   insurerFiveWs.who
   facilityFiveWs.where[x]
   item
      providerFiveWs.source

Mappings for HL7 v2 Mapping (http://hl7.org/v2)

FAISCoverageEligibilityRequest
CoverageEligibilityRequest
   item
      diagnosisRequest.reasonReference

Mappings for RIM Mapping (http://hl7.org/v3)

FAISCoverageEligibilityRequest
CoverageEligibilityRequestEntity. Role, or Act
   textAct.text?
   containedN/A
   supportingInfo
      idn/a
      extensionn/a
      modifierExtensionN/A
   insurance
      idn/a
      extensionn/a
      modifierExtensionN/A
   item
      idn/a
      extensionn/a
      modifierExtensionN/A
      diagnosis
         idn/a
         extensionn/a
         modifierExtensionN/A