Núcleo de Interoperabilidad de Datos (NID) - MINSAL, published by Unidad de Interoperabilidad - MINSAL. This guide is not an authorized publication; it is the continuous build for version 0.4.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Minsal-CL/NID/ and changes regularly. See the Directory of published versions

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Resource Profile: MINSALCobertura - Mappings

Draft as of 2024-10-08

Mappings for the MINSALCobertura resource profile.

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

MINSALCobertura
Coverage	Event
identifier	Event.identifier
status	Event.status
beneficiary	Event.subject
period	Event.occurrence[x]

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

MINSALCobertura
Coverage	Entity. Role, or Act, Coverage
text	Act.text?
contained	N/A
extension	N/A
modifierExtension	N/A
identifier	.id
status	Act.status
period	Act.effectiveTime
class
id	n/a
extension	n/a
modifierExtension	N/A
value
class (tramos)
id	n/a
extension	n/a
modifierExtension	N/A
value
extension
extension (valorClase)
id	n/a
url	N/A
value[x]	N/A
class (plan)
id	n/a
extension	n/a
modifierExtension	N/A
value
class (leyesPrev)
id	n/a
extension	n/a
modifierExtension	N/A
value
extension
extension (valorClase)
id	n/a
url	N/A
value[x]	N/A
class (leyesRep)
id	n/a
extension	n/a
modifierExtension	N/A
value
extension
extension (valorClase)
id	n/a
url	N/A
value[x]	N/A
class (leyesPrio)
id	n/a
extension	n/a
modifierExtension	N/A
value
extension
extension (valorClase)
id	n/a
url	N/A
value[x]	N/A
costToBeneficiary
id	n/a
extension	n/a
modifierExtension	N/A
exception
id	n/a
extension	n/a
modifierExtension	N/A
contract	n/a

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

MINSALCobertura
Coverage
identifier	FiveWs.identifier
status	FiveWs.status
type	FiveWs.class
policyHolder	FiveWs.subject[x], FiveWs.subject
subscriber	FiveWs.subject[x], FiveWs.subject
subscriberId	FiveWs.subject[x], FiveWs.subject
beneficiary	FiveWs.subject[x], FiveWs.subject
period	FiveWs.done[x]
payor	FiveWs.author

Mappings for Canadian Dental Association eclaims standard (http://www.cda-adc.ca/en/services/cdanet/)

MINSALCobertura
Coverage
identifier	C02
policyHolder	D01 through D09
subscriber	D01 through D09
subscriberId	D01 through D09
beneficiary	D01 through D09
dependent	C17
relationship	C03
payor	A05
class
value	C11 (Division,Section)
name	C11 (Division,Section)
class (tramos)
value	C11 (Division,Section)
name	C11 (Division,Section)
class (plan)
value	C11 (Division,Section)
name	C11 (Division,Section)
class (leyesPrev)
value	C11 (Division,Section)
name	C11 (Division,Section)
class (leyesRep)
value	C11 (Division,Section)
name	C11 (Division,Section)
class (leyesPrio)
value	C11 (Division,Section)
name	C11 (Division,Section)
network	D10
costToBeneficiary
value[x]	C11 (Division,Section)
contract	D01 through D09

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

MINSALCobertura
Coverage
identifier	IN1-2
type	IN1-15
policyHolder	IN1-16, 18, 19-name of insured, address, date of birth
subscriber	IN1-16, 18, 19-name of insured, address, date of birth
subscriberId	IN1-16, 18, 19-name of insured, address, date of birth
beneficiary	IN1-16, 18, 19-name of insured, address, date of birth
dependent	- No exact HL7 v2 equivalent concept seems to exist;
period	IN1-12 / IN1-13
payor	IN1-3
class
value	IN1-8
name	IN1-8
class (tramos)
value	IN1-8
name	IN1-8
class (plan)
value	IN1-8
name	IN1-8
class (leyesPrev)
value	IN1-8
name	IN1-8
class (leyesRep)
value	IN1-8
name	IN1-8
class (leyesPrio)
value	IN1-8
name	IN1-8
order	- No exact HL7 v2 equivalent concept seems to exist;
costToBeneficiary
value[x]	IN1-8
contract	IN1-16, 18, 19

Mappings for Canadian Pharmacy Associaiton eclaims standard (http://www.pharmacists.ca/)

MINSALCobertura
Coverage
identifier	C.32, C.33, C.39
policyHolder	C.35
subscriber	C.35
subscriberId	C.35
beneficiary	C.35
payor	C.30
class
value	C.31
name	C.31
class (tramos)
value	C.31
name	C.31
class (plan)
value	C.31
name	C.31
class (leyesPrev)
value	C.31
name	C.31
class (leyesRep)
value	C.31
name	C.31
class (leyesPrio)
value	C.31
name	C.31
costToBeneficiary
value[x]	C.31
contract	C.35