NHDR Implementation Guide Release 1.0, published by NHDR. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/UP-Manila-SILab/PhilHealth-NHDR-IG-Review/ and changes regularly. See the Directory of published versions

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Resource Profile: PH_Coverage - Mappings

Page standards status: Draft

Mappings for the PH-Coverage resource profile.

Mappings to Structures in this Implementation Guide

No Mappings Found

Mappings to other Structures

No Mappings Found

Other Mappings

Name	Workflow Pattern	RIM Mapping	FiveWs Pattern Mapping	Canadian Dental Association eclaims standard	HL7 v2 Mapping	Canadian Pharmacy Associaiton eclaims standard
Coverage	Event	Coverage
Coverage / id
Coverage / meta
Coverage / meta / id		n/a
Coverage / meta / Slices for extension		n/a
Coverage / meta / Slices for extension / extension:hfRecordedDate
Coverage / meta / Slices for extension / extension:hfLastUpdated
Coverage / meta / versionId
Coverage / meta / lastUpdated
Coverage / meta / source
Coverage / meta / profile
Coverage / meta / security
Coverage / meta / tag
Coverage / implicitRules
Coverage / language
Coverage / text		Act.text?
Coverage / contained		N/A
Coverage / extension
Coverage / modifierExtension
Coverage / identifier	Event.identifier	.id	FiveWs.identifier	C02	IN1-2	C.32 C.33 C.39
Coverage / status	Event.status	Act.status	FiveWs.status
Coverage / type			FiveWs.class		IN1-15
Coverage / policyHolder			FiveWs.subject	D01 through D09	IN1-16 18 19-name of insured address date of birth	C.35
Coverage / subscriber			FiveWs.subject	D01 through D09	IN1-16 18 19-name of insured address date of birth	C.35
Coverage / subscriberId			FiveWs.subject	D01 through D09	IN1-16 18 19-name of insured address date of birth	C.35
Coverage / beneficiary	Event.subject		FiveWs.subject	D01 through D09	IN1-16 18 19-name of insured address date of birth	C.35
Coverage / dependent				C17	- No exact HL7 v2 equivalent concept seems to exist;
Coverage / relationship				C03
Coverage / period	Event.occurrence[x]	Act.effectiveTime	FiveWs.done[x]		IN1-12 / IN1-13
Coverage / payor			FiveWs.author	A05	IN1-3	C.30
Coverage / class
Coverage / order					- No exact HL7 v2 equivalent concept seems to exist;
Coverage / network				D10
Coverage / costToBeneficiary
Coverage / costToBeneficiary / id		n/a
Coverage / costToBeneficiary / extension
Coverage / costToBeneficiary / modifierExtension
Coverage / costToBeneficiary / type
Coverage / costToBeneficiary / value[x]				C11 (Division Section)	IN1-8	C.31
Coverage / costToBeneficiary / exception
Coverage / subrogation
Coverage / contract		n/a		D01 through D09	IN1-16 18 19	C.35
Documentation for this format